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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MIAMI VALLEY HOSPITAL

Dayton, OH · CCN 360051 · Rates published

13,859 distinct procedures filed
8 distinct payers
274,241 rate rows
2026-04-01 last MRF observed
Data quality

218,901 of 274,241 rate rows are consumer-grade (79.8%)

55,340 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 55,094
placeholder amount (≤ $0.02) — excluded from medians 246
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.premierhealth.com/docs/default-source/default-document-library/31-0537504_miami-valley-hospital_standardcharges.json
Found on page https://www.premierhealth.com/patient-and-visitor-guide/patient-guide/costs-and-insurance/pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint dd0a687c21af09d7… · 60,863,888 bytes · first seen 2026-05-04

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $4,868,633.01 $4,868,633.01 nat. median
$3,006,423
1.6× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,455,110.60 $4,045,990.74 $4,045,990.74 nat. median
$2,469,189
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $3,847,800.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,906,382.67 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,974,693.88 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $4,872,668.57 $3,410,868.00 nat. median
$3,286,000
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $591,726.20 $1,769,912.24 $954,235.56 nat. median
$754,974
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $1,692,570.60 $913,075.07 nat. median
$675,122
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,538.19 $1,682,607.97 $893,698.84 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $557,317.93 $1,666,993.67 $893,079.74 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $533,230.17 $1,594,944.76 $879,576.19 nat. median
$634,511
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $2,305,001.48 $816,857.20 nat. median
$824,563
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $1,463,559.01 $808,038.00 nat. median
$620,080
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $7,042.49 $1,184,288.83 $362,616.94 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $23,674.24 $884,565.79 $236,692.36 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $170,283.05 $745,014.53 $201,417.40 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $11,780.43 $694,527.00 $172,673.45 nat. median
$202,986
0.9× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 2 $9,552.34 $169,334.00 $169,334.00 nat. median
$29,793
outlier · 5.7×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $7,642.44 $165,365.00 $165,365.00 nat. median
$44,728
outlier · 3.7×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $157,945.00 $157,945.00 $157,945.00 nat. median
$63,570
outlier · 2.5×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $8,505.09 $148,170.00 $148,170.00 nat. median
$48,649
outlier · 3.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $10,867.26 $146,575.00 $146,575.00 nat. median
$49,935
outlier · 2.9×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $5,920.69 $146,575.00 $146,575.00 nat. median
$39,020
outlier · 3.8×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $5,660.12 $141,521.00 $141,521.00 nat. median
$54,196
outlier · 2.6×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $78,986.40 $130,327.56 $130,327.56 nat. median
$76,377
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $110,901.76 $331,718.25 $117,555.87 nat. median
$111,989
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $43,464.07 $582,800.34 $114,283.76 nat. median
$133,176
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $88,229.98 $329,174.65 $112,934.38 nat. median
$98,905
1.1× median
7
MS_DRG 		Lung Transplant 4 $18,864.70 $410,397.40 $105,624.49 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $9,030.49 $411,433.76 $98,070.44 nat. median
$117,303
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $13,821.57 $502,714.00 $95,685.65 nat. median
$108,660
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $72,250.39 $261,917.70 $92,480.49 nat. median
$82,712
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $10,055.02 $381,074.78 $92,285.15 nat. median
$102,358
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 2 $14,435.72 $135,891.04 $90,594.03 nat. median
$98,017
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $69,469.30 $289,280.88 $88,920.71 nat. median
$83,442
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $82,584.38 $334,419.28 $84,648.99 nat. median
$100,136
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $169,967.91 $84,262.28 nat. median
$62,507
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 6 $45,202.90 $380,698.00 $84,163.96 nat. median
$99,019
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $3,710.46 $375,239.36 $83,884.82 nat. median
$87,411
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $165,325.05 $81,960.57 nat. median
$66,682
1.2× median
525
MS_DRG 		Other Heart Assist System Implant 1 $80,761.79 $80,761.79 $80,761.79 nat. median
$52
outlier · 1547.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $5,655.95 $303,070.81 $80,744.25 nat. median
$93,672
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $189,463.10 $79,991.80 nat. median
$69,774
1.1× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 $4,243.67 $75,814.00 $75,814.00 nat. median
$26,892
outlier · 2.8×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $74,614.73 $74,614.73 $74,614.73 nat. median
$21,806
outlier · 3.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $58,023.19 $222,934.67 $74,269.68 nat. median
$68,090
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 3 $68,801.71 $205,792.79 $72,929.81 nat. median
$70,825
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $3,448.39 $202,403.23 $70,948.76 nat. median
$57,424
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $28,062.02 $233,058.29 $70,806.66 nat. median
$81,118
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $61,180.68 $157,429.00 $69,336.55 nat. median
$79,312
0.9× median

Other procedures at this hospital

Browse this hospital's 13,859 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Inj, Betibeglogene Autotemce 15 4 — — $2,945,740.00 $4,868,633.01 $4,868,633.01 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 4 — — $2,455,110.60 $4,045,990.74 $4,045,990.74 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 15 4 — — $2,332,000.00 $3,847,800.00 $3,847,800.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 1 — — $3,685,266.67 $3,906,382.67 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 3 — — $3,316,462.59 $4,974,693.88 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 3 — — $3,248,445.72 $4,872,668.57 $3,410,868.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 4 — — $591,726.20 $1,769,912.24 $954,235.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 17 4 — — $565,868.94 $1,692,570.60 $913,075.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 4 — — $562,538.19 $1,682,607.97 $893,698.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 17 4 — — $557,317.93 $1,666,993.67 $893,079.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 4 — — $533,230.17 $1,594,944.76 $879,576.19 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 9 3 — — $770,620.00 $2,305,001.48 $816,857.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 17 4 — — $489,304.61 $1,463,559.01 $808,038.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 36 5 — — $7,042.49 $1,184,288.83 $362,616.94 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 5 — — $23,674.24 $884,565.79 $236,692.36 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 6 — — $170,283.05 $745,014.53 $201,417.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 50 6 — — $11,780.43 $694,527.00 $172,673.45 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 10 2 — — $9,552.34 $169,334.00 $169,334.00 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 2 — — $7,642.44 $165,365.00 $165,365.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 1 — — $157,945.00 $157,945.00 $157,945.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 2 — — $8,505.09 $148,170.00 $148,170.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 2 — — $10,867.26 $146,575.00 $146,575.00 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 2 — — $5,920.69 $146,575.00 $146,575.00 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 2 — — $5,660.12 $141,521.00 $141,521.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 2 — — $78,986.40 $130,327.56 $130,327.56 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 3 — — $110,901.76 $331,718.25 $117,555.87 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 6 — — $43,464.07 $582,800.34 $114,283.76 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 5 — — $88,229.98 $329,174.65 $112,934.38 2026-04-01
7 MS_DRG Lung Transplant 28 4 — — $18,864.70 $410,397.40 $105,624.49 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 4 — — $9,030.49 $411,433.76 $98,070.44 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 5 — — $13,821.57 $502,714.00 $95,685.65 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 5 — — $72,250.39 $261,917.70 $92,480.49 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 5 — — $10,055.02 $381,074.78 $92,285.15 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 2 — — $14,435.72 $135,891.04 $90,594.03 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 34 5 — — $69,469.30 $289,280.88 $88,920.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 4 — — $82,584.38 $334,419.28 $84,648.99 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 24 4 — — $56,824.55 $169,967.91 $84,262.28 2026-04-01
215 MS_DRG Other Heart Assist System Implant 40 6 — — $45,202.90 $380,698.00 $84,163.96 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 15 5 — — $3,710.46 $375,239.36 $83,884.82 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 4 — — $55,272.32 $165,325.05 $81,960.57 2026-04-01
525 MS_DRG Other Heart Assist System Implant 2 1 — — $80,761.79 $80,761.79 $80,761.79 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 7 — — $5,655.95 $303,070.81 $80,744.25 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 26 5 — — $63,342.28 $189,463.10 $79,991.80 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 10 2 — — $4,243.67 $75,814.00 $75,814.00 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 8 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 5 — — $58,023.19 $222,934.67 $74,269.68 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 9 3 — — $68,801.71 $205,792.79 $72,929.81 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 57 7 — — $3,448.39 $202,403.23 $70,948.76 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 5 — — $28,062.02 $233,058.29 $70,806.66 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 4 — — $61,180.68 $157,429.00 $69,336.55 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 22 6 — — $3,410.84 $191,713.03 $67,312.40 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 6 — — $9,875.30 $253,140.00 $66,347.61 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 2 — — $5,976.07 $65,707.00 $65,707.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 7 — — $7,235.61 $428,840.99 $64,758.67 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 8 — — $13,874.82 $332,675.04 $63,897.33 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 7 — — $4,261.91 $234,397.50 $63,659.44 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 5 — — $49,306.55 $198,602.08 $63,112.39 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 17 4 — — $10,075.00 $186,532.79 $62,362.61 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 5 — — $40,718.59 $165,365.00 $61,077.88 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 10 2 — — $4,135.75 $60,652.00 $60,652.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 45 6 — — $10,643.12 $209,738.29 $60,541.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 5 — — $5,004.08 $248,938.01 $60,510.50 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 5 — — $45,093.05 $182,836.77 $60,504.29 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 6 — — $4,071.85 $221,923.43 $60,188.68 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 5 — — $46,492.88 $171,788.49 $59,510.89 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 47 6 — — $8,266.53 $167,071.46 $58,296.71 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 6 — — $28,633.50 $209,383.42 $58,082.60 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 5 — — $45,340.25 $172,890.81 $58,035.52 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 6 — — $20,150.21 $214,430.20 $57,994.82 2026-04-01
10 MS_DRG Pancreas Transplant 21 3 — — $8,691.11 $121,739.74 $57,682.40 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 7 — — $24,012.56 $377,622.75 $57,135.15 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 6 — — $17,775.29 $218,468.88 $56,975.71 2026-04-01
J9226 HCPCS Supprelin La Implant 26 5 — — $45,020.65 $134,661.27 $56,854.33 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 5 — — $5,746.03 $194,271.33 $56,755.14 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 5 — — $3,856.01 $210,545.40 $56,714.07 2026-04-01
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 2 1 — — $56,217.80 $56,217.80 $56,217.80 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 6 — — $31,163.16 $193,385.71 $55,622.92 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 5 — — $20,830.69 $202,794.65 $55,558.64 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 5 — — $11,191.02 $186,831.49 $55,558.64 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 31 8 — — $1,139.59 $342,072.41 $54,288.45 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 51 6 — — $3,790.05 $203,118.12 $52,832.03 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 9 3 — — $49,338.18 $147,575.43 $52,298.47 2026-04-01
106 MS_DRG Coronary Bypass W Ptca 2 1 — — $51,874.02 $51,874.02 $51,874.02 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 5 — — $3,579.96 $191,831.16 $51,282.26 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 6 — — $5,135.43 $194,522.57 $51,057.15 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 45 6 — — $6,117.36 $210,612.00 $50,843.84 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 46 6 — — $3,341.75 $190,914.14 $50,829.36 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 9 3 — — $47,919.99 $143,333.48 $50,795.19 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 7 — — $39,764.00 $265,956.38 $50,692.59 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 10 2 — — $4,974.26 $49,280.00 $49,280.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 7 — — $5,939.15 $227,237.64 $48,741.58 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 4 — — $8,842.34 $189,544.88 $48,740.22 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 5 — — $38,027.26 $144,682.84 $48,674.90 2026-04-01
528 MS_DRG Intracranial Vascular Proc W Pdx Hemorrhage 2 1 — — $48,621.51 $48,621.51 $48,621.51 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 5 — — $3,113.25 $157,116.07 $47,141.84 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 5 — — $8,600.94 $192,723.06 $47,004.28 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 39 5 — — $38,596.49 $157,238.55 $46,983.04 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 36 6 — — $9,190.01 $149,315.07 $46,920.93 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 7 — — $2,968.80 $169,608.98 $46,875.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 47 7 — — $3,059.73 $473,337.15 $46,343.61 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 49 7 — — $2,966.00 $197,393.76 $46,206.82 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 4 — — $11,067.48 $170,868.32 $46,106.07 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 2 — — $13,455.92 $69,022.00 $46,014.67 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 5 — — $3,062.94 $161,726.33 $45,383.46 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 6 — — $2,960.89 $173,584.86 $44,869.78 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 46 6 — — $2,358.07 $156,860.15 $44,681.17 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 5 — — $34,623.12 $140,832.58 $44,521.29 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 35 5 — — $40,659.20 $175,057.75 $44,476.96 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 5 — — $3,349.23 $267,817.20 $44,290.88 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 6 — — $4,178.35 $166,330.30 $43,903.78 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 3 — — $4,967.16 $92,162.16 $43,833.32 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 17 4 — — $37,596.00 $130,619.50 $43,669.39 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 17 4 — — $16,745.00 $130,619.50 $43,669.39 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 17 4 — — $37,596.00 $130,619.50 $43,669.39 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 7 — — $3,276.10 $268,617.56 $43,658.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 5 — — $2,911.45 $159,986.49 $43,291.82 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 50 6 — — $3,105.54 $164,552.19 $42,515.62 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 37 5 — — $39,614.41 $169,426.83 $41,991.27 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 60 7 — — $2,930.97 $356,573.29 $41,907.09 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 48 7 — — $15,568.39 $129,058.85 $41,785.43 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 35 5 — — $31,615.09 $135,880.01 $41,518.30 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 6 — — $2,951.84 $158,171.28 $41,368.35 2026-04-01
105 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc Without Cardiac Cath 2 1 — — $41,135.27 $41,135.27 $41,135.27 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 45 6 — — $21,671.33 $152,534.08 $40,990.41 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 5 — — $8,270.79 $132,294.00 $40,781.04 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 5 — — $25,782.81 $96,840.46 $40,603.15 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 45 6 — — $6,415.56 $158,143.00 $40,424.07 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 5 — — $35,434.16 $149,965.16 $39,920.98 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 15 4 — — $2,764.06 $346,899.05 $39,916.01 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 6 — — $17,243.00 $125,108.10 $39,440.04 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 60 8 — — $2,570.88 $389,811.92 $39,053.66 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 7 — — $2,785.99 $149,308.79 $38,899.77 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 5 — — $32,329.23 $112,574.36 $38,688.30 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 47 7 — — $1,708.00 $141,677.38 $38,654.96 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 7 — — $2,543.03 $298,867.82 $38,638.28 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 34 5 — — $30,118.49 $109,044.44 $38,551.67 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 45 6 — — $6,302.67 $153,460.00 $38,489.78 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 4 — — $5,573.50 $152,279.70 $38,265.99 2026-04-01
107 MS_DRG No Longer Valid 2 1 — — $38,167.47 $38,167.47 $38,167.47 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 6 — — $6,663.35 $131,596.37 $38,086.11 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 52 6 — — $7,121.30 $144,742.50 $37,734.13 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 17 4 — — $31,120.14 $93,083.44 $37,596.00 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 17 4 — — $31,120.14 $93,083.44 $37,596.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 17 4 — — $26,687.04 $79,823.59 $37,596.00 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
69930 HCPCS Implant Cochlear Device 17 4 — — $32,689.84 $97,778.58 $37,596.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 17 4 — — $31,120.14 $93,083.44 $37,596.00 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 8 1 — — $37,596.00 $37,596.00 $37,596.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 17 4 — — $31,120.14 $93,083.44 $37,596.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 17 4 — — $31,120.14 $93,083.44 $37,596.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 17 4 — — $30,593.52 $91,508.28 $37,596.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 17 4 — — $31,120.14 $93,083.44 $37,596.00 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 17 4 — — $28,437.79 $85,060.27 $37,596.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 17 4 — — $22,053.14 $65,963.16 $37,596.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 17 4 — — $31,120.14 $93,083.44 $37,596.00 2026-04-01
509 MS_DRG Arthroscopy 18 4 — — $4,869.89 $55,162.88 $37,508.31 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 41 5 — — $2,496.16 $137,946.46 $37,216.66 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 4 — — $16,104.93 $71,451.29 $37,101.02 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 9 3 — — $34,970.13 $104,599.16 $37,068.34 2026-04-01
245 MS_DRG Aicd Generator Procedures 31 5 — — $3,366.11 $74,616.55 $36,923.08 2026-04-01
108 MS_DRG Other Cardiothoracic Procedures 2 1 — — $36,708.42 $36,708.42 $36,708.42 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 47 6 — — $1,947.91 $133,954.89 $36,287.34 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 36 5 — — $697.22 $128,232.90 $36,258.64 2026-04-01
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity Without Cc/mcc 2 1 — — $36,116.99 $36,116.99 $36,116.99 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 6 — — $5,915.01 $133,760.18 $35,932.72 2026-04-01
J9266 HCPCS Pegaspargase Injection 26 5 — — $28,424.06 $85,019.20 $35,895.32 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 5 — — $31,916.93 $135,597.37 $35,856.22 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 38 6 — — $4,274.91 $110,834.53 $35,514.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 6 — — $2,596.46 $139,130.43 $35,377.96 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 5 — — $12,662.14 $127,727.28 $35,354.47 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 7 — — $2,287.04 $157,610.78 $35,255.43 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 6 — — $2,307.45 $122,793.55 $35,125.09 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 7 — — $5,356.24 $146,518.27 $34,804.19 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 7 — — $1,532.65 $131,586.95 $34,738.13 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 4 — — $2,324.69 $64,575.65 $34,563.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 35 6 — — $22,997.74 $91,501.61 $34,496.61 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 17 4 — — $14,500.58 $101,593.27 $33,965.19 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 48 7 — — $3,067.10 $115,258.70 $33,802.79 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 36 6 — — $25,477.73 $99,874.18 $33,620.20 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 6 — — $7,192.30 $119,382.97 $33,343.47 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 6 — — $6,977.17 $122,118.34 $32,999.83 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 38 6 — — $524.10 $125,870.47 $32,951.45 2026-04-01
791 MS_DRG Prematurity With Major Problems 44 6 — — $2,997.02 $112,204.92 $32,924.21 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 6 — — $6,830.91 $197,952.32 $32,920.59 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 3 — — $8,188.43 $59,735.38 $32,618.38 2026-04-01
665 MS_DRG Prostatectomy With Mcc 34 5 — — $25,474.59 $107,825.93 $32,607.47 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 3 — — $30,593.52 $91,508.28 $32,429.13 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 41 6 — — $4,006.53 $149,064.73 $31,964.72 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 43 6 — — $12,431.39 $190,622.02 $31,887.16 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 50 6 — — $2,104.70 $603,332.99 $31,795.78 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 26 5 — — $24,228.42 $72,469.63 $31,749.60 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 6 — — $9,180.21 $120,940.66 $31,586.76 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 44 6 — — $2,576.13 $123,933.55 $31,496.72 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 24 5 — — $849.96 $48,558.41 $31,477.54 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 9 3 — — $29,559.78 $88,416.26 $31,333.37 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 9 3 — — $29,510.19 $88,267.93 $31,280.80 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 3 — — $29,420.21 $87,998.79 $31,185.42 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 36 5 — — $25,754.40 $99,673.19 $31,127.18 2026-04-01
332 MS_DRG Rectal Resection With Mcc 36 5 — — $4,282.72 $108,928.24 $31,061.81 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 44 6 — — $2,054.41 $121,251.56 $31,053.08 2026-04-01
0520T HCPCS Rmvl&rplcmt Pg Wcs New Eltrd 17 4 — — $10,362.51 $37,596.00 $30,995.31 2026-04-01
265 MS_DRG Aicd Lead Procedures 38 5 — — $11,345.80 $112,018.49 $30,893.75 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 37 5 — — $2,332.98 $125,013.88 $30,889.89 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 5 — — $3,853.88 $112,580.64 $30,840.37 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 5 — — $29,075.48 $123,650.91 $30,820.01 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 34 5 — — $24,067.76 $83,025.40 $30,806.74 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 37 5 — — $15,605.80 $109,952.05 $30,745.07 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 27 7 — — $16,579.07 $146,039.23 $30,738.09 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 28 7 — — $24,127.90 $165,349.69 $30,652.17 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 17 4 — — $3,595.00 $91,508.28 $30,593.52 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 17 4 — — $21,392.00 $91,508.28 $30,593.52 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 17 4 — — $21,392.00 $91,508.28 $30,593.52 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 17 4 — — $3,595.00 $91,508.28 $30,593.52 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 17 4 — — $16,745.00 $91,508.28 $30,593.52 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 17 4 — — $21,392.00 $91,508.28 $30,593.52 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 17 4 — — $21,392.00 $91,508.28 $30,593.52 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 17 4 — — $21,392.00 $91,508.28 $30,593.52 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 6 — — $7,718.41 $113,808.58 $30,499.22 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 51 6 — — $2,344.94 $111,519.16 $30,443.75 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 6 — — $4,610.74 $110,030.56 $30,430.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 39 6 — — $23,139.13 $117,580.32 $30,401.64 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 45 7 — — $1,877.92 $101,487.01 $30,208.75 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 7 — — $8,147.96 $114,578.00 $30,069.67 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 6 — — $1,950.55 $121,377.18 $29,802.76 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 50 6 — — $1,814.05 $107,725.43 $29,526.36 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 45 6 — — $1,893.30 $141,927.05 $29,509.52 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 3 — — $3,276.10 $62,792.40 $29,482.20 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 6 — — $13,612.87 $108,808.90 $29,386.74 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 55 7 — — $897.06 $107,558.98 $29,268.87 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 42 5 — — $2,015.40 $107,995.51 $29,247.95 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 49 6 — — $1,908.16 $105,410.88 $29,170.52 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 27 7 — — $117.97 $86,176.81 $28,859.41 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 40 7 — — $16,809.99 $449,832.86 $28,842.64 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 47 6 — — $140.00 $110,011.72 $28,752.35 2026-04-01
849 MS_DRG Radiotherapy 34 5 — — $22,204.16 $83,879.61 $28,421.32 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 5 — — $2,805.21 $85,936.64 $28,401.81 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 44 6 — — $8,194.82 $104,286.58 $28,173.78 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 51 6 — — $1,715.54 $133,367.00 $28,170.44 2026-04-01
110 MS_DRG Major Cardiovascular Procedures W Cc 2 1 — — $28,106.77 $28,106.77 $28,106.77 2026-04-01
109 MS_DRG No Longer Valid 2 1 — — $28,009.50 $28,009.50 $28,009.50 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 2 — — $5,700.59 $41,993.90 $27,995.93 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 11 4 — — $17,135.40 $86,665.67 $27,950.89 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 36 5 — — $20,353.83 $89,931.36 $27,918.02 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 40 6 — — $12,168.87 $102,352.04 $27,858.74 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 36 5 — — $1,881.50 $96,909.55 $27,790.85 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 49 6 — — $7,582.09 $109,757.33 $27,761.79 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 6 — — $1,809.32 $100,163.11 $27,696.68 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 39 6 — — $22,583.68 $101,237.16 $27,631.62 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 44 5 — — $18,622.84 $74,341.92 $27,617.27 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 39 5 — — $4,707.30 $89,881.11 $27,492.33 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 37 5 — — $7,956.26 $110,872.21 $27,476.29 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 43 6 — — $1,841.10 $97,110.54 $27,296.31 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 39 6 — — $1,567.50 $206,604.92 $27,270.46 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 5 — — $4,957.22 $52,009.27 $27,050.38 2026-04-01
652 MS_DRG Kidney Transplant 26 4 — — $26,334.89 $96,451.04 $26,993.26 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 6 — — $5,220.63 $132,294.00 $26,984.37 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 37 5 — — $5,080.05 $88,103.59 $26,922.64 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 47 7 — — $1,739.02 $156,206.41 $26,902.03 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 17 4 — — $16,056.00 $80,465.74 $26,901.72 2026-04-01
22630 HCPCS Lumbar Spine Fusion 17 4 — — $16,745.00 $80,465.74 $26,901.72 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 17 4 — — $10,075.00 $80,465.74 $26,901.72 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 17 4 — — $7,853.00 $80,465.74 $26,901.72 2026-04-01
22558 HCPCS Lumbar Spine Fusion 17 4 — — $16,745.00 $80,465.74 $26,901.72 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 17 4 — — $13,382.00 $80,465.74 $26,901.72 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 49 5 — — $18,930.15 $82,381.60 $26,724.19 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 42 7 — — $13,660.55 $165,029.82 $26,568.39 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 35 5 — — $17,685.77 $64,295.46 $26,528.66 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 4 — — $1,785.78 $68,794.00 $26,474.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 38 5 — — $2,092.00 $97,964.76 $26,375.37 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 52 7 — — $3,496.04 $128,756.96 $26,354.10 2026-04-01
263 MS_DRG Vein Ligation And Stripping 36 5 — — $14,493.23 $84,225.07 $26,341.01 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 61 7 — — $2,280.52 $86,988.00 $26,331.23 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 18 4 — — $5,544.39 $38,562.20 $26,220.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 7 — — $1,256.78 $92,600.78 $26,177.29 2026-04-01
570 MS_DRG Skin Debridement With Mcc 39 6 — — $8,470.28 $94,541.61 $26,097.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 39 6 — — $17,276.09 $102,647.24 $26,014.32 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 36 5 — — $18,834.17 $79,288.20 $26,000.76 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 17 4 — — $16,056.00 $77,511.62 $25,914.09 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 17 4 — — $16,056.00 $77,511.62 $25,914.09 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 17 4 — — $16,056.00 $77,511.62 $25,914.09 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 38 5 — — $9,044.69 $89,755.49 $25,908.39 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 38 5 — — $1,680.24 $90,034.99 $25,905.05 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 4 — — $6,699.56 $59,118.44 $25,820.94 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 52 8 — — $5,280.27 $96,363.10 $25,790.78 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 37 5 — — $21,718.09 $91,580.12 $25,308.89 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 44 6 — — $19,627.24 $88,191.52 $25,023.57 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 39 6 — — $15,894.31 $85,622.59 $24,798.22 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 6 — — $10,802.91 $93,775.33 $24,786.54 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 38 6 — — $5,801.41 $83,216.97 $24,751.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 56 7 — — $18,681.27 $115,513.83 $24,706.00 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 46 7 — — $8,837.31 $82,546.16 $24,637.88 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 36 6 — — $11,129.40 $70,567.04 $24,533.10 2026-04-01
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