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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

VAN WERT COUNTY HOSPITAL

Van Wert, OH · CCN 360071 · Rates published

9,015 distinct procedures filed
12 distinct payers
56,803 rate rows
2026-04-01 last MRF observed
Data quality

33,798 of 56,803 rate rows are consumer-grade (59.5%)

23,005 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 22,993
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/344429514_van-wert-county-hospital_standardcharges.json
Found on page https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint bec3b01471d9c479… · 16,985,134 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $0.07 $3,758,972.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $0.07 $3,382,791.84 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $0.07 $3,313,414.63 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $0.07 $3,004,654.80 $2,945,740.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $0.07 $2,504,212.82 $2,455,110.60 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $0.07 $2,378,640.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,310,054.00 $782,179.30 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $0.07 $983,151.78 $594,684.83 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $0.07 $940,744.01 $568,698.28 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $0.07 $920,780.62 $565,350.88 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $0.07 $920,142.76 $560,104.52 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $0.07 $906,230.01 $535,896.32 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $0.07 $832,524.00 $491,751.13 nat. median
$619,808
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $394,322.50 $394,322.50 $394,322.50 nat. median
$76,329
outlier · 5.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $318,461.84 $324,831.08 $318,461.84 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $207,210.91 $211,355.13 $207,210.91 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $158,234.93 $161,399.63 $158,234.93 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $157,315.35 $160,461.66 $157,315.35 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $103,199.15 $105,263.13 $103,199.15 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 9 $96,585.26 $98,516.97 $96,585.26 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $89,743.12 $91,537.98 $89,743.12 nat. median
$117,357
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $63,342.28 $412,113.26 $86,220.96 nat. median
$69,774
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $84,707.84 $86,402.00 $84,707.84 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $84,612.44 $86,304.69 $84,612.44 nat. median
$98,047
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $82,428.36 $84,076.93 $82,428.36 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $81,348.79 $82,975.77 $81,348.79 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $77,212.54 $78,756.79 $77,212.54 nat. median
$100,136
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $360,987.25 $75,742.96 nat. median
$66,682
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 9 $74,618.21 $76,110.57 $74,618.21 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $73,339.76 $74,806.56 $73,339.76 nat. median
$93,672
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $67,665.25 $69,018.56 $67,665.25 nat. median
$82,711
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $65,095.88 $66,397.80 $65,095.88 nat. median
$83,470
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $63,410.85 $64,679.07 $63,410.85 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $63,216.36 $64,480.69 $63,216.36 nat. median
$81,118
0.8× median
J9226
HCPCS 		Supprelin La Implant 3 $45,020.65 $294,201.70 $61,686.86 nat. median
$60,368
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $59,292.94 $60,478.80 $59,292.94 nat. median
$77,570
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $421,582.72 $57,961.04 nat. median
$62,507
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $57,894.86 $59,052.76 $57,894.86 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $57,651.94 $58,804.98 $57,651.94 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $57,466.27 $58,615.60 $57,466.27 nat. median
$72,135
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $54,521.13 $55,611.55 $54,521.13 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $54,206.29 $55,290.42 $54,206.29 nat. median
$68,884
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $54,184.27 $55,267.96 $54,184.27 nat. median
$64,023
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $53,904.66 $54,982.75 $53,904.66 nat. median
$71,271
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $53,873.84 $54,951.32 $53,873.84 nat. median
$68,886
0.8× median
J9216
HCPCS 		Interferon Gamma 1-b Inj 1 $52,923.72 $52,923.72 $52,923.72 nat. median
$10,259
outlier · 5.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $52,269.53 $53,314.92 $52,269.53 nat. median
$66,526
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $52,020.74 $53,061.15 $52,020.74 nat. median
$65,950
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $50,943.38 $51,962.25 $50,943.38 nat. median
$64,732
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $50,616.06 $51,628.38 $50,616.06 nat. median
$60,691
0.8× median

Other procedures at this hospital

Browse this hospital's 9,015 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 3 — — $0.07 $3,758,972.00 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 3 — — $0.07 $3,382,791.84 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 3 — — $0.07 $3,313,414.63 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 3 — — $0.07 $3,004,654.80 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 3 — — $0.07 $2,504,212.82 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 3 — — $0.07 $2,378,640.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 3 — — $770,620.00 $1,310,054.00 $782,179.30 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 3 — — $0.07 $983,151.78 $594,684.83 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 3 — — $0.07 $940,744.01 $568,698.28 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 3 — — $0.07 $920,780.62 $565,350.88 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 3 — — $0.07 $920,142.76 $560,104.52 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 3 — — $0.07 $906,230.01 $535,896.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 3 — — $0.07 $832,524.00 $491,751.13 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $394,322.50 $394,322.50 $394,322.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 9 — — $318,461.84 $324,831.08 $318,461.84 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 9 — — $207,210.91 $211,355.13 $207,210.91 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 9 — — $158,234.93 $161,399.63 $158,234.93 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 9 — — $157,315.35 $160,461.66 $157,315.35 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 9 — — $103,199.15 $105,263.13 $103,199.15 2026-04-01
7 MS_DRG Lung Transplant 9 9 — — $96,585.26 $98,516.97 $96,585.26 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 9 — — $89,743.12 $91,537.98 $89,743.12 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 3 — — $63,342.28 $412,113.26 $86,220.96 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 9 — — $84,707.84 $86,402.00 $84,707.84 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 9 9 — — $84,612.44 $86,304.69 $84,612.44 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $82,428.36 $84,076.93 $82,428.36 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 9 — — $81,348.79 $82,975.77 $81,348.79 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 9 — — $77,212.54 $78,756.79 $77,212.54 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 3 — — $55,272.32 $360,987.25 $75,742.96 2026-04-01
215 MS_DRG Other Heart Assist System Implant 9 9 — — $74,618.21 $76,110.57 $74,618.21 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $73,339.76 $74,806.56 $73,339.76 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 9 — — $67,665.25 $69,018.56 $67,665.25 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 9 9 — — $65,095.88 $66,397.80 $65,095.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 9 — — $63,410.85 $64,679.07 $63,410.85 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 9 — — $63,216.36 $64,480.69 $63,216.36 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $294,201.70 $61,686.86 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 9 — — $59,292.94 $60,478.80 $59,292.94 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $421,582.72 $57,961.04 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $57,894.86 $59,052.76 $57,894.86 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 9 — — $57,651.94 $58,804.98 $57,651.94 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 9 — — $57,466.27 $58,615.60 $57,466.27 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $54,521.13 $55,611.55 $54,521.13 2026-04-01
10 MS_DRG Pancreas Transplant 9 9 — — $54,206.29 $55,290.42 $54,206.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 9 — — $54,184.27 $55,267.96 $54,184.27 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 9 — — $53,904.66 $54,982.75 $53,904.66 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 9 — — $53,873.84 $54,951.32 $53,873.84 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 2 1 — — $52,923.72 $52,923.72 $52,923.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 9 — — $52,269.53 $53,314.92 $52,269.53 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 9 — — $52,020.74 $53,061.15 $52,020.74 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $50,943.38 $51,962.25 $50,943.38 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 9 — — $50,616.06 $51,628.38 $50,616.06 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 9 — — $50,580.10 $51,591.70 $50,580.10 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $49,799.96 $50,795.96 $49,799.96 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $49,799.96 $50,795.96 $49,799.96 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 9 — — $49,624.56 $50,617.05 $49,624.56 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 9 — — $48,768.10 $49,743.46 $48,768.10 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 9 — — $46,520.17 $47,450.57 $46,520.17 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 9 — — $46,468.07 $47,397.43 $46,468.07 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 9 — — $46,037.27 $46,958.02 $46,037.27 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 9 9 — — $45,638.76 $46,551.54 $45,638.76 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 9 — — $45,626.28 $46,538.81 $45,626.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 9 — — $45,307.04 $46,213.18 $45,307.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 9 — — $45,163.19 $46,066.45 $45,163.19 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 9 9 — — $45,061.92 $45,963.16 $45,061.92 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 9 — — $44,613.50 $45,505.77 $44,613.50 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 9 — — $44,585.62 $45,477.33 $44,585.62 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 9 — — $43,868.60 $44,745.97 $43,868.60 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 9 — — $43,598.52 $44,470.49 $43,598.52 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 9 — — $43,426.79 $44,295.33 $43,426.79 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 9 — — $43,372.48 $44,239.93 $43,372.48 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $42,803.71 $43,659.78 $42,803.71 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 3 2 — — $12,306.30 $42,792.75 $42,792.75 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 9 — — $42,676.01 $43,529.53 $42,676.01 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 9 — — $42,394.20 $43,242.08 $42,394.20 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 9 — — $42,077.15 $42,918.69 $42,077.15 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 9 9 — — $41,834.23 $42,670.91 $41,834.23 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 9 — — $41,691.85 $42,525.69 $41,691.85 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 9 — — $41,634.61 $42,467.30 $41,634.61 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 9 — — $41,571.50 $42,402.93 $41,571.50 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 9 9 — — $41,411.51 $42,239.74 $41,411.51 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $40,681.28 $41,494.91 $40,681.28 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 9 — — $40,657.79 $41,470.95 $40,657.79 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 9 — — $40,395.06 $41,202.96 $40,395.06 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 9 — — $40,266.62 $41,071.95 $40,266.62 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 9 — — $39,746.29 $40,541.22 $39,746.29 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 9 9 — — $39,680.24 $40,473.84 $39,680.24 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $175,958.45 $38,656.72 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $38,533.89 $39,304.57 $38,533.89 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 9 — — $38,146.39 $38,909.32 $38,146.39 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 9 — — $37,852.83 $38,609.89 $37,852.83 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 10 — — $2,760.62 $122,420.77 $37,788.25 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 9 — — $37,664.22 $38,417.50 $37,664.22 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 9 — — $37,513.77 $38,264.05 $37,513.77 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 9 — — $36,981.69 $37,721.32 $36,981.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 9 — — $36,802.62 $37,538.67 $36,802.62 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 9 — — $36,483.38 $37,213.05 $36,483.38 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 9 — — $36,047.44 $36,768.39 $36,047.44 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 9 — — $15,813.50 $36,696.53 $35,976.99 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 9 — — $35,874.24 $36,591.72 $35,874.24 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 9 9 — — $35,574.81 $36,286.31 $35,574.81 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 9 — — $35,439.04 $36,147.82 $35,439.04 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 9 — — $35,277.58 $47,029.56 $35,277.58 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 9 — — $35,191.72 $35,895.55 $35,191.72 2026-04-01
245 MS_DRG Aicd Generator Procedures 9 9 — — $35,027.32 $35,727.87 $35,027.32 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 9 — — $18,243.85 $46,331.95 $34,926.78 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 9 — — $34,912.10 $35,610.34 $34,912.10 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 9 9 — — $34,781.47 $35,477.10 $34,781.47 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 9 9 — — $34,435.80 $35,124.52 $34,435.80 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 9 — — $34,426.26 $35,114.79 $34,426.26 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 9 — — $34,297.09 $34,983.03 $34,297.09 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 9 — — $33,782.63 $45,271.73 $33,782.63 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 9 — — $33,302.66 $33,968.71 $33,302.66 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 9 — — $33,049.47 $33,710.46 $33,049.47 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 9 9 — — $32,846.91 $33,503.85 $32,846.91 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 9 — — $32,667.11 $33,320.45 $32,667.11 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 9 — — $32,537.94 $33,188.70 $32,537.94 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 9 — — $32,485.10 $33,134.80 $32,485.10 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 9 — — $32,469.69 $33,119.08 $32,469.69 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 9 — — $32,379.42 $33,027.01 $32,379.42 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 9 9 — — $32,342.72 $32,989.57 $32,342.72 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 9 — — $32,285.48 $32,931.19 $32,285.48 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 9 — — $32,166.59 $32,809.92 $32,166.59 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 9 9 — — $32,144.57 $32,787.46 $32,144.57 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 9 — — $32,022.74 $32,663.19 $32,022.74 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 9 — — $31,820.92 $32,457.34 $31,820.92 2026-04-01
791 MS_DRG Prematurity With Major Problems 9 9 — — $31,332.88 $31,959.54 $31,332.88 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $31,050.33 $31,671.34 $31,050.33 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 9 — — $30,783.19 $31,398.85 $30,783.19 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 9 — — $30,253.31 $30,858.38 $30,253.31 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 9 — — $30,123.41 $30,725.88 $30,123.41 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 9 — — $29,950.95 $30,549.97 $29,950.95 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 9 — — $29,908.38 $30,506.55 $29,908.38 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 9 — — $29,881.23 $30,478.85 $29,881.23 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 9 — — $29,720.50 $42,299.26 $29,720.50 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 9 — — $29,160.54 $29,743.75 $29,160.54 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 9 — — $29,040.18 $29,620.98 $29,040.18 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 9 — — $28,974.86 $29,554.36 $28,974.86 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 9 — — $28,971.93 $29,551.37 $28,971.93 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 9 — — $28,894.87 $29,472.77 $28,894.87 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 9 — — $28,740.75 $29,315.56 $28,740.75 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 9 9 — — $28,500.76 $29,070.78 $28,500.76 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 9 — — $28,489.76 $42,195.40 $28,489.76 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 9 — — $28,173.45 $28,736.92 $28,173.45 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 9 — — $28,152.90 $28,715.96 $28,152.90 2026-04-01
332 MS_DRG Rectal Resection With Mcc 10 9 — — $28,116.20 $36,440.66 $28,116.20 2026-04-01
265 MS_DRG Aicd Lead Procedures 9 9 — — $28,097.85 $28,659.81 $28,097.85 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 9 — — $28,050.88 $28,611.90 $28,050.88 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 9 — — $28,011.25 $28,571.48 $28,011.25 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 9 — — $27,838.05 $28,394.81 $27,838.05 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 9 — — $27,777.14 $28,332.68 $27,777.14 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 10 — — $27,750.72 $71,356.79 $27,750.72 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 9 — — $27,711.82 $28,266.06 $27,711.82 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 9 — — $27,689.81 $28,243.61 $27,689.81 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 9 — — $27,664.85 $28,218.15 $27,664.85 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 9 — — $27,643.57 $28,196.44 $27,643.57 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 9 — — $25,940.92 $27,974.11 $27,425.60 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 9 — — $27,372.76 $27,920.22 $27,372.76 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 2 1 — — $27,364.74 $27,364.74 $27,364.74 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 9 9 — — $27,144.52 $27,687.41 $27,144.52 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 9 — — $20,531.20 $39,939.45 $27,137.91 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 9 — — $27,020.49 $27,560.90 $27,020.49 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 9 — — $26,897.20 $27,435.14 $26,897.20 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 9 9 — — $26,779.77 $27,315.37 $26,779.77 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 9 — — $26,704.91 $27,239.01 $26,704.91 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 9 — — $26,581.62 $27,113.25 $26,581.62 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 9 — — $26,548.59 $27,079.56 $26,548.59 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 9 — — $12,156.11 $26,581.76 $26,060.55 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 9 — — $25,786.81 $26,302.55 $25,786.81 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 9 9 — — $25,704.61 $26,218.70 $25,704.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 9 9 — — $25,701.68 $26,215.71 $25,701.68 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 9 — — $25,416.19 $25,924.51 $25,416.19 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 9 — — $25,311.24 $25,817.46 $25,311.24 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 9 — — $25,284.82 $25,790.52 $25,284.82 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 9 9 — — $25,251.80 $25,756.84 $25,251.80 2026-04-01
652 MS_DRG Kidney Transplant 9 9 — — $25,245.19 $25,750.09 $25,245.19 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 9 — — $25,227.58 $25,732.13 $25,227.58 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 9 9 — — $25,181.34 $25,684.97 $25,181.34 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 9 — — $25,105.02 $25,607.12 $25,105.02 2026-04-01
2043 OTHER Orth/matrx/bn Fill Drug-elut 1 1 — — $25,013.16 $25,013.16 $25,013.16 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 9 — — $24,975.85 $25,475.37 $24,975.85 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 9 — — $24,932.55 $25,431.20 $24,932.55 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 9 — — $24,909.80 $25,408.00 $24,909.80 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 9 — — $24,862.83 $25,360.09 $24,862.83 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 9 9 — — $24,770.36 $25,265.77 $24,770.36 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 9 — — $24,735.13 $25,229.83 $24,735.13 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $151,599.50 $24,712.99 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 9 — — $24,669.08 $25,162.46 $24,669.08 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 9 — — $24,658.07 $25,151.23 $24,658.07 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 9 — — $24,603.76 $25,095.84 $24,603.76 2026-04-01
665 MS_DRG Prostatectomy With Mcc 9 9 — — $24,450.38 $24,939.39 $24,450.38 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 9 — — $6,459.44 $24,890.73 $24,402.68 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 9 — — $24,362.31 $24,849.56 $24,362.31 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 9 9 — — $24,012.24 $24,492.48 $24,012.24 2026-04-01
263 MS_DRG Vein Ligation And Stripping 9 9 — — $23,982.15 $24,461.79 $23,982.15 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 9 — — $23,804.55 $24,280.64 $23,804.55 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 9 — — $23,711.34 $24,185.57 $23,711.34 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 9 — — $23,708.41 $24,182.58 $23,708.41 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 9 — — $23,684.19 $24,157.87 $23,684.19 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 9 9 — — $23,387.69 $23,855.44 $23,387.69 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 9 9 — — $23,165.32 $23,628.63 $23,165.32 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 9 9 — — $23,150.64 $23,613.65 $23,150.64 2026-04-01
570 MS_DRG Skin Debridement With Mcc 10 9 — — $20,731.34 $23,591.20 $23,128.63 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 9 9 — — $22,973.77 $23,433.25 $22,973.77 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 9 — — $22,917.26 $30,048.67 $22,917.26 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 9 — — $22,530.02 $23,298.50 $22,841.67 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 9 — — $22,828.46 $23,285.03 $22,828.46 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 9 — — $22,734.52 $23,189.21 $22,734.52 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 10 9 — — $12,871.55 $23,178.74 $22,724.25 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 9 9 — — $22,693.43 $23,147.30 $22,693.43 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 9 — — $22,608.29 $30,318.89 $22,608.29 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 9 — — $15,228.38 $22,912.99 $22,463.72 2026-04-01
800 MS_DRG Splenic Procedures With Cc 9 9 — — $22,162.08 $22,605.32 $22,162.08 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 9 9 — — $22,087.96 $22,529.72 $22,087.96 2026-04-01
503 MS_DRG Foot Procedures With Mcc 9 9 — — $22,027.78 $22,468.34 $22,027.78 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 9 — — $21,886.87 $27,354.77 $21,886.87 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 9 — — $21,778.25 $22,213.82 $21,778.25 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 9 — — $21,716.61 $26,975.12 $21,716.61 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 9 9 — — $21,711.47 $22,145.70 $21,711.47 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 9 9 — — $21,607.26 $22,039.41 $21,607.26 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 9 9 — — $21,511.85 $21,942.09 $21,511.85 2026-04-01
849 MS_DRG Radiotherapy 9 9 — — $21,428.92 $21,857.50 $21,428.92 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 9 — — $21,404.70 $21,832.79 $21,404.70 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 9 — — $21,340.12 $21,766.92 $21,340.12 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 9 9 — — $21,065.64 $21,486.95 $21,065.64 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 9 9 — — $20,997.39 $21,417.34 $20,997.39 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 9 9 — — $20,899.78 $21,317.78 $20,899.78 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 9 9 — — $20,593.01 $21,004.87 $20,593.01 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 9 9 — — $20,570.26 $20,981.67 $20,570.26 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 9 9 — — $20,499.07 $20,909.05 $20,499.07 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 9 9 — — $20,472.65 $20,882.10 $20,472.65 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 9 — — $20,472.65 $20,882.10 $20,472.65 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 9 9 — — $20,387.52 $20,795.27 $20,387.52 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 9 9 — — $20,280.37 $20,685.98 $20,280.37 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 9 9 — — $20,191.57 $20,595.40 $20,191.57 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 9 — — $13,406.40 $25,643.53 $20,156.34 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 3 3 — — $19,921.39 $20,319.82 $20,120.61 2026-04-01
64580 HCPCS Implant Neuroelectrodes 3 3 — — $19,921.39 $20,319.82 $20,120.61 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 3 3 — — $19,921.39 $20,319.82 $20,120.61 2026-04-01
63655 HCPCS Implant Neuroelectrodes 3 3 — — $19,921.39 $20,319.82 $20,120.61 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 3 3 — — $19,921.39 $20,319.82 $20,120.61 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $19,921.39 $20,319.82 $20,120.61 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $19,921.39 $20,319.82 $20,120.61 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 9 9 — — $20,067.54 $20,468.89 $20,067.54 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 9 9 — — $20,059.46 $20,460.65 $20,059.46 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 9 9 — — $19,831.96 $20,228.60 $19,831.96 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 9 9 — — $19,757.10 $20,152.24 $19,757.10 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 9 9 — — $19,591.97 $19,983.81 $19,591.97 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 9 — — $19,586.83 $26,232.85 $19,586.83 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 9 9 — — $19,561.88 $19,953.12 $19,561.88 2026-04-01
792 MS_DRG Prematurity Without Major Problems 9 9 — — $19,518.58 $19,908.95 $19,518.58 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 9 — — $19,481.89 $25,994.68 $19,481.89 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 9 9 — — $19,460.60 $19,849.81 $19,460.60 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 9 9 — — $19,320.43 $19,706.84 $19,320.43 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 9 9 — — $19,262.45 $19,647.70 $19,262.45 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 9 — — $19,196.40 $19,580.33 $19,196.40 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $17,216.56 $21,106.43 $19,161.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 9 — — $11,276.38 $73,001.21 $19,136.95 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 10 9 — — $14,157.09 $19,502.47 $19,120.07 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 9 9 — — $19,087.78 $19,469.54 $19,087.78 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 17 11 — — $3,681.34 $41,017.62 $19,057.69 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 9 9 — — $18,798.63 $19,174.60 $18,798.63 2026-04-01
333 MS_DRG Rectal Resection With Cc 9 9 — — $18,733.31 $19,107.98 $18,733.31 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 9 9 — — $18,706.89 $19,081.03 $18,706.89 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 9 9 — — $18,694.41 $19,068.30 $18,694.41 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 9 9 — — $18,622.49 $18,994.94 $18,622.49 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 9 — — $6,762.90 $18,982.96 $18,610.75 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 9 — — $12,420.38 $18,964.99 $18,593.13 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 9 — — $18,505.80 $18,875.92 $18,505.80 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 9 9 — — $18,391.31 $18,759.14 $18,391.31 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 9 9 — — $18,386.18 $18,753.90 $18,386.18 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 9 — — $10,825.67 $18,684.28 $18,317.92 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 9 9 — — $18,288.57 $18,654.34 $18,288.57 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 2 2 — — $18,100.42 $18,464.14 $18,282.28 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 9 — — $18,245.27 $18,610.18 $18,245.27 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 9 9 — — $18,217.38 $18,581.73 $18,217.38 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
23616 HCPCS Treat Humerus Fracture 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
24363 HCPCS Replace Elbow Joint 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
20805 HCPCS Replant Forearm Complete 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
28705 HCPCS Fusion Of Foot Bones 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
25446 HCPCS Wrist Replacement 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
20808 HCPCS Replantation Hand Complete 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 3 3 — — $18,004.95 $18,365.05 $18,185.00 2026-04-01
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