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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

KETTERING HEALTH MAIN CAMPUS

Kettering, OH · CCN 360079 · Rates published

13,723 distinct procedures filed
22 distinct payers
236,551 rate rows
2026-04-01 last MRF observed
Data quality

184,664 of 236,551 rate rows are consumer-grade (78.1%)

51,887 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 51,605
placeholder amount (≤ $0.02) — excluded from medians 253
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 29
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ketteringhealth.org/wp-content/uploads/2021/12/1043233984_Kettering-Health-Main-Campus_StandardCharges.json
Found on page https://ketteringhealth.org/billing-insurance/patient-pricing/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 3dca40fa2b586f52… · 4,664,355 bytes · first seen 2026-05-13

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 7 $0.02 $12,699,704.05 $5,501,801.12 nat. median
$3,685,267
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $0.02 $11,428,777.66 $4,948,027.49 nat. median
$3,325,455
1.5× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $0.02 $11,194,386.44 $4,835,164.50 nat. median
$3,248,446
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $0.02 $10,151,239.95 $4,398,215.75 nat. median
$2,968,000
1.5× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $0.02 $8,460,494.43 $3,783,450.16 nat. median
$2,455,111
1.5× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $0.02 $8,036,246.09 $3,478,547.32 nat. median
$2,332,000
1.5× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $0.02 $4,526,200.00 $2,263,100.01 nat. median
$3,508,750
0.6× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $0.02 $2,070,347.69 $1,100,702.24 nat. median
$813,967
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $0.02 $1,589,731.61 $819,547.24 nat. median
$621,313
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $0.02 $1,520,263.51 $785,633.67 nat. median
$599,737
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $0.02 $1,511,315.09 $773,303.86 nat. median
$579,571
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $0.02 $1,497,290.36 $770,230.22 nat. median
$574,037
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $0.02 $1,432,576.18 $738,102.08 nat. median
$562,501
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $0.02 $1,314,565.76 $684,216.76 nat. median
$513,770
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 $339,526.08 $797,852.34 $510,437.67 nat. median
$168,055
outlier · 3.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $168,148.34 $499,151.43 $282,777.44 nat. median
$131,925
outlier · 2.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $110,901.76 $297,948.67 $190,275.73 nat. median
$108,243
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $167,164.77 $450,912.84 $167,347.32 nat. median
$145,435
1.2× median
7
MS_DRG 		Lung Transplant 21 $102,208.22 $274,961.68 $163,852.94 nat. median
$70,649
outlier · 2.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 21 $113,585.43 $186,452.72 $163,795.26 nat. median
$2,106
outlier · 77.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $94,889.91 $275,656.04 $157,876.03 nat. median
$72,715
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $85,911.39 $229,201.72 $143,898.66 nat. median
$74,509
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 $98,142.30 $161,102.52 $141,525.58 nat. median
$2,024
outlier · 69.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $89,504.21 $231,865.51 $140,968.12 nat. median
$65,418
outlier · 2.2×
90288
HCPCS 		Botulism Ig IV 1 $135,886.95 $135,886.95 $135,886.95 nat. median
$43,548
outlier · 3.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $81,487.28 $224,057.19 $132,001.05 nat. median
$69,922
1.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 $90,869.37 $149,163.86 $131,037.69 nat. median
$2,024
outlier · 64.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $109,282.40 $297,290.39 $130,713.77 nat. median
$97,418
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $88,813.56 $187,316.25 $126,847.92 nat. median
$92,809
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $220,532.75 $592,649.22 $125,301.67 nat. median
$186,516
0.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 21 $85,012.82 $139,550.22 $122,592.29 nat. median
$2,106
outlier · 58.2×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 21 $82,046.74 $134,681.34 $118,315.06 nat. median
$2,024
outlier · 58.5×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $184,842.67 $118,044.08 nat. median
$68,802
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $66,725.07 $178,288.81 $113,703.89 nat. median
$60,505
1.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 21 $78,398.73 $128,693.07 $113,054.48 nat. median
$2,106
outlier · 53.7×
209
MS_DRG 		Complex Aortic Arch Procedures 21 $89,402.17 $210,086.16 $111,131.13 nat. median
$2,110
outlier · 52.7×
215
MS_DRG 		Other Heart Assist System Implant 21 $78,712.40 $222,912.56 $110,136.61 nat. median
$73,023
1.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 21 $48,142.40 $128,524.74 $109,809.74 nat. median
$43,803
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $77,344.97 $203,054.07 $108,712.90 nat. median
$69,822
1.6× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 $42,107.52 $116,299.92 $108,589.79 nat. median
$38,173
outlier · 2.8×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $170,175.37 $107,080.48 nat. median
$66,211
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $60,565.38 $164,452.25 $106,721.26 nat. median
$55,935
1.9× median
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 $31,826.72 $75,423.57 $105,961.05 nat. median
$25,579
outlier · 4.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $195,821.64 $104,910.97 nat. median
$65,477
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $60,366.79 $157,043.71 $104,753.28 nat. median
$52,327
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $68,527.37 $193,814.96 $103,027.22 nat. median
$2,633
outlier · 39.1×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 21 $45,350.25 $106,568.55 $102,174.00 nat. median
$2,222
outlier · 46.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $62,320.58 $169,600.98 $100,530.79 nat. median
$56,428
1.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 $46,589.72 $122,498.60 $97,193.55 nat. median
$40,726
outlier · 2.4×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 $66,893.30 $109,806.67 $96,463.13 nat. median
$2,024
outlier · 47.7×

Other procedures at this hospital

Browse this hospital's 13,723 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 13 7 — — $0.02 $12,699,704.05 $5,501,801.12 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 7 — — $0.02 $11,428,777.66 $4,948,027.49 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 13 7 — — $0.02 $11,194,386.44 $4,835,164.50 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 13 7 — — $0.02 $10,151,239.95 $4,398,215.75 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $0.02 $8,460,494.43 $3,783,450.16 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 13 7 — — $0.02 $8,036,246.09 $3,478,547.32 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 2 — — $0.02 $4,526,200.00 $2,263,100.01 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 7 — — $0.02 $2,070,347.69 $1,100,702.24 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 7 — — $0.02 $1,589,731.61 $819,547.24 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 7 — — $0.02 $1,520,263.51 $785,633.67 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 7 — — $0.02 $1,511,315.09 $773,303.86 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 7 — — $0.02 $1,497,290.36 $770,230.22 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 7 — — $0.02 $1,432,576.18 $738,102.08 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 14 7 — — $0.02 $1,314,565.76 $684,216.76 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 71 21 — — $339,526.08 $797,852.34 $510,437.67 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 71 21 — — $168,148.34 $499,151.43 $282,777.44 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $110,901.76 $297,948.67 $190,275.73 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 71 21 — — $167,164.77 $450,912.84 $167,347.32 2026-04-01
7 MS_DRG Lung Transplant 71 21 — — $102,208.22 $274,961.68 $163,852.94 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 52 21 — — $113,585.43 $186,452.72 $163,795.26 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 71 21 — — $94,889.91 $275,656.04 $157,876.03 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 71 21 — — $85,911.39 $229,201.72 $143,898.66 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 52 21 — — $98,142.30 $161,102.52 $141,525.58 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 71 21 — — $89,504.21 $231,865.51 $140,968.12 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $135,886.95 $135,886.95 $135,886.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 71 21 — — $81,487.28 $224,057.19 $132,001.05 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 52 21 — — $90,869.37 $149,163.86 $131,037.69 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 71 21 — — $109,282.40 $297,290.39 $130,713.77 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $88,813.56 $187,316.25 $126,847.92 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 71 21 — — $220,532.75 $592,649.22 $125,301.67 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 52 21 — — $85,012.82 $139,550.22 $122,592.29 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 52 21 — — $82,046.74 $134,681.34 $118,315.06 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $184,842.67 $118,044.08 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 71 21 — — $66,725.07 $178,288.81 $113,703.89 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 52 21 — — $78,398.73 $128,693.07 $113,054.48 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 62 21 — — $89,402.17 $210,086.16 $111,131.13 2026-04-01
215 MS_DRG Other Heart Assist System Implant 71 21 — — $78,712.40 $222,912.56 $110,136.61 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 71 21 — — $48,142.40 $128,524.74 $109,809.74 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 21 — — $77,344.97 $203,054.07 $108,712.90 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 71 21 — — $42,107.52 $116,299.92 $108,589.79 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 9 — — $63,342.28 $170,175.37 $107,080.48 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 71 21 — — $60,565.38 $164,452.25 $106,721.26 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 71 21 — — $31,826.72 $75,423.57 $105,961.05 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 $80,126.00 $32,050.40 60% off $56,824.55 $195,821.64 $104,910.97 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 71 21 — — $60,366.79 $157,043.71 $104,753.28 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 71 21 — — $68,527.37 $193,814.96 $103,027.22 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 62 21 — — $45,350.25 $106,568.55 $102,174.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 71 21 — — $62,320.58 $169,600.98 $100,530.79 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 71 21 — — $46,589.72 $122,498.60 $97,193.55 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 52 21 — — $66,893.30 $109,806.67 $96,463.13 2026-04-01
10 MS_DRG Pancreas Transplant 71 21 — — $56,879.93 $167,751.48 $95,345.84 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 71 21 — — $56,557.31 $166,785.69 $94,801.01 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $55,272.32 $159,077.71 $94,781.53 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 71 21 — — $44,683.80 $115,834.91 $94,412.89 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 52 21 — — $64,829.60 $106,419.07 $93,487.18 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 52 21 — — $64,355.33 $105,640.55 $92,803.27 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 71 21 — — $33,630.59 $86,467.99 $92,368.05 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 71 21 — — $25,357.76 $64,882.03 $91,597.12 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 21 — — $60,825.21 $162,794.22 $91,347.33 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 71 21 — — $26,775.42 $73,536.19 $89,280.31 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 71 21 — — $56,856.38 $140,522.32 $87,637.31 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 71 21 — — $57,216.69 $149,363.75 $87,417.95 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 13 7 — — $13,471.00 $213,577.45 $85,554.83 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 52 21 — — $59,034.58 $96,906.43 $85,130.51 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,338.18 $132,551.95 $84,650.22 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $47,919.99 $128,741.85 $82,217.01 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 21 — — $52,166.95 $135,870.15 $79,387.11 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 21 — — $52,166.95 $125,175.01 $79,348.18 2026-04-01
2039 OTHER Gen, Neuro, Imp Led, Ex Cntr 39 18 — — — — $78,708.32 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 71 21 — — $48,603.17 $133,061.18 $78,568.96 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 21 — — $42,413.66 $111,439.45 $77,479.67 2026-04-01
J9226 HCPCS Supprelin La Implant 17 9 — — $45,020.65 $126,141.59 $76,761.70 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 71 21 — — $47,099.17 $126,992.96 $75,586.86 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 71 21 — — $45,533.93 $120,032.59 $75,076.15 2026-04-01
570 MS_DRG Skin Debridement With Mcc 71 21 — — $23,639.45 $63,341.83 $73,684.16 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 71 21 — — $43,906.68 $129,122.30 $73,495.27 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 71 21 — — $47,207.49 $125,088.75 $73,405.35 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 71 21 — — $71,275.56 $175,481.94 $73,324.33 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 71 21 — — $87,066.09 $220,543.35 $72,652.06 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 71 21 — — $24,262.72 $60,135.18 $72,442.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 71 21 — — $46,619.55 $123,801.04 $72,417.73 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 71 21 — — $43,194.71 $126,992.96 $72,293.46 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 71 21 — — $44,547.22 $114,479.87 $69,900.99 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 52 21 — — $46,886.96 $76,965.87 $67,613.09 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 71 21 — — $43,433.34 $111,936.02 $66,046.06 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 7 — — $10,817.74 $149,557.51 $65,989.90 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 71 21 — — $47,361.35 $120,754.30 $65,626.04 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 71 21 — — $39,025.71 $113,514.09 $64,970.91 2026-04-01
245 MS_DRG Aicd Generator Procedures 71 21 — — $36,366.23 $102,816.85 $63,781.59 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 71 21 — — $48,658.91 $126,044.01 $63,443.94 2026-04-01
265 MS_DRG Aicd Lead Procedures 71 21 — — $28,954.51 $75,051.14 $62,879.25 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 71 21 — — $66,517.05 $178,187.81 $62,705.29 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 71 21 — — $47,702.81 $130,327.95 $62,317.40 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 71 21 — — $47,716.16 $127,910.34 $62,266.43 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 71 21 — — $27,802.17 $72,900.75 $61,713.33 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 6 — — $34,970.13 $93,950.75 $59,998.75 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 71 21 — — $36,951.82 $102,025.70 $59,977.63 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 71 21 — — $43,494.57 $114,218.96 $59,686.17 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 71 21 — — $25,217.25 $59,258.02 $59,030.53 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 71 21 — — $37,457.34 $96,935.89 $58,966.83 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 71 21 — — $29,962.41 $70,408.67 $58,810.14 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 21 — — $40,116.83 $96,626.58 $57,809.51 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 8 — — $3,958.00 $149,557.51 $57,507.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 71 21 — — $56,524.34 $148,686.23 $57,502.38 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 71 21 — — $20,707.58 $54,462.52 $57,392.85 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 15 8 — — $14,014.53 $149,557.51 $57,324.75 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 71 21 — — $35,585.18 $92,422.59 $56,113.25 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 52 21 — — $38,579.62 $63,329.20 $55,633.53 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 52 21 — — $38,395.04 $63,026.21 $55,367.36 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 71 21 — — $37,272.08 $100,474.98 $54,759.91 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 11 7 — — $14,014.53 $116,322.88 $54,566.55 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 71 21 — — $39,319.29 $105,236.56 $53,988.82 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 71 21 — — $34,034.07 $88,982.39 $53,833.49 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 71 21 — — $33,306.40 $90,848.73 $53,746.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 71 21 — — $39,702.36 $106,860.93 $52,782.04 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 71 21 — — $31,121.03 $91,038.09 $51,956.82 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 71 21 — — $28,235.47 $72,063.32 $51,838.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 13 7 — — $23,576.00 $106,579.25 $51,690.09 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 71 21 — — $43,646.85 $116,291.50 $51,529.30 2026-04-01
5743 OTHER Level 3 Electronic Analysis Of Devices 39 18 — — — — $51,459.52 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 21 — — $36,633.90 $96,613.96 $51,193.88 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 7 $73,531.00 $29,412.40 60% off $18,353.44 $106,579.25 $50,886.62 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 13 7 — — $18,353.44 $106,579.25 $50,886.62 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 13 7 — — $18,353.44 $106,579.25 $50,886.62 2026-04-01
800 MS_DRG Splenic Procedures With Cc 71 21 — — $22,605.64 $61,305.06 $50,847.69 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 6 — — $29,559.78 $79,415.30 $50,716.14 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 6 — — $29,510.19 $79,282.08 $50,631.06 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 6 — — $29,420.21 $79,040.34 $50,476.67 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 71 21 — — $43,365.83 $113,528.82 $50,362.54 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 71 21 — — $29,889.41 $75,406.74 $50,362.35 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 71 21 — — $36,806.60 $97,886.94 $50,343.09 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 71 21 — — $32,112.45 $82,674.30 $50,322.22 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 71 21 — — $28,541.61 $73,666.65 $50,138.03 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 14 7 $71,726.00 $28,690.40 60% off $10,817.74 $106,579.25 $49,727.28 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 14 7 $66,956.00 $26,782.40 60% off $10,817.74 $106,579.25 $49,727.28 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 7 $116,585.00 $46,634.00 60% off $10,817.74 $106,579.25 $49,727.28 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 71 21 — — $30,891.04 $82,678.51 $49,402.33 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 52 21 — — $34,051.02 $55,895.42 $49,103.09 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 7 $80,565.00 $32,226.00 60% off $23,576.00 $97,392.83 $48,214.02 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 71 21 — — $36,242.98 $94,095.35 $48,205.20 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 71 21 — — $54,808.39 $146,371.72 $47,989.85 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 71 21 — — $33,433.56 $86,516.38 $47,676.87 2026-04-01
J9266 HCPCS Pegaspargase Injection 17 9 — — $28,424.06 $76,364.08 $47,367.70 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 71 21 — — $53,001.38 $141,063.07 $47,343.90 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 71 21 — — $54,542.28 $140,284.56 $47,309.99 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 71 21 — — $37,923.61 $98,985.28 $46,965.81 2026-04-01
69930 HCPCS Implant Cochlear Device 16 9 — — $15,624.00 $111,955.12 $46,893.90 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 71 21 — — $36,103.26 $100,039.43 $46,244.45 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 71 21 — — $33,703.60 $87,538.98 $45,970.79 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 71 21 — — $33,841.75 $85,914.61 $45,945.50 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 7 — — $23,576.00 $91,396.90 $45,945.21 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 13 7 — — $10,817.74 $104,775.70 $45,942.99 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 13 7 — — $10,817.74 $104,775.70 $45,942.99 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 71 21 — — $29,642.14 $73,058.56 $45,632.52 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 7 — — $8,386.90 $104,775.70 $45,569.01 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 71 21 — — $18,462.55 $53,341.04 $45,156.73 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 71 21 — — $45,292.16 $113,636.13 $44,849.40 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 13 7 — — $10,817.74 $104,775.70 $44,612.99 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 8 — — $24,228.42 $83,492.94 $44,185.67 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 71 21 — — $35,034.91 $89,748.28 $44,169.78 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 71 21 — — $27,297.43 $74,257.90 $43,993.42 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 71 21 — — $38,456.61 $102,196.14 $43,347.76 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 71 21 — — $39,186.63 $105,973.00 $42,954.63 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 71 21 — — $33,494.79 $93,215.84 $42,613.57 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 71 21 — — $29,385.46 $81,237.20 $42,512.80 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 71 21 — — $17,975.87 $44,935.16 $42,464.99 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 71 21 — — $37,381.98 $100,035.23 $42,404.99 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 71 21 — — $53,039.84 $130,159.63 $41,968.16 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 71 21 — — $23,318.40 $59,087.34 $41,930.21 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 52 21 — — $28,955.86 $47,531.62 $41,755.65 2026-04-01
61886 HCPCS Implant Neurostim Arrays 16 9 — — $6,350.00 $104,775.70 $41,710.49 2026-04-01
665 MS_DRG Prostatectomy With Mcc 71 21 — — $25,053.19 $72,242.17 $41,531.23 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 13 7 — — $3,086.00 $104,775.70 $41,411.32 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 13 7 — — $3,086.00 $104,775.70 $41,411.32 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 71 21 — — $51,063.28 $136,086.88 $41,382.37 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 71 21 — — $25,568.92 $65,062.98 $41,343.83 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 71 21 — — $28,904.27 $75,427.78 $41,288.28 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 71 21 — — $25,884.48 $67,827.77 $40,985.93 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 71 21 — — $25,544.58 $68,545.27 $40,901.82 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 71 21 — — $25,835.02 $66,914.59 $40,686.36 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 71 21 — — $41,342.96 $117,286.74 $40,419.67 2026-04-01
652 MS_DRG Kidney Transplant 71 21 — — $25,903.32 $64,621.12 $40,096.36 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 7 — — $11,376.86 $92,132.15 $40,057.87 2026-04-01
22558 HCPCS Lumbar Spine Fusion 13 7 — — $11,376.86 $92,132.15 $39,914.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 71 21 — — $36,258.68 $94,922.26 $39,900.22 2026-04-01
93654 HCPCS Hc Ep & Ablate Vt Include Mapping/Drug Test 14 7 $62,414.00 $24,965.60 60% off $18,353.44 $88,749.73 $39,851.31 2026-04-01
93653 HCPCS Hc Ep & Ablate Svt Including Drug Test 14 7 $36,717.00 $14,686.80 60% off $18,353.44 $88,749.73 $39,851.31 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 14 7 $54,583.00 $21,833.20 60% off $18,353.44 $88,749.73 $39,851.31 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 71 21 — — $28,518.06 $73,719.25 $39,727.79 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 6 — — $23,087.32 $62,026.39 $39,611.24 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 71 21 — — $26,482.63 $62,231.53 $39,528.04 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 71 21 — — $35,733.54 $96,975.86 $39,430.22 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 71 21 — — $25,287.11 $67,226.00 $39,365.48 2026-04-01
L5858 HCPCS Stance Phase Only 7 6 — — $22,885.05 $61,482.98 $39,264.21 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 13 7 — — $18,353.44 $75,526.90 $39,136.67 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 14 7 $64,083.00 $25,633.20 60% off $18,353.44 $75,526.90 $39,136.67 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 13 7 — — $18,353.44 $75,526.90 $39,136.67 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 71 21 — — $41,970.15 $107,999.24 $39,136.37 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 71 21 — — $42,388.54 $108,354.84 $38,866.24 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 71 21 — — $27,934.83 $72,174.84 $38,717.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 71 21 — — $39,388.37 $104,845.20 $38,475.81 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 13 7 — — $14,014.53 $75,526.90 $38,469.14 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 16 9 — — $4,830.00 $104,775.70 $38,454.38 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 17 9 $35,066.00 $14,026.40 60% off $4,830.00 $104,775.70 $38,454.38 2026-04-01
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 71 21 — — $9,816.86 $24,470.68 $38,423.67 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 71 21 — — $32,936.68 $82,270.31 $38,315.57 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 39 18 — — — — $38,188.15 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 13 7 — — $11,376.86 $75,526.90 $38,063.35 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 14 7 $70,290.00 $28,116.00 60% off $10,817.74 $75,526.90 $37,977.33 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 14 7 $68,854.00 $27,541.60 60% off $10,817.74 $75,526.90 $37,977.33 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 14 7 $65,520.00 $26,208.00 60% off $10,817.74 $75,526.90 $37,977.33 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 13 7 — — $10,817.74 $75,526.90 $37,977.33 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 13 7 — — $10,817.74 $75,526.90 $37,977.33 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 71 21 — — $15,695.52 $41,766.39 $37,973.40 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 71 21 — — $36,542.06 $98,455.05 $37,932.09 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 62 21 — — $19,504.21 $45,832.94 $37,679.81 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 71 21 — — $27,927.76 $81,321.36 $37,629.08 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 6 — — $21,834.21 $58,659.79 $37,461.27 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 71 21 — — $17,272.53 $44,242.91 $37,452.97 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 71 21 — — $33,152.54 $85,575.85 $37,423.26 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 71 21 — — $44,245.79 $105,266.02 $37,421.11 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 7 6 — — $21,739.52 $58,405.39 $37,298.80 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 71 21 — — $35,723.33 $88,168.10 $37,227.94 2026-04-01
22630 HCPCS Lumbar Spine Fusion 15 8 — — $11,376.86 $92,132.15 $37,122.35 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 14 8 — — $10,499.00 $92,132.15 $37,019.36 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 71 21 — — $30,936.56 $81,817.93 $36,966.60 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 15 8 — — $11,376.86 $92,132.15 $36,688.35 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 71 21 — — $28,468.61 $72,473.62 $36,634.22 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 71 21 — — $20,033.28 $53,164.29 $36,175.88 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 71 21 — — $16,469.51 $41,118.32 $36,115.36 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 9 7 — — $19,115.10 $65,872.07 $36,003.42 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 71 21 — — $25,615.23 $71,371.07 $35,968.24 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 71 21 — — $23,217.92 $57,366.18 $35,782.67 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 71 21 — — $28,611.47 $82,844.73 $35,704.64 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 71 21 — — $29,035.36 $68,230.19 $35,666.99 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 71 21 — — $24,233.68 $56,946.72 $35,441.09 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 71 21 — — $27,332.75 $70,624.12 $35,412.52 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 52 21 — — $24,475.97 $40,177.79 $35,295.45 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 71 21 — — $23,173.96 $55,754.44 $35,290.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 71 21 — — $29,373.68 $74,716.59 $35,122.49 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 16 9 — — $9,806.00 $92,132.15 $35,102.07 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 71 21 — — $21,432.89 $60,253.01 $35,092.15 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 71 21 — — $19,738.92 $51,089.65 $34,564.06 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 6 — — $20,015.46 $53,773.53 $34,340.81 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 71 21 — — $22,123.67 $55,194.75 $34,246.53 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 39 18 — — — — $34,101.15 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 71 21 — — $13,162.41 $35,565.60 $34,036.20 2026-04-01
C2616 HCPCS Hc Microspheres Sirspheres Y90 (1/Ea) 12 7 $59,531.85 $23,812.74 60% off $17,771.01 $61,240.23 $33,987.79 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 6 — — $19,809.02 $53,218.91 $33,986.62 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 71 21 — — $22,311.28 $53,614.57 $33,958.58 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 71 21 — — $53,389.94 $143,665.84 $33,887.04 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 71 21 — — $25,910.38 $64,928.32 $33,819.24 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 71 21 — — $28,583.21 $76,250.48 $33,734.32 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 71 21 — — $21,255.49 $55,825.98 $33,692.46 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 71 21 — — $28,676.63 $83,757.91 $33,583.73 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 52 21 — — $23,286.46 $38,225.18 $33,580.11 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 71 21 — — $18,336.96 $46,275.47 $33,481.08 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 71 21 — — $15,536.96 $36,510.30 $33,451.56 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 71 21 — — $20,798.63 $50,435.28 $33,077.19 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 71 21 — — $16,254.42 $40,830.06 $32,874.11 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 71 21 — — $14,708.81 $38,444.01 $32,555.91 2026-04-01
63655 HCPCS Implant Neuroelectrodes 14 8 — — $19,115.10 $65,872.07 $32,511.41 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 71 21 — — $28,178.95 $76,765.98 $32,388.30 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 71 21 — — $29,806.99 $83,034.10 $32,212.96 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 71 21 — — $19,716.15 $49,808.26 $32,168.45 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 5 3 — — $18,353.44 $50,273.00 $31,936.78 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 14 7 $59,044.00 $23,617.60 60% off $18,062.32 $62,244.11 $31,812.20 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 14 7 $59,044.00 $23,617.60 60% off $18,062.32 $62,244.11 $31,812.20 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 71 21 — — $26,391.57 $65,664.75 $31,758.38 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 7 6 — — $18,506.37 $49,719.21 $31,751.64 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 15 8 — — $17,276.22 $59,535.16 $31,709.04 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 14 7 $74,339.00 $29,735.60 60% off $18,978.72 $65,402.07 $31,677.14 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 14 7 $74,339.00 $29,735.60 60% off $18,978.72 $65,402.07 $31,677.14 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 14 7 $74,339.00 $29,735.60 60% off $18,978.72 $65,402.07 $31,677.14 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 14 7 $74,339.00 $29,735.60 60% off $18,978.72 $65,402.07 $31,677.14 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 14 7 $74,339.00 $29,735.60 60% off $18,978.72 $65,402.07 $31,677.14 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 14 7 $74,339.00 $29,735.60 60% off $18,978.72 $65,402.07 $31,677.14 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 14 7 $61,679.00 $24,671.60 60% off $14,014.53 $65,402.07 $31,536.14 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 71 21 — — $19,351.93 $52,131.18 $31,328.48 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 71 21 — — $31,259.97 $79,985.26 $31,172.76 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 71 21 — — $30,091.15 $80,422.91 $31,014.43 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 71 21 — — $23,678.70 $60,955.78 $30,911.14 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 71 21 — — $24,958.99 $64,351.79 $30,798.51 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 7 6 — — $17,892.75 $48,070.66 $30,698.85 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 71 21 — — $21,359.89 $56,023.77 $30,658.89 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 7 6 — — $17,866.14 $47,999.17 $30,653.19 2026-04-01
93580 HCPCS Transcath Closure Of Asd 14 7 $20,532.00 $8,212.80 60% off $18,062.32 $62,244.11 $30,625.27 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 13 7 — — $18,062.32 $62,244.11 $30,625.27 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 14 7 $16,686.00 $6,674.40 60% off $18,062.32 $62,244.11 $30,625.27 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 71 21 — — $33,534.04 $88,161.79 $30,570.74 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 71 21 — — $14,088.68 $34,559.84 $30,531.06 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 71 21 — — $12,305.22 $34,202.15 $30,509.31 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 13 7 — — $18,062.32 $62,244.11 $30,482.20 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 13 7 — — $18,062.32 $62,244.11 $30,482.20 2026-04-01
263 MS_DRG Vein Ligation And Stripping 71 21 — — $24,552.38 $57,695.64 $30,399.92 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 71 21 — — $34,521.54 $89,617.83 $30,370.92 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 13 7 — — $16,877.83 $58,162.27 $30,267.66 2026-04-01
5432 OTHER Level 2 Nerve Procedures 39 18 — — — — $30,266.75 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 71 21 — — $19,433.56 $48,701.50 $30,143.93 2026-04-01
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