Price Transparencybeta Hospital negotiated rates

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

AULTMAN HOSPITAL

Canton, OH · CCN 360084 · Rates published

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This hospital’s price: $1,034 across 5 payers · range $517-$1,552

Source: https://aultman.org/pricing-transparency/2026/1356366991_aultman-hospital_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

13,043 distinct procedures filed
25 distinct payers
146,876 rate rows
2026-04-01 last MRF observed
Data quality

110,374 of 146,876 rate rows are consumer-grade (75.1%)

36,502 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 29,366
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,022
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 102
placeholder amount (≤ $0.02) — excluded from medians 10
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://aultman.org/pricing-transparency/2026/1356366991_aultman-hospital_standardcharges.json
Found on page https://aultman.org/home/patients-and-visitors/insurance-and-billing/pricing#/
Discovered viaCMS hospital list
Last fetch success · 2026-10-15
Content fingerprint 3d4b7afab5695ed5… · 43,802,717 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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,316,462.59 $3,614,944.22 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,248,445.72 $3,540,805.83 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,945,740.00 $3,210,856.60 $3,004,654.80 nat. median
$2,994,107
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $4,664,000.00 $2,541,880.00 nat. median
$2,401,960
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $2,311,860.00 $997,952.90 nat. median
$809,217
1.2× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $834,750.00 $834,750.00 $834,750.00 nat. median
$459,112
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $1,736,313.36 $766,285.43 nat. median
$738,272
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,659,507.90 $732,800.29 nat. median
$646,415
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $1,549,326.87 $728,486.95 nat. median
$640,950
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $1,582,867.38 $721,726.73 nat. median
$622,245
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $1,508,522.19 $690,533.07 nat. median
$608,101
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $1,468,197.48 $633,649.47 nat. median
$591,650
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $339,484.26 $737,388.20 $339,484.26 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $26,284.50 $478,535.28 $220,576.93 nat. median
$249,124
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $194,030.09 $194,030.09 $194,030.09 nat. median
$75,037
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $168,230.37 $364,580.50 $168,230.37 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $21,708.32 $362,440.88 $167,247.51 nat. median
$190,557
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $140,757.45 $140,757.45 $140,757.45 nat. median
$51,570
outlier · 2.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $196,926.74 $113,649.10 nat. median
$63,643
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $7,981.44 $236,526.09 $109,406.98 nat. median
$126,722
0.9× median
7
MS_DRG 		Lung Transplant 11 $102,337.91 $221,137.23 $102,337.91 nat. median
$117,894
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $95,024.89 $205,217.30 $95,024.89 nat. median
$110,192
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $189,706.83 $95,013.42 nat. median
$68,423
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $89,643.08 $193,501.48 $89,643.08 nat. median
$103,967
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $89,541.11 $193,279.49 $89,541.11 nat. median
$92,655
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $87,206.71 $188,197.68 $87,206.71 nat. median
$93,270
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $33,676.17 $185,685.81 $86,052.85 nat. median
$97,414
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,272.32 $171,051.30 $82,908.49 nat. median
$65,720
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $81,631.94 $176,061.79 $81,631.94 nat. median
$94,964
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $44,222.34 $91,891.18 $79,385.97 nat. median
$49,639
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 15 $5,815.09 $170,025.43 $78,859.06 nat. median
$93,917
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $9,005.67 $167,050.80 $77,492.63 nat. median
$90,581
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $71,427.60 $153,847.66 $71,427.60 nat. median
$78,037
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $68,681.40 $147,869.36 $68,681.40 nat. median
$78,262
0.9× median
J9226
HCPCS 		Supprelin La Implant 6 $45,020.65 $135,636.12 $67,530.98 nat. median
$55,159
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $34,439.81 $143,948.72 $66,880.40 nat. median
$77,043
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $58,560.21 $143,496.21 $66,672.53 nat. median
$77,696
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 6 $4,218.00 $178,606.56 $64,865.14 nat. median
$12,855
outlier · 5.0×
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 5 $4,179.00 $125,069.16 $64,382.07 nat. median
$43,332
1.5× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $64,100.74 $64,100.74 $64,100.74 nat. median
$38,944
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $62,479.10 $134,367.39 $62,479.10 nat. median
$74,460
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $7,220.04 $131,114.42 $60,984.80 nat. median
$72,473
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $6,751.47 $130,549.21 $60,725.16 nat. median
$71,758
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $10,808.12 $130,117.18 $60,526.71 nat. median
$68,004
0.9× median
64656
HCPCS 		Revj/rplcmt Bat Mod Sys Pg 5 $29,193.76 $87,619.87 $58,387.26 nat. median
$32,218
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $51,328.24 $123,264.60 $57,378.89 nat. median
$63,648
0.9× median
10
MS_DRG 		Pancreas Transplant 11 $57,042.38 $122,532.04 $57,042.38 nat. median
$64,903
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $57,018.85 $122,480.81 $57,018.85 nat. median
$61,329
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $56,719.99 $121,830.22 $56,719.99 nat. median
$66,660
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $6,061.34 $121,758.50 $56,687.04 nat. median
$66,649
0.9× median

Other procedures at this hospital

Browse this hospital's 13,043 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 2 — — $3,316,462.59 $3,614,944.22 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 2 — — $3,248,445.72 $3,540,805.83 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,945,740.00 $3,210,856.60 $3,004,654.80 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 4 — — $2,332,000.00 $4,664,000.00 $2,541,880.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 5 — — $770,620.00 $2,311,860.00 $997,952.90 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $834,750.00 $834,750.00 $834,750.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $591,726.20 $1,736,313.36 $766,285.43 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $565,868.94 $1,659,507.90 $732,800.29 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 5 — — $562,538.19 $1,549,326.87 $728,486.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $557,317.93 $1,582,867.38 $721,726.73 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $533,230.17 $1,508,522.19 $690,533.07 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $489,304.61 $1,468,197.48 $633,649.47 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 11 — — $339,484.26 $737,388.20 $339,484.26 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 11 — — $26,284.50 $478,535.28 $220,576.93 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $194,030.09 $194,030.09 $194,030.09 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 11 — — $168,230.37 $364,580.50 $168,230.37 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 11 — — $21,708.32 $362,440.88 $167,247.51 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $140,757.45 $140,757.45 $140,757.45 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 9 7 — — $56,824.55 $196,926.74 $113,649.10 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 13 — — $7,981.44 $236,526.09 $109,406.98 2026-04-01
7 MS_DRG Lung Transplant 22 11 — — $102,337.91 $221,137.23 $102,337.91 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 11 — — $95,024.89 $205,217.30 $95,024.89 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 6 — — $63,342.28 $189,706.83 $95,013.42 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 11 — — $89,643.08 $193,501.48 $89,643.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 22 11 — — $89,541.11 $193,279.49 $89,541.11 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 11 — — $87,206.71 $188,197.68 $87,206.71 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 11 — — $33,676.17 $185,685.81 $86,052.85 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 6 — — $55,272.32 $171,051.30 $82,908.49 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 11 — — $81,631.94 $176,061.79 $81,631.94 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 6 — — $44,222.34 $91,891.18 $79,385.97 2026-04-01
215 MS_DRG Other Heart Assist System Implant 34 15 — — $5,815.09 $170,025.43 $78,859.06 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 15 — — $9,005.67 $167,050.80 $77,492.63 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 11 — — $71,427.60 $153,847.66 $71,427.60 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 11 — — $68,681.40 $147,869.36 $68,681.40 2026-04-01
J9226 HCPCS Supprelin La Implant 7 6 — — $45,020.65 $135,636.12 $67,530.98 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 12 — — $34,439.81 $143,948.72 $66,880.40 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $58,560.21 $143,496.21 $66,672.53 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 9 6 — — $4,218.00 $178,606.56 $64,865.14 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 5 — — $4,179.00 $125,069.16 $64,382.07 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $64,100.74 $64,100.74 $64,100.74 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 11 — — $62,479.10 $134,367.39 $62,479.10 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 13 — — $7,220.04 $131,114.42 $60,984.80 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 16 — — $6,751.47 $130,549.21 $60,725.16 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 13 — — $10,808.12 $130,117.18 $60,526.71 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 5 — — $29,193.76 $87,619.87 $58,387.26 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 11 — — $51,328.24 $123,264.60 $57,378.89 2026-04-01
10 MS_DRG Pancreas Transplant 22 11 — — $57,042.38 $122,532.04 $57,042.38 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 22 11 — — $57,018.85 $122,480.81 $57,018.85 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 11 — — $56,719.99 $121,830.22 $56,719.99 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 13 — — $6,061.34 $121,758.50 $56,687.04 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 13 — — $47,217.32 $117,446.81 $54,706.42 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $54,204.59 $106,564.56 $54,231.28 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 11 — — $44,129.54 $114,940.06 $53,554.91 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 11 — — $5,681.05 $114,178.47 $53,205.06 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 11 — — $47,906.62 $114,094.80 $53,166.63 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 55 16 — — $5,060.83 $118,025.69 $52,987.17 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — — $43,247.68 $112,279.63 $52,332.80 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $7,237.20 $112,279.63 $52,332.80 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 11 — — $52,145.33 $111,871.51 $52,145.33 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 1 1 — — $51,276.17 $51,276.17 $51,276.17 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 15 — — $4,732.27 $109,878.74 $51,229.93 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 8 5 — — $5,106.00 $97,276.32 $50,075.10 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $49,014.40 $49,014.40 $49,014.40 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 46 15 — — $5,138.29 $104,648.37 $48,827.29 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 11 — — $48,771.60 $104,527.14 $48,771.60 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 9 7 — — $24,228.42 $72,717.28 $48,456.84 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 12 — — $23,516.98 $103,524.78 $48,311.15 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 12 — — $41,080.17 $102,597.55 $47,885.22 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 14 — — $5,312.91 $102,568.52 $47,871.89 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 — — $4,922.66 $101,825.72 $47,530.67 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 11 — — $47,376.93 $101,491.03 $47,376.93 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 22 11 — — $47,268.68 $101,255.38 $47,268.68 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 13 — — $6,071.49 $100,212.04 $46,789.41 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 11 — — $18,782.33 $100,147.15 $46,759.60 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 11 — — $45,993.23 $98,478.83 $45,993.23 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 8 5 — — $5,611.00 $89,128.10 $45,880.62 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 12 — — $6,753.24 $97,850.43 $45,704.57 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 22 11 — — $45,521.02 $97,450.85 $45,521.02 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 14 — — $3,906.23 $97,324.49 $45,462.98 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 6 — — $3,475.00 $125,069.16 $45,421.79 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 6 — — $4,218.00 $125,069.16 $45,421.79 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 8 5 — — $3,475.00 $87,619.87 $45,104.23 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 8 5 — — $4,179.00 $87,619.87 $45,104.23 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 5 — — $3,475.00 $87,619.87 $45,104.23 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 5 — — $4,179.00 $87,619.87 $45,104.23 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 5 — — $4,179.00 $87,619.87 $45,104.23 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 8 5 — — $3,475.00 $87,619.87 $45,104.23 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 11 — — $44,855.06 $96,001.10 $44,855.06 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 11 — — $44,718.57 $95,703.98 $44,718.57 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 13 — — $4,291.31 $95,048.26 $44,417.36 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 12 — — $44,078.50 $94,310.58 $44,078.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 11 — — $4,405.55 $93,745.37 $43,818.86 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 13 — — $28,307.89 $93,414.09 $43,666.69 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 60 16 — — $5,176.99 $93,280.90 $43,605.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 12 — — $8,361.18 $93,134.05 $43,538.04 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $43,398.92 $43,398.92 $43,398.92 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 22 11 — — $43,367.04 $92,761.79 $43,367.04 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $42,840.97 $42,840.97 $42,840.97 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 6 — — $28,424.06 $82,145.53 $42,636.09 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 15 — — $6,442.47 $91,062.73 $42,586.56 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 11 — — $42,561.46 $91,008.09 $42,561.46 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 11 — — $42,280.64 $90,396.77 $42,280.64 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 15 — — $2,508.10 $90,097.94 $42,143.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 12 — — $2,829.07 $88,887.25 $41,587.22 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 11 — — $41,516.63 $88,733.57 $41,516.63 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 11 — — $40,291.39 $86,066.30 $40,291.39 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 14 — — $4,966.40 $85,164.69 $39,877.22 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 12 — — $23,173.38 $84,481.65 $39,563.46 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 14 — — $3,328.72 $84,042.80 $39,361.86 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 11 — — $4,627.53 $83,692.74 $39,201.06 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 12 — — $4,690.60 $82,454.74 $38,632.37 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 11 — — $38,440.97 $82,038.08 $38,440.97 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 8 5 — — $5,611.00 $74,217.97 $38,205.31 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 8 5 — — $5,611.00 $74,217.97 $38,205.31 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 8 5 — — $5,611.00 $74,217.97 $38,205.31 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 51 15 — — $2,853.00 $93,259.00 $38,099.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 64 17 — — $3,424.74 $264,895.96 $37,634.87 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 11 — — $37,633.82 $80,280.97 $37,633.82 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 15 — — $3,101.51 $80,117.04 $37,558.52 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 11 — — $35,794.36 $79,877.97 $37,448.70 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 22 11 — — $37,128.66 $79,181.27 $37,128.66 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $37,101.03 $37,101.03 $37,101.03 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 15 — — $3,989.91 $78,865.37 $36,983.55 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 16 — — $3,938.45 $137,152.96 $36,810.98 2026-04-01
9284 OTHER Ipilimumab Injection 5 4 — — $2,132.32 $63,477.14 $36,772.55 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 11 — — $3,083.99 $78,289.91 $36,719.20 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 7 5 — — $18,354.00 $55,086.27 $36,707.84 2026-04-01
245 MS_DRG Aicd Generator Procedures 23 11 — — $4,191.39 $77,907.41 $36,543.49 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 12 — — $2,944.36 $77,673.46 $36,436.03 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 14 — — $4,002.46 $98,526.00 $36,420.34 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 11 — — $33,895.66 $77,335.36 $36,280.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 40 16 — — $3,953.29 $120,743.43 $35,911.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 11 — — $35,901.06 $76,508.88 $35,901.06 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 4 — — $26,519.65 $53,549.93 $35,864.35 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 12 — — $3,209.43 $76,208.35 $35,763.01 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 14 — — $3,230.40 $75,011.32 $35,213.14 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $34,444.85 $35,840.16 $35,142.51 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 16 — — $3,653.27 $73,894.55 $34,700.14 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 7 5 — — $17,343.14 $52,052.34 $34,686.13 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 12 — — $11,494.68 $73,305.43 $34,429.52 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 11 — — $28,158.91 $72,834.13 $34,213.02 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 12 — — $4,432.40 $72,415.77 $34,020.84 2026-04-01
69930 HCPCS Implant Cochlear Device 9 6 — — $4,964.00 $93,623.73 $34,001.64 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 15 — — $3,943.61 $72,115.24 $33,882.79 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 12 — — $6,435.63 $71,992.29 $33,826.31 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 12 — — $4,949.96 $71,956.43 $33,809.84 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 14 — — $3,263.53 $71,746.40 $33,713.36 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 12 — — $31,105.35 $71,661.02 $33,674.14 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 47 15 — — $3,574.93 $71,527.82 $33,612.95 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 11 — — $32,768.21 $71,251.19 $33,485.88 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 35 13 — — $255.23 $71,199.96 $33,462.35 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 11 — — $28,694.02 $70,916.50 $33,332.14 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 7 5 — — $16,588.34 $49,786.95 $33,176.54 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 37 14 — — $3,353.84 $70,446.91 $33,116.42 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 11 — — $32,292.80 $68,653.94 $32,615.73 2026-04-01
791 MS_DRG Prematurity With Major Problems 30 12 — — $1,575.22 $69,311.36 $32,594.79 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 8 5 — — $4,179.00 $63,160.22 $32,513.10 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 8 5 — — $4,179.00 $63,160.22 $32,513.10 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 6 — — $4,218.00 $89,128.10 $32,368.95 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 6 — — $4,179.00 $89,128.10 $32,368.95 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 9 6 — — $4,179.00 $89,128.10 $32,368.95 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 6 — — $4,179.00 $89,128.10 $32,368.95 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 6 — — $4,218.00 $89,128.10 $32,368.95 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 6 — — $4,218.00 $89,128.10 $32,368.95 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 16 10 — — $6,049.34 $78,290.22 $32,178.14 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 13 — — $23,725.76 $68,032.37 $32,007.27 2026-04-01
61886 HCPCS Implant Neurostim Arrays 9 6 — — $4,179.00 $87,619.87 $31,821.20 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 9 6 — — $3,475.00 $87,619.87 $31,821.20 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 9 6 — — $3,475.00 $87,619.87 $31,821.20 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 12 — — $13,907.12 $66,799.49 $31,440.93 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 11 — — $31,302.09 $66,497.24 $31,302.09 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 11 — — $27,251.54 $66,095.96 $31,117.76 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 11 — — $27,902.13 $65,996.92 $31,072.26 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 13 — — $3,225.50 $65,933.74 $31,043.24 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 39 14 — — $2,548.02 $65,559.77 $30,871.45 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 15 — — $213.62 $64,256.88 $30,272.95 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 12 — — $30,144.31 $63,976.83 $30,144.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 39 15 — — $6,214.07 $63,824.85 $30,074.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 12 — — $25,919.01 $63,818.02 $30,071.36 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 13 — — $3,384.21 $63,638.72 $29,989.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 11 — — $29,824.27 $63,280.13 $29,824.27 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 9 6 — — $4,218.00 $81,445.85 $29,578.96 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 26 11 — — $10,990.74 $62,721.75 $29,567.77 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 12 — — $4,755.85 $62,696.13 $29,556.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 11 — — $3,524.73 $61,960.16 $29,217.93 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 12 — — $16,784.00 $61,912.34 $29,195.96 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 11 — — $29,156.74 $61,826.96 $29,156.74 2026-04-01
265 MS_DRG Aicd Lead Procedures 29 12 — — $4,230.46 $61,784.27 $29,137.13 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 14 — — $5,872.77 $61,674.99 $29,086.93 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 12 — — $3,240.10 $77,540.40 $29,044.57 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 11 — — $27,886.68 $61,179.79 $28,859.45 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 11 — — $28,794.35 $61,038.05 $28,794.35 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 13 — — $3,304.03 $60,976.58 $28,766.11 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 11 — — $3,003.05 $60,886.08 $28,724.53 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 13 — — $10,456.47 $60,834.85 $28,701.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 12 — — $2,984.53 $149,159.85 $28,674.33 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 13 — — $3,544.25 $61,406.43 $28,651.58 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 13 — — $3,425.74 $60,220.12 $28,418.62 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 12 — — $11,618.17 $120,380.41 $28,362.14 2026-04-01
63655 HCPCS Implant Neuroelectrodes 8 5 — — $6,009.00 $55,086.27 $28,356.85 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 8 5 — — $3,475.00 $55,086.27 $28,356.85 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 8 5 — — $4,179.00 $55,086.27 $28,356.85 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 8 5 — — $3,475.00 $55,086.27 $28,356.85 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 8 5 — — $5,713.00 $54,693.22 $28,154.53 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 8 5 — — $5,713.00 $54,693.22 $28,154.53 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 8 5 — — $6,009.00 $54,693.22 $28,154.53 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 8 5 — — $5,611.00 $54,693.22 $28,154.53 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 8 5 — — $6,009.00 $54,693.22 $28,154.53 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 8 5 — — $5,106.00 $54,693.22 $28,154.53 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 8 5 — — $5,106.00 $54,693.22 $28,154.53 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 8 5 — — $6,009.00 $54,693.22 $28,154.53 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 41 15 — — $4,910.98 $59,566.11 $28,118.19 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 13 — — $3,348.53 $59,550.74 $28,111.13 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 12 — — $11,903.69 $59,277.52 $27,985.62 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 9 6 — — $4,179.00 $77,046.55 $27,981.26 2026-04-01
22630 HCPCS Lumbar Spine Fusion 9 6 — — $4,218.00 $77,046.55 $27,981.26 2026-04-01
22558 HCPCS Lumbar Spine Fusion 9 6 — — $4,218.00 $77,046.55 $27,981.26 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 9 6 — — $4,218.00 $77,046.55 $27,981.26 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 9 6 — — $5,713.00 $77,046.55 $27,981.26 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 9 6 — — $4,218.00 $77,046.55 $27,981.26 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 51 19 — — $200.00 $69,765.37 $27,960.86 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 13 — — $3,162.91 $58,990.65 $27,853.84 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 6 — — $4,218.00 $76,431.69 $27,757.95 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 11 — — $25,346.44 $58,717.43 $27,728.34 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 12 — — $2,313.18 $58,543.26 $27,648.33 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 12 — — $16,869.38 $58,256.38 $27,516.55 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 11 — — $13,621.61 $58,179.54 $27,481.25 2026-04-01
9236 OTHER Eculizumab Injection 4 4 — — $1,080.06 $29,073.34 $27,085.76 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 44 17 — — $2,237.35 $58,909.94 $26,959.62 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 8 5 — — $11,409.00 $52,052.34 $26,795.07 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 8 5 — — $11,409.00 $52,052.34 $26,795.07 2026-04-01
93580 HCPCS Transcath Closure Of Asd 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 8 5 — — $5,611.00 $52,052.34 $26,795.07 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 8 5 — — $5,611.00 $52,052.34 $26,795.07 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 8 5 — — $5,611.00 $52,052.34 $26,795.07 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 8 5 — — $4,179.00 $52,052.34 $26,795.07 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 8 5 — — $3,470.00 $52,052.34 $26,795.07 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 11 — — $26,667.04 $56,407.05 $26,667.04 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 26 12 — — $2,848.32 $56,215.80 $26,579.18 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 16 — — $2,961.87 $71,289.68 $26,576.05 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 7 — — $3,183.69 $52,415.19 $26,392.01 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 12 — — $2,607.28 $55,544.72 $26,270.91 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 31 12 — — $8,448.98 $55,300.53 $26,158.74 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 7 5 — — $300.00 $43,059.87 $26,156.49 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 12 — — $3,415.45 $55,239.06 $26,130.50 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 12 — — $4,638.01 $62,927.85 $26,095.20 2026-04-01
652 MS_DRG Kidney Transplant 22 11 — — $26,088.14 $55,146.85 $26,088.14 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 43 17 — — $200.00 $64,364.89 $26,085.54 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 12 — — $22,565.92 $55,105.86 $26,069.32 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 22 11 — — $26,019.90 $54,998.28 $26,019.90 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 11 — — $2,454.81 $54,820.69 $25,938.32 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 46 15 — — $3,101.48 $54,520.16 $25,800.27 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 13 — — $9,565.90 $78,053.09 $25,753.99 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 11 — — $3,092.74 $54,366.47 $25,729.67 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 11 — — $25,679.47 $54,257.19 $25,679.47 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 8 5 — — $5,106.00 $49,786.95 $25,628.92 2026-04-01
0657T OTHER Vrt Bdy Tethering Ant 8+ Seg 8 5 — — $6,009.00 $49,786.95 $25,628.92 2026-04-01
0656T OTHER Vrt Bdy Tethering Ant 8 5 — — $6,009.00 $49,786.95 $25,628.92 2026-04-01
20805 HCPCS Replant Forearm Complete 8 6 — — $4,218.00 $49,786.95 $25,628.92 2026-04-01
20808 HCPCS Replantation Hand Complete 8 6 — — $4,218.00 $49,786.95 $25,628.92 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 8 5 — — $6,009.00 $49,786.95 $25,628.92 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 8 5 — — $6,009.00 $49,786.95 $25,628.92 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 8 5 — — $6,009.00 $49,786.95 $25,628.92 2026-04-01
20838 HCPCS Replantation Foot Complete 8 6 — — $4,218.00 $49,786.95 $25,628.92 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 8 6 — — $4,218.00 $49,786.95 $25,628.92 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 8 6 — — $4,218.00 $49,786.95 $25,628.92 2026-04-01
20802 HCPCS Replantation Arm Complete 8 6 — — $4,218.00 $49,786.95 $25,628.92 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 8 5 — — $5,713.00 $49,786.95 $25,628.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 13 — — $3,074.29 $54,042.03 $25,580.63 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 12 — — $4,068.45 $53,960.07 $25,542.98 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 41 14 — — $2,603.62 $93,312.34 $25,472.39 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 13 — — $2,589.28 $53,780.77 $25,460.62 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 11 — — $2,819.60 $53,654.41 $25,402.57 2026-04-01
2033 OTHER Cath, Trans Intra Litho/coro 1 1 — — $25,309.78 $25,309.78 $25,309.78 2025-01-01
665 MS_DRG Prostatectomy With Mcc 25 12 — — $3,031.93 $53,297.52 $25,238.63 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 13 — — $2,056.09 $53,186.52 $25,187.65 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 12 — — $2,340.04 $61,193.78 $25,144.50 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 8 6 — — $12,553.71 $37,677.73 $25,107.37 2026-04-01
0888T OTHER Histotripsy Mal Renal Tissue 8 5 — — $5,106.00 $48,638.86 $25,037.91 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 1 1 — — $24,937.35 $24,937.35 $24,937.35 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 11 — — $20,072.87 $52,278.08 $24,770.34 2026-04-01
263 MS_DRG Vein Ligation And Stripping 24 11 — — $23,824.60 $52,208.07 $24,738.18 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 11 — — $4,513.55 $51,794.83 $24,548.36 2026-04-01
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