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

COMMUNITY HOSPITALS AND WELLNESS CENTERS

Bryan, OH · CCN 360121 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $590 across 6 payers · range $544-$1,631

Source: https://parkview.com/-/media/parkview-media/file/price-transparency/341048666_parkview-bryan-hospital_standardcharges.ashx · observed 2026-09-01

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.

10,196 distinct procedures filed
32 distinct payers
191,405 rate rows
2026-09-01 last MRF observed
Data quality

103,748 of 191,405 rate rows are consumer-grade (54.2%)

87,657 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 81,262
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,264
placeholder amount (≤ $0.02) — excluded from medians 130
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.parkview.com/-/media/parkview-media/file/price-transparency/334188855_parkview-logansport-hospital_standardcharges.ashx
Found on page https://www.parkview.com/patients-and-visitors/billing-and-insurance/request-an-estimate
Discovered viaCMS hospital list
Last fetch success · 2026-10-12
Content fingerprint df0c5e0ef8f34f83… · 22,178,403 bytes · first seen 2026-10-12

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,505,000.00 $4,730,250.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,691,450.00 $3,876,022.50 $3,746,821.75 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,897.12 $3,482,741.98 $3,366,650.58 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 3 $3,285,782.70 $3,450,071.84 $3,335,069.44 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,235,303.98 $3,397,069.18 $3,283,833.54 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 3 $3,180,000.00 $3,339,000.00 $3,227,700.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,930,260.34 $3,076,773.36 $2,974,214.25 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,680,037.38 $2,814,039.25 $2,720,237.94 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,300,906.67 $4,601,813.33 $2,346,924.80 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $813,967.38 $1,627,934.75 $842,456.23 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $611,693.17 $1,223,386.34 $633,102.43 nat. median
$738,272
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $587,977.76 $1,175,955.51 $608,556.98 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $579,570.61 $1,159,141.23 $599,855.58 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $567,977.78 $1,135,955.56 $587,857.01 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $562,500.89 $1,125,001.78 $582,188.43 nat. median
$608,101
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $510,103.92 $1,020,207.84 $527,957.55 nat. median
$591,650
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $314,538.62 $671,282.60 $335,641.30 nat. median
$359,358
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $556,500.00 $283,815.00 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 6 $261,579.65 $530,000.00 $274,658.63 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $204,484.05 $435,635.40 $217,817.70 nat. median
$249,124
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $203,659.76 $407,319.53 $210,787.85 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $156,034.75 $331,896.48 $165,948.24 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $155,125.06 $329,948.66 $164,974.33 nat. median
$190,557
0.9× median
5627
OTHER 		Level 7 Radiation Therapy 1 $144,864.68 $144,864.68 $144,864.68 nat. median
$7,769
outlier · 18.6×
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 5 $121,900.00 $243,800.00 $126,166.50 nat. median
$127,995
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $122,101.00 $122,101.00 $122,101.00 nat. median
$75,037
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $101,590.81 $215,321.92 $107,660.96 nat. median
$126,722
0.8× median
7
MS_DRG 		Lung Transplant 15 $95,048.04 $201,312.64 $100,656.32 nat. median
$117,894
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $88,279.49 $186,819.92 $93,409.96 nat. median
$110,192
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $83,298.36 $176,154.40 $88,077.20 nat. median
$103,967
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $83,203.98 $175,952.32 $87,976.16 nat. median
$92,655
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $81,043.38 $171,326.08 $85,663.04 nat. median
$93,270
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $79,975.43 $169,039.38 $84,519.69 nat. median
$97,414
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $75,883.66 $160,278.14 $80,139.07 nat. median
$94,964
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 15 $73,317.22 $154,782.94 $77,391.47 nat. median
$93,917
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $72,052.52 $152,074.98 $76,037.49 nat. median
$90,581
0.8× median
J9183
HCPCS 		Gemcitabine Intravesical Sys 4 $72,984.24 $145,968.48 $75,538.69 nat. median
$80,283
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $66,439.04 $140,055.48 $70,027.74 nat. median
$78,037
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $64,331.61 $128,663.23 $67,548.19 nat. median
$68,423
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $63,897.29 $134,613.12 $67,306.56 nat. median
$78,262
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $62,230.38 $131,043.96 $65,521.98 nat. median
$77,043
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $62,037.99 $130,632.02 $65,316.01 nat. median
$77,696
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $58,156.76 $122,321.58 $61,160.79 nat. median
$74,460
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $56,773.72 $119,360.24 $59,680.12 nat. median
$72,473
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $56,533.41 $118,845.70 $59,422.85 nat. median
$71,758
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $56,349.73 $118,452.40 $59,226.20 nat. median
$68,004
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $118,661.74 $58,813.41 nat. median
$63,643
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $55,932.43 $111,864.85 $58,729.05 nat. median
$65,720
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $53,436.27 $112,214.14 $56,107.07 nat. median
$63,648
0.9× median
10
MS_DRG 		Pancreas Transplant 15 $53,124.81 $111,547.24 $55,773.62 nat. median
$64,903
0.9× median

Other procedures at this hospital

Browse this hospital's 10,196 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 3 — — $4,505,000.00 $4,730,250.00 $4,572,575.00 2026-09-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,691,450.00 $3,876,022.50 $3,746,821.75 2026-09-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 3 — — $3,316,897.12 $3,482,741.98 $3,366,650.58 2026-09-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 4 3 — — $3,285,782.70 $3,450,071.84 $3,335,069.44 2026-09-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 3 — — $3,235,303.98 $3,397,069.18 $3,283,833.54 2026-09-01
J3387 HCPCS Inj Elivaldogene Autotemecel 4 3 — — $3,180,000.00 $3,339,000.00 $3,227,700.00 2026-09-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 3 — — $2,930,260.34 $3,076,773.36 $2,974,214.25 2026-09-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 3 — — $2,680,037.38 $2,814,039.25 $2,720,237.94 2026-09-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 4 — — $2,300,906.67 $4,601,813.33 $2,346,924.80 2026-09-01
Q2057 HCPCS Afamitresgene Autoleucel 6 4 — — $813,967.38 $1,627,934.75 $842,456.23 2026-09-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $611,693.17 $1,223,386.34 $633,102.43 2026-09-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $587,977.76 $1,175,955.51 $608,556.98 2026-09-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $579,570.61 $1,159,141.23 $599,855.58 2026-09-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $567,977.78 $1,135,955.56 $587,857.01 2026-09-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $562,500.89 $1,125,001.78 $582,188.43 2026-09-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $510,103.92 $1,020,207.84 $527,957.55 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 15 — — $314,538.62 $671,282.60 $335,641.30 2026-09-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 4 — — $278,250.00 $556,500.00 $283,815.00 2026-09-01
J3403 HCPCS Revakinagene, Per Implant 7 6 — — $261,579.65 $530,000.00 $274,658.63 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 15 — — $204,484.05 $435,635.40 $217,817.70 2026-09-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 4 — — $203,659.76 $407,319.53 $210,787.85 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 15 — — $156,034.75 $331,896.48 $165,948.24 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 15 — — $155,125.06 $329,948.66 $164,974.33 2026-09-01
5627 OTHER Level 7 Radiation Therapy 1 1 — — $144,864.68 $144,864.68 $144,864.68 2026-09-01
J3404 HCPCS Inj Zopapogene Per Ther Dose 6 5 — — $121,900.00 $243,800.00 $126,166.50 2026-09-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $122,101.00 $122,101.00 $122,101.00 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 15 — — $101,590.81 $215,321.92 $107,660.96 2026-09-01
7 MS_DRG Lung Transplant 24 15 — — $95,048.04 $201,312.64 $100,656.32 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 15 — — $88,279.49 $186,819.92 $93,409.96 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 15 — — $83,298.36 $176,154.40 $88,077.20 2026-09-01
209 MS_DRG Complex Aortic Arch Procedures 24 15 — — $83,203.98 $175,952.32 $87,976.16 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 — — $81,043.38 $171,326.08 $85,663.04 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 15 — — $79,975.43 $169,039.38 $84,519.69 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 15 — — $75,883.66 $160,278.14 $80,139.07 2026-09-01
215 MS_DRG Other Heart Assist System Implant 24 15 — — $73,317.22 $154,782.94 $77,391.47 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 15 — — $72,052.52 $152,074.98 $76,037.49 2026-09-01
J9183 HCPCS Gemcitabine Intravesical Sys 6 4 — — $72,984.24 $145,968.48 $75,538.69 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 15 — — $66,439.04 $140,055.48 $70,027.74 2026-09-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $64,331.61 $128,663.23 $67,548.19 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 24 15 — — $63,897.29 $134,613.12 $67,306.56 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 15 — — $62,230.38 $131,043.96 $65,521.98 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 15 — — $62,037.99 $130,632.02 $65,316.01 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 15 — — $58,156.76 $122,321.58 $61,160.79 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 15 — — $56,773.72 $119,360.24 $59,680.12 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 15 — — $56,533.41 $118,845.70 $59,422.85 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 15 — — $56,349.73 $118,452.40 $59,226.20 2026-09-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $118,661.74 $58,813.41 2026-09-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 5 — — $55,932.43 $111,864.85 $58,729.05 2026-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 — — $53,436.27 $112,214.14 $56,107.07 2026-09-01
10 MS_DRG Pancreas Transplant 24 15 — — $53,124.81 $111,547.24 $55,773.62 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 15 — — $53,103.03 $111,500.62 $55,750.31 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 15 — — $52,826.42 $110,908.34 $55,454.17 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 15 — — $52,795.93 $110,843.06 $55,421.53 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 15 — — $51,208.88 $107,444.88 $53,722.44 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 15 — — $50,962.77 $106,917.90 $53,458.95 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 15 — — $49,896.99 $104,635.88 $52,317.94 2026-09-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 15 — — $49,573.19 $103,942.56 $51,971.28 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 15 — — $49,537.62 $103,866.40 $51,933.20 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 15 — — $48,765.87 $102,213.94 $51,106.97 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 15 — — $48,765.87 $102,213.94 $51,106.97 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 15 — — $48,592.36 $101,842.42 $50,921.21 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 15 — — $47,745.11 $100,028.30 $50,014.15 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 15 — — $45,521.35 $95,266.82 $47,633.41 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 15 — — $45,469.80 $95,156.46 $47,578.23 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 15 — — $45,043.64 $94,243.96 $47,121.98 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 24 15 — — $44,649.42 $93,399.86 $46,699.93 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 15 — — $44,637.07 $93,373.42 $46,686.71 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 15 — — $44,321.26 $92,697.22 $46,348.61 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 15 — — $3,147.43 $92,392.52 $46,196.26 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 15 — — $44,078.77 $92,178.00 $46,089.00 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 15 — — $43,635.18 $91,228.20 $45,614.10 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 15 — — $43,607.60 $91,169.12 $45,584.56 2026-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 15 — — $42,898.29 $89,650.36 $44,825.18 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 15 — — $42,631.12 $89,078.30 $44,539.15 2026-09-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 15 — — $42,461.23 $88,714.54 $44,357.27 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 15 — — $42,407.51 $88,599.52 $44,299.76 2026-09-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 — — $41,844.85 $87,394.76 $43,697.38 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 15 — — $41,718.53 $87,124.28 $43,562.14 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $41,439.74 $86,527.34 $43,263.67 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 15 — — $41,126.11 $85,855.80 $42,927.90 2026-09-01
834 MS_DRG Acute Leukemia With Mcc 24 15 — — $40,885.80 $85,341.26 $42,670.63 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 15 — — $40,744.95 $85,039.68 $42,519.84 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 15 — — $40,688.32 $84,918.42 $42,459.21 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 15 — — $16,273.58 $84,784.74 $42,392.37 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 15 — — $40,467.62 $84,445.86 $42,222.93 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 15 — — $39,745.24 $82,899.12 $41,449.56 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 15 — — $39,722.01 $82,849.36 $41,424.68 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 15 — — $39,462.10 $82,292.86 $41,146.43 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 15 — — $39,335.05 $82,020.82 $41,010.41 2026-09-01
J9600 HCPCS Porfimer 75 Mg IV Solr 1 1 — — $40,815.25 $40,815.25 $40,815.25 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 15 — — $38,820.31 $80,918.66 $40,459.33 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 24 15 — — $38,754.97 $80,778.76 $40,389.38 2026-09-01
J9226 HCPCS Supprelin La Implant 7 5 — — $37,491.97 $86,370.68 $39,366.57 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 15 — — $37,620.95 $78,350.60 $39,175.30 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 15 — — $37,237.62 $77,529.82 $38,764.91 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 15 — — $36,947.21 $76,908.02 $38,454.01 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 16 — — $19,213.72 $76,771.22 $38,385.61 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 15 — — $36,760.63 $76,508.50 $38,254.25 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 15 — — $36,611.80 $76,189.84 $38,094.92 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 15 — — $36,085.45 $75,062.80 $37,531.40 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 15 — — $35,908.30 $74,683.50 $37,341.75 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 15 — — $35,592.49 $74,007.30 $37,003.65 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 15 — — $35,161.24 $73,083.92 $36,541.96 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 16 — — $35,091.54 $87,396.84 $36,467.34 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 15 — — $34,989.90 $72,717.04 $36,358.52 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 24 15 — — $34,693.69 $72,082.80 $36,041.40 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 15 — — $34,559.38 $71,795.22 $35,897.61 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 15 — — $31,561.90 $75,179.92 $35,726.61 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 15 — — $34,314.72 $71,271.34 $35,635.67 2026-09-01
245 MS_DRG Aicd Generator Procedures 24 15 — — $34,152.09 $70,923.14 $35,461.57 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 15 — — $34,052.63 $70,710.18 $35,355.09 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 15 — — $34,038.11 $70,679.08 $35,339.54 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 24 15 — — $33,908.88 $70,402.38 $35,201.19 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 24 15 — — $33,566.93 $69,670.20 $34,835.10 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 15 — — $33,557.49 $69,650.00 $34,825.00 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 15 — — $33,429.71 $69,376.40 $34,688.20 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 15 — — $32,920.78 $68,286.68 $34,143.34 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 15 — — $32,445.98 $67,270.04 $33,635.02 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 15 — — $32,195.50 $66,733.72 $33,366.86 2026-09-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
63685 HCPCS Insrt/redo Spine N Generator 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
61885 HCPCS Insrt/redo Neurostim 1 Array 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 5 4 — — $32,647.76 $65,295.51 $33,300.71 2026-09-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
61886 HCPCS Implant Neurostim Arrays 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 5 4 — — $32,647.76 $65,295.51 $33,300.71 2026-09-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 9 6 — — $30,699.45 $92,098.34 $33,300.71 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 15 — — $31,995.13 $66,304.68 $33,152.34 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 15 — — $31,817.25 $65,923.82 $32,961.91 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 15 — — $31,689.48 $65,650.22 $32,825.11 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 15 — — $31,637.20 $65,538.30 $32,769.15 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 15 — — $31,621.96 $65,505.66 $32,752.83 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 15 — — $31,532.66 $65,314.46 $32,657.23 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 15 — — $31,496.36 $65,236.72 $32,618.36 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 15 — — $31,439.73 $65,115.48 $32,557.74 2026-09-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 7 — — $1,728.79 $144,065.82 $32,523.47 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 15 — — $31,322.12 $64,863.64 $32,431.82 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 15 — — $31,179.82 $64,558.96 $32,279.48 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 15 — — $30,980.17 $64,131.46 $32,065.73 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 32 16 — — $1,690.84 $64,817.00 $31,854.42 2026-09-01
791 MS_DRG Prematurity With Major Problems 28 17 — — $3,575.77 $63,097.72 $31,548.86 2026-09-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 15 — — $30,217.86 $62,499.22 $31,249.61 2026-09-01
J9266 HCPCS Pegaspargase Injection 7 5 — — $29,663.96 $59,327.93 $31,147.16 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 15 — — $29,953.60 $61,933.38 $30,966.69 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 15 — — $29,429.42 $60,811.02 $30,405.51 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 15 — — $29,300.92 $60,535.88 $30,267.94 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 15 — — $29,130.30 $60,170.56 $30,085.28 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 15 — — $29,088.20 $60,080.40 $30,040.20 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 15 — — $29,061.33 $60,022.88 $30,011.44 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 15 — — $23,233.17 $59,682.44 $29,841.22 2026-09-01
22558 HCPCS Lumbar Spine Fusion 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
20696 HCPCS Comp Multiplane Ext Fixation 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
21243 HCPCS Reconstruction Of Jaw Joint 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
22633 HCPCS Lumbar Spine Fusion Combined 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
27702 HCPCS Reconstruct Ankle Joint 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
22630 HCPCS Lumbar Spine Fusion 5 4 — — $28,708.07 $57,416.14 $29,282.23 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 15 — — $28,348.40 $58,496.36 $29,248.18 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 15 — — $28,229.33 $58,241.42 $29,120.71 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 15 — — $28,164.72 $58,103.06 $29,051.53 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 15 — — $28,161.81 $58,096.84 $29,048.42 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 15 — — $28,085.58 $57,933.62 $28,966.81 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 15 — — $27,933.12 $57,607.18 $28,803.59 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 15 — — $27,695.72 $57,098.84 $28,549.42 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 15 — — $27,684.83 $57,075.52 $28,537.76 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 15 — — $27,371.92 $56,405.54 $28,202.77 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 15 — — $27,351.59 $56,362.00 $28,181.00 2026-09-01
332 MS_DRG Rectal Resection With Mcc 24 15 — — $27,315.29 $56,284.28 $28,142.14 2026-09-01
265 MS_DRG Aicd Lead Procedures 24 15 — — $27,297.14 $56,245.42 $28,122.71 2026-09-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 15 — — $27,250.67 $56,145.94 $28,072.97 2026-09-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $27,211.47 $56,061.98 $28,030.99 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 15 — — $27,040.13 $55,695.12 $27,847.56 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 15 — — $26,979.87 $55,566.10 $27,783.05 2026-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 15 — — $26,953.74 $90,624.84 $27,755.07 2026-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 15 — — $26,915.26 $55,427.74 $27,713.87 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 15 — — $26,893.48 $55,381.10 $27,690.55 2026-09-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 15 — — $9,108.76 $55,328.26 $27,664.13 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 15 — — $26,847.74 $55,283.18 $27,641.59 2026-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 15 — — $26,632.12 $54,821.48 $27,410.74 2026-09-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 15 — — $26,579.84 $54,709.56 $27,354.78 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 24 15 — — $26,354.06 $54,226.10 $27,113.05 2026-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 15 — — $26,347.52 $54,212.12 $27,106.06 2026-09-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 15 — — $26,231.36 $53,963.40 $26,981.70 2026-09-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 15 — — $26,109.39 $53,702.24 $26,851.12 2026-09-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 15 — — $25,993.23 $53,453.52 $26,726.76 2026-09-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 15 — — $25,919.18 $53,294.96 $26,647.48 2026-09-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 15 — — $25,797.21 $53,033.80 $26,516.90 2026-09-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 15 — — $25,764.54 $52,963.84 $26,481.92 2026-09-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 15 — — $25,281.75 $54,041.89 $25,965.04 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 15 — — $25,010.95 $51,350.26 $25,675.13 2026-09-01
37 MS_DRG Extracranial Procedures With Mcc 24 15 — — $24,929.63 $51,176.14 $25,588.07 2026-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 15 — — $24,926.73 $51,169.94 $25,584.97 2026-09-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 15 — — $24,644.31 $50,565.22 $25,282.61 2026-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 15 — — $24,540.49 $50,342.94 $25,171.47 2026-09-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 15 — — $15,537.24 $50,286.96 $25,143.48 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 15 — — $24,481.69 $50,217.02 $25,108.51 2026-09-01
652 MS_DRG Kidney Transplant 24 15 — — $24,475.15 $50,203.02 $25,101.51 2026-09-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 15 — — $24,457.73 $50,165.72 $25,082.86 2026-09-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 15 — — $24,411.99 $50,067.78 $25,033.89 2026-09-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 15 — — $24,336.49 $49,906.12 $24,953.06 2026-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 15 — — $24,208.71 $49,632.52 $24,816.26 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 15 — — $24,165.87 $49,540.80 $24,770.40 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 15 — — $24,143.37 $49,492.62 $24,746.31 2026-09-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 15 — — $24,096.90 $49,393.12 $24,696.56 2026-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 15 — — $24,005.43 $49,197.26 $24,598.63 2026-09-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 15 — — $23,970.58 $49,122.64 $24,561.32 2026-09-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 15 — — $23,905.24 $48,982.74 $24,491.37 2026-09-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 15 — — $23,894.35 $48,959.42 $24,479.71 2026-09-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 15 — — $23,840.62 $48,844.38 $24,422.19 2026-09-01
665 MS_DRG Prostatectomy With Mcc 24 15 — — $23,688.89 $48,519.48 $24,259.74 2026-09-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 15 — — $23,641.70 $48,418.44 $24,209.22 2026-09-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 15 — — $23,601.77 $48,332.94 $24,166.47 2026-09-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 15 — — $23,255.46 $47,591.44 $23,795.72 2026-09-01
263 MS_DRG Vein Ligation And Stripping 24 15 — — $23,225.70 $47,527.70 $23,763.85 2026-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 15 — — $23,050.00 $47,151.52 $23,575.76 2026-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 15 — — $22,957.80 $46,954.10 $23,477.05 2026-09-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 15 — — $22,954.90 $46,947.88 $23,473.94 2026-09-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 15 — — $22,930.94 $46,896.58 $23,448.29 2026-09-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 15 — — $22,637.63 $46,268.54 $23,134.27 2026-09-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 15 — — $22,417.65 $45,797.54 $22,898.77 2026-09-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 15 — — $22,403.13 $45,766.44 $22,883.22 2026-09-01
570 MS_DRG Skin Debridement With Mcc 24 15 — — $22,381.35 $45,719.80 $22,859.90 2026-09-01
668 MS_DRG Transurethral Procedures With Mcc 24 15 — — $22,228.16 $45,391.80 $22,695.90 2026-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 16 — — $18,348.00 $45,272.10 $22,636.05 2026-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 15 — — $19,756.40 $45,112.00 $22,556.00 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 15 — — $22,084.41 $45,084.00 $22,542.00 2026-09-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 15 — — $21,991.49 $44,885.04 $22,442.52 2026-09-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 15 — — $21,981.32 $44,863.26 $22,431.63 2026-09-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 24 15 — — $21,950.83 $44,797.98 $22,398.99 2026-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 15 — — $5,858.60 $44,617.66 $22,308.83 2026-09-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 15 — — $5,629.86 $44,311.42 $22,155.71 2026-09-01
800 MS_DRG Splenic Procedures With Cc 24 15 — — $21,425.20 $43,672.52 $21,836.26 2026-09-01
654 MS_DRG Major Bladder Procedures With Cc 24 15 — — $21,351.87 $43,515.50 $21,757.75 2026-09-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 15 — — $21,292.34 $43,388.04 $21,694.02 2026-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 15 — — $21,152.95 $43,089.56 $21,544.78 2026-09-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 15 — — $21,045.50 $42,859.50 $21,429.75 2026-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 16 — — $20,984.51 $42,728.92 $21,364.46 2026-09-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 15 — — $20,979.43 $42,718.04 $21,359.02 2026-09-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 24 15 — — $20,876.34 $42,497.30 $21,248.65 2026-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 27 15 — — $9,874.99 $84,733.11 $21,147.61 2026-09-01
849 MS_DRG Radiotherapy 24 15 — — $20,699.92 $42,119.56 $21,059.78 2026-09-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 24 15 — — $20,675.96 $42,068.26 $21,034.13 2026-09-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 15 — — $20,612.07 $41,931.46 $20,965.73 2026-09-01
0680T OTHER Insj/rplcmt Pg Only Isdss 9 6 — — $19,300.62 $57,901.86 $20,936.03 2026-09-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 9 6 — — $19,300.62 $57,901.86 $20,936.03 2026-09-01
64580 HCPCS Implant Neuroelectrodes 9 6 — — $19,300.62 $57,901.86 $20,936.03 2026-09-01
63655 HCPCS Implant Neuroelectrodes 9 6 — — $19,300.62 $57,901.86 $20,936.03 2026-09-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 9 6 — — $19,300.62 $57,901.86 $20,936.03 2026-09-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 9 6 — — $19,300.62 $57,901.86 $20,936.03 2026-09-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 15 — — $20,340.55 $41,350.06 $20,675.03 2026-09-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 15 — — $20,273.03 $41,205.50 $20,602.75 2026-09-01
92933 HCPCS Prq Card Stent/ath/angio 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93580 HCPCS Transcath Closure Of Asd 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
61624 HCPCS Transcath Occlusion Cns 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 24 15 — — $20,176.47 $40,998.74 $20,499.37 2026-09-01
253 MS_DRG Other Vascular Procedures With Cc 24 15 — — $19,873.00 $40,348.96 $20,174.48 2026-09-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 15 — — $19,850.49 $40,300.78 $20,150.39 2026-09-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 15 — — $19,780.07 $40,149.98 $20,074.99 2026-09-01
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