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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

FORT HAMILTON HUGHES MEMORIAL HOSPITAL

Hamilton, OH · CCN 360132 · Rates published

13,714 distinct procedures filed
30 distinct payers
270,968 rate rows
2026-04-01 last MRF observed
Data quality

179,134 of 270,968 rate rows are consumer-grade (66.1%)

91,834 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 88,129
template filing: same amount across many unrelated codes — excluded 3,454
placeholder amount (≤ $0.02) — excluded from medians 251
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ketteringhealth.org/wp-content/uploads/2026/03/310536662_1104867167_fort-hamilton-hospital_standardcharges.json
Found on page https://ketteringhealth.org/billing-insurance/patient-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 40a6d42c4fec903f… · 59,846,426 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,526,200.00 $4,197,865.00 nat. median
$3,710,000
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,899,647.80 $3,895,460.00 nat. median
$3,286,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,052,573.44 $3,767,429.58 nat. median
$3,325,455
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,809,595.13 $3,703,056.27 nat. median
$2,469,189
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,570,904.76 $3,620,960.00 nat. median
$3,006,423
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,897,200.00 $3,517,367.89 nat. median
$2,448,600
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $2,070,347.69 $1,193,382.13 nat. median
$824,563
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,589,731.61 $901,051.07 nat. median
$754,974
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,520,263.51 $861,676.94 nat. median
$675,122
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,511,315.09 $856,605.02 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,497,290.36 $848,655.89 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,432,576.18 $811,976.24 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,314,565.76 $745,088.59 nat. median
$620,080
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $317,592.90 $793,460.32 $483,369.34 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $206,453.06 $592,649.22 $319,073.20 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $157,525.98 $499,151.43 $243,456.40 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $113,435.45 $450,912.84 $242,036.61 nat. median
$202,986
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $110,901.76 $297,948.67 $172,086.26 nat. median
$111,989
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $113,585.43 $186,452.72 $164,139.71 nat. median
$87,411
1.9× median
7
MS_DRG 		Lung Transplant 14 $95,937.87 $274,961.68 $148,271.98 nat. median
$122,708
1.2× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $98,142.30 $161,102.52 $141,823.20 nat. median
$63,570
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $89,102.56 $275,656.04 $137,708.01 nat. median
$117,303
1.2× median
90288
HCPCS 		Botulism Ig IV 1 $135,886.95 $135,886.95 $135,886.95 nat. median
$55,037
outlier · 2.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $88,813.56 $187,316.25 $134,648.12 nat. median
$76,377
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $90,869.37 $149,163.86 $131,313.25 nat. median
$54,196
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $84,072.31 $231,865.51 $129,933.76 nat. median
$108,660
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $74,662.44 $297,290.39 $127,105.34 nat. median
$133,176
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $81,795.10 $220,543.35 $126,414.33 nat. median
$98,905
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $80,716.62 $229,201.72 $124,747.54 nat. median
$102,358
1.2× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $85,012.82 $139,550.22 $122,850.09 nat. median
$65,381
1.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 $82,046.74 $134,681.34 $118,563.87 nat. median
$49,935
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $76,584.49 $224,057.19 $118,361.33 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 16 $6,229.55 $222,912.56 $114,355.80 nat. median
$99,019
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $78,398.73 $128,693.07 $113,292.22 nat. median
$62,270
1.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $184,842.67 $106,759.61 nat. median
$70,825
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $67,046.74 $175,481.94 $103,620.74 nat. median
$82,712
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $64,479.93 $193,814.96 $99,653.73 nat. median
$83,442
1.2× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $170,175.37 $98,288.22 nat. median
$69,774
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $62,796.58 $178,288.81 $97,052.11 nat. median
$79,312
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $62,602.29 $178,187.81 $96,751.84 nat. median
$81,118
1.2× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $66,893.30 $109,806.67 $96,665.98 nat. median
$44,728
outlier · 2.2×
38240
HCPCS 		Transplt Allo Hct/donor 7 $13,471.00 $216,748.64 $94,061.85 nat. median
$15,912
outlier · 5.9×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $64,829.60 $106,419.07 $93,683.78 nat. median
$48,649
1.9× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 $64,355.33 $105,640.55 $92,998.43 nat. median
$39,020
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $58,682.79 $169,600.98 $90,694.25 nat. median
$77,576
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $57,286.11 $162,794.22 $88,535.68 nat. median
$74,915
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $57,043.43 $164,452.25 $88,160.62 nat. median
$73,807
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $197,500.46 $87,998.49 nat. median
$62,507
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $56,857.94 $157,043.71 $87,873.95 nat. median
$72,138
1.2× median

Other procedures at this hospital

Browse this hospital's 13,714 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
             
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 60 20 — — $10,343.47 $59,897.41 $31,879.43 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 19 — — $7,896.32 $234,522.82 $52,964.57 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 50 19 — — $2,266.34 $67,290.00 $34,577.37 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 19 — — $15,325.27 $146,371.72 $51,666.39 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 44 19 — — $12,325.07 $49,734.61 $29,035.16 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 18 — — $27,885.90 $88,161.79 $42,477.71 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 19 — — $9,053.25 $100,035.23 $43,089.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 41 18 — — $2,475.90 $87,753.59 $31,561.52 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 17 — — $24,635.34 $96,613.96 $55,212.99 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 16 — — $13,004.33 $81,028.89 $43,431.61 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 18 — — $19,559.88 $73,706.62 $37,511.02 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 17 — — $7,093.38 $73,536.19 $34,065.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 18 — — $8,591.16 $94,922.26 $45,744.14 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 17 — — $1,513.53 $125,088.75 $44,567.15 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 17 — — $10,108.23 $83,816.82 $30,596.87 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 15 — — $16,164.18 $74,716.59 $29,305.88 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 16 — — $22,483.06 $113,636.13 $58,525.86 2026-04-01
791 MS_DRG Prematurity With Major Problems 34 18 — — $2,179.70 $85,428.56 $31,519.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 17 — — $74,662.44 $297,290.39 $127,105.34 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 18 — — $31,370.79 $89,748.28 $43,182.40 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 15 — — $26,125.86 $107,189.17 $41,113.43 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 15 — — $34,369.73 $120,155.83 $63,383.55 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 15 — — $32,465.67 $136,086.88 $62,510.62 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 16 — — $16,935.36 $96,975.86 $40,955.61 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 15 — — $20,977.25 $106,860.93 $38,496.29 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 16 — — $6,229.55 $222,912.56 $114,355.80 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 15 — — $17,629.88 $101,212.92 $53,864.86 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 16 — — $28,480.55 $79,362.44 $44,433.83 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 31 17 — — $24,194.68 $66,668.41 $39,911.54 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 31 15 — — $16,164.21 $52,644.58 $30,460.52 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 15 — — $29,915.58 $89,617.83 $42,460.38 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 15 — — $14,723.46 $94,356.26 $42,132.13 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 14 — — $27,594.37 $66,779.93 $37,761.31 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 14 — — $113,435.45 $450,912.84 $242,036.61 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 15 — — $46,525.68 $148,686.23 $82,327.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 14 — — $63,533.05 $203,054.07 $76,351.36 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 29 16 — — $41,241.51 $116,291.50 $57,221.84 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 15 — — $26,914.78 $80,422.91 $44,171.12 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 16 — — $27,065.02 $72,473.62 $44,150.32 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 29 15 — — $21,739.34 $67,226.00 $37,236.50 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 15 — — $13,707.56 $98,455.05 $36,335.91 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 15 — — $28,315.07 $83,034.10 $33,877.03 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 29 15 — — $19,204.71 $56,878.03 $32,773.19 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 29 16 — — $19,186.42 $53,164.29 $31,649.92 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 29 15 — — $17,555.45 $56,692.87 $30,798.18 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 16 — — $17,809.46 $74,070.63 $28,952.53 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 15 — — $9,983.90 $75,427.78 $28,845.53 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 14 — — $37,075.66 $105,973.00 $59,230.22 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 14 — — $40,817.61 $130,327.95 $58,437.40 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 28 15 — — $34,195.79 $100,039.43 $54,629.49 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 14 — — $29,507.14 $105,266.02 $54,009.07 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 14 — — $31,439.82 $85,575.85 $50,226.68 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 14 — — $27,133.20 $73,666.65 $41,087.60 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 15 — — $25,211.35 $75,423.57 $38,829.49 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 14 — — $24,529.00 $60,219.34 $37,297.35 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 14 — — $26,566.75 $81,237.20 $36,234.94 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 14 — — $25,159.81 $76,250.48 $35,262.54 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 14 — — $26,416.01 $81,321.36 $34,468.07 2026-04-01
503 MS_DRG Foot Procedures With Mcc 28 14 — — $21,454.84 $55,685.01 $33,540.65 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 28 14 — — $19,816.21 $54,462.52 $31,657.39 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 14 — — $21,110.86 $68,545.27 $31,579.42 2026-04-01
665 MS_DRG Prostatectomy With Mcc 28 15 — — $21,788.77 $72,242.17 $30,983.81 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 14 — — $19,447.28 $59,241.24 $30,772.90 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 15 — — $19,901.26 $50,435.28 $30,741.08 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 14 — — $8,042.16 $59,028.42 $30,594.64 2026-04-01
263 MS_DRG Vein Ligation And Stripping 28 15 — — $17,487.95 $56,429.86 $29,477.10 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 14 — — $19,998.77 $53,730.30 $29,183.88 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 14 — — $317,592.90 $793,460.32 $483,369.34 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 14 — — $206,453.06 $592,649.22 $319,073.20 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 14 — — $157,525.98 $499,151.43 $243,456.40 2026-04-01
7 MS_DRG Lung Transplant 27 14 — — $95,937.87 $274,961.68 $148,271.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 14 — — $89,102.56 $275,656.04 $137,708.01 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 14 — — $84,072.31 $231,865.51 $129,933.76 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 14 — — $81,795.10 $220,543.35 $126,414.33 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 14 — — $80,716.62 $229,201.72 $124,747.54 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 14 — — $76,584.49 $224,057.19 $118,361.33 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 14 — — $67,046.74 $175,481.94 $103,620.74 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 14 — — $64,479.93 $193,814.96 $99,653.73 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 14 — — $62,796.58 $178,288.81 $97,052.11 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 14 — — $62,602.29 $178,187.81 $96,751.84 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 14 — — $58,682.79 $169,600.98 $90,694.25 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 14 — — $57,286.11 $162,794.22 $88,535.68 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 14 — — $57,043.43 $164,452.25 $88,160.62 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 14 — — $56,857.94 $157,043.71 $87,873.95 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 14 — — $53,915.75 $149,363.75 $83,326.79 2026-04-01
10 MS_DRG Pancreas Transplant 27 14 — — $53,601.22 $167,751.48 $82,840.69 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 14 — — $53,579.22 $140,522.32 $82,806.68 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 14 — — $53,299.89 $166,785.69 $82,374.98 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 14 — — $51,417.85 $140,284.56 $79,466.29 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 14 — — $50,341.56 $143,665.84 $77,802.88 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 14 — — $50,014.57 $130,159.63 $77,297.52 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 14 — — $49,978.65 $141,063.07 $77,242.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 14 — — $49,199.29 $135,870.15 $76,037.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 14 — — $49,199.29 $125,175.01 $76,037.50 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 14 — — $49,024.06 $129,566.27 $75,766.68 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 14 — — $45,922.77 $126,044.01 $70,973.64 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 14 — — $45,870.72 $133,061.18 $70,893.20 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 14 — — $45,440.35 $128,524.74 $70,228.06 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 14 — — $45,042.24 $127,910.34 $69,612.78 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 14 — — $44,710.85 $120,754.30 $69,100.62 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 14 — — $44,465.97 $126,992.96 $68,722.16 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 14 — — $44,018.01 $123,801.04 $68,029.83 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 14 — — $43,990.15 $122,498.60 $67,986.78 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 14 — — $43,273.85 $115,096.37 $66,879.74 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 14 — — $43,004.04 $120,032.59 $66,462.74 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 14 — — $42,210.02 $115,834.91 $65,235.59 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 14 — — $42,082.45 $114,479.87 $65,038.43 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 14 — — $41,484.19 $129,122.30 $64,113.82 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 14 — — $41,099.28 $114,218.96 $63,518.94 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 14 — — $41,042.09 $111,936.02 $63,430.55 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 14 — — $40,979.04 $113,528.82 $63,333.11 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 14 — — $40,819.21 $126,992.96 $63,086.09 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 14 — — $40,089.71 $111,439.45 $61,958.65 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 14 — — $40,066.25 $108,354.84 $61,922.39 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 14 — — $39,803.77 $116,299.92 $61,516.73 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 14 — — $39,089.67 $117,286.74 $60,413.08 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 14 — — $37,944.46 $96,626.58 $58,643.16 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 14 — — $37,264.09 $104,845.20 $57,591.65 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 14 — — $36,925.36 $113,514.09 $57,068.14 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 14 — — $36,393.82 $102,196.14 $56,246.65 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 14 — — $36,214.93 $105,348.08 $55,970.17 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 14 — — $35,896.00 $98,985.28 $55,477.27 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 14 — — $35,460.50 $96,935.89 $54,804.20 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 14 — — $35,287.47 $100,474.98 $54,536.78 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 14 — — $34,988.34 $102,025.70 $54,074.48 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 14 — — $34,441.40 $102,816.85 $53,229.18 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 14 — — $34,326.29 $94,095.35 $53,051.28 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 14 — — $33,840.94 $88,168.10 $52,301.17 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 14 — — $33,711.90 $92,422.59 $52,101.74 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 14 — — $32,263.16 $88,982.39 $49,862.71 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 14 — — $32,083.54 $85,914.61 $49,585.11 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 14 — — $31,954.50 $87,538.98 $49,385.68 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 14 — — $31,901.71 $86,339.64 $49,304.09 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 14 — — $31,886.32 $86,467.99 $49,280.31 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 14 — — $31,759.48 $93,215.84 $49,084.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 14 — — $31,702.29 $86,516.38 $48,995.89 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 14 — — $31,583.52 $90,848.73 $48,812.33 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 14 — — $31,238.20 $82,270.31 $48,278.64 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 14 — — $30,468.37 $82,674.30 $47,088.87 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 14 — — $29,672.16 $79,985.26 $45,858.32 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 14 — — $29,542.39 $91,038.09 $45,657.76 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 14 — — $29,370.09 $81,817.93 $45,391.47 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 14 — — $29,327.57 $82,678.51 $45,325.76 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 14 — — $28,392.05 $75,406.74 $43,879.91 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 14 — — $28,161.10 $73,058.56 $43,522.98 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 14 — — $27,537.18 $72,980.71 $42,558.71 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 14 — — $27,518.85 $75,051.14 $42,530.38 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 14 — — $28,460.23 $69,471.07 $42,321.19 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 14 — — $27,259.31 $83,757.91 $42,129.26 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 14 — — $27,198.46 $82,844.73 $42,035.22 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 14 — — $27,111.21 $73,719.25 $41,900.38 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 14 — — $26,794.48 $76,765.98 $41,410.87 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 14 — — $27,432.34 $67,419.57 $41,071.44 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 14 — — $26,442.56 $72,900.75 $40,866.98 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 14 — — $26,004.13 $70,624.12 $40,189.38 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 14 — — $25,971.14 $74,257.90 $40,138.40 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 27 14 — — $25,128.00 $69,870.85 $38,835.32 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 14 — — $25,125.06 $65,664.75 $38,830.78 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 14 — — $24,675.63 $64,928.32 $38,136.19 2026-04-01
652 MS_DRG Kidney Transplant 27 14 — — $24,669.03 $64,621.12 $38,125.99 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 27 14 — — $24,605.25 $66,914.59 $38,027.41 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 14 — — $24,287.06 $74,283.15 $37,535.65 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 14 — — $24,082.50 $65,355.45 $37,219.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 14 — — $23,787.04 $64,351.79 $36,762.87 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 14 — — $23,136.72 $60,135.18 $35,757.80 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 14 — — $23,133.79 $60,322.44 $35,753.27 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 27 14 — — $22,591.24 $60,955.78 $34,914.76 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 14 — — $22,254.72 $59,087.34 $34,394.67 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 27 14 — — $22,160.87 $57,366.18 $34,249.62 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 27 14 — — $22,119.82 $55,754.44 $33,965.14 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 14 — — $22,576.58 $55,626.09 $33,886.95 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 14 — — $21,589.01 $61,305.06 $33,365.81 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 27 14 — — $21,514.96 $59,375.60 $33,251.37 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 27 14 — — $21,034.73 $57,159.98 $32,509.18 2026-04-01
849 MS_DRG Radiotherapy 27 14 — — $20,856.57 $56,198.41 $32,233.83 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 27 14 — — $20,493.66 $60,253.01 $31,672.95 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 27 14 — — $20,425.47 $56,023.77 $31,567.56 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 14 — — $20,327.96 $55,825.98 $31,416.86 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 27 14 — — $19,488.49 $51,920.77 $30,119.46 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 27 14 — — $18,890.22 $49,808.26 $29,194.84 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 14 — — $83,977.00 $197,337.55 $83,977.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 14 — — $42,832.48 $100,652.04 $42,832.48 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 9 — — $63,342.28 $170,175.37 $98,288.22 2026-04-01
J9226 HCPCS Supprelin La Implant 17 9 — — $45,020.65 $126,141.59 $69,858.54 2026-04-01
J9266 HCPCS Pegaspargase Injection 17 9 — — $28,424.06 $76,364.08 $43,929.38 2026-04-01
69930 HCPCS Implant Cochlear Device 16 9 — — $15,624.00 $113,617.42 $49,789.63 2026-04-01
61886 HCPCS Implant Neurostim Arrays 16 9 — — $6,350.00 $106,331.41 $46,713.32 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 16 10 — — $22,804.44 $63,026.21 $44,606.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 8 — — $24,228.42 $84,208.75 $38,301.50 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $55,272.32 $159,077.71 $85,525.65 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 8 — — $3,958.00 $151,778.13 $50,273.00 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 15 8 — — $14,014.53 $151,778.13 $45,852.85 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 15 8 — — $4,830.00 $106,331.41 $32,123.20 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 15 8 — — $4,830.00 $106,331.41 $32,123.20 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 15 8 — — $4,830.00 $66,850.14 $29,726.19 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 8 — — $56,824.55 $197,500.46 $87,998.49 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 14 8 — — $10,499.00 $93,500.13 $34,411.41 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 14 9 — — $22,049.53 $40,177.79 $32,833.46 2026-04-01
63655 HCPCS Implant Neuroelectrodes 14 8 — — $19,234.03 $66,850.14 $29,368.49 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 13 7 — — $13,471.00 $216,748.64 $94,061.85 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 7 — — $10,817.74 $151,778.13 $65,866.76 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 7 — — $10,817.74 $108,161.73 $48,289.12 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 7 — — $10,817.74 $108,161.73 $48,289.12 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 7 — — $18,353.44 $108,161.73 $48,289.12 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 13 7 — — $18,353.44 $108,161.73 $48,289.12 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 7 — — $23,576.00 $108,161.73 $48,289.12 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 7 — — $10,817.74 $108,161.73 $48,289.12 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 7 — — $18,353.44 $108,161.73 $48,289.12 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 7 — — $8,386.90 $106,331.41 $46,144.37 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 13 7 — — $3,086.00 $106,331.41 $46,144.37 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 13 7 — — $3,086.00 $106,331.41 $46,144.37 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 13 7 — — $10,817.74 $106,331.41 $46,144.37 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 13 7 — — $10,817.74 $106,331.41 $46,144.37 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 7 — — $10,817.74 $106,331.41 $46,144.37 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 7 — — $23,576.00 $98,838.91 $44,126.92 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 7 — — $23,576.00 $92,753.96 $41,410.27 2026-04-01
22558 HCPCS Lumbar Spine Fusion 13 7 — — $11,376.86 $93,500.13 $40,576.01 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 7 — — $11,376.86 $93,500.13 $40,576.01 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 13 7 — — $18,353.44 $90,067.48 $39,086.35 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 13 7 — — $18,353.44 $90,067.48 $39,086.35 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 7 — — $18,353.44 $90,067.48 $39,086.35 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 7 — — $18,353.44 $76,648.32 $34,219.86 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 7 — — $14,014.53 $76,648.32 $34,219.86 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 13 7 — — $18,353.44 $76,648.32 $34,219.86 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 7 — — $10,817.74 $76,648.32 $34,219.86 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 13 7 — — $10,817.74 $76,648.32 $34,219.86 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 13 7 — — $11,376.86 $76,648.32 $34,219.86 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 7 — — $18,353.44 $76,648.32 $34,219.86 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 7 — — $10,817.74 $76,648.32 $34,219.86 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 13 7 — — $10,817.74 $76,648.32 $34,219.86 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 7 — — $10,817.74 $76,648.32 $34,219.86 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 13 7 — — $5,437.00 $71,419.38 $30,993.69 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 13 7 — — $14,014.53 $66,373.15 $29,632.49 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 13 7 — — $8,386.90 $66,850.14 $29,010.78 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 13 7 — — $8,386.90 $66,850.14 $29,010.78 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 13 7 — — $10,817.74 $66,850.14 $29,010.78 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 13 7 — — $11,376.86 $66,373.15 $28,803.79 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 13 7 — — $19,096.79 $66,373.15 $28,803.79 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 13 7 — — $10,672.27 $66,373.15 $28,803.79 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 13 7 — — $10,817.74 $66,373.15 $28,803.79 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 13 7 — — $19,096.79 $66,373.15 $28,803.79 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 13 7 — — $19,096.79 $66,373.15 $28,803.79 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 6 — — $591,726.20 $1,589,731.61 $901,051.07 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 6 — — $565,868.94 $1,520,263.51 $861,676.94 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 6 — — $562,538.19 $1,511,315.09 $856,605.02 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 6 — — $557,317.93 $1,497,290.36 $848,655.89 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 6 — — $533,230.17 $1,432,576.18 $811,976.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 6 — — $489,304.61 $1,314,565.76 $745,088.59 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 11 7 — — $14,014.53 $118,050.03 $52,493.19 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 11 7 — — $17,771.01 $61,765.25 $36,309.70 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 11 7 — — $17,331.79 $71,419.38 $31,757.99 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 11 9 — — $29,901.85 $29,901.85 $29,901.85 2025-01-01
Q2057 HCPCS Afamitresgene Autoleucel 10 6 — — $770,620.00 $2,070,347.69 $1,193,382.13 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 10 8 — — $31,926.31 $31,926.31 $31,926.31 2025-01-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 6 — — $2,332,000.00 $4,897,200.00 $3,517,367.89 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 5 — — $113,585.43 $186,452.72 $164,139.71 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 5 — — $98,142.30 $161,102.52 $141,823.20 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 5 — — $90,869.37 $149,163.86 $131,313.25 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 5 — — $85,012.82 $139,550.22 $122,850.09 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 9 5 — — $82,046.74 $134,681.34 $118,563.87 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 5 — — $78,398.73 $128,693.07 $113,292.22 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 5 — — $66,893.30 $109,806.67 $96,665.98 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 5 — — $64,829.60 $106,419.07 $93,683.78 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 9 5 — — $64,355.33 $105,640.55 $92,998.43 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 5 — — $59,034.58 $96,906.43 $85,309.53 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 5 — — $46,886.96 $76,965.87 $67,755.28 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 9 5 — — $38,579.62 $63,329.20 $55,750.53 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 9 5 — — $34,051.02 $55,895.42 $49,206.35 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 9 5 — — $28,955.86 $47,531.62 $41,843.46 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 9 5 — — $23,286.46 $38,225.18 $33,650.73 2026-04-01
509 MS_DRG Arthroscopy 9 5 — — $22,514.82 $36,958.52 $32,535.65 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 9 5 — — $20,872.83 $34,263.16 $30,162.85 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 5 — — $2,945,740.00 $4,570,904.76 $3,620,960.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $110,901.76 $297,948.67 $172,086.26 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $184,842.67 $106,759.61 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,338.18 $132,551.95 $76,558.05 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $47,919.99 $128,741.85 $74,357.45 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 6 — — $34,970.13 $93,950.75 $54,263.15 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 6 — — $29,559.78 $79,415.30 $45,867.91 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 6 — — $29,510.19 $79,282.08 $45,790.96 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 6 — — $29,420.21 $79,040.34 $45,651.34 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 6 — — $23,087.32 $62,026.39 $35,824.59 2026-04-01
L5858 HCPCS Stance Phase Only 7 6 — — $22,885.05 $61,482.98 $35,510.73 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 6 — — $21,834.21 $58,659.79 $33,880.14 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 7 6 — — $21,739.52 $58,405.39 $33,733.21 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 6 — — $20,015.46 $53,773.53 $31,057.99 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 6 — — $19,809.02 $53,218.91 $30,737.66 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $3,248,445.72 $4,899,647.80 $3,895,460.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $3,809,595.13 $3,703,056.27 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $88,813.56 $187,316.25 $134,648.12 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $5,007.82 $47,318.40 $32,730.24 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,685,266.67 $4,526,200.00 $4,197,865.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 3 — — $3,316,462.59 $4,052,573.44 $3,767,429.58 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $135,886.95 $135,886.95 $135,886.95 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $51,790.76 $51,790.76 $51,790.76 2025-01-01
2050 OTHER Cath Coronary Drug-delivery 1 1 — — $42,628.00 $42,628.00 $42,628.00 2026-04-01
5732 OTHER Level 2 Minor Procedures 1 1 — — $30,253.20 $30,253.20 $30,253.20 2025-01-01
2040 OTHER Endo, Single, Urinary Tract 1 1 — — $29,244.37 $29,244.37 $29,244.37 2026-04-01
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