Price Transparency 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 →

Export CSV
Hospital

KETTERING HEALTH DAYTON

Dayton, OH · CCN 360133 · Rates published

13,848 distinct procedures filed
37 distinct payers
322,356 rate rows
2026-04-01 last MRF observed
Data quality

190,656 of 322,356 rate rows are consumer-grade (59.1%)

131,700 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 127,993
template filing: same amount across many unrelated codes — excluded 3,454
placeholder amount (≤ $0.02) — excluded from medians 253
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ketteringhealth.org/wp-content/uploads/2026/03/310564121_1053339507_dayton-osteopathic-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 7d35830cca09a4c8… · 62,090,290 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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,958,780.45 $4,052,573.44 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,857,081.50 $3,895,460.00 nat. median
$3,286,000
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,809,595.13 $3,670,885.51 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 $3,486,810.33 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 15 $372,858.08 $953,398.11 $437,435.16 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $120,808.78 $620,027.39 $242,482.36 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $185,087.08 $499,151.43 $240,196.76 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $85,649.81 $470,512.11 $184,009.43 nat. median
$202,986
0.9× 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 7 $39,039.81 $186,452.72 $154,406.17 nat. median
$87,411
1.8× median
7
MS_DRG 		Lung Transplant 15 $112,839.41 $288,530.37 $142,992.86 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 15 $104,821.07 $275,656.04 $136,031.54 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×
215
MS_DRG 		Other Heart Assist System Implant 18 $81,056.69 $222,912.56 $126,682.29 nat. median
$99,019
1.3× 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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $33,507.54 $308,349.35 $120,590.28 nat. median
$133,176
0.9× 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 15 $90,136.39 $230,478.75 $115,568.48 nat. median
$100,136
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $69,297.07 $238,598.21 $108,612.04 nat. median
$79,312
1.4× 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
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $42,097.22 $197,563.31 $104,317.97 nat. median
$74,915
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $37,048.18 $257,748.80 $103,878.00 nat. median
$73,807
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $97,335.40 $252,938.93 $103,866.20 nat. median
$108,660
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $91,041.21 $246,108.31 $101,061.29 nat. median
$98,905
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $63,700.63 $218,873.70 $100,904.65 nat. median
$93,672
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $37,531.12 $242,873.32 $99,732.88 nat. median
$102,358
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $98,808.39 $252,653.05 $98,808.39 nat. median
$98,017
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $75,936.79 $194,170.37 $98,546.97 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
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×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $78,947.87 $201,869.70 $94,898.69 nat. median
$82,712
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $62,785.61 $230,495.89 $93,809.99 nat. median
$68,887
1.4× median
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
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $73,734.18 $188,538.30 $92,985.70 nat. median
$81,118
1.1× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $13,471.00 $213,537.11 $92,668.15 nat. median
$15,912
outlier · 5.8×
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $195,784.65 $87,998.49 nat. median
$62,507
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $69,136.30 $176,781.52 $87,956.30 nat. median
$77,576
1.1× median

Other procedures at this hospital

Browse this hospital's 13,848 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 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 5 4 — — $3,316,462.59 $4,958,780.45 $4,052,573.44 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $3,248,445.72 $4,857,081.50 $3,895,460.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $3,809,595.13 $3,670,885.51 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
J3392 HCPCS Inj, Exagamglogene Autotem 9 6 — — $2,332,000.00 $4,897,200.00 $3,486,810.33 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 10 6 — — $770,620.00 $2,070,347.69 $1,193,382.13 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
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 15 — — $372,858.08 $953,398.11 $437,435.16 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 38 18 — — $120,808.78 $620,027.39 $242,482.36 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 15 — — $185,087.08 $499,151.43 $240,196.76 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 16 — — $85,649.81 $470,512.11 $184,009.43 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $110,901.76 $297,948.67 $172,086.26 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 13 7 — — $39,039.81 $186,452.72 $154,406.17 2026-04-01
7 MS_DRG Lung Transplant 28 15 — — $112,839.41 $288,530.37 $142,992.86 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
14 MS_DRG Allogeneic Bone Marrow Transplant 28 15 — — $104,821.07 $275,656.04 $136,031.54 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $135,886.95 $135,886.95 $135,886.95 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $88,813.56 $187,316.25 $134,648.12 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
215 MS_DRG Other Heart Assist System Implant 40 18 — — $81,056.69 $222,912.56 $126,682.29 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 18 — — $33,507.54 $308,349.35 $120,590.28 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 15 — — $90,136.39 $230,478.75 $115,568.48 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 15 — — $69,297.07 $238,598.21 $108,612.04 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 18 — — $42,097.22 $197,563.31 $104,317.97 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 18 — — $37,048.18 $257,748.80 $103,878.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 15 — — $97,335.40 $252,938.93 $103,866.20 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 15 — — $91,041.21 $246,108.31 $101,061.29 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 17 — — $63,700.63 $218,873.70 $100,904.65 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 15 — — $37,531.12 $242,873.32 $99,732.88 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 15 — — $98,808.39 $252,653.05 $98,808.39 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 15 — — $75,936.79 $194,170.37 $98,546.97 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 9 — — $63,342.28 $170,175.37 $98,288.22 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 15 — — $78,947.87 $201,869.70 $94,898.69 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 16 — — $62,785.61 $230,495.89 $93,809.99 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 15 — — $73,734.18 $188,538.30 $92,985.70 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 13 7 — — $13,471.00 $213,537.11 $92,668.15 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 8 — — $56,824.55 $195,784.65 $87,998.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 15 — — $69,136.30 $176,781.52 $87,956.30 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 63 21 — — $16,867.08 $157,684.87 $87,557.91 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 11 6 — — $39,335.58 $105,640.55 $87,483.59 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 17 — — $49,537.73 $148,335.18 $86,213.79 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $55,272.32 $159,077.71 $85,525.65 2026-04-01
10 MS_DRG Pancreas Transplant 28 15 — — $63,175.22 $167,751.48 $81,985.64 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 15 — — $62,821.73 $166,785.69 $81,526.90 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 13 6 — — $36,200.67 $96,906.43 $80,250.65 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 18 — — $37,074.56 $138,507.06 $80,250.64 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 15 — — $50,154.07 $135,828.48 $79,394.69 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 19 9 — — $27,818.04 $128,693.07 $78,398.73 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 16 — — $48,961.00 $129,122.30 $77,164.73 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,338.18 $132,551.95 $76,558.05 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 15 — — $63,149.41 $161,473.04 $75,955.95 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 15 — — $59,351.39 $151,761.50 $74,919.49 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $47,919.99 $128,741.85 $74,357.45 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 30 16 — — $46,152.04 $118,010.77 $71,389.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 20 — — $25,785.53 $243,177.34 $71,272.63 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 16 — — $27,255.55 $171,307.77 $70,345.39 2026-04-01
J9226 HCPCS Supprelin La Implant 17 9 — — $45,020.65 $126,141.59 $69,858.54 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 15 — — $57,805.86 $147,809.58 $69,813.41 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 17 — — $30,959.47 $105,301.73 $68,971.19 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 15 — — $54,106.74 $138,350.93 $68,935.92 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 19 — — $27,239.66 $121,010.43 $66,853.22 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 15 — — $19,075.71 $162,482.47 $66,721.39 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 15 — — $52,458.86 $134,137.31 $66,222.42 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 7 — — $10,817.74 $149,529.27 $64,890.83 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 15 — — $51,900.68 $132,710.04 $64,560.41 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 15 7 — — $27,906.24 $84,251.00 $63,737.37 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 15 — — $50,743.90 $129,752.15 $63,201.97 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 16 — — $41,691.76 $106,605.83 $62,821.57 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 15 — — $48,180.92 $126,992.96 $62,526.79 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 15 — — $54,969.39 $150,780.66 $61,916.19 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 16 — — $22,506.25 $150,672.91 $61,871.94 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 15 — — $51,060.40 $130,561.44 $61,864.58 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 63 21 — — $17,261.96 $140,366.95 $61,837.02 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 15 — — $48,676.31 $124,465.32 $60,976.96 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 15 — — $49,662.80 $126,987.78 $60,943.06 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 15 — — $47,073.23 $148,335.18 $60,911.98 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 18 — — $41,033.62 $154,989.90 $60,613.96 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 15 — — $48,509.46 $124,038.69 $60,258.08 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 15 — — $46,989.74 $120,152.77 $60,094.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 19 — — $28,519.63 $144,348.22 $59,381.44 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 18 — — $5,977.89 $180,633.60 $58,921.31 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 18 — — $26,252.50 $114,575.64 $57,910.86 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 15 — — $47,297.64 $120,940.07 $57,835.68 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 16 — — $39,994.86 $102,266.86 $57,761.66 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 18 — — $5,585.45 $118,208.68 $56,919.82 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 15 — — $43,613.14 $113,514.09 $56,598.96 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 16 — — $27,906.23 $137,060.01 $56,281.97 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 16 — — $40,943.44 $135,865.86 $55,791.61 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 16 — — $46,585.22 $134,871.83 $55,383.43 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 21 — — $6,275.59 $140,919.94 $54,923.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 18 — — $34,630.74 $100,338.19 $54,677.74 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 15 — — $42,779.74 $109,387.80 $54,547.95 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
163 MS_DRG Major Chest Procedures With Mcc 58 19 — — $16,579.88 $102,295.44 $53,700.76 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 15 — — $41,340.86 $105,708.58 $52,780.55 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 15 — — $37,701.94 $96,403.86 $52,675.57 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 15 — — $40,837.43 $127,370.43 $52,303.07 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 11 7 — — $14,014.53 $116,300.91 $52,168.63 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 15 — — $41,746.52 $126,143.30 $51,799.17 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 15 — — $41,894.74 $107,124.85 $51,521.01 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 15 — — $40,891.91 $104,560.61 $51,457.25 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 20 — — $20,623.56 $111,969.62 $51,292.15 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 67 19 — — $14,196.57 $104,817.90 $51,126.14 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 15 — — $50,542.65 $129,237.56 $50,542.65 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 41 19 — — $9,420.19 $184,306.35 $50,479.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 8 — — $3,958.00 $149,529.27 $50,273.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 15 — — $5,915.78 $123,678.02 $49,577.62 2026-04-01
69930 HCPCS Implant Cochlear Device 16 9 — — $15,624.00 $111,933.97 $49,392.74 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 18 — — $18,059.67 $143,137.48 $49,181.19 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 15 — — $39,843.49 $101,879.80 $49,069.37 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 7 — — $10,817.74 $106,559.12 $47,990.55 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 7 — — $18,353.44 $106,559.12 $47,990.55 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 7 — — $18,353.44 $106,559.12 $47,990.55 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 7 — — $23,576.00 $106,559.12 $47,990.55 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 13 7 — — $18,353.44 $106,559.12 $47,990.55 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 7 — — $10,817.74 $106,559.12 $47,990.55 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 7 — — $10,817.74 $106,559.12 $47,990.55 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 52 20 — — $4,442.96 $96,133.36 $46,615.04 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 44 18 — — $10,838.90 $113,414.48 $46,572.24 2026-04-01
61886 HCPCS Implant Neurostim Arrays 16 9 — — $6,350.00 $104,755.92 $46,225.29 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 15 — — $37,933.30 $96,995.45 $46,084.21 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 17 — — $15,784.82 $114,942.33 $45,949.97 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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 15 — — $37,178.17 $95,064.58 $45,584.58 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 15 8 — — $14,014.53 $149,529.27 $45,569.35 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 7 — — $8,386.90 $104,755.92 $45,460.65 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 13 7 — — $10,817.74 $104,755.92 $45,460.65 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 13 7 — — $10,817.74 $104,755.92 $45,460.65 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 7 — — $10,817.74 $104,755.92 $45,460.65 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 13 7 — — $3,086.00 $104,755.92 $45,460.65 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 13 7 — — $3,086.00 $104,755.92 $45,460.65 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 15 — — $34,952.33 $91,038.09 $45,359.39 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 15 — — $32,126.17 $82,146.62 $44,877.10 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 16 — — $37,203.94 $112,534.82 $44,010.49 2026-04-01
J9266 HCPCS Pegaspargase Injection 17 9 — — $28,424.06 $76,364.08 $43,929.38 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 7 — — $23,576.00 $97,374.44 $43,854.09 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 52 18 — — $15,031.45 $96,608.40 $43,625.35 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 16 — — $40,877.15 $108,431.14 $43,465.75 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 15 — — $34,700.33 $88,728.74 $43,401.20 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 17 — — $15,744.14 $88,647.38 $43,306.87 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 33 16 — — $38,222.63 $109,924.38 $42,989.59 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 60 20 — — $9,890.56 $106,913.72 $42,857.47 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 15 — — $35,104.56 $89,762.36 $42,793.07 2026-04-01
245 MS_DRG Aicd Generator Procedures 29 15 — — $37,770.33 $104,067.98 $42,734.21 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 49 18 — — $10,736.13 $160,446.49 $42,610.49 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 15 — — $13,014.23 $103,722.71 $42,592.43 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 30 16 — — $9,330.50 $103,331.26 $42,431.69 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 15 — — $32,274.10 $83,757.91 $41,883.71 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
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 15 — — $32,202.71 $82,844.73 $41,791.07 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 19 — — $14,034.71 $80,074.99 $41,744.07 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 47 18 — — $2,855.63 $135,730.91 $41,743.93 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 15 — — $35,725.52 $91,350.15 $41,729.60 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 7 — — $23,576.00 $91,379.64 $41,154.24 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 15 — — $33,602.89 $85,922.59 $40,610.09 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 67 21 — — $3,639.00 $134,440.80 $40,353.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 53 18 — — $16,235.13 $81,321.36 $40,329.29 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 19 — — $19,038.16 $88,165.77 $40,217.11 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 16 — — $19,217.07 $97,534.23 $40,051.21 2026-04-01
22558 HCPCS Lumbar Spine Fusion 13 7 — — $11,376.86 $92,114.75 $39,974.80 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 7 — — $11,376.86 $92,114.75 $39,974.80 2026-04-01
265 MS_DRG Aicd Lead Procedures 28 15 — — $32,578.56 $83,303.38 $39,964.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 16 — — $23,517.81 $72,995.86 $39,813.99 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 15 — — $33,331.97 $85,229.85 $39,752.62 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 15 — — $32,643.07 $83,468.33 $39,699.21 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 16 — — $4,499.08 $96,450.04 $39,606.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 28 15 — — $32,600.06 $83,358.35 $39,344.65 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 16 — — $36,629.27 $95,495.61 $39,214.08 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 33 16 — — $23,642.53 $85,911.54 $39,000.72 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 15 — — $30,762.97 $78,660.91 $38,769.21 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 17 — — $4,735.53 $98,899.93 $38,678.11 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 7 — — $18,353.44 $88,732.97 $38,507.22 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 13 7 — — $18,353.44 $88,732.97 $38,507.22 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 13 7 — — $18,353.44 $88,732.97 $38,507.22 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 18 — — $18,086.06 $98,141.21 $38,381.39 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 8 — — $24,228.42 $83,477.18 $38,301.50 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 56 19 — — $9,069.25 $67,118.94 $38,094.10 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 16 — — $31,261.00 $94,459.80 $37,865.19 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 15 — — $31,070.41 $92,150.67 $37,840.52 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 57 19 — — $9,667.13 $132,431.07 $37,742.92 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 36 18 — — $4,610.78 $96,023.40 $37,553.15 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 15 — — $32,667.15 $83,529.90 $37,491.14 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 15 — — $28,787.41 $74,283.15 $37,358.86 2026-04-01
665 MS_DRG Prostatectomy With Mcc 28 15 — — $28,304.06 $72,373.48 $36,731.59 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 15 — — $31,218.61 $88,856.29 $36,487.72 2026-04-01
791 MS_DRG Prematurity With Major Problems 51 20 — — $93.85 $92,997.35 $36,369.71 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 11 7 — — $17,771.01 $61,228.66 $36,309.70 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 66 21 — — $11,321.27 $76,123.07 $35,843.18 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 6 — — $23,087.32 $62,026.39 $35,824.59 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 28 15 — — $29,160.68 $74,563.86 $35,691.26 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 18 — — $13,902.63 $86,487.79 $35,515.13 2026-04-01
L5858 HCPCS Stance Phase Only 7 6 — — $22,885.05 $61,482.98 $35,510.73 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 58 19 — — $3,714.26 $81,288.95 $35,444.14 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 16 — — $4,759.06 $86,127.12 $35,367.02 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 29 15 — — $29,870.23 $76,378.18 $35,075.18 2026-04-01
652 MS_DRG Kidney Transplant 28 15 — — $29,235.51 $74,755.20 $35,031.96 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 15 — — $28,637.76 $73,226.75 $34,797.62 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 29 15 — — $32,592.18 $84,510.72 $34,703.27 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 15 — — $28,200.85 $72,109.57 $34,406.73 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 14 8 — — $10,499.00 $92,114.75 $34,023.48 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 7 — — $18,353.44 $75,512.64 $34,008.29 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 13 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 7 — — $14,014.53 $75,512.64 $34,008.29 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 13 7 — — $18,353.44 $75,512.64 $34,008.29 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 7 — — $18,353.44 $75,512.64 $34,008.29 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 13 7 — — $11,376.86 $75,512.64 $34,008.29 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 13 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 6 — — $21,834.21 $58,659.79 $33,880.14 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 19 — — $13,888.80 $82,263.16 $33,780.34 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
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 16 — — $11,079.14 $82,080.65 $33,705.39 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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 16 — — $17,570.06 $85,691.69 $33,512.59 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 17 — — $4,000.00 $84,477.73 $33,037.83 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 49 18 — — $15,544.49 $80,446.65 $33,034.41 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $5,007.82 $47,318.40 $32,730.24 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 15 — — $10,324.01 $79,705.53 $32,730.08 2026-04-01
509 MS_DRG Arthroscopy 9 5 — — $22,514.82 $36,958.52 $32,535.65 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 17 — — $15,848.53 $83,043.87 $32,477.07 2026-04-01
800 MS_DRG Splenic Procedures With Cc 28 15 — — $25,622.39 $65,516.45 $32,125.01 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 17 — — $4,480.08 $82,005.88 $32,071.13 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 15 8 — — $4,830.00 $104,755.92 $31,924.58 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 15 8 — — $4,830.00 $104,755.92 $31,924.58 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 35 17 — — $21,700.77 $78,185.69 $31,844.73 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 16 — — $8,555.05 $81,130.59 $31,728.82 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 11 7 — — $17,331.79 $70,361.18 $31,561.63 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 58 22 — — $2,131.58 $95,429.64 $31,528.94 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 15 — — $25,535.53 $65,294.35 $31,491.71 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 15 — — $26,293.24 $67,231.81 $31,277.45 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 15 — — $24,337.46 $62,230.89 $31,129.98 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
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 15 — — $13,674.22 $79,353.66 $31,033.89 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 33 16 — — $18,633.78 $56,400.87 $30,960.63 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 19 — — $2,388.58 $79,129.36 $30,946.17 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 16 — — $28,110.65 $75,267.60 $30,907.70 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 17 — — $19,971.52 $78,759.90 $30,801.68 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 18 — — $5,204.20 $74,873.95 $30,746.05 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 6 — — $19,809.02 $53,218.91 $30,737.66 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 15 — — $26,257.09 $74,774.99 $30,705.41 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 13 7 — — $5,437.00 $70,361.18 $30,534.46 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 32 17 — — $13,701.47 $57,421.30 $30,513.64 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 45 18 — — $20,363.49 $73,948.08 $30,365.85 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 16 — — $26,763.12 $73,750.17 $30,284.58 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 48 20 — — $3,479.55 $77,198.46 $30,191.03 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
849 MS_DRG Radiotherapy 28 15 — — $24,763.19 $63,319.48 $30,118.47 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 40 18 — — $4,900.82 $73,332.33 $30,113.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 69 19 — — $8,772.62 $56,451.45 $29,983.44 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 29 15 — — $20,312.29 $72,833.10 $29,908.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 17 — — $13,652.96 $74,335.14 $29,798.01 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 40 19 — — $15,086.47 $76,131.86 $29,773.90 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 63 20 — — $3,197.65 $72,230.55 $29,660.57 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 15 8 — — $4,830.00 $65,859.63 $29,542.39 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 13 7 — — $14,014.53 $65,389.72 $29,449.27 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 30 16 — — $23,158.32 $59,215.82 $29,342.07 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 18 — — $3,543.92 $74,953.11 $29,312.91 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 19 — — $19,054.57 $74,702.40 $29,214.86 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 29 15 — — $15,424.80 $71,060.56 $29,180.13 2026-04-01
263 MS_DRG Vein Ligation And Stripping 29 15 — — $19,080.17 $70,970.40 $29,143.11 2026-04-01
63655 HCPCS Implant Neuroelectrodes 14 8 — — $19,115.10 $65,859.63 $29,061.66 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 39 18 — — $16,366.41 $70,438.22 $28,924.57 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 17 — — $11,201.81 $151,322.53 $28,869.12 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 15 — — $23,756.92 $60,746.44 $28,838.40 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 29 15 — — $24,445.13 $70,150.12 $28,806.27 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 15 — — $20,399.91 $70,077.55 $28,776.47 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 12 5 — — $68,650.73 $97,891.72 $83,271.23 2025-01-01
9284 OTHER Ipilimumab Injection 6 2 — — $74,578.79 $83,009.74 $78,794.26 2025-01-01
9374 OTHER Mitomycin Instillation 2 1 — — $70,362.44 $70,362.44 $70,362.44 2025-01-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 4 2 — — $60,137.54 $62,835.54 $61,486.54 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 24 7 — — $16,150.00 $96,690.33 $56,420.17 2025-01-01
5231 OTHER Level 1 Icd And Similar Procedures 4 2 — — $41,614.01 $69,276.34 $55,445.18 2025-01-01
5166 OTHER Cochlear Implant Procedure 22 7 — — $9,738.04 $98,557.84 $54,147.94 2025-01-01
9236 OTHER Eculizumab Injection 14 5 — — $37,198.60 $67,012.80 $52,105.70 2025-01-01
9250 OTHER Inj Epcoritamab-bysp 0.16 Mg 2 1 — — $48,366.54 $48,366.54 $48,366.54 2025-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 44 13 — — $14,186.99 $69,652.40 $41,919.69 2025-01-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 2 1 — — $38,810.76 $38,810.76 $38,810.76 2025-01-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 1 — — $25,067.68 $51,790.76 $38,429.22 2025-01-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 8 4 — — $14,519.56 $53,861.89 $34,190.72 2025-01-01
9378 OTHER Daratumumab, Hyaluronidase 14 5 — — $10,028.03 $56,237.83 $33,132.93 2025-01-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 20 6 — — $12,889.72 $49,193.63 $31,041.67 2025-01-01
See an error in this hospital's data? Submit a correction