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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

GOOD SAMARITAN HOSPITAL

Cincinnati, OH · CCN 360134 · Rates published

18,967 distinct procedures filed
37 distinct payers
280,030 rate rows
2026-04-01 last MRF observed
Data quality

234,640 of 280,030 rate rows are consumer-grade (83.8%)

45,390 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 45,252
placeholder amount (≤ $0.02) — excluded from medians 138
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.trihealth.com/static/pricing/310537486_THEGOODSAMARITANHOSPITAL_STANDARDCHARGES.csv
Found on page https://www.trihealth.com/patients-and-visitors/billing-and-insurance/pricing-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 2d64b0b26f846724… · 64,785,995 bytes · first seen 2026-05-14

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 $4,640,150.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,321,376.38 $4,982,064.57 $4,059,988.87 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,245,381.39 $4,868,072.08 $3,968,059.86 nat. median
$3,286,000
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 6 $3,180,000.00 $4,770,000.00 $3,879,600.00 nat. median
$3,180,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,691,450.00 $4,614,465.33 $3,802,193.50 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,335,820.00 $4,836,939.00 $3,752,797.50 nat. median
$3,335,820
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,938,320.00 $4,407,480.00 $3,586,762.05 nat. median
$3,004,655
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,587,087.26 $3,880,630.89 $3,158,557.10 nat. median
$2,468,984
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,498,000.00 $2,845,040.00 nat. median
$2,448,600
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $2,219,385.60 $1,848,177.95 nat. median
$824,563
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $566,531.30 $1,768,840.73 $1,433,324.19 nat. median
$753,246
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $587,649.57 $1,694,865.05 $1,411,387.10 nat. median
$674,867
outlier · 2.1×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,201.24 $1,619,311.21 $1,348,470.16 nat. median
$673,137
outlier · 2.0×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $558,081.73 $1,612,169.51 $1,342,522.97 nat. median
$625,184
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $531,849.12 $1,531,725.46 $1,275,533.74 nat. median
$634,303
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,290.60 $1,409,156.93 $1,173,465.65 nat. median
$619,808
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $855,742.82 $675,910.99 nat. median
$324,450
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $341,400.26 $1,782,074.00 $512,387.00 nat. median
$370,174
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $262,233.77 $806,485.78 $492,900.00 nat. median
$265,000
1.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $201,669.02 $583,815.12 $486,167.99 nat. median
$209,753
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $222,107.82 $639,670.52 $330,233.64 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $169,591.72 $488,424.15 $251,594.29 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $10,537.49 $633,968.54 $209,071.04 nat. median
$202,976
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $110,901.76 $319,397.07 $191,658.27 nat. median
$111,989
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $184,197.20 $211,826.78 $187,814.16 nat. median
$76,329
outlier · 2.5×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $23,726.53 $241,924.47 $179,696.20 nat. median
$16,785
outlier · 10.7×
L5969
HCPCS 		Ak/ft Power Asst Incl Motors 1 $171,795.25 $175,168.68 $173,481.96 nat. median
$15,234
outlier · 11.4×
90288
HCPCS 		Botulism Ig IV 1 $149,029.65 $165,169.62 $161,988.75 nat. median
$55,037
outlier · 2.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $6,876.68 $416,440.98 $160,805.77 nat. median
$133,161
1.2× median
7
MS_DRG 		Lung Transplant 17 $103,485.85 $298,039.25 $152,605.16 nat. median
$122,708
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $96,149.14 $276,909.52 $141,618.93 nat. median
$117,357
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $137,685.79 $140,389.44 $139,037.61 nat. median
$96,983
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $90,749.90 $261,359.71 $133,533.93 nat. median
$108,660
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $5,619.34 $261,065.09 $132,409.88 nat. median
$98,047
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $71,457.85 $254,320.27 $129,873.82 nat. median
$98,894
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $87,148.05 $250,986.38 $128,140.39 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $82,712.82 $238,212.92 $121,498.93 nat. median
$100,136
1.2× median
C1882
HCPCS 		Aicd, Other Than Sing/dual 1 $117,562.50 $119,871.00 $118,716.75 nat. median
$27,114
outlier · 4.4×
215
MS_DRG 		Other Heart Assist System Implant 18 $39,404.90 $230,201.16 $117,085.00 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $78,560.10 $226,253.09 $115,280.52 nat. median
$93,672
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $72,475.43 $208,729.24 $106,169.13 nat. median
$82,711
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $205,861.17 $105,693.66 nat. median
$62,507
1.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $64,274.79 $185,133.02 $104,339.68 nat. median
$69,774
1.5× median
C1721
HCPCS 		Aicd, Dual Chamber 1 $103,237.75 $105,264.96 $104,251.36 nat. median
$22,213
outlier · 4.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $66,038.54 $200,794.55 $102,043.55 nat. median
$83,470
1.2× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $198,148.92 $101,482.52 nat. median
$70,825
1.4× median
C1722
HCPCS 		Aicd, Single Chamber 1 $99,618.75 $101,574.90 $100,596.82 nat. median
$20,770
outlier · 4.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $67,913.50 $195,590.88 $99,337.94 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $29,685.66 $245,683.50 $98,598.93 nat. median
$81,118
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 $7,322.80 $477,671.50 $93,545.17 nat. median
$52,303
1.8× median

Other procedures at this hospital

Browse this hospital's 18,967 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 3 3 — — $4,505,000.00 $4,640,150.00 $4,595,100.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,321,376.38 $4,982,064.57 $4,059,988.87 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,245,381.39 $4,868,072.08 $3,968,059.86 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 7 6 — — $3,180,000.00 $4,770,000.00 $3,879,600.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,691,450.00 $4,614,465.33 $3,802,193.50 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 6 5 — — $3,335,820.00 $4,836,939.00 $3,752,797.50 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,938,320.00 $4,407,480.00 $3,586,762.05 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 6 — — $2,587,087.26 $3,880,630.89 $3,158,557.10 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 6 — — $2,332,000.00 $3,498,000.00 $2,845,040.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 15 8 — — $770,620.00 $2,219,385.60 $1,848,177.95 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 8 — — $566,531.30 $1,768,840.73 $1,433,324.19 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 8 — — $587,649.57 $1,694,865.05 $1,411,387.10 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 8 — — $562,201.24 $1,619,311.21 $1,348,470.16 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 8 — — $558,081.73 $1,612,169.51 $1,342,522.97 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 8 — — $531,849.12 $1,531,725.46 $1,275,533.74 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 8 — — $489,290.60 $1,409,156.93 $1,173,465.65 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 9 — — $278,250.00 $855,742.82 $675,910.99 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 18 — — $341,400.26 $1,782,074.00 $512,387.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 23 8 — — $262,233.77 $806,485.78 $492,900.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 8 — — $201,669.02 $583,815.12 $486,167.99 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 17 — — $222,107.82 $639,670.52 $330,233.64 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 17 — — $169,591.72 $488,424.15 $251,594.29 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 24 — — $10,537.49 $633,968.54 $209,071.04 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 7 — — $110,901.76 $319,397.07 $191,658.27 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $184,197.20 $211,826.78 $187,814.16 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 6 1 — — $23,726.53 $241,924.47 $179,696.20 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $171,795.25 $175,168.68 $173,481.96 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $149,029.65 $165,169.62 $161,988.75 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 21 — — $6,876.68 $416,440.98 $160,805.77 2026-04-01
7 MS_DRG Lung Transplant 30 17 — — $103,485.85 $298,039.25 $152,605.16 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 30 17 — — $96,149.14 $276,909.52 $141,618.93 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $137,685.79 $140,389.44 $139,037.61 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 17 — — $90,749.90 $261,359.71 $133,533.93 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 32 17 — — $5,619.34 $261,065.09 $132,409.88 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 20 — — $71,457.85 $254,320.27 $129,873.82 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 17 — — $87,148.05 $250,986.38 $128,140.39 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 17 — — $82,712.82 $238,212.92 $121,498.93 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 2 1 — — $117,562.50 $119,871.00 $118,716.75 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 18 — — $39,404.90 $230,201.16 $117,085.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $78,560.10 $226,253.09 $115,280.52 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 17 — — $72,475.43 $208,729.24 $106,169.13 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 23 9 — — $56,824.55 $205,861.17 $105,693.66 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 20 9 — — $64,274.79 $185,133.02 $104,339.68 2026-04-01
C1721 HCPCS Aicd, Dual Chamber 2 1 — — $103,237.75 $105,264.96 $104,251.36 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 31 18 — — $66,038.54 $200,794.55 $102,043.55 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 12 7 — — $68,801.71 $198,148.92 $101,482.52 2026-04-01
C1722 HCPCS Aicd, Single Chamber 2 1 — — $99,618.75 $101,574.90 $100,596.82 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 17 — — $67,913.50 $195,590.88 $99,337.94 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 19 — — $29,685.66 $245,683.50 $98,598.93 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 47 28 — — $7,322.80 $477,671.50 $93,545.17 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 24 — — $25,956.45 $216,290.18 $92,725.94 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 18 — — $58,940.65 $178,556.57 $90,481.09 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 9 — — $638.91 $188,519.92 $90,415.14 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 17 — — $61,738.33 $177,806.39 $90,091.04 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 17 — — $61,539.23 $177,232.98 $89,792.90 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 9 — — $54,404.11 $162,055.27 $89,710.29 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 23 — — $53,679.09 $168,137.91 $84,858.38 2026-04-01
10 MS_DRG Pancreas Transplant 30 17 — — $58,043.62 $167,165.63 $84,558.45 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 30 17 — — $58,020.01 $167,097.63 $84,523.10 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 17 — — $57,720.18 $166,234.12 $84,074.13 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 19 — — $52,763.18 $166,138.93 $84,024.63 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 39 22 — — $17,079.83 $181,665.79 $81,151.95 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 17 — — $54,544.85 $157,089.17 $79,319.28 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 22 — — $18,066.39 $160,416.26 $79,309.06 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 17 — — $54,193.87 $156,078.35 $78,793.72 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 21 — — $3,334.03 $159,341.94 $78,630.58 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $53,318.79 $153,558.12 $77,483.34 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $53,318.79 $153,558.12 $77,483.34 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $3,252.51 $153,016.44 $77,201.70 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $75,780.76 $77,268.82 $76,524.79 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 22 — — $34,463.57 $296,967.73 $74,953.21 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 7 — — $49,338.18 $142,093.96 $72,773.82 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 17 — — $49,801.93 $143,429.56 $72,217.07 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 18 — — $49,746.05 $143,268.62 $72,133.40 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 17 — — $49,284.11 $141,938.24 $71,451.82 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 18 — — $44,722.32 $140,707.58 $70,822.08 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 17 — — $47,544.01 $140,669.05 $70,781.77 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 7 — — $47,919.99 $138,009.57 $70,681.99 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 14 8 — — $30,071.45 $92,483.11 $70,181.37 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 14 8 — — $30,071.45 $92,483.11 $70,181.37 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 38 23 — — $40,546.34 $128,958.54 $70,108.17 2026-04-01
C1817 HCPCS Septal Defect Imp Sys 2 1 — — $69,305.50 $70,666.41 $69,985.96 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 32 18 — — $47,813.25 $138,926.19 $69,910.53 2026-04-01
J9226 HCPCS Supprelin La Implant 20 9 — — $41,173.43 $121,091.69 $69,599.65 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 20 — — $44,154.79 $139,683.17 $69,514.84 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 18 — — $47,727.53 $945,414.89 $69,157.86 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 17 — — $47,757.44 $137,541.43 $69,155.58 2026-04-01
S9989 HCPCS Services Outside US 2 1 — — $67,375.00 $68,698.00 $68,036.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 19 — — $40,331.42 $135,241.03 $68,024.80 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 17 — — $46,484.95 $133,876.66 $67,326.64 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 4 2 — — $29,009.00 $103,276.93 $67,264.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 26 — — $23,175.92 $134,406.98 $66,579.85 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 21 — — $10,699.01 $133,708.92 $66,441.92 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 25 — — $22,987.85 $131,952.47 $66,249.65 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 17 — — $45,679.90 $131,558.11 $66,140.24 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 18 — — $45,377.71 $130,687.80 $65,592.10 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 18 9 — — $1,209.84 $94,075.06 $65,277.03 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 17 — — $45,037.75 $129,708.72 $65,193.88 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 9 — — $2,734.46 $94,075.06 $64,872.03 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 17 — — $44,563.22 $128,342.07 $64,616.67 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 20 — — $10,461.71 $128,147.16 $64,271.11 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 30 17 — — $44,323.99 $127,653.09 $64,142.01 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 18 9 — — $1,395.57 $132,010.98 $63,313.16 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 18 9 — — $3,660.47 $132,010.98 $63,313.16 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 18 9 — — $1,485.83 $132,010.98 $63,313.16 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 18 9 — — $1,736.65 $132,010.98 $63,313.16 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 41 23 — — $2,588.93 $128,518.85 $63,080.34 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 18 — — $39,789.12 $125,325.50 $62,950.96 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 16 9 — — $5,219.00 $102,675.54 $62,920.82 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 20 — — $32,507.33 $125,398.02 $62,841.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 19 — — $28,036.75 $124,514.12 $62,689.40 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 19 — — $17,097.01 $122,510.62 $61,340.43 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 34 21 — — $16,415.09 $122,306.63 $61,234.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 24 — — $14,071.89 $124,117.49 $60,841.02 2026-04-01
69930 HCPCS Implant Cochlear Device 18 9 — — $3,093.45 $98,820.21 $60,558.23 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $37,507.11 $118,766.51 $59,393.72 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 12 7 — — $39,537.89 $113,869.12 $58,842.75 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 37 22 — — $24,246.72 $117,569.84 $58,771.52 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 18 — — $38,096.85 $116,663.30 $58,518.45 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 21 — — $25,213.80 $160,157.73 $57,997.31 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 19 — — $25,624.84 $115,616.22 $57,755.74 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 18 9 — — $1,679.37 $94,075.06 $57,650.34 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 16 9 — — $15,006.00 $94,075.06 $57,650.34 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 18 9 — — $1,202.71 $94,075.06 $57,650.34 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 16 9 — — $7,766.00 $92,483.11 $56,674.78 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 16 9 — — $5,219.00 $92,483.11 $56,674.78 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 16 9 — — $5,219.00 $92,483.11 $56,674.78 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 19 — — $18,224.45 $113,420.07 $56,613.87 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 17 — — $39,039.64 $112,434.16 $56,354.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 34 20 — — $35,871.12 $113,973.06 $56,290.57 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 17 — — $38,572.20 $111,087.94 $55,665.50 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 17 — — $38,386.48 $110,553.06 $55,391.80 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 30 17 — — $38,065.40 $109,628.35 $54,918.62 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 18 — — $33,916.85 $109,209.08 $54,704.07 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 20 — — $17,536.54 $396,877.94 $54,313.24 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 17 — — $37,478.34 $107,937.62 $54,053.46 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 30 17 — — $37,214.71 $107,178.36 $53,664.94 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 21 — — $19,605.58 $107,627.13 $53,601.88 2026-04-01
0466T HCPCS Insj Chwal Respir Eltrd/ra 1 1 — — $53,346.00 $53,346.00 $53,346.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 18 9 — — $1,312.80 $92,483.11 $53,122.08 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 9 — — $2,190.35 $92,483.11 $53,122.08 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 18 9 — — $839.00 $92,483.11 $53,122.08 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 17 — — $36,695.33 $105,682.55 $52,899.52 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 37 22 — — $7,577.81 $106,110.89 $52,813.53 2026-04-01
V5249 HCPCS Hearing Aid, Binaural, Itc 2 1 — — $52,250.00 $53,276.00 $52,763.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 20 — — $12,419.18 $106,081.43 $52,231.43 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 20 — — $2,121.20 $104,093.80 $51,764.76 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 12 7 — — $34,970.13 $100,713.97 $51,580.94 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 17 — — $35,629.02 $102,611.58 $51,328.08 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 17 — — $35,357.52 $101,829.66 $50,927.96 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 17 — — $35,140.32 $101,204.12 $50,607.88 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 18 9 — — $1,159.84 $87,158.00 $50,589.79 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 18 9 — — $1,105.14 $87,158.00 $50,589.79 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 17 — — $34,752.36 $100,086.80 $50,390.92 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 17 — — $34,538.31 $99,470.33 $50,080.55 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 17 — — $34,735.83 $100,039.19 $50,011.77 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 41 22 — — $10,436.36 $100,648.86 $49,973.59 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 18 — — $34,410.82 $99,103.16 $49,895.69 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 16 9 — — $10,993.00 $81,322.94 $49,835.68 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 16 9 — — $5,219.00 $81,322.94 $49,835.68 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 14 7 — — $626.41 $144,336.99 $49,830.61 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 4 2 — — $29,009.00 $67,109.06 $49,528.33 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 26 — — $2,085.93 $99,760.44 $49,511.65 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 19 — — $3,472.67 $99,647.11 $49,452.73 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 16 9 — — $10,593.00 $80,673.95 $49,437.98 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 16 9 — — $5,219.00 $80,673.95 $49,437.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 20 — — $29,158.94 $98,035.69 $48,614.89 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 45 26 — — $1,945.41 $130,873.58 $47,377.57 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 17 — — $32,927.43 $94,831.00 $47,346.70 2026-04-01
E0194 HCPCS Air Fluidized Bed 6 1 — — $6,143.25 $62,638.92 $46,526.83 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 17 — — $32,219.96 $92,793.48 $46,304.10 2026-04-01
J9266 HCPCS Pegaspargase Injection 20 9 — — $28,424.06 $81,861.29 $46,139.35 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 18 — — $8,807.20 $92,260.89 $45,612.33 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 21 — — $21,721.72 $93,194.64 $45,602.98 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 18 — — $7,653.00 $92,129.44 $45,543.98 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 2 1 — — $44,825.00 $45,705.20 $45,265.10 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 18 9 — — $2,185.54 $94,075.06 $45,118.89 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 18 9 — — $1,943.65 $94,075.06 $45,118.89 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 20 — — $18,578.85 $92,045.58 $45,011.94 2026-04-01
E0329 HCPCS Ped Hospital Bed Semi/elect 6 1 — — $5,922.68 $60,389.78 $44,856.21 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 4 4 — — $41,944.38 $125,906.76 $44,790.97 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 20 — — $1,652.00 $91,549.24 $44,756.64 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 19 — — $24,807.12 $89,448.28 $44,592.32 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 12 7 — — $29,510.19 $84,989.35 $44,441.77 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 21 — — $8,959.98 $98,658.95 $44,402.66 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 18 9 — — $1,161.46 $92,483.11 $44,355.38 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 18 9 — — $1,478.54 $92,483.11 $44,355.38 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 18 9 — — $1,061.56 $92,483.11 $44,355.38 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 9 — — $2,053.92 $92,483.11 $44,355.38 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 19 — — $14,985.95 $89,819.97 $44,343.19 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 17 — — $30,737.36 $88,523.60 $44,119.16 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 21 — — $14,385.02 $89,246.56 $44,045.06 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 18 — — $28,057.40 $89,237.52 $44,040.34 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 30 17 — — $30,480.03 $87,782.49 $43,739.93 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 7 — — $29,559.78 $85,132.17 $43,600.68 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 7 — — $29,420.21 $84,730.20 $43,394.81 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 18 — — $19,662.08 $87,748.47 $43,266.13 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 17 — — $30,129.05 $86,771.66 $43,222.68 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 16 8 — — $17,771.01 $55,991.00 $43,168.44 2026-04-01
332 MS_DRG Rectal Resection With Mcc 30 17 — — $30,067.67 $86,594.89 $43,132.23 2026-04-01
265 MS_DRG Aicd Lead Procedures 30 17 — — $30,047.99 $86,538.21 $43,103.23 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 17 — — $29,704.10 $85,547.81 $43,070.94 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 18 — — $29,634.06 $85,346.09 $42,969.39 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 18 — — $14,492.00 $86,708.19 $42,725.25 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 18 — — $19,228.75 $86,393.17 $42,561.45 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 18 — — $23,671.35 $86,270.77 $42,497.82 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 17 — — $29,610.45 $85,278.10 $42,458.42 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 9 3 — — $29,558.67 $70,808.63 $42,314.94 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 18 — — $28,828.68 $85,735.90 $42,219.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 18 — — $12,109.62 $85,466.22 $42,079.49 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 19 — — $9,254.88 $85,201.03 $41,941.61 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 28 — — $1,942.19 $108,710.47 $41,732.03 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 18 9 — — $17,864.55 $54,941.45 $41,692.65 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 18 9 — — $8,218.00 $54,941.45 $41,692.65 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 18 9 — — $8,218.00 $54,941.45 $41,692.65 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 18 9 — — $8,218.00 $54,941.45 $41,692.65 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 18 9 — — $8,218.00 $54,941.45 $41,692.65 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 18 9 — — $17,864.55 $54,941.45 $41,692.65 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 18 9 — — $8,218.00 $97,877.10 $41,692.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 29 — — $10,018.16 $203,013.72 $41,651.99 2026-04-01
K0884 HCPCS Pwc Gp4 Std Mult Pow Opt S/b 6 1 — — $5,496.48 $56,044.22 $41,628.43 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 31 17 — — $28,634.64 $82,467.76 $41,520.23 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 18 9 — — $8,218.00 $54,941.45 $41,505.39 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 18 — — $25,449.49 $84,299.01 $41,472.61 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 23 — — $16,540.11 $85,135.31 $41,457.57 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 18 9 — — $1,003.64 $85,966.42 $41,229.94 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 20 — — $10,403.00 $84,462.19 $41,111.33 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 16 9 — — $10,993.00 $66,665.86 $40,853.65 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 18 9 — — $1,115.57 $87,158.00 $40,853.65 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 18 9 — — $1,124.70 $87,158.00 $40,853.65 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 16 9 — — $10,993.00 $66,665.86 $40,853.65 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 18 — — $7,109.42 $82,830.38 $40,709.01 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 20 — — $10,304.12 $81,855.82 $40,707.21 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 15 8 — — $13,768.00 $54,941.45 $40,540.76 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 19 — — $14,973.69 $83,211.12 $40,467.85 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 22 — — $11,792.61 $83,573.77 $40,213.21 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 18 — — $16,897.76 $81,753.84 $40,149.27 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 12 7 — — $23,087.32 $66,491.48 $39,899.04 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 25 — — $7,713.21 $110,870.35 $39,651.55 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 21 — — $8,912.11 $82,236.59 $39,532.88 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 17 — — $27,569.90 $79,401.31 $39,451.22 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 6 1 — — $5,197.03 $52,990.92 $39,360.50 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 34 20 — — $18,884.83 $79,138.40 $39,316.68 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 38 23 — — $16,072.59 $83,594.16 $39,108.91 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 17 — — $26,970.24 $77,674.29 $39,106.85 2026-04-01
22558 HCPCS Lumbar Spine Fusion 18 9 — — $4,104.79 $81,322.94 $39,002.90 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 18 9 — — $4,873.50 $81,322.94 $39,002.90 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 18 9 — — $2,568.72 $81,322.94 $39,002.90 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 18 9 — — $3,103.40 $81,322.94 $39,002.90 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 18 9 — — $4,401.73 $81,322.94 $39,002.90 2026-04-01
22630 HCPCS Lumbar Spine Fusion 18 9 — — $4,220.32 $81,322.94 $39,002.90 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 18 9 — — $5,176.00 $51,338.50 $38,958.53 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 17 — — $26,838.82 $77,295.80 $38,916.29 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 19 — — $24,426.49 $99,320.38 $38,911.23 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 34 20 — — $26,151.42 $112,740.13 $38,794.11 2026-04-01
652 MS_DRG Kidney Transplant 30 17 — — $26,989.13 $77,728.69 $38,595.33 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 30 17 — — $26,920.67 $77,531.53 $38,494.44 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 49 27 — — $15,786.46 $119,307.45 $38,475.43 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 18 — — $24,671.13 $78,256.77 $38,331.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 17 — — $26,579.13 $76,547.89 $37,991.11 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 18 9 — — $723.20 $61,137.00 $37,959.85 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 20 — — $23,714.85 $76,692.96 $37,938.62 2026-04-01
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 15 8 — — $15,006.00 $51,338.50 $37,882.17 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 15 8 — — $13,923.00 $51,338.50 $37,882.17 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 34 19 — — $1,575.69 $76,262.34 $37,844.99 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 20 — — $6,708.15 $77,932.68 $37,752.81 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 17 — — $26,301.34 $75,747.86 $37,581.73 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 18 9 — — $2,911.59 $78,337.35 $37,571.01 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 18 9 — — $2,739.96 $78,337.35 $37,571.01 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 18 9 — — $2,416.56 $78,337.35 $37,571.01 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 20 — — $23,690.35 $77,851.09 $37,301.63 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 20 — — $10,479.19 $76,153.54 $37,237.44 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 20 — — $24,479.15 $76,896.92 $37,220.07 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 20 — — $23,856.32 $75,949.57 $37,131.38 2026-04-01
665 MS_DRG Prostatectomy With Mcc 31 18 — — $25,269.31 $75,274.19 $36,780.22 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 30 17 — — $25,667.06 $73,921.13 $36,646.98 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 2 1 — — $36,290.16 $37,002.76 $36,646.46 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 38 23 — — $1,728.47 $80,246.68 $36,288.86 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 17 — — $25,315.29 $72,908.04 $36,128.57 2026-04-01
263 MS_DRG Vein Ligation And Stripping 33 19 — — $1,517.88 $73,828.22 $36,028.40 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 22 — — $10,040.00 $75,126.87 $35,915.61 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 25 — — $2,096.65 $100,249.98 $35,853.29 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 33 19 — — $1,868.84 $73,279.73 $35,743.23 2026-04-01
791 MS_DRG Prematurity With Major Problems 48 28 — — $6,081.11 $126,553.69 $35,741.82 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 17 — — $24,997.37 $71,992.43 $35,660.04 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 16 9 — — $5,219.00 $58,143.77 $35,631.21 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 16 9 — — $8,218.00 $58,143.77 $35,631.21 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 31 17 — — $22,988.68 $72,991.90 $35,593.57 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 31 18 — — $13,177.59 $72,982.83 $35,588.86 2026-04-01
K0008 HCPCS Cstm Manual Wheelchair/base 2 1 — — $35,200.00 $35,891.20 $35,545.60 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 44 24 — — $10,403.00 $75,002.20 $35,403.90 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 30 17 — — $24,743.18 $71,260.36 $35,285.44 2026-04-01
570 MS_DRG Skin Debridement With Mcc 32 18 — — $5,531.25 $71,192.39 $34,657.92 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 12 7 — — $20,015.46 $57,644.52 $34,590.34 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 31 18 — — $22,053.77 $70,714.17 $34,409.28 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 52 32 — — $2,325.97 $182,925.84 $34,387.22 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 17 — — $24,006.60 $69,139.01 $34,199.93 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 19 — — $15,932.35 $70,306.21 $34,197.17 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 37 22 — — $17,552.20 $70,265.43 $34,175.96 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 33 20 — — $16,044.55 $69,975.33 $34,025.12 2026-04-01
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