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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

BERGER HOSPITAL

Circleville, OH · CCN 360170 · Rates published

18,931 distinct procedures filed
14 distinct payers
85,395 rate rows
2026-04-01 last MRF observed
Data quality

55,484 of 85,395 rate rows are consumer-grade (65.0%)

29,911 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 29,508
template filing: same amount across many unrelated codes — excluded 396
placeholder amount (≤ $0.02) — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/384105653_berger-hospital_standardcharges.json
Found on page https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 5da2b8edf6c651fc… · 24,112,353 bytes · first seen 2026-05-05

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,455,110.60 $2,455,110.60 $2,455,110.60 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $961,560.52 $776,643.36 nat. median
$753,246
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $937,241.17 $751,555.05 nat. median
$674,867
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $898,131.13 $727,724.53 nat. median
$625,184
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $878,026.14 $720,282.17 nat. median
$673,137
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $832,179.16 $682,704.67 nat. median
$634,303
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $829,687.57 $659,496.09 nat. median
$619,808
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $421,582.72 $421,582.72 nat. median
$62,507
outlier · 6.7×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $140,202.82 $394,322.50 $394,322.50 nat. median
$76,329
outlier · 5.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $303,029.16 $791,499.39 $303,029.16 nat. median
$370,174
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $63,342.28 $412,113.26 $288,605.76 nat. median
$69,774
outlier · 4.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $360,987.25 $252,660.24 nat. median
$66,682
outlier · 3.8×
J9226
HCPCS 		Supprelin La Implant 3 $45,020.65 $294,201.70 $204,506.58 nat. median
$60,368
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $197,067.42 $591,184.57 $197,067.42 nat. median
$265,286
0.7× median
J9600
HCPCS 		Porfimer Sodium Injection 2 $24,228.42 $151,599.50 $151,599.50 nat. median
$31,627
outlier · 4.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $150,419.90 $497,917.85 $150,419.90 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $149,544.04 $449,798.47 $149,544.04 nat. median
$202,976
0.7× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $19,485.91 $194,859.11 $146,144.34 nat. median
$16,785
outlier · 8.7×
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $129,792.00 $129,792.00 $129,792.00 nat. median
$775
outlier · 167.5×
90288
HCPCS 		Botulism Ig IV 1 $126,633.00 $126,633.00 $126,633.00 nat. median
$55,037
outlier · 2.3×
J9266
HCPCS 		Pegaspargase Injection 3 $28,424.06 $175,958.45 $123,098.55 nat. median
$34,109
outlier · 3.6×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $110,901.76 $129,537.28 $120,219.52 nat. median
$111,989
1.1× median
A9604
HCPCS 		Sm 153 Lexidronam 2 $3,159.80 $105,838.72 $105,838.72 nat. median
$11,409
outlier · 9.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $98,000.68 $296,555.68 $98,000.68 nat. median
$133,161
0.7× median
7
MS_DRG 		Lung Transplant 10 $91,701.23 $274,282.15 $91,701.23 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $85,184.39 $274,974.79 $85,184.39 nat. median
$117,357
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $80,388.50 $231,292.48 $80,388.50 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $80,297.63 $80,297.63 $80,297.63 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $78,217.39 $219,998.30 $78,217.39 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $77,189.15 $228,635.28 $77,189.15 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $73,249.55 $223,503.47 $73,249.55 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $70,778.56 $222,361.66 $70,778.56 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $69,560.89 $202,552.25 $69,560.89 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $64,156.17 $175,048.26 $64,156.17 nat. median
$82,711
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $61,708.94 $193,335.98 $61,708.94 nat. median
$83,470
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $60,104.02 $177,848.19 $60,104.02 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $59,918.79 $177,747.45 $59,918.79 nat. median
$81,118
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $56,181.90 $169,181.83 $56,181.90 nat. median
$77,570
0.7× median
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $49,338.18 $60,772.17 $55,055.18 nat. median
$50,598
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $54,850.29 $162,391.89 $54,850.29 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $54,618.92 $164,045.83 $54,618.92 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $54,442.07 $156,655.60 $54,442.07 nat. median
$72,135
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $47,919.99 $59,025.33 $53,472.66 nat. median
$49,027
1.1× median
J9216
HCPCS 		Interferon Gamma 1-b Inj 2 $20,322.69 $52,923.72 $52,923.72 nat. median
$10,259
outlier · 5.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $51,636.95 $148,994.61 $51,636.95 nat. median
$68,090
0.8× median

Other procedures at this hospital

Browse this hospital's 18,931 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $591,726.20 $961,560.52 $776,643.36 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $565,868.94 $937,241.17 $751,555.05 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $557,317.93 $898,131.13 $727,724.53 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,538.19 $878,026.14 $720,282.17 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $533,230.17 $832,179.16 $682,704.67 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $829,687.57 $659,496.09 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 2 — — $56,824.55 $421,582.72 $421,582.72 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $140,202.82 $394,322.50 $394,322.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 10 — — $303,029.16 $791,499.39 $303,029.16 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 3 — — $63,342.28 $412,113.26 $288,605.76 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 3 — — $55,272.32 $360,987.25 $252,660.24 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $294,201.70 $204,506.58 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 10 — — $197,067.42 $591,184.57 $197,067.42 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 2 — — $24,228.42 $151,599.50 $151,599.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 10 — — $150,419.90 $497,917.85 $150,419.90 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 10 — — $149,544.04 $449,798.47 $149,544.04 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $19,485.91 $194,859.11 $146,144.34 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $129,792.00 $129,792.00 $129,792.00 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $126,633.00 $126,633.00 $126,633.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $175,958.45 $123,098.55 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $110,901.76 $129,537.28 $120,219.52 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 5 2 — — $3,159.80 $105,838.72 $105,838.72 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 10 — — $98,000.68 $296,555.68 $98,000.68 2026-04-01
7 MS_DRG Lung Transplant 11 10 — — $91,701.23 $274,282.15 $91,701.23 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 10 — — $85,184.39 $274,974.79 $85,184.39 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 10 — — $80,388.50 $231,292.48 $80,388.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 10 — — $80,297.63 $80,297.63 $80,297.63 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $78,217.39 $219,998.30 $78,217.39 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $77,189.15 $228,635.28 $77,189.15 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 10 — — $73,249.55 $223,503.47 $73,249.55 2026-04-01
215 MS_DRG Other Heart Assist System Implant 11 10 — — $70,778.56 $222,361.66 $70,778.56 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $69,560.89 $202,552.25 $69,560.89 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $64,156.17 $175,048.26 $64,156.17 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 11 10 — — $61,708.94 $193,335.98 $61,708.94 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 10 — — $60,104.02 $177,848.19 $60,104.02 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $59,918.79 $177,747.45 $59,918.79 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 10 — — $56,181.90 $169,181.83 $56,181.90 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $49,338.18 $60,772.17 $55,055.18 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $54,850.29 $162,391.89 $54,850.29 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 10 — — $54,618.92 $164,045.83 $54,618.92 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 10 — — $54,442.07 $156,655.60 $54,442.07 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $47,919.99 $59,025.33 $53,472.66 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 4 2 — — $20,322.69 $52,923.72 $52,923.72 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $51,636.95 $148,994.61 $51,636.95 2026-04-01
10 MS_DRG Pancreas Transplant 11 10 — — $51,337.08 $167,336.90 $51,337.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 10 — — $51,316.11 $140,175.04 $51,316.11 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 10 — — $51,049.79 $166,373.51 $51,049.79 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $51,020.43 $148,318.77 $51,020.43 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $39,537.89 $59,474.53 $49,506.21 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 10 — — $14,546.56 $146,009.98 $49,492.40 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 10 — — $49,255.44 $139,937.86 $49,255.44 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $48,229.30 $143,310.79 $48,229.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 10 — — $47,917.54 $129,837.95 $47,917.54 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $47,883.29 $140,714.45 $47,883.29 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $47,140.24 $135,534.37 $47,140.24 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $47,140.24 $124,865.66 $47,140.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $46,973.18 $129,246.06 $46,973.18 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 10 — — $37,926.65 $135,750.56 $46,157.44 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 10 — — $44,016.38 $125,732.51 $44,016.38 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 10 — — $43,966.75 $132,732.34 $43,966.75 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 10 — — $43,556.44 $128,207.11 $43,556.44 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 11 10 — — $43,176.88 $127,594.23 $43,176.88 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 10 — — $43,164.99 $130,005.87 $43,164.99 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $42,860.92 $120,455.87 $42,860.92 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 5 3 — — $11,191.95 $42,792.75 $42,792.75 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 2 1 — — $34,970.13 $50,489.30 $42,729.71 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 10 — — $42,723.92 $124,779.61 $42,723.92 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 11 10 — — $42,627.46 $126,679.11 $42,627.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 10 — — $42,200.36 $123,495.08 $42,200.36 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 10 — — $42,173.80 $122,195.86 $42,173.80 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 10 — — $41,490.87 $114,811.93 $41,490.87 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $41,233.64 $119,735.95 $41,233.64 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 10 — — $41,070.07 $41,070.07 $41,070.07 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 10 — — $38,298.66 $113,355.29 $41,018.34 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $40,476.61 $115,548.64 $40,476.61 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 10 — — $40,354.98 $114,196.95 $40,354.98 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $40,086.57 $105,005.87 $40,086.57 2026-04-01
C1816 HCPCS Receiver/transmitter, Neuro 1 1 — — $39,806.52 $39,806.52 $39,806.52 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 10 — — $39,784.60 $128,803.20 $39,784.60 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 11 10 — — $39,553.22 $116,004.10 $39,553.22 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 10 — — $39,417.62 $113,936.69 $39,417.62 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 10 — — $39,363.09 $111,659.38 $39,363.09 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 10 — — $39,302.98 $113,248.25 $39,302.98 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 11 10 — — $39,150.60 $126,679.11 $39,150.60 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $38,455.08 $111,164.04 $38,455.08 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 10 — — $38,432.72 $108,087.05 $38,432.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 10 — — $38,182.47 $116,012.50 $38,182.47 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 10 — — $38,060.15 $107,732.34 $38,060.15 2026-04-01
E0194 HCPCS Air Fluidized Bed 3 1 — — $5,045.30 $50,452.87 $37,839.67 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 10 — — $18,824.93 $106,924.26 $37,564.55 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 11 10 — — $37,501.64 $116,996.88 $37,501.64 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $36,867.18 $36,867.18 $36,867.18 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $36,409.79 $96,387.78 $36,409.79 2026-04-01
J9015 HCPCS Aldesleukin Injection 5 2 — — $3,338.87 $36,084.56 $36,084.56 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 10 — — $32,745.77 $106,596.83 $36,040.71 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 10 — — $35,761.11 $104,586.09 $35,761.11 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $8,091.79 $109,873.97 $35,699.60 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 10 — — $35,581.47 $105,711.10 $35,581.47 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $35,438.17 $113,233.56 $35,438.17 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 11 10 — — $34,931.39 $101,943.57 $34,931.39 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 10 — — $34,760.83 $105,087.73 $34,760.83 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 10 — — $34,456.77 $98,740.65 $34,456.77 2026-04-01
J0716 HCPCS Centruroides Immune F(ab) 5 2 — — $4,871.94 $34,099.65 $34,099.65 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 10 — — $34,041.56 $96,696.32 $34,041.56 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 10 — — $33,974.45 $99,788.00 $33,974.45 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $33,876.59 $100,226.67 $33,876.59 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 11 10 — — $33,591.40 $101,773.56 $33,591.40 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 10 — — $33,462.08 $97,645.03 $33,462.08 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 10 — — $22,351.09 $116,114.82 $33,308.30 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 10 — — $33,226.51 $98,211.73 $33,226.51 2026-04-01
A9582 HCPCS Iodine I-123 Iobenguane 5 2 — — $2,317.50 $33,204.67 $33,204.67 2026-04-01
245 MS_DRG Aicd Generator Procedures 11 10 — — $33,069.94 $102,562.75 $33,069.94 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $29,559.78 $36,410.17 $32,984.97 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 10 — — $32,974.17 $94,687.68 $32,974.17 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 10 — — $32,960.19 $93,862.81 $32,960.19 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 11 10 — — $32,835.77 $99,792.20 $32,835.77 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $29,420.21 $36,238.25 $32,829.23 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 10 — — $32,506.54 $96,736.20 $32,506.54 2026-04-01
A9515 HCPCS Choline C-11 5 2 — — $2,516.43 $32,500.00 $32,500.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 10 — — $32,497.45 $87,950.21 $32,497.45 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $32,453.19 $32,453.19 $32,453.19 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 10 — — $32,374.42 $92,194.18 $32,374.42 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 3 1 — — $4,268.19 $42,681.91 $32,011.43 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 10 — — $31,884.42 $89,526.48 $31,884.42 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 10 — — $31,427.27 $89,396.35 $31,427.27 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 1 1 — — $31,426.90 $31,426.90 $31,426.90 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 10 — — $30,349.44 $94,123.07 $31,186.11 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 11 10 — — $30,993.19 $88,762.48 $30,993.19 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $30,821.93 $85,702.28 $30,821.93 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 10 — — $30,698.91 $87,322.64 $30,698.91 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 10 — — $30,648.58 $86,126.26 $30,648.58 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 10 — — $30,633.90 $86,254.30 $30,633.90 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 10 — — $8,135.28 $87,943.91 $30,547.92 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 10 — — $30,139.31 $92,985.47 $30,512.97 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 10 — — $30,458.45 $86,302.57 $30,458.45 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $30,345.21 $90,624.21 $30,345.21 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 11 — — $109.71 $87,536.72 $30,324.24 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 10 — — $30,208.20 $85,364.36 $30,208.20 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 10 — — $30,015.98 $82,066.99 $30,015.98 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 1 1 — — $29,753.66 $29,753.66 $29,753.66 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $29,697.20 $29,697.20 $29,697.20 2026-04-01
791 MS_DRG Prematurity With Major Problems 11 10 — — $29,551.14 $85,217.44 $29,551.14 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $17,771.01 $41,136.97 $29,453.99 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 10 — — $29,282.02 $82,469.98 $29,282.02 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 10 — — $29,027.58 $75,237.17 $29,027.58 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $28,522.90 $79,787.58 $28,522.90 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 10 — — $28,399.17 $90,813.11 $28,399.17 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 10 — — $28,234.91 $81,615.73 $28,234.91 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 10 — — $28,194.36 $82,474.18 $28,194.36 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 10 — — $28,168.50 $79,166.31 $28,168.50 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 11 8 — — $2,211.20 $86,277.99 $28,065.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 10 — — $20,578.80 $83,609.68 $28,015.42 2026-04-01
J0600 HCPCS Edetate Calcium Disodium Inj 6 3 — — $6,408.38 $39,546.65 $27,878.61 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 10 — — $12,174.96 $80,224.16 $27,482.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 10 — — $27,367.44 $69,299.38 $27,367.44 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 4 2 — — $9,640.44 $27,364.74 $27,364.74 2026-04-01
A9570 HCPCS Indium In-111 Auto Wbc 5 2 — — $1,103.19 $27,364.74 $27,364.74 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 10 — — $27,305.23 $80,828.64 $27,305.23 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 10 — — $27,302.43 $75,220.38 $27,302.43 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 10 — — $7,790.30 $82,828.89 $27,229.04 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 10 — — $27,082.24 $72,878.01 $27,082.24 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 11 10 — — $26,853.67 $81,036.43 $26,853.67 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 10 — — $13,891.88 $74,531.94 $26,843.18 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 10 — — $26,541.91 $66,614.89 $26,541.91 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 10 — — $26,522.34 $73,887.58 $26,522.34 2026-04-01
332 MS_DRG Rectal Resection With Mcc 11 10 — — $26,487.39 $72,800.35 $26,487.39 2026-04-01
265 MS_DRG Aicd Lead Procedures 11 10 — — $26,469.91 $74,865.66 $26,469.91 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 10 — — $26,425.18 $75,241.37 $26,425.18 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $26,387.43 $67,252.95 $26,387.43 2026-04-01
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 3 1 — — $3,518.24 $35,182.32 $26,386.75 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 10 — — $26,222.47 $83,550.91 $26,222.47 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 10 — — $26,164.45 $82,639.99 $26,164.45 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 11 — — $22,479.35 $76,062.04 $26,139.28 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 10 — — $26,102.24 $73,484.59 $26,102.24 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 10 — — $26,081.27 $73,537.06 $26,081.27 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 10 — — $26,057.50 $78,582.82 $26,057.50 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 10 — — $26,037.23 $72,294.51 $26,037.23 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 10 — — $23,757.66 $127,097.25 $25,829.62 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 10 — — $25,779.30 $76,576.27 $25,779.30 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 1 1 — — $25,772.39 $25,772.39 $25,772.39 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 1 1 — — $25,761.66 $25,761.66 $25,761.66 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 12 10 — — $14,891.37 $71,996.47 $25,561.90 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 10 — — $13,758.01 $81,120.39 $25,555.61 2026-04-01
L5858 HCPCS Stance Phase Only 2 1 — — $22,885.05 $28,188.60 $25,536.82 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 11 — — $10,419.49 $72,720.59 $25,443.77 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 10 — — $25,326.34 $72,176.97 $25,326.34 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 10 — — $25,214.50 $25,214.50 $25,214.50 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 10 — — $14,028.00 $73,524.47 $25,143.20 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 2 1 — — $23,087.32 $26,966.84 $25,027.08 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 10 — — $25,025.77 $70,449.58 $25,025.77 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 10 — — $24,994.31 $74,074.38 $24,994.31 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 2 2 — — $23,226.00 $25,954.42 $24,590.21 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 12 10 — — $9,228.67 $73,354.46 $24,529.47 2026-04-01
A9600 HCPCS Sr89 Strontium 5 2 — — $4,146.34 $24,375.00 $24,375.00 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 1 — — $21,834.21 $26,894.22 $24,364.22 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 10 — — $24,268.74 $57,434.30 $24,268.74 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 1 — — $21,739.52 $26,777.58 $24,258.55 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 11 10 — — $24,190.45 $69,698.17 $24,190.45 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 10 — — $24,187.66 $65,502.47 $24,187.66 2026-04-01
J3316 HCPCS Inj., Triptorelin Xr 3.75 Mg 5 2 — — $3,817.28 $24,155.82 $24,155.82 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 10 — — $23,915.74 $71,505.33 $23,915.74 2026-04-01
A9557 HCPCS Tc99m Bicisate 5 2 — — $775.52 $23,831.15 $23,831.15 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 10 — — $9,991.85 $68,405.25 $23,815.79 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 10 — — $20,836.02 $66,942.32 $23,790.62 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $23,759.17 $64,767.86 $23,759.17 2026-04-01
652 MS_DRG Kidney Transplant 11 10 — — $23,752.87 $64,461.42 $23,752.87 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 10 — — $23,736.10 $67,660.14 $23,736.10 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 11 10 — — $23,692.06 $66,749.22 $23,692.06 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 10 — — $23,619.36 $60,070.52 $23,619.36 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 10 — — $23,496.34 $71,194.69 $23,496.34 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 10 — — $23,455.10 $64,902.19 $23,455.10 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 10 — — $23,433.43 $68,375.87 $23,433.43 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 10 — — $23,388.69 $74,099.57 $23,388.69 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 11 10 — — $23,300.62 $66,503.65 $23,300.62 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 10 — — $23,267.06 $64,721.68 $23,267.06 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 3 2 — — $3,083.00 $30,265.83 $23,226.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 10 — — $23,204.15 $67,059.86 $23,204.15 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 10 — — $23,193.67 $65,193.93 $23,193.67 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 10 — — $23,141.94 $58,882.54 $23,141.94 2026-04-01
665 MS_DRG Prostatectomy With Mcc 11 10 — — $22,995.85 $72,063.63 $22,995.85 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 10 — — $21,246.51 $61,888.17 $22,950.41 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 10 — — $22,911.97 $64,192.76 $22,911.97 2026-04-01
J1162 HCPCS Digoxin Immune Fab (ovine) 6 3 — — $5,168.23 $32,954.87 $22,688.11 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 10 — — $22,578.54 $65,473.09 $22,578.54 2026-04-01
K0880 HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 3 1 — — $2,820.66 $28,206.62 $22,565.30 2026-04-01
263 MS_DRG Vein Ligation And Stripping 11 10 — — $22,549.88 $56,290.40 $22,549.88 2026-04-01
J0225 HCPCS Inj, Vutrisiran, 1 Mg 6 3 — — $5,003.64 $31,965.38 $22,394.43 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 10 — — $22,380.72 $68,602.55 $22,380.72 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 10 — — $22,291.95 $59,986.56 $22,291.95 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 10 — — $22,289.15 $60,173.36 $22,289.15 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 10 — — $22,266.09 $52,990.93 $22,266.09 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 2 1 — — $19,809.02 $24,399.70 $22,104.36 2026-04-01
Q9983 HCPCS Florbetaben F18 Diagnostic 5 2 — — $1,584.67 $22,100.00 $22,100.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 10 — — $21,983.69 $64,402.65 $21,983.69 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 11 10 — — $21,771.89 $60,805.13 $21,771.89 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 11 10 — — $21,757.91 $55,488.62 $21,757.91 2026-04-01
570 MS_DRG Skin Debridement With Mcc 11 10 — — $21,736.94 $63,185.29 $21,736.94 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 1 — — $20,015.46 $23,378.78 $21,697.12 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 11 10 — — $21,589.45 $61,206.02 $21,589.45 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 10 — — $10,841.24 $61,728.65 $21,535.62 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 10 — — $20,977.43 $61,556.54 $21,463.63 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 10 — — $21,451.05 $58,941.31 $21,451.05 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 3 2 — — $1,580.00 $23,226.00 $21,447.74 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 3 2 — — $1,580.00 $23,226.00 $21,447.74 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 10 — — $21,361.57 $57,224.41 $21,361.57 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 10 — — $21,351.79 $62,673.15 $21,351.79 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 11 10 — — $21,322.43 $55,616.65 $21,322.43 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 10 — — $21,241.34 $61,174.54 $21,241.34 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 10 — — $15,810.40 $61,119.97 $21,103.64 2026-04-01
J0480 HCPCS Basiliximab 6 3 — — $4,686.85 $30,274.27 $21,092.72 2026-04-01
78 MS_DRG Hypertensive Encephalopathy With Cc 1 1 — — $20,942.82 $20,942.82 $20,942.82 2026-04-01
800 MS_DRG Splenic Procedures With Cc 12 10 — — $11,293.37 $61,153.55 $20,816.35 2026-04-01
Q9982 HCPCS Flutemetamol F18 Diagnostic 5 2 — — $1,944.01 $20,800.00 $20,800.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 11 10 — — $20,745.75 $59,228.86 $20,745.75 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 2 — — $1,952.00 $42,470.57 $20,739.28 2026-04-01
C1813 HCPCS Hc Prosthesis Penile Inflatable 1 1 — — $20,700.21 $20,700.21 $20,700.21 2026-04-01
503 MS_DRG Foot Procedures With Mcc 12 10 — — $20,432.02 $55,547.39 $20,688.43 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 2 1 — — $18,506.37 $22,795.16 $20,650.76 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 10 — — $20,554.22 $54,805.34 $20,554.22 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 10 — — $20,450.77 $56,737.46 $20,450.77 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 2 1 — — $12,553.71 $28,275.00 $20,414.35 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 10 — — $17,319.49 $56,336.57 $20,392.05 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 10 — — $18,743.13 $55,058.34 $20,387.16 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 10 — — $20,287.90 $57,018.72 $20,287.90 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 10 — — $20,197.03 $59,749.39 $20,197.03 2026-04-01
849 MS_DRG Radiotherapy 11 10 — — $20,118.04 $56,059.52 $20,118.04 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 10 — — $20,094.97 $57,327.26 $20,094.97 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 10 — — $20,033.46 $54,913.52 $20,033.46 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 7 4 — — $16,020.54 $27,470.89 $19,978.47 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 2 1 — — $17,866.14 $22,006.56 $19,936.35 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 10 — — $19,772.03 $60,104.10 $19,772.03 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 10 — — $19,707.02 $55,885.31 $19,707.02 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 3 1 — — $2,621.68 $26,216.74 $19,662.55 2026-04-01
J2993 HCPCS Reteplase Injection 5 2 — — $2,904.58 $19,636.76 $19,636.76 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 10 — — $19,614.06 $55,688.01 $19,614.06 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 2 1 — — $17,892.75 $20,899.37 $19,396.06 2026-04-01
J7504 HCPCS Lymphocyte Immune Globulin 6 3 — — $5,135.09 $28,312.25 $19,333.49 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 11 10 — — $19,321.87 $53,582.82 $19,321.87 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 10 — — $19,300.20 $53,597.51 $19,300.20 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 10 — — $19,232.40 $56,552.76 $19,232.40 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 10 — — $19,207.23 $50,310.63 $19,207.23 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 11 10 — — $19,207.23 $50,310.63 $19,207.23 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 11 10 — — $19,126.15 $54,327.93 $19,126.15 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 11 10 — — $19,024.09 $52,514.48 $19,024.09 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 10 — — $18,939.51 $54,239.77 $18,939.51 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 10 — — $8,676.32 $50,394.59 $18,905.96 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 11 10 — — $18,821.38 $52,825.12 $18,821.38 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 11 10 — — $18,813.69 $51,792.46 $18,813.69 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 1 1 — — $18,706.01 $18,706.01 $18,706.01 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 10 — — $18,597.00 $50,789.18 $18,597.00 2026-04-01
A9586 HCPCS Florbetapir F18 5 2 — — $1,825.64 $18,573.10 $18,573.10 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 2 2 — — $16,516.62 $20,587.00 $18,551.81 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 2 2 — — $16,516.62 $20,587.00 $18,551.81 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 12 10 — — $18,525.70 $53,032.91 $18,525.70 2026-04-01
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