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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

SALEM REGIONAL MEDICAL CENTER

Salem, OH · CCN 360185 · Rates published

10,175 distinct procedures filed
14 distinct payers
50,120 rate rows
2026-04-01 last MRF observed
Data quality

24,410 of 50,120 rate rows are consumer-grade (48.7%)

25,710 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 25,703
placeholder amount (≤ $0.02) — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://srmcmrf.blob.core.windows.net/srmcmrf/341041385_salem-regional-medical-center_standardcharges.json
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint ebd0faec41885556… · 15,961,794 bytes · first seen 2026-05-13

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $578,771.12 $591,726.20 $585,248.66 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $553,169.30 $565,868.94 $559,519.12 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $527,622.46 $557,317.93 $542,470.20 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $516,442.29 $562,538.19 $539,490.24 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $502,840.73 $533,230.17 $518,035.45 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $489,399.16 $489,351.89 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $293,398.09 $438,521.33 $293,398.09 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $190,403.56 $284,582.70 $190,403.56 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $145,062.29 $216,814.33 $145,062.29 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $144,210.96 $303,703.77 $144,210.96 nat. median
$202,976
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $110,901.76 $110,901.76 $110,901.76 nat. median
$111,989
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $94,110.95 $140,660.97 $94,110.95 nat. median
$133,161
0.7× median
7
MS_DRG 		Lung Transplant 12 $87,987.90 $131,509.28 $87,987.90 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $81,653.55 $122,041.77 $81,653.55 nat. median
$117,357
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $76,991.96 $115,074.43 $76,991.96 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $76,903.64 $114,942.41 $76,903.64 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $74,881.64 $111,920.29 $74,881.64 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $73,882.20 $110,426.49 $73,882.20 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $70,052.92 $104,703.13 $70,052.92 nat. median
$100,136
0.7× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 1 $68,801.71 $68,801.71 $68,801.71 nat. median
$70,825
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $67,651.12 $101,113.34 $67,651.12 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $66,467.55 $99,344.33 $66,467.55 nat. median
$93,672
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,235.61 $63,342.28 $63,288.94 nat. median
$69,774
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $61,214.17 $91,492.49 $61,214.17 nat. median
$82,711
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $58,835.48 $87,937.22 $58,835.48 nat. median
$83,470
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $57,275.50 $85,605.63 $57,275.50 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $57,095.45 $85,336.53 $57,095.45 nat. median
$81,118
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $55,272.32 $57,017.10 $56,144.71 nat. median
$66,682
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $53,463.21 $79,907.66 $53,463.21 nat. median
$77,570
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $52,168.89 $77,973.14 $52,168.89 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $51,943.99 $77,637.01 $51,943.99 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $51,772.10 $77,380.08 $51,772.10 nat. median
$72,135
0.7× median
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $49,338.18 $49,338.18 $49,338.18 nat. median
$50,598
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $49,045.53 $73,304.88 $49,045.53 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 12 $48,754.06 $72,869.23 $48,754.06 nat. median
$68,884
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $48,733.67 $72,838.77 $48,733.67 nat. median
$64,023
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $48,474.81 $72,451.86 $48,474.81 nat. median
$71,271
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $48,446.27 $72,409.21 $48,446.27 nat. median
$68,886
0.7× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $47,919.99 $47,919.99 $47,919.99 nat. median
$49,027
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $46,961.03 $126,074.20 $46,961.03 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $46,730.71 $69,845.07 $46,730.71 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $45,733.30 $68,354.32 $45,733.30 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $45,430.27 $67,901.41 $45,430.27 nat. median
$60,691
0.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $45,396.98 $67,851.65 $45,396.98 nat. median
$63,724
0.7× median
J9226
HCPCS 		Supprelin La Implant 2 $45,020.65 $45,212.04 $45,116.35 nat. median
$60,368
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $44,674.74 $66,772.17 $44,674.74 nat. median
$61,920
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $44,674.74 $66,772.17 $44,674.74 nat. median
$64,508
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $44,512.36 $66,529.47 $44,512.36 nat. median
$59,793
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $43,719.46 $65,344.38 $43,719.46 nat. median
$62,134
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $41,638.36 $62,233.90 $41,638.36 nat. median
$60,726
0.7× median

Other procedures at this hospital

Browse this hospital's 10,175 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $578,771.12 $591,726.20 $585,248.66 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $553,169.30 $565,868.94 $559,519.12 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $527,622.46 $557,317.93 $542,470.20 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $516,442.29 $562,538.19 $539,490.24 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $502,840.73 $533,230.17 $518,035.45 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $489,399.16 $489,351.89 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 12 — — $293,398.09 $438,521.33 $293,398.09 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 12 — — $190,403.56 $284,582.70 $190,403.56 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 12 — — $145,062.29 $216,814.33 $145,062.29 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 12 — — $144,210.96 $303,703.77 $144,210.96 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $110,901.76 $110,901.76 $110,901.76 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 12 — — $94,110.95 $140,660.97 $94,110.95 2026-04-01
7 MS_DRG Lung Transplant 17 12 — — $87,987.90 $131,509.28 $87,987.90 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 12 — — $81,653.55 $122,041.77 $81,653.55 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 12 — — $76,991.96 $115,074.43 $76,991.96 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 12 — — $76,903.64 $114,942.41 $76,903.64 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 12 — — $74,881.64 $111,920.29 $74,881.64 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 12 — — $73,882.20 $110,426.49 $73,882.20 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 12 — — $70,052.92 $104,703.13 $70,052.92 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 12 — — $67,651.12 $101,113.34 $67,651.12 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $66,467.55 $99,344.33 $66,467.55 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 2 — — $63,235.61 $63,342.28 $63,288.94 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 12 — — $61,214.17 $91,492.49 $61,214.17 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 17 12 — — $58,835.48 $87,937.22 $58,835.48 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 12 — — $57,275.50 $85,605.63 $57,275.50 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 12 — — $57,095.45 $85,336.53 $57,095.45 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 2 — — $55,272.32 $57,017.10 $56,144.71 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 12 — — $53,463.21 $79,907.66 $53,463.21 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 12 — — $52,168.89 $77,973.14 $52,168.89 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 12 — — $51,943.99 $77,637.01 $51,943.99 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 12 — — $51,772.10 $77,380.08 $51,772.10 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $49,338.18 $49,338.18 $49,338.18 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 12 — — $49,045.53 $73,304.88 $49,045.53 2026-04-01
10 MS_DRG Pancreas Transplant 17 12 — — $48,754.06 $72,869.23 $48,754.06 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 12 — — $48,733.67 $72,838.77 $48,733.67 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 12 — — $48,474.81 $72,451.86 $48,474.81 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 12 — — $48,446.27 $72,409.21 $48,446.27 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $47,919.99 $47,919.99 $47,919.99 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 12 — — $46,961.03 $126,074.20 $46,961.03 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 12 — — $46,730.71 $69,845.07 $46,730.71 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 12 — — $45,733.30 $68,354.32 $45,733.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 12 — — $45,430.27 $67,901.41 $45,430.27 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 12 — — $45,396.98 $67,851.65 $45,396.98 2026-04-01
J9226 HCPCS Supprelin La Implant 2 2 — — $45,020.65 $45,212.04 $45,116.35 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $44,674.74 $66,772.17 $44,674.74 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $44,674.74 $66,772.17 $44,674.74 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $44,512.36 $66,529.47 $44,512.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 12 — — $43,719.46 $65,344.38 $43,719.46 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 12 — — $41,638.36 $62,233.90 $41,638.36 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 12 — — $41,590.12 $62,161.80 $41,590.12 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 12 — — $41,191.29 $61,565.70 $41,191.29 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 12 — — $40,822.36 $61,014.29 $40,822.36 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 12 — — $40,810.81 $60,997.02 $40,810.81 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 12 — — $40,515.26 $60,555.28 $40,515.26 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 12 — — $40,382.09 $60,356.24 $40,382.09 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 12 — — $40,288.32 $60,216.10 $40,288.32 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 12 — — $39,873.19 $59,595.63 $39,873.19 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 12 — — $39,847.37 $59,557.04 $39,847.37 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 12 — — $39,183.57 $58,564.90 $39,183.57 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 12 — — $38,933.54 $58,191.20 $38,933.54 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 12 — — $38,774.55 $57,953.57 $38,774.55 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 12 — — $38,724.27 $57,878.42 $38,724.27 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 12 — — $38,197.71 $57,091.41 $38,197.71 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 12 — — $38,079.49 $56,914.71 $38,079.49 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 12 — — $37,818.59 $56,524.76 $37,818.59 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 12 — — $37,525.07 $56,086.07 $37,525.07 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 12 — — $37,300.18 $55,749.93 $37,300.18 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 12 — — $37,168.37 $55,552.93 $37,168.37 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 12 — — $37,115.37 $55,473.72 $37,115.37 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 12 — — $37,056.94 $55,386.39 $37,056.94 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 12 — — $36,908.83 $55,165.01 $36,908.83 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 1 1 — — $36,447.88 $36,447.88 $36,447.88 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 12 — — $36,232.79 $54,154.58 $36,232.79 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 12 — — $36,211.05 $54,122.09 $36,211.05 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 12 — — $35,967.81 $53,758.54 $35,967.81 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 — — $35,848.91 $53,580.83 $35,848.91 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 12 — — $35,367.19 $52,860.84 $35,367.19 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 12 — — $35,306.04 $52,769.44 $35,306.04 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 1 1 — — $34,970.13 $34,970.13 $34,970.13 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 12 — — $34,244.77 $51,183.23 $34,244.77 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 12 — — $33,133.16 $50,647.05 $33,886.03 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 12 — — $33,614.26 $50,240.85 $33,614.26 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 13 — — $9,976.50 $50,151.48 $33,554.47 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 12 — — $11,513.07 $49,979.86 $33,439.64 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $33,300.36 $49,771.69 $33,300.36 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 12 — — $32,807.77 $49,035.45 $32,807.77 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 12 — — $32,641.99 $48,787.67 $32,641.99 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 12 — — $32,346.44 $48,345.92 $32,346.44 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 12 — — $31,942.85 $47,742.72 $31,942.85 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 12 — — $17,946.84 $50,747.05 $31,877.63 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 12 — — $31,782.51 $47,503.06 $31,782.51 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 12 — — $31,505.30 $47,088.74 $31,505.30 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 12 — — $31,379.60 $46,900.87 $31,379.60 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 12 — — $12,218.13 $46,677.46 $31,230.13 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 12 — — $31,150.63 $46,558.64 $31,150.63 2026-04-01
245 MS_DRG Aicd Generator Procedures 17 12 — — $30,998.44 $46,331.17 $30,998.44 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 12 — — $30,905.36 $46,192.05 $30,905.36 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 12 — — $30,891.77 $46,171.74 $30,891.77 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 17 12 — — $30,770.83 $45,990.98 $30,770.83 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 12 — — $30,450.82 $45,512.68 $30,450.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 12 — — $30,441.99 $45,499.48 $30,441.99 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 12 — — $30,322.40 $45,320.75 $30,322.40 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 12 — — $29,846.12 $44,608.88 $29,846.12 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $29,559.78 $29,559.78 $29,559.78 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $29,510.19 $29,510.19 $29,510.19 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $29,420.21 $29,420.21 $29,420.21 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 12 — — $29,401.77 $43,944.75 $29,401.77 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 12 — — $29,167.37 $43,594.40 $29,167.37 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 17 12 — — $28,979.85 $43,314.12 $28,979.85 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 12 — — $28,813.38 $43,065.32 $28,813.38 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 12 — — $28,693.80 $42,886.60 $28,693.80 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 12 — — $28,644.89 $42,813.48 $28,644.89 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 12 — — $28,630.62 $42,792.15 $28,630.62 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 12 — — $8,807.75 $42,667.25 $28,547.05 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 12 — — $28,513.08 $42,616.47 $28,513.08 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 12 — — $28,460.08 $42,537.26 $28,460.08 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 12 — — $28,350.01 $42,372.75 $28,350.01 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 17 12 — — $28,329.63 $42,342.29 $28,329.63 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 12 — — $28,216.84 $42,173.72 $28,216.84 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 12 — — $28,030.00 $41,894.45 $28,030.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 2 2 — — $27,070.53 $28,424.06 $27,747.29 2026-04-01
791 MS_DRG Prematurity With Major Problems 17 12 — — $27,578.18 $41,219.15 $27,578.18 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 12 — — $27,316.59 $40,828.18 $27,316.59 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 12 — — $27,069.28 $40,458.54 $27,069.28 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 12 — — $26,578.73 $39,725.34 $26,578.73 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 12 — — $26,458.47 $39,545.60 $26,458.47 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 12 — — $26,298.80 $39,306.96 $26,298.80 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 12 — — $26,259.40 $39,248.06 $26,259.40 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 12 — — $26,234.26 $39,210.49 $26,234.26 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 12 — — $8,658.13 $38,988.09 $26,085.46 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 12 — — $25,567.06 $38,213.27 $25,567.06 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 12 — — $25,455.63 $38,046.72 $25,455.63 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 12 — — $25,395.16 $37,956.34 $25,395.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 12 — — $25,392.44 $37,952.28 $25,392.44 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 12 — — $11,705.66 $37,845.65 $25,321.10 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 12 — — $25,178.42 $37,632.40 $25,178.42 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 12 — — $24,956.24 $37,300.33 $24,956.24 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 12 — — $24,946.05 $37,285.10 $24,946.05 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 12 — — $24,653.22 $36,847.42 $24,653.22 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 12 — — $24,634.19 $36,818.98 $24,634.19 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 12 — — $24,600.22 $36,768.21 $24,600.22 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 12 — — $24,583.24 $36,742.82 $24,583.24 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 12 — — $24,539.75 $36,677.83 $24,539.75 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 12 — — $24,503.06 $36,622.99 $24,503.06 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 12 — — $24,342.72 $36,383.33 $24,342.72 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 12 — — $24,286.32 $36,299.05 $24,286.32 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 12 — — $24,261.86 $36,262.49 $24,261.86 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 12 — — $24,225.85 $36,208.67 $24,225.85 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 12 — — $24,205.47 $36,178.20 $24,205.47 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 12 — — $24,182.37 $36,143.68 $24,182.37 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 12 — — $24,162.67 $36,114.23 $24,162.67 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 12 — — $23,960.88 $35,812.62 $23,960.88 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 12 — — $23,911.96 $35,739.51 $23,911.96 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 12 — — $23,700.65 $35,423.69 $23,700.65 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 12 — — $23,694.54 $35,414.55 $23,694.54 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 12 — — $23,585.83 $35,252.07 $23,585.83 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 12 — — $23,471.68 $35,081.46 $23,471.68 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 17 12 — — $23,362.98 $34,918.98 $23,362.98 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 12 — — $23,293.67 $34,815.40 $23,293.67 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 12 — — $23,179.53 $34,644.80 $23,179.53 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 12 — — $23,148.95 $34,599.10 $23,148.95 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 1 1 — — $23,087.32 $23,087.32 $23,087.32 2026-04-01
L5858 HCPCS Stance Phase Only 1 1 — — $22,885.05 $22,885.05 $22,885.05 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 12 — — $22,697.13 $33,923.79 $22,697.13 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 12 — — $22,443.70 $33,545.01 $22,443.70 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 12 — — $22,367.61 $33,431.28 $22,367.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 12 — — $22,364.89 $33,427.21 $22,364.89 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 12 — — $22,100.59 $33,032.18 $22,100.59 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 17 12 — — $22,003.43 $32,886.97 $22,003.43 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 12 — — $21,978.97 $32,850.41 $21,978.97 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 17 12 — — $21,948.40 $32,804.71 $21,948.40 2026-04-01
652 MS_DRG Kidney Transplant 17 12 — — $21,942.28 $32,795.57 $21,942.28 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 12 — — $21,925.97 $32,771.20 $21,925.97 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 12 — — $21,883.17 $32,707.22 $21,883.17 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $21,834.21 $21,834.21 $21,834.21 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 17 12 — — $21,812.51 $32,601.61 $21,812.51 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $21,739.52 $21,739.52 $21,739.52 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 12 — — $21,692.93 $32,422.88 $21,692.93 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 12 — — $21,652.84 $32,362.97 $21,652.84 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 12 — — $21,631.78 $32,331.49 $21,631.78 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 12 — — $21,588.30 $32,266.50 $21,588.30 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 17 12 — — $21,502.69 $32,138.54 $21,502.69 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 12 — — $21,470.08 $32,089.80 $21,470.08 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 12 — — $21,408.93 $31,998.41 $21,408.93 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 12 — — $21,398.74 $31,983.17 $21,398.74 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 12 — — $21,348.46 $31,908.03 $21,348.46 2026-04-01
665 MS_DRG Prostatectomy With Mcc 17 12 — — $21,206.46 $31,695.79 $21,206.46 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 12 — — $21,162.29 $31,629.78 $21,162.29 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 12 — — $21,124.92 $31,573.93 $21,124.92 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 12 — — $20,800.83 $31,089.53 $20,800.83 2026-04-01
263 MS_DRG Vein Ligation And Stripping 17 12 — — $20,772.98 $31,047.90 $20,772.98 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 12 — — $20,608.55 $30,802.15 $20,608.55 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 17 12 — — $20,522.27 $30,673.18 $20,522.27 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 12 — — $20,519.55 $30,669.12 $20,519.55 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 12 — — $20,497.13 $30,635.60 $20,497.13 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 12 — — $20,222.64 $30,225.34 $20,222.64 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 17 12 — — $20,016.77 $29,917.65 $20,016.77 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 1 1 — — $20,015.46 $20,015.46 $20,015.46 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 17 12 — — $20,003.18 $29,897.34 $20,003.18 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 6 — — $19,994.65 $20,075.43 $19,997.94 2026-04-01
570 MS_DRG Skin Debridement With Mcc 17 12 — — $19,982.80 $29,866.87 $19,982.80 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 17 12 — — $19,839.44 $29,652.60 $19,839.44 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 1 1 — — $19,809.02 $19,809.02 $19,809.02 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 12 — — $19,787.12 $29,574.41 $19,787.12 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 12 — — $19,717.14 $29,469.81 $19,717.14 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 12 — — $19,704.91 $29,451.53 $19,704.91 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 12 — — $19,617.94 $29,321.55 $19,617.94 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 17 12 — — $19,608.43 $29,307.33 $19,608.43 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 12 — — $19,579.89 $29,264.68 $19,579.89 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 12 — — $19,501.08 $29,146.88 $19,501.08 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 17 12 — — $19,367.23 $28,946.83 $19,367.23 2026-04-01
800 MS_DRG Splenic Procedures With Cc 17 12 — — $19,087.98 $28,529.46 $19,087.98 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 17 12 — — $19,019.36 $28,426.89 $19,019.36 2026-04-01
503 MS_DRG Foot Procedures With Mcc 17 12 — — $18,963.65 $28,343.62 $18,963.65 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 12 — — $18,833.20 $28,148.64 $18,833.20 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 1 1 — — $18,765.47 $18,765.47 $18,765.47 2026-04-01
64580 HCPCS Implant Neuroelectrodes 1 1 — — $18,765.47 $18,765.47 $18,765.47 2026-04-01
63655 HCPCS Implant Neuroelectrodes 1 1 — — $18,765.47 $18,765.47 $18,765.47 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 1 1 — — $18,765.47 $18,765.47 $18,765.47 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $18,765.47 $18,765.47 $18,765.47 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 1 1 — — $18,765.47 $18,765.47 $18,765.47 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 1 1 — — $18,765.47 $18,765.47 $18,765.47 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 12 — — $18,732.64 $27,998.35 $18,732.64 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 12 — — $18,675.57 $27,913.05 $18,675.57 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 17 12 — — $18,670.81 $27,905.94 $18,670.81 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 17 12 — — $18,574.33 $27,761.74 $18,574.33 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 1 1 — — $18,506.37 $18,506.37 $18,506.37 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 17 12 — — $18,486.01 $27,629.72 $18,486.01 2026-04-01
849 MS_DRG Radiotherapy 17 12 — — $18,409.23 $27,514.97 $18,409.23 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 17 12 — — $18,386.81 $27,481.46 $18,386.81 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 17 12 — — $18,327.02 $27,392.10 $18,327.02 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 12 — — $18,072.91 $27,012.30 $18,072.91 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 17 12 — — $18,009.72 $26,917.86 $18,009.72 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 12 — — $17,919.36 $26,782.80 $17,919.36 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 1 1 — — $17,892.75 $17,892.75 $17,892.75 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 1 1 — — $17,866.14 $17,866.14 $17,866.14 2026-04-01
61624 HCPCS Transcath Occlusion Cns 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
93580 HCPCS Transcath Closure Of Asd 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
0645T HCPCS Tcat Impltj C Sins Rdctj Dev 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 1 1 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 18 12 — — $17,635.36 $26,358.32 $17,635.36 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 17 12 — — $17,614.29 $26,326.84 $17,614.29 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 17 12 — — $17,548.39 $26,228.33 $17,548.39 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 17 12 — — $17,523.93 $26,191.78 $17,523.93 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 17 12 — — $17,523.93 $26,191.78 $17,523.93 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 17 12 — — $17,445.12 $26,073.98 $17,445.12 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 17 12 — — $17,345.92 $25,925.72 $17,345.92 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 12 — — $17,263.71 $25,802.84 $17,263.71 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 12 — — $10,656.75 $25,754.10 $17,231.09 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 6 6 — — $16,009.79 $17,222.93 $17,161.82 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 19 12 — — $15,017.83 $25,631.22 $17,148.88 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 17 12 — — $17,141.41 $25,620.05 $17,141.41 2026-04-01
20808 HCPCS Replantation Hand Complete 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
20805 HCPCS Replant Forearm Complete 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
20838 HCPCS Replantation Foot Complete 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
20802 HCPCS Replantation Arm Complete 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
22556 HCPCS Thorax Spine Fusion 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
25446 HCPCS Wrist Replacement 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
22600 HCPCS Neck Spine Fusion 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
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