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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

SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER

Cambridge, OH · CCN 360203 · Rates published

8,734 distinct procedures filed
12 distinct payers
57,378 rate rows
2026-04-01 last MRF observed
Data quality

33,328 of 57,378 rate rows are consumer-grade (58.1%)

24,050 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 23,907
template filing: same amount across many unrelated codes — excluded 132
placeholder amount (≤ $0.02) — excluded from medians 11
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/314391798_southeastern-ohio-regional-medical-center_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 ae2dddd575ad3b4e… · 16,991,377 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $3,832,677.33 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $3,449,121.09 $3,349,627.21 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $3,378,383.54 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,945,740.00 $3,063,569.60 $2,975,197.40 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.60 $2,553,315.03 $2,479,661.71 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,425,280.00 $2,355,320.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $961,560.52 $606,519.35 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $937,241.17 $580,015.67 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $878,026.14 $576,601.64 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $898,131.13 $571,250.88 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $832,179.16 $546,560.93 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $829,687.57 $501,537.22 nat. median
$619,808
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $394,322.50 $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 11 $269,986.18 $782,071.84 $297,623.11 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $193,145.43 $584,142.97 $193,145.43 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $147,151.23 $491,987.15 $147,151.23 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $146,287.65 $444,440.92 $146,287.65 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $95,466.18 $293,023.40 $95,466.18 nat. median
$133,161
0.7× median
7
MS_DRG 		Lung Transplant 11 $89,254.95 $271,015.18 $89,254.95 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $82,829.39 $271,699.57 $82,829.39 nat. median
$117,357
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $78,100.67 $228,537.56 $78,100.67 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $78,011.07 $81,131.51 $78,011.07 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $75,043.02 $217,377.90 $75,959.96 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $74,946.12 $225,912.00 $74,946.12 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $71,061.70 $220,841.32 $71,061.70 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 11 $68,625.32 $219,713.11 $68,625.32 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $67,424.70 $200,139.65 $67,424.70 nat. median
$93,672
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $412,113.26 $65,875.97 nat. median
$69,774
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $59,710.23 $172,963.26 $62,095.68 nat. median
$82,711
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $59,682.73 $191,033.15 $59,682.73 nat. median
$83,470
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $421,582.72 $58,245.16 nat. median
$62,507
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $58,100.29 $175,729.84 $58,100.29 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $57,917.65 $175,630.30 $57,917.65 nat. median
$81,118
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $360,987.25 $57,483.22 nat. median
$66,682
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $54,233.09 $167,166.71 $54,233.09 nat. median
$77,570
0.7× median
J9216
HCPCS 		Interferon Gamma 1-b Inj 1 $52,923.72 $52,923.72 $52,923.72 nat. median
$10,259
outlier · 5.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $52,920.13 $160,457.64 $52,920.13 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $52,692.00 $162,091.88 $52,692.00 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $52,517.63 $154,789.67 $52,517.63 nat. median
$72,135
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $49,751.80 $147,219.94 $49,751.80 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 11 $49,456.13 $165,343.75 $49,456.13 nat. median
$68,884
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $47,814.72 $138,505.41 $49,435.45 nat. median
$64,023
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $49,172.86 $164,391.83 $49,172.86 nat. median
$71,271
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $49,143.92 $146,552.14 $49,143.92 nat. median
$68,886
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $47,637.29 $144,270.85 $47,637.29 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $47,403.64 $138,271.06 $47,403.64 nat. median
$65,950
0.7× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $294,201.70 $46,821.48 nat. median
$60,368
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $46,391.87 $141,603.82 $46,391.87 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $44,288.67 $128,291.45 $46,084.48 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $46,050.71 $139,038.40 $46,050.71 nat. median
$63,724
0.7× median

Other procedures at this hospital

Browse this hospital's 8,734 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,685,266.67 $3,832,677.33 $3,722,119.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,316,462.59 $3,449,121.09 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,248,445.72 $3,378,383.54 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,945,740.00 $3,063,569.60 $2,975,197.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,455,110.60 $2,553,315.03 $2,479,661.71 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,332,000.00 $2,425,280.00 $2,355,320.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $591,726.20 $961,560.52 $606,519.35 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $565,868.94 $937,241.17 $580,015.67 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,538.19 $878,026.14 $576,601.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $557,317.93 $898,131.13 $571,250.88 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $533,230.17 $832,179.16 $546,560.93 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,304.61 $829,687.57 $501,537.22 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $394,322.50 $394,322.50 $394,322.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 11 — — $269,986.18 $782,071.84 $297,623.11 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 11 — — $193,145.43 $584,142.97 $193,145.43 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 11 — — $147,151.23 $491,987.15 $147,151.23 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 11 — — $146,287.65 $444,440.92 $146,287.65 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 11 — — $95,466.18 $293,023.40 $95,466.18 2026-04-01
7 MS_DRG Lung Transplant 11 11 — — $89,254.95 $271,015.18 $89,254.95 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 11 — — $82,829.39 $271,699.57 $82,829.39 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 11 — — $78,100.67 $228,537.56 $78,100.67 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 9 9 — — $78,011.07 $81,131.51 $78,011.07 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 11 — — $75,043.02 $217,377.90 $75,959.96 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 11 — — $74,946.12 $225,912.00 $74,946.12 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 11 — — $71,061.70 $220,841.32 $71,061.70 2026-04-01
215 MS_DRG Other Heart Assist System Implant 11 11 — — $68,625.32 $219,713.11 $68,625.32 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 — — $67,424.70 $200,139.65 $67,424.70 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $63,342.28 $412,113.26 $65,875.97 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 11 — — $59,710.23 $172,963.26 $62,095.68 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 11 11 — — $59,682.73 $191,033.15 $59,682.73 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $56,824.55 $421,582.72 $58,245.16 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 11 — — $58,100.29 $175,729.84 $58,100.29 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 11 — — $57,917.65 $175,630.30 $57,917.65 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $55,272.32 $360,987.25 $57,483.22 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 11 — — $54,233.09 $167,166.71 $54,233.09 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 1 1 — — $52,923.72 $52,923.72 $52,923.72 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 11 — — $52,920.13 $160,457.64 $52,920.13 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 11 — — $52,692.00 $162,091.88 $52,692.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 11 — — $52,517.63 $154,789.67 $52,517.63 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 11 — — $49,751.80 $147,219.94 $49,751.80 2026-04-01
10 MS_DRG Pancreas Transplant 11 11 — — $49,456.13 $165,343.75 $49,456.13 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 11 — — $47,814.72 $138,505.41 $49,435.45 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 11 — — $49,172.86 $164,391.83 $49,172.86 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 11 — — $49,143.92 $146,552.14 $49,143.92 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 11 — — $47,637.29 $144,270.85 $47,637.29 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 11 — — $47,403.64 $138,271.06 $47,403.64 2026-04-01
J9226 HCPCS Supprelin La Implant 5 4 — — $45,020.65 $294,201.70 $46,821.48 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 11 — — $46,391.87 $141,603.82 $46,391.87 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 11 — — $44,288.67 $128,291.45 $46,084.48 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 11 — — $46,050.71 $139,038.40 $46,050.71 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 — — $42,592.58 $123,378.38 $45,318.07 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 — — $45,318.07 $133,920.02 $45,318.07 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 11 — — $44,086.77 $127,706.61 $45,153.35 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 11 — — $44,349.03 $134,133.63 $44,349.03 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 11 — — $42,237.96 $124,234.91 $42,237.96 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 11 — — $42,189.03 $131,151.36 $42,189.03 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 11 — — $41,784.46 $126,680.03 $41,784.46 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 11 11 — — $41,410.21 $126,074.45 $41,410.21 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 11 — — $41,398.50 $128,457.37 $41,398.50 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 11 — — $41,088.37 $119,021.12 $41,098.69 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 11 — — $40,963.60 $123,293.36 $40,963.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 11 11 — — $40,868.49 $125,170.23 $40,868.49 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 11 — — $40,447.38 $122,024.13 $40,447.38 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 11 — — $40,421.19 $120,740.38 $40,421.19 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 11 — — $39,163.18 $113,444.40 $39,747.82 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 11 — — $39,494.19 $118,309.77 $39,494.19 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 9 — — $39,332.91 $40,906.23 $39,332.91 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 11 — — $38,666.31 $112,005.12 $39,281.91 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 11 — — $38,747.77 $114,172.34 $38,747.77 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 11 — — $38,627.85 $112,836.75 $38,627.85 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 11 — — $35,818.26 $103,755.14 $38,363.19 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 11 — — $38,065.44 $127,269.02 $38,065.44 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 11 11 — — $37,837.31 $114,622.38 $37,837.31 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 11 — — $37,703.61 $112,579.59 $37,703.61 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 11 — — $37,649.85 $110,329.41 $37,649.85 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 11 — — $37,590.57 $111,899.35 $37,590.57 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 11 11 — — $37,440.32 $125,170.23 $37,440.32 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 11 — — $36,754.55 $109,839.97 $36,754.55 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 11 — — $36,732.50 $106,799.63 $36,732.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 11 — — $36,485.76 $114,630.67 $36,485.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 11 — — $36,365.15 $106,449.14 $36,365.15 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 11 — — $35,876.49 $105,650.69 $35,876.49 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 11 11 — — $35,814.46 $115,603.33 $35,814.46 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 11 — — $32,878.57 $95,239.71 $34,737.91 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 11 — — $34,374.00 $105,327.16 $34,374.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 11 — — $34,098.31 $103,340.36 $34,098.31 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 11 — — $16,974.97 $103,726.11 $34,037.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 11 — — $33,921.18 $104,451.97 $33,921.18 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 11 — — $33,779.89 $111,884.83 $33,779.89 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 11 11 — — $33,280.21 $100,729.32 $33,280.21 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 11 — — $33,112.04 $103,836.03 $33,112.04 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 11 — — $32,812.23 $97,564.55 $32,812.23 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 3 — — $9,680.05 $48,238.38 $32,718.36 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 11 — — $32,402.84 $95,544.57 $32,402.84 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 11 — — $32,336.67 $98,599.43 $32,336.67 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 11 — — $32,240.18 $99,032.87 $32,240.18 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 11 11 — — $31,958.98 $100,561.34 $31,958.98 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 11 — — $31,831.48 $96,481.98 $31,831.48 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 11 — — $31,679.85 $95,227.27 $31,679.85 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 11 — — $31,599.21 $97,041.93 $31,599.21 2026-04-01
245 MS_DRG Aicd Generator Procedures 11 11 — — $31,444.83 $101,341.12 $31,444.83 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 11 — — $31,350.40 $93,559.85 $31,350.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 11 — — $31,336.62 $92,744.81 $31,336.62 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 11 11 — — $31,213.94 $98,603.58 $31,213.94 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 11 — — $30,889.32 $95,583.98 $30,889.32 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 11 — — $30,000.45 $86,902.63 $30,880.36 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 11 — — $30,759.06 $91,096.06 $30,759.06 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 11 — — $30,275.92 $88,460.13 $30,275.92 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 11 — — $29,825.17 $88,331.55 $29,825.17 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 11 — — $29,587.39 $93,001.97 $29,587.39 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 4 — — $28,424.06 $175,958.45 $29,561.02 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 11 11 — — $29,397.16 $87,705.23 $29,397.16 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 11 — — $22,350.98 $84,681.48 $29,228.31 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 11 — — $29,107.00 $86,282.54 $29,107.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 11 — — $29,057.38 $85,100.41 $29,057.38 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 11 — — $29,042.91 $85,226.92 $29,042.91 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 11 — — $28,958.13 $86,896.41 $28,958.13 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 11 — — $28,923.67 $91,877.92 $28,923.67 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 11 — — $28,869.91 $85,274.62 $28,869.91 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 11 — — $28,758.26 $89,544.78 $28,758.26 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 15 12 — — $1,537.97 $86,494.07 $28,737.58 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 11 — — $28,623.17 $84,347.59 $28,623.17 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 11 — — $27,993.65 $81,089.49 $28,433.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 11 11 — — $27,975.31 $84,202.41 $27,975.31 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 11 — — $27,709.96 $81,487.68 $27,709.96 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 11 — — $25,663.94 $74,341.02 $27,459.09 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 1 1 — — $27,364.74 $27,364.74 $27,364.74 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 2 2 — — $11,191.95 $42,792.75 $26,992.35 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $6,127.05 $47,819.28 $26,973.16 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 11 — — $26,961.47 $78,837.23 $26,961.47 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 11 — — $26,839.48 $89,731.43 $26,839.48 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 11 — — $26,677.51 $80,643.60 $26,677.51 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 11 — — $26,637.54 $81,491.83 $26,637.54 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 11 — — $26,612.04 $78,223.36 $26,612.04 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 11 — — $26,461.10 $82,613.81 $26,461.10 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 11 — — $25,935.23 $79,268.61 $25,935.23 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 11 — — $23,638.52 $68,473.96 $25,822.20 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 11 — — $11,202.14 $79,865.89 $25,760.86 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 11 — — $25,658.22 $74,324.43 $25,758.10 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 6 6 — — $7,307.33 $29,462.21 $25,714.84 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 11 — — $25,685.73 $81,842.32 $25,685.73 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 11 — — $24,859.22 $72,009.96 $25,541.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 11 11 — — $25,315.62 $80,071.21 $25,315.62 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 11 — — $25,305.28 $73,644.19 $25,305.28 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 11 — — $22,722.82 $65,821.44 $25,008.23 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 11 — — $24,988.93 $73,007.50 $24,988.93 2026-04-01
332 MS_DRG Rectal Resection With Mcc 11 11 — — $24,832.73 $71,933.22 $24,954.47 2026-04-01
265 MS_DRG Aicd Lead Procedures 11 11 — — $24,937.24 $73,973.94 $24,937.24 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 11 — — $24,893.13 $74,345.17 $24,893.13 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 11 — — $22,940.47 $66,451.90 $24,855.91 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 4 — — $24,228.42 $151,599.50 $24,834.13 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 11 — — $24,693.26 $82,555.74 $24,693.26 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 11 — — $24,636.05 $81,655.66 $24,636.05 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 11 — — $24,611.24 $75,156.06 $24,611.24 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 11 — — $24,574.71 $72,609.31 $24,574.71 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 11 — — $24,554.04 $72,661.16 $24,554.04 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 11 — — $18,771.55 $77,646.82 $24,530.60 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 11 — — $24,510.62 $71,433.41 $24,510.62 2026-04-01
509 MS_DRG Arthroscopy 2 2 — — $12,575.66 $36,428.05 $24,501.86 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 11 — — $24,305.92 $71,029.00 $24,305.92 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 11 — — $24,256.30 $75,664.17 $24,256.30 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 11 11 — — $24,041.95 $71,138.92 $24,041.95 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 11 — — $24,035.75 $80,154.16 $24,035.75 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 11 — — $23,925.47 $71,854.41 $23,925.47 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 11 — — $23,809.68 $71,317.27 $23,809.68 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 9 9 — — $23,699.41 $24,647.39 $23,699.41 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 11 — — $23,629.11 $72,648.72 $23,629.11 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 11 — — $23,513.32 $69,610.45 $23,513.32 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 11 — — $23,482.31 $73,192.08 $23,482.31 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 12 11 — — $5,300.28 $72,480.73 $23,023.98 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 11 — — $19,591.26 $56,750.20 $22,766.90 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 11 11 — — $22,689.71 $68,868.00 $22,689.71 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 11 — — $22,343.37 $64,722.27 $22,686.95 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 11 — — $22,418.84 $70,653.63 $22,418.84 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 11 — — $22,320.29 $67,590.47 $22,320.29 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 11 — — $11,857.69 $66,144.97 $22,295.47 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 11 — — $22,092.79 $63,996.41 $22,264.46 2026-04-01
652 MS_DRG Kidney Transplant 11 11 — — $21,988.26 $63,693.62 $22,258.26 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 11 — — $22,241.72 $66,854.24 $22,241.72 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 11 11 — — $22,198.29 $65,954.17 $22,198.29 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 11 — — $20,490.49 $59,355.02 $22,126.62 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 11 — — $22,005.31 $70,346.69 $22,005.31 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 11 — — $21,964.65 $64,129.14 $21,964.65 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 11 — — $21,943.28 $67,561.44 $21,943.28 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 11 — — $21,899.17 $73,216.97 $21,899.17 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 11 11 — — $21,812.33 $65,711.52 $21,812.33 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 11 — — $21,779.25 $63,950.78 $21,779.25 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 11 — — $21,717.22 $66,261.11 $21,717.22 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 11 — — $21,706.88 $64,417.41 $21,706.88 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 11 — — $20,085.26 $58,181.19 $21,655.88 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 2 — — $11,070.02 $32,066.64 $21,568.33 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 11 — — $21,511.83 $71,205.28 $21,511.83 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 11 — — $21,110.50 $61,151.02 $21,467.04 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 11 — — $21,429.13 $63,428.16 $21,429.13 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 11 — — $21,100.37 $64,693.24 $21,100.37 2026-04-01
263 MS_DRG Vein Ligation And Stripping 11 11 — — $19,201.06 $55,619.92 $21,072.11 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 11 — — $17,614.67 $67,785.42 $20,905.32 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 11 — — $20,461.85 $59,272.06 $20,817.79 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 11 — — $20,525.57 $59,456.64 $20,815.04 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 11 — — $18,075.59 $52,359.75 $20,792.29 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 11 — — $20,513.85 $63,635.55 $20,513.85 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 14 11 — — $70.16 $60,080.88 $20,305.02 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 11 11 — — $18,927.57 $54,827.69 $20,291.23 2026-04-01
570 MS_DRG Skin Debridement With Mcc 11 11 — — $20,270.56 $62,432.69 $20,270.56 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 11 11 — — $20,125.13 $60,477.00 $20,125.13 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 11 — — $5,754.99 $60,993.40 $20,072.06 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 11 — — $20,001.07 $60,823.34 $20,001.07 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 11 — — $19,988.67 $58,239.26 $19,988.67 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 11 — — $19,519.66 $56,542.81 $19,900.45 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 11 — — $19,890.80 $61,926.65 $19,890.80 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 11 11 — — $18,971.24 $54,954.20 $19,861.85 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 11 — — $19,781.90 $60,445.89 $19,781.90 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 11 — — $19,646.13 $60,391.97 $19,646.13 2026-04-01
800 MS_DRG Splenic Procedures With Cc 11 11 — — $19,362.86 $60,425.15 $19,362.86 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 11 11 — — $19,293.25 $58,523.38 $19,293.25 2026-04-01
503 MS_DRG Foot Procedures With Mcc 11 11 — — $18,947.62 $54,885.76 $19,236.73 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 11 — — $18,243.12 $52,845.05 $19,104.40 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 11 — — $19,002.40 $56,061.66 $19,002.40 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 11 — — $18,944.50 $55,665.55 $18,944.50 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 11 11 — — $18,780.80 $54,402.54 $18,939.68 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 11 — — $18,841.81 $56,339.57 $18,841.81 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 11 — — $18,752.21 $59,037.71 $18,752.21 2026-04-01
849 MS_DRG Radiotherapy 11 11 — — $18,674.33 $55,391.80 $18,674.33 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 11 — — $18,651.59 $56,644.43 $18,651.59 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 11 — — $18,590.93 $54,259.45 $18,590.93 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $18,354.00 $19,088.16 $18,537.54 2026-04-01
64580 HCPCS Implant Neuroelectrodes 3 3 — — $18,354.00 $19,088.16 $18,537.54 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 3 3 — — $18,354.00 $19,088.16 $18,537.54 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 3 3 — — $18,354.00 $19,088.16 $18,537.54 2026-04-01
63655 HCPCS Implant Neuroelectrodes 3 3 — — $18,354.00 $19,088.16 $18,537.54 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $18,354.00 $19,088.16 $18,537.54 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 3 3 — — $18,354.00 $19,088.16 $18,537.54 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 11 — — $18,333.17 $59,388.20 $18,333.17 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 11 — — $18,269.07 $55,219.66 $18,269.07 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 11 — — $18,177.40 $55,024.71 $18,177.40 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 11 11 — — $17,889.31 $52,944.59 $17,889.31 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 11 — — $17,867.95 $52,959.11 $17,867.95 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 11 — — $17,801.09 $55,879.16 $17,801.09 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 11 — — $17,161.32 $49,711.38 $17,776.28 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 11 11 — — $17,161.32 $49,711.38 $17,776.28 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 11 11 — — $17,696.33 $53,680.83 $17,696.33 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 11 11 — — $17,595.71 $51,888.98 $17,595.71 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 11 — — $17,512.31 $53,593.72 $17,512.31 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 11 — — $17,189.96 $49,794.34 $17,479.23 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 11 11 — — $17,395.83 $52,195.92 $17,395.83 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 11 11 — — $17,388.25 $51,175.56 $17,388.25 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 11 — — $17,174.59 $50,184.23 $17,174.59 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 2 2 — — $8,791.15 $25,465.42 $17,128.28 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 11 11 — — $17,104.29 $52,401.23 $17,104.29 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 11 — — $16,741.77 $48,496.08 $16,949.22 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 11 — — $16,944.40 $50,779.44 $16,944.40 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 11 11 — — $13,187.80 $38,201.24 $16,920.96 2026-04-01
792 MS_DRG Prematurity Without Major Problems 12 11 — — $2,032.63 $50,806.40 $16,880.30 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 11 — — $16,845.84 $50,356.37 $16,845.84 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 11 11 — — $16,825.85 $49,093.36 $16,825.85 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
20802 HCPCS Replantation Arm Complete 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
20805 HCPCS Replant Forearm Complete 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
24363 HCPCS Replace Elbow Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
25446 HCPCS Wrist Replacement 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
28705 HCPCS Fusion Of Foot Bones 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
23616 HCPCS Treat Humerus Fracture 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22600 HCPCS Neck Spine Fusion 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
27487 HCPCS Revise/replace Knee Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22610 HCPCS Thorax Spine Fusion 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22556 HCPCS Thorax Spine Fusion 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
20808 HCPCS Replantation Hand Complete 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
20838 HCPCS Replantation Foot Complete 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
22612 HCPCS Lumbar Spine Fusion 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 3 3 — — $16,588.34 $17,251.88 $16,754.23 2026-04-01
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