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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

GRADY MEMORIAL HOSPITAL

Delaware, OH · CCN 360210 · Rates published

9,082 distinct procedures filed
14 distinct payers
137,488 rate rows
2026-04-01 last MRF observed
Data quality

73,720 of 137,488 rate rows are consumer-grade (53.6%)

63,768 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 62,954
template filing: same amount across many unrelated codes — excluded 792
placeholder amount (≤ $0.02) — excluded from medians 22
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/314379436_grady-memorial-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 054685a25ae17949… · 20,974,697 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
$3,006,423
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
$2,469,189
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
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $937,241.17 $580,015.67 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $878,026.14 $576,601.64 nat. median
$674,188
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
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $829,687.57 $501,537.22 nat. median
$620,080
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $394,322.50 $394,322.50 $394,322.50 nat. median
$76,377
outlier · 5.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $305,644.49 $317,870.27 $305,644.49 nat. median
$370,174
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $421,582.72 $240,340.12 nat. median
$62,507
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $199,088.92 $207,052.48 $199,088.92 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $152,179.99 $158,267.19 $152,179.99 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $151,299.22 $157,351.19 $151,299.22 nat. median
$202,986
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $412,113.26 $107,783.47 nat. median
$69,774
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $99,467.00 $103,445.68 $99,467.00 nat. median
$133,176
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $360,987.25 $94,412.05 nat. median
$66,682
1.4× median
7
MS_DRG 		Lung Transplant 10 $93,132.25 $96,857.54 $93,132.25 nat. median
$122,708
0.8× median
J9600
HCPCS 		Porfimer Sodium Injection 4 $24,228.42 $151,599.50 $88,398.53 nat. median
$31,644
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $86,578.89 $90,042.05 $86,578.89 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $81,756.13 $85,026.38 $81,756.13 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $81,664.75 $84,931.34 $81,664.75 nat. median
$98,017
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $79,572.84 $82,755.75 $79,572.84 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $78,538.84 $81,680.39 $78,538.84 nat. median
$102,358
0.8× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $294,201.70 $76,945.05 nat. median
$60,368
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $74,577.16 $77,560.25 $74,577.16 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $72,092.33 $74,976.02 $72,092.33 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $70,867.83 $73,702.54 $70,867.83 nat. median
$93,672
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $65,432.82 $68,050.13 $65,432.82 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $62,971.88 $65,490.76 $62,971.88 nat. median
$83,442
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $61,357.97 $63,812.29 $61,357.97 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $61,171.70 $63,618.57 $61,171.70 nat. median
$81,118
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $57,413.86 $59,710.41 $57,413.86 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $56,074.79 $58,317.78 $56,074.79 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $55,842.13 $58,075.82 $55,842.13 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $55,664.29 $57,890.86 $55,664.29 nat. median
$72,138
0.8× median
A9604
HCPCS 		Sm 153 Lexidronam 4 $3,159.80 $105,838.72 $54,562.46 nat. median
$11,413
outlier · 4.8×
J9216
HCPCS 		Interferon Gamma 1-b Inj 1 $52,923.72 $52,923.72 $52,923.72 nat. median
$10,268
outlier · 5.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $52,843.45 $54,957.19 $52,843.45 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 10 $52,541.90 $54,643.58 $52,541.90 nat. median
$68,882
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $52,520.81 $54,621.64 $52,520.81 nat. median
$64,027
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $52,252.99 $54,343.11 $52,252.99 nat. median
$71,240
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $52,223.47 $54,312.41 $52,223.47 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $50,686.88 $121,754.41 $50,686.88 nat. median
$66,526
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $50,448.59 $52,466.53 $50,448.59 nat. median
$65,950
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $49,416.70 $51,393.37 $49,416.70 nat. median
$64,732
0.8× median

Other procedures at this hospital

Browse this hospital's 9,082 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 6 3 — — $3,685,266.67 $3,832,677.33 $3,722,119.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $3,316,462.59 $3,449,121.09 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $3,248,445.72 $3,378,383.54 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 3 — — $2,945,740.00 $3,063,569.60 $2,975,197.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 3 — — $2,455,110.60 $2,553,315.03 $2,479,661.71 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 3 — — $2,332,000.00 $2,425,280.00 $2,355,320.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 3 — — $591,726.20 $961,560.52 $606,519.35 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 3 — — $565,868.94 $937,241.17 $580,015.67 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 3 — — $562,538.19 $878,026.14 $576,601.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 3 — — $557,317.93 $898,131.13 $571,250.88 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 3 — — $533,230.17 $832,179.16 $546,560.93 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 3 — — $489,304.61 $829,687.57 $501,537.22 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 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 20 10 — — $305,644.49 $317,870.27 $305,644.49 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 — — $199,088.92 $207,052.48 $199,088.92 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $152,179.99 $158,267.19 $152,179.99 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 10 — — $151,299.22 $157,351.19 $151,299.22 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 — — $99,467.00 $103,445.68 $99,467.00 2026-04-01
7 MS_DRG Lung Transplant 20 10 — — $93,132.25 $96,857.54 $93,132.25 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $86,578.89 $90,042.05 $86,578.89 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $81,756.13 $85,026.38 $81,756.13 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 10 — — $81,664.75 $84,931.34 $81,664.75 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $79,572.84 $82,755.75 $79,572.84 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $78,538.84 $81,680.39 $78,538.84 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $74,577.16 $77,560.25 $74,577.16 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 10 — — $72,092.33 $74,976.02 $72,092.33 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $70,867.83 $73,702.54 $70,867.83 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $65,432.82 $68,050.13 $65,432.82 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 4 — — $63,342.28 $412,113.26 $107,783.47 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $62,971.88 $65,490.76 $62,971.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $61,357.97 $63,812.29 $61,357.97 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $61,171.70 $63,618.57 $61,171.70 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $57,413.86 $59,710.41 $57,413.86 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 4 — — $56,824.55 $421,582.72 $240,340.12 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $56,074.79 $58,317.78 $56,074.79 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $55,842.13 $58,075.82 $55,842.13 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $55,664.29 $57,890.86 $55,664.29 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 4 — — $55,272.32 $360,987.25 $94,412.05 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 6 1 — — $52,923.72 $52,923.72 $52,923.72 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $52,843.45 $54,957.19 $52,843.45 2026-04-01
10 MS_DRG Pancreas Transplant 20 10 — — $52,541.90 $54,643.58 $52,541.90 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 10 — — $52,520.81 $54,621.64 $52,520.81 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $52,252.99 $54,343.11 $52,252.99 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $52,223.47 $54,312.41 $52,223.47 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 10 — — $50,686.88 $121,754.41 $50,686.88 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $50,448.59 $52,466.53 $50,448.59 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $49,416.70 $51,393.37 $49,416.70 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $49,103.19 $51,067.32 $49,103.19 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $49,068.75 $51,031.50 $49,068.75 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,321.54 $50,254.40 $48,321.54 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,321.54 $50,254.40 $48,321.54 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $48,153.54 $50,079.68 $48,153.54 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $45,180.17 $46,987.38 $45,180.17 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $45,130.26 $46,935.47 $45,130.26 2026-04-01
J9226 HCPCS Supprelin La Implant 14 4 — — $45,020.65 $294,201.70 $76,945.05 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $44,717.65 $46,506.36 $44,717.65 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $44,335.96 $46,109.40 $44,335.96 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $44,324.01 $46,096.97 $44,324.01 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $44,018.24 $45,778.97 $44,018.24 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 10 — — $43,880.47 $45,635.69 $43,880.47 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 10 — — $43,783.46 $45,534.80 $43,783.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $43,353.98 $45,088.14 $43,353.98 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $43,327.26 $45,060.35 $43,327.26 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $42,640.51 $44,346.13 $42,640.51 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $42,381.83 $44,077.10 $42,381.83 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 10 — — $42,217.35 $43,906.04 $42,217.35 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $42,165.33 $43,851.94 $42,165.33 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $41,620.56 $43,285.38 $41,620.56 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 10 — — $41,498.26 $43,158.19 $41,498.26 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $41,228.33 $42,877.46 $41,228.33 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $40,924.67 $42,561.66 $40,924.67 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $40,555.63 $42,177.86 $40,555.63 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $40,500.81 $42,120.84 $40,500.81 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $40,440.35 $42,057.96 $40,440.35 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 10 — — $40,287.12 $41,898.60 $40,287.12 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $39,587.71 $41,171.22 $39,587.71 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $39,565.21 $41,147.82 $39,565.21 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $39,313.57 $40,886.11 $39,313.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 10 — — $39,190.56 $40,758.18 $39,190.56 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 10 — — $38,692.18 $40,239.87 $38,692.18 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $38,628.92 $40,174.08 $38,628.92 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $37,530.95 $39,032.19 $37,530.95 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 10 — — $37,159.81 $39,910.24 $37,159.81 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $36,878.64 $38,353.79 $36,878.64 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 10 — — $36,697.99 $38,165.91 $36,697.99 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $36,553.89 $38,016.05 $36,553.89 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 10 — — $36,143.54 $49,226.56 $47,333.23 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 10 — — $36,044.27 $37,755.48 $36,044.27 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $35,872.75 $37,307.66 $35,872.75 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $35,566.98 $36,989.66 $35,566.98 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 10 — — $35,149.44 $36,555.42 $35,149.44 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $34,983.55 $36,382.89 $34,983.55 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 10 — — $34,696.76 $36,084.63 $34,696.76 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $34,566.72 $35,949.39 $34,566.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 10 — — $34,329.84 $38,069.93 $34,329.84 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $34,172.38 $35,539.28 $34,172.38 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $34,062.02 $35,424.50 $34,062.02 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $33,936.90 $35,294.38 $33,936.90 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 10 — — $33,605.82 $34,950.05 $33,605.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $33,596.69 $34,940.56 $33,596.69 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $33,472.97 $34,811.89 $33,472.97 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 10 — — $32,980.22 $34,299.43 $32,980.22 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $32,520.51 $33,821.33 $32,520.51 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $32,278.00 $33,569.12 $32,278.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $32,083.99 $33,367.35 $32,083.99 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $31,911.78 $33,188.25 $31,911.78 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 10 — — $31,788.06 $33,059.58 $31,788.06 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $31,737.45 $33,006.95 $31,737.45 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $31,722.69 $32,991.60 $31,722.69 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $31,601.08 $32,865.12 $31,601.08 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $31,546.26 $32,808.11 $31,546.26 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $31,432.38 $32,689.68 $31,432.38 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 10 — — $31,294.61 $36,082.66 $31,294.61 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $31,101.30 $32,345.35 $31,101.30 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 10 — — $30,633.86 $31,859.21 $30,633.86 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $30,363.23 $31,577.76 $30,363.23 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $30,107.37 $31,311.66 $30,107.37 2026-04-01
61886 HCPCS Implant Neurostim Arrays 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 6 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $29,599.86 $30,783.85 $29,599.86 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $29,475.44 $30,654.46 $29,475.44 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $29,310.25 $30,482.66 $29,310.25 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 — — $29,269.48 $30,440.26 $29,269.48 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $29,243.48 $30,413.22 $29,243.48 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 10 — — $29,089.54 $109,822.02 $29,089.54 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 10 — — $28,553.20 $29,695.33 $28,553.20 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $28,437.93 $29,575.45 $28,437.93 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 4 — — $28,424.06 $175,958.45 $46,019.91 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 10 — — $28,375.37 $29,510.38 $28,375.37 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 10 — — $28,372.55 $29,507.45 $28,372.55 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 10 — — $28,298.75 $29,787.16 $28,298.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 10 — — $28,151.13 $29,277.18 $28,151.13 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 3 — — $28,031.71 $73,228.00 $28,368.41 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 10 — — $27,921.28 $29,038.13 $27,921.28 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $27,910.73 $29,027.16 $27,910.73 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $27,607.77 $28,712.08 $27,607.77 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $27,588.09 $28,691.61 $27,588.09 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 10 — — $27,552.94 $28,655.06 $27,552.94 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $27,535.37 $28,636.78 $27,535.37 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $27,452.43 $28,550.53 $27,452.43 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 6 1 — — $27,364.74 $27,364.74 $27,364.74 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $27,286.54 $28,378.00 $27,286.54 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $27,228.19 $28,317.32 $27,228.19 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $27,165.63 $28,252.26 $27,165.63 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $27,144.54 $28,230.32 $27,144.54 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 10 — — $27,120.65 $67,455.99 $27,120.65 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 10 — — $27,100.26 $28,184.27 $27,100.26 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 10 — — $26,840.88 $27,914.52 $26,840.88 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 22 10 — — $26,622.27 $27,971.86 $26,622.27 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 10 — — $26,615.95 $27,680.59 $26,615.95 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $26,503.48 $27,563.62 $26,503.48 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 10 — — $26,385.39 $27,440.81 $26,385.39 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 10 — — $26,272.92 $27,323.84 $26,272.92 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 10 — — $26,201.22 $28,208.71 $26,201.22 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $26,083.13 $27,126.46 $26,083.13 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $26,051.50 $27,093.56 $26,051.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 10 — — $25,584.05 $26,607.41 $25,584.05 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 10 — — $25,573.70 $36,485.24 $35,081.96 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $25,321.86 $26,334.73 $25,321.86 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 10 — — $25,243.14 $26,252.87 $25,243.14 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $25,240.32 $26,249.93 $25,240.32 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $24,966.89 $25,965.57 $24,966.89 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $24,866.37 $25,861.02 $24,866.37 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 10 — — $24,841.06 $26,546.00 $24,841.06 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $24,809.43 $25,801.81 $24,809.43 2026-04-01
652 MS_DRG Kidney Transplant 20 10 — — $24,803.10 $25,795.22 $24,803.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $24,786.23 $25,777.68 $24,786.23 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 10 — — $24,741.95 $25,731.63 $24,741.95 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $24,668.85 $25,655.60 $24,668.85 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $24,545.13 $25,526.94 $24,545.13 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 10 — — $24,481.87 $25,461.14 $24,481.87 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $24,436.88 $25,414.36 $24,436.88 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 10 — — $24,348.31 $32,131.83 $24,348.31 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 10 — — $24,314.57 $25,287.15 $24,314.57 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $24,251.31 $25,221.36 $24,251.31 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $24,240.77 $25,210.40 $24,240.77 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 4 — — $24,228.42 $151,599.50 $88,398.53 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 10 — — $24,188.75 $25,156.30 $24,188.75 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 10 — — $24,041.84 $25,003.51 $24,041.84 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $23,957.49 $24,915.79 $23,957.49 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 10 — — $23,622.19 $24,567.08 $23,622.19 2026-04-01
9440 OTHER Instill, Bupivac And Meloxic 2 1 — — $23,611.72 $23,611.72 $23,611.72 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 10 — — $23,593.37 $24,537.10 $23,593.37 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $23,333.99 $24,267.35 $23,333.99 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 10 — — $23,331.18 $24,264.43 $23,331.18 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $23,024.00 $23,944.96 $23,024.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 10 — — $22,811.02 $23,723.46 $22,811.02 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 10 — — $22,796.96 $23,708.84 $22,796.96 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 10 — — $22,775.87 $23,686.90 $22,775.87 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 10 — — $22,696.60 $24,240.31 $23,307.99 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 10 — — $22,627.55 $23,532.65 $22,627.55 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 10 — — $22,501.03 $23,401.07 $22,501.03 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $22,488.38 $23,387.92 $22,488.38 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 10 — — $22,398.40 $23,294.34 $22,398.40 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 10 — — $22,388.56 $23,284.10 $22,388.56 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $22,359.04 $23,253.40 $22,359.04 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 10 — — $22,139.02 $23,024.58 $22,139.02 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 10 — — $21,850.12 $22,724.12 $21,850.12 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 10 — — $21,779.13 $22,650.30 $21,779.13 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 10 — — $21,721.49 $22,590.35 $21,721.49 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 10 — — $21,482.49 $22,341.79 $21,482.49 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 10 — — $21,318.71 $22,171.46 $21,318.71 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 10 — — $21,227.33 $22,076.42 $21,227.33 2026-04-01
849 MS_DRG Radiotherapy 20 10 — — $21,147.90 $21,993.82 $21,147.90 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 10 — — $21,124.70 $21,969.69 $21,124.70 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 10 — — $21,062.85 $21,905.36 $21,062.85 2026-04-01
5184 OTHER Level 4 Vascular Procedures 2 1 — — $21,020.96 $21,020.96 $21,020.96 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 10 — — $20,799.95 $21,631.95 $20,799.95 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 10 — — $20,734.58 $21,563.96 $20,734.58 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 10 — — $20,641.09 $21,466.73 $20,641.09 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 10 — — $20,529.01 $22,280.39 $21,423.45 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 20 10 — — $20,347.27 $21,161.16 $20,347.27 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 10 — — $20,325.48 $21,138.50 $20,325.48 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 10 — — $20,257.29 $42,802.00 $20,257.29 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 10 — — $20,233.38 $86,803.70 $21,586.52 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 20 10 — — $20,231.99 $21,041.27 $20,231.99 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 10 — — $20,231.99 $21,041.27 $20,231.99 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 20 10 — — $20,150.45 $20,956.47 $20,150.45 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 20 10 — — $20,047.82 $20,849.73 $20,047.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 10 — — $20,012.89 $50,581.38 $27,202.89 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 10 — — $19,990.01 $23,980.00 $22,573.43 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 20 10 — — $19,843.97 $20,637.73 $19,843.97 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 20 10 — — $19,836.24 $20,629.69 $19,836.24 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 10 — — $19,681.02 $23,168.60 $22,277.50 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 10 — — $19,618.34 $20,403.07 $19,618.34 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 10 — — $19,552.63 $28,353.34 $26,891.49 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 20 10 — — $19,546.64 $20,328.51 $19,546.64 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 10 — — $19,388.48 $20,164.02 $19,388.48 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 20 10 — — $19,359.66 $20,134.05 $19,359.66 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 10 — — $19,283.04 $20,054.36 $19,283.04 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 20 10 — — $19,262.66 $20,033.17 $19,262.66 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 20 10 — — $19,128.40 $19,893.54 $19,128.40 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 20 10 — — $19,072.87 $19,835.78 $19,072.87 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 10 — — $19,009.60 $19,769.98 $19,009.60 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 22 10 — — $18,936.50 $53,467.22 $18,936.50 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 10 — — $18,905.57 $19,661.79 $18,905.57 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 20 10 — — $18,628.62 $19,373.76 $18,628.62 2026-04-01
333 MS_DRG Rectal Resection With Cc 20 10 — — $18,566.06 $19,308.70 $18,566.06 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 10 — — $18,540.75 $19,282.38 $18,540.75 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 20 10 — — $18,459.92 $19,198.32 $18,459.92 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 20 10 — — $18,448.67 $19,186.62 $18,448.67 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $18,348.15 $19,082.08 $18,348.15 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 22 10 — — $18,238.50 $70,472.90 $18,238.50 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 20 10 — — $18,233.58 $18,962.92 $18,233.58 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 20 10 — — $18,168.20 $18,894.93 $18,168.20 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 10 — — $18,140.09 $18,865.69 $18,140.09 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 20 10 — — $18,098.61 $18,822.55 $18,098.61 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 20 10 — — $18,071.90 $18,794.78 $18,071.90 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 20 10 — — $18,027.62 $18,748.72 $18,027.62 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 20 10 — — $17,837.83 $18,551.34 $17,837.83 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 20 10 — — $17,828.69 $18,541.84 $17,828.69 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 20 10 — — $17,704.27 $18,412.44 $17,704.27 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 20 10 — — $17,656.48 $18,362.74 $17,656.48 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 20 10 — — $17,641.01 $18,346.65 $17,641.01 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 10 — — $17,622.03 $18,326.91 $17,622.03 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 20 10 — — $17,557.36 $18,259.65 $17,557.36 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 20 10 — — $17,532.76 $18,234.07 $17,532.76 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 20 10 — — $17,508.86 $18,209.21 $17,508.86 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 20 10 — — $17,481.45 $18,180.71 $17,481.45 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 20 10 — — $17,443.49 $18,141.23 $17,443.49 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 10 — — $16,443.71 $19,269.95 $18,528.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 10 — — $15,897.84 $53,232.40 $23,423.26 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 22 10 — — $15,507.13 $42,319.68 $40,692.00 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 2 — — $12,257.41 $30,640.00 $21,448.71 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 11 — — $11,745.60 $107,563.65 $34,412.08 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 8 2 — — $11,191.95 $42,792.75 $42,792.75 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 10 — — $10,822.39 $20,461.80 $18,431.80 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 10 — — $9,934.74 $20,158.90 $19,383.56 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 10 — — $9,834.30 $25,483.81 $24,503.66 2026-04-01
2040 OTHER Endo, Single, Urinary Tract 12 5 — — $9,709.02 $64,024.41 $35,276.03 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 10 — — $9,391.70 $22,275.26 $21,418.52 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 32 10 — — $9,320.66 $44,220.68 $19,962.77 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 10 — — $8,986.05 $35,439.12 $34,076.08 2026-04-01
5376 OTHER Level 6 Urology And Related Services 4 2 — — $8,807.76 $43,275.18 $26,041.47 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 10 — — $7,866.28 $28,590.00 $27,490.38 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 10 — — $7,798.52 $24,956.00 $23,996.15 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 10 — — $7,649.50 $20,282.96 $18,876.75 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 28 9 — — $7,626.17 $58,004.73 $24,071.93 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 10 — — $6,659.87 $32,901.68 $31,636.23 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 12 5 — — $5,824.35 $85,139.79 $33,484.96 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 42 12 — — $5,356.72 $110,513.40 $18,952.67 2026-04-01
J0716 HCPCS Centruroides Immune F(ab) 12 4 — — $4,871.94 $34,099.65 $19,583.24 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 10 — — $4,073.58 $20,726.19 $19,929.03 2026-04-01
792 MS_DRG Prematurity Without Major Problems 28 10 — — $3,461.00 $20,090.92 $19,318.19 2026-04-01
J9015 HCPCS Aldesleukin Injection 12 4 — — $3,338.87 $36,084.56 $19,778.49 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 12 4 — — $3,159.80 $105,838.72 $54,562.46 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 11 — — $2,534.14 $41,041.22 $36,816.78 2026-04-01
A9515 HCPCS Choline C-11 12 4 — — $2,516.43 $32,500.00 $17,558.54 2026-04-01
A9582 HCPCS Iodine I-123 Iobenguane 12 4 — — $2,317.50 $33,204.67 $17,807.43 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 26 10 — — $1,879.67 $32,667.74 $31,411.29 2026-04-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 26 7 — — $984.72 $29,748.60 $20,194.85 2026-04-01
5731 OTHER Level 1 Minor Procedures 4 2 — — $22.87 $48,714.78 $24,368.82 2026-04-01
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