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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

KETTERING HEALTH MIAMISBURG

Miamisburg, OH · CCN 360239 · Rates published

13,697 distinct procedures filed
36 distinct payers
550,182 rate rows
2026-04-01 last MRF observed
Data quality

360,653 of 550,182 rate rows are consumer-grade (65.6%)

189,529 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 182,119
template filing: same amount across many unrelated codes — excluded 6,908
placeholder amount (≤ $0.02) — excluded from medians 502
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ketteringhealth.org/wp-content/uploads/2026/03/310621866_1316966518_kettering-medical-center-_standardcharges.json
Found on page https://ketteringhealth.org/billing-insurance/patient-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint c86fef29e9b11da1… · 61,244,397 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,526,200.00 $4,197,865.00 nat. median
$3,710,000
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,927,183.29 $3,895,460.00 nat. median
$3,286,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,052,573.44 $3,767,429.58 nat. median
$3,325,455
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,809,595.13 $3,723,867.04 nat. median
$2,469,189
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,570,904.76 $3,620,960.00 nat. median
$3,006,423
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,897,200.00 $3,537,135.12 nat. median
$2,448,600
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $2,070,347.69 $1,193,382.13 nat. median
$824,563
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,589,731.61 $901,051.07 nat. median
$754,974
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,520,263.51 $861,676.94 nat. median
$675,122
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,511,315.09 $856,605.02 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,497,290.36 $848,655.89 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,432,576.18 $811,976.24 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,314,565.76 $745,088.59 nat. median
$620,080
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $327,940.44 $793,460.32 $344,337.46 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $213,163.34 $592,649.22 $223,821.51 nat. median
$265,286
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $110,901.76 $297,948.67 $172,086.26 nat. median
$111,989
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $162,635.04 $499,151.43 $170,766.79 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $151,031.34 $450,912.84 $169,770.64 nat. median
$202,986
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $113,585.43 $186,452.72 $164,139.71 nat. median
$87,411
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $98,142.30 $161,102.52 $141,823.20 nat. median
$63,570
outlier · 2.2×
90288
HCPCS 		Botulism Ig IV 1 $135,886.95 $135,886.95 $135,886.95 nat. median
$55,037
outlier · 2.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $88,813.56 $187,316.25 $134,648.12 nat. median
$76,377
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $90,869.37 $149,163.86 $131,313.25 nat. median
$54,196
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $85,012.82 $139,550.22 $122,850.09 nat. median
$65,381
1.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 $82,046.74 $134,681.34 $118,563.87 nat. median
$49,935
outlier · 2.4×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $184,842.67 $106,759.61 nat. median
$70,825
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $42,560.17 $128,693.07 $106,573.96 nat. median
$62,270
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $3,815.30 $297,290.39 $105,854.88 nat. median
$133,176
0.8× median
7
MS_DRG 		Lung Transplant 16 $99,031.35 $274,961.68 $103,982.92 nat. median
$122,708
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $170,175.37 $98,288.22 nat. median
$69,774
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $66,893.30 $109,806.67 $96,665.98 nat. median
$44,728
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $91,972.35 $275,656.04 $96,570.97 nat. median
$117,303
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $13,471.00 $217,966.74 $94,590.46 nat. median
$15,912
outlier · 5.9×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $64,829.60 $106,419.07 $93,683.78 nat. median
$48,649
1.9× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 $64,355.33 $105,640.55 $92,998.43 nat. median
$39,020
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $86,777.48 $231,865.51 $91,116.35 nat. median
$108,660
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $84,425.74 $220,543.35 $88,647.03 nat. median
$98,905
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $198,610.40 $87,998.49 nat. median
$62,507
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $83,311.96 $229,201.72 $87,477.56 nat. median
$102,358
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $86,679.05 $203,687.10 $86,679.05 nat. median
$98,017
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $159,077.71 $85,525.65 nat. median
$66,682
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $79,044.61 $224,057.19 $82,996.84 nat. median
$100,136
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 $33,012.94 $96,906.43 $82,780.09 nat. median
$48,483
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 16 $76,368.05 $222,912.56 $80,186.45 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $75,049.08 $203,054.07 $78,801.53 nat. median
$93,672
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 6 $49,338.18 $132,551.95 $76,558.05 nat. median
$50,598
1.5× median
L7180
HCPCS 		Electronic Elbow Sequential 6 $47,919.99 $128,741.85 $74,357.45 nat. median
$49,027
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $69,194.72 $175,481.94 $72,654.46 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $66,543.90 $193,814.96 $69,871.10 nat. median
$83,442
0.8× median

Other procedures at this hospital

Browse this hospital's 13,697 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 3 — — $3,685,266.67 $4,526,200.00 $4,197,865.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 4 — — $3,248,445.72 $4,927,183.29 $3,895,460.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 3 — — $3,316,462.59 $4,052,573.44 $3,767,429.58 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 5 — — $2,455,110.60 $3,809,595.13 $3,723,867.04 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 5 — — $2,945,740.00 $4,570,904.76 $3,620,960.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 18 6 — — $2,332,000.00 $4,897,200.00 $3,537,135.12 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 20 6 — — $770,620.00 $2,070,347.69 $1,193,382.13 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 6 — — $591,726.20 $1,589,731.61 $901,051.07 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 24 6 — — $565,868.94 $1,520,263.51 $861,676.94 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 24 6 — — $562,538.19 $1,511,315.09 $856,605.02 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 24 6 — — $557,317.93 $1,497,290.36 $848,655.89 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 6 — — $533,230.17 $1,432,576.18 $811,976.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 24 6 — — $489,304.61 $1,314,565.76 $745,088.59 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 58 16 — — $327,940.44 $793,460.32 $344,337.46 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 16 — — $213,163.34 $592,649.22 $223,821.51 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 6 — — $110,901.76 $297,948.67 $172,086.26 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 58 16 — — $162,635.04 $499,151.43 $170,766.79 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 60 16 — — $151,031.34 $450,912.84 $169,770.64 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 18 5 — — $113,585.43 $186,452.72 $164,139.71 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 5 — — $98,142.30 $161,102.52 $141,823.20 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $135,886.95 $135,886.95 $135,886.95 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 3 — — $88,813.56 $187,316.25 $134,648.12 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 5 — — $90,869.37 $149,163.86 $131,313.25 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 5 — — $85,012.82 $139,550.22 $122,850.09 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 18 5 — — $82,046.74 $134,681.34 $118,563.87 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 14 6 — — $68,801.71 $184,842.67 $106,759.61 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 24 8 — — $42,560.17 $128,693.07 $106,573.96 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 70 21 — — $3,815.30 $297,290.39 $105,854.88 2026-04-01
7 MS_DRG Lung Transplant 58 16 — — $99,031.35 $274,961.68 $103,982.92 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 34 9 — — $63,342.28 $170,175.37 $98,288.22 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 5 — — $66,893.30 $109,806.67 $96,665.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 58 16 — — $91,972.35 $275,656.04 $96,570.97 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 26 7 — — $13,471.00 $217,966.74 $94,590.46 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 5 — — $64,829.60 $106,419.07 $93,683.78 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 18 5 — — $64,355.33 $105,640.55 $92,998.43 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 16 — — $86,777.48 $231,865.51 $91,116.35 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 16 — — $84,425.74 $220,543.35 $88,647.03 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 28 8 — — $56,824.55 $198,610.40 $87,998.49 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 58 16 — — $83,311.96 $229,201.72 $87,477.56 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 40 16 — — $86,679.05 $203,687.10 $86,679.05 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 8 — — $55,272.32 $159,077.71 $85,525.65 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 58 16 — — $79,044.61 $224,057.19 $82,996.84 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 20 6 — — $33,012.94 $96,906.43 $82,780.09 2026-04-01
215 MS_DRG Other Heart Assist System Implant 58 16 — — $76,368.05 $222,912.56 $80,186.45 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $75,049.08 $203,054.07 $78,801.53 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 14 6 — — $49,338.18 $132,551.95 $76,558.05 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 14 6 — — $47,919.99 $128,741.85 $74,357.45 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 58 16 — — $69,194.72 $175,481.94 $72,654.46 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 58 16 — — $66,543.90 $193,814.96 $69,871.10 2026-04-01
J9226 HCPCS Supprelin La Implant 34 9 — — $45,020.65 $126,141.59 $69,858.54 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 16 — — $64,805.46 $178,288.81 $68,045.73 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 16 — — $64,604.81 $178,187.81 $67,835.05 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 5 — — $46,886.96 $76,965.87 $67,755.28 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 7 — — $10,817.74 $152,631.11 $66,236.93 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 16 — — $60,557.04 $169,600.98 $63,584.89 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $59,114.65 $162,794.22 $62,070.38 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 16 — — $58,864.03 $164,452.25 $61,807.23 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 16 — — $58,672.47 $157,043.71 $61,606.09 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 16 — — $55,633.98 $149,363.75 $58,415.68 2026-04-01
10 MS_DRG Pancreas Transplant 58 16 — — $55,309.16 $167,751.48 $58,074.62 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 58 16 — — $55,286.45 $140,522.32 $58,050.77 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 16 — — $54,997.97 $166,785.69 $57,747.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 58 16 — — $54,966.17 $148,686.23 $57,714.48 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 88 19 — — $15,194.26 $146,371.72 $55,976.57 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 18 5 — — $38,579.62 $63,329.20 $55,750.53 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 58 16 — — $53,054.34 $140,284.56 $55,707.06 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 18 5 — — $38,395.04 $63,026.21 $55,483.79 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 16 — — $51,942.83 $143,665.84 $54,539.97 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 14 6 — — $34,970.13 $93,950.75 $54,263.15 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 58 16 — — $51,605.14 $130,159.63 $54,185.40 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 58 16 — — $51,568.04 $141,063.07 $54,146.44 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 5 — — $19,013.14 $88,269.25 $53,641.19 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $50,763.18 $125,175.01 $53,301.34 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $50,763.18 $135,870.15 $53,301.34 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 60 17 — — $29,291.70 $129,566.27 $53,111.32 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 22 7 — — $14,014.53 $118,713.46 $52,493.19 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 74 19 — — $34,226.91 $136,086.88 $52,183.54 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 30 8 — — $3,958.00 $152,631.11 $50,273.00 2026-04-01
69930 HCPCS Implant Cochlear Device 32 9 — — $15,624.00 $114,255.94 $49,928.18 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 58 16 — — $47,379.43 $126,044.01 $49,748.40 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 58 16 — — $47,325.67 $133,061.18 $49,691.95 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 16 — — $46,881.22 $128,524.74 $49,225.28 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 18 5 — — $34,051.02 $55,895.42 $49,206.35 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 60 16 — — $43,195.67 $127,910.34 $48,793.58 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 58 16 — — $46,457.21 $130,327.95 $48,780.07 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 16 — — $46,127.84 $120,754.30 $48,434.23 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 26 7 — — $10,817.74 $108,769.59 $48,289.12 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 26 7 — — $23,576.00 $108,769.59 $48,289.12 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 26 7 — — $10,817.74 $108,769.59 $48,289.12 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 26 7 — — $18,353.44 $108,769.59 $48,289.12 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 26 7 — — $18,353.44 $108,769.59 $48,289.12 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 26 7 — — $18,353.44 $108,769.59 $48,289.12 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 26 7 — — $10,817.74 $108,769.59 $48,289.12 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 16 — — $45,979.44 $125,088.75 $48,278.41 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 58 16 — — $45,874.95 $126,992.96 $48,168.70 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 58 16 — — $45,412.33 $123,801.04 $47,682.95 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 58 16 — — $45,383.56 $122,498.60 $47,652.74 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 58 16 — — $44,643.81 $115,096.37 $46,876.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 9 — — $6,350.00 $106,928.98 $46,842.99 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 16 — — $44,365.18 $120,032.59 $46,583.44 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 26 7 — — $10,817.74 $106,928.98 $46,403.69 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 26 7 — — $10,817.74 $106,928.98 $46,403.69 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 7 — — $10,817.74 $106,928.98 $46,403.69 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 26 7 — — $8,386.90 $106,928.98 $46,403.69 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 26 7 — — $3,086.00 $106,928.98 $46,403.69 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 26 7 — — $3,086.00 $106,928.98 $46,403.69 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 14 6 — — $29,559.78 $79,415.30 $45,867.91 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 8 — — $14,014.53 $152,631.11 $45,852.85 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 14 6 — — $29,510.19 $79,282.08 $45,790.96 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 16 — — $43,545.17 $115,834.91 $45,722.43 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 14 6 — — $29,420.21 $79,040.34 $45,651.34 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 58 16 — — $43,413.43 $114,479.87 $45,584.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 16 — — $43,122.68 $105,266.02 $45,278.81 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 58 16 — — $42,795.58 $129,122.30 $44,935.36 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 58 16 — — $42,544.96 $116,291.50 $44,672.21 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 16 — — $42,398.07 $114,218.96 $44,517.97 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 58 16 — — $42,339.02 $111,936.02 $44,455.97 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 16 — — $42,273.90 $113,528.82 $44,387.60 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 58 16 — — $42,108.84 $126,992.96 $44,214.28 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 40 16 — — $44,188.00 $103,837.38 $44,188.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 18 — — $18,426.77 $113,636.13 $44,131.97 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 7 — — $23,576.00 $99,394.38 $44,126.92 2026-04-01
J9266 HCPCS Pegaspargase Injection 34 9 — — $28,424.06 $76,364.08 $43,929.38 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $41,355.47 $111,439.45 $43,423.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 58 16 — — $41,331.24 $108,354.84 $43,397.80 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 16 — — $41,060.17 $116,299.92 $43,113.18 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 16 — — $40,927.67 $107,999.24 $42,974.05 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 58 16 — — $40,322.70 $117,286.74 $42,338.84 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 84 20 — — $21,058.18 $106,860.93 $42,112.90 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 18 5 — — $28,955.86 $47,531.62 $41,843.46 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 7 — — $23,576.00 $93,275.23 $41,410.27 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $39,140.02 $96,626.58 $41,097.02 2026-04-01
22558 HCPCS Lumbar Spine Fusion 26 7 — — $11,376.86 $94,025.59 $40,804.04 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 26 7 — — $11,376.86 $94,025.59 $40,804.04 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 66 17 — — $15,931.99 $107,189.17 $40,390.84 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 16 — — $38,437.37 $104,845.20 $40,359.24 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 16 — — $33,207.18 $105,973.00 $40,154.92 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 58 16 — — $38,087.56 $113,514.09 $39,991.94 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 58 16 — — $37,538.62 $102,196.14 $39,415.55 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 26 7 — — $18,353.44 $90,573.65 $39,306.01 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 26 7 — — $18,353.44 $90,573.65 $39,306.01 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 26 7 — — $18,353.44 $90,573.65 $39,306.01 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 16 — — $37,353.88 $105,348.08 $39,221.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 58 16 — — $37,024.51 $98,985.28 $38,875.74 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 58 16 — — $36,574.76 $96,935.89 $38,403.50 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 106 20 — — $3,693.92 $148,645.53 $38,370.74 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 8 — — $24,228.42 $84,681.99 $38,301.50 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 58 16 — — $36,396.07 $100,474.98 $38,215.87 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 66 18 — — $24,194.40 $75,406.74 $37,991.61 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 58 16 — — $36,087.15 $102,025.70 $37,891.51 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 66 18 — — $23,672.66 $83,034.10 $37,888.43 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 58 16 — — $35,947.07 $97,886.94 $37,744.42 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 94 20 — — $7,228.58 $96,613.96 $37,569.52 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 16 — — $35,691.91 $98,455.05 $37,476.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 72 17 — — $9,923.69 $126,278.34 $37,414.62 2026-04-01
245 MS_DRG Aicd Generator Procedures 58 16 — — $35,522.31 $102,816.85 $37,298.43 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 64 17 — — $16,962.16 $94,922.26 $37,189.51 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 16 — — $35,403.43 $94,095.35 $37,173.60 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 58 16 — — $35,268.66 $100,039.43 $37,032.09 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 58 16 — — $34,912.04 $96,975.86 $36,657.64 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 16 — — $34,902.19 $88,168.10 $36,647.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 16 — — $34,768.93 $92,422.59 $36,507.38 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 22 7 — — $17,771.01 $62,112.37 $36,309.70 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 62 17 — — $9,802.60 $89,748.28 $35,950.07 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 14 6 — — $23,087.32 $62,026.39 $35,824.59 2026-04-01
L5858 HCPCS Stance Phase Only 14 6 — — $22,885.05 $61,482.98 $35,510.73 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 58 16 — — $33,742.98 $89,617.83 $35,430.13 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 64 17 — — $15,353.77 $83,816.82 $35,408.74 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 18 5 — — $24,475.97 $40,177.79 $35,369.67 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 60 17 — — $28,942.31 $94,356.26 $35,155.85 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 58 16 — — $33,272.79 $88,982.39 $34,936.43 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 58 16 — — $33,087.28 $85,914.61 $34,741.64 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 58 16 — — $32,954.02 $87,538.98 $34,601.72 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 58 16 — — $32,899.51 $86,339.64 $34,544.49 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 58 16 — — $32,883.61 $86,467.99 $34,527.79 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 28 8 — — $10,499.00 $94,025.59 $34,525.43 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 62 16 — — $5,398.84 $93,215.84 $34,390.25 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 16 — — $32,693.56 $86,516.38 $34,328.24 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 26 7 — — $10,817.74 $77,079.07 $34,219.86 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 26 7 — — $14,014.53 $77,079.07 $34,219.86 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 26 7 — — $18,353.44 $77,079.07 $34,219.86 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 26 7 — — $10,817.74 $77,079.07 $34,219.86 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 26 7 — — $11,376.86 $77,079.07 $34,219.86 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 26 7 — — $18,353.44 $77,079.07 $34,219.86 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 26 7 — — $18,353.44 $77,079.07 $34,219.86 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 26 7 — — $10,817.74 $77,079.07 $34,219.86 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 26 7 — — $10,817.74 $77,079.07 $34,219.86 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 26 7 — — $10,817.74 $77,079.07 $34,219.86 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 16 — — $32,570.90 $90,848.73 $34,199.44 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 58 16 — — $32,548.18 $87,753.59 $34,175.59 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 58 16 — — $32,422.49 $85,575.85 $34,043.61 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 14 6 — — $21,834.21 $58,659.79 $33,880.14 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 58 16 — — $32,214.28 $82,270.31 $33,824.99 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 64 17 — — $21,118.10 $68,150.00 $33,737.22 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 14 6 — — $21,739.52 $58,405.39 $33,733.21 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 18 5 — — $23,286.46 $38,225.18 $33,650.73 2026-04-01
791 MS_DRG Prematurity With Major Problems 58 16 — — $31,710.76 $85,428.56 $33,296.30 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 58 16 — — $31,419.26 $82,674.30 $32,990.22 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 66 18 — — $10,206.46 $88,161.79 $32,790.47 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 10 3 — — $5,007.82 $47,318.40 $32,730.24 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 58 16 — — $31,143.65 $75,423.57 $32,700.83 2026-04-01
509 MS_DRG Arthroscopy 18 5 — — $22,514.82 $36,958.52 $32,535.65 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 16 — — $30,596.98 $79,985.26 $32,126.83 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 30 8 — — $4,830.00 $106,928.98 $32,123.20 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 30 8 — — $4,830.00 $106,928.98 $32,123.20 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 58 16 — — $30,462.97 $91,038.09 $31,986.12 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 24 8 — — $8,932.71 $54,771.34 $31,852.03 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 58 16 — — $30,285.03 $81,817.93 $31,799.28 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 22 7 — — $17,331.79 $71,820.75 $31,757.99 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 60 16 — — $25,023.60 $82,678.51 $31,753.18 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 62 16 — — $25,033.86 $79,362.44 $31,723.76 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 26 7 — — $5,437.00 $71,820.75 $31,167.87 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 66 18 — — $6,565.42 $62,828.43 $31,155.70 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 14 6 — — $20,015.46 $53,773.53 $31,057.99 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 72 19 — — $22,289.98 $80,422.91 $30,943.05 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 72 19 — — $9,615.65 $57,366.18 $30,867.83 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 58 16 — — $29,345.40 $69,471.07 $30,812.67 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 64 18 — — $14,490.80 $81,028.89 $30,741.91 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 14 6 — — $19,809.02 $53,218.91 $30,737.66 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 62 16 — — $20,506.31 $53,883.95 $30,724.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 58 16 — — $29,036.48 $73,058.56 $30,488.30 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 62 17 — — $23,519.39 $81,237.20 $30,228.33 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 60 17 — — $23,284.33 $60,955.78 $30,217.24 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 16 — — $26,213.38 $74,716.59 $30,216.41 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 18 5 — — $20,872.83 $34,263.16 $30,162.85 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 62 17 — — $19,462.19 $49,808.26 $30,025.65 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 58 16 — — $28,451.19 $66,857.45 $29,873.75 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 58 16 — — $28,429.99 $74,070.63 $29,851.49 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 18 7 — — $19,234.03 $67,225.83 $29,845.44 2026-04-01
332 MS_DRG Rectal Resection With Mcc 58 16 — — $28,392.13 $72,980.71 $29,811.74 2026-04-01
265 MS_DRG Aicd Lead Procedures 58 16 — — $28,373.20 $75,051.14 $29,791.86 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 16 — — $27,357.10 $75,427.78 $29,740.99 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 30 8 — — $4,830.00 $67,225.83 $29,726.19 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 16 — — $28,283.86 $67,419.57 $29,698.05 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 26 7 — — $14,014.53 $66,746.16 $29,632.49 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 58 16 — — $28,105.17 $83,757.91 $29,510.43 2026-04-01
63655 HCPCS Implant Neuroelectrodes 28 8 — — $19,234.03 $67,225.83 $29,450.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 58 16 — — $28,042.33 $82,844.73 $29,444.45 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 60 17 — — $25,287.10 $73,666.65 $29,373.69 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 58 16 — — $27,952.22 $73,719.25 $29,349.83 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 58 16 — — $27,904.52 $72,473.62 $29,299.75 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 26 7 — — $8,386.90 $67,225.83 $29,173.82 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 26 7 — — $8,386.90 $67,225.83 $29,173.82 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 26 7 — — $10,817.74 $67,225.83 $29,173.82 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 78 19 — — $15,561.00 $72,063.32 $29,063.63 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 62 17 — — $11,516.73 $76,765.98 $29,006.39 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 26 7 — — $11,376.86 $66,746.16 $28,965.66 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 26 7 — — $10,817.74 $66,746.16 $28,965.66 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 26 7 — — $19,096.79 $66,746.16 $28,965.66 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 26 7 — — $10,672.27 $66,746.16 $28,965.66 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 26 7 — — $19,096.79 $66,746.16 $28,965.66 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 26 7 — — $10,817.74 $66,746.16 $28,965.66 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 26 7 — — $19,096.79 $66,746.16 $28,965.66 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 26 7 — — $11,376.86 $66,746.16 $28,965.66 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 26 7 — — $19,096.79 $66,746.16 $28,965.66 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 26 7 — — $19,096.79 $66,746.16 $28,965.66 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 26 7 — — $19,096.79 $66,746.16 $28,965.66 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 58 16 — — $27,389.65 $72,174.84 $28,759.13 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 14 6 — — $18,506.37 $49,719.21 $28,716.33 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 60 16 — — $19,741.07 $72,900.75 $28,624.77 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 64 16 — — $24,535.08 $78,777.50 $28,624.64 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 68 16 — — $5,095.44 $81,321.36 $28,617.99 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 60 16 — — $22,502.73 $72,355.79 $28,491.21 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 16 — — $22,992.49 $73,706.62 $28,282.93 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 30 8 — — $11,376.86 $94,025.59 $28,246.81 2026-04-01
22630 HCPCS Lumbar Spine Fusion 30 8 — — $11,376.86 $94,025.59 $28,246.81 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 26 7 — — $18,174.70 $63,523.31 $28,201.67 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 26 7 — — $18,174.70 $63,523.31 $28,201.67 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 60 16 — — $23,824.13 $70,624.12 $28,149.36 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 58 16 — — $26,774.84 $74,257.90 $28,113.58 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 30 8 — — $6,350.00 $63,523.31 $28,088.99 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 76 18 — — $5,381.46 $76,250.48 $28,015.07 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 12 5 — — $5,423.51 $50,586.60 $28,005.06 2025-01-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 14 6 — — $17,892.75 $48,070.66 $27,764.18 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 14 6 — — $17,866.14 $47,999.17 $27,722.89 2026-04-01
63281 HCPCS Bx/exc Idrl Spine Lesn Thrc 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63295 HCPCS Repair Laminectomy Defect 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63280 HCPCS Bx/exc Idrl Spine Lesn Crvl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 10 3 — — $21,466.00 $32,957.00 $27,619.94 2026-04-01
63278 HCPCS Bx/exc Xdrl Spine Lesn Scrl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63276 HCPCS Bx/exc Xdrl Spine Lesn Thrc 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
22103 HCPCS Remove Extra Spine Segment 10 3 — — $4,830.00 $32,957.00 $27,619.94 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 10 3 — — $21,466.00 $32,957.00 $27,619.94 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 10 3 — — $18,211.00 $32,957.00 $27,619.94 2026-04-01
63285 HCPCS Bx/exc Idrl Imed Lesn Cervl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63283 HCPCS Bx/exc Idrl Spine Lesn Scrl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 10 3 — — $21,466.00 $32,957.00 $27,619.94 2026-04-01
63273 HCPCS Excise Intrspinl Lesion Scrl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63275 HCPCS Bx/exc Xdrl Spine Lesn Crvl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 10 3 — — $21,466.00 $32,957.00 $27,619.94 2026-04-01
63251 HCPCS Revise Spinal Cord Vsls Thrc 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 10 3 — — $21,466.00 $32,957.00 $27,619.94 2026-04-01
63250 HCPCS Revise Spinal Cord Vsls Crvl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 10 3 — — $21,466.00 $32,957.00 $27,619.94 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 10 3 — — $21,466.00 $32,957.00 $27,619.94 2026-04-01
63197 HCPCS Incise Spine&cord 2 Trx Thrc 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63270 HCPCS Excise Intrspinl Lesion Crvl 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
63170 HCPCS Incise Spinal Cord Tract(s) 10 3 — — $3,086.00 $32,957.00 $27,619.94 2026-04-01
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