Price Transparency Hospital negotiated rates

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 →

Export CSV
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.

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
             
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 4 — — $3,248,445.72 $4,927,183.29 $3,895,460.00 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
J3393 HCPCS Inj, Betibeglogene Autotemce 14 5 — — $2,945,740.00 $4,570,904.76 $3,620,960.00 2026-04-01
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
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
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
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
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 6 — — $110,901.76 $297,948.67 $172,086.26 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
14 MS_DRG Allogeneic Bone Marrow Transplant 58 16 — — $91,972.35 $275,656.04 $96,570.97 2026-04-01
7 MS_DRG Lung Transplant 58 16 — — $99,031.35 $274,961.68 $103,982.92 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 58 16 — — $83,311.96 $229,201.72 $87,477.56 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
215 MS_DRG Other Heart Assist System Implant 58 16 — — $76,368.05 $222,912.56 $80,186.45 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
38240 HCPCS Transplt Allo Hct/donor 26 7 — — $13,471.00 $217,966.74 $94,590.46 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 40 16 — — $86,679.05 $203,687.10 $86,679.05 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
A9543 HCPCS Y90 Ibritumomab, Rx 28 8 — — $56,824.55 $198,610.40 $87,998.49 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
J7330 HCPCS Cultured Chondrocytes Implnt 10 3 — — $88,813.56 $187,316.25 $134,648.12 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
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 14 6 — — $68,801.71 $184,842.67 $106,759.61 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
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
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 34 9 — — $63,342.28 $170,175.37 $98,288.22 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
10 MS_DRG Pancreas Transplant 58 16 — — $55,309.16 $167,751.48 $58,074.62 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
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
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
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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 8 — — $55,272.32 $159,077.71 $85,525.65 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
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 7 — — $10,817.74 $152,631.11 $66,236.93 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
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 8 — — $14,014.53 $152,631.11 $45,852.85 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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 16 — — $51,942.83 $143,665.84 $54,539.97 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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 5 — — $85,012.82 $139,550.22 $122,850.09 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
90288 HCPCS Botulism Ig IV 2 1 — — $135,886.95 $135,886.95 $135,886.95 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
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
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
L7181 HCPCS Electronic Elbo Simultaneous 14 6 — — $49,338.18 $132,551.95 $76,558.05 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
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
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
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
L7180 HCPCS Electronic Elbow Sequential 14 6 — — $47,919.99 $128,741.85 $74,357.45 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 16 — — $46,881.22 $128,524.74 $49,225.28 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 60 16 — — $43,195.67 $127,910.34 $48,793.58 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 58 16 — — $42,108.84 $126,992.96 $44,214.28 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
J9226 HCPCS Supprelin La Implant 34 9 — — $45,020.65 $126,141.59 $69,858.54 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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 16 — — $45,979.44 $125,088.75 $48,278.41 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
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
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
0686T HCPCS Histotripsy Mal Hepatcel Tis 22 7 — — $14,014.53 $118,713.46 $52,493.19 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
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
834 MS_DRG Acute Leukemia With Mcc 58 16 — — $42,544.96 $116,291.50 $44,672.21 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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 58 16 — — $43,413.43 $114,479.87 $45,584.10 2026-04-01
69930 HCPCS Implant Cochlear Device 32 9 — — $15,624.00 $114,255.94 $49,928.18 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
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
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
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
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
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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 16 — — $40,927.67 $107,999.24 $42,974.05 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
61886 HCPCS Implant Neurostim Arrays 32 9 — — $6,350.00 $106,928.98 $46,842.99 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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 84 20 — — $21,058.18 $106,860.93 $42,112.90 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
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
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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 16 — — $38,437.37 $104,845.20 $40,359.24 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
245 MS_DRG Aicd Generator Procedures 58 16 — — $35,522.31 $102,816.85 $37,298.43 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
6 MS_DRG Liver Transplant Without Mcc 58 16 — — $36,087.15 $102,025.70 $37,891.51 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
799 MS_DRG Splenic Procedures With Mcc 58 16 — — $35,268.66 $100,039.43 $37,032.09 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
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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 58 16 — — $35,947.07 $97,886.94 $37,744.42 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 58 16 — — $36,574.76 $96,935.89 $38,403.50 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
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
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
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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 16 — — $35,403.43 $94,095.35 $37,173.60 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
20696 HCPCS Comp Multiplane Ext Fixation 28 8 — — $10,499.00 $94,025.59 $34,525.43 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
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 14 6 — — $34,970.13 $93,950.75 $54,263.15 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 7 — — $23,576.00 $93,275.23 $41,410.27 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 16 — — $34,768.93 $92,422.59 $36,507.38 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
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
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
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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 58 16 — — $33,272.79 $88,982.39 $34,936.43 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 16 — — $34,902.19 $88,168.10 $36,647.30 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
793 MS_DRG Full Term Neonate With Major Problems 58 16 — — $32,548.18 $87,753.59 $34,175.59 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 16 — — $32,693.56 $86,516.38 $34,328.24 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
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
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
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
791 MS_DRG Prematurity With Major Problems 58 16 — — $31,710.76 $85,428.56 $33,296.30 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 8 — — $24,228.42 $84,681.99 $38,301.50 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
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
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
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
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
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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 58 16 — — $32,214.28 $82,270.31 $33,824.99 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 58 16 — — $30,285.03 $81,817.93 $31,799.28 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
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 62 17 — — $23,519.39 $81,237.20 $30,228.33 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
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
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
L5856 HCPCS Elec Knee-shin Swing/stance 14 6 — — $29,559.78 $79,415.30 $45,867.91 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
L6700 HCPCS Ue Add Ext Power Myoel 14 6 — — $29,510.19 $79,282.08 $45,790.96 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 14 6 — — $29,420.21 $79,040.34 $45,651.34 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
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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 5 — — $46,886.96 $76,965.87 $67,755.28 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
J9266 HCPCS Pegaspargase Injection 34 9 — — $28,424.06 $76,364.08 $43,929.38 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 76 18 — — $5,381.46 $76,250.48 $28,015.07 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
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
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
265 MS_DRG Aicd Lead Procedures 58 16 — — $28,373.20 $75,051.14 $29,791.86 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 58 16 — — $26,774.84 $74,257.90 $28,113.58 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
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
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
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 58 16 — — $29,036.48 $73,058.56 $30,488.30 2026-04-01
332 MS_DRG Rectal Resection With Mcc 58 16 — — $28,392.13 $72,980.71 $29,811.74 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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 58 16 — — $27,904.52 $72,473.62 $29,299.75 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
252 MS_DRG Other Vascular Procedures With Mcc 58 16 — — $27,389.65 $72,174.84 $28,759.13 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
54411 HCPCS Remov/replc Penis Pros Comp 22 7 — — $17,331.79 $71,820.75 $31,757.99 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 26 7 — — $5,437.00 $71,820.75 $31,167.87 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
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
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
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
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 18 7 — — $19,234.03 $67,225.83 $29,845.44 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 30 8 — — $4,830.00 $67,225.83 $29,726.19 2026-04-01
63655 HCPCS Implant Neuroelectrodes 28 8 — — $19,234.03 $67,225.83 $29,450.00 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
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
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 26 7 — — $14,014.53 $66,746.16 $29,632.49 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
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
36906 HCPCS Thrmbc/nfs Dialysis Circuit 30 8 — — $6,350.00 $63,523.31 $28,088.99 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
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
974 MS_DRG HIV With Major Related Condition With Mcc 66 18 — — $6,565.42 $62,828.43 $31,155.70 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 22 7 — — $17,771.01 $62,112.37 $36,309.70 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
472 MS_DRG Cervical Spinal Fusion With Cc 60 17 — — $23,284.33 $60,955.78 $30,217.24 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 14 6 — — $21,834.21 $58,659.79 $33,880.14 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 72 19 — — $9,615.65 $57,366.18 $30,867.83 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
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 24 8 — — $8,932.71 $54,771.34 $31,852.03 2025-01-01
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
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 14 6 — — $20,015.46 $53,773.53 $31,057.99 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 14 6 — — $19,809.02 $53,218.91 $30,737.66 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
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 62 17 — — $19,462.19 $49,808.26 $30,025.65 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 14 6 — — $18,506.37 $49,719.21 $28,716.33 2026-04-01
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
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 18 5 — — $28,955.86 $47,531.62 $41,843.46 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 10 3 — — $5,007.82 $47,318.40 $32,730.24 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
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
509 MS_DRG Arthroscopy 18 5 — — $22,514.82 $36,958.52 $32,535.65 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
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
See an error in this hospital's data? Submit a correction