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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

BETHESDA BUTLER HOSPITAL

Hamilton, OH · CCN 360269 · Rates published

18,974 distinct procedures filed
38 distinct payers
282,757 rate rows
2026-04-01 last MRF observed
Data quality

235,449 of 282,757 rate rows are consumer-grade (83.3%)

47,308 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 47,170
placeholder amount (≤ $0.02) — excluded from medians 138
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.trihealth.com/static/pricing/310537122_BETHESDAHOSPITALINC_STANDARDCHARGES.csv
Found on page https://www.trihealth.com/patients-and-visitors/billing-and-insurance/pricing-estimates
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 78158f6b10990f87… · 64,283,637 bytes · first seen 2026-05-14

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,505,000.00 $4,640,150.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,321,376.38 $4,982,064.57 $4,059,988.87 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,245,381.39 $4,868,072.08 $3,968,059.86 nat. median
$3,286,000
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 6 $3,180,000.00 $4,770,000.00 $3,879,600.00 nat. median
$3,180,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,691,450.00 $4,614,465.33 $3,802,193.50 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,335,820.00 $4,836,939.00 $3,752,797.50 nat. median
$3,335,820
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,938,320.00 $4,407,480.00 $3,586,762.05 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,587,087.26 $3,880,630.89 $3,158,557.10 nat. median
$2,469,189
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,498,000.00 $2,845,040.00 nat. median
$2,448,600
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $2,219,385.60 $1,848,177.95 nat. median
$824,563
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $566,531.30 $1,768,840.73 $1,433,324.19 nat. median
$754,974
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $587,649.57 $1,694,865.05 $1,411,387.10 nat. median
$675,122
outlier · 2.1×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,201.24 $1,619,311.21 $1,348,470.16 nat. median
$674,188
outlier · 2.0×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $558,081.73 $1,612,169.51 $1,342,522.97 nat. median
$625,184
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $531,849.12 $1,531,725.46 $1,275,533.74 nat. median
$634,511
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,290.60 $1,409,156.93 $1,173,465.65 nat. median
$620,080
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $817,769.37 $675,910.99 nat. median
$324,450
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $318,937.10 $918,538.85 $508,866.12 nat. median
$370,174
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $262,233.77 $770,698.10 $492,900.00 nat. median
$265,000
1.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $201,669.02 $583,815.12 $486,167.99 nat. median
$209,753
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $10,483.42 $658,641.65 $300,019.02 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $158,156.65 $455,491.15 $251,594.29 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $41,570.07 $563,635.76 $226,107.55 nat. median
$202,986
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $110,901.76 $319,397.07 $191,658.27 nat. median
$111,989
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $184,197.20 $211,826.78 $187,814.16 nat. median
$76,377
outlier · 2.5×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $23,726.53 $241,924.47 $179,696.20 nat. median
$16,785
outlier · 10.7×
L5969
HCPCS 		Ak/ft Power Asst Incl Motors 1 $171,795.25 $175,168.68 $173,481.96 nat. median
$15,234
outlier · 11.4×
90288
HCPCS 		Botulism Ig IV 1 $149,029.65 $165,169.62 $161,988.75 nat. median
$55,037
outlier · 2.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $20,937.83 $299,272.00 $156,237.23 nat. median
$133,176
1.2× median
7
MS_DRG 		Lung Transplant 17 $96,293.99 $277,326.69 $152,605.16 nat. median
$122,708
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $89,428.22 $257,553.27 $141,618.93 nat. median
$117,303
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $137,685.79 $140,389.44 $139,037.61 nat. median
$96,983
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $84,375.54 $243,001.56 $133,533.93 nat. median
$108,660
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $80,184.34 $242,725.85 $127,793.23 nat. median
$98,017
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $76,854.35 $221,340.53 $121,498.93 nat. median
$100,136
1.2× median
C1882
HCPCS 		Aicd, Other Than Sing/dual 1 $117,562.50 $119,871.00 $118,716.75 nat. median
$27,112
outlier · 4.4×
215
MS_DRG 		Other Heart Assist System Implant 20 $3,207.49 $213,843.02 $117,209.14 nat. median
$99,019
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $27,500.27 $236,413.96 $114,333.38 nat. median
$98,905
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $45,091.00 $233,294.08 $112,816.32 nat. median
$102,358
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $3,104.13 $193,749.35 $106,169.13 nat. median
$82,712
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $205,861.17 $105,693.66 nat. median
$62,507
1.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $64,274.79 $185,133.02 $104,339.68 nat. median
$69,774
1.5× median
C1721
HCPCS 		Aicd, Dual Chamber 1 $103,237.75 $105,264.96 $104,251.36 nat. median
$22,210
outlier · 4.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $64,695.82 $186,323.96 $102,043.55 nat. median
$83,442
1.2× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $198,148.92 $101,482.52 nat. median
$70,825
1.4× median
C1722
HCPCS 		Aicd, Single Chamber 1 $99,618.75 $101,574.90 $100,596.82 nat. median
$20,768
outlier · 4.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $26,309.07 $181,454.31 $99,337.94 nat. median
$79,312
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $28,489.25 $609,304.84 $97,319.29 nat. median
$93,672
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $3,219.69 $180,892.25 $95,049.95 nat. median
$81,118
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $4,878.19 $169,553.78 $92,725.94 nat. median
$77,576
1.2× median

Other procedures at this hospital

Browse this hospital's 18,974 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,505,000.00 $4,640,150.00 $4,595,100.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,321,376.38 $4,982,064.57 $4,059,988.87 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,245,381.39 $4,868,072.08 $3,968,059.86 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 7 6 — — $3,180,000.00 $4,770,000.00 $3,879,600.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,691,450.00 $4,614,465.33 $3,802,193.50 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 6 5 — — $3,335,820.00 $4,836,939.00 $3,752,797.50 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,938,320.00 $4,407,480.00 $3,586,762.05 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 6 — — $2,587,087.26 $3,880,630.89 $3,158,557.10 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 6 — — $2,332,000.00 $3,498,000.00 $2,845,040.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 15 8 — — $770,620.00 $2,219,385.60 $1,848,177.95 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 8 — — $566,531.30 $1,768,840.73 $1,433,324.19 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 8 — — $587,649.57 $1,694,865.05 $1,411,387.10 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 8 — — $562,201.24 $1,619,311.21 $1,348,470.16 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 8 — — $558,081.73 $1,612,169.51 $1,342,522.97 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 8 — — $531,849.12 $1,531,725.46 $1,275,533.74 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 8 — — $489,290.60 $1,409,156.93 $1,173,465.65 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 9 — — $278,250.00 $817,769.37 $675,910.99 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 30 17 — — $318,937.10 $918,538.85 $508,866.12 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 23 8 — — $262,233.77 $770,698.10 $492,900.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 8 — — $201,669.02 $583,815.12 $486,167.99 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 26 — — $10,483.42 $658,641.65 $300,019.02 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 17 — — $158,156.65 $455,491.15 $251,594.29 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 23 — — $41,570.07 $563,635.76 $226,107.55 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 7 — — $110,901.76 $319,397.07 $191,658.27 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $184,197.20 $211,826.78 $187,814.16 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 6 1 — — $23,726.53 $241,924.47 $179,696.20 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $171,795.25 $175,168.68 $173,481.96 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $149,029.65 $165,169.62 $161,988.75 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 21 — — $20,937.83 $299,272.00 $156,237.23 2026-04-01
7 MS_DRG Lung Transplant 30 17 — — $96,293.99 $277,326.69 $152,605.16 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 30 17 — — $89,428.22 $257,553.27 $141,618.93 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $137,685.79 $140,389.44 $139,037.61 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 17 — — $84,375.54 $243,001.56 $133,533.93 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 32 18 — — $80,184.34 $242,725.85 $127,793.23 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 17 — — $76,854.35 $221,340.53 $121,498.93 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 2 1 — — $117,562.50 $119,871.00 $118,716.75 2026-04-01
215 MS_DRG Other Heart Assist System Implant 34 20 — — $3,207.49 $213,843.02 $117,209.14 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 25 — — $27,500.27 $236,413.96 $114,333.38 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 20 — — $45,091.00 $233,294.08 $112,816.32 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 18 — — $3,104.13 $193,749.35 $106,169.13 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 23 9 — — $56,824.55 $205,861.17 $105,693.66 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 20 9 — — $64,274.79 $185,133.02 $104,339.68 2026-04-01
C1721 HCPCS Aicd, Dual Chamber 2 1 — — $103,237.75 $105,264.96 $104,251.36 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 30 17 — — $64,695.82 $186,323.96 $102,043.55 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 12 7 — — $68,801.71 $198,148.92 $101,482.52 2026-04-01
C1722 HCPCS Aicd, Single Chamber 2 1 — — $99,618.75 $101,574.90 $100,596.82 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 18 — — $26,309.07 $181,454.31 $99,337.94 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 25 — — $28,489.25 $609,304.84 $97,319.29 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 18 — — $3,219.69 $180,892.25 $95,049.95 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 18 — — $4,878.19 $169,553.78 $92,725.94 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 9 — — $638.91 $180,154.38 $90,415.14 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 9 — — $54,404.11 $162,055.27 $89,710.29 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 18 — — $56,222.49 $164,274.80 $86,250.35 2026-04-01
10 MS_DRG Pancreas Transplant 30 17 — — $53,768.62 $154,853.63 $84,558.45 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 30 17 — — $53,746.52 $154,789.98 $84,523.10 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 27 — — $29,551.41 $165,513.40 $84,457.76 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 17 — — $53,465.94 $153,981.91 $84,074.13 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 25 — — $27,500.27 $155,763.50 $81,743.29 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 17 — — $50,494.43 $145,423.96 $79,319.28 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 18 — — $47,483.55 $144,374.11 $78,735.97 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 50 28 — — $25,075.63 $164,811.37 $77,607.73 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $49,347.07 $142,119.56 $77,483.34 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $42,026.70 $142,119.56 $77,483.34 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $49,171.06 $141,612.65 $77,201.70 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $75,780.76 $77,268.82 $76,524.79 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 21 — — $17,059.07 $148,537.50 $74,784.50 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 7 — — $49,338.18 $142,093.96 $72,773.82 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 41 24 — — $2,477.40 $144,478.02 $72,740.67 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 17 — — $46,003.66 $132,490.54 $72,133.40 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 17 — — $45,571.37 $131,245.55 $71,441.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 22 — — $40,545.81 $153,892.83 $70,933.22 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 7 — — $47,919.99 $138,009.57 $70,681.99 2026-04-01
C1817 HCPCS Septal Defect Imp Sys 2 1 — — $69,305.50 $70,666.41 $69,985.96 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 30 17 — — $44,592.65 $128,426.83 $69,875.58 2026-04-01
J9226 HCPCS Supprelin La Implant 20 9 — — $41,173.43 $121,091.69 $69,599.65 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 14 8 — — $30,071.45 $88,379.19 $68,550.14 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 14 8 — — $30,071.45 $88,379.19 $68,550.14 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 34 20 — — $18,967.16 $130,093.89 $68,150.24 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 20 — — $30,905.04 $130,057.83 $68,131.14 2026-04-01
S9989 HCPCS Services Outside US 2 1 — — $67,375.00 $68,698.00 $68,036.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 18 — — $37,824.68 $124,978.20 $67,959.51 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 4 2 — — $29,009.00 $103,276.93 $67,264.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 31 18 — — $42,253.88 $123,701.41 $67,250.11 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 24 — — $25,008.83 $139,137.52 $67,032.14 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 19 — — $40,386.29 $127,050.34 $66,538.55 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 24 — — $38,966.69 $121,900.72 $66,249.65 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 17 — — $42,198.50 $121,531.68 $66,044.61 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 18 — — $34,154.18 $120,717.24 $65,592.10 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 17 — — $41,597.57 $119,801.00 $65,083.03 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 19 — — $13,556.71 $124,197.70 $65,027.97 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 20 — — $39,562.19 $129,135.23 $65,016.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 18 — — $32,043.20 $118,687.54 $64,464.37 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 17 — — $41,153.50 $118,522.08 $64,372.46 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 30 17 — — $40,929.63 $117,877.33 $64,014.22 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 18 9 — — $1,209.84 $89,900.49 $63,617.72 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 18 9 — — $1,485.83 $126,153.02 $63,313.16 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 18 9 — — $1,395.57 $126,153.02 $63,313.16 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 18 9 — — $1,736.65 $126,153.02 $63,313.16 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 18 9 — — $3,660.47 $126,153.02 $63,313.16 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 9 — — $2,734.46 $89,900.49 $63,212.72 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 18 — — $35,088.89 $115,699.13 $62,804.01 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 17 — — $39,909.67 $114,939.85 $62,382.14 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 18 — — $3,071.16 $119,098.97 $62,328.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 19 — — $27,890.13 $118,339.69 $61,925.93 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 32 18 — — $21,731.47 $112,874.05 $61,234.38 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 16 9 — — $5,219.00 $98,119.33 $61,109.82 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 22 — — $40,272.31 $132,641.11 $60,965.32 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 19 — — $35,838.42 $115,767.01 $60,563.60 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 20 — — $1,409.65 $128,719.53 $59,125.94 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 12 7 — — $39,537.89 $113,869.12 $58,842.75 2026-04-01
69930 HCPCS Implant Cochlear Device 18 9 — — $3,093.45 $94,435.08 $58,815.23 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 51 29 — — $21,737.29 $127,130.95 $58,763.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 21 — — $23,161.83 $107,592.94 $58,300.16 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $37,018.43 $106,613.08 $57,755.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 24 — — $23,644.26 $209,692.17 $57,682.15 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 19 — — $35,972.41 $109,561.16 $57,277.36 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 33 19 — — $32,400.46 $105,075.39 $56,901.40 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 17 — — $36,304.82 $104,557.88 $56,613.87 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 18 9 — — $1,679.37 $89,900.49 $55,991.04 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 18 9 — — $1,202.71 $89,900.49 $55,991.04 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 16 9 — — $15,006.00 $89,900.49 $55,991.04 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 17 — — $35,547.03 $102,375.45 $55,401.30 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 16 9 — — $5,219.00 $88,379.19 $55,043.55 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 16 9 — — $5,219.00 $88,379.19 $55,043.55 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 16 9 — — $7,766.00 $88,379.19 $55,043.55 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 30 17 — — $35,072.77 $101,009.58 $54,642.41 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 18 — — $32,680.84 $99,427.36 $53,763.32 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 20 — — $10,494.21 $164,315.34 $53,601.88 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 17 — — $34,407.77 $99,094.38 $53,578.31 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 47 27 — — $2,589.00 $173,492.15 $53,379.93 2026-04-01
0466T HCPCS Insj Chwal Respir Eltrd/ra 1 1 — — $53,346.00 $53,346.00 $53,346.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 19 — — $14,266.48 $101,874.90 $53,207.19 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 18 9 — — $839.00 $88,379.19 $53,122.08 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 9 — — $2,190.35 $88,379.19 $53,122.08 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 18 9 — — $1,312.80 $88,379.19 $53,122.08 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 17 — — $33,920.25 $97,690.32 $52,798.21 2026-04-01
V5249 HCPCS Hearing Aid, Binaural, Itc 2 1 — — $52,250.00 $53,276.00 $52,763.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 17 — — $33,235.28 $97,317.04 $52,590.81 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 21 — — $1,756.63 $114,602.41 $52,162.69 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 19 — — $35,987.57 $107,047.87 $51,677.24 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 12 7 — — $34,970.13 $100,713.97 $51,580.94 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 18 — — $32,366.73 $98,716.84 $51,534.88 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 18 — — $27,225.48 $93,711.46 $50,587.53 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 22 — — $15,366.69 $123,544.45 $50,441.46 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 17 — — $32,335.44 $93,126.07 $50,262.30 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 41 23 — — $22,165.69 $92,606.46 $49,973.59 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 17 — — $31,972.38 $92,080.45 $49,681.34 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 19 — — $22,839.34 $92,035.93 $49,656.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 26 — — $14,375.00 $111,931.20 $49,614.66 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 4 2 — — $29,009.00 $67,109.06 $49,528.33 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 18 9 — — $1,159.84 $87,158.00 $49,413.93 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 18 9 — — $1,105.14 $87,158.00 $49,413.93 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 17 — — $31,772.07 $91,503.56 $49,360.82 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 18 — — $31,652.77 $91,159.98 $49,169.92 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 17 — — $31,508.43 $90,744.28 $48,938.95 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 23 — — $33,657.68 $103,635.27 $48,630.60 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 16 9 — — $10,993.00 $77,714.25 $48,401.31 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 16 9 — — $5,219.00 $77,714.25 $48,401.31 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 16 9 — — $10,593.00 $77,094.06 $48,015.04 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 16 9 — — $5,219.00 $77,094.06 $48,015.04 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 19 — — $1,607.89 $91,668.99 $47,802.76 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 23 — — $1,731.30 $100,617.21 $47,648.83 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 24 — — $1,658.00 $94,443.18 $47,549.52 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 25 — — $7,516.29 $104,087.71 $46,674.03 2026-04-01
E0194 HCPCS Air Fluidized Bed 6 1 — — $6,143.25 $62,638.92 $46,526.83 2026-04-01
J9266 HCPCS Pegaspargase Injection 20 9 — — $28,424.06 $81,861.29 $46,139.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 23 — — $11,960.70 $113,064.94 $46,109.87 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 19 — — $26,952.20 $85,630.72 $46,097.83 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 17 — — $29,602.54 $85,255.32 $45,889.25 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 45 25 — — $12,796.29 $100,150.59 $45,725.98 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 20 — — $14,305.25 $84,756.90 $45,612.33 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 17 — — $29,386.76 $84,633.87 $45,543.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 39 22 — — $28,086.13 $90,161.02 $45,393.57 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 2 1 — — $44,825.00 $45,705.20 $45,265.10 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 18 9 — — $2,185.54 $89,900.49 $45,118.89 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 18 9 — — $1,943.65 $89,900.49 $45,118.89 2026-04-01
E0329 HCPCS Ped Hospital Bed Semi/elect 6 1 — — $5,922.68 $60,389.78 $44,856.21 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 48 27 — — $13,264.27 $97,717.88 $44,675.12 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 12 7 — — $29,510.19 $84,989.35 $44,441.77 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 18 9 — — $1,161.46 $88,379.19 $44,355.38 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 18 9 — — $1,478.54 $88,379.19 $44,355.38 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 18 9 — — $1,061.56 $88,379.19 $44,355.38 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 9 — — $2,053.92 $88,379.19 $44,355.38 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 25 — — $1,540.42 $87,934.03 $44,208.77 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 17 — — $28,515.56 $82,124.81 $44,149.93 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 17 — — $28,447.07 $81,927.56 $44,040.34 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 20 — — $1,458.82 $84,555.42 $44,035.84 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 40 24 — — $1,482.61 $105,631.02 $44,019.77 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 21 — — $4,932.37 $95,503.94 $44,001.85 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 19 — — $10,403.00 $87,162.02 $43,883.66 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 17 — — $28,215.10 $81,259.49 $43,669.15 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 7 — — $29,559.78 $85,132.17 $43,600.68 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 7 — — $29,420.21 $84,730.20 $43,394.81 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 33 18 — — $27,741.08 $80,565.93 $43,283.81 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 16 8 — — $17,771.01 $55,991.00 $43,168.44 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 31 17 — — $22,092.26 $79,619.99 $42,758.24 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 17 — — $27,625.21 $79,560.60 $42,725.25 2026-04-01
332 MS_DRG Rectal Resection With Mcc 30 17 — — $27,588.39 $79,454.56 $42,666.33 2026-04-01
265 MS_DRG Aicd Lead Procedures 32 18 — — $10,745.75 $79,401.54 $42,636.87 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 19 — — $11,823.95 $86,615.77 $42,561.45 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 17 — — $27,483.08 $79,151.27 $42,497.82 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 9 3 — — $29,558.67 $70,808.63 $42,314.94 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 10 7 — — $94.79 $44,408.00 $42,207.50 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 17 — — $27,248.16 $78,474.70 $42,121.91 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 18 — — $25,097.44 $78,285.95 $42,017.03 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 17 — — $27,160.52 $78,222.30 $41,981.68 2026-04-01
K0884 HCPCS Pwc Gp4 Std Mult Pow Opt S/b 6 1 — — $5,496.48 $56,044.22 $41,628.43 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 23 — — $10,311.07 $95,830.27 $41,524.19 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 19 — — $22,282.21 $82,472.66 $41,522.69 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 18 9 — — $1,003.64 $82,151.67 $41,229.94 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 21 — — $1,460.66 $102,167.42 $41,136.14 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 18 — — $10,289.74 $78,650.73 $40,909.09 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 36 22 — — $11,100.52 $76,288.03 $40,906.98 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 18 9 — — $8,218.00 $52,503.43 $40,723.59 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 18 9 — — $8,218.00 $52,503.43 $40,723.59 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 18 9 — — $8,218.00 $52,503.43 $40,723.59 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 18 9 — — $8,218.00 $97,877.10 $40,723.59 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 18 9 — — $8,218.00 $52,503.43 $40,723.59 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 18 9 — — $17,864.55 $53,858.84 $40,723.59 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 18 9 — — $17,864.55 $52,503.43 $40,723.59 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 18 9 — — $8,218.00 $52,503.43 $40,536.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 19 — — $9,558.08 $77,306.05 $40,197.03 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 18 — — $10,901.79 $74,924.27 $40,149.27 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 12 7 — — $23,087.32 $66,491.48 $39,899.04 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 16 9 — — $10,993.00 $63,707.58 $39,677.79 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 18 9 — — $1,115.57 $87,158.00 $39,677.79 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 18 9 — — $1,124.70 $87,158.00 $39,677.79 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 16 9 — — $10,993.00 $63,707.58 $39,677.79 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 6 1 — — $5,197.03 $52,990.92 $39,360.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 18 — — $18,410.89 $78,150.18 $39,346.45 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 19 — — $1,317.47 $75,592.37 $39,289.56 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 18 9 — — $4,873.50 $77,714.25 $39,002.90 2026-04-01
22558 HCPCS Lumbar Spine Fusion 18 9 — — $4,104.79 $77,714.25 $39,002.90 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 18 9 — — $4,401.73 $77,714.25 $39,002.90 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 18 9 — — $2,568.72 $77,714.25 $39,002.90 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 18 9 — — $3,103.40 $77,714.25 $39,002.90 2026-04-01
22630 HCPCS Lumbar Spine Fusion 18 9 — — $4,220.32 $77,714.25 $39,002.90 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 17 — — $25,250.95 $72,722.74 $38,926.09 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 35 21 — — $23,770.50 $72,485.19 $38,794.11 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 15 8 — — $13,768.00 $52,503.43 $38,602.63 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 57 32 — — $10,781.96 $136,662.36 $38,551.82 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 38 22 — — $25,086.13 $80,534.13 $38,535.89 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 22 — — $8,935.87 $75,931.69 $38,229.50 2026-04-01
652 MS_DRG Kidney Transplant 30 17 — — $24,707.46 $71,157.48 $38,056.43 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 18 9 — — $5,176.00 $49,060.36 $38,053.02 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 30 17 — — $24,643.39 $70,972.96 $37,953.91 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 18 — — $22,692.11 $70,752.38 $37,831.35 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 18 9 — — $2,416.56 $74,861.14 $37,571.01 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 18 9 — — $2,911.59 $74,861.14 $37,571.01 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 18 9 — — $2,739.96 $74,861.14 $37,571.01 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 31 17 — — $24,370.91 $70,188.22 $37,517.90 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 38 23 — — $29,337.05 $92,233.18 $37,499.28 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 41 23 — — $11,670.35 $79,032.42 $37,452.05 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 17 — — $24,323.78 $70,052.49 $37,442.48 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 18 — — $22,884.92 $69,785.25 $37,294.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 19 — — $23,797.00 $69,683.44 $37,237.44 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 26 — — $17,339.66 $81,936.06 $37,182.64 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 17 — — $24,063.82 $69,303.80 $37,026.51 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 18 9 — — $723.20 $61,137.00 $36,934.32 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 47 26 — — $14,618.89 $85,347.25 $36,926.72 2026-04-01
665 MS_DRG Prostatectomy With Mcc 31 18 — — $23,085.28 $68,860.51 $36,780.22 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 2 1 — — $36,290.16 $37,002.76 $36,646.46 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 17 — — $23,821.53 $68,606.01 $36,638.81 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 30 17 — — $23,470.25 $67,594.32 $36,076.72 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 18 — — $14,104.78 $71,651.66 $36,074.62 2026-04-01
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 15 8 — — $15,006.00 $49,060.36 $36,071.15 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 15 8 — — $13,923.00 $49,060.36 $36,071.15 2026-04-01
263 MS_DRG Vein Ligation And Stripping 30 17 — — $23,440.06 $67,507.37 $36,028.40 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 36 20 — — $22,756.62 $75,019.71 $35,854.47 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 41 24 — — $1,148.52 $71,176.58 $35,835.43 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 19 — — $24,689.79 $71,106.60 $35,800.20 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 31 18 — — $1,063.70 $66,724.76 $35,593.57 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 17 — — $23,165.37 $66,716.27 $35,588.86 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 19 — — $16,871.12 $66,646.28 $35,549.97 2026-04-01
K0008 HCPCS Cstm Manual Wheelchair/base 2 1 — — $35,200.00 $35,891.20 $35,545.60 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 37 22 — — $14,511.82 $88,387.70 $35,523.31 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 23 — — $1,281.91 $78,088.69 $35,378.07 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 17 — — $22,843.55 $65,789.42 $35,073.90 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 23 — — $21,002.68 $69,492.56 $34,987.57 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 41 24 — — $10,974.30 $76,646.45 $34,701.61 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 6 4 — — $1,053.29 $51,972.14 $34,695.39 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 30 17 — — $22,605.68 $65,104.36 $34,693.27 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 16 9 — — $8,218.00 $55,563.65 $34,605.67 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 16 9 — — $5,219.00 $55,563.65 $34,605.67 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 22 — — $12,977.70 $68,722.68 $34,599.96 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 12 7 — — $20,015.46 $57,644.52 $34,590.34 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 30 17 — — $22,188.12 $63,901.79 $34,025.12 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 30 17 — — $22,146.88 $63,783.01 $33,959.13 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 23 — — $10,280.39 $76,627.38 $33,941.50 2026-04-01
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 6 1 — — $4,467.93 $45,556.59 $33,838.44 2026-04-01
L5858 HCPCS Stance Phase Only 12 7 — — $22,885.05 $65,908.94 $33,755.44 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 45 26 — — $10,403.00 $72,476.70 $33,564.99 2026-04-01
570 MS_DRG Skin Debridement With Mcc 34 20 — — $14,941.61 $65,040.74 $33,467.82 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 18 — — $20,357.93 $64,173.28 $33,242.71 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 1 1 — — $33,240.00 $33,240.00 $33,240.00 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 1 1 — — $33,240.00 $33,240.00 $33,240.00 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 1 1 — — $33,240.00 $33,240.00 $33,240.00 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 1 1 — — $33,240.00 $33,240.00 $33,240.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 39 22 — — $1,279.92 $73,513.84 $33,232.29 2026-04-01
800 MS_DRG Splenic Procedures With Cc 30 17 — — $21,613.70 $62,247.46 $33,105.97 2026-04-01
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