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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

WEST CHESTER HOSPITAL

West Chester, OH · CCN 360354 · Rates published

13,162 distinct procedures filed
34 distinct payers
237,007 rate rows
2026-04-01 last MRF observed
Data quality

184,097 of 237,007 rate rows are consumer-grade (77.7%)

52,910 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 49,044
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
placeholder amount (≤ $0.02) — excluded from medians 167
template filing: same amount across many unrelated codes — excluded 134
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uchealth.com/content/dam/uchealth/json-files/311588499_West-Chester-Hospital_StandardCharges.json
Found on page https://www.uchealth.com/financial/price-transparency/#
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint d1e59ade9a4217e8… · 57,815,884 bytes · first seen 2026-05-08

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 9 $0.01 $12,794,200.00 $5,744,084.91 nat. median
$4,505,000
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $0.01 $10,466,157.33 $4,705,840.05 nat. median
$3,685,267
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $0.01 $9,418,753.75 $4,235,442.43 nat. median
$3,325,455
1.3× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $0.01 $9,225,585.83 $4,148,909.41 nat. median
$3,248,446
1.3× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $0.01 $8,365,901.60 $3,761,843.54 nat. median
$2,968,000
1.3× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $0.01 $6,972,514.12 $3,134,813.04 nat. median
$2,455,111
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $0.01 $6,622,880.00 $2,977,808.66 nat. median
$2,332,000
1.3× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $0.01 $2,188,560.80 $982,026.75 nat. median
$813,967
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $0.01 $1,680,502.41 $834,411.25 nat. median
$621,313
1.3× median
Q2054
HCPCS 		Ndc Description Not Available 9 $0.01 $1,597,608.45 $792,798.90 nat. median
$579,571
1.4× median
Q2041
HCPCS 		Hc Axicabtagene Cilolecucel Car+ 9 $0.01 $1,514,373.69 $752,586.60 nat. median
$562,501
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $0.01 $1,607,067.80 $720,272.98 nat. median
$599,737
1.2× median
Q2055
HCPCS 		Ndc Description Not Available 8 $0.01 $1,582,782.93 $709,138.32 nat. median
$574,037
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $0.01 $1,389,625.09 $690,622.17 nat. median
$513,770
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 31 $302,534.22 $780,745.02 $443,961.73 nat. median
$168,055
outlier · 2.6×
J3403
HCPCS 		Revakinagene, Per Implant 8 $257,500.00 $731,300.00 $417,522.66 nat. median
$264,195
1.6× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $0.01 $790,230.00 $354,781.72 nat. median
$286,598
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $0.01 $584,017.60 $295,214.37 nat. median
$207,733
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $196,581.42 $506,672.11 $288,386.52 nat. median
$186,516
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $149,937.84 $386,017.04 $219,897.68 nat. median
$131,925
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $164,940.22 $183,359.94 $175,545.51 nat. median
$92,809
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 $149,062.06 $383,751.62 $170,754.74 nat. median
$145,435
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 22 $97,475.40 $193,665.90 $138,868.48 nat. median
$2,106
outlier · 66.0×
7
MS_DRG 		Lung Transplant 31 $91,224.13 $234,139.62 $133,685.74 nat. median
$70,649
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 31 $84,707.84 $217,283.63 $124,117.58 nat. median
$72,715
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 $50,546.76 $217,962.07 $122,813.27 nat. median
$51,518
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 $79,912.36 $204,878.94 $117,076.16 nat. median
$65,418
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 31 $79,821.49 $204,643.90 $116,942.73 nat. median
$2,110
outlier · 55.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 31 $76,713.27 $205,835.84 $114,861.01 nat. median
$74,509
1.5× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 22 $72,955.30 $155,474.38 $106,910.47 nat. median
$2,106
outlier · 50.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 31 $72,774.00 $186,413.84 $106,594.59 nat. median
$69,922
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 $69,085.65 $185,178.62 $103,411.93 nat. median
$69,822
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 $97,523.04 $250,433.31 $102,069.26 nat. median
$97,418
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 22 $71,351.86 $138,431.33 $101,716.66 nat. median
$2,024
outlier · 50.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $59,444.37 $196,992.50 $98,552.30 nat. median
$59,651
1.7× median
J9029
HCPCS 		Ndc Description Not Available 9 $63,342.28 $179,892.08 $97,780.78 nat. median
$66,211
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 $63,681.39 $196,904.81 $96,389.84 nat. median
$2,596
outlier · 37.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 22 $67,279.30 $133,671.74 $95,849.56 nat. median
$2,106
outlier · 45.5×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 22 $66,064.25 $128,172.74 $94,178.84 nat. median
$2,024
outlier · 46.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 31 $61,234.37 $156,563.76 $89,650.44 nat. median
$2,633
outlier · 34.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 31 $59,629.59 $152,412.59 $87,294.07 nat. median
$60,505
1.4× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 22 $59,649.99 $115,728.27 $85,034.89 nat. median
$2,024
outlier · 42.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 31 $47,755.86 $121,698.29 $83,866.74 nat. median
$47,340
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 $55,707.79 $148,948.52 $83,331.71 nat. median
$56,428
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $161,381.72 $81,577.33 nat. median
$65,477
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 $54,376.30 $145,342.54 $81,333.14 nat. median
$55,923
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 $47,409.89 $156,630.07 $80,060.65 nat. median
$2,958
outlier · 27.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $156,973.40 $79,250.15 nat. median
$63,499
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 $54,144.95 $138,225.22 $79,240.73 nat. median
$55,935
1.4× median

Other procedures at this hospital

Browse this hospital's 13,162 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 15 9 — — $0.01 $12,794,200.00 $5,744,084.91 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 9 — — $0.01 $10,466,157.33 $4,705,840.05 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 9 — — $0.01 $9,418,753.75 $4,235,442.43 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 9 — — $0.01 $9,225,585.83 $4,148,909.41 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 15 9 — — $0.01 $8,365,901.60 $3,761,843.54 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 9 — — $0.01 $6,972,514.12 $3,134,813.04 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 15 9 — — $0.01 $6,622,880.00 $2,977,808.66 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 15 8 — — $0.01 $2,188,560.80 $982,026.75 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 9 — — $0.01 $1,680,502.41 $834,411.25 2026-04-01
Q2054 HCPCS Ndc Description Not Available 19 9 $1,718,337.48 $1,031,002.49 40% off $0.01 $1,597,608.45 $792,798.90 2026-04-01
Q2041 HCPCS Hc Axicabtagene Cilolecucel Car+ 19 9 $1,325,533.78 $795,320.27 40% off $0.01 $1,514,373.69 $752,586.60 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 8 — — $0.01 $1,607,067.80 $720,272.98 2026-04-01
Q2055 HCPCS Ndc Description Not Available 16 8 $1,728,849.60 $1,037,309.76 40% off $0.01 $1,582,782.93 $709,138.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 18 9 — — $0.01 $1,389,625.09 $690,622.17 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 84 31 — — $302,534.22 $780,745.02 $443,961.73 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 16 8 — — $257,500.00 $731,300.00 $417,522.66 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 9 — — $0.01 $790,230.00 $354,781.72 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 17 8 — — $0.01 $584,017.60 $295,214.37 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 84 31 — — $196,581.42 $506,672.11 $288,386.52 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 84 31 — — $149,937.84 $386,017.04 $219,897.68 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $164,940.22 $183,359.94 $175,545.51 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 84 31 — — $149,062.06 $383,751.62 $170,754.74 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 49 22 — — $97,475.40 $193,665.90 $138,868.48 2026-04-01
7 MS_DRG Lung Transplant 84 31 — — $91,224.13 $234,139.62 $133,685.74 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 84 31 — — $84,707.84 $217,283.63 $124,117.58 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 84 31 — — $50,546.76 $217,962.07 $122,813.27 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 84 31 — — $79,912.36 $204,878.94 $117,076.16 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 84 31 — — $79,821.49 $204,643.90 $116,942.73 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 84 31 — — $76,713.27 $205,835.84 $114,861.01 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 49 22 — — $72,955.30 $155,474.38 $106,910.47 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 84 31 — — $72,774.00 $186,413.84 $106,594.59 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 31 — — $69,085.65 $185,178.62 $103,411.93 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 84 31 — — $97,523.04 $250,433.31 $102,069.26 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 49 22 — — $71,351.86 $138,431.33 $101,716.66 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 31 — — $59,444.37 $196,992.50 $98,552.30 2026-04-01
J9029 HCPCS Ndc Description Not Available 19 9 $188,656.09 $113,193.65 40% off $63,342.28 $179,892.08 $97,780.78 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 84 31 — — $63,681.39 $196,904.81 $96,389.84 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 49 22 — — $67,279.30 $133,671.74 $95,849.56 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 49 22 — — $66,064.25 $128,172.74 $94,178.84 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 84 31 — — $61,234.37 $156,563.76 $89,650.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 84 31 — — $59,629.59 $152,412.59 $87,294.07 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 49 22 — — $59,649.99 $115,728.27 $85,034.89 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 84 31 — — $47,755.86 $121,698.29 $83,866.74 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 84 31 — — $55,707.79 $148,948.52 $83,331.71 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 9 — — $56,824.55 $161,381.72 $81,577.33 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 31 — — $54,376.30 $145,342.54 $81,333.14 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 84 31 — — $47,409.89 $156,630.07 $80,060.65 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $55,272.32 $156,973.40 $79,250.15 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 84 31 — — $54,144.95 $138,225.22 $79,240.73 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 31 — — $42,387.95 $139,786.99 $78,649.24 2026-04-01
10 MS_DRG Pancreas Transplant 84 31 — — $50,863.39 $129,736.66 $74,422.27 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 84 31 — — $50,842.42 $129,682.42 $74,391.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 84 31 — — $50,576.12 $128,993.57 $74,000.46 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 84 31 — — $77,741.42 $240,868.33 $72,985.39 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 84 31 — — $48,781.92 $130,191.77 $72,935.96 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 49 22 — — $50,661.60 $100,655.39 $72,175.12 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 17 9 $3,753.00 $2,251.80 40% off $4,441.00 $174,087.46 $70,870.58 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 31 — — $46,666.90 $124,463.85 $69,761.31 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 31 — — $46,666.90 $124,463.85 $69,761.31 2026-04-01
J9226 HCPCS Supprelin La Implant 18 9 — — $45,020.65 $127,858.65 $69,524.36 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 84 31 — — $47,444.13 $120,891.92 $69,401.62 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 49 22 — — $48,633.07 $94,354.10 $69,329.56 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 84 31 — — $32,989.89 $141,178.31 $69,069.45 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 84 31 — — $46,499.86 $118,449.31 $68,015.10 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 49 22 — — $47,132.71 $91,443.22 $67,190.70 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 49 22 — — $46,787.90 $90,774.26 $66,699.16 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 84 31 — — $45,684.18 $116,339.38 $66,151.64 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 84 31 — — $43,543.31 $110,801.47 $63,673.87 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 84 31 — — $43,493.68 $110,673.10 $63,601.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 84 31 — — $42,703.87 $140,846.57 $63,378.21 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 84 31 — — $43,083.40 $109,611.81 $62,998.56 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 84 31 — — $41,018.01 $126,039.97 $61,979.84 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 84 31 — — $42,154.50 $107,208.98 $61,634.61 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 84 31 — — $51,163.24 $157,762.50 $61,494.69 2026-04-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc 84 31 — — $9,993.11 $24,015.66 $61,378.89 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 84 31 — — $41,727.44 $106,104.29 $61,007.54 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 84 31 — — $41,700.88 $106,035.58 $60,968.55 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 84 31 — — $39,311.88 $120,705.17 $59,389.41 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 84 31 — — $40,597.24 $103,180.75 $59,348.02 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 49 22 — — $40,236.90 $85,748.49 $58,964.13 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 84 31 — — $39,882.22 $101,331.17 $58,298.13 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 84 31 — — $39,613.82 $100,636.90 $57,904.02 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 84 31 — — $15,927.18 $39,365.58 $57,896.26 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 84 31 — — $40,003.83 $122,868.81 $57,231.08 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 84 31 — — $39,080.52 $99,257.39 $57,120.96 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 84 31 — — $38,944.93 $98,906.64 $56,921.86 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 84 31 — — $38,890.41 $98,765.62 $56,841.81 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 84 31 — — $38,830.30 $98,610.13 $56,753.55 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 31 — — $37,982.48 $100,944.57 $56,725.96 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 84 31 — — $38,677.93 $98,215.98 $56,529.82 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 84 31 — — $37,709.89 $100,206.34 $56,316.80 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 84 31 — — $28,810.19 $87,868.03 $55,749.34 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 84 31 — — $16,656.18 $41,251.33 $54,200.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 84 31 — — $37,029.11 $93,950.91 $54,108.78 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 31 — — $35,937.36 $95,405.95 $53,656.23 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 84 31 — — $35,568.31 $90,172.19 $53,233.41 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 84 31 — — $29,544.08 $74,589.04 $52,934.29 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 84 31 — — $37,587.57 $99,875.08 $52,078.97 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 84 31 — — $19,816.82 $49,427.10 $51,875.49 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 9 — — $3,150.00 $121,904.66 $51,298.53 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 16 9 — — $2,537.00 $121,904.66 $51,175.78 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 84 31 — — $34,965.82 $88,613.70 $51,079.16 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 84 31 — — $27,763.16 $69,982.26 $50,751.42 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 84 31 — — $37,092.02 $113,764.02 $50,731.72 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 16 9 — — $3,818.00 $121,904.66 $50,174.16 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 84 31 — — $34,288.54 $86,861.74 $50,084.68 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 84 31 — — $30,349.97 $99,412.83 $49,773.79 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 84 31 — — $33,984.50 $86,075.26 $49,638.24 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 84 31 — — $49,018.86 $124,965.34 $49,353.49 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 84 31 — — $33,569.32 $85,001.31 $49,028.62 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 84 31 — — $32,502.03 $82,240.50 $48,998.05 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 84 31 — — $33,404.37 $84,574.62 $48,786.41 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 84 31 — — $33,119.20 $83,836.96 $48,367.68 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 84 31 — — $32,363.64 $81,882.51 $47,258.26 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 84 31 — — $34,459.08 $113,194.39 $46,648.74 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 84 31 — — $31,902.33 $80,689.23 $46,580.90 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 84 31 — — $53,968.11 $137,767.79 $46,244.97 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 12 8 — — $30,071.45 $85,402.91 $45,493.09 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 84 31 — — $30,714.12 $77,615.63 $44,836.20 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 84 31 — — $30,521.21 $77,116.62 $44,552.94 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 84 31 — — $30,226.95 $76,355.46 $44,120.87 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 84 31 — — $30,176.63 $76,225.28 $44,046.98 2026-04-01
J9266 HCPCS Pegaspargase Injection 19 9 $69,559.06 $41,735.44 40% off $28,424.06 $80,724.33 $43,875.69 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 84 31 — — $30,041.03 $75,874.53 $43,847.87 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 84 31 — — $29,986.52 $75,733.50 $43,767.83 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 84 31 — — $32,488.05 $82,204.34 $43,414.87 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 84 31 — — $29,736.29 $75,086.24 $43,400.41 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 84 31 — — $35,288.73 $93,649.33 $43,332.28 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 84 31 — — $23,287.80 $75,727.04 $42,991.40 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 84 31 — — $35,227.23 $89,289.89 $42,639.13 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 84 31 — — $21,300.69 $69,062.48 $42,365.54 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 84 31 — — $30,161.95 $76,187.31 $42,155.07 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 84 31 — — $33,502.22 $84,827.74 $41,563.40 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 15 8 — — $3,818.00 $94,815.04 $41,221.79 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 84 31 — — $42,691.99 $183,609.75 $41,174.03 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 84 31 — — $27,927.41 $70,407.14 $40,744.35 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 84 31 — — $27,722.62 $78,349.25 $40,650.28 2026-04-01
5166 OTHER Cochlear Implant Procedure 58 34 — — — — $40,269.88 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 3 1 — — $37,824.00 $42,048.00 $40,256.00 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 49 22 — — $28,048.33 $54,417.18 $39,984.69 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 49 22 — — $27,914.13 $54,156.83 $39,793.39 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 58 34 — — — — $39,353.64 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 84 31 — — $26,895.77 $67,738.53 $39,229.55 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $26,231.63 $74,497.82 $39,049.31 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 84 31 — — $26,610.60 $67,000.86 $38,810.82 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 84 31 — — $23,319.25 $58,486.99 $38,809.19 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 19 9 $77,833.52 $46,700.11 40% off $24,228.42 $68,808.71 $38,765.38 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 84 31 — — $25,750.89 $64,777.02 $38,658.56 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 13 9 — — $15,225.00 $75,097.12 $38,097.30 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 13 9 — — $15,225.00 $75,097.12 $38,097.30 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 84 31 — — $24,554.29 $79,974.73 $38,055.45 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 84 31 — — $26,070.31 $65,603.28 $38,017.49 2026-04-01
215 MS_DRG Other Heart Assist System Implant 84 31 — — $70,303.22 $180,022.56 $38,004.23 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 84 31 — — $26,050.74 $65,552.66 $37,988.75 2026-04-01
332 MS_DRG Rectal Resection With Mcc 84 31 — — $26,015.79 $65,462.26 $37,937.43 2026-04-01
265 MS_DRG Aicd Lead Procedures 84 31 — — $25,998.32 $65,417.06 $37,911.78 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 17 9 $30,132.00 $18,079.20 40% off $5,657.00 $86,872.98 $37,805.32 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 17 9 $100,236.00 $60,141.60 40% off $5,657.00 $86,872.98 $37,805.32 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 16 9 — — $5,657.00 $86,872.98 $37,805.32 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 16 9 — — $5,657.00 $86,872.98 $37,805.32 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 84 31 — — $25,915.84 $65,203.71 $37,790.67 2026-04-01
69930 HCPCS Implant Cochlear Device 17 9 — — $5,657.00 $91,254.87 $37,687.96 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 84 31 — — $25,692.88 $64,626.96 $37,463.29 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 84 31 — — $25,630.67 $64,466.05 $37,371.94 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 84 31 — — $25,609.70 $64,411.81 $37,341.15 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 17 9 $9,010.00 $5,406.00 40% off $3,150.00 $86,872.98 $37,302.82 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 84 31 — — $25,565.67 $64,297.90 $37,276.50 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 84 31 — — $10,231.45 $24,632.19 $36,291.36 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 84 31 — — $23,797.33 $59,723.66 $36,120.48 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 84 31 — — $24,743.01 $62,169.89 $36,068.55 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 84 31 — — $26,757.38 $67,380.54 $35,972.53 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 84 31 — — $24,522.84 $61,600.37 $35,745.27 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 16 9 — — $3,150.00 $85,402.91 $35,702.57 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 16 9 — — $3,150.00 $85,402.91 $35,702.57 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 9 — — $2,537.00 $85,402.91 $35,579.82 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 18 9 $29,862.00 $17,917.20 40% off $3,150.00 $86,872.98 $35,567.36 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 18 9 $51,669.00 $31,001.40 40% off $3,150.00 $86,872.98 $35,567.36 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 16 9 — — $3,150.00 $85,402.91 $35,457.01 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 49 22 — — $24,755.92 $48,029.52 $35,291.16 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 31 — — $29,873.29 $97,814.09 $35,256.28 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 84 31 — — $32,034.43 $81,030.94 $35,080.21 2026-04-01
61886 HCPCS Implant Neurostim Arrays 17 9 — — $3,150.00 $85,402.91 $35,014.59 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 16 9 — — $2,537.00 $85,402.91 $34,832.51 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 16 9 — — $2,537.00 $85,402.91 $34,832.51 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 17 9 $81,807.00 $49,084.20 40% off $5,657.00 $79,385.11 $34,813.80 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 84 31 — — $15,273.66 $37,675.10 $34,757.35 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 84 31 — — $23,719.05 $59,521.17 $34,565.02 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 84 31 — — $23,444.36 $58,810.62 $34,161.69 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 84 31 — — $23,344.41 $58,552.08 $34,014.93 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 58 34 — — — — $33,982.21 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 17 9 — — $2,537.00 $85,402.91 $33,945.71 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 18 9 $24,724.00 $14,834.40 40% off $2,537.00 $85,402.91 $33,945.71 2026-04-01
652 MS_DRG Kidney Transplant 84 31 — — $23,281.51 $58,389.36 $33,922.57 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 84 31 — — $22,732.83 $59,645.28 $33,836.19 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 84 31 — — $23,220.70 $58,232.06 $33,833.28 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 84 31 — — $25,953.59 $65,301.34 $33,541.50 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 84 31 — — $22,962.09 $57,563.10 $33,453.55 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 84 31 — — $22,795.74 $57,132.80 $33,209.29 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 31 — — $32,836.13 $83,104.72 $33,097.77 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 84 31 — — $37,960.11 $124,936.48 $33,095.69 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 84 31 — — $22,670.63 $56,809.17 $33,025.58 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 84 31 — — $18,342.74 $45,614.03 $32,891.84 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 84 31 — — $27,010.40 $68,035.04 $32,862.48 2026-04-01
665 MS_DRG Prostatectomy With Mcc 84 31 — — $22,524.55 $56,431.30 $32,811.09 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 84 31 — — $22,107.28 $55,351.92 $32,198.39 2026-04-01
263 MS_DRG Vein Ligation And Stripping 84 31 — — $22,078.62 $55,277.79 $32,156.31 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 16 9 — — $5,040.00 $75,097.12 $31,810.49 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 84 31 — — $21,820.71 $54,610.64 $31,777.61 2026-04-01
22630 HCPCS Lumbar Spine Fusion 16 9 — — $5,040.00 $75,097.12 $31,718.43 2026-04-01
22558 HCPCS Lumbar Spine Fusion 16 9 — — $5,040.00 $75,097.12 $31,718.43 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 16 9 — — $5,040.00 $75,097.12 $31,614.06 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 58 34 — — — — $31,328.04 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 84 31 — — $21,512.47 $53,813.31 $31,325.01 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 84 31 — — $17,892.62 $44,449.68 $31,234.15 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 84 31 — — $24,058.04 $60,398.05 $31,220.53 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 16 9 — — $3,150.00 $75,097.12 $30,952.93 2026-04-01
93653 HCPCS Hc Ablation Svt Comp Eps Induce Attempt 17 9 $27,693.00 $16,615.80 40% off $5,657.00 $72,340.10 $30,832.77 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 17 9 $46,298.00 $27,778.80 40% off $5,657.00 $72,340.10 $30,832.77 2026-04-01
93654 HCPCS Hc Ablation Vt/Pvc 3-d Map Comp Eps 17 9 $36,919.00 $22,151.40 40% off $5,657.00 $72,340.10 $30,832.77 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 84 31 — — $21,118.27 $52,793.60 $30,746.18 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 84 31 — — $14,674.67 $36,125.65 $30,727.44 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 84 31 — — $32,754.35 $82,893.18 $30,498.54 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 84 31 — — $20,851.27 $52,102.94 $30,354.14 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 49 22 — — $21,051.62 $40,842.72 $30,010.44 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 17 9 — — $4,441.00 $75,097.12 $29,938.70 2026-04-01
C2616 HCPCS Hc Therasphere Y-90 (Per Source) 16 8 $70,690.96 $42,414.58 40% off $17,771.01 $50,469.67 $29,840.53 2026-04-01
800 MS_DRG Splenic Procedures With Cc 84 31 — — $20,345.23 $50,793.95 $29,611.09 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 84 31 — — $18,350.43 $45,633.92 $29,447.09 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 84 31 — — $12,688.96 $30,989.12 $29,204.19 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 84 31 — — $22,722.35 $59,616.89 $29,088.56 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 84 31 — — $19,301.00 $58,134.30 $29,006.73 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 58 34 — — — — $28,907.81 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 84 31 — — $30,955.26 $81,913.35 $28,887.63 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 84 31 — — $18,553.13 $46,158.24 $28,705.43 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 12 8 — — $18,905.80 $53,692.47 $28,601.33 2026-04-01
849 MS_DRG Radiotherapy 84 31 — — $19,646.98 $48,987.76 $28,585.82 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 84 31 — — $19,562.41 $48,768.99 $28,461.64 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 84 31 — — $22,440.67 $56,214.34 $28,413.39 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 31 — — $40,760.80 $103,603.82 $28,258.65 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 84 31 — — $19,143.04 $47,684.19 $27,845.87 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 16 9 — — $5,657.00 $61,562.15 $27,693.24 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 17 9 $5,410.00 $3,246.00 40% off $5,657.00 $61,562.15 $27,693.24 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 16 9 — — $5,657.00 $61,562.15 $27,693.24 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 84 31 — — $26,371.56 $66,382.53 $27,681.79 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 17 9 $64,007.00 $38,404.20 40% off $5,040.00 $61,562.15 $27,569.49 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 84 31 — — $18,850.88 $46,928.45 $27,416.87 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 84 31 — — $18,829.21 $46,872.40 $27,385.06 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 17 9 $61,330.00 $36,798.00 40% off $3,818.00 $61,562.15 $27,324.87 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 16 9 — — $3,150.00 $61,562.15 $27,190.74 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 16 9 — — $3,150.00 $61,562.15 $27,190.74 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 84 31 — — $18,655.17 $46,422.21 $27,129.51 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 84 31 — — $15,031.13 $37,047.73 $27,057.04 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 84 31 — — $25,358.08 $77,073.84 $27,026.65 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 84 31 — — $21,794.85 $54,543.74 $27,000.82 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 84 31 — — $27,696.76 $69,810.50 $26,960.10 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 84 31 — — $21,909.47 $66,290.59 $26,788.40 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 84 31 — — $27,543.69 $69,414.54 $26,336.31 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 58 34 — — — — $26,291.22 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 18 9 $5,776.00 $3,465.60 40% off $3,150.00 $61,562.15 $26,050.11 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 18 9 $25,118.00 $15,070.80 40% off $3,150.00 $61,562.15 $26,050.11 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 18 9 $45,650.00 $27,390.00 40% off $3,150.00 $61,562.15 $26,050.11 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 58 34 — — — — $25,962.72 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 31 — — $28,051.13 $70,727.15 $25,638.66 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 58 34 — — — — $25,557.22 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 84 31 — — $17,520.78 $43,487.82 $25,463.83 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 49 22 — — $17,794.63 $34,523.76 $25,367.39 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 84 31 — — $23,716.25 $59,513.94 $25,281.17 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 84 31 — — $23,264.73 $58,345.97 $25,260.65 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 84 31 — — $26,833.56 $67,577.62 $25,104.83 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 84 31 — — $17,141.95 $42,507.89 $24,907.58 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 84 31 — — $17,638.90 $43,793.38 $24,875.31 2026-04-01
333 MS_DRG Rectal Resection With Cc 84 31 — — $17,079.75 $42,346.98 $24,816.25 2026-04-01
20838 HCPCS Replantation Foot Complete 13 9 — — $11,296.00 $48,527.24 $24,730.34 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 13 9 — — $11,296.00 $48,527.24 $24,730.34 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 13 9 — — $11,296.00 $48,527.24 $24,730.34 2026-04-01
20802 HCPCS Replantation Arm Complete 13 9 — — $11,296.00 $48,527.24 $24,730.34 2026-04-01
20805 HCPCS Replant Forearm Complete 13 9 — — $11,296.00 $48,527.24 $24,730.34 2026-04-01
20808 HCPCS Replantation Hand Complete 13 9 — — $11,296.00 $48,527.24 $24,730.34 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 84 31 — — $16,974.20 $42,073.97 $24,661.27 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 84 31 — — $25,667.72 $64,561.87 $24,562.67 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 84 31 — — $26,382.04 $66,409.65 $24,512.09 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 84 31 — — $16,863.07 $41,786.50 $24,498.09 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 13 9 — — $15,225.00 $47,408.20 $24,482.33 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 13 9 — — $15,225.00 $47,408.20 $24,482.33 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 84 31 — — $26,830.77 $67,570.38 $24,447.55 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 84 31 — — $22,917.36 $60,145.00 $24,394.31 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 84 31 — — $16,754.04 $41,504.45 $24,337.99 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 84 31 — — $19,916.08 $60,057.54 $24,282.12 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 49 22 — — $16,929.83 $32,845.94 $24,134.56 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 13 9 — — $3,268.00 $48,527.24 $24,112.80 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 84 31 — — $16,544.35 $40,962.05 $24,030.10 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 84 31 — — $20,083.12 $60,579.87 $23,948.43 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 16 9 — — $2,189.00 $57,362.39 $23,944.12 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 16 9 — — $3,268.00 $57,362.39 $23,886.74 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 84 31 — — $16,355.64 $40,473.89 $23,753.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 84 31 — — $16,346.55 $40,450.38 $23,739.66 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 84 31 — — $20,890.41 $52,204.19 $23,633.35 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 84 31 — — $13,247.41 $32,433.71 $23,624.04 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 84 31 — — $23,025.00 $60,436.51 $23,621.01 2026-04-01
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