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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

13,186 distinct procedures filed
34 distinct payers
237,007 rate rows
2026-04-01 last MRF observed
Data quality

184,228 of 237,007 rate rows are consumer-grade (77.7%)

52,779 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 52,478
placeholder amount (≤ $0.02) — excluded from medians 167
template filing: same amount across many unrelated codes — excluded 134
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 · 2026-05-16
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 6 $4,377,500.00 $4,955,500.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,685,266.67 $4,837,072.71 $3,814,251.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $4,643,047.62 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,248,445.72 $4,547,824.00 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $4,124,036.00 $3,093,027.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,452,115.60 $4,640,159.04 $2,700,621.67 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $4,407,480.00 $2,565,200.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $2,188,560.80 $1,001,806.00 nat. median
$824,563
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $578,324.58 $1,680,502.41 $940,844.66 nat. median
$753,246
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $541,635.66 $1,597,608.45 $894,435.71 nat. median
$673,137
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,076.48 $1,514,373.69 $847,835.97 nat. median
$634,303
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $1,389,625.09 $777,994.32 nat. median
$619,808
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $553,378.83 $1,607,067.80 $735,629.63 nat. median
$674,867
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $541,260.45 $1,582,782.93 $724,513.31 nat. median
$625,184
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 $302,534.22 $780,745.02 $423,547.91 nat. median
$370,174
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $205,640.00 $584,017.60 $366,039.20 nat. median
$209,753
1.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $270,375.00 $790,230.00 $361,725.00 nat. median
$324,450
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $257,500.00 $731,300.00 $347,625.00 nat. median
$265,000
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $196,581.42 $506,672.11 $275,213.99 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $149,937.84 $386,017.04 $209,912.98 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 $143,648.60 $383,751.62 $197,860.88 nat. median
$202,976
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $164,940.22 $183,359.94 $178,336.38 nat. median
$76,329
outlier · 2.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $97,475.40 $193,665.90 $130,772.12 nat. median
$87,428
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 $83,795.44 $250,433.31 $129,081.20 nat. median
$133,161
1.0× median
7
MS_DRG 		Lung Transplant 26 $91,224.13 $234,139.62 $127,713.78 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $84,707.84 $217,283.63 $118,590.98 nat. median
$117,357
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 $79,912.36 $204,878.94 $111,877.30 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 26 $79,821.49 $204,643.90 $111,750.09 nat. median
$98,047
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 $72,985.39 $240,868.33 $108,837.99 nat. median
$98,894
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 26 $76,713.27 $205,835.84 $107,398.58 nat. median
$102,358
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $71,351.86 $138,431.33 $103,306.68 nat. median
$63,570
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $72,774.00 $186,413.84 $101,883.60 nat. median
$100,136
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $72,955.30 $155,474.38 $101,537.20 nat. median
$65,393
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 $69,085.65 $185,178.62 $96,719.91 nat. median
$93,672
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $66,064.25 $128,172.74 $95,651.03 nat. median
$54,196
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 26 $38,004.23 $180,022.56 $95,606.89 nat. median
$99,019
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $67,279.30 $133,671.74 $90,261.30 nat. median
$62,372
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 $63,681.39 $196,904.81 $89,153.95 nat. median
$82,711
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 $59,444.37 $196,992.50 $87,829.76 nat. median
$81,118
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $59,649.99 $115,728.27 $86,364.15 nat. median
$49,935
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 26 $61,234.37 $156,563.76 $85,728.12 nat. median
$83,470
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $179,892.08 $85,512.08 nat. median
$69,774
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 26 $59,629.59 $152,412.59 $83,481.43 nat. median
$79,312
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 $55,707.79 $148,948.52 $77,990.91 nat. median
$77,570
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 $54,376.30 $145,342.54 $76,126.82 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 $54,144.95 $138,225.22 $75,802.93 nat. median
$73,807
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $161,381.72 $73,871.91 nat. median
$62,507
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 $46,244.97 $137,767.79 $73,282.60 nat. median
$72,135
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $156,973.40 $71,854.02 nat. median
$66,682
1.1× median

Other procedures at this hospital

Browse this hospital's 13,186 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 6 6 — — $4,377,500.00 $4,955,500.00 $4,572,575.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,685,266.67 $4,837,072.71 $3,814,251.00 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $3,316,462.59 $4,643,047.62 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 7 — — $3,248,445.72 $4,547,824.00 $3,410,868.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 7 — — $2,945,740.00 $4,124,036.00 $3,093,027.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 9 — — $2,452,115.60 $4,640,159.04 $2,700,621.67 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 11 9 — — $2,332,000.00 $4,407,480.00 $2,565,200.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 7 — — $770,620.00 $2,188,560.80 $1,001,806.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 8 — — $578,324.58 $1,680,502.41 $940,844.66 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 8 — — $541,635.66 $1,597,608.45 $894,435.71 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 8 — — $533,076.48 $1,514,373.69 $847,835.97 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 16 8 — — $489,304.61 $1,389,625.09 $777,994.32 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 7 — — $553,378.83 $1,607,067.80 $735,629.63 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 7 — — $541,260.45 $1,582,782.93 $724,513.31 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 41 26 — — $302,534.22 $780,745.02 $423,547.91 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 7 — — $205,640.00 $584,017.60 $366,039.20 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 9 — — $270,375.00 $790,230.00 $361,725.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 16 8 — — $257,500.00 $731,300.00 $347,625.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 41 26 — — $196,581.42 $506,672.11 $275,213.99 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 26 — — $149,937.84 $386,017.04 $209,912.98 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 26 — — $143,648.60 $383,751.62 $197,860.88 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $164,940.22 $183,359.94 $178,336.38 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 4 — — $97,475.40 $193,665.90 $130,772.12 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 26 — — $83,795.44 $250,433.31 $129,081.20 2026-04-01
7 MS_DRG Lung Transplant 41 26 — — $91,224.13 $234,139.62 $127,713.78 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 41 26 — — $84,707.84 $217,283.63 $118,590.98 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 26 — — $79,912.36 $204,878.94 $111,877.30 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 41 26 — — $79,821.49 $204,643.90 $111,750.09 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 26 — — $72,985.39 $240,868.33 $108,837.99 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 26 — — $76,713.27 $205,835.84 $107,398.58 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 4 — — $71,351.86 $138,431.33 $103,306.68 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 41 26 — — $72,774.00 $186,413.84 $101,883.60 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 4 — — $72,955.30 $155,474.38 $101,537.20 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 26 — — $69,085.65 $185,178.62 $96,719.91 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 4 — — $66,064.25 $128,172.74 $95,651.03 2026-04-01
215 MS_DRG Other Heart Assist System Implant 42 26 — — $38,004.23 $180,022.56 $95,606.89 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 4 — — $67,279.30 $133,671.74 $90,261.30 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 26 — — $63,681.39 $196,904.81 $89,153.95 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 26 — — $59,444.37 $196,992.50 $87,829.76 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 4 — — $59,649.99 $115,728.27 $86,364.15 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 41 26 — — $61,234.37 $156,563.76 $85,728.12 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 9 — — $63,342.28 $179,892.08 $85,512.08 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 26 — — $59,629.59 $152,412.59 $83,481.43 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 26 — — $55,707.79 $148,948.52 $77,990.91 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 26 — — $54,376.30 $145,342.54 $76,126.82 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 26 — — $54,144.95 $138,225.22 $75,802.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 9 — — $56,824.55 $161,381.72 $73,871.91 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 26 — — $46,244.97 $137,767.79 $73,282.60 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $55,272.32 $156,973.40 $71,854.02 2026-04-01
10 MS_DRG Pancreas Transplant 41 26 — — $50,863.39 $129,736.66 $71,208.75 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 41 26 — — $50,842.42 $129,682.42 $71,179.39 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 41 26 — — $50,576.12 $128,993.57 $70,806.57 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 26 — — $47,912.71 $217,962.07 $70,765.46 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 4 — — $48,633.07 $94,354.10 $70,413.31 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 26 — — $48,781.92 $130,191.77 $68,294.69 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 4 — — $47,132.71 $91,443.22 $68,241.01 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 4 — — $50,661.60 $100,655.39 $67,967.14 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 4 — — $46,787.90 $90,774.26 $67,741.79 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 26 — — $47,755.86 $121,698.29 $66,858.20 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 41 26 — — $47,444.13 $120,891.92 $66,421.78 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 45 26 — — $20,420.64 $204,680.54 $66,373.85 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 16 9 — — $4,441.00 $174,087.46 $65,895.78 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 26 — — $46,666.90 $124,463.85 $65,333.66 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 26 — — $46,666.90 $124,463.85 $65,333.66 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 26 — — $46,499.86 $118,449.31 $65,099.80 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 26 — — $43,519.97 $116,339.38 $63,957.85 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 27 — — $1,609.52 $157,762.50 $61,395.89 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 41 26 — — $43,543.31 $110,801.47 $60,960.63 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 41 26 — — $43,493.68 $110,673.10 $60,891.15 2026-04-01
J9226 HCPCS Supprelin La Implant 18 9 — — $45,020.65 $127,858.65 $60,777.88 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 26 — — $43,083.40 $109,611.81 $60,316.76 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 43 26 — — $26,605.11 $140,846.57 $59,785.42 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 26 — — $40,591.61 $183,609.75 $59,768.79 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 47 27 — — $34,402.77 $209,703.64 $59,343.13 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 41 26 — — $42,154.50 $107,208.98 $59,016.30 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 26 — — $41,727.44 $106,104.29 $58,418.42 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 26 — — $41,700.88 $106,035.58 $58,381.23 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 26 — — $3,105.00 $99,875.08 $58,039.30 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 41 26 — — $41,018.01 $126,039.97 $57,425.21 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 41 26 — — $40,597.24 $103,180.75 $56,836.14 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 26 — — $23,239.06 $122,868.81 $56,005.36 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 4 — — $40,236.90 $85,748.49 $56,000.62 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 26 — — $39,882.22 $101,331.17 $55,835.11 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 26 — — $39,613.82 $100,636.90 $55,459.35 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 41 26 — — $39,311.88 $120,705.17 $55,036.63 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 41 26 — — $39,080.52 $99,257.39 $54,712.73 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 41 26 — — $38,944.93 $98,906.64 $54,522.90 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 26 — — $38,890.41 $98,765.62 $54,446.57 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 41 26 — — $38,830.30 $98,610.13 $54,362.42 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 41 26 — — $38,677.93 $98,215.98 $54,149.10 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 26 — — $18,183.74 $103,603.82 $53,400.67 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 26 — — $37,982.48 $100,944.57 $53,175.47 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 26 — — $33,095.69 $124,936.48 $53,144.15 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 26 — — $8,122.51 $103,046.96 $53,113.64 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 41 26 — — $37,709.89 $100,206.34 $52,793.85 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 26 — — $11,171.90 $113,764.02 $51,928.83 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 26 — — $30,827.14 $124,965.34 $51,904.63 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 41 26 — — $37,029.11 $93,950.91 $51,840.75 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 27 — — $5,664.94 $107,458.48 $50,701.14 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 26 — — $35,937.36 $95,405.95 $50,312.30 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 26 — — $15,402.08 $93,649.33 $49,404.22 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 26 — — $34,965.82 $88,613.70 $48,952.15 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 28 — — $9,880.64 $124,689.96 $48,136.60 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 41 26 — — $34,288.54 $86,861.74 $48,003.96 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 41 26 — — $33,984.50 $86,075.26 $47,578.30 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 26 — — $83.35 $88,984.34 $47,509.03 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 41 26 — — $33,569.32 $85,001.31 $46,997.05 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 26 — — $33,404.37 $84,574.62 $46,766.12 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 46 26 — — $15,722.34 $124,615.46 $46,519.76 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 41 26 — — $33,119.20 $83,836.96 $46,366.88 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 45 26 — — $30,161.09 $141,178.31 $46,185.85 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 9 — — $3,150.00 $121,904.66 $46,143.49 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 16 9 — — $3,818.00 $121,904.66 $46,143.49 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 16 9 — — $2,537.00 $121,904.66 $46,143.49 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 27 — — $7,080.42 $89,289.89 $45,795.40 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 26 — — $14,256.99 $86,361.67 $45,636.89 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 41 26 — — $32,363.64 $81,882.51 $45,309.10 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 41 26 — — $31,902.33 $80,689.23 $44,663.26 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 26 — — $30,498.54 $82,893.18 $44,290.92 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 26 — — $552.68 $126,373.73 $43,946.09 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 27 — — $20,822.41 $97,526.82 $43,637.88 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 26 — — $28,887.63 $81,913.35 $43,337.36 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 41 26 — — $30,714.12 $77,615.63 $42,999.77 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 41 26 — — $30,521.21 $77,116.62 $42,729.69 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 49 27 — — $27,467.84 $82,204.34 $42,370.70 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 26 — — $30,226.95 $76,355.46 $42,317.73 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 41 26 — — $30,176.63 $76,225.28 $42,247.28 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 44 26 — — $14,211.75 $76,187.31 $42,226.73 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 41 26 — — $30,041.03 $75,874.53 $42,057.44 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 41 26 — — $29,986.52 $75,733.50 $41,981.13 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 26 — — $28,852.40 $97,814.09 $41,822.61 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 44 27 — — $8,746.21 $81,007.44 $41,693.37 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 47 26 — — $19,922.17 $81,030.94 $41,644.76 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 26 — — $29,736.29 $75,086.24 $41,630.81 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 26 — — $29,544.08 $74,589.04 $41,361.71 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 27 — — $20,420.64 $112,982.06 $40,972.46 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 26 — — $6,976.15 $79,421.82 $40,936.50 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 3 1 — — $37,824.00 $42,048.00 $40,896.00 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 4 — — $28,048.33 $54,417.18 $40,609.73 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 4 — — $27,914.13 $54,156.83 $40,415.43 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 51 28 — — $19,583.29 $143,309.97 $40,334.27 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 12 8 — — $30,071.45 $85,402.91 $39,281.48 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 26 — — $11,951.74 $83,104.72 $39,215.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 26 — — $14,406.96 $75,964.93 $39,154.71 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 41 26 — — $27,927.41 $70,407.14 $39,098.37 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 26 — — $27,763.16 $69,982.26 $38,868.42 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 41 26 — — $27,722.62 $78,349.25 $38,811.67 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 42 26 — — $439.15 $72,032.53 $38,552.96 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 9 — — $28,424.06 $80,724.33 $38,372.48 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 26 — — $25,638.66 $70,727.15 $37,869.03 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 41 26 — — $26,895.77 $67,738.53 $37,654.08 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 26 — — $26,960.10 $69,810.50 $37,390.62 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 41 26 — — $26,610.60 $67,000.86 $37,254.84 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 15 8 — — $3,818.00 $94,815.04 $36,724.13 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 41 26 — — $26,070.31 $65,603.28 $36,498.43 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 26 — — $26,050.74 $65,552.66 $36,471.04 2026-04-01
332 MS_DRG Rectal Resection With Mcc 41 26 — — $26,015.79 $65,462.26 $36,422.11 2026-04-01
265 MS_DRG Aicd Lead Procedures 41 26 — — $25,998.32 $65,417.06 $36,397.65 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 26 — — $25,915.84 $65,203.71 $36,282.18 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 26 — — $25,750.89 $64,777.02 $36,051.25 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 26 — — $25,692.88 $64,626.96 $35,970.03 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 26 — — $25,630.67 $64,466.05 $35,882.94 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 41 26 — — $25,609.70 $64,411.81 $35,853.58 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 4 — — $24,755.92 $48,029.52 $35,842.82 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 45 26 — — $13,078.57 $69,414.54 $35,806.80 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 26 — — $25,565.67 $64,297.90 $35,791.94 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 42 26 — — $24,512.09 $66,409.65 $35,615.76 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 46 27 — — $24,513.70 $68,035.04 $35,090.46 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 26 — — $23,328.55 $67,570.38 $34,853.95 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 45 26 — — $18,392.07 $67,380.54 $34,836.17 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 26 — — $22,051.90 $67,577.62 $34,831.63 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 41 26 — — $24,743.01 $62,169.89 $34,640.21 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 51 27 — — $11,287.73 $79,974.73 $34,376.01 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 13 9 — — $15,225.00 $75,097.12 $34,375.44 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 13 9 — — $15,225.00 $75,097.12 $34,375.44 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 41 26 — — $24,522.84 $61,600.37 $34,331.98 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 45 26 — — $24,060.07 $66,382.53 $34,215.64 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 44 27 — — $112.38 $63,630.75 $34,165.47 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $26,231.63 $74,497.82 $34,101.12 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 27 — — $25,851.00 $65,301.34 $33,739.67 2026-04-01
69930 HCPCS Implant Cochlear Device 17 9 — — $5,657.00 $91,254.87 $33,738.59 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 26 — — $13,061.83 $62,762.91 $33,712.55 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 26 — — $21,730.44 $60,398.05 $33,681.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 42 26 — — $22,345.06 $62,459.17 $33,554.04 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 26 — — $23,532.90 $64,561.87 $33,368.04 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 26 — — $23,797.33 $59,723.66 $33,316.26 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 44 26 — — $13,222.90 $64,350.34 $33,214.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 41 26 — — $23,719.05 $59,521.17 $33,206.67 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 43 26 — — $11,390.68 $59,513.94 $33,202.75 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 16 9 — — $3,150.00 $86,872.98 $32,883.26 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 16 9 — — $5,657.00 $86,872.98 $32,883.26 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 16 9 — — $5,657.00 $86,872.98 $32,883.26 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 16 9 — — $5,657.00 $86,872.98 $32,883.26 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 16 9 — — $5,657.00 $86,872.98 $32,883.26 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 41 26 — — $23,444.36 $58,810.62 $32,822.10 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 41 26 — — $23,344.41 $58,552.08 $32,682.17 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 26 — — $23,223.90 $58,486.99 $32,646.95 2026-04-01
652 MS_DRG Kidney Transplant 41 26 — — $23,281.51 $58,389.36 $32,594.11 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 44 26 — — $7,781.82 $63,068.46 $32,562.49 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 26 — — $6,681.54 $63,052.19 $32,554.21 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 41 26 — — $23,220.70 $58,232.06 $32,508.98 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 16 9 — — $3,150.00 $85,402.91 $32,326.81 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 16 9 — — $2,537.00 $85,402.91 $32,326.81 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 16 9 — — $3,150.00 $85,402.91 $32,326.81 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 16 9 — — $2,537.00 $85,402.91 $32,326.81 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 16 9 — — $3,150.00 $85,402.91 $32,326.81 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 9 — — $2,537.00 $85,402.91 $32,326.81 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 26 — — $23,025.00 $60,436.51 $32,235.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 41 26 — — $22,962.09 $57,563.10 $32,146.93 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 17 9 — — $3,150.00 $86,872.98 $32,118.53 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 17 9 — — $3,150.00 $86,872.98 $32,118.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 42 26 — — $22,917.36 $60,145.00 $32,084.30 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 26 — — $14,043.86 $61,985.47 $32,011.25 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 41 26 — — $22,795.74 $57,132.80 $31,914.04 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 41 26 — — $22,732.83 $59,645.28 $31,825.96 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 26 — — $21,506.32 $59,616.89 $31,811.29 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 41 26 — — $22,670.63 $56,809.17 $31,738.88 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 18 9 — — $24,228.42 $68,808.71 $31,648.90 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 17 9 — — $2,537.00 $85,402.91 $31,575.02 2026-04-01
61886 HCPCS Implant Neurostim Arrays 17 9 — — $3,150.00 $85,402.91 $31,575.02 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 17 9 — — $2,537.00 $85,402.91 $31,575.02 2026-04-01
665 MS_DRG Prostatectomy With Mcc 41 26 — — $22,524.55 $56,431.30 $31,534.37 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 51 29 — — $987.68 $75,386.37 $31,344.94 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 16 9 — — $5,657.00 $79,385.11 $31,089.88 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 42 26 — — $19,862.05 $57,619.15 $31,028.07 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 41 26 — — $22,107.28 $55,351.92 $30,950.19 2026-04-01
263 MS_DRG Vein Ligation And Stripping 41 26 — — $22,078.62 $55,277.79 $30,910.07 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 45 26 — — $10,733.48 $66,290.59 $30,673.26 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 41 26 — — $21,820.71 $54,610.64 $30,548.99 2026-04-01
791 MS_DRG Prematurity With Major Problems 51 28 — — $1,113.58 $73,386.72 $30,533.24 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 26 — — $21,126.79 $54,543.74 $30,512.79 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 4 — — $21,051.62 $40,842.72 $30,479.56 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 50 26 — — $16,143.66 $77,073.84 $30,429.69 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 51 26 — — $18,801.92 $151,481.13 $30,274.14 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 26 — — $20,482.32 $58,345.97 $30,244.15 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 41 26 — — $21,512.47 $53,813.31 $30,117.46 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 43 26 — — $18,947.24 $58,044.03 $30,092.41 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 55 28 — — $15,592.58 $131,735.42 $29,820.97 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 43 26 — — $8,567.09 $57,219.58 $29,678.08 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 41 26 — — $21,118.27 $52,793.60 $29,565.58 2026-04-01
5166 OTHER Cochlear Implant Procedure 7 3 — — $29,394.96 $72,116.98 $29,456.89 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 42 26 — — $18,301.95 $54,603.41 $29,454.17 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 12 10 — — $22,795.51 $70,325.07 $29,399.92 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 41 26 — — $20,851.27 $52,102.94 $29,191.78 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 45 26 — — $21,405.76 $56,214.34 $29,172.87 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 27 — — $5,107.22 $56,313.78 $29,124.38 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 42 27 — — $17,750.48 $53,229.33 $28,737.06 2026-04-01
800 MS_DRG Splenic Procedures With Cc 41 26 — — $20,345.23 $50,793.95 $28,483.32 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 16 9 — — $5,040.00 $75,097.12 $28,425.85 2026-04-01
22630 HCPCS Lumbar Spine Fusion 16 9 — — $5,040.00 $75,097.12 $28,425.85 2026-04-01
22558 HCPCS Lumbar Spine Fusion 16 9 — — $5,040.00 $75,097.12 $28,425.85 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 16 9 — — $3,150.00 $75,097.12 $28,425.85 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 16 9 — — $5,040.00 $75,097.12 $28,425.85 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 42 26 — — $19,269.71 $52,435.62 $28,322.83 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 26 — — $19,925.35 $51,537.04 $27,853.88 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 17 9 — — $4,441.00 $75,097.12 $27,764.78 2026-04-01
570 MS_DRG Skin Debridement With Mcc 43 26 — — $7,613.85 $53,175.09 $27,645.46 2026-04-01
849 MS_DRG Radiotherapy 41 26 — — $19,646.98 $48,987.76 $27,505.77 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 41 26 — — $19,562.41 $48,768.99 $27,387.37 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 16 9 — — $5,657.00 $72,340.10 $27,382.25 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 16 9 — — $5,657.00 $72,340.10 $27,382.25 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 16 9 — — $5,657.00 $72,340.10 $27,382.25 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 42 26 — — $14,946.97 $50,611.34 $27,370.76 2026-04-01
503 MS_DRG Foot Procedures With Mcc 42 26 — — $5,449.04 $50,463.09 $27,293.39 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 14 7 — — $19,862.82 $72,570.18 $27,186.99 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 44 26 — — $13,609.31 $52,468.16 $27,166.96 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 26 — — $19,151.54 $52,178.88 $27,144.81 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 44 26 — — $19,253.43 $52,204.19 $27,032.60 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 41 26 — — $19,301.00 $58,134.30 $27,021.40 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 46 26 — — $361.97 $51,893.22 $26,874.32 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 41 26 — — $19,143.04 $47,684.19 $26,800.26 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 44 26 — — $16,181.89 $117,961.97 $26,752.71 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 44 26 — — $18,342.74 $45,614.03 $26,715.87 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 41 26 — — $18,850.88 $46,928.45 $26,391.23 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 41 26 — — $18,829.21 $46,872.40 $26,360.89 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 41 26 — — $18,655.17 $46,422.21 $26,117.24 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 46 26 — — $17,892.62 $44,449.68 $26,025.88 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 16 9 — — $5,040.00 $61,562.15 $26,012.18 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 16 9 — — $5,657.00 $61,562.15 $26,012.18 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 16 9 — — $5,657.00 $61,562.15 $26,012.18 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 16 9 — — $3,818.00 $61,562.15 $26,012.18 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 16 9 — — $3,150.00 $61,562.15 $26,012.18 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 16 9 — — $5,657.00 $61,562.15 $26,012.18 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 16 9 — — $3,150.00 $61,562.15 $26,012.18 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 26 — — $17,942.62 $49,848.37 $25,973.58 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 42 26 — — $16,892.54 $47,924.66 $25,968.60 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 4 — — $17,794.63 $34,523.76 $25,763.93 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 26 — — $12,823.33 $48,928.10 $25,511.10 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 42 26 — — $582.10 $46,697.02 $25,327.90 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 44 26 — — $5,867.63 $46,631.94 $25,293.93 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 42 26 — — $5,867.63 $46,631.94 $25,293.93 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 44 26 — — $4,388.62 $59,413.04 $25,046.72 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 15 8 — — $17,771.01 $50,469.67 $24,879.41 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 52 26 — — $11,472.65 $60,057.54 $24,833.92 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 55 26 — — $12,305.66 $69,330.97 $24,779.07 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 48 26 — — $15,249.87 $80,260.15 $24,773.08 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 12 8 — — $18,905.80 $53,692.47 $24,696.11 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 42 26 — — $17,638.90 $43,793.38 $24,694.46 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 43 26 — — $17,521.34 $43,650.54 $24,617.17 2026-04-01
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