Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SOIN MEDICAL CENTER

Beaver Creek, OH · CCN 360360 · Rates published

13,803 distinct procedures filed
34 distinct payers
543,664 rate rows
2026-04-01 last MRF observed
Data quality

364,545 of 543,664 rate rows are consumer-grade (67.1%)

179,119 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 171,705
template filing: same amount across many unrelated codes — excluded 6,908
placeholder amount (≤ $0.02) — excluded from medians 506
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ketteringhealth.org/wp-content/uploads/2026/03/270712680_1760764849_beavercreek-medical-center_standardcharges.json
Found on page https://ketteringhealth.org/billing-insurance/patient-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 4ecfab86c523e01f… · 60,052,101 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,526,200.00 $4,197,865.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,958,780.45 $4,052,573.44 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,857,081.50 $3,895,460.00 nat. median
$3,286,000
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,809,595.13 $3,670,885.51 nat. median
$2,468,984
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,570,904.76 $3,620,960.00 nat. median
$3,004,655
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,897,200.00 $3,486,810.33 nat. median
$2,448,600
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $2,070,347.69 $1,193,382.13 nat. median
$824,563
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,589,731.61 $901,051.07 nat. median
$753,246
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,520,263.51 $861,676.94 nat. median
$674,867
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,511,315.09 $856,605.02 nat. median
$673,137
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,497,290.36 $848,655.89 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,432,576.18 $811,976.24 nat. median
$634,303
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,314,565.76 $745,088.59 nat. median
$619,808
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $345,980.69 $813,020.02 $423,324.53 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $224,748.82 $592,649.22 $291,667.78 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $171,378.93 $499,151.43 $222,407.01 nat. median
$206,474
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $55,456.11 $450,912.84 $178,895.70 nat. median
$202,976
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $110,901.76 $297,948.67 $172,086.26 nat. median
$111,989
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $113,585.43 $186,452.72 $164,139.71 nat. median
$87,428
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $98,142.30 $161,102.52 $141,823.20 nat. median
$63,570
outlier · 2.2×
90288
HCPCS 		Botulism Ig IV 1 $135,886.95 $135,886.95 $135,886.95 nat. median
$55,037
outlier · 2.5×
7
MS_DRG 		Lung Transplant 15 $104,198.32 $274,961.68 $135,223.37 nat. median
$122,708
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $88,813.56 $187,316.25 $134,648.12 nat. median
$76,329
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $90,869.37 $149,163.86 $131,313.25 nat. median
$54,196
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $96,742.34 $275,656.04 $125,547.38 nat. median
$117,357
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $85,012.82 $139,550.22 $122,850.09 nat. median
$65,393
1.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 $82,046.74 $134,681.34 $118,563.87 nat. median
$49,935
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $91,255.32 $231,865.51 $118,426.60 nat. median
$108,660
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $88,771.33 $220,543.35 $113,781.52 nat. median
$98,894
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $87,594.91 $229,201.72 $113,676.29 nat. median
$102,358
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $78,398.73 $128,693.07 $113,292.22 nat. median
$62,372
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $38,393.08 $297,290.39 $111,405.59 nat. median
$133,161
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $83,087.57 $224,057.19 $107,826.89 nat. median
$100,136
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $184,842.67 $106,759.61 nat. median
$70,825
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $78,867.34 $203,054.07 $102,350.09 nat. median
$93,672
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $170,175.37 $98,288.22 nat. median
$69,774
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $66,893.30 $109,806.67 $96,665.98 nat. median
$44,728
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $61,569.75 $157,043.71 $95,156.05 nat. median
$72,135
1.3× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $64,829.60 $106,419.07 $93,683.78 nat. median
$48,704
1.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $59,034.58 $132,175.80 $93,392.36 nat. median
$48,483
1.9× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 $64,355.33 $105,640.55 $92,998.43 nat. median
$39,020
outlier · 2.4×
38240
HCPCS 		Transplt Allo Hct/donor 7 $13,471.00 $213,537.11 $92,668.15 nat. median
$15,979
outlier · 5.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $72,683.75 $175,481.94 $91,610.03 nat. median
$82,711
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $91,151.36 $214,196.58 $91,151.36 nat. median
$98,047
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $69,883.86 $193,814.96 $90,691.78 nat. median
$83,470
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $68,047.65 $178,288.81 $88,308.83 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $67,835.72 $178,187.81 $88,033.81 nat. median
$81,118
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $195,784.65 $87,998.49 nat. median
$62,507
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $159,077.71 $85,525.65 nat. median
$66,682
1.3× median

Other procedures at this hospital

Browse this hospital's 13,803 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 3 — — $3,685,266.67 $4,526,200.00 $4,197,865.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 4 — — $3,316,462.59 $4,958,780.45 $4,052,573.44 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 4 — — $3,248,445.72 $4,857,081.50 $3,895,460.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 5 — — $2,455,110.60 $3,809,595.13 $3,670,885.51 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 5 — — $2,945,740.00 $4,570,904.76 $3,620,960.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 18 6 — — $2,332,000.00 $4,897,200.00 $3,486,810.33 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 20 6 — — $770,620.00 $2,070,347.69 $1,193,382.13 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 6 — — $591,726.20 $1,589,731.61 $901,051.07 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 24 6 — — $565,868.94 $1,520,263.51 $861,676.94 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 24 6 — — $562,538.19 $1,511,315.09 $856,605.02 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 24 6 — — $557,317.93 $1,497,290.36 $848,655.89 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 6 — — $533,230.17 $1,432,576.18 $811,976.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 24 6 — — $489,304.61 $1,314,565.76 $745,088.59 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 56 15 — — $345,980.69 $813,020.02 $423,324.53 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 56 15 — — $224,748.82 $592,649.22 $291,667.78 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 15 — — $171,378.93 $499,151.43 $222,407.01 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 64 17 — — $55,456.11 $450,912.84 $178,895.70 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 6 — — $110,901.76 $297,948.67 $172,086.26 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 18 5 — — $113,585.43 $186,452.72 $164,139.71 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 5 — — $98,142.30 $161,102.52 $141,823.20 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $135,886.95 $135,886.95 $135,886.95 2026-04-01
7 MS_DRG Lung Transplant 56 15 — — $104,198.32 $274,961.68 $135,223.37 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 3 — — $88,813.56 $187,316.25 $134,648.12 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 5 — — $90,869.37 $149,163.86 $131,313.25 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 56 15 — — $96,742.34 $275,656.04 $125,547.38 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 5 — — $85,012.82 $139,550.22 $122,850.09 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 18 5 — — $82,046.74 $134,681.34 $118,563.87 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 56 15 — — $91,255.32 $231,865.51 $118,426.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 15 — — $88,771.33 $220,543.35 $113,781.52 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 15 — — $87,594.91 $229,201.72 $113,676.29 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 5 — — $78,398.73 $128,693.07 $113,292.22 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 66 17 — — $38,393.08 $297,290.39 $111,405.59 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 15 — — $83,087.57 $224,057.19 $107,826.89 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 14 6 — — $68,801.71 $184,842.67 $106,759.61 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 15 — — $78,867.34 $203,054.07 $102,350.09 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 34 9 — — $63,342.28 $170,175.37 $98,288.22 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 18 5 — — $66,893.30 $109,806.67 $96,665.98 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 16 — — $61,569.75 $157,043.71 $95,156.05 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 5 — — $64,829.60 $106,419.07 $93,683.78 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 22 7 — — $59,034.58 $132,175.80 $93,392.36 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 18 5 — — $64,355.33 $105,640.55 $92,998.43 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 26 7 — — $13,471.00 $213,537.11 $92,668.15 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 56 15 — — $72,683.75 $175,481.94 $91,610.03 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 38 15 — — $91,151.36 $214,196.58 $91,151.36 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 56 15 — — $69,883.86 $193,814.96 $90,691.78 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 15 — — $68,047.65 $178,288.81 $88,308.83 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 15 — — $67,835.72 $178,187.81 $88,033.81 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 28 8 — — $56,824.55 $195,784.65 $87,998.49 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 8 — — $55,272.32 $159,077.71 $85,525.65 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 60 16 — — $52,348.12 $140,284.56 $85,460.17 2026-04-01
215 MS_DRG Other Heart Assist System Implant 60 16 — — $27,890.83 $222,912.56 $84,273.51 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 15 — — $63,560.31 $169,600.98 $82,485.40 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 15 — — $62,036.80 $162,794.22 $80,508.26 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 15 — — $61,772.09 $164,452.25 $80,164.73 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 14 6 — — $49,338.18 $132,551.95 $76,558.05 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 15 — — $58,360.39 $149,363.75 $75,737.20 2026-04-01
10 MS_DRG Pancreas Transplant 56 15 — — $58,017.30 $167,751.48 $75,291.96 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 15 — — $57,688.61 $166,785.69 $74,865.40 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 14 6 — — $47,919.99 $128,741.85 $74,357.45 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 56 15 — — $57,993.31 $140,522.32 $73,248.99 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 15 — — $54,461.66 $143,665.84 $70,677.62 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 15 — — $54,065.79 $141,063.07 $70,163.88 2026-04-01
J9226 HCPCS Supprelin La Implant 34 9 — — $45,020.65 $126,141.59 $69,858.54 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 15 — — $53,215.66 $135,870.15 $69,060.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 15 — — $43,991.57 $148,686.23 $68,699.75 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 15 — — $44,248.97 $113,528.82 $68,386.78 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 15 — — $54,104.97 $130,159.63 $68,051.18 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 15 — — $53,215.66 $125,175.01 $66,066.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 7 — — $10,817.74 $149,529.27 $64,890.83 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 15 — — $49,641.62 $126,044.01 $64,422.41 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 56 15 — — $49,584.84 $133,061.18 $64,348.72 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 15 — — $49,115.39 $128,524.74 $63,739.50 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 22 7 — — $27,883.32 $76,965.87 $63,737.37 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 15 — — $48,667.54 $130,327.95 $63,158.30 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 56 15 — — $48,052.54 $126,992.96 $62,360.18 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 15 — — $48,319.65 $120,754.30 $62,149.07 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 16 — — $40,196.69 $104,845.20 $62,123.98 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 15 — — $47,563.90 $123,801.04 $61,726.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 15 — — $47,533.51 $122,498.60 $61,686.61 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 15 — — $46,457.85 $120,032.59 $60,290.68 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 56 15 — — $46,752.16 $115,096.37 $59,602.76 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 15 — — $45,591.74 $115,834.91 $59,166.68 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 15 — — $45,452.58 $114,479.87 $58,732.69 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 15 — — $44,799.99 $129,122.30 $58,139.18 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 58 15 — — $37,566.34 $97,886.94 $58,058.78 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 22 8 — — $19,170.87 $96,690.33 $57,930.60 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 104 20 — — $8,536.98 $134,212.70 $57,786.86 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 56 15 — — $44,380.13 $114,218.96 $57,594.32 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 15 — — $44,317.75 $111,936.02 $57,362.06 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 56 15 — — $44,074.63 $126,992.96 $57,197.85 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 15 — — $43,278.89 $111,439.45 $56,165.18 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 84 19 — — $4,806.71 $146,371.72 $55,906.79 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 15 — — $42,966.99 $116,299.92 $55,760.41 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 18 5 — — $38,579.62 $63,329.20 $55,750.53 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 56 15 — — $43,253.29 $108,354.84 $55,712.40 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 58 15 — — $26,145.58 $129,566.27 $55,675.75 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 14 6 — — $34,970.13 $93,950.75 $54,263.15 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 74 19 — — $9,465.52 $116,659.62 $52,711.82 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 60 16 — — $14,536.66 $106,860.93 $52,580.39 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 22 7 — — $14,014.53 $116,300.91 $52,168.63 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 84 17 — — $23,705.07 $136,086.88 $52,091.23 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 80 18 — — $3,349.59 $107,999.24 $51,830.59 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 15 — — $39,827.21 $113,514.09 $51,685.76 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 28 8 — — $11,653.05 $63,026.21 $51,505.27 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 60 16 — — $10,262.47 $127,910.34 $51,115.19 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 90 19 — — $11,601.01 $96,975.86 $51,027.31 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 56 15 — — $39,247.39 $102,196.14 $50,933.30 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 15 — — $40,938.84 $96,626.58 $50,924.94 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 15 — — $39,052.26 $105,348.08 $50,680.07 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 30 8 — — $3,958.00 $149,529.27 $50,273.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 15 — — $38,704.37 $98,985.28 $50,228.60 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 100 20 — — $7,788.60 $100,035.23 $49,705.47 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 15 — — $38,229.32 $96,935.89 $49,596.66 2026-04-01
69930 HCPCS Implant Cochlear Device 32 9 — — $15,624.00 $111,933.97 $49,392.74 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 15 — — $38,040.58 $100,474.98 $49,367.17 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 18 5 — — $34,051.02 $55,895.42 $49,206.35 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 56 15 — — $37,714.29 $102,025.70 $48,943.72 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 24 7 — — $14,760.00 $81,834.66 $48,297.33 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 19 — — $2,612.00 $125,088.75 $48,162.90 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 15 — — $36,992.12 $94,095.35 $48,006.53 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 26 7 — — $10,817.74 $106,559.12 $47,990.55 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 26 7 — — $18,353.44 $106,559.12 $47,990.55 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 26 7 — — $18,353.44 $106,559.12 $47,990.55 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 26 7 — — $23,576.00 $106,559.12 $47,990.55 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 26 7 — — $10,817.74 $106,559.12 $47,990.55 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 26 7 — — $18,353.44 $106,559.12 $47,990.55 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 26 7 — — $10,817.74 $106,559.12 $47,990.55 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 56 15 — — $36,849.77 $100,039.43 $47,821.79 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 76 19 — — $15,026.67 $87,538.98 $47,577.29 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 16 — — $32,367.31 $106,087.36 $47,402.75 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 56 15 — — $36,321.94 $92,422.59 $47,136.80 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 60 16 — — $2,763.78 $116,291.50 $46,762.04 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 38 15 — — $46,270.71 $108,731.54 $46,270.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 9 — — $6,350.00 $104,755.92 $46,225.29 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 17 — — $10,535.18 $113,636.13 $46,211.53 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 15 — — $36,462.70 $88,168.10 $45,998.55 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 14 6 — — $29,559.78 $79,415.30 $45,867.91 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 14 6 — — $29,510.19 $79,282.08 $45,790.96 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 14 6 — — $29,420.21 $79,040.34 $45,651.34 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 8 — — $14,014.53 $149,529.27 $45,569.35 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 26 7 — — $10,817.74 $104,755.92 $45,460.65 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 26 7 — — $3,086.00 $104,755.92 $45,460.65 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 7 — — $10,817.74 $104,755.92 $45,460.65 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 26 7 — — $10,817.74 $104,755.92 $45,460.65 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 26 7 — — $3,086.00 $104,755.92 $45,460.65 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 26 7 — — $8,386.90 $104,755.92 $45,460.65 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 56 15 — — $34,741.65 $88,982.39 $45,085.98 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 60 16 — — $3,520.20 $107,189.17 $44,373.02 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 15 — — $34,330.59 $86,467.99 $44,361.35 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 56 15 — — $34,347.38 $86,339.64 $44,331.07 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 56 15 — — $34,545.72 $85,914.61 $44,305.74 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 58 15 — — $30,546.26 $117,286.74 $44,297.44 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 56 15 — — $34,129.85 $86,516.38 $44,270.69 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 15 — — $34,000.30 $90,848.73 $44,123.89 2026-04-01
J9266 HCPCS Pegaspargase Injection 34 9 — — $28,424.06 $76,364.08 $43,929.38 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 7 — — $23,576.00 $97,374.44 $43,854.09 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 15 — — $33,843.55 $85,575.85 $43,833.91 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 62 17 — — $24,190.96 $94,356.26 $43,368.14 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 16 — — $27,914.27 $70,624.12 $43,023.62 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 56 15 — — $33,623.62 $82,270.31 $42,711.59 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 15 — — $32,783.89 $82,674.30 $42,393.79 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 74 19 — — $3,480.33 $105,973.00 $41,990.71 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 18 5 — — $28,955.86 $47,531.62 $41,843.46 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 60 16 — — $24,746.78 $76,354.78 $41,622.68 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 64 17 — — $25,622.67 $69,870.85 $41,590.79 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 15 — — $31,773.82 $91,038.09 $41,234.48 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 7 — — $23,576.00 $91,379.64 $41,154.24 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 15 — — $31,915.37 $79,985.26 $41,118.74 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 15 — — $31,585.88 $81,817.93 $40,990.57 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 56 15 — — $31,539.49 $82,678.51 $40,930.37 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 74 17 — — $8,814.94 $112,002.97 $40,664.68 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 115 21 — — $6,748.34 $217,813.03 $40,126.31 2026-04-01
22558 HCPCS Lumbar Spine Fusion 26 7 — — $11,376.86 $92,114.75 $39,974.80 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 26 7 — — $11,376.86 $92,114.75 $39,974.80 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 16 — — $22,160.93 $98,455.05 $39,161.67 2026-04-01
245 MS_DRG Aicd Generator Procedures 58 15 — — $24,268.27 $102,816.85 $38,973.56 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 56 15 — — $30,005.59 $81,237.20 $38,939.75 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 26 7 — — $18,353.44 $88,732.97 $38,507.22 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 26 7 — — $18,353.44 $88,732.97 $38,507.22 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 26 7 — — $18,353.44 $88,732.97 $38,507.22 2026-04-01
265 MS_DRG Aicd Lead Procedures 56 15 — — $29,566.53 $75,051.14 $38,369.96 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 8 — — $24,228.42 $83,477.18 $38,301.50 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 56 15 — — $30,267.11 $73,058.56 $38,143.57 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 56 15 — — $29,283.43 $83,757.91 $38,002.57 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 15 — — $29,217.05 $82,844.73 $37,916.43 2026-04-01
332 MS_DRG Rectal Resection With Mcc 56 15 — — $29,586.53 $72,980.71 $37,762.54 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 56 15 — — $29,121.88 $73,719.25 $37,743.56 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 56 15 — — $29,145.87 $73,666.65 $37,740.13 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 62 15 — — $7,461.64 $89,754.59 $37,549.39 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 56 15 — — $28,776.39 $76,765.98 $37,344.56 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 80 17 — — $12,125.68 $89,617.83 $37,000.20 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 56 15 — — $28,392.51 $72,900.75 $36,846.38 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 60 15 — — $21,668.81 $72,355.79 $36,672.03 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 22 7 — — $17,771.01 $61,228.66 $36,309.70 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 56 15 — — $27,878.28 $74,257.90 $36,179.03 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 56 15 — — $29,648.91 $69,671.97 $35,906.57 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 60 15 — — $12,046.73 $93,215.84 $35,901.84 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 14 6 — — $23,087.32 $62,026.39 $35,824.59 2026-04-01
L5858 HCPCS Stance Phase Only 14 6 — — $22,885.05 $61,482.98 $35,510.73 2026-04-01
791 MS_DRG Prematurity With Major Problems 69 20 — — $1,805.71 $85,428.56 $34,746.38 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 56 15 — — $26,644.28 $71,682.48 $34,577.61 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 72 18 — — $11,045.78 $73,706.62 $34,310.94 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 56 15 — — $26,388.36 $66,914.59 $34,235.79 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 76 18 — — $2,469.45 $88,161.79 $34,232.22 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 56 15 — — $26,955.38 $65,664.75 $34,152.78 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 28 8 — — $10,499.00 $92,114.75 $34,023.48 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 26 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 26 7 — — $18,353.44 $75,512.64 $34,008.29 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 26 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 26 7 — — $14,014.53 $75,512.64 $34,008.29 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 26 7 — — $18,353.44 $75,512.64 $34,008.29 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 26 7 — — $18,353.44 $75,512.64 $34,008.29 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 26 7 — — $11,376.86 $75,512.64 $34,008.29 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 26 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 26 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 26 7 — — $10,817.74 $75,512.64 $34,008.29 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 98 21 — — $1,323.33 $87,753.59 $33,976.30 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 15 — — $26,164.44 $71,371.07 $33,954.90 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 14 6 — — $21,834.21 $58,659.79 $33,880.14 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 56 15 — — $26,041.28 $74,283.15 $33,795.07 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 12 4 — — $15,544.00 $52,009.87 $33,776.93 2025-01-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 14 6 — — $21,739.52 $58,405.39 $33,733.21 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 56 15 — — $26,465.14 $64,928.32 $33,671.09 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 18 5 — — $23,286.46 $38,225.18 $33,650.73 2026-04-01
652 MS_DRG Kidney Transplant 56 15 — — $26,457.94 $64,621.12 $33,573.74 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 56 15 — — $25,818.15 $65,355.45 $33,461.53 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 24 7 — — $7,274.78 $59,191.73 $33,233.25 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 58 15 — — $27,423.33 $79,362.44 $33,085.40 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 64 16 — — $26,542.19 $75,427.78 $33,064.14 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 56 15 — — $25,495.85 $64,351.79 $32,986.60 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 28 9 — — $9,242.72 $40,177.79 $32,833.46 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 10 3 — — $5,007.82 $47,318.40 $32,730.24 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 58 16 — — $21,164.46 $54,462.52 $32,709.67 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 56 15 — — $25,114.38 $65,635.30 $32,592.18 2026-04-01
509 MS_DRG Arthroscopy 18 5 — — $22,514.82 $36,958.52 $32,535.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 58 15 — — $27,834.97 $80,422.91 $32,260.79 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 60 15 — — $22,136.54 $61,814.57 $32,152.79 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 58 15 — — $25,497.54 $71,891.43 $32,123.07 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 88 18 — — $9,399.63 $54,376.26 $32,054.62 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 70 17 — — $2,842.41 $81,028.89 $32,048.33 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 58 16 — — $30,046.36 $75,406.74 $32,044.97 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 68 17 — — $8,972.59 $83,034.10 $31,956.80 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 30 8 — — $4,830.00 $104,755.92 $31,924.58 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 30 8 — — $4,830.00 $104,755.92 $31,924.58 2026-04-01
5378 OTHER Level 8 Urology And Related Services 18 5 — — $5,062.17 $58,720.12 $31,891.15 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 56 15 — — $27,048.15 $63,560.45 $31,737.87 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 24 9 — — $9,177.32 $54,182.99 $31,680.15 2025-01-01
54411 HCPCS Remov/replc Penis Pros Comp 22 7 — — $17,331.79 $70,361.18 $31,561.63 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 56 15 — — $25,758.97 $60,531.00 $31,503.27 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 56 15 — — $24,783.29 $60,322.44 $31,385.18 2026-04-01
570 MS_DRG Skin Debridement With Mcc 64 18 — — $12,169.33 $63,341.83 $31,342.60 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 56 15 — — $24,786.48 $60,135.18 $31,329.82 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 56 15 — — $24,191.48 $60,955.78 $31,267.40 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 58 15 — — $26,761.36 $74,070.63 $31,107.84 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 14 6 — — $20,015.46 $53,773.53 $31,057.99 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 68 18 — — $22,429.06 $207,325.85 $30,759.76 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 14 6 — — $19,809.02 $53,218.91 $30,737.66 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 62 15 — — $7,516.74 $50,435.28 $30,724.75 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 64 16 — — $27,818.67 $76,250.48 $30,647.67 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 60 16 — — $19,783.31 $52,131.18 $30,636.47 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 68 17 — — $2,585.60 $78,777.50 $30,549.42 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 26 7 — — $5,437.00 $70,361.18 $30,534.46 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 56 15 — — $23,824.40 $59,087.34 $30,505.57 2026-04-01
263 MS_DRG Vein Ligation And Stripping 56 15 — — $25,081.59 $58,939.23 $30,356.13 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 66 16 — — $5,857.63 $69,256.63 $30,208.97 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 82 18 — — $11,125.83 $52,955.99 $30,133.47 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 66 15 — — $18,667.95 $74,716.59 $29,993.59 2026-04-01
800 MS_DRG Splenic Procedures With Cc 56 15 — — $23,098.23 $61,305.06 $29,975.72 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 72 17 — — $15,799.84 $72,174.84 $29,954.05 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 56 15 — — $23,722.03 $57,366.18 $29,927.57 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 66 18 — — $2,186.18 $72,473.62 $29,798.28 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 22 8 — — $8,324.04 $51,203.88 $29,763.96 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 66 16 — — $9,867.06 $81,321.36 $29,754.28 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 56 15 — — $24,175.48 $56,809.96 $29,635.60 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 30 8 — — $4,830.00 $65,859.63 $29,542.39 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 68 17 — — $10,575.88 $64,562.20 $29,461.08 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 26 7 — — $14,014.53 $65,389.72 $29,449.27 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 56 15 — — $23,677.24 $55,754.44 $29,413.12 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 86 20 — — $5.35 $150,130.47 $29,281.01 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 20 6 — — $12,481.78 $34,263.16 $29,268.52 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 62 14 — — $3,227.37 $56,076.19 $29,197.69 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 56 15 — — $22,493.63 $57,159.98 $29,191.11 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 56 15 — — $24,756.89 $58,176.22 $29,178.17 2026-04-01
63655 HCPCS Implant Neuroelectrodes 28 8 — — $19,115.10 $65,859.63 $29,061.66 2026-04-01
503 MS_DRG Foot Procedures With Mcc 56 15 — — $22,951.88 $55,685.01 $29,011.15 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 56 15 — — $22,272.90 $57,469.28 $28,904.65 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 72 17 — — $15,628.38 $72,063.32 $28,833.97 2026-04-01
849 MS_DRG Radiotherapy 56 15 — — $22,299.29 $56,198.41 $28,824.92 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 14 6 — — $18,506.37 $49,719.21 $28,716.33 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 26 7 — — $8,386.90 $65,859.63 $28,580.93 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 26 7 — — $8,386.90 $65,859.63 $28,580.93 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 26 7 — — $10,817.74 $65,859.63 $28,580.93 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 56 15 — — $21,903.42 $60,253.01 $28,425.17 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 26 7 — — $11,376.86 $65,389.72 $28,377.01 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 26 7 — — $10,817.74 $65,389.72 $28,377.01 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 26 7 — — $10,672.27 $65,389.72 $28,377.01 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 26 7 — — $11,376.86 $65,389.72 $28,377.01 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 26 7 — — $18,978.72 $65,389.72 $28,377.01 2026-04-01
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