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

KETTERING HEALTH TROY

Troy, OH · CCN 360368 · Rates published

12,762 distinct procedures filed
33 distinct payers
477,418 rate rows
2026-04-01 last MRF observed
Data quality

336,021 of 477,418 rate rows are consumer-grade (70.4%)

141,397 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 133,987
template filing: same amount across many unrelated codes — excluded 6,908
placeholder amount (≤ $0.02) — excluded from medians 502
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ketteringhealth.org/wp-content/uploads/2026/03/310621866_1023587045_kettering-medical-center_standardcharges.json
Found on page https://ketteringhealth.org/billing-insurance/patient-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint f8799fb534de7b6a… · 56,878,070 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,526,200.00 $4,197,865.00 nat. median
$3,710,000
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,938,537.21 $3,895,460.00 nat. median
$3,286,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,052,573.44 $3,767,429.58 nat. median
$3,325,455
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,809,595.13 $3,732,448.11 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 $3,545,285.90 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 13 $311,909.09 $793,460.32 $482,712.42 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $202,885.73 $592,649.22 $324,120.10 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $154,890.40 $499,151.43 $247,445.15 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $153,989.24 $450,912.84 $246,005.51 nat. median
$202,976
1.2× 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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $100,956.60 $297,290.39 $161,283.22 nat. median
$133,161
1.2× median
7
MS_DRG 		Lung Transplant 13 $94,475.14 $274,961.68 $150,928.76 nat. median
$122,708
1.2× 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×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $87,770.00 $275,656.04 $140,216.97 nat. median
$117,357
1.2× median
90288
HCPCS 		Botulism Ig IV 1 $135,886.95 $135,886.95 $135,886.95 nat. median
$55,037
outlier · 2.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $88,813.56 $187,316.25 $134,648.12 nat. median
$76,329
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $82,835.55 $231,865.51 $132,333.93 nat. median
$108,660
1.2× 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×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $80,601.70 $220,543.35 $128,765.24 nat. median
$98,894
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $79,543.75 $229,201.72 $127,075.12 nat. median
$102,358
1.2× 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
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $75,490.32 $224,057.19 $120,599.56 nat. median
$100,136
1.2× 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×
215
MS_DRG 		Other Heart Assist System Implant 13 $72,947.94 $222,912.56 $116,537.98 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $71,695.08 $203,054.07 $114,536.48 nat. median
$93,672
1.2× 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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $66,134.20 $175,481.94 $104,556.26 nat. median
$82,711
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $63,616.27 $193,814.96 $101,630.17 nat. median
$83,470
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $61,964.98 $178,288.81 $98,992.15 nat. median
$79,312
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $61,774.39 $178,187.81 $98,687.68 nat. median
$81,118
1.2× 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×
38240
HCPCS 		Transplt Allo Hct/donor 7 $13,471.00 $215,956.58 $93,718.12 nat. median
$15,979
outlier · 5.9×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $64,829.60 $106,419.07 $93,683.78 nat. median
$48,704
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×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $57,929.52 $169,600.98 $92,545.30 nat. median
$77,570
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $56,559.44 $162,794.22 $90,356.53 nat. median
$74,915
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $56,321.39 $164,452.25 $89,976.24 nat. median
$73,807
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $56,139.43 $157,043.71 $89,685.55 nat. median
$72,135
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $199,068.06 $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 12,762 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
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 4 — — $3,248,445.72 $4,938,537.21 $3,895,460.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 3 — — $3,316,462.59 $4,052,573.44 $3,767,429.58 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 5 — — $2,455,110.60 $3,809,595.13 $3,732,448.11 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 $3,545,285.90 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 52 13 — — $311,909.09 $793,460.32 $482,712.42 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 52 13 — — $202,885.73 $592,649.22 $324,120.10 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 52 13 — — $154,890.40 $499,151.43 $247,445.15 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 13 — — $153,989.24 $450,912.84 $246,005.51 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 13 — — $100,956.60 $297,290.39 $161,283.22 2026-04-01
7 MS_DRG Lung Transplant 52 13 — — $94,475.14 $274,961.68 $150,928.76 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
14 MS_DRG Allogeneic Bone Marrow Transplant 52 13 — — $87,770.00 $275,656.04 $140,216.97 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $135,886.95 $135,886.95 $135,886.95 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 3 — — $88,813.56 $187,316.25 $134,648.12 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 52 13 — — $82,835.55 $231,865.51 $132,333.93 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 13 — — $80,601.70 $220,543.35 $128,765.24 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 52 13 — — $79,543.75 $229,201.72 $127,075.12 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 13 — — $75,490.32 $224,057.19 $120,599.56 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
215 MS_DRG Other Heart Assist System Implant 52 13 — — $72,947.94 $222,912.56 $116,537.98 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 13 — — $71,695.08 $203,054.07 $114,536.48 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 52 13 — — $66,134.20 $175,481.94 $104,556.26 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 52 13 — — $63,616.27 $193,814.96 $101,630.17 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 13 — — $61,964.98 $178,288.81 $98,992.15 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 13 — — $61,774.39 $178,187.81 $98,687.68 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
38240 HCPCS Transplt Allo Hct/donor 26 7 — — $13,471.00 $215,956.58 $93,718.12 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
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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 52 13 — — $57,929.52 $169,600.98 $92,545.30 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 13 — — $56,559.44 $162,794.22 $90,356.53 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 13 — — $56,321.39 $164,452.25 $89,976.24 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 52 13 — — $56,139.43 $157,043.71 $89,685.55 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 28 8 — — $56,824.55 $199,068.06 $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
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 18 5 — — $59,034.58 $96,906.43 $85,309.53 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 13 — — $53,253.26 $149,363.75 $85,074.74 2026-04-01
10 MS_DRG Pancreas Transplant 52 13 — — $52,944.72 $167,751.48 $84,581.83 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 52 13 — — $52,649.13 $166,785.69 $84,109.61 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 13 — — $52,618.93 $148,686.23 $84,061.38 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 52 13 — — $52,923.15 $140,522.32 $83,698.87 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 34 13 — — $82,742.05 $194,435.54 $82,742.05 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 13 — — $51,046.75 $146,371.72 $81,549.74 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 13 — — $50,802.94 $140,284.56 $81,160.24 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 52 13 — — $49,747.15 $143,665.84 $79,473.56 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 52 13 — — $49,391.14 $141,063.07 $78,904.82 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 52 13 — — $49,426.38 $130,159.63 $77,840.31 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 13 — — $48,626.63 $135,870.15 $77,683.48 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 13 — — $48,454.74 $129,566.27 $76,908.74 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 13 — — $48,626.63 $125,175.01 $75,704.01 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 53 14 — — $15,688.72 $136,086.88 $73,589.65 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 13 — — $45,412.50 $126,044.01 $72,548.74 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 52 13 — — $45,361.44 $133,061.18 $72,467.17 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 13 — — $44,939.27 $128,524.74 $71,792.73 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 52 13 — — $44,548.74 $127,910.34 $71,168.84 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 13 — — $44,536.51 $130,327.95 $71,149.30 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 13 — — $44,223.66 $120,754.30 $70,649.51 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 13 — — $44,082.70 $125,088.75 $70,424.32 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 52 13 — — $43,983.45 $126,992.96 $70,265.76 2026-04-01
J9226 HCPCS Supprelin La Implant 34 9 — — $45,020.65 $126,141.59 $69,858.54 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 13 — — $43,544.01 $123,801.04 $69,563.74 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 13 — — $43,516.68 $122,498.60 $69,520.07 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 52 13 — — $42,814.02 $115,096.37 $68,142.40 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 13 — — $42,549.36 $120,032.59 $67,974.73 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 5 — — $46,886.96 $76,965.87 $67,755.28 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 13 — — $41,770.46 $115,834.91 $66,730.40 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 13 — — $41,645.32 $114,479.87 $66,530.48 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 7 — — $10,817.74 $151,223.49 $65,626.07 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 52 13 — — $41,058.45 $129,122.30 $65,592.93 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 13 — — $31,513.85 $113,636.13 $65,417.68 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 52 13 — — $40,820.39 $116,291.50 $65,212.62 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 13 — — $40,680.86 $114,218.96 $64,989.71 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 13 — — $40,624.77 $111,936.02 $64,900.10 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 13 — — $40,562.91 $113,528.82 $64,801.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 52 13 — — $40,406.13 $126,992.96 $64,550.81 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 13 — — $41,369.14 $105,266.02 $64,031.59 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 13 — — $39,690.52 $111,439.45 $63,407.59 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 52 13 — — $39,667.51 $108,354.84 $63,370.83 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 13 — — $39,410.03 $116,299.92 $62,959.49 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 52 13 — — $39,284.17 $107,999.24 $62,758.43 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 13 — — $38,774.26 $107,189.17 $61,943.82 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 52 13 — — $38,709.53 $117,286.74 $61,840.41 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 13 — — $37,206.39 $106,860.93 $59,439.07 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 13 — — $36,918.71 $104,845.20 $58,979.49 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 13 — — $36,733.87 $105,973.00 $58,684.19 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 13 — — $37,586.13 $96,626.58 $58,476.73 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 13 — — $36,586.44 $113,514.09 $58,448.66 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 52 13 — — $36,065.02 $102,196.14 $57,615.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 13 — — $35,889.53 $105,348.08 $57,335.32 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 52 13 — — $35,576.68 $98,985.28 $56,835.53 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 57 15 — — $18,836.51 $96,613.96 $56,738.02 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 52 13 — — $35,149.47 $96,935.89 $56,153.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 52 13 — — $34,979.74 $100,474.98 $55,881.89 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 18 5 — — $38,579.62 $63,329.20 $55,750.53 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 18 5 — — $38,395.04 $63,026.21 $55,483.79 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 52 13 — — $34,686.30 $102,025.70 $55,413.10 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 52 13 — — $34,553.25 $97,886.94 $55,200.54 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
245 MS_DRG Aicd Generator Procedures 52 13 — — $34,149.78 $102,816.85 $54,555.98 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 13 — — $34,051.25 $94,922.26 $54,398.57 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 52 13 — — $34,036.86 $94,095.35 $54,375.58 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 13 — — $13,238.30 $100,035.23 $54,216.80 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 52 13 — — $33,908.84 $100,039.43 $54,171.07 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 52 13 — — $33,570.10 $96,975.86 $53,629.91 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 52 13 — — $33,434.17 $92,422.59 $53,412.76 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 13 — — $32,242.96 $98,455.05 $53,027.47 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 15 10 — — $52,873.07 $52,873.07 $52,873.07 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 52 13 — — $33,560.75 $88,168.10 $52,789.71 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 52 13 — — $32,930.01 $89,748.28 $52,607.33 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 22 7 — — $14,014.53 $117,618.65 $51,889.51 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 13 — — $32,459.65 $89,617.83 $51,855.92 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 52 13 — — $32,211.52 $94,356.26 $51,459.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 52 13 — — $32,013.02 $88,982.39 $51,142.40 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 52 13 — — $31,836.82 $85,914.61 $50,771.13 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 52 13 — — $31,710.24 $87,538.98 $50,658.69 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 52 13 — — $31,658.45 $86,339.64 $50,575.96 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 52 13 — — $31,643.35 $86,467.99 $50,551.84 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 52 13 — — $31,554.89 $88,161.79 $50,410.51 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 52 13 — — $31,518.93 $93,215.84 $50,353.07 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 30 8 — — $3,958.00 $151,223.49 $50,273.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 52 13 — — $31,462.83 $86,516.38 $50,263.44 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 13 — — $31,346.32 $90,848.73 $50,077.32 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 52 13 — — $31,324.74 $87,753.59 $50,042.84 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 13 — — $31,205.36 $85,575.85 $49,852.12 2026-04-01
69930 HCPCS Implant Cochlear Device 32 9 — — $15,624.00 $113,202.23 $49,533.60 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 52 13 — — $31,007.58 $82,270.31 $49,020.29 2026-04-01
791 MS_DRG Prematurity With Major Problems 52 13 — — $30,529.31 $85,428.56 $48,772.10 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 52 13 — — $30,252.41 $82,674.30 $48,329.74 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 26 7 — — $18,353.44 $107,766.48 $47,733.78 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 26 7 — — $10,817.74 $107,766.48 $47,733.78 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 26 7 — — $10,817.74 $107,766.48 $47,733.78 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 26 7 — — $10,817.74 $107,766.48 $47,733.78 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 26 7 — — $18,353.44 $107,766.48 $47,733.78 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 26 7 — — $23,576.00 $107,766.48 $47,733.78 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 26 7 — — $18,353.44 $107,766.48 $47,733.78 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 13 — — $29,471.36 $79,985.26 $47,081.97 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 52 13 — — $29,344.06 $91,038.09 $46,878.60 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 52 13 — — $29,175.04 $81,817.93 $46,608.58 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 52 13 — — $29,133.33 $82,678.51 $46,541.95 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 52 13 — — $29,106.72 $79,362.44 $46,499.44 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 9 — — $6,350.00 $105,942.84 $46,357.13 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 13 — — $28,949.21 $83,816.82 $46,247.81 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 52 13 — — $29,990.62 $75,423.57 $46,148.95 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 26 7 — — $10,817.74 $105,942.84 $45,975.74 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 7 — — $10,817.74 $105,942.84 $45,975.74 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 26 7 — — $3,086.00 $105,942.84 $45,975.74 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 26 7 — — $8,386.90 $105,942.84 $45,975.74 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 26 7 — — $3,086.00 $105,942.84 $45,975.74 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 26 7 — — $10,817.74 $105,942.84 $45,975.74 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 52 13 — — $28,400.46 $80,422.91 $45,371.15 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 8 — — $14,014.53 $151,223.49 $45,325.54 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 52 13 — — $28,218.50 $81,028.89 $45,080.46 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 52 13 — — $28,140.11 $83,034.10 $44,955.24 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 52 13 — — $28,215.63 $75,406.74 $44,772.21 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 52 13 — — $27,753.90 $81,237.20 $44,338.24 2026-04-01
J9266 HCPCS Pegaspargase Injection 34 9 — — $28,424.06 $76,364.08 $43,929.38 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 52 13 — — $27,989.08 $73,058.56 $43,881.89 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 52 13 — — $27,413.00 $74,070.63 $43,745.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 52 13 — — $27,359.06 $75,051.14 $43,707.47 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 7 — — $23,576.00 $98,477.73 $43,619.45 2026-04-01
332 MS_DRG Rectal Resection With Mcc 52 13 — — $27,377.04 $72,980.71 $43,385.23 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 52 13 — — $27,104.46 $83,757.91 $43,300.73 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 52 13 — — $27,044.76 $82,844.73 $43,205.36 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 52 13 — — $27,018.87 $76,250.48 $43,164.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 52 13 — — $26,980.75 $73,666.65 $43,103.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 52 13 — — $26,959.18 $73,719.25 $43,068.64 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 52 13 — — $26,934.73 $78,777.50 $43,029.58 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 52 13 — — $28,282.51 $69,471.07 $43,015.90 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 13 — — $10,667.61 $74,716.59 $42,876.98 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 52 13 — — $26,913.87 $72,473.62 $42,872.85 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 52 13 — — $26,700.27 $72,063.32 $42,582.82 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 52 13 — — $26,648.48 $76,765.98 $42,572.28 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 34 13 — — $42,381.06 $99,591.25 $42,381.06 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 52 13 — — $26,424.81 $72,174.84 $42,214.96 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 13 — — $20,912.34 $75,427.78 $42,212.29 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 52 13 — — $26,418.34 $81,321.36 $42,204.62 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 52 13 — — $26,303.26 $72,900.75 $42,020.78 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
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 52 13 — — $26,182.44 $72,355.79 $41,827.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 13 — — $27,274.19 $67,419.57 $41,611.85 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 52 13 — — $27,433.13 $66,779.93 $41,539.83 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 52 13 — — $25,873.18 $70,624.12 $41,333.70 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 52 13 — — $25,840.82 $74,257.90 $41,282.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 7 — — $23,576.00 $92,415.01 $40,934.05 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 26 7 — — $11,376.86 $93,158.45 $40,427.73 2026-04-01
22558 HCPCS Lumbar Spine Fusion 26 7 — — $11,376.86 $93,158.45 $40,427.73 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 14 — — $12,319.26 $73,706.62 $40,173.74 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 52 13 — — $25,013.73 $69,870.85 $39,960.68 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 52 13 — — $24,731.09 $71,682.48 $39,509.15 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 52 13 — — $24,628.24 $68,574.72 $39,344.84 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 52 13 — — $25,010.86 $65,664.75 $39,328.35 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 52 13 — — $24,602.35 $67,108.17 $39,303.49 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 52 13 — — $24,546.25 $67,827.77 $39,213.86 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 53 14 — — $21,760.22 $73,536.19 $39,197.82 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 52 13 — — $24,500.94 $66,914.59 $39,141.47 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 26 7 — — $18,353.44 $89,738.35 $38,943.52 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 26 7 — — $18,353.44 $89,738.35 $38,943.52 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 26 7 — — $18,353.44 $89,738.35 $38,943.52 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 13 — — $24,299.56 $71,371.07 $38,819.76 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 52 13 — — $24,569.98 $64,928.32 $38,763.34 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 52 13 — — $24,234.84 $68,545.27 $38,716.37 2026-04-01
652 MS_DRG Kidney Transplant 52 13 — — $24,563.51 $64,621.12 $38,664.77 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 52 13 — — $24,188.81 $74,283.15 $38,642.83 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 52 13 — — $24,257.13 $65,062.98 $38,562.60 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 52 13 — — $24,098.19 $66,668.41 $38,498.06 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 52 13 — — $24,063.66 $64,882.03 $38,357.99 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 52 13 — — $23,998.94 $67,226.00 $38,339.51 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 52 13 — — $23,988.15 $65,355.45 $38,322.27 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 8 — — $24,228.42 $84,877.13 $38,301.50 2026-04-01
665 MS_DRG Prostatectomy With Mcc 52 13 — — $23,784.61 $72,242.17 $37,997.10 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 52 13 — — $23,698.31 $64,351.79 $37,859.24 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 60 16 — — $15,269.59 $105,236.56 $37,776.81 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 52 13 — — $23,355.25 $65,635.30 $37,311.18 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 13 — — $23,737.87 $62,041.49 $37,241.01 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 52 13 — — $24,426.14 $60,219.34 $37,217.86 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 52 13 — — $23,151.71 $68,772.51 $36,986.01 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 52 13 — — $25,094.28 $58,969.05 $36,929.19 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 52 13 — — $23,934.93 $59,028.42 $36,475.53 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 52 13 — — $22,743.21 $64,562.20 $36,333.41 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 22 7 — — $17,771.01 $62,255.50 $36,309.70 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 52 13 — — $23,057.50 $60,322.44 $36,191.65 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 52 13 — — $23,060.38 $60,135.18 $36,136.83 2026-04-01
5377 OTHER Level 7 Urology And Related Services 1 1 — — $36,013.62 $36,013.62 $36,013.62 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 52 13 — — $22,525.29 $60,955.78 $35,973.29 2026-04-01
570 MS_DRG Skin Debridement With Mcc 52 13 — — $22,489.33 $63,341.83 $35,927.83 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 4 — — $35,783.47 $35,783.47 $35,783.47 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 52 13 — — $22,208.12 $61,709.04 $35,478.58 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 18 5 — — $24,475.97 $40,177.79 $35,369.67 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 52 13 — — $22,093.05 $62,828.43 $35,294.75 2026-04-01
263 MS_DRG Vein Ligation And Stripping 52 13 — — $23,325.76 $56,429.86 $35,213.27 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 52 13 — — $22,195.17 $59,087.34 $35,149.07 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 52 13 — — $21,837.73 $61,271.39 $34,886.86 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 52 13 — — $22,103.12 $57,366.18 $34,553.68 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 53 14 — — $18,910.51 $61,357.66 $34,522.73 2026-04-01
800 MS_DRG Splenic Procedures With Cc 52 13 — — $21,542.14 $61,305.06 $34,414.65 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 52 13 — — $22,510.90 $55,626.09 $34,338.77 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 52 13 — — $21,469.50 $59,375.60 $34,298.60 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 28 8 — — $10,499.00 $93,158.45 $34,174.85 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 52 13 — — $22,062.84 $55,754.44 $34,031.63 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 52 13 — — $23,033.76 $54,127.03 $33,980.14 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 55 14 — — $18,399.61 $61,326.10 $33,969.18 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 26 7 — — $18,353.44 $76,368.23 $33,826.33 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 26 7 — — $14,014.53 $76,368.23 $33,826.33 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 26 7 — — $10,817.74 $76,368.23 $33,826.33 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 26 7 — — $18,353.44 $76,368.23 $33,826.33 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 26 7 — — $10,817.74 $76,368.23 $33,826.33 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 26 7 — — $11,376.86 $76,368.23 $33,826.33 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 26 7 — — $10,817.74 $76,368.23 $33,826.33 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 26 7 — — $18,353.44 $76,368.23 $33,826.33 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 26 7 — — $10,817.74 $76,368.23 $33,826.33 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 26 7 — — $10,817.74 $76,368.23 $33,826.33 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 52 13 — — $21,165.99 $56,878.03 $33,680.83 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
963 MS_DRG Other Multiple Significant Trauma With Mcc 52 13 — — $20,998.42 $57,159.98 $33,546.03 2026-04-01
503 MS_DRG Foot Procedures With Mcc 52 13 — — $21,410.52 $55,685.01 $33,506.40 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 52 13 — — $20,904.92 $59,897.41 $33,396.65 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 52 13 — — $20,799.92 $57,469.28 $33,228.92 2026-04-01
849 MS_DRG Radiotherapy 52 13 — — $20,823.65 $56,198.41 $33,209.28 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 52 13 — — $21,100.55 $55,194.75 $33,117.54 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 52 13 — — $20,736.63 $55,049.57 $32,792.10 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 52 13 — — $21,272.44 $53,614.57 $32,769.06 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 10 3 — — $5,007.82 $47,318.40 $32,730.24 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 52 13 — — $20,467.65 $60,253.01 $32,698.10 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 52 13 — — $20,400.76 $56,023.77 $32,591.23 2026-04-01
509 MS_DRG Arthroscopy 18 5 — — $22,514.82 $36,958.52 $32,535.65 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 52 13 — — $20,305.11 $55,825.98 $32,438.43 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 52 13 — — $20,004.48 $53,715.57 $31,819.99 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 52 13 — — $19,912.42 $56,692.87 $31,811.09 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 52 13 — — $19,982.18 $53,730.30 $31,807.25 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 30 8 — — $4,830.00 $105,942.84 $31,753.77 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 30 8 — — $4,830.00 $105,942.84 $31,753.77 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 52 13 — — $19,803.10 $54,462.52 $31,636.44 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 22 7 — — $17,331.79 $71,158.40 $31,392.77 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 52 13 — — $19,698.10 $52,644.58 $31,257.03 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 52 13 — — $19,489.53 $52,955.99 $31,135.50 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 26 7 — — $5,437.00 $71,158.40 $30,880.43 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 52 13 — — $19,481.62 $51,920.77 $30,869.27 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 52 13 — — $19,886.53 $50,435.28 $30,729.69 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 52 13 — — $19,886.53 $50,435.28 $30,729.69 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 52 13 — — $19,185.31 $53,164.29 $30,649.50 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 53 14 — — $18,561.04 $52,131.18 $30,618.29 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 52 13 — — $19,258.67 $50,915.01 $30,390.64 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 52 13 — — $19,018.45 $51,518.89 $30,382.92 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 55 14 — — $17,403.31 $54,374.15 $30,308.91 2026-04-01
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