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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

INTEGRIS GROVE HOSPITAL

Grove, OK · CCN 370113 · Rates published

15,540 distinct procedures filed
33 distinct payers
109,232 rate rows
2026-04-01 last MRF observed
Data quality

79,937 of 109,232 rate rows are consumer-grade (73.2%)

29,295 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 28,647
template filing: same amount across many unrelated codes — excluded 625
placeholder amount (≤ $0.02) — excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=pOyz38FZVoI0HoHi*__*7e*_*VQ*-*&f=1Uqk9sV2mcxtBmvoqWiwog*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?ci=fFJE38ye7xsB8Of*_*qxAfVQ*-*
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-16
Content fingerprint 6a5ed8a67b7ea8ac… · 32,837,819 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $79.40 $4,640,150.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
H2000
HCPCS 		Comp Multidisipln Evaluation 1 $4,165,959.00 $4,165,959.00 $4,165,959.00 nat. median
$176
outlier · 23611.2×
H2010
HCPCS 		Comprehensive Medication Services, Per 15 Minutes 1 $3,807,119.13 $3,807,119.13 $3,807,119.13 nat. median
$32
outlier · 118601.8×
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $13.04 $3,795,824.67 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,408,903.61 $3,408,903.61 $3,408,903.61 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,334.25 $3,415,956.47 $3,349,627.21 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $89.91 $3,345,899.09 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $42.45 $4,864,551.99 $3,004,654.80 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $38.88 $3,998,166.53 $2,504,212.82 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $141.40 $3,847,800.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,271,523.00 $789,885.50 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $1,284.99 $954,972.35 $603,560.73 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $912,729.35 $580,015.67 nat. median
$674,867
0.9× median
M1107
HCPCS 		Docu Dx Degen Neuro 1 $578,544.93 $578,544.93 $578,544.93 nat. median
$260
outlier · 2222.4×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $852,129.78 $576,601.64 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $870,577.06 $571,250.88 nat. median
$625,184
0.9× median
M1106
HCPCS 		Start Eoc Doc Med Rec 1 $552,546.94 $552,546.94 $552,546.94 nat. median
$260
outlier · 2122.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $829,687.20 $546,560.93 nat. median
$634,303
0.9× median
M1070
HCPCS 		Pt Not Scrn Fut Fall No Rsn 1 $540,429.11 $540,429.11 $540,429.11 nat. median
$260
outlier · 2075.9×
M1058
HCPCS 		Pt Prm Nurs Hm Res In Pp 1 $523,694.85 $523,694.85 $523,694.85 nat. median
$260
outlier · 2011.7×
M1069
HCPCS 		Pt Scr Ft Fall Rsk 1 $512,361.60 $512,361.60 $512,361.60 nat. median
$260
outlier · 1968.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $807,508.61 $501,537.22 nat. median
$619,808
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $301,518.54 $761,100.98 $331,670.39 nat. median
$370,174
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $61.30 $265,225.00 $260,075.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $196,199.32 $518,867.43 $215,819.25 nat. median
$265,286
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $422.01 $211,809.20 $207,696.40 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $149,834.66 $345,344.80 $164,818.13 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $148,964.12 $359,345.93 $163,860.53 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $97,733.30 $225,630.79 $107,506.63 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 10 $91,472.05 $199,651.13 $100,619.26 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $84,994.73 $237,232.13 $93,494.20 nat. median
$117,357
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $80,227.92 $310,854.77 $88,250.71 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $80,137.60 $230,779.01 $88,151.36 nat. median
$98,047
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $78,069.97 $213,709.34 $85,876.97 nat. median
$98,894
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $77,047.97 $219,603.80 $84,752.77 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $73,132.25 $212,840.77 $80,445.48 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 10 $70,676.25 $262,734.29 $77,743.88 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $69,465.96 $193,687.34 $76,412.56 nat. median
$93,672
0.8× median
A5083
HCPCS 		Stoma Absorptive Cover 1 $74,643.30 $74,643.30 $74,643.30 nat. median
$1
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $64,094.02 $170,044.26 $70,503.42 nat. median
$82,711
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $61,661.63 $187,809.20 $67,827.79 nat. median
$83,470
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $60,066.44 $165,401.68 $66,073.08 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $59,882.33 $187,668.51 $65,870.56 nat. median
$81,118
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $490.71 $130,327.56 $65,409.13 nat. median
$76,329
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $938.10 $104,338.76 $64,609.13 nat. median
$69,774
0.9× median
M1060
HCPCS 		Pt Died In Pp 1 $63,217.07 $63,217.07 $63,217.07 nat. median
$260
outlier · 242.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $56,168.10 $203,871.65 $61,784.91 nat. median
$77,570
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $54,844.57 $155,109.32 $60,329.03 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $54,614.60 $149,728.66 $60,076.06 nat. median
$73,807
0.8× median

Other procedures at this hospital

Browse this hospital's 15,540 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 4 4 — — $79.40 $4,640,150.00 $4,550,050.00 2026-04-01
H2000 HCPCS Comp Multidisipln Evaluation 1 1 — — $4,165,959.00 $4,165,959.00 $4,165,959.00 2026-04-01
H2010 HCPCS Comprehensive Medication Services, Per 15 Minutes 1 1 — — $3,807,119.13 $3,807,119.13 $3,807,119.13 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $13.04 $3,795,824.67 $3,722,119.33 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,408,903.61 $3,408,903.61 $3,408,903.61 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,334.25 $3,415,956.47 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $89.91 $3,345,899.09 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 4 — — $42.45 $4,864,551.99 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 4 — — $38.88 $3,998,166.53 $2,504,212.82 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 4 — — $141.40 $3,847,800.00 $2,378,640.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 3 — — $770,620.00 $1,271,523.00 $789,885.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 4 — — $1,284.99 $954,972.35 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $565,868.94 $912,729.35 $580,015.67 2026-04-01
M1107 HCPCS Docu Dx Degen Neuro 1 1 — — $578,544.93 $578,544.93 $578,544.93 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,538.19 $852,129.78 $576,601.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $557,317.93 $870,577.06 $571,250.88 2026-04-01
M1106 HCPCS Start Eoc Doc Med Rec 1 1 — — $552,546.94 $552,546.94 $552,546.94 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $533,230.17 $829,687.20 $546,560.93 2026-04-01
M1070 HCPCS Pt Not Scrn Fut Fall No Rsn 1 1 — — $540,429.11 $540,429.11 $540,429.11 2026-04-01
M1058 HCPCS Pt Prm Nurs Hm Res In Pp 1 1 — — $523,694.85 $523,694.85 $523,694.85 2026-04-01
M1069 HCPCS Pt Scr Ft Fall Rsk 1 1 — — $512,361.60 $512,361.60 $512,361.60 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,304.61 $807,508.61 $501,537.22 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 10 — — $301,518.54 $761,100.98 $331,670.39 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $61.30 $265,225.00 $260,075.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 10 — — $196,199.32 $518,867.43 $215,819.25 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $422.01 $211,809.20 $207,696.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 10 — — $149,834.66 $345,344.80 $164,818.13 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 10 — — $148,964.12 $359,345.93 $163,860.53 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 10 — — $97,733.30 $225,630.79 $107,506.63 2026-04-01
7 MS_DRG Lung Transplant 19 10 — — $91,472.05 $199,651.13 $100,619.26 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 10 — — $84,994.73 $237,232.13 $93,494.20 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 10 — — $80,227.92 $310,854.77 $88,250.71 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 10 — — $80,137.60 $230,779.01 $88,151.36 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $78,069.97 $213,709.34 $85,876.97 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 10 — — $77,047.97 $219,603.80 $84,752.77 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 10 — — $73,132.25 $212,840.77 $80,445.48 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 10 — — $70,676.25 $262,734.29 $77,743.88 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 10 — — $69,465.96 $193,687.34 $76,412.56 2026-04-01
A5083 HCPCS Stoma Absorptive Cover 1 1 — — $74,643.30 $74,643.30 $74,643.30 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 10 — — $64,094.02 $170,044.26 $70,503.42 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 10 — — $61,661.63 $187,809.20 $67,827.79 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 10 — — $60,066.44 $165,401.68 $66,073.08 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 10 — — $59,882.33 $187,668.51 $65,870.56 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $490.71 $130,327.56 $65,409.13 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $938.10 $104,338.76 $64,609.13 2026-04-01
M1060 HCPCS Pt Died In Pp 1 1 — — $63,217.07 $63,217.07 $63,217.07 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 10 — — $56,168.10 $203,871.65 $61,784.91 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $54,844.57 $155,109.32 $60,329.03 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 10 — — $54,614.60 $149,728.66 $60,076.06 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 10 — — $54,438.82 $148,906.98 $59,882.70 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 3 — — $56,824.55 $93,760.51 $58,245.17 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $51,650.72 $144,735.39 $56,815.79 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 10 — — $51,331.82 $116,286.62 $56,465.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $1,732.50 $94,078.22 $56,377.77 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 10 — — $51,067.11 $135,829.48 $56,173.82 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 10 — — $51,037.93 $143,452.93 $56,141.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 10 — — $49,519.17 $124,160.85 $54,471.09 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 10 — — $49,283.64 $133,074.93 $54,212.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 10 — — $48,263.72 $122,949.75 $53,090.09 2026-04-01
10 MS_DRG Pancreas Transplant 19 10 — — $39,694.00 $103,861.08 $52,893.24 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 10 — — $47,953.86 $126,126.35 $52,749.25 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 10 — — $47,919.81 $136,691.93 $52,711.79 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 10 — — $47,181.27 $115,891.08 $51,899.40 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 10 — — $47,181.27 $128,102.05 $51,899.40 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 10 — — $47,015.22 $94,824.96 $51,716.74 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 10 — — $46,204.43 $111,823.47 $50,292.16 2026-04-01
90695 HCPCS H5n8 Vacc Drv Cll Cul Adj IM 1 1 — — $49,500.90 $49,500.90 $49,500.90 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 10 — — $44,076.35 $158,065.72 $48,483.98 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 10 — — $44,027.03 $110,997.72 $48,429.73 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 10 — — $43,619.20 $119,079.92 $47,981.12 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 10 — — $43,241.94 $113,334.30 $47,566.13 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 10 — — $43,230.13 $126,619.77 $47,553.14 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 10 — — $42,927.90 $138,771.61 $47,220.69 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 10 — — $42,791.73 $110,347.31 $47,070.90 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 10 — — $42,695.85 $131,388.75 $46,965.44 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 10 — — $42,271.35 $117,819.88 $46,498.48 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 10 — — $42,244.95 $110,459.45 $46,469.44 2026-04-01
J9226 HCPCS Supprelin La Implant 5 4 — — $1,296.38 $74,599.87 $45,921.06 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 10 — — $41,566.16 $111,529.87 $45,722.78 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 10 — — $41,310.48 $112,035.52 $45,441.53 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 10 — — $41,147.91 $116,357.98 $45,262.70 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 10 — — $41,096.49 $102,293.65 $45,206.14 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $40,558.05 $112,245.52 $44,613.86 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 10 — — $40,437.16 $103,209.12 $44,480.88 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 10 — — $40,170.37 $90,943.10 $44,187.41 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 10 — — $39,870.23 $99,753.18 $43,857.25 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 10 — — $39,640.26 $112,015.13 $43,604.29 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 10 — — $39,505.47 $107,804.80 $43,456.02 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 10 — — $39,451.28 $103,099.02 $43,396.41 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 10 — — $39,391.53 $100,295.53 $43,330.68 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 10 — — $39,240.07 $92,321.39 $43,164.08 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $38,548.78 $104,805.58 $42,403.66 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 10 — — $38,526.55 $104,997.23 $42,379.21 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 5 — — $4,053.00 $43,633.45 $42,362.57 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 5 — — $32.25 $43,633.45 $42,362.57 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 10 — — $38,277.82 $153,657.62 $42,105.60 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 10 — — $38,156.23 $100,744.09 $41,971.85 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 10 — — $37,663.64 $102,821.73 $41,430.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 10 — — $37,601.11 $112,751.17 $41,361.22 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $36,515.89 $93,459.10 $40,167.48 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $843.93 $40,711.39 $39,920.88 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 10 — — $34,095.31 $87,872.51 $39,759.50 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 10 — — $35,871.14 $134,494.00 $39,458.25 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 10 — — $35,692.59 $94,719.14 $39,261.85 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 10 — — $35,550.16 $92,421.30 $39,105.18 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 10 — — $35,046.45 $100,287.37 $38,551.10 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 10 — — $25,985.14 $92,725.09 $38,498.74 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 10 — — $34,876.93 $116,292.74 $38,364.62 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 — — $21.16 $104,552.75 $38,137.65 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 10 — — $34,574.70 $124,507.47 $38,032.17 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 2 — — $1,373.18 $74,614.73 $37,993.96 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 10 — — $33,433.20 $100,177.27 $37,625.79 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 10 — — $34,162.01 $92,017.60 $37,578.21 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 10 — — $33,998.05 $106,326.60 $37,397.86 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 10 — — $33,714.58 $91,787.20 $37,086.04 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $36,975.41 $36,975.41 $36,975.41 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 10 — — $33,586.05 $97,508.35 $36,944.66 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 10 — — $33,351.91 $87,929.60 $36,687.10 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 10 — — $33,196.28 $111,168.98 $36,515.91 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 10 — — $33,101.10 $90,757.56 $36,411.21 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 10 — — $33,087.21 $87,803.19 $36,395.93 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 10 — — $32,963.54 $99,435.11 $36,259.89 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 10 — — $32,636.30 $100,766.52 $35,899.93 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 10 — — $32,627.27 $83,068.86 $35,890.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 10 — — $32,504.99 $83,609.17 $35,755.49 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $0.62 $36,019.23 $35,319.83 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 10 — — $32,017.96 $77,602.57 $35,219.76 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 10 — — $31,563.58 $84,410.46 $34,719.94 2026-04-01
3141F HCPCS Upper Gi Endo Not Barrtts 1 1 — — $34,595.10 $34,595.10 $34,595.10 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 10 — — $31,323.88 $78,762.71 $34,456.27 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 10 — — $31,132.13 $81,160.45 $34,245.34 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 10 — — $30,961.91 $83,252.36 $34,058.10 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 10 — — $30,839.63 $84,728.53 $33,923.59 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 10 — — $30,789.61 $71,842.68 $33,868.57 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 10 — — $30,775.02 $86,771.51 $33,852.52 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 10 — — $30,689.56 $71,854.91 $33,758.52 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 10 — — $30,654.82 $84,697.94 $33,720.30 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 10 — — $30,600.63 $79,186.80 $33,660.69 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 10 — — $30,488.08 $109,401.26 $33,536.89 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 10 — — $30,351.90 $77,213.14 $33,387.09 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 10 — — $30,160.84 $72,974.27 $33,176.92 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 10 — — $29,698.82 $75,363.86 $32,668.70 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 10 — — $29,431.34 $80,112.46 $32,374.47 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 10 — — $29,178.44 $66,343.77 $32,096.28 2026-04-01
0662T HCPCS Scalp Cool 1st Meas&calbrj 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0742T HCPCS Aqmbf Spect Xers/strs & Rest 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0896T HCPCS Connj Lvr Algrft Prfu Dev Ea 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 6 4 — — $4,616.00 $43,633.45 $31,954.78 2026-04-01
69930 HCPCS Implant Cochlear Device 7 5 — — $6.53 $42,657.00 $31,711.59 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 10 — — $28,676.82 $78,118.41 $31,544.50 2026-04-01
B5200 HCPCS Parenteral Sol Hepatic Fream 1 1 — — $31,500.90 $31,500.90 $31,500.90 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 10 — — $28,553.84 $66,380.47 $31,409.22 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 21 10 — — $8,990.27 $77,414.99 $31,381.25 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 10 — — $28,390.57 $81,388.81 $31,229.63 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 10 — — $28,350.28 $71,553.16 $31,185.31 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 10 — — $28,324.57 $77,637.23 $31,157.03 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 10 — — $28,172.42 $85,064.95 $30,989.66 2026-04-01
A7523 HCPCS Tracheostomy Shower Protect 1 1 — — $30,918.62 $30,918.62 $30,918.62 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 6 4 — — $6,067.00 $42,657.00 $30,490.75 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 6 4 — — $6,067.00 $42,657.00 $30,490.75 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 6 4 — — $6,067.00 $42,657.00 $30,490.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 10 — — $27,528.37 $60,428.92 $30,281.21 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 10 — — $27,466.53 $72,319.78 $30,213.18 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 10 — — $27,463.75 $58,985.38 $30,210.13 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 5 — — $4,053.00 $42,657.00 $30,188.86 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 5 — — $341.75 $42,657.00 $30,188.86 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 5 — — $4,053.00 $42,657.00 $30,188.86 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 5 — — $4,053.00 $42,657.00 $30,188.86 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 10 — — $27,390.80 $72,917.18 $30,129.88 2026-04-01
C1725 HCPCS Cath, Translumin Non-laser 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4164 HCPCS Parenteral 50% Dextrose Solu 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1724 HCPCS Cath, Trans Atherec,rotation 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1715 HCPCS Brachytherapy Needle 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4178 HCPCS Parenteral Sol Amino Acid > 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1722 HCPCS Aicd, Single Chamber 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 6 4 — — $3,326.00 $33,857.00 $29,974.78 2026-04-01
61886 HCPCS Implant Neurostim Arrays 6 4 — — $4,053.00 $42,657.00 $29,974.78 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 10 — — $27,244.90 $75,308.81 $29,969.39 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 10 — — $27,017.71 $66,282.60 $29,719.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 10 — — $27,007.29 $67,300.01 $29,708.02 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 5 — — $37.50 $33,857.00 $29,678.00 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 5 — — $2,756.39 $33,857.00 $29,678.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 5 — — $4,053.00 $33,857.00 $29,678.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 5 — — $3,060.70 $33,857.00 $29,678.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $26,307.66 $83,468.49 $29,509.26 2026-04-01
J1812 HCPCS Inj. Insulin (fiasp) 2 2 — — $3.17 $58,979.55 $29,491.36 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 10 — — $26,365.77 $79,651.67 $29,439.06 2026-04-01
J3265 HCPCS Injection Torsemide 10 Mg/ml 1 1 — — $29,390.86 $29,390.86 $29,390.86 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 10 — — $26,707.84 $70,996.54 $29,378.62 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 10 — — $26,688.39 $61,413.71 $29,357.23 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 10 — — $26,653.65 $77,913.71 $29,319.02 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 10 — — $26,636.28 $68,054.40 $29,299.91 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 10 — — $26,591.82 $69,406.19 $29,251.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 10 — — $26,554.30 $65,257.03 $29,209.73 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 10 — — $26,390.33 $72,203.57 $29,029.36 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 4 — — $144.18 $44,666.37 $28,992.54 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 10 — — $26,332.67 $80,081.88 $28,965.94 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 10 — — $26,270.83 $80,473.34 $28,897.91 2026-04-01
M1005 HCPCS TB Scr No Perf 1 1 — — $28,897.68 $28,897.68 $28,897.68 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 10 — — $26,249.99 $72,315.71 $28,874.99 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 10 — — $26,206.22 $68,988.22 $28,826.84 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 10 — — $25,999.88 $70,908.86 $28,599.87 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 10 — — $25,949.85 $69,589.70 $28,544.84 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 10 — — $25,733.78 $65,925.79 $28,307.16 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 10 — — $25,727.53 $82,432.73 $28,300.28 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 10 — — $25,616.36 $60,339.21 $28,178.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 10 — — $25,499.64 $65,921.71 $28,049.60 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $73.03 $73,634.87 $27,931.08 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 10 — — $25,388.48 $70,109.62 $27,927.33 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 10 — — $25,317.61 $65,982.88 $27,849.37 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 10 — — $25,200.89 $66,747.47 $27,720.98 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 10 — — $25,169.63 $82,744.68 $27,686.59 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 5 — — $6,067.00 $42,657.00 $27,586.78 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 10 — — $24,707.61 $65,605.69 $27,178.37 2026-04-01
4210F HCPCS Ace/arb Thxpy For Mos/> 1 1 — — $27,069.16 $27,069.16 $27,069.16 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 10 — — $24,448.46 $67,251.08 $26,893.31 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 10 — — $24,370.64 $64,610.70 $26,807.70 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 10 — — $24,367.86 $56,444.91 $26,804.65 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 10 — — $24,097.60 $73,145.54 $26,507.36 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 10 — — $23,998.25 $54,246.97 $26,398.08 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 10 — — $23,973.24 $62,783.85 $26,370.56 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 6 4 — — $8,571.00 $33,857.00 $26,357.65 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 10 — — $23,941.97 $62,916.38 $26,336.17 2026-04-01
652 MS_DRG Kidney Transplant 19 10 — — $23,935.72 $67,685.36 $26,329.29 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 10 — — $23,919.04 $66,333.57 $26,310.94 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 10 — — $23,875.27 $53,720.94 $26,262.80 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 10 — — $23,803.02 $53,914.63 $26,183.32 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 7 5 — — $2,756.39 $33,857.00 $26,096.68 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 10 — — $23,680.74 $75,551.44 $26,048.81 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 10 — — $23,639.75 $59,525.69 $26,003.72 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 10 — — $23,618.21 $66,358.04 $25,980.03 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 10 — — $23,573.74 $116,565.95 $25,931.11 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 7 5 — — $80.30 $42,657.00 $25,888.42 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 7 5 — — $4,053.00 $26,879.58 $25,850.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 10 — — $23,486.20 $60,335.13 $25,834.82 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 10 — — $23,452.85 $63,833.88 $25,798.14 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 10 — — $23,390.33 $60,526.79 $25,729.36 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 10 — — $23,379.90 $93,467.25 $25,717.89 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 10 — — $23,328.49 $62,826.66 $25,661.34 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 10 — — $23,183.28 $63,680.96 $25,501.61 2026-04-01
J3105 HCPCS Terbutaline Sulfate Inj 2 2 — — $2.33 $50,819.78 $25,411.06 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 10 — — $23,099.91 $61,107.87 $25,409.90 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 6 4 — — $6,067.00 $25,892.76 $25,389.99 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 6 4 — — $6,067.00 $25,892.76 $25,389.99 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 6 4 — — $6,067.00 $25,892.76 $25,389.99 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $23,138.12 $57,982.24 $25,108.61 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 10 — — $22,768.51 $62,096.74 $25,045.36 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 10 — — $22,740.02 $47,647.05 $25,014.02 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 3 — — $24,228.42 $39,976.89 $24,834.13 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 10 — — $22,571.89 $65,265.19 $24,829.08 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 10 — — $22,483.65 $50,725.79 $24,732.02 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 10 — — $22,480.87 $54,811.75 $24,728.96 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 10 — — $22,457.95 $49,524.88 $24,703.75 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 10 — — $21,660.35 $61,368.85 $24,488.57 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 10 — — $22,177.26 $62,696.18 $24,394.99 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 10 — — $21,966.75 $58,177.97 $24,163.43 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 10 — — $21,952.85 $54,940.20 $24,148.14 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 10 — — $21,932.01 $52,905.38 $24,125.21 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 10 — — $21,785.41 $53,725.02 $23,963.95 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 10 — — $21,731.91 $61,572.74 $23,905.10 2026-04-01
22558 HCPCS Lumbar Spine Fusion 6 4 — — $4,053.00 $26,879.58 $23,821.84 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 10 — — $21,647.85 $57,003.57 $23,812.64 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 10 — — $21,549.19 $56,544.81 $23,704.11 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 10 — — $20,401.43 $68,696.17 $23,676.40 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 10 — — $21,520.01 $49,113.02 $23,672.01 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 10 — — $21,439.42 $62,459.66 $23,583.36 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 10 — — $21,302.55 $54,375.42 $23,432.80 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 10 — — $21,017.00 $54,783.20 $23,118.70 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 10 — — $20,946.83 $56,530.54 $23,041.51 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 10 — — $20,889.86 $50,717.64 $22,978.85 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 9 — — $21,558.92 $63,550.47 $22,960.25 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 10 — — $20,756.46 $49,477.99 $22,832.11 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 10 — — $20,653.63 $57,046.38 $22,718.99 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 10 — — $20,590.41 $57,435.81 $22,649.45 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 10 — — $20,491.75 $54,611.94 $22,540.93 2026-04-01
849 MS_DRG Radiotherapy 19 10 — — $20,322.92 $39,217.30 $22,355.21 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 10 — — $20,300.00 $55,215.45 $22,330.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 10 — — $20,238.86 $51,284.45 $22,262.75 2026-04-01
3150F HCPCS Forceps Esoph Biopsy Done 1 1 — — $22,015.49 $22,015.49 $22,015.49 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 10 — — $19,979.01 $66,549.70 $21,976.91 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 10 — — $9,487.12 $48,277.07 $21,933.97 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 10 — — $19,914.40 $49,800.13 $21,905.84 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 10 — — $19,822.00 $52,387.50 $21,804.20 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 3 — — $8,571.00 $60,947.18 $21,690.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 3 — — $8,571.00 $90,001.00 $21,690.00 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 6 4 — — $4,053.00 $42,657.00 $21,607.13 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 6 4 — — $5,423.00 $42,657.00 $21,607.13 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 6 4 — — $6,067.00 $42,657.00 $21,607.13 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 6 4 — — $4,053.00 $42,657.00 $21,607.13 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 6 4 — — $6,067.00 $42,657.00 $21,607.13 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 5 — — $845.63 $30,568.34 $21,547.00 2026-04-01
22630 HCPCS Lumbar Spine Fusion 7 5 — — $4,053.00 $26,879.58 $21,547.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 19 10 — — $19,531.58 $51,686.12 $21,484.74 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 10 — — $19,510.05 $48,533.98 $21,461.06 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 7 5 — — $943.61 $42,657.00 $21,393.20 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 5 — — $4,053.00 $42,657.00 $21,393.20 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 5 — — $4,053.00 $42,657.00 $21,393.20 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 5 — — $4,053.00 $42,657.00 $21,393.20 2026-04-01
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