Price Transparencybeta 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

BRYN MAWR HOSPITAL

Bryn Mawr, PA · CCN 390139 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $8,119 across 9 payers · range $6,180-$9,397

Source: https://www.mainlinehealth.org/-/media/files/pdf/basic-content/patient-services/patient-billing/price-transparency/2026/231352160_the-bryn-mawr-hospital_standardcharges.xlsx · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

13,725 distinct procedures filed
31 distinct payers
730,575 rate rows
2026-04-01 last MRF observed
Data quality

552,646 of 730,575 rate rows are consumer-grade (75.6%)

177,929 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 166,349
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,683
placeholder amount (≤ $0.02) — excluded from medians 765
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 132
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mainlinehealth.org/-/media/files/pdf/basic-content/patient-services/patient-billing/price-transparency/2025/231352160_the-bryn-mawr-hospital_standardcharges.csv
Found on page https://www.mainlinehealth.org/patient-services/patient-billing/price-transparency#Price%20transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint ea254ca4d1c95c82… · 6,214,277 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $269,934.17 $739,657.75 $621,312.51 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $341,000.00 $707,336.18 $594,162.39 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $361,064.00 $703,172.73 $590,665.09 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $369,160.00 $696,647.42 $585,183.83 nat. median
$623,527
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $269,934.17 $666,537.71 $559,891.68 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $489,304.61 $611,630.76 $538,235.07 nat. median
$592,235
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $341,006.06 $1,480,646.55 $385,344.20 nat. median
$359,244
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $213,534.74 $961,283.91 $255,181.55 nat. median
$248,541
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $168,600.69 $732,645.01 $194,487.28 nat. median
$198,115
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $82,797.00 $915,099.30 $191,452.11 nat. median
$190,359
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $78,887.74 $475,716.59 $133,092.69 nat. median
$126,461
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $78,295.20 $139,806.00 $121,984.12 nat. median
$38,810
outlier · 3.1×
7
MS_DRG 		Lung Transplant 15 $102,265.18 $444,840.37 $118,086.92 nat. median
$117,977
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $112,749.10 $112,749.10 $112,749.10 nat. median
$52,917
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $69,359.14 $150,643.80 $110,001.47 nat. median
$70,795
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $94,902.99 $412,898.62 $109,607.69 nat. median
$110,084
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $103,977.10 $179,355.00 $107,428.24 nat. median
$49,522
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $81,446.93 $373,710.59 $104,067.86 nat. median
$97,137
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $89,484.99 $389,391.97 $103,367.64 nat. median
$103,938
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $89,382.33 $388,946.59 $101,224.91 nat. median
$92,645
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $44,991.28 $378,750.44 $98,023.71 nat. median
$93,226
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 15 $78,628.47 $357,325.00 $95,540.71 nat. median
$93,787
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $81,419.99 $354,401.00 $94,078.97 nat. median
$94,943
1.0× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $67,234.00 $94,350.00 $89,645.00 nat. median
$12,593
outlier · 7.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $54,416.82 $336,321.31 $89,279.55 nat. median
$90,512
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $41,623.97 $309,830.54 $80,634.64 nat. median
$77,936
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $68,382.37 $297,835.68 $79,063.19 nat. median
$78,164
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $61,420.10 $289,969.29 $76,974.98 nat. median
$76,979
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $61,284.32 $289,061.37 $75,981.68 nat. median
$77,487
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $42,635.42 $270,745.34 $75,747.25 nat. median
$74,298
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 10 $63,235.61 $125,536.04 $70,499.96 nat. median
$68,400
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $43,909.33 $262,217.71 $69,608.07 nat. median
$67,908
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $51,181.72 $263,084.52 $69,200.48 nat. median
$71,737
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $47,908.53 $264,218.56 $68,885.32 nat. median
$72,247
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $51,152.43 $245,446.83 $68,669.41 nat. median
$66,584
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $68,066.13 $68,066.13 $68,066.13 nat. median
$75,037
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $1,676.43 $81,462.04 $67,450.57 nat. median
$12,874
outlier · 5.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $37,020.95 $442,737.09 $66,711.30 nat. median
$63,829
1.0× median
10
MS_DRG 		Pancreas Transplant 15 $56,665.09 $246,998.85 $65,568.09 nat. median
$64,851
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $56,641.40 $246,896.06 $65,540.80 nat. median
$61,263
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $11,717.21 $248,468.68 $64,664.97 nat. median
$63,564
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $56,340.53 $245,590.72 $63,915.97 nat. median
$66,623
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $29,010.74 $237,957.33 $63,167.94 nat. median
$62,577
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $74,954.81 $63,075.25 nat. median
$63,504
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $30,640.91 $231,766.31 $61,524.47 nat. median
$61,660
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $55,272.32 $69,090.40 $60,799.56 nat. median
$65,720
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $49,391.85 $226,428.41 $60,107.48 nat. median
$61,995
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $51,923.85 $226,428.41 $60,107.48 nat. median
$59,493
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $6,236.59 $230,238.26 $59,920.43 nat. median
$57,485
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $23,987.51 $225,609.59 $59,890.12 nat. median
$58,052
1.0× median

Other procedures at this hospital

Browse this hospital's 13,725 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 45 10 — — $269,934.17 $739,657.75 $621,312.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 45 10 — — $341,000.00 $707,336.18 $594,162.39 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 45 10 — — $361,064.00 $703,172.73 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 45 10 — — $369,160.00 $696,647.42 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 45 10 — — $269,934.17 $666,537.71 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 45 10 — — $489,304.61 $611,630.76 $538,235.07 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 82 15 — — $341,006.06 $1,480,646.55 $385,344.20 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 94 15 — — $213,534.74 $961,283.91 $255,181.55 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 91 15 — — $168,600.69 $732,645.01 $194,487.28 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 122 16 — — $82,797.00 $915,099.30 $191,452.11 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 111 16 — — $78,887.74 $475,716.59 $133,092.69 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 15 7 — — $78,295.20 $139,806.00 $121,984.12 2026-04-01
7 MS_DRG Lung Transplant 91 15 — — $102,265.18 $444,840.37 $118,086.92 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $112,749.10 $112,749.10 $112,749.10 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $69,359.14 $150,643.80 $110,001.47 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 91 15 — — $94,902.99 $412,898.62 $109,607.69 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 11 6 — — $103,977.10 $179,355.00 $107,428.24 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 95 15 — — $81,446.93 $373,710.59 $104,067.86 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 91 15 — — $89,484.99 $389,391.97 $103,367.64 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 79 14 — — $89,382.33 $388,946.59 $101,224.91 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 106 15 — — $44,991.28 $378,750.44 $98,023.71 2026-04-01
215 MS_DRG Other Heart Assist System Implant 94 15 — — $78,628.47 $357,325.00 $95,540.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 91 15 — — $81,419.99 $354,401.00 $94,078.97 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 9 1 — — $67,234.00 $94,350.00 $89,645.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 101 15 — — $54,416.82 $336,321.31 $89,279.55 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 96 15 — — $41,623.97 $309,830.54 $80,634.64 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 91 15 — — $68,382.37 $297,835.68 $79,063.19 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 94 15 — — $61,420.10 $289,969.29 $76,974.98 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 15 — — $61,284.32 $289,061.37 $75,981.68 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 103 15 — — $42,635.42 $270,745.34 $75,747.25 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 54 10 — — $63,235.61 $125,536.04 $70,499.96 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 95 15 — — $43,909.33 $262,217.71 $69,608.07 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 106 15 — — $51,181.72 $263,084.52 $69,200.48 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 112 15 — — $47,908.53 $264,218.56 $68,885.32 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 103 16 — — $51,152.43 $245,446.83 $68,669.41 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 9 1 — — $68,066.13 $68,066.13 $68,066.13 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 48 9 — — $1,676.43 $81,462.04 $67,450.57 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 100 15 — — $37,020.95 $442,737.09 $66,711.30 2026-04-01
10 MS_DRG Pancreas Transplant 91 15 — — $56,665.09 $246,998.85 $65,568.09 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 91 15 — — $56,641.40 $246,896.06 $65,540.80 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 133 16 — — $11,717.21 $248,468.68 $64,664.97 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 82 15 — — $56,340.53 $245,590.72 $63,915.97 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 142 18 — — $29,010.74 $237,957.33 $63,167.94 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 39 9 — — $56,824.55 $74,954.81 $63,075.25 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 93 15 — — $30,640.91 $231,766.31 $61,524.47 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 45 10 — — $55,272.32 $69,090.40 $60,799.56 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 15 — — $49,391.85 $226,428.41 $60,107.48 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 91 15 — — $51,923.85 $226,428.41 $60,107.48 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 98 15 — — $6,236.59 $230,238.26 $59,920.43 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 92 15 — — $23,987.51 $225,609.59 $59,890.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 95 15 — — $52,280.04 $230,070.39 $59,876.74 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 127 17 — — $28,087.78 $497,194.82 $59,690.83 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 107 15 — — $47,867.27 $221,611.30 $58,828.73 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 101 15 — — $47,329.19 $261,534.53 $58,705.24 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 99 15 — — $45,080.34 $208,862.68 $58,162.36 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 92 15 — — $48,338.70 $210,873.83 $57,350.40 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 131 16 — — $30,144.56 $197,477.69 $54,991.97 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 109 15 — — $44,926.22 $240,296.23 $54,944.06 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 4 3 — — $53,201.07 $56,079.62 $54,640.34 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 91 15 — — $46,825.67 $204,309.36 $54,235.78 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 103 15 — — $34,951.90 $193,767.20 $53,958.70 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 101 16 — — $27,784.73 $207,002.31 $53,873.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 93 15 — — $46,313.17 $202,085.80 $53,645.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 103 16 — — $43,011.55 $205,453.70 $53,470.15 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 108 15 — — $12,690.02 $202,216.02 $53,153.81 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 95 15 — — $41,623.97 $198,738.50 $52,756.94 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 143 16 — — $37,128.65 $181,923.08 $51,607.37 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 91 15 — — $44,258.42 $193,171.05 $51,279.01 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 80 14 — — $30,484.75 $196,675.97 $51,185.71 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 105 15 — — $25,482.98 $196,422.45 $51,119.73 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 99 15 — — $41,804.10 $182,522.65 $51,064.92 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 91 15 — — $43,614.04 $190,375.32 $50,536.86 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 93 15 — — $42,794.29 $189,241.27 $50,235.82 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 107 15 — — $37,708.18 $179,493.95 $50,217.57 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 95 15 — — $38,404.84 $366,202.99 $50,059.38 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 101 15 — — $38,375.52 $188,309.38 $49,988.44 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 20 9 — — $45,635.01 $57,043.76 $49,970.34 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 96 15 — — $31,660.72 $191,855.41 $49,931.14 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 92 15 — — $43,069.95 $188,014.74 $49,910.22 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 93 15 — — $41,034.95 $179,185.60 $49,898.13 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 91 15 — — $42,897.80 $187,267.82 $49,711.94 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 39 9 — — $6,180.00 $57,043.76 $48,829.46 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 39 9 — — $4,845.00 $57,043.76 $48,829.46 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 109 15 — — $39,716.42 $183,858.84 $48,807.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 95 15 — — $36,388.63 $183,749.22 $48,777.90 2026-04-01
J9226 HCPCS Supprelin La Implant 36 10 — — $45,020.65 $56,275.81 $48,622.31 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 178 18 — — $16,092.05 $170,353.07 $48,325.23 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 48 9 — — $3,073.46 $57,043.76 $47,232.24 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 15 8 — — $46,868.23 $62,184.30 $46,868.23 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 91 15 — — $39,801.47 $173,834.02 $46,145.82 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 113 16 — — $24,983.12 $172,025.02 $45,665.60 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 97 15 — — $38,218.21 $170,654.55 $45,301.80 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 143 17 — — $10,645.12 $158,632.29 $45,000.31 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 92 15 — — $38,703.81 $169,071.67 $44,881.61 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 136 17 — — $24,883.30 $156,926.08 $44,585.77 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 108 15 — — $25,707.69 $159,386.06 $44,488.22 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 127 16 — — $14,025.59 $154,702.52 $44,239.86 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 101 15 — — $35,762.64 $166,587.75 $44,222.23 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 103 15 — — $23,078.10 $169,774.06 $44,184.38 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 91 15 — — $37,938.61 $165,751.76 $44,000.31 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 96 16 — — $21,837.70 $161,417.73 $43,900.04 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 107 15 — — $17,632.96 $164,261.41 $42,749.69 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 92 15 — — $35,763.83 $156,316.25 $42,512.62 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 91 15 — — $36,617.48 $160,019.86 $42,478.73 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 109 15 — — $24,671.04 $151,653.26 $42,231.16 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 82 15 — — $37,126.03 $162,226.28 $42,220.04 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 134 16 — — $18,419.97 $231,183.22 $42,134.44 2026-04-01
245 MS_DRG Aicd Generator Procedures 93 15 — — $36,028.37 $157,463.97 $41,800.24 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 119 16 — — $18,452.46 $156,994.59 $41,675.64 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 94 15 — — $34,169.84 $158,231.45 $41,592.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 93 15 — — $32,439.46 $154,657.98 $41,055.37 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 126 16 — — $26,594.05 $146,445.58 $40,876.24 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 85 15 — — $33,114.01 $154,055.00 $40,093.43 2026-04-01
791 MS_DRG Prematurity With Major Problems 123 15 — — $3,141.00 $140,216.86 $40,066.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 96 15 — — $32,795.42 $143,437.45 $40,036.60 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 94 15 — — $32,950.20 $144,108.94 $39,192.65 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 105 15 — — $21,898.07 $149,412.61 $38,885.23 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 143 17 — — $23,870.22 $166,984.00 $38,679.12 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 91 15 — — $33,292.92 $145,595.87 $38,649.75 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 96 15 — — $32,054.24 $145,523.95 $38,630.65 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 95 15 — — $25,325.43 $148,230.57 $38,577.60 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 122 15 — — $10,876.17 $145,102.51 $38,518.78 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 93 15 — — $12,588.61 $144,931.22 $38,473.31 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 91 15 — — $33,682.23 $147,284.96 $38,412.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 113 15 — — $30,695.40 $144,663.98 $38,402.37 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 108 15 — — $31,580.79 $145,842.56 $37,956.11 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 105 16 — — $19,328.28 $133,566.78 $37,889.81 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 115 17 — — $28,284.47 $142,495.25 $37,826.66 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 124 16 — — $27,498.92 $135,177.05 $37,730.95 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 42 9 — — $6,180.00 $44,367.51 $37,623.65 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 132 15 — — $2,168.00 $144,006.16 $37,478.18 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 109 16 — — $23,251.88 $133,440.02 $37,159.28 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 94 15 — — $27,742.13 $137,650.71 $36,540.63 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 102 15 — — $15,374.75 $132,689.68 $36,087.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 99 16 — — $17,482.33 $155,774.79 $35,980.99 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 91 15 — — $30,751.73 $134,570.61 $35,722.99 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 105 16 — — $28,521.67 $129,804.04 $35,429.89 2026-04-01
69930 HCPCS Implant Cochlear Device 48 9 — — $6,705.72 $42,701.57 $35,356.90 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 92 15 — — $29,586.16 $129,513.66 $35,223.24 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 30 9 — — $31,970.58 $39,963.22 $35,007.79 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 134 16 — — $25,127.64 $122,993.76 $34,890.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 109 16 — — $28,128.22 $133,765.47 $34,813.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 39 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 39 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 39 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 39 9 — — $4,845.00 $39,963.22 $34,208.52 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 39 9 — — $4,845.00 $39,963.22 $34,208.52 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 95 16 — — $8,057.49 $128,835.29 $34,200.50 2026-04-01
332 MS_DRG Rectal Resection With Mcc 92 15 — — $28,591.95 $126,424.83 $34,050.12 2026-04-01
265 MS_DRG Aicd Lead Procedures 92 15 — — $28,572.21 $125,114.54 $34,026.83 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 103 15 — — $16,080.66 $130,075.54 $33,852.68 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 95 15 — — $17,782.75 $126,995.47 $33,712.10 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 107 15 — — $18,682.13 $126,944.06 $33,698.45 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 48 9 — — $3,632.27 $40,651.12 $33,659.13 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 48 9 — — $4,470.48 $40,651.12 $33,659.13 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 48 9 — — $3,073.46 $40,651.12 $33,659.13 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 48 9 — — $4,470.48 $40,651.12 $33,659.13 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 97 15 — — $15,064.58 $129,195.05 $33,623.53 2026-04-01
5626 OTHER Level 6 Radiation Therapy 54 11 — — $2,311.03 $77,610.88 $33,522.40 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 82 15 — — $29,263.97 $128,115.80 $33,342.65 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 93 15 — — $28,653.55 $125,467.42 $33,306.47 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 92 15 — — $21,292.96 $125,371.48 $33,281.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 136 17 — — $24,334.37 $121,976.18 $33,173.31 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 96 15 — — $16,092.23 $121,729.50 $33,106.22 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 96 15 — — $26,347.21 $124,710.24 $33,105.47 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 48 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
61886 HCPCS Implant Neurostim Arrays 48 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 48 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 48 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 48 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 48 9 — — $4,845.00 $39,963.22 $33,089.55 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 48 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 91 15 — — $28,292.67 $123,901.68 $32,890.83 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 93 15 — — $28,227.12 $123,617.31 $32,815.34 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 92 15 — — $28,044.04 $123,312.38 $32,734.39 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 95 16 — — $10,969.48 $123,209.59 $32,707.11 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 66 16 — — $30.13 $60,764.00 $32,614.29 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 150 19 — — $22,597.20 $113,928.24 $32,492.39 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 96 15 — — $23,826.09 $123,493.97 $32,461.20 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 92 15 — — $26,905.20 $117,881.99 $32,059.83 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 97 15 — — $21,173.30 $123,093.13 $32,035.48 2026-04-01
509 MS_DRG Arthroscopy 12 2 — — $25,562.00 $35,869.00 $31,972.25 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $31,882.83 $31,882.83 $31,882.83 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 39 9 — — $9,355.00 $37,147.27 $31,798.06 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 97 15 — — $26,610.90 $119,509.40 $31,724.86 2026-04-01
J9266 HCPCS Pegaspargase Injection 54 10 — — $27,070.53 $53,599.65 $31,635.98 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 128 16 — — $24,383.15 $120,664.00 $31,403.29 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 109 16 — — $16,544.73 $120,633.15 $31,395.26 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 99 15 — — $14,505.08 $120,084.99 $31,252.60 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 79 14 — — $27,153.95 $118,961.20 $30,960.13 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 92 15 — — $25,997.07 $113,941.95 $30,940.66 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 107 15 — — $24,090.34 $118,611.74 $30,869.18 2026-04-01
9523 OTHER Cryoprecipitatereducedplasma 2 1 — — $30,722.99 $30,722.99 $30,722.99 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 97 16 — — $25,278.65 $118,036.15 $30,719.38 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 108 16 — — $20,593.47 $107,675.58 $30,545.07 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 100 15 — — $23,827.40 $109,416.03 $30,540.47 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 106 15 — — $22,721.17 $111,982.21 $30,455.29 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 104 15 — — $24,143.44 $109,056.30 $30,440.06 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 91 15 — — $26,085.51 $114,325.66 $30,348.78 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 108 16 — — $20,834.52 $107,864.01 $30,107.26 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 108 15 — — $11,944.59 $115,603.60 $30,086.30 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 98 16 — — $23,566.17 $110,231.46 $29,979.14 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 39 9 — — $6,012.00 $34,860.32 $29,840.44 2026-04-01
2045 OTHER Grft, Trnsmurl/trnsvens Byps 5 4 — — $21,163.45 $47,111.82 $29,704.60 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 106 16 — — $20,195.97 $111,828.02 $29,685.76 2026-04-01
652 MS_DRG Kidney Transplant 91 15 — — $25,502.73 $111,797.20 $29,677.58 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 99 15 — — $23,302.15 $111,714.98 $29,655.76 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 103 15 — — $12,876.82 $112,105.52 $29,625.56 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 116 15 — — $24,535.43 $110,539.82 $29,618.07 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 91 15 — — $25,434.02 $111,499.11 $29,598.45 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 92 15 — — $22,340.12 $111,142.80 $29,503.87 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 34 8 — — $17,812.12 $56,282.20 $29,426.33 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 101 15 — — $14,958.00 $112,595.46 $29,303.42 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 101 15 — — $22,384.68 $130,111.01 $29,290.14 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 91 15 — — $25,091.30 $110,012.18 $29,203.73 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 48 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 48 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 48 9 — — $3,073.46 $35,140.76 $29,096.55 2026-04-01
22630 HCPCS Lumbar Spine Fusion 48 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 48 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
22558 HCPCS Lumbar Spine Fusion 48 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 92 15 — — $21,116.82 $109,580.48 $29,089.14 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 105 15 — — $22,606.23 $109,107.68 $28,963.62 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 91 15 — — $24,812.54 $108,802.74 $28,882.68 2026-04-01
665 MS_DRG Prostatectomy With Mcc 91 15 — — $24,647.50 $108,086.71 $28,692.60 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 94 15 — — $20,735.90 $104,636.58 $28,457.53 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 91 15 — — $24,176.06 $106,041.29 $28,149.62 2026-04-01
263 MS_DRG Vein Ligation And Stripping 91 15 — — $24,143.69 $105,900.81 $28,112.33 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 48 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 48 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 48 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 101 15 — — $2,050.00 $100,028.47 $27,985.27 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 93 15 — — $22,801.23 $100,076.42 $27,868.46 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 93 15 — — $22,734.33 $104,622.87 $27,773.09 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 105 16 — — $16,544.73 $98,812.20 $27,644.99 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 104 16 — — $23,643.57 $105,071.70 $27,618.79 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 94 15 — — $13,638.42 $104,509.82 $27,471.09 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 91 15 — — $23,504.04 $103,125.67 $27,375.65 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 137 17 — — $18,514.39 $102,087.53 $27,100.06 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 110 15 — — $19,902.47 $97,057.99 $27,091.06 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 93 15 — — $18,411.33 $102,019.02 $27,081.88 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 128 17 — — $18,120.48 $95,300.40 $27,034.52 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 76 11 — — $39.14 $81,341.63 $26,718.38 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 91 15 — — $22,916.52 $100,576.63 $26,698.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 105 15 — — $14,154.64 $100,514.96 $26,682.61 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 48 9 — — $24,228.42 $47,103.13 $26,530.12 2026-04-01
570 MS_DRG Skin Debridement With Mcc 96 15 — — $22,532.83 $101,916.24 $26,524.11 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 94 15 — — $9,113.70 $99,884.57 $26,515.27 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 95 15 — — $16,616.62 $101,193.33 $26,335.97 2026-04-01
503 MS_DRG Foot Procedures With Mcc 94 15 — — $21,770.75 $96,777.07 $26,320.01 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 19 4 — — $8,990.35 $37,608.00 $26,285.40 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 111 15 — — $20,797.08 $100,929.51 $26,267.31 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 100 17 — — $21,005.50 $92,285.42 $26,179.24 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 108 15 — — $20,374.32 $99,487.11 $25,891.92 2026-04-01
800 MS_DRG Splenic Procedures With Cc 91 15 — — $22,185.28 $97,404.03 $25,856.79 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 94 15 — — $20,932.06 $91,966.77 $25,669.99 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 96 15 — — $21,021.39 $93,868.30 $25,528.93 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 98 16 — — $20,367.43 $89,517.12 $25,393.94 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 122 17 — — $15,677.39 $96,119.25 $25,265.57 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 96 16 — — $20,367.43 $89,517.12 $25,219.21 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 95 15 — — $15,761.52 $94,813.91 $25,169.21 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 148 16 — — $7,924.30 $95,324.37 $25,056.64 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 147 17 — — $20,094.15 $94,368.50 $25,050.98 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 104 15 — — $19,247.12 $88,619.46 $24,966.32 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 93 15 — — $20,395.86 $89,640.43 $24,962.33 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 105 17 — — $7,217.54 $89,119.66 $24,933.28 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 145 17 — — $18,223.87 $87,625.89 $24,914.41 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 123 18 — — $17,523.39 $87,588.20 $24,903.55 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 92 15 — — $20,827.03 $91,511.10 $24,887.85 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 110 17 — — $19,554.56 $95,612.17 $24,883.45 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 93 15 — — $19,788.72 $93,566.78 $24,838.15 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 39 9 — — $6,180.00 $28,807.23 $24,658.99 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 39 9 — — $8,017.00 $28,807.23 $24,658.99 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 39 9 — — $4,845.00 $28,807.23 $24,658.99 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 39 9 — — $9,355.00 $28,807.23 $24,658.99 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 39 9 — — $9,355.00 $28,807.23 $24,658.99 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 39 9 — — $4,845.00 $28,807.23 $24,658.99 2026-04-01
849 MS_DRG Radiotherapy 91 15 — — $21,396.39 $93,981.34 $24,459.02 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 136 16 — — $7,901.68 $85,381.78 $24,220.84 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 111 17 — — $18,130.45 $86,176.62 $24,109.90 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 93 15 — — $19,685.21 $89,972.79 $23,884.10 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 48 9 — — $3,632.27 $28,807.23 $23,852.39 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 48 9 — — $3,632.27 $28,807.23 $23,852.39 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 48 9 — — $3,073.46 $28,807.23 $23,852.39 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 48 9 — — $3,073.46 $28,807.23 $23,852.39 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 111 15 — — $15,184.55 $119,164.52 $23,750.45 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 107 16 — — $17,168.85 $84,792.47 $23,722.65 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 124 15 — — $18,466.68 $90,079.00 $23,573.21 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 127 18 — — $15,467.68 $82,911.54 $23,520.09 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 116 15 — — $12,818.74 $88,040.45 $23,371.14 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 159 17 — — $14,309.96 $83,281.56 $23,299.94 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 118 16 — — $10,416.65 $88,204.90 $23,185.24 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 119 15 — — $13,278.44 $85,405.75 $23,141.19 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 109 15 — — $16,454.36 $83,052.02 $23,127.64 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 121 17 — — $11,866.93 $81,273.87 $23,055.52 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 93 15 — — $18,318.05 $86,526.08 $22,969.14 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 119 17 — — $15,971.42 $80,825.04 $22,928.19 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 101 15 — — $16,466.58 $79,776.64 $22,630.79 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 48 9 — — $2,505.00 $26,842.01 $22,225.19 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 48 9 — — $2,505.00 $26,842.01 $22,225.19 2026-04-01
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