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

BRYN MAWR HOSPITAL

Bryn Mawr, PA · CCN 390139 · Rates published

13,726 distinct procedures filed
31 distinct payers
492,436 rate rows
2026-04-01 last MRF observed
Data quality

370,159 of 492,436 rate rows are consumer-grade (75.2%)

122,277 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 121,767
placeholder amount (≤ $0.02) — excluded from medians 510
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/2026/231352160_the-bryn-mawr-hospital_standardcharges.csv
Found on page https://www.mainlinehealth.org/patient-services/patient-billing/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-06-08
Content fingerprint 1e1b51e5a555db93… · 60,625,926 bytes · first seen 2026-06-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $269,934.17 $739,657.75 $621,312.51 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $341,000.00 $707,336.18 $594,162.39 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $361,064.00 $703,172.73 $590,665.09 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $369,160.00 $696,647.42 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $269,934.17 $666,537.71 $559,891.68 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $489,304.61 $611,630.76 $538,235.07 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $341,006.06 $1,480,646.55 $412,318.29 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $213,534.74 $961,283.91 $272,694.01 nat. median
$265,286
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 $207,834.44 nat. median
$206,368
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 $203,299.40 nat. median
$202,986
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 $134,949.79 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 15 $102,265.18 $444,840.37 $126,190.92 nat. median
$122,708
1.0× 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
$48,483
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $94,902.99 $412,898.62 $117,129.79 nat. median
$117,303
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $112,749.10 $112,749.10 $112,749.10 nat. median
$65,381
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $89,484.99 $389,391.97 $110,461.49 nat. median
$108,660
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $69,359.14 $150,643.80 $110,001.47 nat. median
$87,411
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $103,977.10 $179,355.00 $107,428.24 nat. median
$62,270
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $81,446.93 $373,710.59 $106,013.05 nat. median
$102,358
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $89,382.33 $388,946.59 $103,249.41 nat. median
$98,017
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $81,419.99 $354,401.00 $100,535.37 nat. median
$100,136
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $44,991.28 $378,750.44 $99,557.04 nat. median
$98,905
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 15 $78,628.47 $357,325.00 $97,099.65 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $54,416.82 $336,321.31 $95,406.58 nat. median
$93,672
1.0× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $67,234.00 $94,350.00 $89,645.00 nat. median
$29,793
outlier · 3.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $41,623.97 $309,830.54 $86,480.65 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $68,382.37 $297,835.68 $84,489.09 nat. median
$83,442
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $61,420.10 $289,969.29 $82,257.58 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $61,284.32 $289,061.37 $82,000.02 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $42,635.42 $270,745.34 $77,156.51 nat. median
$77,576
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $51,181.72 $263,084.52 $74,117.48 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $80.00 $262,217.71 $73,873.27 nat. median
$72,138
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $47,908.53 $264,218.56 $73,749.33 nat. median
$74,915
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 10 $63,235.61 $125,536.04 $70,499.96 nat. median
$69,774
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $51,152.43 $245,446.83 $70,266.37 nat. median
$68,887
1.0× median
10
MS_DRG 		Pancreas Transplant 15 $56,665.09 $246,998.85 $70,067.86 nat. median
$68,882
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 $70,038.70 nat. median
$64,027
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $56,340.53 $245,590.72 $68,390.09 nat. median
$71,240
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $68,066.13 $68,066.13 $68,066.13 nat. median
$76,377
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $11,717.21 $248,468.68 $68,033.48 nat. median
$68,090
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $37,020.95 $442,737.09 $67,789.78 nat. median
$65,950
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $29,010.74 $237,957.33 $67,502.99 nat. median
$66,526
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $1,676.43 $81,462.04 $67,450.57 nat. median
$15,912
outlier · 4.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $30,640.91 $231,766.31 $65,746.74 nat. median
$64,732
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 $28,087.78 $497,194.82 $65,563.58 nat. median
$52,278
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $52,280.04 $230,070.39 $64,816.57 nat. median
$63,738
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $49,391.85 $226,428.41 $64,232.50 nat. median
$64,510
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $51,923.85 $226,428.41 $64,232.50 nat. median
$61,920
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $23,987.51 $225,609.59 $63,559.85 nat. median
$59,793
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $6,236.59 $230,238.26 $63,208.93 nat. median
$60,691
1.0× median

Other procedures at this hospital

Browse this hospital's 13,726 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 30 10 — — $269,934.17 $739,657.75 $621,312.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 10 — — $341,000.00 $707,336.18 $594,162.39 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 10 — — $361,064.00 $703,172.73 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 10 — — $369,160.00 $696,647.42 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 30 10 — — $269,934.17 $666,537.71 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 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 55 15 — — $341,006.06 $1,480,646.55 $412,318.29 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 64 15 — — $213,534.74 $961,283.91 $272,694.01 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 61 15 — — $168,600.69 $732,645.01 $207,834.44 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 88 16 — — $82,797.00 $915,099.30 $203,299.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 78 16 — — $78,887.74 $475,716.59 $134,949.79 2026-04-01
7 MS_DRG Lung Transplant 61 15 — — $102,265.18 $444,840.37 $126,190.92 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 13 7 — — $78,295.20 $139,806.00 $121,984.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 61 15 — — $94,902.99 $412,898.62 $117,129.79 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 61 15 — — $89,484.99 $389,391.97 $110,461.49 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
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 6 — — $103,977.10 $179,355.00 $107,428.24 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 65 15 — — $81,446.93 $373,710.59 $106,013.05 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 53 14 — — $89,382.33 $388,946.59 $103,249.41 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 61 15 — — $81,419.99 $354,401.00 $100,535.37 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 15 — — $44,991.28 $378,750.44 $99,557.04 2026-04-01
215 MS_DRG Other Heart Assist System Implant 63 15 — — $78,628.47 $357,325.00 $97,099.65 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 15 — — $54,416.82 $336,321.31 $95,406.58 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 6 1 — — $67,234.00 $94,350.00 $89,645.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 66 15 — — $41,623.97 $309,830.54 $86,480.65 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 61 15 — — $68,382.37 $297,835.68 $84,489.09 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 64 15 — — $61,420.10 $289,969.29 $82,257.58 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 65 15 — — $61,284.32 $289,061.37 $82,000.02 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 15 — — $42,635.42 $270,745.34 $77,156.51 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 76 15 — — $51,181.72 $263,084.52 $74,117.48 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 66 15 — — $80.00 $262,217.71 $73,873.27 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 15 — — $47,908.53 $264,218.56 $73,749.33 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 36 10 — — $63,235.61 $125,536.04 $70,499.96 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 71 16 — — $51,152.43 $245,446.83 $70,266.37 2026-04-01
10 MS_DRG Pancreas Transplant 61 15 — — $56,665.09 $246,998.85 $70,067.86 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 61 15 — — $56,641.40 $246,896.06 $70,038.70 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 55 15 — — $56,340.53 $245,590.72 $68,390.09 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $68,066.13 $68,066.13 $68,066.13 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 91 16 — — $11,717.21 $248,468.68 $68,033.48 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 70 15 — — $37,020.95 $442,737.09 $67,789.78 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 102 18 — — $29,010.74 $237,957.33 $67,502.99 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 32 9 — — $1,676.43 $81,462.04 $67,450.57 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 15 — — $30,640.91 $231,766.31 $65,746.74 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 89 17 — — $28,087.78 $497,194.82 $65,563.58 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 64 15 — — $52,280.04 $230,070.39 $64,816.57 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 15 — — $49,391.85 $226,428.41 $64,232.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 15 — — $51,923.85 $226,428.41 $64,232.50 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 15 — — $23,987.51 $225,609.59 $63,559.85 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 68 15 — — $6,236.59 $230,238.26 $63,208.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 26 9 — — $56,824.55 $74,954.81 $63,075.25 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 75 15 — — $47,867.27 $221,611.30 $62,726.61 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 10 — — $55,272.32 $69,090.40 $60,799.56 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 15 — — $48,338.70 $210,873.83 $59,820.03 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 69 15 — — $45,080.34 $208,862.68 $59,249.51 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 71 15 — — $47,329.19 $261,534.53 $59,243.82 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 79 15 — — $44,926.22 $240,296.23 $59,064.86 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 68 16 — — $27,784.73 $207,002.31 $58,317.72 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 61 15 — — $46,825.67 $204,309.36 $57,957.84 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 16 — — $43,011.55 $205,453.70 $57,881.43 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 63 15 — — $46,313.17 $202,085.80 $57,327.07 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 78 15 — — $12,690.02 $202,216.02 $56,969.30 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 88 16 — — $30,144.56 $197,477.69 $56,533.80 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 65 15 — — $41,623.97 $198,738.50 $56,377.51 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 70 15 — — $34,951.90 $193,767.20 $54,967.27 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 61 15 — — $44,258.42 $193,171.05 $54,798.16 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 61 15 — — $43,614.04 $190,375.32 $54,005.07 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 15 — — $31,660.72 $191,855.41 $53,766.99 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 62 15 — — $42,794.29 $189,241.27 $53,683.37 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 66 16 — — $38,404.84 $366,202.99 $53,494.82 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 71 15 — — $38,375.52 $188,309.38 $53,419.01 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 15 — — $43,069.95 $188,014.74 $53,335.43 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 3 3 — — $53,201.07 $56,079.62 $53,201.07 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 61 15 — — $42,897.80 $187,267.82 $53,123.55 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 54 14 — — $30,484.75 $196,675.97 $52,209.42 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 71 15 — — $25,482.98 $196,422.45 $52,142.12 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 103 16 — — $37,128.65 $181,923.08 $52,080.83 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 66 15 — — $41,804.10 $182,522.65 $52,014.96 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 64 15 — — $36,388.63 $183,749.22 $51,766.74 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 79 15 — — $39,716.42 $183,858.84 $51,438.75 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 73 15 — — $37,708.18 $179,493.95 $51,382.52 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 62 15 — — $41,034.95 $179,185.60 $50,830.81 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 10 9 — — $45,635.01 $57,043.76 $49,970.34 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 15 — — $39,801.47 $173,834.02 $49,312.69 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 128 18 — — $16,092.05 $170,353.07 $48,990.26 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 26 9 — — $6,180.00 $57,043.76 $48,829.46 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 9 — — $4,845.00 $57,043.76 $48,829.46 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 79 16 — — $24,983.12 $172,025.02 $48,799.52 2026-04-01
J9226 HCPCS Supprelin La Implant 24 10 — — $45,020.65 $56,275.81 $48,622.31 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 15 — — $38,218.21 $170,654.55 $48,410.75 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 15 — — $38,703.81 $169,071.67 $47,961.72 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 71 15 — — $23,078.10 $169,774.06 $47,498.21 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 69 15 — — $35,762.64 $166,587.75 $47,257.09 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 32 9 — — $3,073.46 $57,043.76 $47,232.24 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 61 15 — — $37,938.61 $165,751.76 $47,019.94 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 77 15 — — $17,632.96 $164,261.41 $45,955.92 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 66 16 — — $21,837.70 $161,417.73 $45,790.47 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 101 17 — — $10,645.12 $158,632.29 $45,413.16 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 61 15 — — $36,617.48 $160,019.86 $45,393.93 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 75 15 — — $25,707.69 $159,386.06 $45,214.14 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 55 15 — — $37,126.03 $162,226.28 $45,175.44 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 93 17 — — $24,883.30 $156,926.08 $44,924.70 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 82 16 — — $18,452.46 $156,994.59 $44,717.99 2026-04-01
245 MS_DRG Aicd Generator Procedures 63 15 — — $36,028.37 $157,463.97 $44,668.89 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 64 15 — — $34,169.84 $158,231.45 $44,577.75 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 62 15 — — $35,763.83 $156,316.25 $44,343.30 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 90 16 — — $14,025.59 $154,702.52 $44,288.14 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 15 — — $32,439.46 $154,657.98 $43,872.89 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 77 15 — — $24,671.04 $151,653.26 $43,318.83 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 96 16 — — $18,419.97 $231,183.22 $42,555.79 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 15 — — $33,114.01 $154,055.00 $41,897.64 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 86 16 — — $26,594.05 $146,445.58 $41,702.08 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 65 15 — — $25,325.43 $148,230.57 $41,470.92 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 61 15 — — $33,292.92 $145,595.87 $41,302.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 65 15 — — $32,054.24 $145,523.95 $41,281.78 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 61 15 — — $33,682.23 $147,284.96 $41,206.36 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 63 15 — — $12,588.61 $144,931.22 $41,113.63 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 85 16 — — $30,695.40 $144,663.98 $41,037.82 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 15 — — $32,950.20 $144,108.94 $40,880.37 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 84 15 — — $10,876.17 $145,102.51 $40,879.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 65 15 — — $32,795.42 $143,437.45 $40,689.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 77 15 — — $31,580.79 $145,842.56 $40,613.04 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 81 17 — — $28,284.47 $142,495.25 $40,422.61 2026-04-01
791 MS_DRG Prematurity With Major Problems 84 16 — — $3,141.00 $140,216.86 $40,141.20 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 89 15 — — $2,168.00 $144,006.16 $40,101.65 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 96 17 — — $23,870.22 $166,984.00 $39,724.98 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 72 15 — — $21,898.07 $149,412.61 $39,274.08 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 63 15 — — $27,742.13 $137,650.71 $39,048.32 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 83 16 — — $27,498.92 $135,177.05 $38,698.41 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 72 16 — — $19,328.28 $133,566.78 $38,237.42 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 61 15 — — $30,751.73 $134,570.61 $38,174.57 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 73 16 — — $28,128.22 $133,765.47 $37,946.17 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 74 16 — — $23,251.88 $133,440.02 $37,853.85 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 72 15 — — $15,374.75 $132,689.68 $37,640.99 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 28 9 — — $6,180.00 $44,367.51 $37,623.65 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 15 — — $29,586.16 $129,513.66 $36,740.03 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 68 16 — — $17,482.33 $155,774.79 $36,653.53 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 65 16 — — $8,057.49 $128,835.29 $36,547.59 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 66 15 — — $15,064.58 $129,195.05 $36,397.47 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 64 15 — — $17,782.75 $126,995.47 $36,025.68 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 75 15 — — $18,682.13 $126,944.06 $36,011.09 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 72 16 — — $28,521.67 $129,804.04 $35,754.94 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 55 15 — — $29,263.97 $128,115.80 $35,676.64 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 62 15 — — $28,653.55 $125,467.42 $35,592.21 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 15 — — $21,292.96 $125,371.48 $35,564.99 2026-04-01
332 MS_DRG Rectal Resection With Mcc 62 15 — — $28,591.95 $126,424.83 $35,516.40 2026-04-01
265 MS_DRG Aicd Lead Procedures 62 15 — — $28,572.21 $125,114.54 $35,492.10 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 66 15 — — $26,347.21 $124,710.24 $35,377.41 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 72 15 — — $16,080.66 $130,075.54 $35,376.05 2026-04-01
69930 HCPCS Implant Cochlear Device 32 9 — — $6,705.72 $42,701.57 $35,356.90 2026-04-01
5626 OTHER Level 6 Radiation Therapy 42 11 — — $2,311.03 $77,610.88 $35,296.71 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 95 16 — — $25,127.64 $122,993.76 $35,210.58 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 61 15 — — $28,292.67 $123,901.68 $35,148.04 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 63 15 — — $28,227.12 $123,617.31 $35,067.37 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 64 15 — — $23,826.09 $123,493.97 $35,032.38 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 9 — — $31,970.58 $39,963.22 $35,007.79 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 15 — — $28,044.04 $123,312.38 $34,980.87 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 65 16 — — $10,969.48 $123,209.59 $34,951.71 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 65 15 — — $21,173.30 $123,093.13 $34,918.67 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 26 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 26 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 26 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 94 17 — — $24,334.37 $121,976.18 $34,706.46 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 65 15 — — $16,092.23 $121,729.50 $34,531.84 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 9 — — $4,845.00 $39,963.22 $34,208.52 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 26 9 — — $4,845.00 $39,963.22 $34,208.52 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 65 15 — — $26,610.90 $119,509.40 $33,902.05 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 88 16 — — $24,383.15 $120,664.00 $33,680.03 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 32 9 — — $3,632.27 $40,651.12 $33,659.13 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 32 9 — — $4,470.48 $40,651.12 $33,659.13 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 32 9 — — $3,073.46 $40,651.12 $33,659.13 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 32 9 — — $4,470.48 $40,651.12 $33,659.13 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 15 — — $24,090.34 $118,611.74 $33,647.41 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 62 15 — — $26,905.20 $117,881.99 $33,440.39 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 67 15 — — $14,505.08 $120,084.99 $33,440.28 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 32 9 — — $4,845.00 $39,963.22 $33,089.55 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 16 — — $25,278.65 $118,036.15 $32,946.54 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 105 19 — — $22,597.20 $113,928.24 $32,911.81 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 51 16 — — $30.13 $60,764.00 $32,614.29 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 61 15 — — $26,085.51 $114,325.66 $32,431.54 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 62 15 — — $25,997.07 $113,941.95 $32,322.70 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 73 15 — — $11,944.59 $134,366.70 $32,192.34 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 75 16 — — $16,544.73 $120,633.15 $32,023.17 2026-04-01
509 MS_DRG Arthroscopy 8 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 26 9 — — $9,355.00 $37,147.27 $31,798.06 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 72 15 — — $22,721.17 $111,982.21 $31,766.76 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 72 16 — — $20,195.97 $111,828.02 $31,723.02 2026-04-01
652 MS_DRG Kidney Transplant 61 15 — — $25,502.73 $111,797.20 $31,714.28 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 67 15 — — $23,302.15 $111,714.98 $31,690.95 2026-04-01
J9266 HCPCS Pegaspargase Injection 36 10 — — $27,070.53 $53,599.65 $31,635.98 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 61 15 — — $25,434.02 $111,499.11 $31,629.72 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 53 14 — — $27,153.95 $118,961.20 $31,579.33 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 62 15 — — $22,340.12 $111,142.80 $31,528.64 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 70 15 — — $14,958.00 $112,595.46 $31,427.92 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 68 15 — — $22,384.68 $130,111.01 $31,300.24 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 70 15 — — $12,876.82 $112,105.52 $31,291.16 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 66 16 — — $23,566.17 $110,231.46 $31,270.12 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 61 15 — — $25,091.30 $110,012.18 $31,207.91 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 78 15 — — $24,535.43 $110,539.82 $31,141.83 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 68 15 — — $23,827.40 $109,416.03 $31,115.59 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 62 15 — — $21,116.82 $109,580.48 $31,085.45 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 71 15 — — $24,143.44 $109,056.30 $30,936.75 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 61 15 — — $24,812.54 $108,802.74 $30,864.82 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 75 16 — — $20,834.52 $107,864.01 $30,745.21 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 72 15 — — $22,606.23 $109,107.68 $30,738.35 2026-04-01
9523 OTHER Cryoprecipitatereducedplasma 1 1 — — $30,722.99 $30,722.99 $30,722.99 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 73 16 — — $20,593.47 $107,675.58 $30,690.93 2026-04-01
665 MS_DRG Prostatectomy With Mcc 61 15 — — $24,647.50 $108,086.71 $30,661.70 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 61 15 — — $24,176.06 $106,041.29 $30,081.46 2026-04-01
263 MS_DRG Vein Ligation And Stripping 61 15 — — $24,143.69 $105,900.81 $30,041.61 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 9 — — $6,012.00 $34,860.32 $29,840.44 2026-04-01
2045 OTHER Grft, Trnsmurl/trnsvens Byps 4 4 — — $21,163.45 $47,111.82 $29,704.60 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 64 15 — — $20,735.90 $104,636.58 $29,682.98 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 63 15 — — $22,734.33 $104,622.87 $29,679.09 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 63 15 — — $13,638.42 $104,509.82 $29,647.02 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 69 16 — — $23,643.57 $105,071.70 $29,396.23 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 61 15 — — $23,504.04 $103,125.67 $29,254.37 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 32 9 — — $3,073.46 $35,140.76 $29,096.55 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
22558 HCPCS Lumbar Spine Fusion 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
22630 HCPCS Lumbar Spine Fusion 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 95 17 — — $18,514.39 $102,087.53 $28,959.87 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 62 15 — — $18,411.33 $102,019.02 $28,940.44 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 24 8 — — $17,812.12 $56,282.20 $28,557.67 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 61 15 — — $22,916.52 $100,576.63 $28,531.26 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 75 15 — — $14,154.64 $100,514.96 $28,513.77 2026-04-01
570 MS_DRG Skin Debridement With Mcc 65 15 — — $22,532.83 $101,916.24 $28,513.42 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 64 15 — — $16,616.62 $101,193.33 $28,508.69 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 62 15 — — $22,801.23 $100,076.42 $28,389.37 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 69 15 — — $2,050.00 $100,028.47 $28,375.76 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 63 15 — — $9,113.70 $99,884.57 $28,334.94 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 73 16 — — $16,544.73 $98,812.20 $28,030.73 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 32 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 32 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 32 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
800 MS_DRG Splenic Procedures With Cc 61 15 — — $22,185.28 $97,404.03 $27,631.27 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 76 15 — — $19,902.47 $97,057.99 $27,582.51 2026-04-01
503 MS_DRG Foot Procedures With Mcc 64 15 — — $21,770.75 $96,777.07 $27,453.42 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 89 17 — — $18,120.48 $95,300.40 $27,282.54 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 83 17 — — $15,677.39 $96,119.25 $27,266.81 2026-04-01
5242 OTHER Level 2 Blood Product Exchange And Related Services 3 2 — — $12,744.95 $27,234.27 $27,234.27 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 74 17 — — $19,554.56 $95,612.17 $27,122.96 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 102 16 — — $7,924.30 $95,324.37 $27,041.32 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 65 15 — — $15,761.52 $94,813.91 $26,896.51 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 102 17 — — $20,094.15 $94,368.50 $26,813.59 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 53 11 — — $39.14 $81,341.63 $26,718.78 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 65 15 — — $21,021.39 $93,868.30 $26,628.26 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 63 15 — — $19,788.72 $93,566.78 $26,542.73 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 9 — — $24,228.42 $47,103.13 $26,530.12 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 67 17 — — $21,005.50 $92,285.42 $26,419.42 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 74 15 — — $20,374.32 $99,487.11 $26,409.76 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 78 15 — — $20,797.08 $100,929.51 $26,334.39 2026-04-01
849 MS_DRG Radiotherapy 61 15 — — $21,396.39 $93,981.34 $26,293.45 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 13 4 — — $8,990.35 $37,608.00 $26,285.40 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 63 15 — — $20,932.06 $91,966.77 $26,088.84 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 62 15 — — $20,827.03 $91,511.10 $25,959.58 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 66 16 — — $20,367.43 $89,517.12 $25,543.10 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 63 15 — — $19,685.21 $89,972.79 $25,523.20 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 65 16 — — $20,367.43 $89,517.12 $25,459.29 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 62 15 — — $20,395.86 $89,640.43 $25,428.92 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 102 17 — — $18,223.87 $87,625.89 $25,381.96 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 86 15 — — $18,466.68 $90,079.00 $25,377.51 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 72 17 — — $7,217.54 $89,119.66 $25,312.99 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 72 15 — — $19,247.12 $88,619.46 $25,169.99 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 85 18 — — $17,523.39 $87,588.20 $25,074.70 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 80 16 — — $10,416.65 $88,204.90 $25,021.69 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 26 9 — — $9,355.00 $28,807.23 $24,658.99 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 26 9 — — $4,845.00 $28,807.23 $24,658.99 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 26 9 — — $6,180.00 $28,807.23 $24,658.99 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 26 9 — — $8,017.00 $28,807.23 $24,658.99 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 26 9 — — $4,845.00 $28,807.23 $24,658.99 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 26 9 — — $9,355.00 $28,807.23 $24,658.99 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 63 15 — — $18,318.05 $86,526.08 $24,545.45 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 78 17 — — $18,130.45 $86,176.62 $24,471.60 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 96 16 — — $7,901.68 $85,381.78 $24,443.04 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 81 15 — — $12,818.74 $88,040.45 $24,330.48 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 78 15 — — $15,184.55 $119,164.52 $24,104.28 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 73 16 — — $17,168.85 $84,792.47 $24,098.09 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 32 9 — — $3,073.46 $28,807.23 $23,852.39 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 32 9 — — $3,632.27 $28,807.23 $23,852.39 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 32 9 — — $3,073.46 $28,807.23 $23,852.39 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 32 9 — — $3,632.27 $28,807.23 $23,852.39 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 113 17 — — $14,309.96 $83,281.56 $23,841.80 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 87 18 — — $15,467.68 $82,911.54 $23,735.87 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 65 15 — — $15,427.74 $83,202.75 $23,602.70 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 75 15 — — $16,454.36 $83,052.02 $23,559.94 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 80 15 — — $13,278.44 $85,405.75 $23,462.14 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 55 15 — — $18,994.18 $83,559.06 $23,268.84 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 83 17 — — $11,866.93 $81,273.87 $23,267.04 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 62 15 — — $18,566.17 $81,702.10 $23,177.00 2026-04-01
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