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

PAOLI HOSPITAL

Paoli, PA · CCN 390153 · Rates published

13,590 distinct procedures filed
26 distinct payers
253,741 rate rows
2026-04-01 last MRF observed
Data quality

186,891 of 253,741 rate rows are consumer-grade (73.7%)

66,850 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 66,595
placeholder amount (≤ $0.02) — excluded from medians 255
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/2025/23-1352160_paoli-hospital_standardcharges.csv
Found on page https://www.mainlinehealth.org/patient-services/patient-billing/price-transparency#Price%20transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint fa344a76ecba9da3… · 6,154,208 bytes · first seen 2026-05-18

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 $316,265.67 $803,314.80 $347,892.24 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $205,243.70 $525,816.00 $225,768.07 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $156,368.51 $397,176.02 $172,005.36 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $104,080.31 $612,718.91 $170,995.91 nat. median
$202,986
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $135,660.86 $223,361.00 $135,660.86 nat. median
$87,411
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $101,446.00 $349,894.75 $119,415.76 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 15 $94,845.72 $240,908.13 $104,330.29 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $88,017.66 $227,546.00 $96,819.43 nat. median
$117,303
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $95,414.28 $160,431.00 $96,598.81 nat. median
$62,270
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $82,992.75 $324,742.00 $91,292.02 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $82,897.54 $210,559.75 $91,187.29 nat. median
$98,017
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $67,643.92 $231,179.00 $88,789.75 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $79,640.61 $202,287.15 $87,604.67 nat. median
$102,358
0.9× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $63,296.00 $84,395.00 $84,395.00 nat. median
$29,793
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $75,512.87 $217,378.00 $83,064.16 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 16 $29,514.97 $319,622.00 $80,945.51 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $71,648.06 $197,217.00 $78,812.87 nat. median
$93,672
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 $71,847.36 $125,053.00 $73,874.20 nat. median
$48,483
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $65,985.23 $281,869.62 $73,243.61 nat. median
$82,712
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 17 $28,984.10 $166,658.26 $72,881.66 nat. median
$44,810
1.6× 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
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $63,421.14 $161,089.70 $69,763.25 nat. median
$83,442
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $68,066.13 $68,066.13 $68,066.13 nat. median
$76,377
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $61,739.58 $159,961.00 $67,913.54 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $60,890.44 $194,736.00 $67,700.05 nat. median
$81,118
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $1,630.59 $80,777.64 $66,883.89 nat. median
$15,912
outlier · 4.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 $23,484.07 $164,285.48 $64,698.76 nat. median
$55,929
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $57,630.15 $279,600.21 $64,142.36 nat. median
$77,576
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $74,954.81 $63,075.25 nat. median
$62,507
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $18,390.13 $141,949.38 $62,392.49 nat. median
$72,138
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $56,234.95 $159,591.00 $61,858.44 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $55,992.53 $152,188.00 $61,591.78 nat. median
$73,807
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $55,272.32 $69,090.40 $60,799.56 nat. median
$66,682
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $1,500.00 $166,046.00 $59,000.87 nat. median
$68,090
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $52,222.20 $167,467.00 $58,279.98 nat. median
$68,887
0.8× median
10
MS_DRG 		Pancreas Transplant 15 $52,553.97 $133,487.08 $57,809.37 nat. median
$68,882
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $52,532.00 $133,431.28 $57,785.20 nat. median
$64,027
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $52,252.96 $132,722.52 $57,478.26 nat. median
$71,240
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $21,615.57 $128,577.85 $56,341.40 nat. median
$66,526
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $50,372.92 $127,947.22 $55,410.21 nat. median
$65,950
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $48,935.24 $138,093.00 $54,709.60 nat. median
$63,738
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $49,297.77 $125,216.34 $54,227.55 nat. median
$64,732
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $48,971.13 $124,386.67 $53,868.24 nat. median
$60,691
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $48,156.71 $131,064.00 $52,972.38 nat. median
$64,510
0.8× median

Other procedures at this hospital

Browse this hospital's 13,590 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 15 10 — — $269,934.17 $739,657.75 $621,312.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 10 — — $341,000.00 $707,336.18 $594,162.39 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 10 — — $361,064.00 $703,172.73 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 10 — — $369,160.00 $696,647.42 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 10 — — $269,934.17 $666,537.71 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 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 28 15 — — $316,265.67 $803,314.80 $347,892.24 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 15 — — $205,243.70 $525,816.00 $225,768.07 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 15 — — $156,368.51 $397,176.02 $172,005.36 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 15 — — $104,080.31 $612,718.91 $170,995.91 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 7 — — $135,660.86 $223,361.00 $135,660.86 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 42 16 — — $101,446.00 $349,894.75 $119,415.76 2026-04-01
7 MS_DRG Lung Transplant 31 15 — — $94,845.72 $240,908.13 $104,330.29 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 15 — — $88,017.66 $227,546.00 $96,819.43 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 8 — — $95,414.28 $160,431.00 $96,598.81 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 15 — — $82,992.75 $324,742.00 $91,292.02 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 14 — — $82,897.54 $210,559.75 $91,187.29 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 15 — — $67,643.92 $231,179.00 $88,789.75 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 15 — — $79,640.61 $202,287.15 $87,604.67 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 3 1 — — $63,296.00 $84,395.00 $84,395.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 15 — — $75,512.87 $217,378.00 $83,064.16 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 16 — — $29,514.97 $319,622.00 $80,945.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 15 — — $71,648.06 $197,217.00 $78,812.87 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 21 8 — — $71,847.36 $125,053.00 $73,874.20 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 16 — — $65,985.23 $281,869.62 $73,243.61 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 62 17 — — $28,984.10 $166,658.26 $72,881.66 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 10 — — $63,235.61 $125,536.04 $70,499.96 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 31 15 — — $63,421.14 $161,089.70 $69,763.25 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $68,066.13 $68,066.13 $68,066.13 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 15 — — $61,739.58 $159,961.00 $67,913.54 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 15 — — $60,890.44 $194,736.00 $67,700.05 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 16 9 — — $1,630.59 $80,777.64 $66,883.89 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 70 17 — — $23,484.07 $164,285.48 $64,698.76 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 16 — — $57,630.15 $279,600.21 $64,142.36 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 9 — — $56,824.55 $74,954.81 $63,075.25 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 19 — — $18,390.13 $141,949.38 $62,392.49 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 15 — — $56,234.95 $159,591.00 $61,858.44 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 15 — — $55,992.53 $152,188.00 $61,591.78 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 10 — — $55,272.32 $69,090.40 $60,799.56 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 16 — — $1,500.00 $166,046.00 $59,000.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 16 — — $52,222.20 $167,467.00 $58,279.98 2026-04-01
10 MS_DRG Pancreas Transplant 31 15 — — $52,553.97 $133,487.08 $57,809.37 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 31 15 — — $52,532.00 $133,431.28 $57,785.20 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 15 — — $52,252.96 $132,722.52 $57,478.26 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 16 — — $21,615.57 $128,577.85 $56,341.40 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 15 — — $50,372.92 $127,947.22 $55,410.21 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 15 — — $48,935.24 $138,093.00 $54,709.60 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 15 — — $49,297.77 $125,216.34 $54,227.55 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 15 — — $48,971.13 $124,386.67 $53,868.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 15 — — $48,156.71 $131,064.00 $52,972.38 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 15 — — $48,156.71 $122,318.04 $52,972.38 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 15 — — $47,981.67 $121,873.44 $52,779.84 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 16 — — $20,229.66 $271,762.04 $52,452.32 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 9 — — $51,213.81 $80,027.00 $51,213.81 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 15 — — $44,883.67 $186,207.00 $49,372.04 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 15 — — $44,831.67 $125,936.00 $49,314.84 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $49,189.60 $103,463.88 $49,189.60 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 37 16 — — $44,004.07 $148,042.34 $48,844.52 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 15 — — $44,401.76 $115,914.00 $48,841.94 2026-04-01
J9226 HCPCS Supprelin La Implant 12 10 — — $45,020.65 $56,275.81 $48,622.31 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 15 — — $39,284.87 $144,071.00 $48,610.74 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 47 17 — — $19,697.00 $110,564.88 $48,578.90 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 9 — — $6,180.00 $56,564.50 $48,419.21 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 9 — — $4,845.00 $56,564.50 $48,419.21 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 16 — — $43,673.03 $143,038.00 $48,040.33 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 31 15 — — $43,428.41 $121,721.00 $47,771.25 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 15 — — $42,953.09 $114,361.00 $47,463.17 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 15 — — $42,980.93 $118,220.00 $47,279.02 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 16 9 — — $2,989.42 $56,564.50 $46,835.40 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 47 15 — — $18,922.92 $158,722.00 $46,310.86 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 14 — — $41,796.65 $106,163.49 $45,976.32 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 15 — — $27,008.80 $110,467.00 $45,916.71 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 16 — — $32,766.62 $129,430.00 $45,498.22 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 15 — — $41,047.42 $110,378.00 $45,152.16 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 15 — — $40,766.18 $103,546.10 $44,842.80 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 15 — — $40,449.79 $103,959.00 $44,494.77 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 35 15 — — $10,518.60 $109,204.00 $44,228.11 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 59 17 — — $27,991.66 $149,364.00 $44,181.58 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 15 — — $40,065.29 $114,695.00 $44,071.82 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 15 — — $40,008.16 $101,620.73 $44,008.98 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 15 — — $39,945.18 $101,460.76 $43,939.70 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 31 15 — — $39,785.52 $101,055.22 $43,764.07 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 77 18 — — $8,125.36 $137,479.05 $43,320.61 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 17 — — $4,002.64 $203,282.11 $43,280.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 16 — — $38,771.16 $148,176.00 $43,268.61 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 15 — — $37,635.03 $138,093.00 $43,131.85 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 15 — — $39,056.79 $107,797.00 $42,962.47 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 57 17 — — $30,581.42 $116,986.10 $42,952.72 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 16 — — $32,386.66 $106,672.00 $41,936.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 31 15 — — $38,057.81 $120,019.00 $41,863.59 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 63 18 — — $10,391.99 $106,671.90 $41,624.36 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 16 — — $36,527.12 $111,506.00 $40,658.06 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 15 — — $36,913.82 $95,973.00 $40,605.20 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 15 — — $36,045.94 $98,550.00 $40,010.99 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 15 — — $36,234.17 $151,403.00 $39,857.59 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 15 — — $35,895.80 $91,175.33 $39,485.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 16 — — $34,790.86 $100,924.00 $39,361.04 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 15 — — $35,186.12 $133,838.00 $38,704.73 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 15 — — $34,867.53 $139,814.00 $38,354.28 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 15 — — $34,432.49 $87,458.52 $37,875.74 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 15 — — $34,259.65 $105,403.00 $37,685.62 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 16 — — $33,825.34 $125,555.66 $37,647.60 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 31 15 — — $33,960.83 $98,281.00 $37,356.91 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 14 9 — — $6,180.00 $43,994.75 $37,307.55 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 15 — — $33,578.53 $92,404.00 $36,936.38 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 63 19 — — $16,931.83 $70,048.43 $36,873.72 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 15 — — $33,414.47 $96,260.00 $36,755.92 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 34 15 — — $33,169.12 $103,812.00 $36,651.88 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 16 — — $28,501.90 $100,606.00 $36,645.55 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 16 — — $32,814.65 $85,924.00 $36,522.71 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 37 15 — — $29,676.92 $104,228.00 $36,434.83 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 15 — — $32,685.75 $83,021.81 $35,954.33 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 17 — — $30,907.53 $81,717.74 $35,904.33 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 16 — — $31,079.66 $80,501.13 $35,274.71 2026-04-01
69930 HCPCS Implant Cochlear Device 16 9 — — $6,522.36 $42,342.81 $35,059.85 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 9 — — $31,701.98 $39,627.47 $34,713.66 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 15 — — $31,440.69 $79,859.35 $34,584.76 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 15 — — $31,238.55 $79,345.92 $34,518.60 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 13 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 47 16 — — $26,423.13 $82,828.00 $34,475.61 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 16 — — $9,717.70 $115,807.32 $34,349.51 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 17 — — $28,856.60 $78,562.73 $34,332.53 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 33 15 — — $30,735.40 $82,685.00 $34,116.29 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 15 — — $30,877.48 $78,428.80 $33,965.23 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 13 9 — — $4,845.00 $39,627.47 $33,921.11 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $4,845.00 $39,627.47 $33,921.11 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 16 — — $30,559.62 $109,001.00 $33,768.38 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 15 — — $26,712.80 $78,160.93 $33,755.84 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 15 — — $30,678.27 $78,592.00 $33,746.10 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 16 — — $28,532.37 $76,745.26 $33,628.93 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 16 — — $30,416.08 $124,914.63 $33,609.77 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 39 15 — — $1,884.00 $77,565.63 $33,591.42 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 16 9 — — $2,989.42 $40,309.59 $33,376.35 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 16 9 — — $4,348.24 $40,309.59 $33,376.35 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 16 9 — — $3,532.95 $40,309.59 $33,376.35 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 16 9 — — $4,348.24 $40,309.59 $33,376.35 2026-04-01
791 MS_DRG Prematurity With Major Problems 39 15 — — $22,086.19 $75,508.18 $32,997.67 2026-04-01
5432 OTHER Level 2 Nerve Procedures 1 1 — — $32,953.11 $32,953.11 $32,953.11 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 16 9 — — $2,989.42 $39,627.47 $32,811.54 2026-04-01
61886 HCPCS Implant Neurostim Arrays 16 9 — — $2,989.42 $39,627.47 $32,811.54 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 9 — — $2,989.42 $39,627.47 $32,811.54 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 16 9 — — $2,989.42 $39,627.47 $32,811.54 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 16 9 — — $2,989.42 $39,627.47 $32,811.54 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 16 9 — — $4,845.00 $39,627.47 $32,811.54 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 16 9 — — $2,989.42 $39,627.47 $32,811.54 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 58 17 — — $21,140.05 $60,396.00 $32,570.76 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 49 17 — — $17,783.39 $70,884.00 $32,285.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 15 — — $29,179.07 $74,114.84 $32,096.98 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 17 — — $27,154.16 $77,575.00 $32,088.32 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 10 — — $27,070.53 $53,599.65 $31,635.98 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 9 — — $9,355.00 $36,835.17 $31,530.91 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 41 16 — — $19,258.42 $78,426.00 $31,380.32 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 15 — — $28,520.66 $72,442.48 $31,372.73 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 53 17 — — $18,086.39 $53,861.00 $31,185.79 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 15 — — $28,348.54 $76,636.00 $31,183.39 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 69 18 — — $9,372.38 $47,401.57 $31,157.81 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 15 — — $28,306.07 $71,897.42 $31,136.68 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 37 16 — — $22,691.81 $78,607.00 $31,106.87 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $30,747.05 $30,747.05 $30,747.05 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 18 — — $13,340.50 $75,981.00 $30,591.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 17 — — $27,374.47 $75,813.00 $30,467.78 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 15 — — $27,371.54 $69,523.71 $30,464.53 2026-04-01
5192 OTHER Level 2 Endovascular Procedures 29 10 — — $603.82 $30,422.83 $30,422.83 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 15 — — $27,439.65 $69,696.71 $30,183.62 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 15 — — $27,294.64 $69,328.39 $30,024.10 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 33 15 — — $26,901.35 $69,654.00 $29,860.50 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 15 — — $27,140.84 $68,937.73 $29,854.92 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $6,012.00 $34,567.44 $29,589.73 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 37 16 — — $12,588.21 $68,301.51 $29,579.40 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 31 15 — — $26,574.70 $67,499.74 $29,232.17 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 15 — — $26,554.19 $67,447.64 $29,209.61 2026-04-01
332 MS_DRG Rectal Resection With Mcc 32 15 — — $26,397.13 $97,427.00 $29,169.33 2026-04-01
265 MS_DRG Aicd Lead Procedures 31 15 — — $26,499.26 $67,308.12 $29,149.19 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 15 — — $26,155.82 $67,189.07 $29,097.63 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 16 — — $25,700.90 $67,088.61 $29,054.12 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 18 — — $15,025.06 $76,234.39 $28,989.11 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 38 15 — — $25,824.29 $88,798.00 $28,898.90 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 15 — — $26,240.00 $68,613.00 $28,864.00 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 16 9 — — $5,163.54 $34,845.52 $28,852.10 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 16 9 — — $5,163.54 $34,845.52 $28,852.10 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 16 9 — — $2,989.42 $34,845.52 $28,852.10 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 16 9 — — $5,163.54 $34,845.52 $28,852.10 2026-04-01
22558 HCPCS Lumbar Spine Fusion 16 9 — — $5,163.54 $34,845.52 $28,852.10 2026-04-01
22630 HCPCS Lumbar Spine Fusion 16 9 — — $5,163.54 $34,845.52 $28,852.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 15 — — $26,092.06 $73,605.00 $28,831.73 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 15 — — $26,179.21 $91,821.00 $28,797.13 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 37 17 — — $25,000.00 $69,075.00 $28,765.65 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 15 — — $26,114.03 $80,693.00 $28,725.43 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 15 — — $26,067.16 $78,786.00 $28,673.88 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 45 17 — — $24,226.43 $67,603.00 $28,358.16 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 15 — — $9,945.86 $65,516.00 $28,160.10 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 16 — — $4,300.00 $86,168.00 $28,095.43 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $25,109.19 $68,352.00 $28,021.86 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 49 16 — — $150.00 $65,382.00 $27,984.49 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 15 — — $25,424.12 $64,577.26 $27,966.53 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 16 9 — — $7,034.00 $33,566.25 $27,792.86 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 16 9 — — $7,034.00 $33,566.25 $27,792.86 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 16 9 — — $7,034.00 $33,566.25 $27,792.86 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 14 — — $25,183.90 $63,967.11 $27,702.29 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 69 19 — — $14,451.11 $42,840.29 $27,547.96 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 9 5 — — $4,484.13 $33,195.10 $27,486.33 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 15 — — $24,953.19 $71,691.00 $27,448.51 2026-04-01
509 MS_DRG Arthroscopy 5 3 — — $10,796.73 $32,084.00 $27,401.40 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 41 16 — — $10,951.27 $62,144.05 $27,268.27 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 51 18 — — $18,006.85 $89,450.61 $27,223.31 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 65 17 — — $12,912.00 $43,711.85 $27,068.44 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 57 18 — — $17,193.92 $47,178.19 $26,974.39 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 39 16 — — $23,410.17 $61,234.37 $26,904.55 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 33 16 — — $24,110.95 $65,145.00 $26,763.15 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 31 15 — — $24,192.97 $75,088.00 $26,612.27 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 16 — — $23,269.25 $91,715.11 $26,535.06 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 52 17 — — $13,982.79 $58,292.00 $26,533.78 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 9 — — $24,228.42 $47,103.13 $26,530.12 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 48 17 — — $22,091.26 $82,828.00 $26,450.83 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 53 15 — — $19,574.71 $135,263.92 $26,436.56 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 15 — — $12,355.24 $60,244.71 $26,327.41 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 15 — — $23,823.12 $77,563.00 $26,324.54 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 54 17 — — $14,936.72 $75,466.00 $26,137.68 2026-04-01
652 MS_DRG Kidney Transplant 31 15 — — $23,652.47 $65,233.00 $26,017.72 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 15 — — $23,490.33 $64,089.00 $25,998.39 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 15 — — $23,340.48 $79,292.27 $25,977.96 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 51 18 — — $12,325.36 $41,884.41 $25,966.22 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 15 — — $23,588.75 $59,915.42 $25,947.63 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 17 — — $23,270.90 $93,049.00 $25,900.51 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 33 15 — — $23,317.77 $71,479.00 $25,882.72 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 20 8 — — $2,664.00 $80,210.98 $25,866.06 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 15 — — $23,512.59 $59,721.98 $25,863.85 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 16 — — $19,217.97 $58,616.98 $25,616.08 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 15 — — $23,178.62 $67,134.00 $25,612.38 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 37 15 — — $22,236.52 $92,371.00 $25,603.88 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 15 — — $23,143.46 $70,884.00 $25,573.53 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 49 17 — — $21,331.97 $62,146.00 $25,412.89 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 15 — — $20,470.95 $58,451.42 $25,313.61 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 75 18 — — $7,118.78 $40,878.30 $25,217.40 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 15 — — $21,680.85 $82,303.34 $25,206.92 2026-04-01
665 MS_DRG Prostatectomy With Mcc 31 15 — — $22,859.30 $65,407.00 $25,145.23 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 17 — — $19,406.12 $51,133.12 $24,821.31 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 41 17 — — $22,214.79 $70,210.00 $24,791.71 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 32 15 — — $22,422.06 $62,211.00 $24,776.38 2026-04-01
263 MS_DRG Vein Ligation And Stripping 31 15 — — $22,392.03 $56,875.76 $24,631.23 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 13 9 — — $4,845.00 $28,565.21 $24,451.82 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 13 9 — — $9,355.00 $28,565.21 $24,451.82 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 13 9 — — $8,017.00 $28,565.21 $24,451.82 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 9 — — $6,180.00 $28,565.21 $24,451.82 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 9 — — $9,355.00 $28,565.21 $24,451.82 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 13 9 — — $4,845.00 $28,565.21 $24,451.82 2026-04-01
5626 OTHER Level 6 Radiation Therapy 24 10 — — $5,400.05 $54,657.00 $24,404.93 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 31 15 — — $22,121.78 $56,189.32 $24,333.96 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 31 15 — — $22,118.85 $56,181.88 $24,330.74 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 31 15 — — $22,094.68 $56,120.49 $24,304.15 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 69 18 — — $12,902.07 $37,409.93 $24,085.69 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 37 15 — — $21,798.80 $64,419.00 $23,978.68 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 52 16 — — $19,249.47 $62,231.00 $23,846.20 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 32 15 — — $21,562.24 $54,768.09 $23,826.28 2026-04-01
570 MS_DRG Skin Debridement With Mcc 31 15 — — $21,540.27 $54,712.29 $23,694.30 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 16 9 — — $2,989.42 $28,565.21 $23,651.99 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 16 9 — — $2,989.42 $28,565.21 $23,651.99 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 16 9 — — $3,532.95 $28,565.21 $23,651.99 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 16 9 — — $3,532.95 $28,565.21 $23,651.99 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 34 15 — — $21,136.72 $55,599.00 $23,525.17 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 33 15 — — $20,356.05 $54,319.75 $23,524.30 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 47 16 — — $20,925.35 $70,210.00 $23,459.44 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 16 — — $21,253.90 $60,213.00 $23,379.29 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 15 — — $21,240.72 $58,121.00 $23,364.79 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 48 17 — — $19,481.52 $72,280.00 $23,342.39 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 31 15 — — $21,146.97 $68,108.00 $23,261.67 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 65 18 — — $2,885.97 $43,771.00 $23,238.20 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 31 15 — — $21,105.96 $53,609.14 $23,216.56 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 15 — — $20,876.72 $57,142.00 $22,964.39 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 55 16 — — $19,926.81 $67,028.00 $22,735.11 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 57 17 — — $16,832.53 $51,564.69 $22,655.98 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 17 7 — — $4,641.05 $28,111.75 $22,654.80 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 15 — — $20,501.74 $64,138.00 $22,654.42 2026-04-01
800 MS_DRG Splenic Procedures With Cc 31 15 — — $20,575.71 $54,676.00 $22,633.28 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 55 17 — — $13,502.32 $37,326.24 $22,549.46 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 46 16 — — $18,763.20 $57,262.00 $22,500.89 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 50 17 — — $13,554.32 $62,670.70 $22,494.25 2026-04-01
503 MS_DRG Foot Procedures With Mcc 31 15 — — $20,441.68 $51,921.87 $22,485.85 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 91 20 — — $8,862.25 $44,162.33 $22,301.50 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 16 — — $8,989.84 $66,188.67 $22,211.94 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 36 15 — — $11,013.68 $56,059.00 $22,124.33 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 16 9 — — $2,989.42 $26,616.50 $22,038.46 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 16 9 — — $2,989.42 $26,616.50 $22,038.46 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 16 9 — — $2,989.42 $26,616.50 $22,038.46 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 16 9 — — $4,348.24 $26,616.50 $22,038.46 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 16 9 — — $2,989.42 $26,616.50 $22,038.46 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 16 9 — — $4,845.00 $26,616.50 $22,038.46 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 16 9 — — $2,505.00 $26,616.50 $22,038.46 2026-04-01
53444 HCPCS Insert Tandem Cuff 16 9 — — $2,989.42 $26,616.50 $22,038.46 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 16 9 — — $2,505.00 $26,616.50 $22,038.46 2026-04-01
849 MS_DRG Radiotherapy 31 15 — — $19,844.05 $50,403.89 $21,828.46 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 10 9 — — $19,930.91 $24,913.63 $21,824.35 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 15 — — $18,730.73 $56,195.00 $21,801.88 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 31 15 — — $19,755.44 $53,945.00 $21,730.98 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 16 — — $19,413.41 $49,310.06 $21,451.82 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 13 9 — — $3,607.00 $24,913.63 $21,326.07 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 13 9 — — $3,607.00 $24,913.63 $21,326.07 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 13 9 — — $4,845.00 $24,913.63 $21,326.07 2026-04-01
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