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

PAOLI HOSPITAL

Paoli, PA · CCN 390153 · Rates published

13,589 distinct procedures filed
26 distinct payers
253,741 rate rows
2026-04-01 last MRF observed
Data quality

188,202 of 253,741 rate rows are consumer-grade (74.2%)

65,539 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 59,850
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,389
placeholder amount (≤ $0.02) — excluded from medians 255
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 44
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
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/2026/23-1352160_paoli-hospital_standardcharges.csv
Found on page https://www.mainlinehealth.org/patient-services/patient-billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 7a518838c12a4285… · 58,464,003 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
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $341,000.00 $707,336.18 $594,162.39 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $361,064.00 $703,172.73 $590,665.09 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $369,160.00 $696,647.42 $585,183.83 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $269,934.17 $666,537.71 $559,891.68 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $489,304.61 $611,630.76 $538,235.07 nat. median
$513,770
1.0× 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
$168,055
outlier · 2.1×
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
$186,516
1.2× 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
$131,925
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $27,220.00 $642,868.32 $170,995.91 nat. median
$145,435
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $47,960.73 $223,361.00 $117,447.64 nat. median
$2,106
outlier · 55.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $101,446.00 $349,894.75 $115,900.61 nat. median
$97,418
1.2× median
7
MS_DRG 		Lung Transplant 15 $94,845.72 $240,908.13 $104,330.29 nat. median
$70,649
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $88,017.66 $227,546.00 $96,819.43 nat. median
$72,715
1.3× 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
$65,418
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $82,897.54 $210,559.75 $91,187.29 nat. median
$2,110
outlier · 43.2×
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
$2,736
outlier · 32.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $79,640.61 $202,287.15 $87,604.67 nat. median
$74,509
1.2× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $63,296.00 $84,395.00 $84,395.00 nat. median
$2,024
outlier · 41.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $75,512.87 $217,378.00 $83,064.16 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 16 $29,514.97 $319,622.00 $80,945.51 nat. median
$73,023
1.1× 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
$69,822
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $65,985.23 $231,179.00 $72,583.75 nat. median
$2,596
outlier · 28.0×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 10 $63,235.61 $125,536.04 $70,499.96 nat. median
$66,211
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $63,421.14 $161,089.70 $69,763.25 nat. median
$2,633
outlier · 26.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $68,066.13 $68,066.13 $68,066.13 nat. median
$92,809
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $61,739.58 $159,961.00 $67,913.54 nat. median
$60,505
1.1× 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
$59,651
1.1× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $1,630.59 $80,777.64 $66,883.89 nat. median
$28,331
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $44,209.60 $279,600.21 $63,393.17 nat. median
$56,428
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $74,954.81 $63,075.25 nat. median
$65,477
1.0× 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
$55,923
1.1× 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
$55,935
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $15,673.37 $141,752.00 $60,829.89 nat. median
$52,327
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $55,272.32 $69,090.40 $60,799.56 nat. median
$63,499
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $1,500.00 $166,046.00 $58,683.66 nat. median
$9,905
outlier · 5.9×
10
MS_DRG 		Pancreas Transplant 15 $52,553.97 $133,487.08 $57,809.37 nat. median
$23,080
outlier · 2.5×
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
$37,013
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $49,825.75 $167,467.00 $57,705.53 nat. median
$51,518
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $52,252.96 $132,722.52 $57,478.26 nat. median
$45,605
1.3× 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
$49,569
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $21,615.57 $128,577.85 $55,177.11 nat. median
$48,611
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $36,450.00 $138,093.00 $54,611.73 nat. median
$2,958
outlier · 18.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $49,297.77 $125,216.34 $54,227.55 nat. median
$47,340
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $48,971.13 $124,386.67 $53,868.24 nat. median
$2,633
outlier · 20.5×
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
$47,458
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $48,156.71 $122,318.04 $52,972.38 nat. median
$45,446
1.2× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $47,981.67 $121,873.44 $52,779.84 nat. median
$43,299
1.2× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $45,982.12 $103,463.88 $52,397.07 nat. median
$2,106
outlier · 24.9×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $20,229.66 $497,567.08 $52,075.31 nat. median
$47,121
1.1× median

Other procedures at this hospital

Browse this hospital's 13,589 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 76 18 — — $8,125.36 $192,786.99 $39,786.69 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 70 17 — — $23,478.52 $164,285.48 $46,164.83 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 62 17 — — $16,646.53 $166,658.26 $37,030.64 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 62 17 — — $10,391.99 $106,671.90 $36,629.44 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 58 17 — — $25,264.02 $149,364.00 $33,124.03 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 58 17 — — $17,986.84 $60,396.00 $23,734.57 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 57 17 — — $8,562.94 $116,986.10 $37,666.92 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 56 17 — — $16,832.53 $51,564.69 $21,995.97 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 $22,238.32 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 53 15 — — $19,574.71 $246,590.51 $26,096.20 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 52 16 — — $18,295.60 $62,231.00 $23,275.49 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 51 18 — — $27,220.00 $642,868.32 $170,995.91 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 51 18 — — $1,884.00 $77,565.63 $32,827.97 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 17 — — $11,641.76 $77,575.00 $31,515.32 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 17 — — $18,612.52 $51,133.12 $22,043.61 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 $58,683.66 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 17 — — $4,002.64 $203,282.11 $42,893.72 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 49 17 — — $15,572.04 $70,884.00 $28,152.96 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 49 16 — — $150.00 $65,382.00 $27,484.77 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 49 17 — — $16,600.45 $62,146.00 $24,820.84 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 16 — — $21,615.57 $128,577.85 $55,177.11 2026-04-01
791 MS_DRG Prematurity With Major Problems 48 17 — — $1,884.00 $75,508.18 $32,700.39 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 $21,682.94 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 47 17 — — $19,697.00 $133,647.24 $48,317.72 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 47 15 — — $11,394.00 $158,722.00 $46,461.31 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 47 16 — — $26,423.13 $95,589.12 $34,165.02 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 47 17 — — $15,957.00 $82,828.00 $26,024.97 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 47 16 — — $18,951.66 $70,210.00 $23,123.10 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 $45,292.35 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 18 — — $15,025.06 $76,234.39 $28,390.05 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 46 16 — — $18,763.20 $57,262.00 $22,138.62 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 45 17 — — $24,226.43 $67,603.00 $27,903.38 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 18 — — $13,340.50 $75,981.00 $30,315.74 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 $115,900.61 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 16 — — $44,209.60 $279,600.21 $63,393.17 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 15 — — $15,499.58 $78,160.93 $33,849.22 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 16 — — $7,054.58 $66,188.67 $22,211.94 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 41 16 — — $19,258.42 $78,426.00 $31,211.61 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 41 16 — — $10,257.89 $62,144.05 $26,912.78 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 16 — — $11,937.73 $99,079.04 $26,061.22 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 41 11 — — $2,100.00 $80,210.98 $25,107.71 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 $24,532.73 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 17 — — $15,673.37 $141,752.00 $60,829.89 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 15 — — $36,450.00 $138,093.00 $54,611.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 16 — — $20,229.66 $497,567.08 $52,075.31 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 16 — — $27,035.41 $111,506.00 $40,179.83 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 16 — — $27,680.44 $100,924.00 $38,901.30 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 16 — — $22,436.08 $125,555.66 $37,377.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 16 — — $29,905.62 $80,501.13 $34,862.70 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 16 — — $27,600.09 $76,745.26 $33,236.14 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 17 — — $30,907.53 $81,717.74 $35,389.57 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 17 — — $28,856.60 $78,562.73 $34,023.23 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $23,944.03 $77,580.70 $27,620.11 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 39 16 — — $21,691.60 $61,234.37 $26,759.90 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 $42,936.69 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 38 15 — — $25,824.29 $88,798.00 $28,637.38 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 38 16 — — $19,217.97 $58,616.98 $25,385.30 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 38 16 — — $18,257.86 $70,906.00 $20,866.82 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
28 MS_DRG Spinal Procedures With Mcc 37 16 — — $44,004.07 $148,042.34 $48,516.11 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 15 — — $34,753.27 $98,550.00 $39,650.53 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 37 15 — — $14,389.97 $163,476.78 $36,106.59 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
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
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 15 — — $12,355.24 $60,244.71 $26,090.23 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 37 15 — — $22,236.52 $92,371.00 $25,373.22 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 16 — — $49,825.75 $167,467.00 $57,705.53 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
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
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 16 — — $24,923.12 $67,088.61 $29,054.12 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 16 — — $25,775.67 $69,075.00 $28,765.65 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 15 — — $9,945.86 $65,516.00 $27,831.19 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 15 — — $10,358.40 $82,303.34 $25,092.86 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 36 15 — — $11,013.68 $56,059.00 $22,024.22 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
834 MS_DRG Acute Leukemia With Mcc 35 15 — — $5,511.00 $109,204.00 $44,228.11 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 16 — — $25,507.95 $106,672.00 $41,936.10 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 16 — — $27,374.47 $75,813.00 $30,385.66 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 15 — — $36,234.17 $151,403.00 $39,857.59 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 34 15 — — $33,169.12 $103,812.00 $36,651.88 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
140 MS_DRG Major Head And Neck Procedures With Mcc 34 15 — — $31,238.55 $79,345.92 $34,518.60 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 15 — — $25,768.62 $76,636.00 $31,183.39 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
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
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
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 15 — — $22,155.31 $136,429.24 $25,674.53 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
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 34 15 — — $18,889.75 $49,377.00 $21,024.29 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 34 16 — — $13,318.84 $52,890.00 $20,779.31 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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 33 15 — — $30,735.40 $82,685.00 $34,116.29 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
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 15 — — $22,573.18 $86,168.00 $28,095.43 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 33 16 — — $24,110.95 $65,145.00 $26,763.15 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 33 15 — — $23,317.77 $71,479.00 $25,649.55 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 33 15 — — $20,356.05 $54,319.75 $23,524.30 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
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 15 — — $18,730.73 $56,195.00 $21,801.88 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
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
245 MS_DRG Aicd Generator Procedures 32 15 — — $33,414.47 $96,260.00 $36,755.92 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
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 15 — — $26,901.35 $69,654.00 $29,725.99 2026-04-01
332 MS_DRG Rectal Resection With Mcc 32 15 — — $26,397.13 $97,427.00 $29,169.33 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
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
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
500 MS_DRG Soft Tissue Procedures With Mcc 32 15 — — $23,178.62 $67,134.00 $25,612.38 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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 15 — — $20,470.95 $58,451.42 $25,313.61 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
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
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
654 MS_DRG Major Bladder Procedures With Cc 32 15 — — $20,501.74 $64,138.00 $22,654.42 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
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
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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 15 — — $79,640.61 $202,287.15 $87,604.67 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
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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 15 — — $65,985.23 $231,179.00 $72,583.75 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 15 — — $61,739.58 $159,961.00 $67,913.54 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
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
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
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
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
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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 15 — — $44,401.76 $115,914.00 $48,841.94 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 15 — — $42,980.93 $118,220.00 $47,279.02 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
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
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
653 MS_DRG Major Bladder Procedures With Mcc 31 15 — — $38,057.81 $120,019.00 $41,863.59 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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 31 15 — — $33,960.83 $98,281.00 $37,356.91 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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 15 — — $30,678.27 $78,592.00 $33,746.10 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
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
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
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
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
265 MS_DRG Aicd Lead Procedures 31 15 — — $26,499.26 $67,308.12 $29,149.19 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
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
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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 15 — — $24,953.19 $71,691.00 $27,448.51 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
652 MS_DRG Kidney Transplant 31 15 — — $23,652.47 $65,233.00 $26,017.72 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 15 — — $23,512.59 $59,721.98 $25,863.85 2026-04-01
665 MS_DRG Prostatectomy With Mcc 31 15 — — $22,859.30 $65,407.00 $25,145.23 2026-04-01
263 MS_DRG Vein Ligation And Stripping 31 15 — — $22,392.03 $56,875.76 $24,631.23 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
570 MS_DRG Skin Debridement With Mcc 31 15 — — $21,540.27 $54,712.29 $23,694.30 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 31 15 — — $21,146.97 $68,108.00 $23,261.67 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
800 MS_DRG Splenic Procedures With Cc 31 15 — — $20,575.71 $54,676.00 $22,633.28 2026-04-01
503 MS_DRG Foot Procedures With Mcc 31 15 — — $20,441.68 $51,921.87 $22,485.85 2026-04-01
849 MS_DRG Radiotherapy 31 15 — — $19,844.05 $50,403.89 $21,828.46 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
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 31 15 — — $19,316.00 $49,062.64 $21,247.60 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 31 15 — — $18,987.16 $48,227.39 $20,885.88 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 31 15 — — $18,916.12 $68,498.00 $20,807.73 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 15 — — $52,252.96 $132,722.52 $57,478.26 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 15 — — $32,685.75 $83,021.81 $35,954.33 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
5232 OTHER Level 2 Icd And Similar Procedures 28 9 — — $2,664.00 $51,133.07 $29,263.42 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 14 — — $82,897.54 $210,559.75 $91,187.29 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
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
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 21 8 — — $22,695.40 $125,053.00 $49,094.06 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 10 — — $63,235.61 $125,536.04 $70,499.96 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 8 — — $32,766.62 $160,431.00 $51,797.54 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 9 — — $22,400.61 $80,027.00 $45,736.81 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 10 — — $27,070.53 $53,599.65 $31,635.98 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 17 7 — — $4,641.05 $28,230.30 $21,863.84 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 16 9 — — $1,630.59 $80,777.64 $66,883.89 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
69930 HCPCS Implant Cochlear Device 16 9 — — $6,522.36 $42,342.81 $35,059.85 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
33249 HCPCS Insj/rplcmt Defib W/lead(s) 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
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 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
61885 HCPCS Insrt/redo Neurostim 1 Array 16 9 — — $2,989.42 $39,627.47 $32,811.54 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 16 9 — — $2,989.42 $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
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 16 9 — — $4,845.00 $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
22633 HCPCS Lumbar Spine Fusion Combined 16 9 — — $5,163.54 $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
20696 HCPCS Comp Multiplane Ext Fixation 16 9 — — $2,989.42 $34,845.52 $28,852.10 2026-04-01
21243 HCPCS Reconstruction Of Jaw 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
93654 HCPCS Ep & Ablate Ventric Tachy 16 9 — — $7,034.00 $33,566.25 $27,792.86 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
J9600 HCPCS Porfimer Sodium Injection 16 9 — — $24,228.42 $47,103.13 $26,530.12 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
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 16 9 — — $3,532.95 $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
33240 HCPCS Insrt Pulse Gen W/singl Lead 16 9 — — $2,989.42 $28,565.21 $23,651.99 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
54410 HCPCS Remove/replace Penis Prosth 16 9 — — $2,989.42 $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
54401 HCPCS Insert Self-contd Prosthesis 16 9 — — $4,348.24 $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
53445 HCPCS Insert Uro/ves Nck 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
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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 10 — — $55,272.32 $69,090.40 $60,799.56 2026-04-01
0686T CPT Histotripsy Mal Hepatcel Tis 14 9 — — $6,180.00 $43,994.75 $37,307.55 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 9 — — $56,824.55 $74,954.81 $63,075.25 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 9 — — $4,845.00 $56,564.50 $48,419.21 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 13 9 — — $6,180.00 $56,564.50 $48,419.21 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 13 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 13 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 13 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $4,845.00 $39,627.47 $33,921.11 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
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 9 — — $9,355.00 $36,835.17 $31,530.91 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $6,012.00 $34,567.44 $29,589.73 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 13 9 — — $9,355.00 $28,565.21 $24,451.82 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 13 9 — — $4,845.00 $28,565.21 $24,451.82 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 13 9 — — $8,017.00 $28,565.21 $24,451.82 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 13 9 — — $6,180.00 $28,565.21 $24,451.82 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 13 9 — — $4,845.00 $28,565.21 $24,451.82 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 13 9 — — $9,355.00 $28,565.21 $24,451.82 2026-04-01
0680T CPT Insj/rplcmt Pg Only Isdss 13 9 — — $4,845.00 $24,913.63 $21,326.07 2026-04-01
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 13 9 — — $3,607.00 $24,913.63 $21,326.07 2026-04-01
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 13 9 — — $3,607.00 $24,913.63 $21,326.07 2026-04-01
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 13 9 — — $7,685.00 $24,735.87 $21,173.91 2026-04-01
0525T CPT Insj/rplcmt Compl Iims 13 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 13 9 — — $9,355.00 $24,735.87 $21,173.91 2026-04-01
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 13 9 — — $7,685.00 $24,735.87 $21,173.91 2026-04-01
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 13 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 13 9 — — $6,180.00 $24,735.87 $21,173.91 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 13 9 — — $6,180.00 $24,735.87 $21,173.91 2026-04-01
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 13 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 13 9 — — $6,180.00 $24,735.87 $21,173.91 2026-04-01
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 13 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 7 — — $47,960.73 $223,361.00 $117,447.64 2026-04-01
J9226 HCPCS Supprelin La Implant 12 10 — — $45,020.65 $56,275.81 $48,622.31 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 11 8 — — $7,893.96 $25,302.30 $22,913.40 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
1013T CPT Lap Srg Imp/rpl Eso Nea&pg/r 10 9 — — $19,930.91 $24,913.63 $21,824.35 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 9 5 — — $4,484.13 $33,195.10 $27,053.35 2026-04-01
509 MS_DRG Arthroscopy 5 3 — — $10,796.73 $32,084.00 $27,401.40 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
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $68,066.13 $68,066.13 $68,066.13 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $45,982.12 $103,463.88 $52,397.07 2026-04-01
5432 OTHER Level 2 Nerve Procedures 1 1 — — $32,953.11 $32,953.11 $32,953.11 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
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