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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

OSS ORTHOPAEDIC HOSPITAL

York, PA · CCN 390325 · Rates published

17,098 distinct procedures filed
10 distinct payers
233,392 rate rows
2026-04-01 last MRF observed
Data quality

195,150 of 233,392 rate rows are consumer-grade (83.6%)

38,242 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 34,436
placeholder amount (≤ $0.02) — excluded from medians 3,806
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osshealth.com/uploads/docs/800458999_oss-orthopaedic-hospital_standardcharges_2026-04-09-171951_gboz.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint d305a3195f202d3c… · 22,971,049 bytes · first seen 2026-05-13

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,486,000.00 $3,691,450.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,187,200.00 $3,321,376.38 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,087,600.00 $3,245,381.39 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,788,800.00 $2,938,320.00 $2,788,800.00 nat. median
$3,004,655
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $574,124.32 $614,180.81 $574,124.32 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $571,879.20 $588,494.81 $571,879.20 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $559,781.08 $571,297.86 $571,297.86 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $560,599.04 $562,260.84 $560,599.04 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $531,013.54 $531,849.12 $531,013.54 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,290.60 $499,632.04 $499,632.04 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $300,773.19 $613,061.89 $300,773.19 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $195,189.70 $397,852.51 $195,189.70 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $148,708.70 $303,110.91 $148,708.70 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $147,835.97 $301,332.04 $147,835.97 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $96,476.60 $196,646.94 $96,476.60 nat. median
$133,161
0.7× median
J1412
HCPCS 		Inj Roctavian Ml 2x10^13vc G 3 $12,553.71 $90,262.50 $90,262.50 nat. median
$13,558
outlier · 6.7×
7
MS_DRG 		Lung Transplant 9 $90,199.64 $183,852.69 $90,199.64 nat. median
$122,708
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $71,371.56 $108,243.35 $89,807.46 nat. median
$111,989
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $83,706.06 $170,616.92 $83,706.06 nat. median
$117,357
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $78,927.30 $160,876.43 $78,927.30 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $78,836.75 $160,691.87 $78,836.75 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $76,763.93 $156,466.87 $76,763.93 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $75,739.36 $154,378.51 $75,739.36 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $71,813.82 $146,377.14 $71,813.82 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $69,351.66 $141,358.53 $69,351.66 nat. median
$99,019
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $64,282.30 $68,733.95 $68,733.95 nat. median
$69,774
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $68,138.33 $138,885.43 $68,138.33 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $62,752.91 $127,908.39 $62,752.91 nat. median
$82,711
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $55,849.41 $66,887.22 $61,855.89 nat. median
$62,507
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $38,942.58 $60,422.34 $60,422.34 nat. median
$76,329
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $60,314.42 $122,938.06 $60,314.42 nat. median
$83,470
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $58,715.23 $119,678.45 $58,715.23 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $58,530.65 $119,302.23 $58,530.65 nat. median
$81,118
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $49,156.65 $59,686.33 $57,977.76 nat. median
$66,682
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $54,807.10 $111,712.57 $54,807.10 nat. median
$77,570
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $53,480.25 $109,008.06 $53,480.25 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $53,249.70 $108,538.14 $53,249.70 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $53,073.48 $108,178.96 $53,073.48 nat. median
$72,135
0.7× median
A9607
HCPCS 		Lutetium Lu 177 Vipivotide 3 $259.60 $51,889.95 $51,889.95 nat. median
$415
outlier · 125.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $31,435.49 $102,481.74 $50,278.38 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 9 $49,979.58 $101,872.70 $49,979.58 nat. median
$68,884
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $49,958.68 $101,830.10 $49,958.68 nat. median
$64,023
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $49,693.31 $101,289.20 $49,693.31 nat. median
$71,271
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $49,664.06 $101,229.58 $49,664.06 nat. median
$68,886
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $48,141.49 $98,126.13 $48,141.49 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $47,905.37 $97,644.86 $47,905.37 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $46,882.89 $95,560.75 $46,882.89 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $46,572.25 $94,927.57 $46,572.25 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $46,538.12 $94,858.01 $46,538.12 nat. median
$63,724
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $45,797.72 $93,348.88 $45,797.72 nat. median
$64,508
0.7× median

Other procedures at this hospital

Browse this hospital's 17,098 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
             
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 1 — — $784.30 $30,750.71 $15,767.50 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 1 — — $4,250.00 $30,750.71 $17,500.35 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 1 — — $3,589.00 $43,150.98 $23,369.99 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 2 1 — — $17,177.34 $17,177.34 $17,177.34 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 2 1 — — $17,177.34 $17,177.34 $17,177.34 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 2 1 — — $30,230.34 $30,230.34 $30,230.34 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 2 1 — — $17,177.34 $17,177.34 $17,177.34 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 2 1 — — $30,230.34 $30,230.34 $30,230.34 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 2 1 — — $30,230.34 $30,230.34 $30,230.34 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 9 — — $195,189.70 $397,852.51 $195,189.70 2026-04-01
10 MS_DRG Pancreas Transplant 26 9 — — $49,979.58 $101,872.70 $49,979.58 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 9 — — $37,988.44 $77,431.31 $37,988.44 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 26 9 — — $16,375.68 $33,378.33 $16,375.68 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 9 — — $29,364.93 $59,854.13 $29,364.93 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 26 9 — — $20,072.07 $40,912.63 $20,072.07 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 26 9 — — $83,706.06 $170,616.92 $83,706.06 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 9 — — $29,708.31 $60,554.04 $29,708.31 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 9 — — $26,095.50 $53,190.11 $26,095.50 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 26 9 — — $41,301.05 $84,183.36 $41,301.05 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 26 9 — — $31,216.25 $63,627.67 $31,216.25 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 26 9 — — $17,579.95 $35,832.98 $17,579.95 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 9 — — $26,033.51 $53,063.75 $26,033.51 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 26 9 — — $37,836.60 $77,121.82 $37,836.60 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 9 — — $20,730.97 $42,255.65 $20,730.97 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 9 — — $300,773.19 $613,061.89 $300,773.19 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 9 — — $49,693.31 $101,289.20 $49,693.31 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 9 — — $78,927.30 $160,876.43 $78,927.30 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 9 — — $54,807.10 $111,712.57 $54,807.10 2026-04-01
2053 OTHER Si&pelvis Fusn&fixn Dev 2 1 — — $40,567.68 $40,567.68 $40,567.68 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 9 — — $44,818.43 $91,352.79 $44,818.43 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 9 — — $19,145.01 $39,023.02 $19,145.01 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 9 — — $78,836.75 $160,691.87 $78,836.75 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 9 — — $36,871.93 $75,155.55 $36,871.93 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 9 — — $75,739.36 $154,378.51 $75,739.36 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 9 — — $39,749.22 $81,020.29 $39,749.22 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 9 — — $69,351.66 $141,358.53 $69,351.66 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $68,138.33 $138,885.43 $68,138.33 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $45,797.72 $93,348.88 $45,797.72 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $45,797.72 $93,348.88 $45,797.72 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 9 — — $53,480.25 $109,008.06 $53,480.25 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 9 — — $22,130.96 $45,109.23 $22,130.96 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 9 — — $37,143.57 $75,709.23 $37,143.57 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 9 — — $35,105.58 $71,555.22 $35,105.58 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 9 — — $34,459.21 $70,237.74 $34,459.21 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 9 — — $21,936.63 $44,713.14 $21,936.63 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 9 — — $39,912.20 $81,352.50 $39,912.20 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 9 — — $58,715.23 $119,678.45 $58,715.23 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 9 — — $42,226.71 $86,070.13 $42,226.71 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 9 — — $53,249.70 $108,538.14 $53,249.70 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 9 — — $38,048.34 $77,553.41 $38,048.34 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 9 — — $40,875.48 $83,315.93 $40,875.48 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 9 — — $29,175.48 $59,467.97 $29,175.48 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 9 — — $34,280.21 $69,872.88 $34,280.21 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 9 — — $27,246.84 $55,536.85 $27,246.84 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 9 — — $19,854.06 $40,468.26 $19,854.06 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 9 — — $22,238.22 $45,327.86 $22,238.22 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 9 — — $31,777.64 $64,771.94 $31,777.64 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 9 — — $31,668.29 $64,549.05 $31,668.29 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 9 — — $24,296.41 $49,523.05 $24,296.41 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 26 9 — — $18,078.65 $36,849.47 $18,078.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 9 — — $18,787.70 $38,294.72 $18,787.70 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 9 — — $21,885.09 $44,608.08 $21,885.09 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 9 — — $21,655.94 $44,141.00 $21,655.94 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 9 — — $22,656.13 $46,179.68 $22,656.13 2026-04-01
263 MS_DRG Vein Ligation And Stripping 26 9 — — $21,295.14 $43,405.60 $21,295.14 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 9 — — $23,267.66 $47,426.16 $23,267.66 2026-04-01
265 MS_DRG Aicd Lead Procedures 26 9 — — $25,201.18 $51,367.22 $25,201.18 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 9 — — $42,685.01 $87,004.28 $42,685.01 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 9 — — $33,159.52 $67,588.60 $33,159.52 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 9 — — $47,905.37 $97,644.86 $47,905.37 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 9 — — $29,415.08 $59,956.35 $29,415.08 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 26 9 — — $17,572.29 $35,817.36 $17,572.29 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 9 — — $36,750.04 $74,907.10 $36,750.04 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 9 — — $24,770.04 $50,488.44 $24,770.04 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 26 9 — — $17,781.94 $36,244.69 $17,781.94 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 9 — — $28,734.58 $58,569.31 $28,734.58 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 9 — — $22,927.07 $46,731.94 $22,927.07 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 9 — — $49,664.06 $101,229.58 $49,664.06 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 9 — — $41,836.66 $85,275.10 $41,836.66 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 9 — — $32,168.39 $65,568.38 $32,168.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 9 — — $38,769.23 $79,022.78 $38,769.23 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 9 — — $25,118.99 $51,199.70 $25,118.99 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 26 9 — — $41,848.50 $85,299.23 $41,848.50 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 26 9 — — $15,412.41 $31,414.90 $15,412.41 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 9 — — $18,849.00 $38,419.65 $18,849.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 9 — — $23,762.19 $48,434.14 $23,762.19 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 9 — — $147,835.97 $301,332.04 $147,835.97 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 9 — — $31,207.20 $63,609.21 $31,207.20 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 9 — — $46,572.25 $94,927.57 $46,572.25 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 26 9 — — $16,870.90 $34,387.73 $16,870.90 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 9 — — $31,084.61 $63,359.35 $31,084.61 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 9 — — $16,753.19 $34,147.80 $16,753.19 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 9 — — $18,950.69 $38,626.93 $18,950.69 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 9 — — $30,140.84 $61,435.67 $30,140.84 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 9 — — $21,947.08 $44,734.43 $21,947.08 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 9 — — $22,360.81 $45,577.73 $22,360.81 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 9 — — $34,737.82 $70,805.62 $34,737.82 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 9 — — $17,024.14 $34,700.06 $17,024.14 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 9 — — $32,015.15 $65,256.05 $32,015.15 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 9 — — $16,696.77 $34,032.81 $16,696.77 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 9 — — $25,218.59 $51,402.72 $25,218.59 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 2 — — $12,087.00 $30,230.34 $21,158.67 2026-04-01
333 MS_DRG Rectal Resection With Cc 26 9 — — $16,313.69 $33,251.98 $16,313.69 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 9 — — $24,871.73 $50,695.71 $24,871.73 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 9 — — $26,959.87 $54,951.94 $26,959.87 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 9 — — $17,989.50 $36,667.75 $17,989.50 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 26 9 — — $15,989.12 $32,590.40 $15,989.12 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 9 — — $16,650.11 $33,937.69 $16,650.11 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 9 — — $17,356.37 $35,377.26 $17,356.37 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 9 — — $20,212.77 $41,199.40 $20,212.77 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 9 — — $30,596.36 $62,364.14 $30,596.36 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 26 9 — — $16,197.38 $33,014.89 $16,197.38 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 9 — — $23,950.25 $48,817.46 $23,950.25 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 9 — — $16,815.88 $34,275.58 $16,815.88 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 26 9 — — $22,929.86 $46,737.61 $22,929.86 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 26 9 — — $16,680.76 $34,000.16 $16,680.76 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 9 — — $96,476.60 $196,646.94 $96,476.60 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 9 — — $26,893.70 $54,817.07 $26,893.70 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 10 — — $19,322.52 $57,078.64 $28,003.25 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 9 — — $38,102.66 $77,664.14 $38,102.66 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 9 — — $20,200.23 $41,173.85 $20,200.23 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 26 9 — — $15,459.77 $31,511.44 $15,459.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 9 — — $24,834.82 $50,620.47 $24,834.82 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 9 — — $23,007.87 $46,896.62 $23,007.87 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 9 — — $24,813.92 $50,577.88 $24,813.92 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 9 — — $16,621.55 $33,879.48 $16,621.55 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 9 — — $23,730.85 $48,370.26 $23,730.85 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 9 — — $28,926.12 $58,959.73 $28,926.12 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $76,763.93 $156,466.87 $76,763.93 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 9 — — $31,435.49 $102,481.74 $50,278.38 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 9 — — $13,710.78 $81,394.00 $39,157.88 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 9 — — $62,752.91 $127,908.39 $62,752.91 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 9 — — $40,168.52 $81,874.94 $40,168.52 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 9 — — $46,538.12 $94,858.01 $46,538.12 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 9 — — $17,432.05 $60,206.21 $29,537.66 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 9 — — $37,121.28 $75,663.80 $37,121.28 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 9 — — $20,865.21 $45,861.67 $22,500.11 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 9 — — $58,530.65 $119,302.23 $58,530.65 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 9 — — $41,533.68 $84,657.53 $41,533.68 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 9 — — $29,062.64 $59,237.98 $29,062.64 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 9 — — $38,468.33 $78,409.48 $38,468.33 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 9 — — $18,527.21 $48,137.00 $19,725.39 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 9 — — $39,697.68 $80,915.23 $39,697.68 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 9 — — $19,850.77 $44,219.08 $21,694.25 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 9 — — $14,701.87 $73,900.54 $36,256.21 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 38 9 — — $17,917.76 $61,048.17 $24,563.18 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 42 9 — — $17,917.76 $63,279.43 $21,615.77 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 9 — — $14,084.72 $43,062.04 $21,126.59 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 26 9 — — $33,632.45 $68,552.57 $33,632.45 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 42 9 — — $19,788.56 $41,825.49 $20,519.93 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 44 10 — — $12,327.57 $34,658.89 $17,003.94 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 9 — — $29,900.54 $60,945.87 $29,900.54 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 9 — — $15,850.51 $32,307.89 $15,850.51 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 9 — — $24,061.69 $49,044.61 $24,061.69 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 9 — — $17,128.61 $34,913.02 $17,128.61 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 9 — — $20,284.51 $41,345.63 $20,284.51 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 9 — — $17,231.31 $41,780.60 $19,762.15 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 9 — — $22,477.12 $45,814.82 $22,477.12 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 9 — — $25,573.12 $52,125.34 $25,573.12 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 9 — — $17,664.23 $36,004.76 $17,664.23 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 9 — — $25,253.42 $51,473.70 $25,253.42 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 9 — — $21,012.36 $42,829.21 $21,012.36 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 9 — — $71,813.82 $146,377.14 $71,813.82 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 26 9 — — $22,043.20 $44,930.35 $22,043.20 2026-04-01
503 MS_DRG Foot Procedures With Mcc 26 9 — — $19,440.33 $39,624.97 $19,440.33 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 9 — — $21,038.13 $42,881.74 $21,038.13 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 38 10 — — $1,086.40 $41,410.21 $17,600.90 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 9 — — $22,197.13 $45,244.10 $22,197.13 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 9 — — $26,030.73 $53,058.07 $26,030.73 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 9 — — $19,991.27 $40,747.94 $19,991.27 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 26 9 — — $17,285.33 $35,232.45 $17,285.33 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 4 — — $28,916.85 $53,175.85 $32,161.40 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 1 — — $16,938.86 $16,938.86 $16,938.86 2026-04-01
5521 OTHER Level 1 Imaging Without Contrast 2 1 — — $17,853.43 $17,853.43 $17,853.43 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 9 — — $16,180.66 $32,980.82 $16,180.66 2026-04-01
570 MS_DRG Skin Debridement With Mcc 26 9 — — $20,485.10 $41,754.50 $20,485.10 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 9 — — $45,631.26 $93,009.57 $45,631.26 2026-04-01
5733 OTHER Level 3 Minor Procedures 6 3 — — $11,990.00 $118,892.85 $38,778.60 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 9 — — $24,178.70 $49,283.12 $24,178.70 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 9 — — $34,137.42 $69,581.85 $34,137.42 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 26 9 — — $18,462.43 $37,631.72 $18,462.43 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 9 — — $22,556.53 $45,976.66 $22,556.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 26 9 — — $32,297.24 $65,831.03 $32,297.24 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 9 — — $19,203.52 $39,142.27 $19,203.52 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 9 — — $24,290.14 $49,510.27 $24,290.14 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 2 — — $12,087.00 $30,230.34 $21,158.67 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 9 — — $20,111.07 $40,992.13 $20,111.07 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 9 — — $24,790.24 $50,529.61 $24,790.24 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 9 — — $21,035.35 $42,876.06 $21,035.35 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 9 — — $25,957.59 $52,909.01 $25,957.59 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 2 1 — — $30,230.34 $30,230.34 $30,230.34 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 9 — — $32,745.79 $66,745.31 $32,745.79 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 9 — — $25,811.33 $52,610.87 $25,811.33 2026-04-01
652 MS_DRG Kidney Transplant 26 9 — — $22,493.84 $45,848.89 $22,493.84 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 26 9 — — $36,193.53 $73,772.77 $36,193.53 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 26 9 — — $19,497.45 $39,741.38 $19,497.45 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 9 — — $22,175.53 $45,200.09 $22,175.53 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 9 — — $17,697.66 $36,072.90 $17,697.66 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 26 9 — — $21,323.70 $43,463.81 $21,323.70 2026-04-01
665 MS_DRG Prostatectomy With Mcc 26 9 — — $21,739.52 $44,311.36 $21,739.52 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 26 9 — — $20,338.14 $41,454.95 $20,338.14 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 9 — — $29,264.63 $59,649.70 $29,264.63 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 9 — — $16,288.62 $33,200.87 $16,288.62 2026-04-01
7 MS_DRG Lung Transplant 26 9 — — $90,199.64 $183,852.69 $90,199.64 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 26 9 — — $16,208.52 $33,037.61 $16,208.52 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 26 9 — — $15,583.05 $31,762.72 $15,583.05 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 9 — — $24,896.81 $50,746.82 $24,896.81 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 9 — — $24,954.62 $50,864.65 $24,954.62 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 26 9 — — $17,883.63 $36,451.96 $17,883.63 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 9 — — $17,100.06 $34,854.81 $17,100.06 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 9 — — $41,397.16 $84,379.28 $41,397.16 2026-04-01
791 MS_DRG Prematurity With Major Problems 26 9 — — $28,271.40 $57,625.22 $28,271.40 2026-04-01
792 MS_DRG Prematurity Without Major Problems 26 9 — — $17,058.96 $34,771.05 $17,058.96 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 26 9 — — $29,041.75 $59,195.39 $29,041.75 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 26 9 — — $31,544.31 $64,296.34 $31,544.31 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 9 — — $39,036.69 $79,567.95 $39,036.69 2026-04-01
800 MS_DRG Splenic Procedures With Cc 26 9 — — $19,567.80 $39,884.77 $19,567.80 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 9 — — $27,749.72 $56,561.87 $27,749.72 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 9 — — $15,891.61 $32,391.65 $15,891.61 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 26 9 — — $15,919.47 $32,448.43 $15,919.47 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 9 — — $40,849.01 $83,261.98 $40,849.01 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 26 9 — — $15,592.11 $31,781.18 $15,592.11 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 9 — — $31,933.66 $65,089.95 $31,933.66 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 9 — — $15,780.17 $32,164.50 $15,780.17 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 9 — — $32,581.42 $66,410.26 $32,581.42 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 9 — — $16,097.78 $32,811.88 $16,097.78 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 9 — — $22,009.77 $44,862.20 $22,009.77 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 26 9 — — $38,237.79 $77,939.56 $38,237.79 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 9 — — $33,462.50 $68,206.17 $33,462.50 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 9 — — $22,531.45 $45,925.55 $22,531.45 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 9 — — $18,057.06 $36,805.46 $18,057.06 2026-04-01
849 MS_DRG Radiotherapy 26 9 — — $18,871.98 $38,466.50 $18,871.98 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 26 9 — — $15,824.05 $32,253.94 $15,824.05 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 26 9 — — $60,314.42 $122,938.06 $60,314.42 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 9 — — $34,397.92 $70,112.81 $34,397.92 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 9 — — $31,682.22 $64,577.44 $31,682.22 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 9 — — $48,141.49 $98,126.13 $48,141.49 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 9 — — $26,919.48 $54,869.60 $26,919.48 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 26 9 — — $29,229.80 $59,578.71 $29,229.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 26 9 — — $25,583.57 $52,146.63 $25,583.57 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 9 — — $26,741.17 $54,506.16 $26,741.17 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 9 — — $148,708.70 $303,110.91 $148,708.70 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 26 9 — — $49,958.68 $101,830.10 $49,958.68 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 26 9 — — $22,433.24 $45,725.38 $22,433.24 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 9 — — $27,123.55 $55,285.57 $27,123.55 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 9 — — $25,272.92 $51,513.45 $25,272.92 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 9 — — $24,513.03 $49,964.57 $24,513.03 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 9 — — $16,276.78 $33,176.74 $16,276.78 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 9 — — $17,964.43 $36,616.64 $17,964.43 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 9 — — $46,882.89 $95,560.75 $46,882.89 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 9 — — $26,209.73 $53,422.93 $26,209.73 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 9 — — $53,073.48 $108,178.96 $53,073.48 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 9 — — $29,350.30 $59,824.32 $29,350.30 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 26 9 — — $20,506.00 $41,797.09 $20,506.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 26 9 — — $17,964.43 $36,616.64 $17,964.43 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 9 — — $19,041.23 $38,811.49 $19,041.23 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 9 — — $42,635.56 $86,903.48 $42,635.56 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 9 — — $25,156.60 $51,276.36 $25,156.60 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 9 — — $18,369.80 $37,442.90 $18,369.80 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 26 9 — — $20,101.32 $40,972.25 $20,101.32 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 9 — — $15,984.24 $32,580.47 $15,984.24 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 9 — — $32,678.93 $66,609.02 $32,678.93 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 9 — — $17,123.74 $34,903.08 $17,123.74 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 9 — — $23,879.20 $48,672.65 $23,879.20 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 8 3 — — $55,849.41 $66,887.22 $61,855.89 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 8 3 — — $3,159.80 $18,562.49 $17,042.24 2026-04-01
A9607 HCPCS Lutetium Lu 177 Vipivotide 6 3 — — $259.60 $51,889.95 $51,889.95 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 4 1 — — $14,126.71 $17,771.01 $15,948.86 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 2 1 — — $17,177.34 $17,177.34 $17,177.34 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 2 1 — — $30,230.34 $30,230.34 $30,230.34 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 2 1 — — $30,230.34 $30,230.34 $30,230.34 2026-04-01
E0194 HCPCS Air Fluidized Bed 10 2 — — $2,489.45 $24,894.52 $18,670.89 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 3 — — $3,486,000.00 $3,691,450.00 $3,486,000.00 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 6 3 — — $12,553.71 $90,262.50 $90,262.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $3,187,200.00 $3,321,376.38 $3,187,200.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 3 — — $2,788,800.00 $2,938,320.00 $2,788,800.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $3,087,600.00 $3,245,381.39 $3,087,600.00 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 6 3 — — $16,320.00 $17,600.00 $17,600.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 3 — — $38,942.58 $60,422.34 $60,422.34 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 3 — — $64,282.30 $68,733.95 $68,733.95 2026-04-01
J9226 HCPCS Supprelin La Implant 8 3 — — $38,846.45 $49,200.71 $45,187.07 2026-04-01
J9266 HCPCS Pegaspargase Injection 8 3 — — $18,620.90 $29,368.98 $28,896.52 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 3 — — $21,460.80 $23,229.71 $23,229.71 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 1 — — $13,428.29 $28,851.23 $21,139.76 2026-04-01
L5858 HCPCS Stance Phase Only 4 1 — — $10,396.10 $22,336.47 $16,366.28 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 1 — — $9,793.16 $21,041.00 $15,417.08 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 1 — — $13,364.89 $28,715.00 $21,039.94 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 4 1 — — $10,075.19 $21,646.96 $15,861.08 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 1 — — $19,895.06 $42,745.35 $31,320.21 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 1 — — $22,413.11 $48,155.50 $35,284.31 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 1 — — $71,371.56 $108,243.35 $89,807.46 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 1 — — $14,858.01 $22,533.92 $18,695.97 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 1 — — $12,881.09 $19,535.67 $16,208.38 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 3 — — $531,013.54 $531,849.12 $531,013.54 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 3 — — $574,124.32 $614,180.81 $574,124.32 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 3 — — $49,156.65 $59,686.33 $57,977.76 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 3 — — $489,290.60 $499,632.04 $499,632.04 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 3 — — $560,599.04 $562,260.84 $560,599.04 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 3 — — $559,781.08 $571,297.86 $571,297.86 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 3 — — $571,879.20 $588,494.81 $571,879.20 2026-04-01
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