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

MUSC MEDICAL CENTER

Charleston, SC · CCN 420004 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $13,496 across 6 payers · range $11,550-$39,146

Source: https://d3crna64wemw02.cloudfront.net/asset/339713052848/document_j9remo2pi11c9fhq99oscsnu6t/571098556_MUSC-Health-Columbia-Northeast_standardcharges.csv · observed 2026-04-01

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

14,620 distinct procedures filed
28 distinct payers
400,796 rate rows
2026-04-01 last MRF observed
Data quality

273,543 of 400,796 rate rows are consumer-grade (68.2%)

127,253 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 126,390
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 714
placeholder amount (≤ $0.02) — excluded from medians 86
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 33
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-medical-center_standardcharges.csv
Found on page https://muschealth.org/patients-visitors/billing/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11

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 5 $3,685,266.67 $4,053,793.33 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $3,648,108.85 $3,415,956.47 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.60 $4,886,095.18 $2,639,243.90 nat. median
$2,460,273
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,114,217.46 $636,105.67 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,091,115.43 $608,309.12 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,019,230.33 $604,728.55 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,042,084.15 $599,116.78 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,925,747.65 $573,222.43 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $966,296.00 $526,002.45 nat. median
$577,541
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$533,230
0.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 2 $372,888.96 $522,055.50 $447,472.23 nat. median
$587,650
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $25,448.78 $960,360.16 $378,725.04 nat. median
$370,165
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 3 $127,488.41 $359,058.91 $351,205.34 nat. median
$562,201
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $44,806.85 $1,329,173.51 $246,513.66 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $149,360.62 $494,691.55 $188,310.28 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $7,867.96 $587,189.98 $187,217.45 nat. median
$199,832
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $124,531.00 $124,531.00 $124,531.00 nat. median
$40,712
outlier · 3.1×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $124,531.00 $124,531.00 $124,531.00 nat. median
$58,534
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $17,113.47 $335,193.80 $123,450.02 nat. median
$99,646
1.2× median
9009
OTHER 		Inj, Vutrisiran, 1 Mg 1 $121,026.35 $121,026.35 $121,026.35 nat. median
$5,110
outlier · 23.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $6,232.10 $2,301,894.28 $120,237.68 nat. median
$132,706
0.9× median
7
MS_DRG 		Lung Transplant 11 $18,848.25 $325,909.55 $117,346.29 nat. median
$122,690
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,502.61 $122,652.87 $116,798.99 nat. median
$111,503
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $110,227.00 $110,227.00 $110,227.00 nat. median
$38,383
outlier · 2.9×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $110,227.00 $110,227.00 $110,227.00 nat. median
$46,826
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $98.68 $273,193.07 $109,052.42 nat. median
$114,305
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $79,718.46 $249,754.35 $102,948.78 nat. median
$108,240
1.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $100,083.73 $100,083.73 $100,083.73 nat. median
$4,125
outlier · 24.3×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $98,970.00 $98,970.00 $98,970.00 nat. median
$45,104
outlier · 2.2×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $98,970.00 $98,970.00 $98,970.00 nat. median
$51,048
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $74,567.01 $300,195.01 $98,877.03 nat. median
$100,978
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $16,040.71 $218,572.80 $96,897.74 nat. median
$96,835
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $73,963.00 $119,609.66 $92,923.62 nat. median
$83,623
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $92,817.45 $241,344.30 $92,817.45 nat. median
$75,807
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 12 $62,158.50 $276,903.83 $90,718.38 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $60,790.15 $206,852.85 $88,294.48 nat. median
$92,900
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $115.00 $140,815.59 $87,590.91 nat. median
$96,134
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $45,893.21 $173,914.02 $80,676.65 nat. median
$81,124
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $58,894.67 $220,037.74 $77,133.09 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $30,694.18 $350,776.85 $76,897.35 nat. median
$80,459
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $19,330.00 $336,405.91 $74,471.52 nat. median
$74,472
1.0× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 2 $632.66 $95,789.71 $73,248.34 nat. median
$229
outlier · 319.4×
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$52,716
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $11,452.57 $239,775.58 $72,141.48 nat. median
$77,385
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $75,681.88 $72,069.79 nat. median
$70,178
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $257.05 $162,982.88 $70,152.31 nat. median
$73,475
1.0× median
0890
OTHER 		Lymphocyte Immune Globulin 2 $20,331.07 $119,574.84 $69,952.95 nat. median
$5,135
outlier · 13.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $47,779.96 $571,951.40 $69,927.23 nat. median
$71,485
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $60,834.38 $269,151.20 $69,676.51 nat. median
$69,291
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $29,420.55 $173,229.08 $69,108.35 nat. median
$68,581
1.0× median

Other procedures at this hospital

Browse this hospital's 14,620 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 5 — — $3,685,266.67 $4,053,793.33 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 5 — — $3,316,462.59 $3,648,108.85 $3,415,956.47 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 6 — — $2,455,110.60 $4,886,095.18 $2,639,243.90 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 6 — — $591,726.20 $1,114,217.46 $636,105.67 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 6 — — $565,868.94 $1,091,115.43 $608,309.12 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 6 — — $562,538.19 $1,019,230.33 $604,728.55 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 6 — — $557,317.93 $1,042,084.15 $599,116.78 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 6 — — $533,230.17 $1,925,747.65 $573,222.43 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 6 — — $489,304.61 $966,296.00 $526,002.45 2026-04-01
9035 OTHER Axicabtagene Ciloleucel Car+ 1 1 — — $503,580.00 $503,580.00 $503,580.00 2026-04-01
9498 OTHER Ciltacabtagene Car-pos T 2 2 — — $372,888.96 $522,055.50 $447,472.23 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 46 11 — — $25,448.78 $960,360.16 $378,725.04 2026-04-01
9413 OTHER Lisocabtagene Car Pos T 4 3 — — $127,488.41 $359,058.91 $351,205.34 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 79 14 — — $44,806.85 $1,329,173.51 $246,513.66 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 11 — — $149,360.62 $494,691.55 $188,310.28 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 81 12 — — $7,867.96 $587,189.98 $187,217.45 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $124,531.00 $124,531.00 $124,531.00 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $124,531.00 $124,531.00 $124,531.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 74 14 — — $17,113.47 $335,193.80 $123,450.02 2026-04-01
9009 OTHER Inj, Vutrisiran, 1 Mg 1 1 — — $121,026.35 $121,026.35 $121,026.35 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 73 12 — — $6,232.10 $2,301,894.28 $120,237.68 2026-04-01
7 MS_DRG Lung Transplant 51 11 — — $18,848.25 $325,909.55 $117,346.29 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,502.61 $122,652.87 $116,798.99 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $110,227.00 $110,227.00 $110,227.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $110,227.00 $110,227.00 $110,227.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 62 13 — — $98.68 $273,193.07 $109,052.42 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 11 — — $79,718.46 $249,754.35 $102,948.78 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $100,083.73 $100,083.73 $100,083.73 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $98,970.00 $98,970.00 $98,970.00 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $98,970.00 $98,970.00 $98,970.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 11 — — $74,567.01 $300,195.01 $98,877.03 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 11 — — $16,040.71 $218,572.80 $96,897.74 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 5 — — $73,963.00 $119,609.66 $92,923.62 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $92,817.45 $241,344.30 $92,817.45 2026-04-01
215 MS_DRG Other Heart Assist System Implant 64 12 — — $62,158.50 $276,903.83 $90,718.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 12 — — $60,790.15 $206,852.85 $88,294.48 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 31 10 — — $115.00 $140,815.59 $87,590.91 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 10 — — $45,893.21 $173,914.02 $80,676.65 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 11 — — $58,894.67 $220,037.74 $77,133.09 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 12 — — $30,694.18 $350,776.85 $76,897.35 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 13 — — $19,330.00 $336,405.91 $74,471.52 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 5 2 — — $632.66 $95,789.71 $73,248.34 2025-07-01
90288 HCPCS Botulism Ig IV 3 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 74 12 — — $11,452.57 $239,775.58 $72,141.48 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $68,801.71 $75,681.88 $72,069.79 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 70 12 — — $257.05 $162,982.88 $70,152.31 2026-04-01
0890 OTHER Lymphocyte Immune Globulin 2 2 — — $20,331.07 $119,574.84 $69,952.95 2025-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 70 13 — — $47,779.96 $571,951.40 $69,927.23 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 7 — — $60,834.38 $269,151.20 $69,676.51 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 61 12 — — $29,420.55 $173,229.08 $69,108.35 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 52 10 — — $1,211.75 $192,083.24 $66,492.71 2026-04-01
10 MS_DRG Pancreas Transplant 40 11 — — $50,828.51 $166,252.63 $65,975.57 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 11 — — $13,217.05 $180,637.13 $65,609.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 66 12 — — $35,798.16 $177,131.57 $65,056.09 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 — — $43,079.90 $188,813.84 $64,902.46 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 13 8 — — $10,113.15 $177,131.57 $64,699.38 2026-04-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 7 5 — — $15,329.64 $134,828.38 $63,843.44 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 85 13 — — $14,940.78 $173,579.77 $63,627.88 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 69 12 — — $35,561.56 $228,277.70 $63,025.65 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 27 7 — — $42,454.29 $143,816.89 $62,507.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 53 12 — — $30,184.31 $143,329.91 $61,579.99 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 49 11 — — $41,389.06 $142,382.20 $60,804.26 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $60,796.00 $60,796.00 $60,796.00 2026-04-01
33967 HCPCS Hb Insert Iabp Perc 1 1 — — $60,721.00 $60,721.00 $60,721.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 10 — — $46,655.00 $159,420.71 $60,634.33 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 11 — — $40,955.63 $150,083.12 $60,634.33 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 10 — — $17,695.15 $173,245.46 $60,421.71 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 77 12 — — $9,247.20 $327,372.39 $59,383.53 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 12 — — $30,694.18 $224,103.54 $58,840.27 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 76 13 — — $3,767.90 $576,566.60 $57,288.24 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 28 7 — — $29,165.60 $119,225.18 $56,654.13 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $56,652.00 $56,652.00 $56,652.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 11 — — $39,907.45 $211,054.09 $56,077.20 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 47 10 — — $43,091.11 $152,332.00 $56,073.29 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 64 12 — — $31,651.26 $175,674.72 $55,575.10 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 73 12 — — $20,919.28 $184,554.33 $55,547.69 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 11 — — $23,735.93 $131,872.29 $55,485.77 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $55,200.00 $55,200.00 $55,200.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 64 12 — — $28,631.07 $203,121.02 $55,048.19 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 58 12 — — $10,170.74 $130,707.00 $54,890.98 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 52 11 — — $41,037.02 $163,945.71 $54,602.94 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 13 — — $2,385.11 $287,141.78 $54,473.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 51 13 — — $38,110.69 $165,251.31 $54,313.62 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 79 12 — — $9,480.30 $198,705.35 $53,281.80 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 81 12 — — $18,693.96 $142,514.62 $53,117.09 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 52 11 — — $19,625.18 $128,996.66 $52,780.82 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 70 12 — — $2,199.23 $257,826.94 $52,724.92 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 83 12 — — $11,026.11 $244,137.91 $52,486.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 65 11 — — $35,298.63 $125,841.00 $52,089.33 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,605.45 $54,566.00 $51,961.71 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 63 12 — — $2,956.00 $226,200.02 $51,806.96 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 49 11 — — $30,432.05 $127,479.03 $51,657.24 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $51,493.00 $51,493.00 $51,493.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 45 10 — — $5,957.75 $192,161.64 $51,272.93 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 11 — — $19,499.49 $219,033.32 $51,131.02 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 13 7 — — $36,259.22 $192,274.30 $50,818.34 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 73 12 — — $9,036.36 $913,858.21 $50,805.88 2026-04-01
9408 OTHER Inj. Naxitamab-gqgk, 1 Mg 1 1 — — $50,769.12 $50,769.12 $50,769.12 2025-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 13 — — $24,544.67 $179,279.89 $50,659.98 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 38 10 — — $38,709.76 $125,858.28 $50,466.05 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 11 — — $25,535.20 $162,859.90 $50,419.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 29 10 — — $395.00 $191,644.08 $49,724.27 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 49 11 — — $31,776.71 $218,668.11 $49,552.42 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 12 — — $18,074.74 $214,806.05 $49,468.68 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 90 13 — — $7,679.34 $201,274.30 $49,078.25 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 74 13 — — $19,160.00 $461,146.15 $48,669.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 50 11 — — $29,380.10 $116,238.79 $48,367.45 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 25 6 — — $12,075.00 $155,053.30 $48,180.26 2026-04-01
J9226 HCPCS Supprelin La Implant 28 7 — — $20,169.99 $192,143.13 $47,921.45 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 50 11 — — $14,150.49 $552,891.61 $46,750.38 2026-04-01
9054 OTHER Lutetium Lu 177 Vipivotide 8 4 — — $479.98 $53,240.10 $46,370.21 2025-07-01
6 MS_DRG Liver Transplant Without Mcc 47 11 — — $33,181.45 $173,850.00 $45,730.66 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 83 12 — — $5,807.66 $158,487.99 $45,596.23 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 65 12 — — $31,262.50 $164,115.23 $45,557.21 2026-04-01
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim 1 1 — — $45,520.00 $45,520.00 $45,520.00 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 24 11 — — $790.02 $130,323.92 $45,303.09 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 99 12 — — $2,124.50 $147,226.07 $45,170.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 61 12 — — $20,758.26 $218,915.10 $45,096.34 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 52 12 — — $27,280.59 $351,255.70 $44,933.56 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 81 13 — — $4,115.40 $240,515.15 $44,492.30 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 72 12 — — $8,167.80 $278,792.05 $43,999.29 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 6 — — $9,863.00 $74,175.00 $43,853.15 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 13 — — $17,861.32 $635,684.59 $43,532.85 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 7 6 — — $10,500.00 $46,833.46 $43,427.39 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 82 12 — — $2,131.75 $341,754.40 $43,018.10 2026-04-01
69930 HCPCS Implant Cochlear Device 25 6 — — $12,075.00 $145,433.86 $42,931.62 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 71 12 — — $6,136.14 $148,222.84 $42,755.15 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 59 12 — — $22,336.31 $196,512.02 $42,743.53 2026-04-01
245 MS_DRG Aicd Generator Procedures 51 11 — — $1,691.97 $127,305.65 $42,727.30 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 85 13 — — $6,927.22 $120,458.92 $42,587.63 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 12 — — $8,576.36 $106,231.44 $42,484.99 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 52 11 — — $17,861.32 $135,677.47 $42,429.28 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 12 — — $29,953.31 $180,889.38 $42,338.77 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 24 6 — — $5,192.00 $74,175.00 $42,180.93 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 59 12 — — $15,865.55 $221,562.00 $42,084.88 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $39,992.59 $43,991.85 $41,892.24 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 67 13 — — $26,783.94 $99,731.69 $41,763.75 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 87 13 — — $25,747.29 $109,345.46 $41,528.41 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 96 13 — — $7,107.51 $254,705.38 $41,144.12 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 12 — — $28,763.54 $166,783.50 $41,021.70 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 86 13 — — $18,977.75 $132,454.67 $40,896.58 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 67 12 — — $8,092.57 $115,603.08 $40,636.71 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 15 2 — — $22,427.32 $75,974.10 $40,290.76 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 59 12 — — $10,363.11 $226,166.79 $40,084.26 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 76 12 — — $10,794.15 $112,700.37 $39,709.73 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 79 12 — — $19,411.30 $124,395.04 $39,494.64 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 48 11 — — $6,107.91 $1,353,851.28 $39,473.09 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 76 12 — — $18,404.71 $277,229.20 $39,296.34 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 55 12 — — $12,211.57 $410,963.87 $39,085.23 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 70 12 — — $26,886.21 $86,079.60 $39,084.61 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 70 12 — — $1,588.65 $115,052.52 $38,817.21 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 12 — — $14,799.10 $87,380.33 $38,262.21 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 67 12 — — $6,564.48 $215,507.77 $37,906.48 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 47 10 — — $8,933.98 $135,778.52 $37,582.66 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 65 13 — — $6,953.91 $307,105.86 $37,536.19 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 60 12 — — $325.00 $577,904.80 $37,353.21 2026-04-01
9308 OTHER Dexametha Opth Insert 0.1 Mg 1 1 — — $37,059.13 $37,059.13 $37,059.13 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 49 12 — — $15,588.00 $90,224.68 $36,782.90 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $34,970.13 $38,467.14 $36,631.21 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 25 8 — — $17,020.81 $103,250.71 $36,610.03 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 51 12 — — $11,170.88 $84,113.88 $36,573.84 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 15 2 — — $20,325.51 $68,854.07 $36,514.85 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 61 12 — — $17,689.97 $100,177.19 $36,489.34 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 69 12 — — $2,569.04 $106,978.90 $36,216.05 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 25 6 — — $9,863.00 $116,026.02 $36,053.17 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 25 6 — — $9,863.00 $116,026.02 $36,053.17 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 25 6 — — $9,863.00 $116,026.02 $36,053.17 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 25 6 — — $12,075.00 $116,026.02 $36,053.17 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 25 6 — — $9,863.00 $116,026.02 $36,053.17 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 25 6 — — $9,863.00 $116,026.02 $36,053.17 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 79 12 — — $5,587.87 $179,537.85 $35,909.41 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 6 4 — — $17,640.61 $120,274.57 $35,774.67 2025-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 8 — — $6,025.36 $167,180.19 $35,396.58 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 68 12 — — $18,095.63 $117,381.92 $35,390.66 2026-04-01
265 MS_DRG Aicd Lead Procedures 48 11 — — $5,266.08 $98,922.38 $35,253.07 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 51 11 — — $21,591.84 $97,000.00 $35,106.87 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 57 12 — — $20,052.43 $107,634.11 $35,091.72 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 25 6 — — $9,863.00 $112,102.42 $34,833.98 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 56 13 — — $11,402.92 $691,323.56 $34,815.97 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 69 12 — — $5,741.21 $88,768.29 $34,802.62 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 71 12 — — $2,184.89 $81,748.91 $34,693.24 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 57 11 — — $6,436.27 $180,614.15 $34,601.66 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 51 11 — — $494.09 $188,659.57 $34,419.21 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 12 — — $10,583.50 $99,798.23 $34,394.30 2026-04-01
332 MS_DRG Rectal Resection With Mcc 47 11 — — $17,678.64 $203,989.92 $34,349.82 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 59 12 — — $2,358.52 $491,036.28 $34,270.63 2026-04-01
5166 OTHER Cochlear Implant Procedure 38 11 — — $13,052.40 $88,995.08 $34,088.18 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 14 8 — — $12,863.83 $76,259.67 $34,079.42 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 55 12 — — $6,154.08 $100,710.05 $34,012.64 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 75 12 — — $6,391.06 $226,715.00 $33,974.88 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 6 5 — — $10,500.00 $36,426.14 $33,942.54 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 67 12 — — $17,618.45 $82,655.33 $33,906.79 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 53 12 — — $13,334.92 $148,558.76 $33,859.63 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 47 10 — — $19,633.98 $81,101.46 $33,832.95 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 53 11 — — $10,947.01 $105,767.31 $33,802.70 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 81 12 — — $900.00 $228,819.31 $33,776.90 2026-04-01
491 MS_DRG Back & Neck Proc Exc Spinal Fusion Without Cc/mcc 1 1 — — $33,627.00 $33,627.00 $33,627.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 12 — — $5,248.90 $118,376.30 $33,551.57 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 72 12 — — $20,899.76 $118,162.67 $33,512.69 2026-04-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 2 2 — — $28,263.82 $38,707.98 $33,485.90 2025-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 12 — — $16,809.71 $94,442.42 $33,021.62 2026-04-01
61886 HCPCS Implant Neurostim Arrays 25 6 — — $9,863.00 $100,513.22 $32,810.18 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 57 12 — — $12,022.65 $76,080.09 $32,792.78 2026-04-01
33968 HCPCS Remove Aortic Assist Device 2 2 — — $4,862.00 $60,721.00 $32,791.50 2026-04-01
9284 OTHER Ipilimumab Injection 8 5 — — $10,727.16 $50,834.59 $32,585.18 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 84 12 — — $8,114.35 $229,993.85 $32,521.53 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 52 12 — — $13,772.82 $80,594.76 $32,513.68 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 68 12 — — $14,263.00 $122,038.36 $32,153.70 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 65 12 — — $1,996.18 $153,822.96 $31,999.10 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 58 12 — — $2,891.70 $88,788.07 $31,813.33 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 44 10 — — $9,867.48 $81,081.68 $31,526.18 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 89 12 — — $834.83 $93,412.80 $31,422.99 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 10 6 — — $29,194.09 $74,175.00 $31,317.37 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 6 — — $12,075.00 $74,175.00 $31,251.09 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,719.96 $32,691.96 $31,131.66 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 54 12 — — $12,650.49 $83,139.12 $31,118.44 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,579.67 $32,537.64 $30,984.71 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 60 12 — — $16,732.04 $71,042.00 $30,963.78 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $32,461.21 $30,911.92 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 71 12 — — $1,203.06 $107,508.00 $30,877.65 2026-04-01
652 MS_DRG Kidney Transplant 67 12 — — $21,944.61 $101,970.00 $30,869.65 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 25 6 — — $5,192.00 $70,759.11 $30,852.57 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 25 6 — — $5,192.00 $68,854.07 $30,852.57 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 6 — — $9,863.00 $60,721.00 $30,722.26 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 5 — — $28,700.06 $32,810.18 $30,722.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 57 12 — — $1,325.00 $78,883.44 $30,710.63 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 69 12 — — $50.00 $100,085.37 $30,704.33 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 51 10 — — $11,489.01 $186,063.75 $30,699.73 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 24 6 — — $5,192.00 $71,882.64 $30,573.12 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 10 6 — — $4,392.00 $32,810.18 $30,573.12 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 10 6 — — $4,392.00 $32,810.18 $30,573.12 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 65 12 — — $2,239.55 $81,642.80 $30,543.16 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 77 13 — — $16,675.83 $69,993.09 $30,479.24 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 61 12 — — $15,921.36 $85,096.73 $30,444.53 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 6 — — $4,392.00 $32,810.18 $30,423.98 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 24 6 — — $12,075.00 $74,175.00 $30,406.20 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 55 11 — — $4,203.59 $97,221.08 $30,406.16 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 45 10 — — $11,244.66 $88,173.00 $30,294.06 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 58 12 — — $18,199.27 $108,644.75 $30,191.74 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 51 11 — — $15,774.62 $67,221.73 $30,184.42 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 59 11 — — $4,753.24 $97,636.49 $30,171.30 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 13 — — $2,418.60 $181,591.23 $30,112.76 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 46 11 — — $19,205.60 $75,617.97 $30,092.12 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 55 12 — — $18,998.20 $118,813.40 $30,071.85 2026-04-01
J9266 HCPCS Pegaspargase Injection 28 7 — — $3,532.01 $114,918.47 $29,915.25 2026-04-01
665 MS_DRG Prostatectomy With Mcc 43 10 — — $6,339.81 $85,870.97 $29,906.20 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 61 13 — — $2.40 $139,396.70 $29,755.99 2026-04-01
791 MS_DRG Prematurity With Major Problems 71 13 — — $772.66 $88,096.44 $29,746.92 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 10 — — $5,004.68 $57,999.01 $29,712.15 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 79 12 — — $15,259.10 $70,555.86 $29,692.70 2026-04-01
263 MS_DRG Vein Ligation And Stripping 49 11 — — $9,811.65 $165,231.20 $29,338.62 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 82 13 — — $18,440.76 $92,766.45 $29,290.83 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 15 6 — — $9,863.00 $32,810.18 $29,274.07 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 28 7 — — $17,503.09 $92,786.16 $29,047.81 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 48 11 — — $4,795.75 $82,223.70 $29,010.35 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 64 12 — — $595.67 $68,850.35 $29,006.83 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 52 12 — — $6,841.75 $98,815.50 $29,006.79 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 54 12 — — $4,954.97 $98,274.45 $28,799.11 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 73 12 — — $1,741.44 $602,104.90 $28,693.14 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 39 11 — — $2,798.61 $108,792.59 $28,620.24 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 6 — — $13,624.00 $74,175.00 $28,557.46 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 98 13 — — $4,776.79 $136,430.15 $28,410.39 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 53 12 — — $3,352.55 $73,242.20 $28,409.25 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 51 12 — — $5,084.44 $63,985.35 $28,388.80 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 41 12 — — $967.19 $81,939.78 $28,370.71 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 93 12 — — $371.78 $119,668.26 $28,348.48 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 45 10 — — $15,072.35 $65,911.69 $28,330.69 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 46 11 — — $7,985.44 $78,054.88 $28,116.29 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 72 12 — — $11,989.65 $163,406.55 $28,047.80 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 55 12 — — $10,620.39 $123,445.70 $27,956.16 2026-04-01
9182 OTHER Inj Mogamulizumab-kpkc, 1 Mg 1 1 — — $27,946.61 $27,946.61 $27,946.61 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 60 12 — — $89.66 $229,832.82 $27,899.51 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 63 12 — — $11,031.13 $74,275.32 $27,813.82 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 50 11 — — $15,905.90 $89,334.59 $27,776.46 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 51 11 — — $18,526.45 $78,202.35 $27,673.26 2026-04-01
0843 RC Pegaspargase Injection 2 2 — — $12,544.66 $42,619.50 $27,582.08 2025-07-01
C9760 HCPCS Non-blind Interatrial Shunt 23 6 — — $19,818.55 $74,175.00 $27,538.89 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 39 10 — — $5,412.38 $194,696.44 $27,513.46 2026-04-01
800 MS_DRG Splenic Procedures With Cc 49 11 — — $20,477.41 $394,773.05 $27,132.38 2026-04-01
2051 OTHER Cath Renal Denerv Radiofreq 5 3 — — $5,762.56 $31,896.77 $27,089.82 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 63 12 — — $4,781.27 $102,429.17 $27,042.53 2026-04-01
503 MS_DRG Foot Procedures With Mcc 49 12 — — $11,168.93 $74,395.01 $26,969.59 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 72 13 — — $2,742.43 $97,954.81 $26,800.54 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 63 12 — — $16,983.56 $57,212.55 $26,798.78 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 16 3 — — $10,500.00 $50,187.69 $26,615.65 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 70 12 — — $5,900.08 $84,706.33 $26,586.16 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 63 13 — — $9,565.97 $75,166.55 $26,459.83 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 55 12 — — $152.35 $56,853.62 $26,441.93 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $26,344.34 $26,344.34 $26,344.34 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 29 11 — — $653.48 $68,390.15 $26,294.34 2026-04-01
849 MS_DRG Radiotherapy 46 11 — — $12,242.17 $74,907.57 $26,243.65 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 71 12 — — $2,729.86 $262,653.70 $26,223.61 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 4 3 — — $6,309.60 $40,262.05 $26,200.15 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 58 11 — — $8,538.38 $57,018.31 $26,144.23 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 47 11 — — $5,372.05 $78,649.00 $25,803.30 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 57 12 — — $13,669.91 $154,202.23 $25,720.56 2026-04-01
2043 OTHER Orth/matrx/bn Fill Drug-elut 1 1 — — $25,613.42 $25,613.42 $25,613.42 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 73 13 — — $13,492.24 $128,809.25 $25,609.69 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 46 11 — — $15,128.99 $66,629.27 $25,602.24 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 61 11 — — $2,491.67 $153,783.39 $25,580.16 2026-04-01
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