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

SPARTANBURG MEDICAL CENTER

Spartanburg, SC · CCN 420007 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $21,564 across 8 payers · range $12,378-$75,762

Source: https://www.spartanburgregional.com/sites/default/files/2026-04/576000934_spartanburg-medical-center_standardcharges.json · 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.

15,514 distinct procedures filed
23 distinct payers
226,594 rate rows
2026-04-01 last MRF observed
Data quality

172,015 of 226,594 rate rows are consumer-grade (75.9%)

54,579 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 40,377
professional (physician) fee — not the facility price 9,130
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,678
template filing: same amount across many unrelated codes — excluded 324
placeholder amount (≤ $0.02) — excluded from medians 54
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
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.spartanburgregional.com/sites/default/files/2022-10/576000934_spartanburg-medical-center_standardcharges.json
Found on page https://www.spartanburgregional.com/standardcharges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-13
Content fingerprint 6c30bc7fd0d5943c… · 83,453,806 bytes · first seen 2026-05-05

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,505,000.00 $4,820,350.00 $4,662,675.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,691,450.00 $3,949,851.50 $3,820,650.75 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,321,376.38 $3,553,872.73 $3,437,624.55 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,245,381.39 $3,472,558.09 $3,358,969.74 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,938,320.00 $3,144,002.40 $3,041,161.20 nat. median
$2,997,086
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,081,000.00 $2,425,280.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,348,585.00 $801,444.80 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $1,012,068.02 $638,748.04 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $968,412.95 $612,034.60 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $947,862.41 $584,751.27 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $947,205.79 $582,172.32 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $932,883.84 $553,123.08 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $857,010.00 $508,862.23 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $318,562.98 $1,329,037.04 $334,491.13 nat. median
$370,165
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $473,156.25 $289,380.00 nat. median
$302,242
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $9,432.59 $957,772.83 $243,698.97 nat. median
$261,939
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $148,730.33 $725,413.66 $217,454.27 nat. median
$199,832
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $80,219.11 $371,644.12 $173,909.48 nat. median
$100,978
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $157,504.35 $729,696.04 $165,379.57 nat. median
$205,166
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 14 $73,453.59 $385,080.88 $153,014.08 nat. median
$98,002
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $83,499.70 $386,842.63 $152,656.51 nat. median
$96,134
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $62,188.05 $339,134.72 $134,819.39 nat. median
$79,040
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $66,464.54 $307,921.10 $132,900.33 nat. median
$81,124
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 13 $49,655.87 $317,033.44 $131,438.28 nat. median
$64,357
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $65,973.04 $473,399.30 $130,825.28 nat. median
$132,706
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $81,304.28 $376,671.55 $127,761.61 nat. median
$96,835
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $56,399.25 $262,478.94 $126,949.30 nat. median
$73,475
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $58,048.77 $391,969.05 $125,845.72 nat. median
$77,385
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $18,822.78 $262,421.26 $122,852.80 nat. median
$74,472
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,502.61 $119,307.79 $115,405.20 nat. median
$111,503
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $112,361.22 $112,361.22 $112,361.22 nat. median
$58,534
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $56,212.61 $267,505.55 $109,794.93 nat. median
$71,485
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $49,290.70 $228,357.04 $106,812.06 nat. median
$62,262
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $48,506.52 $251,557.05 $105,112.75 nat. median
$63,840
1.6× median
7
MS_DRG 		Lung Transplant 12 $95,534.67 $442,598.99 $100,311.40 nat. median
$122,690
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $31,195.76 $182,025.87 $99,609.42 nat. median
$46,399
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $63,881.83 $295,955.73 $98,378.33 nat. median
$81,364
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $53,252.19 $246,710.09 $96,817.81 nat. median
$66,640
1.5× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $39,340.49 $193,987.96 $95,994.93 nat. median
$52,372
1.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 $44,311.17 $279,526.15 $93,378.23 nat. median
$58,419
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $88,657.01 $369,874.91 $93,089.86 nat. median
$114,305
0.8× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 12 $42,100.26 $195,044.72 $91,230.50 nat. median
$50,294
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $44,521.27 $341,586.23 $90,849.97 nat. median
$92,900
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 $40,743.61 $261,493.53 $88,329.34 nat. median
$55,446
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $83,595.60 $387,286.93 $87,775.38 nat. median
$108,240
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $36,691.37 $138,226.20 $87,458.79 nat. median
$75,807
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $273,990.07 $87,263.78 nat. median
$63,643
1.4× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 $43,265.10 $244,758.77 $86,761.63 nat. median
$56,397
1.5× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 $40,298.78 $201,933.02 $86,581.63 nat. median
$53,013
1.6× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 12 $1,953.85 $182,149.74 $85,198.99 nat. median
$50,178
1.7× median

Other procedures at this hospital

Browse this hospital's 15,514 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,505,000.00 $4,820,350.00 $4,662,675.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,691,450.00 $3,949,851.50 $3,820,650.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,321,376.38 $3,553,872.73 $3,437,624.55 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,245,381.39 $3,472,558.09 $3,358,969.74 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,938,320.00 $3,144,002.40 $3,041,161.20 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $4,081,000.00 $2,425,280.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,348,585.00 $801,444.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $614,180.81 $1,012,068.02 $638,748.04 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $588,494.81 $968,412.95 $612,034.60 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $562,260.84 $947,862.41 $584,751.27 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $559,781.08 $947,205.79 $582,172.32 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $531,849.12 $932,883.84 $553,123.08 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $489,290.60 $857,010.00 $508,862.23 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 12 — — $318,562.98 $1,329,037.04 $334,491.13 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 7 — — $278,250.00 $473,156.25 $289,380.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 12 — — $9,432.59 $957,772.83 $243,698.97 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 14 — — $148,730.33 $725,413.66 $217,454.27 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 12 — — $80,219.11 $371,644.12 $173,909.48 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 12 — — $157,504.35 $729,696.04 $165,379.57 2026-04-01
215 MS_DRG Other Heart Assist System Implant 40 14 — — $73,453.59 $385,080.88 $153,014.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 22 12 — — $83,499.70 $386,842.63 $152,656.51 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 12 — — $62,188.05 $339,134.72 $134,819.39 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 12 — — $66,464.54 $307,921.10 $132,900.33 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 13 — — $49,655.87 $317,033.44 $131,438.28 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 14 — — $65,973.04 $473,399.30 $130,825.28 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 12 — — $81,304.28 $376,671.55 $127,761.61 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 14 — — $56,399.25 $262,478.94 $126,949.30 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 12 — — $58,048.77 $391,969.05 $125,845.72 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 16 — — $18,822.78 $262,421.26 $122,852.80 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 6 — — $111,502.61 $119,307.79 $115,405.20 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 5 — — $112,361.22 $112,361.22 $112,361.22 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 14 — — $56,212.61 $267,505.55 $109,794.93 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 12 — — $49,290.70 $228,357.04 $106,812.06 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 12 — — $48,506.52 $251,557.05 $105,112.75 2026-04-01
7 MS_DRG Lung Transplant 16 12 — — $95,534.67 $442,598.99 $100,311.40 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 12 7 — — $31,195.76 $182,025.87 $99,609.42 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 12 — — $63,881.83 $295,955.73 $98,378.33 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 12 — — $53,252.19 $246,710.09 $96,817.81 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 13 — — $39,340.49 $193,987.96 $95,994.93 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 12 — — $44,311.17 $279,526.15 $93,378.23 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $88,657.01 $369,874.91 $93,089.86 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 12 — — $42,100.26 $195,044.72 $91,230.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 13 — — $44,521.27 $341,586.23 $90,849.97 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 12 — — $40,743.61 $261,493.53 $88,329.34 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 12 — — $83,595.60 $387,286.93 $87,775.38 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $36,691.37 $138,226.20 $87,458.79 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,824.55 $273,990.07 $87,263.78 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 12 — — $43,265.10 $244,758.77 $86,761.63 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 55 14 — — $40,298.78 $201,933.02 $86,581.63 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 12 — — $1,953.85 $182,149.74 $85,198.99 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 12 — — $42,544.36 $197,102.18 $84,820.67 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 12 — — $39,052.79 $187,227.45 $84,663.74 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 12 — — $49,326.85 $228,524.51 $84,355.53 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 15 — — $27,759.95 $334,384.13 $84,177.92 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 12 — — $45,157.32 $249,064.35 $82,521.75 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 12 — — $48,330.20 $238,300.40 $80,974.09 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 12 — — $76,061.39 $352,381.96 $79,864.46 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $79,136.84 $79,136.84 $79,136.84 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 13 — — $61,992.56 $370,025.71 $79,097.91 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 12 — — $1,828.37 $177,597.36 $78,039.32 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 12 — — $41,473.95 $192,143.09 $77,014.57 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 5 — — $76,768.58 $76,768.58 $76,768.58 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 12 — — $44,724.29 $241,383.66 $76,470.63 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 45 14 — — $22,801.79 $225,150.19 $76,383.72 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $43,990.27 $203,800.87 $74,539.60 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 13 — — $33,822.44 $196,034.31 $73,324.71 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 12 — — $35,441.71 $471,356.63 $73,323.61 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 12 — — $36,497.37 $192,515.00 $73,094.89 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 12 — — $33,657.19 $232,995.68 $72,966.46 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 13 — — $33,410.06 $221,369.93 $72,462.40 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 12 — — $52,601.53 $309,799.11 $71,644.20 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 12 — — $32,923.17 $185,733.88 $71,375.16 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 6 6 — — $68,801.71 $73,617.83 $71,209.77 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 12 — — $43,293.13 $208,521.86 $70,793.48 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 13 — — $48,506.52 $224,724.03 $70,047.80 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 12 — — $42,272.88 $195,844.46 $70,031.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 26 13 — — $30,958.66 $419,509.14 $69,659.77 2026-04-01
218 LOCAL Description Not Available 2 1 — — $64,500.00 $74,587.00 $69,543.50 2026-04-01
217 LOCAL Description Not Available 2 1 — — $64,500.00 $74,587.00 $69,543.50 2026-04-01
216 LOCAL Description Not Available 2 1 — — $64,500.00 $74,587.00 $69,543.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 47 14 — — $38,275.08 $219,182.81 $69,162.53 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 12 — — $30,637.01 $141,937.08 $68,878.46 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 14 — — $16,997.03 $192,401.69 $67,426.49 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 12 — — $31,465.46 $171,306.42 $67,281.63 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 7 — — $64,282.30 $111,004.34 $67,175.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 51 16 — — $10,612.21 $161,129.60 $66,962.16 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 4 — — $52,095.54 $154,733.13 $66,715.22 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 12 — — $30,781.61 $181,266.93 $66,703.18 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 14 — — $23,234.11 $154,348.48 $66,171.27 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 12 — — $33,053.01 $153,130.05 $65,231.97 2026-04-01
219 LOCAL Description Not Available 2 1 — — $60,500.00 $69,961.00 $65,230.50 2026-04-01
221 LOCAL Description Not Available 2 1 — — $60,500.00 $69,961.00 $65,230.50 2026-04-01
220 LOCAL Description Not Available 2 1 — — $60,500.00 $69,961.00 $65,230.50 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 12 — — $36,156.55 $217,764.78 $64,873.57 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 12 — — $10,879.97 $171,728.74 $64,299.85 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 15 — — $16,541.53 $180,328.11 $64,293.83 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 15 — — $11,803.52 $186,965.28 $64,114.93 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 12 — — $34,071.05 $198,187.10 $63,225.10 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 28 14 — — $15,792.12 $124,305.57 $62,912.90 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 15 — — $12,511.83 $175,159.59 $62,619.05 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 12 — — $50,738.82 $278,770.78 $62,566.94 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 12 — — $28,727.83 $119,851.79 $62,279.94 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 12 — — $28,206.11 $162,836.03 $62,012.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 12 — — $28,484.38 $163,227.45 $61,725.14 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 12 — — $28,554.46 $171,048.91 $61,584.78 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 14 — — $25,917.29 $175,022.76 $61,043.64 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 12 — — $25,585.70 $132,090.69 $60,707.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 14 — — $27,570.36 $127,729.70 $59,770.64 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 3 — — $58,667.66 $60,454.08 $59,560.87 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 12 — — $35,612.84 $190,236.02 $59,094.68 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 9 — — $31,679.57 $111,076.34 $58,789.12 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 25 12 — — $27,096.75 $129,139.90 $58,718.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 14 — — $1,418.36 $196,714.20 $58,398.72 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 12 — — $26,747.08 $156,401.70 $57,985.82 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 7 — — $54,810.13 $97,905.45 $57,979.85 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 12 — — $26,710.19 $179,014.57 $57,905.85 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 40 14 — — $1,292.28 $131,215.76 $57,751.01 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 12 — — $29,391.03 $159,605.13 $57,585.93 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 12 — — $26,430.60 $164,470.37 $57,299.72 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 15 — — $1,918.40 $289,950.13 $57,039.07 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 12 — — $26,303.72 $161,363.07 $57,024.64 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 14 — — $33,541.37 $266,848.02 $56,988.86 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 12 — — $26,281.59 $121,758.98 $56,951.72 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 7 2 — — $14,170.00 $144,740.65 $56,940.20 2026-04-01
9355 OTHER Inj. Teprotumumab-trbw 10 Mg 2 1 — — $56,636.49 $56,636.49 $56,636.49 2024-07-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 7 — — $14,170.00 $295,396.90 $56,471.16 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 12 — — $45,209.70 $209,450.33 $56,192.66 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 14 — — $36,432.45 $168,786.53 $56,079.39 2026-04-01
10 MS_DRG Pancreas Transplant 16 12 — — $52,935.72 $245,243.90 $55,582.51 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 12 — — $52,913.58 $245,141.37 $55,559.26 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 12 — — $25,608.80 $139,715.01 $55,493.80 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 12 — — $52,632.52 $243,839.22 $55,264.15 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 14 — — $36,307.78 $168,208.94 $55,159.06 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 12 — — $23,830.92 $128,151.06 $55,117.43 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 29 14 — — $44,323.71 $205,345.67 $55,030.60 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 22 12 — — $25,366.83 $126,640.33 $54,993.53 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 12 — — $26,644.54 $111,160.37 $54,472.11 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 14 — — $1,600.00 $150,132.73 $54,457.70 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 12 — — $31,284.72 $144,937.82 $54,366.19 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 14 — — $26,256.50 $148,813.44 $54,195.07 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 49 15 — — $15,446.26 $136,048.97 $53,542.50 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 12 — — $25,962.90 $108,316.57 $53,006.35 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 12 — — $24,368.71 $161,486.68 $52,829.68 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 30 13 — — $12,721.04 $120,981.96 $52,257.94 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 7 2 — — $14,170.00 $131,176.06 $51,603.96 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 55 15 — — $12,488.57 $153,174.48 $51,475.93 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 37 15 — — $14,231.13 $138,187.11 $51,458.93 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 6 6 — — $49,605.45 $53,077.83 $51,341.64 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 12 — — $34,508.51 $159,873.17 $50,881.93 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 12 — — $23,439.93 $209,136.46 $50,816.16 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 12 — — $26,369.37 $183,254.91 $50,539.28 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 12 — — $23,683.38 $109,721.84 $50,435.29 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 8 4 — — $14,170.00 $95,614.14 $50,318.54 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 12 — — $23,179.52 $137,771.66 $50,229.61 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 40 14 — — $18,833.69 $98,008.57 $49,996.57 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 12 — — $23,025.34 $130,684.96 $49,917.35 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 15 9 — — $7,864.07 $80,257.74 $49,911.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 14 — — $20,446.34 $157,094.58 $49,906.52 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 20 10 — — $17,771.18 $105,568.15 $49,881.72 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 12 — — $1,769.76 $209,857.49 $49,855.88 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 34 14 — — $15,339.90 $81,428.32 $49,803.99 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 12 — — $27,638.97 $128,047.55 $49,461.46 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 47 14 — — $11,382.52 $160,351.65 $49,403.91 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 12 — — $22,584.93 $126,087.54 $48,962.57 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 12 — — $1,020.94 $103,665.68 $48,488.74 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 12 — — $22,242.91 $144,717.58 $48,071.77 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 13 — — $40,499.43 $200,260.92 $47,684.15 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 12 — — $21,957.14 $101,724.42 $47,416.22 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 46 14 — — $21,733.62 $100,688.86 $47,304.76 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 37 14 — — $31,669.07 $175,275.52 $46,880.24 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 12 — — $21,718.86 $132,151.06 $46,566.96 2026-04-01
69930 HCPCS Implant Cochlear Device 14 7 — — $16,330.00 $277,070.61 $46,527.81 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 14 — — $221.83 $656,785.53 $46,476.42 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 16 — — $22,168.46 $241,351.87 $46,389.80 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 12 — — $35,621.71 $165,030.48 $46,378.93 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 12 — — $21,259.27 $117,078.10 $46,108.80 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 14 — — $16,272.14 $136,575.95 $46,012.05 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 12 — — $43,743.87 $182,498.38 $45,931.06 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 12 — — $21,300.58 $167,018.01 $45,770.73 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 14 7 — — $14,170.00 $221,044.81 $45,530.49 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 12 — — $1,065.24 $108,163.37 $45,459.70 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $45,270.36 $45,270.36 $45,270.36 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 14 — — $35,120.80 $167,800.84 $45,190.65 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 23 11 — — $15,807.07 $74,485.57 $45,146.32 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 14 — — $38,400.65 $177,904.96 $44,895.01 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 3 3 — — $44,678.31 $44,678.31 $44,678.31 2026-04-01
503 MS_DRG Foot Procedures With Mcc 25 13 — — $20,590.17 $143,055.78 $44,618.52 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 8 — — $6,917.00 $136,945.86 $44,588.43 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 27 13 — — $18,307.70 $78,581.97 $44,564.30 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 8 8 — — $16,223.00 $80,562.00 $43,951.46 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 8 — — $16,223.00 $80,562.00 $43,951.46 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 27 12 — — $24,286.09 $112,514.10 $43,769.55 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 8 — — $14,170.00 $45,437.73 $43,739.13 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 31 14 — — $1,088.84 $99,560.52 $43,678.58 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 14 — — $18,379.05 $127,743.37 $43,581.71 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 26 12 — — $20,650.66 $96,350.20 $43,422.76 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 12 — — $41,345.58 $191,548.41 $43,412.86 2026-04-01
849 MS_DRG Radiotherapy 22 12 — — $19,988.20 $107,052.35 $43,333.04 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 14 10 — — $4,349.21 $156,859.56 $43,281.91 2026-04-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 3 3 — — $15,612.87 $62,916.73 $42,950.18 2024-07-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 17 10 — — $5,491.74 $79,881.10 $42,686.42 2026-04-01
9284 OTHER Ipilimumab Injection 12 6 — — $22,929.04 $62,392.42 $42,660.73 2024-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 12 — — $19,623.03 $90,910.82 $42,560.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 27 12 — — $3,097.49 $150,351.91 $42,411.20 2026-04-01
835 MS_DRG Acute Leukemia With Cc 30 12 — — $10,061.34 $87,866.08 $42,244.35 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 13 — — $27,492.90 $127,370.84 $42,227.85 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 12 — — $19,456.31 $126,743.33 $42,179.94 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 12 — — $40,074.51 $167,189.90 $42,078.24 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 44 14 — — $18,031.06 $89,860.93 $42,018.57 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 12 — — $1,388.60 $153,778.52 $41,924.87 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 12 — — $26,604.70 $123,255.93 $41,773.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 3 — — $41,685.72 $41,685.72 $41,685.72 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 14 — — $20,339.35 $88,339.90 $41,577.04 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 12 — — $25,484.86 $144,466.94 $41,540.51 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 13 — — $37,181.96 $179,921.01 $41,515.97 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 6 6 — — $39,992.59 $42,792.07 $41,392.33 2026-04-01
J9226 HCPCS Supprelin La Implant 14 7 — — $27,599.31 $79,730.68 $41,319.60 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 12 — — $19,053.52 $134,331.32 $41,288.64 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 13 — — $17,844.33 $117,702.99 $41,156.67 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 42 14 — — $17,150.72 $99,120.14 $40,564.85 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 15 — — $10,307.66 $121,543.67 $40,451.38 2026-04-01
251 LOCAL Description Not Available 2 1 — — $37,500.00 $43,364.00 $40,432.00 2026-04-01
250 LOCAL Description Not Available 2 1 — — $37,500.00 $43,364.00 $40,432.00 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 12 — — $19,026.97 $79,380.04 $40,257.91 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 44 14 — — $17,137.70 $73,819.73 $39,587.01 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 44 14 — — $7,868.37 $86,225.15 $39,514.37 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 38 13 — — $615.96 $96,059.45 $38,914.87 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 22 12 — — $17,810.49 $94,012.01 $38,611.90 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 12 — — $10,415.84 $162,029.56 $38,534.30 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 12 — — $17,744.09 $105,167.37 $38,467.96 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 33 14 — — $16,525.95 $84,138.16 $38,417.38 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 24 12 — — $19,026.97 $79,380.04 $38,407.38 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 53 14 — — $17,684.34 $81,929.10 $38,355.20 2026-04-01
263 MS_DRG Vein Ligation And Stripping 24 12 — — $22,554.69 $104,492.76 $38,349.95 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 28 12 — — $17,667.37 $86,712.44 $38,301.64 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 14 — — $1,374.12 $143,598.08 $38,145.47 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 4 3 — — $29,322.55 $108,667.64 $38,140.44 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 28 13 — — $12,817.68 $62,633.47 $37,837.98 2026-04-01
69718 HCPCS Revise Temple Bone Implant 2 2 — — $14,170.00 $61,400.00 $37,785.00 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 2 2 — — $14,170.00 $61,400.00 $37,785.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 12 — — $23,996.17 $154,248.91 $37,670.45 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 14 — — $31,154.89 $144,336.31 $37,646.16 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 22 12 — — $17,344.25 $94,324.45 $37,601.14 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 12 — — $18,382.95 $105,541.62 $37,446.42 2026-04-01
333 MS_DRG Rectal Resection With Cc 23 12 — — $17,140.82 $80,049.37 $37,442.41 2026-04-01
93580 HCPCS Transcath Closure Of Asd 14 8 — — $17,673.52 $106,120.06 $37,224.04 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 14 8 — — $17,673.52 $106,120.06 $37,224.04 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 22 12 — — $17,167.20 $79,533.30 $37,217.31 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 24 12 — — $16,169.08 $77,363.08 $37,099.50 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 29 14 — — $17,239.50 $79,868.23 $36,944.33 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 12 — — $16,929.66 $70,630.14 $36,702.33 2026-04-01
570 MS_DRG Skin Debridement With Mcc 36 14 — — $21,696.73 $113,720.16 $36,518.08 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 12 — — $34,682.61 $160,679.75 $36,416.74 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 31 14 — — $16,759.99 $87,821.45 $36,318.59 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 6 6 — — $34,970.13 $37,418.04 $36,194.09 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 12 — — $26,767.74 $124,011.24 $36,128.40 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 12 — — $34,207.52 $158,478.75 $35,917.90 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 6 2 — — $5,272.00 $63,720.55 $35,822.12 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 24 12 — — $16,504.74 $86,884.11 $35,781.14 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 12 — — $23,806.58 $146,647.19 $35,392.72 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 35 14 — — $15,556.05 $72,069.04 $35,369.68 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 29 12 — — $16,219.99 $84,398.27 $35,179.20 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 12 — — $1,126.79 $99,181.65 $35,069.10 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 6 2 — — $16,223.00 $62,342.91 $35,047.65 2026-04-01
460 LOCAL Description Not Available 2 1 — — $32,500.00 $37,582.00 $35,041.00 2026-04-01
459 LOCAL Description Not Available 2 1 — — $32,500.00 $37,582.00 $35,041.00 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 24 12 — — $16,140.31 $78,125.31 $34,991.08 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 38 14 — — $17,604.66 $81,559.99 $34,936.95 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 24 12 — — $16,090.15 $119,478.10 $34,882.33 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 12 — — $16,062.12 $90,990.55 $34,836.80 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 41 14 — — $16,073.18 $74,464.85 $34,789.79 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 22 12 — — $16,008.26 $92,123.59 $34,704.81 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 23 12 — — $17,868.76 $82,783.53 $34,630.20 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 36 14 — — $17,155.40 $79,478.61 $34,298.77 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 34 14 — — $15,777.36 $65,822.77 $34,204.23 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 32 14 — — $694.27 $75,025.35 $34,151.07 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 32 14 — — $13,535.47 $439,665.10 $34,112.91 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 23 12 — — $15,713.18 $95,660.07 $34,080.00 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 7 7 — — $6,242.00 $35,340.57 $34,019.43 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 52 15 — — $18,619.75 $218,388.28 $33,929.02 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 23 12 — — $15,720.56 $72,831.19 $33,907.83 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 23 12 — — $15,644.57 $86,592.26 $33,901.51 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 42 14 — — $821.72 $83,436.31 $33,689.75 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 33 12 — — $240.76 $115,285.28 $33,649.00 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 23 12 — — $15,510.31 $97,936.47 $33,640.00 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 28 14 — — $14,123.42 $65,431.87 $33,334.26 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 23 12 — — $15,372.36 $91,680.68 $33,311.63 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 13 — — $25,134.45 $149,685.82 $33,150.50 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 28 12 — — $2,556.60 $191,957.88 $33,121.02 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 14 — — $21,694.13 $119,188.87 $32,934.56 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 12 — — $26,342.82 $134,468.65 $32,908.73 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 41 14 — — $671.56 $68,189.95 $32,904.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 3 — — $4,296.78 $42,399.74 $32,893.08 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 7 — — $14,170.00 $107,159.31 $32,700.72 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 12 — — $19,125.08 $79,789.37 $32,411.30 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 15 8 — — $14,170.00 $221,044.81 $32,380.32 2026-04-01
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