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 HEALTH LANCASTER MEDICAL CENTER

Lancaster, SC · CCN 420036 · Rates published

14,054 distinct procedures filed
21 distinct payers
188,415 rate rows
2026-04-01 last MRF observed
Data quality

123,546 of 188,415 rate rows are consumer-grade (65.6%)

64,869 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 64,785
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 51
placeholder amount (≤ $0.02) — excluded from medians 24
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-lancaster-medical-center_standardcharges.xlsx
Found on page https://muschealth.org/patients-visitors/billing/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-12
Content fingerprint b0e0b7ced7f0a4e0… · 12,136,371 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $305,575.82 $1,059,204.10 $311,687.34 nat. median
$168,055
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $111,000.00 $791,137.84 $202,970.96 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $152,069.38 $666,326.01 $155,110.77 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $7,548.99 $601,931.46 $152,700.26 nat. median
$145,435
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,502.61 $122,652.87 $116,798.99 nat. median
$108,243
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $5,979.44 $396,858.16 $99,341.99 nat. median
$97,418
1.0× median
7
MS_DRG 		Lung Transplant 10 $93,005.51 $367,051.18 $94,865.62 nat. median
$70,649
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $92,817.45 $92,817.45 $92,817.45 nat. median
$92,809
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $91,681.88 $91,681.88 $91,681.88 nat. median
$2,106
outlier · 43.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $86,450.35 $367,978.08 $88,179.36 nat. median
$72,715
1.2× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $87,945.84 $87,945.84 $87,945.84 nat. median
$2,106
outlier · 41.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $69,814.74 $294,407.18 $85,400.57 nat. median
$2,736
outlier · 31.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $78,408.11 $305,965.39 $85,268.82 nat. median
$74,509
1.1× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 2 $25,323.00 $121,361.50 $84,135.93 nat. median
$44,339
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $81,626.27 $309,521.33 $83,258.80 nat. median
$65,418
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $81,534.87 $89,688.36 $83,165.57 nat. median
$2,110
outlier · 39.4×
215
MS_DRG 		Other Heart Assist System Implant 10 $71,959.83 $297,569.89 $78,256.32 nat. median
$73,023
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $229,734.00 $77,743.38 nat. median
$65,477
1.2× median
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 2 $25,323.00 $109,987.92 $76,251.00 nat. median
$22,046
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $74,445.35 $299,097.88 $75,934.26 nat. median
$69,922
1.1× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 5 $29,743.00 $247,683.12 $73,340.29 nat. median
$32,069
outlier · 2.3×
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$43,548
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $70,735.00 $271,060.44 $72,149.70 nat. median
$69,822
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $75,681.88 $72,069.79 nat. median
$68,802
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $40,056.93 $157,824.55 $71,661.21 nat. median
$63,499
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $65,298.51 $234,253.92 $70,005.32 nat. median
$2,596
outlier · 27.0×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $60,834.38 $90,000.00 $68,092.95 nat. median
$66,211
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $61,036.22 $237,866.04 $67,139.84 nat. median
$59,651
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $66,802.46 $66,802.46 $66,802.46 nat. median
$2,106
outlier · 31.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $61,222.54 $238,000.86 $66,579.51 nat. median
$60,505
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $35,784.00 $258,726.99 $64,093.64 nat. median
$2,633
outlier · 24.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $46,742.14 $244,575.78 $63,519.80 nat. median
$48,611
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $57,277.36 $226,403.32 $62,289.13 nat. median
$56,428
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $55,937.92 $217,316.86 $60,832.49 nat. median
$55,923
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $55,705.19 $219,530.19 $60,579.40 nat. median
$55,935
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $55,527.30 $209,640.41 $60,385.94 nat. median
$52,327
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $52,705.70 $199,388.29 $56,658.63 nat. median
$9,905
outlier · 5.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $52,085.55 $198,483.85 $56,643.04 nat. median
$51,518
1.1× median
33225
HCPCS 		L Ventric Pacing Lead Add-on 2 $20,347.47 $80,170.13 $55,579.29 nat. median
$5,440
outlier · 10.2×
33230
HCPCS 		Insrt Pulse Gen W/dual Leads 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$23,060
outlier · 2.4×
33264
HCPCS 		Rmvl & Rplcmt Dfb Gen Mlt Ld 5 $29,743.00 $185,340.69 $54,880.72 nat. median
$32,779
1.7× median
33231
HCPCS 		Insrt Pulse Gen W/mult Leads 5 $29,743.00 $185,340.69 $54,880.72 nat. median
$31,377
1.7× median
33262
HCPCS 		Rmvl& Replc Pulse Gen 1 Lead 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$23,514
outlier · 2.3×
33263
HCPCS 		Rmvl & Rplcmt Dfb Gen 2 Lead 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$23,924
outlier · 2.3×
33240
HCPCS 		Insrt Pulse Gen W/singl Lead 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$23,398
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $50,310.18 $198,663.06 $54,712.32 nat. median
$49,569
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $49,278.01 $191,782.06 $53,589.83 nat. median
$47,340
1.1× median
10
MS_DRG 		Pancreas Transplant 10 $52,404.06 $223,934.39 $53,452.14 nat. median
$23,080
outlier · 2.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $48,929.96 $188,307.57 $53,211.33 nat. median
$2,958
outlier · 18.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $52,115.08 $222,645.15 $53,157.38 nat. median
$45,605
1.2× median

Other procedures at this hospital

Browse this hospital's 14,054 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 10 — — $305,575.82 $1,059,204.10 $311,687.34 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $111,000.00 $791,137.84 $202,970.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 10 — — $152,069.38 $666,326.01 $155,110.77 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 10 — — $7,548.99 $601,931.46 $152,700.26 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,502.61 $122,652.87 $116,798.99 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 11 — — $5,979.44 $396,858.16 $99,341.99 2026-04-01
7 MS_DRG Lung Transplant 15 10 — — $93,005.51 $367,051.18 $94,865.62 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $92,817.45 $92,817.45 $92,817.45 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $91,681.88 $91,681.88 $91,681.88 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $86,450.35 $367,978.08 $88,179.36 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 4 — — $87,945.84 $87,945.84 $87,945.84 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 — — $69,814.74 $294,407.18 $85,400.57 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $78,408.11 $305,965.39 $85,268.82 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 2 — — $25,323.00 $121,361.50 $84,135.93 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $81,626.27 $309,521.33 $83,258.80 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $81,534.87 $89,688.36 $83,165.57 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 10 — — $71,959.83 $297,569.89 $78,256.32 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 5 — — $56,824.55 $229,734.00 $77,743.38 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 8 2 — — $25,323.00 $109,987.92 $76,251.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $74,445.35 $299,097.88 $75,934.26 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 5 — — $29,743.00 $247,683.12 $73,340.29 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $70,735.00 $271,060.44 $72,149.70 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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 5 — — $40,056.93 $157,824.55 $71,661.21 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $65,298.51 $234,253.92 $70,005.32 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $60,834.38 $90,000.00 $68,092.95 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 11 — — $61,036.22 $237,866.04 $67,139.84 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $66,802.46 $66,802.46 $66,802.46 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $61,222.54 $238,000.86 $66,579.51 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $35,784.00 $258,726.99 $64,093.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 11 — — $46,742.14 $244,575.78 $63,519.80 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $57,277.36 $226,403.32 $62,289.13 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $55,937.92 $217,316.86 $60,832.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $55,705.19 $219,530.19 $60,579.40 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $55,527.30 $209,640.41 $60,385.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 10 — — $52,705.70 $199,388.29 $56,658.63 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $52,085.55 $198,483.85 $56,643.04 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 8 2 — — $20,347.47 $80,170.13 $55,579.29 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 5 — — $29,743.00 $185,340.69 $54,880.72 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 5 — — $29,743.00 $185,340.69 $54,880.72 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $50,310.18 $198,663.06 $54,712.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $49,278.01 $191,782.06 $53,589.83 2026-04-01
10 MS_DRG Pancreas Transplant 15 10 — — $52,404.06 $223,934.39 $53,452.14 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $48,929.96 $188,307.57 $53,211.33 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $52,115.08 $222,645.15 $53,157.38 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 5 — — $29,743.00 $179,073.11 $53,024.32 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 10 — — $3,615.14 $187,585.71 $52,906.80 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 10 — — $48,014.51 $172,960.29 $52,815.96 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,182.55 $181,375.45 $52,398.52 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,182.55 $167,098.32 $52,398.52 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,605.45 $54,566.00 $51,961.71 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 9 7 — — $19,993.54 $102,691.83 $51,781.04 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 12 — — $24,205.06 $140,482.13 $51,059.82 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $37,695.41 $173,752.37 $50,102.13 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $44,577.67 $171,569.93 $48,478.22 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $48,386.85 $48,386.85 $48,386.85 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 10 — — $43,878.07 $161,197.03 $48,265.88 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 11 — — $38,399.38 $181,664.76 $48,137.85 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $44,183.93 $173,977.07 $48,050.02 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $45,040.32 $168,258.36 $47,813.43 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $44,195.88 $170,749.76 $47,575.61 2026-04-01
69930 HCPCS Implant Cochlear Device 12 5 — — $29,743.00 $232,316.96 $47,570.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 5 — — $29,743.00 $160,560.44 $47,542.58 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $37,773.69 $177,625.70 $47,127.44 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $43,213.63 $165,264.17 $46,994.82 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $43,186.91 $163,525.53 $46,965.76 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 8 2 — — $8,099.00 $67,237.43 $46,613.48 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $42,499.97 $153,644.17 $46,218.72 2026-04-01
J9226 HCPCS Supprelin La Implant 12 5 — — $20,169.99 $68,025.33 $46,143.61 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 5 — — $29,143.44 $114,825.78 $46,012.88 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $42,241.22 $160,233.61 $45,937.32 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 10 — — $41,479.74 $154,630.06 $45,627.71 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $41,087.41 $140,521.46 $44,682.56 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 10 — — $43,643.23 $169,525.12 $44,516.09 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 10 — — $40,414.52 $152,472.90 $44,455.97 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $40,783.66 $184,456.94 $44,352.23 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 7 2 — — $15,899.76 $62,645.35 $44,206.92 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 7 2 — — $15,899.76 $62,645.35 $44,206.92 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $40,550.93 $247,489.39 $44,099.13 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $40,359.68 $149,425.35 $43,891.15 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $40,299.21 $151,551.61 $43,825.39 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 10 — — $1,083.02 $166,983.16 $43,740.26 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $22,497.00 $47,082.94 $43,658.73 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 5 — — $29,743.00 $47,082.94 $43,658.73 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $42,076.69 $46,284.36 $42,918.22 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $39,446.33 $148,762.47 $42,897.88 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $39,423.83 $144,644.77 $42,873.42 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 10 — — $33,766.63 $151,694.86 $42,865.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $39,172.12 $155,250.80 $42,599.68 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 10 — — $19,010.75 $156,568.13 $42,336.01 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $41,357.40 $152,821.19 $42,184.55 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 10 — — $34,611.91 $144,170.09 $42,127.28 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $39,992.59 $43,991.85 $41,892.24 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 10 — — $40,145.93 $169,525.12 $40,948.85 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 11 — — $19,399.03 $142,650.53 $40,667.84 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $37,389.01 $128,988.52 $40,660.55 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 11 — — $26,975.86 $105,161.47 $40,650.64 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 — — $38,550.56 $143,088.70 $40,381.71 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $36,736.52 $139,959.70 $39,950.96 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $36,411.68 $151,547.55 $39,597.71 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 — — $35,901.92 $136,423.42 $39,043.33 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $35,424.51 $132,137.19 $38,524.15 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $35,730.36 $140,631.00 $38,423.79 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $34,840.92 $134,125.82 $37,889.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 12 — — $17,880.64 $128,971.67 $37,696.22 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 6 — — $27,859.00 $102,954.83 $37,667.05 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $34,423.97 $130,670.99 $37,436.07 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 11 — — $20,674.45 $141,465.21 $37,286.94 2026-04-01
37239 HCPCS Open/perq Place Stent Ea Add 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37237 HCPCS Open/perq Place Stent Ea Add 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
36908 HCPCS Stent Plmt Ctr Dialysis Seg 8 2 — — $1,544.00 $53,428.14 $37,039.95 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 10 — — $34,187.02 $131,429.37 $37,026.06 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $34,029.52 $137,252.01 $37,007.10 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 11 — — $32,345.10 $129,401.42 $36,669.68 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
5432 OTHER Level 2 Nerve Procedures 1 1 — — $36,534.20 $36,534.20 $36,534.20 2025-07-01
799 MS_DRG Splenic Procedures With Mcc 21 10 — — $24,905.24 $133,544.40 $36,328.53 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $33,919.14 $125,609.54 $36,272.90 2026-04-01
0235T OTHER Trluml Perip Athrc Visceral 8 2 — — $8,099.00 $52,273.03 $36,239.15 2026-04-01
36909 HCPCS Dialysis Circuit Embolj 8 2 — — $1,544.00 $52,273.03 $36,239.15 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 8 2 — — $13,267.40 $52,273.03 $36,239.15 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 5 — — $25,323.00 $113,031.05 $35,908.29 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 11 — — $30,125.71 $133,538.78 $35,638.15 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $34,554.05 $170,000.00 $35,245.13 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $32,377.20 $119,632.41 $35,210.21 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 5 — — $25,323.00 $109,987.92 $35,102.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 11 — — $31,644.55 $116,857.32 $34,809.01 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 12 — — $23,083.94 $126,713.39 $34,611.86 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 10 — — $28,955.38 $114,688.92 $34,548.02 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 10 — — $26,816.43 $125,957.83 $34,544.73 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $31,593.93 $115,256.30 $34,358.40 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $31,579.16 $115,427.64 $34,342.34 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $31,457.53 $124,435.46 $34,210.06 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $31,402.68 $115,492.24 $34,150.41 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 21 10 — — $8,733.35 $129,454.78 $34,132.07 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $24,575.14 $117,697.15 $34,122.74 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $31,288.78 $121,275.56 $34,026.55 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $33,329.92 $123,376.54 $33,996.52 2026-04-01
27445 HCPCS Revision Of Knee Joint 7 2 — — $12,188.75 $48,024.28 $33,889.28 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $31,150.97 $114,236.70 $33,876.68 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $24,039.36 $94,714.91 $33,868.33 2026-04-01
22870 HCPCS Insj Stablj Dev Without Dcmprn 8 2 — — $1,544.00 $48,692.31 $33,756.76 2026-04-01
22868 HCPCS Insj Stablj Dev W/dcmprn 8 2 — — $1,544.00 $48,692.31 $33,756.76 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $30,957.61 $109,824.08 $33,666.40 2026-04-01
22515 HCPCS Perq Vertebral Augmentation 8 2 — — $1,544.00 $48,456.99 $33,593.65 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 11 — — $26,696.62 $119,806.56 $33,493.78 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $30,486.87 $118,784.15 $33,457.75 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $30,219.34 $117,680.53 $32,863.53 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 5 — — $22,804.65 $89,850.49 $32,790.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 10 — — $418.40 $117,688.72 $32,597.52 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $29,963.40 $100,684.24 $32,585.20 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 5 — — $20,894.25 $114,825.78 $32,235.30 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $29,455.75 $106,773.72 $32,033.13 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $29,331.30 $121,528.35 $31,897.79 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 12 5 — — $17,514.89 $107,684.07 $31,885.45 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 12 5 — — $17,514.89 $107,684.07 $31,885.45 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 10 — — $11,074.50 $111,888.55 $31,839.82 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $29,166.07 $109,220.19 $31,718.10 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $29,099.27 $105,942.32 $31,645.46 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $29,986.33 $32,984.96 $31,410.67 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,719.96 $32,691.96 $31,131.66 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 5 — — $29,743.00 $33,552.74 $31,112.54 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $29,743.00 $33,552.74 $31,112.54 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,579.67 $32,537.64 $30,984.71 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $32,461.21 $30,911.92 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $8,099.00 $32,984.96 $30,586.05 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $8,099.00 $32,984.96 $30,586.05 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 5 — — $25,323.00 $32,984.96 $30,586.05 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $8,099.00 $32,984.96 $30,586.05 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 11 — — $27,776.71 $108,444.96 $30,554.38 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 11 — — $957.90 $114,040.09 $30,490.04 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 10 — — $24,513.48 $110,843.67 $30,419.60 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $27,766.17 $99,740.49 $30,195.71 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 11 — — $27,408.28 $100,475.51 $30,149.11 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 5 — — $20,517.33 $32,984.96 $29,986.33 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $27,463.12 $89,145.69 $29,866.14 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $27,443.43 $98,878.19 $29,844.73 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 11 — — $27,083.44 $110,590.88 $29,791.78 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $27,390.70 $100,187.09 $29,787.39 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 11 — — $23,568.64 $101,788.10 $29,763.94 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 9 3 — — $10,076.23 $43,429.67 $29,759.56 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 10 — — $24,837.27 $130,218.51 $29,758.23 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 11 5 — — $21,615.45 $89,850.49 $29,743.00 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 11 5 — — $21,615.45 $89,850.49 $29,743.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 5 — — $27,873.38 $30,660.72 $29,743.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 5 — — $26,157.38 $107,244.61 $29,743.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 — — $27,345.70 $100,689.86 $29,738.45 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 10 — — $1,530.51 $110,368.99 $29,707.80 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $27,307.73 $113,630.02 $29,697.15 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $27,141.80 $111,809.90 $29,516.71 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $26,999.77 $98,409.12 $29,362.25 2026-04-01
509 MS_DRG Arthroscopy 8 2 — — $15,878.35 $49,336.57 $29,095.02 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $21,960.83 $92,738.15 $29,070.24 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 10 — — $24,370.42 $99,178.75 $29,047.42 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 12 — — $24,830.99 $108,166.89 $28,795.54 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 10 — — $19,419.72 $96,347.46 $28,794.12 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 10 — — $12,584.32 $100,661.77 $28,792.67 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 10 — — $110.00 $96,198.59 $28,752.65 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 10 — — $26,696.02 $102,476.26 $28,698.22 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $26,358.53 $97,316.49 $28,664.90 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 10 — — $28,006.63 $97,527.15 $28,566.76 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 5 — — $3,532.01 $40,605.80 $28,394.83 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 5 — — $15,705.45 $61,881.48 $28,345.39 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 5 — — $12,188.75 $48,024.28 $28,345.39 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 5 — — $12,188.75 $48,024.28 $28,345.39 2026-04-01
22558 HCPCS Lumbar Spine Fusion 11 5 — — $15,705.45 $61,881.48 $28,345.39 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 10 — — $23,969.45 $96,746.31 $28,235.86 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $25,906.42 $99,128.17 $28,173.23 2026-04-01
44206 HCPCS Lap Part Colectomy W/stoma 8 2 — — $8,099.00 $40,496.95 $28,075.20 2026-04-01
44208 HCPCS L Colectomy/coloproctostomy 8 2 — — $8,099.00 $40,496.95 $28,075.20 2026-04-01
44207 HCPCS L Colectomy/coloproctostomy 8 2 — — $8,099.00 $40,496.95 $28,075.20 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 12 — — $15,446.71 $81,370.94 $27,643.14 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 5 — — $14,720.13 $57,999.03 $27,622.25 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 5 — — $14,720.13 $57,999.03 $27,622.25 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 5 — — $14,720.13 $57,999.03 $27,622.25 2026-04-01
J7311 HCPCS Fluocinolone Acetonide Implt 12 5 — — $340.31 $92,912.91 $27,512.21 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 10 — — $24,555.97 $96,589.01 $27,486.82 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $25,176.59 $77,830.72 $27,379.54 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 10 — — $20,527.88 $108,557.31 $27,364.17 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 10 — — $25,097.84 $93,271.82 $27,293.90 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $25,095.03 $87,657.03 $27,290.85 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $24,370.66 $94,277.37 $27,170.11 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 10 — — $24,664.02 $86,673.95 $27,130.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $24,821.51 $95,690.20 $26,993.39 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 12 5 — — $17,813.98 $88,979.08 $26,962.21 2026-04-01
93580 HCPCS Transcath Closure Of Asd 12 5 — — $17,813.98 $88,979.08 $26,962.21 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $24,523.39 $80,387.86 $26,669.18 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 10 — — $26,127.90 $28,740.69 $26,650.46 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 10 — — $7,402.76 $98,392.26 $26,577.31 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 10 — — $23,241.23 $89,583.87 $26,547.83 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $24,399.64 $95,274.50 $26,534.60 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 5 — — $18,852.29 $109,987.92 $26,452.60 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $24,291.36 $99,161.88 $26,416.85 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 11 — — $21,674.11 $88,996.83 $26,320.51 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 12 — — $15,450.87 $66,391.61 $26,295.08 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $24,105.74 $93,721.76 $26,214.99 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $24,095.20 $87,244.14 $26,203.53 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 10 — — $24,043.16 $78,798.08 $26,146.94 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 29 11 — — $10,058.63 $98,164.75 $26,024.35 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 12 5 — — $10,156.85 $83,396.85 $26,017.69 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 12 5 — — $10,156.85 $83,396.85 $26,017.69 2026-04-01
652 MS_DRG Kidney Transplant 26 11 — — $11,640.38 $97,000.00 $25,828.93 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $24,135.03 $90,544.48 $25,811.25 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 12 — — $20,856.48 $83,870.77 $25,807.32 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 10 — — $21,801.93 $91,502.28 $25,720.22 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 11 — — $16,812.25 $82,820.28 $25,639.30 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 10 — — $23,447.63 $75,883.40 $25,499.29 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 12 5 — — $10,156.85 $80,170.13 $25,471.48 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $25,440.00 $25,440.00 $25,440.00 2026-04-01
33967 HCPCS Hb Insert Iabp Perc 1 1 — — $25,323.00 $25,323.00 $25,323.00 2026-04-01
33968 HCPCS Hb Remove Iabp Perc 1 1 — — $25,323.00 $25,323.00 $25,323.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 12 — — $15,045.57 $75,391.00 $25,256.67 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $23,811.84 $85,904.34 $25,242.59 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $23,188.18 $80,275.50 $25,217.15 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 11 — — $8,965.25 $91,541.60 $25,215.39 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 10 — — $23,162.16 $70,913.77 $25,188.85 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 10 — — $22,199.82 $96,437.34 $25,031.28 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 10 — — $22,131.33 $91,805.63 $25,023.28 2026-04-01
63655 HCPCS Implant Neuroelectrodes 12 5 — — $18,852.29 $78,617.40 $24,926.72 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 10 — — $20,193.31 $80,525.49 $24,924.26 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 10 — — $19,744.44 $86,853.71 $24,845.32 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 10 — — $2,390.66 $89,325.46 $24,842.49 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $22,878.10 $86,185.22 $24,768.67 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 10 — — $22,481.54 $81,907.42 $24,729.69 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 11 — — $21,386.62 $82,606.81 $24,670.14 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 10 — — $20,834.60 $86,612.16 $24,652.40 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 10 — — $22,650.99 $74,256.25 $24,632.95 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 10 — — $12,405.38 $87,617.71 $24,591.58 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 12 — — $22,354.98 $82,376.49 $24,590.48 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 11 — — $19,014.37 $81,865.28 $24,344.53 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $23,212.40 $25,533.64 $24,314.99 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $22,342.33 $78,876.72 $24,297.28 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $22,212.95 $74,427.58 $24,156.58 2026-04-01
19297 HCPCS Place Breast Cath For Rad 8 2 — — $8,836.52 $34,817.24 $24,137.65 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 11 5 — — $3,159.80 $71,262.71 $24,115.86 2026-04-01
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