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

KERSHAWHEALTH

Camden, SC · CCN 420048 · Rates published

13,277 distinct procedures filed
24 distinct payers
192,996 rate rows
2026-04-01 last MRF observed
Data quality

132,430 of 192,996 rate rows are consumer-grade (68.6%)

60,566 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 60,504
placeholder amount (≤ $0.02) — excluded from medians 36
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17
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-kershaw-medical-center_standardcharges.csv
Found on page https://muschealth.org/patients-visitors/billing/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 1a7b185982617b9e… · 11,338,952 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $4,053,793.33 $3,814,251.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $3,648,108.85 $3,432,538.78 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $3,573,290.29 $3,362,141.31 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $3,240,314.00 $3,048,840.90 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,354,513.02 $2,700,621.67 $2,541,039.48 nat. median
$2,460,273
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $523,452.56 $650,898.82 $612,436.62 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $507,687.00 $622,455.84 $585,674.35 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $496,390.21 $618,792.00 $582,227.02 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $503,454.53 $613,049.73 $576,824.06 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $489,136.91 $1,925,747.65 $559,891.68 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $449,440.00 $538,235.07 $506,430.27 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $301,480.17 $977,071.28 $307,509.77 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $111,000.00 $729,791.42 $200,062.21 nat. median
$261,939
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $92,817.45 $241,344.30 $167,080.88 nat. median
$75,807
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $137,962.06 $614,657.75 $152,760.59 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $8,009.72 $555,256.48 $151,872.44 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $6,344.39 $366,084.98 $98,629.79 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 10 $91,390.73 $338,589.29 $93,218.54 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $84,912.08 $339,444.32 $86,610.32 nat. median
$114,305
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $76,963.70 $339,043.01 $83,698.02 nat. median
$100,978
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $80,144.30 $285,520.43 $81,747.19 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $80,053.96 $88,059.36 $81,655.04 nat. median
$96,134
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $61,878.46 $271,578.26 $79,545.63 nat. median
$96,835
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 10 $70,590.68 $274,495.72 $76,767.36 nat. median
$98,002
0.8× median
33968
HCPCS 		Hb Remove Iabp Perc 1 $74,546.00 $74,546.00 $74,546.00 nat. median
$1,253
outlier · 59.5×
33967
HCPCS 		Hb Insert Iabp Perc 1 $74,546.00 $74,546.00 $74,546.00 nat. median
$2,988
outlier · 25.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $73,047.18 $275,905.23 $74,508.12 nat. median
$99,646
0.7× median
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$52,716
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $69,380.14 $250,041.86 $70,767.74 nat. median
$92,900
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $60,834.38 $269,151.20 $67,301.17 nat. median
$69,291
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $61,878.46 $216,089.40 $65,287.24 nat. median
$81,124
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $59,978.70 $248,512.65 $65,226.84 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $59,794.55 $219,421.43 $65,026.57 nat. median
$80,459
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $31,716.82 $238,664.78 $62,805.69 nat. median
$81,364
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $56,079.56 $208,847.56 $60,986.52 nat. median
$77,385
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $42,727.28 $170,651.31 $60,376.08 nat. median
$63,643
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $54,755.75 $200,465.67 $59,546.88 nat. median
$74,472
0.8× median
5232
OTHER 		Level 2 Icd And Similar Procedures 5 $29,657.37 $59,491.18 $59,491.18 nat. median
$32,779
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $54,525.74 $202,507.38 $59,296.74 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $54,349.93 $193,384.47 $59,105.54 nat. median
$71,485
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $29,353.13 $117,235.44 $55,945.27 nat. median
$65,655
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $50,948.34 $187,095.40 $55,406.32 nat. median
$68,581
0.8× median
33824
HCPCS 		Revise Major Vessel 1 $54,144.00 $54,144.00 $54,144.00 nat. median
$4,190
outlier · 12.9×
33820
HCPCS 		Revise Major Vessel 1 $54,144.00 $54,144.00 $54,144.00 nat. median
$3,469
outlier · 15.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $49,193.69 $233,743.83 $53,498.14 nat. median
$65,792
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $47,027.11 $183,927.32 $52,592.48 nat. median
$66,640
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $40,679.25 $180,242.92 $52,518.60 nat. median
$65,958
0.8× median
10
MS_DRG 		Pancreas Transplant 10 $51,263.14 $206,570.07 $52,288.40 nat. median
$67,750
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $47,829.58 $173,705.82 $52,014.67 nat. median
$62,262
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $50,977.53 $205,380.80 $51,997.08 nat. median
$69,153
0.8× median

Other procedures at this hospital

Browse this hospital's 13,277 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,685,266.67 $4,053,793.33 $3,814,251.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,316,462.59 $3,648,108.85 $3,432,538.78 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,248,445.72 $3,573,290.29 $3,362,141.31 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,945,740.00 $3,240,314.00 $3,048,840.90 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,354,513.02 $2,700,621.67 $2,541,039.48 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 6 — — $523,452.56 $650,898.82 $612,436.62 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 6 — — $507,687.00 $622,455.84 $585,674.35 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 6 — — $496,390.21 $618,792.00 $582,227.02 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 6 — — $503,454.53 $613,049.73 $576,824.06 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 6 — — $489,136.91 $1,925,747.65 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 6 — — $449,440.00 $538,235.07 $506,430.27 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 10 — — $301,480.17 $977,071.28 $307,509.77 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 10 — — $111,000.00 $729,791.42 $200,062.21 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $92,817.45 $241,344.30 $167,080.88 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $137,962.06 $614,657.75 $152,760.59 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 10 — — $8,009.72 $555,256.48 $151,872.44 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 10 — — $6,344.39 $366,084.98 $98,629.79 2026-04-01
7 MS_DRG Lung Transplant 17 10 — — $91,390.73 $338,589.29 $93,218.54 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 10 — — $84,912.08 $339,444.32 $86,610.32 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 10 — — $76,963.70 $339,043.01 $83,698.02 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 10 — — $80,144.30 $285,520.43 $81,747.19 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 10 — — $80,053.96 $88,059.36 $81,655.04 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 10 — — $61,878.46 $271,578.26 $79,545.63 2026-04-01
215 MS_DRG Other Heart Assist System Implant 22 10 — — $70,590.68 $274,495.72 $76,767.36 2026-04-01
33967 HCPCS Hb Insert Iabp Perc 1 1 — — $74,546.00 $74,546.00 $74,546.00 2026-04-01
33968 HCPCS Hb Remove Iabp Perc 1 1 — — $74,546.00 $74,546.00 $74,546.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 10 — — $73,047.18 $275,905.23 $74,508.12 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… 17 10 — — $69,380.14 $250,041.86 $70,767.74 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 7 — — $60,834.38 $269,151.20 $67,301.17 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 10 — — $61,878.46 $216,089.40 $65,287.24 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 10 — — $59,978.70 $248,512.65 $65,226.84 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $59,794.55 $219,421.43 $65,026.57 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 10 — — $31,716.82 $238,664.78 $62,805.69 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 10 — — $56,079.56 $208,847.56 $60,986.52 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $42,727.28 $170,651.31 $60,376.08 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $54,755.75 $200,465.67 $59,546.88 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 6 5 — — $29,657.37 $59,491.18 $59,491.18 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 10 — — $54,525.74 $202,507.38 $59,296.74 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 10 — — $54,349.93 $193,384.47 $59,105.54 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 7 — — $29,353.13 $117,235.44 $55,945.27 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — — $50,948.34 $187,095.40 $55,406.32 2026-04-01
33824 HCPCS Revise Major Vessel 1 1 — — $54,144.00 $54,144.00 $54,144.00 2026-04-01
33820 HCPCS Revise Major Vessel 1 1 — — $54,144.00 $54,144.00 $54,144.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 10 — — $49,193.69 $233,743.83 $53,498.14 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 10 — — $47,027.11 $183,927.32 $52,592.48 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 11 — — $40,679.25 $180,242.92 $52,518.60 2026-04-01
10 MS_DRG Pancreas Transplant 17 10 — — $51,263.14 $206,570.07 $52,288.40 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 10 — — $47,829.58 $173,705.82 $52,014.67 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 10 — — $50,977.53 $205,380.80 $51,997.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 22 10 — — $3,835.79 $173,039.94 $51,754.71 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 10 — — $47,090.89 $180,051.22 $51,211.35 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 10 — — $47,090.89 $169,505.25 $51,211.35 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 10 — — $46,924.81 $195,665.01 $51,030.73 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 10 — — $48,173.56 $176,910.89 $50,975.92 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 10 — — $33,410.57 $160,279.26 $48,820.90 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 6 — — $30,340.87 $183,984.30 $48,490.06 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 12 — — $45,118.73 $167,578.11 $48,471.69 2026-04-01
J9226 HCPCS Supprelin La Implant 15 7 — — $20,169.99 $192,143.13 $47,445.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 10 — — $43,528.09 $164,029.15 $47,336.80 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — — $43,138.94 $160,486.54 $46,913.60 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $42,836.65 $165,912.07 $46,584.86 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 10 — — $42,179.96 $152,449.26 $45,870.71 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 10 — — $42,153.56 $186,636.35 $45,842.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 6 — — $42,575.87 $132,361.00 $45,236.86 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 10 — — $41,474.63 $141,730.29 $45,103.66 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 10 — — $41,841.59 $155,211.26 $44,865.05 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 10 — — $41,218.90 $147,808.78 $44,825.56 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 10 — — $33,479.85 $163,852.25 $44,814.72 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 22 10 — — $42,225.07 $157,509.48 $44,447.44 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 10 — — $20,070.37 $139,932.14 $44,080.24 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 6 6 — — $39,660.00 $46,833.46 $44,066.03 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — — $40,078.56 $139,914.81 $43,585.43 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 10 — — $2,428.09 $154,034.95 $43,554.46 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 10 — — $42,604.55 $156,379.81 $43,456.64 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 6 — — $21,355.97 $132,361.00 $43,427.39 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 10 — — $39,778.35 $217,029.12 $43,258.96 2026-04-01
69930 HCPCS Implant Cochlear Device 13 6 — — $31,871.26 $172,569.99 $43,207.66 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 22 10 — — $39,548.34 $291,192.12 $43,008.82 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 10 — — $40,466.32 $142,639.73 $42,995.46 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 10 — — $39,413.53 $140,649.84 $42,862.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 10 — — $39,359.32 $141,712.41 $42,803.26 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 10 — — $39,299.56 $155,018.77 $42,738.27 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 10 — — $41,056.29 $45,161.92 $41,877.42 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $38,456.63 $155,577.35 $41,821.58 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 10 — — $38,434.40 $150,885.29 $41,797.41 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 10 — — $38,185.62 $158,890.23 $41,526.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 10 — — $38,064.01 $132,990.85 $41,235.16 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 10 — — $40,345.40 $140,971.13 $41,152.31 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 22 10 — — $37,508.78 $144,427.52 $40,790.80 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 10 — — $39,148.07 $156,379.81 $39,931.03 2026-04-01
56637 HCPCS Extensive Vulva Surgery 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
33822 HCPCS Revise Major Vessel 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
32650 HCPCS Hb Thoracostomy W/Pleurodesis 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
56631 HCPCS Extensive Vulva Surgery 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 1 1 — — $39,660.00 $39,660.00 $39,660.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $36,423.33 $124,451.32 $39,610.37 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 10 — — $35,778.45 $129,106.94 $38,909.07 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 10 — — $35,457.40 $178,308.45 $38,559.92 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 10 — — $15,516.08 $131,993.31 $38,322.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 10 — — $34,953.59 $125,844.87 $38,012.03 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 10 — — $34,481.75 $121,891.00 $37,498.90 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 10 — — $16,365.48 $131,589.12 $37,331.41 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 12 — — $32,151.96 $129,588.87 $37,289.77 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 10 — — $33,904.97 $137,723.15 $36,871.65 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — — $33,492.89 $120,538.50 $36,423.52 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 10 — — $17,492.98 $130,495.72 $36,311.86 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 6 — — $21,500.92 $137,675.02 $36,284.99 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 6 — — $21,500.92 $137,675.02 $36,284.99 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 6 — — $30,340.87 $137,675.02 $36,284.99 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 6 — — $30,340.87 $137,675.02 $36,284.99 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 6 — — $21,500.92 $137,675.02 $36,284.99 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 6 — — $21,500.92 $137,675.02 $36,284.99 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 10 — — $32,870.25 $153,235.38 $36,157.28 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 10 — — $33,103.05 $143,780.17 $35,999.57 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 2 — — $22,571.53 $90,149.91 $35,935.62 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 10 — — $32,993.95 $121,591.40 $35,880.92 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 10 — — $34,067.76 $129,726.19 $35,860.80 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 10 — — $32,134.19 $123,183.91 $35,702.37 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 10 — — $33,258.71 $121,238.07 $35,241.75 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 6 — — $30,340.87 $133,019.32 $35,057.96 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 10 — — $34,068.97 $119,367.37 $34,750.35 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 10 — — $33,621.45 $170,000.00 $34,293.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 10 — — $15,289.86 $118,970.95 $34,006.81 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 10 — — $31,038.47 $125,568.47 $33,754.34 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 10 — — $26,482.59 $116,887.78 $33,668.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 10 — — $12,521.28 $130,563.18 $33,436.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 10 — — $30,745.91 $127,284.83 $33,436.18 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 10 — — $30,695.88 $116,186.39 $33,381.77 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 10 — — $30,681.28 $112,637.89 $33,365.90 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 10 — — $30,561.06 $143,434.87 $33,235.15 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 25 11 — — $15,555.57 $119,416.60 $33,193.81 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 10 — — $21,781.39 $108,570.67 $33,184.59 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 10 — — $30,506.86 $119,832.38 $33,176.21 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 10 — — $32,411.61 $113,809.68 $33,059.84 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $30,394.29 $137,264.10 $33,053.79 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 10 — — $30,868.21 $105,795.71 $33,008.83 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 10 — — $30,258.08 $120,494.55 $32,905.67 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 10 — — $30,066.98 $111,303.39 $32,697.84 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 8 2 — — $20,456.20 $81,701.37 $32,568.22 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 10 — — $23,661.74 $110,516.51 $32,562.97 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 6 6 — — $30,340.87 $132,361.00 $32,237.17 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 6 6 — — $30,340.87 $132,361.00 $32,237.17 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 6 — — $29,827.44 $132,361.00 $32,064.49 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 10 — — $29,337.33 $128,613.24 $31,904.35 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 10 — — $23,768.06 $116,190.80 $31,854.87 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 6 — — $29,827.44 $74,546.00 $31,691.65 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 10 — — $29,084.38 $106,227.44 $31,629.26 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 5 — — $29,827.44 $32,810.18 $31,318.81 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 6 — — $21,022.18 $83,961.87 $31,318.81 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 6 — — $20,456.20 $81,701.37 $31,318.81 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 10 — — $21,668.88 $108,562.90 $31,207.73 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 10 — — $28,582.65 $120,429.55 $31,083.63 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 20 10 — — $510.83 $108,060.25 $30,980.91 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 10 — — $28,459.66 $112,104.80 $30,949.88 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 13 6 — — $16,710.92 $132,361.00 $30,947.68 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 6 6 — — $3,633.00 $32,810.18 $30,871.40 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 6 6 — — $3,633.00 $32,810.18 $30,871.40 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 6 — — $20,517.33 $39,660.00 $30,871.40 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 6 6 — — $3,633.00 $32,810.18 $30,871.40 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 10 — — $28,296.35 $100,751.04 $30,772.28 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 6 — — $20,894.25 $85,295.04 $30,423.98 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 10 — — $28,078.15 $103,212.49 $30,144.01 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 23 11 — — $9,465.58 $50,897.62 $30,047.47 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 10 — — $27,547.93 $153,213.04 $29,958.37 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 10 — — $28,230.34 $97,727.34 $29,925.04 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 10 — — $1,886.54 $105,197.19 $29,900.92 2026-04-01
J9266 HCPCS Pegaspargase Injection 15 7 — — $3,532.01 $114,918.47 $29,845.26 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 10 — — $27,369.34 $92,856.26 $29,764.15 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 6 — — $27,725.69 $132,361.00 $29,458.54 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 22 10 — — $26,923.21 $118,991.47 $29,278.99 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 10 — — $26,912.79 $100,255.72 $29,267.66 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 10 — — $26,613.28 $100,936.17 $28,941.94 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 10 — — $26,593.82 $112,713.04 $28,920.78 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 10 — — $26,559.08 $114,403.00 $28,883.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 10 — — $26,541.70 $111,723.85 $28,864.10 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 10 — — $26,213.01 $93,895.25 $28,834.31 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 — — $823.21 $101,810.75 $28,821.17 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — — $26,459.70 $133,695.29 $28,774.92 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 11 — — $5,003.31 $99,779.41 $28,740.73 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 10 — — $26,295.71 $113,742.86 $28,596.58 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 10 — — $26,238.03 $121,562.96 $28,533.86 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 10 — — $26,176.18 $116,692.15 $28,466.60 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 10 — — $26,155.33 $91,596.74 $28,443.92 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 10 — — $26,131.71 $119,454.58 $28,418.24 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 10 — — $26,111.55 $96,611.76 $28,396.31 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 11 — — $13,728.73 $102,248.63 $28,380.45 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 10 — — $26,497.23 $171,068.44 $28,188.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 10 — — $19,464.06 $85,547.05 $27,982.65 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 22 10 — — $25,639.01 $88,876.48 $27,882.42 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 10 — — $25,521.57 $106,664.14 $27,754.71 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 10 — — $27,150.44 $97,000.00 $27,693.45 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 6 — — $19,945.98 $132,361.00 $27,319.71 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 10 — — $25,074.75 $100,278.07 $27,268.79 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 10 — — $20,594.50 $88,739.16 $27,200.43 2026-04-01
22630 HCPCS Lumbar Spine Fusion 13 6 — — $11,509.08 $45,966.88 $26,752.64 2026-04-01
22558 HCPCS Lumbar Spine Fusion 13 6 — — $11,509.08 $45,966.88 $26,752.64 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 6 — — $8,931.83 $54,144.00 $26,752.64 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 10 — — $24,353.43 $91,574.40 $26,484.35 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 11 — — $23,004.68 $90,762.73 $26,483.90 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 10 — — $24,275.60 $93,898.08 $26,399.72 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 10 — — $24,272.82 $102,758.16 $26,396.69 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 10 — — $23,694.66 $94,530.04 $26,372.23 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $26,344.34 $26,344.34 $26,344.34 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 13 6 — — $8,931.83 $35,673.46 $26,228.08 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 10 — — $18,194.95 $100,139.56 $26,145.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 10 — — $24,002.50 $88,270.19 $26,102.72 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 10 — — $23,846.84 $97,219.09 $25,933.43 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 10 — — $21,764.24 $89,099.31 $25,912.93 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 10 — — $25,293.64 $27,823.00 $25,799.51 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 10 — — $23,707.86 $84,193.03 $25,782.30 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 6 — — $10,787.00 $54,144.00 $25,770.48 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 13 6 — — $10,787.00 $54,144.00 $25,770.48 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 13 6 — — $10,787.00 $54,144.00 $25,770.48 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 10 — — $23,585.55 $92,208.13 $25,649.28 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 10 — — $21,600.28 $86,966.92 $25,608.14 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 10 — — $23,544.56 $97,954.38 $25,604.71 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 10 — — $23,478.54 $109,262.04 $25,532.91 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 7 — — $17,615.63 $92,786.16 $25,439.84 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 10 — — $23,390.98 $99,583.40 $25,437.69 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 10 — — $23,042.83 $76,553.71 $25,347.11 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 10 — — $23,295.08 $110,271.55 $25,333.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 10 — — $23,284.66 $89,041.50 $25,322.07 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 10 — — $23,233.24 $85,403.62 $25,266.15 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 10 — — $23,088.00 $96,983.47 $25,108.20 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 11 — — $20,380.57 $90,552.86 $25,104.88 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 3 — — $22,013.95 $27,720.46 $25,066.16 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 10 — — $22,673.14 $93,443.09 $24,657.04 2026-04-01
263 MS_DRG Vein Ligation And Stripping 22 10 — — $22,644.65 $89,283.21 $24,626.06 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 10 — — $22,476.48 $84,686.84 $24,443.18 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 10 — — $11,926.37 $84,443.28 $24,381.19 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 11 — — $16,092.81 $82,637.35 $24,355.67 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 10 — — $22,388.22 $92,864.20 $24,347.19 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 10 — — $22,385.44 $91,801.89 $24,344.17 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 10 — — $22,362.51 $82,720.42 $24,319.23 2026-04-01
652 MS_DRG Kidney Transplant 17 10 — — $23,840.59 $97,000.00 $24,317.40 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 10 — — $21,391.06 $83,523.48 $24,300.39 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 24 9 — — $2,794.60 $49,030.75 $24,064.81 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 22 10 — — $2,536.57 $82,398.98 $24,017.93 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 10 — — $22,405.66 $84,407.01 $23,993.47 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 23 11 — — $21,689.84 $88,155.89 $23,858.82 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 10 — — $18,465.92 $79,896.08 $23,824.77 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 22 10 — — $21,871.21 $75,061.27 $23,784.94 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 22 10 — — $21,857.31 $74,441.27 $23,769.83 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 8 2 — — $14,910.51 $59,552.08 $23,738.72 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 10 — — $22,058.53 $79,243.14 $23,464.70 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 10 — — $21,552.25 $76,045.91 $23,438.07 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 10 — — $21,564.76 $75,988.85 $23,421.24 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 22 10 — — $21,424.38 $83,784.76 $23,299.01 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 10 — — $22,081.77 $79,502.24 $23,228.68 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 25 10 — — $20,313.88 $77,367.26 $23,062.59 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 10 — — $18,936.98 $88,322.45 $22,944.55 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 6 6 — — $21,500.92 $132,361.00 $22,844.72 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 6 6 — — $21,500.92 $132,361.00 $22,844.72 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 6 6 — — $21,500.92 $132,361.00 $22,844.72 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 6 6 — — $21,500.92 $132,361.00 $22,844.72 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 13 6 — — $16,710.92 $132,361.00 $22,804.65 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 13 6 — — $16,710.92 $132,361.00 $22,804.65 2026-04-01
800 MS_DRG Splenic Procedures With Cc 22 10 — — $20,921.27 $88,720.57 $22,751.89 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 11 — — $18,462.08 $84,247.88 $22,718.15 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 22 10 — — $20,851.08 $81,089.37 $22,675.55 2026-04-01
503 MS_DRG Foot Procedures With Mcc 22 10 — — $20,794.10 $84,022.41 $22,613.58 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 9 3 — — $16,006.59 $47,393.87 $22,501.85 2026-04-01
509 MS_DRG Arthroscopy 9 3 — — $14,073.42 $45,510.92 $22,463.27 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 10 — — $12,361.84 $77,999.46 $22,273.20 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 10 — — $20,395.92 $84,893.80 $22,180.56 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 10 — — $20,305.58 $91,277.84 $22,082.32 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 23 10 — — $17,413.66 $67,967.11 $22,031.68 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 10 — — $20,660.68 $66,021.27 $22,016.74 2026-04-01
849 MS_DRG Radiotherapy 22 10 — — $20,227.05 $84,601.30 $21,996.92 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 10 — — $19,459.94 $70,641.02 $21,892.57 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 10 — — $20,557.83 $70,039.91 $21,749.15 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 10 — — $14,666.13 $75,449.92 $21,631.02 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 10 — — $19,883.07 $76,935.57 $21,622.84 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 10 — — $19,818.45 $87,587.16 $21,552.57 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 13 6 — — $16,474.39 $65,798.18 $21,536.69 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 13 6 — — $16,474.39 $65,798.18 $21,536.69 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 13 6 — — $16,474.39 $65,798.18 $21,536.69 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 13 6 — — $16,474.39 $65,798.18 $21,536.69 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 13 6 — — $16,474.39 $65,798.18 $21,536.69 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 13 6 — — $16,474.39 $65,798.18 $21,536.69 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 10 — — $19,726.02 $75,251.71 $21,452.04 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 22 10 — — $19,435.55 $71,081.67 $21,136.16 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 2 — — $16,730.58 $25,440.00 $21,085.29 2026-04-01
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