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

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Hospital

LEXINGTON MEDICAL CENTER

West Columbia, SC · CCN 420073 · Rates published

12,446 distinct procedures filed
18 distinct payers
176,006 rate rows
2026-04-01 last MRF observed
Data quality

143,951 of 176,006 rate rows are consumer-grade (81.8%)

32,055 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 27,219
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
template filing: same amount across many unrelated codes — excluded 318
placeholder amount (≤ $0.02) — excluded from medians 59
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lexhealth.com/lexhealth/docs/852276567_lexington-medical-center_standardcharges-Q2-2026.json
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-11
Content fingerprint 1962c62a11b4d355… · 42,597,452 bytes · first seen 2026-05-08

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 $12,935,286.00 $5,837,918.59 nat. median
$3,685,267
1.6× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $11,640,783.68 $5,251,692.22 nat. median
$3,325,455
1.6× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $11,402,044.46 $5,136,842.11 nat. median
$3,248,446
1.6× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $10,339,547.40 $4,666,710.07 nat. median
$2,968,000
1.6× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,508,750
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.60 $8,617,438.22 $3,881,175.02 nat. median
$2,455,111
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $8,185,320.00 $3,692,333.33 nat. median
$2,332,000
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $2,076,958.97 $933,825.54 nat. median
$621,313
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,986,200.00 $894,245.42 nat. median
$599,737
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $547,475.13 $1,974,509.03 $885,261.53 nat. median
$579,571
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,956,185.95 $879,003.86 nat. median
$574,037
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $518,888.18 $1,871,637.90 $839,132.68 nat. median
$562,501
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,717,459.17 $774,584.71 nat. median
$513,770
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $310,941.01 $1,165,433.73 $524,180.75 nat. median
$168,055
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $154,378.73 $733,153.13 $292,027.67 nat. median
$131,925
outlier · 2.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $61,723.42 $267,370.73 $233,816.10 nat. median
$60,505
outlier · 3.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $153,480.19 $662,300.33 $229,369.93 nat. median
$145,435
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $82,533.32 $596,092.45 $187,724.34 nat. median
$65,418
outlier · 2.9×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,502.61 $391,374.16 $183,839.93 nat. median
$108,243
1.7× median
7
MS_DRG 		Lung Transplant 17 $94,139.08 $403,863.45 $175,952.12 nat. median
$70,649
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $87,453.43 $404,883.31 $162,137.08 nat. median
$72,715
outlier · 2.2×
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 $26,964.23 $123,023.53 $157,987.03 nat. median
$24,605
outlier · 6.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $75,209.45 $388,713.74 $156,846.65 nat. median
$69,922
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $79,251.10 $336,651.26 $152,583.46 nat. median
$74,509
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $48,423.84 $277,700.29 $143,432.31 nat. median
$47,458
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $80,305.97 $323,933.85 $137,465.23 nat. median
$2,736
outlier · 50.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $71,425.24 $340,802.17 $135,152.23 nat. median
$69,822
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $202,234.56 $870,482.59 $130,097.54 nat. median
$186,516
0.7× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $120,400.80 $120,400.80 $120,400.80 nat. median
$77,438
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $57,699.70 $282,315.62 $117,861.03 nat. median
$56,428
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $61,533.38 $261,722.08 $116,436.03 nat. median
$59,651
2.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $65,880.52 $257,747.70 $116,049.72 nat. median
$2,596
outlier · 44.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $52,404.53 $279,912.72 $115,391.44 nat. median
$51,518
outlier · 2.2×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $241,494.00 $113,436.82 nat. median
$68,802
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 17 $72,674.45 $327,413.75 $112,422.47 nat. median
$73,023
1.5× median
90288
HCPCS 		Botulism Ig IV 1 $110,560.35 $110,560.35 $110,560.35 nat. median
$43,548
outlier · 2.5×
209
MS_DRG 		Complex Aortic Arch Procedures 17 $82,440.10 $197,856.24 $109,975.10 nat. median
$2,110
outlier · 52.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $100,601.70 $436,659.84 $109,396.04 nat. median
$97,418
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $77,165.88 $140,463.74 $108,814.81 nat. median
$92,809
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $46,827.10 $284,675.23 $107,361.18 nat. median
$2,633
outlier · 40.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $56,333.59 $263,997.14 $103,121.88 nat. median
$55,923
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $56,096.23 $241,547.30 $102,811.25 nat. median
$55,935
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $52,434.65 $244,974.66 $102,586.15 nat. median
$45,605
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $44,033.67 $200,180.98 $101,895.05 nat. median
$42,674
outlier · 2.4×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $222,331.41 $101,818.49 nat. median
$66,211
1.5× median
10
MS_DRG 		Pancreas Transplant 17 $52,729.38 $246,393.20 $97,980.87 nat. median
$23,080
outlier · 4.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $48,423.84 $251,261.02 $97,478.29 nat. median
$45,446
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 $52,707.87 $206,399.04 $94,708.39 nat. median
$37,013
outlier · 2.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 17 $49,541.10 $211,016.25 $94,378.27 nat. median
$47,340
2.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $199,454.17 $93,683.30 nat. median
$65,477
1.4× median

Other procedures at this hospital

Browse this hospital's 12,446 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 6 — — $3,685,266.67 $12,935,286.00 $5,837,918.59 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 6 — — $3,316,462.59 $11,640,783.68 $5,251,692.22 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 6 — — $3,248,445.72 $11,402,044.46 $5,136,842.11 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 6 — — $2,945,740.00 $10,339,547.40 $4,666,710.07 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,932,600.00 $3,932,600.00 $3,932,600.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 6 — — $2,455,110.60 $8,617,438.22 $3,881,175.02 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 6 — — $2,332,000.00 $8,185,320.00 $3,692,333.33 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 6 — — $591,726.20 $2,076,958.97 $933,825.54 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 6 — — $565,868.94 $1,986,200.00 $894,245.42 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 6 — — $547,475.13 $1,974,509.03 $885,261.53 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 6 — — $557,317.93 $1,956,185.95 $879,003.86 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 6 — — $518,888.18 $1,871,637.90 $839,132.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 6 — — $489,304.61 $1,717,459.17 $774,584.71 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 51 17 — — $310,941.01 $1,165,433.73 $524,180.75 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 17 — — $154,378.73 $733,153.13 $292,027.67 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 55 17 — — $61,723.42 $267,370.73 $233,816.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 17 — — $153,480.19 $662,300.33 $229,369.93 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 17 — — $82,533.32 $596,092.45 $187,724.34 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 6 — — $111,502.61 $391,374.16 $183,839.93 2026-04-01
7 MS_DRG Lung Transplant 54 17 — — $94,139.08 $403,863.45 $175,952.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 54 17 — — $87,453.43 $404,883.31 $162,137.08 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 55 17 — — $26,964.23 $123,023.53 $157,987.03 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 17 — — $75,209.45 $388,713.74 $156,846.65 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 55 17 — — $79,251.10 $336,651.26 $152,583.46 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 17 — — $48,423.84 $277,700.29 $143,432.31 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 17 — — $80,305.97 $323,933.85 $137,465.23 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 17 — — $71,425.24 $340,802.17 $135,152.23 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 17 — — $202,234.56 $870,482.59 $130,097.54 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $120,400.80 $120,400.80 $120,400.80 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 55 17 — — $57,699.70 $282,315.62 $117,861.03 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 17 — — $61,533.38 $261,722.08 $116,436.03 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 55 17 — — $65,880.52 $257,747.70 $116,049.72 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 55 17 — — $52,404.53 $279,912.72 $115,391.44 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 6 — — $68,801.71 $241,494.00 $113,436.82 2026-04-01
215 MS_DRG Other Heart Assist System Implant 55 17 — — $72,674.45 $327,413.75 $112,422.47 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $110,560.35 $110,560.35 $110,560.35 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 48 17 — — $82,440.10 $197,856.24 $109,975.10 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 17 — — $100,601.70 $436,659.84 $109,396.04 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $77,165.88 $140,463.74 $108,814.81 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 55 17 — — $46,827.10 $284,675.23 $107,361.18 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 17 — — $56,333.59 $263,997.14 $103,121.88 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 55 17 — — $56,096.23 $241,547.30 $102,811.25 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 17 — — $52,434.65 $244,974.66 $102,586.15 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 17 — — $44,033.67 $200,180.98 $101,895.05 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 7 — — $63,342.28 $222,331.41 $101,818.49 2026-04-01
10 MS_DRG Pancreas Transplant 54 17 — — $52,729.38 $246,393.20 $97,980.87 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 17 — — $48,423.84 $251,261.02 $97,478.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 54 17 — — $52,707.87 $206,399.04 $94,708.39 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 55 17 — — $49,541.10 $211,016.25 $94,378.27 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 7 — — $56,824.55 $199,454.17 $93,683.30 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 55 17 — — $40,445.24 $180,276.44 $92,835.35 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 55 17 — — $33,401.75 $129,501.22 $92,676.97 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 54 17 — — $43,794.16 $237,513.91 $91,866.99 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 17 — — $29,324.25 $142,775.01 $90,188.30 2026-04-01
5166 OTHER Cochlear Implant Procedure 33 17 — — — — $88,677.54 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 4 2 — — $41,069.28 $138,578.47 $88,563.76 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 54 17 — — $40,227.23 $237,513.91 $88,468.22 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 55 17 — — $45,168.14 $195,440.13 $87,455.10 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 55 17 — — $39,234.03 $245,495.51 $86,363.57 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 55 17 — — $34,391.37 $197,979.54 $85,234.30 2026-04-01
69930 HCPCS Implant Cochlear Device 14 8 $290,000.00 $290,000.00 $26,888.00 $263,257.18 $84,407.12 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 55 17 — — $43,356.00 $188,206.75 $84,333.21 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 8 — — $53,409.24 $194,005.86 $84,014.82 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 17 — — $53,037.03 $219,385.32 $83,380.15 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 55 17 — — $41,522.53 $190,306.81 $82,998.30 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 17 — — $41,462.82 $189,470.48 $82,044.61 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 6 — — $49,605.45 $174,115.13 $81,786.99 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 54 17 — — $34,524.03 $265,791.99 $81,272.60 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 55 17 — — $40,877.66 $189,654.71 $80,843.14 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 2 — — $37,220.82 $126,522.89 $80,709.73 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 7 $126,814.00 $126,814.00 $30,340.87 $199,393.69 $80,291.58 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 55 17 — — $55,914.80 $230,665.65 $78,863.25 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 55 17 — — $31,193.76 $181,085.95 $77,507.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 55 17 — — $39,490.76 $169,708.79 $77,123.13 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 55 17 — — $40,501.17 $176,822.26 $77,088.33 2026-04-01
245 MS_DRG Aicd Generator Procedures 55 17 — — $33,989.07 $151,017.28 $73,751.30 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 55 17 — — $40,383.57 $166,751.02 $73,712.61 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 55 17 — — $31,053.21 $145,027.73 $73,618.85 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 17 — — $39,513.71 $209,807.25 $72,380.25 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 55 17 — — $31,309.93 $136,654.20 $71,815.19 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 7 — — $6,034.32 $213,411.52 $71,182.90 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 55 17 — — $49,186.13 $207,193.30 $70,577.37 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 55 17 — — $50,593.82 $206,049.82 $70,525.81 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 55 17 — — $42,628.13 $169,053.44 $70,374.02 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 55 17 — — $41,587.60 $170,138.21 $69,954.99 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 55 17 — — $35,411.82 $167,811.37 $69,869.09 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 55 17 — — $44,345.62 $214,440.90 $69,625.39 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 33 17 — — — — $69,609.55 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 55 17 — — $39,108.54 $164,664.88 $68,887.30 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 55 17 — — $50,836.92 $214,990.63 $68,752.13 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 7 $39,130.00 $39,130.00 $30,340.87 $149,205.82 $68,476.22 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 7 $39,130.00 $39,130.00 $30,340.87 $149,205.82 $68,476.22 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 55 17 — — $36,418.65 $166,729.38 $67,821.03 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 55 17 — — $33,748.83 $146,937.82 $67,536.04 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 55 17 — — $19,684.10 $83,563.20 $67,466.25 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 7 $45,244.00 $45,244.00 $30,340.87 $144,160.21 $67,288.32 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 55 17 — — $33,876.48 $138,207.16 $67,095.28 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 6 — — $38,857.92 $149,441.31 $66,714.85 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 55 17 — — $47,415.58 $199,884.27 $66,694.50 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 17 — — $42,364.23 $176,303.75 $66,330.46 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 55 17 — — $34,149.70 $144,610.68 $66,118.17 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 6 — — $39,992.59 $140,373.99 $65,937.78 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 8 — — $18,965.00 $168,659.24 $65,612.99 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 55 17 — — $31,489.93 $164,049.51 $64,279.16 2026-04-01
J9226 HCPCS Supprelin La Implant 14 8 — — $26,893.32 $158,022.48 $64,247.13 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 17 — — $34,985.86 $142,379.34 $64,154.97 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 17 — — $26,439.77 $146,931.64 $64,041.24 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 55 17 — — $34,816.62 $147,577.56 $62,359.13 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 55 17 — — $45,219.06 $230,821.68 $61,939.99 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 55 17 — — $49,221.27 $191,178.33 $61,162.08 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 55 17 — — $26,840.88 $141,170.63 $60,177.52 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 55 17 — — $31,504.99 $126,815.58 $59,708.53 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 17 — — $36,686.85 $154,571.36 $59,703.35 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 55 17 — — $24,057.05 $205,437.34 $59,457.36 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 55 17 — — $26,509.58 $115,379.70 $59,441.31 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 7 $110,095.00 $110,095.00 $21,500.92 $149,205.82 $58,759.64 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 7 $110,095.00 $110,095.00 $21,500.92 $149,205.82 $58,759.64 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 7 $39,130.00 $39,130.00 $21,500.92 $149,205.82 $58,759.64 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 7 $13,488.00 $13,488.00 $21,500.92 $149,205.82 $58,759.64 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 17 — — $37,415.43 $192,170.08 $58,094.80 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 6 — — $34,970.13 $122,745.16 $57,657.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 8 — — $15,483.00 $126,522.89 $57,216.90 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 55 17 — — $14,601.92 $66,882.06 $57,112.02 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 55 17 — — $30,103.03 $121,431.93 $56,958.62 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 55 17 — — $34,233.60 $150,181.52 $56,729.07 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 17 — — $35,723.76 $175,045.72 $56,693.04 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 8 — — $15,483.00 $126,522.89 $56,288.14 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 55 17 — — $24,437.12 $127,727.55 $55,165.66 2026-04-01
332 MS_DRG Rectal Resection With Mcc 55 17 — — $27,236.01 $136,038.82 $55,084.13 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 55 17 — — $26,904.71 $121,682.26 $54,877.77 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 55 17 — — $29,842.00 $110,782.06 $54,226.92 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 55 17 — — $33,411.07 $148,174.22 $53,709.98 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 55 17 — — $20,782.71 $105,965.89 $53,708.23 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 55 17 — — $10,948.22 $59,343.68 $53,130.69 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 55 17 — — $17,845.42 $88,753.62 $53,110.46 2026-04-01
265 MS_DRG Aicd Lead Procedures 55 17 — — $27,218.09 $113,819.28 $53,091.85 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 33 17 — — — — $52,905.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 55 17 — — $37,036.80 $156,957.22 $52,774.49 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 54 17 — — $27,846.28 $112,284.50 $52,747.33 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 55 17 — — $18,445.64 $85,317.76 $52,584.11 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 55 17 — — $27,611.78 $119,321.11 $52,570.01 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 55 17 — — $14,601.92 $61,479.19 $51,852.52 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 55 17 — — $36,749.95 $246,883.77 $51,294.22 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 55 17 — — $16,885.20 $106,687.49 $51,192.40 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 55 17 — — $36,565.66 $155,653.03 $51,044.45 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 51 17 — — $28,987.20 $121,438.11 $50,825.66 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 8 6 — — $30,340.87 $106,496.44 $50,024.50 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 8 6 — — $30,340.87 $106,496.44 $50,024.50 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 55 17 — — $31,682.83 $127,727.55 $49,276.61 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 6 — — $29,827.44 $104,694.30 $49,177.99 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 6 — — $29,827.44 $104,694.30 $49,177.99 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 8 6 — — $29,827.44 $104,694.30 $49,177.99 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 8 6 — — $29,827.44 $104,694.30 $49,177.99 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 8 6 — — $29,827.44 $104,694.30 $49,177.99 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 6 — — $29,719.96 $104,317.06 $49,000.79 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 6 — — $29,579.67 $103,824.64 $48,769.48 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 8 6 — — $29,510.19 $103,580.77 $48,654.93 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 55 17 — — $24,959.90 $125,009.64 $48,471.74 2026-04-01
C2616 HCPCS Hc Y-90,brachyther, Non-strnd Yttrium 12 7 $27,500.00 $27,500.00 $17,771.01 $143,707.47 $48,402.42 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 55 17 — — $23,856.98 $194,836.72 $48,219.96 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 $586.40 $586.40 $47,934.31 $47,934.31 $47,934.31 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 55 17 — — $19,363.55 $85,196.88 $47,933.15 2026-04-01
652 MS_DRG Kidney Transplant 54 17 — — $24,430.67 $112,284.50 $47,865.62 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 6 — — $30,340.87 $106,496.44 $47,844.69 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 55 17 — — $32,772.84 $131,822.19 $47,717.13 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 55 17 — — $26,165.36 $107,076.55 $47,498.37 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 55 17 — — $18,520.22 $167,811.37 $46,914.30 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 6 — — $27,859.00 $104,694.30 $46,809.21 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 9 6 — — $27,356.44 $104,694.30 $46,753.37 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 55 17 — — $24,167.49 $119,361.34 $46,583.73 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 55 17 — — $25,736.53 $103,867.01 $46,426.76 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 55 17 — — $22,384.03 $135,485.71 $46,421.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 55 17 — — $30,856.00 $120,838.55 $46,011.26 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 55 17 — — $24,879.58 $102,626.23 $45,703.45 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 55 17 — — $27,133.47 $99,025.80 $45,651.08 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 55 17 — — $31,401.72 $129,491.95 $45,601.90 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 5 2 $11,864.00 $11,864.00 $27,129.96 $64,539.76 $45,582.46 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 54 17 — — $24,368.28 $98,284.08 $45,431.84 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 55 17 — — $12,657.10 $76,167.67 $45,386.72 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 55 17 — — $11,737.77 $65,079.88 $45,078.78 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 5 2 $15,681.00 $15,681.00 $22,753.14 $68,010.76 $44,872.17 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 5 2 $50,184.00 $50,184.00 $22,753.14 $68,010.76 $44,872.17 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 5 2 $15,681.00 $15,681.00 $22,753.14 $68,010.76 $44,872.17 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 5 2 $15,681.00 $15,681.00 $22,753.14 $68,010.76 $44,872.17 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 5 2 $15,681.00 $15,681.00 $22,753.14 $68,010.76 $44,872.17 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 55 17 — — $13,956.51 $60,746.59 $44,505.99 2026-04-01
572 MS_DRG Skin Debridement Without Cc/Mcc 55 17 — — $9,491.77 $50,878.57 $44,486.94 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 55 17 — — $23,567.98 $115,683.73 $44,437.82 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 55 17 — — $20,184.64 $134,976.56 $44,426.08 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 13 8 — — $15,483.00 $126,522.89 $44,309.79 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 55 17 — — $22,398.37 $90,911.10 $44,233.12 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 55 17 — — $21,043.03 $93,555.76 $43,652.72 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 55 17 — — $17,188.54 $82,207.90 $43,582.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 55 17 — — $31,556.62 $128,577.16 $43,446.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 55 17 — — $44,747.20 $226,909.63 $43,414.70 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 55 17 — — $15,965.86 $60,385.28 $43,411.68 2026-04-01
800 MS_DRG Splenic Procedures With Cc 55 17 — — $21,418.08 $101,160.08 $43,407.11 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 55 17 — — $23,803.91 $86,700.89 $43,304.15 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 55 17 — — $20,346.71 $113,526.24 $43,219.46 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 55 17 — — $20,977.77 $89,907.45 $43,046.81 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 55 17 — — $22,069.21 $121,423.59 $43,002.83 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 55 17 — — $23,671.90 $102,039.04 $42,998.97 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 13 8 — — $15,483.00 $121,953.18 $42,898.62 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 13 8 — — $15,483.00 $121,953.18 $42,898.62 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 55 17 — — $22,082.12 $90,638.18 $42,874.95 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 55 17 — — $23,932.27 $95,298.66 $42,748.24 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 55 17 — — $38,535.56 $172,270.65 $42,743.81 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 55 17 — — $24,125.18 $95,564.44 $42,719.96 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 55 17 — — $21,937.27 $98,020.92 $42,410.83 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 55 17 — — $26,774.19 $116,815.58 $42,320.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 48 17 — — $42,196.43 $101,271.43 $42,165.26 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 6 — — $26,018.77 $91,325.89 $42,164.47 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 55 17 — — $12,273.45 $45,813.57 $42,118.98 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 55 17 — — $21,345.65 $116,702.03 $42,063.36 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 55 17 — — $19,068.10 $78,087.66 $42,019.31 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 55 17 — — $23,966.70 $97,922.49 $41,856.98 2026-04-01
93653 HCPCS Hc Comprehensive Svt Ep Study With Ablation 13 7 $41,775.00 $41,775.00 $19,626.84 $88,680.78 $41,792.39 2026-04-01
93654 HCPCS Hc Comprehensive Vt/Pvc Study With Mapping 13 7 $41,775.00 $41,775.00 $19,626.84 $88,680.78 $41,792.39 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 7 $41,775.00 $41,775.00 $19,626.84 $88,680.78 $41,792.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 55 17 — — $44,357.81 $187,874.59 $41,744.44 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 14 8 — — $24,228.42 $85,041.75 $41,689.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 55 17 — — $25,704.26 $127,657.96 $41,672.10 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 13 8 — — $18,965.00 $100,874.02 $41,635.29 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 13 8 — — $18,965.00 $100,874.02 $41,635.29 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 13 8 — — $18,965.00 $100,874.02 $41,635.29 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 13 8 — — $18,965.00 $100,874.02 $41,635.29 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 55 17 — — $16,048.33 $77,002.83 $41,466.42 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 55 17 — — $26,794.99 $115,708.32 $41,154.95 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 55 17 — — $26,878.89 $127,416.20 $40,903.08 2026-04-01
22558 HCPCS Lumbar Spine Fusion 9 6 — — $20,940.60 $92,060.57 $40,765.45 2026-04-01
22630 HCPCS Lumbar Spine Fusion 9 6 — — $20,940.60 $92,060.57 $40,765.45 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 33 17 — — — — $40,758.72 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 13 8 — — $7,333.00 $100,874.02 $40,740.52 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 13 8 — — $7,333.00 $100,874.02 $40,740.52 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 55 17 — — $22,929.03 $88,601.54 $40,264.15 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 9 6 — — $16,251.66 $92,060.57 $40,244.45 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 9 6 — — $16,251.66 $92,060.57 $40,244.45 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 55 17 — — $18,029.72 $65,249.73 $40,077.94 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 55 17 — — $20,614.91 $80,856.75 $40,055.10 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 55 17 — — $23,644.71 $130,697.25 $39,667.75 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 55 17 — — $18,041.91 $77,010.16 $39,603.71 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 55 17 — — $26,286.56 $106,010.33 $39,573.71 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 55 17 — — $19,371.43 $77,781.70 $39,511.17 2026-04-01
263 MS_DRG Vein Ligation And Stripping 55 17 — — $22,627.91 $82,884.12 $39,368.95 2026-04-01
93580 HCPCS Transcath Closure Of Asd 13 7 $23,820.00 $23,820.00 $17,719.59 $90,470.28 $39,345.43 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 13 7 $23,820.00 $23,820.00 $17,719.59 $90,470.28 $39,345.43 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 33 17 — — — — $39,115.35 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 55 17 — — $19,240.60 $94,828.90 $38,896.57 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 55 17 — — $16,267.05 $85,647.42 $38,865.26 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 55 17 — — $33,890.82 $139,421.73 $38,841.50 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 55 17 — — $16,348.80 $96,636.32 $38,812.72 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 55 17 — — $35,898.74 $150,105.59 $38,664.44 2026-04-01
693 MS_DRG Urinary Stones With Mcc 55 17 — — $10,913.09 $45,439.62 $38,649.38 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 55 17 — — $21,712.81 $109,826.65 $38,382.81 2026-04-01
37225 HCPCS Hc Athrectomy Fem-pop Artery 5 2 $44,070.00 $44,070.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 5 2 $17,711.00 $17,711.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 5 2 $15,521.00 $15,521.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
37226 HCPCS Hc Fem/Pop Revasc W/Stent 5 2 $9,607.00 $9,607.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 5 2 $45,166.00 $45,166.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
37237 HCPCS Open/perq Place Stent Ea Add 5 2 $7,854.00 $7,854.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
36908 HCPCS Stent Plmt Ctr Dialysis Seg 5 2 $9,530.00 $9,530.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
37239 HCPCS Open/perq Place Stent Ea Add 5 2 $7,854.00 $7,854.00 $18,080.52 $59,725.71 $38,375.85 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 8 6 — — $23,212.40 $81,475.52 $38,271.44 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 55 17 — — $16,989.18 $80,504.62 $38,177.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 55 17 — — $38,600.11 $157,439.34 $38,125.03 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 55 17 — — $16,553.18 $70,849.05 $38,105.23 2026-04-01
L5858 HCPCS Stance Phase Only 8 6 — — $23,009.05 $80,761.77 $37,936.17 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 55 17 — — $20,982.79 $82,952.11 $37,822.09 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 55 17 — — $23,607.42 $105,570.29 $37,616.08 2026-04-01
509 MS_DRG Arthroscopy 40 17 — — $16,270.28 $54,284.63 $37,429.08 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 55 17 — — $19,884.89 $82,548.56 $37,126.64 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 55 17 — — $12,959.73 $46,904.52 $37,113.93 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 55 17 — — $24,102.95 $100,679.22 $37,065.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 55 17 — — $13,661.06 $68,534.06 $37,038.67 2026-04-01
0235T OTHER Trluml Perip Athrc Visceral 4 2 — — $17,689.86 $57,290.68 $36,998.92 2026-04-01
36909 HCPCS Hc Embolization Dialysis Circuit 5 2 $2,807.00 $2,807.00 $17,689.86 $57,290.68 $36,998.92 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 5 2 $15,499.00 $15,499.00 $17,689.86 $57,290.68 $36,998.92 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 33 17 — — — — $36,674.90 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 55 17 — — $17,518.41 $92,174.83 $36,429.42 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 55 17 — — $24,876.71 $96,448.32 $36,185.62 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 55 17 — — $27,996.87 $121,960.40 $36,167.43 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 55 17 — — $28,803.62 $123,110.07 $36,134.65 2026-04-01
849 MS_DRG Radiotherapy 55 17 — — $19,131.82 $82,544.16 $36,066.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 55 17 — — $41,187.45 $154,614.62 $36,043.51 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 55 17 — — $19,767.28 $86,013.72 $35,906.89 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 55 17 — — $12,447.71 $53,266.82 $35,828.08 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 33 17 — — — — $35,674.83 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 55 17 — — $27,601.02 $109,743.66 $35,529.39 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 8 6 — — $21,500.92 $75,468.22 $35,449.64 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 8 6 — — $21,500.92 $75,468.22 $35,449.64 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 8 6 — — $21,500.92 $75,468.22 $35,449.64 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 8 6 — — $21,500.92 $75,468.22 $35,449.64 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 54 17 — — $29,461.46 $183,730.23 $35,412.32 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 55 17 — — $32,056.45 $138,590.38 $35,376.83 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 55 17 — — $18,462.14 $91,574.10 $35,322.99 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 55 17 — — $13,017.10 $65,405.89 $35,268.30 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 8 — — $4,709.34 $99,768.45 $35,153.54 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 8 6 — — $21,299.94 $74,762.79 $35,118.28 2026-04-01
22868 HCPCS Insj Stablj Dev W/dcmprn 4 2 — — $16,478.10 $54,422.42 $34,969.87 2026-04-01
22870 HCPCS Insj Stablj Dev Without Dcmprn 4 2 — — $16,478.10 $54,422.42 $34,969.87 2026-04-01
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