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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

12,526 distinct procedures filed
18 distinct payers
176,006 rate rows
2026-04-01 last MRF observed
Data quality

144,010 of 176,006 rate rows are consumer-grade (81.8%)

31,996 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 31,619
template filing: same amount across many unrelated codes — excluded 318
placeholder amount (≤ $0.02) — excluded from medians 59
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 · 2026-05-15
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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $4,422,320.00 $3,919,491.33 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $3,979,755.11 $3,518,269.37 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $3,898,134.86 $3,427,110.23 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $3,534,888.00 $3,134,282.20 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,455,110.60 $4,419,199.09 $2,602,417.24 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,197,600.00 $2,471,920.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $2,076,958.97 $633,147.04 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,986,200.00 $605,479.77 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $547,475.13 $1,974,509.03 $601,915.86 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,956,185.95 $596,330.19 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $518,888.18 $1,871,637.90 $570,556.28 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $1,717,459.17 $523,555.93 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $310,941.01 $1,165,433.73 $332,706.88 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $130,097.54 $870,482.59 $229,536.23 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $154,378.73 $733,153.13 $185,254.48 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $1,096.10 $662,300.33 $164,223.80 nat. median
$202,976
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $111,502.61 $391,374.16 $126,555.46 nat. median
$111,989
1.1× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $120,400.80 $120,400.80 $120,400.80 nat. median
$775
outlier · 155.4×
7
MS_DRG 		Lung Transplant 13 $94,139.08 $403,863.45 $112,966.90 nat. median
$122,708
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $110,560.35 $110,560.35 $110,560.35 nat. median
$55,037
outlier · 2.0×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $77,165.88 $140,463.74 $108,814.81 nat. median
$76,329
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $168.61 $436,659.84 $107,643.82 nat. median
$133,161
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $82,533.32 $596,092.45 $99,039.98 nat. median
$108,660
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $87,453.43 $404,883.31 $97,966.15 nat. median
$117,357
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $80,305.97 $323,933.85 $96,367.16 nat. median
$98,894
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $79,251.10 $336,651.26 $95,101.32 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $75,209.45 $388,713.74 $90,251.34 nat. median
$100,136
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $82,440.10 $197,856.24 $88,210.91 nat. median
$98,047
0.9× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 2 $41,069.28 $138,578.47 $87,303.65 nat. median
$42,941
outlier · 2.0×
215
MS_DRG 		Other Heart Assist System Implant 13 $71,846.29 $327,413.75 $87,209.34 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $71,213.03 $340,802.17 $85,710.29 nat. median
$93,672
0.9× median
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 2 $37,220.82 $126,522.89 $79,547.60 nat. median
$30,333
outlier · 2.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $65,880.52 $257,747.70 $79,056.62 nat. median
$82,711
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $241,494.00 $78,089.94 nat. median
$70,825
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $63,342.28 $222,331.41 $76,010.74 nat. median
$69,774
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $61,723.42 $267,370.73 $74,068.10 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $61,533.38 $261,722.08 $73,840.06 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $57,699.70 $282,315.62 $69,239.64 nat. median
$77,570
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $199,454.17 $68,189.46 nat. median
$62,507
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $46,827.10 $284,675.23 $67,805.80 nat. median
$83,470
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $48,500.29 $244,345.19 $67,315.48 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $51,884.64 $230,665.65 $67,097.76 nat. median
$72,135
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $39,952.09 $200,180.98 $65,491.59 nat. median
$58,020
1.1× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 8 $30,340.87 $199,393.69 $65,232.86 nat. median
$31,833
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $47,819.93 $263,997.14 $64,359.22 nat. median
$74,915
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $53,409.24 $194,005.86 $64,332.11 nat. median
$66,682
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $6,034.32 $213,411.52 $64,145.06 nat. median
$15,979
outlier · 4.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $52,707.87 $206,399.04 $63,249.44 nat. median
$64,023
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $52,434.65 $244,974.66 $62,921.58 nat. median
$71,271
0.9× median

Other procedures at this hospital

Browse this hospital's 12,526 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,932,600.00 $3,932,600.00 $3,932,600.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,685,266.67 $4,422,320.00 $3,919,491.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,316,462.59 $3,979,755.11 $3,518,269.37 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,248,445.72 $3,898,134.86 $3,427,110.23 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,945,740.00 $3,534,888.00 $3,134,282.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 7 — — $2,455,110.60 $4,419,199.09 $2,602,417.24 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $4,197,600.00 $2,471,920.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $591,726.20 $2,076,958.97 $633,147.04 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $565,868.94 $1,986,200.00 $605,479.77 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $547,475.13 $1,974,509.03 $601,915.86 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $557,317.93 $1,956,185.95 $596,330.19 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $518,888.18 $1,871,637.90 $570,556.28 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $489,304.61 $1,717,459.17 $523,555.93 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 12 — — $310,941.01 $1,165,433.73 $332,706.88 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 13 — — $130,097.54 $870,482.59 $229,536.23 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 13 — — $154,378.73 $733,153.13 $185,254.48 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 14 — — $1,096.10 $662,300.33 $164,223.80 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 7 — — $111,502.61 $391,374.16 $126,555.46 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $120,400.80 $120,400.80 $120,400.80 2026-04-01
7 MS_DRG Lung Transplant 21 13 — — $94,139.08 $403,863.45 $112,966.90 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $110,560.35 $110,560.35 $110,560.35 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $77,165.88 $140,463.74 $108,814.81 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 14 — — $168.61 $436,659.84 $107,643.82 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 13 — — $82,533.32 $596,092.45 $99,039.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 21 13 — — $87,453.43 $404,883.31 $97,966.15 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 13 — — $80,305.97 $323,933.85 $96,367.16 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 13 — — $79,251.10 $336,651.26 $95,101.32 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 13 — — $75,209.45 $388,713.74 $90,251.34 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 11 — — $82,440.10 $197,856.24 $88,210.91 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 2 — — $41,069.28 $138,578.47 $87,303.65 2026-04-01
215 MS_DRG Other Heart Assist System Implant 29 13 — — $71,846.29 $327,413.75 $87,209.34 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 — — $71,213.03 $340,802.17 $85,710.29 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 2 — — $37,220.82 $126,522.89 $79,547.60 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 13 — — $65,880.52 $257,747.70 $79,056.62 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 7 — — $68,801.71 $241,494.00 $78,089.94 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 8 — — $63,342.28 $222,331.41 $76,010.74 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 13 — — $61,723.42 $267,370.73 $74,068.10 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 13 — — $61,533.38 $261,722.08 $73,840.06 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 13 — — $57,699.70 $282,315.62 $69,239.64 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 8 — — $56,824.55 $199,454.17 $68,189.46 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 13 — — $46,827.10 $284,675.23 $67,805.80 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 14 — — $48,500.29 $244,345.19 $67,315.48 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 13 — — $51,884.64 $230,665.65 $67,097.76 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 13 — — $39,952.09 $200,180.98 $65,491.59 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 8 — — $30,340.87 $199,393.69 $65,232.86 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 13 — — $47,819.93 $263,997.14 $64,359.22 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 9 — — $53,409.24 $194,005.86 $64,332.11 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 8 — — $6,034.32 $213,411.52 $64,145.06 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 13 — — $52,707.87 $206,399.04 $63,249.44 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 13 — — $52,434.65 $244,974.66 $62,921.58 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 13 — — $49,066.35 $279,912.72 $62,885.44 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 13 — — $47,438.14 $206,049.82 $60,712.58 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 13 — — $44,136.91 $223,828.82 $60,248.71 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 13 — — $49,541.10 $211,016.25 $59,449.32 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 13 — — $1,313.45 $207,193.30 $59,023.36 2026-04-01
10 MS_DRG Pancreas Transplant 21 13 — — $52,729.38 $246,393.20 $58,774.85 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 8 — — $30,340.87 $149,205.82 $58,667.19 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 8 — — $30,340.87 $149,205.82 $58,667.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $45,002.71 $277,700.29 $58,108.61 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 13 — — $48,423.84 $251,261.02 $58,108.61 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 8 — — $30,340.87 $144,160.21 $57,606.39 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 13 — — $29,832.11 $146,589.10 $56,365.06 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 7 — — $49,605.45 $174,115.13 $56,302.18 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 13 — — $41,522.53 $190,306.81 $54,766.53 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 13 — — $1,970.76 $214,990.63 $54,395.50 2026-04-01
69930 HCPCS Implant Cochlear Device 13 9 — — $26,888.00 $263,257.18 $54,366.52 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 13 — — $45,168.14 $195,440.13 $54,201.77 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 9 — — $18,965.00 $168,659.24 $53,689.38 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 37 13 — — $664.60 $192,425.54 $52,666.76 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 21 13 — — $43,794.16 $237,513.91 $52,552.99 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 14 — — $42,681.36 $188,206.75 $52,027.20 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 13 — — $38,299.89 $169,053.44 $51,153.76 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 13 — — $31,782.32 $144,610.68 $50,839.66 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 13 — — $41,759.57 $226,909.63 $50,788.07 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 15 — — $1,992.16 $199,884.27 $50,734.67 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 13 — — $2,159.63 $166,908.63 $50,572.03 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 13 — — $41,473.83 $187,874.59 $50,346.12 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 14 — — $33,517.33 $214,440.90 $50,211.44 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 13 — — $29,466.10 $170,138.21 $49,905.12 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 13 — — $41,462.82 $189,470.48 $49,755.38 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 13 — — $9,274.70 $179,925.82 $49,178.13 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 13 — — $40,877.66 $189,654.71 $49,053.19 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 13 — — $32,202.53 $216,251.39 $48,601.40 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 13 — — $17,656.99 $230,821.68 $48,553.25 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 13 — — $29,253.14 $217,741.71 $48,534.29 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 14 — — $551.92 $229,313.76 $48,508.34 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 13 — — $38,708.46 $166,751.02 $48,460.28 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 14 — — $26,089.20 $150,181.52 $48,279.79 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 13 — — $40,227.23 $237,513.91 $48,272.68 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 15 — — $2,427.64 $154,571.36 $48,212.85 2026-04-01
J9226 HCPCS Supprelin La Implant 14 9 — — $26,893.32 $158,022.48 $48,074.81 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 13 — — $35,723.76 $175,045.72 $48,002.89 2026-04-01
A9699 HCPCS Hc Radiopharmacy 1 1 — — $47,934.31 $47,934.31 $47,934.31 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 13 — — $37,917.72 $209,807.25 $47,416.45 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 13 — — $39,490.76 $169,708.79 $47,388.91 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 13 — — $39,234.03 $245,495.51 $47,080.84 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 13 — — $35,494.29 $164,664.88 $46,930.25 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 15 — — $4,582.27 $183,730.23 $46,746.18 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 8 — — $21,500.92 $149,205.82 $46,226.97 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 8 — — $21,500.92 $149,205.82 $46,226.97 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 8 — — $21,500.92 $149,205.82 $46,226.97 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 8 — — $21,500.92 $149,205.82 $46,226.97 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 7 — — $38,857.92 $149,441.31 $45,556.18 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 7 — — $39,992.59 $140,373.99 $45,391.59 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 4 2 — — $27,129.96 $64,539.76 $45,330.06 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 13 — — $26,840.88 $141,170.63 $45,218.50 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 11 — — $42,165.26 $101,271.43 $45,150.18 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 14 — — $29,264.21 $156,957.22 $44,444.16 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 13 — — $34,816.62 $147,577.56 $44,408.03 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 4 2 — — $22,753.14 $68,010.76 $44,362.38 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 4 2 — — $22,753.14 $68,010.76 $44,362.38 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 4 2 — — $22,753.14 $68,010.76 $44,362.38 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 4 2 — — $22,753.14 $68,010.76 $44,362.38 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 4 2 — — $22,753.14 $68,010.76 $44,362.38 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 14 — — $36,623.76 $246,883.77 $44,099.94 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 13 — — $36,043.51 $154,614.62 $44,070.57 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 26 13 — — $28,931.27 $172,270.65 $43,737.86 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 31 13 — — $725.93 $170,808.84 $43,485.11 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 13 — — $34,985.86 $142,379.34 $41,983.03 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 14 — — $23,539.38 $191,837.22 $41,900.41 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 13 — — $16,738.29 $155,653.03 $41,502.03 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 21 13 — — $34,524.03 $265,791.99 $41,428.84 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 13 — — $36,418.65 $166,729.38 $41,335.17 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 13 — — $36,791.60 $157,439.34 $41,302.12 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 13 — — $32,654.42 $214,582.04 $41,269.64 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 13 — — $33,989.07 $151,017.28 $40,786.88 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 15 — — $30,825.20 $167,433.85 $40,651.78 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 13 — — $33,748.83 $146,937.82 $40,498.60 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 13 — — $4,110.94 $167,811.37 $40,192.42 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 39 14 — — $291.31 $148,174.22 $40,093.28 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 14 — — $3,434.33 $154,855.28 $40,082.10 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 13 — — $4,329.73 $196,102.09 $40,034.51 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 13 — — $29,615.08 $230,821.68 $39,930.65 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 7 — — $34,970.13 $122,745.16 $39,691.10 2026-04-01
509 MS_DRG Arthroscopy 7 4 — — $16,270.28 $54,284.63 $39,446.46 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 14 — — $1,336.27 $131,822.19 $38,898.15 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 13 — — $21,279.02 $127,727.55 $38,834.83 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 9 — — $15,483.00 $126,522.89 $38,831.63 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 13 — — $16,093.98 $115,379.70 $38,522.63 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 13 — — $31,161.18 $138,590.38 $38,467.74 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 13 — — $33,310.03 $150,105.59 $38,411.65 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 25 13 — — $19,584.81 $130,697.25 $38,230.22 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 13 — — $29,143.98 $127,727.55 $38,019.40 2026-04-01
36908 HCPCS Stent Plmt Ctr Dialysis Seg 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
37237 HCPCS Open/perq Place Stent Ea Add 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
37239 HCPCS Open/perq Place Stent Ea Add 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 2 — — $18,080.52 $59,725.71 $37,848.58 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 13 — — $31,504.99 $126,815.58 $37,805.99 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 13 — — $31,489.93 $164,049.51 $37,787.92 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 13 — — $31,365.87 $136,915.33 $37,639.04 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 13 — — $31,193.76 $181,085.95 $37,432.51 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 13 — — $30,001.31 $145,027.73 $37,263.85 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 9 — — $15,483.00 $126,522.89 $37,220.82 2026-04-01
0235T HCPCS Trluml Perip Athrc Visceral 4 2 — — $17,689.86 $57,290.68 $36,507.56 2026-04-01
36909 HCPCS Dialysis Circuit Embolj 4 2 — — $17,689.86 $57,290.68 $36,507.56 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 4 2 — — $17,689.86 $57,290.68 $36,507.56 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 14 — — $1,973.56 $139,421.73 $36,263.18 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 39 14 — — $19,886.59 $94,209.93 $35,819.73 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 13 — — $29,842.00 $110,782.06 $35,810.40 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 13 — — $144.83 $129,491.95 $35,228.83 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 13 — — $29,324.25 $142,775.01 $35,189.10 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 13 — — $10,868.09 $133,716.66 $35,036.78 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 14 — — $1,759.07 $120,838.55 $35,021.56 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 14 9 — — $24,228.42 $85,041.75 $34,731.44 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 13 — — $29,135.92 $131,630.58 $34,565.12 2026-04-01
22870 HCPCS Insj Stablj Dev Without Dcmprn 4 2 — — $16,478.10 $54,422.42 $34,489.49 2026-04-01
22868 HCPCS Insj Stablj Dev W/dcmprn 4 2 — — $16,478.10 $54,422.42 $34,489.49 2026-04-01
22515 HCPCS Perq Vertebral Augmentation 4 2 — — $16,398.54 $54,422.42 $34,443.03 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 8 7 — — $30,340.87 $106,496.44 $34,436.89 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 8 7 — — $30,340.87 $106,496.44 $34,436.89 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 14 — — $27,724.37 $121,431.93 $34,166.94 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 14 — — $549.31 $123,110.07 $34,147.50 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 13 — — $20,082.84 $169,127.66 $33,889.72 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 7 — — $29,827.44 $104,694.30 $33,854.14 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 8 7 — — $29,827.44 $104,694.30 $33,854.14 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 8 7 — — $29,827.44 $104,694.30 $33,854.14 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 8 7 — — $29,827.44 $104,694.30 $33,854.14 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 7 — — $29,827.44 $104,694.30 $33,854.14 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 13 — — $5,820.60 $128,577.16 $33,765.58 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 7 — — $29,719.96 $104,317.06 $33,732.15 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 14 — — $23,929.16 $121,960.40 $33,596.24 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 7 — — $29,579.67 $103,824.64 $33,572.93 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 4 2 — — $16,728.00 $52,043.75 $33,548.35 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 4 2 — — $16,728.00 $52,043.75 $33,548.35 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 4 2 — — $16,728.00 $52,043.75 $33,548.35 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 4 2 — — $16,728.00 $52,043.75 $33,548.35 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 4 2 — — $16,728.00 $52,043.75 $33,548.35 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 8 7 — — $29,510.19 $103,580.77 $33,494.07 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 13 — — $27,846.28 $112,284.50 $33,415.54 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 13 9 — — $257.55 $86,590.85 $33,165.38 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 22 13 — — $27,611.78 $119,321.11 $33,134.14 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 13 — — $1,685.65 $109,743.66 $33,121.22 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63281 HCPCS Bx/exc Idrl Spine Lesn Thrc 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63271 HCPCS Excise Intrspinl Lesion Thrc 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63270 HCPCS Excise Intrspinl Lesion Crvl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63251 HCPCS Revise Spinal Cord Vsls Thrc 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63197 HCPCS Incise Spine&cord 2 Trx Thrc 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63172 HCPCS Drainage Of Spinal Cyst 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63170 HCPCS Incise Spinal Cord Tract(s) 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63173 HCPCS Drainage Of Spinal Cyst 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63044 HCPCS Laminotomy Addl Lumbar 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63043 HCPCS Laminotomy Addl Cervical 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63273 HCPCS Excise Intrspinl Lesion Scrl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63285 HCPCS Bx/exc Idrl Imed Lesn Cervl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63280 HCPCS Bx/exc Idrl Spine Lesn Crvl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63295 HCPCS Repair Laminectomy Defect 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63276 HCPCS Bx/exc Xdrl Spine Lesn Thrc 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63275 HCPCS Bx/exc Xdrl Spine Lesn Crvl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63250 HCPCS Revise Spinal Cord Vsls Crvl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63286 HCPCS Bx/exc Idrl Imed Lesn Thrc 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63283 HCPCS Bx/exc Idrl Spine Lesn Scrl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
63278 HCPCS Bx/exc Xdrl Spine Lesn Scrl 1 1 — — $32,984.00 $32,984.00 $32,984.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 13 — — $1,284.00 $119,229.48 $32,870.36 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 13 — — $16,205.04 $98,086.29 $32,743.01 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 13 — — $17,886.36 $108,794.87 $32,726.24 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 13 — — $27,236.01 $136,038.82 $32,683.21 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 13 — — $27,218.09 $113,819.28 $32,661.71 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 9 7 — — $30,340.87 $106,496.44 $32,464.73 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 13 — — $26,964.23 $286,850.72 $32,357.08 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 13 — — $26,904.71 $121,682.26 $32,285.65 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 14 — — $23,979.31 $113,339.43 $32,183.24 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 13 — — $26,794.99 $115,708.32 $32,153.99 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 13 — — $22,407.38 $99,025.80 $32,137.16 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 14 — — $21,076.14 $116,815.58 $32,129.03 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 9 7 — — $27,356.44 $104,694.30 $31,915.36 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 7 — — $27,859.00 $104,694.30 $31,915.36 2026-04-01
791 MS_DRG Prematurity With Major Problems 33 15 — — $4,002.12 $125,477.39 $31,898.08 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 7 4 — — $13,091.46 $37,948.25 $31,739.58 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 32 13 — — $18,254.16 $85,196.88 $31,604.32 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 35 15 — — $24,613.46 $106,010.33 $31,543.87 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 17 12 — — $343.21 $201,701.28 $31,376.72 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 13 9 — — $15,483.00 $121,953.18 $31,359.75 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 13 9 — — $15,483.00 $121,953.18 $31,359.75 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 13 — — $1,341.06 $106,276.11 $31,253.87 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 7 — — $26,018.77 $91,325.89 $31,222.53 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 15 — — $2,590.25 $128,892.39 $31,172.25 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 13 — — $27,911.35 $120,174.09 $31,060.82 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 12 — — $28,987.20 $121,438.11 $31,016.30 2026-04-01
93580 HCPCS Transcath Closure Of Asd 12 8 — — $17,719.59 $90,470.28 $31,003.34 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 12 8 — — $17,719.59 $90,470.28 $31,003.34 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 13 — — $26,165.36 $107,076.55 $30,941.36 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 13 — — $23,386.50 $108,253.74 $30,883.84 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 13 — — $22,644.86 $102,039.04 $30,876.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 13 — — $25,653.13 $127,657.96 $30,845.11 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 13 — — $24,114.88 $127,416.20 $30,507.54 2026-04-01
5166 OTHER Cochlear Implant Procedure 4 4 — — $28,991.65 $264,977.59 $30,370.45 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 13 — — $25,689.02 $127,668.95 $30,234.42 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 13 — — $22,662.66 $119,015.16 $30,040.29 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 13 — — $22,529.71 $110,757.34 $30,037.22 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 9 — — $4,709.34 $99,768.45 $29,987.38 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 13 9 — — $18,965.00 $100,874.02 $29,975.76 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 13 9 — — $18,965.00 $100,874.02 $29,975.76 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 13 9 — — $18,965.00 $100,874.02 $29,975.76 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 13 9 — — $18,965.00 $100,874.02 $29,975.76 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 13 9 — — $7,333.00 $100,874.02 $29,975.76 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 13 9 — — $7,333.00 $100,874.02 $29,975.76 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 13 — — $24,959.90 $125,009.64 $29,951.88 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 13 — — $24,789.04 $102,626.23 $29,855.50 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 13 — — $15,942.40 $100,722.49 $29,394.25 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 3 — — $361.08 $87,568.57 $29,384.98 2026-04-01
652 MS_DRG Kidney Transplant 21 13 — — $24,430.67 $112,284.50 $29,316.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 13 — — $24,413.46 $107,551.95 $29,296.15 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 21 13 — — $24,368.28 $98,284.08 $29,241.94 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 32 14 — — $1,855.75 $78,087.66 $29,204.76 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 13 — — $19,289.47 $91,097.91 $29,152.44 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 13 — — $1,684.67 $119,444.73 $29,075.71 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 13 — — $24,065.82 $110,788.24 $29,074.24 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 13 — — $18,378.31 $95,564.44 $28,950.22 2026-04-01
63076 HCPCS Neck Spine Disk Surgery 2 2 — — $27,622.62 $30,218.99 $28,920.81 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 13 — — $24,057.05 $205,437.34 $28,868.46 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 27 13 — — $16,210.47 $97,922.49 $28,760.04 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 13 — — $23,204.55 $95,298.66 $28,718.72 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 8 — — $19,626.84 $88,680.78 $28,675.97 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 8 — — $19,626.84 $88,680.78 $28,675.97 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 8 — — $19,626.84 $88,680.78 $28,675.97 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 13 — — $23,803.91 $86,700.89 $28,564.69 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 13 — — $17,264.14 $105,846.53 $28,420.49 2026-04-01
665 MS_DRG Prostatectomy With Mcc 23 13 — — $23,654.03 $106,109.23 $28,384.84 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 13 — — $20,045.07 $105,570.29 $28,328.90 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 14 — — $729.23 $115,683.73 $28,281.58 2026-04-01
22630 HCPCS Lumbar Spine Fusion 9 7 — — $20,940.60 $92,060.57 $28,064.05 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 9 7 — — $16,251.66 $92,060.57 $28,064.05 2026-04-01
22558 HCPCS Lumbar Spine Fusion 9 7 — — $20,940.60 $92,060.57 $28,064.05 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 9 7 — — $16,251.66 $92,060.57 $28,064.05 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 13 — — $534.33 $98,568.41 $27,772.76 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 17 11 — — $25,930.15 $62,232.36 $27,745.26 2026-04-01
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