Price Transparencybeta Hospital negotiated rates

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

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Hospital

MUSC HEALTH FLORENCE MEDICAL CENTER

Florence, SC · CCN 420091 · Rates published

13,226 distinct procedures filed
20 distinct payers
191,705 rate rows
2026-04-01 last MRF observed
Data quality

125,752 of 191,705 rate rows are consumer-grade (65.6%)

65,953 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 65,830
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 71
placeholder amount (≤ $0.02) — excluded from medians 34
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-florence-medical-center_standardcharges.xlsx
Found on page https://muschealth.org/patients-visitors/billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 6c4808cb8a00fe2b… · 12,962,897 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 5 $3,685,266.67 $4,053,793.33 $3,758,972.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $3,648,108.85 $3,382,791.84 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,573,290.29 $3,313,414.63 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $3,240,314.00 $3,004,654.80 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,354,513.02 $2,700,621.67 $2,504,212.82 nat. median
$2,455,111
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $523,452.56 $650,898.82 $603,560.73 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $507,687.00 $622,455.84 $577,186.32 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $496,390.21 $618,792.00 $573,788.95 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $503,454.53 $613,049.73 $568,464.29 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $489,136.91 $586,553.19 $543,894.77 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $449,440.00 $538,235.07 $499,090.70 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $290,578.81 $543,328.56 $296,390.39 nat. median
$168,055
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $111,000.00 $405,821.49 $192,706.48 nat. median
$186,516
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $144,178.16 $373,138.44 $147,061.72 nat. median
$131,925
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $9,901.28 $385,481.94 $146,204.70 nat. median
$145,435
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $7,842.40 $303,052.00 $95,769.35 nat. median
$97,418
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $92,817.45 $92,817.45 $92,817.45 nat. median
$92,809
1.0× median
7
MS_DRG 		Lung Transplant 10 $87,848.35 $188,282.30 $89,605.32 nat. median
$70,649
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $88,326.00 $88,326.00 $88,326.00 nat. median
$2,024
outlier · 43.6×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $88,326.00 $88,326.00 $88,326.00 nat. median
$2,024
outlier · 43.6×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $88,326.00 $88,326.00 $88,326.00 nat. median
$2,024
outlier · 43.6×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $88,326.00 $88,326.00 $88,326.00 nat. median
$2,024
outlier · 43.6×
215
MS_DRG 		Other Heart Assist System Implant 12 $65,082.16 $230,469.01 $86,866.46 nat. median
$73,023
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $50,771.47 $163,698.58 $84,985.49 nat. median
$55,935
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $81,596.64 $188,757.77 $83,228.57 nat. median
$72,715
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $76,995.86 $158,771.84 $78,535.78 nat. median
$65,418
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $70,889.88 $167,359.30 $78,471.45 nat. median
$2,736
outlier · 28.7×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $76,908.69 $84,599.56 $78,446.86 nat. median
$2,110
outlier · 37.2×
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 1 $78,224.66 $78,224.66 $78,224.66 nat. median
$227
outlier · 344.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $69,206.47 $309,700.32 $75,405.20 nat. median
$74,509
1.0× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 5 $29,194.09 $155,206.96 $73,340.29 nat. median
$32,069
outlier · 2.3×
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$43,548
1.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $143,959.42 $71,609.98 nat. median
$65,477
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $70,147.34 $170,000.00 $71,550.29 nat. median
$69,922
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $59,682.54 $200,678.52 $69,772.67 nat. median
$69,822
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $69,214.00 $69,214.00 $69,214.00 nat. median
$2,024
outlier · 34.2×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $69,214.00 $69,214.00 $69,214.00 nat. median
$2,024
outlier · 34.2×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $60,834.38 $90,000.00 $66,351.04 nat. median
$66,211
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $61,423.91 $167,359.30 $66,030.70 nat. median
$2,596
outlier · 25.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 $33,232.20 $129,447.83 $65,645.88 nat. median
$39,159
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $23,721.06 $217,900.66 $64,497.34 nat. median
$48,611
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $64,235.00 $64,235.00 $64,235.00 nat. median
$2,106
outlier · 30.5×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $64,235.00 $64,235.00 $64,235.00 nat. median
$2,106
outlier · 30.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $57,536.62 $227,004.97 $63,290.28 nat. median
$60,505
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 12 $25,691.27 $222,128.37 $61,990.00 nat. median
$43,023
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $40,056.93 $98,898.42 $60,799.56 nat. median
$63,499
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $36,335.76 $132,716.41 $60,257.78 nat. median
$2,633
outlier · 22.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $40,149.00 $190,785.63 $60,083.47 nat. median
$59,651
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $53,774.06 $185,221.27 $57,807.11 nat. median
$56,428
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $52,496.62 $171,433.76 $57,746.28 nat. median
$55,923
1.0× median

Other procedures at this hospital

Browse this hospital's 13,226 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 5 5 — — $3,685,266.67 $4,053,793.33 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $3,648,108.85 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $3,573,290.29 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,945,740.00 $3,240,314.00 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,354,513.02 $2,700,621.67 $2,504,212.82 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $523,452.56 $650,898.82 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $507,687.00 $622,455.84 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $496,390.21 $618,792.00 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $503,454.53 $613,049.73 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $489,136.91 $586,553.19 $543,894.77 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $449,440.00 $538,235.07 $499,090.70 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 10 — — $290,578.81 $543,328.56 $296,390.39 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $111,000.00 $405,821.49 $192,706.48 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 10 — — $144,178.16 $373,138.44 $147,061.72 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 11 — — $9,901.28 $385,481.94 $146,204.70 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 10 — — $7,842.40 $303,052.00 $95,769.35 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $92,817.45 $92,817.45 $92,817.45 2026-04-01
7 MS_DRG Lung Transplant 16 10 — — $87,848.35 $188,282.30 $89,605.32 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $88,326.00 $88,326.00 $88,326.00 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $88,326.00 $88,326.00 $88,326.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $88,326.00 $88,326.00 $88,326.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $88,326.00 $88,326.00 $88,326.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 32 12 — — $65,082.16 $230,469.01 $86,866.46 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 12 — — $50,771.47 $163,698.58 $84,985.49 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 10 — — $81,596.64 $188,757.77 $83,228.57 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $76,995.86 $158,771.84 $78,535.78 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 10 — — $70,889.88 $167,359.30 $78,471.45 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 10 — — $76,908.69 $84,599.56 $78,446.86 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $78,224.66 $78,224.66 $78,224.66 2025-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 10 — — $69,206.47 $309,700.32 $75,405.20 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 5 — — $29,194.09 $155,206.96 $73,340.29 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 6 — — $56,824.55 $143,959.42 $71,609.98 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 10 — — $70,147.34 $170,000.00 $71,550.29 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 11 — — $59,682.54 $200,678.52 $69,772.67 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $69,214.00 $69,214.00 $69,214.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $69,214.00 $69,214.00 $69,214.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 6 — — $60,834.38 $90,000.00 $66,351.04 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 10 — — $61,423.91 $167,359.30 $66,030.70 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 12 — — $33,232.20 $129,447.83 $65,645.88 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 12 — — $23,721.06 $217,900.66 $64,497.34 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $64,235.00 $64,235.00 $64,235.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $64,235.00 $64,235.00 $64,235.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 11 — — $57,536.62 $227,004.97 $63,290.28 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 12 — — $25,691.27 $222,128.37 $61,990.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 6 — — $40,056.93 $98,898.42 $60,799.56 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 21 10 — — $36,335.76 $132,716.41 $60,257.78 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $40,149.00 $190,785.63 $60,083.47 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 10 — — $53,774.06 $185,221.27 $57,807.11 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 10 — — $52,496.62 $171,433.76 $57,746.28 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 5 — — $29,194.09 $116,141.00 $54,880.72 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 5 — — $20,688.26 $116,141.00 $54,880.72 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 5 — — $29,194.09 $116,141.00 $54,880.72 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 5 — — $20,688.26 $116,141.00 $54,880.72 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 5 — — $20,688.26 $116,141.00 $54,880.72 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 5 — — $20,688.26 $116,141.00 $54,880.72 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $40,102.00 $69,147.34 $54,624.67 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 10 — — $52,105.01 $172,736.26 $54,580.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 12 — — $26,879.51 $126,787.27 $54,260.63 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 10 — — $49,414.02 $127,191.66 $53,875.67 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $53,392.00 $53,392.00 $53,392.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 5 — — $4,230.00 $112,213.52 $53,024.32 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $39,556.09 $64,235.00 $51,895.54 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $51,894.00 $51,894.00 $51,894.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 10 — — $47,129.39 $213,514.33 $51,253.21 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — — $48,822.58 $170,903.12 $51,141.65 2026-04-01
10 MS_DRG Pancreas Transplant 16 10 — — $49,126.34 $114,869.22 $50,108.87 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 10 — — $48,850.74 $134,000.00 $49,827.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 10 — — $39,603.44 $154,835.32 $49,610.28 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 10 — — $46,144.99 $131,989.73 $49,605.86 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 10 — — $3,428.45 $96,223.83 $49,597.29 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 2 — — $17,885.00 $76,049.39 $49,492.01 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 10 — — $45,813.06 $147,868.28 $49,249.04 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 10 — — $45,100.25 $164,468.58 $48,482.77 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 10 — — $44,939.98 $178,731.07 $48,310.48 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 12 — — $39,433.94 $154,192.00 $48,153.52 2026-04-01
69930 HCPCS Implant Cochlear Device 12 5 — — $4,230.00 $145,577.99 $47,570.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 5 — — $4,230.00 $100,612.83 $47,542.58 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 10 — — $38,275.72 $90,363.74 $46,762.84 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 11 — — $24,430.61 $109,461.41 $46,365.82 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 11 — — $41,662.24 $149,833.15 $45,828.46 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 10 — — $42,103.47 $113,166.66 $45,787.53 2026-04-01
J9226 HCPCS Supprelin La Implant 13 6 — — $20,169.99 $68,025.33 $45,482.85 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 11 — — $41,286.72 $139,257.35 $45,415.39 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 12 — — $30,921.13 $111,526.48 $45,082.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 11 — — $28,386.49 $134,455.56 $45,040.58 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 11 — — $41,298.12 $114,203.83 $44,911.71 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 8 2 — — $17,885.00 $68,922.31 $44,853.79 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 10 — — $40,144.00 $151,553.11 $44,582.08 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 5 — — $4,230.00 $71,953.88 $44,039.15 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 10 — — $7,551.82 $91,114.75 $42,896.98 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 10 — — $39,680.71 $125,696.20 $42,656.76 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 10 — — $38,707.71 $112,240.81 $42,094.64 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $8,283.00 $45,063.32 $41,785.99 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 5 — — $4,230.00 $45,063.32 $41,785.99 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 10 — — $40,771.05 $91,900.00 $41,586.47 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 11 — — $33,487.11 $170,483.80 $41,142.57 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $20,280.59 $60,877.38 $40,763.77 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 21 10 — — $37,821.89 $265,990.72 $40,658.53 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 10 — — $37,691.80 $122,028.07 $40,518.69 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — — $38,145.21 $127,805.79 $40,154.37 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 10 — — $39,277.02 $86,920.26 $40,062.56 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 11 — — $17,996.67 $121,165.30 $40,011.95 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 10 — — $35,814.00 $198,246.21 $39,850.93 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 10 — — $32,288.46 $142,112.81 $39,526.06 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 10 — — $36,746.97 $137,826.83 $39,502.99 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 10 — — $38,591.03 $134,000.00 $39,362.85 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 10 — — $36,506.90 $145,138.98 $39,244.92 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 12 — — $20,829.73 $93,436.29 $39,155.26 2026-04-01
0323T OTHER Rmvl & Replc Subq Pls Gen 1 1 — — $38,752.00 $38,752.00 $38,752.00 2026-04-01
0321T OTHER Insert Subq Defib Pls Gen 1 1 — — $38,752.00 $38,752.00 $38,752.00 2026-04-01
0319T OTHER Insert Subq Defib W/eltrd 1 1 — — $38,752.00 $38,752.00 $38,752.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 10 — — $35,737.32 $92,451.07 $38,607.68 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 10 — — $35,853.77 $118,320.97 $38,542.80 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 11 — — $32,043.38 $141,602.58 $38,333.47 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 11 — — $34,806.34 $113,680.60 $38,286.97 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 10 — — $37,435.64 $91,900.00 $38,184.35 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 11 — — $9,333.22 $99,202.89 $37,897.51 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 12 — — $33,500.23 $112,036.72 $37,602.46 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 1 1 — — $37,485.64 $37,485.64 $37,485.64 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 10 — — $33,874.25 $162,876.64 $36,414.82 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 10 — — $32,932.77 $108,708.12 $35,814.39 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $35,785.00 $35,785.00 $35,785.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 10 — — $33,224.47 $92,141.22 $35,716.31 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $35,697.00 $35,697.00 $35,697.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 11 — — $31,978.55 $107,006.71 $35,176.40 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 12 — — $20,645.86 $176,137.08 $35,014.13 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 10 — — $32,376.20 $125,803.81 $34,804.42 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 11 — — $26,291.57 $105,971.62 $34,697.65 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 12 — — $12,453.05 $93,898.19 $34,661.54 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 12 — — $15,259.96 $111,068.19 $34,646.79 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 11 — — $31,752.57 $91,373.08 $34,530.92 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 12 — — $1,012.13 $85,655.56 $34,413.84 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 5 — — $17,885.00 $68,922.31 $34,395.44 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 22 10 — — $31,377.72 $139,973.53 $34,123.27 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 11 — — $20,606.85 $105,099.36 $34,055.85 2026-04-01
245 MS_DRG Aicd Generator Procedures 21 10 — — $31,602.36 $131,336.63 $33,972.54 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 10 — — $32,534.45 $97,000.00 $33,185.14 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 11 — — $27,107.14 $63,996.59 $33,130.77 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 10 — — $32,102.61 $170,000.00 $32,744.66 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 11 — — $27,964.88 $119,263.51 $32,704.09 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 8 2 — — $15,499.00 $50,237.43 $32,693.88 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 12 — — $24,824.03 $60,369.52 $32,101.25 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 13 6 — — $23,517.16 $59,351.70 $32,052.48 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 11 — — $26,620.32 $81,420.69 $31,958.15 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 12 5 — — $16,763.59 $67,478.63 $31,885.45 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 12 5 — — $16,763.59 $67,478.63 $31,885.45 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 10 — — $29,265.43 $102,889.57 $31,826.15 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 37 12 — — $16,484.31 $81,404.00 $31,683.12 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 11 — — $24,952.81 $60,373.84 $31,674.23 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 10 — — $30,935.15 $70,646.47 $31,553.85 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 11 — — $26,597.67 $101,670.57 $31,539.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 12 — — $6,924.85 $116,268.89 $31,527.37 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $28,988.48 $125,384.49 $31,524.97 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $25,472.40 $37,532.00 $31,502.20 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 10 — — $29,279.51 $106,130.96 $31,475.47 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 5 — — $4,230.00 $56,303.48 $31,383.65 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 21 10 — — $29,149.42 $131,021.21 $31,335.63 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 5 — — $17,885.00 $70,829.24 $31,211.32 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 5 — — $17,885.00 $71,953.88 $30,852.57 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 10 — — $23,786.78 $64,611.24 $30,391.08 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 10 — — $23,701.86 $110,066.28 $30,227.76 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 21 10 — — $24,191.89 $114,701.08 $30,202.30 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 10 — — $27,724.46 $97,033.92 $30,150.35 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 11 — — $24,919.53 $117,482.33 $30,066.19 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $28,700.06 $31,570.07 $30,063.32 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 10 — — $24,721.85 $88,805.20 $30,034.73 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 12 — — $21,748.80 $88,250.44 $29,791.41 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 5 — — $4,230.00 $32,113.50 $29,777.97 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $4,230.00 $32,113.50 $29,777.97 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 9 6 — — $3,485.36 $130,030.71 $29,496.90 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $4,360.00 $31,570.07 $29,274.07 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $4,360.00 $31,570.07 $29,274.07 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 5 — — $17,885.00 $31,570.07 $29,274.07 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $4,360.00 $31,570.07 $29,274.07 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 48 12 — — $8,904.03 $51,695.27 $29,196.07 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 10 — — $27,121.62 $87,766.18 $29,155.74 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 27 11 — — $1,191.00 $60,090.00 $28,968.37 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 5 — — $8,283.00 $31,570.07 $28,700.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 10 — — $13,200.12 $110,006.90 $28,534.22 2026-04-01
791 MS_DRG Prematurity With Major Problems 30 11 — — $2,332.34 $58,497.92 $28,508.99 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 6 — — $3,532.01 $40,605.80 $28,365.69 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 11 — — $25,533.21 $86,777.25 $28,244.83 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 10 — — $23,592.27 $139,953.12 $28,209.97 2026-04-01
1490 OTHER Inj Pembrolizumab 3 1 — — $17,348.54 $42,992.91 $27,807.68 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 10 — — $25,638.99 $108,693.28 $27,561.91 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 5 — — $4,230.00 $67,203.25 $27,538.89 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 10 — — $25,270.85 $102,054.64 $27,482.05 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 10 — — $1,266.12 $56,614.80 $27,463.64 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 11 — — $19,623.32 $76,889.80 $27,438.34 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 8 2 — — $4,360.00 $42,133.34 $27,419.85 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 8 2 — — $17,064.86 $42,133.34 $27,419.85 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 8 2 — — $2,118.00 $42,133.34 $27,419.85 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 8 2 — — $2,118.00 $42,133.34 $27,419.85 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 8 2 — — $2,118.00 $42,133.34 $27,419.85 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 10 — — $25,227.93 $75,437.02 $27,361.85 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 11 — — $13,631.83 $72,921.09 $27,234.04 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 5 — — $4,230.00 $29,345.53 $27,211.31 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 10 — — $25,287.61 $104,501.92 $27,184.18 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 10 — — $25,191.72 $122,124.55 $27,081.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 10 — — $24,898.01 $143,061.32 $27,076.58 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 10 — — $25,033.47 $103,898.91 $26,910.98 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 10 — — $24,977.81 $111,042.22 $26,851.15 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 36 12 — — $20,833.65 $76,984.42 $26,839.76 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 12 — — $17,798.81 $85,272.51 $26,825.20 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 10 — — $24,918.13 $106,592.96 $26,786.99 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 10 — — $22,298.53 $52,643.38 $26,654.50 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 11 — — $10,065.87 $76,793.32 $26,593.62 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 12 — — $22,002.00 $84,337.39 $26,590.89 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 10 — — $21,357.20 $102,958.22 $26,523.90 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 12 — — $16,256.94 $71,343.99 $26,397.92 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 10 — — $25,858.27 $97,000.00 $26,375.44 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 12 5 — — $10,116.00 $55,757.42 $26,347.49 2026-04-01
93580 HCPCS Transcath Closure Of Asd 12 5 — — $10,116.00 $55,757.42 $26,347.49 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 7 2 — — $15,899.76 $39,255.78 $26,291.21 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 7 2 — — $15,899.76 $39,255.78 $26,291.21 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 12 — — $23,855.28 $116,855.62 $26,240.81 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 5 — — $10,116.00 $55,506.56 $26,228.79 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 12 5 — — $10,116.00 $55,506.56 $26,228.79 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 12 5 — — $10,116.00 $55,506.56 $26,228.79 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 12 5 — — $10,116.00 $55,506.56 $26,228.79 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 12 5 — — $10,116.00 $55,506.56 $26,228.79 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 12 5 — — $10,116.00 $55,506.56 $26,228.79 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 12 — — $25,501.14 $91,579.03 $26,141.51 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 10 — — $24,286.45 $97,432.83 $26,107.93 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 11 — — $20,965.79 $58,864.55 $25,986.84 2026-04-01
22558 HCPCS Lumbar Spine Fusion 11 5 — — $8,283.00 $38,777.11 $25,970.62 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 5 — — $8,283.00 $38,777.11 $25,970.62 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 10 — — $24,044.34 $92,200.59 $25,846.72 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 11 — — $50.00 $72,310.66 $25,827.80 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $25,440.00 $25,440.00 $25,440.00 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 14 8 — — $15,777.11 $80,182.79 $25,400.73 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 11 — — $22,908.69 $109,116.31 $25,372.71 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 37 12 — — $15,003.81 $72,741.11 $25,371.65 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 12 — — $2,041.57 $96,473.65 $25,211.43 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 5 — — $12,188.75 $30,093.71 $25,176.77 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 5 — — $10,116.00 $30,093.71 $25,176.77 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 12 — — $21,430.38 $64,085.65 $25,100.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 10 — — $23,159.23 $83,649.03 $24,896.17 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 11 — — $20,844.13 $60,814.31 $24,881.61 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 12 5 — — $9,721.17 $52,259.40 $24,694.58 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 12 5 — — $9,721.17 $52,259.40 $24,694.58 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 12 7 — — $9,237.37 $88,304.44 $24,582.40 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 10 — — $24,066.51 $26,473.16 $24,547.84 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 9 3 — — $7,986.69 $43,292.14 $24,450.08 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 25 11 — — $19,799.19 $88,805.20 $24,370.66 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 10 — — $22,648.25 $57,855.21 $24,346.87 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 5 — — $9,495.00 $36,344.24 $24,341.23 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 5 — — $9,495.00 $36,344.24 $24,341.23 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 5 — — $9,495.00 $36,344.24 $24,341.23 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 10 — — $22,230.49 $90,964.89 $24,340.51 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 29 11 — — $17,378.92 $58,597.37 $24,268.10 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 54 12 — — $11,362.80 $57,163.14 $24,213.49 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 11 — — $22,016.47 $85,771.62 $24,180.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 11 — — $20,351.04 $93,864.89 $24,177.81 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 5 — — $17,885.00 $68,922.31 $24,134.43 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 12 — — $20,350.33 $59,660.52 $24,043.42 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 10 — — $22,314.98 $99,805.89 $23,988.60 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 29 11 — — $16,598.04 $55,122.20 $23,877.54 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 27 12 — — $17,494.26 $56,161.22 $23,788.53 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 12 5 — — $9,721.17 $50,237.43 $23,738.72 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 25 12 — — $21,537.79 $85,356.01 $23,691.57 2026-04-01
J7311 HCPCS Fluocinolone Acetonide Implt 13 6 — — $316.27 $58,222.50 $23,581.89 2026-04-01
509 MS_DRG Arthroscopy 8 2 — — $16,122.63 $38,063.61 $23,476.51 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 6 3 — — $6,100.47 $48,472.56 $23,397.47 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 12 — — $11,690.55 $66,265.75 $23,358.17 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 10 — — $13,500.80 $72,588.97 $23,277.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 11 — — $19,676.32 $60,599.35 $23,241.99 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 10 — — $21,348.02 $74,277.39 $23,215.97 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 11 — — $13,582.82 $53,062.70 $23,179.19 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 11 — — $20,663.56 $81,335.35 $23,178.97 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 10 — — $10,702.97 $55,714.07 $23,154.57 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 10 — — $21,806.00 $78,012.32 $23,126.99 2026-04-01
263 MS_DRG Vein Ligation And Stripping 21 10 — — $21,510.30 $81,556.14 $23,123.57 2026-04-01
652 MS_DRG Kidney Transplant 16 10 — — $22,664.35 $97,000.00 $23,117.64 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 10 — — $22,378.68 $89,476.86 $23,037.72 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 11 — — $4,856.32 $76,906.50 $22,987.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 10 — — $21,938.12 $88,589.97 $22,980.18 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 11 — — $22,023.48 $84,227.92 $22,866.62 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 10 — — $2,267.20 $45,820.32 $22,832.07 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 10 — — $21,238.05 $75,561.33 $22,830.90 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 11 5 — — $4,230.00 $56,303.48 $22,804.65 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 11 5 — — $4,230.00 $56,303.48 $22,804.65 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 1 — — $17,885.00 $27,706.60 $22,795.80 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 11 — — $20,523.83 $49,943.76 $22,642.27 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 31 11 — — $19,748.51 $100,728.03 $22,580.71 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 22 11 — — $20,750.54 $67,998.70 $22,566.21 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 10 — — $20,967.14 $59,794.10 $22,539.68 2026-04-01
5378 OTHER Level 8 Urology And Related Services 9 8 — — $506.75 $46,437.47 $22,535.33 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — — $10,070.26 $69,928.32 $22,332.42 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 31 11 — — $17,608.50 $80,678.53 $22,280.49 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 10 — — $16,072.77 $84,827.22 $22,272.85 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 10 — — $20,588.94 $80,526.39 $22,133.11 2026-04-01
C9600 HCPCS Perc Drug-el Cor Stent Sing 12 5 — — $10,737.00 $42,133.34 $22,032.07 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 8 2 — — $8,283.00 $33,479.95 $21,788.33 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 8 2 — — $8,283.00 $33,479.95 $21,788.33 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 8 2 — — $8,283.00 $33,479.95 $21,788.33 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 8 2 — — $8,283.00 $33,479.95 $21,788.33 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 8 2 — — $8,283.00 $33,479.95 $21,788.33 2026-04-01
37237 HCPCS Open/perq Place Stent Ea Add 8 2 — — $12,500.00 $33,479.95 $21,788.33 2026-04-01
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