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

PELHAM MEDICAL CENTER

Greer, SC · CCN 420103 · Rates published

14,403 distinct procedures filed
28 distinct payers
199,367 rate rows
2026-04-01 last MRF observed
Data quality

155,752 of 199,367 rate rows are consumer-grade (78.1%)

43,615 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 37,697
professional (physician) fee — not the facility price 3,724
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,804
template filing: same amount across many unrelated codes — excluded 324
placeholder amount (≤ $0.02) — excluded from medians 51
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.spartanburgregional.com/sites/default/files/2026-04/141996067_pelham-medical-center_standardcharges.json
Found on page https://www.spartanburgregional.com/standardcharges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-11
Content fingerprint a28fc135ae020fd7… · 39,862,890 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,505,000.00 $4,820,350.00 $4,662,675.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,691,450.00 $3,949,851.50 $3,820,650.75 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,321,376.38 $3,553,872.73 $3,437,624.55 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,245,381.39 $3,472,558.09 $3,358,969.74 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,938,320.00 $3,144,002.40 $3,041,161.20 nat. median
$2,968,000
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,081,000.00 $2,425,280.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,348,585.00 $801,444.80 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $1,012,068.02 $638,748.04 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $968,412.95 $612,034.60 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $947,862.41 $584,751.27 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $947,205.79 $582,172.32 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $932,883.84 $553,123.08 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $857,010.00 $508,862.23 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $295,919.89 $1,329,037.04 $310,715.88 nat. median
$168,055
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $473,156.25 $289,380.00 nat. median
$286,598
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $192,040.11 $957,772.83 $201,642.12 nat. median
$186,516
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $74,517.23 $371,644.12 $168,729.18 nat. median
$74,509
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $146,309.12 $729,696.04 $153,624.58 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $145,450.48 $725,413.66 $152,723.00 nat. median
$145,435
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $77,564.63 $386,842.63 $152,656.51 nat. median
$2,110
outlier · 72.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $67,038.85 $406,783.44 $146,344.42 nat. median
$69,822
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 12 $68,232.59 $435,744.48 $139,329.30 nat. median
$73,023
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $57,586.20 $440,651.05 $134,336.75 nat. median
$59,651
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $57,767.79 $403,864.03 $124,396.69 nat. median
$60,505
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $61,740.32 $338,430.80 $120,367.74 nat. median
$2,596
outlier · 46.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $53,922.73 $466,782.64 $119,719.32 nat. median
$56,428
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $52,217.09 $318,563.28 $114,705.36 nat. median
$52,327
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $52,390.46 $312,577.26 $113,354.08 nat. median
$55,935
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $52,617.29 $307,114.61 $111,786.65 nat. median
$55,923
2.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $109,790.68 $109,790.68 $109,790.68 nat. median
$2,106
outlier · 52.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $48,862.68 $368,929.24 $109,418.29 nat. median
$51,518
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $46,126.38 $377,544.36 $107,650.48 nat. median
$47,340
outlier · 2.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $45,787.17 $228,357.04 $106,235.00 nat. median
$2,958
outlier · 35.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $45,058.73 $263,589.23 $105,158.77 nat. median
$45,446
outlier · 2.3×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $104,831.01 $104,831.01 $104,831.01 nat. median
$2,106
outlier · 49.8×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $44,894.95 $283,783.86 $104,776.54 nat. median
$43,299
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $47,132.36 $331,978.66 $102,205.55 nat. median
$49,569
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $85,608.72 $473,399.30 $99,665.84 nat. median
$97,418
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $98,634.02 $98,634.02 $98,634.02 nat. median
$2,106
outlier · 46.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $59,341.18 $295,955.73 $98,333.67 nat. median
$2,633
outlier · 37.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $45,058.73 $299,570.75 $98,096.88 nat. median
$47,458
outlier · 2.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $41,947.59 $296,602.28 $97,897.95 nat. median
$41,943
outlier · 2.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $45,820.75 $228,524.51 $96,857.84 nat. median
$2,633
outlier · 36.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $40,863.49 $225,326.14 $95,367.86 nat. median
$42,674
outlier · 2.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $41,545.34 $287,455.61 $93,485.36 nat. median
$43,803
outlier · 2.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 12 $40,215.91 $248,321.61 $93,288.72 nat. median
$43,023
outlier · 2.2×
7
MS_DRG 		Lung Transplant 12 $88,744.17 $442,598.99 $93,181.38 nat. median
$70,649
1.3× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 12 $39,107.82 $201,459.76 $91,270.45 nat. median
$2,222
outlier · 41.1×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $39,057.11 $308,247.21 $90,521.11 nat. median
$38,795
outlier · 2.3×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $35,807.90 $215,110.48 $89,912.64 nat. median
$10,799
outlier · 8.3×

Other procedures at this hospital

Browse this hospital's 14,403 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,505,000.00 $4,820,350.00 $4,662,675.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,691,450.00 $3,949,851.50 $3,820,650.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,321,376.38 $3,553,872.73 $3,437,624.55 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,245,381.39 $3,472,558.09 $3,358,969.74 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,938,320.00 $3,144,002.40 $3,041,161.20 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $4,081,000.00 $2,425,280.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,348,585.00 $801,444.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $614,180.81 $1,012,068.02 $638,748.04 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $588,494.81 $968,412.95 $612,034.60 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $562,260.84 $947,862.41 $584,751.27 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $559,781.08 $947,205.79 $582,172.32 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $531,849.12 $932,883.84 $553,123.08 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $489,290.60 $857,010.00 $508,862.23 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 12 — — $295,919.89 $1,329,037.04 $310,715.88 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 7 — — $278,250.00 $473,156.25 $289,380.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 12 — — $192,040.11 $957,772.83 $201,642.12 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 12 — — $74,517.23 $371,644.12 $168,729.18 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 12 — — $146,309.12 $729,696.04 $153,624.58 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 12 — — $145,450.48 $725,413.66 $152,723.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 22 12 — — $77,564.63 $386,842.63 $152,656.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $67,038.85 $406,783.44 $146,344.42 2026-04-01
215 MS_DRG Other Heart Assist System Implant 22 12 — — $68,232.59 $435,744.48 $139,329.30 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 12 — — $57,586.20 $440,651.05 $134,336.75 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 12 — — $57,767.79 $403,864.03 $124,396.69 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 12 — — $61,740.32 $338,430.80 $120,367.74 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 12 — — $53,922.73 $466,782.64 $119,719.32 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 12 — — $52,217.09 $318,563.28 $114,705.36 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 12 — — $52,390.46 $312,577.26 $113,354.08 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $52,617.29 $307,114.61 $111,786.65 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 4 — — $109,790.68 $109,790.68 $109,790.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 12 — — $48,862.68 $368,929.24 $109,418.29 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 12 — — $46,126.38 $377,544.36 $107,650.48 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 12 — — $45,787.17 $228,357.04 $106,235.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $45,058.73 $263,589.23 $105,158.77 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 5 — — $104,831.01 $104,831.01 $104,831.01 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 12 — — $44,894.95 $283,783.86 $104,776.54 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 12 — — $47,132.36 $331,978.66 $102,205.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 12 — — $85,608.72 $473,399.30 $99,665.84 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $98,634.02 $98,634.02 $98,634.02 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 12 — — $59,341.18 $295,955.73 $98,333.67 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $45,058.73 $299,570.75 $98,096.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 12 — — $41,947.59 $296,602.28 $97,897.95 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 12 — — $45,820.75 $228,524.51 $96,857.84 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 13 — — $40,863.49 $225,326.14 $95,367.86 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 12 — — $41,545.34 $287,455.61 $93,485.36 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 12 — — $40,215.91 $248,321.61 $93,288.72 2026-04-01
7 MS_DRG Lung Transplant 16 12 — — $88,744.17 $442,598.99 $93,181.38 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 22 12 — — $39,107.82 $201,459.76 $91,270.45 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $39,057.11 $308,247.21 $90,521.11 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — — $35,807.90 $215,110.48 $89,912.64 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 12 — — $37,847.61 $311,403.77 $88,329.34 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $36,691.37 $138,226.20 $87,458.79 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 13 — — $46,667.35 $376,671.55 $87,386.21 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,824.55 $273,990.07 $87,263.78 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 12 — — $37,375.45 $249,912.16 $87,227.42 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 12 — — $41,161.58 $332,878.20 $86,740.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $82,355.37 $369,874.91 $86,473.14 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 12 — — $41,637.89 $261,017.36 $84,866.05 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $38,143.64 $190,236.02 $84,394.96 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 12 — — $37,434.39 $240,475.18 $82,387.86 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 12 — — $36,276.96 $222,962.81 $82,078.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 12 — — $77,653.72 $387,286.93 $81,536.41 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 12 — — $39,268.18 $229,754.32 $81,380.29 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $36,544.22 $231,013.68 $81,168.57 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 12 — — $41,996.25 $245,075.09 $79,590.30 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $79,136.84 $79,136.84 $79,136.84 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 12 — — $33,586.58 $259,328.69 $78,384.89 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 13 — — $28,112.19 $157,094.58 $78,146.51 2026-04-01
216 LOCAL Description Not Available 1 1 — — $74,587.00 $74,587.00 $74,587.00 2026-04-01
217 LOCAL Description Not Available 1 1 — — $74,587.00 $74,587.00 $74,587.00 2026-04-01
218 LOCAL Description Not Available 1 1 — — $74,587.00 $74,587.00 $74,587.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 12 — — $70,655.03 $352,381.96 $74,187.78 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $34,539.11 $214,261.82 $73,098.82 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 12 — — $31,264.88 $277,466.65 $72,966.46 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 12 — — $30,216.39 $155,460.92 $72,715.52 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 22 12 — — $31,035.31 $263,621.94 $72,430.70 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 12 — — $31,649.31 $236,014.29 $72,317.67 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 12 — — $36,157.04 $180,328.11 $71,576.96 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 12 — — $30,583.03 $221,184.18 $71,375.16 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 12 — — $11,082.03 $238,483.93 $70,570.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 12 — — $40,189.87 $291,474.91 $70,493.85 2026-04-01
221 LOCAL Description Not Available 1 1 — — $69,961.00 $69,961.00 $69,961.00 2026-04-01
219 LOCAL Description Not Available 1 1 — — $69,961.00 $69,961.00 $69,961.00 2026-04-01
220 LOCAL Description Not Available 1 1 — — $69,961.00 $69,961.00 $69,961.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 12 — — $29,654.49 $151,036.55 $69,208.11 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 13 — — $26,768.38 $215,864.64 $68,804.58 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 12 — — $36,522.29 $212,949.31 $68,659.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 12 — — $33,903.18 $229,259.58 $68,569.07 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 12 — — $28,891.09 $229,124.65 $67,426.49 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 7 — — $64,282.30 $111,004.34 $67,175.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 12 — — $32,624.46 $199,828.32 $67,159.57 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 12 — — $28,758.15 $218,436.50 $67,116.23 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 7 — — $66,536.99 $66,536.99 $66,536.99 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 13 — — $22,717.71 $194,292.07 $66,323.88 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 12 — — $32,055.68 $172,151.17 $66,156.15 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 12 — — $28,940.43 $157,950.73 $65,960.54 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 12 — — $28,704.70 $191,883.76 $65,921.08 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 12 — — $24,587.16 $199,958.35 $63,944.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 12 — — $27,301.95 $190,068.33 $63,717.71 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 12 — — $31,418.38 $233,450.61 $63,690.31 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 5 — — $18,951.68 $63,329.20 $63,329.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 12 — — $28,876.70 $177,450.27 $63,154.21 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 12 — — $26,685.89 $119,851.79 $62,279.94 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 12 — — $31,157.29 $165,686.76 $62,010.78 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 13 — — $33,089.76 $165,030.48 $61,907.71 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 22 12 — — $30,712.55 $165,543.65 $61,590.53 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 12 — — $28,459.37 $153,833.30 $61,510.43 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 12 — — $32,922.55 $147,861.94 $61,225.31 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 12 — — $44,355.69 $246,710.09 $60,980.10 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 12 — — $28,270.92 $183,129.62 $60,954.12 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 12 — — $26,485.10 $132,090.69 $60,707.16 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 12 — — $29,228.93 $204,003.00 $60,450.04 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 12 — — $16,301.05 $214,041.03 $60,353.22 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 13 — — $20,073.53 $286,678.74 $60,155.32 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 12 — — $25,610.69 $145,030.09 $59,744.48 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 12 — — $30,703.64 $153,130.05 $59,176.64 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 22 12 — — $25,170.75 $153,788.32 $58,743.89 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 7 — — $54,810.13 $97,905.45 $58,261.19 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 12 — — $24,845.93 $186,253.47 $57,985.82 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 12 — — $25,867.36 $185,877.30 $57,981.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 12 — — $24,811.66 $213,182.38 $57,905.85 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 12 — — $26,459.75 $194,382.03 $57,728.57 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 41 16 — — $781.28 $116,510.64 $57,435.32 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 12 — — $24,551.95 $195,862.18 $57,299.72 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 12 — — $33,139.77 $186,965.28 $57,190.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 12 — — $24,470.40 $160,134.15 $57,084.41 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 12 — — $24,434.08 $192,161.80 $57,024.64 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 7 2 — — $14,170.00 $144,740.65 $56,940.20 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 12 — — $33,727.06 $168,208.94 $56,382.63 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 7 — — $14,170.00 $295,396.90 $56,294.10 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 32 14 — — $2,309.86 $111,718.23 $56,026.07 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 12 — — $26,807.18 $193,915.90 $55,891.82 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 13 — — $24,413.52 $137,208.20 $55,298.14 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 12 — — $26,524.85 $203,696.34 $55,276.51 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 12 — — $23,673.43 $172,040.77 $55,225.24 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,017.60 $55,017.60 $55,017.60 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $24,713.67 $123,255.93 $54,245.96 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 13 — — $16,336.06 $116,598.25 $53,921.80 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 12 — — $34,722.26 $177,904.96 $53,826.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 22 12 — — $23,563.78 $150,811.67 $53,529.73 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 12 — — $24,370.35 $133,851.28 $52,934.51 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 12 — — $22,636.61 $192,309.00 $52,829.68 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 43 17 — — $14,134.46 $97,869.76 $51,938.63 2026-04-01
10 MS_DRG Pancreas Transplant 16 12 — — $49,173.11 $245,243.90 $51,631.77 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 12 — — $22,114.43 $174,637.16 $51,611.01 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 12 — — $49,152.55 $245,141.37 $51,610.18 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 7 2 — — $14,170.00 $131,176.06 $51,603.96 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 12 — — $21,999.99 $109,721.84 $51,343.93 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 12 — — $48,891.46 $243,839.22 $51,336.03 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 12 — — $23,493.89 $154,953.63 $51,213.23 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 12 — — $21,773.85 $249,053.51 $50,816.16 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 14 — — $19,666.36 $152,610.74 $50,749.30 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 13 — — $13,118.69 $140,168.50 $50,698.89 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 13 — — $27,623.61 $268,123.72 $50,680.20 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 12 — — $21,687.51 $108,163.37 $50,592.49 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 12 — — $21,592.94 $121,388.59 $50,393.94 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 12 — — $21,879.38 $167,023.80 $50,373.05 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 12 — — $21,582.66 $183,808.36 $50,369.96 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 8 4 — — $14,170.00 $95,614.14 $50,318.54 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 12 — — $21,531.95 $164,067.59 $50,251.60 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 12 — — $21,388.73 $155,628.29 $49,917.35 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 12 — — $22,557.12 $152,357.24 $49,909.06 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 3 2 — — $4,945.67 $79,427.52 $49,894.46 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 12 — — $21,168.01 $121,392.68 $49,448.62 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 12 — — $24,750.68 $117,757.73 $49,202.12 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 12 — — $23,347.92 $178,255.76 $49,147.45 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 12 — — $20,979.62 $150,153.37 $48,962.57 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 12 — — $24,390.22 $138,512.53 $48,895.68 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 12 — — $30,700.07 $170,454.37 $48,829.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 12 — — $24,495.07 $218,232.06 $48,639.48 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 12 — — $20,695.92 $145,610.70 $48,300.46 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 1 1 — — $48,175.71 $48,175.71 $48,175.71 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 12 — — $24,794.53 $172,339.25 $48,027.78 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 12 — — $24,117.48 $108,316.57 $47,886.07 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 40 14 — — $14,055.78 $90,755.23 $47,355.06 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 25 12 — — $33,908.17 $205,345.67 $47,104.90 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 13 — — $30,102.65 $150,132.73 $46,425.29 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 12 — — $19,886.61 $115,243.11 $46,391.37 2026-04-01
69930 HCPCS Implant Cochlear Device 14 7 — — $16,330.00 $277,070.61 $46,341.82 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 12 — — $21,817.71 $128,298.68 $46,130.12 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 22 12 — — $19,748.19 $139,424.33 $46,088.62 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 12 — — $19,533.70 $97,421.54 $45,588.04 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 12 — — $22,290.55 $183,689.79 $45,443.63 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 14 7 — — $14,170.00 $221,044.81 $45,405.01 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 22 12 — — $20,009.96 $141,198.88 $45,308.06 2026-04-01
5432 OTHER Level 2 Nerve Procedures 7 5 — — $5,776.33 $45,239.54 $45,239.54 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 12 — — $23,788.55 $166,381.86 $44,943.90 2026-04-01
800 MS_DRG Splenic Procedures With Cc 22 12 — — $19,252.05 $151,257.35 $44,930.74 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 31 13 — — $9,093.53 $88,232.43 $44,694.01 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 35 15 — — $12,177.97 $88,355.10 $44,329.02 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 12 — — $18,995.07 $94,735.23 $44,311.59 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 8 — — $6,917.00 $136,945.86 $44,100.81 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 12 — — $20,785.69 $118,448.74 $43,979.87 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 27 12 — — $16,350.70 $90,554.88 $43,979.20 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 12 — — $20,673.30 $132,444.73 $43,592.28 2026-04-01
263 MS_DRG Vein Ligation And Stripping 22 12 — — $20,951.52 $118,146.16 $43,544.30 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 8 — — $16,223.00 $80,562.00 $43,470.79 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 8 8 — — $16,223.00 $80,562.00 $43,470.79 2026-04-01
251 LOCAL Description Not Available 1 1 — — $43,364.00 $43,364.00 $43,364.00 2026-04-01
250 LOCAL Description Not Available 1 1 — — $43,364.00 $43,364.00 $43,364.00 2026-04-01
849 MS_DRG Radiotherapy 22 12 — — $18,567.46 $127,485.01 $43,333.04 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 12 — — $18,644.90 $150,811.67 $43,314.85 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 8 — — $14,170.00 $44,940.82 $43,260.79 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 12 — — $17,589.50 $113,897.89 $43,200.06 2026-04-01
503 MS_DRG Foot Procedures With Mcc 22 12 — — $19,126.64 $170,360.27 $43,191.26 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 12 — — $21,306.50 $106,263.13 $42,827.83 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 12 — — $19,874.28 $111,808.51 $42,792.30 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $40,729.18 $182,923.10 $42,765.64 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 13 — — $20,941.07 $168,140.04 $42,713.64 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 12 — — $40,634.61 $182,498.38 $42,666.34 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 12 — — $20,396.45 $109,040.39 $42,553.37 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 13 — — $25,389.02 $143,598.08 $42,528.11 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 12 — — $17,688.26 $107,049.13 $42,522.76 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 12 — — $18,164.52 $179,048.99 $42,392.64 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 12 — — $18,073.38 $150,934.33 $42,179.94 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 22 12 — — $20,175.11 $157,374.21 $41,825.69 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 31 14 — — $16,251.16 $102,547.35 $41,539.46 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 24 12 — — $23,904.36 $147,176.72 $41,426.68 2026-04-01
J9226 HCPCS Supprelin La Implant 14 7 — — $27,599.31 $79,730.68 $41,321.65 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 12 — — $15,282.32 $159,970.60 $41,306.72 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 12 — — $19,786.56 $198,896.07 $41,099.49 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 12 — — $20,698.66 $139,947.70 $40,880.35 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 12 — — $38,406.79 $191,548.41 $40,327.13 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 22 12 — — $17,296.28 $112,086.55 $40,040.33 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 23 12 — — $17,006.41 $93,580.59 $39,672.46 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 41 16 — — $10,775.01 $74,277.32 $39,356.44 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 12 — — $22,559.86 $112,514.10 $39,351.78 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 13 — — $15,047.99 $90,922.87 $39,318.79 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 12 — — $18,733.98 $89,716.67 $39,119.26 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 12 — — $37,226.06 $167,189.90 $39,087.36 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 22 12 — — $17,495.01 $116,715.08 $38,984.13 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 22 12 — — $17,786.94 $121,633.92 $38,707.63 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 12 — — $16,482.86 $125,240.25 $38,467.96 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 13 — — $20,123.82 $106,451.10 $38,369.09 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 12 — — $16,534.62 $154,548.84 $38,345.15 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 22 12 — — $16,381.44 $103,737.20 $38,231.26 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 2 2 — — $14,170.00 $61,400.00 $37,785.00 2026-04-01
69718 HCPCS Revise Temple Bone Implant 2 2 — — $14,170.00 $61,400.00 $37,785.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 35 15 — — $13,260.09 $106,443.99 $37,779.47 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 37 13 — — $25,443.81 $204,505.92 $37,701.93 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 22 12 — — $16,111.44 $112,327.79 $37,601.14 2026-04-01
459 LOCAL Description Not Available 1 1 — — $37,582.00 $37,582.00 $37,582.00 2026-04-01
460 LOCAL Description Not Available 1 1 — — $37,582.00 $37,582.00 $37,582.00 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 29 14 — — $16,025.78 $79,926.33 $37,417.60 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 22 12 — — $16,544.54 $111,955.71 $37,351.50 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 14 8 — — $17,480.24 $106,120.06 $37,224.04 2026-04-01
93580 HCPCS Transcath Closure Of Asd 14 8 — — $17,480.24 $106,120.06 $37,224.04 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 22 12 — — $15,946.98 $79,533.30 $37,217.31 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 12 — — $15,838.02 $85,954.96 $36,946.84 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 22 12 — — $15,731.12 $126,156.14 $36,713.53 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 22 12 — — $17,288.74 $97,587.63 $36,621.04 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 23 13 — — $16,265.69 $107,012.34 $36,135.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 12 — — $24,865.12 $124,011.24 $36,128.40 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 16 — — $1,024.15 $66,852.04 $35,883.75 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 22 12 — — $17,595.06 $91,654.76 $35,859.32 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 6 2 — — $5,272.00 $63,720.55 $35,822.12 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 23 12 — — $15,340.51 $76,508.63 $35,786.26 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 22 12 — — $15,331.60 $103,467.34 $35,781.14 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 12 — — $14,594.79 $96,589.96 $35,633.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 22 12 — — $16,411.59 $103,262.90 $35,345.93 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 6 2 — — $16,223.00 $62,342.91 $35,047.65 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 22 12 — — $14,956.07 $91,503.48 $34,904.72 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 22 12 — — $14,946.48 $142,282.41 $34,882.33 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 12 — — $14,920.44 $108,357.55 $34,806.32 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 22 12 — — $17,674.55 $89,753.47 $34,745.04 2026-04-01
333 MS_DRG Rectal Resection With Cc 22 12 — — $16,050.45 $92,791.45 $34,739.71 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 22 12 — — $14,870.42 $109,706.86 $34,704.81 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 13 — — $28,460.22 $162,730.55 $34,402.23 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 27 14 — — $14,206.28 $73,190.05 $34,264.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 22 12 — — $14,669.63 $148,031.28 $34,236.21 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 22 12 — — $14,602.47 $93,879.08 $34,079.49 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 22 12 — — $14,596.31 $113,918.34 $34,065.09 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 22 12 — — $14,532.58 $103,119.79 $33,916.35 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 33 14 — — $9,545.22 $62,575.15 $33,884.45 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 3 — — $4,296.78 $42,399.74 $33,851.04 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 12 — — $17,076.31 $125,685.93 $33,838.76 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 12 — — $32,217.41 $160,679.75 $33,828.28 2026-04-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 7 7 — — $6,242.00 $34,954.08 $33,647.39 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 22 12 — — $14,407.86 $116,629.22 $33,625.29 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 35 15 — — $12,199.90 $97,264.61 $33,512.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 23 12 — — $16,479.19 $114,740.19 $33,431.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 12 — — $31,776.09 $158,478.75 $33,364.89 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 12 — — $17,412.09 $86,840.34 $33,354.92 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 6 2 — — $16,223.00 $58,954.18 $33,142.60 2026-04-01
835 MS_DRG Acute Leukemia With Cc 22 12 — — $14,293.42 $104,636.74 $33,141.80 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 22 12 — — $16,598.67 $86,919.92 $33,111.65 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 22 12 — — $15,019.80 $92,129.07 $33,056.56 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 22 12 — — $14,504.48 $83,489.41 $32,856.99 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 22 12 — — $15,662.59 $125,649.13 $32,769.80 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 22 12 — — $14,993.08 $93,036.78 $32,553.38 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 14 7 — — $14,170.00 $107,159.31 $32,523.67 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 22 12 — — $15,210.31 $80,079.34 $32,408.76 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 22 12 — — $13,856.90 $108,660.13 $32,339.44 2026-04-01
63655 HCPCS Implant Neuroelectrodes 15 8 — — $18,499.09 $95,251.06 $32,152.00 2026-04-01
93583 HCPCS Perq Transcath Septal Reduxn 2 2 — — $6,242.00 $57,891.00 $32,066.50 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 28 13 — — $9,899.55 $75,091.00 $32,044.61 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 15 8 — — $14,170.00 $213,569.86 $32,026.20 2026-04-01
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