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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

UNION MEDICAL CENTER

Union, SC · CCN 420108 · Rates published

14,316 distinct procedures filed
26 distinct payers
160,484 rate rows
2026-04-01 last MRF observed
Data quality

126,235 of 160,484 rate rows are consumer-grade (78.7%)

34,249 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 29,060
professional (physician) fee — not the facility price 3,910
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 892
template filing: same amount across many unrelated codes — excluded 324
placeholder amount (≤ $0.02) — excluded from medians 47
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.spartanburgregional.com/sites/default/files/2026-04/474491361_union-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 9bcd589a1ebfd7dd… · 30,775,289 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 5 $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 5 $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 5 $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 5 $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 5 $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 5 $2,332,000.00 $4,081,000.00 $2,431,110.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,348,585.00 $803,371.35 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $614,180.81 $1,012,068.02 $640,283.49 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $588,494.81 $968,412.95 $613,505.84 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,260.84 $947,862.41 $586,156.93 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $559,781.08 $947,205.79 $583,571.78 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $531,849.12 $932,883.84 $554,452.70 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,290.60 $857,010.00 $510,085.45 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $308,876.45 $1,329,037.04 $324,320.27 nat. median
$168,055
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $473,156.25 $290,075.62 nat. median
$286,598
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $202,659.55 $957,772.83 $212,792.53 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $155,899.70 $729,696.04 $163,694.69 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $9,903.47 $725,413.66 $162,772.83 nat. median
$145,435
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $82,492.61 $371,644.12 $161,104.14 nat. median
$74,509
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $83,523.33 $376,671.55 $160,708.05 nat. median
$2,736
outlier · 58.7×
215
MS_DRG 		Other Heart Assist System Implant 11 $76,066.59 $340,300.39 $159,172.60 nat. median
$73,023
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $74,845.98 $334,346.76 $156,387.84 nat. median
$69,822
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $69,428.25 $307,921.10 $144,027.47 nat. median
$2,596
outlier · 55.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $65,366.35 $288,108.69 $134,760.38 nat. median
$60,505
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $65,180.67 $290,938.80 $134,336.75 nat. median
$59,651
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 11 $85,608.58 $397,685.00 $126,417.07 nat. median
$2,110
outlier · 59.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $61,434.78 $308,192.12 $125,790.64 nat. median
$56,428
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $60,099.96 $262,421.26 $122,745.30 nat. median
$55,923
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $59,868.03 $261,290.00 $122,216.17 nat. median
$55,935
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $59,690.76 $260,425.32 $121,811.72 nat. median
$52,327
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $56,260.88 $243,695.68 $113,986.57 nat. median
$51,518
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $54,491.64 $235,065.99 $109,950.11 nat. median
$49,569
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $5,979.98 $473,399.30 $108,521.97 nat. median
$97,418
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $53,463.03 $249,272.76 $107,603.36 nat. median
$47,340
outlier · 2.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $53,116.18 $228,357.04 $106,812.06 nat. median
$2,958
outlier · 36.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $52,371.35 $224,724.03 $105,112.75 nat. median
$47,458
outlier · 2.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $52,371.35 $231,023.00 $105,112.75 nat. median
$45,446
outlier · 2.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $52,203.89 $230,183.00 $104,730.68 nat. median
$43,299
outlier · 2.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $51,386.18 $198,040.76 $102,865.11 nat. median
$47,121
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $56,878.89 $246,710.09 $102,636.08 nat. median
$9,905
outlier · 10.4×
7
MS_DRG 		Lung Transplant 11 $97,039.64 $442,598.99 $101,891.62 nat. median
$70,649
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $49,239.97 $209,450.33 $97,968.60 nat. median
$44,036
outlier · 2.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $49,190.22 $256,302.00 $97,855.10 nat. median
$41,943
outlier · 2.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $48,778.91 $207,201.48 $96,916.72 nat. median
$43,803
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $48,386.53 $219,782.03 $96,021.51 nat. median
$43,533
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $48,081.73 $203,800.87 $95,326.12 nat. median
$42,674
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $90,507.11 $369,874.91 $95,032.47 nat. median
$72,715
1.3× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 11 $47,419.57 $200,571.14 $93,815.44 nat. median
$43,023
outlier · 2.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $47,392.95 $200,441.27 $93,754.69 nat. median
$40,726
outlier · 2.3×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 $46,708.37 $197,102.18 $92,192.86 nat. median
$2,596
outlier · 35.5×

Other procedures at this hospital

Browse this hospital's 14,316 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 5 5 — — $4,505,000.00 $4,820,350.00 $4,662,675.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,691,450.00 $3,949,851.50 $3,820,650.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,321,376.38 $3,553,872.73 $3,437,624.55 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,245,381.39 $3,472,558.09 $3,358,969.74 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,938,320.00 $3,144,002.40 $3,041,161.20 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 5 — — $2,332,000.00 $4,081,000.00 $2,431,110.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 5 — — $770,620.00 $1,348,585.00 $803,371.35 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $614,180.81 $1,012,068.02 $640,283.49 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $588,494.81 $968,412.95 $613,505.84 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 5 — — $562,260.84 $947,862.41 $586,156.93 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $559,781.08 $947,205.79 $583,571.78 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $531,849.12 $932,883.84 $554,452.70 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $489,290.60 $857,010.00 $510,085.45 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 11 — — $308,876.45 $1,329,037.04 $324,320.27 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 5 — — $278,250.00 $473,156.25 $290,075.62 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 11 — — $202,659.55 $957,772.83 $212,792.53 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 11 — — $155,899.70 $729,696.04 $163,694.69 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 11 — — $9,903.47 $725,413.66 $162,772.83 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 11 — — $82,492.61 $371,644.12 $161,104.14 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 11 — — $83,523.33 $376,671.55 $160,708.05 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 11 — — $76,066.59 $340,300.39 $159,172.60 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 11 — — $74,845.98 $334,346.76 $156,387.84 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 11 — — $69,428.25 $307,921.10 $144,027.47 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 11 — — $65,366.35 $288,108.69 $134,760.38 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 11 — — $65,180.67 $290,938.80 $134,336.75 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 11 — — $85,608.58 $397,685.00 $126,417.07 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 11 — — $61,434.78 $308,192.12 $125,790.64 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 11 — — $60,099.96 $262,421.26 $122,745.30 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 11 — — $59,868.03 $261,290.00 $122,216.17 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 11 — — $59,690.76 $260,425.32 $121,811.72 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 11 — — $56,260.88 $243,695.68 $113,986.57 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 11 — — $54,491.64 $235,065.99 $109,950.11 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 11 — — $5,979.98 $473,399.30 $108,521.97 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 11 — — $53,463.03 $249,272.76 $107,603.36 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 11 — — $53,116.18 $228,357.04 $106,812.06 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 11 — — $52,371.35 $231,023.00 $105,112.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 11 — — $52,371.35 $224,724.03 $105,112.75 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 11 — — $52,203.89 $230,183.00 $104,730.68 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 11 — — $51,386.18 $198,040.76 $102,865.11 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 11 — — $56,878.89 $246,710.09 $102,636.08 2026-04-01
7 MS_DRG Lung Transplant 15 11 — — $97,039.64 $442,598.99 $101,891.62 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 11 — — $49,239.97 $209,450.33 $97,968.60 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 11 — — $49,190.22 $256,302.00 $97,855.10 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 11 — — $48,778.91 $207,201.48 $96,916.72 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 11 — — $48,386.53 $219,782.03 $96,021.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 11 — — $48,081.73 $203,800.87 $95,326.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 11 — — $90,507.11 $369,874.91 $95,032.47 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 11 — — $47,419.57 $200,571.14 $93,815.44 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 11 — — $47,392.95 $200,441.27 $93,754.69 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 11 — — $46,708.37 $197,102.18 $92,192.86 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 11 — — $48,398.44 $205,345.67 $91,995.99 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 11 — — $46,450.52 $195,844.46 $91,604.58 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 11 — — $46,286.56 $200,512.00 $91,230.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 11 — — $46,234.71 $203,519.48 $91,112.21 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 11 — — $85,699.67 $387,286.93 $89,984.65 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 11 — — $45,691.67 $192,143.09 $89,873.29 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 11 — — $44,997.99 $205,603.59 $88,290.68 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 11 — — $44,766.06 $168,962.65 $87,761.54 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $36,691.37 $138,226.20 $87,458.79 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 11 — — $44,575.47 $186,698.70 $87,326.72 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 11 — — $44,515.21 $186,404.78 $87,189.24 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 11 — — $43,665.28 $182,259.11 $85,250.14 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 11 — — $43,642.86 $182,149.74 $85,198.99 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 11 — — $43,392.01 $180,926.20 $84,626.69 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 5 — — $56,824.55 $273,990.07 $84,429.31 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 11 — — $43,269.39 $180,328.11 $84,346.93 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 11 — — $42,709.54 $177,597.36 $83,069.65 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 11 — — $78,543.52 $352,381.96 $82,470.70 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 11 — — $53,150.52 $228,524.51 $81,757.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 11 — — $66,975.13 $295,955.73 $81,468.52 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 11 — — $41,615.06 $172,258.92 $80,572.64 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 11 — — $42,772.60 $177,904.96 $79,503.60 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $79,136.84 $79,136.84 $79,136.84 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 11 — — $40,964.82 $169,087.29 $79,089.14 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 11 — — $40,903.16 $168,786.53 $78,948.46 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 11 — — $40,641.10 $172,203.00 $78,350.58 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 11 — — $41,245.09 $170,454.37 $77,585.27 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 11 — — $44,630.13 $186,965.28 $76,888.23 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 11 — — $39,657.33 $162,709.86 $76,106.15 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 11 — — $39,173.85 $160,351.65 $75,003.11 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 11 — — $39,075.76 $159,873.17 $74,779.31 2026-04-01
218 LOCAL Description Not Available 1 1 — — $74,587.00 $74,587.00 $74,587.00 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
471 MS_DRG Cervical Spinal Fusion With Mcc 19 11 — — $40,133.10 $165,030.48 $74,274.81 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 11 — — $38,660.25 $157,846.47 $73,831.34 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 11 — — $38,424.12 $156,694.71 $73,292.61 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 11 — — $38,267.16 $183,196.69 $72,934.53 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 11 — — $38,157.15 $155,392.57 $72,683.55 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 11 — — $38,032.43 $174,055.75 $72,399.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 11 — — $37,702.41 $153,174.48 $71,646.05 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 11 — — $37,569.98 $156,804.00 $71,343.92 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
221 LOCAL Description Not Available 1 1 — — $69,961.00 $69,961.00 $69,961.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 11 — — $45,300.69 $195,568.00 $69,888.68 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 11 — — $36,620.54 $147,897.55 $69,177.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 11 — — $37,693.30 $153,130.05 $68,933.41 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 11 — — $36,378.80 $146,718.44 $68,626.30 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 11 — — $38,506.10 $157,094.58 $68,525.67 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 11 — — $36,185.41 $145,775.16 $68,185.09 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 11 — — $36,013.74 $144,937.82 $67,793.43 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 11 — — $35,890.42 $144,336.31 $67,512.08 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $64,282.30 $111,004.34 $67,496.41 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 11 — — $35,839.97 $219,397.00 $67,396.98 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 11 — — $35,825.26 $144,018.46 $67,363.41 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 11 — — $35,704.04 $147,447.00 $67,086.85 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 11 — — $35,649.38 $143,160.62 $66,962.16 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 11 — — $35,535.87 $142,606.95 $66,703.18 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 11 — — $35,398.54 $141,937.08 $66,389.86 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 11 — — $35,205.85 $140,997.21 $65,950.24 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 11 — — $34,470.12 $137,408.63 $64,271.71 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 11 — — $38,171.17 $155,460.92 $63,877.42 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 11 — — $34,215.07 $139,981.00 $63,689.82 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 11 — — $54,729.17 $212,724.47 $63,629.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 11 — — $33,709.17 $133,697.01 $62,535.63 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 11 — — $33,420.49 $134,490.02 $61,877.01 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 11 — — $33,353.92 $131,964.23 $61,725.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 11 — — $33,200.47 $131,215.76 $61,375.05 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 11 — — $39,962.13 $147,861.94 $60,720.34 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 11 — — $32,665.85 $206,390.00 $60,155.32 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 11 — — $32,550.93 $128,047.55 $59,893.15 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 11 — — $32,488.57 $127,743.37 $59,750.87 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 11 — — $32,485.77 $127,729.70 $59,744.48 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 11 — — $32,412.20 $127,370.84 $59,576.62 2026-04-01
10 MS_DRG Pancreas Transplant 15 11 — — $56,578.29 $245,243.90 $59,407.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 11 — — $4,715.00 $245,141.37 $59,385.13 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 11 — — $56,290.31 $243,839.22 $59,104.83 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 11 — — $32,035.93 $149,974.00 $58,718.18 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 11 — — $32,025.41 $125,484.27 $58,694.20 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 5 — — $54,810.13 $97,905.45 $58,238.61 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 11 — — $31,703.80 $127,389.00 $57,960.44 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 11 — — $31,668.76 $140,753.15 $57,880.51 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 11 — — $31,651.25 $123,659.22 $57,840.55 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 11 — — $31,403.20 $129,317.53 $57,274.64 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 11 — — $31,345.04 $144,087.19 $57,141.96 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 11 — — $40,784.74 $168,208.94 $57,106.99 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 11 — — $31,319.82 $122,042.65 $57,084.41 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 11 — — $31,282.68 $126,874.37 $56,999.68 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 11 — — $31,261.66 $125,172.00 $56,951.72 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 5 2 — — $14,170.00 $144,740.65 $56,940.20 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 11 — — $31,237.84 $121,642.78 $56,897.37 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 11 — — $31,217.52 $121,543.67 $56,851.01 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 11 — — $31,009.41 $120,528.61 $56,376.23 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 11 — — $31,606.40 $111,160.37 $55,918.71 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 11 — — $30,741.05 $119,219.63 $55,763.96 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 11 — — $30,622.63 $118,642.04 $55,493.80 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 11 — — $30,504.92 $118,067.86 $55,225.24 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 11 — — $30,392.81 $117,521.03 $54,969.46 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 11 — — $33,585.15 $134,100.00 $54,942.08 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 11 — — $30,321.34 $117,172.43 $54,806.40 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 11 — — $30,172.09 $117,692.94 $54,465.90 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 11 — — $31,568.57 $123,255.93 $54,060.58 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 11 — — $30,734.74 $119,188.87 $53,695.56 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 11 — — $29,444.77 $126,971.56 $52,806.55 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 11 — — $29,363.49 $112,500.43 $52,621.12 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 11 — — $29,090.93 $121,280.74 $51,999.26 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 11 — — $28,965.50 $99,560.52 $51,713.11 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 11 — — $28,933.97 $110,405.38 $51,641.17 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 5 2 — — $14,170.00 $131,176.06 $51,603.96 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 11 — — $28,910.85 $115,303.77 $51,588.42 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 11 — — $28,670.51 $110,277.06 $51,040.10 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 11 — — $28,629.17 $108,918.68 $50,945.78 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 11 — — $28,607.45 $108,812.73 $50,896.23 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 11 — — $28,562.60 $164,436.98 $50,793.92 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 11 — — $28,377.62 $107,691.73 $50,371.89 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 11 — — $28,367.11 $121,359.03 $50,347.91 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 11 — — $30,958.96 $108,316.57 $50,346.26 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 11 — — $2,433.99 $182,923.10 $50,341.61 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 6 4 — — $14,170.00 $95,614.14 $50,318.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 11 — — $47,847.70 $182,498.38 $50,240.08 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 11 — — $28,315.26 $110,397.00 $50,229.61 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 11 — — $28,168.82 $109,663.00 $49,895.50 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 11 — — $35,739.07 $143,598.08 $49,268.66 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 11 — — $27,750.51 $107,566.00 $48,941.14 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 11 — — $27,721.78 $104,492.76 $48,875.60 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 11 — — $37,078.79 $150,132.73 $48,697.82 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 11 — — $27,552.21 $103,665.68 $48,488.74 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 11 — — $27,463.22 $103,231.63 $48,285.71 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 11 — — $27,460.42 $106,111.00 $48,279.32 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 11 — — $27,437.30 $103,105.17 $48,226.56 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 11 — — $45,569.75 $191,548.41 $47,848.24 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 11 — — $27,154.22 $101,724.42 $47,580.73 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 11 — — $26,941.91 $100,688.86 $47,096.35 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 11 — — $28,084.73 $106,263.13 $47,092.10 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 11 — — $26,927.89 $103,905.94 $47,064.38 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 11 — — $26,906.87 $100,517.97 $47,016.42 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 11 — — $28,474.32 $108,163.37 $46,886.29 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 11 — — $26,759.03 $99,796.84 $46,679.12 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 11 — — $44,362.46 $167,189.90 $46,580.58 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 11 — — $26,705.08 $102,040.50 $46,556.03 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 11 — — $26,632.90 $99,181.65 $46,391.37 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 11 — — $26,620.29 $99,120.14 $46,362.60 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 11 — — $28,990.73 $110,682.21 $46,189.25 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 11 — — $26,530.60 $131,320.66 $46,157.98 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 11 — — $26,491.37 $101,252.00 $46,068.45 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 11 — — $26,410.09 $103,657.58 $45,883.02 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 11 — — $26,520.79 $88,822.42 $45,866.94 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 11 — — $26,272.05 $97,421.54 $45,568.09 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 11 — — $25,984.07 $99,867.30 $44,911.07 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 11 — — $25,913.30 $95,671.68 $44,749.61 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 11 — — $30,203.62 $116,598.25 $44,653.42 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 11 — — $25,855.84 $112,479.96 $44,618.52 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 11 — — $28,123.27 $106,451.10 $44,616.53 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 6 — — $6,917.00 $136,945.86 $44,160.17 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 11 — — $25,617.60 $84,855.27 $44,075.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 11 — — $25,553.84 $93,918.40 $43,929.53 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 7 6 — — $16,223.00 $80,562.00 $43,842.47 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 6 — — $16,223.00 $80,562.00 $43,842.47 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 8 6 — — $14,170.00 $45,325.06 $43,736.57 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 11 — — $25,363.25 $99,573.04 $43,494.71 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 11 — — $28,793.83 $112,797.00 $43,451.56 2026-04-01
250 LOCAL Description Not Available 1 1 — — $43,364.00 $43,364.00 $43,364.00 2026-04-01
251 LOCAL Description Not Available 1 1 — — $43,364.00 $43,364.00 $43,364.00 2026-04-01
849 MS_DRG Radiotherapy 19 11 — — $25,284.08 $95,198.00 $43,314.07 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 11 — — $33,379.85 $132,090.69 $42,994.46 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 11 — — $25,454.34 $84,138.16 $42,603.07 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 11 — — $24,937.23 $93,459.00 $42,522.76 2026-04-01
J9226 HCPCS Supprelin La Implant 11 5 — — $27,599.31 $79,730.68 $42,408.63 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 11 — — $24,872.07 $118,216.67 $42,374.09 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 11 — — $29,706.13 $114,171.69 $42,236.10 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 11 — — $24,778.88 $99,654.03 $42,161.48 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 19 11 — — $24,485.99 $88,709.82 $41,493.26 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 11 — — $24,396.30 $105,620.21 $41,288.64 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 19 11 — — $24,371.08 $79,380.04 $41,231.09 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 11 — — $39,241.12 $160,679.75 $41,203.18 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 19 11 — — $24,289.80 $87,752.87 $41,045.65 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 19 11 — — $24,187.50 $87,253.88 $40,812.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 15 11 — — $38,789.88 $158,478.75 $40,729.37 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 11 — — $25,721.31 $94,735.23 $40,686.69 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 11 — — $24,069.08 $86,676.29 $40,542.09 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 19 11 — — $23,984.30 $86,262.75 $40,348.66 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 19 11 — — $23,976.59 $86,225.15 $40,331.08 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 11 — — $25,199.29 $92,189.04 $40,092.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 11 — — $28,440.68 $107,999.32 $39,927.51 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 11 — — $23,759.37 $85,165.67 $39,835.51 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 19 11 — — $23,687.90 $76,379.28 $39,672.46 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 11 — — $23,525.34 $84,024.15 $39,301.58 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 19 11 — — $23,425.15 $83,535.42 $39,072.98 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 11 — — $23,404.83 $83,436.31 $39,026.62 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 11 — — $24,371.08 $79,380.04 $38,832.44 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 19 11 — — $23,270.99 $82,783.53 $38,721.29 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 19 11 — — $23,215.64 $82,513.53 $38,595.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 11 — — $23,152.58 $84,510.00 $38,451.13 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 11 — — $23,095.82 $81,929.10 $38,321.64 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 19 11 — — $23,079.71 $81,850.50 $38,284.87 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 11 — — $23,048.88 $89,290.00 $38,214.53 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 11 — — $23,020.15 $81,559.99 $38,148.99 2026-04-01
69718 HCPCS Revise Temple Bone Implant 2 2 — — $14,170.00 $61,400.00 $37,785.00 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 2 2 — — $14,170.00 $61,400.00 $37,785.00 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 19 11 — — $22,772.80 $87,007.00 $37,584.68 2026-04-01
460 LOCAL Description Not Available 1 1 — — $37,582.00 $37,582.00 $37,582.00 2026-04-01
459 LOCAL Description Not Available 1 1 — — $37,582.00 $37,582.00 $37,582.00 2026-04-01
333 MS_DRG Rectal Resection With Cc 19 11 — — $22,710.44 $80,049.37 $37,442.41 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 11 — — $2,380.93 $128,327.78 $37,290.59 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 11 — — $24,102.71 $86,840.34 $37,269.43 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 19 11 — — $22,576.61 $71,498.05 $37,137.08 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 19 11 — — $22,593.43 $79,478.61 $36,968.48 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 11 — — $22,493.23 $78,989.88 $36,946.84 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 19 11 — — $22,383.92 $83,294.29 $36,697.46 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 19 11 — — $22,379.02 $70,630.14 $36,686.27 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 19 11 — — $22,313.85 $82,959.54 $36,537.60 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 11 — — $1,988.63 $124,923.84 $36,476.88 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 19 11 — — $22,217.86 $69,922.27 $36,318.59 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 11 — — $29,366.30 $112,514.10 $36,246.20 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 11 — — $22,173.71 $77,431.41 $36,217.88 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 19 11 — — $22,685.22 $79,926.33 $36,160.77 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 11 — — $23,530.25 $84,048.08 $35,826.81 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 4 2 — — $5,272.00 $63,720.55 $35,822.12 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 19 11 — — $21,975.42 $78,607.00 $35,765.48 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 11 — — $25,260.95 $90,718.27 $35,750.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 19 11 — — $21,851.40 $75,859.27 $35,482.53 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 19 11 — — $21,769.42 $67,952.54 $35,295.49 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 11 — — $4,370.20 $84,596.74 $35,174.48 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 19 11 — — $21,704.95 $75,144.97 $35,148.42 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 4 2 — — $16,223.00 $62,342.91 $35,047.65 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 19 11 — — $21,656.60 $74,909.15 $35,038.11 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 19 11 — — $21,629.28 $74,775.86 $34,975.77 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 11 — — $21,591.44 $75,407.00 $34,889.45 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 19 11 — — $21,581.63 $104,236.00 $34,867.06 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 11 — — $21,555.00 $74,413.58 $34,806.32 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 19 11 — — $21,503.85 $74,317.00 $34,689.62 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 19 11 — — $21,984.53 $76,508.63 $34,621.06 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 19 11 — — $21,680.43 $75,025.35 $34,485.15 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 19 11 — — $21,298.55 $102,029.00 $34,221.23 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 11 — — $21,803.75 $68,103.35 $34,067.70 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 19 11 — — $21,229.88 $74,479.00 $34,064.57 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 19 11 — — $21,223.58 $75,214.31 $34,050.18 2026-04-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 6 5 — — $6,242.00 $35,252.94 $34,017.43 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 11 — — $29,918.45 $125,196.00 $33,944.06 2026-04-01
69930 HCPCS Implant Cochlear Device 11 5 — — $16,330.00 $277,070.61 $33,929.24 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 19 11 — — $21,158.41 $74,511.00 $33,901.51 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 11 — — $32,265.05 $126,653.13 $33,878.30 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 19 11 — — $21,137.39 $72,376.63 $33,853.55 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 3 — — $4,296.78 $42,399.74 $33,851.04 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 19 11 — — $21,129.69 $72,339.04 $33,835.97 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 19 11 — — $21,074.33 $72,069.04 $33,709.68 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 19 11 — — $21,030.89 $77,004.16 $33,610.57 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 19 11 — — $21,230.58 $72,831.19 $33,508.51 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 19 11 — — $20,974.83 $71,583.73 $33,482.68 2026-04-01
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