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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
160,562 rate rows
2026-04-01 last MRF observed
Data quality

126,075 of 160,562 rate rows are consumer-grade (78.5%)

34,487 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 30,206
professional (physician) fee — not the facility price 3,910
template filing: same amount across many unrelated codes — excluded 324
placeholder amount (≤ $0.02) — excluded from medians 47
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 · 2026-05-15
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
$3,710,000
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
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,938,320.00 $3,144,002.40 $3,041,161.20 nat. median
$3,004,655
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $4,081,000.00 $2,431,110.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,348,585.00 $803,371.35 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $614,180.81 $1,012,068.02 $640,283.49 nat. median
$753,246
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $588,494.81 $968,412.95 $613,505.84 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,260.84 $947,862.41 $586,156.93 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $559,781.08 $947,205.79 $583,571.78 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $531,849.12 $932,883.84 $554,452.70 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,290.60 $857,010.00 $510,085.45 nat. median
$619,808
0.8× 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
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $473,156.25 $290,075.62 nat. median
$324,450
0.9× 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
$265,286
0.8× 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
$206,474
0.8× 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
$202,976
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $82,492.61 $371,644.12 $161,104.14 nat. median
$102,358
1.6× median
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
$98,894
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $76,066.59 $340,300.39 $159,172.60 nat. median
$99,019
1.6× median
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
$93,672
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $69,428.25 $307,921.10 $144,027.47 nat. median
$82,711
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $65,366.35 $288,108.69 $134,760.38 nat. median
$79,312
1.7× median
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
$81,118
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $85,608.58 $397,685.00 $126,417.07 nat. median
$98,047
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $61,434.78 $308,192.12 $125,790.64 nat. median
$77,570
1.6× median
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
$74,915
1.6× median
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
$73,807
1.7× median
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
$72,135
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $56,260.88 $243,695.68 $113,986.57 nat. median
$68,886
1.7× median
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
$65,950
1.7× median
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
$133,161
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $53,463.03 $249,272.76 $107,603.36 nat. median
$64,732
1.7× median
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
$63,724
1.7× median
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
$61,920
1.7× median
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
$64,508
1.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $52,203.89 $230,183.00 $104,730.68 nat. median
$59,793
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $51,386.18 $198,040.76 $102,865.11 nat. median
$62,134
1.7× median
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
$68,090
1.5× median
7
MS_DRG 		Lung Transplant 11 $97,039.64 $442,598.99 $101,891.62 nat. median
$122,708
0.8× 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
$60,726
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $49,190.22 $256,302.00 $97,855.10 nat. median
$60,185
1.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $48,778.91 $207,201.48 $96,916.72 nat. median
$59,898
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $48,386.53 $219,782.03 $96,021.51 nat. median
$59,099
1.6× median
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
$58,020
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $90,507.11 $369,874.91 $95,032.47 nat. median
$117,357
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 11 $47,419.57 $200,571.14 $93,815.44 nat. median
$57,424
1.6× median
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
$56,696
1.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 $46,708.37 $197,102.18 $92,192.86 nat. median
$54,592
1.7× median

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.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
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
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
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
219 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 HCPCS 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 HCPCS 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 HCPCS 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
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 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 HCPCS 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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