Price Transparencybeta Hospital negotiated rates

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

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Hospital

MUSC Health Black River Medical Center

Cades, SC · CCN 420117 · Rates published

13,033 distinct procedures filed
20 distinct payers
182,769 rate rows
2026-04-01 last MRF observed
Data quality

120,732 of 182,769 rate rows are consumer-grade (66.1%)

62,037 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 61,967
placeholder amount (≤ $0.02) — excluded from medians 34
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 23
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-black-river-medical-center_standardcharges.xlsx
Found on page https://muschealth.org/patients-visitors/billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-03
Content fingerprint 3fd4dbb179ba23cb… · 12,362,631 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,053,793.33 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $3,648,108.85 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,573,290.29 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $3,240,314.00 $3,004,654.80 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,354,513.02 $2,700,621.67 $2,504,212.82 nat. median
$2,460,273
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $523,452.56 $650,898.82 $603,560.73 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $507,687.00 $622,455.84 $577,186.32 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $496,390.21 $618,792.00 $573,788.95 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $503,454.53 $613,049.73 $568,464.29 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $489,136.91 $586,553.19 $543,894.77 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $449,440.00 $538,235.07 $499,090.70 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $270,578.60 $315,875.13 $292,902.39 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $111,000.00 $204,990.25 $190,081.87 nat. median
$261,939
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $141,977.65 $260,020.26 $144,817.20 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $5,788.82 $155,258.87 $142,555.88 nat. median
$199,832
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $92,817.45 $92,817.45 $92,817.45 nat. median
$75,807
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $4,584.39 $101,379.26 $92,109.75 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 10 $86,116.91 $155,000.00 $87,839.25 nat. median
$122,690
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $84,119.00 $84,119.00 $84,119.00 nat. median
$58,534
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $84,119.00 $84,119.00 $84,119.00 nat. median
$51,048
1.6× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $84,119.00 $84,119.00 $84,119.00 nat. median
$45,104
1.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $84,119.00 $84,119.00 $84,119.00 nat. median
$40,712
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $79,917.25 $147,000.00 $81,515.60 nat. median
$114,305
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $75,354.79 $148,000.00 $76,861.89 nat. median
$108,240
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $75,268.34 $82,795.17 $76,773.71 nat. median
$96,134
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $72,311.15 $293,144.42 $75,745.93 nat. median
$100,978
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $73,289.34 $158,411.43 $74,981.40 nat. median
$96,835
0.8× median
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$52,716
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 10 $66,212.57 $218,148.89 $71,178.51 nat. median
$98,002
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $68,563.29 $170,000.00 $69,934.56 nat. median
$99,646
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $65,054.17 $202,435.31 $66,355.25 nat. median
$92,900
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $60,834.38 $90,000.00 $66,351.04 nat. median
$69,291
1.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $65,917.00 $65,917.00 $65,917.00 nat. median
$46,826
1.4× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $65,917.00 $65,917.00 $65,917.00 nat. median
$38,383
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $61,176.00 $61,176.00 $61,176.00 nat. median
$57,648
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $61,176.00 $61,176.00 $61,176.00 nat. median
$83,623
0.7× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $61,176.00 $61,176.00 $61,176.00 nat. median
$46,399
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $59,841.25 $158,411.43 $61,110.75 nat. median
$81,124
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $51,799.33 $148,505.88 $61,086.39 nat. median
$63,643
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $56,057.58 $214,869.42 $60,261.90 nat. median
$79,040
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $45,251.34 $81,195.92 $58,736.08 nat. median
$81,364
0.7× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 6 $29,194.09 $160,108.64 $57,459.42 nat. median
$31,420
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $38,237.00 $180,586.99 $56,998.99 nat. median
$80,459
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $35,585.53 $102,021.79 $55,512.78 nat. median
$65,655
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $51,059.55 $162,269.63 $54,889.02 nat. median
$74,472
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $52,326.35 $175,320.85 $54,811.85 nat. median
$77,385
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $50,839.44 $154,947.13 $54,652.40 nat. median
$73,475
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $50,671.20 $163,502.84 $52,619.12 nat. median
$71,485
0.7× median
247
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 $50,849.00 $50,849.00 $50,849.00 nat. median
$15,753
outlier · 3.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $48,002.62 $120,392.00 $49,948.67 nat. median
$66,640
0.7× median

Other procedures at this hospital

Browse this hospital's 13,033 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $4,053,793.33 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $3,648,108.85 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $3,573,290.29 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,945,740.00 $3,240,314.00 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,354,513.02 $2,700,621.67 $2,504,212.82 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $523,452.56 $650,898.82 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $507,687.00 $622,455.84 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $496,390.21 $618,792.00 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $503,454.53 $613,049.73 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $489,136.91 $586,553.19 $543,894.77 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $449,440.00 $538,235.07 $499,090.70 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 10 — — $270,578.60 $315,875.13 $292,902.39 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $111,000.00 $204,990.25 $190,081.87 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 10 — — $141,977.65 $260,020.26 $144,817.20 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 10 — — $5,788.82 $155,258.87 $142,555.88 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $92,817.45 $92,817.45 $92,817.45 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 — — $4,584.39 $101,379.26 $92,109.75 2026-04-01
7 MS_DRG Lung Transplant 15 10 — — $86,116.91 $155,000.00 $87,839.25 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $84,119.00 $84,119.00 $84,119.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $84,119.00 $84,119.00 $84,119.00 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $84,119.00 $84,119.00 $84,119.00 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $84,119.00 $84,119.00 $84,119.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $79,917.25 $147,000.00 $81,515.60 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $75,354.79 $148,000.00 $76,861.89 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $75,268.34 $82,795.17 $76,773.71 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $72,311.15 $293,144.42 $75,745.93 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $73,289.34 $158,411.43 $74,981.40 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 10 — — $66,212.57 $218,148.89 $71,178.51 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $68,563.29 $170,000.00 $69,934.56 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $65,054.17 $202,435.31 $66,355.25 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 7 — — $60,834.38 $90,000.00 $66,351.04 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $65,917.00 $65,917.00 $65,917.00 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $65,917.00 $65,917.00 $65,917.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $61,176.00 $61,176.00 $61,176.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $61,176.00 $61,176.00 $61,176.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $61,176.00 $61,176.00 $61,176.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $59,841.25 $158,411.43 $61,110.75 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 7 — — $51,799.33 $148,505.88 $61,086.39 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 10 — — $56,057.58 $214,869.42 $60,261.90 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $45,251.34 $81,195.92 $58,736.08 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 6 — — $29,194.09 $160,108.64 $57,459.42 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 10 — — $38,237.00 $180,586.99 $56,998.99 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $35,585.53 $102,021.79 $55,512.78 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 10 — — $51,059.55 $162,269.63 $54,889.02 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $52,326.35 $175,320.85 $54,811.85 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 10 — — $50,839.44 $154,947.13 $54,652.40 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $50,671.20 $163,502.84 $52,619.12 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $50,849.00 $50,849.00 $50,849.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $48,002.62 $120,392.00 $49,948.67 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $47,416.10 $161,767.66 $49,534.02 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $49,423.00 $49,423.00 $49,423.00 2026-04-01
10 MS_DRG Pancreas Transplant 15 10 — — $47,717.34 $89,000.00 $48,671.69 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $47,444.03 $134,000.00 $48,392.91 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 10 — — $45,962.44 $144,129.02 $48,145.65 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 10 — — $45,737.01 $202,101.00 $47,838.56 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 10 — — $3,428.45 $52,467.13 $47,697.39 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $44,760.82 $124,932.96 $46,886.96 2026-04-01
69930 HCPCS Implant Cochlear Device 12 6 — — $4,029.00 $150,175.57 $46,578.31 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $44,431.65 $139,963.78 $46,542.15 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 10 — — $43,724.77 $146,558.07 $46,333.20 2026-04-01
J9226 HCPCS Supprelin La Implant 13 7 — — $17,918.88 $68,025.33 $45,483.13 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $44,385.85 $85,531.85 $45,353.51 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 10 — — $42,789.80 $127,268.08 $44,822.32 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $42,686.04 $155,676.35 $44,599.27 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $43,565.84 $169,176.01 $44,437.16 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 10 — — $40,315.39 $141,823.19 $43,339.04 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 6 — — $29,194.09 $119,808.92 $42,996.74 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 6 — — $20,688.26 $119,808.92 $42,996.74 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 6 — — $20,688.26 $119,808.92 $42,996.74 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 6 — — $20,688.26 $119,808.92 $42,996.74 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 6 — — $20,688.26 $119,808.92 $42,996.74 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 6 — — $29,194.09 $119,808.92 $42,996.74 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 10 — — $40,752.95 $107,117.57 $42,982.38 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $40,705.74 $87,752.72 $42,639.26 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 10 — — $39,025.32 $127,632.69 $41,952.22 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $39,954.30 $108,098.28 $41,852.13 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $39,943.00 $131,813.08 $41,840.29 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $7,889.00 $45,063.32 $41,785.99 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 5 — — $4,029.00 $45,063.32 $41,785.99 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 6 — — $4,029.00 $115,757.40 $41,542.75 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $39,000.05 $161,369.72 $40,776.71 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 10 — — $38,323.00 $143,451.31 $40,446.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 10 — — $39,431.62 $91,900.00 $40,220.25 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 10 — — $1,754.37 $43,475.73 $39,918.62 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 6 — — $4,029.00 $74,226.30 $39,912.29 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $38,105.64 $121,855.49 $39,900.08 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $38,350.36 $118,978.00 $39,183.25 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $37,385.47 $106,240.89 $38,817.07 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $37,950.04 $41,745.04 $38,709.04 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $37,900.83 $114,687.52 $38,705.01 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $36,507.02 $185,354.73 $38,241.11 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $38,192.00 $38,192.00 $38,192.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 10 — — $36,326.14 $122,528.15 $38,171.40 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $36,378.01 $115,503.60 $38,027.74 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $37,269.76 $134,000.00 $38,015.16 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 10 — — $35,462.33 $134,515.84 $38,002.06 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $36,268.95 $134,033.06 $37,854.44 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $35,896.86 $120,972.75 $37,754.69 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 10 — — $34,109.00 $187,647.90 $37,461.67 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 6 — — $4,029.00 $103,790.34 $37,248.04 2026-04-01
0321T OTHER Insert Subq Defib Pls Gen 1 1 — — $36,907.00 $36,907.00 $36,907.00 2026-04-01
0323T OTHER Rmvl & Replc Subq Pls Gen 1 1 — — $36,907.00 $36,907.00 $36,907.00 2026-04-01
0319T OTHER Insert Subq Defib W/eltrd 1 1 — — $36,907.00 $36,907.00 $36,907.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $35,202.98 $137,380.20 $36,875.12 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 10 — — $36,123.99 $91,900.00 $36,846.47 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 10 — — $35,086.61 $105,565.20 $36,828.92 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 10 — — $34,615.14 $87,508.42 $36,552.67 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $35,441.05 $130,459.68 $36,550.03 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $34,555.29 $111,994.86 $36,196.67 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $18,284.51 $53,690.82 $35,987.66 2025-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $35,745.00 $35,745.00 $35,745.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 10 — — $33,165.47 $93,898.69 $35,652.88 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 10 — — $32,899.48 $106,046.97 $35,366.94 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $32,950.72 $107,604.39 $34,186.91 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $32,592.25 $154,169.43 $34,140.38 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $34,080.00 $34,080.00 $34,080.00 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $33,997.00 $33,997.00 $33,997.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 10 — — $31,658.61 $93,633.06 $33,755.06 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 11 — — $11,938.46 $90,317.23 $33,497.78 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $31,947.88 $87,215.52 $33,465.40 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 11 — — $5,961.70 $88,010.29 $33,383.14 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 11 — — $30,566.04 $77,404.38 $32,902.45 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 21 10 — — $25,669.00 $99,480.96 $32,752.34 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $31,199.77 $88,440.65 $32,681.76 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $31,106.68 $119,077.99 $32,584.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $30,712.34 $101,286.84 $32,171.18 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 10 — — $30,488.24 $86,489.33 $31,936.43 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 10 — — $31,263.61 $97,000.00 $31,888.88 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $30,339.28 $124,315.85 $31,780.40 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $30,248.18 $67,796.25 $31,611.33 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $30,116.51 $132,490.79 $31,547.04 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $30,234.88 $81,873.63 $31,463.56 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $30,835.36 $170,000.00 $31,452.07 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 10 — — $29,803.30 $77,052.90 $31,218.96 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $28,143.41 $55,761.09 $30,390.55 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $29,677.62 $118,402.30 $30,271.17 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 10 — — $29,211.47 $60,574.75 $30,200.42 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $28,776.57 $112,887.70 $29,956.38 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 2 — — $17,033.00 $78,451.15 $29,873.34 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 10 — — $28,083.65 $110,052.63 $29,851.74 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 10 — — $27,747.17 $118,682.07 $29,828.21 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 5 — — $4,029.00 $32,113.50 $29,777.97 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $4,029.00 $32,113.50 $29,777.97 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 10 — — $27,854.90 $103,610.85 $29,503.03 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 12 6 — — $4,029.00 $58,081.63 $29,486.03 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $28,547.15 $60,847.45 $29,483.70 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 5 — — $17,033.00 $31,570.07 $29,274.07 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $4,152.00 $31,570.07 $29,274.07 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $4,152.00 $31,570.07 $29,274.07 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $4,152.00 $31,570.07 $29,274.07 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $27,906.77 $124,015.88 $29,232.35 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 6 — — $17,033.00 $73,066.13 $29,198.90 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $28,021.81 $97,390.26 $29,034.39 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $28,200.69 $84,058.26 $29,031.26 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $28,035.77 $100,456.62 $29,019.62 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 6 — — $17,033.00 $71,098.98 $28,987.07 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $24,191.89 $108,569.95 $28,930.88 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $7,889.00 $31,570.07 $28,700.06 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $27,616.83 $104,182.51 $28,675.74 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 10 — — $27,940.02 $55,473.24 $28,639.51 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 7 — — $3,137.65 $40,605.80 $28,365.58 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 6 — — $17,033.00 $74,226.30 $28,279.53 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 10 — — $27,433.96 $96,235.83 $28,055.07 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 10 — — $1,814.97 $30,499.94 $28,004.49 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $26,735.73 $111,203.02 $27,731.64 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 5 — — $4,029.00 $29,345.53 $27,211.31 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $25,895.85 $83,074.52 $27,125.90 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 8 2 — — $17,033.00 $71,098.98 $27,073.87 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $25,720.26 $91,847.38 $27,023.54 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 10 — — $1,363.50 $29,690.93 $26,991.75 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $25,739.58 $82,138.25 $26,962.21 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $26,013.55 $104,125.95 $26,904.83 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 10 — — $25,530.77 $77,067.04 $26,743.49 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $25,676.41 $72,780.60 $26,626.70 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 6 — — $4,029.00 $69,325.64 $26,245.42 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 10 — — $25,023.39 $132,470.59 $26,212.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 10 — — $24,855.15 $72,688.69 $26,035.77 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 10 — — $1,174.50 $28,271.11 $25,701.01 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 10 — — $24,425.57 $102,882.64 $25,585.79 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $25,440.00 $25,440.00 $25,440.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $23,690.39 $49,829.36 $25,412.62 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 10 — — $20,954.00 $79,828.38 $25,349.54 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 10 — — $9,440.74 $69,023.40 $25,278.32 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $24,415.59 $86,683.25 $25,191.53 2026-04-01
509 MS_DRG Arthroscopy 8 2 — — $12,603.26 $36,027.71 $25,156.03 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 10 — — $24,643.02 $97,000.00 $25,135.88 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 — — $24,017.93 $71,403.97 $25,109.99 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $24,060.49 $96,598.42 $25,067.48 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 12 6 — — $16,763.59 $69,609.71 $24,981.37 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 12 6 — — $16,763.59 $69,609.71 $24,981.37 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $23,825.09 $98,344.71 $24,956.78 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 11 — — $23,190.69 $64,416.00 $24,929.99 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $24,110.37 $97,453.89 $24,925.74 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $23,769.89 $105,105.65 $24,898.96 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 11 — — $23,451.37 $68,444.67 $24,892.30 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $23,745.95 $80,714.15 $24,873.89 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $23,668.15 $103,283.61 $24,792.38 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 10 — — $24,077.12 $98,915.36 $24,722.94 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 10 — — $23,648.87 $72,048.35 $24,714.29 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 13 7 — — $21,355.87 $61,226.11 $24,712.99 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $23,710.71 $100,893.95 $24,653.03 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $23,690.76 $79,197.13 $24,651.83 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $22,772.68 $87,272.08 $24,611.57 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 10 — — $23,403.49 $60,659.59 $24,515.15 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $22,990.81 $115,596.52 $24,461.66 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $23,084.29 $92,225.12 $24,180.79 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 9 3 — — $11,094.31 $40,977.72 $24,112.94 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 10 — — $22,972.58 $56,181.98 $24,053.07 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $22,798.35 $67,530.62 $23,881.28 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $22,656.71 $86,701.43 $23,732.90 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 11 — — $4,687.56 $72,868.47 $23,660.61 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $22,686.63 $55,297.50 $23,611.97 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 10 — — $22,866.18 $25,152.80 $23,323.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 10 — — $14,854.47 $52,174.58 $23,269.68 2026-04-01
22630 HCPCS Lumbar Spine Fusion 12 6 — — $7,889.00 $40,001.75 $23,088.67 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 6 — — $7,889.00 $40,001.75 $23,088.67 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 10 — — $21,891.98 $81,185.82 $22,931.85 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 10 — — $21,231.65 $79,725.36 $22,824.02 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 6 — — $17,033.00 $71,098.98 $22,743.10 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $21,535.54 $50,226.29 $22,558.48 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $21,459.74 $54,763.21 $22,479.08 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 10 — — $21,511.60 $52,735.13 $22,413.22 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $19,634.24 $79,177.94 $22,405.78 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 10 — — $21,889.32 $88,847.68 $22,392.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 10 — — $20,943.71 $76,986.24 $22,286.92 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 10 — — $21,171.80 $57,358.91 $22,177.46 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $21,129.24 $94,470.35 $22,132.88 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 10 — — $18,353.00 $68,708.28 $22,063.25 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 10 — — $21,045.45 $86,102.50 $22,045.11 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $21,481.68 $84,058.26 $22,026.28 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 6 — — $9,043.00 $37,492.05 $21,968.54 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 6 — — $9,043.00 $37,492.05 $21,968.54 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 6 — — $9,043.00 $37,492.05 $21,968.54 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $20,953.68 $95,344.00 $21,948.98 2026-04-01
652 MS_DRG Kidney Transplant 15 10 — — $21,475.70 $97,000.00 $21,905.21 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 10 — — $21,192.41 $84,693.55 $21,901.72 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 12 6 — — $4,029.00 $58,081.63 $21,834.61 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 12 6 — — $4,029.00 $58,081.63 $21,834.61 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $20,535.45 $72,794.74 $21,775.65 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 10 — — $20,755.52 $83,853.23 $21,741.40 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 10 — — $20,170.33 $70,306.10 $21,683.10 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $20,675.72 $56,471.12 $21,516.94 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 10 — — $20,523.83 $47,274.06 $21,433.80 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 10 — — $2,267.20 $23,559.62 $21,417.84 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 10 — — $20,358.52 $80,793.94 $21,325.55 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 10 — — $20,129.33 $73,843.12 $21,312.39 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 10 — — $15,904.33 $66,190.35 $21,126.54 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 12 6 — — $9,635.00 $57,259.54 $21,126.03 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 12 6 — — $9,635.00 $57,259.54 $21,126.03 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 12 6 — — $9,635.00 $57,259.54 $21,126.03 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 6 — — $9,635.00 $57,259.54 $21,126.03 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 12 6 — — $9,635.00 $57,259.54 $21,126.03 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 12 6 — — $9,635.00 $57,259.54 $21,126.03 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 5 5 — — $4,029.00 $22,757.08 $21,102.02 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 5 5 — — $4,029.00 $22,757.08 $21,102.02 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 5 5 — — $4,029.00 $22,757.08 $21,102.02 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 5 5 — — $4,029.00 $22,757.08 $21,102.02 2026-04-01
J7311 HCPCS Fluocinolone Acetonide Implt 13 7 — — $316.27 $60,061.26 $20,949.56 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 21 10 — — $19,591.13 $62,722.01 $20,786.58 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 12 6 — — $9,635.00 $31,044.11 $20,744.21 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 12 6 — — $10,828.29 $31,044.11 $20,744.21 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 10 — — $19,243.20 $77,196.32 $20,737.89 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $19,792.62 $56,598.38 $20,732.77 2026-04-01
93580 HCPCS Transcath Closure Of Asd 12 6 — — $9,635.00 $57,518.33 $20,642.04 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 12 6 — — $9,635.00 $57,518.33 $20,642.04 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 10 — — $19,191.47 $61,599.90 $20,630.51 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 10 — — $20,083.22 $79,373.88 $20,527.75 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $20,085.88 $80,292.98 $20,497.17 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 10 — — $18,115.25 $71,521.13 $20,462.50 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 10 — — $19,417.57 $76,221.67 $20,339.90 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 10 — — $19,366.36 $72,843.22 $20,286.26 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 10 — — $19,297.87 $60,570.71 $20,214.52 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 10 — — $19,086.40 $76,365.09 $19,993.01 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 10 — — $18,969.10 $64,363.26 $19,969.39 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 10 — — $17,637.00 $31,646.33 $19,949.04 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $19,285.90 $65,751.00 $19,910.52 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 10 — — $18,955.40 $37,545.74 $19,855.78 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 8 2 — — $14,761.00 $51,824.00 $19,734.03 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 10 — — $19,200.78 $49,818.25 $19,584.80 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 10 — — $18,682.09 $76,709.50 $19,569.49 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $19,012.87 $72,441.24 $19,546.81 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 10 — — $18,614.93 $70,112.18 $19,499.14 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 12 6 — — $2,017.00 $46,027.23 $19,469.68 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 7 6 — — $7,889.00 $27,356.44 $19,396.89 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 7 6 — — $7,889.00 $27,356.44 $19,396.89 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 12 6 — — $9,721.17 $53,909.84 $19,347.04 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 12 6 — — $9,721.17 $53,909.84 $19,347.04 2026-04-01
53444 HCPCS Insert Tandem Cuff 12 6 — — $7,889.00 $36,539.88 $19,203.00 2026-04-01
63655 HCPCS Implant Neuroelectrodes 12 6 — — $7,889.00 $50,820.28 $19,073.57 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 10 — — $18,334.31 $55,678.27 $19,048.51 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 10 — — $18,179.36 $73,400.74 $19,017.57 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 10 — — $17,688.60 $66,519.61 $19,015.24 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 10 — — $18,560.40 $72,648.29 $18,960.40 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 10 — — $18,092.92 $78,920.39 $18,952.33 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 21 10 — — $18,273.79 $57,169.03 $18,822.01 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 10 — — $18,283.15 $55,868.15 $18,801.37 2026-04-01
849 MS_DRG Radiotherapy 20 10 — — $18,017.77 $73,147.23 $18,771.20 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 8 2 — — $15,160.38 $43,463.98 $18,680.43 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 11 — — $6,662.86 $46,131.75 $18,644.02 2026-04-01
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