Price Transparency 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

AFFILIATE OF VITRUVIAN HEALTH

Cleveland, TN · CCN 440185 · Rates published

13,721 distinct procedures filed
9 distinct payers
155,728 rate rows
2026-04-01 last MRF observed
Data quality

137,300 of 155,728 rate rows are consumer-grade (88.2%)

18,428 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 18,389
placeholder amount (≤ $0.02) — excluded from medians 39
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://vitruvianhealth.com/wp-content/uploads/2026/04/992892769_bradley-medical-center_standardcharges.csv.zip
Found on page https://vitruvianhealth.com/patients-visitors/patient-resources/billing-insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint c4b6525b5c26fe70… · 1,493,836 bytes · first seen 2026-05-15

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
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,238,720.00 $4,297,014.34 $3,847,800.00 nat. median
$2,448,600
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,543,792.00 $3,876,022.50 $3,802,193.50 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,188,521.32 $3,487,445.20 $3,421,017.67 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,483,603.77 $4,767,045.90 $3,405,198.12 nat. median
$2,469,189
1.4× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,115,566.13 $3,407,650.46 $3,342,742.83 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,820,787.20 $4,995,144.00 $3,085,236.00 nat. median
$3,006,423
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $564,955.02 $1,084,378.49 $909,675.26 nat. median
$675,122
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $537,389.84 $1,031,469.70 $871,715.51 nat. median
$625,184
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $539,770.40 $1,036,038.97 $852,201.85 nat. median
$674,188
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $510,575.15 $980,001.41 $807,703.30 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $469,718.98 $901,581.79 $805,284.99 nat. median
$620,080
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $589,613.58 $1,131,708.29 $644,889.85 nat. median
$754,974
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $121,100.50 $717,179.94 $301,607.49 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $140,244.10 $465,420.93 $198,047.42 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $28,271.38 $354,589.10 $149,727.67 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $54,102.85 $352,508.12 $148,856.01 nat. median
$202,986
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $61,711.01 $226,441.01 $105,784.92 nat. median
$69,774
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $34,879.37 $230,044.05 $97,559.02 nat. median
$133,176
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $54,551.57 $216,196.26 $96,601.73 nat. median
$62,507
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $54,018.42 $197,960.67 $95,657.63 nat. median
$66,682
1.4× median
7
MS_DRG 		Lung Transplant 8 $65,269.92 $215,076.92 $92,171.71 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $60,632.80 $199,593.28 $85,623.35 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $57,220.25 $188,198.53 $80,804.27 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $57,155.59 $187,982.63 $80,712.96 nat. median
$98,017
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $33,983.66 $183,040.09 $77,870.29 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $34,941.66 $180,597.05 $76,846.96 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $52,140.47 $171,236.78 $73,630.79 nat. median
$100,136
0.7× median
J9226
HCPCS 		Supprelin La Implant 7 $39,526.49 $86,868.63 $69,994.83 nat. median
$60,368
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $31,900.60 $162,472.74 $69,255.17 nat. median
$93,672
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 8 $28,618.18 $165,365.86 $69,105.33 nat. median
$99,019
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $27,058.07 $149,631.44 $63,876.28 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $29,884.69 $143,816.98 $61,440.74 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $19,703.61 $140,003.78 $59,843.50 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $40,110.55 $139,563.67 $59,659.15 nat. median
$81,118
0.7× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $4,557.00 $106,150.98 $57,608.39 nat. median
$15,912
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $25,003.56 $130,685.03 $55,940.12 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $35,294.62 $127,521.21 $54,614.88 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $16,923.06 $126,971.48 $54,384.61 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $20,681.72 $126,551.30 $54,208.61 nat. median
$72,138
0.8× median
10
MS_DRG 		Pancreas Transplant 8 $36,548.47 $119,174.03 $51,612.36 nat. median
$68,882
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $23,042.15 $119,886.51 $51,416.91 nat. median
$68,090
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $36,344.04 $118,491.44 $51,323.68 nat. median
$71,240
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $13,001.22 $119,124.20 $51,097.60 nat. median
$64,027
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $22,825.12 $118,421.68 $50,803.32 nat. median
$68,887
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $20,375.47 $114,228.16 $49,046.78 nat. median
$65,950
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $23,492.47 $335,785.75 $48,330.28 nat. median
$66,526
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $20,337.84 $111,790.11 $48,025.53 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $20,069.55 $111,049.39 $47,715.27 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $21,750.99 $110,968.01 $47,681.18 nat. median
$63,738
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $20,452.36 $109,202.58 $46,941.69 nat. median
$64,510
0.7× median

Other procedures at this hospital

Browse this hospital's 13,721 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
             
J3392 HCPCS Inj, Exagamglogene Autotem 11 7 — — $2,238,720.00 $4,297,014.34 $3,847,800.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,543,792.00 $3,876,022.50 $3,802,193.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,188,521.32 $3,487,445.20 $3,421,017.67 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 7 — — $2,483,603.77 $4,767,045.90 $3,405,198.12 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,115,566.13 $3,407,650.46 $3,342,742.83 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 6 — — $2,820,787.20 $4,995,144.00 $3,085,236.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 7 — — $564,955.02 $1,084,378.49 $909,675.26 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $537,389.84 $1,031,469.70 $871,715.51 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $539,770.40 $1,036,038.97 $852,201.85 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $510,575.15 $980,001.41 $807,703.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $469,718.98 $901,581.79 $805,284.99 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $589,613.58 $1,131,708.29 $644,889.85 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 8 — — $121,100.50 $717,179.94 $301,607.49 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 8 — — $140,244.10 $465,420.93 $198,047.42 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 8 — — $28,271.38 $354,589.10 $149,727.67 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 8 — — $54,102.85 $352,508.12 $148,856.01 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 13 7 — — $61,711.01 $226,441.01 $105,784.92 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 8 — — $34,879.37 $230,044.05 $97,559.02 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 7 — — $54,551.57 $216,196.26 $96,601.73 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $54,018.42 $197,960.67 $95,657.63 2026-04-01
7 MS_DRG Lung Transplant 12 8 — — $65,269.92 $215,076.92 $92,171.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 8 — — $60,632.80 $199,593.28 $85,623.35 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 8 — — $57,220.25 $188,198.53 $80,804.27 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 8 — — $57,155.59 $187,982.63 $80,712.96 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $33,983.66 $183,040.09 $77,870.29 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 8 — — $34,941.66 $180,597.05 $76,846.96 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 8 — — $52,140.47 $171,236.78 $73,630.79 2026-04-01
J9226 HCPCS Supprelin La Implant 11 7 — — $39,526.49 $86,868.63 $69,994.83 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $31,900.60 $162,472.74 $69,255.17 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 8 — — $28,618.18 $165,365.86 $69,105.33 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 8 — — $27,058.07 $149,631.44 $63,876.28 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 8 — — $29,884.69 $143,816.98 $61,440.74 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 8 — — $19,703.61 $140,003.78 $59,843.50 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $40,110.55 $139,563.67 $59,659.15 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 13 7 — — $4,557.00 $106,150.98 $57,608.39 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 8 — — $25,003.56 $130,685.03 $55,940.12 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $35,294.62 $127,521.21 $54,614.88 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 8 — — $16,923.06 $126,971.48 $54,384.61 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 8 — — $20,681.72 $126,551.30 $54,208.61 2026-04-01
10 MS_DRG Pancreas Transplant 12 8 — — $36,548.47 $119,174.03 $51,612.36 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $23,042.15 $119,886.51 $51,416.91 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 8 — — $36,344.04 $118,491.44 $51,323.68 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 8 — — $13,001.22 $119,124.20 $51,097.60 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 8 — — $22,825.12 $118,421.68 $50,803.32 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 8 — — $20,375.47 $114,228.16 $49,046.78 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 8 — — $23,492.47 $335,785.75 $48,330.28 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 8 — — $20,337.84 $111,790.11 $48,025.53 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 8 — — $20,069.55 $111,049.39 $47,715.27 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 8 — — $21,750.99 $110,968.01 $47,681.18 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $20,452.36 $109,202.58 $46,941.69 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $18,593.14 $109,202.58 $46,941.69 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 8 — — $14,784.19 $108,805.65 $46,775.43 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 8 — — $19,427.53 $106,867.50 $45,963.58 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 8 — — $29,171.31 $101,780.47 $43,832.76 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 8 — — $16,673.26 $101,662.55 $43,783.36 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 8 — — $14,817.61 $100,687.66 $43,375.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 14 8 — — $10,049.05 $99,785.85 $42,997.26 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 8 — — $20,146.76 $99,757.61 $42,985.43 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 8 — — $30,351.06 $98,480.46 $42,860.62 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $25,141.76 $99,035.16 $42,682.82 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 8 — — $15,537.16 $97,465.71 $42,025.42 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 8 — — $14,588.90 $97,402.60 $41,998.99 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 9 7 — — $38,726.64 $74,332.17 $41,953.86 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 9 — — $10,341.35 $98,709.65 $41,724.32 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $27,067.16 $56,288.01 $41,677.58 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 7 — — $4,896.88 $74,332.17 $41,516.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $41,516.00 $41,516.00 $41,516.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 7 — — $4,896.88 $74,332.17 $41,516.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 8 — — $17,747.07 $95,780.00 $41,319.32 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 8 — — $29,242.89 $94,780.20 $41,295.71 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $23,393.49 $95,168.82 $41,063.32 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 8 — — $13,733.42 $94,657.30 $40,651.71 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 8 — — $28,734.07 $93,081.20 $40,577.16 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 7 — — $4,896.88 $74,332.17 $40,340.25 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $17,856.07 $93,370.18 $40,309.90 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 2 — — $4,741.36 $80,426.50 $39,976.89 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 8 — — $14,470.16 $92,443.45 $39,921.73 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 8 — — $12,439.65 $91,725.98 $39,621.19 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 8 — — $27,877.07 $90,219.64 $39,366.95 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 8 — — $9,797.63 $90,854.06 $39,255.98 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 8 — — $11,472.25 $90,724.52 $39,201.71 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 15 8 — — $18,392.00 $91,176.26 $39,200.64 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 8 — — $13,457.34 $90,581.69 $39,141.89 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $18,401.41 $88,567.14 $38,298.04 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 8 — — $16,707.65 $88,514.00 $38,275.78 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 8 — — $21,742.55 $87,919.43 $38,026.72 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 8 — — $15,360.68 $87,628.79 $37,904.99 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 8 — — $11,486.85 $86,451.28 $37,411.76 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 14 8 — — $14,828.96 $86,301.81 $37,349.15 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $13,979.97 $83,707.64 $36,262.53 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 8 — — $15,786.96 $82,830.74 $35,721.81 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 8 — — $23,756.19 $82,166.42 $35,616.95 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 8 — — $8,034.44 $81,399.13 $35,295.55 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 8 — — $22,688.22 $81,739.59 $35,266.96 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 8 — — $1,161.38 $89,849.59 $34,868.66 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 8 — — $19,715.29 $80,195.05 $34,791.19 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 8 — — $21,794.46 $79,789.81 $34,621.46 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 8 — — $21,903.46 $79,067.37 $34,318.83 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 8 — — $14,641.13 $78,080.85 $33,905.60 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 8 — — $23,921.37 $77,011.30 $33,780.86 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 8 — — $22,699.90 $77,688.90 $33,741.43 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 8 — — $15,514.78 $76,704.05 $33,328.90 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 8 — — $12,919.46 $77,921.41 $33,184.94 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 8 — — $18,096.14 $76,144.36 $33,094.46 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 8 — — $11,792.12 $76,338.67 $33,015.59 2026-04-01
245 MS_DRG Aicd Generator Procedures 14 8 — — $14,730.02 $75,772.34 $32,938.64 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 8 — — $12,828.63 $75,544.81 $32,843.32 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 8 — — $15,442.43 $75,511.59 $32,829.42 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 14 8 — — $12,818.57 $75,215.97 $32,705.58 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 8 — — $23,142.97 $74,412.14 $32,681.62 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 9 7 — — $2,278.00 $57,814.10 $32,630.88 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 8 — — $13,303.24 $74,119.84 $32,246.45 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 15 8 — — $13,167.96 $74,433.73 $32,221.51 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 8 — — $10,725.78 $72,955.62 $31,912.21 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 8 — — $17,178.69 $297,014.58 $31,363.95 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 8 — — $13,430.74 $71,869.46 $31,152.60 2026-04-01
69930 HCPCS Implant Cochlear Device 13 7 — — $4,896.88 $55,643.26 $31,103.66 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 8 — — $12,913.62 $70,838.10 $30,871.82 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $13,247.45 $70,431.21 $30,701.37 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 8 — — $12,665.45 $70,138.91 $30,578.94 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 8 — — $10,534.37 $70,019.33 $30,528.85 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $21,080.42 $69,298.54 $30,518.97 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 8 — — $13,947.53 $69,984.45 $30,514.24 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 8 — — $9,256.83 $69,697.13 $30,393.89 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 8 — — $10,387.41 $69,567.59 $30,339.63 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 8 — — $11,321.40 $69,780.17 $30,281.67 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 7 — — $27,597.78 $52,971.37 $30,185.08 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 8 — — $9,849.86 $68,973.02 $30,090.57 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 8 — — $11,516.37 $68,516.30 $29,899.27 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 7 — — $24,646.02 $96,336.00 $29,845.26 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 7 — — $27,130.77 $52,074.99 $29,674.28 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 9 — — $718.39 $69,248.72 $29,622.37 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 7 — — $4,896.88 $52,971.37 $29,610.12 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 7 — — $4,896.88 $52,971.37 $29,610.12 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 7 — — $4,896.88 $52,971.37 $29,610.12 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 7 — — $4,896.88 $52,971.37 $29,610.12 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 7 — — $4,896.88 $52,971.37 $29,610.12 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 7 — — $4,896.88 $52,971.37 $29,610.12 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 9 7 — — $2,278.00 $52,074.99 $29,391.67 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $2,870.00 $52,074.99 $29,391.67 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 9 7 — — $2,278.00 $52,074.99 $29,391.67 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 9 — — $718.39 $67,411.87 $29,294.45 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $12,691.72 $66,772.46 $29,168.83 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 13 7 — — $4,896.88 $52,074.99 $29,109.06 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 7 — — $4,896.88 $52,074.99 $29,109.06 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 7 — — $4,896.88 $52,074.99 $29,109.06 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 7 — — $4,654.45 $52,074.99 $29,109.06 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 7 — — $4,896.88 $52,074.99 $29,109.06 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 8 — — $9,064.13 $66,167.93 $28,915.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $14,501.63 $64,968.84 $28,413.33 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 8 — — $8,637.85 $64,674.87 $28,290.19 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 13 7 — — $4,654.45 $52,074.99 $28,261.22 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 8 — — $8,252.44 $64,284.59 $28,126.72 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 8 — — $15,058.65 $64,126.81 $28,060.63 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 8 — — $7,990.97 $64,188.26 $27,950.69 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 8 — — $8,794.21 $63,763.09 $27,908.28 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 8 — — $19,574.24 $62,495.90 $27,701.16 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 8 — — $9,614.98 $62,223.53 $27,263.39 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 8 — — $9,936.15 $62,069.08 $27,198.69 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 8 — — $15,752.99 $61,894.69 $27,125.65 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 8 — — $11,313.29 $62,075.72 $27,070.07 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 7 — — $4,896.88 $48,405.60 $27,057.93 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 8 — — $11,982.56 $61,545.93 $26,979.57 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 14 8 — — $6,948.95 $61,002.84 $26,752.08 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 8 — — $10,182.71 $60,977.93 $26,741.65 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 8 — — $7,030.70 $60,262.13 $26,441.82 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $13,445.34 $60,215.63 $26,422.33 2026-04-01
332 MS_DRG Rectal Resection With Mcc 14 8 — — $9,659.10 $60,132.59 $26,387.56 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 8 — — $18,592.40 $59,217.48 $26,381.11 2026-04-01
265 MS_DRG Aicd Lead Procedures 14 8 — — $7,167.60 $60,091.07 $26,370.17 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 8 — — $7,211.40 $59,984.77 $26,325.64 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 8 — — $10,383.19 $59,895.09 $26,288.07 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 8 — — $4,839.28 $59,503.14 $26,123.89 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 8 — — $17,799.62 $59,167.66 $26,118.82 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 9 7 — — $23,856.83 $45,790.97 $26,093.41 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 9 7 — — $23,856.83 $45,790.97 $26,093.41 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 8 — — $7,656.82 $59,365.30 $26,066.15 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 8 — — $10,195.03 $59,063.03 $25,939.54 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $25,929.16 $25,929.16 $25,929.16 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 8 — — $17,609.19 $59,111.19 $25,849.22 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 8 — — $13,227.33 $58,450.20 $25,682.84 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 9 7 — — $2,278.00 $45,425.54 $25,638.65 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 8 — — $819.12 $59,305.51 $25,537.90 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 7 — — $4,896.88 $45,425.54 $25,392.12 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 8 — — $17,960.72 $57,108.27 $25,363.46 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 8 — — $5,022.25 $57,653.01 $25,348.92 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 8 — — $14,333.58 $57,933.69 $25,343.46 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 8 — — $9,924.47 $58,569.77 $25,235.67 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 8 — — $6,268.36 $57,374.00 $25,110.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 8 — — $7,995.51 $56,938.87 $25,049.78 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 8 — — $10,202.50 $57,918.74 $24,968.25 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 8 — — $9,886.19 $56,659.85 $24,932.91 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 8 — — $4,664.42 $56,585.12 $24,901.61 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 13 7 — — $3,544.00 $45,790.97 $24,850.87 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 13 7 — — $4,557.00 $45,790.97 $24,850.87 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 13 7 — — $4,654.45 $45,790.97 $24,850.87 2026-04-01
22630 HCPCS Lumbar Spine Fusion 13 7 — — $4,654.45 $45,790.97 $24,850.87 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 7 — — $4,654.45 $45,790.97 $24,850.87 2026-04-01
22558 HCPCS Lumbar Spine Fusion 13 7 — — $2,253.54 $45,790.97 $24,850.87 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 8 — — $10,140.86 $55,480.68 $24,438.99 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 8 — — $11,071.60 $54,861.21 $24,179.51 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 14 8 — — $7,328.19 $54,675.20 $24,101.59 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 8 — — $7,849.85 $54,668.55 $24,098.82 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 8 — — $17,036.58 $54,022.50 $24,058.42 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 8 — — $7,178.96 $53,725.22 $23,703.67 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $10,011.42 $53,650.48 $23,672.36 2026-04-01
652 MS_DRG Kidney Transplant 14 8 — — $9,944.59 $53,635.54 $23,666.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 8 — — $8,194.05 $53,595.68 $23,649.41 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 8 — — $3,929.63 $53,491.05 $23,605.58 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 8 — — $8,578.48 $53,318.32 $23,533.24 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 8 — — $16,661.56 $52,770.26 $23,528.82 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 8 — — $16,282.99 $53,026.02 $23,410.80 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 8 — — $13,875.84 $52,876.55 $23,348.19 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 8 — — $249.15 $53,785.01 $23,270.19 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 8 — — $15,233.51 $52,928.04 $23,256.85 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 15 7 — — $991.18 $44,109.86 $23,250.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 15 7 — — $1,327.29 $44,109.86 $23,250.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 15 7 — — $1,331.81 $44,109.86 $23,250.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 8 — — $9,844.02 $52,561.00 $23,216.01 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 8 — — $7,250.33 $52,481.28 $23,182.62 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 8 — — $15,636.75 $52,306.90 $23,109.57 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 8 — — $7,437.52 $52,184.00 $23,058.09 2026-04-01
665 MS_DRG Prostatectomy With Mcc 14 8 — — $6,940.19 $51,836.89 $22,912.71 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 8 — — $9,115.38 $51,728.94 $22,867.49 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 8 — — $6,555.31 $51,637.59 $22,718.94 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 8 — — $9,630.55 $52,331.81 $22,673.24 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 14 8 — — $6,609.94 $50,845.39 $22,497.39 2026-04-01
263 MS_DRG Vein Ligation And Stripping 14 8 — — $7,177.01 $50,777.30 $22,468.86 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 8 — — $10,591.79 $50,157.82 $22,209.38 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 8 — — $10,308.90 $50,375.39 $22,192.78 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 8 — — $7,581.56 $50,103.01 $22,186.43 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 8 — — $4,980.40 $50,164.46 $22,104.86 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 8 — — $9,975.73 $49,432.05 $21,905.38 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 14 8 — — $9,327.23 $48,895.61 $21,680.67 2026-04-01
570 MS_DRG Skin Debridement With Mcc 14 8 — — $8,161.61 $48,845.79 $21,659.81 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 8 — — $11,946.55 $48,928.83 $21,589.79 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 10 7 — — $15,060.62 $54,251.55 $21,571.21 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 14 8 — — $7,732.73 $48,495.36 $21,513.03 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 8 — — $8,926.58 $80,972.15 $21,459.45 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 9 7 — — $19,557.04 $41,516.00 $21,390.52 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 9 7 — — $19,557.04 $41,516.00 $21,390.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 8 — — $7,561.44 $48,196.42 $21,387.80 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 8 — — $7,017.40 $48,166.52 $21,375.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 8 — — $8,961.94 $47,953.94 $21,286.24 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 14 8 — — $6,982.04 $47,930.69 $21,276.49 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 14 8 — — $8,681.32 $47,860.93 $21,247.28 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 9 — — $9,726.90 $47,341.10 $21,131.13 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 13 7 — — $4,896.88 $41,516.00 $20,983.08 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 8 — — $9,938.10 $47,668.28 $20,757.56 2026-04-01
800 MS_DRG Splenic Procedures With Cc 14 8 — — $8,959.34 $46,658.52 $20,743.62 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 14 8 — — $7,998.10 $46,490.77 $20,673.35 2026-04-01
503 MS_DRG Foot Procedures With Mcc 14 8 — — $6,020.80 $46,354.59 $20,616.31 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 8 — — $8,285.86 $45,789.92 $20,379.78 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 13 7 — — $4,654.45 $37,537.92 $20,371.92 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 13 7 — — $4,654.45 $37,537.92 $20,371.92 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 15 8 — — $8,941.17 $45,638.78 $20,218.33 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 8 — — $11,840.14 $45,402.95 $20,217.69 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 8 — — $7,852.44 $46,035.72 $20,086.94 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 8 — — $14,274.11 $44,798.42 $20,060.91 2026-04-01
849 MS_DRG Radiotherapy 14 8 — — $2,883.72 $44,999.38 $20,048.65 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 8 — — $9,325.93 $45,187.05 $20,030.02 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 8 — — $7,096.88 $44,944.57 $20,025.68 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 13 7 — — $12,051.56 $39,648.46 $19,972.41 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 8 — — $10,054.56 $44,177.28 $19,704.29 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 8 — — $6,097.36 $44,022.83 $19,639.59 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 8 — — $8,326.73 $45,650.41 $19,634.15 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 13 7 — — $4,654.45 $34,977.09 $19,551.62 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 13 7 — — $4,654.45 $34,977.09 $19,551.62 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 13 7 — — $4,654.45 $34,977.09 $19,551.62 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 13 7 — — $4,654.45 $34,977.09 $19,551.62 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 13 7 — — $4,654.45 $34,977.09 $19,551.62 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 13 7 — — $4,654.45 $34,977.09 $19,551.62 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 14 8 — — $11,954.33 $43,801.94 $19,547.07 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 2 — — $2,077.62 $19,300.39 $19,300.09 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 14 8 — — $8,216.11 $43,107.72 $19,256.28 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 8 — — $6,938.57 $43,056.24 $19,234.72 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 8 — — $12,170.07 $42,895.14 $19,167.24 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 14 8 — — $4,099.62 $42,835.35 $19,142.19 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 14 8 — — $3,728.17 $42,642.70 $19,061.50 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 8 — — $6,629.72 $42,835.35 $19,049.72 2026-04-01
53444 HCPCS Insert Tandem Cuff 13 7 — — $4,654.45 $34,977.09 $18,982.15 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 13 7 — — $1,393.00 $34,977.09 $18,982.15 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 13 7 — — $756.00 $34,977.09 $18,982.15 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 16 8 — — $7,301.91 $42,400.22 $18,959.93 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 8 — — $9,912.15 $42,199.27 $18,875.75 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 14 8 — — $7,060.87 $41,918.59 $18,758.18 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 8 — — $6,749.43 $42,119.55 $18,751.34 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 8 — — $7,894.94 $41,900.32 $18,750.53 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 8 — — $7,750.57 $41,385.48 $18,534.87 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 8 — — $5,600.03 $41,216.07 $18,463.92 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 8 6 — — $16,958.31 $30,030.35 $18,459.83 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 13 7 — — $4,654.45 $33,214.00 $18,300.75 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 11 7 — — $2,870.00 $32,739.34 $18,300.75 2026-04-01
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