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

SENTARA RMH MEDICAL CENTER

Harrisonburg, VA · CCN 490004 · Rates published

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You selected 64625 (HCPCS)

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This hospital’s price: $2,001 across 4 payers · range $1,943-$6,531

Source: https://www.sentara.com/Documents/s/sentararmhmedicalcenterstandardchargesxlsx-1395259 · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

10,466 distinct procedures filed
13 distinct payers
100,371 rate rows
2026-04-01 last MRF observed
Data quality

73,083 of 100,371 rate rows are consumer-grade (72.8%)

27,288 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 24,026
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,188
placeholder amount (≤ $0.02) — excluded from medians 74
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentararmhmedicalcenterstandardchargesxlsx-1395259
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 6db6b3902c5bf732… · 22,362,286 bytes · first seen 2026-11-03

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 4 $4,595,100.00 $4,730,250.00 $4,679,568.75 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,765,279.00 $3,876,022.50 $3,834,493.69 nat. median
$3,691,450
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,367,577.60 $3,466,624.00 $3,429,481.60 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,300,005.48 $3,397,064.46 $3,360,667.34 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,983,625.76 $3,071,379.46 $3,038,471.83 nat. median
$2,988,866
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,733,413.39 $2,813,807.90 $2,783,659.96 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,365,047.77 $2,434,608.00 $2,408,522.91 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $830,246.72 $854,665.74 $845,508.61 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $638,842.15 $657,631.63 $650,585.57 nat. median
$739,658
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $605,994.50 $623,817.87 $617,134.10 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $601,643.71 $619,339.11 $612,703.33 nat. median
$637,620
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $589,502.12 $606,840.42 $600,338.56 nat. median
$606,840
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $587,367.47 $604,642.99 $598,164.67 nat. median
$621,967
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $542,999.80 $558,970.38 $552,981.41 nat. median
$589,050
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $334,739.11 $900,534.11 $344,584.38 nat. median
$360,840
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $299,600.22 $308,411.99 $305,107.57 nat. median
$319,951
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $208,309.21 $584,410.41 $214,435.96 nat. median
$247,881
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $206,460.73 $445,243.33 $212,533.10 nat. median
$197,661
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $157,802.98 $442,630.32 $162,444.24 nat. median
$190,169
0.9× median
7
MS_DRG 		Lung Transplant 5 $110,303.86 $270,063.47 $113,548.09 nat. median
$118,005
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,408.22 $113,655.52 $112,437.78 nat. median
$111,503
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $76,245.12 $256,229.79 $110,239.63 nat. median
$64,212
1.7× median
523
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc 5 $101,906.30 $104,903.55 $104,653.78 nat. median
$45,552
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $100,787.72 $288,857.10 $103,752.06 nat. median
$126,179
0.8× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 1 $103,604.22 $103,604.22 $103,604.22 nat. median
$31,902
outlier · 3.2×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 4 $96,982.65 $99,835.08 $98,765.42 nat. median
$97,404
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $87,447.76 $250,621.29 $90,019.76 nat. median
$109,831
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $85,423.48 $236,042.26 $87,935.94 nat. median
$92,852
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $84,870.12 $226,768.48 $87,366.30 nat. median
$97,040
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $81,623.40 $236,313.36 $84,024.09 nat. median
$103,967
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 6 $75,227.14 $297,195.05 $83,742.04 nat. median
$93,502
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $73,303.74 $204,010.51 $82,389.02 nat. median
$90,525
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $77,693.51 $215,015.17 $79,978.62 nat. median
$94,857
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $8,388.44 $229,836.10 $75,560.39 nat. median
$93,061
0.8× median
524
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical With Cc 5 $72,932.11 $75,077.17 $74,898.42 nat. median
$67,690
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $56,674.04 $160,123.27 $74,443.09 nat. median
$72,172
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $70,177.74 $72,241.80 $71,467.77 nat. median
$70,178
1.0× median
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 $64,977.66 $74,715.71 $69,875.35 nat. median
$34,570
outlier · 2.0×
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 $64,827.13 $74,542.62 $69,713.47 nat. median
$34,553
outlier · 2.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $16,088.52 $252,294.85 $69,224.73 nat. median
$76,974
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $28,887.67 $116,934.14 $68,779.28 nat. median
$32,644
outlier · 2.1×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 3 $12,539.49 $108,553.41 $68,630.42 nat. median
$46,295
1.5× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $61,200.00 $138,279.69 $67,727.08 nat. median
$68,131
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $65,581.93 $187,886.20 $67,510.81 nat. median
$77,824
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $14,548.12 $163,453.68 $65,808.71 nat. median
$71,682
0.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 1 $30,580.99 $69,664.87 $65,151.72 nat. median
$31,066
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $62,364.88 $180,585.21 $64,199.14 nat. median
$77,888
0.8× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 $58,526.69 $67,297.94 $63,348.18 nat. median
$30,552
outlier · 2.1×
258
MS_DRG 		Cardiac Pacemaker Device Replacement With Mcc 1 $56,985.13 $65,525.35 $61,280.38 nat. median
$28,437
outlier · 2.2×
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 $11,253.51 $67,833.89 $61,216.07 nat. median
$30,739
2.0× median

Other procedures at this hospital

Browse this hospital's 10,466 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 4 4 — — $4,595,100.00 $4,730,250.00 $4,679,568.75 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,765,279.00 $3,876,022.50 $3,834,493.69 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,367,577.60 $3,466,624.00 $3,429,481.60 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,300,005.48 $3,397,064.46 $3,360,667.34 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $2,983,625.76 $3,071,379.46 $3,038,471.83 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $2,733,413.39 $2,813,807.90 $2,783,659.96 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,365,047.77 $2,434,608.00 $2,408,522.91 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $830,246.72 $854,665.74 $845,508.61 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 4 — — $638,842.15 $657,631.63 $650,585.57 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 4 — — $605,994.50 $623,817.87 $617,134.10 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 4 — — $601,643.71 $619,339.11 $612,703.33 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $589,502.12 $606,840.42 $600,338.56 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 4 — — $587,367.47 $604,642.99 $598,164.67 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 4 — — $542,999.80 $558,970.38 $552,981.41 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 5 — — $334,739.11 $900,534.11 $344,584.38 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $299,600.22 $308,411.99 $305,107.57 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 5 — — $208,309.21 $584,410.41 $214,435.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 5 — — $206,460.73 $445,243.33 $212,533.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 5 — — $157,802.98 $442,630.32 $162,444.24 2026-04-01
7 MS_DRG Lung Transplant 8 5 — — $110,303.86 $270,063.47 $113,548.09 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $110,408.22 $113,655.52 $112,437.78 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $76,245.12 $256,229.79 $110,239.63 2026-04-01
523 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc 5 5 — — $101,906.30 $104,903.55 $104,653.78 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 5 — — $100,787.72 $288,857.10 $103,752.06 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $103,604.22 $103,604.22 $103,604.22 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $96,982.65 $99,835.08 $98,765.42 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 5 — — $87,447.76 $250,621.29 $90,019.76 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 8 5 — — $85,423.48 $236,042.26 $87,935.94 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 5 — — $84,870.12 $226,768.48 $87,366.30 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 5 — — $81,623.40 $236,313.36 $84,024.09 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 6 — — $75,227.14 $297,195.05 $83,742.04 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $73,303.74 $204,010.51 $82,389.02 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 5 — — $77,693.51 $215,015.17 $79,978.62 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 5 — — $8,388.44 $229,836.10 $75,560.39 2026-04-01
524 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical With Cc 5 5 — — $72,932.11 $75,077.17 $74,898.42 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 5 — — $56,674.04 $160,123.27 $74,443.09 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $70,177.74 $72,241.80 $71,467.77 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 1 — — $64,977.66 $74,715.71 $69,875.35 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 1 — — $64,827.13 $74,542.62 $69,713.47 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $16,088.52 $252,294.85 $69,224.73 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 3 — — $28,887.67 $116,934.14 $68,779.28 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $12,539.49 $108,553.41 $68,630.42 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 4 — — $61,200.00 $138,279.69 $67,727.08 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 5 — — $65,581.93 $187,886.20 $67,510.81 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 5 — — $14,548.12 $163,453.68 $65,808.71 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 5 1 — — $30,580.99 $69,664.87 $65,151.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 9 5 — — $62,364.88 $180,585.21 $64,199.14 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 1 — — $58,526.69 $67,297.94 $63,348.18 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 1 — — $56,985.13 $65,525.35 $61,280.38 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 2 — — $11,253.51 $67,833.89 $61,216.07 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 5 — — $59,040.28 $164,095.96 $60,776.76 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 5 — — $53,089.07 $148,697.36 $59,557.02 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $56,776.39 $121,962.21 $58,446.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 5 — — $56,703.71 $149,579.49 $58,371.46 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 8 5 — — $56,530.88 $175,244.50 $58,193.55 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 5 — — $56,004.97 $158,905.39 $57,652.17 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 8 5 — — $55,974.55 $148,784.95 $57,620.86 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 8 5 — — $55,800.98 $149,642.05 $57,442.18 2026-04-01
525 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical Without Cc/Mcc 5 5 — — $54,111.97 $55,703.50 $55,570.87 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 5 — — $53,217.40 $127,653.59 $54,782.62 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 5 — — $53,152.86 $143,431.73 $54,716.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 5 — — $17,841.75 $139,440.27 $54,066.07 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 1 — — $49,837.73 $57,306.79 $53,594.24 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 8 5 — — $51,668.59 $139,338.09 $53,188.25 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 5 — — $28,800.08 $144,138.68 $53,017.21 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 5 — — $46,005.93 $125,261.64 $52,302.13 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 5 — — $44,041.73 $127,801.65 $52,020.85 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 5 — — $50,478.79 $137,121.31 $51,963.46 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 5 — — $50,478.79 $247,046.49 $51,963.46 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 5 — — $46,192.86 $168,134.25 $51,207.13 2026-04-01
J9226 HCPCS Supprelin La Implant 10 4 — — $38,594.30 $99,321.65 $51,185.25 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 5 — — $11,173.20 $150,536.68 $51,177.74 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 5 — — $43,411.96 $148,721.86 $50,593.39 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 5 — — $15,942.78 $204,744.00 $50,547.15 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,118.61 $50,563.28 $50,021.53 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 5 — — $48,405.55 $140,370.36 $49,829.24 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 5 — — $36,669.30 $104,007.24 $48,876.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $14,804.23 $134,189.23 $48,849.57 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 1 — — $45,307.15 $52,817.96 $48,699.12 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $47,137.13 $136,622.90 $48,523.51 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $43,543.18 $116,077.53 $48,473.11 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 5 — — $46,326.38 $122,304.54 $47,688.92 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 5 — — $39,065.20 $110,031.96 $47,170.80 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 8 5 — — $45,617.99 $125,297.09 $46,959.70 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 5 — — $35,186.50 $97,842.80 $46,151.70 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 8 5 — — $44,606.96 $123,657.96 $45,918.93 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 6 — — $7,729.45 $123,945.75 $45,814.16 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 5 — — $43,912.66 $117,241.19 $45,204.21 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 5 — — $43,720.55 $120,267.10 $45,006.44 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 5 — — $43,374.88 $119,011.69 $44,650.61 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $43,600.26 $44,882.62 $44,401.73 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 5 — — $42,593.80 $119,499.68 $43,846.56 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 5 — — $7,444.56 $113,919.15 $43,296.96 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 5 — — $37,096.55 $102,637.13 $43,189.84 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 5 — — $41,634.70 $113,739.80 $42,859.25 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 8 5 — — $40,887.73 $116,878.33 $42,090.31 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 5 — — $40,854.36 $114,486.37 $42,055.95 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 5 — — $28,800.08 $102,989.56 $42,045.84 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 5 — — $40,576.94 $110,396.91 $41,770.38 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 6 — — $24,283.26 $74,619.84 $41,342.64 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 5 — — $39,918.99 $114,081.81 $41,093.07 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 8 5 — — $39,809.20 $124,354.49 $40,980.06 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 1 — — $37,371.04 $42,971.75 $40,187.88 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 5 — — $35,019.61 $99,281.72 $40,161.13 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 8 5 — — $38,823.39 $111,143.48 $39,965.26 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 8 5 — — $38,678.00 $108,365.73 $39,815.59 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 3 1 — — $36,672.81 $42,168.87 $39,437.02 2026-04-01
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 11 5 — — $7,519.28 $118,857.37 $39,168.84 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 14 5 — — $29,042.58 $93,463.46 $38,847.35 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 5 — — $34,796.33 $96,314.20 $38,658.39 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 5 — — $33,731.16 $95,855.41 $38,572.39 2026-04-01
403 MS_DRG Hip Or Knee Procedures With Principal Diagnosis Of Periprosthetic Joint Infectio… 5 5 — — $37,125.49 $38,217.42 $38,126.42 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $36,925.20 $102,209.62 $38,011.24 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 5 — — $36,871.06 $115,176.64 $37,955.50 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 5 1 — — $35,285.43 $43,607.80 $37,924.19 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 5 — — $36,836.20 $103,173.08 $37,919.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 5 — — $36,614.41 $100,697.71 $37,691.30 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 8 5 — — $36,265.77 $113,285.18 $37,332.41 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 5 — — $35,944.60 $94,445.68 $37,001.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $33,247.52 $94,858.59 $36,631.97 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $35,669.53 $36,718.64 $36,325.22 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 5 — — $35,278.48 $97,550.84 $36,316.09 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 5 — — $31,884.15 $86,033.18 $36,299.59 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 — — $34,962.49 $105,108.33 $35,990.80 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 5 — — $34,940.23 $100,188.87 $35,967.89 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 5 — — $32,175.67 $209,297.22 $35,878.29 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 5 — — $34,804.49 $98,043.00 $35,828.15 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 4 2 — — $16,366.97 $39,424.49 $35,578.26 2026-04-01
245 MS_DRG Aicd Generator Procedures 10 5 — — $463.03 $95,144.29 $35,435.43 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 5 — — $31,542.19 $87,620.17 $35,414.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 5 — — $31,589.68 $88,070.61 $35,303.67 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 3 1 — — $32,818.91 $37,737.40 $35,292.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 5 — — $34,205.15 $94,816.88 $35,211.18 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $33,040.92 $95,611.42 $35,163.84 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 8 5 — — $33,939.59 $96,700.00 $34,937.82 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $32,900.38 $90,243.60 $34,652.13 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 6 — — $28,731.64 $101,257.30 $34,289.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 8 5 — — $33,186.70 $87,515.90 $34,162.78 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 11 6 — — $31,420.05 $93,041.76 $33,983.40 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 5 — — $30,376.14 $83,843.51 $33,473.58 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 5 — — $32,482.76 $87,920.46 $33,438.13 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 5 — — $32,264.68 $88,437.64 $33,213.64 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 5 — — $32,177.89 $91,607.45 $33,124.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 5 — — $31,646.79 $93,069.32 $32,577.57 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 5 — — $9,808.58 $88,948.57 $32,557.12 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 5 — — $31,597.09 $93,436.35 $32,526.42 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 10 5 — — $27,383.10 $76,567.55 $32,444.65 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 9 5 — — $31,253.65 $89,524.14 $32,172.87 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 5 3 — — $17,995.51 $54,801.78 $32,013.61 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 5 — — $30,905.77 $86,606.66 $31,814.76 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 3 1 — — $29,559.87 $33,989.93 $31,787.94 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion… 11 5 — — $27,462.47 $77,718.69 $31,655.52 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 13 6 — — $4,582.82 $86,952.84 $31,603.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $27,615.94 $75,207.87 $31,545.97 2026-04-01
791 MS_DRG Prematurity With Major Problems 12 5 — — $12,412.20 $84,646.39 $31,362.71 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 4 — — $30,442.17 $61,964.45 $31,337.53 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 5 — — $30,227.05 $87,876.67 $31,116.08 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 8 5 — — $29,945.91 $87,015.40 $30,826.68 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $30,100.39 $30,985.70 $30,653.71 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $24,864.81 $71,495.85 $30,558.15 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 3 1 — — $28,404.60 $32,661.53 $30,545.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $10,880.51 $81,578.76 $30,270.60 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,428.25 $30,293.79 $29,969.22 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,289.30 $30,150.75 $29,827.71 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $28,900.76 $80,064.76 $29,750.78 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 5 — — $28,866.64 $80,719.58 $29,715.66 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 4 — — $28,545.63 $95,930.61 $29,385.21 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 — — $13,676.18 $78,131.60 $29,363.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 5 — — $28,416.38 $78,473.60 $29,252.16 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 5 — — $28,341.46 $75,320.48 $29,175.04 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 5 — — $26,684.36 $74,163.08 $29,165.61 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 5 — — $9,774.92 $72,745.01 $29,007.37 2026-04-01
332 MS_DRG Rectal Resection With Mcc 8 5 — — $28,090.75 $75,506.08 $28,916.95 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 5 — — $7,705.09 $74,223.56 $28,878.72 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 5 — — $27,949.07 $77,280.75 $28,771.10 2026-04-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 3 1 — — $26,632.72 $30,624.10 $28,640.16 2026-04-01
361 MS_DRG Other Circulatory System O.r. Procedures With Mcc 5 5 — — $27,876.39 $28,696.28 $28,627.96 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $24,740.93 $66,949.68 $28,587.35 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 5 — — $27,673.88 $77,937.65 $28,487.81 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 5 — — $27,570.03 $80,521.46 $28,380.91 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 5 — — $13,427.26 $66,582.65 $28,339.77 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 8 5 — — $27,515.89 $76,598.83 $28,325.18 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 5 — — $27,446.89 $83,084.42 $28,254.16 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 5 — — $2,782.09 $80,598.62 $28,102.21 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 5 — — $27,019.64 $74,294.46 $27,814.33 2026-04-01
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 3 1 — — $25,863.75 $29,739.89 $27,813.23 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 5 — — $24,715.71 $68,645.11 $27,729.56 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 5 — — $25,984.88 $74,467.55 $27,441.28 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 5 — — $26,450.70 $72,392.58 $27,228.66 2026-04-01
731 MS_DRG Uterine And Adnexa Procedures For Malignancy With Mcc 5 5 — — $26,304.58 $27,078.24 $27,013.77 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 5 — — $26,087.23 $71,145.51 $26,854.51 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 4 — — $26,012.36 $87,417.27 $26,777.43 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 4 — — $26,012.36 $87,417.27 $26,777.43 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 4 — — $26,012.36 $87,417.27 $26,777.43 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 5 — — $25,997.48 $81,209.65 $26,762.12 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 5 — — $18,181.19 $65,710.95 $26,642.01 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 5 — — $24,098.56 $67,535.68 $26,441.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 5 — — $25,519.79 $65,679.67 $26,270.37 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 9 5 — — $25,391.46 $68,653.45 $26,138.27 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 5 — — $25,301.70 $73,393.57 $26,045.87 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 9 5 — — $18,577.57 $72,042.23 $25,981.74 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 5 — — $14,973.68 $71,708.56 $25,797.71 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 9 5 — — $24,924.15 $65,998.74 $25,657.21 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 5 — — $24,863.32 $66,261.50 $25,594.59 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 5 — — $24,745.38 $75,610.35 $25,473.19 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 5 — — $24,641.53 $74,357.02 $25,366.28 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 13 5 — — $18,656.21 $52,635.50 $25,354.52 2026-04-01
449 MS_DRG Revision Of Hip Or Knee Prosthesis 5 5 — — $24,481.31 $25,201.34 $25,141.34 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 5 — — $24,316.64 $66,394.97 $25,031.83 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 5 — — $24,223.92 $75,668.74 $24,936.39 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 10 5 — — $15,178.79 $41,714.26 $24,910.48 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 9 5 — — $24,178.67 $67,366.76 $24,889.81 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 1 1 — — $24,881.85 $24,881.85 $24,881.85 2026-04-01
5791 OTHER Pulmonary Treatment 5 4 — — $4,885.70 $81,930.81 $24,881.85 2026-04-01
210 MS_DRG Cardiac Pacemaker Revision Or Device Replacement With Mcc 5 5 — — $24,223.92 $24,936.39 $24,877.01 2026-04-01
265 MS_DRG Aicd Lead Procedures 8 5 — — $24,154.94 $75,453.94 $24,865.38 2026-04-01
665 MS_DRG Prostatectomy With Mcc 8 5 — — $24,118.58 $65,089.50 $24,827.95 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $21,916.28 $62,069.85 $24,798.06 2026-04-01
404 MS_DRG Hip Or Knee Procedures With Principal Diagnosis Of Periprosthetic Joint Infectio… 5 5 — — $24,123.03 $24,832.53 $24,773.41 2026-04-01
263 MS_DRG Vein Ligation And Stripping 11 5 — — $16,897.74 $63,759.02 $24,755.42 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 10 5 — — $14,304.99 $89,521.94 $24,720.82 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 5 — — $23,668.34 $64,839.26 $24,364.46 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 5 — — $23,656.46 $66,459.61 $24,352.24 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 5 — — $23,651.27 $62,912.35 $24,346.90 2026-04-01
652 MS_DRG Kidney Transplant 8 5 — — $23,583.77 $67,347.99 $24,277.41 2026-04-01
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 4 4 — — $19,492.37 $80,592.42 $24,262.34 2026-04-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 10 5 — — $18,149.74 $64,953.95 $24,223.35 2026-04-01
5221 OTHER Level 1 Pacemaker And Similar Procedures 1 1 — — $24,069.88 $24,069.88 $24,069.88 2026-04-01
800 MS_DRG Splenic Procedures With Cc 9 5 — — $23,356.79 $58,587.23 $24,043.75 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 8 5 — — $23,332.31 $55,000.34 $24,018.55 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 5 — — $23,330.08 $72,726.24 $24,016.26 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 5 — — $23,203.98 $62,989.51 $23,886.45 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 5 — — $23,193.60 $65,898.64 $23,875.76 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-… 13 5 — — $21,655.92 $60,733.10 $23,735.60 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 5 — — $7,274.49 $63,254.35 $23,733.74 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 5 — — $19,512.12 $62,981.17 $23,692.50 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 6 — — $4,953.91 $98,984.46 $23,678.69 2026-04-01
9404 OTHER Inj, Nitroglycerin, 5 Mg 1 1 — — $23,642.83 $23,642.83 $23,642.83 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 5 — — $2,183.27 $59,444.33 $23,415.16 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 5 — — $15,246.49 $57,321.39 $23,410.66 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $22,984.60 $23,660.62 $23,407.11 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 5 — — $21,152.25 $59,855.15 $23,395.27 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $22,670.17 $52,319.20 $23,323.07 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 5 — — $11,645.38 $63,844.52 $23,280.17 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 5 — — $12,287.70 $60,184.64 $23,280.17 2026-04-01
L5858 HCPCS Stance Phase Only 4 4 — — $22,783.20 $23,453.29 $23,202.01 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 5 — — $6,661.83 $71,051.66 $23,163.69 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 8 5 — — $22,386.55 $67,166.56 $23,044.98 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 12 5 — — $9,525.12 $58,198.28 $22,797.37 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 9 5 — — $22,111.36 $61,437.97 $22,761.69 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 13 6 — — $12,957.20 $59,768.42 $22,737.57 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 5 — — $22,052.76 $68,887.02 $22,701.37 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 5 — — $21,867.32 $60,480.77 $22,510.48 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 4 4 — — $22,079.90 $22,729.31 $22,485.78 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 12 5 — — $19,482.53 $54,128.64 $22,219.71 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 5 — — $18,159.22 $50,971.35 $22,168.76 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 7 4 — — $21,490.70 $51,818.11 $22,124.41 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 5 — — $21,478.63 $57,805.20 $22,095.82 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 8 5 — — $21,302.83 $60,893.68 $21,929.39 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 4 — — $21,461.82 $22,093.05 $21,856.34 2026-04-01
570 MS_DRG Skin Debridement With Mcc 8 5 — — $21,205.66 $61,333.70 $21,829.35 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 5 — — $20,184.25 $57,496.56 $21,821.07 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 9 5 — — $9,871.36 $55,471.64 $21,782.78 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 5 — — $20,986.84 $56,251.58 $21,604.10 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 5 — — $20,946.78 $55,277.70 $21,562.86 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 9 5 — — $20,914.89 $58,376.60 $21,530.03 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 5 — — $10,956.77 $53,861.71 $21,306.15 2026-04-01
503 MS_DRG Foot Procedures With Mcc 9 5 — — $20,588.51 $58,205.60 $21,194.05 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 5 — — $20,421.61 $60,518.31 $21,022.25 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 8 5 — — $20,247.30 $60,097.06 $20,842.80 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 5 — — $18,098.40 $52,987.93 $20,840.38 2026-04-01
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