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

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Hospital

SENTARA RMH MEDICAL CENTER

Harrisonburg, VA · CCN 490004 · Rates published

10,519 distinct procedures filed
12 distinct payers
98,566 rate rows
2026-04-01 last MRF observed
Data quality

73,065 of 98,566 rate rows are consumer-grade (74.1%)

25,501 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 25,427
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 not_modified · 2026-05-16
Content fingerprint 82f9b16c026e7af2… · 25,457,960 bytes · first seen 2026-05-09

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 $3,758,972.00 $3,869,530.00 $3,828,070.75 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,382,791.84 $3,482,285.72 $3,444,975.52 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,313,414.63 $3,410,868.00 $3,374,322.99 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $3,004,654.80 $3,093,027.00 $3,059,887.42 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,504,212.82 $2,577,866.14 $2,550,246.14 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,378,640.00 $2,448,600.00 $2,422,365.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $786,032.40 $809,151.00 $800,481.52 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $603,560.73 $621,312.51 $614,655.59 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $577,186.32 $594,162.39 $587,796.36 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $573,788.95 $590,665.09 $584,336.54 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $568,464.29 $585,183.83 $578,914.01 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $543,894.77 $559,891.68 $553,892.84 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $499,090.70 $513,769.84 $508,265.17 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $314,408.15 $900,534.11 $323,655.44 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $283,815.00 $953,790.30 $292,162.50 nat. median
$324,450
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $204,038.24 $584,410.41 $210,039.36 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $155,450.11 $445,243.33 $160,022.17 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $154,537.82 $442,630.32 $159,083.05 nat. median
$202,976
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,408.22 $113,655.52 $112,437.78 nat. median
$111,989
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $194,784.20 $110,239.63 nat. median
$62,507
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $100,850.17 $288,857.10 $103,816.36 nat. median
$133,161
0.8× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 1 $103,604.22 $103,604.22 $103,604.22 nat. median
$31,444
outlier · 3.3×
7
MS_DRG 		Lung Transplant 5 $94,288.66 $270,063.47 $97,061.85 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $87,500.71 $250,621.29 $90,074.26 nat. median
$117,357
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $82,505.31 $236,313.36 $84,931.94 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $82,410.66 $236,042.26 $84,834.50 nat. median
$98,047
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $8,388.44 $229,836.10 $82,407.31 nat. median
$98,894
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $71,227.25 $204,010.51 $82,389.02 nat. median
$93,672
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 6 $72,495.57 $297,195.05 $82,336.09 nat. median
$99,019
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $79,172.86 $226,768.48 $81,501.47 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $75,069.36 $215,015.17 $77,277.28 nat. median
$100,136
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $55,904.67 $160,123.27 $74,443.09 nat. median
$74,915
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $70,177.74 $72,241.80 $71,467.77 nat. median
$70,825
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $65,597.69 $187,886.20 $67,527.03 nat. median
$82,711
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $16,088.52 $252,294.85 $67,313.93 nat. median
$79,312
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $14,548.12 $168,217.52 $66,158.37 nat. median
$73,807
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $61,200.00 $138,279.69 $65,796.79 nat. median
$69,774
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $63,048.66 $180,585.21 $64,903.03 nat. median
$83,470
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $61,184.03 $175,244.50 $62,983.56 nat. median
$81,118
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $51,915.48 $148,697.36 $59,557.02 nat. median
$68,886
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $57,291.68 $164,095.96 $58,976.73 nat. median
$77,570
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $56,377.77 $121,962.21 $58,035.94 nat. median
$66,682
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $55,479.46 $158,905.39 $57,111.21 nat. median
$72,135
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $11,173.20 $150,536.68 $54,103.47 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 5 $52,245.31 $149,642.05 $53,781.93 nat. median
$68,884
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $52,223.46 $149,579.49 $53,759.44 nat. median
$64,023
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $51,946.06 $148,784.95 $53,473.89 nat. median
$71,271
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 $43,733.24 $125,261.64 $52,302.13 nat. median
$59,099
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $44,620.05 $127,801.65 $52,020.85 nat. median
$60,726
0.9× median

Other procedures at this hospital

Browse this hospital's 10,519 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
             
0408T HCPCS Insj/rplc Cardiac Modulj Sys 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 7 4 — — $19,306.96 $64,883.09 $19,874.82 2026-04-01
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 4 4 — — $19,492.37 $80,592.42 $24,262.34 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 7 4 — — $19,169.21 $64,420.14 $19,733.01 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 7 4 — — $19,169.21 $64,420.14 $19,733.01 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 7 4 — — $19,169.21 $64,420.14 $19,733.01 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 7 4 — — $19,306.96 $64,883.09 $19,874.82 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 7 4 — — $19,306.96 $64,883.09 $19,874.82 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 7 4 — — $19,169.21 $64,420.14 $19,733.01 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $31,238.15 $104,979.10 $32,156.92 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 7 4 — — $22,136.77 $74,392.97 $22,787.85 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 5 — — $204,038.24 $584,410.41 $210,039.36 2026-04-01
10 MS_DRG Pancreas Transplant 8 5 — — $52,245.31 $149,642.05 $53,781.93 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 7 4 — — $19,306.96 $64,883.09 $19,874.82 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 5 — — $39,710.57 $113,739.80 $40,878.53 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 5 — — $30,696.12 $87,920.46 $31,598.95 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 8 5 — — $20,982.00 $60,097.06 $21,599.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 5 — — $87,500.71 $250,621.29 $90,074.26 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 5 — — $9,808.58 $88,948.57 $31,625.93 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 $28,047.37 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 8 5 — — $43,173.35 $123,657.96 $44,443.15 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
164 MS_DRG Major Chest Procedures With Cc 13 5 — — $18,376.90 $52,635.50 $25,354.52 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 10 5 — — $13,937.04 $89,521.94 $24,531.44 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 6 — — $27,213.69 $101,257.30 $34,289.50 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 8 5 — — $39,551.85 $113,285.18 $40,715.14 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $21,670.77 $62,069.85 $24,671.68 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 5 — — $314,408.15 $900,534.11 $323,655.44 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 5 — — $51,946.06 $148,784.95 $53,473.89 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 5 — — $82,505.31 $236,313.36 $84,931.94 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 5 — — $57,291.68 $164,095.96 $58,976.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $14,804.23 $134,189.23 $48,228.13 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
209 MS_DRG Complex Aortic Arch Procedures 8 5 — — $82,410.66 $236,042.26 $84,834.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 5 — — $38,543.44 $110,396.91 $39,677.07 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 5 — — $79,172.86 $226,768.48 $81,501.47 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 5 — — $41,551.17 $119,011.69 $42,773.26 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 6 — — $72,495.57 $297,195.05 $82,336.09 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $71,227.25 $204,010.51 $82,389.02 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 5 — — $47,873.87 $247,046.49 $49,281.93 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 5 — — $47,873.87 $137,121.31 $49,281.93 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 5 — — $55,904.67 $160,123.27 $74,443.09 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 5 — — $23,134.22 $66,261.50 $23,814.64 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 — — $36,697.02 $105,108.33 $37,776.34 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 5 — — $36,021.35 $103,173.08 $37,080.80 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $22,931.09 $101,105.41 $40,362.43 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 5 — — $41,721.54 $119,499.68 $42,948.64 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $16,088.52 $252,294.85 $67,313.93 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 5 — — $44,140.97 $168,134.25 $51,207.13 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 5 — — $14,548.12 $168,217.52 $66,158.37 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 5 — — $42,728.48 $148,721.86 $50,593.39 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 5 — — $30,498.09 $209,297.22 $39,262.71 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 5 — — $35,834.23 $102,637.13 $43,189.84 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 $29,284.82 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 $22,844.85 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
245 MS_DRG Aicd Generator Procedures 10 5 — — $463.03 $95,144.29 $34,154.51 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 5 — — $33,103.91 $94,816.88 $34,077.55 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
253 MS_DRG Other Vascular Procedures With Cc 12 5 — — $18,898.21 $54,128.64 $22,219.71 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 5 — — $19,639.41 $56,251.58 $20,217.04 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 5 — — $22,877.20 $65,525.35 $23,550.06 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 5 — — $22,637.67 $64,839.26 $23,303.48 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 5 — — $11,253.51 $67,833.89 $24,379.76 2026-04-01
263 MS_DRG Vein Ligation And Stripping 11 5 — — $16,897.74 $63,759.02 $22,915.24 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 5 — — $24,322.46 $69,664.87 $27,809.41 2026-04-01
265 MS_DRG Aicd Lead Procedures 8 5 — — $26,343.63 $75,453.94 $27,118.44 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 5 — — $44,620.05 $127,801.65 $52,020.85 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 5 — — $34,662.74 $99,281.72 $40,161.13 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 5 — — $50,077.06 $143,431.73 $51,549.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 5 — — $30,748.55 $88,070.61 $35,303.67 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 5 — — $38,416.03 $110,031.96 $46,836.67 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 5 — — $25,892.94 $74,163.08 $29,165.61 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 11 5 — — $18,588.05 $53,240.26 $20,796.74 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 5 — — $30,037.20 $86,033.18 $36,299.59 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 5 — — $23,966.42 $68,645.11 $27,729.56 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 5 — — $51,915.48 $148,697.36 $59,557.02 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 5 — — $43,733.24 $125,261.64 $52,302.13 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 5 — — $33,626.68 $96,314.20 $38,658.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $40,526.75 $116,077.53 $42,630.95 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 5 — — $12,837.85 $75,207.87 $27,030.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 8 5 — — $43,745.63 $125,297.09 $45,032.26 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 5 — — $19,703.48 $56,435.09 $20,283.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 5 — — $24,839.40 $71,145.51 $25,569.97 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 5 — — $154,537.82 $442,630.32 $159,083.05 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 12 5 — — $9,525.12 $58,198.28 $22,409.89 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 5 — — $32,621.92 $93,436.35 $33,581.38 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 5 — — $17,841.75 $139,440.27 $50,055.71 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 5 — — $32,493.77 $93,069.32 $33,449.47 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 6 — — $4,953.91 $98,984.46 $23,954.39 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $31,507.22 $90,243.60 $33,935.07 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $23,374.49 $66,949.68 $27,884.04 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 5 — — $36,312.59 $104,007.24 $48,876.36 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 5 — — $17,795.89 $50,971.35 $21,981.75 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 5 — — $33,466.50 $95,855.41 $38,572.39 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 6 — — $17,453.69 $67,857.19 $29,234.89 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 13 6 — — $12,252.96 $59,768.42 $22,737.57 2026-04-01
332 MS_DRG Rectal Resection With Mcc 8 5 — — $26,361.83 $75,506.08 $27,137.18 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
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 4 — — $31,238.15 $104,979.10 $32,156.92 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
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 4 — — $31,238.15 $104,979.10 $32,156.92 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
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 4 — — $22,136.77 $74,392.97 $22,787.85 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
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 4 — — $30,709.54 $103,202.64 $31,612.76 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 5 — — $25,999.24 $74,467.55 $27,441.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 5 — — $28,182.05 $80,719.58 $29,010.93 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 5 — — $21,129.08 $60,518.31 $21,750.52 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 5 — — $31,983.39 $91,607.45 $32,924.07 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 5 — — $14,973.68 $71,708.56 $25,772.33 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 9 5 — — $23,969.34 $68,653.45 $24,674.32 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 5 — — $100,850.17 $288,857.10 $103,816.36 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 5 — — $28,112.87 $80,521.46 $28,939.72 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 5 — — $29,272.71 $83,843.51 $45,152.86 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 5 — — $39,829.97 $114,081.81 $41,001.44 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 5 — — $21,115.97 $60,480.77 $21,737.03 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 5 — — $25,960.65 $74,357.02 $26,724.20 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 5 — — $24,050.89 $68,887.02 $24,758.26 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 5 — — $25,938.81 $74,294.46 $26,701.72 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 5 — — $6,661.83 $71,051.66 $25,262.64 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 5 — — $30,237.43 $86,606.66 $31,126.77 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 $82,407.31 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 $54,103.47 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 5 — — $40,933.03 $117,241.19 $42,136.94 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 5 — — $65,597.69 $187,886.20 $67,527.03 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 5 — — $41,989.48 $120,267.10 $43,224.47 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 5 — — $48,647.83 $139,338.09 $50,078.65 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 5 — — $30,876.70 $88,437.64 $31,784.83 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 5 — — $38,804.10 $111,143.48 $39,945.40 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 9 5 — — $23,520.11 $67,366.76 $24,211.88 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $61,184.03 $175,244.50 $62,983.56 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $43,416.52 $124,354.49 $44,693.48 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $30,380.14 $87,015.40 $31,273.67 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 5 — — $40,212.21 $115,176.64 $41,394.93 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 $19,936.72 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 5 — — $7,519.28 $118,857.37 $42,717.80 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $18,149.74 $64,953.95 $23,316.91 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 5 — — $12,539.49 $108,553.41 $39,014.51 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 5 — — $25,676.69 $116,934.14 $27,659.78 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 8 5 — — $20,007.82 $57,306.79 $20,596.29 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 5 — — $7,274.49 $63,254.35 $22,733.85 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 5 — — $35,157.12 $100,697.71 $36,191.15 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 9 5 — — $21,450.16 $61,437.97 $22,081.05 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 5 — — $31,256.02 $89,524.14 $32,175.32 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 5 — — $18,577.57 $72,042.23 $25,892.25 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 5 — — $21,204.07 $60,733.10 $23,735.60 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 5 — — $20,181.83 $57,805.20 $21,161.46 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 5 — — $23,496.08 $67,297.94 $24,187.14 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 10 5 — — $15,225.02 $43,607.80 $25,479.12 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 — — $26,732.43 $76,567.55 $32,109.74 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 5 — — $26,398.23 $75,610.35 $27,174.65 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 5 — — $21,964.91 $62,912.35 $22,610.94 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 5 — — $75,069.36 $215,015.17 $77,277.28 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 9 5 — — $23,042.48 $65,998.74 $23,720.20 2026-04-01
503 MS_DRG Foot Procedures With Mcc 9 5 — — $20,321.62 $58,205.60 $20,919.32 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 5 — — $21,991.85 $62,989.51 $22,638.67 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 5 — — $23,203.39 $66,459.61 $23,885.84 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 5 — — $27,210.77 $77,937.65 $28,011.09 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 5 3 — — $17,995.51 $54,801.78 $32,013.61 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 5 — — $20,897.54 $59,855.15 $23,395.27 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 1 1 — — $24,881.85 $24,881.85 $24,881.85 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
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $22,670.17 $52,319.20 $23,323.07 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
5464 OTHER Level 4 Neurostimulator And Related Procedures 7 4 — — $21,490.70 $51,818.11 $22,124.41 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
570 MS_DRG Skin Debridement With Mcc 8 5 — — $21,413.76 $61,333.70 $22,043.57 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $47,699.86 $136,622.90 $49,102.80 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 5 — — $25,274.79 $72,392.58 $26,018.17 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $35,684.98 $102,209.62 $36,734.53 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 5 — — $19,299.39 $55,277.70 $19,867.02 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 5 — — $23,579.08 $67,535.68 $26,441.00 2026-04-01
5791 OTHER Pulmonary Treatment 5 4 — — $4,885.70 $81,930.81 $24,881.85 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 8 5 — — $33,761.37 $96,700.00 $34,754.35 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 5 — — $20,074.07 $57,496.56 $21,764.35 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 5 — — $25,391.29 $72,726.24 $26,138.09 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 8 5 — — $21,022.77 $60,213.84 $21,641.09 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 $26,644.48 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 5 — — $19,512.12 $62,981.17 $22,635.68 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 5 — — $27,134.33 $77,718.69 $31,655.52 2026-04-01
63655 HCPCS Implant Neuroelectrodes 7 4 — — $19,306.96 $64,883.09 $19,874.82 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 4 — — $30,709.54 $103,202.64 $31,612.76 2026-04-01
64580 HCPCS Implant Neuroelectrodes 7 4 — — $19,306.96 $64,883.09 $19,874.82 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
64590 HCPCS Insrt/redo Pn/gastr Stimul 7 4 — — $19,306.96 $64,883.09 $19,874.82 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 5 — — $34,230.26 $98,043.00 $35,237.03 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 5 — — $26,981.43 $77,280.75 $27,775.00 2026-04-01
652 MS_DRG Kidney Transplant 8 5 — — $23,513.55 $67,347.99 $24,205.12 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 8 5 — — $37,834.29 $108,365.73 $38,947.06 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 9 5 — — $20,381.32 $58,376.60 $20,980.77 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 5 — — $23,180.82 $66,394.97 $23,862.60 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 5 — — $18,499.95 $52,987.93 $20,840.38 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 5 — — $11,645.38 $63,844.52 $22,945.96 2026-04-01
665 MS_DRG Prostatectomy With Mcc 8 5 — — $22,725.04 $65,089.50 $23,393.42 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 8 5 — — $21,260.13 $60,893.68 $21,885.42 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 5 — — $30,591.28 $87,620.17 $35,414.89 2026-04-01
7 MS_DRG Lung Transplant 8 5 — — $94,288.66 $270,063.47 $97,061.85 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 10 5 — — $14,563.92 $41,714.26 $24,594.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 5 — — $26,025.45 $74,542.62 $26,790.91 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 5 — — $26,085.89 $74,715.71 $26,853.12 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 6 — — $7,729.45 $160,077.86 $44,493.55 2026-04-01
791 MS_DRG Prematurity With Major Problems 12 5 — — $12,412.20 $84,646.39 $30,422.24 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 13 6 — — $4,582.82 $86,952.84 $30,655.93 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 5 — — $32,974.32 $94,445.68 $33,944.15 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 5 — — $40,806.33 $116,878.33 $42,006.52 2026-04-01
800 MS_DRG Splenic Procedures With Cc 9 5 — — $20,454.87 $58,587.23 $21,056.48 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 5 — — $29,007.70 $83,084.42 $29,860.87 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 5 — — $42,700.82 $122,304.54 $43,956.73 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $33,040.92 $95,611.42 $34,363.12 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 5 — — $34,058.43 $97,550.84 $35,060.15 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 5 — — $23,007.54 $65,898.64 $23,684.23 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 5 — — $39,971.22 $114,486.37 $41,146.84 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 5 — — $34,979.46 $100,188.87 $36,008.27 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 6 — — $23,552.87 $74,619.84 $40,966.69 2026-04-01
849 MS_DRG Radiotherapy 8 5 — — $19,727.50 $56,503.91 $20,307.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 9 5 — — $63,048.66 $180,585.21 $64,903.03 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $33,118.47 $94,858.59 $36,565.54 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 5 — — $28,800.08 $144,138.68 $51,804.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 5 — — $2,782.09 $80,598.62 $28,967.46 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 8 5 — — $30,554.88 $87,515.90 $31,453.55 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 8 5 — — $26,743.35 $76,598.83 $27,529.92 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $27,953.43 $80,064.76 $28,864.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 5 — — $155,450.11 $445,243.33 $160,022.17 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 5 — — $52,223.46 $149,579.49 $53,759.44 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 8 5 — — $23,450.21 $67,166.56 $24,139.92 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 5 — — $28,353.14 $81,209.65 $29,187.06 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 4 — — $26,012.36 $87,417.27 $26,777.43 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
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 5 — — $26,418.62 $75,668.74 $27,195.64 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 5 — — $25,624.28 $73,393.57 $26,377.93 2026-04-01
9404 OTHER Inj, Nitroglycerin, 5 Mg 1 1 — — $23,642.83 $23,642.83 $23,642.83 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 5 — — $49,008.24 $140,370.36 $50,449.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 5 — — $27,397.89 $78,473.60 $28,203.71 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 5 — — $55,479.46 $158,905.39 $57,111.21 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 5 — — $30,680.84 $87,876.67 $31,583.21 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 8 5 — — $21,435.60 $61,396.26 $22,066.05 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 5 — — $19,904.43 $57,010.67 $20,489.86 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 5 — — $44,568.36 $127,653.59 $45,879.19 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 5 — — $26,297.03 $75,320.48 $27,070.47 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 8 5 — — $19,202.55 $55,000.34 $19,767.33 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 5 — — $12,287.70 $60,184.64 $21,630.60 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 5 — — $34,160.36 $97,842.80 $46,151.70 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 5 — — $17,900.01 $51,269.56 $20,524.84 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $24,961.72 $71,495.85 $30,608.03 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $57,961.04 $194,784.20 $110,239.63 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,758,972.00 $3,869,530.00 $3,828,070.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,382,791.84 $3,482,285.72 $3,444,975.52 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,595,100.00 $4,730,250.00 $4,679,568.75 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,378,640.00 $2,448,600.00 $2,422,365.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $3,004,654.80 $3,093,027.00 $3,059,887.42 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,313,414.63 $3,410,868.00 $3,374,322.99 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $2,504,212.82 $2,577,866.14 $2,550,246.14 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 4 — — $61,200.00 $138,279.69 $65,796.79 2026-04-01
J9226 HCPCS Supprelin La Implant 10 4 — — $45,921.06 $99,321.65 $51,185.25 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 4 — — $28,992.54 $61,964.45 $29,845.26 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 4 — — $24,712.99 $83,050.61 $47,003.14 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,428.25 $30,293.79 $29,969.22 2026-04-01
L5858 HCPCS Stance Phase Only 4 4 — — $22,783.20 $23,453.29 $23,202.01 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
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $30,100.39 $30,985.70 $30,653.71 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,289.30 $30,150.75 $29,827.71 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 4 4 — — $19,999.68 $20,587.91 $20,367.32 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 4 4 — — $22,079.90 $22,729.31 $22,485.78 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $43,600.26 $44,882.62 $44,401.73 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,118.61 $50,563.28 $50,021.53 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
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $70,177.74 $72,241.80 $71,467.77 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $110,408.22 $113,655.52 $112,437.78 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $22,984.60 $23,660.62 $23,407.11 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 4 — — $19,926.38 $20,512.45 $20,292.68 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $543,894.77 $559,891.68 $553,892.84 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 4 — — $603,560.73 $621,312.51 $614,655.59 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $56,377.77 $121,962.21 $58,035.94 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 4 — — $499,090.70 $513,769.84 $508,265.17 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 4 — — $573,788.95 $590,665.09 $584,336.54 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 4 — — $568,464.29 $585,183.83 $578,914.01 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 4 — — $577,186.32 $594,162.39 $587,796.36 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $786,032.40 $809,151.00 $800,481.52 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 4 — — $283,815.00 $953,790.30 $292,162.50 2026-04-01
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