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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 NORFOLK GENERAL HOSPITAL

Norfolk, VA · CCN 490007 · Rates published

13,427 distinct procedures filed
16 distinct payers
151,644 rate rows
2026-04-01 last MRF observed
Data quality

108,915 of 151,644 rate rows are consumer-grade (71.8%)

42,729 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 42,721
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentaranorfolkgeneralhospitalstandardchargesxlsx-1395284
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-16
Content fingerprint a83c1468ef9e9471… · 42,462,958 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 $0.03 $4,730,250.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $0.03 $3,869,530.00 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.03 $3,482,285.72 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $0.03 $3,410,868.00 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $0.03 $3,093,027.00 $3,004,654.80 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $0.03 $2,577,866.14 $2,504,212.82 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $0.03 $2,448,600.00 $2,378,640.00 nat. median
$2,405,851
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $355,352.83 $1,530,139.34 $1,006,375.15 nat. median
$370,165
outlier · 2.7×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $0.03 $809,151.00 $786,032.40 nat. median
$809,151
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $227,080.70 $1,153,491.75 $649,183.98 nat. median
$261,939
outlier · 2.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $0.03 $621,312.51 $603,560.73 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $0.03 $594,162.39 $577,186.32 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $0.03 $590,665.09 $573,788.95 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $0.03 $585,183.83 $568,464.29 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.03 $559,891.68 $543,894.77 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $0.03 $513,769.84 $499,090.70 nat. median
$577,541
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $176,414.06 $756,533.62 $498,309.99 nat. median
$205,166
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $8,086.78 $830,662.74 $409,522.66 nat. median
$199,832
outlier · 2.0×
7
MS_DRG 		Lung Transplant 5 $107,564.72 $533,043.18 $312,740.85 nat. median
$122,690
outlier · 2.5×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $0.03 $984,569.34 $289,032.19 nat. median
$302,242
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $89,061.99 $494,668.78 $280,491.78 nat. median
$114,305
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $92,018.90 $466,428.22 $264,869.49 nat. median
$108,240
outlier · 2.4×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $94,193.68 $401,070.36 $258,159.19 nat. median
$96,134
outlier · 2.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $236,147.45 $264,725.46 $250,436.46 nat. median
$83,623
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $83,823.04 $385,312.86 $242,612.05 nat. median
$100,978
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $85,929.59 $424,390.49 $240,286.20 nat. median
$99,646
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 5 $83,032.29 $352,816.34 $232,047.89 nat. median
$98,002
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $58,388.87 $490,810.51 $222,255.07 nat. median
$132,706
1.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $204,040.73 $228,733.27 $216,387.00 nat. median
$58,534
outlier · 3.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $67,586.01 $319,246.17 $201,013.19 nat. median
$81,124
outlier · 2.5×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $188,920.09 $211,782.76 $200,351.42 nat. median
$51,048
outlier · 3.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $77,193.70 $357,172.45 $198,364.00 nat. median
$92,900
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $66,531.24 $320,668.95 $195,841.24 nat. median
$80,459
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $20,976.65 $298,705.08 $188,079.50 nat. median
$79,040
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $176,744.16 $198,133.33 $187,438.74 nat. median
$62,767
outlier · 3.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $34,362.35 $418,668.22 $183,653.85 nat. median
$77,385
outlier · 2.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $170,577.58 $191,220.49 $180,899.03 nat. median
$46,826
outlier · 3.9×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $201,158.91 $180,598.51 nat. median
$63,643
outlier · 2.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $62,021.90 $272,072.88 $173,409.27 nat. median
$74,472
outlier · 2.3×
10
MS_DRG 		Pancreas Transplant 5 $60,236.59 $295,358.99 $173,289.57 nat. median
$67,750
outlier · 2.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $162,993.28 $182,718.35 $172,855.82 nat. median
$57,648
outlier · 3.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $59,899.74 $293,667.27 $172,297.03 nat. median
$69,153
outlier · 2.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $56,522.90 $287,446.06 $166,173.97 nat. median
$68,581
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $19,239.27 $276,024.06 $153,788.18 nat. median
$73,475
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $56,592.63 $238,509.80 $153,522.93 nat. median
$64,357
outlier · 2.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $55,315.68 $232,989.18 $152,514.07 nat. median
$60,895
outlier · 2.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $32,069.96 $263,337.52 $149,969.45 nat. median
$63,840
outlier · 2.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $34,242.32 $311,305.56 $149,073.18 nat. median
$62,262
outlier · 2.4×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $139,073.14 $155,903.44 $147,488.29 nat. median
$40,712
outlier · 3.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $42,207.58 $254,157.45 $146,626.00 nat. median
$62,911
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 13,427 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 7 4 — — $0.03 $4,730,250.00 $4,595,100.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 4 — — $0.03 $3,869,530.00 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $0.03 $3,482,285.72 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 4 — — $0.03 $3,410,868.00 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 4 — — $0.03 $3,093,027.00 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 4 — — $0.03 $2,577,866.14 $2,504,212.82 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 4 — — $0.03 $2,448,600.00 $2,378,640.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 5 — — $355,352.83 $1,530,139.34 $1,006,375.15 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 7 4 — — $0.03 $809,151.00 $786,032.40 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 5 — — $227,080.70 $1,153,491.75 $649,183.98 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 4 — — $0.03 $621,312.51 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 4 — — $0.03 $594,162.39 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 4 — — $0.03 $590,665.09 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 4 — — $0.03 $585,183.83 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 4 — — $0.03 $559,891.68 $543,894.77 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 4 — — $0.03 $513,769.84 $499,090.70 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 5 — — $176,414.06 $756,533.62 $498,309.99 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 6 — — $8,086.78 $830,662.74 $409,522.66 2026-04-01
7 MS_DRG Lung Transplant 18 5 — — $107,564.72 $533,043.18 $312,740.85 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 4 — — $0.03 $984,569.34 $289,032.19 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 5 — — $89,061.99 $494,668.78 $280,491.78 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 5 — — $92,018.90 $466,428.22 $264,869.49 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 16 5 — — $94,193.68 $401,070.36 $258,159.19 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $236,147.45 $264,725.46 $250,436.46 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 6 — — $83,823.04 $385,312.86 $242,612.05 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 5 — — $85,929.59 $424,390.49 $240,286.20 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 5 — — $83,032.29 $352,816.34 $232,047.89 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 6 — — $58,388.87 $490,810.51 $222,255.07 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $204,040.73 $228,733.27 $216,387.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 5 — — $67,586.01 $319,246.17 $201,013.19 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $188,920.09 $211,782.76 $200,351.42 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 5 — — $77,193.70 $357,172.45 $198,364.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 5 — — $66,531.24 $320,668.95 $195,841.24 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 5 — — $20,976.65 $298,705.08 $188,079.50 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $176,744.16 $198,133.33 $187,438.74 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 5 — — $34,362.35 $418,668.22 $183,653.85 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $170,577.58 $191,220.49 $180,899.03 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $57,961.04 $201,158.91 $180,598.51 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 6 — — $62,021.90 $272,072.88 $173,409.27 2026-04-01
10 MS_DRG Pancreas Transplant 18 5 — — $60,236.59 $295,358.99 $173,289.57 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $162,993.28 $182,718.35 $172,855.82 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 5 — — $59,899.74 $293,667.27 $172,297.03 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 6 — — $56,522.90 $287,446.06 $166,173.97 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 6 — — $19,239.27 $276,024.06 $153,788.18 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 5 — — $56,592.63 $238,509.80 $153,522.93 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 5 — — $55,315.68 $232,989.18 $152,514.07 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 5 — — $32,069.96 $263,337.52 $149,969.45 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 5 — — $34,242.32 $311,305.56 $149,073.18 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $139,073.14 $155,903.44 $147,488.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 5 — — $42,207.58 $254,157.45 $146,626.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $134,782.65 $151,093.73 $142,938.19 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 5 — — $51,594.67 $216,902.14 $141,986.69 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $133,796.63 $149,988.39 $141,892.51 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 5 — — $51,113.56 $214,822.17 $141,288.89 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 21 5 — — $48,749.10 $629,422.18 $140,023.43 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 5 — — $45,948.04 $207,813.32 $136,679.16 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 5 — — $48,417.28 $211,296.49 $136,006.39 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 5 — — $28,101.21 $519,831.03 $134,853.54 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 5 — — $6,950.34 $769,610.63 $134,609.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 5 — — $12,744.93 $212,837.86 $134,013.25 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 5 — — $48,198.23 $202,218.29 $132,999.30 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 5 — — $43,611.43 $204,351.42 $131,536.02 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 5 — — $45,947.59 $223,598.90 $131,187.33 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 6 — — $13,806.47 $207,947.97 $130,934.33 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 5 — — $4,684.46 $230,690.94 $130,615.20 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $122,734.63 $137,587.69 $130,161.16 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 6 — — $42,812.81 $385,454.16 $127,107.80 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 5 — — $40,975.83 $197,232.73 $126,953.89 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 6 — — $43,155.65 $452,963.76 $125,213.64 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 6 — — $27,770.96 $203,047.45 $124,747.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 5 — — $45,923.96 $199,209.95 $123,648.36 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 5 — — $7,547.73 $195,701.98 $123,223.65 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 6 — — $10,496.59 $366,951.70 $122,010.85 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 6 — — $4,795.02 $193,565.31 $121,971.17 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 5 — — $35,620.99 $184,129.24 $121,281.38 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 5 — — $53,222.10 $243,711.51 $118,100.52 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 5 — — $13,378.09 $297,824.36 $117,809.23 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 5 — — $41,137.09 $188,849.05 $115,735.36 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 6 — — $14,493.78 $188,962.44 $115,426.14 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 25 5 — — $5,196.55 $244,072.38 $115,241.26 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $110,408.22 $113,655.52 $112,437.78 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 6 — — $9,910.97 $255,783.87 $112,366.54 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 5 — — $39,429.27 $190,863.56 $111,981.24 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 6 — — $38,283.52 $168,694.19 $110,682.04 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 6 — — $36,950.92 $178,594.45 $110,187.14 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 6 — — $38,134.93 $171,100.16 $110,132.99 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 5 — — $22,567.86 $232,142.31 $109,784.61 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 5 — — $41,594.66 $173,669.12 $109,350.67 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 6 — — $13,218.93 $174,994.35 $108,706.74 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 6 — — $48,360.84 $217,153.73 $108,285.20 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 6 — — $37,564.42 $166,249.24 $107,010.57 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $97,479.38 $109,276.10 $103,377.74 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 7 — — $36,262.32 $161,107.77 $103,093.17 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 5 — — $37,194.35 $162,457.80 $101,520.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 6 — — $36,907.96 $172,370.22 $100,485.19 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 6 — — $6,997.54 $236,956.25 $100,454.27 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 5 — — $38,146.58 $158,762.04 $99,611.03 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 5 — — $35,819.72 $148,702.32 $97,801.76 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 5 — — $35,623.02 $147,851.91 $97,386.40 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 6 — — $4,677.19 $193,841.70 $96,778.26 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 5 — — $34,206.09 $158,138.40 $96,437.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 5 — — $14,248.40 $390,525.20 $96,112.87 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 6 — — $31,719.71 $149,389.74 $95,818.76 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 5 — — $39,034.20 $668,879.91 $95,770.49 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 5 — — $38,406.19 $160,477.04 $95,666.58 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 5 — — $33,142.60 $150,268.51 $94,760.68 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 5 — — $24,455.93 $162,872.38 $94,059.34 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 5 — — $24,296.66 $155,654.48 $93,647.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 6 — — $16,295.50 $148,425.94 $93,456.32 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 5 — — $34,078.06 $239,311.87 $92,986.90 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 5 — — $33,988.77 $149,644.87 $92,970.84 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 6 — — $3,645.40 $166,939.48 $92,657.58 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 5 — — $32,173.27 $142,462.40 $91,432.62 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 5 — — $33,341.23 $137,987.08 $90,754.33 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 6 — — $9,808.81 $151,136.64 $89,971.61 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 5 — — $33,148.63 $137,154.38 $88,282.93 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 5 — — $31,797.10 $131,311.32 $86,491.52 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 5 — — $31,529.09 $156,369.77 $85,855.04 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 5 — — $11,291.36 $138,614.26 $85,369.20 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 5 — — $30,146.78 $215,327.76 $85,274.78 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 5 — — $33,101.09 $136,948.87 $85,252.11 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 5 — — $6,031.11 $187,580.51 $85,082.57 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $80,208.16 $89,914.77 $85,061.46 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 5 — — $36,708.93 $334,540.62 $84,677.85 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $79,824.41 $89,484.58 $84,654.49 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 5 — — $2,732.62 $158,833.39 $84,562.19 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 7 — — $20,549.60 $273,032.16 $84,253.65 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 5 — — $28,914.30 $242,464.79 $83,741.86 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 5 — — $30,788.98 $126,952.94 $83,497.15 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 5 — — $24,947.20 $126,531.27 $83,343.02 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 5 — — $30,720.95 $126,658.83 $83,303.72 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 5 — — $31,339.06 $132,055.43 $83,148.63 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 5 — — $31,099.61 $128,295.88 $82,580.93 2026-04-01
265 MS_DRG Aicd Lead Procedures 16 5 — — $30,556.66 $128,207.30 $82,523.90 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 5 — — $30,328.36 $124,961.54 $82,187.41 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 5 — — $29,265.33 $126,343.47 $81,324.21 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 5 — — $1,703.02 $126,237.17 $81,255.78 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 5 — — $8,722.30 $184,448.14 $81,214.99 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 5 — — $31,140.59 $128,473.05 $80,892.99 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 5 — — $29,653.90 $128,723.71 $80,582.87 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 6 — — $31,532.39 $136,041.76 $80,524.55 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 5 — — $10,219.36 $197,016.79 $79,242.18 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 7 — — $5,964.90 $210,601.98 $79,228.72 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 5 — — $29,875.94 $123,005.59 $79,175.70 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 5 — — $27,455.09 $121,843.35 $78,427.59 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 6 — — $10,513.81 $187,841.47 $78,079.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 5 — — $30,007.08 $123,572.53 $77,807.38 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 7 — — $12,401.99 $174,439.60 $77,591.98 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 5 — — $28,716.67 $153,337.09 $77,188.32 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 4 — — $24,712.99 $85,768.61 $77,002.22 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 5 — — $28,498.18 $117,049.13 $76,983.41 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 5 — — $25,897.59 $127,698.58 $76,722.39 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 5 — — $9,080.18 $198,767.42 $76,568.73 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 5 — — $27,729.70 $118,370.82 $76,192.40 2026-04-01
652 MS_DRG Kidney Transplant 24 6 — — $2,644.29 $232,117.79 $75,374.92 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 6 — — $25,790.41 $132,194.83 $75,352.93 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $70,793.07 $79,360.28 $75,076.68 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 15 5 — — $27,822.01 $114,125.83 $75,060.74 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 6 — — $18,794.72 $257,167.89 $75,014.62 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 5 — — $24,102.82 $120,886.63 $74,654.11 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 5 — — $34,737.31 $165,753.17 $74,443.49 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 5 — — $27,518.76 $164,242.16 $74,198.46 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 5 — — $26,231.68 $114,349.06 $73,603.70 2026-04-01
665 MS_DRG Prostatectomy With Mcc 15 5 — — $27,005.68 $110,596.60 $72,739.57 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 5 — — $24,499.21 $114,465.99 $72,737.88 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 5 — — $24,245.33 $112,924.61 $72,686.82 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 5 — — $27,363.03 $112,141.52 $72,182.76 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 5 — — $23,010.90 $111,337.17 $71,665.01 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
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 6 — — $12,322.34 $131,294.21 $71,091.10 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 5 — — $14,776.02 $111,971.44 $70,502.76 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 5 — — $26,180.34 $107,028.40 $70,392.75 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 5 — — $26,150.01 $106,897.29 $70,306.52 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 5 — — $7,638.05 $158,821.94 $69,492.07 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 5 — — $14,563.55 $236,929.44 $69,481.77 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 7 — — $3,938.16 $135,282.37 $69,369.36 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 5 — — $25,818.89 $105,465.76 $69,365.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 6 — — $10,722.49 $111,599.38 $69,147.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 5 — — $7,008.47 $114,625.45 $68,942.46 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 5 — — $23,294.67 $174,035.13 $67,871.15 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 5 — — $24,386.58 $113,757.31 $67,792.76 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 5 — — $21,996.56 $102,765.69 $67,589.16 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 5 — — $13,676.50 $132,757.02 $67,566.25 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 5 — — $25,089.44 $172,368.62 $67,390.48 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 18 5 — — $20,260.83 $104,321.24 $67,149.04 2026-04-01
570 MS_DRG Skin Debridement With Mcc 16 5 — — $3,644.17 $104,214.94 $67,080.61 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 16 5 — — $25,204.71 $103,467.28 $66,599.36 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 4 — — $64,609.13 $224,545.92 $66,509.40 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 5 — — $22,795.56 $105,762.15 $65,823.89 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 5 — — $24,504.92 $102,113.70 $65,728.10 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 5 — — $31,116.00 $146,182.97 $65,586.89 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 5 — — $23,074.35 $102,829.47 $64,746.52 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 5 — — $5,220.00 $138,244.00 $64,717.41 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 5 — — $5,220.00 $138,244.00 $64,717.41 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 5 — — $5,220.00 $138,244.00 $64,717.41 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 5 — — $5,220.00 $138,244.00 $64,717.41 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 5 — — $12,886.56 $148,879.49 $64,500.63 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 5 — — $22,599.94 $99,548.28 $64,120.54 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 5 — — $23,660.64 $101,702.67 $64,037.03 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 22 5 — — $22,416.21 $99,190.40 $63,846.43 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $60,200.09 $67,485.37 $63,842.73 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 5 — — $5,220.00 $217,159.59 $63,749.82 2026-04-01
503 MS_DRG Foot Procedures With Mcc 16 5 — — $21,020.76 $98,899.84 $63,659.41 2026-04-01
849 MS_DRG Radiotherapy 15 5 — — $23,631.37 $96,008.42 $63,144.90 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 5 — — $12,621.80 $108,335.91 $62,976.34 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 5 — — $23,532.19 $95,579.67 $62,862.91 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 5 — — $23,225.66 $94,254.44 $61,991.30 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 5 — — $30,269.35 $228,254.20 $61,848.02 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 23 5 — — $23,025.46 $104,392.11 $61,613.09 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 5 — — $23,040.43 $93,453.63 $61,464.61 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 17 5 — — $5,694.56 $97,372.63 $61,310.63 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 5 — — $22,686.76 $95,891.49 $60,378.03 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 17 5 — — $22,563.42 $91,391.37 $60,108.26 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 17 5 — — $22,563.42 $91,391.37 $60,108.26 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 16 5 — — $22,468.35 $90,980.34 $58,561.82 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 5 — — $21,847.90 $88,297.98 $58,073.73 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $56,377.77 $198,048.73 $58,035.94 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 20 5 — — $19,325.56 $223,977.10 $57,921.64 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 33 8 — — $6,614.74 $160,642.68 $57,378.70 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 23 5 — — $8,117.29 $90,463.00 $56,959.98 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 6 — — $18,914.23 $91,816.76 $56,732.21 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 5 — — $4,489.29 $127,789.18 $56,496.96 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 29 6 — — $20,368.11 $101,411.53 $56,288.42 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 17 5 — — $21,211.89 $85,548.31 $56,265.26 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 6 — — $18,291.88 $121,968.19 $56,073.46 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 5 — — $6,530.89 $89,435.42 $55,749.18 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 16 5 — — $21,276.64 $85,828.23 $55,245.54 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 9 4 — — $22,136.77 $76,793.64 $55,036.00 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 9 4 — — $22,136.77 $76,793.64 $55,036.00 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 9 4 — — $22,136.77 $76,793.64 $55,036.00 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 9 4 — — $22,136.77 $76,793.64 $55,036.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 4 — — $31,238.15 $108,366.80 $55,036.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 3 2 — — $13,700.00 $60,970.00 $55,036.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 4 — — $43,834.99 $152,065.90 $55,036.00 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 4 — — $31,238.15 $108,366.80 $55,036.00 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 9 4 — — $22,136.77 $76,793.64 $55,036.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 4 — — $31,238.15 $108,366.80 $55,036.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 5 — — $9,317.21 $84,860.89 $54,622.88 2026-04-01
333 MS_DRG Rectal Resection With Cc 15 5 — — $20,620.95 $82,993.51 $54,584.97 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 5 — — $19,439.42 $91,860.67 $54,532.55 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 5 — — $20,983.22 $84,559.70 $54,429.01 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 15 5 — — $20,497.19 $82,458.46 $54,233.07 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 5 — — $16,147.08 $122,410.30 $54,150.37 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $50,886.27 $57,044.40 $53,965.33 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 23 7 — — $21,546.29 $175,828.10 $53,869.81 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 6 — — $6,781.99 $97,397.44 $53,837.93 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 5 — — $14,082.60 $132,441.66 $53,631.16 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 7 — — $2,416.52 $299,467.95 $53,416.10 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 18 5 — — $12,315.36 $82,805.71 $53,300.01 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 6 — — $21,527.41 $96,869.47 $53,234.95 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 5 — — $14,267.70 $207,216.40 $52,978.46 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 21 5 — — $6,516.66 $83,308.88 $52,455.39 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 6 — — $6,330.96 $144,210.92 $52,439.46 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 5 — — $14,968.39 $80,637.15 $51,904.17 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 6 — — $6,533.80 $81,895.06 $51,539.44 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 5 — — $38,377.01 $635,231.92 $51,471.17 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 22 5 — — $18,770.01 $82,865.95 $51,427.75 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 1 — — $48,413.24 $54,272.10 $51,342.67 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 21 5 — — $20,233.28 $81,317.49 $51,201.51 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 5 — — $19,771.84 $79,322.55 $51,057.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 6 — — $10,886.03 $118,602.20 $51,030.85 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 27 6 — — $4,977.65 $147,293.83 $51,004.00 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 5 — — $19,269.42 $77,150.45 $50,741.98 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 24 6 — — $17,177.95 $78,649.31 $50,624.64 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 28 6 — — $17,481.35 $432,551.94 $50,512.75 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 6 — — $15,291.19 $112,587.99 $50,382.42 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 5 — — $5,220.00 $152,065.90 $50,080.12 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 5 — — $12,620.36 $114,753.01 $50,033.21 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,118.61 $50,563.28 $50,021.53 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 18 5 — — $2,736.32 $78,330.40 $49,928.59 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 17 5 — — $19,761.19 $79,276.49 $49,916.40 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 18 5 — — $17,328.09 $75,509.85 $49,736.47 2026-04-01
509 MS_DRG Arthroscopy 2 1 — — $46,808.97 $52,473.68 $49,641.32 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 15 5 — — $18,881.75 $75,474.42 $49,639.65 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 17 5 — — $17,533.51 $74,999.60 $49,327.36 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 6 — — $18,582.30 $314,907.34 $49,260.46 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 21 5 — — $18,370.63 $82,401.77 $49,190.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 21 5 — — $14,780.53 $77,908.74 $49,055.20 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 28 6 — — $3,289.62 $108,189.90 $48,844.72 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 15 5 — — $18,562.92 $74,096.04 $48,733.09 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 23 6 — — $16,128.28 $77,334.71 $48,693.76 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 19 5 — — $18,076.28 $77,203.60 $48,611.21 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 5 — — $18,435.41 $87,139.29 $48,443.06 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 19 5 — — $8,234.85 $76,891.78 $48,414.87 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 15 5 — — $18,433.43 $73,536.18 $48,364.87 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 15 5 — — $18,312.94 $73,015.30 $48,022.28 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 5 — — $16,791.70 $74,499.99 $47,953.82 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 25 5 — — $17,910.52 $129,066.81 $47,838.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 17 5 — — $17,192.73 $72,607.81 $47,754.28 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 6 — — $9,882.04 $143,826.61 $47,684.27 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 20 6 — — $18,532.60 $73,964.93 $47,609.42 2026-04-01
835 MS_DRG Acute Leukemia With Cc 18 6 — — $9,812.40 $229,244.57 $47,572.93 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 20 5 — — $17,212.43 $80,502.50 $47,455.78 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 17 5 — — $15,932.92 $75,357.49 $47,448.80 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,921.06 $161,283.78 $47,271.68 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 15 5 — — $18,043.29 $71,849.52 $47,255.55 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 17 5 — — $16,760.64 $75,038.58 $47,248.00 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 19 5 — — $18,540.36 $75,027.95 $47,241.31 2026-04-01
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