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 →

Export CSV
Hospital

AUGUSTA HEALTH

Fishersville, VA · CCN 490018 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Stress tte only

This hospital’s price: $556 across 4 payers · range $534-$1,654

Source: https://hospitalpricedisclosure.com/Download.aspx?pxi=d6jdJrXuX3vgSYRgOlRq3w*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-* · 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.

12,809 distinct procedures filed
63 distinct payers
228,354 rate rows
2026-04-01 last MRF observed
Data quality

188,882 of 228,354 rate rows are consumer-grade (82.7%)

39,472 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 30,512
professional (physician) fee — not the facility price 5,260
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
placeholder amount (≤ $0.02) — excluded from medians 144
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=d6jdJrXuX3vgSYRgOlRq3w*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://hospitalpricedisclosure.com/Default.aspx?ci=tQuNGFUGKfdE3M8txOi1*__*w*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-20
Content fingerprint ccaa18eb2ea2b341… · 29,425,504 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.67 $3,832,677.33 $3,758,972.00 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $3,449,121.09 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $3,378,383.54 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $3,063,569.60 $3,004,654.80 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,455,110.60 $2,553,315.03 $2,504,212.81 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $2,425,280.00 $2,378,640.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $801,444.80 $786,032.40 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $591,726.20 $615,395.25 $603,560.72 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $588,503.70 $577,186.32 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,538.19 $585,039.71 $573,788.95 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $557,317.93 $579,610.65 $568,464.29 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $533,230.17 $554,559.38 $543,894.77 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $508,876.79 $499,090.70 nat. median
$591,650
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $318,665.37 $1,026,622.48 $329,818.66 nat. median
$359,358
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $187,728.76 $241,242.75 $214,485.76 nat. median
$71,201
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $206,801.00 $766,802.07 $214,039.04 nat. median
$249,124
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $157,554.97 $645,829.51 $163,069.40 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $156,630.33 $583,415.76 $162,895.54 nat. median
$190,557
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $140,505.28 $180,557.74 $160,531.51 nat. median
$52,841
outlier · 3.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $129,573.82 $166,510.15 $148,041.98 nat. median
$49,639
outlier · 3.0×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $175,973.00 $127,855.24 nat. median
$63,643
outlier · 2.0×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $97,569.64 $125,382.85 $111,476.24 nat. median
$38,944
outlier · 2.9×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $108,243.35 $112,573.08 $110,408.21 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $102,215.73 $384,650.62 $107,739.20 nat. median
$126,722
0.9× median
7
MS_DRG 		Lung Transplant 8 $95,565.37 $355,760.51 $98,910.15 nat. median
$117,894
0.8× median
33967
HCPCS 		Insert I-aort Percut Device 1 $96,343.00 $96,343.00 $96,343.00 nat. median
$2,976
outlier · 32.4×
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 1 $96,343.00 $96,343.00 $96,343.00 nat. median
$28,036
outlier · 3.4×
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $96,343.00 $96,343.00 $96,343.00 nat. median
$39,035
outlier · 2.5×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $41,487.27 $219,597.58 $92,762.62 nat. median
$50,590
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $88,685.51 $356,658.90 $91,789.51 nat. median
$110,192
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $77,492.61 $99,582.67 $88,537.64 nat. median
$31,618
outlier · 2.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $83,622.47 $300,000.31 $86,549.26 nat. median
$103,967
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $83,526.53 $86,867.59 $83,526.53 nat. median
$92,655
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $80,244.89 $296,553.75 $83,053.46 nat. median
$97,414
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $8,393.99 $285,351.08 $82,143.71 nat. median
$93,270
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $76,085.83 $289,897.49 $78,748.83 nat. median
$94,964
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $73,477.20 $288,416.50 $76,416.29 nat. median
$93,917
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $72,191.70 $266,552.45 $74,718.41 nat. median
$90,581
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $71,553.78 $70,177.74 nat. median
$70,178
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $53,269.31 $300,458.87 $69,936.27 nat. median
$63,648
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $66,485.90 $227,048.16 $68,812.91 nat. median
$78,037
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $63,902.36 $250,768.43 $66,138.94 nat. median
$78,262
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $142,280.12 $65,875.97 nat. median
$68,423
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $62,012.48 $230,549.17 $64,182.92 nat. median
$77,696
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $7,598.00 $190,436.49 $62,724.95 nat. median
$12,855
outlier · 4.9×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 10 $23,838.58 $136,769.83 $62,562.48 nat. median
$30,029
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $15,006.40 $230,679.84 $62,519.08 nat. median
$77,043
0.8× median
33820
HCPCS 		Revise Major Vessel 1 $61,361.00 $61,361.00 $61,361.00 nat. median
$3,445
outlier · 17.8×
33824
HCPCS 		Revise Major Vessel 1 $61,361.00 $61,361.00 $61,361.00 nat. median
$4,171
outlier · 14.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $58,067.43 $219,439.05 $60,099.79 nat. median
$74,460
0.8× median

Other procedures at this hospital

Browse this hospital's 12,809 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 4 — — $3,685,266.67 $3,832,677.33 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 4 — — $3,316,462.59 $3,449,121.09 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 4 — — $3,248,445.72 $3,378,383.54 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 4 — — $2,945,740.00 $3,063,569.60 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 4 — — $2,455,110.60 $2,553,315.03 $2,504,212.81 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 8 4 — — $2,332,000.00 $2,425,280.00 $2,378,640.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 8 4 — — $770,620.00 $801,444.80 $786,032.40 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 4 — — $591,726.20 $615,395.25 $603,560.72 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 4 — — $565,868.94 $588,503.70 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 4 — — $562,538.19 $585,039.71 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 4 — — $557,317.93 $579,610.65 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 4 — — $533,230.17 $554,559.38 $543,894.77 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 4 — — $489,304.61 $508,876.79 $499,090.70 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 8 — — $318,665.37 $1,026,622.48 $329,818.66 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $187,728.76 $241,242.75 $214,485.76 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 8 — — $206,801.00 $766,802.07 $214,039.04 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 8 — — $157,554.97 $645,829.51 $163,069.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 8 — — $156,630.33 $583,415.76 $162,895.54 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $140,505.28 $180,557.74 $160,531.51 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $129,573.82 $166,510.15 $148,041.98 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 20 4 — — $56,824.55 $175,973.00 $127,855.24 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 2 — — $97,569.64 $125,382.85 $111,476.24 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 4 — — $108,243.35 $112,573.08 $110,408.21 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 8 — — $102,215.73 $384,650.62 $107,739.20 2026-04-01
7 MS_DRG Lung Transplant 24 8 — — $95,565.37 $355,760.51 $98,910.15 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $96,343.00 $96,343.00 $96,343.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $96,343.00 $96,343.00 $96,343.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 2 1 — — $96,343.00 $96,343.00 $96,343.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 10 — — $41,487.27 $219,597.58 $92,762.62 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 8 — — $88,685.51 $356,658.90 $91,789.51 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $77,492.61 $99,582.67 $88,537.64 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 8 — — $83,622.47 $300,000.31 $86,549.26 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 7 — — $83,526.53 $86,867.59 $83,526.53 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 8 — — $80,244.89 $296,553.75 $83,053.46 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 9 — — $8,393.99 $285,351.08 $82,143.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 8 — — $76,085.83 $289,897.49 $78,748.83 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 8 — — $73,477.20 $288,416.50 $76,416.29 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 8 — — $72,191.70 $266,552.45 $74,718.41 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 4 — — $68,801.71 $71,553.78 $70,177.74 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 9 — — $53,269.31 $300,458.87 $69,936.27 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 8 — — $66,485.90 $227,048.16 $68,812.91 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 8 — — $63,902.36 $250,768.43 $66,138.94 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 4 — — $63,342.28 $142,280.12 $65,875.97 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 8 — — $62,012.48 $230,549.17 $64,182.92 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 20 5 — — $7,598.00 $190,436.49 $62,724.95 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 46 10 — — $23,838.58 $136,769.83 $62,562.48 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 9 — — $15,006.40 $230,679.84 $62,519.08 2026-04-01
33820 HCPCS Revise Major Vessel 2 1 — — $61,361.00 $61,361.00 $61,361.00 2026-04-01
33824 HCPCS Revise Major Vessel 2 1 — — $61,361.00 $61,361.00 $61,361.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 8 — — $58,067.43 $219,439.05 $60,099.79 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 8 — — $56,661.64 $210,632.09 $58,644.80 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 8 — — $56,230.68 $203,191.77 $58,198.76 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 9 — — $9,848.52 $212,777.34 $58,109.90 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 4 — — $55,272.32 $128,288.48 $57,483.22 2026-04-01
10 MS_DRG Pancreas Transplant 24 8 — — $52,952.73 $217,046.06 $54,806.07 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 8 — — $52,930.59 $181,815.48 $54,783.16 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 20 4 — — $24,228.42 $75,030.03 $54,513.95 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 8 — — $52,649.43 $215,796.48 $54,492.16 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 8 — — $101.42 $204,207.29 $53,457.81 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 9 — — $26,655.55 $207,728.26 $53,045.50 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 8 — — $32,276.69 $181,507.85 $52,072.88 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 8 — — $49,671.82 $185,882.75 $51,410.33 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 8 — — $49,306.54 $182,515.14 $51,032.27 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 9 — — $26,696.77 $168,407.66 $50,822.98 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 9 — — $47,484.55 $176,076.66 $50,405.33 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 8 — — $48,522.11 $175,796.26 $50,220.38 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 8 — — $48,522.11 $161,958.30 $50,220.38 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 8 — — $48,345.74 $167,639.95 $50,037.84 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 4 — — $48,155.50 $50,081.72 $49,118.61 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 8 — — $42,224.93 $191,313.48 $46,855.37 2026-04-01
J9226 HCPCS Supprelin La Implant 14 4 — — $45,020.65 $101,727.09 $46,821.48 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 8 — — $45,224.23 $163,082.65 $46,807.08 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 8 — — $45,171.83 $172,161.85 $46,752.84 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 16 5 — — $26,315.78 $165,710.00 $46,689.57 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 8 — — $44,738.66 $166,292.36 $46,304.51 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
32650 HCPCS Thoracoscopy W/pleurodesis 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
33822 HCPCS Revise Major Vessel 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
56631 HCPCS Extensive Vulva Surgery 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 2 1 — — $46,138.00 $46,138.00 $46,138.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 8 — — $25,735.10 $105,218.04 $45,944.04 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 8 — — $44,337.96 $165,497.42 $45,889.79 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 8 — — $44,004.41 $156,238.54 $45,544.57 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 8 — — $43,757.93 $164,310.45 $45,289.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 8 — — $43,307.05 $160,180.57 $44,822.79 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 8 — — $43,279.01 $158,495.41 $44,793.77 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 20 5 — — $4,347.00 $165,710.00 $44,569.04 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 20 5 — — $2,459.00 $165,710.00 $44,569.04 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 20 5 — — $5,589.00 $133,353.07 $44,569.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 8 — — $38,936.20 $139,735.35 $44,471.81 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 8 — — $8.83 $278,699.05 $44,047.56 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 9 — — $7,430.70 $161,846.68 $43,859.77 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 4 — — $42,745.35 $44,455.16 $43,600.26 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 8 — — $16,086.77 $155,304.75 $43,555.06 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 10 — — $29,669.08 $118,897.15 $43,236.59 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 8 — — $41,358.87 $148,120.34 $42,806.43 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 8 — — $41,075.50 $136,198.95 $42,513.14 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 9 — — $58.59 $147,028.66 $42,269.47 2026-04-01
509 MS_DRG Arthroscopy 10 3 — — $29,597.03 $47,818.96 $42,177.08 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 7 — — $42,113.79 $43,798.34 $42,113.79 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 8 — — $40,369.29 $147,782.76 $41,984.06 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 8 — — $14,376.32 $167,065.52 $41,979.41 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 24 8 — — $40,512.45 $150,464.33 $41,930.38 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 8 — — $26,351.28 $98,657.05 $41,765.74 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 9 — — $8,673.86 $144,828.96 $41,521.08 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 8 — — $40,087.39 $164,310.45 $41,490.45 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 8 — — $40,248.27 $146,889.81 $41,455.72 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 8 — — $25,175.74 $91,377.36 $41,369.90 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 8 — — $39,353.14 $144,186.47 $40,730.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 8 — — $39,329.52 $140,195.43 $40,706.06 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 8 — — $39,065.34 $150,475.22 $40,432.62 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 8 — — $17,610.32 $68,462.05 $40,044.03 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 8 — — $38,346.58 $151,752.02 $39,688.71 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 9 — — $7,013.53 $138,687.22 $38,776.27 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 8 — — $27,579.22 $140,558.63 $38,634.21 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 9 — — $99.98 $135,654.47 $38,543.74 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 8 — — $37,193.91 $125,020.78 $38,495.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 8 — — $36,319.45 $137,113.68 $38,193.79 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 8 — — $36,804.28 $138,262.53 $38,095.06 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 10 — — $7.97 $173,409.36 $37,987.88 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 8 — — $36,168.17 $146,870.76 $37,434.06 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 10 3 — — $26,053.47 $42,093.75 $37,127.35 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 26 8 — — $35,633.16 $132,226.97 $37,058.49 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 8 — — $35,453.10 $136,305.12 $36,693.96 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 8 — — $30,791.50 $137,751.47 $36,641.18 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 9 — — $34,622.91 $129,431.06 $36,397.49 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 8 — — $35,132.09 $128,072.59 $36,361.71 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 8 — — $34,693.75 $125,420.97 $35,908.03 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 8 — — $34,519.60 $130,000.04 $35,727.79 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 4 — — $34,970.13 $36,368.94 $35,669.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 8 — — $34,218.52 $132,006.45 $35,416.17 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 8 — — $30,443.93 $106,445.84 $35,299.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 9 — — $122.59 $125,004.44 $35,276.44 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 8 — — $86.39 $126,651.49 $35,274.87 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 8 — — $33,833.31 $127,386.54 $35,017.47 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 8 — — $33,566.91 $122,815.63 $34,741.75 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 8 — — $33,552.15 $121,745.73 $34,726.47 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 24 8 — — $33,420.80 $129,436.51 $34,590.52 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 18 4 — — $5,589.00 $103,719.38 $34,497.46 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 9 — — $6,490.34 $133,030.08 $34,341.37 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 8 — — $33,063.63 $114,076.73 $34,220.86 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 8 — — $32,933.75 $119,581.42 $34,086.43 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 26 8 — — $33,073.22 $125,472.69 $34,065.42 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 8 — — $31,057.97 $116,121.25 $33,551.03 2026-04-01
69930 HCPCS Implant Cochlear Device 20 5 — — $6,705.00 $165,710.00 $33,363.31 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 9 — — $18,804.83 $115,952.46 $32,891.86 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 2 — — $14,293.36 $51,377.43 $32,835.40 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 8 — — $31,679.25 $122,083.31 $32,788.03 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 9 — — $57.55 $114,068.56 $32,773.42 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 9 — — $30,454.34 $181,176.34 $32,546.57 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 8 — — $28,730.57 $113,262.73 $32,532.18 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 8 — — $31,111.77 $111,710.96 $32,200.68 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 22 7 — — $31,243.40 $154,256.84 $32,191.94 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 8 — — $31,096.27 $111,877.03 $32,184.64 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 8 — — $30,968.61 $120,607.76 $32,052.51 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 8 — — $30,911.05 $111,939.64 $31,992.94 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 16 5 — — $17,921.86 $55,500.01 $31,797.03 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 20 5 — — $6,705.00 $165,710.00 $31,761.26 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 20 5 — — $6,705.00 $165,710.00 $31,761.26 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 5 — — $4,347.00 $165,710.00 $31,761.26 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 5 — — $4,347.00 $165,710.00 $31,761.26 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 5 — — $4,347.00 $165,710.00 $31,761.26 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 5 — — $6,705.00 $165,710.00 $31,761.26 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 20 5 — — $6,705.00 $165,710.00 $31,761.26 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 9 — — $6,390.64 $115,130.30 $31,475.57 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 14 4 — — $30,167.92 $93,423.33 $31,374.63 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 8 — — $12,022.44 $110,722.73 $31,259.80 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 20 5 — — $4,347.00 $93,423.33 $31,223.79 2026-04-01
61886 HCPCS Implant Neurostim Arrays 20 5 — — $4,347.00 $165,710.00 $31,223.79 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 20 5 — — $2,459.00 $96,343.00 $31,223.79 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 20 5 — — $2,459.00 $96,343.00 $31,223.79 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 20 5 — — $2,459.00 $96,343.00 $31,223.79 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 20 5 — — $4,347.00 $96,343.00 $31,223.79 2026-04-01
791 MS_DRG Prematurity With Major Problems 28 8 — — $13,567.84 $110,532.16 $31,001.56 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 20 5 — — $2,577.00 $93,423.33 $30,771.28 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 20 5 — — $2,459.00 $93,423.33 $30,771.28 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 20 5 — — $2,459.00 $93,423.33 $30,771.28 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 9 — — $4,982.00 $113,540.41 $30,769.36 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 32 9 — — $10,980.88 $71,414.00 $30,510.86 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 8 — — $29,400.47 $97,587.15 $30,429.49 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 16 5 — — $17,141.87 $53,084.57 $30,413.18 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 16 5 — — $17,141.87 $53,084.57 $30,413.18 2026-04-01
20838 HCPCS Replantation Foot Complete 16 5 — — $17,141.87 $53,084.57 $30,413.18 2026-04-01
20802 HCPCS Replantation Arm Complete 16 5 — — $17,141.87 $53,084.57 $30,413.18 2026-04-01
20805 HCPCS Replant Forearm Complete 16 5 — — $17,141.87 $53,084.57 $30,413.18 2026-04-01
20808 HCPCS Replantation Hand Complete 16 5 — — $17,141.87 $53,084.57 $30,413.18 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 16 6 — — $27,402.71 $96,503.62 $30,395.21 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 6 2 — — $22,205.58 $31,685.88 $30,177.03 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 8 4 — — $29,510.19 $30,690.60 $30,100.40 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 8 — — $28,737.06 $117,790.08 $29,742.85 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 9 — — $10,379.49 $103,489.31 $29,733.71 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 16 5 — — $16,746.58 $96,343.00 $29,711.85 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 16 5 — — $16,746.58 $96,343.00 $29,711.85 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 8 — — $28,563.64 $105,860.52 $29,563.37 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 4 — — $28,424.06 $60,908.69 $29,561.02 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 8 — — $28,493.54 $102,683.48 $29,490.81 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 10 3 — — $20,690.12 $33,428.35 $29,484.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 8 — — $27,582.17 $104,839.62 $29,466.81 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 4 — — $28,851.23 $30,005.28 $29,428.26 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 8 — — $28,331.93 $108,446.80 $29,323.55 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 4 — — $28,715.00 $29,863.60 $29,289.30 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 8 — — $15,136.00 $104,836.39 $29,091.26 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 20 5 — — $6,705.00 $165,710.00 $29,023.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 8 — — $20,563.49 $104,055.57 $28,740.79 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 8 — — $27,501.74 $107,434.07 $28,601.81 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 8 — — $27,346.77 $94,527.17 $28,303.90 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 9 — — $6,776.51 $89,885.48 $28,200.81 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 8 — — $27,094.39 $96,672.42 $28,042.69 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 26 8 — — $27,105.46 $105,109.14 $28,012.78 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 8 — — $26,755.68 $95,836.65 $27,692.13 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 8 — — $26,613.25 $87,231.14 $27,677.78 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 8 — — $26,718.78 $94,426.44 $27,653.93 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 8 — — $26,700.33 $97,105.29 $27,634.84 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 8 — — $23,019.90 $86,403.53 $27,579.63 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 5 — — $8,493.00 $82,149.70 $27,455.94 2026-04-01
22630 HCPCS Lumbar Spine Fusion 20 5 — — $8,493.00 $82,149.70 $27,455.94 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 20 5 — — $8,493.00 $82,149.70 $27,455.94 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 8 — — $17,195.95 $97,592.60 $27,452.69 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 8 — — $26,439.10 $108,370.58 $27,364.47 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 8 — — $26,377.85 $107,189.06 $27,301.07 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 8 — — $26,243.54 $95,650.15 $27,293.28 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 8 — — $26,312.17 $95,313.95 $27,233.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 8 — — $25,494.46 $95,382.01 $27,078.73 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 20 5 — — $8,493.00 $82,149.70 $27,058.03 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 20 5 — — $4,347.00 $82,149.70 $27,058.03 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 20 5 — — $7,598.00 $82,149.70 $27,058.03 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 9 — — $16,332.71 $101,926.66 $27,052.89 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 8 — — $25,971.24 $99,324.04 $26,880.24 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 36 9 — — $23,561.11 $92,343.81 $26,767.88 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 8 — — $23.22 $164,210.09 $26,708.38 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 44 9 — — $15,396.83 $148,961.52 $26,579.74 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 8 — — $25,617.03 $94,322.99 $26,513.62 2026-04-01
5694 OTHER Level 4 Drug Administration 24 7 — — $8,409.44 $108,822.24 $26,494.00 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 20 5 — — $6,705.00 $79,133.76 $26,447.96 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 20 5 — — $6,705.00 $79,133.76 $26,447.96 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 20 5 — — $6,705.00 $79,133.76 $26,447.96 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 8 — — $18,797.11 $93,617.89 $26,385.31 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 8 — — $25,299.71 $95,365.67 $26,311.70 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 9 — — $21.00 $93,383.76 $25,999.16 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 8 — — $24,651.79 $95,145.16 $25,514.60 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 7 — — $25,374.98 $26,389.98 $25,374.98 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 9 — — $24,290.94 $84,960.66 $25,230.81 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 8 — — $24,376.54 $74,495.75 $25,229.72 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 38 10 — — $17,879.03 $155,355.70 $25,145.62 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 24 8 — — $24,293.89 $90,402.74 $25,144.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 9 — — $6,529.02 $96,078.94 $25,142.53 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 9 — — $21,703.70 $81,955.13 $25,044.91 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 8 — — $24,003.88 $92,746.72 $24,844.02 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 8 — — $22,817.89 $88,725.74 $24,734.79 2026-04-01
503 MS_DRG Foot Procedures With Mcc 30 8 — — $20,596.79 $72,048.32 $24,730.01 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 8 — — $23,871.79 $86,828.23 $24,707.30 2026-04-01
652 MS_DRG Kidney Transplant 24 8 — — $23,831.94 $83,610.35 $24,666.06 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 8 — — $23,767.74 $86,577.76 $24,599.61 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 8 — — $23,690.99 $77,915.09 $24,520.18 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 38 9 — — $20,812.97 $112,469.01 $24,441.61 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 26 8 — — $2,680.57 $71,839.13 $24,382.80 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 8 — — $23,517.57 $84,182.05 $24,340.68 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 8 — — $110.00 $87,759.29 $24,290.51 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 26 8 — — $23,354.49 $86,259.24 $24,288.67 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 8 — — $23,447.47 $96,111.61 $24,268.13 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 8 — — $23,494.70 $88,687.62 $24,199.54 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 8 — — $23,319.07 $83,947.93 $24,135.24 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 36 9 — — $11,024.16 $57,818.94 $24,044.12 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 8 — — $23,186.97 $76,374.21 $23,998.51 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 8 — — $23,032.74 $93,470.88 $23,838.89 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 8 — — $22,984.78 $80,272.69 $23,789.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 8 — — $22,944.19 $83,261.88 $23,747.24 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 9 — — $19,481.70 $73,071.94 $23,571.64 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 8 — — $22,592.19 $84,922.55 $23,382.92 2026-04-01
43279 HCPCS Lap Myotomy Heller 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
61798 HCPCS Srs Cranial Lesion Complex 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
22585 HCPCS Additional Spinal Fusion 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
43775 HCPCS Lap Sleeve Gastrectomy 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
45123 HCPCS Partial Proctectomy 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
43645 HCPCS Lap Gastr Bypass Incl Smll I 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
43644 HCPCS Lap Gastric Bypass/roux-en-y 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
61796 HCPCS Srs Cranial Lesion Simple 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
92998 HCPCS Pul Art Balloon Repr Percut 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
0275T OTHER Perq Lamot/lam Lumbar 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
19297 HCPCS Place Breast Cath For Rad 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
63081 HCPCS Remove Vert Body Dcmprn Crvl 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
32653 HCPCS Thoracoscopy Remov Fb/fibrin 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
63620 HCPCS Srs Spinal Lesion 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 2 1 — — $23,070.00 $23,070.00 $23,070.00 2026-04-01
See an error in this hospital's data? Submit a correction