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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 OBICI HOSPITAL

Suffolk, VA · CCN 490044 · Rates published

13,450 distinct procedures filed
17 distinct payers
278,750 rate rows
2026-04-01 last MRF observed
Data quality

212,756 of 278,750 rate rows are consumer-grade (76.3%)

65,994 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 65,840
placeholder amount (≤ $0.02) — excluded from medians 154
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentaraobicihospitalstandardchargesxlsx-1395273
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 693ad92caa99e9cf… · 38,500,757 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
$3,325,455
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
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $0.03 $2,577,866.14 $2,504,212.82 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $0.03 $2,448,600.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $316,714.86 $1,091,833.92 $819,220.90 nat. median
$370,174
outlier · 2.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $0.03 $809,151.00 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $0.03 $621,312.51 $603,560.73 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $0.03 $594,162.39 $577,186.32 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $0.03 $590,665.09 $573,788.95 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $0.03 $585,183.83 $568,464.29 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.03 $559,891.68 $543,894.77 nat. median
$634,303
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $205,805.36 $708,556.29 $531,641.41 nat. median
$265,286
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $0.03 $513,769.84 $499,090.70 nat. median
$619,808
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $156,979.69 $539,826.04 $405,040.34 nat. median
$206,474
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $153,911.40 $536,657.96 $389,599.16 nat. median
$202,976
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $0.03 $1,126,943.21 $289,032.19 nat. median
$324,450
0.9× median
7
MS_DRG 		Lung Transplant 5 $95,519.23 $327,432.86 $245,678.24 nat. median
$122,708
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $88,698.09 $303,860.58 $227,991.58 nat. median
$117,357
1.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $83,583.16 $286,184.54 $223,218.05 nat. median
$98,047
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $100,856.51 $420,794.52 $218,018.31 nat. median
$133,161
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $83,678.27 $286,513.23 $214,975.58 nat. median
$108,660
2.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $80,329.52 $274,940.74 $206,292.55 nat. median
$102,358
outlier · 2.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $29,451.19 $278,660.02 $202,299.64 nat. median
$98,894
outlier · 2.0×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $77,049.87 $224,051.64 $199,213.13 nat. median
$87,428
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $76,205.96 $260,690.68 $189,254.39 nat. median
$100,136
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 5 $73,619.60 $251,752.79 $188,894.25 nat. median
$99,019
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $72,345.07 $247,348.32 $185,589.50 nat. median
$93,672
2.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $66,574.14 $193,589.47 $172,128.02 nat. median
$63,570
outlier · 2.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $66,687.99 $227,798.73 $170,921.12 nat. median
$82,711
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $62,252.74 $212,471.57 $159,420.90 nat. median
$81,118
2.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $61,640.59 $179,243.33 $159,372.31 nat. median
$54,196
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $33,627.01 $218,946.80 $153,619.53 nat. median
$83,470
1.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $230,145.69 $151,721.55 nat. median
$62,507
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $58,341.37 $198,954.74 $149,279.00 nat. median
$77,570
1.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $57,667.85 $167,691.07 $149,100.74 nat. median
$65,393
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $56,947.58 $194,138.14 $145,665.03 nat. median
$74,915
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $56,705.40 $193,301.24 $145,037.09 nat. median
$73,807
2.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $56,520.30 $192,661.55 $144,557.12 nat. median
$72,135
outlier · 2.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $55,655.83 $161,840.36 $143,898.63 nat. median
$49,935
outlier · 2.9×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $53,181.23 $154,644.53 $137,500.54 nat. median
$62,372
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 5 $53,270.33 $181,430.40 $136,130.20 nat. median
$68,884
2.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $53,248.38 $181,354.55 $136,073.29 nat. median
$64,023
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $52,969.62 $180,391.23 $135,350.50 nat. median
$71,271
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $52,938.89 $180,285.03 $135,270.82 nat. median
$68,886
2.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $51,091.48 $173,900.82 $130,480.64 nat. median
$65,950
2.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $50,017.42 $170,189.13 $127,695.70 nat. median
$64,732
2.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $49,655.26 $168,937.57 $126,756.63 nat. median
$63,724
2.0× median

Other procedures at this hospital

Browse this hospital's 13,450 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 14 4 — — $0.03 $4,730,250.00 $4,595,100.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 4 — — $0.03 $3,869,530.00 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 4 — — $0.03 $3,482,285.72 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 4 — — $0.03 $3,410,868.00 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 4 — — $0.03 $3,093,027.00 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 4 — — $0.03 $2,577,866.14 $2,504,212.82 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 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 26 5 — — $316,714.86 $1,091,833.92 $819,220.90 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 14 4 — — $0.03 $809,151.00 $786,032.40 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 4 — — $0.03 $621,312.51 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 4 — — $0.03 $594,162.39 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 4 — — $0.03 $590,665.09 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 4 — — $0.03 $585,183.83 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 4 — — $0.03 $559,891.68 $543,894.77 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 5 — — $205,805.36 $708,556.29 $531,641.41 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 14 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 26 5 — — $156,979.69 $539,826.04 $405,040.34 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 5 — — $153,911.40 $536,657.96 $389,599.16 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 20 4 — — $0.03 $1,126,943.21 $289,032.19 2026-04-01
7 MS_DRG Lung Transplant 26 5 — — $95,519.23 $327,432.86 $245,678.24 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 26 5 — — $88,698.09 $303,860.58 $227,991.58 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 24 4 — — $83,583.16 $286,184.54 $223,218.05 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 6 — — $100,856.51 $420,794.52 $218,018.31 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 5 — — $83,678.27 $286,513.23 $214,975.58 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 5 — — $80,329.52 $274,940.74 $206,292.55 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 5 — — $29,451.19 $278,660.02 $202,299.64 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $77,049.87 $224,051.64 $199,213.13 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 5 — — $76,205.96 $260,690.68 $189,254.39 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 5 — — $73,619.60 $251,752.79 $188,894.25 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 5 — — $72,345.07 $247,348.32 $185,589.50 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 2 — — $66,574.14 $193,589.47 $172,128.02 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 5 — — $66,687.99 $227,798.73 $170,921.12 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 5 — — $62,252.74 $212,471.57 $159,420.90 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 2 — — $61,640.59 $179,243.33 $159,372.31 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 30 5 — — $33,627.01 $218,946.80 $153,619.53 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 20 4 — — $57,961.04 $230,145.69 $151,721.55 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 5 — — $58,341.37 $198,954.74 $149,279.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $57,667.85 $167,691.07 $149,100.74 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 5 — — $56,947.58 $194,138.14 $145,665.03 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 5 — — $56,705.40 $193,301.24 $145,037.09 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 5 — — $56,520.30 $192,661.55 $144,557.12 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 2 — — $55,655.83 $161,840.36 $143,898.63 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $53,181.23 $154,644.53 $137,500.54 2026-04-01
10 MS_DRG Pancreas Transplant 26 5 — — $53,270.33 $181,430.40 $136,130.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 26 5 — — $53,248.38 $181,354.55 $136,073.29 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 5 — — $52,969.62 $180,391.23 $135,350.50 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 5 — — $52,938.89 $180,285.03 $135,270.82 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 5 — — $51,091.48 $173,900.82 $130,480.64 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 5 — — $50,017.42 $170,189.13 $127,695.70 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 5 — — $49,655.26 $168,937.57 $126,756.63 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 5 — — $48,877.52 $166,249.89 $124,740.02 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 5 — — $48,877.52 $166,249.89 $124,740.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 5 — — $48,702.66 $165,645.60 $124,286.61 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 5 — — $29,206.40 $169,061.47 $122,734.05 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 2 — — $45,376.60 $131,949.61 $117,321.59 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 4 — — $42,523.91 $144,293.26 $116,825.95 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 5 — — $45,607.80 $154,950.47 $116,261.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 5 — — $45,555.85 $154,770.95 $116,127.18 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 5 — — $45,126.37 $153,286.78 $115,013.58 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 26 5 — — $44,729.09 $151,913.86 $113,983.46 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 2 — — $43,976.70 $127,878.89 $113,702.15 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 2 — — $43,654.99 $126,943.38 $112,870.36 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 26 5 — — $44,154.02 $149,926.53 $112,492.34 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 4 — — $110,408.22 $113,655.52 $112,437.78 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 5 — — $16,258.89 $213,141.59 $111,611.32 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 5 — — $43,706.98 $148,381.68 $111,333.21 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 5 — — $43,679.17 $148,285.60 $111,261.12 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 5 — — $43,075.73 $151,870.87 $110,254.15 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 5 — — $42,964.36 $145,815.36 $109,407.65 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 5 — — $42,695.11 $144,884.91 $108,709.52 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 5 — — $39,954.73 $142,146.65 $106,654.96 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 5 — — $41,775.44 $141,706.71 $106,324.87 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 5 — — $44,398.39 $150,771.02 $105,785.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 5 — — $41,494.49 $140,735.80 $105,596.38 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 5 — — $25,945.23 $150,275.45 $105,437.69 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 5 — — $41,178.41 $139,643.53 $104,776.83 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 5 — — $18,493.87 $182,515.08 $104,569.69 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 5 — — $40,737.23 $138,118.91 $103,632.88 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 2 — — $40,045.69 $116,447.99 $103,538.49 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 5 — — $40,674.31 $137,901.46 $103,469.73 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 26 5 — — $40,514.81 $137,350.27 $103,056.16 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 5 — — $39,763.40 $134,753.61 $101,107.84 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 5 — — $39,501.48 $133,848.44 $100,428.68 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 5 — — $28,840.88 $138,316.12 $100,413.76 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 26 5 — — $38,788.86 $131,385.78 $98,580.90 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 5 — — $31,247.25 $134,834.52 $97,886.21 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 38 6 — — $153.05 $461,964.81 $97,390.83 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 5 — — $47,099.48 $162,694.95 $97,075.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 5 — — $37,646.03 $127,436.42 $95,617.63 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 5 — — $36,629.04 $123,921.94 $92,980.67 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 26 5 — — $36,098.60 $122,088.85 $91,605.27 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 5 — — $11,662.43 $125,090.06 $90,812.01 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 5 — — $35,601.80 $120,372.07 $90,317.14 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 5 — — $35,167.20 $118,870.20 $89,190.26 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 5 — — $34,994.54 $118,273.50 $88,742.54 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 5 — — $20,313.43 $246,153.51 $88,247.98 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 26 5 — — $34,696.02 $117,241.91 $87,968.53 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 5 — — $34,560.67 $116,774.15 $87,617.56 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 5 — — $34,035.35 $114,958.76 $86,255.45 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 26 5 — — $33,905.12 $114,508.71 $85,917.76 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 5 — — $23,956.22 $121,471.92 $85,228.28 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 34 5 — — $32,550.63 $183,298.32 $85,024.23 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 5 — — $33,551.00 $113,284.96 $84,999.57 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 5 — — $33,422.23 $112,839.96 $84,665.68 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 6 — — $8,518.53 $124,867.56 $82,581.79 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $31,805.44 $92,486.34 $82,233.25 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 5 — — $31,320.33 $189,497.61 $81,541.91 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 5 — — $32,178.43 $108,541.68 $81,440.61 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 5 — — $30,154.18 $111,067.56 $80,632.04 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 5 — — $30,513.42 $107,224.39 $80,452.22 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 6 — — $31,698.14 $115,922.08 $80,407.83 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 5 — — $31,615.80 $106,597.34 $79,981.74 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 5 — — $31,600.44 $106,544.25 $79,941.90 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 26 5 — — $31,473.85 $106,106.83 $79,613.70 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 5 — — $31,416.79 $105,909.62 $79,465.72 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 5 — — $28,902.65 $109,413.98 $79,431.60 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 5 — — $30,953.65 $104,309.14 $78,264.86 2026-04-01
791 MS_DRG Prematurity With Major Problems 30 5 — — $8,288.03 $102,627.76 $77,003.29 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 5 — — $28,539.81 $101,654.32 $76,272.91 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 5 — — $72.89 $115,009.33 $75,868.64 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 5 — — $29,919.11 $100,733.98 $75,582.36 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 5 — — $29,618.43 $106,779.39 $74,919.57 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 5 — — $29,019.92 $97,626.58 $74,697.22 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 5 — — $30,472.31 $105,500.02 $74,509.44 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 5 — — $15,729.67 $106,233.25 $74,420.35 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 5 — — $29,390.86 $98,908.48 $74,212.65 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 5 — — $29,261.36 $98,460.95 $73,876.87 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 5 — — $12,677.74 $105,004.45 $73,674.22 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 5 — — $29,089.42 $97,866.78 $73,431.05 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 5 — — $28,488.73 $113,873.34 $72,835.36 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 5 — — $5,220.00 $138,244.00 $71,745.76 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 5 — — $5,220.00 $138,244.00 $71,745.76 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 5 — — $5,220.00 $138,244.00 $71,745.76 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 5 — — $5,220.00 $138,244.00 $71,745.76 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 4 — — $70,177.74 $72,241.80 $71,467.77 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 5 — — $26,991.48 $97,720.13 $70,942.18 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 5 — — $28,116.33 $94,504.01 $70,907.91 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 5 — — $27,882.94 $93,697.45 $70,302.73 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 26 5 — — $27,643.69 $92,870.66 $69,682.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 5 — — $22,331.09 $133,405.97 $69,115.63 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 5 — — $27,317.37 $91,742.99 $68,836.27 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 5 — — $27,296.89 $91,672.20 $68,783.15 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 5 — — $27,260.31 $91,545.78 $68,688.30 2026-04-01
265 MS_DRG Aicd Lead Procedures 26 5 — — $27,242.02 $91,482.57 $68,640.87 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 5 — — $24,820.28 $94,493.89 $68,600.01 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 5 — — $26,983.02 $90,587.52 $67,969.30 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 4 — — $25,927.98 $86,941.56 $67,812.63 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 5 — — $26,922.29 $90,377.66 $67,811.84 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 2 — — $26,170.21 $76,099.78 $67,663.31 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 5 — — $26,835.22 $90,076.78 $67,586.08 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 2 — — $26,045.00 $75,735.69 $67,339.59 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 4 — — $64,609.13 $182,047.11 $66,509.40 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 5 — — $8,396.78 $94,729.03 $66,464.68 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 5 — — $27,195.19 $91,320.75 $66,296.40 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 5 — — $26,174.32 $90,177.99 $66,159.47 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 5 — — $34,030.47 $124,440.26 $65,551.67 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 5 — — $26,895.95 $90,286.64 $65,545.65 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 5 — — $24,608.89 $90,152.63 $65,448.37 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 5 — — $26,127.53 $89,990.81 $65,330.90 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 5 — — $24,798.53 $92,832.73 $65,134.18 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 5 — — $25,730.44 $86,258.89 $64,721.46 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 20 4 — — $24,712.99 $98,127.77 $64,689.88 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 5 — — $26,519.15 $88,984.51 $64,600.35 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 5 — — $32,425.92 $128,007.72 $64,356.32 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 20 5 — — $5,220.00 $248,562.00 $63,749.82 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 5 — — $11,342.76 $87,770.88 $63,719.28 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 5 — — $26,789.13 $89,917.49 $63,088.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 5 — — $13,777.77 $91,184.22 $62,824.27 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 5 — — $23,793.00 $83,520.64 $62,666.90 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 26 5 — — $24,856.12 $83,237.46 $62,454.43 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 5 — — $24,853.20 $83,227.34 $62,446.84 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 5 — — $23,924.73 $144,491.19 $62,413.02 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 5 — — $8,818.41 $115,355.72 $61,712.55 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 5 — — $24,568.59 $82,243.80 $61,708.87 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 5 — — $24,463.96 $81,882.23 $61,437.58 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 5 — — $22,548.23 $81,677.43 $61,283.92 2026-04-01
652 MS_DRG Kidney Transplant 26 5 — — $24,398.11 $81,654.68 $61,266.84 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 5 — — $24,380.55 $81,594.00 $61,221.31 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 26 5 — — $24,334.46 $81,434.71 $61,101.80 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 5 — — $24,258.36 $81,171.75 $60,904.50 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 5 — — $24,086.43 $80,577.58 $60,458.68 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 5 — — $24,063.75 $80,499.20 $60,399.87 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 5 — — $24,016.92 $80,337.38 $60,278.46 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 5 — — $21,337.40 $79,897.44 $59,948.36 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 5 — — $23,812.80 $79,631.96 $59,749.16 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 2 — — $23,098.27 $67,166.95 $59,720.78 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 5 — — $23,758.65 $79,444.86 $59,608.78 2026-04-01
665 MS_DRG Prostatectomy With Mcc 26 5 — — $23,605.74 $78,916.42 $59,212.29 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 4 — — $56,377.77 $160,564.93 $58,035.94 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 5 — — $22,868.97 $76,370.32 $57,301.91 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 5 — — $21,952.27 $76,276.77 $57,231.71 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 5 — — $22,546.31 $75,255.30 $56,465.28 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 5 — — $7,798.00 $107,843.85 $56,218.79 2026-04-01
263 MS_DRG Vein Ligation And Stripping 32 6 — — $4,245.20 $77,303.30 $56,120.11 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 5 — — $19,207.25 $78,752.07 $56,105.87 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 5 — — $23,608.37 $79,669.88 $55,898.74 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 26 5 — — $22,309.99 $74,438.62 $55,852.52 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 26 5 — — $22,133.66 $73,829.28 $55,395.32 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 5 — — $23,517.94 $78,613.01 $55,157.21 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 5 — — $21,988.80 $73,328.66 $55,019.69 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 26 5 — — $21,854.17 $72,863.43 $54,670.63 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 5 — — $21,663.06 $96,244.89 $54,670.61 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 18 4 — — $22,136.77 $87,898.41 $54,429.00 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 18 4 — — $22,136.77 $87,898.41 $54,429.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 18 4 — — $31,238.15 $124,037.21 $54,429.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 6 2 — — $13,700.00 $60,970.00 $54,429.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 18 4 — — $31,238.15 $124,037.21 $54,429.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 18 4 — — $43,834.99 $174,055.43 $54,429.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 18 4 — — $31,238.15 $124,037.21 $54,429.00 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 18 4 — — $22,136.77 $87,898.41 $54,429.00 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 18 4 — — $22,136.77 $87,898.41 $54,429.00 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 18 4 — — $22,136.77 $87,898.41 $54,429.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 32 5 — — $21,223.70 $74,489.19 $54,077.13 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 5 — — $15,227.49 $76,360.21 $53,576.57 2026-04-01
800 MS_DRG Splenic Procedures With Cc 26 5 — — $21,324.47 $71,032.87 $53,297.13 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 5 — — $20,127.54 $77,674.56 $53,267.66 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 5 — — $20,231.38 $67,255.44 $52,457.86 2026-04-01
570 MS_DRG Skin Debridement With Mcc 30 5 — — $22,137.65 $74,362.77 $52,175.11 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 5 — — $20,771.34 $69,121.40 $51,862.92 2026-04-01
849 MS_DRG Radiotherapy 26 5 — — $20,593.55 $68,507.00 $51,401.92 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 5 — — $19,866.96 $70,777.50 $51,382.55 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 5 — — $20,569.40 $68,423.56 $51,339.32 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 38 5 — — $19,844.14 $99,973.47 $51,197.64 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 5 — — $18,989.72 $72,570.14 $50,917.35 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 5 — — $19,436.67 $70,084.72 $50,879.61 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 20 5 — — $5,220.00 $138,244.00 $50,842.30 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 20 5 — — $5,220.00 $138,244.00 $50,842.30 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 20 5 — — $5,220.00 $138,244.00 $50,842.30 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 20 5 — — $5,220.00 $138,244.00 $50,842.30 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 2 — — $19,642.01 $57,116.56 $50,784.58 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 5 — — $73.31 $94,228.41 $50,213.25 2026-04-01
503 MS_DRG Foot Procedures With Mcc 32 5 — — $19,430.69 $70,570.17 $50,178.97 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 36 5 — — $18,276.74 $115,708.40 $50,148.10 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 5 — — $20,066.03 $66,684.02 $50,034.12 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 4 — — $49,118.61 $50,563.28 $50,021.53 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 5 — — $24,926.49 $95,143.69 $49,994.82 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 20 5 — — $5,220.00 $174,055.43 $49,776.62 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 5 — — $17,996.85 $68,201.06 $49,512.13 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 5 — — $18,661.26 $69,710.52 $48,910.95 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 26 5 — — $19,555.35 $64,919.20 $48,709.94 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 5 — — $20,402.53 $68,792.71 $48,309.94 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 28 5 — — $19,448.52 $64,550.05 $48,251.36 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 5 — — $19,360.00 $64,244.12 $48,203.41 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 1 — — $30,873.96 $65,314.58 $48,094.27 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 1 — — $45,353.00 $50,815.00 $48,084.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 1 — — $45,353.00 $50,815.00 $48,084.00 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 5 — — $19,640.21 $65,212.49 $47,959.94 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 30 5 — — $12,255.01 $63,816.82 $47,882.80 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 24 4 — — $18,491.53 $61,242.90 $47,768.21 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 24 4 — — $18,433.74 $61,043.16 $47,612.42 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 5 — — $19,737.52 $65,548.77 $47,586.63 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 28 5 — — $14,074.92 $65,212.49 $47,342.51 2026-04-01
J9226 HCPCS Supprelin La Implant 14 4 — — $45,921.06 $130,758.32 $47,271.68 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 30 5 — — $18,243.16 $62,747.30 $47,080.33 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 6 — — $7,322.59 $187,956.07 $46,959.09 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 5 — — $16,016.19 $62,074.75 $46,575.70 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 30 5 — — $18,180.99 $61,799.15 $46,368.92 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 28 5 — — $19,228.30 $63,789.00 $46,309.10 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 5 — — $23,079.30 $89,166.55 $46,170.69 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 5 — — $17,201.93 $67,020.30 $46,022.78 2026-04-01
333 MS_DRG Rectal Resection With Cc 28 5 — — $17,906.21 $59,220.18 $45,856.76 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 5 — — $20,895.21 $87,346.11 $45,592.49 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 18 4 — — $17,047.24 $67,689.40 $45,353.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 18 4 — — $18,243.62 $72,439.86 $45,353.00 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 18 4 — — $17,047.24 $67,689.40 $45,353.00 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 18 4 — — $18,243.62 $72,439.86 $45,353.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 4 — — $30,709.54 $121,938.24 $45,353.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 18 4 — — $30,709.54 $121,938.24 $45,353.00 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 18 4 — — $30,709.54 $121,938.24 $45,353.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 18 4 — — $18,243.62 $72,439.86 $45,353.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 5 — — $18,259.60 $60,441.40 $45,350.18 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 18 4 — — $31,497.00 $174,055.43 $45,016.81 2026-04-01
792 MS_DRG Prematurity Without Major Problems 32 5 — — $2,687.30 $61,925.57 $44,956.29 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 40 5 — — $18,108.32 $84,463.73 $44,825.20 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 4 — — $43,600.26 $44,882.62 $44,401.73 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 5 — — $15,469.15 $59,129.16 $44,365.58 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 5 — — $17,867.43 $59,086.18 $44,333.33 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 5 — — $12,515.46 $169,884.92 $44,294.94 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 28 5 — — $18,367.88 $60,815.61 $44,150.49 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 26 5 — — $17,795.74 $58,838.40 $44,147.41 2026-04-01
69930 HCPCS Implant Cochlear Device 20 5 — — $10,181.00 $130,293.66 $44,103.96 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 30 5 — — $18,291.79 $60,552.65 $43,989.97 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 46 6 — — $16,208.74 $60,337.74 $43,864.84 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 5 — — $17,679.40 $58,436.38 $43,845.78 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 34 5 — — $15,211.60 $62,178.41 $43,626.21 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 5 — — $15,104.81 $62,160.71 $43,613.79 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 30 6 — — $7,344.52 $61,725.83 $43,308.66 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 28 5 — — $16,830.69 $55,503.44 $43,283.53 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 28 5 — — $12,631.79 $59,445.21 $43,155.62 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 5 — — $13,793.73 $80,726.76 $43,066.85 2026-04-01
61886 HCPCS Implant Neurostim Arrays 20 5 — — $5,220.00 $121,938.24 $43,020.88 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 2 — — $16,603.10 $48,279.80 $42,927.47 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 32 5 — — $5,598.86 $58,797.94 $42,685.71 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 26 5 — — $17,148.23 $56,600.76 $42,468.48 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 28 5 — — $17,560.15 $58,024.25 $42,392.78 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 28 5 — — $17,565.27 $58,041.95 $42,136.89 2026-04-01
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