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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 LEIGH HOSPITAL

Norfolk, VA · CCN 490046 · Rates published

13,310 distinct procedures filed
17 distinct payers
141,350 rate rows
2026-04-01 last MRF observed
Data quality

104,467 of 141,350 rate rows are consumer-grade (73.9%)

36,883 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 36,875
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/sentaraleighhospitalstandardchargesxlsx-1395299
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 107fc5e701184ae0… · 38,194,255 bytes · first seen 2026-05-06

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 $323,737.39 $1,091,833.92 $855,624.00 nat. median
$370,174
outlier · 2.3×
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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $210,339.21 $708,556.29 $555,265.55 nat. median
$265,286
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.03 $559,891.68 $543,894.77 nat. median
$634,303
0.9× median
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 $160,417.95 $539,826.04 $423,038.81 nat. median
$206,474
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $159,480.62 $536,657.96 $420,556.11 nat. median
$202,976
outlier · 2.1×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $0.03 $844,777.13 $289,032.19 nat. median
$324,450
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $103,112.82 $350,218.80 $274,451.64 nat. median
$133,161
outlier · 2.1×
7
MS_DRG 		Lung Transplant 5 $97,578.38 $327,432.86 $256,595.26 nat. median
$122,708
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $90,604.18 $303,860.58 $238,122.67 nat. median
$117,357
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $85,471.73 $286,513.23 $224,528.29 nat. median
$108,660
outlier · 2.1×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $85,374.48 $286,184.54 $224,270.70 nat. median
$98,047
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $82,047.84 $274,940.74 $215,459.42 nat. median
$102,358
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $199,213.13 $224,051.64 $211,632.39 nat. median
$87,428
outlier · 2.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $8,928.78 $278,660.02 $209,854.67 nat. median
$98,894
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $77,831.75 $260,690.68 $200,307.24 nat. median
$100,136
outlier · 2.0×
215
MS_DRG 		Other Heart Assist System Implant 5 $75,187.35 $251,752.79 $197,288.00 nat. median
$99,019
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $73,884.22 $247,348.32 $193,836.40 nat. median
$93,672
outlier · 2.1×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $172,128.02 $193,589.47 $182,858.74 nat. median
$63,570
outlier · 2.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $68,100.20 $227,798.73 $178,516.21 nat. median
$82,711
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $65,481.23 $218,946.80 $171,579.33 nat. median
$83,470
outlier · 2.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $159,372.31 $179,243.33 $169,307.82 nat. median
$54,196
outlier · 3.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $63,565.43 $212,471.57 $166,504.97 nat. median
$81,118
outlier · 2.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $201,158.91 $160,238.89 nat. median
$62,507
outlier · 2.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $149,100.74 $167,691.07 $158,395.90 nat. median
$65,393
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $59,566.29 $198,954.74 $155,912.40 nat. median
$77,570
outlier · 2.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $143,898.63 $161,840.36 $152,869.49 nat. median
$49,935
outlier · 3.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $58,141.22 $194,138.14 $152,137.84 nat. median
$74,915
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $57,704.36 $192,661.55 $150,980.70 nat. median
$72,135
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $4,454.57 $213,141.59 $150,060.65 nat. median
$79,312
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $10,321.18 $193,301.24 $148,527.12 nat. median
$73,807
outlier · 2.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $137,500.54 $154,644.53 $146,072.54 nat. median
$62,372
outlier · 2.3×
10
MS_DRG 		Pancreas Transplant 5 $54,381.46 $181,430.40 $142,179.32 nat. median
$68,884
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $54,359.02 $181,354.55 $142,119.88 nat. median
$64,023
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $54,074.00 $180,391.23 $141,364.96 nat. median
$71,271
2.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $49,392.56 $213,208.07 $141,281.75 nat. median
$68,886
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $10,549.13 $182,515.08 $137,449.36 nat. median
$68,090
outlier · 2.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $51,055.57 $170,189.13 $133,370.02 nat. median
$64,732
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 13,310 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 13 5 — — $323,737.39 $1,091,833.92 $855,624.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 7 4 — — $0.03 $809,151.00 $786,032.40 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 5 — — $210,339.21 $708,556.29 $555,265.55 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 13 5 — — $160,417.95 $539,826.04 $423,038.81 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 5 — — $159,480.62 $536,657.96 $420,556.11 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 4 — — $0.03 $844,777.13 $289,032.19 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 5 — — $103,112.82 $350,218.80 $274,451.64 2026-04-01
7 MS_DRG Lung Transplant 13 5 — — $97,578.38 $327,432.86 $256,595.26 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 5 — — $90,604.18 $303,860.58 $238,122.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 5 — — $85,471.73 $286,513.23 $224,528.29 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 5 — — $85,374.48 $286,184.54 $224,270.70 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 5 — — $82,047.84 $274,940.74 $215,459.42 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $199,213.13 $224,051.64 $211,632.39 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 5 — — $8,928.78 $278,660.02 $209,854.67 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 5 — — $77,831.75 $260,690.68 $200,307.24 2026-04-01
215 MS_DRG Other Heart Assist System Implant 13 5 — — $75,187.35 $251,752.79 $197,288.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 5 — — $73,884.22 $247,348.32 $193,836.40 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $172,128.02 $193,589.47 $182,858.74 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 5 — — $68,100.20 $227,798.73 $178,516.21 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 13 5 — — $65,481.23 $218,946.80 $171,579.33 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $159,372.31 $179,243.33 $169,307.82 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 5 — — $63,565.43 $212,471.57 $166,504.97 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $57,961.04 $201,158.91 $160,238.89 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $149,100.74 $167,691.07 $158,395.90 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 5 — — $59,566.29 $198,954.74 $155,912.40 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $143,898.63 $161,840.36 $152,869.49 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 5 — — $58,141.22 $194,138.14 $152,137.84 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 5 — — $57,704.36 $192,661.55 $150,980.70 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 5 — — $4,454.57 $213,141.59 $150,060.65 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 5 — — $10,321.18 $193,301.24 $148,527.12 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $137,500.54 $154,644.53 $146,072.54 2026-04-01
10 MS_DRG Pancreas Transplant 13 5 — — $54,381.46 $181,430.40 $142,179.32 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 5 — — $54,359.02 $181,354.55 $142,119.88 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 5 — — $54,074.00 $180,391.23 $141,364.96 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 5 — — $49,392.56 $213,208.07 $141,281.75 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 5 — — $10,549.13 $182,515.08 $137,449.36 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 5 — — $51,055.57 $170,189.13 $133,370.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 5 — — $48,048.67 $173,900.82 $130,962.09 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 5 — — $49,890.09 $166,249.89 $130,282.99 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 5 — — $49,890.09 $166,249.89 $130,282.99 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 5 — — $22,748.26 $168,937.57 $129,806.79 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 5 — — $45,148.52 $165,645.60 $127,277.33 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $117,321.59 $131,949.61 $124,635.60 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 5 — — $28,962.54 $169,061.47 $123,172.02 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 5 — — $46,547.00 $154,950.47 $121,428.12 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 5 — — $46,493.88 $154,770.95 $121,287.44 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $113,702.15 $127,878.89 $120,790.52 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 5 — — $46,054.76 $153,286.78 $120,124.36 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $112,870.36 $126,943.38 $119,906.87 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 13 5 — — $45,648.57 $151,913.86 $119,048.46 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 5 — — $45,635.85 $151,870.87 $119,014.77 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 5 — — $33,657.61 $196,687.85 $118,342.56 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 5 — — $45,310.44 $150,771.02 $118,152.86 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 13 5 — — $45,060.59 $149,926.53 $117,491.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 5 — — $44,603.53 $148,381.68 $116,280.44 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 5 — — $44,575.10 $148,285.60 $116,205.15 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 5 — — $43,844.24 $145,815.36 $114,269.32 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 5 — — $43,568.95 $144,884.91 $113,540.16 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 5 — — $43,393.91 $144,293.26 $113,076.52 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $110,408.22 $113,655.52 $112,437.78 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 5 — — $42,628.64 $141,706.71 $111,049.54 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 5 — — $42,341.38 $140,735.80 $110,288.69 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $103,538.49 $116,447.99 $109,993.24 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 5 — — $42,018.22 $139,643.53 $109,432.72 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 5 — — $39,241.71 $142,146.65 $109,221.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 5 — — $41,567.13 $138,118.91 $108,237.94 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 5 — — $41,502.80 $137,901.46 $108,067.54 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 13 5 — — $41,339.72 $137,350.27 $107,635.59 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 14 5 — — $24,612.88 $138,806.63 $106,655.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 5 — — $2,405.91 $150,275.45 $105,800.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 5 — — $40,571.46 $134,753.61 $105,600.69 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 5 — — $40,303.66 $133,848.44 $104,891.35 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 5 — — $28,835.45 $138,316.12 $104,163.79 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 13 5 — — $39,575.04 $131,385.78 $102,961.47 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 5 — — $38,406.57 $127,436.42 $99,866.52 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 5 — — $28,862.04 $176,798.17 $97,692.79 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 5 — — $37,366.76 $123,921.94 $97,112.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 5 — — $36,824.42 $122,088.85 $95,675.86 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 5 — — $36,641.89 $121,471.92 $95,192.40 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 6 — — $12,762.07 $134,834.52 $94,929.17 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 5 — — $36,316.48 $120,372.07 $94,330.49 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 6 — — $3,705.33 $125,090.06 $94,203.44 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 5 — — $35,872.12 $118,870.20 $93,153.54 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 13 5 — — $35,390.38 $117,241.91 $91,877.52 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 5 — — $35,251.99 $116,774.15 $91,510.96 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 5 — — $31,947.75 $124,440.26 $90,662.63 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 15 5 — — $33,251.15 $114,508.71 $89,735.62 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 5 — — $35,695.58 $118,273.50 $89,069.99 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 5 — — $34,219.65 $113,284.96 $88,776.63 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 5 — — $34,088.00 $112,839.96 $88,427.90 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 6 — — $29,159.69 $186,686.72 $88,369.87 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 5 — — $34,714.87 $114,958.76 $88,331.01 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $82,233.25 $92,486.34 $87,359.79 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 5 — — $34,999.89 $115,922.08 $87,299.18 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 6 — — $3,431.41 $131,613.33 $86,876.58 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 5 — — $16,596.05 $153,966.99 $85,332.18 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 5 — — $8,816.74 $115,355.72 $84,043.97 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 5 — — $32,241.03 $106,597.34 $83,535.82 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 5 — — $32,225.32 $106,544.25 $83,494.21 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 5 — — $32,037.56 $105,909.62 $82,996.88 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 5 — — $31,916.37 $105,500.02 $82,675.90 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 5 — — $29,032.60 $107,224.39 $82,388.14 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 6 — — $30,202.46 $116,217.91 $82,159.77 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 5 — — $29,224.29 $106,779.39 $82,046.21 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 5 — — $31,564.03 $104,309.14 $81,742.66 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 5 — — $32,816.29 $108,541.68 $81,741.11 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 5 — — $32,639.44 $118,627.47 $81,690.33 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 5 — — $30,371.51 $106,106.83 $79,907.46 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 5 — — $13,610.35 $109,413.98 $79,715.04 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 5 — — $28,272.50 $105,004.45 $79,077.27 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 5 — — $7,812.16 $107,843.85 $78,571.10 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 5 — — $63.14 $100,733.98 $77,401.11 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 24 5 — — $21,660.57 $113,317.83 $77,173.12 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 5 — — $29,833.77 $98,460.95 $77,159.68 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 6 — — $10,514.35 $190,438.42 $76,738.01 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 5 — — $29,657.97 $97,866.78 $76,694.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 5 — — $30,375.93 $111,067.56 $76,608.96 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 5 — — $26,943.86 $101,654.32 $76,554.34 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 5 — — $29,586.91 $97,626.58 $76,505.82 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 5 — — $11,175.36 $98,908.48 $75,998.44 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 5 — — $28,852.30 $95,143.69 $74,560.08 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 5 — — $27,216.89 $97,720.13 $73,591.56 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 5 — — $28,424.41 $93,697.45 $73,426.72 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 5 — — $90.33 $145,618.48 $73,035.01 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 6 — — $8,199.64 $102,627.76 $73,021.41 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 13 5 — — $28,179.80 $92,870.66 $72,778.80 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 5 — — $12,307.59 $94,504.01 $72,614.17 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 5 — — $14,363.04 $94,493.89 $72,606.39 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $67,663.31 $76,099.78 $71,881.54 2026-04-01
332 MS_DRG Rectal Resection With Mcc 13 5 — — $27,787.81 $91,545.78 $71,740.55 2026-04-01
265 MS_DRG Aicd Lead Procedures 13 5 — — $27,769.10 $91,482.57 $71,691.01 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 5 — — $27,030.02 $180,517.07 $71,658.50 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $67,339.59 $75,735.69 $71,537.64 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $70,177.74 $72,241.80 $71,467.77 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 5 — — $27,504.29 $90,587.52 $70,989.60 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 5 — — $27,442.20 $90,377.66 $70,825.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 6 — — $17,919.64 $272,914.27 $70,723.74 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 5 — — $27,375.63 $90,152.63 $70,648.80 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 5 — — $27,353.19 $90,076.78 $70,589.36 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 5 — — $23,829.86 $91,672.20 $70,438.29 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 6 — — $28,555.57 $106,233.25 $70,099.01 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 5 — — $14,178.32 $91,184.22 $70,063.34 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 5 — — $27,846.15 $91,742.99 $69,090.27 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 5 — — $14,046.79 $94,729.03 $69,016.12 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 5 — — $26,670.95 $87,770.88 $68,782.32 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 5 — — $23,283.61 $91,320.75 $68,772.28 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 4 — — $24,712.99 $85,768.61 $68,321.45 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 5 — — $22,133.48 $89,990.81 $67,770.73 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 5 — — $355.66 $133,405.97 $67,638.85 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 5 — — $23,581.11 $92,832.73 $67,634.54 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 5 — — $26,223.61 $86,258.89 $67,597.44 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 5 — — $23,793.66 $89,917.49 $67,264.99 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 5 — — $23,962.11 $87,346.11 $66,705.84 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 4 — — $64,609.13 $224,545.92 $66,509.40 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 5 — — $23,023.61 $89,166.55 $66,043.10 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 5 — — $8,334.90 $90,286.64 $65,779.55 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 5 — — $23,734.61 $86,941.56 $65,474.38 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 5 — — $25,413.45 $83,520.64 $65,451.59 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 5 — — $25,326.68 $83,227.34 $65,221.74 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 5 — — $26,904.71 $94,228.41 $64,976.68 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 5 — — $25,035.69 $82,243.80 $64,450.98 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 5 — — $23,567.68 $88,175.42 $64,241.40 2026-04-01
652 MS_DRG Kidney Transplant 13 5 — — $24,861.39 $81,654.68 $63,989.31 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 5 — — $24,843.43 $81,594.00 $63,941.76 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 13 5 — — $24,796.30 $81,434.71 $63,816.93 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 5 — — $5,220.00 $186,326.60 $63,749.82 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 5 — — $24,718.51 $81,171.75 $63,610.87 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $59,720.78 $67,166.95 $63,443.86 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 5 — — $24,868.12 $81,677.43 $63,335.07 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 5 — — $24,147.03 $86,683.67 $63,154.56 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 5 — — $24,471.65 $80,337.38 $62,957.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 5 — — $22,994.87 $80,499.20 $62,953.21 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 5 — — $24,045.31 $81,882.23 $62,915.96 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 5 — — $22,877.27 $83,237.46 $62,684.88 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 5 — — $24,341.48 $79,897.44 $62,612.24 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 5 — — $24,274.15 $79,669.88 $62,433.91 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 5 — — $24,207.58 $79,444.86 $62,257.57 2026-04-01
665 MS_DRG Prostatectomy With Mcc 13 5 — — $24,051.23 $78,916.42 $61,843.46 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 5 — — $23,961.46 $78,613.01 $61,605.69 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 5 — — $21,314.23 $81,791.21 $61,595.73 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 5 — — $23,270.25 $76,276.77 $60,599.97 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 5 — — $18,728.94 $80,018.80 $60,260.96 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 5 — — $23,297.93 $76,370.32 $59,848.19 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 5 — — $505.64 $84,463.73 $59,466.02 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 5 — — $8,183.57 $78,752.07 $59,307.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 5 — — $22,968.03 $75,255.30 $58,974.39 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 5 — — $20,866.76 $80,577.58 $58,705.89 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 13 5 — — $22,726.42 $74,438.62 $58,334.40 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $56,377.77 $198,048.73 $58,035.94 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 5 — — $17,957.13 $79,631.96 $58,016.94 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 5 — — $5,220.00 $138,244.00 $57,808.32 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 5 — — $5,220.00 $138,244.00 $57,808.32 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 5 — — $5,220.00 $138,244.00 $57,808.32 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 5 — — $5,220.00 $138,244.00 $57,808.32 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 5 — — $22,398.02 $73,328.66 $57,464.56 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 5 — — $22,302.26 $73,005.02 $57,210.94 2026-04-01
570 MS_DRG Skin Debridement With Mcc 14 5 — — $22,133.48 $74,362.77 $57,138.22 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 13 5 — — $22,260.37 $72,863.43 $57,099.99 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 14 5 — — $19,352.09 $73,829.28 $56,728.30 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 5 — — $12,745.10 $74,489.19 $56,096.69 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $55,875.62 $55,875.62 $55,875.62 2026-04-01
800 MS_DRG Splenic Procedures With Cc 13 5 — — $21,718.77 $71,032.87 $55,665.45 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 13 5 — — $21,643.22 $70,777.50 $55,465.33 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 5 — — $22,411.48 $73,374.17 $55,256.98 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 5 — — $7,372.44 $103,726.47 $54,549.12 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 4 — — $43,834.99 $130,475.11 $54,429.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 9 4 — — $31,238.15 $92,980.55 $54,429.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 3 2 — — $13,700.00 $60,970.00 $54,429.00 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 9 4 — — $22,136.77 $65,890.24 $54,429.00 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 9 4 — — $22,136.77 $65,890.24 $54,429.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 9 4 — — $31,238.15 $92,980.55 $54,429.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 4 — — $31,238.15 $92,980.55 $54,429.00 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 9 4 — — $22,136.77 $65,890.24 $54,429.00 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 9 4 — — $22,136.77 $65,890.24 $54,429.00 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 9 4 — — $22,136.77 $65,890.24 $54,429.00 2026-04-01
263 MS_DRG Vein Ligation And Stripping 17 5 — — $12,963.54 $77,303.30 $54,424.78 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 5 — — $21,153.24 $69,121.40 $54,167.51 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 5 — — $13,102.45 $76,691.43 $53,993.99 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $50,784.58 $57,116.56 $53,950.57 2026-04-01
849 MS_DRG Radiotherapy 13 5 — — $20,971.46 $68,507.00 $53,686.03 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 6 — — $19,397.81 $102,535.01 $53,647.47 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 5 — — $20,946.77 $68,423.56 $53,620.65 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 5 — — $16,690.62 $67,255.44 $53,247.48 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 5 — — $18,656.42 $72,570.14 $52,871.96 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 5 — — $20,531.59 $67,020.30 $52,520.97 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 5 — — $8,288.88 $69,710.52 $52,497.94 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 5 — — $20,432.10 $66,684.02 $52,257.44 2026-04-01
503 MS_DRG Foot Procedures With Mcc 16 5 — — $17,769.00 $70,570.17 $51,991.07 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 5 — — $17,817.01 $69,498.13 $51,371.49 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 5 — — $20,096.22 $65,548.77 $51,367.80 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 5 — — $17,175.92 $68,201.06 $51,361.19 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 15 5 — — $19,996.73 $78,741.17 $51,104.27 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 5 — — $18,631.84 $70,084.72 $50,944.01 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 13 5 — — $19,909.95 $64,919.20 $50,874.43 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 5 — — $17,621.71 $147,143.28 $50,634.08 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 5 — — $15,224.62 $76,360.21 $50,458.16 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 14 5 — — $16,986.44 $65,212.49 $50,107.41 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,118.61 $50,563.28 $50,021.53 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 21 5 — — $11,507.87 $69,480.43 $49,884.83 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 5 — — $5,220.00 $130,475.11 $49,776.62 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 16 5 — — $17,469.23 $90,114.28 $49,598.40 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 5 — — $19,343.67 $63,005.20 $49,374.51 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 5 — — $18,056.39 $75,161.46 $49,363.33 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 17 5 — — $18,447.55 $62,747.30 $49,172.40 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 5 — — $18,864.60 $63,789.00 $49,013.64 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 5 — — $17,505.98 $62,178.41 $48,842.77 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 22 6 — — $17,832.47 $63,816.82 $48,440.18 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 21 5 — — $17,055.98 $64,122.75 $48,289.88 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 2 1 — — $45,353.00 $50,815.00 $48,084.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 2 1 — — $45,353.00 $50,815.00 $48,084.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 5 — — $18,822.26 $61,242.90 $47,993.47 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 5 — — $17,751.29 $65,303.52 $47,577.75 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 14 5 — — $18,965.15 $61,725.83 $47,428.35 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 5 — — $18,585.13 $60,441.40 $47,365.37 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,921.06 $161,283.78 $47,271.68 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 5 — — $16,137.91 $61,043.16 $46,903.82 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 5 — — $16,305.39 $214,604.82 $46,500.17 2026-04-01
333 MS_DRG Rectal Resection With Cc 15 5 — — $18,223.82 $59,220.18 $46,408.35 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 14 5 — — $18,184.17 $59,086.18 $46,185.86 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 13 5 — — $18,110.87 $58,838.40 $46,109.16 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 19 5 — — $16,203.05 $58,797.94 $46,077.46 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 17 5 — — $18,122.36 $60,552.65 $45,987.95 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 15 5 — — $18,695.85 $60,815.61 $45,799.32 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $42,927.47 $48,279.80 $45,603.64 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 9 4 — — $30,709.54 $91,407.12 $45,353.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 3 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 4 — — $30,709.54 $91,407.12 $45,353.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 3 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 9 4 — — $18,243.62 $54,302.24 $45,353.00 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 9 4 — — $18,243.62 $54,302.24 $45,353.00 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 9 4 — — $17,047.24 $50,815.00 $45,353.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 4 — — $30,709.54 $91,407.12 $45,353.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 3 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 9 4 — — $18,243.62 $54,302.24 $45,353.00 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 9 4 — — $17,047.24 $50,815.00 $45,353.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 3 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 16 5 — — $19,068.38 $62,074.75 $45,225.40 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 9 4 — — $31,497.00 $130,475.11 $45,016.81 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 13 5 — — $17,697.93 $57,442.72 $45,015.43 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 15 5 — — $9,737.43 $59,445.21 $44,767.30 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 17 5 — — $15,982.50 $59,129.16 $44,529.28 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $43,600.26 $44,882.62 $44,401.73 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 13 5 — — $17,439.10 $56,567.89 $44,329.86 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 5 — — $15,657.88 $60,337.74 $44,320.92 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 17 5 — — $17,189.25 $58,737.26 $44,234.15 2026-04-01
69930 HCPCS Implant Cochlear Device 10 5 — — $10,181.00 $97,670.50 $44,103.96 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 5 — — $17,869.98 $58,024.25 $44,019.93 2026-04-01
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