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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 WILLIAMSBURG REGIONAL MEDICAL CENTER

Williamsburg, VA · CCN 490066 · Rates published

11,849 distinct procedures filed
9 distinct payers
110,467 rate rows
2026-04-01 last MRF observed
Data quality

90,110 of 110,467 rate rows are consumer-grade (81.6%)

20,357 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 20,349
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/sentarawilliamsburgregionalmedicalcenterstandardchargesxlsx-1395261
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-04
Content fingerprint fbe944cbd5def615… · 27,070,848 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
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $0.03 $3,410,868.00 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $0.03 $3,093,027.00 $3,004,654.80 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $0.03 $2,577,866.14 $2,504,212.82 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $0.03 $2,448,600.00 $2,378,640.00 nat. median
$2,405,851
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $310,958.12 $1,290,042.97 $852,903.48 nat. median
$370,165
outlier · 2.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $0.03 $809,151.00 $786,032.40 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $0.03 $621,312.51 $603,560.73 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $0.03 $594,162.39 $577,186.32 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $0.03 $590,665.09 $573,788.95 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $0.03 $585,183.83 $568,464.29 nat. median
$610,161
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $201,987.94 $837,185.99 $553,500.05 nat. median
$261,939
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.03 $559,891.68 $543,894.77 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $0.03 $513,769.84 $499,090.70 nat. median
$577,541
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $154,016.01 $637,824.84 $421,693.72 nat. median
$205,166
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $153,115.29 $634,081.62 $419,218.92 nat. median
$199,832
outlier · 2.1×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $0.03 $1,046,879.82 $289,032.19 nat. median
$302,242
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $100,108.52 $413,796.72 $273,579.01 nat. median
$132,706
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $264,725.46 $264,725.46 $264,725.46 nat. median
$83,623
outlier · 3.2×
7
MS_DRG 		Lung Transplant 4 $93,630.22 $386,874.27 $255,779.40 nat. median
$122,690
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $86,928.35 $359,022.74 $237,365.54 nat. median
$114,305
outlier · 2.1×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $228,733.27 $228,733.27 $228,733.27 nat. median
$58,534
outlier · 3.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $81,996.30 $338,526.19 $223,814.38 nat. median
$108,240
outlier · 2.1×
209
MS_DRG 		Complex Aortic Arch Procedures 4 $81,902.85 $338,137.83 $223,557.61 nat. median
$96,134
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $78,706.12 $324,852.86 $214,774.35 nat. median
$100,978
outlier · 2.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $211,782.76 $211,782.76 $211,782.76 nat. median
$51,048
outlier · 4.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $8,957.98 $329,247.33 $206,151.55 nat. median
$96,835
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $198,133.33 $198,133.33 $198,133.33 nat. median
$62,767
outlier · 3.2×
215
MS_DRG 		Other Heart Assist System Implant 4 $72,113.51 $297,455.42 $196,660.71 nat. median
$98,002
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $70,861.27 $292,251.37 $193,220.08 nat. median
$92,900
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $74,654.66 $308,015.88 $192,857.90 nat. median
$99,646
1.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $191,220.49 $191,220.49 $191,220.49 nat. median
$46,826
outlier · 4.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $213,795.05 $188,857.51 nat. median
$63,643
outlier · 3.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $182,718.35 $182,718.35 $182,718.35 nat. median
$57,648
outlier · 3.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $65,303.10 $269,152.79 $177,948.61 nat. median
$81,124
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $62,786.40 $258,693.90 $171,033.79 nat. median
$81,364
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $60,945.42 $251,043.17 $165,975.55 nat. median
$80,459
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $20,847.57 $251,834.83 $157,681.28 nat. median
$79,040
2.0× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $155,903.44 $155,903.44 $155,903.44 nat. median
$40,712
outlier · 3.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $57,102.43 $235,072.53 $155,416.66 nat. median
$77,385
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $55,733.01 $229,381.53 $151,654.10 nat. median
$74,472
outlier · 2.0×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $151,093.73 $151,093.73 $151,093.73 nat. median
$45,104
outlier · 3.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $55,495.07 $228,392.70 $151,000.35 nat. median
$73,475
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $55,313.20 $227,636.89 $150,500.65 nat. median
$71,485
outlier · 2.1×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $149,988.39 $149,988.39 $149,988.39 nat. median
$38,383
outlier · 3.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $52,428.45 $215,648.46 $142,574.57 nat. median
$66,640
outlier · 2.1×
10
MS_DRG 		Pancreas Transplant 4 $52,120.06 $214,366.86 $141,727.25 nat. median
$67,750
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 $52,098.49 $214,277.24 $141,667.99 nat. median
$62,911
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 11,849 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 12 4 — — $310,958.12 $1,290,042.97 $852,903.48 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 12 4 — — $201,987.94 $837,185.99 $553,500.05 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 12 4 — — $154,016.01 $637,824.84 $421,693.72 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 4 — — $153,115.29 $634,081.62 $419,218.92 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 4 — — $0.03 $1,046,879.82 $289,032.19 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 4 — — $100,108.52 $413,796.72 $273,579.01 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $264,725.46 $264,725.46 $264,725.46 2026-04-01
7 MS_DRG Lung Transplant 12 4 — — $93,630.22 $386,874.27 $255,779.40 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 4 — — $86,928.35 $359,022.74 $237,365.54 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $228,733.27 $228,733.27 $228,733.27 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 4 — — $81,996.30 $338,526.19 $223,814.38 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 4 — — $81,902.85 $338,137.83 $223,557.61 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 4 — — $78,706.12 $324,852.86 $214,774.35 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $211,782.76 $211,782.76 $211,782.76 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 4 — — $8,957.98 $329,247.33 $206,151.55 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $198,133.33 $198,133.33 $198,133.33 2026-04-01
215 MS_DRG Other Heart Assist System Implant 12 4 — — $72,113.51 $297,455.42 $196,660.71 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 4 — — $70,861.27 $292,251.37 $193,220.08 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 4 — — $74,654.66 $308,015.88 $192,857.90 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $191,220.49 $191,220.49 $191,220.49 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $57,961.04 $213,795.05 $188,857.51 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $182,718.35 $182,718.35 $182,718.35 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 4 — — $65,303.10 $269,152.79 $177,948.61 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 12 4 — — $62,786.40 $258,693.90 $171,033.79 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 4 — — $60,945.42 $251,043.17 $165,975.55 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 4 — — $20,847.57 $251,834.83 $157,681.28 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $155,903.44 $155,903.44 $155,903.44 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 4 — — $57,102.43 $235,072.53 $155,416.66 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 4 — — $55,733.01 $229,381.53 $151,654.10 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $151,093.73 $151,093.73 $151,093.73 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 4 — — $55,495.07 $228,392.70 $151,000.35 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 4 — — $55,313.20 $227,636.89 $150,500.65 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $149,988.39 $149,988.39 $149,988.39 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 4 — — $52,428.45 $215,648.46 $142,574.57 2026-04-01
10 MS_DRG Pancreas Transplant 12 4 — — $52,120.06 $214,366.86 $141,727.25 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 4 — — $52,098.49 $214,277.24 $141,667.99 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 4 — — $51,824.61 $213,139.04 $140,915.48 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 4 — — $51,794.42 $213,013.57 $140,832.53 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $137,587.69 $137,587.69 $137,587.69 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 4 — — $48,924.03 $201,084.88 $132,945.96 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 4 — — $48,568.21 $199,606.12 $131,968.29 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 4 — — $47,804.06 $196,430.51 $129,868.75 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 4 — — $47,804.06 $196,430.51 $129,868.75 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 4 — — $47,632.27 $195,716.52 $129,396.71 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 4 — — $45,626.86 $205,470.38 $128,651.12 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 4 — — $29,349.24 $199,752.50 $125,070.98 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 4 — — $44,591.51 $183,079.82 $121,042.02 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 4 — — $44,540.47 $182,867.72 $120,901.80 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 4 — — $44,118.51 $181,114.11 $119,742.41 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 4 — — $43,728.18 $179,491.95 $118,669.93 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 4 — — $43,715.96 $179,441.17 $118,636.35 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 4 — — $43,403.25 $178,141.65 $117,777.19 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 4 — — $43,262.35 $177,556.12 $117,390.07 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 4 — — $43,163.16 $177,143.86 $117,117.51 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 4 — — $6,875.98 $192,230.23 $116,448.76 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 4 — — $42,723.93 $175,318.56 $115,910.71 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 4 — — $42,696.62 $175,205.04 $115,835.67 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 4 — — $41,994.30 $172,286.35 $113,905.99 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 4 — — $41,729.76 $171,186.98 $113,179.15 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 4 — — $41,561.55 $170,487.93 $112,716.98 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 4 — — $40,951.25 $167,951.63 $111,040.12 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 4 — — $40,826.16 $167,431.82 $110,696.45 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 4 — — $40,550.12 $166,284.66 $109,938.01 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $109,276.10 $109,276.10 $109,276.10 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 4 — — $40,239.58 $164,994.10 $109,084.77 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 4 — — $40,001.64 $164,005.27 $108,431.01 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 4 — — $39,806.11 $163,192.70 $107,893.79 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 4 — — $39,744.29 $162,935.78 $107,723.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 4 — — $39,587.58 $162,284.53 $107,293.35 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 4 — — $38,872.32 $159,312.07 $105,328.13 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 4 — — $38,849.32 $159,216.47 $105,264.93 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 4 — — $38,591.97 $158,146.98 $104,557.85 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 4 — — $31,238.15 $138,244.00 $103,423.98 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 9 4 — — $31,238.15 $138,244.00 $103,423.98 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 4 — — $31,238.15 $138,244.00 $103,423.98 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 4 — — $31,238.15 $138,244.00 $103,423.98 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 4 — — $37,891.81 $155,237.25 $102,634.10 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 4 — — $6,076.98 $170,266.86 $101,933.07 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 4 — — $36,768.96 $150,570.93 $99,548.99 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 4 — — $14,990.40 $163,425.72 $98,999.64 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 4 — — $36,101.86 $147,798.63 $97,716.10 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 4 — — $35,769.75 $146,418.45 $96,803.60 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 4 — — $11,322.85 $157,624.19 $95,485.20 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 4 — — $35,248.58 $144,252.58 $95,371.65 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 4 — — $35,073.18 $143,523.66 $94,889.73 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 4 — — $34,760.48 $142,224.14 $94,030.56 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 4 — — $34,333.49 $140,449.62 $92,857.36 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 4 — — $34,163.84 $139,744.60 $92,391.23 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 4 — — $35,917.12 $147,030.87 $92,060.40 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 4 — — $21,934.80 $155,506.12 $91,955.62 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 4 — — $33,870.54 $138,525.74 $91,585.39 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 4 — — $33,737.55 $137,973.07 $91,219.99 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 4 — — $33,495.30 $136,966.32 $90,554.38 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $89,914.77 $89,914.77 $89,914.77 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 4 — — $33,235.79 $135,887.86 $89,841.37 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 4 — — $33,221.42 $135,828.12 $89,801.87 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $89,484.58 $89,484.58 $89,484.58 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 4 — — $33,093.46 $135,296.36 $89,450.30 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 4 — — $32,745.54 $133,850.46 $88,494.36 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 4 — — $32,619.02 $133,324.67 $88,146.73 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 4 — — $14,719.55 $148,993.59 $87,224.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 4 — — $46,580.56 $206,483.11 $87,072.23 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 5 — — $33,148.53 $457,702.80 $86,371.18 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 4 — — $31,644.97 $129,276.75 $85,470.48 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 4 — — $31,396.97 $128,246.09 $84,789.07 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 4 — — $31,022.44 $126,689.66 $83,760.04 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 4 — — $30,844.17 $125,948.78 $83,270.21 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 4 — — $31,564.54 $156,530.93 $83,182.86 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 4 — — $30,704.71 $125,369.23 $82,887.04 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 4 — — $30,648.64 $125,136.21 $82,732.99 2026-04-01
245 MS_DRG Aicd Generator Procedures 14 4 — — $7,109.53 $136,297.14 $82,565.75 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 4 — — $30,532.19 $124,652.25 $82,413.02 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 4 — — $30,193.61 $123,245.19 $81,482.75 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 5 — — $30,895.93 $126,163.88 $81,105.56 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 4 — — $24,712.99 $91,156.31 $80,523.62 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 4 — — $28,293.68 $281,436.28 $80,301.38 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 5 — — $31,198.17 $133,889.29 $79,506.10 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 4 — — $30,223.35 $131,230.51 $79,496.50 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $79,360.28 $79,360.28 $79,360.28 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 4 — — $27,583.34 $125,886.05 $78,821.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 4 — — $29,177.15 $119,021.00 $78,689.96 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 4 — — $27,814.37 $124,066.72 $77,681.87 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 4 — — $27,327.54 $111,334.42 $77,506.26 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 4 — — $28,658.14 $116,864.10 $77,263.93 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 4 — — $10,474.53 $127,421.57 $77,189.14 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 4 — — $28,530.90 $116,335.33 $76,914.35 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 4 — — $28,361.98 $115,633.29 $76,450.20 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 4 — — $28,320.28 $115,460.02 $76,335.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 13 4 — — $13,100.04 $121,258.57 $75,923.60 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 4 — — $27,403.02 $111,648.10 $73,815.42 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 9 4 — — $22,136.77 $138,244.00 $73,290.93 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 9 4 — — $22,136.77 $138,244.00 $73,290.93 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 9 4 — — $22,136.77 $138,244.00 $73,290.93 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 9 4 — — $22,136.77 $138,244.00 $73,290.93 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 4 — — $27,176.58 $110,707.07 $73,193.26 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 4 — — $27,455.05 $120,108.42 $72,758.99 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 4 — — $27,449.15 $125,518.60 $72,657.49 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 4 — — $26,941.52 $109,730.19 $72,547.40 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 4 — — $26,620.91 $108,397.81 $71,666.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 4 — — $26,600.78 $108,314.16 $71,611.20 2026-04-01
332 MS_DRG Rectal Resection With Mcc 12 4 — — $26,564.84 $108,164.79 $71,512.45 2026-04-01
265 MS_DRG Aicd Lead Procedures 12 4 — — $26,546.87 $108,090.11 $71,463.07 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 4 — — $26,500.86 $107,898.91 $71,336.66 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 4 — — $22,607.95 $118,072.24 $71,230.01 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 4 — — $26,292.40 $107,032.57 $70,763.88 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 4 — — $26,232.73 $106,784.61 $70,599.95 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 4 — — $26,168.75 $106,518.73 $70,424.17 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 4 — — $26,351.41 $112,415.86 $70,386.92 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 4 — — $26,147.19 $106,429.11 $70,364.91 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 4 — — $26,122.75 $106,327.54 $70,297.76 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 4 — — $23,110.96 $111,925.93 $70,080.15 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 4 — — $26,328.63 $111,660.05 $69,913.68 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 4 — — $25,836.64 $105,138.56 $69,511.67 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 4 — — $19,047.85 $114,695.25 $69,479.82 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 4 — — $22,903.42 $109,685.38 $68,677.28 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 4 — — $25,491.60 $103,704.60 $68,563.62 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 13 4 — — $24,202.69 $98,348.20 $68,465.80 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 4 — — $25,370.83 $103,202.72 $68,231.81 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 4 — — $25,255.81 $102,724.74 $67,915.79 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $67,485.37 $67,485.37 $67,485.37 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 4 — — $25,061.72 $101,918.14 $67,382.51 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 4 — — $23,002.81 $106,240.91 $66,520.59 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 4 — — $64,609.13 $231,523.33 $66,509.40 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 4 — — $22,700.11 $105,353.65 $65,965.05 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 4 — — $24,855.49 $150,146.20 $65,248.65 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 4 — — $24,283.20 $98,682.78 $65,243.48 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 4 — — $24,725.69 $352,832.90 $65,231.82 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 4 — — $24,199.82 $98,336.25 $65,014.36 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 4 — — $20,284.34 $106,677.07 $64,622.57 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 9 4 — — $21,639.00 $230,902.98 $64,286.82 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 4 — — $23,920.18 $97,174.15 $64,246.05 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 4 — — $25,182.48 $102,420.02 $64,128.22 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 4 — — $23,759.16 $96,504.97 $63,803.63 2026-04-01
652 MS_DRG Kidney Transplant 12 4 — — $23,752.69 $96,478.08 $63,785.86 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 4 — — $23,735.44 $96,406.39 $63,738.46 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 12 4 — — $23,690.15 $96,218.18 $63,614.02 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 4 — — $23,615.39 $95,907.49 $63,408.61 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 4 — — $23,378.17 $94,921.65 $62,756.83 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 4 — — $23,287.59 $94,545.24 $62,507.97 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 4 — — $23,253.08 $94,401.84 $62,413.16 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 4 — — $23,177.60 $94,088.16 $62,205.78 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 4 — — $23,124.41 $93,867.10 $62,059.62 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 6 — — $17,768.79 $140,162.83 $61,984.58 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 4 — — $22,974.17 $93,242.73 $61,646.82 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 4 — — $22,887.91 $92,884.24 $61,409.81 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 4 — — $20,735.04 $96,746.95 $60,576.14 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 13 4 — — $21,283.43 $103,924.81 $60,020.14 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 4 — — $22,250.29 $90,234.42 $59,657.89 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 4 — — $22,247.41 $90,222.47 $59,649.99 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 4 — — $23,446.45 $95,205.45 $59,610.96 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 4 — — $7,114.14 $101,783.71 $59,586.77 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 4 — — $22,223.69 $90,123.88 $59,584.82 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 4 — — $22,020.01 $95,112.84 $59,552.98 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 4 — — $16,572.80 $96,639.40 $58,541.99 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 15 4 — — $17,958.30 $99,797.08 $58,423.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 12 4 — — $21,715.46 $88,011.79 $58,188.42 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 12 4 — — $21,701.08 $87,952.04 $58,148.92 2026-04-01
570 MS_DRG Skin Debridement With Mcc 12 4 — — $21,679.52 $87,862.42 $58,089.67 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $56,377.77 $204,202.79 $58,035.94 2026-04-01
0100T CPT Prosth Retina Receive&Gen 2 1 — — $55,036.00 $60,970.00 $58,003.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 4 — — $21,398.45 $86,694.35 $57,317.40 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 4 — — $21,385.50 $86,640.57 $57,281.85 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $57,044.40 $57,044.40 $57,044.40 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 4 — — $21,293.49 $86,258.19 $57,029.04 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 4 — — $19,915.48 $94,132.97 $57,023.65 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 12 4 — — $21,253.24 $86,090.89 $56,918.43 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 5 — — $17,610.28 $93,048.55 $56,366.72 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 4 — — $13,975.26 $95,381.71 $55,838.88 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 4 — — $19,926.89 $88,916.97 $55,673.56 2026-04-01
800 MS_DRG Splenic Procedures With Cc 12 4 — — $20,732.79 $83,928.02 $55,488.46 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 14 4 — — $12,133.99 $91,459.25 $55,403.96 2026-04-01
263 MS_DRG Vein Ligation And Stripping 16 4 — — $13,478.45 $133,450.13 $55,329.77 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 4 — — $31,238.15 $115,225.02 $55,036.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 4 — — $26,788.24 $98,811.07 $55,036.00 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 9 4 — — $22,136.77 $81,653.69 $55,036.00 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 9 4 — — $22,136.77 $81,653.69 $55,036.00 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 9 4 — — $31,238.15 $115,225.02 $55,036.00 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 9 4 — — $22,136.77 $81,653.69 $55,036.00 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 9 4 — — $22,136.77 $81,653.69 $55,036.00 2026-04-01
69930 HCPCS Implant Cochlear Device 9 4 — — $32,813.81 $121,036.98 $55,036.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 9 4 — — $28,545.63 $105,293.39 $55,036.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 4 — — $43,834.99 $161,689.70 $55,036.00 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 9 4 — — $22,136.77 $81,653.69 $55,036.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 4 — — $43,834.99 $161,689.70 $55,036.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 9 4 — — $30,709.54 $113,275.17 $55,036.00 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 9 4 — — $31,238.15 $115,225.02 $55,036.00 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 9 4 — — $22,136.77 $81,653.69 $55,036.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 4 — — $13,277.39 $90,613.82 $54,891.82 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 13 4 — — $18,325.06 $87,232.08 $54,618.60 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $54,272.10 $54,272.10 $54,272.10 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 4 — — $19,077.99 $82,051.83 $53,639.62 2026-04-01
849 MS_DRG Radiotherapy 12 4 — — $20,014.65 $80,943.60 $53,515.33 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 4 — — $19,927.67 $80,582.13 $53,276.35 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 4 — — $19,658.82 $79,464.84 $52,537.66 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $52,473.68 $52,473.68 $52,473.68 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 13 4 — — $18,315.90 $83,626.29 $52,360.91 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 4 — — $19,591.97 $79,187.01 $52,353.97 2026-04-01
503 MS_DRG Foot Procedures With Mcc 13 4 — — $19,259.06 $83,381.32 $52,207.53 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 5 — — $2,495.16 $124,562.63 $52,165.07 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 4 — — $19,496.36 $78,789.69 $52,091.29 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 4 — — $18,839.01 $85,744.35 $51,942.01 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 4 — — $17,430.10 $87,002.05 $51,504.02 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 4 — — $19,173.59 $77,448.35 $51,204.46 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 4 — — $18,994.60 $76,704.48 $50,712.67 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 4 — — $16,226.43 $80,845.02 $50,619.47 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 12 4 — — $18,889.65 $76,268.32 $50,424.31 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 4 — — $18,802.67 $75,906.85 $50,185.32 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 4 — — $17,812.86 $82,807.74 $50,163.07 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 4 — — $20,157.63 $82,365.61 $49,895.24 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 4 — — $19,673.87 $85,155.84 $49,852.39 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 12 4 — — $18,681.18 $75,401.98 $49,851.52 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 12 4 — — $18,673.27 $75,369.11 $49,829.79 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 4 — — $18,563.34 $82,093.75 $49,547.51 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 4 — — $17,451.02 $81,669.54 $49,473.58 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 4 — — $18,450.43 $74,443.02 $49,217.51 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 12 4 — — $18,377.11 $74,138.31 $49,016.06 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $48,646.82 $48,646.82 $48,646.82 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 2 1 — — $45,861.00 $50,815.00 $48,338.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 13 4 — — $15,873.99 $77,051.02 $48,243.94 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 12 4 — — $18,086.69 $72,931.40 $48,218.12 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 12 4 — — $17,949.39 $72,360.80 $47,840.87 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 12 4 — — $17,892.60 $72,124.80 $47,684.84 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 4 — — $6,996.61 $81,281.18 $47,595.65 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 4 — — $17,827.91 $71,855.93 $47,507.08 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 13 4 — — $16,896.27 $67,984.26 $47,327.73 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 12 4 — — $17,753.14 $71,545.24 $47,301.67 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,921.06 $166,295.42 $47,271.68 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 12 4 — — $17,721.51 $71,413.80 $47,214.76 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 14 4 — — $2,443.04 $77,540.95 $46,972.57 2026-04-01
333 MS_DRG Rectal Resection With Cc 12 4 — — $17,374.30 $69,970.88 $46,260.79 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 12 4 — — $17,336.21 $69,812.55 $46,156.11 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 4 — — $18,210.34 $73,445.23 $46,096.50 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 12 4 — — $17,265.76 $69,519.79 $45,962.56 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 4 — — $17,327.37 $82,114.66 $45,955.52 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 4 — — $18,185.90 $73,343.66 $45,922.65 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 9 4 — — $17,047.24 $62,880.43 $45,861.00 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 4 — — $30,709.54 $113,275.17 $45,861.00 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 9 4 — — $17,047.24 $62,880.43 $45,861.00 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 9 4 — — $18,243.62 $67,293.39 $45,861.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 9 4 — — $18,243.62 $67,293.39 $45,861.00 2026-04-01
0308T CPT Insj Ocular Telescope Prosth 9 4 — — $16,381.79 $60,425.86 $45,861.00 2026-04-01
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