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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 MARTHA JEFFERSON HOSPITAL

Charlottesville, VA · CCN 490077 · Rates published

Your selected procedure

You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $2,120 across 6 payers · range $925-$3,317

Source: https://www.sentara.com/Documents/s/sentaramarthajeffersonhospitalstandardchargesxlsx-1395290 · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,374 distinct procedures filed
14 distinct payers
116,456 rate rows
2026-04-01 last MRF observed
Data quality

91,775 of 116,456 rate rows are consumer-grade (78.8%)

24,681 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 24,537
placeholder amount (≤ $0.02) — excluded from medians 74
template filing: same amount across many unrelated codes — excluded 70
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentaramarthajeffersonhospitalstandardchargesxlsx-1395290
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 601af5c2b0c2e146… · 30,566,546 bytes · first seen 2026-05-08

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 $4,595,100.00 $4,730,250.00 $4,679,568.75 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,758,972.00 $3,869,530.00 $3,828,070.75 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,382,791.84 $3,482,285.72 $3,444,975.52 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,313,414.63 $3,410,868.00 $3,374,322.99 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $3,004,654.80 $3,093,027.00 $3,059,887.42 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,504,212.82 $2,577,866.14 $2,550,246.14 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,378,640.00 $2,448,600.00 $2,422,365.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $786,032.40 $809,151.00 $800,481.52 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $603,560.73 $621,312.51 $614,655.59 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $577,186.32 $594,162.39 $587,796.36 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $573,788.95 $590,665.09 $584,336.54 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $568,464.29 $585,183.83 $578,914.01 nat. median
$574,037
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $307,646.70 $1,159,760.46 $567,727.06 nat. median
$168,055
outlier · 3.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $543,894.77 $559,891.68 $553,892.84 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $499,090.70 $513,769.84 $508,265.17 nat. median
$513,770
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $199,650.33 $752,637.88 $407,859.84 nat. median
$186,516
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $152,107.11 $573,410.38 $310,735.18 nat. median
$131,925
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $151,214.44 $570,045.20 $308,911.56 nat. median
$145,435
outlier · 2.1×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $283,815.00 $1,017,334.13 $292,162.50 nat. median
$286,598
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $95,745.00 $596,178.12 $207,153.44 nat. median
$97,418
outlier · 2.1×
7
MS_DRG 		Lung Transplant 6 $92,260.95 $347,803.52 $188,477.21 nat. median
$70,649
outlier · 2.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $133,408.38 $237,990.62 $185,699.50 nat. median
$2,106
outlier · 88.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $85,618.98 $322,764.74 $174,908.52 nat. median
$72,715
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $80,731.00 $304,338.15 $164,923.02 nat. median
$65,418
outlier · 2.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $163,977.50 $163,977.50 $163,977.50 nat. median
$92,809
1.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $115,270.11 $205,633.31 $160,451.71 nat. median
$2,024
outlier · 79.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $77,470.21 $292,045.70 $158,261.65 nat. median
$74,509
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $73,454.97 $276,909.10 $150,059.02 nat. median
$69,922
outlier · 2.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $106,727.91 $190,394.64 $148,561.28 nat. median
$2,024
outlier · 73.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $69,695.48 $262,736.66 $142,378.87 nat. median
$69,822
outlier · 2.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $99,849.28 $178,123.68 $138,986.48 nat. median
$2,106
outlier · 66.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $96,365.55 $171,908.97 $134,137.26 nat. median
$2,024
outlier · 66.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $92,080.90 $164,265.47 $128,173.18 nat. median
$2,106
outlier · 60.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $61,692.77 $232,568.19 $126,030.36 nat. median
$2,633
outlier · 47.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $64,186.99 $241,970.83 $125,558.70 nat. median
$2,596
outlier · 48.4×
209
MS_DRG 		Complex Aortic Arch Procedures 6 $80,638.38 $303,989.01 $123,871.96 nat. median
$2,110
outlier · 58.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $59,868.24 $225,690.11 $122,303.08 nat. median
$59,651
outlier · 2.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $12,986.62 $295,996.37 $119,314.02 nat. median
$2,736
outlier · 43.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $54,702.42 $206,216.10 $111,749.98 nat. median
$55,923
2.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $207,761.20 $111,376.12 nat. median
$65,477
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $54,466.60 $205,327.14 $111,268.24 nat. median
$55,935
2.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $54,286.36 $204,647.65 $110,900.02 nat. median
$52,327
outlier · 2.1×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $78,567.53 $140,158.63 $109,363.08 nat. median
$2,024
outlier · 54.0×
215
MS_DRG 		Other Heart Assist System Implant 6 $70,898.70 $267,415.15 $108,968.54 nat. median
$73,023
1.5× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $76,143.67 $135,834.65 $105,989.16 nat. median
$2,024
outlier · 52.4×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $75,586.64 $134,840.94 $105,213.79 nat. median
$2,024
outlier · 52.0×
10
MS_DRG 		Pancreas Transplant 6 $51,121.75 $192,717.77 $104,435.14 nat. median
$23,080
outlier · 4.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $50,828.95 $191,613.95 $103,836.97 nat. median
$45,605
outlier · 2.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 $51,100.38 $192,637.20 $100,544.82 nat. median
$37,013
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $49,000.14 $184,719.76 $100,100.96 nat. median
$49,569
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 12,374 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,595,100.00 $4,730,250.00 $4,679,568.75 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,758,972.00 $3,869,530.00 $3,828,070.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,382,791.84 $3,482,285.72 $3,444,975.52 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,313,414.63 $3,410,868.00 $3,374,322.99 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $3,004,654.80 $3,093,027.00 $3,059,887.42 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $2,504,212.82 $2,577,866.14 $2,550,246.14 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,378,640.00 $2,448,600.00 $2,422,365.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $786,032.40 $809,151.00 $800,481.52 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 4 — — $603,560.73 $621,312.51 $614,655.59 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 4 — — $577,186.32 $594,162.39 $587,796.36 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 4 — — $573,788.95 $590,665.09 $584,336.54 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 4 — — $568,464.29 $585,183.83 $578,914.01 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 6 — — $307,646.70 $1,159,760.46 $567,727.06 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $543,894.77 $559,891.68 $553,892.84 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 4 — — $499,090.70 $513,769.84 $508,265.17 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 6 — — $199,650.33 $752,637.88 $407,859.84 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 6 — — $152,107.11 $573,410.38 $310,735.18 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 6 — — $151,214.44 $570,045.20 $308,911.56 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 4 — — $283,815.00 $1,017,334.13 $292,162.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 6 — — $95,745.00 $596,178.12 $207,153.44 2026-04-01
7 MS_DRG Lung Transplant 11 6 — — $92,260.95 $347,803.52 $188,477.21 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $133,408.38 $237,990.62 $185,699.50 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 6 — — $85,618.98 $322,764.74 $174,908.52 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 6 — — $80,731.00 $304,338.15 $164,923.02 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $163,977.50 $163,977.50 $163,977.50 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $115,270.11 $205,633.31 $160,451.71 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 6 — — $77,470.21 $292,045.70 $158,261.65 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 6 — — $73,454.97 $276,909.10 $150,059.02 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $106,727.91 $190,394.64 $148,561.28 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 6 — — $69,695.48 $262,736.66 $142,378.87 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $99,849.28 $178,123.68 $138,986.48 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $96,365.55 $171,908.97 $134,137.26 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $92,080.90 $164,265.47 $128,173.18 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 11 6 — — $61,692.77 $232,568.19 $126,030.36 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 6 — — $64,186.99 $241,970.83 $125,558.70 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 6 — — $80,638.38 $303,989.01 $123,871.96 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 6 — — $59,868.24 $225,690.11 $122,303.08 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 6 — — $12,986.62 $295,996.37 $119,314.02 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 6 — — $54,702.42 $206,216.10 $111,749.98 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $57,961.04 $207,761.20 $111,376.12 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 6 — — $54,466.60 $205,327.14 $111,268.24 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 6 — — $54,286.36 $204,647.65 $110,900.02 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $78,567.53 $140,158.63 $109,363.08 2026-04-01
215 MS_DRG Other Heart Assist System Implant 12 6 — — $70,898.70 $267,415.15 $108,968.54 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $76,143.67 $135,834.65 $105,989.16 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 2 — — $75,586.64 $134,840.94 $105,213.79 2026-04-01
10 MS_DRG Pancreas Transplant 11 6 — — $51,121.75 $192,717.77 $104,435.14 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 6 — — $50,828.95 $191,613.95 $103,836.97 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 6 — — $51,100.38 $192,637.20 $100,544.82 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 6 — — $49,000.14 $184,719.76 $100,100.96 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 6 — — $47,954.29 $180,777.15 $97,964.43 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 6 — — $47,601.65 $179,447.73 $97,244.01 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 2 — — $69,337.31 $123,692.60 $96,514.96 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 6 — — $46,844.33 $176,592.83 $95,696.92 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 6 — — $47,636.55 $179,579.33 $93,130.23 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 6 — — $46,674.06 $175,950.95 $92,705.68 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 6 — — $46,573.24 $185,630.21 $91,510.88 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 6 — — $46,844.33 $176,592.83 $89,563.70 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 6 — — $43,660.49 $164,590.44 $89,192.73 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 6 — — $43,609.91 $164,399.75 $89,089.40 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 6 — — $43,191.71 $162,823.25 $88,235.08 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $51,427.38 $193,869.94 $88,162.89 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 6 — — $42,792.74 $161,319.26 $87,420.06 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 11 6 — — $42,244.89 $159,253.95 $86,300.85 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 6 — — $26,915.95 $211,332.36 $86,115.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 6 — — $41,809.60 $157,612.99 $85,411.60 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 6 — — $41,782.53 $157,510.93 $85,356.30 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 6 — — $790.13 $153,898.67 $83,398.79 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 6 — — $41,086.48 $154,887.00 $82,352.36 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 6 — — $39,928.79 $150,522.74 $81,569.35 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 6 — — $39,347.44 $148,331.21 $80,381.74 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 6 — — $8,666.61 $159,624.58 $79,752.01 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 6 — — $38,973.41 $146,921.22 $79,617.66 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 6 — — $38,917.84 $146,711.73 $79,504.14 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 6 — — $14,664.11 $172,816.74 $79,393.42 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 6 — — $38,856.57 $146,480.76 $79,378.97 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 11 6 — — $38,701.27 $145,895.28 $79,061.69 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 6 — — $48,966.80 $191,501.15 $78,034.48 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 6 — — $37,969.60 $143,137.07 $77,528.73 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 6 — — $37,714.55 $142,175.59 $77,045.97 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $55,069.68 $98,240.22 $76,654.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 11 6 — — $37,020.65 $139,559.71 $75,628.41 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 6 — — $39,655.21 $149,491.43 $75,318.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 6 — — $35,246.70 $132,872.32 $72,004.46 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 6 — — $34,917.56 $131,631.53 $71,332.06 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 11 6 — — $34,401.05 $129,684.40 $70,276.90 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 6 — — $34,227.21 $129,029.09 $69,921.78 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 6 — — $33,917.31 $127,860.81 $69,288.68 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 6 — — $35,907.84 $135,364.65 $69,137.08 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 6 — — $33,494.13 $126,265.50 $68,424.18 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 6 — — $33,325.99 $125,631.67 $68,080.70 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 11 6 — — $33,035.32 $124,535.91 $67,486.90 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 6 — — $32,903.53 $124,039.05 $67,217.65 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 6 — — $21,292.12 $122,164.44 $67,059.70 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 6 — — $22,660.33 $123,448.20 $66,897.46 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 6 — — $30,786.60 $123,133.97 $66,727.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 11 6 — — $32,265.19 $121,632.67 $65,913.61 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 4 — — $61,200.00 $138,279.69 $65,796.79 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 6 — — $41,621.25 $161,364.91 $65,754.32 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 6 — — $31,929.63 $120,367.70 $65,228.12 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 6 — — $37,331.97 $160,150.98 $65,066.49 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 6 — — $31,794.98 $119,860.11 $64,953.05 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 9 5 — — $4,007.00 $224,386.29 $64,286.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 6 — — $31,920.37 $120,332.79 $63,084.97 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 2 — — $45,312.54 $80,834.20 $63,073.37 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $36,105.20 $150,990.05 $62,979.57 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 2 — — $45,095.75 $80,447.46 $62,771.61 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 6 — — $40,657.60 $153,270.21 $62,455.82 2026-04-01
33967 HCPCS Chg-iabp Procedure Only 1 1 — — $62,241.00 $62,241.00 $62,241.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $62,241.00 $62,241.00 $62,241.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $62,241.00 $62,241.00 $62,241.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 6 — — $13,398.50 $226,401.82 $61,823.42 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 6 — — $28,652.98 $113,895.17 $61,596.59 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 6 — — $30,087.30 $113,422.48 $61,464.45 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 6 — — $30,036.00 $113,229.11 $61,359.66 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 6 — — $30,021.04 $113,172.71 $61,329.10 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 11 6 — — $29,897.79 $112,708.09 $61,077.32 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 6 — — $7,442.10 $142,488.79 $60,975.44 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 6 — — $29,842.22 $112,498.60 $60,963.80 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 6 — — $29,726.80 $112,063.52 $60,728.02 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 6 — — $18,806.47 $147,442.24 $60,080.99 2026-04-01
791 MS_DRG Prematurity With Major Problems 13 6 — — $8,344.78 $109,012.56 $59,074.69 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 6 — — $26,331.00 $110,798.55 $58,865.05 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $25,644.96 $143,223.01 $58,361.70 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 6 — — $25,911.89 $107,978.57 $58,038.58 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $56,377.77 $121,962.21 $58,035.94 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 6 — — $34,809.06 $141,705.59 $57,743.37 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 6 — — $27,869.50 $105,061.90 $56,933.79 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 6 — — $27,743.40 $104,586.53 $56,676.19 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 6 — — $27,575.99 $103,955.39 $56,334.17 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 6 — — $27,534.66 $103,799.62 $56,249.75 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 6 — — $26,628.45 $100,383.41 $56,187.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 6 — — $26,808.69 $101,062.89 $56,154.96 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 2 — — $39,993.61 $71,345.62 $55,669.61 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 6 — — $26,550.79 $100,090.67 $54,239.85 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 6 — — $28,383.88 $107,000.97 $53,966.15 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 6 — — $13,851.73 $100,372.67 $53,954.11 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 11 6 — — $26,168.22 $98,648.45 $53,458.30 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 6 — — $26,157.53 $98,608.16 $53,436.47 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 6 — — $25,830.53 $97,375.42 $52,768.44 2026-04-01
265 MS_DRG Aicd Lead Procedures 11 6 — — $25,777.09 $97,174.00 $52,659.28 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 6 — — $26,401.19 $99,526.67 $52,273.97 2026-04-01
332 MS_DRG Rectal Resection With Mcc 11 6 — — $25,794.91 $97,241.14 $52,218.27 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 6 — — $25,524.90 $96,223.26 $52,144.07 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 6 — — $25,465.77 $96,000.35 $52,023.27 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 6 — — $25,402.37 $95,761.32 $51,893.74 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 6 — — $25,336.11 $102,083.18 $51,855.44 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 6 — — $25,380.99 $95,680.75 $51,850.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 6 — — $25,356.76 $95,589.43 $51,800.60 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 6 — — $18,538.74 $126,007.67 $51,346.65 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 6 — — $25,073.22 $94,520.53 $51,221.35 2026-04-01
J9226 HCPCS Supprelin La Implant 11 4 — — $45,921.06 $125,940.96 $51,185.25 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 6 — — $24,305.22 $91,625.34 $50,532.11 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 6 — — $24,611.57 $92,780.19 $50,278.25 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $8,164.59 $167,430.59 $49,758.68 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 8 5 — — $26,788.24 $96,022.37 $49,462.07 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 6 — — $22,435.23 $97,002.11 $49,246.83 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 11 4 — — $24,712.99 $88,583.64 $49,183.69 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 17 6 — — $4,828.75 $111,982.95 $48,415.41 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 6 — — $25,693.04 $96,857.08 $48,239.23 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 6 — — $27,166.83 $117,977.43 $48,074.42 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 6 — — $27,352.28 $103,112.08 $48,014.86 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 6 — — $25,850.48 $97,450.62 $47,781.56 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 6 — — $21,469.55 $88,405.19 $47,445.52 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 6 — — $23,173.88 $87,360.45 $47,341.25 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 2 — — $34,009.25 $60,669.96 $47,339.60 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 6 — — $874.34 $86,976.39 $47,133.13 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 6 — — $22,990.79 $86,670.22 $46,967.21 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 11 6 — — $22,945.91 $86,501.03 $46,875.52 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 6 — — $23,014.30 $86,758.85 $46,735.98 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 6 — — $22,682.31 $85,507.32 $46,337.03 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 6 — — $22,636.72 $85,335.43 $46,243.88 2026-04-01
652 MS_DRG Kidney Transplant 11 6 — — $23,007.88 $86,734.68 $46,236.92 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 6 — — $22,512.75 $84,868.12 $46,207.12 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 4 — — $6,755.43 $82,028.67 $46,075.29 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 11 6 — — $22,546.95 $84,997.03 $46,060.50 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 6 — — $22,746.43 $85,749.03 $45,424.18 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 6 — — $22,150.84 $83,503.78 $45,251.30 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 5 — — $3,304.00 $157,126.40 $45,124.25 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 5 — — $2,670.00 $157,126.40 $45,124.25 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 5 — — $3,338.00 $157,126.40 $45,016.81 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 6 — — $22,190.02 $83,651.50 $44,391.17 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 6 — — $11,229.76 $135,268.55 $43,335.40 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 6 — — $21,204.73 $79,937.17 $43,318.53 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $43,248.00 $43,248.00 $43,248.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 6 — — $21,516.06 $81,110.83 $43,161.18 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 6 — — $22,871.82 $86,221.71 $43,087.41 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 6 — — $21,518.91 $81,121.57 $43,027.19 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 6 — — $18,794.82 $79,123.41 $42,877.54 2026-04-01
570 MS_DRG Skin Debridement With Mcc 13 6 — — $14,429.97 $137,458.97 $42,804.77 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 11 6 — — $20,802.92 $78,422.44 $42,497.68 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 6 — — $20,674.69 $77,939.01 $42,235.71 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 6 — — $22,385.23 $84,387.38 $42,235.30 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 6 — — $20,661.86 $77,890.67 $42,209.51 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 6 — — $20,560.69 $77,509.30 $42,002.84 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 6 — — $5,521.97 $153,071.47 $41,799.14 2026-04-01
J9266 HCPCS Pegaspargase Injection 8 4 — — $28,992.54 $75,323.76 $41,783.36 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 6 — — $20,570.67 $77,546.90 $41,534.58 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 6 — — $23,533.66 $88,716.73 $41,196.50 2026-04-01
800 MS_DRG Splenic Procedures With Cc 11 6 — — $20,014.97 $75,452.06 $40,888.01 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 11 6 — — $19,943.02 $75,180.80 $40,741.01 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 2 — — $28,747.52 $51,283.44 $40,015.48 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 11 6 — — $20,530.77 $77,396.50 $39,892.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 6 — — $16,005.24 $133,946.60 $39,851.80 2026-04-01
503 MS_DRG Foot Procedures With Mcc 13 6 — — $18,545.53 $74,960.57 $39,843.06 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 11 6 — — $20,974.62 $79,069.69 $39,800.90 2026-04-01
33820 HCPCS Revise Major Vessel 1 1 — — $39,612.00 $39,612.00 $39,612.00 2026-04-01
33824 HCPCS Revise Major Vessel 1 1 — — $39,612.00 $39,612.00 $39,612.00 2026-04-01
849 MS_DRG Radiotherapy 11 6 — — $19,303.26 $72,769.04 $39,434.06 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 6 — — $24,845.24 $93,661.10 $39,325.68 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 6 — — $19,217.06 $72,444.07 $39,257.96 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 6 — — $18,950.61 $71,439.62 $38,713.64 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 6 — — $18,884.35 $71,189.85 $38,578.29 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 6 — — $18,789.59 $70,832.65 $38,384.72 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 6 — — $19,747.81 $74,444.92 $38,361.65 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 6 — — $13,662.89 $139,801.43 $38,175.50 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 6 — — $18,292.32 $68,958.03 $38,168.60 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 2 — — $27,350.42 $48,791.11 $38,070.76 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 6 — — $10,053.78 $93,231.39 $37,990.71 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 6 — — $17,233.00 $70,963.56 $37,942.69 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 6 — — $18,469.71 $69,626.77 $37,731.25 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 6 — — $16,064.68 $92,350.48 $37,631.74 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 6 — — $18,400.61 $69,366.26 $37,590.07 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $21,788.93 $92,076.54 $37,520.11 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 6 — — $18,374.96 $69,269.57 $36,812.26 2026-04-01
509 MS_DRG Arthroscopy 2 2 — — $26,444.11 $47,174.32 $36,809.21 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 11 6 — — $17,981.70 $67,787.07 $36,734.30 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 6 — — $16,398.60 $73,072.53 $36,700.99 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 6 — — $22,162.39 $89,718.49 $36,559.24 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 6 — — $22,501.53 $94,713.90 $36,381.68 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 6 — — $17,753.01 $66,924.96 $36,267.11 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 11 6 — — $17,680.34 $66,651.02 $36,118.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 6 — — $17,951.66 $132,182.10 $36,094.89 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 6 — — $6,754.13 $100,622.44 $36,069.27 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 6 — — $22,566.32 $88,415.93 $36,028.46 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 6 — — $12,325.66 $111,537.12 $35,683.54 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 11 6 — — $17,392.52 $65,565.99 $35,530.68 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 6 — — $17,520.05 $66,046.73 $35,204.61 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 8 5 — — $17,047.24 $62,241.00 $35,198.79 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 8 5 — — $17,047.24 $62,241.00 $35,198.79 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 8 4 — — $3,338.00 $122,209.81 $35,054.97 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 6 — — $18,548.10 $85,590.57 $34,877.15 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 11 6 — — $17,061.96 $64,319.83 $34,855.37 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 6 — — $12,357.37 $66,027.93 $34,780.12 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 6 — — $17,030.61 $64,201.66 $34,244.10 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 6 — — $22,236.33 $83,826.07 $34,236.00 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 2 — — $24,515.56 $43,733.94 $34,124.75 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 6 — — $14,336.63 $62,455.95 $33,845.33 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 11 6 — — $16,578.93 $62,498.92 $33,828.59 2026-04-01
69930 HCPCS Implant Cochlear Device 10 6 — — $5,418.00 $117,621.00 $33,738.71 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 6 — — $16,465.66 $62,071.90 $33,637.20 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 6 — — $11,025.79 $82,222.71 $33,504.79 2026-04-01
245 MS_DRG Aicd Generator Procedures 13 6 — — $6,594.50 $122,532.38 $33,459.85 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 6 — — $15,154.50 $58,615.40 $33,290.90 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 11 6 — — $16,140.79 $60,847.22 $32,973.54 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 2 — — $3,338.00 $62,241.00 $32,789.50 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 — — $3,338.00 $62,241.00 $32,789.50 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 11 6 — — $15,948.43 $60,122.08 $32,580.58 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 11 6 — — $15,939.17 $60,087.17 $32,561.66 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 2 — — $23,278.04 $41,526.29 $32,402.17 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 11 6 — — $15,748.95 $59,370.08 $32,173.07 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 5 — — $5,980.00 $111,973.07 $32,156.92 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 5 — — $5,980.00 $111,973.07 $32,156.92 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 5 — — $5,980.00 $111,973.07 $32,156.92 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 11 6 — — $15,813.07 $59,611.80 $32,151.46 2026-04-01
33968 HCPCS Remove Aortic Assist Device 2 2 — — $2,004.00 $62,241.00 $32,122.50 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 8 4 — — $3,304.00 $111,973.07 $32,118.63 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 8 4 — — $3,304.00 $111,973.07 $32,118.63 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 8 4 — — $5,980.00 $111,973.07 $32,118.63 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 8 4 — — $3,304.00 $111,973.07 $32,118.63 2026-04-01
333 MS_DRG Rectal Resection With Cc 11 6 — — $16,686.51 $62,904.47 $31,993.38 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 11 6 — — $15,615.02 $58,865.17 $31,899.46 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 6 — — $17,985.82 $78,215.64 $31,871.96 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 11 6 — — $15,587.23 $58,760.43 $31,842.70 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 11 6 — — $16,648.75 $62,762.12 $31,785.62 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 6 — — $27,409.87 $116,220.98 $31,736.40 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 15 6 — — $13,255.47 $58,516.03 $31,710.26 2026-04-01
792 MS_DRG Prematurity Without Major Problems 16 6 — — $5,297.79 $65,778.16 $31,691.69 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 5 — — $3,304.00 $110,078.25 $31,612.76 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 4 — — $30,709.54 $110,078.25 $31,612.76 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 5 — — $3,304.00 $110,078.25 $31,612.76 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 5 — — $2,670.00 $110,078.25 $31,612.76 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 11 6 — — $15,459.70 $58,279.69 $31,582.18 2026-04-01
61886 HCPCS Implant Neurostim Arrays 10 6 — — $3,304.00 $110,078.25 $31,575.12 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 10 6 — — $1,571.00 $110,078.25 $31,575.12 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 10 6 — — $1,571.00 $110,078.25 $31,575.12 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 6 — — $15,511.71 $58,475.75 $31,559.80 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 9 5 — — $1,547.00 $110,078.25 $31,537.49 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 9 5 — — $3,304.00 $110,078.25 $31,537.49 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 9 5 — — $1,547.00 $110,078.25 $31,537.49 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 6 — — $28,686.47 $115,294.42 $31,483.38 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 6 — — $9,715.74 $114,553.16 $31,280.97 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 6 — — $12,403.25 $56,633.36 $31,245.35 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 15 6 — — $12,714.09 $57,492.78 $31,155.75 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 9 5 — — $22,493.00 $88,499.00 $31,038.72 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 11 6 — — $15,181.85 $57,232.27 $31,014.57 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 11 6 — — $15,174.73 $57,205.41 $31,000.02 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 11 6 — — $15,151.22 $57,116.78 $30,951.99 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 11 6 — — $15,084.96 $56,867.01 $30,816.64 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 11 6 — — $14,978.81 $56,466.84 $30,599.79 2026-04-01
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