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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

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 not_modified · 2026-05-15
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
$3,710,000
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
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $3,004,654.80 $3,093,027.00 $3,059,887.42 nat. median
$3,006,423
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
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,378,640.00 $2,448,600.00 $2,422,365.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $786,032.40 $809,151.00 $800,481.52 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $603,560.73 $621,312.51 $614,655.59 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $577,186.32 $594,162.39 $587,796.36 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $573,788.95 $590,665.09 $584,336.54 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $568,464.29 $585,183.83 $578,914.01 nat. median
$625,184
0.9× 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
$370,174
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $543,894.77 $559,891.68 $553,892.84 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $499,090.70 $513,769.84 $508,265.17 nat. median
$620,080
0.8× 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
$265,286
1.5× median
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
$206,368
1.5× median
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
$202,986
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $283,815.00 $1,017,334.13 $292,162.50 nat. median
$324,450
0.9× 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
$133,176
1.6× median
7
MS_DRG 		Lung Transplant 6 $92,260.95 $347,803.52 $188,477.21 nat. median
$122,708
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $133,408.38 $237,990.62 $185,699.50 nat. median
$87,411
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $85,618.98 $322,764.74 $174,908.52 nat. median
$117,303
1.5× median
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
$108,660
1.5× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $163,977.50 $163,977.50 $163,977.50 nat. median
$76,377
outlier · 2.1×
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
$63,570
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $77,470.21 $292,045.70 $158,261.65 nat. median
$102,358
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $73,454.97 $276,909.10 $150,059.02 nat. median
$100,136
1.5× median
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
$54,196
outlier · 2.7×
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
$93,672
1.5× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $99,849.28 $178,123.68 $138,986.48 nat. median
$65,381
outlier · 2.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $96,365.55 $171,908.97 $134,137.26 nat. median
$49,935
outlier · 2.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $92,080.90 $164,265.47 $128,173.18 nat. median
$62,270
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $61,692.77 $232,568.19 $126,030.36 nat. median
$83,442
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $64,186.99 $241,970.83 $125,558.70 nat. median
$82,712
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $80,638.38 $303,989.01 $123,871.96 nat. median
$98,017
1.3× median
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
$81,118
1.5× median
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
$98,905
1.2× median
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
$74,915
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $207,761.20 $111,376.12 nat. median
$62,507
1.8× 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
$73,807
1.5× 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
$72,138
1.5× median
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
$44,728
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 6 $70,898.70 $267,415.15 $108,968.54 nat. median
$99,019
1.1× 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
$48,649
outlier · 2.2×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $75,586.64 $134,840.94 $105,213.79 nat. median
$39,020
outlier · 2.7×
10
MS_DRG 		Pancreas Transplant 6 $51,121.75 $192,717.77 $104,435.14 nat. median
$68,882
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $50,828.95 $191,613.95 $103,836.97 nat. median
$71,240
1.5× median
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
$64,027
1.6× median
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
$65,950
1.5× median

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.

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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 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 HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $62,241.00 $62,241.00 $62,241.00 2026-04-01
0268T HCPCS 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
64568 HCPCS Inc For Vagus N Elect Impl 9 5 — — $2,670.00 $157,126.40 $45,124.25 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 5 — — $3,304.00 $157,126.40 $45,124.25 2026-04-01
0620T HCPCS 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
33824 HCPCS Revise Major Vessel 1 1 — — $39,612.00 $39,612.00 $39,612.00 2026-04-01
33820 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 HCPCS 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 HCPCS Insj/rplc Cardiac Modulj Sys 9 5 — — $5,980.00 $111,973.07 $32,156.92 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 5 — — $5,980.00 $111,973.07 $32,156.92 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss 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
33231 HCPCS Insrt Pulse Gen W/mult Leads 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
33270 HCPCS Ins/rep Subq Defibrillator 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 HCPCS 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
63685 HCPCS Insrt/redo Spine N Generator 10 6 — — $1,571.00 $110,078.25 $31,575.12 2026-04-01
61886 HCPCS Implant Neurostim Arrays 10 6 — — $3,304.00 $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
0908T HCPCS Opn Imp Int Nstm 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
0909T HCPCS Rplcmt Int Nstim 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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