Price Transparencybeta Hospital negotiated rates

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

VCU HEALTH TAPPAHANNOCK HOSPITAL

Tappahannock, VA · CCN 490084 · Rates published

17,353 distinct procedures filed
10 distinct payers
262,822 rate rows
2026-01-02 last MRF observed
Data quality

252,489 of 262,822 rate rows are consumer-grade (96.1%)

10,333 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 4,711
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,584
per-diem day rate — not a per-procedure price 793
placeholder amount (≤ $0.02) — excluded from medians 140
exceeds 10× this hospital's gross charge — excluded from medians 49
percent-of-charges filed in the dollar field — excluded from medians 47
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://urldefense.com/v3/__https:/vcuhealth.pt.panaceainc.com/MRFDownload/vcuhealth/vcuhealthtappahannockhospital__;!!JqxBPMk!mOcOmC-wRsyqvW9oP8tVbu46_Pj-TZtfpAN2ZWljc3XQVbpmW8SnXp6J2Phjl4zbQ9y2D-k-Jg2ulasmQvvOh5wx$
Found on page https://www.vcuhealth.org/tappahannock/billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint 32250fb25e6967f2… · 107,480,380 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 7 $56,052.70 $4,388,710.78 $4,179,724.55 nat. median
$4,505,000
0.9× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $35,077.10 $3,719,501.31 $3,542,382.20 nat. median
$3,605,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $35,077.10 $3,694,704.64 $3,518,766.32 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $35,077.10 $3,333,086.13 $3,174,367.74 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $56,052.70 $3,269,707.33 $3,114,006.98 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $56,052.70 $2,958,243.38 $2,817,374.65 nat. median
$2,994,107
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $24,400.17 $2,458,395.47 $2,341,329.02 nat. median
$2,466,282
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $56,052.70 $2,337,972.25 $2,226,640.24 nat. median
$2,401,960
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $56,052.70 $2,042,143.00 $735,803.39 nat. median
$809,217
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 $501,278.54 $654,090.80 $638,930.26 nat. median
$359,358
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $56,052.70 $1,533,743.47 $552,195.88 nat. median
$738,272
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $56,052.70 $1,465,898.65 $528,377.17 nat. median
$646,415
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $56,052.70 $1,368,572.07 $517,164.56 nat. median
$640,950
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $56,052.70 $1,398,199.52 $516,806.30 nat. median
$622,245
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $56,052.70 $1,332,527.93 $508,992.08 nat. median
$608,101
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $56,052.70 $1,296,907.77 $467,594.45 nat. median
$591,650
0.8× median
5831
APR_DRG 		Neonate With Ecmo 5 $184,859.66 $513,104.19 $369,664.05 nat. median
$146,591
outlier · 2.5×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $55,899.77 $469,913.16 $321,184.25 nat. median
$93,998
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $251,356.01 $488,551.00 $261,410.25 nat. median
$249,124
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $56,052.70 $271,067.43 $258,159.46 nat. median
$319,951
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $211,687.20 $411,448.24 $248,907.69 nat. median
$198,433
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $191,241.98 $371,709.67 $201,329.60 nat. median
$190,557
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $144,801.72 $188,943.80 $184,564.45 nat. median
$97,414
1.9× median
1611
APR_DRG 		Implantable Heart Assist Systems 5 $150,350.79 $351,081.17 $162,144.99 nat. median
$76,852
outlier · 2.1×
111
APR_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $60,451.38 $353,351.32 $158,316.50 nat. median
$34,378
outlier · 4.6×
5911
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $89,241.46 $268,044.14 $139,931.11 nat. median
$37,270
outlier · 3.8×
6091
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $56,011.62 $303,320.96 $139,559.28 nat. median
$33,663
outlier · 4.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $126,087.14 $245,070.72 $138,813.49 nat. median
$126,722
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 4 $103,895.59 $135,567.64 $132,425.45 nat. median
$71,758
1.8× median
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $33,821.98 $233,991.48 $131,493.35 nat. median
$32,930
outlier · 4.0×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $121,976.53 $362,495.15 $128,075.36 nat. median
$120,505
1.1× median
6021
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $30,315.17 $157,864.18 $121,883.10 nat. median
$31,231
outlier · 3.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $108,226.36 $227,237.62 $121,588.63 nat. median
$110,192
1.1× median
7
MS_DRG 		Lung Transplant 8 $115,832.77 $226,665.27 $121,282.38 nat. median
$117,894
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $98,332.80 $191,125.68 $115,622.19 nat. median
$103,967
1.1× median
6301
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $39,453.94 $317,744.22 $111,292.76 nat. median
$24,196
outlier · 4.6×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $82,335.96 $107,435.67 $104,945.52 nat. median
$56,686
1.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 $81,569.02 $106,434.92 $103,967.97 nat. median
$53,342
1.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 4 $79,629.71 $103,904.44 $101,496.13 nat. median
$58,331
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $95,028.48 $184,703.19 $98,829.62 nat. median
$94,964
1.0× median
41
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $69,141.44 $203,793.68 $98,748.27 nat. median
$42,769
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 8 $94,541.26 $183,756.21 $98,322.91 nat. median
$93,917
1.0× median
91
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $60,685.61 $212,355.90 $97,939.40 nat. median
$46,507
outlier · 2.1×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $61,525.14 $297,516.57 $94,678.66 nat. median
$31,407
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $93,475.81 $180,061.65 $94,410.57 nat. median
$93,270
1.0× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 4 $72,323.10 $94,370.44 $92,183.12 nat. median
$50,788
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $86,120.28 $167,388.68 $91,648.06 nat. median
$90,581
1.0× median
11
MS_DRG 		Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 4 $71,722.30 $93,586.49 $91,417.34 nat. median
$50,083
1.8× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Without Mcc 4 $70,716.10 $92,273.55 $90,134.83 nat. median
$51,613
1.7× median
0283T
OTHER 		Periph Field Stimul Perm 1 $89,222.43 $89,222.43 $89,222.43 nat. median
$14,059
outlier · 6.3×

Other procedures at this hospital

Browse this hospital's 17,353 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 11 7 — — $56,052.70 $4,388,710.78 $4,179,724.55 2026-01-02
C9172 HCPCS Inj, Beqvez, Per Tx Dose 11 7 — — $35,077.10 $3,719,501.31 $3,542,382.20 2026-01-02
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 7 — — $35,077.10 $3,694,704.64 $3,518,766.32 2026-01-02
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 7 — — $35,077.10 $3,333,086.13 $3,174,367.74 2026-01-02
J3394 HCPCS Inj, Lovotibeglogene Autotem 11 7 — — $56,052.70 $3,269,707.33 $3,114,006.98 2026-01-02
J3393 HCPCS Inj, Betibeglogene Autotemce 11 7 — — $56,052.70 $2,958,243.38 $2,817,374.65 2026-01-02
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $24,400.17 $2,458,395.47 $2,341,329.02 2026-01-02
J3392 HCPCS Inj, Exagamglogene Autotem 11 7 — — $56,052.70 $2,337,972.25 $2,226,640.24 2026-01-02
Q2057 HCPCS Afamitresgene Autoleucel 13 7 — — $56,052.70 $2,042,143.00 $735,803.39 2026-01-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 4 — — $501,278.54 $654,090.80 $638,930.26 2026-01-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 7 — — $56,052.70 $1,533,743.47 $552,195.88 2026-01-02
Q2056 HCPCS Ciltacabtagene Car-pos T 13 7 — — $56,052.70 $1,465,898.65 $528,377.17 2026-01-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 7 — — $56,052.70 $1,368,572.07 $517,164.56 2026-01-02
Q2055 HCPCS Idecabtagene Vicleucel Car 13 7 — — $56,052.70 $1,398,199.52 $516,806.30 2026-01-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 7 — — $56,052.70 $1,332,527.93 $508,992.08 2026-01-02
Q2053 HCPCS Brexucabtagene Car Pos T 13 7 — — $56,052.70 $1,296,907.77 $467,594.45 2026-01-02
5831 APR_DRG Neonate With Ecmo 20 5 — — $184,859.66 $513,104.19 $369,664.05 2026-01-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 5 — — $55,899.77 $469,913.16 $321,184.25 2026-01-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 8 — — $251,356.01 $488,551.00 $261,410.25 2026-01-02
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 7 — — $56,052.70 $271,067.43 $258,159.46 2026-01-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 8 — — $211,687.20 $411,448.24 $248,907.69 2026-01-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 8 — — $191,241.98 $371,709.67 $201,329.60 2026-01-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 — — $144,801.72 $188,943.80 $184,564.45 2026-01-02
1611 APR_DRG Implantable Heart Assist Systems 20 5 — — $150,350.79 $351,081.17 $162,144.99 2026-01-02
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 8 — — $60,451.38 $353,351.32 $158,316.50 2026-01-02
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 20 5 — — $89,241.46 $268,044.14 $139,931.11 2026-01-02
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 5 — — $56,011.62 $303,320.96 $139,559.28 2026-01-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 8 — — $126,087.14 $245,070.72 $138,813.49 2026-01-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 5 4 — — $103,895.59 $135,567.64 $132,425.45 2026-01-02
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 20 5 — — $33,821.98 $233,991.48 $131,493.35 2026-01-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 5 — — $121,976.53 $362,495.15 $128,075.36 2026-01-02
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 5 — — $30,315.17 $157,864.18 $121,883.10 2026-01-02
14 MS_DRG Allogeneic Bone Marrow Transplant 13 8 — — $108,226.36 $227,237.62 $121,588.63 2026-01-02
7 MS_DRG Lung Transplant 13 8 — — $115,832.77 $226,665.27 $121,282.38 2026-01-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 8 — — $98,332.80 $191,125.68 $115,622.19 2026-01-02
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 5 — — $39,453.94 $317,744.22 $111,292.76 2026-01-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $82,335.96 $107,435.67 $104,945.52 2026-01-02
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 5 4 — — $81,569.02 $106,434.92 $103,967.97 2026-01-02
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 5 4 — — $79,629.71 $103,904.44 $101,496.13 2026-01-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 8 — — $95,028.48 $184,703.19 $98,829.62 2026-01-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 20 5 — — $69,141.44 $203,793.68 $98,748.27 2026-01-02
215 MS_DRG Other Heart Assist System Implant 13 8 — — $94,541.26 $183,756.21 $98,322.91 2026-01-02
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 5 — — $60,685.61 $212,355.90 $97,939.40 2026-01-02
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 15 5 — — $61,525.14 $297,516.57 $94,678.66 2026-01-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 6 — — $93,475.81 $180,061.65 $94,410.57 2026-01-02
8 MS_DRG Simultaneous Pancreas/kidney Transplant 5 4 — — $72,323.10 $94,370.44 $92,183.12 2026-01-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $86,120.28 $167,388.68 $91,648.06 2026-01-02
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 5 4 — — $71,722.30 $93,586.49 $91,417.34 2026-01-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 5 4 — — $70,716.10 $92,273.55 $90,134.83 2026-01-02
0283T OTHER Periph Field Stimul Perm 1 1 — — $89,222.43 $89,222.43 $89,222.43 2026-01-02
850 MS_DRG Acute Leukemia With Other Procedures 7 6 — — $82,201.14 $158,343.35 $83,023.15 2026-01-02
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 5 — — $28,895.34 $209,327.28 $80,189.96 2026-01-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 8 — — $71,932.13 $139,811.72 $79,816.81 2026-01-02
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 5 4 — — $62,534.87 $81,598.32 $79,707.03 2026-01-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 8 — — $75,573.76 $146,889.80 $79,599.62 2026-01-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 8 — — $75,615.70 $146,971.32 $78,640.33 2026-01-02
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 20 5 — — $12,240.28 $253,442.64 $78,444.46 2026-01-02
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 5 — — $45,772.78 $123,819.81 $77,816.35 2026-01-02
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 5 — — $46,483.35 $148,542.05 $76,458.99 2026-01-02
27800000S2-3 CDM Membrane Maci Collagen Bone Graft Substitue For Knees Lab Grown 26 10 $107,116.60 $48,202.47 55% off $54,865.12 $96,404.94 $75,635.03 2026-01-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 8 — — $70,738.19 $137,491.09 $75,483.37 2026-01-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 6 — — $74,426.21 $143,366.57 $75,170.47 2026-01-02
10 MS_DRG Pancreas Transplant 13 8 — — $45,455.28 $138,283.71 $73,991.82 2026-01-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $69,044.53 $134,199.20 $72,817.58 2026-01-02
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 5 4 — — $54,546.38 $71,174.57 $69,524.89 2026-01-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 8 — — $66,605.78 $129,459.08 $69,270.01 2026-01-02
1781 APR_DRG External Heart Assist Systems 20 5 — — $53,224.59 $75,476.53 $68,184.79 2026-01-02
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 5 4 — — $52,914.12 $69,044.73 $67,444.41 2026-01-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 8 — — $63,061.41 $122,570.05 $66,439.72 2026-01-02
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 5 4 — — $51,975.71 $67,820.24 $66,248.30 2026-01-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 8 — — $62,075.38 $120,653.54 $65,770.20 2026-01-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 8 — — $59,598.26 $115,838.84 $65,343.38 2026-01-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 8 — — $57,709.18 $112,167.12 $65,232.89 2026-01-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 8 — — $56,434.03 $109,688.66 $64,898.61 2026-01-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 8 — — $59,497.42 $115,642.85 $64,729.57 2026-01-02
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 5 — — $46,797.84 $101,472.66 $64,297.36 2026-01-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 6 — — $63,379.98 $122,088.31 $64,013.78 2026-01-02
9101 APR_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $33,973.31 $118,430.04 $60,931.41 2026-01-02
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 7 — — $35,077.10 $167,574.37 $60,565.24 2026-01-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 6 — — $59,828.48 $115,247.09 $60,426.76 2026-01-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $57,626.19 $112,005.82 $60,108.12 2026-01-02
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 20 5 — — $33,290.37 $115,811.65 $59,123.43 2026-01-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 8 — — $54,951.86 $106,807.82 $58,718.10 2026-01-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 8 — — $53,860.53 $104,686.65 $58,329.99 2026-01-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 8 — — $53,860.53 $104,686.65 $58,329.99 2026-01-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 8 — — $49,322.11 $95,865.49 $57,993.81 2026-01-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 8 — — $51,214.76 $99,544.15 $57,369.63 2026-01-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 8 — — $51,954.50 $100,981.97 $57,099.56 2026-01-02
28 MS_DRG Spinal Procedures With Mcc 13 8 — — $54,249.59 $105,442.85 $56,905.02 2026-01-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 8 — — $54,510.15 $105,949.29 $56,690.56 2026-01-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 8 — — $53,047.61 $103,106.61 $56,659.50 2026-01-02
C9301 HCPCS Obecabtagene Car Pos T 6 5 — — $56,052.70 $737,362.50 $56,613.22 2026-01-02
38240 HCPCS Transplt Allo Hct/donor 11 7 — — $6,108.83 $59,293.79 $56,470.28 2026-01-02
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 20 5 — — $24,155.55 $88,754.39 $56,150.87 2026-01-02
J3403 HCPCS Revakinagene, Per Implant 5 5 — — $56,052.70 $58,855.34 $56,052.70 2026-01-02
C9076 HCPCS Lisocabtagene Car Pos T 5 5 — — $56,052.70 $58,855.34 $56,052.70 2026-01-02
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 5 — — $56,052.70 $58,855.34 $56,052.70 2026-01-02
C9073 HCPCS Brexucabtagene Autoleucel Ca 5 5 — — $56,052.70 $58,855.34 $56,052.70 2026-01-02
C9098 HCPCS Ciltacabtagene Car Pos T 5 5 — — $56,052.70 $58,855.34 $56,052.70 2026-01-02
C9081 HCPCS Idecabtagene Car Pos T 5 5 — — $56,052.70 $58,855.34 $56,052.70 2026-01-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 6 — — $55,203.50 $106,338.03 $55,755.54 2026-01-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 8 — — $52,506.86 $102,055.56 $55,531.06 2026-01-02
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 5 4 — — $43,447.56 $56,692.33 $55,378.32 2026-01-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $53,087.77 $103,184.66 $55,211.28 2026-01-02
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 5 — — $49,324.33 $107,293.64 $54,616.79 2026-01-02
A9543 HCPCS Y90 Ibritumomab, Rx 12 7 — — $52,810.41 $150,585.06 $54,257.22 2026-01-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 8 — — $48,144.23 $93,576.08 $53,666.05 2026-01-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 8 — — $50,908.68 $98,949.25 $53,531.01 2026-01-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 8 — — $48,195.09 $93,674.94 $53,482.85 2026-01-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 7 — — $35,077.10 $184,727.27 $53,418.33 2026-01-02
4401 APR_DRG Kidney Transplant 33 8 — — $27,407.22 $112,318.78 $53,270.36 2026-01-02
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 5 4 — — $41,484.33 $54,130.62 $52,875.98 2026-01-02
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 13 8 — — $49,322.11 $95,865.49 $52,871.88 2026-01-02
6111 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 20 5 — — $18,614.39 $99,389.10 $52,505.36 2026-01-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 8 — — $48,442.27 $94,155.37 $51,986.12 2026-01-02
653 MS_DRG Major Bladder Procedures With Mcc 13 8 — — $49,744.18 $96,685.86 $51,733.95 2026-01-02
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 20 5 — — $26,424.12 $281,993.49 $49,808.74 2026-01-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 6 — — $49,115.09 $94,609.97 $49,606.24 2026-01-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $47,264.38 $91,865.96 $49,525.25 2026-01-02
1771 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 20 5 — — $14,769.40 $83,924.06 $49,384.73 2026-01-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 6 — — $48,815.26 $94,032.42 $49,303.41 2026-01-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 8 — — $45,460.97 $88,360.74 $48,977.54 2026-01-02
1791 APR_DRG Defibrillator Implants 20 5 — — $35,795.80 $67,585.80 $48,966.57 2026-01-02
6131 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 20 5 — — $20,996.13 $117,314.90 $48,681.76 2026-01-02
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 5 4 — — $38,065.63 $49,669.75 $48,518.50 2026-01-02
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 5 4 — — $37,989.87 $49,570.89 $48,421.93 2026-01-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 5 4 — — $37,839.67 $49,374.90 $48,230.49 2026-01-02
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 5 — — $33,882.51 $89,311.19 $48,228.43 2026-01-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 8 — — $45,321.77 $88,090.18 $47,961.47 2026-01-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 8 — — $45,803.63 $89,026.75 $47,752.78 2026-01-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 8 — — $44,467.80 $86,430.36 $47,580.92 2026-01-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 8 — — $44,628.42 $86,742.55 $47,208.86 2026-01-02
799 MS_DRG Splenic Procedures With Mcc 13 8 — — $42,428.81 $82,467.25 $46,786.75 2026-01-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 8 — — $44,946.09 $87,359.99 $46,743.93 2026-01-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 8 — — $44,681.07 $86,844.88 $46,468.31 2026-01-02
471 MS_DRG Cervical Spinal Fusion With Mcc 13 8 — — $43,343.46 $84,245.01 $46,450.57 2026-01-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 8 — — $42,119.97 $86,777.24 $46,432.12 2026-01-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 6 — — $45,956.22 $88,525.07 $46,415.78 2026-01-02
1831 APR_DRG Percutaneous Structural Cardiac Procedures 20 5 — — $39,056.54 $80,795.96 $46,219.58 2026-01-02
0454T OTHER Insj/rplcmt Subq Electrode 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33995 HCPCS Insj Perq Vad R Hrt Venous 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
0452T OTHER Insj/rplcmt Dev Vasc Seal 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
0459T OTHER Relocaj Rplcmt Aortic Ventr 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33982 HCPCS Replace Vad Intra Without Bp 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
0451T OTHER Insj/rplcmt Aortic Ventr Sys 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33981 HCPCS Replace Vad Pump Ext 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33983 HCPCS Replace Vad Intra W/bp 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33979 HCPCS Insert Intracorporeal Device 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33975 HCPCS Implant Ventricular Device 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33990 HCPCS Insj Perq Vad L Hrt Arterial 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 5 5 — — $46,112.63 $48,418.26 $46,112.63 2026-01-02
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 20 5 — — $36,634.01 $76,967.35 $45,741.00 2026-01-02
6 MS_DRG Liver Transplant Without Mcc 13 8 — — $43,271.18 $84,104.52 $45,675.29 2026-01-02
245 MS_DRG Aicd Generator Procedures 13 8 — — $42,790.43 $84,756.66 $45,350.96 2026-01-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 8 — — $41,510.60 $80,682.55 $45,160.65 2026-01-02
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 5 4 — — $35,223.80 $45,961.60 $44,896.30 2026-01-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 8 — — $42,420.78 $82,451.64 $44,764.04 2026-01-02
163 MS_DRG Major Chest Procedures With Mcc 13 8 — — $41,129.57 $79,941.96 $44,510.96 2026-01-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 8 — — $42,613.52 $82,826.27 $44,318.06 2026-01-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $40,981.44 $79,654.05 $43,897.16 2026-01-02
J9226 HCPCS Supprelin La Implant 14 7 — — $35,077.10 $150,435.25 $43,501.97 2026-01-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 8 — — $41,756.88 $81,161.25 $43,427.16 2026-01-02
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 5 4 — — $33,870.67 $44,195.98 $43,171.60 2026-01-02
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $28,324.77 $45,115.75 $42,967.38 2026-01-02
0266T OTHER Implt/rpl Crtd Sns Dev Total 11 7 — — $28,324.77 $45,115.75 $42,967.38 2026-01-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 8 — — $38,531.08 $74,891.39 $42,786.66 2026-01-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 8 — — $41,112.61 $79,909.01 $42,757.11 2026-01-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 8 — — $40,975.19 $79,641.91 $42,652.56 2026-01-02
6901 APR_DRG Acute Leukemia 20 5 — — $14,932.57 $101,599.77 $42,616.06 2026-01-02
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 20 5 — — $27,874.22 $94,265.87 $42,271.35 2026-01-02
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 20 5 — — $24,517.42 $78,016.04 $42,204.88 2026-01-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 8 — — $40,258.65 $78,249.19 $41,869.00 2026-01-02
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 20 5 — — $32,165.29 $69,717.72 $41,766.65 2026-01-02
0387T OTHER Leadless Pm Ins/rpl Ventr 1 1 — — $41,760.23 $41,760.23 $41,760.23 2026-01-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 8 — — $39,907.96 $77,567.57 $41,700.70 2026-01-02
8631 APR_DRG Neonatal Aftercare 20 5 — — $13,860.13 $100,401.87 $41,643.98 2026-01-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 8 — — $40,018.61 $77,782.64 $41,619.35 2026-01-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 8 — — $39,198.55 $76,188.72 $41,189.83 2026-01-02
901 MS_DRG Wound Debridements For Injuries With Mcc 13 8 — — $39,534.96 $76,842.59 $41,116.36 2026-01-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 8 — — $38,064.39 $73,984.30 $40,404.17 2026-01-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 8 — — $28,631.45 $75,045.75 $40,154.92 2026-01-02
8501 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 20 5 — — $18,923.62 $108,823.16 $39,766.13 2026-01-02
793 MS_DRG Full Term Neonate With Major Problems 13 8 — — $37,214.89 $72,333.15 $39,748.81 2026-01-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 8 — — $38,008.18 $73,875.03 $39,528.51 2026-01-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 8 — — $37,127.44 $72,163.18 $39,270.04 2026-01-02
140 MS_DRG Major Head And Neck Procedures With Mcc 13 8 — — $35,676.95 $73,351.24 $39,248.24 2026-01-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 8 — — $37,394.25 $72,681.77 $38,890.02 2026-01-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 8 — — $34,920.55 $72,664.42 $38,880.73 2026-01-02
791 MS_DRG Prematurity With Major Problems 13 8 — — $36,227.96 $70,414.91 $38,694.97 2026-01-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 8 — — $34,357.63 $66,779.60 $38,318.19 2026-01-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 8 — — $36,673.24 $71,280.37 $38,195.42 2026-01-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 8 — — $36,693.76 $71,320.26 $38,161.51 2026-01-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 8 — — $35,208.92 $68,434.22 $37,909.29 2026-01-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 8 — — $36,294.89 $70,544.99 $37,746.69 2026-01-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 8 — — $34,488.80 $67,034.56 $37,372.93 2026-01-02
211 APR_DRG Open Craniotomy Except Trauma 20 5 — — $22,780.46 $73,678.97 $37,276.59 2026-01-02
6231 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 20 5 — — $12,687.68 $65,415.20 $37,227.14 2026-01-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 8 — — $31,503.04 $61,231.26 $37,042.43 2026-01-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 8 — — $35,123.58 $69,093.29 $36,969.92 2026-01-02
8901 APR_DRG HIV With Multiple Major HIV Related Conditions 20 5 — — $10,903.35 $93,450.68 $36,969.36 2026-01-02
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 20 5 — — $25,233.25 $51,499.01 $36,951.37 2026-01-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 8 — — $34,700.28 $67,445.61 $36,841.29 2026-01-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 6 — — $36,438.56 $70,191.28 $36,802.95 2026-01-02
8421 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 20 5 — — $17,232.72 $146,629.81 $36,776.32 2026-01-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 8 — — $35,136.64 $68,293.73 $36,707.19 2026-01-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 8 — — $34,108.66 $66,295.71 $36,622.20 2026-01-02
6141 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 20 5 — — $16,724.79 $77,692.72 $36,409.92 2026-01-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 8 — — $33,659.82 $65,423.30 $36,360.63 2026-01-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 8 — — $33,391.23 $64,901.25 $36,125.49 2026-01-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 8 — — $30,748.60 $66,966.92 $35,832.16 2026-01-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 8 — — $33,923.95 $65,936.68 $35,777.99 2026-01-02
0951T OTHER Tot Impl Amei 1st Plmt 5 5 — — $35,581.30 $37,360.37 $35,581.30 2026-01-02
0952T OTHER Tot Impl Amei Rev/rplc Mstdc 5 5 — — $35,581.30 $37,360.37 $35,581.30 2026-01-02
S2235 HCPCS Implant Auditory Brain Imp 5 5 — — $35,581.30 $37,360.37 $35,581.30 2026-01-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 8 — — $35,065.25 $67,545.89 $35,415.90 2026-01-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 6 — — $34,909.98 $67,246.81 $35,259.08 2026-01-02
201 APR_DRG Open Craniotomy For Trauma 20 5 — — $25,367.47 $93,540.49 $35,169.86 2026-01-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 8 — — $31,243.37 $60,726.55 $35,149.08 2026-01-02
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 5 5 — — $35,077.10 $36,830.96 $35,077.10 2026-01-02
J7174 HCPCS Injection Fitusiran 0.04 Mg 5 5 — — $35,077.10 $36,830.96 $35,077.10 2026-01-02
J1300 HCPCS Eculizumab Injection 5 5 — — $35,077.10 $36,830.96 $35,077.10 2026-01-02
Q5139 HCPCS Inj, Eculizumab-aeeb, 10 Mg 5 5 — — $35,077.10 $36,830.96 $35,077.10 2026-01-02
C9304 HCPCS Inj Marstacimab, 0.5 Mg 6 5 — — $139.89 $36,830.96 $35,077.10 2026-01-02
C9149 HCPCS Inj, Teplizumab-mzwv, 5 Mcg 5 5 — — $35,077.10 $36,830.96 $35,077.10 2026-01-02
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 5 5 — — $35,077.10 $36,830.96 $35,077.10 2026-01-02
911 APR_DRG Other Major Head And Neck Procedures 20 5 — — $17,610.38 $75,165.66 $34,742.90 2026-01-02
332 MS_DRG Rectal Resection With Mcc 13 8 — — $30,952.47 $60,161.13 $34,507.89 2026-01-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 8 — — $31,981.33 $62,160.90 $34,484.29 2026-01-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 8 — — $31,986.69 $62,171.30 $34,343.59 2026-01-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 8 — — $32,558.68 $63,283.05 $34,209.49 2026-01-02
891 APR_DRG Major Cranial Or Facial Bone Procedures 20 5 — — $19,685.51 $70,332.57 $34,154.01 2026-01-02
1691 APR_DRG Major Abdominal Vascular Procedures 20 5 — — $28,005.81 $79,458.51 $34,032.89 2026-01-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 8 — — $31,415.59 $61,061.29 $33,817.60 2026-01-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 8 — — $32,332.92 $62,844.25 $33,759.05 2026-01-02
69930 HCPCS Implant Cochlear Device 12 8 — — $30,370.74 $119,539.77 $33,735.29 2026-01-02
0302T OTHER Icar Ischm Mntrng Sys Compl 1 1 — — $33,663.90 $33,663.90 $33,663.90 2026-01-02
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 11 7 — — $16,051.13 $35,090.14 $33,419.18 2026-01-02
265 MS_DRG Aicd Lead Procedures 13 8 — — $31,831.42 $61,869.52 $33,372.83 2026-01-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 8 — — $31,265.68 $60,769.91 $33,288.79 2026-01-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 8 — — $31,988.47 $62,174.77 $33,268.01 2026-01-02
511 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Cc 5 4 — — $26,068.27 $34,015.05 $33,226.65 2026-01-02
6211 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 20 5 — — $12,053.43 $85,459.10 $33,140.03 2026-01-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 8 — — $31,688.65 $61,592.01 $32,956.20 2026-01-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 8 — — $30,564.30 $59,406.67 $32,921.46 2026-01-02
6221 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 20 5 — — $15,781.31 $44,277.02 $32,865.04 2026-01-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 8 — — $30,225.45 $61,215.65 $32,754.81 2026-01-02
G0448 HCPCS Place Perm Pacing Cardiovert 5 5 — — $32,752.06 $34,389.66 $32,752.06 2026-01-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 8 — — $30,986.38 $60,227.04 $32,657.99 2026-01-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 8 — — $30,735.63 $59,739.67 $32,637.21 2026-01-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 8 — — $30,268.05 $58,830.85 $32,626.83 2026-01-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 8 — — $31,255.87 $60,750.83 $32,506.10 2026-01-02
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 8 — — $30,613.04 $116,650.81 $32,447.88 2026-01-02
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 8 — — $30,613.04 $116,650.81 $32,447.88 2026-01-02
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 8 — — $30,613.04 $116,650.81 $32,447.88 2026-01-02
33270 HCPCS Ins/rep Subq Defibrillator 12 8 — — $30,613.04 $116,650.81 $32,447.88 2026-01-02
264 MS_DRG Other Circulatory System O.r. Procedures 13 8 — — $30,841.15 $60,619.01 $32,435.57 2026-01-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 8 — — $29,953.05 $58,218.60 $32,372.81 2026-01-02
4011 APR_DRG Adrenal Procedures 20 5 — — $10,719.13 $75,426.79 $32,348.69 2026-01-02
231 APR_DRG Spinal Procedures 20 5 — — $15,382.60 $76,127.30 $32,196.54 2026-01-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 8 — — $30,918.56 $60,095.23 $32,161.29 2026-01-02
271 APR_DRG Other Open Craniotomy 20 5 — — $20,471.09 $74,496.92 $32,147.33 2026-01-02
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $30,613.04 $34,389.66 $32,143.69 2026-01-02
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 7 — — $30,613.04 $34,389.66 $32,143.69 2026-01-02
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 5 4 — — $25,062.07 $32,702.11 $31,944.14 2026-01-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 8 — — $30,687.45 $59,646.02 $31,914.95 2026-01-02
37 MS_DRG Extracranial Procedures With Mcc 13 8 — — $29,633.60 $57,597.69 $31,876.10 2026-01-02
665 MS_DRG Prostatectomy With Mcc 13 8 — — $29,170.66 $59,552.36 $31,864.83 2026-01-02
252 MS_DRG Other Vascular Procedures With Mcc 13 8 — — $30,610.71 $59,496.86 $31,835.14 2026-01-02
6251 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 20 5 — — $13,556.16 $93,801.62 $31,677.14 2026-01-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 8 — — $30,394.76 $59,077.13 $31,610.55 2026-01-02
291 APR_DRG Other Percutaneous Intracranial Procedures 20 5 — — $20,282.92 $59,341.38 $31,590.09 2026-01-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 8 — — $29,084.81 $56,531.03 $31,560.70 2026-01-02
9121 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 20 5 — — $21,147.45 $74,069.99 $31,490.88 2026-01-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 8 — — $29,464.05 $57,268.15 $31,403.95 2026-01-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 8 — — $28,726.98 $55,835.54 $31,105.55 2026-01-02
1701 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 20 5 — — $22,423.85 $55,385.65 $30,972.26 2026-01-02
1761 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 20 5 — — $18,764.40 $61,842.20 $30,810.49 2026-01-02
740 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Cc 5 4 — — $24,168.84 $31,536.60 $30,805.64 2026-01-02
500 MS_DRG Soft Tissue Procedures With Mcc 13 8 — — $28,275.46 $54,957.93 $30,622.06 2026-01-02
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 7 — — $11,568.41 $32,143.69 $30,613.04 2026-01-02
301 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 20 5 — — $19,185.48 $54,628.50 $30,451.20 2026-01-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 8 — — $28,379.86 $55,160.86 $30,364.27 2026-01-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 8 — — $28,322.76 $55,049.86 $30,362.38 2026-01-02
1101 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 20 5 — — $11,221.79 $41,095.03 $30,340.69 2026-01-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 8 — — $29,072.32 $56,506.75 $30,235.21 2026-01-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 8 — — $28,594.03 $55,577.11 $30,223.57 2026-01-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 8 — — $27,718.64 $53,875.67 $30,025.25 2026-01-02
3251 APR_DRG Non-elective Or Complex Knee Joint Replacement 20 5 — — $24,693.74 $56,513.10 $29,866.46 2026-01-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 8 — — $27,594.61 $53,634.59 $29,854.34 2026-01-02
491 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 20 5 — — $11,281.01 $56,710.68 $29,815.53 2026-01-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 8 — — $27,517.87 $53,485.43 $29,781.62 2026-01-02
J9600 HCPCS Porfimer Sodium Injection 12 7 — — $23,133.78 $64,205.31 $29,683.78 2026-01-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 8 — — $28,032.76 $55,415.81 $29,651.48 2026-01-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 8 — — $28,456.61 $55,310.02 $29,594.87 2026-01-02
4411 APR_DRG Major Bladder Procedures 20 5 — — $15,856.31 $81,840.51 $29,567.75 2026-01-02
70 MS_DRG Other Cerebrovascular Disorders With Mcc 5 4 — — $23,112.13 $30,157.75 $29,458.75 2026-01-02
2641 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 20 5 — — $13,069.29 $43,430.06 $29,367.47 2026-01-02
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 7 — — $28,324.77 $30,551.63 $29,096.79 2026-01-02
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 12 8 — — $28,324.77 $89,222.43 $29,096.79 2026-01-02
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