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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 NORTHERN VIRGINIA MEDICAL CENTER

Woodbridge, VA · CCN 490113 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $12,840 across 6 payers · range $3,988-$29,600

Source: https://www.sentara.com/Documents/s/sentaranorthernvirginiamedicalcenterstandardchargesxlsx-1395275 · 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.

12,785 distinct procedures filed
13 distinct payers
147,928 rate rows
2026-04-01 last MRF observed
Data quality

115,845 of 147,928 rate rows are consumer-grade (78.3%)

32,083 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 31,990
placeholder amount (≤ $0.02) — excluded from medians 80
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentaranorthernvirginiamedicalcenterstandardchargesxlsx-1395275
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 · 2026-08-04
Content fingerprint 54054705fdf21867… · 38,206,630 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
$3,324,572
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
$2,997,086
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
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,378,640.00 $4,797,222.49 $2,442,770.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $786,032.40 $809,151.00 $800,481.52 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $603,560.73 $814,808.23 $620,572.85 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $577,186.32 $790,267.50 $593,455.05 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $573,788.95 $772,682.87 $589,961.92 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $568,464.29 $783,679.22 $584,487.19 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $543,894.77 $761,392.36 $559,225.14 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $499,090.70 $699,600.00 $513,158.21 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $315,889.41 $698,049.96 $508,503.19 nat. median
$370,165
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $205,600.15 $453,006.34 $364,898.62 nat. median
$261,939
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $283,815.00 $657,495.09 $292,162.50 nat. median
$302,242
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $157,047.51 $345,130.83 $283,822.87 nat. median
$205,166
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $156,135.89 $505,126.93 $277,012.01 nat. median
$199,832
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $102,487.48 $223,907.88 $186,051.99 nat. median
$132,706
1.4× median
7
MS_DRG 		Lung Transplant 7 $95,930.76 $209,339.98 $168,965.66 nat. median
$122,690
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $89,147.77 $194,269.35 $159,759.96 nat. median
$114,305
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $84,156.01 $183,178.55 $145,116.89 nat. median
$108,240
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $143,244.53 $143,244.53 $143,244.53 nat. median
$83,623
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $80,825.99 $175,779.83 $141,352.47 nat. median
$100,978
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $76,725.50 $166,669.23 $141,149.73 nat. median
$99,646
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $84,061.43 $182,968.40 $136,997.10 nat. median
$96,134
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 7 $74,153.59 $160,954.91 $132,363.38 nat. median
$98,002
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $72,886.19 $158,138.96 $126,182.40 nat. median
$92,900
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $2,352.17 $178,157.70 $125,641.68 nat. median
$96,835
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $123,768.94 $123,768.94 $123,768.94 nat. median
$58,534
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $64,713.57 $139,980.82 $115,115.07 nat. median
$81,364
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $114,596.92 $114,596.92 $114,596.92 nat. median
$51,048
outlier · 2.2×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $134,274.44 $113,283.38 nat. median
$63,643
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $60,543.29 $145,640.18 $109,821.12 nat. median
$81,124
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $62,850.31 $135,840.96 $109,568.43 nat. median
$80,459
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $20,423.53 $136,269.33 $107,961.73 nat. median
$79,040
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $107,211.13 $107,211.13 $107,211.13 nat. median
$62,767
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $103,470.55 $103,470.55 $103,470.55 nat. median
$46,826
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $58,960.80 $127,199.15 $103,458.19 nat. median
$77,385
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $57,574.81 $124,119.72 $100,108.40 nat. median
$74,472
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $98,869.99 $98,869.99 $98,869.99 nat. median
$57,648
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $57,149.92 $123,175.68 $97,935.03 nat. median
$71,485
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $11,270.86 $123,584.66 $97,912.08 nat. median
$73,475
1.3× median
10
MS_DRG 		Pancreas Transplant 7 $53,918.12 $115,995.19 $95,390.17 nat. median
$67,750
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $53,619.09 $115,330.81 $94,843.80 nat. median
$69,153
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $51,266.96 $282,911.02 $93,051.67 nat. median
$68,581
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $2,118.53 $116,688.67 $92,381.20 nat. median
$66,640
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $47,910.81 $212,973.66 $91,603.19 nat. median
$65,958
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $53,896.29 $115,946.70 $89,901.63 nat. median
$62,911
1.4× median

Other procedures at this hospital

Browse this hospital's 12,785 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 5 4 — — $2,378,640.00 $4,797,222.49 $2,442,770.00 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 6 5 — — $603,560.73 $814,808.23 $620,572.85 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $577,186.32 $790,267.50 $593,455.05 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 5 — — $573,788.95 $772,682.87 $589,961.92 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $568,464.29 $783,679.22 $584,487.19 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $543,894.77 $761,392.36 $559,225.14 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $499,090.70 $699,600.00 $513,158.21 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 7 — — $315,889.41 $698,049.96 $508,503.19 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 7 — — $205,600.15 $453,006.34 $364,898.62 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 4 — — $283,815.00 $657,495.09 $292,162.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 7 — — $157,047.51 $345,130.83 $283,822.87 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 7 — — $156,135.89 $505,126.93 $277,012.01 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 7 — — $102,487.48 $223,907.88 $186,051.99 2026-04-01
7 MS_DRG Lung Transplant 16 7 — — $95,930.76 $209,339.98 $168,965.66 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 7 — — $89,147.77 $194,269.35 $159,759.96 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 7 — — $84,156.01 $183,178.55 $145,116.89 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $143,244.53 $143,244.53 $143,244.53 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 7 — — $80,825.99 $175,779.83 $141,352.47 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 7 — — $76,725.50 $166,669.23 $141,149.73 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 6 — — $84,061.43 $182,968.40 $136,997.10 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 7 — — $74,153.59 $160,954.91 $132,363.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 7 — — $72,886.19 $158,138.96 $126,182.40 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 7 — — $2,352.17 $178,157.70 $125,641.68 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $123,768.94 $123,768.94 $123,768.94 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 7 — — $64,713.57 $139,980.82 $115,115.07 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $114,596.92 $114,596.92 $114,596.92 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $57,961.04 $134,274.44 $113,283.38 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 7 — — $60,543.29 $145,640.18 $109,821.12 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 7 — — $62,850.31 $135,840.96 $109,568.43 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 7 — — $20,423.53 $136,269.33 $107,961.73 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $107,211.13 $107,211.13 $107,211.13 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $103,470.55 $103,470.55 $103,470.55 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 7 — — $58,960.80 $127,199.15 $103,458.19 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 7 — — $57,574.81 $124,119.72 $100,108.40 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $98,869.99 $98,869.99 $98,869.99 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 7 — — $57,149.92 $123,175.68 $97,935.03 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 7 — — $11,270.86 $123,584.66 $97,912.08 2026-04-01
10 MS_DRG Pancreas Transplant 16 7 — — $53,918.12 $115,995.19 $95,390.17 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 7 — — $53,619.09 $115,330.81 $94,843.80 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 7 — — $51,266.96 $282,911.02 $93,051.67 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 7 — — $2,118.53 $116,688.67 $92,381.20 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 7 — — $47,910.81 $212,973.66 $91,603.19 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 7 — — $53,896.29 $115,946.70 $89,901.63 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 7 — — $50,683.41 $108,808.23 $88,057.49 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 7 — — $51,751.46 $111,181.25 $87,939.48 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 7 — — $50,323.27 $108,008.06 $86,926.08 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 5 — — $64,609.13 $138,279.69 $86,862.29 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 7 — — $49,549.89 $106,289.72 $84,620.45 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $84,360.29 $84,360.29 $84,360.29 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 7 — — $50,358.92 $108,087.27 $83,415.12 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 7 — — $3,282.50 $194,511.19 $83,364.11 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 7 — — $49,376.00 $105,903.38 $82,494.85 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $81,757.72 $81,757.72 $81,757.72 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $81,159.62 $81,159.62 $81,159.62 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 7 — — $46,246.78 $98,950.81 $80,834.30 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 7 — — $49,549.89 $106,289.72 $80,220.64 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 7 — — $45,819.71 $98,001.93 $79,038.90 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 7 — — $46,298.44 $99,065.59 $78,684.01 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 7 — — $44,852.79 $95,853.60 $77,708.57 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 7 — — $43,274.24 $97,124.17 $76,948.30 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 7 — — $44,408.25 $94,865.92 $76,318.52 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 7 — — $45,095.79 $96,393.51 $75,970.29 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 5 — — $56,377.77 $121,962.21 $75,937.30 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 7 — — $33,960.87 $94,804.49 $75,110.49 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $74,449.52 $74,449.52 $74,449.52 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 7 — — $41,893.83 $89,279.30 $73,420.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 7 — — $43,402.05 $92,630.30 $73,387.95 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 7 — — $43,669.79 $93,225.17 $72,944.76 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 7 — — $43,630.76 $97,096.69 $72,700.89 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 7 — — $41,233.93 $87,813.13 $72,214.28 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 7 — — $42,614.10 $90,879.63 $72,000.95 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 7 — — $42,487.51 $90,598.36 $71,711.28 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 7 — — $41,653.01 $88,744.23 $71,543.68 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 7 — — $6,382.63 $129,683.17 $71,116.42 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 7 — — $41,511.86 $88,430.63 $70,770.93 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 7 — — $41,392.54 $88,165.53 $70,449.96 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 7 — — $40,226.27 $85,574.28 $70,290.60 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 7 — — $41,455.11 $88,304.55 $70,006.62 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 16 7 — — $39,517.64 $83,999.81 $69,078.34 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 6 — — $43,231.80 $92,252.04 $69,073.46 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 7 — — $37,997.04 $136,787.21 $68,726.37 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 7 — — $14,778.12 $86,204.71 $68,297.17 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 7 — — $40,486.74 $86,152.98 $68,033.72 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 7 — — $42,208.13 $89,977.62 $67,461.61 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 7 — — $37,369.89 $79,227.90 $65,154.10 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 7 — — $35,681.40 $79,559.28 $64,676.42 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 7 — — $36,664.89 $77,661.51 $63,729.10 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 7 — — $9,941.09 $79,974.72 $63,361.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 7 — — $12,785.80 $84,145.29 $63,003.56 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 6 — — $3,988.00 $145,019.11 $62,905.95 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 7 — — $18,076.87 $96,076.68 $62,329.71 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 7 — — $13,905.84 $126,348.23 $62,249.96 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 7 — — $38,381.19 $81,474.83 $61,924.87 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 7 — — $35,024.06 $78,055.94 $61,841.16 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 7 — — $35,447.69 $74,957.11 $61,618.19 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 7 — — $36,348.40 $76,958.33 $61,459.56 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 7 — — $35,744.53 $75,616.64 $61,394.21 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 7 — — $30,400.52 $141,152.95 $61,346.25 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 7 — — $18,802.35 $135,147.75 $60,903.05 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 7 — — $34,904.94 $73,751.20 $60,650.26 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 7 — — $35,916.24 $75,998.13 $60,437.90 2026-04-01
J9226 HCPCS Supprelin La Implant 9 5 — — $45,921.06 $99,321.65 $60,405.16 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 7 — — $35,067.91 $74,113.29 $60,166.62 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 7 — — $11,652.00 $150,230.89 $60,102.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 7 — — $35,313.09 $74,658.05 $59,610.74 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $59,129.95 $59,129.95 $59,129.95 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 7 — — $32,944.17 $72,495.18 $59,050.58 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 7 — — $31,369.81 $122,326.30 $58,887.30 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 7 — — $34,805.27 $73,529.74 $58,830.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 17 7 — — $33,505.61 $73,209.67 $58,001.62 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 7 — — $34,181.02 $72,142.78 $57,498.40 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 7 — — $33,671.01 $71,009.61 $56,166.79 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 7 — — $32,243.55 $67,838.04 $55,787.51 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 7 — — $12,641.35 $72,427.28 $55,177.87 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 7 — — $32,068.93 $67,450.08 $55,146.98 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 7 — — $32,437.07 $68,268.03 $54,435.33 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 7 — — $29,908.92 $68,552.53 $54,311.93 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 7 — — $13,380.13 $72,448.30 $54,245.46 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 7 — — $32,369.40 $68,117.69 $54,040.66 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 7 — — $32,384.68 $68,151.64 $54,013.94 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 7 — — $32,186.79 $67,711.95 $53,895.07 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 7 — — $28,799.02 $67,918.86 $53,809.89 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 7 — — $3,122.02 $162,527.73 $53,463.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 7 — — $31,926.33 $67,133.25 $53,371.52 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 7 — — $30,043.42 $62,949.74 $51,767.55 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 7 — — $28,868.50 $77,312.57 $51,739.71 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 7 — — $10,001.24 $68,948.57 $51,625.06 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 7 — — $28,239.80 $66,688.71 $51,486.88 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 7 — — $29,830.25 $62,476.11 $50,620.05 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 7 — — $29,872.44 $62,569.87 $50,387.91 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 4 — — $43,834.99 $101,549.56 $50,283.12 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 7 — — $30,172.19 $63,235.86 $50,078.27 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 7 — — $29,803.33 $62,416.30 $49,558.72 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 7 — — $22,275.46 $69,952.42 $49,332.36 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 7 — — $27,144.84 $81,760.92 $49,289.35 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $48,653.42 $48,653.42 $48,653.42 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $48,420.64 $48,420.64 $48,420.64 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 7 — — $30,697.49 $64,402.98 $48,336.54 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 4 — — $24,712.99 $57,250.92 $48,300.90 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 7 — — $27,777.81 $57,915.96 $47,627.95 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 7 — — $28,901.88 $60,413.45 $47,527.54 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 7 — — $27,717.43 $57,781.79 $47,517.62 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 7 — — $28,434.80 $59,375.66 $47,041.39 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 7 — — $28,423.88 $59,351.41 $46,759.57 2026-04-01
265 MS_DRG Aicd Lead Procedures 16 7 — — $28,035.36 $58,488.20 $46,653.62 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 7 — — $28,672.70 $59,904.26 $46,591.06 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 7 — — $27,316.54 $56,891.10 $46,557.54 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 7 — — $24,822.19 $62,062.28 $46,468.97 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 7 — — $28,089.93 $58,609.44 $46,394.82 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 7 — — $27,083.72 $56,373.82 $46,359.75 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 7 — — $27,988.80 $58,384.75 $46,256.32 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 7 — — $28,053.56 $58,528.62 $46,021.76 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 7 — — $27,652.67 $57,637.92 $45,883.56 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 7 — — $27,630.85 $57,589.43 $45,880.81 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 7 — — $24,080.22 $58,572.26 $45,732.52 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 7 — — $26,967.32 $56,115.18 $45,623.17 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 7 — — $19,288.27 $60,828.90 $45,545.47 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 7 — — $25,242.90 $57,487.59 $45,450.69 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 7 — — $24,631.04 $55,843.61 $44,762.59 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 10 5 — — $12,301.00 $101,549.56 $44,640.77 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 6 — — $3,988.00 $101,549.56 $44,640.77 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 7 — — $26,532.24 $55,148.51 $43,945.38 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 8 4 — — $31,238.15 $72,367.32 $43,799.46 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 8 4 — — $31,238.15 $72,367.32 $43,799.46 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 7 — — $25,376.89 $52,581.51 $43,241.10 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 7 — — $27,949.52 $58,297.46 $43,207.04 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 7 — — $792.09 $60,563.79 $43,094.01 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 7 — — $25,662.81 $53,216.80 $42,944.45 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $42,942.32 $42,942.32 $42,942.32 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 7 — — $28,110.30 $58,654.70 $42,797.10 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 7 — — $24,340.99 $54,000.80 $42,783.06 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 7 — — $27,308.81 $60,243.72 $42,485.52 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 7 — — $25,316.02 $56,621.15 $42,457.79 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 7 — — $24,828.31 $51,362.67 $42,238.76 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 7 — — $17,140.50 $56,388.37 $42,220.64 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 7 — — $17,818.29 $57,007.49 $42,214.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 7 — — $25,189.90 $52,166.07 $41,888.92 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 4 — — $16,108.73 $60,940.77 $41,794.27 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 17 7 — — $24,736.63 $98,302.49 $41,722.81 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 7 — — $22,526.10 $88,063.42 $41,625.75 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 6 — — $26,728.68 $55,584.97 $41,619.10 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 16 7 — — $25,144.06 $52,064.23 $41,562.83 2026-04-01
665 MS_DRG Prostatectomy With Mcc 16 7 — — $24,419.42 $50,454.20 $41,491.68 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 17 7 — — $25,186.63 $52,350.35 $41,475.47 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 7 — — $25,213.91 $52,219.42 $41,002.77 2026-04-01
652 MS_DRG Kidney Transplant 16 7 — — $25,207.36 $52,204.87 $40,900.88 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 7 — — $22,335.52 $51,466.13 $40,774.93 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 7 — — $24,897.42 $51,516.24 $40,766.36 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 7 — — $24,625.32 $50,911.67 $40,618.39 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 7 — — $24,701.71 $51,081.40 $40,470.12 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 7 — — $23,884.13 $50,935.92 $40,354.86 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 7 — — $23,043.11 $50,260.22 $39,819.52 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 17 7 — — $22,708.21 $99,228.94 $39,319.65 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 7 — — $23,365.93 $48,113.51 $39,261.72 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 7 — — $11,585.71 $49,489.15 $39,208.63 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 7 — — $6,792.68 $55,075.77 $38,840.94 2026-04-01
570 MS_DRG Skin Debridement With Mcc 16 7 — — $23,109.10 $47,542.88 $38,653.81 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 7 — — $13,691.00 $51,611.61 $38,644.06 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 7 — — $22,824.62 $186,551.64 $38,619.11 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 24 7 — — $3,236.44 $67,401.58 $38,360.21 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 7 — — $23,686.78 $48,826.38 $38,158.84 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 16 7 — — $22,955.58 $47,201.80 $37,897.82 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 7 — — $24,571.48 $50,792.05 $37,829.42 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 7 — — $25,744.30 $53,397.84 $37,711.34 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 17 7 — — $25,068.40 $51,896.12 $37,686.82 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 7 — — $19,968.44 $57,534.47 $37,328.89 2026-04-01
800 MS_DRG Splenic Procedures With Cc 16 7 — — $22,150.90 $45,413.95 $37,173.13 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 7 — — $16,585.50 $50,349.13 $37,167.37 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 7 — — $22,811.52 $46,881.73 $37,060.62 2026-04-01
J9266 HCPCS Pegaspargase Injection 9 5 — — $28,992.54 $61,964.45 $36,954.28 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 7 — — $22,751.57 $52,292.16 $36,616.23 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $36,516.74 $36,516.74 $36,516.74 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 16 7 — — $22,077.42 $45,250.68 $36,504.71 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 7 — — $17,449.72 $51,217.15 $36,440.08 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 7 — — $15,593.55 $48,819.92 $36,090.24 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 16 7 — — $22,677.66 $46,584.30 $35,731.23 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 7 — — $17,172.92 $47,623.71 $35,658.12 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 16 7 — — $23,130.92 $47,591.38 $35,648.97 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 7 — — $21,063.94 $42,998.90 $35,360.71 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 7 — — $21,400.07 $43,745.72 $35,312.03 2026-04-01
503 MS_DRG Foot Procedures With Mcc 18 7 — — $13,770.11 $45,118.13 $35,297.37 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 7 — — $20,139.91 $44,432.74 $35,202.60 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 7 — — $13,277.68 $49,422.87 $35,084.81 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 17 7 — — $18,621.25 $44,191.88 $35,011.78 2026-04-01
849 MS_DRG Radiotherapy 16 7 — — $21,424.08 $43,799.07 $34,935.49 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 7 — — $10,527.80 $82,121.84 $34,927.42 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 7 — — $23,659.86 $48,766.57 $34,617.45 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 7 — — $20,996.27 $42,848.57 $34,504.32 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 7 — — $20,133.54 $46,078.33 $34,501.03 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 7 — — $21,336.04 $43,603.47 $34,498.52 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 7 — — $20,899.51 $42,633.57 $34,357.26 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 9 6 — — $30,350.23 $65,794.82 $34,080.31 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 8 4 — — $22,136.77 $55,442.00 $33,716.56 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 8 4 — — $22,136.77 $55,442.00 $33,716.56 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 8 4 — — $22,136.77 $55,442.00 $33,716.56 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 17 7 — — $18,684.89 $44,807.76 $33,553.38 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 18 7 — — $4,078.20 $205,122.54 $33,483.65 2026-04-01
69930 HCPCS Implant Cochlear Device 12 6 — — $7,778.00 $76,017.53 $33,417.00 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 7 — — $20,572.84 $41,907.76 $33,413.98 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 7 — — $19,219.53 $41,073.65 $33,285.03 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 7 — — $13,007.33 $49,031.68 $33,195.34 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 18 7 — — $11,786.74 $44,421.42 $32,934.75 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $32,856.28 $32,856.28 $32,856.28 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 7 — — $18,588.62 $46,396.78 $32,720.28 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 17 7 — — $18,684.22 $41,269.25 $32,696.27 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 16 7 — — $19,766.71 $40,116.68 $32,527.36 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 7 — — $20,066.46 $40,782.68 $32,402.07 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 4 — — $30,709.54 $71,142.71 $32,347.38 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 8 4 — — $30,709.54 $71,142.71 $32,347.38 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 16 7 — — $20,476.07 $41,692.77 $32,297.75 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 7 — — $20,476.07 $41,692.77 $32,297.75 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 10 5 — — $22,146.00 $72,367.32 $32,118.63 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 7 — — $19,840.92 $40,281.56 $31,888.85 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 7 — — $17,880.83 $47,077.33 $31,872.21 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 20 7 — — $13,380.13 $40,800.46 $31,864.32 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 6 — — $3,988.00 $72,367.32 $31,812.38 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 6 — — $3,988.00 $72,367.32 $31,812.38 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 6 — — $3,988.00 $72,367.32 $31,812.38 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 6 — — $3,988.00 $72,367.32 $31,812.38 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 7 — — $19,135.19 $38,713.56 $31,648.26 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 7 — — $19,183.06 $40,996.06 $31,616.37 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 4 — — $30,709.54 $71,142.71 $31,612.76 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 5 — — $22,146.00 $71,142.71 $31,575.12 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 8 4 — — $1,972.00 $71,142.71 $31,575.12 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 8 4 — — $1,972.00 $71,142.71 $31,575.12 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 4 — — $12,301.00 $71,142.71 $31,575.12 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 7 — — $16,634.01 $44,568.52 $31,430.94 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 18 7 — — $7,907.68 $41,957.87 $31,415.85 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 6 — — $3,988.00 $71,142.71 $31,274.05 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 6 — — $3,486.00 $71,142.71 $31,274.05 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 6 — — $3,486.00 $71,142.71 $31,274.05 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 7 — — $12,454.86 $41,750.96 $31,260.92 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 7 — — $17,534.04 $89,985.05 $31,241.68 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 7 — — $19,472.78 $39,463.61 $31,218.51 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 7 — — $6,098.91 $38,576.16 $30,928.18 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $30,867.07 $30,867.07 $30,867.07 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 7 — — $19,210.85 $38,881.67 $30,641.67 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 7 — — $18,526.23 $37,360.55 $30,336.03 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 7 — — $19,103.18 $38,642.43 $30,283.53 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 7 — — $16,264.52 $37,803.47 $30,082.22 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 17 7 — — $6,644.51 $38,005.53 $29,714.91 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 16 7 — — $18,641.91 $37,617.57 $29,695.83 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 7 — — $6,227.55 $39,510.49 $29,583.38 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 7 — — $12,401.05 $39,752.97 $29,413.47 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 17 7 — — $10,903.51 $37,108.37 $29,399.75 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $29,366.96 $29,366.96 $29,366.96 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 6 — — $19,333.81 $39,154.86 $29,317.10 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 6 — — $19,276.34 $39,027.16 $29,221.48 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 7 — — $11,132.37 $36,882.06 $29,220.45 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 16 7 — — $17,988.57 $36,165.95 $29,194.54 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 6 — — $3,988.00 $66,129.74 $29,070.37 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 7 — — $17,998.02 $36,186.97 $29,031.68 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 17 7 — — $18,194.46 $36,623.42 $29,015.54 2026-04-01
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