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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 PRINCESS ANNE HOSPITAL

Virginia Beach, VA · CCN 490119 · Rates published

13,275 distinct procedures filed
14 distinct payers
280,200 rate rows
2026-04-01 last MRF observed
Data quality

207,654 of 280,200 rate rows are consumer-grade (74.1%)

72,546 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 72,530
placeholder amount (≤ $0.02) — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentara-princess-anne-hospital_standardcharges
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f4dbd8a650be9859… · 38,135,789 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $0.03 $4,730,250.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $0.03 $3,869,530.00 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.03 $3,482,285.72 $3,382,791.84 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $0.03 $3,410,868.00 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $0.03 $3,093,027.00 $3,004,654.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $0.03 $2,577,866.14 $2,504,212.82 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $0.03 $2,448,600.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $314,789.34 $1,091,833.92 $832,046.19 nat. median
$370,174
outlier · 2.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $0.03 $809,151.00 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $0.03 $621,312.51 $603,560.73 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $0.03 $594,162.39 $577,186.32 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $0.03 $590,665.09 $573,788.95 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $0.03 $585,183.83 $568,464.29 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.03 $559,891.68 $543,894.77 nat. median
$634,511
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $204,498.83 $708,556.29 $539,964.51 nat. median
$265,286
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $0.03 $513,769.84 $499,090.70 nat. median
$620,080
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $155,945.66 $539,826.04 $411,381.43 nat. median
$206,368
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $155,034.01 $536,657.96 $408,967.15 nat. median
$202,986
outlier · 2.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $0.03 $965,955.87 $289,032.19 nat. median
$324,450
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $101,384.99 $350,218.80 $255,045.83 nat. median
$133,176
1.9× median
7
MS_DRG 		Lung Transplant 5 $94,828.20 $327,432.86 $249,524.45 nat. median
$122,708
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $88,045.12 $303,860.58 $231,560.90 nat. median
$117,303
2.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $83,053.32 $286,513.23 $218,341.12 nat. median
$108,660
outlier · 2.0×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $82,958.73 $286,184.54 $218,090.64 nat. median
$98,017
outlier · 2.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $199,213.13 $224,051.64 $211,632.39 nat. median
$87,411
outlier · 2.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $79,723.26 $274,940.74 $209,522.16 nat. median
$102,358
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $75,622.72 $260,690.68 $198,662.71 nat. median
$100,136
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 5 $73,050.79 $251,752.79 $191,851.48 nat. median
$99,019
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $71,783.37 $247,348.32 $188,494.99 nat. median
$93,672
outlier · 2.0×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $172,128.02 $193,589.47 $182,858.74 nat. median
$63,570
outlier · 2.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $66,157.85 $227,798.73 $173,596.97 nat. median
$82,712
outlier · 2.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $159,372.31 $179,243.33 $169,307.82 nat. median
$54,196
outlier · 3.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $20,958.13 $218,946.80 $164,798.94 nat. median
$83,442
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $61,747.37 $212,471.57 $161,916.71 nat. median
$81,118
2.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $20,287.75 $213,141.59 $160,429.43 nat. median
$79,312
outlier · 2.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $8,758.01 $278,660.02 $158,867.14 nat. median
$98,905
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $149,100.74 $167,691.07 $158,395.90 nat. median
$65,381
outlier · 2.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $143,898.63 $161,840.36 $152,869.49 nat. median
$49,935
outlier · 3.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $57,857.82 $198,954.74 $151,616.04 nat. median
$77,576
2.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $197,268.67 $148,880.32 nat. median
$62,507
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $56,471.81 $194,138.14 $147,945.48 nat. median
$74,915
2.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $56,046.92 $192,661.55 $146,820.23 nat. median
$72,138
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $14,735.25 $193,301.24 $146,401.76 nat. median
$73,807
2.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $137,500.54 $154,644.53 $146,072.54 nat. median
$62,270
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $52,485.50 $678,558.17 $141,927.05 nat. median
$68,887
outlier · 2.1×
10
MS_DRG 		Pancreas Transplant 5 $52,815.08 $181,430.40 $138,261.39 nat. median
$68,882
outlier · 2.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $52,793.25 $181,354.55 $138,203.58 nat. median
$64,027
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $52,516.06 $180,391.23 $137,469.47 nat. median
$71,240
1.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $50,648.40 $173,900.82 $132,523.38 nat. median
$65,950
outlier · 2.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $49,580.33 $170,189.13 $129,694.83 nat. median
$64,732
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 13,275 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 14 4 — — $0.03 $4,730,250.00 $4,595,100.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 4 — — $0.03 $3,869,530.00 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 4 — — $0.03 $3,482,285.72 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 4 — — $0.03 $3,410,868.00 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 4 — — $0.03 $3,093,027.00 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 4 — — $0.03 $2,577,866.14 $2,504,212.82 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 4 — — $0.03 $2,448,600.00 $2,378,640.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 5 — — $314,789.34 $1,091,833.92 $832,046.19 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 14 4 — — $0.03 $809,151.00 $786,032.40 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 4 — — $0.03 $621,312.51 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 4 — — $0.03 $594,162.39 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 4 — — $0.03 $590,665.09 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 4 — — $0.03 $585,183.83 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 4 — — $0.03 $559,891.68 $543,894.77 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 5 — — $204,498.83 $708,556.29 $539,964.51 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 14 4 — — $0.03 $513,769.84 $499,090.70 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 5 — — $155,945.66 $539,826.04 $411,381.43 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 5 — — $155,034.01 $536,657.96 $408,967.15 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 20 4 — — $0.03 $965,955.87 $289,032.19 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 5 — — $101,384.99 $350,218.80 $255,045.83 2026-04-01
7 MS_DRG Lung Transplant 26 5 — — $94,828.20 $327,432.86 $249,524.45 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 26 5 — — $88,045.12 $303,860.58 $231,560.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 5 — — $83,053.32 $286,513.23 $218,341.12 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 5 — — $82,958.73 $286,184.54 $218,090.64 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 1 — — $199,213.13 $224,051.64 $211,632.39 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 5 — — $79,723.26 $274,940.74 $209,522.16 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 5 — — $75,622.72 $260,690.68 $198,662.71 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 5 — — $73,050.79 $251,752.79 $191,851.48 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 5 — — $71,783.37 $247,348.32 $188,494.99 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $172,128.02 $193,589.47 $182,858.74 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 5 — — $66,157.85 $227,798.73 $173,596.97 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $159,372.31 $179,243.33 $169,307.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 30 5 — — $20,958.13 $218,946.80 $164,798.94 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 5 — — $61,747.37 $212,471.57 $161,916.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 5 — — $20,287.75 $213,141.59 $160,429.43 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 5 — — $8,758.01 $278,660.02 $158,867.14 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $149,100.74 $167,691.07 $158,395.90 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $143,898.63 $161,840.36 $152,869.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 5 — — $57,857.82 $198,954.74 $151,616.04 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 20 4 — — $57,961.04 $197,268.67 $148,880.32 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 5 — — $56,471.81 $194,138.14 $147,945.48 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 5 — — $56,046.92 $192,661.55 $146,820.23 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 5 — — $14,735.25 $193,301.24 $146,401.76 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 1 — — $137,500.54 $154,644.53 $146,072.54 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 5 — — $52,485.50 $678,558.17 $141,927.05 2026-04-01
10 MS_DRG Pancreas Transplant 26 5 — — $52,815.08 $181,430.40 $138,261.39 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 26 5 — — $52,793.25 $181,354.55 $138,203.58 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 5 — — $52,516.06 $180,391.23 $137,469.47 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 5 — — $50,648.40 $173,900.82 $132,523.38 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 5 — — $49,580.33 $170,189.13 $129,694.83 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 5 — — $44,933.22 $169,061.47 $128,043.13 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 5 — — $47,046.34 $168,937.57 $127,949.30 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 5 — — $40,214.92 $245,872.59 $127,266.98 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 5 — — $48,446.80 $166,249.89 $126,692.88 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 5 — — $48,446.80 $166,249.89 $126,692.88 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 5 — — $48,272.91 $165,645.60 $126,232.38 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 6 — — $49,780.06 $219,321.85 $125,777.55 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $117,321.59 $131,949.61 $124,635.60 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $113,702.15 $127,878.89 $120,790.52 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $112,870.36 $126,943.38 $119,906.87 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 5 — — $45,195.31 $154,950.47 $118,082.01 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 5 — — $45,143.66 $154,770.95 $117,945.21 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 5 — — $44,716.59 $153,286.78 $116,814.18 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 5 — — $44,309.15 $151,870.87 $115,735.17 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 5 — — $44,321.51 $151,913.86 $115,055.94 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 5 — — $43,992.65 $150,771.02 $114,897.01 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 5 — — $14,994.66 $162,694.95 $114,505.49 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 26 5 — — $43,749.65 $149,926.53 $114,253.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 5 — — $43,305.11 $148,381.68 $113,076.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 5 — — $43,277.46 $148,285.60 $113,002.97 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 4 — — $110,408.22 $113,655.52 $112,437.78 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 5 — — $42,298.89 $144,884.91 $110,411.42 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 1 — — $103,538.49 $116,447.99 $109,993.24 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 5 — — $42,128.64 $144,293.26 $109,960.55 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 6 — — $37,447.63 $145,815.36 $109,753.68 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 5 — — $41,384.35 $141,706.71 $107,989.43 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 5 — — $41,104.96 $140,735.80 $107,249.54 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 5 — — $40,790.66 $139,643.53 $106,417.16 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 5 — — $40,351.93 $138,118.91 $105,255.30 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 6 — — $40,549.82 $138,806.63 $105,128.84 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 5 — — $40,289.36 $137,901.46 $105,089.60 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 5 — — $18,788.14 $138,316.12 $104,757.34 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 26 5 — — $40,130.76 $137,350.27 $104,669.56 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 28 5 — — $38,414.43 $131,385.78 $103,431.74 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 5 — — $39,406.82 $134,834.52 $102,752.39 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 5 — — $39,123.08 $133,848.44 $102,000.94 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 5 — — $36,592.67 $142,146.65 $100,043.49 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 6 — — $36,046.81 $134,753.61 $98,133.92 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 5 — — $37,277.98 $127,436.42 $97,114.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 5 — — $35,887.93 $165,035.48 $95,613.06 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 5 — — $36,602.80 $125,090.06 $95,326.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 5 — — $24,791.44 $126,101.42 $94,915.21 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 5 — — $36,266.67 $123,921.94 $93,855.53 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 5 — — $33,332.57 $124,440.26 $93,664.87 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 5 — — $12,700.79 $131,613.33 $92,668.26 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 5 — — $35,561.66 $121,471.92 $92,569.25 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 5 — — $33,489.07 $122,088.85 $92,467.19 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 5 — — $35,245.17 $120,372.07 $91,731.09 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 5 — — $34,813.00 $118,870.20 $90,586.58 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 5 — — $34,641.29 $118,273.50 $90,131.85 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 26 5 — — $34,344.45 $117,241.91 $89,345.72 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 5 — — $34,209.85 $116,774.15 $88,989.26 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 6 — — $22,761.73 $189,948.91 $88,146.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 5 — — $33,964.65 $115,922.08 $87,796.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 5 — — $33,687.46 $114,958.76 $87,605.82 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $82,233.25 $92,486.34 $87,359.79 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 26 5 — — $33,557.95 $114,508.71 $87,262.85 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 5 — — $8,962.31 $115,355.72 $86,827.03 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 5 — — $32,437.60 $118,627.47 $86,390.11 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 5 — — $33,205.81 $113,284.96 $86,330.27 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 5 — — $33,077.76 $112,839.96 $85,991.16 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 5 — — $17,048.06 $109,413.98 $82,867.54 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 5 — — $31,840.90 $108,541.68 $82,715.60 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 5 — — $31,333.79 $106,779.39 $81,372.62 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 5 — — $31,281.41 $106,597.34 $81,233.89 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 44 5 — — $28,033.69 $142,258.64 $81,209.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 5 — — $31,266.13 $106,544.25 $81,193.43 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 6 — — $13,801.00 $147,718.19 $81,144.17 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 54 7 — — $20,844.23 $235,949.37 $80,974.13 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 5 — — $25,823.66 $115,009.33 $80,944.12 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 5 — — $28,741.69 $111,067.56 $80,884.63 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 5 — — $31,083.51 $105,909.62 $80,709.80 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 5 — — $30,965.64 $105,500.02 $80,397.66 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 5 — — $31,140.26 $106,106.83 $80,362.79 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 34 5 — — $31,266.15 $113,317.83 $79,753.63 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 5 — — $15,862.06 $105,004.45 $79,527.87 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 5 — — $30,622.96 $104,309.14 $79,490.13 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 5 — — $28,903.28 $106,233.25 $77,364.06 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 5 — — $29,594.19 $100,733.98 $76,765.64 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 5 — — $25,745.39 $101,654.32 $76,720.79 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 5 — — $3,182.31 $107,843.85 $75,901.01 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 5 — — $29,068.89 $98,908.48 $75,374.49 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 5 — — $28,940.11 $98,460.95 $75,033.45 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 5 — — $28,769.13 $97,866.78 $74,580.65 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 5 — — $28,726.93 $97,720.13 $74,468.89 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 5 — — $27,798.56 $380,364.34 $74,389.09 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 5 — — $26,392.77 $97,626.58 $73,940.05 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 6 — — $2,768.53 $144,106.16 $72,367.45 2026-04-01
791 MS_DRG Prematurity With Major Problems 38 6 — — $7,863.63 $102,627.76 $72,229.91 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 5 — — $25,236.95 $95,143.69 $72,059.57 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 1 — — $67,663.31 $76,099.78 $71,881.54 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 5 — — $27,722.17 $94,228.41 $71,807.98 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 1 — — $67,339.59 $75,735.69 $71,537.64 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 4 — — $70,177.74 $72,241.80 $71,467.77 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 5 — — $27,569.38 $93,697.45 $71,403.35 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 5 — — $1,794.47 $94,729.03 $71,301.54 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 30 5 — — $27,331.47 $92,870.66 $70,773.29 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 5 — — $26,364.43 $97,072.86 $70,693.03 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 5 — — $27,006.98 $91,742.99 $69,913.94 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 5 — — $26,950.23 $91,545.78 $69,763.65 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 1 — — $69,723.94 $69,723.94 $69,723.94 2026-04-01
265 MS_DRG Aicd Lead Procedures 26 5 — — $26,932.04 $91,482.57 $69,715.48 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 5 — — $25,096.48 $91,672.20 $69,430.35 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 5 — — $26,674.48 $90,587.52 $69,033.39 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 5 — — $26,614.10 $90,377.66 $68,873.47 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 5 — — $26,092.25 $94,504.01 $68,822.27 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 6 — — $22,739.63 $91,320.75 $68,736.17 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 5 — — $26,549.34 $90,152.63 $68,701.98 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 5 — — $26,527.51 $90,076.78 $68,644.18 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 5 — — $6,820.39 $91,184.22 $68,633.40 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 5 — — $23,310.93 $90,286.64 $67,957.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 5 — — $26,213.20 $88,984.51 $67,811.80 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 5 — — $23,650.58 $89,166.55 $67,532.62 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 5 — — $23,686.25 $89,917.49 $67,050.98 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 5 — — $16,503.01 $88,198.18 $66,799.20 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 5 — — $25,980.38 $88,175.42 $66,781.96 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 4 — — $64,609.13 $178,875.56 $66,509.40 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 5 — — $25,625.34 $86,941.56 $66,254.94 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 5 — — $20,733.43 $87,346.11 $65,744.49 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 38 5 — — $21,856.66 $86,258.89 $65,734.71 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 38 5 — — $21,808.30 $92,832.73 $65,336.12 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 5 — — $22,846.07 $86,683.67 $65,245.88 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 5 — — $19,029.00 $87,770.88 $63,918.89 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 5 — — $5,220.00 $138,244.00 $63,798.30 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 5 — — $5,220.00 $138,244.00 $63,798.30 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 5 — — $5,220.00 $138,244.00 $63,798.30 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 5 — — $5,220.00 $138,244.00 $63,798.30 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 20 5 — — $5,220.00 $213,054.15 $63,749.82 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 5 — — $24,640.95 $83,520.64 $63,647.98 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 30 5 — — $24,912.32 $84,463.73 $63,574.96 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 20 4 — — $24,712.99 $84,109.92 $63,478.46 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 1 — — $59,720.78 $67,166.95 $63,443.86 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 5 — — $24,556.54 $83,227.34 $63,424.48 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 28 5 — — $24,042.48 $83,237.46 $63,042.07 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 5 — — $6,747.53 $86,145.12 $62,734.93 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 5 — — $24,273.52 $82,243.80 $62,289.49 2026-04-01
652 MS_DRG Kidney Transplant 26 5 — — $24,104.00 $81,654.68 $62,226.01 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 5 — — $21,866.22 $81,882.23 $62,015.65 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 5 — — $23,965.03 $81,171.75 $61,857.99 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 5 — — $22,185.83 $81,594.00 $61,797.35 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 28 5 — — $24,040.71 $81,434.71 $61,676.71 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 5 — — $80.75 $81,791.21 $61,563.38 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 5 — — $23,771.51 $80,499.20 $61,345.46 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 5 — — $23,724.93 $80,337.38 $61,222.14 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 5 — — $21,008.17 $80,577.58 $61,027.54 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 26 5 — — $23,633.27 $80,018.80 $60,979.37 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 5 — — $23,598.34 $79,897.44 $60,886.88 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 5 — — $23,532.86 $79,669.88 $60,713.47 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 5 — — $23,521.94 $79,631.96 $60,684.57 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 5 — — $23,468.11 $79,444.86 $60,541.98 2026-04-01
665 MS_DRG Prostatectomy With Mcc 26 5 — — $23,316.05 $78,916.42 $60,139.28 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 5 — — $23,228.75 $78,613.01 $59,908.07 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 48 6 — — $20,780.99 $81,677.43 $59,055.46 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 5 — — $14,018.83 $80,726.76 $58,789.03 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 5 — — $22,583.39 $76,370.32 $58,198.99 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 5 — — $22,556.47 $76,276.77 $58,127.70 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 4 — — $56,377.77 $157,767.64 $58,035.94 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 38 5 — — $7,410.51 $76,691.43 $57,724.83 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 6 — — $3,289.62 $76,360.21 $57,475.52 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 5 — — $8,640.51 $78,752.07 $57,350.97 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 5 — — $22,262.54 $75,255.30 $57,349.28 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 26 5 — — $22,027.53 $74,438.62 $56,726.92 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 5 — — $16,969.63 $74,362.77 $56,320.59 2026-04-01
263 MS_DRG Vein Ligation And Stripping 32 5 — — $12,783.87 $77,303.30 $56,295.90 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 26 5 — — $21,852.19 $73,829.28 $56,262.56 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 46 6 — — $19,689.30 $125,547.08 $56,067.23 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 5 — — $21,708.14 $73,328.66 $55,881.05 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 5 — — $21,615.00 $73,005.02 $55,634.42 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 26 5 — — $21,574.26 $72,863.43 $55,526.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 5 — — $19,590.38 $73,374.17 $55,227.96 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 5 — — $17,197.56 $72,570.14 $54,962.90 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 34 6 — — $21,604.82 $102,510.11 $54,923.47 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 34 5 — — $9,278.69 $77,406.97 $54,479.39 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 6 2 — — $13,700.00 $60,970.00 $54,429.00 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 18 4 — — $22,136.77 $75,341.85 $54,429.00 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 18 4 — — $22,136.77 $75,341.85 $54,429.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 18 4 — — $31,238.15 $106,318.11 $54,429.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 18 4 — — $31,238.15 $106,318.11 $54,429.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 18 4 — — $31,238.15 $106,318.11 $54,429.00 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 18 4 — — $22,136.77 $75,341.85 $54,429.00 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 18 4 — — $22,136.77 $75,341.85 $54,429.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 18 4 — — $43,834.99 $149,191.07 $54,429.00 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 18 4 — — $22,136.77 $75,341.85 $54,429.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 26 5 — — $21,047.51 $71,032.87 $54,131.52 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 4 1 — — $50,784.58 $57,116.56 $53,950.57 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 26 5 — — $20,974.03 $70,777.50 $53,936.91 2026-04-01
503 MS_DRG Foot Procedures With Mcc 30 5 — — $17,816.89 $70,570.17 $53,117.42 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 5 — — $20,497.47 $69,121.40 $52,674.86 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 5 — — $18,423.71 $69,710.52 $52,470.37 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 5 — — $20,402.89 $68,792.71 $52,424.37 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 5 — — $18,291.01 $69,498.13 $52,310.51 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 30 5 — — $88.10 $69,480.43 $52,297.19 2026-04-01
849 MS_DRG Radiotherapy 26 5 — — $20,320.67 $68,507.00 $52,206.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 5 — — $20,232.64 $68,201.06 $51,973.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 6 — — $18,016.26 $89,990.81 $51,898.89 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 5 — — $20,109.23 $68,423.56 $51,822.38 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 5 — — $19,960.53 $67,255.44 $51,252.88 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 5 — — $19,796.10 $66,684.02 $50,817.42 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 5 — — $17,941.83 $67,020.30 $50,759.58 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 4 — — $49,118.61 $50,563.28 $50,021.53 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 5 — — $19,469.42 $65,548.77 $49,952.29 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 20 5 — — $5,220.00 $149,191.07 $49,776.62 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 26 5 — — $19,372.66 $65,212.49 $49,696.03 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 26 5 — — $19,288.26 $64,919.20 $49,472.52 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 5 — — $19,182.04 $64,550.05 $49,191.20 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 30 5 — — $19,372.66 $65,212.49 $49,084.76 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 36 5 — — $15,646.52 $73,634.59 $49,020.77 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 5 — — $18,971.04 $63,816.82 $48,777.46 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 26 5 — — $18,963.04 $63,789.00 $48,611.24 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 1 — — $45,353.00 $50,815.00 $48,084.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 1 — — $45,353.00 $50,815.00 $48,084.00 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 5 — — $18,737.49 $63,005.20 $48,013.93 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 32 5 — — $17,609.14 $65,303.52 $47,557.10 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 5 — — $412.17 $62,160.71 $47,370.38 2026-04-01
J9226 HCPCS Supprelin La Implant 14 4 — — $45,921.06 $128,480.30 $47,271.68 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 30 5 — — $7,742.45 $62,747.30 $47,229.23 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 40 6 — — $17,110.91 $64,244.12 $46,785.60 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 46 6 — — $965.90 $64,122.75 $46,736.43 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 26 5 — — $18,230.39 $61,242.90 $46,670.95 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 5 — — $18,172.91 $61,043.16 $46,518.73 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 30 5 — — $18,390.45 $61,799.15 $46,515.57 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 34 5 — — $16,753.70 $61,725.83 $46,466.57 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 5 — — $18,107.43 $60,815.61 $46,345.32 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 26 5 — — $18,031.76 $60,552.65 $46,144.93 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 5 — — $17,999.75 $60,441.40 $46,060.15 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 4 1 — — $42,927.47 $48,279.80 $45,603.64 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 18 4 — — $18,243.62 $62,091.61 $45,353.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 18 4 — — $18,243.62 $62,091.61 $45,353.00 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 18 4 — — $17,047.24 $58,019.76 $45,353.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 4 — — $30,709.54 $104,518.98 $45,353.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 18 4 — — $18,243.62 $62,091.61 $45,353.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 6 2 — — $5,220.00 $50,815.00 $45,353.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 18 4 — — $30,709.54 $104,518.98 $45,353.00 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 18 4 — — $17,047.24 $58,019.76 $45,353.00 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 18 4 — — $30,709.54 $104,518.98 $45,353.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 20 5 — — $5,220.00 $138,244.00 $45,210.38 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 20 5 — — $5,220.00 $138,244.00 $45,210.38 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 20 5 — — $5,220.00 $138,244.00 $45,210.38 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 20 5 — — $5,220.00 $138,244.00 $45,210.38 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 32 6 — — $14,586.61 $62,074.75 $45,205.76 2026-04-01
333 MS_DRG Rectal Resection With Cc 26 5 — — $17,648.34 $59,220.18 $45,129.51 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 28 5 — — $9,602.47 $59,445.21 $45,022.38 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 18 4 — — $31,497.00 $149,191.07 $45,016.81 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 26 5 — — $17,538.47 $58,838.40 $44,838.56 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 5 — — $17,526.83 $58,797.94 $44,807.73 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 32 5 — — $15,642.36 $113,631.21 $44,783.02 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 28 5 — — $17,609.77 $59,086.18 $44,750.46 2026-04-01
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