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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

CHESAPEAKE GENERAL HOSPITAL

Chesapeake, VA · CCN 490120 · Rates published

13,681 distinct procedures filed
167 distinct payers
417,630 rate rows
2026-07-01 last MRF observed
Data quality

167,051 of 417,630 rate rows are consumer-grade (40.0%)

250,579 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 250,375
placeholder amount (≤ $0.02) — excluded from medians 152
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 52
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://chesapeakeregional.com/sites/default/files/2025-07/237133975_chesapeake-general-hospital_standardcharges.csv
Found on page https://chesapeakeregional.com/patients-visitors/billing-insurance
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint a354e80e1a6b2f8f… · 26,546,033 bytes · first seen 2026-05-09

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,500,000.00 $3,758,972.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,200,000.00 $3,382,791.84 $3,200,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,100,000.00 $3,313,414.63 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,800,000.00 $3,004,654.80 $2,800,000.00 nat. median
$2,997,086
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,455,110.60 $2,504,212.82 $2,479,661.71 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,200,000.00 $2,378,640.00 $2,200,000.00 nat. median
$2,405,851
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $786,032.40 $778,326.20 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $1,157,542.25 $603,560.73 nat. median
$691,418
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $1,032,884.57 $573,788.95 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $1,055,244.92 $568,464.29 nat. median
$610,161
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $551,318.34 $1,106,338.60 $551,318.34 nat. median
$631,793
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $1,005,681.46 $543,894.77 nat. median
$588,565
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $306,565.74 $785,538.31 $525,567.06 nat. median
$370,165
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $978,798.31 $499,090.70 nat. median
$577,541
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $199,240.03 $509,782.76 $392,555.11 nat. median
$261,939
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $151,992.05 $410,997.51 $326,979.67 nat. median
$205,166
1.6× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $262,233.77 $262,233.77 $262,233.77 nat. median
$265,000
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $146,382.21 $386,107.61 $212,869.58 nat. median
$199,832
1.1× median
7
MS_DRG 		Lung Transplant 7 $92,517.54 $235,577.09 $182,127.32 nat. median
$122,690
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $85,916.81 $226,973.09 $180,732.69 nat. median
$114,305
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $95,873.76 $251,970.82 $162,157.69 nat. median
$132,706
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $81,059.19 $206,136.77 $153,581.56 nat. median
$108,240
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $73,828.34 $187,558.31 $148,409.54 nat. median
$99,646
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $77,818.65 $303,061.17 $138,748.16 nat. median
$100,978
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $54,957.89 $358,519.38 $132,366.78 nat. median
$73,475
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $65,105.40 $291,527.44 $125,213.94 nat. median
$92,900
1.3× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 1 $121,900.00 $121,900.00 $121,900.00 nat. median
$121,900
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $60,513.60 $251,211.02 $118,093.78 nat. median
$79,040
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $49,561.66 $153,523.76 $114,152.55 nat. median
$83,623
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $78,860.13 $200,486.65 $110,421.72 nat. median
$96,835
1.1× median
10
MS_DRG 		Pancreas Transplant 7 $51,633.81 $138,125.30 $108,887.46 nat. median
$67,750
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $27,227.54 $170,953.45 $108,883.82 nat. median
$77,385
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 7 $6,773.01 $296,718.60 $108,737.65 nat. median
$98,002
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $51,342.82 $137,330.08 $108,262.26 nat. median
$69,153
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $55,192.24 $228,813.34 $107,830.57 nat. median
$74,472
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $41,471.89 $163,893.63 $101,995.76 nat. median
$81,124
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $79,110.07 $114,904.60 $100,736.40 nat. median
$62,767
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $60,325.98 $152,866.25 $100,545.88 nat. median
$80,459
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $62,139.18 $159,585.77 $94,907.06 nat. median
$81,364
1.2× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $39,505.69 $289,465.44 $93,830.76 nat. median
$53,013
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $49,525.37 $204,961.42 $93,818.43 nat. median
$65,792
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $54,778.76 $138,613.60 $93,169.07 nat. median
$71,485
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $47,382.95 $195,943.94 $89,996.79 nat. median
$63,840
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $13,500.00 $125,732.55 $89,721.84 nat. median
$65,958
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $51,612.57 $130,478.59 $87,896.56 nat. median
$62,911
1.4× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $42,379.48 $174,884.28 $86,342.07 nat. median
$57,082
1.5× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $48,170.25 $253,679.46 $86,214.28 nat. median
$59,832
1.4× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $44,168.61 $111,352.57 $85,292.71 nat. median
$60,294
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $43,753.01 $180,665.48 $85,131.38 nat. median
$59,257
1.4× median

Other procedures at this hospital

Browse this hospital's 13,681 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 3 — — $3,500,000.00 $3,758,972.00 $3,500,000.00 2026-07-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-07-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $3,200,000.00 $3,382,791.84 $3,200,000.00 2026-07-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $3,100,000.00 $3,313,414.63 $3,100,000.00 2026-07-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 3 — — $2,800,000.00 $3,004,654.80 $2,800,000.00 2026-07-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,455,110.60 $2,504,212.82 $2,479,661.71 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 3 — — $2,200,000.00 $2,378,640.00 $2,200,000.00 2026-07-01
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $770,620.00 $786,032.40 $778,326.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $591,726.20 $1,157,542.25 $603,560.73 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $562,538.19 $1,032,884.57 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $557,317.93 $1,055,244.92 $568,464.29 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 4 — — $551,318.34 $1,106,338.60 $551,318.34 2026-07-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $533,230.17 $1,005,681.46 $543,894.77 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 7 — — $306,565.74 $785,538.31 $525,567.06 2026-07-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $489,304.61 $978,798.31 $499,090.70 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 7 — — $199,240.03 $509,782.76 $392,555.11 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 7 — — $151,992.05 $410,997.51 $326,979.67 2026-07-01
J3403 HCPCS Revakinagene, Per Implant 2 1 — — $262,233.77 $262,233.77 $262,233.77 2026-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 7 — — $146,382.21 $386,107.61 $212,869.58 2026-07-01
7 MS_DRG Lung Transplant 14 7 — — $92,517.54 $235,577.09 $182,127.32 2026-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 7 — — $85,916.81 $226,973.09 $180,732.69 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 7 — — $95,873.76 $251,970.82 $162,157.69 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 7 — — $81,059.19 $206,136.77 $153,581.56 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 7 — — $73,828.34 $187,558.31 $148,409.54 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 7 — — $77,818.65 $303,061.17 $138,748.16 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 8 — — $54,957.89 $358,519.38 $132,366.78 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 7 — — $65,105.40 $291,527.44 $125,213.94 2026-07-01
J3404 HCPCS Inj Zopapogene Per Ther Dose 2 1 — — $121,900.00 $121,900.00 $121,900.00 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 7 — — $60,513.60 $251,211.02 $118,093.78 2026-07-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 5 — — $49,561.66 $153,523.76 $114,152.55 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 8 — — $78,860.13 $200,486.65 $110,421.72 2026-07-01
10 MS_DRG Pancreas Transplant 14 7 — — $51,633.81 $138,125.30 $108,887.46 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 8 — — $27,227.54 $170,953.45 $108,883.82 2026-07-01
215 MS_DRG Other Heart Assist System Implant 32 7 — — $6,773.01 $296,718.60 $108,737.65 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 7 — — $51,342.82 $137,330.08 $108,262.26 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 7 — — $55,192.24 $228,813.34 $107,830.57 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 7 — — $41,471.89 $163,893.63 $101,995.76 2026-07-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 7 — — $79,110.07 $114,904.60 $100,736.40 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 7 — — $60,325.98 $152,866.25 $100,545.88 2026-07-01
850 MS_DRG Acute Leukemia With Other Procedures 16 7 — — $62,139.18 $159,585.77 $94,907.06 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 7 — — $39,505.69 $289,465.44 $93,830.76 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 7 — — $49,525.37 $204,961.42 $93,818.43 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 7 — — $54,778.76 $138,613.60 $93,169.07 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 7 — — $47,382.95 $195,943.94 $89,996.79 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 37 8 — — $13,500.00 $125,732.55 $89,721.84 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 7 — — $51,612.57 $130,478.59 $87,896.56 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 8 — — $42,379.48 $174,884.28 $86,342.07 2026-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 7 — — $48,170.25 $253,679.46 $86,214.28 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 7 — — $44,168.61 $111,352.57 $85,292.71 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 7 — — $43,753.01 $180,665.48 $85,131.38 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 7 — — $38,585.99 $230,767.26 $84,967.50 2026-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 7 — — $44,218.88 $182,626.32 $84,856.61 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 7 — — $42,812.07 $107,867.17 $84,116.76 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 8 — — $49,674.91 $129,709.11 $83,923.02 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 7 — — $47,382.95 $195,943.94 $82,912.61 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 7 — — $39,290.46 $104,565.04 $82,431.73 2026-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 6 — — $72,955.23 $105,964.90 $82,047.51 2026-07-01
209 MS_DRG Complex Aortic Arch Procedures 10 7 — — $80,967.15 $315,454.96 $81,776.82 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 7 — — $41,660.86 $104,909.32 $81,499.02 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 7 — — $42,946.09 $117,053.63 $81,396.85 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 8 — — $39,932.62 $106,318.33 $81,331.07 2026-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 7 — — $47,101.49 $334,855.49 $78,453.96 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 19 8 — — $40,857.19 $109,296.99 $77,628.22 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 8 — — $37,910.59 $194,691.64 $77,204.76 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 8 — — $14,197.75 $119,176.52 $77,033.48 2026-07-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 7 — — $40,510.35 $101,953.28 $75,828.43 2026-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 7 — — $42,352.58 $106,686.58 $75,539.15 2026-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 8 — — $12,000.00 $129,088.39 $74,075.27 2026-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 7 — — $29,840.02 $121,544.99 $73,907.41 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 8 — — $43,048.54 $108,474.75 $73,464.85 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 7 — — $35,900.65 $239,181.06 $73,254.62 2026-07-01
J9183 HCPCS Gemcitabine Intravesical Sys 2 1 — — $73,088.26 $73,088.26 $73,088.26 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 7 — — $30,486.42 $444,695.91 $72,695.64 2026-07-01
834 MS_DRG Acute Leukemia With Mcc 19 7 — — $39,698.27 $99,866.77 $71,711.53 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 7 — — $35,530.24 $93,466.64 $71,604.26 2026-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 7 — — $39,560.91 $99,513.87 $70,675.74 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 18 7 — — $37,620.27 $96,573.02 $69,738.00 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 7 — — $4,800.00 $147,432.52 $69,352.56 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 14 7 — — $33,659.69 $84,351.67 $67,579.12 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 8 — — $32,965.15 $103,679.60 $67,556.61 2026-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 7 — — $38,563.33 $185,609.31 $66,817.36 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 7 — — $34,536.20 $141,871.84 $66,478.80 2026-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 7 — — $39,444.80 $99,215.53 $66,423.46 2026-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $29,254.93 $116,722.36 $64,448.23 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 7 — — $34,115.65 $85,523.17 $64,207.76 2026-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 7 — — $36,514.37 $150,197.96 $64,151.97 2026-07-01
799 MS_DRG Splenic Procedures With Mcc 19 7 — — $32,894.34 $82,385.22 $63,825.16 2026-07-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 6 — — $63,235.61 $126,471.21 $63,402.04 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 50 9 — — $9,697.83 $235,629.00 $62,961.79 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 7 — — $34,844.19 $87,395.02 $62,400.41 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 8 — — $3,000.00 $157,233.74 $62,011.11 2026-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 8 — — $32,756.38 $94,691.43 $61,865.76 2026-07-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 5 — — $56,824.55 $150,390.23 $61,409.96 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 7 — — $32,427.06 $132,994.42 $61,218.28 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 7 — — $33,622.57 $87,838.88 $60,846.71 2026-07-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $60,665.00 $60,665.00 $60,665.00 2026-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 8 — — $33,797.53 $90,725.79 $60,582.31 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 7 — — $32,225.17 $84,015.13 $60,362.30 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 9 — — $12,958.40 $160,686.04 $59,810.80 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 7 — — $33,948.56 $85,093.86 $59,614.03 2026-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 8 — — $1,760.00 $110,072.81 $58,541.15 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 7 — — $30,795.96 $83,402.10 $57,993.48 2026-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 7 — — $37,253.81 $101,254.74 $57,458.87 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $30,371.72 $75,903.77 $57,195.25 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 8 — — $4,391.23 $273,141.39 $56,635.78 2026-07-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 6 — — $55,272.32 $114,034.21 $56,269.19 2026-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 7 — — $30,541.64 $76,753.22 $55,750.72 2026-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 14 5 — — $53,279.11 $79,792.02 $54,935.60 2026-07-01
90288 HCPCS Botulism Ig IV 4 1 — — $54,435.00 $54,435.00 $54,435.00 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 9 — — $27,257.92 $81,504.78 $54,369.14 2026-07-01
245 MS_DRG Aicd Generator Procedures 21 7 — — $32,981.19 $84,658.61 $54,050.54 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 39 8 — — $4,400.00 $181,993.20 $52,983.41 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 7 — — $5,145.98 $131,313.55 $52,976.29 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 7 — — $30,664.13 $76,655.05 $52,105.11 2026-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 7 — — $30,679.00 $76,693.26 $51,591.12 2026-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 8 — — $28,408.81 $78,092.14 $51,323.80 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 8 — — $12,450.51 $79,909.42 $51,036.33 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 7 — — $28,829.63 $125,851.36 $49,603.78 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 7 — — $16,606.30 $77,590.07 $48,669.48 2026-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 7 — — $25,539.68 $64,864.80 $48,578.40 2026-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 7 — — $26,137.15 $68,213.72 $48,398.03 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 7 — — $27,066.76 $67,412.21 $48,392.06 2026-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 7 — — $28,193.19 $70,306.40 $48,069.18 2026-07-01
0283T OTHER Periph Field Stimul Perm 2 2 — — $47,961.81 $47,961.81 $47,961.81 2026-07-01
0316T OTHER Replc Vagus Nerve Pls Gen 2 2 — — $47,961.81 $47,961.81 $47,961.81 2026-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 8 — — $25,626.68 $75,046.97 $47,846.21 2026-07-01
92923 HCPCS Description Not Available 1 1 — — $47,408.00 $47,408.00 $47,408.00 2026-07-01
92922 HCPCS Description Not Available 1 1 — — $47,408.00 $47,408.00 $47,408.00 2026-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 4 — — $43,631.43 $63,373.12 $47,291.16 2026-07-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 3 — — $4,201.05 $47,161.14 $47,161.14 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 9 — — $14,500.00 $127,291.31 $46,881.66 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 8 — — $5,461.55 $89,530.64 $46,862.20 2026-07-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 7 — — $23,325.66 $61,164.18 $46,789.97 2026-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 8 — — $23,039.25 $64,021.41 $46,667.62 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 7 — — $26,326.44 $75,547.22 $46,649.22 2026-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 7 — — $26,195.91 $68,965.63 $46,585.18 2026-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 7 — — $22,575.62 $81,806.46 $46,512.78 2026-07-01
332 MS_DRG Rectal Resection With Mcc 18 7 — — $26,464.24 $65,864.15 $46,039.24 2026-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 7 — — $26,835.24 $66,890.09 $46,020.78 2026-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 8 — — $6,000.00 $70,239.09 $45,928.76 2026-07-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 7 — — $26,499.64 $65,955.11 $45,904.46 2026-07-01
265 MS_DRG Aicd Lead Procedures 18 7 — — $26,446.54 $65,818.68 $45,526.28 2026-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 8 — — $29,554.90 $78,719.73 $45,520.01 2026-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 7 — — $26,052.89 $64,807.26 $45,411.63 2026-07-01
J9226 HCPCS Supprelin La Implant 12 6 — — $41,173.43 $90,424.08 $45,261.80 2026-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 7 — — $27,289.78 $67,985.22 $45,029.24 2026-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 33 7 — — $23,532.61 $133,809.00 $44,910.52 2026-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 7 — — $24,568.85 $64,861.83 $44,398.40 2026-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 7 — — $29,037.13 $72,474.76 $44,195.57 2026-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 7 — — $14,921.28 $67,992.50 $43,597.80 2026-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 8 — — $22,324.14 $62,842.63 $43,399.46 2026-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 48 9 — — $3,038.01 $79,606.93 $43,028.17 2026-07-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 4 — — $6,548.00 $113,737.67 $42,975.48 2026-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 8 — — $11,475.08 $108,118.21 $42,909.78 2026-07-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 8 — — $20,609.68 $108,008.00 $42,894.48 2026-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 7 — — $27,355.62 $68,154.40 $42,839.97 2026-07-01
652 MS_DRG Kidney Transplant 14 7 — — $23,694.53 $58,747.83 $42,803.32 2026-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 7 — — $22,563.85 $59,171.68 $42,706.41 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 7 — — $25,718.07 $69,840.71 $42,524.25 2026-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 8 — — $21,535.74 $79,548.96 $42,221.08 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 8 — — $7,403.96 $70,411.90 $42,097.16 2026-07-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 7 — — $41,234.64 $159,051.30 $41,646.99 2026-07-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 7 — — $23,632.93 $58,589.57 $41,342.58 2026-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 8 — — $24,806.56 $66,790.08 $41,295.93 2026-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 7 — — $24,951.95 $61,978.56 $41,232.71 2026-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 7 — — $26,363.00 $65,604.02 $41,230.13 2026-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 7 — — $17,869.88 $57,570.88 $41,111.29 2026-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 7 — — $22,676.46 $93,855.10 $40,959.61 2026-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 7 — — $21,366.68 $63,148.24 $40,624.38 2026-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 7 — — $23,370.97 $57,916.51 $40,418.56 2026-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 8 — — $12,080.73 $62,366.02 $40,277.28 2026-07-01
37 MS_DRG Extracranial Procedures With Mcc 22 7 — — $23,203.87 $59,886.59 $40,264.16 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 37 7 — — $272.00 $89,944.56 $40,162.44 2026-07-01
665 MS_DRG Prostatectomy With Mcc 19 8 — — $18,245.15 $59,483.66 $39,793.79 2026-07-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 7 — — $26,519.47 $66,006.04 $39,766.08 2026-07-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 8 — — $7,500.00 $54,143.69 $39,612.15 2026-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 8 — — $22,640.69 $58,704.18 $39,290.83 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 7 — — $25,318.64 $71,161.37 $39,282.53 2026-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 7 — — $24,217.04 $60,090.33 $39,166.43 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 7 — — $28,400.64 $74,960.08 $39,058.22 2026-07-01
5231 OTHER Level 1 Icd And Similar Procedures 13 6 — — $20,616.33 $58,007.83 $38,741.93 2026-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 8 — — $16,166.70 $105,977.74 $38,006.72 2026-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 7 — — $26,683.99 $68,369.65 $37,848.46 2026-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 7 — — $9,794.39 $57,483.56 $37,618.53 2026-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 8 — — $1,200.00 $93,409.17 $37,570.35 2026-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 8 — — $28,424.14 $88,000.00 $37,518.52 2026-07-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 7 — — $22,211.97 $54,938.64 $37,414.46 2026-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 7 — — $19,662.44 $56,785.60 $37,155.21 2026-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 8 — — $17,791.87 $68,452.73 $37,140.17 2026-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 7 — — $21,363.07 $52,757.54 $36,815.94 2026-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 8 — — $6,375.00 $59,879.31 $36,324.70 2026-07-01
668 MS_DRG Transurethral Procedures With Mcc 18 7 — — $21,503.26 $53,117.72 $36,301.48 2026-07-01
800 MS_DRG Splenic Procedures With Cc 18 7 — — $20,720.20 $51,105.80 $36,297.61 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 8 — — $29,753.08 $76,431.31 $35,915.79 2026-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 7 — — $13,241.25 $55,691.75 $35,744.64 2026-07-01
263 MS_DRG Vein Ligation And Stripping 18 7 — — $22,476.05 $55,617.16 $35,595.94 2026-07-01
654 MS_DRG Major Bladder Procedures With Cc 18 7 — — $20,648.69 $50,922.07 $35,264.48 2026-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 7 — — $19,205.91 $49,730.56 $35,223.25 2026-07-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 7 — — $19,115.86 $46,983.71 $35,130.83 2026-07-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 7 — — $19,502.43 $47,976.94 $35,116.04 2026-07-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 8 — — $22,214.80 $54,945.92 $35,046.77 2026-07-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 7 — — $23,075.73 $57,157.94 $34,892.19 2026-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 7 — — $18,713.13 $52,790.28 $34,881.05 2026-07-01
570 MS_DRG Skin Debridement With Mcc 21 8 — — $19,024.75 $53,501.55 $34,856.00 2026-07-01
849 MS_DRG Radiotherapy 18 7 — — $20,012.91 $49,288.51 $34,662.77 2026-07-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 8 — — $14,654.28 $57,319.84 $34,579.11 2026-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 7 — — $11,957.45 $43,920.61 $34,510.07 2026-07-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 18 7 — — $21,232.80 $52,422.82 $34,489.18 2026-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 37 8 — — $450.00 $77,897.33 $34,403.54 2026-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 27 7 — — $16,181.91 $58,213.04 $34,124.67 2026-07-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 28 8 — — $16,371.64 $74,145.14 $34,064.68 2026-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 7 — — $18,446.29 $58,400.39 $34,063.87 2026-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 7 — — $19,989.54 $49,228.48 $33,403.03 2026-07-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 18 7 — — $16,193.22 $41,768.84 $32,899.30 2026-07-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 7 — — $12,144.01 $48,218.88 $32,862.08 2026-07-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 7 — — $16,261.50 $49,068.40 $32,770.99 2026-07-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 7 — — $21,755.26 $54,878.61 $32,757.98 2026-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 8 — — $21,271.83 $58,766.40 $32,674.44 2026-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 18 7 — — $21,673.88 $53,556.12 $32,622.38 2026-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 27 8 — — $15,304.20 $50,211.09 $32,576.92 2026-07-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 7 — — $17,859.16 $71,677.94 $32,258.58 2026-07-01
253 MS_DRG Other Vascular Procedures With Cc 33 8 — — $10,767.02 $47,216.56 $32,092.47 2026-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 7 — — $16,767.41 $50,423.63 $32,001.46 2026-07-01
503 MS_DRG Foot Procedures With Mcc 23 7 — — $20,590.64 $50,772.90 $31,989.70 2026-07-01
5116 OTHER Level 6 Musculoskeletal Procedures 31 8 — — $9,443.82 $76,455.46 $31,960.52 2026-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 23 7 — — $9,713.58 $49,988.87 $31,842.99 2026-07-01
347 MS_DRG Anal And Stomal Procedures With Mcc 18 7 — — $17,082.47 $41,759.26 $31,772.08 2026-07-01
113 MS_DRG Orbital Procedures With Cc/Mcc 18 7 — — $17,475.42 $42,768.86 $31,103.06 2026-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 7 — — $17,361.27 $66,959.39 $31,064.05 2026-07-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 7 — — $17,370.35 $52,524.69 $31,042.62 2026-07-01
545 MS_DRG Connective Tissue Disorders With Mcc 22 8 — — $17,305.64 $46,577.31 $30,928.15 2026-07-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 7 — — $17,829.87 $45,330.15 $30,916.80 2026-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 7 — — $19,090.38 $46,918.23 $30,713.26 2026-07-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 3 — — $15,923.00 $79,681.35 $30,709.54 2026-07-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $6,548.00 $81,052.94 $30,625.64 2026-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 36 8 — — $11,432.36 $129,146.95 $30,610.56 2026-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 21 7 — — $14,026.49 $46,707.21 $30,374.97 2026-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 32 7 — — $17,957.40 $76,079.40 $30,262.00 2026-07-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 4 — — $6,548.00 $79,681.35 $30,107.39 2026-07-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 4 — — $6,548.00 $79,681.35 $30,107.39 2026-07-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 4 — — $6,548.00 $79,681.35 $30,107.39 2026-07-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 4 — — $6,548.00 $79,681.35 $30,107.39 2026-07-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 18 7 — — $4,834.83 $74,357.51 $30,061.22 2026-07-01
5232 OTHER Level 2 Icd And Similar Procedures 13 7 — — $114.47 $82,786.94 $30,006.78 2026-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 8 — — $20,771.99 $58,846.07 $29,967.06 2026-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 34 9 — — $15,046.48 $123,246.12 $29,918.27 2026-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 7 — — $17,192.92 $42,043.04 $29,850.17 2026-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 7 — — $6,980.92 $44,462.44 $29,788.83 2026-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 8 — — $15,603.86 $51,853.45 $29,724.14 2026-07-01
791 MS_DRG Prematurity With Major Problems 32 8 — — $2,349.53 $73,837.27 $29,567.43 2026-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 31 8 — — $296.86 $41,577.35 $29,349.06 2026-07-01
252 MS_DRG Other Vascular Procedures With Mcc 33 8 — — $21,709.97 $63,455.67 $29,171.60 2026-07-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 7 — — $16,459.37 $47,160.17 $29,152.03 2026-07-01
397 MS_DRG Appendix Procedures With Mcc 19 7 — — $17,451.88 $43,565.63 $28,940.70 2026-07-01
5213 OTHER Level 3 Electrophysiologic Procedures 28 8 — — $10,608.90 $86,588.92 $28,896.81 2026-07-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 19 7 — — $16,678.91 $40,722.37 $28,753.91 2026-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 19 7 — — $16,396.42 $39,996.55 $28,735.88 2026-07-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 22 8 — — $13,542.64 $41,213.53 $28,650.07 2026-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 18 7 — — $16,669.71 $40,698.72 $28,437.02 2026-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 8 — — $14,844.66 $44,735.31 $28,432.77 2026-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 36 7 — — $1,200.00 $45,894.07 $28,426.10 2026-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 7 — — $7,119.32 $42,541.47 $28,414.88 2026-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 37 9 — — $12,659.78 $78,416.00 $28,325.76 2026-07-01
835 MS_DRG Acute Leukemia With Cc 20 7 — — $15,597.08 $37,942.79 $28,254.86 2026-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 18 7 — — $19,090.38 $46,918.23 $28,078.90 2026-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 8 — — $23,572.03 $64,958.24 $28,063.09 2026-07-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 22 7 — — $9,781.07 $40,067.53 $28,040.34 2026-07-01
709 MS_DRG Penis Procedures With Cc/Mcc 18 7 — — $17,305.50 $42,332.28 $27,964.25 2026-07-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 32 7 — — $2,600.00 $42,000.00 $27,932.67 2026-07-01
J9266 HCPCS Pegaspargase Injection 12 6 — — $27,070.53 $54,141.07 $27,747.29 2026-07-01
595 MS_DRG Major Skin Disorders With Mcc 18 7 — — $15,844.17 $38,577.65 $27,730.24 2026-07-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 18 7 — — $16,544.39 $40,376.74 $27,709.18 2026-07-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 18 7 — — $15,910.02 $38,746.83 $27,641.42 2026-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 8 — — $13,929.19 $39,634.55 $27,630.31 2026-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 50 9 — — $2,200.00 $47,000.00 $27,576.90 2026-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 8 — — $13,434.08 $100,801.00 $27,540.40 2026-07-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 2 1 — — $21,433.49 $33,610.48 $27,521.99 2026-07-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 19 7 — — $16,001.11 $39,800.09 $27,460.56 2026-07-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 7 — — $6,548.00 $81,052.94 $27,415.20 2026-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 18 7 — — $15,820.81 $39,741.82 $27,193.90 2026-07-01
374 MS_DRG Digestive Malignancy With Mcc 31 8 — — $12,894.14 $38,905.09 $27,159.42 2026-07-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 23 7 — — $14,968.61 $41,397.26 $27,145.00 2026-07-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 19 7 — — $13,353.41 $34,048.82 $27,137.22 2026-07-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 18 7 — — $15,815.15 $38,503.07 $27,052.17 2026-07-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 18 7 — — $16,480.67 $40,213.02 $26,955.59 2026-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 18 7 — — $15,649.47 $38,077.40 $26,953.01 2026-07-01
333 MS_DRG Rectal Resection With Cc 18 7 — — $17,412.40 $42,606.96 $26,788.12 2026-07-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 24 7 — — $13,842.13 $38,039.20 $26,693.50 2026-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 18 7 — — $16,271.81 $39,676.39 $26,687.64 2026-07-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 19 7 — — $13,370.31 $38,246.58 $26,615.50 2026-07-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 18 7 — — $13,618.92 $33,577.58 $26,443.74 2026-07-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 27 8 — — $750.00 $72,332.57 $26,400.17 2026-07-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 12 5 — — $6,548.00 $81,052.94 $26,399.82 2026-07-01
711 MS_DRG Testes Procedures With Cc/Mcc 18 7 — — $15,582.92 $37,906.41 $26,334.58 2026-07-01
935 MS_DRG Non-extensive Burns 19 8 — — $15,142.33 $38,050.90 $26,293.45 2026-07-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 20 7 — — $15,886.65 $38,686.80 $26,252.81 2026-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 24 7 — — $4,800.00 $42,303.17 $26,134.18 2026-07-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 18 7 — — $13,552.36 $34,589.36 $26,130.58 2026-07-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 22 7 — — $13,644.40 $34,438.64 $26,068.54 2026-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 7 — — $15,024.65 $42,510.55 $25,843.20 2026-07-01
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