Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PROVIDENCE ALASKA MEDICAL CENTER

Anchorage, AK · CCN 020001 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $19,708 across 2 payers · range $2,236-$33,682

Source: https://pricetransparency.providence.org/alaska/live/920016429_providence-alaska-medical-center_standardcharges.json · 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.

18,707 distinct procedures filed
8 distinct payers
90,264 rate rows
2026-04-01 last MRF observed
Data quality

65,764 of 90,264 rate rows are consumer-grade (72.9%)

24,500 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 20,898
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
template filing: same amount across many unrelated codes — excluded 793
placeholder amount (≤ $0.02) — excluded from medians 134
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/alaska/live/920016429_providence-alaska-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaPublic MRF directory
Last fetch success · 2026-11-02
Content fingerprint 6524d22e9fb2d4d9… · 185,422,720 bytes · first seen 2026-05-05

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $434,919.66 $2,016,788.26 $1,184,192.49 nat. median
$359,244
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $324,849.01 $1,506,374.00 $884,493.82 nat. median
$248,541
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $273,600.03 $1,268,724.76 $744,953.92 nat. median
$198,115
outlier · 3.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $247,159.00 $1,596,604.15 $672,960.68 nat. median
$190,359
outlier · 3.5×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $466,994.09 $757,096.48 $612,045.29 nat. median
$68,400
outlier · 8.9×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $66,600.78 $1,079,740.25 $582,757.01 nat. median
$16,786
outlier · 34.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $416,082.70 $674,558.32 $545,320.51 nat. median
$63,504
outlier · 8.6×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $409,059.64 $663,172.45 $536,116.04 nat. median
$65,720
outlier · 8.2×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $399,989.78 $648,468.28 $524,229.03 nat. median
$111,503
outlier · 4.7×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $396,535.43 $642,868.05 $519,701.74 nat. median
$96,983
outlier · 5.4×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $389,178.11 $630,940.27 $510,059.19 nat. median
$75,037
outlier · 6.8×
J9226
HCPCS 		Supprelin La Implant 1 $333,380.28 $540,480.15 $436,930.22 nat. median
$55,159
outlier · 7.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $151,095.43 $700,652.38 $411,400.29 nat. median
$110,084
outlier · 3.7×
7
MS_DRG 		Lung Transplant 4 $150,714.83 $698,887.50 $410,364.01 nat. median
$117,977
outlier · 3.5×
90288
HCPCS 		Botulism Ig IV 1 $289,307.70 $469,029.15 $379,168.43 nat. median
$51,570
outlier · 7.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $162,953.88 $755,641.79 $353,602.83 nat. median
$126,461
outlier · 2.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $127,092.51 $589,347.22 $346,045.53 nat. median
$103,938
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $125,632.41 $582,576.50 $342,069.97 nat. median
$97,137
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $122,812.54 $569,500.33 $334,392.08 nat. median
$94,943
outlier · 3.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $120,886.49 $560,568.97 $329,147.86 nat. median
$93,226
outlier · 3.5×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 1 $239,984.20 $389,065.29 $314,524.74 nat. median
$70,178
outlier · 4.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $90,141.26 $418,030.76 $291,206.97 nat. median
$71,737
outlier · 4.1×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $206,365.42 $334,562.12 $270,463.77 nat. median
$1,683
outlier · 160.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $92,963.44 $631,627.41 $266,545.87 nat. median
$74,298
outlier · 3.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $97,725.50 $453,167.94 $266,085.48 nat. median
$76,979
outlier · 3.5×
J9266
HCPCS 		Pegaspargase Injection 1 $199,390.71 $323,254.64 $261,322.67 nat. median
$33,314
outlier · 7.8×
215
MS_DRG 		Other Heart Assist System Implant 4 $122,185.13 $566,590.95 $259,896.91 nat. median
$93,787
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $76,894.22 $397,215.94 $255,173.01 nat. median
$63,829
outlier · 4.0×
10
MS_DRG 		Pancreas Transplant 4 $91,949.67 $426,384.53 $250,359.13 nat. median
$64,851
outlier · 3.9×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $91,420.30 $423,929.75 $248,917.76 nat. median
$66,623
outlier · 3.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $80,230.78 $557,999.38 $244,479.08 nat. median
$62,577
outlier · 3.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $111,300.09 $516,115.36 $236,743.61 nat. median
$90,512
outlier · 2.6×
28
MS_DRG 		Spinal Procedures With Mcc 5 $70,111.54 $325,117.81 $232,664.73 nat. median
$54,377
outlier · 4.3×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 $65,793.50 $384,172.55 $227,819.73 nat. median
$53,419
outlier · 4.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $106,235.86 $492,631.75 $225,971.61 nat. median
$78,164
outlier · 2.9×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $102,200.39 $473,918.66 $217,387.86 nat. median
$70,795
outlier · 3.1×
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $163,712.34 $265,412.43 $214,562.39 nat. median
$50,516
outlier · 4.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $77,320.95 $358,548.93 $210,528.27 nat. median
$60,517
outlier · 3.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 $77,024.54 $357,174.46 $209,721.23 nat. median
$61,263
outlier · 3.4×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 4 $62,606.88 $290,317.56 $207,760.56 nat. median
$50,728
outlier · 4.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $97,670.14 $452,911.23 $207,751.70 nat. median
$77,487
outlier · 2.7×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 $62,228.59 $288,563.38 $206,505.21 nat. median
$49,944
outlier · 4.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $96,186.97 $446,033.54 $204,596.88 nat. median
$77,936
outlier · 2.6×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 $61,355.52 $376,906.35 $203,607.95 nat. median
$51,559
outlier · 3.9×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $74,474.55 $345,349.76 $202,778.15 nat. median
$61,995
outlier · 3.3×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $61,083.34 $283,252.69 $202,704.71 nat. median
$50,558
outlier · 4.0×
L7180
HCPCS 		Electronic Elbow Sequential 1 $152,293.76 $246,900.49 $199,597.12 nat. median
$46,980
outlier · 4.2×
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $151,998.54 $246,421.88 $199,210.21 nat. median
$39,921
outlier · 5.0×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $72,934.87 $338,210.01 $198,585.92 nat. median
$58,234
outlier · 3.4×
J9600
HCPCS 		Porfimer Sodium Injection 1 $149,621.71 $242,568.53 $196,095.12 nat. median
$30,234
outlier · 6.5×

Other procedures at this hospital

Browse this hospital's 18,707 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 4 — — $434,919.66 $2,016,788.26 $1,184,192.49 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 4 — — $324,849.01 $1,506,374.00 $884,493.82 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 4 — — $273,600.03 $1,268,724.76 $744,953.92 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 4 — — $247,159.00 $1,596,604.15 $672,960.68 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 1 — — $466,994.09 $757,096.48 $612,045.29 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 6 1 — — $66,600.78 $1,079,740.25 $582,757.01 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 1 — — $416,082.70 $674,558.32 $545,320.51 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $409,059.64 $663,172.45 $536,116.04 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $399,989.78 $648,468.28 $524,229.03 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $396,535.43 $642,868.05 $519,701.74 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $389,178.11 $630,940.27 $510,059.19 2026-04-01
J9226 HCPCS Supprelin La Implant 2 1 — — $333,380.28 $540,480.15 $436,930.22 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 4 — — $151,095.43 $700,652.38 $411,400.29 2026-04-01
7 MS_DRG Lung Transplant 6 4 — — $150,714.83 $698,887.50 $410,364.01 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $289,307.70 $469,029.15 $379,168.43 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 4 — — $162,953.88 $755,641.79 $353,602.83 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 4 — — $127,092.51 $589,347.22 $346,045.53 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 4 — — $125,632.41 $582,576.50 $342,069.97 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 4 — — $122,812.54 $569,500.33 $334,392.08 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 4 — — $120,886.49 $560,568.97 $329,147.86 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 1 — — $239,984.20 $389,065.29 $314,524.74 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 4 — — $90,141.26 $418,030.76 $291,206.97 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $206,365.42 $334,562.12 $270,463.77 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 5 — — $92,963.44 $631,627.41 $266,545.87 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 4 — — $97,725.50 $453,167.94 $266,085.48 2026-04-01
J9266 HCPCS Pegaspargase Injection 2 1 — — $199,390.71 $323,254.64 $261,322.67 2026-04-01
215 MS_DRG Other Heart Assist System Implant 7 4 — — $122,185.13 $566,590.95 $259,896.91 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 4 — — $76,894.22 $397,215.94 $255,173.01 2026-04-01
10 MS_DRG Pancreas Transplant 6 4 — — $91,949.67 $426,384.53 $250,359.13 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 4 — — $91,420.30 $423,929.75 $248,917.76 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 5 — — $80,230.78 $557,999.38 $244,479.08 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 4 — — $111,300.09 $516,115.36 $236,743.61 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 7 5 — — $70,111.54 $325,117.81 $232,664.73 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $65,793.50 $384,172.55 $227,819.73 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 4 — — $106,235.86 $492,631.75 $225,971.61 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 3 — — $102,200.39 $473,918.66 $217,387.86 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $163,712.34 $265,412.43 $214,562.39 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 4 — — $77,320.95 $358,548.93 $210,528.27 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 4 — — $77,024.54 $357,174.46 $209,721.23 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 4 — — $62,606.88 $290,317.56 $207,760.56 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $97,670.14 $452,911.23 $207,751.70 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 4 — — $62,228.59 $288,563.38 $206,505.21 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 4 — — $96,186.97 $446,033.54 $204,596.88 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 5 — — $61,355.52 $376,906.35 $203,607.95 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $74,474.55 $345,349.76 $202,778.15 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 5 — — $61,083.34 $283,252.69 $202,704.71 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $152,293.76 $246,900.49 $199,597.12 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $151,998.54 $246,421.88 $199,210.21 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 4 — — $72,934.87 $338,210.01 $198,585.92 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 1 — — $149,621.71 $242,568.53 $196,095.12 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 4 — — $71,344.44 $330,834.95 $194,255.53 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 4 — — $71,019.20 $329,326.78 $193,369.97 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 4 — — $70,775.85 $328,198.33 $192,707.38 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 4 — — $70,448.31 $326,679.46 $191,815.55 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 4 — — $7,825.60 $413,811.09 $189,804.08 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 4 — — $69,608.69 $322,786.02 $189,529.46 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 4 — — $69,608.69 $322,786.02 $189,529.46 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 4 — — $68,564.93 $317,945.97 $188,753.95 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $68,612.22 $318,165.24 $186,816.29 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 4 — — $66,643.63 $399,167.93 $183,099.49 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $66,189.09 $334,869.60 $180,218.64 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 4 — — $64,288.42 $298,115.13 $175,043.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 4 — — $81,870.80 $379,647.28 $174,145.31 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 4 — — $81,499.43 $377,925.18 $173,355.38 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 5 — — $63,087.81 $292,547.73 $171,774.52 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 4 — — $62,749.89 $290,980.73 $170,854.42 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 4 — — $62,220.51 $288,525.94 $169,413.05 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 4 — — $78,747.60 $365,164.56 $167,502.04 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 3 — — $76,491.71 $354,703.63 $162,703.58 2026-04-01
E0194 HCPCS Air Fluidized Bed 6 1 — — $18,567.01 $301,010.69 $162,461.38 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 4 — — $59,392.57 $275,412.34 $161,713.17 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 4 — — $59,197.66 $274,508.51 $161,182.47 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 2 1 — — $121,977.74 $197,751.79 $159,864.77 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 4 — — $74,593.34 $345,900.62 $158,774.81 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 4 — — $58,087.01 $269,358.27 $158,158.42 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 6 — — $47,422.25 $371,789.28 $157,370.47 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 4 — — $57,744.48 $267,769.87 $157,225.77 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 4 — — $57,699.50 $267,561.30 $157,103.29 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 4 — — $57,468.83 $266,491.67 $156,475.24 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 4 — — $56,357.03 $261,336.08 $153,448.05 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 4 — — $55,923.38 $259,325.18 $152,267.32 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 4 — — $71,436.70 $331,262.80 $151,951.21 2026-04-01
39503 HCPCS Repair Of Diaphragm Hernia 2 1 — — $115,359.99 $187,023.01 $151,191.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 5 — — $63,742.90 $295,585.47 $150,460.77 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 3 — — $70,540.57 $327,107.31 $150,045.07 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 4 — — $54,834.65 $254,276.56 $149,302.92 2026-04-01
47135 HCPCS Transplantation Of Liver 2 1 — — $112,177.22 $181,863.06 $147,020.14 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 4 — — $69,088.54 $320,374.02 $146,956.49 2026-04-01
5735 OTHER Level 5 Minor Procedures 1 1 — — $145,949.02 $145,949.02 $145,949.02 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 8 4 — — $53,155.41 $246,489.69 $144,730.73 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 4 — — $53,133.50 $246,388.07 $144,671.06 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 4 — — $52,963.96 $245,601.90 $144,209.45 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 4 — — $67,145.20 $311,362.43 $142,822.85 2026-04-01
33935 HCPCS Transplantation Heart/lung 2 1 — — $108,146.13 $175,327.82 $141,736.98 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 4 — — $63,747.51 $295,606.86 $141,252.20 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 4 — — $51,719.53 $239,831.27 $140,821.12 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 4 — — $67,859.10 $314,672.92 $139,797.59 2026-04-01
33945 HCPCS Transplantation Of Heart 2 1 — — $106,555.56 $172,749.17 $139,652.36 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 4 — — $50,659.62 $234,916.35 $137,935.24 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 2 1 — — $104,457.95 $169,348.49 $136,903.22 2026-04-01
43116 HCPCS Partial Removal Of Esophagus 2 1 — — $103,838.92 $168,344.92 $136,091.92 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 4 — — $49,900.74 $231,397.28 $135,868.96 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 4 — — $63,492.63 $294,424.92 $135,053.57 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 5 — — $49,193.75 $228,118.88 $133,943.99 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 4 — — $48,773.95 $226,172.16 $132,800.94 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 4 — — $62,287.41 $288,836.13 $132,489.97 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 4 — — $48,327.61 $224,102.44 $131,585.67 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 4 — — $51,576.52 $239,168.11 $131,309.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 4 — — $58,753.63 $272,449.48 $131,241.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 4 — — $39,120.65 $181,408.37 $129,821.64 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 4 — — $47,325.37 $219,454.92 $128,856.80 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $98,306.01 $159,374.90 $128,840.45 2026-04-01
47142 HCPCS Partial Removal Donor Liver 2 1 — — $97,729.47 $158,440.21 $128,084.84 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $97,621.25 $158,264.75 $127,943.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 4 — — $48,324.15 $224,086.40 $127,817.27 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 4 — — $46,906.72 $217,513.55 $127,716.89 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 6 1 — — $14,588.20 $236,505.67 $127,646.74 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $125,386.39 $125,386.39 $125,386.39 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 4 — — $45,513.51 $211,053.02 $123,923.47 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 4 — — $45,409.71 $210,571.69 $123,640.85 2026-04-01
43123 HCPCS Partial Removal Of Esophagus 2 1 — — $93,971.71 $152,348.08 $123,159.89 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 4 — — $44,846.89 $207,961.80 $122,108.40 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 4 — — $37,571.74 $174,225.84 $121,853.23 2026-04-01
43108 HCPCS Removal Of Esophagus 2 1 — — $92,832.14 $150,500.59 $121,666.36 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 4 — — $44,528.57 $206,485.72 $121,241.70 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 4 — — $47,982.77 $222,503.35 $121,125.85 2026-04-01
33916 HCPCS Surgery Of Great Vessel 2 1 — — $91,505.70 $148,350.15 $119,927.92 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 7 4 — — $56,016.80 $259,758.38 $119,151.92 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 4 — — $52,957.04 $245,569.81 $119,042.74 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 5 — — $57,683.35 $267,486.42 $118,840.35 2026-04-01
43113 HCPCS Removal Of Esophagus 2 1 — — $90,636.84 $146,941.54 $118,789.19 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 4 — — $43,500.96 $201,720.54 $118,443.74 2026-04-01
32854 HCPCS Lung Transplant With Bypass 2 1 — — $90,154.71 $146,159.90 $118,157.30 2026-04-01
33305 HCPCS Repair Of Heart Wound 2 1 — — $89,739.62 $145,486.96 $117,613.29 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 4 — — $43,180.34 $200,233.76 $117,570.76 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 4 — — $55,073.38 $255,383.62 $117,145.21 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 4 — — $51,094.43 $236,932.59 $117,051.79 2026-04-01
47141 HCPCS Partial Removal Donor Liver 2 1 — — $88,806.84 $143,974.73 $116,390.79 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 4 — — $54,256.83 $251,597.15 $115,408.34 2026-04-01
46748 HCPCS Repair Of Cloacal Anomaly 2 1 — — $87,988.71 $142,648.36 $115,318.54 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 4 — — $53,966.20 $250,249.42 $114,790.13 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 4 — — $42,077.76 $195,120.96 $114,568.68 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 4 — — $53,654.80 $248,805.42 $114,127.77 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 4 — — $52,029.77 $241,269.92 $113,600.74 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 3 — — $53,117.35 $246,313.20 $112,984.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 4 — — $34,006.82 $157,694.78 $112,851.44 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 4 — — $41,137.81 $190,762.23 $112,009.38 2026-04-01
32853 HCPCS Lung Transplant Double 2 1 — — $85,005.08 $137,811.27 $111,408.17 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 4 — — $40,716.84 $188,810.17 $110,863.19 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 4 — — $40,703.00 $188,745.99 $110,825.51 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 4 — — $40,600.36 $188,270.01 $110,546.02 2026-04-01
55980 HCPCS Sex Transformation F To M 2 1 — — $84,333.82 $136,723.02 $110,528.42 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 4 — — $41,795.20 $193,810.67 $110,508.45 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 4 — — $40,407.75 $187,376.87 $110,021.61 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 4 — — $40,400.83 $187,344.78 $110,002.76 2026-04-01
61698 HCPCS Brain Aneurysm Repr Complx 2 1 — — $83,873.31 $135,976.43 $109,924.87 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 4 — — $47,092.40 $218,374.60 $109,356.67 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 2 1 — — $83,269.22 $134,997.06 $109,133.14 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 4 — — $40,045.61 $185,697.56 $109,035.57 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 4 — — $40,002.94 $185,499.68 $108,919.38 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 4 — — $39,959.11 $185,296.45 $108,800.05 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 4 — — $49,122.25 $227,787.30 $108,551.17 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 4 — — $39,660.40 $183,911.29 $107,986.73 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 4 — — $39,598.12 $183,622.49 $107,817.15 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 4 — — $39,291.34 $182,199.89 $106,981.85 2026-04-01
61686 HCPCS Intracranial Vessel Surgery 2 1 — — $81,433.88 $132,021.59 $106,727.74 2026-04-01
46746 HCPCS Repair Of Cloacal Anomaly 2 1 — — $81,139.13 $131,543.75 $106,341.44 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $49,796.94 $230,915.95 $105,921.82 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $54,832.34 $254,265.86 $104,804.33 2026-04-01
55970 HCPCS Sex Transformation M To F 2 1 — — $79,889.71 $129,518.17 $104,703.94 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $79,567.33 $128,995.52 $104,281.43 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 6 4 — — $38,298.33 $177,595.15 $104,278.10 2026-04-01
43124 HCPCS Removal Of Esophagus 2 1 — — $79,312.27 $128,582.01 $103,947.14 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 4 — — $44,082.24 $204,416.00 $103,816.80 2026-04-01
33877 HCPCS Thoracoabdominal Graft 2 1 — — $79,163.01 $128,340.04 $103,751.52 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 4 — — $37,587.88 $174,300.71 $102,343.71 2026-04-01
43288 HCPCS Esphg Thrsc Moblj 2 1 — — $78,013.11 $126,475.80 $102,244.46 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 1 — — $77,532.05 $125,695.90 $101,613.98 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 4 — — $37,178.46 $172,402.13 $101,228.93 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $47,395.73 $240,996.17 $100,814.25 2026-04-01
61697 HCPCS Brain Aneurysm Repr Complx 2 1 — — $76,672.17 $124,301.86 $100,487.01 2026-04-01
33783 HCPCS Nikaidoh Proc W/ostia Implt 2 1 — — $76,355.65 $123,788.71 $100,072.18 2026-04-01
20808 HCPCS Replantation Hand Complete 2 1 — — $76,305.79 $123,707.88 $100,006.83 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 4 — — $36,677.91 $170,081.04 $99,866.05 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 4 — — $36,604.10 $169,738.76 $99,665.08 2026-04-01
L5858 HCPCS Stance Phase Only 2 1 — — $75,936.37 $123,108.96 $99,522.67 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 4 — — $36,542.98 $169,455.31 $99,498.64 2026-04-01
43118 HCPCS Partial Removal Of Esophagus 2 1 — — $75,659.28 $122,659.75 $99,159.51 2026-04-01
61682 HCPCS Intracranial Vessel Surgery 2 1 — — $75,510.86 $122,419.13 $98,964.99 2026-04-01
61576 HCPCS Skull Base/brainstem Surgery 2 1 — — $75,206.06 $121,924.98 $98,565.52 2026-04-01
33622 HCPCS Redo Compl Cardiac Anomaly 2 1 — — $75,119.46 $121,784.58 $98,452.02 2026-04-01
33440 HCPCS Rplcmt A-valve Tlcj Autol Pv 2 1 — — $74,747.97 $121,182.32 $97,965.15 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 6 4 — — $35,976.70 $166,829.38 $97,956.79 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 4 — — $45,910.25 $212,892.77 $97,654.53 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 2 1 — — $74,438.54 $120,680.66 $97,559.60 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 4 — — $35,823.30 $166,118.08 $97,539.14 2026-04-01
47140 HCPCS Partial Removal Donor Liver 2 1 — — $74,247.70 $120,371.28 $97,309.49 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 5 — — $58,573.71 $271,615.17 $97,234.76 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 4 — — $5,859.66 $191,719.55 $96,979.58 2026-04-01
43287 HCPCS Esphg Dstl 2/3 W/laps Moblj 2 1 — — $73,885.68 $119,784.36 $96,835.02 2026-04-01
46744 HCPCS Repair Of Cloacal Anomaly 2 1 — — $73,603.17 $119,326.36 $96,464.76 2026-04-01
652 MS_DRG Kidney Transplant 6 4 — — $35,420.79 $164,251.58 $96,443.19 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 4 — — $45,318.60 $210,149.18 $96,396.04 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $45,316.29 $210,138.49 $96,391.13 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 4 — — $35,388.50 $164,101.84 $96,355.26 2026-04-01
33411 HCPCS Replacement Of Aortic Valve 2 1 — — $73,502.19 $119,162.65 $96,332.42 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 4 — — $45,942.54 $213,042.52 $96,051.80 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 4 — — $45,094.85 $209,111.65 $95,920.12 2026-04-01
61702 HCPCS Inner Skull Vessel Surgery 2 1 — — $72,899.16 $118,185.01 $95,542.08 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 2 1 — — $72,672.18 $117,817.02 $95,244.60 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 4 — — $44,574.70 $206,699.64 $94,813.73 2026-04-01
43112 HCPCS Removal Of Esophagus 2 1 — — $72,308.13 $117,226.82 $94,767.48 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 1 — — $72,189.85 $117,035.06 $94,612.46 2026-04-01
570 MS_DRG Skin Debridement With Mcc 6 4 — — $34,719.58 $160,999.92 $94,533.92 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 4 — — $44,414.39 $205,956.26 $94,472.73 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 1 — — $71,753.58 $116,327.77 $94,040.68 2026-04-01
47122 HCPCS Extensive Removal Of Liver 2 1 — — $71,651.01 $116,161.49 $93,906.25 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 4 — — $34,438.17 $159,694.98 $93,767.70 2026-04-01
33871 HCPCS Transvrs A-arch Grf Hypthrm 2 1 — — $71,403.79 $115,760.69 $93,582.24 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 4 — — $42,187.87 $203,303.59 $93,255.94 2026-04-01
33413 HCPCS Replacement Of Aortic Valve 2 1 — — $70,688.77 $114,601.49 $92,645.13 2026-04-01
33782 HCPCS Nikaidoh Proc 2 1 — — $70,639.59 $114,521.76 $92,580.67 2026-04-01
33864 HCPCS Ascending Aortic Graft 2 1 — — $70,482.06 $114,266.37 $92,374.21 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 4 — — $33,824.60 $156,849.78 $92,097.09 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 6 4 — — $33,631.99 $155,956.64 $91,572.67 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 4 — — $33,614.69 $155,876.42 $91,525.57 2026-04-01
800 MS_DRG Splenic Procedures With Cc 6 4 — — $33,603.16 $155,822.94 $91,494.17 2026-04-01
47130 HCPCS Partial Removal Of Liver 2 1 — — $69,088.73 $112,007.49 $90,548.11 2026-04-01
33412 HCPCS Replacement Of Aortic Valve 2 1 — — $69,082.99 $111,998.18 $90,540.58 2026-04-01
33863 HCPCS Ascending Aortic Graft 2 1 — — $68,971.91 $111,818.10 $90,395.01 2026-04-01
81416 HCPCS Exome Sequence Analysis 7 3 — — $33,150.00 $258,084.00 $90,048.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 4 — — $33,008.05 $153,063.31 $89,873.79 2026-04-01
61520 HCPCS Removal Of Brain Lesion 2 1 — — $68,527.01 $111,096.82 $89,811.92 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 4 — — $32,961.91 $152,849.38 $89,748.19 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 3 — — $42,187.33 $195,629.03 $89,735.60 2026-04-01
47785 HCPCS Fuse Bile Ducts And Bowel 2 1 — — $67,742.22 $109,824.50 $88,783.36 2026-04-01
43117 HCPCS Partial Removal Of Esophagus 2 1 — — $67,715.05 $109,780.46 $88,747.76 2026-04-01
33463 HCPCS Valvuloplasty Tricuspid 2 1 — — $67,642.46 $109,662.78 $88,652.62 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 6 4 — — $32,545.57 $150,918.71 $88,614.56 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 5 — — $32,831.59 $204,060.80 $88,192.28 2026-04-01
33545 HCPCS Repair Of Heart Damage 2 1 — — $67,289.55 $109,090.63 $88,190.09 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 4 — — $32,355.27 $150,036.27 $88,096.42 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 4 — — $41,341.94 $191,708.85 $87,937.41 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 4 — — $41,332.72 $191,666.07 $87,917.78 2026-04-01
61692 HCPCS Intracranial Vessel Surgery 2 1 — — $66,182.81 $107,296.37 $86,739.59 2026-04-01
43286 HCPCS Esphg Tot W/laps Moblj 2 1 — — $66,182.21 $107,295.41 $86,738.81 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 2 1 — — $66,015.54 $107,025.19 $86,520.36 2026-04-01
32852 HCPCS Lung Transplant With Bypass 2 1 — — $65,965.68 $106,944.36 $86,455.02 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 4 — — $31,559.48 $146,346.07 $85,929.65 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 5 — — $40,378.92 $187,243.17 $85,888.99 2026-04-01
32445 HCPCS Removal Of Lung Extrapleural 2 1 — — $65,457.61 $106,120.67 $85,789.14 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 4 — — $31,500.66 $146,073.31 $85,769.49 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 7 4 — — $40,307.42 $186,911.59 $85,736.89 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 4 — — $31,444.14 $145,811.25 $85,615.62 2026-04-01
48150 HCPCS Partial Removal Of Pancreas 2 1 — — $65,050.41 $105,460.51 $85,255.46 2026-04-01
43314 HCPCS Tracheo-esophagoplasty Cong 2 1 — — $64,919.33 $105,248.00 $85,083.67 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 7 4 — — $26,622.11 $123,450.75 $85,054.00 2026-04-01
48153 HCPCS Pancreatectomy 2 1 — — $64,805.64 $105,063.69 $84,934.67 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 10 5 — — $28,459.35 $131,970.31 $84,774.20 2026-04-01
33548 HCPCS Restore/remodel Ventricle 2 1 — — $64,639.12 $104,793.72 $84,716.42 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 4 — — $31,075.08 $144,099.85 $84,610.74 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 2 1 — — $64,533.59 $104,622.63 $84,578.11 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 4 — — $39,724.99 $184,210.78 $84,498.02 2026-04-01
47125 HCPCS Partial Removal Of Liver 2 1 — — $64,290.44 $104,228.44 $84,259.44 2026-04-01
263 MS_DRG Vein Ligation And Stripping 6 4 — — $30,930.92 $143,431.34 $84,218.21 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 7 4 — — $39,561.22 $183,451.35 $84,149.67 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 4 — — $39,500.09 $185,277.24 $84,019.65 2026-04-01
48160 HCPCS Pancreas Removal/transplant 2 1 — — $64,019.62 $103,789.38 $83,904.50 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 4 — — $30,708.32 $142,399.15 $83,612.15 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 4 — — $40,954.43 $189,911.88 $83,370.71 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 4 — — $30,599.91 $141,896.43 $83,316.96 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 6 4 — — $30,560.70 $141,714.59 $83,210.20 2026-04-01
503 MS_DRG Foot Procedures With Mcc 6 4 — — $30,522.64 $141,538.10 $83,106.57 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 6 4 — — $30,490.35 $141,388.35 $83,018.64 2026-04-01
47361 HCPCS Repair Liver Wound 2 1 — — $63,233.87 $102,515.52 $82,874.70 2026-04-01
20805 HCPCS Replant Forearm Complete 2 1 — — $63,143.27 $102,368.63 $82,755.95 2026-04-01
33406 HCPCS Replacement Aortic Valve Opn 2 1 — — $63,015.20 $102,161.01 $82,588.10 2026-04-01
41155 HCPCS Tongue Jaw & Neck Surgery 2 1 — — $62,838.39 $101,874.36 $82,356.38 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 7 4 — — $24,776.80 $119,149.01 $82,221.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 4 — — $30,174.34 $139,922.97 $82,158.21 2026-04-01
61526 HCPCS Removal Of Brain Lesion 2 1 — — $62,685.53 $101,626.55 $82,156.04 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $62,654.76 $101,576.66 $82,115.71 2026-04-01
47765 HCPCS Fuse Liver Ducts & Bowel 2 1 — — $62,315.31 $101,026.34 $81,670.82 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 2 1 — — $62,256.74 $100,931.39 $81,594.07 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 8 5 — — $29,852.56 $176,636.97 $81,282.09 2026-04-01
43107 HCPCS Removal Of Esophagus 2 1 — — $61,957.13 $100,445.65 $81,201.39 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 4 — — $38,079.20 $176,579.01 $80,997.30 2026-04-01
61700 HCPCS Brain Aneurysm Repr Simple 2 1 — — $61,680.01 $99,996.38 $80,838.20 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 4 — — $38,711.22 $179,509.78 $80,595.13 2026-04-01
33430 HCPCS Replacement Of Mitral Valve 2 1 — — $61,305.27 $99,388.85 $80,347.06 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 4 — — $29,451.21 $136,569.69 $80,189.29 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 4 — — $37,696.30 $174,803.43 $80,182.84 2026-04-01
61616 HCPCS Resect/excise Lesion Skull 2 1 — — $60,979.17 $98,860.17 $79,919.67 2026-04-01
32851 HCPCS Lung Transplant Single 2 1 — — $60,765.37 $98,513.55 $79,639.46 2026-04-01
C1816 HCPCS Receiver/transmitter, Neuro 2 1 — — $60,628.39 $98,291.48 $79,459.93 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 4 — — $29,117.90 $135,024.09 $79,281.76 2026-04-01
48154 HCPCS Pancreatectomy 2 1 — — $60,419.86 $97,953.41 $79,186.64 2026-04-01
43313 HCPCS Esophagoplasty Congenital 2 1 — — $60,361.25 $97,858.39 $79,109.82 2026-04-01
33465 HCPCS Replace Tricuspid Valve 2 1 — — $60,348.46 $97,837.65 $79,093.05 2026-04-01
48152 HCPCS Pancreatectomy 2 1 — — $60,165.27 $97,540.67 $78,852.97 2026-04-01
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