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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

HONORHEALTH TEMPE MEDICAL CENTER

Phoenix, AZ · CCN 030037 · Rates published

18,064 distinct procedures filed
27 distinct payers
407,998 rate rows
2026-04-01 last MRF observed
Data quality

329,764 of 407,998 rate rows are consumer-grade (80.8%)

78,234 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 77,408
template filing: same amount across many unrelated codes — excluded 576
placeholder amount (≤ $0.02) — excluded from medians 250
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.honorhealth.com/sites/default/files/2023-12/860181654_honorhealthtmc_standardcharges.csv
Found on page https://www.honorhealth.com/patients-visitors/average-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 9060f3f9c4477c5b… · 52,347,670 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $4,937,637.49 $4,287,948.34 nat. median
$3,286,000
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,863,260.74 $4,215,574.03 nat. median
$3,325,455
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,864,552.00 $4,109,072.33 nat. median
$3,710,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,477,524.80 $3,888,376.80 nat. median
$3,006,423
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,731,768.12 $3,240,746.00 nat. median
$2,469,189
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,544,640.00 $3,078,240.00 nat. median
$2,448,600
1.3× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,171,342.40 $986,393.60 nat. median
$824,563
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $2.10 $899,423.83 $711,611.62 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $2.10 $860,120.80 $680,528.15 nat. median
$675,122
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $2.10 $847,123.26 $657,431.18 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $2.10 $855,058.04 $650,843.90 nat. median
$674,188
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $2.10 $810,509.86 $637,240.26 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $2.10 $743,743.00 $602,159.89 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 $205,246.59 $810,325.24 $355,003.39 nat. median
$370,174
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $339,465.00 $339,465.00 $339,465.00 nat. median
$459,112
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $231,347.03 $525,868.48 $231,347.03 nat. median
$265,286
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $199,833.75 $199,833.75 $199,833.75 nat. median
$55,037
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $176,909.82 $400,642.13 $176,909.82 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $175,887.70 $398,290.88 $175,887.70 nat. median
$202,986
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $134,810.40 $202,215.60 $168,513.00 nat. median
$76,377
outlier · 2.2×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $62,999.94 $164,529.89 $129,565.55 nat. median
$111,989
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $115,737.09 $259,921.52 $115,737.09 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 19 $108,385.69 $243,010.50 $108,385.69 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $100,780.60 $225,515.89 $100,780.60 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $95,183.84 $349,767.72 $95,183.84 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 19 $95,077.80 $212,397.28 $95,077.80 nat. median
$98,017
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $92,650.17 $206,812.82 $92,650.17 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $91,450.23 $204,052.49 $91,450.23 nat. median
$102,358
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $104,578.60 $90,818.26 nat. median
$70,825
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $86,852.75 $211,360.82 $86,852.75 nat. median
$100,136
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $216,000.00 $86,778.92 nat. median
$69,774
1.2× median
L8614
HCPCS 		Cochlear Device 1 $86,181.55 $86,181.55 $86,181.55 nat. median
$23,402
outlier · 3.7×
215
MS_DRG 		Other Heart Assist System Implant 19 $83,969.13 $278,248.10 $83,969.13 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $82,548.12 $183,574.24 $82,548.12 nat. median
$93,672
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $226,399.55 $79,769.02 nat. median
$66,682
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $141,892.66 $76,896.67 nat. median
$62,507
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 $76,240.86 $169,065.14 $76,240.86 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $73,384.97 $162,495.52 $73,384.97 nat. median
$83,442
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $71,512.05 $158,187.07 $71,512.05 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $71,295.88 $157,689.80 $71,295.88 nat. median
$81,118
0.9× median
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $190,789.15 $67,224.83 nat. median
$60,368
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $66,934.96 $219,922.60 $66,934.96 nat. median
$77,576
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $65,380.99 $157,694.51 $65,380.99 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $65,110.98 $149,511.03 $65,110.98 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $64,904.60 $142,987.42 $64,904.60 nat. median
$72,138
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 6 $48,155.50 $73,196.36 $63,565.26 nat. median
$50,598
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $61,631.06 $149,759.99 $61,631.06 nat. median
$68,090
0.9× median
10
MS_DRG 		Pancreas Transplant 19 $61,281.11 $134,652.01 $61,281.11 nat. median
$68,882
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 $61,256.64 $134,595.72 $61,256.64 nat. median
$64,027
1.0× median

Other procedures at this hospital

Browse this hospital's 18,064 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 5 — — $3,248,445.72 $4,937,637.49 $4,287,948.34 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 4 — — $3,316,462.59 $4,863,260.74 $4,215,574.03 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 3 — — $3,685,266.67 $4,864,552.00 $4,109,072.33 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 5 — — $2,945,740.00 $4,477,524.80 $3,888,376.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 5 — — $2,455,110.60 $3,731,768.12 $3,240,746.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 5 — — $2,332,000.00 $3,544,640.00 $3,078,240.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 16 5 — — $770,620.00 $1,171,342.40 $986,393.60 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 6 — — $2.10 $899,423.83 $711,611.62 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 20 6 — — $2.10 $860,120.80 $680,528.15 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 20 6 — — $2.10 $847,123.26 $657,431.18 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 6 — — $2.10 $855,058.04 $650,843.90 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 6 — — $2.10 $810,509.86 $637,240.26 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 20 6 — — $2.10 $743,743.00 $602,159.89 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 54 19 — — $205,246.59 $810,325.24 $355,003.39 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $339,465.00 $339,465.00 $339,465.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 19 — — $231,347.03 $525,868.48 $231,347.03 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $199,833.75 $199,833.75 $199,833.75 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 58 19 — — $176,909.82 $400,642.13 $176,909.82 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 19 — — $175,887.70 $398,290.88 $175,887.70 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $134,810.40 $202,215.60 $168,513.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 6 — — $62,999.94 $164,529.89 $129,565.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 60 19 — — $115,737.09 $259,921.52 $115,737.09 2026-04-01
7 MS_DRG Lung Transplant 58 19 — — $108,385.69 $243,010.50 $108,385.69 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 50 19 — — $100,780.60 $225,515.89 $100,780.60 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 19 — — $95,183.84 $349,767.72 $95,183.84 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 56 19 — — $95,077.80 $212,397.28 $95,077.80 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 19 — — $92,650.17 $206,812.82 $92,650.17 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 58 19 — — $91,450.23 $204,052.49 $91,450.23 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 14 6 — — $68,801.71 $104,578.60 $90,818.26 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 58 19 — — $86,852.75 $211,360.82 $86,852.75 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 24 6 — — $63,342.28 $216,000.00 $86,778.92 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $86,181.55 $86,181.55 $86,181.55 2026-04-01
215 MS_DRG Other Heart Assist System Implant 58 19 — — $83,969.13 $278,248.10 $83,969.13 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 19 — — $82,548.12 $183,574.24 $82,548.12 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 7 — — $55,272.32 $226,399.55 $79,769.02 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 18 6 — — $56,824.55 $141,892.66 $76,896.67 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 56 19 — — $76,240.86 $169,065.14 $76,240.86 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 58 19 — — $73,384.97 $162,495.52 $73,384.97 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 19 — — $71,512.05 $158,187.07 $71,512.05 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 19 — — $71,295.88 $157,689.80 $71,295.88 2026-04-01
J9226 HCPCS Supprelin La Implant 28 7 — — $45,020.65 $190,789.15 $67,224.83 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 19 — — $66,934.96 $219,922.60 $66,934.96 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 19 — — $65,380.99 $157,694.51 $65,380.99 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 19 — — $65,110.98 $149,511.03 $65,110.98 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 19 — — $64,904.60 $142,987.42 $64,904.60 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 14 6 — — $48,155.50 $73,196.36 $63,565.26 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 19 — — $61,631.06 $149,759.99 $61,631.06 2026-04-01
10 MS_DRG Pancreas Transplant 58 19 — — $61,281.11 $134,652.01 $61,281.11 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 58 19 — — $61,256.64 $134,595.72 $61,256.64 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 19 — — $60,945.84 $201,673.85 $60,945.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 58 19 — — $60,911.58 $197,140.77 $60,911.58 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 66 20 — — $35,038.81 $141,466.57 $59,128.39 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 58 19 — — $58,851.85 $129,063.79 $58,851.85 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 14 6 — — $44,356.85 $67,422.41 $58,551.04 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 19 — — $57,654.35 $143,532.65 $57,654.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 58 19 — — $57,290.54 $125,472.17 $57,290.54 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 19 — — $57,250.57 $125,380.22 $57,250.57 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 19 — — $56,383.44 $148,735.03 $56,383.44 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 19 — — $56,383.44 $134,576.41 $56,383.44 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 58 19 — — $56,188.48 $122,937.02 $56,188.48 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 19 — — $33,534.91 $124,530.55 $55,236.52 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 58 19 — — $52,737.92 $172,344.59 $52,737.92 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 14 6 — — $10,774.55 $60,705.91 $52,718.29 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 58 19 — — $52,680.01 $114,866.19 $52,680.01 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 19 — — $52,201.17 $133,347.76 $52,201.17 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 58 19 — — $51,758.23 $112,745.75 $51,758.23 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 58 19 — — $51,744.36 $119,040.41 $51,744.36 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 19 — — $51,389.51 $111,897.57 $51,389.51 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 56 19 — — $51,229.63 $127,223.89 $51,229.63 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 52 19 — — $51,117.06 $204,271.38 $51,117.06 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 58 19 — — $50,618.65 $117,249.16 $50,618.65 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 58 19 — — $50,587.65 $110,052.97 $50,587.65 2026-04-01
C1823 HCPCS Gen, Neuro, Trans Sen/stim 4 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 4 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 4 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 56 19 — — $49,790.67 $129,762.03 $49,790.67 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 19 — — $49,490.48 $115,354.44 $49,490.48 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 56 19 — — $49,299.60 $107,089.98 $49,299.60 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 19 — — $49,239.24 $106,951.12 $49,239.24 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 19 — — $48,607.04 $129,762.03 $48,607.04 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 58 19 — — $48,465.11 $170,061.88 $48,465.11 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 19 — — $48,151.86 $104,449.74 $48,151.86 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 4 1 — — $38,400.00 $57,600.00 $48,000.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 58 19 — — $47,799.47 $111,781.65 $47,799.47 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 58 19 — — $47,529.46 $103,017.97 $47,529.46 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 19 — — $47,371.21 $102,653.93 $47,371.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 58 19 — — $47,307.58 $114,090.22 $47,307.58 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 19 — — $47,237.43 $102,346.19 $47,237.43 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 20 6 — — $2,447.00 $71,441.86 $47,236.23 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 52 19 — — $47,059.60 $153,599.33 $47,059.60 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 7 — — $2,158.00 $71,441.86 $47,001.22 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 26 7 — — $2,050.00 $71,984.00 $47,001.22 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 19 — — $46,247.94 $121,045.05 $46,247.94 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 56 19 — — $46,221.84 $100,009.94 $46,221.84 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 14 6 — — $34,970.13 $53,154.60 $46,160.57 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 19 — — $45,929.80 $191,236.76 $45,929.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 19 — — $45,787.05 $99,009.77 $45,787.05 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 58 19 — — $45,208.70 $97,679.33 $45,208.70 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 58 19 — — $45,135.28 $97,510.45 $45,135.28 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 19 — — $43,861.10 $114,788.62 $43,861.10 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 58 19 — — $43,430.39 $96,287.67 $43,430.39 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 19 — — $43,104.10 $141,482.74 $43,104.10 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 68 22 — — $6,597.98 $102,912.71 $43,032.32 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 58 19 — — $42,894.46 $92,355.70 $42,894.46 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 58 19 — — $42,727.23 $91,971.02 $42,727.23 2026-04-01
J9266 HCPCS Pegaspargase Injection 28 7 — — $28,424.06 $114,234.26 $42,442.81 2026-04-01
C1815 HCPCS Pros, Urinary Sph, Imp 4 1 — — $29,793.25 $54,975.63 $42,384.44 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 58 19 — — $42,135.82 $90,610.56 $42,135.82 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 19 — — $41,936.78 $90,152.69 $41,936.78 2026-04-01
E0783 HCPCS Programmable Infusion Pump 2 1 — — $41,638.12 $41,638.12 $41,638.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 58 19 — — $41,581.94 $158,664.50 $41,581.94 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 58 19 — — $41,097.39 $102,055.88 $41,097.39 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 60 19 — — $38,423.77 $88,041.63 $41,019.08 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 58 19 — — $40,904.88 $96,556.04 $40,904.88 2026-04-01
E0786 HCPCS Implantable Pump Replacement 2 1 — — $40,615.46 $40,615.46 $40,615.46 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 58 19 — — $40,572.06 $144,522.04 $40,572.06 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 58 19 — — $40,421.15 $102,725.17 $40,421.15 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 19 — — $37,951.01 $236,831.91 $40,241.69 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 19 — — $40,146.25 $86,033.77 $40,146.25 2026-04-01
245 MS_DRG Aicd Generator Procedures 58 19 — — $39,963.52 $85,613.44 $39,963.52 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 58 19 — — $39,851.77 $85,356.36 $39,851.77 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 19 — — $39,835.45 $127,838.22 $39,835.45 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 58 19 — — $39,690.25 $84,984.81 $39,690.25 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 58 19 — — $39,306.04 $84,100.98 $39,306.04 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 19 — — $39,295.44 $84,076.58 $39,295.44 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 19 — — $39,151.87 $116,191.87 $39,151.87 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 20 6 — — $2,818.00 $55,051.00 $39,021.10 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 20 6 — — $2,818.00 $55,051.00 $39,021.10 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 14 6 — — $12,013.00 $44,855.49 $38,953.45 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 4 1 — — $27,300.00 $50,375.00 $38,837.50 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 19 — — $38,580.04 $82,430.89 $38,580.04 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 14 6 — — $28,851.23 $43,853.87 $38,083.62 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 58 19 — — $38,046.55 $81,203.66 $38,046.55 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 14 6 — — $28,715.00 $43,646.80 $37,903.80 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 58 19 — — $37,765.12 $80,556.27 $37,765.12 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 58 19 — — $37,539.98 $80,038.35 $37,539.98 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 58 19 — — $37,340.12 $79,578.61 $37,340.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 58 19 — — $37,196.55 $79,248.35 $37,196.55 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 58 19 — — $37,137.82 $79,113.24 $37,137.82 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 58 19 — — $37,120.69 $89,200.28 $37,120.69 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 58 19 — — $37,020.35 $78,843.02 $37,020.35 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 58 19 — — $36,979.57 $78,749.20 $36,979.57 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 19 — — $36,915.94 $85,132.79 $36,915.94 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 19 — — $36,783.79 $98,463.68 $36,783.79 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 56 19 — — $17,695.28 $78,242.54 $36,759.32 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 20 6 — — $2,447.00 $55,566.07 $36,739.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 58 19 — — $36,623.91 $77,931.05 $36,623.91 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 58 19 — — $36,399.58 $77,415.01 $36,399.58 2026-04-01
791 MS_DRG Prematurity With Major Problems 56 19 — — $35,857.12 $76,167.14 $35,857.12 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 19 — — $35,543.06 $111,225.52 $35,543.06 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 22 6 — — $24,228.42 $97,606.76 $35,528.56 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 58 19 — — $35,246.13 $74,761.64 $35,246.13 2026-04-01
69930 HCPCS Implant Cochlear Device 26 7 — — $2,818.00 $74,825.00 $35,183.97 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 19 — — $34,657.17 $95,592.51 $34,657.17 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 58 19 — — $34,512.79 $73,074.66 $34,512.79 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 58 19 — — $34,321.09 $72,633.69 $34,321.09 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 58 19 — — $34,273.78 $72,524.85 $34,273.78 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 62 20 — — $9,874.39 $72,455.42 $34,243.59 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 19 — — $34,064.95 $72,044.46 $34,064.95 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 24 7 — — $2,769.00 $55,051.00 $33,661.98 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $33,642.75 $33,642.75 $33,642.75 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 26 7 — — $2,158.00 $63,810.00 $33,494.51 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 26 7 — — $2,769.00 $63,810.00 $33,494.51 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 26 7 — — $2,158.00 $63,810.00 $33,494.51 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 26 7 — — $2,158.00 $63,810.00 $33,494.51 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 58 19 — — $33,442.54 $88,928.68 $33,442.54 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 58 19 — — $33,308.76 $70,304.95 $33,308.76 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 58 19 — — $33,236.16 $70,137.94 $33,236.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 58 19 — — $33,232.90 $70,130.43 $33,232.90 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 58 19 — — $33,147.25 $69,933.40 $33,147.25 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 20 6 — — $2,158.00 $50,050.12 $33,092.35 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 58 19 — — $32,975.94 $83,784.50 $32,975.94 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 26 7 — — $2,050.00 $51,422.00 $32,927.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 26 7 — — $2,158.00 $55,051.00 $32,927.71 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 7 — — $2,158.00 $50,050.12 $32,926.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 26 7 — — $1,999.50 $50,050.12 $32,926.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 26 7 — — $2,050.00 $50,050.12 $32,926.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 58 19 — — $32,709.20 $68,925.72 $32,709.20 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 58 19 — — $32,696.96 $68,897.57 $32,696.96 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 20 6 — — $2,818.00 $44,410.60 $32,493.31 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 20 6 — — $2,818.00 $51,918.88 $32,493.31 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 20 6 — — $2,818.00 $52,848.76 $32,493.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 58 19 — — $32,345.38 $68,088.80 $32,345.38 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 58 19 — — $32,322.54 $68,036.26 $32,322.54 2026-04-01
332 MS_DRG Rectal Resection With Mcc 58 19 — — $32,281.75 $70,676.70 $32,281.75 2026-04-01
265 MS_DRG Aicd Lead Procedures 58 19 — — $32,261.36 $71,759.86 $32,261.36 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 60 19 — — $32,209.15 $67,775.43 $32,209.15 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 19 — — $32,165.10 $67,674.10 $32,165.10 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 58 19 — — $31,972.59 $67,231.24 $31,972.59 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 58 19 — — $31,904.88 $72,167.26 $31,904.88 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 58 19 — — $31,875.52 $67,007.94 $31,875.52 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 58 19 — — $31,832.28 $79,448.65 $31,832.28 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 58 19 — — $31,807.81 $66,852.19 $31,807.81 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 58 19 — — $31,780.08 $66,788.39 $31,780.08 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 58 19 — — $31,756.42 $66,733.97 $31,756.42 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 60 19 — — $31,514.15 $66,176.65 $31,514.15 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 58 19 — — $31,455.41 $66,041.54 $31,455.41 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 58 19 — — $31,201.72 $65,457.95 $31,201.72 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 19 — — $31,194.38 $65,441.06 $31,194.38 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 19 — — $31,063.86 $65,140.82 $31,063.86 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 58 19 — — $30,926.82 $64,825.57 $30,926.82 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 56 19 — — $30,796.30 $64,525.33 $30,796.30 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 60 19 — — $30,600.20 $64,333.93 $30,713.10 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 7 — — $2,769.00 $55,051.00 $30,607.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 19 — — $30,576.05 $72,972.35 $30,576.05 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 58 19 — — $30,539.34 $69,367.22 $30,539.34 2026-04-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 2 1 — — $30,310.25 $30,310.25 $30,310.25 2026-04-01
0613T HCPCS Perq Tcat Intratrl Septl Sht 4 2 — — $13,741.00 $46,403.13 $30,072.06 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 14 6 — — $22,747.26 $34,575.84 $30,026.38 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 58 19 — — $29,996.88 $62,686.36 $29,996.88 2026-04-01
C1813 HCPCS Prosthesis, Penile, Inflatab 4 1 — — $21,000.00 $38,750.00 $29,875.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 58 19 — — $29,692.61 $71,866.56 $29,692.61 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 58 19 — — $29,601.25 $61,776.26 $29,601.25 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 58 19 — — $29,597.99 $61,768.75 $29,597.99 2026-04-01
L5858 HCPCS Stance Phase Only 14 6 — — $22,336.47 $33,951.43 $29,484.14 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 58 19 — — $29,280.67 $61,038.79 $29,280.67 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 62 19 — — $6,393.82 $60,770.45 $29,164.02 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 58 19 — — $29,134.65 $60,702.90 $29,134.65 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 20 6 — — $2,769.00 $44,010.44 $29,099.01 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 20 6 — — $2,769.00 $44,010.44 $29,099.01 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 56 19 — — $29,097.94 $69,418.95 $29,097.94 2026-04-01
652 MS_DRG Kidney Transplant 58 19 — — $29,090.60 $72,225.46 $29,090.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 58 19 — — $29,071.02 $60,556.53 $29,071.02 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 58 19 — — $29,019.63 $62,532.02 $29,019.63 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 26 7 — — $2,613.00 $44,010.44 $28,954.24 2026-04-01
22630 HCPCS Lumbar Spine Fusion 26 7 — — $2,613.00 $44,010.44 $28,954.24 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 26 7 — — $2,613.00 $44,010.44 $28,954.24 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 58 19 — — $28,934.80 $60,243.16 $28,934.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 58 19 — — $28,791.23 $71,905.36 $28,791.23 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 58 19 — — $28,743.10 $59,802.18 $28,743.10 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 58 19 — — $28,717.81 $59,744.01 $28,717.81 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 58 19 — — $28,665.60 $160,035.42 $28,665.60 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 58 19 — — $28,562.82 $59,387.47 $28,562.82 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 58 19 — — $28,523.67 $59,297.40 $28,523.67 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 58 19 — — $28,450.25 $59,128.52 $28,450.25 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 58 19 — — $28,438.01 $111,655.55 $28,438.01 2026-04-01
C1899 HCPCS Lead, Pmkr/aicd Combination 4 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
C1722 HCPCS Aicd, Single Chamber 4 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
C1721 HCPCS Aicd, Dual Chamber 4 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 4 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 58 19 — — $28,377.65 $58,961.51 $28,377.65 2026-04-01
665 MS_DRG Prostatectomy With Mcc 58 19 — — $28,207.16 $58,569.32 $28,207.16 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 19 — — $24,443.81 $58,447.35 $28,154.14 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 58 19 — — $28,109.27 $95,304.75 $28,109.27 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 14 6 — — $21,127.66 $32,114.04 $27,888.51 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 58 19 — — $27,720.17 $57,449.05 $27,720.17 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 16 6 — — $13,918.00 $34,251.56 $27,713.40 2026-04-01
263 MS_DRG Vein Ligation And Stripping 58 19 — — $17,789.62 $57,372.11 $27,686.72 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 20 6 — — $2,818.00 $55,051.00 $27,652.12 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 20 6 — — $2,818.00 $55,051.00 $27,652.12 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 20 6 — — $2,447.00 $55,051.00 $27,652.12 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 58 19 — — $27,489.31 $59,463.62 $27,489.31 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 58 19 — — $27,385.72 $56,679.68 $27,385.72 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 58 19 — — $27,382.45 $56,672.18 $27,382.45 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 58 19 — — $27,355.53 $56,610.25 $27,355.53 2026-04-01
C1895 HCPCS Lead, Aicd, Endo Dual Coil 4 1 — — $19,228.06 $35,480.35 $27,354.21 2026-04-01
L8720 HCPCS Ext Low Ext Sens Prosthe Mec 2 1 — — $27,194.75 $27,194.75 $27,194.75 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 58 19 — — $27,025.98 $55,852.15 $27,025.98 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 1 — — $26,936.62 $26,936.62 $26,936.62 2026-04-01
0014U HCPCS Hem Hmtlmf Neo Gene Reargmt 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
0013U HCPCS Onc Sld Org Neo Gene Reargmt 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
0012U HCPCS Germln Do Gene Reargmt Detcj 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
0056U HCPCS Hem Aml DNA Gene Reargmt 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 20 6 — — $2,913.00 $46,403.13 $26,799.07 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 20 6 — — $2,913.00 $46,403.13 $26,799.07 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 16 6 — — $5,226.25 $31,242.00 $26,799.07 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 58 19 — — $26,778.81 $55,283.57 $26,778.81 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 58 19 — — $26,762.49 $73,667.51 $26,762.49 2026-04-01
570 MS_DRG Skin Debridement With Mcc 58 19 — — $26,738.02 $55,189.74 $26,738.02 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 58 19 — — $26,565.90 $54,793.80 $26,565.90 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 58 19 — — $26,503.09 $54,649.31 $26,503.09 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 58 19 — — $26,419.07 $54,456.03 $26,419.07 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 58 19 — — $26,404.39 $65,464.63 $26,404.39 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 58 19 — — $26,299.97 $58,267.30 $26,299.97 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 60 19 — — $26,288.55 $54,623.37 $26,288.55 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 58 19 — — $26,254.29 $54,076.98 $26,254.29 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 58 19 — — $26,159.67 $59,463.62 $26,159.67 2026-04-01
C1772 HCPCS Infusion Pump, Programmable 4 1 — — $18,358.20 $33,875.25 $26,116.72 2026-04-01
C1891 HCPCS Infusion Pump,non-prog, Perm 4 1 — — $18,358.20 $33,875.25 $26,116.72 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 58 19 — — $25,998.97 $53,489.63 $25,998.97 2026-04-01
800 MS_DRG Splenic Procedures With Cc 58 19 — — $25,663.70 $52,718.39 $25,663.70 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 58 19 — — $25,581.31 $65,361.16 $25,581.31 2026-04-01
22558 HCPCS Lumbar Spine Fusion 26 7 — — $2,613.00 $44,010.44 $25,551.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 58 19 — — $25,514.42 $52,374.99 $25,514.42 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 14 6 — — $19,237.24 $29,240.60 $25,393.16 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 58 19 — — $25,357.80 $52,014.70 $25,357.80 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 62 19 — — $15,183.90 $58,471.00 $25,237.07 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 66 20 — — $9,439.75 $51,579.36 $25,168.55 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 68 19 — — $8,621.92 $55,641.86 $25,162.84 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 16 6 — — $17,771.01 $46,073.75 $25,101.92 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 16 6 — — $13,199.17 $29,694.22 $25,071.35 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 58 19 — — $25,047.01 $51,299.76 $25,047.01 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 16 6 — — $1,100.66 $39,376.13 $25,041.65 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 16 6 — — $1,751.27 $32,926.00 $25,041.65 2026-04-01
C1824 HCPCS Generator, Ccm, Implant 4 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
C1827 HCPCS Gen, Neuro, Imp Led, Ex Cntr 4 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
C1825 HCPCS Gen, Neuro, Carot Sinus Baro 4 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
C1826 HCPCS Gen, Neuro, Clo Loop, Rechg 4 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 58 19 — — $24,940.96 $76,189.48 $24,940.96 2026-04-01
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