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

HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER

Scottsdale, AZ · CCN 030087 · Rates published

19,153 distinct procedures filed
28 distinct payers
296,818 rate rows
2026-04-01 last MRF observed
Data quality

253,953 of 296,818 rate rows are consumer-grade (85.6%)

42,865 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 42,425
template filing: same amount across many unrelated codes — excluded 288
placeholder amount (≤ $0.02) — excluded from medians 152
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.honorhealth.com/sites/default/files/2023-12/860181654_honorhealthssmc_standardcharges.csv
Found on page https://www.honorhealth.com/patients-visitors/average-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b7142ad44aa76b48… · 72,488,023 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
$3,004,655
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
$2,468,984
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
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $2.10 $860,120.80 $680,528.15 nat. median
$674,867
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
$673,137
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $2.10 $810,509.86 $637,240.26 nat. median
$634,303
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $2.10 $743,743.00 $602,159.89 nat. median
$619,808
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $2.10 $899,423.83 $591,726.20 nat. median
$753,246
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 1 $462,000.00 $462,000.00 $462,000.00 nat. median
$489,450
0.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $339,465.00 $339,465.00 $339,465.00 nat. median
$459,112
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 $34,787.68 $810,325.24 $336,537.75 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $16,988.35 $1,374,052.27 $218,513.99 nat. median
$265,286
0.8× 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 $166,556.41 $400,642.13 $166,556.41 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $122,606.92 $398,290.88 $165,580.85 nat. median
$202,976
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $62,999.94 $379,999.66 $158,728.05 nat. median
$111,989
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $83,173.10 $166,284.17 $144,875.03 nat. median
$87,428
1.7× median
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 1 $131,651.80 $131,651.80 $131,651.80 nat. median
$63,188
outlier · 2.1×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $75,498.98 $202,215.60 $124,272.66 nat. median
$76,329
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $64,096.23 $259,921.52 $108,170.11 nat. median
$133,161
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $250,312.61 $102,734.71 nat. median
$70,825
1.5× median
7
MS_DRG 		Lung Transplant 19 $101,153.57 $243,010.50 $101,153.57 nat. median
$122,708
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $57,407.59 $135,834.08 $100,900.60 nat. median
$62,372
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $62,250.77 $124,455.11 $100,363.67 nat. median
$65,393
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $226,399.55 $99,224.93 nat. median
$66,682
1.5× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $241,320.52 $96,280.27 nat. median
$69,774
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $93,894.90 $245,291.00 $93,894.90 nat. median
$117,357
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $88,553.08 $349,767.72 $88,553.08 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 19 $88,451.86 $212,397.28 $88,451.86 nat. median
$98,047
0.9× median
J9226
HCPCS 		Supprelin La Implant 8 $45,020.65 $190,789.15 $88,316.50 nat. median
$60,368
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $53,400.83 $235,532.10 $86,134.82 nat. median
$98,894
0.9× median
9520
OTHER 		Blood Split Unit 1 $85,211.41 $85,211.41 $85,211.41 nat. median
$157
outlier · 544.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $81,223.91 $204,052.49 $84,989.53 nat. median
$102,358
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $267,589.20 $84,850.42 nat. median
$62,507
1.4× median
L8614
HCPCS 		Cochlear Device 2 $52,252.67 $87,858.47 $82,078.31 nat. median
$23,403
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $80,601.47 $211,360.82 $80,601.47 nat. median
$100,136
0.8× median
2045
OTHER 		Grft, Trnsmurl/trnsvens Byps 1 $80,313.44 $80,313.44 $80,313.44 nat. median
$1,366
outlier · 58.8×
215
MS_DRG 		Other Heart Assist System Implant 19 $77,849.20 $278,248.10 $77,849.20 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $67,282.42 $183,574.24 $76,492.92 nat. median
$93,672
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $43,228.16 $117,697.00 $75,978.58 nat. median
$48,483
1.6× median
L7181
HCPCS 		Electronic Elbo Simultaneous 7 $48,155.50 $175,198.09 $71,905.79 nat. median
$50,598
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 $70,472.96 $169,065.14 $70,472.96 nat. median
$82,711
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $67,747.16 $172,861.30 $67,747.16 nat. median
$83,470
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 7 $44,356.85 $161,377.94 $66,233.65 nat. median
$49,027
1.4× median

Other procedures at this hospital

Browse this hospital's 19,153 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
             
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 10 6 — — $2,158.00 $50,050.12 $33,092.35 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 10 6 — — $2,447.00 $55,566.07 $36,739.40 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 8 6 — — $1,100.66 $39,376.13 $25,041.65 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 12 7 — — $2,677.63 $50,050.12 $23,334.35 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 12 7 — — $1,999.50 $50,050.12 $23,334.35 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 7 — — $2,769.00 $55,051.00 $33,661.98 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 12 7 — — $2,769.00 $55,051.00 $23,854.41 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 12 7 — — $2,769.00 $55,051.00 $23,854.41 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 10 6 — — $2,769.00 $44,010.44 $29,099.01 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 10 6 — — $2,769.00 $44,010.44 $29,099.01 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 19 — — $16,988.35 $1,374,052.27 $218,513.99 2026-04-01
10 MS_DRG Pancreas Transplant 30 19 — — $56,194.63 $134,652.01 $56,194.63 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 6 5 — — $20,701.52 $31,466.31 $28,361.08 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 19 — — $42,790.64 $102,346.19 $42,790.64 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 19 — — $33,151.07 $79,113.24 $33,151.07 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 29 19 — — $93,894.90 $245,291.00 $93,894.90 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 19 — — $33,534.91 $80,038.35 $33,534.91 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 19 — — $29,496.43 $70,304.95 $29,496.43 2026-04-01
1446 OTHER Visualization Adjunct 1 1 — — $39,963.65 $39,963.65 $39,963.65 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 9 4 — — $33,739.43 $82,249.59 $47,321.10 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 30 19 — — $46,493.55 $204,271.38 $46,493.55 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 40 20 — — $10,319.20 $84,100.98 $35,220.53 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 19 — — $27,765.43 $72,250.88 $29,427.14 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 19 — — $42,620.91 $153,599.33 $42,620.91 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 19 — — $23,499.83 $55,852.15 $23,499.83 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 38 20 — — $34,787.68 $810,325.24 $336,537.75 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 19 — — $55,874.63 $201,673.85 $55,874.63 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 19 — — $88,553.08 $349,767.72 $88,553.08 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 19 — — $61,590.95 $219,922.60 $61,590.95 2026-04-01
2045 OTHER Grft, Trnsmurl/trnsvens Byps 1 1 — — $80,313.44 $80,313.44 $80,313.44 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 6 5 — — $9,070.13 $65,511.74 $63,968.75 2026-04-01
2051 OTHER Cath Renal Denerv Radiofreq 6 6 — — $138.41 $61,145.15 $34,497.58 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 19 — — $31,787.97 $124,530.55 $50,425.37 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 29 19 — — $88,451.86 $212,397.28 $88,451.86 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 19 — — $41,542.58 $191,236.76 $41,542.58 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 19 — — $81,223.91 $204,052.49 $84,989.53 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 29 19 — — $44,758.88 $107,089.98 $44,758.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 19 — — $77,849.20 $278,248.10 $77,849.20 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 19 — — $67,282.42 $183,574.24 $76,492.92 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 19 — — $50,645.91 $148,735.03 $51,520.05 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 19 — — $51,520.05 $134,576.41 $51,520.05 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 19 — — $31,252.09 $204,685.72 $60,107.76 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 19 — — $25,064.77 $160,035.42 $25,064.77 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 21 — — $23,440.95 $121,045.05 $41,846.22 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 20 — — $23,206.54 $114,788.62 $39,568.11 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 19 — — $37,596.43 $141,482.74 $38,845.59 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 41 20 — — $129.87 $111,655.55 $24,847.54 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 19 — — $44,941.07 $115,354.44 $44,941.07 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 19 — — $65,959.54 $158,187.07 $65,959.54 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 19 — — $47,528.28 $133,347.76 $47,528.28 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 19 — — $39,719.98 $149,511.03 $59,850.05 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 19 — — $38,021.87 $114,090.22 $42,857.60 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 20 — — $24,360.71 $117,249.16 $46,017.84 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 47 20 — — $2,400.00 $85,132.79 $32,939.30 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 19 — — $38,645.49 $92,355.70 $38,645.49 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 19 — — $30,783.42 $95,592.51 $30,783.42 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 38 19 — — $23,880.02 $71,905.36 $25,184.67 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 19 — — $35,848.06 $85,613.44 $35,848.06 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 19 — — $35,725.83 $127,838.22 $35,725.83 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 35 19 — — $25,943.55 $65,457.95 $27,485.36 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 31 19 — — $10,327.09 $58,961.51 $24,789.93 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 19 — — $24,533.78 $95,304.75 $24,533.78 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 19 — — $16,000.97 $63,717.34 $25,735.51 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 7 7 — — $9,269.61 $49,675.38 $29,045.07 2026-04-01
263 MS_DRG Vein Ligation And Stripping 31 19 — — $17,789.62 $57,372.11 $24,130.47 2026-04-01
2639 OTHER Brachytx, Non-stranded,i-125 1 1 — — $33,693.49 $33,693.49 $33,693.49 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 19 — — $4,023.05 $62,686.36 $26,335.41 2026-04-01
265 MS_DRG Aicd Lead Procedures 31 19 — — $26,991.01 $71,759.86 $28,496.74 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 21 — — $13,385.52 $172,344.59 $48,040.58 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 51 22 — — $11,711.51 $200,781.60 $37,392.76 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 19 — — $50,833.62 $129,063.79 $53,876.02 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 36 19 — — $31,239.21 $79,248.35 $33,207.13 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 20 — — $7,507.46 $99,009.77 $41,406.33 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 45 21 — — $12,531.52 $66,733.97 $28,014.80 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 19 — — $29,029.06 $77,415.01 $32,446.46 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 49 20 — — $11,829.85 $61,768.75 $25,954.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 19 — — $20,215.12 $197,140.77 $55,841.93 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 19 — — $39,200.53 $119,040.41 $47,092.28 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 19 — — $34,550.88 $102,725.17 $36,284.85 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 19 — — $37,830.73 $104,449.74 $43,663.42 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 19 — — $8,178.10 $67,674.10 $28,404.86 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 19 — — $12,935.03 $112,745.75 $47,105.51 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 37 19 — — $10,121.22 $72,972.35 $26,888.20 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 19 — — $122,606.92 $398,290.88 $165,580.85 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 19 — — $35,210.41 $84,076.58 $35,210.41 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 20 — — $17,502.56 $125,472.17 $52,385.82 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 19 — — $35,073.38 $116,191.87 $35,073.38 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 37 19 — — $32,226.52 $81,203.66 $34,018.41 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 19 — — $1,397.60 $59,128.52 $24,859.22 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 19 — — $21,449.69 $60,243.16 $25,321.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 43 19 — — $6,580.61 $136,615.48 $39,157.02 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 20 — — $15,826.45 $127,456.20 $36,113.56 2026-04-01
332 MS_DRG Rectal Resection With Mcc 30 19 — — $28,516.20 $70,676.70 $28,516.20 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 19 — — $8,997.82 $67,007.94 $28,128.47 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 19 — — $28,609.97 $72,633.69 $30,462.64 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 41 19 — — $15,194.00 $82,430.89 $34,527.60 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 19 — — $25,152.64 $64,525.33 $27,098.41 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 19 — — $25,957.80 $61,776.26 $25,957.80 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 20 — — $64,096.23 $259,921.52 $108,170.11 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 19 — — $29,891.13 $72,455.42 $30,388.68 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 19 — — $29,224.73 $111,225.52 $31,628.95 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 21 — — $13,582.71 $102,653.93 $42,918.32 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 19 — — $28,087.20 $79,448.65 $28,087.20 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 31 19 — — $6,721.07 $71,866.56 $26,045.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 19 — — $28,063.85 $66,852.19 $28,063.85 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 37 20 — — $9,183.24 $69,367.22 $26,853.16 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 19 — — $28,565.99 $77,931.05 $32,660.57 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 19 — — $53,400.83 $235,532.10 $86,134.82 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 20 — — $32,909.59 $220,857.37 $57,376.57 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 19 — — $40,715.78 $129,762.03 $44,097.87 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 19 — — $70,472.96 $169,065.14 $70,472.96 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 19 — — $41,242.30 $129,762.03 $45,227.58 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 19 — — $48,639.74 $125,380.22 $52,347.67 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 39 19 — — $15,324.68 $145,242.30 $33,344.16 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 19 — — $41,821.31 $100,009.94 $41,821.31 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 41 19 — — $711.50 $69,418.95 $25,477.41 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $83,173.10 $166,284.17 $144,875.03 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $57,407.59 $135,834.08 $100,900.60 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 5 — — $43,228.16 $117,697.00 $75,978.58 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 19 — — $19,285.07 $157,689.80 $65,753.22 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 21 — — $24,684.67 $111,897.57 $46,753.60 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 20 — — $31,553.83 $98,463.68 $32,813.17 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 5 — — $62,250.77 $124,455.11 $100,363.67 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 5 — — $34,333.05 $68,640.49 $60,344.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 19 — — $43,327.08 $111,781.65 $43,327.08 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 19 — — $19,050.77 $106,951.12 $44,701.27 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 19 — — $21,475.12 $58,447.35 $24,576.60 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 19 — — $39,307.90 $97,679.33 $40,854.32 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 19 — — $8,182.07 $66,176.65 $27,783.56 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 33 19 — — $23,884.67 $68,559.70 $23,942.06 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 19 — — $18,968.07 $90,610.56 $37,921.41 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 39 19 — — $12,242.70 $55,283.57 $23,263.92 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 19 — — $5,016.75 $80,556.27 $33,749.80 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 19 — — $26,008.60 $64,825.57 $27,222.98 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 19 — — $25,451.72 $60,556.53 $25,451.72 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 19 — — $25,248.08 $68,897.57 $28,912.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 19 — — $28,555.13 $68,036.26 $28,555.13 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 32 19 — — $18,459.17 $56,610.25 $23,814.37 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 19 — — $80,601.47 $211,360.82 $80,601.47 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 19 — — $23,964.35 $59,387.47 $24,966.67 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 30 19 — — $23,843.18 $56,679.68 $23,843.18 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 19 — — $23,849.77 $59,802.18 $25,138.73 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 20 — — $267.43 $70,130.43 $29,424.02 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $28,516.37 $28,516.37 $28,516.37 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 23 14 — — $15,547.71 $68,598.35 $25,428.08 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $18,888.10 $60,006.55 $32,369.43 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 19 14 — — $823.09 $78,084.58 $33,534.22 2026-04-01
5244 OTHER Level 4 Blood Product Exchange And Related Services 1 1 — — $131,651.80 $131,651.80 $131,651.80 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 11 8 — — $23,238.52 $64,207.46 $32,050.07 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 19 — — $51,333.97 $122,937.02 $51,333.97 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 20 — — $11,085.03 $65,140.82 $27,353.78 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 19 — — $38,485.88 $91,971.02 $38,485.88 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 19 — — $22,621.53 $60,770.45 $25,540.48 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 30 19 — — $36,428.88 $144,522.04 $36,428.88 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 20 — — $23,411.23 $65,441.06 $27,478.36 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 19 — — $28,037.38 $66,788.39 $28,037.38 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 20 — — $21,168.90 $56,672.18 $23,840.06 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 19 — — $26,935.09 $69,933.40 $29,342.27 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 6 5 — — $47,001.22 $71,441.86 $64,391.68 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 6 5 — — $32,927.71 $50,050.12 $45,110.96 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 19 — — $36,930.29 $102,055.88 $36,930.29 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 19 — — $29,178.77 $83,784.50 $29,178.77 2026-04-01
652 MS_DRG Kidney Transplant 30 19 — — $25,470.41 $72,225.46 $25,470.41 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 34 19 — — $17,092.03 $97,510.45 $40,784.24 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 19 — — $23,856.50 $59,744.01 $25,114.60 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 31 19 — — $22,815.38 $57,449.05 $24,162.40 2026-04-01
665 MS_DRG Prostatectomy With Mcc 30 19 — — $24,627.21 $58,569.32 $24,627.21 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 21 — — $11,430.70 $110,397.36 $33,038.96 2026-04-01
7 MS_DRG Lung Transplant 30 19 — — $101,153.57 $243,010.50 $101,153.57 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 19 — — $28,156.50 $101,594.21 $28,578.85 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 19 — — $21,457.30 $67,231.24 $28,221.12 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 40 23 — — $11,812.25 $156,334.15 $46,601.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 41 22 — — $1,816.43 $226,537.72 $31,928.70 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 41 22 — — $1,492.22 $78,242.54 $32,789.81 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 31 19 — — $35,587.24 $84,984.81 $35,587.24 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 19 — — $43,962.40 $170,061.88 $43,962.40 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 19 — — $6,702.81 $74,761.64 $31,345.55 2026-04-01
81416 HCPCS Exome Sequence Analysis 19 8 — — $12,000.00 $146,250.00 $30,360.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 19 — — $45,988.25 $110,052.97 $45,988.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 19 — — $32,540.11 $87,810.82 $36,022.46 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 19 — — $36,746.54 $96,556.04 $36,746.54 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 41 20 — — $9,672.03 $59,297.40 $24,929.29 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 38 21 — — $41,895.80 $337,944.05 $43,069.37 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 37 19 — — $14,508.29 $161,007.14 $37,731.44 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 19 — — $91.97 $424,332.31 $25,512.45 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 19 — — $67,747.16 $172,861.30 $67,747.16 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 20 — — $14,984.14 $439,921.27 $38,777.07 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 39 19 — — $14,468.09 $85,356.36 $35,741.40 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 41 20 — — $13,098.45 $141,466.57 $54,139.96 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 19 — — $30,417.49 $72,524.85 $30,417.49 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 30 19 — — $33,000.03 $78,749.20 $33,000.03 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $199,833.75 $199,833.75 $199,833.75 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 30 19 — — $28,924.17 $68,925.72 $28,924.17 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 19 — — $15,821.53 $74,754.13 $30,369.26 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 19 — — $166,556.41 $400,642.13 $166,556.41 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 30 19 — — $56,171.27 $134,595.72 $56,171.27 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 30 19 — — $25,402.67 $62,532.02 $25,402.67 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 6 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 19 — — $30,645.61 $73,074.66 $30,645.61 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 15 7 — — $1,788.27 $52,848.76 $24,283.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 15 7 — — $2,154.46 $51,918.88 $24,283.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 15 7 — — $2,027.79 $44,410.60 $24,283.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 31 19 — — $22,529.12 $68,088.80 $28,576.93 2026-04-01
9391 OTHER Brexucabtagene Car Pos T 1 1 — — $462,000.00 $462,000.00 $462,000.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 19 — — $26,387.89 $66,041.54 $27,727.50 2026-04-01
9520 OTHER Blood Split Unit 1 1 — — $85,211.41 $85,211.41 $85,211.41 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 19 — — $52,733.07 $143,532.65 $52,733.07 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 19 — — $20,198.30 $88,928.68 $29,624.12 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 19 — — $59,653.07 $142,987.42 $59,653.07 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 19 — — $33,134.72 $89,200.28 $33,134.72 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 19 — — $47,985.31 $114,866.19 $47,985.31 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 19 — — $25,271.89 $67,775.43 $28,446.91 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 19 — — $8,155.79 $925,906.43 $36,855.54 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 19 — — $12,407.48 $64,333.93 $27,019.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,824.55 $267,589.20 $84,850.42 2026-04-01
C1721 HCPCS Aicd, Dual Chamber 2 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
C1722 HCPCS Aicd, Single Chamber 2 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 2 1 — — $27,300.00 $50,375.00 $38,837.50 2026-04-01
C1772 HCPCS Infusion Pump, Programmable 2 1 — — $18,358.20 $33,875.25 $26,116.72 2026-04-01
C1813 HCPCS Prosthesis, Penile, Inflatab 2 1 — — $21,000.00 $38,750.00 $29,875.00 2026-04-01
C1815 HCPCS Pros, Urinary Sph, Imp 2 1 — — $29,793.25 $54,975.63 $42,384.44 2026-04-01
C1817 HCPCS Septal Defect Imp Sys 2 1 — — $16,501.00 $30,448.28 $23,474.64 2026-04-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 2 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 2 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
C1823 HCPCS Gen, Neuro, Trans Sen/stim 2 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
C1824 HCPCS Generator, Ccm, Implant 2 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
C1825 HCPCS Gen, Neuro, Carot Sinus Baro 2 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
C1826 HCPCS Gen, Neuro, Clo Loop, Rechg 2 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
C1827 HCPCS Gen, Neuro, Imp Led, Ex Cntr 2 1 — — $17,587.50 $32,453.13 $25,020.32 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 2 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
C1891 HCPCS Infusion Pump,non-prog, Perm 2 1 — — $18,358.20 $33,875.25 $26,116.72 2026-04-01
C1895 HCPCS Lead, Aicd, Endo Dual Coil 2 1 — — $19,228.06 $35,480.35 $27,354.21 2026-04-01
C1899 HCPCS Lead, Pmkr/aicd Combination 2 1 — — $19,950.00 $36,812.50 $28,381.25 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 8 6 — — $17,771.01 $46,073.75 $25,101.92 2026-04-01
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 7 6 — — $244.24 $27,783.43 $24,127.72 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $339,465.00 $339,465.00 $339,465.00 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 8 6 — — $1,751.27 $32,926.00 $25,041.65 2026-04-01
E0616 HCPCS Cardiac Event Recorder 1 1 — — $24,335.00 $24,335.00 $24,335.00 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 6 2 — — $33,642.75 $59,610.49 $52,629.79 2026-04-01
E0783 HCPCS Programmable Infusion Pump 11 2 — — $2,524.60 $42,448.24 $25,245.53 2026-04-01
E0786 HCPCS Implantable Pump Replacement 11 2 — — $2,462.52 $41,405.64 $24,625.46 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,685,266.67 $4,864,552.00 $4,109,072.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 4 — — $3,316,462.59 $4,863,260.74 $4,215,574.03 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 5 — — $2,332,000.00 $3,544,640.00 $3,078,240.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 5 — — $2,945,740.00 $4,477,524.80 $3,888,376.80 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 5 — — $3,248,445.72 $4,937,637.49 $4,287,948.34 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 5 — — $2,455,110.60 $3,731,768.12 $3,240,746.00 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 7 2 — — $38,329.60 $64,448.00 $57,324.80 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 7 2 — — $75,498.98 $202,215.60 $124,272.66 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 7 — — $63,342.28 $241,320.52 $96,280.27 2026-04-01
J9226 HCPCS Supprelin La Implant 19 8 — — $45,020.65 $190,789.15 $88,316.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 19 8 — — $28,424.06 $114,234.26 $54,029.72 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 7 — — $24,228.42 $97,606.76 $51,524.40 2026-04-01
K1014 HCPCS Ak 4 Bar Link Hydl Swg/stanc 5 1 — — $18,496.90 $31,100.99 $27,663.51 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 12 7 — — $10,774.55 $145,301.82 $59,635.57 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 7 — — $28,851.23 $104,965.80 $43,080.65 2026-04-01
L5858 HCPCS Stance Phase Only 12 7 — — $22,336.47 $81,263.95 $33,352.82 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 12 7 — — $17,437.90 $63,442.10 $26,038.28 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 6 2 — — $19,443.59 $50,846.05 $44,891.71 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 12 7 — — $21,127.66 $76,866.10 $31,547.82 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 6 — — $12,013.00 $44,855.49 $38,953.45 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 7 — — $28,715.00 $104,470.17 $42,877.24 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 12 7 — — $15,644.23 $56,916.44 $23,359.97 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 12 7 — — $18,164.17 $66,084.39 $27,122.74 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 12 7 — — $19,237.24 $69,988.44 $28,725.04 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 12 7 — — $22,747.26 $82,758.49 $33,966.21 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 7 — — $44,356.85 $161,377.94 $66,233.65 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 7 — — $48,155.50 $175,198.09 $71,905.79 2026-04-01
L8609 HCPCS Artificial Cornea 6 2 — — $9,762.52 $28,488.87 $25,152.67 2026-04-01
L8614 HCPCS Cochlear Device 6 2 — — $52,252.67 $87,858.47 $82,078.31 2026-04-01
L8679 HCPCS Imp Neurosti Pls Gn Any Type 6 2 — — $13,127.92 $38,309.74 $33,823.46 2026-04-01
L8682 HCPCS Implt Neurostim Radiofq Rec 6 2 — — $8,574.45 $27,371.44 $24,166.10 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 6 2 — — $18,522.82 $31,144.57 $27,497.38 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 12 7 — — $34,970.13 $127,227.42 $52,217.40 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 12 7 — — $68,801.71 $250,312.61 $102,734.71 2026-04-01
L8720 HCPCS Ext Low Ext Sens Prosthe Mec 1 1 — — $27,194.75 $27,194.75 $27,194.75 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 13 7 — — $62,999.94 $379,999.66 $158,728.05 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 13 7 — — $11,799.29 $63,536.27 $25,608.89 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 13 7 — — $13,918.00 $81,982.34 $33,043.74 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 13 7 — — $13,199.17 $71,074.17 $28,647.11 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 6 — — $2.10 $810,509.86 $637,240.26 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 7 — — $2.10 $899,423.83 $591,726.20 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 8 — — $55,272.32 $226,399.55 $99,224.93 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 6 — — $2.10 $743,743.00 $602,159.89 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 6 — — $2.10 $855,058.04 $650,843.90 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 6 — — $2.10 $847,123.26 $657,431.18 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $2.10 $860,120.80 $680,528.15 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 8 5 — — $770,620.00 $1,171,342.40 $986,393.60 2026-04-01
Q4244 HCPCS Procenta, Per 200 Mg 5 1 — — $23,685.39 $39,824.99 $35,423.28 2026-04-01
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