Hospital

HONORHEALTH DEER VALLEY MEDICAL CENTER

Phoenix, AZ · CCN 030092 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $4,757 across 8 payers · range $2,613-$43,117

Source: https://www.honorhealth.com/sites/default/files/2023-12/860181654_honorhealthdvmc_standardcharges.csv · 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.

19,127 distinct procedures filed

28 distinct payers

600,836 rate rows

2026-04-01 last MRF observed

Data quality

508,776 of 600,836 rate rows are consumer-grade (84.7%)

92,060 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	87,540
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	3,556
template filing: same amount across many unrelated codes — excluded	574
placeholder amount (≤ $0.02) — excluded from medians	304
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	86

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.honorhealth.com/sites/default/files/2023-12/860181654_honorhealthdvmc_standardcharges.csv
Found on page	https://www.honorhealth.com/patients-visitors/average-pricing
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-12
Content fingerprint	03104829c98310dc… · 73,747,881 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
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 $3,324,572 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 $2,997,086 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 $2,460,273 1.3× median
J3392 HCPCS	Inj, Exagamglogene Autotem	5	$2,332,000.00	$3,544,640.00	$3,078,240.00	nat. median $2,405,851 1.3× median
Q2057 HCPCS	Afamitresgene Autoleucel	5	$770,620.00	$1,171,342.40	$986,393.60	nat. median $809,151 1.2× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	6	$2.10	$860,120.80	$680,528.15	nat. median $631,793 1.1× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	6	$2.10	$847,123.26	$657,431.18	nat. median $610,161 1.1× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	6	$2.10	$855,058.04	$650,843.90	nat. median $624,417 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	6	$2.10	$810,509.86	$637,240.26	nat. median $588,565 1.1× median
Q2053 HCPCS	Brexucabtagene Car Pos T	6	$2.10	$743,743.00	$602,159.89	nat. median $577,541 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$2.10	$899,423.83	$591,726.20	nat. median $691,418 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	$205,246.59	$810,325.24	$339,059.53	nat. median $370,165 0.9× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	$213,329.48	$525,868.48	$220,239.48	nat. median $261,939 0.8× median
90288 HCPCS	Botulism Ig IV	1	$199,833.75	$199,833.75	$199,833.75	nat. median $52,716 outlier · 3.8×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	20	$167,931.34	$400,642.13	$167,931.34	nat. median $205,166 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$4,200.00	$476,353.44	$166,949.20	nat. median $199,832 0.8× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	7	$62,999.94	$379,999.66	$158,728.05	nat. median $111,503 1.4× median
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	3	$144,875.03	$166,284.17	$147,498.00	nat. median $83,623 1.8× median
J7330 HCPCS	Cultured Chondrocytes Implnt	2	$75,498.98	$202,215.60	$124,272.66	nat. median $75,807 1.6× median
459 MS_DRG	Spinal Fusion Except Cervical With Mcc	4	$92,295.86	$124,455.11	$109,413.05	nat. median $62,767 1.7× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	20	$64,096.23	$292,766.26	$109,151.12	nat. median $132,706 0.8× median
454 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	4	$99,995.39	$135,834.08	$108,289.09	nat. median $57,648 1.9× median
L8702 HCPCS	Pow Ue Rom Dev Ewhf Uprt Cus	7	$68,801.71	$250,312.61	$102,734.71	nat. median $70,178 1.5× median
7 MS_DRG	Lung Transplant	20	$102,087.24	$243,010.50	$102,087.24	nat. median $122,690 0.8× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	8	$55,272.32	$226,399.55	$99,224.93	nat. median $65,655 1.5× median
J9029 HCPCS	Inj, Adstiladrin, Per Tx Dos	7	$63,342.28	$241,320.52	$96,280.27	nat. median $69,291 1.4× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	20	$94,779.59	$225,515.89	$94,779.59	nat. median $114,305 0.8× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	$89,401.73	$349,767.72	$89,401.73	nat. median $108,240 0.8× median
209 MS_DRG	Complex Aortic Arch Procedures	20	$89,299.84	$212,397.28	$89,299.84	nat. median $96,134 0.9× median
J9226 HCPCS	Supprelin La Implant	8	$45,020.65	$190,789.15	$88,316.50	nat. median $55,200 1.6× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	20	$81,516.59	$206,812.82	$86,967.16	nat. median $96,835 0.9× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	20	$82,891.39	$316,845.00	$85,814.14	nat. median $100,978 0.8× median
A9543 HCPCS	Y90 Ibritumomab, Rx	7	$56,824.55	$267,589.20	$84,850.42	nat. median $63,643 1.3× median
L8614 HCPCS	Cochlear Device	2	$52,252.67	$87,858.47	$82,078.31	nat. median $22,570 outlier · 3.6×
455 MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc	4	$75,296.95	$117,697.00	$81,542.15	nat. median $46,399 1.8× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	20	$81,396.48	$211,360.82	$81,396.48	nat. median $99,646 0.8× median
215 MS_DRG	Other Heart Assist System Implant	21	$49,563.51	$278,248.10	$78,625.64	nat. median $98,002 0.8× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	$72,374.00	$183,574.24	$77,260.20	nat. median $92,900 0.8× median
2045 OTHER	Grft, Trnsmurl/trnsvens Byps	1	$74,301.28	$74,301.28	$74,301.28	nat. median $3,018 outlier · 24.6×
2046 OTHER	Pmkr, Dual, Leadless	3	$60,462.51	$120,704.78	$72,778.79	nat. median $5,033 outlier · 14.5×
L7181 HCPCS	Electronic Elbo Simultaneous	7	$48,155.50	$175,198.09	$71,905.79	nat. median $50,449 1.4× median
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	20	$71,199.63	$169,065.14	$71,199.63	nat. median $81,124 0.9× median
850 MS_DRG	Acute Leukemia With Other Procedures	20	$13,628.32	$162,495.52	$68,455.44	nat. median $81,364 0.8× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	20	$25,064.89	$158,187.07	$66,655.76	nat. median $79,040 0.8× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	$29,413.80	$157,689.80	$66,448.05	nat. median $80,459 0.8× median
L7180 HCPCS	Electronic Elbow Sequential	7	$44,356.85	$161,377.94	$66,233.65	nat. median $46,980 1.4× median

Other procedures at this hospital

Browse this hospital's 19,127 published procedures. Use the slice to choose what to show, then sort or filter any column.

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
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
Q2042	HCPCS	Tisagenlecleucel Car-pos T	30	7	—	—	$2.10	$899,423.83	$591,726.20	2026-04-01
C9301	HCPCS	Obecabtagene Car Pos T	2	1	—	—	$339,465.00	$339,465.00	$339,465.00	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	58	20	—	—	$205,246.59	$810,325.24	$339,059.53	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	68	20	—	—	$213,329.48	$525,868.48	$220,239.48	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	62	20	—	—	$167,931.34	$400,642.13	$167,931.34	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	86	23	—	—	$4,200.00	$476,353.44	$166,949.20	2026-04-01
Q0480	HCPCS	Driver Pneumatic Vad, Rep	26	7	—	—	$62,999.94	$379,999.66	$158,728.05	2026-04-01
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	6	3	—	—	$144,875.03	$166,284.17	$147,498.00	2026-04-01
J7330	HCPCS	Cultured Chondrocytes Implnt	14	2	—	—	$75,498.98	$202,215.60	$124,272.66	2026-04-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	8	4	—	—	$92,295.86	$124,455.11	$109,413.05	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	76	20	—	—	$64,096.23	$292,766.26	$109,151.12	2026-04-01
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	8	4	—	—	$99,995.39	$135,834.08	$108,289.09	2026-04-01
L8702	HCPCS	Pow Ue Rom Dev Ewhf Uprt Cus	24	7	—	—	$68,801.71	$250,312.61	$102,734.71	2026-04-01
7	MS_DRG	Lung Transplant	62	20	—	—	$102,087.24	$243,010.50	$102,087.24	2026-04-01
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	34	8	—	—	$55,272.32	$226,399.55	$99,224.93	2026-04-01
J9029	HCPCS	Inj, Adstiladrin, Per Tx Dos	34	7	—	—	$63,342.28	$241,320.52	$96,280.27	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	54	20	—	—	$94,779.59	$225,515.89	$94,779.59	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	62	20	—	—	$89,401.73	$349,767.72	$89,401.73	2026-04-01
209	MS_DRG	Complex Aortic Arch Procedures	62	20	—	—	$89,299.84	$212,397.28	$89,299.84	2026-04-01
J9226	HCPCS	Supprelin La Implant	38	8	—	—	$45,020.65	$190,789.15	$88,316.50	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	66	20	—	—	$81,516.59	$206,812.82	$86,967.16	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	68	20	—	—	$82,891.39	$316,845.00	$85,814.14	2026-04-01
A9543	HCPCS	Y90 Ibritumomab, Rx	28	7	—	—	$56,824.55	$267,589.20	$84,850.42	2026-04-01
L8614	HCPCS	Cochlear Device	12	2	—	—	$52,252.67	$87,858.47	$82,078.31	2026-04-01
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc	8	4	—	—	$75,296.95	$117,697.00	$81,542.15	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	62	20	—	—	$81,396.48	$211,360.82	$81,396.48	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	84	21	—	—	$49,563.51	$278,248.10	$78,625.64	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	72	20	—	—	$72,374.00	$183,574.24	$77,260.20	2026-04-01
2045	OTHER	Grft, Trnsmurl/trnsvens Byps	2	1	—	—	$74,301.28	$74,301.28	$74,301.28	2026-04-01
2046	OTHER	Pmkr, Dual, Leadless	8	3	—	—	$60,462.51	$120,704.78	$72,778.79	2026-04-01
L7181	HCPCS	Electronic Elbo Simultaneous	24	7	—	—	$48,155.50	$175,198.09	$71,905.79	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	60	20	—	—	$71,199.63	$169,065.14	$71,199.63	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	66	20	—	—	$13,628.32	$162,495.52	$68,455.44	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	64	20	—	—	$25,064.89	$158,187.07	$66,655.76	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	64	20	—	—	$29,413.80	$157,689.80	$66,448.05	2026-04-01
L7180	HCPCS	Electronic Elbow Sequential	24	7	—	—	$44,356.85	$161,377.94	$66,233.65	2026-04-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	8	4	—	—	$59,803.01	$68,640.49	$63,499.16	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	62	20	—	—	$62,257.69	$219,922.60	$62,257.69	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	92	21	—	—	$56,753.47	$217,123.93	$60,764.49	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	74	20	—	—	$45,287.33	$149,511.03	$60,505.05	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	96	23	—	—	$42,442.28	$199,929.39	$60,306.74	2026-04-01
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	24	7	—	—	$10,774.55	$145,301.82	$59,635.57	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	72	20	—	—	$57,161.23	$149,759.99	$57,447.04	2026-04-01
J7310	HCPCS	Ganciclovir Long Act Implant	14	2	—	—	$38,329.60	$64,448.00	$57,324.80	2026-04-01
10	MS_DRG	Pancreas Transplant	62	20	—	—	$56,824.96	$134,652.01	$56,824.96	2026-04-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc	64	20	—	—	$55,165.34	$134,595.72	$56,801.45	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	62	20	—	—	$56,502.81	$201,673.85	$56,502.81	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	68	20	—	—	$54,243.87	$211,230.00	$56,469.89	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	80	21	—	—	$13,098.45	$141,466.57	$54,756.43	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	82	20	—	—	$49,953.00	$129,063.79	$54,490.72	2026-04-01
J9266	HCPCS	Pegaspargase Injection	38	8	—	—	$28,424.06	$114,234.26	$54,029.72	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	76	21	—	—	$23,305.36	$155,005.38	$53,340.05	2026-04-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	94	21	—	—	$17,502.56	$226,084.94	$52,990.46	2026-04-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	70	21	—	—	$42,084.76	$142,452.75	$52,952.06	2026-04-01
E0766	HCPCS	Elec Stim Cancer Treatment	12	2	—	—	$33,642.75	$59,610.49	$52,629.79	2026-04-01
L8701	HCPCS	Pow Ue Rom Dev Ewh Uprt Cust	24	7	—	—	$34,970.13	$127,227.42	$52,217.40	2026-04-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	62	20	—	—	$52,118.85	$134,576.41	$52,118.85	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	74	20	—	—	$15,276.46	$184,046.50	$52,118.85	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	70	21	—	—	$11,196.99	$122,937.02	$51,931.51	2026-04-01
J9600	HCPCS	Porfimer Sodium Injection	32	7	—	—	$24,228.42	$97,606.76	$51,524.40	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	82	20	—	—	$31,943.79	$124,530.55	$51,016.78	2026-04-01
C1820	HCPCS	Generator Neuro Rechg Bat Sy	4	1	—	—	$35,175.00	$64,906.25	$50,040.62	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
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	86	21	—	—	$30,042.89	$172,344.59	$48,615.91	2026-04-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	62	20	—	—	$48,560.26	$114,866.19	$48,560.26	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	64	20	—	—	$48,100.15	$133,347.76	$48,100.15	2026-04-01
28	MS_DRG	Spinal Procedures With Mcc	70	21	—	—	$12,805.68	$189,261.80	$47,674.53	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	76	20	—	—	$12,844.85	$119,040.41	$47,661.20	2026-04-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	70	20	—	—	$29,413.80	$111,897.57	$47,320.24	2026-04-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	60	20	—	—	$47,166.61	$127,223.89	$47,166.61	2026-04-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/Mcc	56	20	—	—	$47,058.44	$204,271.38	$47,058.44	2026-04-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	88	22	—	—	$24,988.92	$117,249.16	$46,579.52	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	66	20	—	—	$37,574.68	$110,052.97	$46,549.73	2026-04-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	72	20	—	—	$9,654.11	$129,762.03	$45,783.93	2026-04-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	76	21	—	—	$32,447.81	$115,354.44	$45,495.48	2026-04-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	60	20	—	—	$45,312.06	$107,089.98	$45,312.06	2026-04-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	80	21	—	—	$13,225.60	$235,400.99	$45,254.06	2026-04-01
64656	HCPCS	Revj/rplcmt Bat Mod Sys Pg	12	5	—	—	$32,927.71	$50,050.12	$45,110.96	2026-04-01
L5969	HCPCS	Ak/ft Power Asst Incl Motors	12	2	—	—	$19,443.59	$50,846.05	$44,891.71	2026-04-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	72	20	—	—	$40,796.92	$129,762.03	$44,646.59	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	62	20	—	—	$44,510.20	$170,061.88	$44,510.20	2026-04-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	66	20	—	—	$38,529.11	$104,449.74	$44,209.21	2026-04-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	62	20	—	—	$43,870.60	$111,781.65	$43,870.60	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	64	20	—	—	$40,909.88	$103,017.97	$43,611.15	2026-04-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	70	21	—	—	$26,324.06	$149,035.71	$43,459.09	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	88	21	—	—	$20,229.90	$114,090.22	$43,397.95	2026-04-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	62	20	—	—	$43,330.54	$102,346.19	$43,330.54	2026-04-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/Mcc	56	20	—	—	$43,159.66	$153,599.33	$43,159.66	2026-04-01
L5856	HCPCS	Elec Knee-shin Swing/stance	24	7	—	—	$28,851.23	$104,965.80	$43,080.65	2026-04-01
L6880	HCPCS	Elec Hand Ind Art Digits	24	7	—	—	$28,715.00	$104,470.17	$42,877.24	2026-04-01
C1815	HCPCS	Pros, Urinary Sph, Imp	4	1	—	—	$29,793.25	$54,975.63	$42,384.44	2026-04-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	92	20	—	—	$23,440.95	$121,045.05	$42,379.75	2026-04-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	60	20	—	—	$42,354.67	$100,009.94	$42,354.67	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	62	20	—	—	$42,074.06	$191,236.76	$42,074.06	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	96	21	—	—	$12,844.85	$99,009.77	$41,936.89	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	66	20	—	—	$41,381.15	$97,679.33	$41,381.15	2026-04-01
653	MS_DRG	Major Bladder Procedures With Mcc	62	20	—	—	$41,310.61	$97,510.45	$41,310.61	2026-04-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	78	21	—	—	$17,327.53	$114,788.62	$40,086.27	2026-04-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	80	22	—	—	$18,854.01	$96,287.67	$39,672.40	2026-04-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	72	20	—	—	$21,616.49	$141,482.74	$39,358.87	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	122	23	—	—	$15,358.75	$180,263.35	$39,289.89	2026-04-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	72	20	—	—	$23,182.31	$94,517.43	$39,157.43	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	64	20	—	—	$35,519.50	$91,971.02	$38,996.74	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
471	MS_DRG	Cervical Spinal Fusion With Mcc	78	20	—	—	$16,252.17	$90,610.56	$38,428.46	2026-04-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	62	20	—	—	$38,237.21	$90,152.69	$38,237.21	2026-04-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	86	20	—	—	$30,042.86	$158,664.50	$37,896.24	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	62	20	—	—	$37,430.65	$102,055.88	$37,430.65	2026-04-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	90	21	—	—	$12,477.65	$169,094.11	$37,355.40	2026-04-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	64	20	—	—	$37,245.66	$96,556.04	$37,245.66	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	62	20	—	—	$36,925.86	$144,522.04	$36,925.86	2026-04-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	64	20	—	—	$36,780.85	$102,725.17	$36,780.85	2026-04-01
0686T	OTHER	Histotripsy Mal Hepatcel Tis	20	6	—	—	$2,447.00	$55,566.07	$36,739.40	2026-04-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	106	22	—	—	$15,736.49	$188,889.39	$36,608.41	2026-04-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	68	20	—	—	$10,974.47	$86,033.77	$36,516.70	2026-04-01
245	MS_DRG	Aicd Generator Procedures	64	20	—	—	$36,341.12	$85,613.44	$36,341.12	2026-04-01
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	80	20	—	—	$8,551.72	$96,936.24	$36,233.74	2026-04-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	84	21	—	—	$19,508.74	$127,838.22	$36,218.06	2026-04-01
799	MS_DRG	Splenic Procedures With Mcc	68	20	—	—	$36,078.54	$94,898.65	$36,078.54	2026-04-01
163	MS_DRG	Major Chest Procedures With Mcc	86	20	—	—	$6,659.55	$163,515.53	$35,709.36	2026-04-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	62	20	—	—	$35,699.17	$84,076.58	$35,699.17	2026-04-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	62	20	—	—	$35,561.21	$116,191.87	$35,561.21	2026-04-01
Q4244	HCPCS	Procenta, Per 200 Mg	10	1	—	—	$23,685.39	$39,824.99	$35,423.28	2026-04-01
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	70	21	—	—	$12,309.45	$82,430.89	$35,011.75	2026-04-01
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	72	20	—	—	$32,201.00	$81,203.66	$34,499.12	2026-04-01
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	72	20	—	—	$13,354.82	$84,155.40	$34,228.70	2026-04-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	70	21	—	—	$28,535.98	$80,038.35	$34,012.36	2026-04-01
L6975	HCPCS	Interscap-thor Myoelectronic	24	7	—	—	$22,747.26	$82,758.49	$33,966.21	2026-04-01
L8679	HCPCS	Imp Neurosti Pls Gn Any Type	12	2	—	—	$13,127.92	$38,309.74	$33,823.46	2026-04-01
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	74	20	—	—	$30,009.31	$93,333.45	$33,820.33	2026-04-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	82	21	—	—	$16,133.54	$79,248.35	$33,682.37	2026-04-01
0915T	OTHER	Insj Perm Ccm-d Sys Pg&eltrd	24	7	—	—	$2,769.00	$55,051.00	$33,661.98	2026-04-01
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	62	20	—	—	$33,625.94	$79,113.24	$33,625.94	2026-04-01
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	84	22	—	—	$3,200.00	$209,946.67	$33,609.48	2026-04-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	80	21	—	—	$10,665.70	$269,504.68	$33,513.06	2026-04-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	62	20	—	—	$33,473.87	$78,749.20	$33,473.87	2026-04-01
5232	OTHER	Level 2 Icd And Similar Procedures	16	6	—	—	$24,462.74	$85,520.00	$33,456.56	2026-04-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	90	22	—	—	$20,027.60	$85,132.79	$33,412.73	2026-04-01
L5858	HCPCS	Stance Phase Only	24	7	—	—	$22,336.47	$81,263.95	$33,352.82	2026-04-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	62	20	—	—	$31,991.74	$98,463.68	$33,285.75	2026-04-01
793	MS_DRG	Full Term Neonate With Major Problems	60	20	—	—	$17,695.28	$78,242.54	$33,262.24	2026-04-01
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	64	20	—	—	$9,009.36	$77,931.05	$33,132.12	2026-04-01
0674T	OTHER	Laps Insj Nw/rpcmt Prm Isdss	20	6	—	—	$2,158.00	$50,050.12	$33,092.35	2026-04-01
Q0483	HCPCS	Monitor Elec Vad, Rep	26	7	—	—	$13,918.00	$81,982.34	$33,043.74	2026-04-01
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	70	20	—	—	$25,004.41	$77,415.01	$32,916.57	2026-04-01
791	MS_DRG	Prematurity With Major Problems	60	20	—	—	$32,395.32	$76,167.14	$32,395.32	2026-04-01
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	80	20	—	—	$15,324.69	$186,206.80	$32,093.55	2026-04-01
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	64	20	—	—	$29,198.44	$74,761.64	$31,808.23	2026-04-01
5465	OTHER	Level 5 Neurostimulator And Related Procedures	8	3	—	—	$22,130.04	$81,938.28	$31,763.52	2026-04-01
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	24	7	—	—	$21,127.66	$76,866.10	$31,547.82	2026-04-01
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	62	20	—	—	$31,242.31	$95,592.51	$31,242.31	2026-04-01
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	62	20	—	—	$31,103.57	$73,074.66	$31,103.57	2026-04-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	68	20	—	—	$28,383.88	$72,633.69	$30,919.37	2026-04-01
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	62	20	—	—	$30,873.91	$72,524.85	$30,873.91	2026-04-01
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	76	21	—	—	$8,866.25	$74,521.60	$30,844.91	2026-04-01
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	74	20	—	—	$25,296.79	$72,044.46	$30,673.25	2026-04-01
81416	HCPCS	Exome Sequence Analysis	38	8	—	—	$12,000.00	$146,250.00	$30,360.00	2026-04-01
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	82	21	—	—	$21,446.02	$238,720.00	$30,075.19	2026-04-01
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	62	20	—	—	$29,946.64	$70,304.95	$29,946.64	2026-04-01
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	82	20	—	—	$6,584.37	$70,137.94	$29,876.88	2026-04-01
C1813	HCPCS	Prosthesis, Penile, Inflatab	4	1	—	—	$21,000.00	$38,750.00	$29,875.00	2026-04-01
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	74	20	—	—	$24,184.39	$70,130.43	$29,873.74	2026-04-01
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	70	21	—	—	$14,433.73	$69,933.40	$29,791.44	2026-04-01
5200	OTHER	Implantation Wireless Pa Pressure Monitor	2	1	—	—	$29,693.49	$29,693.49	$29,693.49	2026-04-01
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	62	20	—	—	$29,626.83	$83,784.50	$29,626.83	2026-04-01
904	MS_DRG	Skin Grafts For Injuries With Cc/Mcc	74	20	—	—	$3,423.63	$68,925.72	$29,370.52	2026-04-01
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	86	22	—	—	$9,740.87	$174,522.67	$29,358.76	2026-04-01
0956T	OTHER	Prt Crn Ch Cr&tun Elt S-sclp	20	6	—	—	$2,769.00	$44,010.44	$29,099.01	2026-04-01
0960T	OTHER	Rpl S-sclp Eltr Ra Rcvr&tlmt	20	6	—	—	$2,769.00	$44,010.44	$29,099.01	2026-04-01
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	62	20	—	—	$29,020.93	$68,088.80	$29,020.93	2026-04-01
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	68	21	—	—	$12,758.35	$68,036.26	$28,998.99	2026-04-01
332	MS_DRG	Rectal Resection With Mcc	64	20	—	—	$28,959.79	$70,676.70	$28,959.79	2026-04-01
265	MS_DRG	Aicd Lead Procedures	62	20	—	—	$28,940.20	$71,759.86	$28,940.20	2026-04-01
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	70	20	—	—	$28,890.03	$67,775.43	$28,890.03	2026-04-01
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	66	20	—	—	$23,008.00	$67,674.10	$28,847.71	2026-04-01
L6970	HCPCS	Interscapular-thor Switch CT	24	7	—	—	$19,237.24	$69,988.44	$28,725.04	2026-04-01
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	66	20	—	—	$28,662.72	$67,231.24	$28,662.72	2026-04-01
Q0489	HCPCS	Pwr Pck Base Combo Vad, Rep	26	7	—	—	$13,199.17	$71,074.17	$28,647.11	2026-04-01
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	64	20	—	—	$28,597.66	$72,167.26	$28,597.66	2026-04-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	72	21	—	—	$12,512.71	$67,007.94	$28,569.45	2026-04-01
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	66	21	—	—	$10,650.19	$79,448.65	$28,527.90	2026-04-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	62	20	—	—	$28,504.39	$66,852.19	$28,504.39	2026-04-01
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	74	21	—	—	$10,621.83	$66,788.39	$28,477.74	2026-04-01
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	100	21	—	—	$15,694.34	$66,733.97	$28,455.01	2026-04-01
C1882	HCPCS	Aicd, Other Than Sing/dual	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
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
1013T	OTHER	Lap Srg Imp/rpl Eso Nea&pg/r	12	5	—	—	$20,701.52	$31,466.31	$28,361.08	2026-04-01
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	72	20	—	—	$24,913.37	$66,176.65	$28,222.21	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	68	22	—	—	$23,990.57	$66,041.54	$28,165.77	2026-04-01
252	MS_DRG	Other Vascular Procedures With Mcc	92	21	—	—	$15,537.40	$65,457.95	$27,922.00	2026-04-01
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	72	20	—	—	$17,721.72	$65,441.06	$27,914.95	2026-04-01
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	84	22	—	—	$1,132.70	$65,140.82	$27,789.54	2026-04-01
K1014	HCPCS	Ak 4 Bar Link Hydl Swg/stanc	10	1	—	—	$18,496.90	$31,100.99	$27,663.51	2026-04-01
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	62	20	—	—	$27,657.85	$64,825.57	$27,657.85	2026-04-01
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	62	20	—	—	$27,532.44	$64,525.33	$27,532.44	2026-04-01
L8687	HCPCS	Implt Nrostm Pls Gen Dua Rec	12	2	—	—	$18,522.82	$31,144.57	$27,497.38	2026-04-01
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	78	21	—	—	$16,526.74	$64,333.93	$27,452.49	2026-04-01
C1895	HCPCS	Lead, Aicd, Endo Dual Coil	4	1	—	—	$19,228.06	$35,480.35	$27,354.21	2026-04-01
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	74	20	—	—	$12,871.98	$72,972.35	$27,320.81	2026-04-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	62	20	—	—	$27,285.53	$69,367.22	$27,285.53	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
L6965	HCPCS	Shldr Disartic Myoelectronic	24	7	—	—	$18,164.17	$66,084.39	$27,122.74	2026-04-01
77	MS_DRG	Hypertensive Encephalopathy With Mcc	6	3	—	—	$6,431.26	$29,014.44	$26,936.62	2026-04-01
37294	HCPCS	Rvsc Evsc Tpvt St Athr Cpx 1	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37288	HCPCS	Revsc Evsc Tpvt Athrc Sf 1st	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37290	HCPCS	Revsc Evsc Tpvt Athrc Cplx 1	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37284	HCPCS	Revsc Evasc Tpvt St Sf 1st	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37286	HCPCS	Revsc Evasc Tpvt St Cplx 1st	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37277	HCPCS	Rvsc Evsc Fpvt St Athr Cpx 1	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37292	HCPCS	Rvsc Evsc Tpvt St Athrc Sf 1	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37273	HCPCS	Revsc Evsc Fpvt Athrc Cplx 1	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37271	HCPCS	Revsc Evsc Fpvt Athrc Sf 1st	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
37275	HCPCS	Rvsc Evsc Fpvt St Athrc Sf 1	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
92930	HCPCS	Prq Tcat Plmt Ntrac St 2+les	12	5	—	—	$19,561.37	$29,733.28	$26,799.07	2026-04-01
264	MS_DRG	Other Circulatory System O.r. Procedures	82	21	—	—	$5,679.68	$269,905.00	$26,764.29	2026-04-01
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	62	20	—	—	$26,471.92	$71,866.56	$26,471.92	2026-04-01
37	MS_DRG	Extracranial Procedures With Mcc	70	20	—	—	$12,395.20	$61,776.26	$26,384.13	2026-04-01
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	66	20	—	—	$24,003.36	$61,768.75	$26,380.99	2026-04-01
509	MS_DRG	Arthroscopy	4	2	—	—	$19,542.07	$32,960.72	$26,251.40	2026-04-01
C1891	HCPCS	Infusion Pump,non-prog, Perm	4	1	—	—	$18,358.20	$33,875.25	$26,116.72	2026-04-01
C1772	HCPCS	Infusion Pump, Programmable	4	1	—	—	$18,358.20	$33,875.25	$26,116.72	2026-04-01
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	62	20	—	—	$26,076.08	$61,038.79	$26,076.08	2026-04-01
L5859	HCPCS	Knee-shin Pro Flex/ext Cont	24	7	—	—	$17,437.90	$63,442.10	$26,038.28	2026-04-01
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	76	21	—	—	$10,868.68	$60,770.45	$25,964.00	2026-04-01
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	72	20	—	—	$7,539.94	$60,702.90	$25,935.78	2026-04-01
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	78	20	—	—	$19,285.07	$69,418.95	$25,900.50	2026-04-01
652	MS_DRG	Kidney Transplant	62	20	—	—	$25,893.45	$72,225.46	$25,893.45	2026-04-01
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	66	20	—	—	$25,343.80	$60,556.53	$25,874.64	2026-04-01
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc	62	20	—	—	$25,825.26	$62,532.02	$25,825.26	2026-04-01
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	62	20	—	—	$25,743.74	$60,243.16	$25,743.74	2026-04-01
Q0481	HCPCS	Microprcsr Cu Elec Vad, Rep	26	7	—	—	$11,799.29	$63,536.27	$25,608.89	2026-04-01
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	74	21	—	—	$13,322.99	$71,905.36	$25,605.78	2026-04-01
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	74	20	—	—	$20,109.26	$59,802.18	$25,559.54	2026-04-01
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	64	20	—	—	$24,002.85	$59,744.01	$25,535.24	2026-04-01
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	62	20	—	—	$25,485.07	$160,035.42	$25,485.07	2026-04-01
5213	OTHER	Level 3 Electrophysiologic Procedures	46	15	—	—	$15,809.38	$39,088.55	$25,432.98	2026-04-01
500	MS_DRG	Soft Tissue Procedures With Mcc	70	21	—	—	$12,758.35	$59,387.47	$25,386.31	2026-04-01
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	66	20	—	—	$9,913.84	$59,297.40	$25,348.69	2026-04-01
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	78	21	—	—	$13,251.66	$59,128.52	$25,278.14	2026-04-01
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	84	21	—	—	$17,327.52	$111,655.55	$25,266.39	2026-04-01
E0783	HCPCS	Programmable Infusion Pump	22	2	—	—	$2,524.60	$42,448.24	$25,245.53	2026-04-01
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	64	20	—	—	$22,553.57	$58,961.51	$25,208.38	2026-04-01
L8609	HCPCS	Artificial Cornea	12	2	—	—	$9,762.52	$28,488.87	$25,152.67	2026-04-01
C2616	HCPCS	Brachytx, Non-str,yttrium-90	16	6	—	—	$17,771.01	$46,073.75	$25,101.92	2026-04-01
665	MS_DRG	Prostatectomy With Mcc	62	20	—	—	$25,044.56	$58,569.32	$25,044.56	2026-04-01
C9758	HCPCS	Interatrial Shunt Ide	16	6	—	—	$1,751.27	$32,926.00	$25,041.65	2026-04-01
0888T	OTHER	Histotripsy Mal Renal Tissue	16	6	—	—	$1,100.66	$39,376.13	$25,041.65	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
C1824	HCPCS	Generator, Ccm, Implant	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
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	80	20	—	—	$5,460.52	$332,600.00	$24,993.61	2026-04-01
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	76	20	—	—	$19,668.38	$95,304.75	$24,950.50	2026-04-01
5094	OTHER	Level 4 Breast/Lymphatic Surgery And Related Procedures	16	5	—	—	$19,281.69	$43,929.85	$24,880.10	2026-04-01
E0786	HCPCS	Implantable Pump Replacement	22	2	—	—	$2,462.52	$41,405.64	$24,625.46	2026-04-01
662	MS_DRG	Minor Bladder Procedures With Mcc	66	20	—	—	$11,292.28	$57,449.05	$24,576.62	2026-04-01
263	MS_DRG	Vein Ligation And Stripping	72	21	—	—	$17,789.62	$57,372.11	$24,544.48	2026-04-01
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	66	20	—	—	$24,354.79	$59,463.62	$24,354.79	2026-04-01
E0616	HCPCS	Cardiac Event Recorder	2	1	—	—	$24,335.00	$24,335.00	$24,335.00	2026-04-01
93656	HCPCS	Tx Atrial Fib Pulm Vein Isol	30	7	—	—	$2,027.79	$44,410.60	$24,283.00	2026-04-01
93654	HCPCS	Ep & Ablate Ventric Tachy	30	7	—	—	$2,154.46	$51,918.88	$24,283.00	2026-04-01
93653	HCPCS	Ep & Ablate Supravent Arrhyt	30	7	—	—	$1,788.27	$52,848.76	$24,283.00	2026-04-01
510	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	70	20	—	—	$21,519.31	$77,178.08	$24,255.24	2026-04-01
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	62	20	—	—	$24,252.11	$56,672.18	$24,252.11	2026-04-01
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	66	20	—	—	$19,042.98	$56,610.25	$24,226.24	2026-04-01
L8682	HCPCS	Implt Neurostim Radiofq Rec	12	2	—	—	$8,574.45	$27,371.44	$24,166.10	2026-04-01
C8005	HCPCS	Pef Bronch Ablt 3d Nav Ebus	14	6	—	—	$244.24	$27,783.43	$24,127.72	2026-04-01
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	62	20	—	—	$23,909.58	$55,852.15	$23,909.58	2026-04-01
0916T	OTHER	Insj Perm Ccm-d Sys Pg Only	24	7	—	—	$2,769.00	$55,051.00	$23,854.41	2026-04-01
0923T	OTHER	Rmvl&rplcmt Perm Ccm-d Pg	24	7	—	—	$2,769.00	$55,051.00	$23,854.41	2026-04-01
472	MS_DRG	Cervical Spinal Fusion With Cc	90	20	—	—	$12,242.70	$55,283.57	$23,672.08	2026-04-01
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc	66	21	—	—	$13,103.41	$73,667.51	$23,656.40	2026-04-01
570	MS_DRG	Skin Debridement With Mcc	62	20	—	—	$23,632.88	$55,189.74	$23,632.88	2026-04-01
C1817	HCPCS	Septal Defect Imp Sys	4	1	—	—	$16,501.00	$30,448.28	$23,474.64	2026-04-01
668	MS_DRG	Transurethral Procedures With Mcc	62	20	—	—	$23,467.50	$54,793.80	$23,467.50	2026-04-01
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	92	21	—	—	$8,731.54	$143,357.56	$23,407.14	2026-04-01
L6960	HCPCS	Shldr Disartic Switch Contro	24	7	—	—	$15,644.23	$56,916.44	$23,359.97	2026-04-01
0908T	OTHER	Opn Imp Int Nstm Sys Vgs Nrv	24	7	—	—	$2,677.63	$50,050.12	$23,334.35	2026-04-01
0909T	OTHER	Rplcmt Int Nstim Sys Vgs Nrv	24	7	—	—	$1,999.50	$50,050.12	$23,334.35	2026-04-01
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	66	20	—	—	$22,309.08	$54,456.03	$23,326.41	2026-04-01
406	MS_DRG	Pancreas, Liver And Shunt Procedures With Cc	68	20	—	—	$13,582.76	$65,464.63	$23,312.30	2026-04-01
5231	OTHER	Level 1 Icd And Similar Procedures	2	1	—	—	$23,283.43	$23,283.43	$23,283.43	2026-04-01

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