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Hospital

ABRAZO ARROWHEAD HOSPITAL

Glendale, AZ · CCN 030094 · Rates published

15,866 distinct procedures filed
22 distinct payers
283,278 rate rows
2026-04-16 last MRF observed
Data quality

169,878 of 283,278 rate rows are consumer-grade (60.0%)

113,400 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 59,937
template filing: same amount across many unrelated codes — excluded 50,162
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,954
per-diem day rate — not a per-procedure price 1,305
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 18
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12
exceeds 10× this hospital's gross charge — excluded from medians 10
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/621811285_abrazo-arrowhead-campus_standardcharges.json
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-10-01
Content fingerprint 870df35a42aa96c5… · 3,257,744 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $349,046.57 $761,226.40 $550,623.89 nat. median
$168,055
outlier · 3.3×
Q0480
HCPCS 		Dme Pos 1 $350,499.68 $350,499.68 $350,499.68 nat. median
$108,243
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $226,517.18 $494,005.31 $325,627.01 nat. median
$186,516
1.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $246,815.83 $246,815.83 $246,815.83 nat. median
$65,477
outlier · 3.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $172,576.09 $376,366.61 $246,512.87 nat. median
$131,925
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $171,563.29 $374,157.83 $245,066.16 nat. median
$145,435
1.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $214,506.00 $214,506.00 $214,506.00 nat. median
$66,211
outlier · 3.2×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $187,260.43 $187,260.43 $187,260.43 nat. median
$63,499
outlier · 2.9×
L7181
HCPCS 		Dme Pos 1 $161,597.18 $161,597.18 $161,597.18 nat. median
$48,410
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $111,960.87 $244,172.48 $159,928.26 nat. median
$97,418
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $91,594.94 $201,105.97 $158,146.60 nat. median
$65,418
outlier · 2.4×
J9226
HCPCS 		Supprelin La Implant 1 $156,238.65 $156,238.65 $156,238.65 nat. median
$57,036
outlier · 2.7×
7
MS_DRG 		Lung Transplant 2 $104,676.47 $228,286.13 $149,523.01 nat. median
$70,649
outlier · 2.1×
L7180
HCPCS 		Dme Pos 1 $148,849.92 $148,849.92 $148,849.92 nat. median
$42,745
outlier · 3.5×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $143,163.29 $143,163.29 $143,163.29 nat. median
$2,106
outlier · 68.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $97,140.69 $211,851.54 $140,913.96 nat. median
$72,715
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 2 $80,482.43 $197,935.88 $138,959.89 nat. median
$73,023
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $83,339.77 $181,753.49 $134,617.38 nat. median
$69,922
1.9× median
L2006
HCPCS 		Dme Pos 1 $134,021.81 $134,021.81 $134,021.81 nat. median
$38,763
outlier · 3.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $24,234.00 $194,281.71 $127,250.78 nat. median
$2,736
outlier · 46.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $71,212.00 $191,688.63 $125,552.36 nat. median
$74,509
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $117,090.24 $117,090.24 $117,090.24 nat. median
$92,809
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $54,463.00 $172,451.20 $112,952.21 nat. median
$69,822
1.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $111,017.37 $111,017.37 $111,017.37 nat. median
$2,024
outlier · 54.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $69,994.74 $152,649.67 $110,417.29 nat. median
$2,633
outlier · 41.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $63,603.51 $138,711.21 $109,816.97 nat. median
$56,428
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $24,234.00 $158,821.23 $104,024.84 nat. median
$2,596
outlier · 40.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $102,827.96 $102,827.96 $102,827.96 nat. median
$2,106
outlier · 48.8×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $98,402.40 $98,402.40 $98,402.40 nat. median
$2,024
outlier · 48.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $30,281.00 $148,602.28 $97,331.63 nat. median
$60,505
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $32,889.00 $148,135.14 $97,025.66 nat. median
$59,651
1.6× median
L5856
HCPCS 		Dme Pos 1 $96,817.14 $96,817.14 $96,817.14 nat. median
$29,004
outlier · 3.3×
L6880
HCPCS 		Dme Pos 1 $96,359.99 $96,359.99 $96,359.99 nat. median
$28,867
outlier · 3.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $46,586.00 $134,769.59 $94,247.42 nat. median
$55,935
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $57,668.97 $125,768.73 $90,973.29 nat. median
$45,605
2.0× median
J9266
HCPCS 		Pegaspargase Injection 2 $90,364.01 $90,364.01 $90,364.01 nat. median
$31,084
outlier · 2.9×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $89,220.42 $89,220.42 $89,220.42 nat. median
$2,024
outlier · 44.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $40,322.00 $135,353.07 $88,653.65 nat. median
$55,923
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $61,591.65 $134,323.60 $87,979.37 nat. median
$52,327
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $49,535.86 $115,313.41 $85,527.95 nat. median
$44,036
1.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $24,234.00 $127,249.48 $83,345.96 nat. median
$9,905
outlier · 8.4×
10
MS_DRG 		Pancreas Transplant 2 $52,384.76 $126,493.24 $82,850.63 nat. median
$23,080
outlier · 3.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $57,976.93 $126,440.36 $82,815.99 nat. median
$37,013
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $57,635.02 $125,694.69 $82,327.60 nat. median
$51,518
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $53,148.15 $115,909.39 $81,164.38 nat. median
$47,458
1.7× median
L8614
HCPCS 		Dme Pos 1 $81,037.88 $81,037.88 $81,037.88 nat. median
$22,495
outlier · 3.6×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $80,693.74 $80,693.74 $80,693.74 nat. median
$2,024
outlier · 39.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $80,153.85 $80,153.85 $80,153.85 nat. median
$2,106
outlier · 38.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $55,868.08 $121,841.21 $79,803.64 nat. median
$48,611
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $49,478.47 $107,906.28 $77,989.16 nat. median
$41,943
1.9× median

Other procedures at this hospital

Browse this hospital's 15,866 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 1 — — $349,046.57 $761,226.40 $550,623.89 2026-04-16
Q0480 HCPCS Dme Pos 1 1 — — $350,499.68 $350,499.68 $350,499.68 2026-04-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 2 — — $226,517.18 $494,005.31 $325,627.01 2026-04-16
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $246,815.83 $246,815.83 $246,815.83 2026-04-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 2 — — $172,576.09 $376,366.61 $246,512.87 2026-04-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 2 — — $171,563.29 $374,157.83 $245,066.16 2026-04-16
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $214,506.00 $214,506.00 $214,506.00 2026-04-16
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $187,260.43 $187,260.43 $187,260.43 2026-04-16
L7181 HCPCS Dme Pos 1 1 — — $161,597.18 $161,597.18 $161,597.18 2026-04-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 2 — — $111,960.87 $244,172.48 $159,928.26 2026-04-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 2 — — $91,594.94 $201,105.97 $158,146.60 2026-04-16
J9226 HCPCS Supprelin La Implant 1 1 — — $156,238.65 $156,238.65 $156,238.65 2026-04-16
7 MS_DRG Lung Transplant 7 2 — — $104,676.47 $228,286.13 $149,523.01 2026-04-16
L7180 HCPCS Dme Pos 1 1 — — $148,849.92 $148,849.92 $148,849.92 2026-04-16
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $143,163.29 $143,163.29 $143,163.29 2026-04-16
14 MS_DRG Allogeneic Bone Marrow Transplant 7 2 — — $97,140.69 $211,851.54 $140,913.96 2026-04-16
215 MS_DRG Other Heart Assist System Implant 7 2 — — $80,482.43 $197,935.88 $138,959.89 2026-04-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 2 — — $83,339.77 $181,753.49 $134,617.38 2026-04-16
L2006 HCPCS Dme Pos 1 1 — — $134,021.81 $134,021.81 $134,021.81 2026-04-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 2 — — $24,234.00 $194,281.71 $127,250.78 2026-04-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 2 — — $71,212.00 $191,688.63 $125,552.36 2026-04-16
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $117,090.24 $117,090.24 $117,090.24 2026-04-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 3 — — $54,463.00 $172,451.20 $112,952.21 2026-04-16
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $111,017.37 $111,017.37 $111,017.37 2026-04-16
850 MS_DRG Acute Leukemia With Other Procedures 6 1 — — $69,994.74 $152,649.67 $110,417.29 2026-04-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 2 — — $63,603.51 $138,711.21 $109,816.97 2026-04-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 2 — — $24,234.00 $158,821.23 $104,024.84 2026-04-16
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $102,827.96 $102,827.96 $102,827.96 2026-04-16
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $98,402.40 $98,402.40 $98,402.40 2026-04-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 3 — — $30,281.00 $148,602.28 $97,331.63 2026-04-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 3 — — $32,889.00 $148,135.14 $97,025.66 2026-04-16
L5856 HCPCS Dme Pos 1 1 — — $96,817.14 $96,817.14 $96,817.14 2026-04-16
L6880 HCPCS Dme Pos 1 1 — — $96,359.99 $96,359.99 $96,359.99 2026-04-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 3 — — $46,586.00 $134,769.59 $94,247.42 2026-04-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 1 — — $57,668.97 $125,768.73 $90,973.29 2026-04-16
J9266 HCPCS Pegaspargase Injection 3 2 — — $90,364.01 $90,364.01 $90,364.01 2026-04-16
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $89,220.42 $89,220.42 $89,220.42 2026-04-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 3 — — $40,322.00 $135,353.07 $88,653.65 2026-04-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 2 — — $61,591.65 $134,323.60 $87,979.37 2026-04-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 2 — — $49,535.86 $115,313.41 $85,527.95 2026-04-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 2 — — $24,234.00 $127,249.48 $83,345.96 2026-04-16
10 MS_DRG Pancreas Transplant 7 2 — — $52,384.76 $126,493.24 $82,850.63 2026-04-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 2 — — $57,976.93 $126,440.36 $82,815.99 2026-04-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 2 — — $57,635.02 $125,694.69 $82,327.60 2026-04-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 3 — — $53,148.15 $115,909.39 $81,164.38 2026-04-16
L8614 HCPCS Dme Pos 1 1 — — $81,037.88 $81,037.88 $81,037.88 2026-04-16
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $80,693.74 $80,693.74 $80,693.74 2026-04-16
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $80,153.85 $80,153.85 $80,153.85 2026-04-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 2 — — $55,868.08 $121,841.21 $79,803.64 2026-04-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 2 — — $49,478.47 $107,906.28 $77,989.16 2026-04-16
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $77,780.33 $77,780.33 $77,780.33 2026-04-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 2 — — $54,407.48 $118,655.83 $77,717.28 2026-04-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 2 — — $20,732.00 $117,869.62 $77,202.33 2026-04-16
L6975 HCPCS Dme Pos 1 1 — — $76,333.82 $76,333.82 $76,333.82 2026-04-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 3 — — $53,148.15 $115,909.39 $75,918.41 2026-04-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 2 — — $47,543.70 $115,488.08 $75,642.46 2026-04-16
Q0483 HCPCS Dme Pos 1 1 — — $75,617.92 $75,617.92 $75,617.92 2026-04-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 7 2 — — $47,929.77 $104,528.75 $75,379.47 2026-04-16
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $75,161.46 $75,161.46 $75,161.46 2026-04-16
L5858 HCPCS Dme Pos 1 1 — — $74,955.30 $74,955.30 $74,955.30 2026-04-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 2 — — $52,011.68 $113,430.89 $74,295.05 2026-04-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 2 — — $42,789.79 $93,319.11 $73,880.27 2026-04-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 3 — — $41,998.00 $103,451.68 $73,210.93 2026-04-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 2 — — $29,716.00 $121,243.62 $73,153.35 2026-04-16
653 MS_DRG Major Bladder Procedures With Mcc 7 2 — — $42,002.50 $91,602.14 $72,520.96 2026-04-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 3 — — $52,374.00 $117,783.24 $71,065.49 2026-04-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 2 — — $44,218.05 $96,433.97 $71,028.29 2026-04-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 1 — — $44,991.59 $98,120.97 $70,974.62 2026-04-16
L5973 HCPCS Dme Pos 1 1 — — $70,898.86 $70,898.86 $70,898.86 2026-04-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 2 — — $47,405.18 $103,384.69 $70,821.82 2026-04-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 3 — — $30,281.00 $106,871.51 $69,998.78 2026-04-16
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $69,881.82 $69,881.82 $69,881.82 2026-04-16
28 MS_DRG Spinal Procedures With Mcc 7 2 — — $48,565.09 $105,914.31 $69,371.83 2026-04-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 2 — — $48,551.35 $105,884.34 $69,352.20 2026-04-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 2 — — $40,313.15 $87,917.89 $69,053.39 2026-04-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 3 — — $32,889.00 $105,117.53 $68,849.95 2026-04-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 2 — — $46,069.06 $100,470.79 $68,409.63 2026-04-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 2 — — $45,301.98 $98,797.89 $68,354.48 2026-04-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 2 — — $46,318.01 $101,013.73 $67,888.97 2026-04-16
834 MS_DRG Acute Leukemia With Mcc 7 2 — — $44,374.86 $96,775.96 $67,627.36 2026-04-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 2 — — $38,833.16 $84,690.20 $67,048.81 2026-04-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 2 — — $39,918.70 $87,057.64 $66,772.00 2026-04-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 2 — — $24,234.00 $101,662.44 $66,586.94 2026-04-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 2 — — $38,481.55 $86,583.80 $66,441.72 2026-04-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 2 — — $42,075.25 $91,760.79 $66,060.27 2026-04-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $65,746.08 $65,746.08 $65,746.08 2026-04-16
Q0489 HCPCS Dme Pos 1 1 — — $65,556.57 $65,556.57 $65,556.57 2026-04-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 2 — — $37,810.66 $82,460.26 $65,274.16 2026-04-16
A9604 HCPCS Sm 153 Lexidronam 1 1 — — $65,061.53 $65,061.53 $65,061.53 2026-04-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 2 — — $24,234.00 $99,104.62 $64,911.61 2026-04-16
L6970 HCPCS Dme Pos 1 1 — — $64,555.13 $64,555.13 $64,555.13 2026-04-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 3 — — $40,322.00 $94,006.60 $64,427.00 2026-04-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 2 — — $44,642.41 $97,359.44 $64,379.04 2026-04-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 2 — — $37,153.51 $81,027.10 $64,148.75 2026-04-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 2 — — $37,923.82 $82,707.05 $64,078.96 2026-04-16
799 MS_DRG Splenic Procedures With Mcc 7 2 — — $36,607.10 $79,835.45 $63,205.33 2026-04-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 3 — — $44,155.00 $130,949.00 $63,072.33 2026-04-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 2 — — $44,085.49 $96,144.87 $62,973.04 2026-04-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 2 — — $43,909.28 $95,760.58 $62,721.34 2026-04-16
163 MS_DRG Major Chest Procedures With Mcc 7 2 — — $36,226.39 $79,005.17 $62,548.00 2026-04-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 2 — — $29,716.00 $93,010.62 $61,782.58 2026-04-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 2 — — $36,767.14 $80,184.48 $61,782.18 2026-04-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 2 — — $39,782.10 $86,759.73 $61,029.42 2026-04-16
L6965 HCPCS Dme Pos 1 1 — — $60,954.16 $60,954.16 $60,954.16 2026-04-16
6 MS_DRG Liver Transplant Without Mcc 7 2 — — $37,480.87 $81,741.04 $60,863.99 2026-04-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 1 — — $38,001.42 $82,876.28 $59,947.55 2026-04-16
245 MS_DRG Aicd Generator Procedures 7 2 — — $36,877.88 $80,425.99 $59,612.36 2026-04-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 3 — — $43,079.16 $93,950.19 $59,480.28 2026-04-16
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $59,444.80 $59,444.80 $59,444.80 2026-04-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 3 — — $40,322.00 $88,848.65 $59,435.39 2026-04-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 3 — — $38,944.00 $93,760.11 $59,111.00 2026-04-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 2 — — $37,331.34 $81,414.92 $58,940.00 2026-04-16
Q0481 HCPCS Dme Pos 1 1 — — $58,603.85 $58,603.85 $58,603.85 2026-04-16
L5859 HCPCS Dme Pos 1 1 — — $58,516.99 $58,516.99 $58,516.99 2026-04-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 2 — — $36,073.62 $82,667.00 $58,373.62 2026-04-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 2 — — $37,058.94 $80,820.85 $57,223.25 2026-04-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 2 — — $39,616.40 $86,398.35 $56,589.26 2026-04-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 2 — — $36,750.98 $80,149.23 $55,622.82 2026-04-16
E0766 HCPCS Dme Pos 1 1 — — $54,982.83 $54,982.83 $54,982.83 2026-04-16
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 3 — — $34,278.39 $74,756.82 $54,899.50 2026-04-16
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $23,377.00 $85,518.13 $54,447.57 2026-04-16
140 MS_DRG Major Head And Neck Procedures With Mcc 6 1 — — $34,476.42 $75,188.71 $54,386.84 2026-04-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 2 — — $29,716.00 $74,446.57 $53,850.03 2026-04-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 2 — — $33,568.70 $73,209.08 $53,810.79 2026-04-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 2 — — $36,215.88 $78,982.25 $53,210.62 2026-04-16
L6960 HCPCS Dme Pos 1 1 — — $52,497.93 $52,497.93 $52,497.93 2026-04-16
901 MS_DRG Wound Debridements For Injuries With Mcc 7 2 — — $33,921.12 $73,977.66 $51,204.95 2026-04-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 2 — — $35,507.00 $77,436.28 $50,719.27 2026-04-16
332 MS_DRG Rectal Resection With Mcc 7 2 — — $29,266.12 $63,825.70 $50,530.49 2026-04-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 2 — — $20,222.00 $76,283.41 $49,964.16 2026-04-16
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 3 — — $32,889.00 $73,554.59 $49,921.00 2026-04-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 2 — — $28,892.68 $63,011.29 $49,885.72 2026-04-16
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 2 — — $28,863.58 $62,947.83 $49,835.48 2026-04-16
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 2 — — $28,820.74 $62,854.40 $49,761.51 2026-04-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 2 — — $34,699.51 $75,675.24 $49,565.82 2026-04-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 2 — — $34,060.95 $74,282.63 $49,503.20 2026-04-16
L6955 HCPCS Dme Pos 1 1 — — $49,066.99 $49,066.99 $49,066.99 2026-04-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 2 — — $28,769.01 $62,741.58 $48,791.47 2026-04-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 2 — — $31,210.08 $68,065.23 $48,679.90 2026-04-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 2 — — $34,077.93 $74,319.65 $48,677.94 2026-04-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 2 — — $28,188.65 $61,475.89 $48,670.15 2026-04-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 3 — — $33,858.07 $91,064.00 $48,669.64 2026-04-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 2 — — $31,033.06 $67,679.18 $48,568.34 2026-04-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 2 — — $33,961.53 $74,065.80 $48,511.67 2026-04-16
Q0479 HCPCS Dme Pos 1 1 — — $48,278.33 $48,278.33 $48,278.33 2026-04-16
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 2 — — $31,619.89 $68,958.97 $48,039.99 2026-04-16
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 1 — — $30,283.77 $66,045.06 $47,772.90 2026-04-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 2 — — $31,286.87 $68,232.70 $47,459.06 2026-04-16
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 1 — — $29,953.98 $65,325.84 $47,252.65 2026-04-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 2 — — $30,416.33 $66,334.16 $47,053.82 2026-04-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 2 — — $30,211.83 $65,888.18 $46,948.66 2026-04-16
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $46,898.79 $46,898.79 $46,898.79 2026-04-16
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 2 — — $24,234.00 $70,873.37 $46,420.69 2026-04-16
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $46,125.36 $46,125.36 $46,125.36 2026-04-16
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 2 — — $26,700.57 $58,230.57 $46,100.85 2026-04-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 2 — — $32,203.48 $70,231.71 $46,000.42 2026-04-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 1 — — $29,150.53 $63,573.62 $45,985.21 2026-04-16
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 2 — — $28,796.50 $62,801.51 $45,582.91 2026-04-16
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 2 — — $28,745.57 $62,690.46 $45,346.38 2026-04-16
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 3 — — $26,111.32 $57,425.00 $45,083.46 2026-04-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 2 — — $31,476.82 $68,646.96 $44,962.43 2026-04-16
791 MS_DRG Prematurity With Major Problems 1 1 — — $44,903.24 $44,903.24 $44,903.24 2026-04-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 2 — — $31,239.99 $68,130.46 $44,624.14 2026-04-16
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 2 — — $27,539.59 $60,060.36 $44,397.97 2026-04-16
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 2 — — $25,682.92 $57,623.36 $44,343.79 2026-04-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 2 — — $25,734.66 $56,124.03 $44,264.60 2026-04-16
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 3 — — $25,457.41 $59,111.00 $43,954.42 2026-04-16
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 2 — — $25,542.28 $55,704.48 $43,897.83 2026-04-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 2 — — $28,505.51 $62,166.90 $43,897.83 2026-04-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 2 — — $13,658.00 $72,724.31 $43,878.82 2026-04-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 7 2 — — $29,689.67 $64,749.41 $43,136.09 2026-04-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 2 — — $30,123.72 $65,696.03 $43,029.63 2026-04-16
471 MS_DRG Cervical Spinal Fusion With Mcc 10 4 — — $14,323.00 $85,120.32 $42,997.16 2026-04-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 2 — — $28,447.31 $62,039.98 $42,777.02 2026-04-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 2 — — $28,959.77 $63,157.60 $42,489.76 2026-04-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 2 — — $27,711.76 $60,435.84 $42,329.46 2026-04-16
L6945 HCPCS Dme Pos 1 1 — — $41,933.78 $41,933.78 $41,933.78 2026-04-16
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 2 — — $29,329.17 $63,963.20 $41,894.66 2026-04-16
252 MS_DRG Other Vascular Procedures With Mcc 7 2 — — $28,195.93 $61,491.75 $41,865.23 2026-04-16
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 2 — — $29,306.53 $63,913.84 $41,862.33 2026-04-16
265 MS_DRG Aicd Lead Procedures 7 2 — — $29,245.91 $63,781.63 $41,775.74 2026-04-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 2 — — $29,194.18 $63,668.81 $41,701.84 2026-04-16
500 MS_DRG Soft Tissue Procedures With Mcc 7 2 — — $25,581.08 $55,789.09 $41,575.41 2026-04-16
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $41,508.72 $41,508.72 $41,508.72 2026-04-16
L6950 HCPCS Dme Pos 1 1 — — $40,969.87 $40,969.87 $40,969.87 2026-04-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 2 — — $27,923.53 $60,897.69 $40,572.57 2026-04-16
665 MS_DRG Prostatectomy With Mcc 7 2 — — $25,228.66 $55,020.51 $40,504.60 2026-04-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 2 — — $27,575.96 $60,139.68 $40,489.22 2026-04-16
652 MS_DRG Kidney Transplant 7 2 — — $26,104.05 $56,929.63 $40,398.16 2026-04-16
37 MS_DRG Extracranial Procedures With Mcc 7 2 — — $26,610.04 $58,033.14 $40,343.02 2026-04-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 2 — — $28,059.33 $61,193.84 $40,080.78 2026-04-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 2 — — $26,147.70 $57,024.82 $39,828.78 2026-04-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 2 — — $26,084.65 $56,887.32 $39,689.00 2026-04-16
L5991 HCPCS Dme Pos 1 1 — — $39,446.81 $39,446.81 $39,446.81 2026-04-16
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $39,370.96 $39,370.96 $39,370.96 2026-04-16
654 MS_DRG Major Bladder Procedures With Cc 7 2 — — $22,626.74 $49,346.06 $39,067.03 2026-04-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 3 — — $15,438.00 $64,722.96 $39,051.14 2026-04-16
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $38,999.07 $38,999.07 $38,999.07 2026-04-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 2 — — $25,176.12 $54,905.93 $38,581.00 2026-04-16
264 MS_DRG Other Circulatory System O.r. Procedures 7 2 — — $27,002.07 $58,888.10 $38,570.57 2026-04-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 2 — — $23,540.12 $51,338.02 $38,538.68 2026-04-16
662 MS_DRG Minor Bladder Procedures With Mcc 7 2 — — $24,746.10 $53,968.12 $38,525.86 2026-04-16
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 2 — — $25,131.66 $54,808.98 $38,486.11 2026-04-16
L7191 HCPCS Dme Pos 1 1 — — $37,972.89 $37,972.89 $37,972.89 2026-04-16
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 1 — — $24,058.24 $52,467.98 $37,952.07 2026-04-16
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 4 — — $15,618.00 $65,881.12 $37,928.49 2026-04-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 3 — — $13,356.00 $57,340.36 $37,556.83 2026-04-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 2 — — $26,176.80 $57,088.28 $37,391.72 2026-04-16
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $23,377.00 $51,293.44 $37,335.22 2026-04-16
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 2 — — $23,456.87 $51,156.46 $37,288.34 2026-04-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 7 2 — — $26,033.73 $56,776.26 $37,187.36 2026-04-16
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 2 — — $21,500.78 $46,890.48 $37,122.96 2026-04-16
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 2 — — $20,732.00 $56,592.93 $37,067.28 2026-04-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 3 — — $16,104.00 $56,282.68 $36,864.07 2026-04-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 3 — — $13,593.00 $56,178.67 $36,795.95 2026-04-16
Q4244 HCPCS Procenta, Per 200 Mg 1 1 — — $36,733.31 $36,733.31 $36,733.31 2026-04-16
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 2 — — $20,222.00 $55,545.83 $36,381.45 2026-04-16
L7186 HCPCS Dme Pos 1 1 — — $36,339.77 $36,339.77 $36,339.77 2026-04-16
L6940 HCPCS Dme Pos 1 1 — — $36,083.20 $36,083.20 $36,083.20 2026-04-16
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 2 — — $20,876.77 $45,529.60 $36,045.56 2026-04-16
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 2 — — $23,442.32 $51,124.73 $35,993.12 2026-04-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 7 2 — — $22,212.08 $48,441.74 $35,460.92 2026-04-16
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 2 — — $20,538.09 $44,790.99 $35,460.80 2026-04-16
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 3 — — $9,360.00 $55,388.94 $35,410.91 2026-04-16
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 2 — — $23,040.59 $50,248.61 $35,386.55 2026-04-16
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 2 — — $22,285.64 $48,602.16 $35,357.05 2026-04-16
L8679 HCPCS Dme Pos 1 1 — — $35,335.69 $35,335.69 $35,335.69 2026-04-16
263 MS_DRG Vein Ligation And Stripping 7 2 — — $23,934.71 $53,895.85 $35,300.74 2026-04-16
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 2 — — $13,658.00 $58,026.09 $35,010.52 2026-04-16
L6925 HCPCS Dme Pos 1 1 — — $34,957.12 $34,957.12 $34,957.12 2026-04-16
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 2 — — $24,414.70 $53,245.37 $34,874.69 2026-04-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 2 — — $24,411.47 $53,238.32 $34,870.07 2026-04-16
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 2 — — $24,384.79 $53,180.15 $34,831.97 2026-04-16
288 MS_DRG Acute And Subacute Endocarditis With Mcc 7 2 — — $21,874.21 $47,704.89 $34,801.77 2026-04-16
L8619 HCPCS Dme Pos 1 1 — — $34,789.02 $34,789.02 $34,789.02 2026-04-16
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 1 1 — — $34,741.95 $34,741.95 $34,741.95 2026-04-16
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 2 — — $22,097.31 $48,191.43 $34,715.85 2026-04-16
974 MS_DRG HIV With Major Related Condition With Mcc 7 2 — — $23,327.54 $50,874.41 $34,431.16 2026-04-16
L5857 HCPCS Dme Pos 1 1 — — $34,354.50 $34,354.50 $34,354.50 2026-04-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 2 — — $19,872.06 $43,338.44 $34,310.83 2026-04-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 7 2 — — $19,756.47 $43,086.36 $34,024.64 2026-04-16
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 7 2 — — $23,797.16 $51,898.59 $33,992.58 2026-04-16
570 MS_DRG Skin Debridement With Mcc 7 2 — — $23,772.91 $51,845.71 $33,957.94 2026-04-16
800 MS_DRG Splenic Procedures With Cc 7 2 — — $22,708.38 $49,524.10 $33,859.21 2026-04-16
668 MS_DRG Transurethral Procedures With Mcc 7 2 — — $23,602.36 $51,473.76 $33,714.32 2026-04-16
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 8 2 — — $19,442.04 $82,667.00 $33,568.37 2026-04-16
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 2 — — $21,803.08 $47,549.77 $33,407.80 2026-04-16
164 MS_DRG Major Chest Procedures With Cc 7 2 — — $20,401.49 $44,493.07 $33,355.22 2026-04-16
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 7 2 — — $23,293.59 $50,800.37 $33,273.26 2026-04-16
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 2 — — $19,147.00 $50,595.89 $33,139.33 2026-04-16
L6935 HCPCS Dme Pos 1 1 — — $33,110.79 $33,110.79 $33,110.79 2026-04-16
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 7 2 — — $20,753.91 $45,261.65 $32,753.78 2026-04-16
253 MS_DRG Other Vascular Procedures With Cc 7 2 — — $20,980.23 $45,755.24 $32,742.24 2026-04-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 7 2 — — $19,376.57 $42,257.84 $32,689.66 2026-04-16
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 8 2 — — $20,635.90 $62,645.00 $32,672.83 2026-04-16
545 MS_DRG Connective Tissue Disorders With Mcc 7 2 — — $20,059.58 $43,747.41 $32,497.30 2026-04-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 3 — — $18,701.00 $53,469.25 $32,261.12 2026-04-16
503 MS_DRG Foot Procedures With Mcc 7 2 — — $22,560.46 $49,201.51 $32,226.04 2026-04-16
L7190 HCPCS Dme Pos 1 1 — — $32,216.00 $32,216.00 $32,216.00 2026-04-16
347 MS_DRG Anal And Stomal Procedures With Mcc 7 2 — — $18,555.33 $40,466.84 $32,037.39 2026-04-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 2 — — $22,405.27 $48,863.05 $32,004.36 2026-04-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 2 — — $22,217.74 $48,454.08 $31,736.49 2026-04-16
333 MS_DRG Rectal Resection With Cc 7 2 — — $18,932.00 $41,288.30 $31,711.19 2026-04-16
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 7 2 — — $20,142.03 $43,927.21 $31,630.40 2026-04-16
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 7 2 — — $20,222.00 $47,962.26 $31,414.36 2026-04-16
849 MS_DRG Radiotherapy 7 2 — — $18,796.14 $47,763.07 $31,283.89 2026-04-16
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 7 2 — — $19,289.27 $42,067.46 $31,230.29 2026-04-16
L6920 HCPCS Dme Pos 1 1 — — $30,629.67 $30,629.67 $30,629.67 2026-04-16
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 2 — — $21,425.61 $46,726.54 $30,604.98 2026-04-16
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 7 2 — — $17,716.32 $38,637.05 $30,588.76 2026-04-16
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 7 2 — — $20,847.67 $45,466.14 $30,577.55 2026-04-16
397 MS_DRG Appendix Procedures With Mcc 6 1 — — $19,357.98 $42,217.30 $30,537.37 2026-04-16
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 7 2 — — $21,318.10 $46,492.09 $30,451.42 2026-04-16
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 7 2 — — $20,955.18 $45,700.59 $29,933.00 2026-04-16
472 MS_DRG Cervical Spinal Fusion With Cc 10 4 — — $14,323.00 $51,933.85 $29,855.39 2026-04-16
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 7 2 — — $20,847.67 $45,466.14 $29,779.44 2026-04-16
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 2 — — $18,681.43 $40,741.83 $29,769.63 2026-04-16
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 9 3 — — $16,104.00 $37,563.51 $29,738.84 2026-04-16
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 7 2 — — $17,216.79 $37,547.64 $29,726.28 2026-04-16
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 7 2 — — $18,094.60 $39,462.04 $29,577.27 2026-04-16
L8627 HCPCS Dme Pos 1 1 — — $29,550.20 $29,550.20 $29,550.20 2026-04-16
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 7 2 — — $17,684.80 $38,568.30 $29,486.22 2026-04-16
L5615 HCPCS Dme Pos 1 1 — — $29,432.43 $29,432.43 $29,432.43 2026-04-16
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 7 2 — — $18,312.84 $39,938.00 $29,432.36 2026-04-16
336 MS_DRG Peritoneal Adhesiolysis With Cc 7 2 — — $17,044.62 $37,172.16 $29,429.02 2026-04-16
412 MS_DRG Cholecystectomy With C.d.e. With Cc 7 2 — — $16,994.51 $37,062.87 $29,342.49 2026-04-16
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $29,318.23 $29,318.23 $29,318.23 2026-04-16
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 7 2 — — $20,392.60 $44,473.68 $29,269.50 2026-04-16
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 7 2 — — $16,919.34 $36,898.93 $29,212.70 2026-04-16
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 7 2 — — $16,872.45 $36,796.69 $29,131.75 2026-04-16
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 1 — — $18,442.17 $40,220.04 $29,092.68 2026-04-16
L5987 HCPCS Dme Pos 1 1 — — $29,012.81 $29,012.81 $29,012.81 2026-04-16
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 7 2 — — $18,902.90 $41,224.84 $28,982.24 2026-04-16
655 MS_DRG Major Bladder Procedures Without Cc/mcc 7 2 — — $17,108.48 $37,311.42 $28,969.42 2026-04-16
711 MS_DRG Testes Procedures With Cc/mcc 7 2 — — $16,843.36 $36,733.23 $28,914.27 2026-04-16
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 2 — — $17,611.24 $38,407.89 $28,816.81 2026-04-16
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 7 2 — — $19,877.71 $43,350.78 $28,778.34 2026-04-16
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 1 1 — — $28,726.77 $28,726.77 $28,726.77 2026-04-16
K1014 HCPCS Ak 4 Bar Link Hydl Swg/stanc 1 1 — — $28,686.57 $28,686.57 $28,686.57 2026-04-16
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 2 — — $17,846.46 $38,920.86 $28,546.22 2026-04-16
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