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

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Hospital

HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER

Mesa, AZ · CCN 030121 · Rates published

19,101 distinct procedures filed
30 distinct payers
318,650 rate rows
2026-04-01 last MRF observed
Data quality

270,724 of 318,650 rate rows are consumer-grade (85.0%)

47,926 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 47,366
template filing: same amount across many unrelated codes — excluded 380
placeholder amount (≤ $0.02) — excluded from medians 180
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.honorhealth.com/sites/default/files/2023-12/860181654_honorhealthfpmc_standardcharges.csv
Found on page https://www.honorhealth.com/patients-visitors/average-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 94bafc43dcc85d40… · 76,026,940 bytes · first seen 2026-05-09

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 $3,245,381.39 $4,932,979.71 $4,283,903.43 nat. median
$3,286,000
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,321,376.38 $4,870,466.32 $4,218,817.12 nat. median
$3,325,455
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,691,450.00 $4,872,714.00 $4,112,194.92 nat. median
$3,710,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,938,320.00 $4,466,246.40 $3,878,582.40 nat. median
$3,006,423
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,587,087.26 $3,932,372.63 $3,414,955.18 nat. median
$2,469,189
1.4× 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 7 $2.10 $894,512.11 $634,623.16 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $2.10 $850,867.24 $604,539.15 nat. median
$625,184
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $2.10 $854,636.47 $598,971.51 nat. median
$674,188
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $2.10 $808,410.66 $575,316.65 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $2.10 $743,721.71 $545,625.24 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 $199,380.58 $810,325.24 $390,423.08 nat. median
$370,174
1.1× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $339,465.00 $339,465.00 $339,465.00 nat. median
$459,112
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $253,590.33 $525,868.48 $253,590.33 nat. median
$265,286
1.0× median
90288
HCPCS 		Botulism Ig IV 2 $196,017.57 $199,833.75 $197,925.66 nat. median
$55,037
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $193,352.47 $400,642.13 $193,352.47 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $192,221.44 $398,290.88 $192,221.44 nat. median
$202,986
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $62,999.94 $379,999.66 $153,705.56 nat. median
$111,989
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $88,121.65 $259,921.52 $125,661.38 nat. median
$133,176
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $75,498.98 $202,215.60 $124,272.66 nat. median
$76,377
1.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $56,269.19 $226,399.55 $122,693.95 nat. median
$66,682
1.8× median
7
MS_DRG 		Lung Transplant 21 $117,526.64 $243,010.50 $117,526.64 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $109,111.18 $225,515.89 $109,111.18 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $102,918.05 $349,767.72 $102,918.05 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 20 $102,800.71 $212,397.28 $102,800.71 nat. median
$98,017
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 8 $68,801.71 $250,312.61 $100,890.83 nat. median
$70,825
1.4× median
J9226
HCPCS 		Supprelin La Implant 9 $41,173.43 $190,789.15 $100,747.98 nat. median
$60,368
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $82,654.55 $206,812.82 $100,114.40 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $98,786.60 $204,052.49 $98,786.60 nat. median
$102,358
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $64,282.30 $241,320.52 $97,709.09 nat. median
$69,774
1.4× median
2045
OTHER 		Grft, Trnsmurl/trnsvens Byps 1 $97,154.24 $97,154.24 $97,154.24 nat. median
$1,366
outlier · 71.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $93,699.23 $211,360.82 $93,699.23 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 21 $48,354.67 $278,248.10 $90,508.34 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $75,272.79 $183,574.24 $88,935.91 nat. median
$93,672
0.9× median
5801
OTHER 		Ventilation Initiation And Management 1 $86,721.36 $86,721.36 $86,721.36 nat. median
$652
outlier · 133.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $267,589.20 $84,850.42 nat. median
$62,507
1.4× median
L8614
HCPCS 		Cochlear Device 3 $52,252.67 $87,858.47 $84,535.76 nat. median
$23,402
outlier · 3.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $81,956.57 $169,065.14 $81,956.57 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $78,796.37 $162,495.52 $78,796.37 nat. median
$83,442
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $76,723.87 $158,187.07 $76,723.87 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $76,484.67 $157,689.80 $76,484.67 nat. median
$81,118
0.9× median
J9600
HCPCS 		Porfimer Sodium Injection 5 $29,558.67 $97,606.76 $74,451.64 nat. median
$31,644
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $71,659.07 $219,922.60 $71,659.07 nat. median
$77,576
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 8 $48,155.50 $175,198.09 $70,615.23 nat. median
$50,598
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $69,939.51 $157,694.51 $69,939.51 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $69,640.73 $149,511.03 $69,640.73 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $69,412.36 $142,987.42 $69,412.36 nat. median
$72,138
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $65,790.00 $149,759.99 $65,790.00 nat. median
$68,090
1.0× median

Other procedures at this hospital

Browse this hospital's 19,101 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
             
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 5 — — $3,245,381.39 $4,932,979.71 $4,283,903.43 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,691,450.00 $4,872,714.00 $4,112,194.92 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 4 — — $3,321,376.38 $4,870,466.32 $4,218,817.12 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
J3393 HCPCS Inj, Betibeglogene Autotemce 7 5 — — $2,938,320.00 $4,466,246.40 $3,878,582.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 5 — — $2,587,087.26 $3,932,372.63 $3,414,955.18 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
Q2057 HCPCS Afamitresgene Autoleucel 8 5 — — $770,620.00 $1,171,342.40 $986,393.60 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 7 — — $2.10 $894,512.11 $634,623.16 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 7 — — $2.10 $854,636.47 $598,971.51 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 — — $2.10 $850,867.24 $604,539.15 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 30 21 — — $199,380.58 $810,325.24 $390,423.08 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 7 — — $2.10 $808,410.66 $575,316.65 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 7 — — $2.10 $743,721.71 $545,625.24 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 21 — — $253,590.33 $525,868.48 $253,590.33 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 21 — — $193,352.47 $400,642.13 $193,352.47 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 21 — — $192,221.44 $398,290.88 $192,221.44 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 8 — — $62,999.94 $379,999.66 $153,705.56 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 21 — — $102,918.05 $349,767.72 $102,918.05 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $339,465.00 $339,465.00 $339,465.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 34 21 — — $48,354.67 $278,248.10 $90,508.34 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 16 8 — — $56,824.55 $267,589.20 $84,850.42 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 21 — — $88,121.65 $259,921.52 $125,661.38 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 13 8 — — $68,801.71 $250,312.61 $100,890.83 2026-04-01
7 MS_DRG Lung Transplant 32 21 — — $117,526.64 $243,010.50 $117,526.64 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 8 — — $64,282.30 $241,320.52 $97,709.09 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 19 9 — — $56,269.19 $226,399.55 $122,693.95 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 20 — — $109,111.18 $225,515.89 $109,111.18 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 21 — — $71,659.07 $219,922.60 $71,659.07 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 30 20 — — $102,800.71 $212,397.28 $102,800.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 21 — — $93,699.23 $211,360.82 $93,699.23 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 21 — — $82,654.55 $206,812.82 $100,114.40 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 20 — — $54,155.66 $204,271.38 $54,155.66 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 21 — — $98,786.60 $204,052.49 $98,786.60 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 7 2 — — $75,498.98 $202,215.60 $124,272.66 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 21 — — $65,031.77 $201,673.85 $65,031.77 2026-04-01
90288 HCPCS Botulism Ig IV 2 2 — — $196,017.57 $199,833.75 $197,925.66 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 21 — — $54,638.12 $197,140.77 $64,993.86 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 21 — — $48,415.67 $191,236.76 $48,415.67 2026-04-01
J9226 HCPCS Supprelin La Implant 21 9 — — $41,173.43 $190,789.15 $100,747.98 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 — — $75,272.79 $183,574.24 $88,935.91 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 13 8 — — $48,155.50 $175,198.09 $70,615.23 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 21 — — $55,949.24 $172,344.59 $55,949.24 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 21 — — $51,221.13 $170,061.88 $51,221.13 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 21 — — $81,956.57 $169,065.14 $81,956.57 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 47 23 — — $15,135.50 $169,054.69 $45,209.44 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 21 — — $78,796.37 $162,495.52 $78,796.37 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 13 8 — — $44,356.85 $161,377.94 $65,044.88 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 21 — — $29,311.86 $160,035.42 $29,311.86 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 21 — — $44,871.85 $159,577.58 $44,871.85 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 21 — — $43,604.52 $158,664.50 $43,604.52 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 21 — — $76,723.87 $158,187.07 $76,723.87 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $69,939.51 $157,694.51 $69,939.51 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 21 — — $76,484.67 $157,689.80 $76,484.67 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 20 — — $49,665.85 $153,599.33 $49,665.85 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 21 — — $29,760.48 $152,000.61 $29,760.48 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 21 — — $65,790.00 $149,759.99 $65,790.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 21 — — $69,640.73 $149,511.03 $69,640.73 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 21 — — $59,983.21 $148,735.03 $59,983.21 2026-04-01
81416 HCPCS Exome Sequence Analysis 20 9 — — $12,000.00 $146,250.00 $33,245.81 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 13 8 — — $10,568.79 $145,301.82 $58,565.23 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 32 21 — — $42,487.03 $144,522.04 $42,487.03 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 21 — — $61,389.55 $143,532.65 $61,389.55 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 21 — — $69,412.36 $142,987.42 $69,412.36 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 21 — — $45,288.87 $141,482.74 $45,288.87 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 39 22 — — $12,908.10 $141,466.57 $63,020.65 2026-04-01
10 MS_DRG Pancreas Transplant 32 21 — — $65,402.76 $134,652.01 $65,402.76 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 21 — — $65,375.68 $134,595.72 $65,375.68 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 22 — — $14,903.84 $134,576.41 $59,983.21 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 21 — — $55,355.29 $133,347.76 $55,355.29 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 21 — — $52,077.75 $130,259.64 $52,077.75 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 21 — — $52,687.95 $129,762.03 $52,687.95 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 21 — — $47,987.19 $129,762.03 $51,378.19 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 21 — — $25,613.03 $129,063.79 $62,714.65 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 21 — — $41,671.93 $127,838.22 $41,671.93 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 13 8 — — $34,970.13 $127,227.42 $51,280.20 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 22 — — $883.62 $127,223.89 $54,280.23 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 21 — — $60,986.97 $125,472.17 $60,986.97 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 21 — — $60,942.74 $125,380.22 $60,942.74 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 22 — — $19,743.23 $124,530.55 $58,714.08 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 21 — — $41,485.28 $123,786.60 $47,617.73 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 21 — — $57,764.29 $122,937.02 $59,767.48 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 21 — — $48,767.71 $121,045.05 $48,767.71 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 21 — — $54,849.81 $119,040.41 $54,849.81 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 21 — — $53,604.14 $117,249.16 $53,604.14 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 21 — — $40,915.50 $116,191.87 $40,915.50 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 21 — — $52,355.77 $115,354.44 $52,355.77 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 21 — — $55,885.15 $114,866.19 $55,885.15 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 21 — — $46,126.54 $114,788.62 $46,126.54 2026-04-01
J9266 HCPCS Pegaspargase Injection 21 9 — — $28,424.06 $114,234.26 $58,266.10 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 21 — — $49,940.26 $114,090.22 $49,940.26 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 21 — — $54,865.15 $112,745.75 $54,865.15 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 21 — — $54,457.15 $111,897.57 $54,457.15 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 21 — — $50,484.56 $111,781.65 $50,484.56 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 21 — — $29,060.02 $111,655.55 $29,060.02 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 21 — — $30,307.52 $111,225.52 $36,922.15 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 21 — — $53,569.84 $110,052.97 $53,569.84 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 20 — — $52,144.55 $107,089.98 $52,144.55 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 22 — — $4,734.28 $106,866.22 $28,745.89 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 21 — — $45,056.89 $105,643.70 $45,056.89 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 13 8 — — $28,851.23 $104,965.80 $42,307.44 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 13 8 — — $28,715.00 $104,470.17 $42,107.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 21 — — $50,874.51 $104,449.74 $50,874.51 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 21 — — $50,185.78 $103,017.97 $50,185.78 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 21 — — $42,320.04 $102,725.17 $42,320.04 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 21 — — $33,903.51 $102,653.93 $50,010.67 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 21 — — $49,862.63 $102,346.19 $49,862.63 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 21 — — $43,068.34 $102,055.88 $43,068.34 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 21 — — $48,738.82 $100,009.94 $48,738.82 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 21 — — $27,393.18 $99,009.77 $48,257.71 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 21 — — $38,295.09 $98,463.68 $38,295.09 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $29,558.67 $97,606.76 $74,451.64 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 32 21 — — $47,536.49 $97,510.45 $47,536.49 2026-04-01
2045 OTHER Grft, Trnsmurl/trnsvens Byps 1 1 — — $97,154.24 $97,154.24 $97,154.24 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 21 — — $42,855.31 $96,556.04 $42,855.31 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 21 — — $45,649.94 $96,287.67 $45,649.94 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 21 — — $35,941.87 $95,592.51 $35,941.87 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 21 — — $28,696.25 $95,304.75 $28,696.25 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 34 21 — — $37,037.92 $90,610.56 $44,217.42 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 21 — — $24,641.51 $90,348.10 $24,641.51 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 21 — — $43,997.17 $90,152.69 $43,997.17 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 21 — — $31,308.38 $89,200.28 $38,667.89 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 21 — — $29,694.45 $88,928.68 $34,597.81 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 21 — — $33,366.56 $88,041.63 $42,981.68 2026-04-01
L8614 HCPCS Cochlear Device 7 3 — — $52,252.67 $87,858.47 $84,535.76 2026-04-01
5801 OTHER Ventilation Initiation And Management 1 1 — — $86,721.36 $86,721.36 $86,721.36 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 23 — — $9,563.56 $86,253.32 $42,121.45 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 37 22 — — $9,436.39 $86,154.07 $41,086.11 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 21 — — $42,015.84 $86,033.77 $42,015.84 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 21 — — $41,813.65 $85,613.44 $41,813.65 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 21 — — $32,992.35 $85,356.36 $41,689.98 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 21 — — $38,441.32 $85,132.79 $38,441.32 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 33 21 — — $35,132.90 $84,984.81 $41,511.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 21 — — $41,074.37 $84,076.58 $41,074.37 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 21 — — $34,081.49 $83,784.50 $34,081.49 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 13 8 — — $22,747.26 $82,758.49 $33,356.58 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 21 — — $40,282.74 $82,430.89 $40,282.74 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 15 8 — — $13,918.00 $81,982.34 $31,998.17 2026-04-01
L5858 HCPCS Stance Phase Only 13 8 — — $22,336.47 $81,263.95 $32,754.20 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 21 — — $32,548.95 $81,203.66 $39,692.40 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 21 — — $39,380.99 $80,556.27 $39,380.99 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 21 — — $39,131.85 $80,038.35 $39,131.85 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 21 — — $18,814.70 $79,578.61 $38,910.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 21 — — $32,815.97 $79,448.65 $32,815.97 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 22 — — $15,582.64 $79,248.35 $38,751.84 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 21 — — $38,686.85 $79,113.24 $38,686.85 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 37 21 — — $5,730.60 $78,843.02 $38,556.86 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 21 — — $38,511.73 $78,749.20 $38,511.73 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 38 23 — — $5,407.20 $78,242.54 $38,268.01 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 21 — — $38,118.17 $77,931.05 $38,118.17 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 21 — — $37,869.94 $77,415.01 $37,869.94 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 13 8 — — $21,127.66 $76,866.10 $30,981.60 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 46 23 — — $10,502.12 $76,189.48 $25,190.33 2026-04-01
791 MS_DRG Prematurity With Major Problems 36 24 — — $3,406.92 $76,167.14 $37,269.67 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 21 — — $36,593.59 $74,761.64 $36,593.59 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 32 21 — — $27,205.96 $73,667.51 $27,205.96 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 21 — — $35,782.10 $73,074.66 $35,782.10 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 21 — — $31,425.88 $72,972.35 $31,425.88 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 21 — — $35,569.97 $72,633.69 $35,569.97 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 21 — — $35,517.62 $72,524.85 $35,517.62 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 21 — — $35,484.22 $72,455.42 $35,484.22 2026-04-01
652 MS_DRG Kidney Transplant 32 21 — — $29,782.14 $72,225.46 $29,782.14 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 21 — — $32,896.31 $72,167.26 $32,896.31 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 21 — — $35,286.54 $72,044.46 $35,286.54 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 33 21 — — $25,693.74 $71,905.36 $29,450.87 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 21 — — $30,448.30 $71,866.56 $30,448.30 2026-04-01
265 MS_DRG Aicd Lead Procedures 32 21 — — $33,290.77 $71,759.86 $33,290.77 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 15 8 — — $13,199.17 $71,074.17 $27,740.65 2026-04-01
332 MS_DRG Rectal Resection With Mcc 32 21 — — $33,313.33 $70,676.70 $33,313.33 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 21 — — $34,449.78 $70,304.95 $34,449.78 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 21 — — $4,168.21 $70,137.94 $34,369.44 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 21 — — $33,683.01 $70,130.43 $34,365.83 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 13 8 — — $19,237.24 $69,988.44 $28,209.49 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 21 — — $28,736.54 $69,933.40 $34,271.05 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 21 — — $20,593.50 $69,418.95 $29,790.27 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 21 — — $26,440.53 $69,367.22 $31,385.26 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 21 — — $33,786.32 $68,925.72 $33,786.32 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 37 21 — — $13,489.37 $68,897.57 $33,772.78 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 21 — — $33,383.74 $68,088.80 $33,383.74 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 21 — — $27,839.98 $68,036.26 $33,358.47 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 21 — — $33,233.00 $67,775.43 $33,233.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 21 — — $33,184.25 $67,674.10 $33,184.25 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 4 — — $181.41 $67,629.67 $31,849.23 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 21 — — $32,971.23 $67,231.24 $32,971.23 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 21 — — $32,863.81 $67,007.94 $32,863.81 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 21 — — $32,788.89 $66,852.19 $32,788.89 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 21 — — $32,758.20 $66,788.39 $32,758.20 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 36 21 — — $21,891.24 $66,733.97 $32,732.02 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 39 21 — — $17,274.32 $66,176.65 $32,463.93 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 13 8 — — $18,164.17 $66,084.39 $26,635.94 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 21 — — $18,402.63 $66,041.54 $32,398.94 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 21 — — $26,809.69 $65,464.63 $26,809.69 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 36 21 — — $13,529.01 $65,457.95 $32,118.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 22 — — $25,973.82 $65,441.06 $32,110.09 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 21 — — $25,898.91 $65,361.16 $25,898.91 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 21 — — $31,965.67 $65,140.82 $31,965.67 2026-04-01
C1823 HCPCS Gen, Neuro, Trans Sen/stim 4 2 — — $35,175.00 $64,906.25 $49,420.88 2026-04-01
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 4 2 — — $35,175.00 $64,906.25 $49,420.88 2026-04-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 4 2 — — $35,175.00 $64,906.25 $49,420.88 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 21 — — $31,814.02 $64,825.57 $31,814.02 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 20 — — $31,669.60 $64,525.33 $31,669.60 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 7 2 — — $38,329.60 $64,448.00 $57,324.80 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 21 — — $28,514.09 $64,333.93 $31,577.52 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 15 8 — — $11,799.29 $63,536.27 $24,798.57 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 13 8 — — $17,437.90 $63,442.10 $25,570.94 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 34 21 — — $7,098.65 $62,686.36 $30,784.99 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 32 21 — — $29,703.61 $62,532.02 $29,703.61 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 34 21 — — $26,480.42 $61,776.26 $30,347.20 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 21 — — $30,343.59 $61,768.75 $30,343.59 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 21 — — $29,992.46 $61,038.79 $29,992.46 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 21 — — $29,863.38 $60,770.45 $29,863.38 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 21 — — $29,830.89 $60,702.90 $29,830.89 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 21 — — $29,609.73 $60,243.16 $29,609.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 21 — — $29,397.61 $59,802.18 $29,397.61 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 21 — — $29,369.63 $59,744.01 $29,369.63 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 7 3 — — $33,000.28 $59,610.49 $52,237.61 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 33 21 — — $23,369.69 $59,463.62 $28,010.23 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 37 22 — — $13,248.53 $59,463.62 $26,538.90 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 35 21 — — $24,241.02 $59,387.47 $29,198.12 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 21 — — $29,154.80 $59,297.40 $29,154.80 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 21 — — $29,073.56 $59,128.52 $29,073.56 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 21 — — $28,993.22 $58,961.51 $28,993.22 2026-04-01
665 MS_DRG Prostatectomy With Mcc 32 21 — — $28,804.57 $58,569.32 $28,804.57 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 21 — — $20,414.84 $58,471.00 $25,517.99 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 33 21 — — $26,694.15 $58,267.30 $26,694.15 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 32 21 — — $28,265.68 $57,449.05 $28,265.68 2026-04-01
263 MS_DRG Vein Ligation And Stripping 32 21 — — $17,281.23 $57,372.11 $28,228.67 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 21 — — $27,895.59 $56,679.68 $27,895.59 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 21 — — $27,891.98 $56,672.18 $27,891.98 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 21 — — $27,862.19 $56,610.25 $27,862.19 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 21 — — $27,497.52 $55,852.15 $27,497.52 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 46 22 — — $11,095.05 $55,641.86 $25,435.85 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 9 7 — — $1,961.32 $55,566.07 $36,922.19 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 21 — — $11,944.10 $55,283.57 $27,224.01 2026-04-01
570 MS_DRG Skin Debridement With Mcc 32 21 — — $27,178.88 $55,189.74 $27,178.88 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 13 8 — — $2,769.00 $55,051.00 $33,494.51 2026-04-01
C1815 HCPCS Pros, Urinary Sph, Imp 4 2 — — $29,793.25 $54,975.63 $41,859.51 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 32 21 — — $26,988.42 $54,793.80 $26,988.42 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 21 — — $11,619.51 $54,649.31 $26,918.92 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 32 21 — — $26,681.52 $54,623.37 $26,681.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 34 21 — — $21,938.57 $54,456.03 $26,825.94 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 32 21 — — $26,643.61 $54,076.98 $26,643.61 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 33 21 — — $8,053.40 $53,489.63 $26,361.07 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 16 8 — — $1,788.27 $52,848.76 $26,087.12 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 21 — — $25,990.08 $52,718.39 $25,990.08 2026-04-01
503 MS_DRG Foot Procedures With Mcc 33 21 — — $25,824.90 $52,374.99 $25,824.90 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 21 — — $20,579.81 $52,014.70 $25,651.59 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 16 8 — — $2,154.46 $51,918.88 $26,087.12 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 44 22 — — $7,938.37 $51,579.36 $25,442.17 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 21 — — $25,307.68 $51,299.76 $25,307.68 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 7 3 — — $19,072.28 $50,846.05 $44,557.20 2026-04-01
849 MS_DRG Radiotherapy 32 21 — — $23,095.04 $50,843.77 $25,088.33 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 21 — — $25,058.54 $50,781.84 $25,058.54 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 21 — — $24,979.11 $50,616.71 $24,979.11 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 4 2 — — $27,300.00 $50,375.00 $38,356.50 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
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 6 5 — — $32,927.71 $50,050.12 $45,110.96 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 6 5 — — $32,927.71 $50,050.12 $45,110.96 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $2,158.00 $50,050.12 $32,927.71 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 21 — — $24,557.57 $49,740.39 $24,557.57 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 10 7 — — $17,771.01 $46,073.75 $25,101.92 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 8 7 — — $11,783.59 $44,855.49 $34,379.37 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 16 8 — — $2,027.79 $44,410.60 $26,087.12 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
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 9 7 — — $2,626.49 $43,659.22 $29,010.40 2026-04-01
E0783 HCPCS Programmable Infusion Pump 12 3 — — $2,524.60 $42,448.24 $31,221.79 2026-04-01
E0786 HCPCS Implantable Pump Replacement 12 3 — — $2,462.52 $41,405.64 $30,454.94 2026-04-01
Q4244 HCPCS Procenta, Per 200 Mg 5 1 — — $23,685.39 $39,824.99 $35,423.28 2026-04-01
C1813 HCPCS Prosthesis, Penile, Inflatab 4 2 — — $21,000.00 $38,750.00 $29,505.00 2026-04-01
L8679 HCPCS Imp Neurosti Pls Gn Any Type 7 3 — — $12,877.22 $38,309.74 $33,571.43 2026-04-01
C1721 HCPCS Aicd, Dual Chamber 4 2 — — $19,950.00 $36,812.50 $28,029.75 2026-04-01
C1899 HCPCS Lead, Pmkr/aicd Combination 4 2 — — $19,950.00 $36,812.50 $28,029.75 2026-04-01
C1722 HCPCS Aicd, Single Chamber 4 2 — — $19,950.00 $36,812.50 $28,029.75 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 4 2 — — $19,950.00 $36,812.50 $28,029.75 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 1 1 — — $35,530.66 $35,530.66 $35,530.66 2026-04-01
C1895 HCPCS Lead, Aicd, Endo Dual Coil 4 2 — — $19,228.06 $35,480.35 $27,015.43 2026-04-01
C1891 HCPCS Infusion Pump,non-prog, Perm 4 2 — — $18,358.20 $33,875.25 $25,793.27 2026-04-01
C1772 HCPCS Infusion Pump, Programmable 4 2 — — $18,358.20 $33,875.25 $25,793.27 2026-04-01
C1825 HCPCS Gen, Neuro, Carot Sinus Baro 4 2 — — $17,587.50 $32,453.13 $24,710.44 2026-04-01
C1826 HCPCS Gen, Neuro, Clo Loop, Rechg 4 2 — — $17,587.50 $32,453.13 $24,710.44 2026-04-01
C1827 HCPCS Gen, Neuro, Imp Led, Ex Cntr 4 2 — — $17,587.50 $32,453.13 $24,710.44 2026-04-01
C1824 HCPCS Generator, Ccm, Implant 4 2 — — $17,587.50 $32,453.13 $24,710.44 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 7 3 — — $18,522.82 $31,144.57 $27,292.48 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
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 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
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 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
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 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
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 6 5 — — $19,561.37 $29,733.28 $26,799.07 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
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 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
L8609 HCPCS Artificial Cornea 7 3 — — $9,576.09 $28,488.87 $24,965.24 2026-04-01
5732 OTHER Level 2 Minor Procedures 1 1 — — $27,655.70 $27,655.70 $27,655.70 2026-04-01
L8720 HCPCS Ext Low Ext Sens Prosthe Mec 2 2 — — $26,675.42 $27,194.75 $26,935.08 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 2 — — $26,166.84 $26,936.62 $26,551.73 2026-04-01
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