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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 SCOTTSDALE THOMPSON PEAK MED CTR

Scottsdale, AZ · CCN 030123 · Rates published

18,153 distinct procedures filed
28 distinct payers
421,758 rate rows
2026-04-01 last MRF observed
Data quality

335,346 of 421,758 rate rows are consumer-grade (79.5%)

86,412 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 85,586
template filing: same amount across many unrelated codes — excluded 576
placeholder amount (≤ $0.02) — excluded from medians 250
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.honorhealth.com/sites/default/files/2023-12/860181654_honorhealthstpmc_standardcharges.csv
Found on page https://www.honorhealth.com/patients-visitors/average-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint a67d466beea5dcd7… · 54,290,294 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 $3,248,445.72 $4,937,637.49 $4,287,948.34 nat. median
$3,286,000
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,863,260.74 $4,215,574.03 nat. median
$3,325,455
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,864,552.00 $4,109,072.33 nat. median
$3,710,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,477,524.80 $3,888,376.80 nat. median
$3,004,655
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,731,768.12 $3,240,746.00 nat. median
$2,468,984
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,544,640.00 $3,078,240.00 nat. median
$2,448,600
1.3× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,171,342.40 $986,393.60 nat. median
$824,563
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $2.10 $899,423.83 $711,611.62 nat. median
$753,246
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $2.10 $860,120.80 $680,528.15 nat. median
$674,867
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $2.10 $847,123.26 $657,431.18 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $2.10 $855,058.04 $650,843.90 nat. median
$673,137
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $2.10 $810,509.86 $637,240.26 nat. median
$634,303
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $2.10 $743,743.00 $602,159.89 nat. median
$619,808
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 $205,246.59 $810,325.24 $375,322.36 nat. median
$370,174
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $339,465.00 $339,465.00 $339,465.00 nat. median
$459,112
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $243,569.11 $525,868.48 $243,569.11 nat. median
$265,286
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $199,833.75 $199,833.75 $199,833.75 nat. median
$55,037
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $185,567.40 $400,642.13 $185,567.40 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $184,478.36 $398,290.88 $184,478.36 nat. median
$202,976
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $134,810.40 $202,215.60 $168,513.00 nat. median
$76,329
outlier · 2.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $147,498.00 $166,284.17 $156,891.09 nat. median
$87,428
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $62,999.94 $164,529.89 $129,565.55 nat. median
$111,989
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $106,099.65 $259,921.52 $120,389.14 nat. median
$133,161
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $101,805.81 $135,834.08 $114,772.37 nat. median
$62,372
1.8× median
7
MS_DRG 		Lung Transplant 20 $112,556.38 $243,010.50 $112,556.38 nat. median
$122,708
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $92,295.86 $124,455.11 $110,394.63 nat. median
$65,393
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $104,453.31 $225,515.89 $104,453.31 nat. median
$117,357
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $98,490.09 $349,767.72 $98,490.09 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 20 $98,377.10 $212,397.28 $98,377.10 nat. median
$98,047
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $80,620.54 $318,755.31 $95,790.52 nat. median
$98,894
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $94,512.00 $204,052.49 $94,512.00 nat. median
$102,358
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $104,578.60 $90,818.26 nat. median
$70,825
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $89,613.48 $211,360.82 $89,613.48 nat. median
$100,136
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $216,000.00 $86,778.92 nat. median
$69,774
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 20 $41,083.20 $278,248.10 $86,541.05 nat. median
$99,019
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $76,660.21 $117,697.00 $86,424.08 nat. median
$48,483
1.8× median
L8614
HCPCS 		Cochlear Device 1 $86,181.55 $86,181.55 $86,181.55 nat. median
$23,403
outlier · 3.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $85,026.99 $183,574.24 $85,026.99 nat. median
$93,672
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $226,399.55 $79,769.02 nat. median
$66,682
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $78,306.74 $169,065.14 $78,306.74 nat. median
$82,711
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $141,892.66 $76,896.67 nat. median
$62,507
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $75,263.85 $162,495.52 $75,263.85 nat. median
$83,470
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $73,268.29 $158,187.07 $73,268.29 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $73,037.97 $157,689.80 $73,037.97 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $68,391.50 $219,922.60 $68,391.50 nat. median
$77,570
0.9× median
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $190,789.15 $67,224.83 nat. median
$60,368
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $66,735.78 $157,694.51 $66,735.78 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 $66,448.09 $149,511.03 $66,448.09 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 $66,228.19 $142,987.42 $66,228.19 nat. median
$72,135
0.9× median

Other procedures at this hospital

Browse this hospital's 18,153 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 5 — — $3,248,445.72 $4,937,637.49 $4,287,948.34 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 4 — — $3,316,462.59 $4,863,260.74 $4,215,574.03 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 3 — — $3,685,266.67 $4,864,552.00 $4,109,072.33 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 5 — — $2,945,740.00 $4,477,524.80 $3,888,376.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 5 — — $2,455,110.60 $3,731,768.12 $3,240,746.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 5 — — $2,332,000.00 $3,544,640.00 $3,078,240.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 16 5 — — $770,620.00 $1,171,342.40 $986,393.60 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 6 — — $2.10 $899,423.83 $711,611.62 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 20 6 — — $2.10 $860,120.80 $680,528.15 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 20 6 — — $2.10 $847,123.26 $657,431.18 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 6 — — $2.10 $855,058.04 $650,843.90 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 6 — — $2.10 $810,509.86 $637,240.26 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 20 6 — — $2.10 $743,743.00 $602,159.89 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 56 20 — — $205,246.59 $810,325.24 $375,322.36 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $339,465.00 $339,465.00 $339,465.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 60 20 — — $243,569.11 $525,868.48 $243,569.11 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 60 20 — — $185,567.40 $400,642.13 $185,567.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 60 20 — — $184,478.36 $398,290.88 $184,478.36 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $134,810.40 $202,215.60 $168,513.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $147,498.00 $166,284.17 $156,891.09 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 6 — — $62,999.94 $164,529.89 $129,565.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 64 20 — — $106,099.65 $259,921.52 $120,389.14 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $101,805.81 $135,834.08 $114,772.37 2026-04-01
7 MS_DRG Lung Transplant 60 20 — — $112,556.38 $243,010.50 $112,556.38 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $92,295.86 $124,455.11 $110,394.63 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 52 20 — — $104,453.31 $225,515.89 $104,453.31 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 60 20 — — $98,490.09 $349,767.72 $98,490.09 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 58 20 — — $98,377.10 $212,397.28 $98,377.10 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 20 — — $80,620.54 $318,755.31 $95,790.52 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 20 — — $94,512.00 $204,052.49 $94,512.00 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 14 6 — — $68,801.71 $104,578.60 $90,818.26 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 60 20 — — $89,613.48 $211,360.82 $89,613.48 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 24 6 — — $63,342.28 $216,000.00 $86,778.92 2026-04-01
215 MS_DRG Other Heart Assist System Implant 64 20 — — $41,083.20 $278,248.10 $86,541.05 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 3 — — $76,660.21 $117,697.00 $86,424.08 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $86,181.55 $86,181.55 $86,181.55 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 20 — — $85,026.99 $183,574.24 $85,026.99 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 7 — — $55,272.32 $226,399.55 $79,769.02 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 58 20 — — $78,306.74 $169,065.14 $78,306.74 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 18 6 — — $56,824.55 $141,892.66 $76,896.67 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 60 20 — — $75,263.85 $162,495.52 $75,263.85 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 60 20 — — $73,268.29 $158,187.07 $73,268.29 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 20 — — $73,037.97 $157,689.80 $73,037.97 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 60 20 — — $68,391.50 $219,922.60 $68,391.50 2026-04-01
J9226 HCPCS Supprelin La Implant 28 7 — — $45,020.65 $190,789.15 $67,224.83 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 20 — — $66,735.78 $157,694.51 $66,735.78 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 60 20 — — $66,448.09 $149,511.03 $66,448.09 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 20 — — $66,228.19 $142,987.42 $66,228.19 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $60,885.75 $68,640.49 $66,112.57 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 1 — — $64,174.38 $64,174.38 $64,174.38 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 14 6 — — $48,155.50 $73,196.36 $63,565.26 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 74 20 — — $41,790.27 $407,580.45 $62,740.30 2026-04-01
10 MS_DRG Pancreas Transplant 60 20 — — $62,367.44 $134,652.01 $62,367.44 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 60 20 — — $62,341.36 $134,595.72 $62,341.36 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 60 20 — — $62,010.22 $201,673.85 $62,010.22 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 20 — — $61,973.72 $197,140.77 $61,973.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 68 20 — — $50,641.48 $141,466.57 $60,073.76 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 60 20 — — $59,779.12 $129,063.79 $59,779.12 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 14 6 — — $44,356.85 $67,422.41 $58,551.04 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 60 20 — — $58,503.21 $143,532.65 $58,503.21 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 60 20 — — $58,115.57 $125,472.17 $58,115.57 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 60 20 — — $50,207.97 $125,380.22 $58,072.98 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 20 — — $57,149.08 $134,576.41 $57,149.08 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 20 — — $57,149.08 $148,735.03 $57,149.08 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 60 20 — — $56,941.35 $122,937.02 $56,941.35 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 20 — — $48,243.58 $124,530.55 $55,927.05 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 60 20 — — $53,264.85 $172,344.59 $53,264.85 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 60 20 — — $53,203.14 $114,866.19 $53,203.14 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 14 6 — — $10,774.55 $60,705.91 $52,718.29 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 60 20 — — $52,692.95 $133,347.76 $52,692.95 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 64 20 — — $45,057.28 $112,745.75 $52,221.01 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 20 — — $52,206.23 $119,040.41 $52,206.23 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 20 — — $31,316.68 $111,897.57 $51,828.15 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 20 — — $51,657.80 $127,223.89 $51,657.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 54 20 — — $51,537.86 $204,271.38 $51,537.86 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 2 1 — — $51,450.17 $51,450.17 $51,450.17 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 60 20 — — $51,006.81 $117,249.16 $51,006.81 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 60 20 — — $50,973.78 $110,052.97 $50,973.78 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 20 — — $41,177.39 $201,586.71 $50,124.62 2026-04-01
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 4 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 4 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
C1823 HCPCS Gen, Neuro, Trans Sen/stim 4 1 — — $35,175.00 $64,906.25 $50,040.62 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 20 — — $49,804.78 $115,354.44 $49,804.78 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 58 20 — — $49,601.40 $107,089.98 $49,601.40 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 20 — — $49,537.08 $106,951.12 $49,537.08 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 74 20 — — $42,314.01 $231,294.28 $48,863.49 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 60 20 — — $48,712.26 $170,061.88 $48,712.26 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 20 — — $48,378.51 $104,449.74 $48,378.51 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 60 20 — — $48,003.03 $111,781.65 $48,003.03 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 4 1 — — $38,400.00 $57,600.00 $48,000.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 60 20 — — $47,715.35 $103,017.97 $47,715.35 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 62 20 — — $47,546.73 $102,653.93 $47,546.73 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 60 20 — — $47,478.94 $114,090.22 $47,478.94 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 60 20 — — $47,404.19 $102,346.19 $47,404.19 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 20 6 — — $2,447.00 $71,441.86 $47,236.23 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 54 20 — — $47,214.72 $153,599.33 $47,214.72 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 7 — — $2,158.00 $71,441.86 $47,001.22 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 26 7 — — $2,050.00 $71,984.00 $47,001.22 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 20 — — $46,349.91 $121,045.05 $46,349.91 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 60 20 — — $46,322.10 $100,009.94 $46,322.10 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 14 6 — — $34,970.13 $53,154.60 $46,160.57 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 60 20 — — $46,010.95 $191,236.76 $46,010.95 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 66 20 — — $39,044.66 $99,009.77 $45,858.85 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 68 20 — — $37,751.86 $97,679.33 $45,242.62 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 60 20 — — $45,164.40 $97,510.45 $45,164.40 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 20 — — $43,806.79 $114,788.62 $43,806.79 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 66 20 — — $37,222.41 $96,287.67 $43,347.88 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 64 20 — — $23,739.70 $141,482.74 $43,000.22 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 100 21 — — $6,762.93 $102,912.71 $42,923.73 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 60 20 — — $42,776.85 $92,355.70 $42,776.85 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 60 20 — — $42,598.67 $91,971.02 $42,598.67 2026-04-01
J9266 HCPCS Pegaspargase Injection 28 7 — — $28,424.06 $114,234.26 $42,442.81 2026-04-01
C1815 HCPCS Pros, Urinary Sph, Imp 4 1 — — $29,793.25 $54,975.63 $42,384.44 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 60 20 — — $41,968.54 $90,610.56 $41,968.54 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 60 20 — — $41,756.47 $90,152.69 $41,756.47 2026-04-01
E0783 HCPCS Programmable Infusion Pump 2 1 — — $41,638.12 $41,638.12 $41,638.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 60 20 — — $41,378.39 $158,664.50 $41,378.39 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 60 20 — — $40,862.11 $102,055.88 $40,862.11 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 76 21 — — $13,955.09 $88,041.63 $40,778.68 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 60 20 — — $40,657.00 $96,556.04 $40,657.00 2026-04-01
E0786 HCPCS Implantable Pump Replacement 2 1 — — $40,615.46 $40,615.46 $40,615.46 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 60 20 — — $40,302.38 $144,522.04 $40,302.38 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 20 — — $40,141.59 $102,725.17 $40,141.59 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 72 20 — — $15,596.40 $563,280.00 $39,950.38 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 20 — — $39,848.69 $86,033.77 $39,848.69 2026-04-01
245 MS_DRG Aicd Generator Procedures 62 20 — — $36,917.04 $85,613.44 $39,654.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 66 20 — — $33,989.05 $85,356.36 $39,534.93 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 60 20 — — $39,517.54 $127,838.22 $39,517.54 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 62 20 — — $39,362.83 $84,984.81 $39,362.83 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 20 6 — — $2,818.00 $55,051.00 $39,021.10 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 20 6 — — $2,818.00 $55,051.00 $39,021.10 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 70 21 — — $34,182.93 $92,024.33 $38,953.47 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 14 6 — — $12,013.00 $44,855.49 $38,953.45 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 60 20 — — $38,942.17 $84,076.58 $38,942.17 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 4 1 — — $27,300.00 $50,375.00 $38,837.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 60 20 — — $38,789.20 $116,191.87 $38,789.20 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 64 20 — — $32,253.57 $82,430.89 $38,179.92 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 14 6 — — $28,851.23 $43,853.87 $38,083.62 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 14 6 — — $28,715.00 $43,646.80 $37,903.80 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 64 20 — — $14,575.29 $81,203.66 $37,611.50 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 60 20 — — $37,311.65 $80,556.27 $37,311.65 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 60 20 — — $37,071.76 $80,038.35 $37,071.76 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 68 20 — — $29,779.96 $79,578.61 $36,858.82 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 20 6 — — $2,447.00 $55,566.07 $36,739.40 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 60 20 — — $36,705.85 $79,248.35 $36,705.85 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 60 20 — — $36,643.27 $79,113.24 $36,643.27 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 60 20 — — $36,625.02 $89,200.28 $36,625.02 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 74 21 — — $18,964.16 $78,843.02 $36,518.11 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 60 20 — — $36,474.66 $78,749.20 $36,474.66 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 60 20 — — $36,406.86 $85,132.79 $36,406.86 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 20 — — $32,046.77 $98,463.68 $36,266.06 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 58 20 — — $17,695.28 $78,242.54 $36,239.99 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 62 20 — — $36,095.71 $77,931.05 $36,095.71 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 60 20 — — $35,856.69 $77,415.01 $35,856.69 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 22 6 — — $24,228.42 $97,606.76 $35,528.56 2026-04-01
791 MS_DRG Prematurity With Major Problems 58 20 — — $35,278.71 $76,167.14 $35,278.71 2026-04-01
69930 HCPCS Implant Cochlear Device 26 7 — — $2,818.00 $74,825.00 $35,183.97 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 82 20 — — $29,235.98 $218,615.22 $34,944.09 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 62 20 — — $34,627.72 $74,761.64 $34,627.72 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 20 — — $34,000.19 $95,592.51 $34,000.19 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 60 20 — — $33,846.35 $73,074.66 $33,846.35 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 24 7 — — $2,769.00 $55,051.00 $33,661.98 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $33,642.75 $33,642.75 $33,642.75 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 60 20 — — $33,642.10 $72,633.69 $33,642.10 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 60 20 — — $33,591.69 $72,524.85 $33,591.69 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 60 20 — — $33,559.54 $72,455.42 $33,559.54 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 26 7 — — $2,158.00 $63,810.00 $33,494.51 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 26 7 — — $2,158.00 $63,810.00 $33,494.51 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 26 7 — — $2,769.00 $63,810.00 $33,494.51 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 26 7 — — $2,158.00 $63,810.00 $33,494.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 66 20 — — $30,598.54 $218,504.03 $33,369.19 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 20 6 — — $2,158.00 $50,050.12 $33,092.35 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 26 7 — — $2,050.00 $51,422.00 $32,927.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 26 7 — — $2,158.00 $55,051.00 $32,927.71 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 7 — — $2,158.00 $50,050.12 $32,926.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 26 7 — — $1,999.50 $50,050.12 $32,926.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 26 7 — — $2,050.00 $50,050.12 $32,926.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 60 20 — — $32,706.03 $88,928.68 $32,706.03 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 60 20 — — $32,563.49 $70,304.95 $32,563.49 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 20 6 — — $2,818.00 $52,848.76 $32,493.31 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 20 6 — — $2,818.00 $51,918.88 $32,493.31 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 20 6 — — $2,818.00 $44,410.60 $32,493.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 66 20 — — $27,093.09 $70,137.94 $32,486.14 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 62 20 — — $32,482.66 $70,130.43 $32,482.66 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 62 20 — — $28,513.14 $69,933.40 $32,391.40 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 60 20 — — $32,208.88 $83,784.50 $32,208.88 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 62 20 — — $29,684.00 $68,925.72 $31,924.67 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 20 — — $25,063.32 $68,897.57 $31,911.63 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 60 20 — — $31,537.03 $68,088.80 $31,537.03 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 60 20 — — $31,512.69 $68,036.26 $31,512.69 2026-04-01
332 MS_DRG Rectal Resection With Mcc 60 20 — — $31,469.23 $70,676.70 $31,469.23 2026-04-01
265 MS_DRG Aicd Lead Procedures 60 20 — — $31,447.51 $71,759.86 $31,447.51 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 64 20 — — $26,641.26 $67,775.43 $31,391.88 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 20 — — $31,344.95 $67,674.10 $31,344.95 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 20 — — $31,139.83 $67,231.24 $31,139.83 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 62 20 — — $31,067.69 $72,167.26 $31,067.69 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 72 20 — — $8,997.82 $67,007.94 $31,036.40 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 60 20 — — $30,990.33 $79,448.65 $30,990.33 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 62 20 — — $30,964.26 $66,852.19 $30,964.26 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 60 20 — — $30,934.71 $66,788.39 $30,934.71 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 68 20 — — $2,211.52 $66,733.97 $30,909.50 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 76 20 — — $24,037.98 $344,134.05 $30,651.37 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 7 — — $2,769.00 $55,051.00 $30,607.50 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 62 20 — — $27,196.39 $66,041.54 $30,588.79 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 64 21 — — $15,551.74 $65,457.95 $30,318.48 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 20 — — $29,683.88 $65,441.06 $30,310.66 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 60 20 — — $30,171.60 $65,140.82 $30,171.60 2026-04-01
0613T HCPCS Perq Tcat Intratrl Septl Sht 4 2 — — $13,741.00 $46,403.13 $30,072.06 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 14 6 — — $22,747.26 $34,575.84 $30,026.38 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 60 20 — — $30,025.58 $64,825.57 $30,025.58 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 60 20 — — $29,886.52 $91,276.21 $29,886.52 2026-04-01
C1813 HCPCS Prosthesis, Penile, Inflatab 4 1 — — $21,000.00 $38,750.00 $29,875.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 66 20 — — $11,142.20 $64,333.93 $29,797.86 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 64 21 — — $22,795.29 $72,972.35 $29,651.85 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 60 20 — — $29,612.73 $69,367.22 $29,612.73 2026-04-01
L5858 HCPCS Stance Phase Only 14 6 — — $22,336.47 $33,951.43 $29,484.14 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 20 6 — — $2,769.00 $44,010.44 $29,099.01 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 20 6 — — $2,769.00 $44,010.44 $29,099.01 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 66 20 — — $13,305.95 $62,686.36 $29,034.75 2026-04-01
22630 HCPCS Lumbar Spine Fusion 26 7 — — $2,613.00 $44,010.44 $28,954.24 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 26 7 — — $2,613.00 $44,010.44 $28,954.24 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 26 7 — — $2,613.00 $44,010.44 $28,954.24 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 60 20 — — $28,710.56 $71,866.56 $28,710.56 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 60 20 — — $28,613.21 $61,776.26 $28,613.21 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 60 20 — — $28,609.74 $61,768.75 $28,609.74 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 HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 12 5 — — $20,701.52 $31,466.31 $28,361.08 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 60 20 — — $28,271.64 $61,038.79 $28,271.64 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 60 20 — — $28,147.35 $60,770.45 $28,147.35 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 62 20 — — $24,115.56 $60,702.90 $28,116.06 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 66 20 — — $23,150.74 $69,418.95 $28,076.95 2026-04-01
652 MS_DRG Kidney Transplant 60 20 — — $28,069.13 $72,225.46 $28,069.13 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 66 20 — — $16,182.43 $60,556.53 $28,048.27 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 60 20 — — $27,993.51 $62,532.02 $27,993.51 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 60 20 — — $27,903.12 $60,243.16 $27,903.12 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 14 6 — — $21,127.66 $32,114.04 $27,888.51 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 8 3 — — $13,669.22 $38,842.18 $27,882.99 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 68 20 — — $13,633.51 $71,905.36 $27,750.15 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 16 6 — — $13,918.00 $34,251.56 $27,713.40 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 60 20 — — $27,698.87 $59,802.18 $27,698.87 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 62 20 — — $23,877.38 $59,744.01 $27,671.93 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 20 6 — — $2,818.00 $55,051.00 $27,652.12 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 20 6 — — $2,818.00 $55,051.00 $27,652.12 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 20 6 — — $2,447.00 $55,051.00 $27,652.12 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 60 20 — — $27,616.30 $160,035.42 $27,616.30 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 62 20 — — $21,350.56 $59,387.47 $27,506.79 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 60 20 — — $27,465.07 $59,297.40 $27,465.07 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 60 20 — — $27,386.85 $59,128.52 $27,386.85 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 66 20 — — $23,015.56 $111,655.55 $27,373.81 2026-04-01
C1895 HCPCS Lead, Aicd, Endo Dual Coil 4 1 — — $19,228.06 $35,480.35 $27,354.21 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 60 20 — — $27,309.49 $58,961.51 $27,309.49 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
665 MS_DRG Prostatectomy With Mcc 62 20 — — $5,093.45 $58,569.32 $27,127.84 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 21 — — $5,432.42 $58,447.35 $27,071.35 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 60 20 — — $27,023.54 $95,304.75 $27,023.54 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 6 2 — — $11,919.84 $29,014.44 $26,936.62 2026-04-01
0014U HCPCS Hem Hmtlmf Neo Gene Reargmt 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
0013U HCPCS Onc Sld Org Neo Gene Reargmt 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
0012U HCPCS Germln Do Gene Reargmt Detcj 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
0056U HCPCS Hem Aml DNA Gene Reargmt 4 1 — — $22,973.72 $30,658.88 $26,816.30 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 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
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 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
93591 HCPCS Perq Transcath Cls Aortic 20 6 — — $2,913.00 $46,403.13 $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
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 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
93590 HCPCS Perq Transcath Cls Mitral 20 6 — — $2,913.00 $46,403.13 $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
92933 HCPCS Prq Card Stent/ath/angio 16 6 — — $5,226.25 $31,242.00 $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
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 12 5 — — $19,561.37 $29,733.28 $26,799.07 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 2 — — $22,027.73 $31,406.41 $26,717.07 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 60 20 — — $26,608.96 $57,449.05 $26,608.96 2026-04-01
263 MS_DRG Vein Ligation And Stripping 60 20 — — $17,789.62 $57,372.11 $26,573.33 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 64 20 — — $24,471.67 $59,463.62 $26,362.99 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 60 20 — — $26,252.61 $56,679.68 $26,252.61 2026-04-01
509 MS_DRG Arthroscopy 4 2 — — $19,542.07 $32,960.72 $26,251.40 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 60 20 — — $26,249.13 $56,672.18 $26,249.13 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 66 20 — — $22,352.03 $56,610.25 $26,220.45 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
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 60 20 — — $25,869.32 $55,852.15 $25,869.32 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 76 20 — — $17,884.38 $55,283.57 $25,605.96 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 60 20 — — $25,588.58 $73,667.51 $25,588.58 2026-04-01
570 MS_DRG Skin Debridement With Mcc 60 20 — — $25,562.51 $55,189.74 $25,562.51 2026-04-01
22558 HCPCS Lumbar Spine Fusion 26 7 — — $2,613.00 $44,010.44 $25,551.00 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 14 6 — — $19,237.24 $29,240.60 $25,393.16 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 60 20 — — $25,379.12 $54,793.80 $25,379.12 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 62 20 — — $21,374.82 $54,649.31 $25,312.19 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 62 20 — — $19,106.50 $54,456.03 $25,222.67 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 60 20 — — $25,207.02 $65,464.63 $25,207.02 2026-04-01
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