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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

USC VERDUGO HILLS HOSPITAL

Glendale, CA · CCN 050124 · Rates published

15,952 distinct procedures filed
29 distinct payers
164,093 rate rows
2026-04-01 last MRF observed
Data quality

125,162 of 164,093 rate rows are consumer-grade (76.3%)

38,931 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 35,307
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
placeholder amount (≤ $0.02) — excluded from medians 63
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=h0rmgXMGiSXmDqPqnFmWhA*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=9pu5*_*S9I3IlIh8XJQHHcBw*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-11
Content fingerprint ded30b4d0a435316… · 57,733,071 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,505,000.00 $6,937,700.00 $5,333,920.00 nat. median
$4,505,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $5,675,310.67 $4,363,355.74 nat. median
$3,685,267
1.2× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,335,820.00 $5,137,162.80 $3,949,610.88 nat. median
$3,335,820
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $5,107,352.39 $3,928,971.13 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $5,002,606.40 $3,846,972.20 nat. median
$3,248,446
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 5 $3,090,000.00 $4,758,600.00 $3,676,560.00 nat. median
$3,180,000
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,939,968.89 $4,536,439.60 $3,486,601.94 nat. median
$2,968,000
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,426,431.60 $3,780,870.33 $2,788,712.66 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,591,280.00 $2,761,088.00 nat. median
$2,332,000
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,811,111.12 $1,062,196.92 nat. median
$813,967
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,381,094.03 $792,136.47 nat. median
$599,737
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $468,501.12 $1,321,285.36 $698,522.09 nat. median
$579,571
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $479,006.14 $1,311,603.67 $696,212.74 nat. median
$574,037
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $484,144.47 $1,250,758.21 $671,841.48 nat. median
$562,501
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $484,144.47 $1,150,305.87 $626,927.96 nat. median
$513,770
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $618,968.00 $618,968.00 $618,968.00 nat. median
$95,583
outlier · 6.5×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 $418,841.92 $1,562,742.35 $589,854.75 nat. median
$168,055
outlier · 3.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $964.00 $1,331,461.87 $584,750.72 nat. median
$621,313
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $272,322.97 $1,014,156.92 $390,186.53 nat. median
$186,516
outlier · 2.1×
J3403
HCPCS 		Revakinagene, Per Implant 4 $257,500.00 $622,803.00 $377,940.60 nat. median
$264,195
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $428,505.00 $329,448.00 nat. median
$286,598
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $207,556.05 $772,653.24 $298,360.95 nat. median
$131,925
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $206,339.98 $768,118.76 $293,083.77 nat. median
$145,435
outlier · 2.0×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $201,669.02 $473,962.53 $281,230.06 nat. median
$207,733
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $108,243.35 $704,653.38 $247,442.13 nat. median
$108,243
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $133,341.24 $501,268.31 $225,020.87 nat. median
$97,418
outlier · 2.3×
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $197,048.59 $197,048.59 $197,048.59 nat. median
$77,438
outlier · 2.5×
7
MS_DRG 		Lung Transplant 22 $126,018.40 $468,654.79 $178,797.05 nat. median
$70,649
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $116,946.18 $434,915.78 $166,695.60 nat. median
$72,715
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $110,269.75 $410,086.51 $160,547.61 nat. median
$65,418
outlier · 2.5×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $447,892.25 $157,279.33 nat. median
$68,802
outlier · 2.3×
L8614
HCPCS 		Imp Cochlear Nucleus Ci24Re Ca Contour Adv Electrode Array 1 $157,207.97 $157,207.97 $157,207.97 nat. median
$22,495
outlier · 7.0×
209
MS_DRG 		Complex Aortic Arch Procedures 21 $110,143.24 $409,616.05 $155,275.15 nat. median
$2,110
outlier · 73.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $107,247.30 $398,846.21 $154,504.93 nat. median
$2,736
outlier · 56.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $105,815.87 $393,522.80 $152,950.19 nat. median
$74,509
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $100,331.48 $373,126.68 $143,516.52 nat. median
$69,922
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 22 $96,891.57 $360,333.87 $139,481.01 nat. median
$73,023
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $95,196.43 $354,029.75 $136,095.23 nat. median
$69,822
1.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 $47,893.06 $178,111.40 $130,540.27 nat. median
$34,615
outlier · 3.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 $58,450.22 $217,372.85 $126,315.92 nat. median
$43,533
outlier · 2.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $87,672.42 $326,048.41 $126,122.26 nat. median
$2,596
outlier · 48.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $84,265.59 $313,378.65 $122,322.87 nat. median
$2,633
outlier · 46.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $82,031.36 $305,069.65 $117,485.94 nat. median
$60,505
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $81,773.49 $304,110.64 $117,054.49 nat. median
$59,651
2.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $76,571.29 $284,764.00 $111,818.47 nat. median
$56,428
2.0× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $48,155.50 $313,487.49 $110,082.51 nat. median
$48,410
outlier · 2.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 19 $102,758.59 $115,970.94 $109,364.76 nat. median
$2,106
outlier · 51.9×
J9029
HCPCS 		Nadofaragene Firadenovec 3x10^11 Vp/Ml Injection; 75 Ml 6 $63,342.28 $227,363.69 $107,763.02 nat. median
$66,211
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $74,717.54 $277,870.00 $107,148.20 nat. median
$55,923
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $74,395.44 $276,672.14 $106,689.71 nat. median
$55,935
1.9× median

Other procedures at this hospital

Browse this hospital's 15,952 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,505,000.00 $6,937,700.00 $5,333,920.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $5,675,310.67 $4,363,355.74 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 5 — — $3,335,820.00 $5,137,162.80 $3,949,610.88 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $5,107,352.39 $3,928,971.13 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $5,002,606.40 $3,846,972.20 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 5 5 — — $3,090,000.00 $4,758,600.00 $3,676,560.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,939,968.89 $4,536,439.60 $3,486,601.94 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 6 — — $2,426,431.60 $3,780,870.33 $2,788,712.66 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $3,591,280.00 $2,761,088.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 5 — — $770,620.00 $1,811,111.12 $1,062,196.92 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $565,868.94 $1,381,094.03 $792,136.47 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 6 — — $468,501.12 $1,321,285.36 $698,522.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 6 — — $479,006.14 $1,311,603.67 $696,212.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 6 — — $484,144.47 $1,250,758.21 $671,841.48 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 6 — — $484,144.47 $1,150,305.87 $626,927.96 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $618,968.00 $618,968.00 $618,968.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 58 22 — — $418,841.92 $1,562,742.35 $589,854.75 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 6 — — $964.00 $1,331,461.87 $584,750.72 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 22 — — $272,322.97 $1,014,156.92 $390,186.53 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 5 4 — — $257,500.00 $622,803.00 $377,940.60 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $278,250.00 $428,505.00 $329,448.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 58 22 — — $207,556.05 $772,653.24 $298,360.95 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 22 — — $206,339.98 $768,118.76 $293,083.77 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 5 — — $201,669.02 $473,962.53 $281,230.06 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $108,243.35 $704,653.38 $247,442.13 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 22 — — $133,341.24 $501,268.31 $225,020.87 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $197,048.59 $197,048.59 $197,048.59 2026-04-01
7 MS_DRG Lung Transplant 58 22 — — $126,018.40 $468,654.79 $178,797.05 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 58 22 — — $116,946.18 $434,915.78 $166,695.60 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 22 — — $110,269.75 $410,086.51 $160,547.61 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $447,892.25 $157,279.33 2026-04-01
L8614 HCPCS Imp Cochlear Nucleus Ci24Re Ca Contour Adv Electrode Array 2 1 $44,369.50 $44,369.50 $157,207.97 $157,207.97 $157,207.97 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 55 21 — — $110,143.24 $409,616.05 $155,275.15 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 22 — — $107,247.30 $398,846.21 $154,504.93 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 22 — — $105,815.87 $393,522.80 $152,950.19 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 58 22 — — $100,331.48 $373,126.68 $143,516.52 2026-04-01
215 MS_DRG Other Heart Assist System Implant 58 22 — — $96,891.57 $360,333.87 $139,481.01 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 22 — — $95,196.43 $354,029.75 $136,095.23 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 58 22 — — $47,893.06 $178,111.40 $130,540.27 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 22 — — $58,450.22 $217,372.85 $126,315.92 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 56 22 — — $87,672.42 $326,048.41 $126,122.26 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 56 22 — — $84,265.59 $313,378.65 $122,322.87 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 22 — — $82,031.36 $305,069.65 $117,485.94 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 22 — — $81,773.49 $304,110.64 $117,054.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 22 — — $76,571.29 $284,764.00 $111,818.47 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $48,155.50 $313,487.49 $110,082.51 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 34 19 — — $102,758.59 $115,970.94 $109,364.76 2026-04-01
J9029 HCPCS Nadofaragene Firadenovec 3x10^11 Vp/Ml Injection; 75 Ml 8 6 $252,000.00 $252,000.00 $63,342.28 $227,363.69 $107,763.02 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 22 — — $74,717.54 $277,870.00 $107,148.20 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 22 — — $74,395.44 $276,672.14 $106,689.71 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 22 — — $74,149.25 $275,756.56 $105,625.97 2026-04-01
710 MS_DRG Penis Procedures Without Cc/Mcc 58 22 — — $13,635.08 $50,708.03 $105,618.82 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 22 — — $70,244.20 $261,233.92 $101,462.13 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $44,356.85 $288,758.66 $101,398.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 22 — — $69,385.92 $258,042.05 $100,274.23 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 22 — — $69,426.79 $258,194.04 $99,455.64 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 58 22 — — $69,797.54 $259,572.84 $98,725.77 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 3 — — $55,500.77 $198,003.59 $98,182.85 2026-04-01
10 MS_DRG Pancreas Transplant 58 22 — — $40,486.08 $259,681.41 $97,191.24 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 58 22 — — $66,928.84 $248,904.32 $95,537.52 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 34 19 — — $88,923.98 $100,357.52 $94,640.75 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 22 — — $65,018.65 $241,800.42 $94,047.76 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 22 — — $65,066.33 $241,977.75 $93,637.10 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 22 — — $65,500.33 $243,591.78 $93,276.67 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 4 — — $39,938.10 $259,993.04 $91,297.70 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 22 — — $63,984.24 $237,953.53 $91,252.17 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 6 — — $56,824.55 $210,598.10 $91,166.57 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 22 — — $63,984.24 $237,953.53 $90,479.45 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 58 22 — — $61,949.29 $237,088.61 $89,844.21 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 34 19 — — $84,093.61 $94,906.08 $89,499.85 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 22 — — $62,616.07 $232,865.36 $88,872.01 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 58 22 — — $59,635.46 $221,780.67 $85,955.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 58 22 — — $59,566.37 $221,523.73 $85,056.92 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 58 22 — — $67,258.73 $250,131.13 $84,522.71 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 22 — — $58,995.16 $219,399.43 $84,256.15 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 58 22 — — $58,466.77 $217,434.37 $83,453.48 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 58 22 — — $57,701.91 $214,589.91 $83,299.83 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 22 — — $58,026.93 $215,798.63 $83,233.75 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 58 22 — — $38,789.47 $152,051.70 $83,125.36 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 22 — — $57,836.20 $215,089.32 $82,416.16 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 58 22 — — $57,107.35 $212,378.77 $81,851.88 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 58 22 — — $57,070.37 $212,241.25 $81,375.84 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 56 22 — — $56,119.65 $208,705.58 $80,905.83 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 1 1 — — $80,338.35 $80,338.35 $80,338.35 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 34 19 — — $75,307.46 $84,990.24 $80,148.85 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 7 — — $54,404.11 $127,860.53 $79,974.86 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 4 — — $34,970.13 $227,652.05 $79,941.02 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 22 — — $55,761.55 $207,373.83 $79,627.95 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 22 — — $54,707.68 $203,454.56 $79,032.32 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 55 21 — — $55,533.84 $206,527.00 $78,366.18 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 34 19 — — $73,422.96 $82,863.43 $78,143.20 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 58 22 — — $53,744.31 $199,871.85 $77,855.54 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 22 — — $54,164.69 $201,435.21 $77,839.02 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 58 22 — — $54,538.36 $202,824.87 $77,662.29 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 22 — — $53,233.44 $197,971.92 $76,304.68 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 22 — — $51,513.97 $191,577.33 $75,899.68 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 58 22 — — $53,157.53 $197,689.65 $75,750.59 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 58 22 — — $52,861.71 $196,589.50 $75,547.79 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 22 — — $53,073.85 $197,378.42 $75,422.34 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 56 22 — — $51,862.34 $192,872.89 $74,866.18 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 22 — — $51,893.48 $192,988.70 $74,219.26 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 22 — — $51,343.68 $190,944.02 $73,196.07 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 34 19 — — $68,145.23 $76,907.11 $72,526.17 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 58 22 — — $31,478.81 $117,067.80 $70,360.71 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 22 — — $49,046.19 $182,399.80 $69,320.53 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 34 19 — — $64,851.54 $73,189.93 $69,020.74 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 58 22 — — $47,693.58 $177,369.53 $68,757.49 2026-04-01
L8679 HCPCS Imp Neurosti Pls Gn Any Type 1 1 — — $68,548.86 $68,548.86 $68,548.86 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 22 — — $46,750.64 $173,862.81 $67,836.32 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 5 4 — — $29,510.19 $192,108.39 $67,459.70 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 58 22 — — $46,988.08 $174,745.82 $67,383.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 58 22 — — $46,327.34 $172,288.59 $66,960.32 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 34 19 — — $62,829.48 $70,907.87 $66,868.68 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 22 — — $37,360.23 $138,940.43 $66,864.59 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 58 22 — — $53,422.22 $198,673.99 $66,556.00 2026-04-01
951 MS_DRG Other Factors Influencing Health Status 58 22 — — $5,410.44 $20,121.08 $66,543.20 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 58 22 — — $18,770.13 $69,804.96 $66,280.98 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 4 — — $28,851.23 $187,818.62 $65,953.33 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 4 — — $28,715.00 $186,931.78 $65,641.92 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 58 22 — — $45,519.67 $169,284.90 $65,507.20 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 58 22 — — $45,749.32 $170,138.96 $65,171.39 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 22 — — $44,942.62 $167,138.90 $65,070.84 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 58 22 — — $45,122.65 $167,808.39 $64,756.21 2026-04-01
245 MS_DRG Aicd Generator Procedures 58 22 — — $44,396.71 $165,108.69 $64,544.15 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 58 22 — — $50,566.17 $188,052.52 $64,448.29 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 22 — — $44,614.69 $165,919.33 $63,801.60 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 58 22 — — $44,070.73 $163,896.36 $63,778.74 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 22 — — $44,243.94 $164,540.53 $63,160.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 34 19 — — $58,292.13 $65,787.13 $62,039.63 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 22 — — $43,599.75 $162,144.81 $62,004.33 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 22 — — $43,428.48 $161,507.89 $61,912.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 58 22 — — $44,263.40 $164,612.90 $61,433.69 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 22 — — $42,746.34 $158,971.04 $60,946.15 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 56 22 — — $42,109.93 $156,604.28 $60,887.40 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 58 22 — — $41,774.21 $155,355.76 $59,708.19 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 58 22 — — $41,505.63 $154,356.94 $59,067.56 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 22 — — $40,603.57 $151,002.22 $58,961.60 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 58 22 — — $41,095.96 $152,833.38 $58,807.87 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 58 22 — — $40,837.11 $151,870.76 $58,671.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 58 22 — — $41,005.46 $152,496.83 $58,551.89 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 58 22 — — $28,083.67 $104,441.45 $58,295.37 2026-04-01
J9226 HCPCS Supprelin La Implant 9 7 — — $43,185.34 $101,494.18 $58,290.99 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 58 22 — — $41,025.90 $152,572.82 $58,230.76 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 22 — — $40,761.21 $151,588.48 $58,150.01 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 58 22 — — $40,574.38 $150,893.65 $57,859.14 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 58 22 — — $40,412.84 $150,292.92 $57,759.58 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 34 19 — — $53,474.06 $60,349.57 $56,911.82 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 22 — — $39,123.49 $145,497.87 $56,554.20 2026-04-01
791 MS_DRG Prematurity With Major Problems 58 22 — — $39,498.13 $146,891.15 $56,328.29 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 58 22 — — $38,769.28 $144,180.59 $54,869.49 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 22 — — $38,066.70 $141,567.75 $54,385.75 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 58 22 — — $37,665.78 $140,076.76 $53,995.77 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 58 22 — — $27,239.99 $101,303.87 $53,799.86 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 58 22 — — $37,573.34 $139,732.97 $53,678.12 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 58 22 — — $36,549.31 $139,866.87 $53,309.89 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 58 22 — — $25,308.27 $140,927.20 $53,080.99 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 22 — — $33,361.76 $124,070.37 $53,014.42 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 58 22 — — $36,371.56 $135,263.63 $52,118.52 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 58 22 — — $36,265.49 $134,869.17 $52,026.64 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 5 4 — — $22,747.26 $148,082.39 $51,999.78 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 58 22 — — $36,367.67 $135,249.15 $51,762.51 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 58 22 — — $21,201.90 $78,848.59 $51,540.92 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 6 4 $9,800.00 $9,800.00 $22,533.92 $146,693.57 $51,512.09 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 58 22 — — $36,061.14 $134,109.20 $51,388.29 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 58 22 — — $35,742.94 $132,925.82 $51,346.94 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 58 22 — — $6,808.78 $25,321.44 $51,100.31 2026-04-01
L5858 HCPCS Stance Phase Only 5 4 — — $22,336.47 $145,408.19 $51,060.72 2026-04-01
L8609 HCPCS Artificial Cornea 1 1 — — $50,976.03 $50,976.03 $50,976.03 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 58 22 — — $36,617.75 $136,179.21 $50,798.04 2026-04-01
332 MS_DRG Rectal Resection With Mcc 58 22 — — $35,233.03 $131,029.51 $50,777.48 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 58 22 — — $34,783.46 $129,357.58 $50,704.89 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 22 — — $35,093.88 $130,512.01 $50,450.99 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 58 22 — — $35,281.69 $131,210.46 $50,406.18 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 58 22 — — $35,146.43 $130,707.43 $50,400.74 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 22 — — $45,655.91 $169,791.55 $50,351.20 2026-04-01
265 MS_DRG Aicd Lead Procedures 58 22 — — $35,208.70 $130,939.04 $50,101.61 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 58 22 — — $35,308.93 $131,311.79 $49,902.18 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 58 22 — — $48,057.52 $178,723.00 $49,780.15 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 58 22 — — $34,634.58 $128,803.89 $49,764.54 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 22 — — $33,935.89 $126,205.52 $49,318.04 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 58 22 — — $34,247.28 $127,363.57 $49,222.20 2026-04-01
L8682 HCPCS Implt Neurostim Radiofq Rec 1 1 — — $48,976.58 $48,976.58 $48,976.58 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 6 4 — — $3,654.07 $87,242.74 $48,608.94 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 5 4 — — $21,127.66 $137,538.95 $48,297.41 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 58 22 — — $33,780.19 $125,626.49 $48,126.47 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 58 22 — — $33,616.71 $125,018.52 $48,003.80 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 22 — — $33,198.28 $123,462.39 $47,355.99 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 55 21 — — $33,461.02 $124,439.50 $47,279.99 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 34 19 — — $43,960.95 $49,613.30 $46,787.12 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $46,695.13 $46,695.13 $46,695.13 2026-04-01
666 MS_DRG Prostatectomy With Cc 58 22 — — $17,022.44 $63,305.42 $46,440.90 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 58 22 — — $44,728.54 $166,342.74 $46,318.82 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 58 22 — — $30,919.28 $114,986.93 $46,079.40 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 58 22 — — $32,144.41 $119,543.12 $45,936.50 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 58 22 — — $32,035.43 $119,137.81 $45,859.39 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 58 22 — — $15,319.51 $56,972.34 $45,849.74 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 58 22 — — $31,653.00 $117,715.58 $45,721.05 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 56 22 — — $31,435.02 $116,904.95 $45,404.23 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 58 22 — — $16,812.25 $62,523.74 $45,150.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 58 22 — — $31,402.91 $116,785.52 $45,110.07 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 58 22 — — $31,513.84 $117,198.08 $45,035.95 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 56 22 — — $31,240.40 $116,181.17 $44,936.41 2026-04-01
652 MS_DRG Kidney Transplant 58 22 — — $31,426.26 $116,872.38 $44,804.66 2026-04-01
540 MS_DRG Osteomyelitis With Cc 58 22 — — $12,614.30 $46,911.80 $44,766.47 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 5 4 — — $19,535.67 $127,175.26 $44,658.15 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 58 22 — — $31,341.60 $116,557.53 $44,634.66 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 58 22 — — $17,588.78 $65,411.62 $44,272.71 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 58 22 — — $31,011.72 $115,330.72 $44,265.23 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 58 22 — — $30,796.67 $114,530.95 $44,106.64 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 58 22 — — $30,749.96 $114,357.24 $43,993.91 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 5 4 — — $19,237.24 $125,232.51 $43,975.95 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 39 23 — — — — $43,953.22 2026-04-01
665 MS_DRG Prostatectomy With Mcc 58 22 — — $30,372.40 $112,953.11 $43,666.88 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 58 22 — — $30,575.78 $113,709.46 $43,504.60 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 58 22 — — $30,255.63 $112,518.84 $43,222.68 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 22 — — $30,309.15 $112,717.88 $43,117.61 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 7 — — $1,405.03 $124,588.07 $43,018.36 2026-04-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 58 22 — — $9,879.88 $36,742.69 $42,940.66 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 58 22 — — $23,327.15 $86,752.27 $42,871.59 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 58 22 — — $12,607.48 $46,886.47 $42,437.17 2026-04-01
199 MS_DRG Pneumothorax With Mcc 58 22 — — $17,166.46 $63,841.01 $42,402.79 2026-04-01
813 MS_DRG Coagulation Disorders 58 22 — — $14,842.69 $55,199.08 $42,052.36 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 56 22 — — $28,963.35 $107,712.94 $42,052.35 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 22 — — $17,746.42 $65,997.88 $41,887.50 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 58 22 — — $29,388.59 $109,294.40 $41,777.37 2026-04-01
263 MS_DRG Vein Ligation And Stripping 58 22 — — $25,870.83 $110,644.25 $41,760.01 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 58 22 — — $29,392.49 $109,308.87 $41,686.33 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 58 22 — — $35,728.34 $132,871.53 $41,587.77 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 5 4 — — $18,164.17 $118,246.93 $41,522.93 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 58 22 — — $28,896.10 $109,174.98 $41,212.95 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 58 22 — — $28,668.50 $106,616.41 $41,101.20 2026-04-01
570 MS_DRG Skin Debridement With Mcc 58 22 — — $28,619.84 $106,435.47 $40,942.42 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 58 22 — — $19,094.17 $71,010.06 $40,878.65 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 58 22 — — $28,649.04 $106,544.03 $40,571.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 58 22 — — $34,748.43 $129,227.30 $40,494.53 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 58 22 — — $18,772.07 $69,812.20 $40,423.67 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 58 22 — — $28,221.85 $104,955.34 $40,311.38 2026-04-01
115 MS_DRG Extraocular Procedures Except Orbit 58 22 — — $14,936.11 $55,546.50 $40,272.45 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 58 22 — — $28,097.29 $104,492.12 $40,252.53 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 58 22 — — $27,929.92 $103,869.67 $40,207.37 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 58 22 — — $24,725.50 $91,952.63 $40,160.38 2026-04-01
Q0481 HCPCS Thoratec Heart Mate3 Sys Cntlr 6 4 $19,250.00 $19,250.00 $17,463.78 $113,687.46 $39,921.85 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 5 4 — — $17,437.90 $113,518.99 $39,862.69 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 58 22 — — $28,042.80 $104,289.46 $39,810.44 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 58 22 — — $16,371.43 $60,884.37 $39,809.03 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 58 22 — — $22,756.92 $84,631.60 $39,774.66 2026-04-01
800 MS_DRG Splenic Procedures With Cc 58 22 — — $27,338.27 $101,669.38 $39,366.61 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 58 22 — — $14,042.81 $52,224.35 $39,156.83 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 58 22 — — $15,656.21 $58,224.48 $38,719.42 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 58 22 — — $32,031.53 $119,123.33 $38,694.76 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 58 22 — — $26,602.61 $98,933.49 $38,078.29 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 58 22 — — $33,944.65 $126,238.09 $38,003.39 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 58 22 — — $32,507.38 $120,892.97 $37,901.11 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 58 22 — — $26,334.03 $97,934.67 $37,715.38 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 58 22 — — $17,854.44 $66,399.58 $37,674.18 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 58 22 — — $23,222.06 $86,361.43 $37,663.12 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 34 19 — — $35,366.04 $39,913.29 $37,639.67 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 58 22 — — $34,864.23 $129,657.95 $37,586.55 2026-04-01
849 MS_DRG Radiotherapy 58 22 — — $26,366.14 $98,054.10 $37,528.67 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 58 22 — — $48,532.39 $180,489.02 $37,461.16 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 58 22 — — $17,254.04 $64,166.72 $37,393.04 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 58 22 — — $26,248.40 $97,616.21 $37,373.95 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 58 22 — — $19,569.04 $72,776.08 $37,256.52 2026-04-01
L8690 HCPCS Sound Processornucleus 7 2 1 $34,790.00 $34,790.00 $37,219.57 $37,219.57 $37,219.57 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 34 19 — — $34,942.17 $39,434.91 $37,188.54 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 58 22 — — $25,664.54 $95,444.87 $37,092.92 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 58 22 — — $20,607.34 $76,637.45 $37,013.79 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 58 22 — — $22,606.09 $84,070.67 $36,864.00 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 58 22 — — $15,887.80 $59,085.78 $36,778.56 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 58 22 — — $34,317.34 $127,624.13 $36,714.13 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 56 22 — — $30,662.38 $114,031.54 $36,275.84 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 58 22 — — $15,562.79 $57,877.07 $36,237.35 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 58 22 — — $25,227.62 $93,819.98 $36,175.16 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 58 22 — — $25,793.96 $95,926.18 $36,029.94 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 56 22 — — $41,267.22 $153,470.31 $35,969.03 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 58 22 — — $24,985.32 $92,918.88 $35,940.18 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 5 4 — — $15,644.23 $101,842.37 $35,762.40 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 58 22 — — $25,098.20 $93,338.67 $35,729.78 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 58 22 — — $24,843.24 $92,390.52 $35,666.72 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 58 22 — — $25,098.20 $93,338.67 $35,569.92 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 7 — — $4,179.00 $87,242.74 $35,445.44 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 58 22 — — $24,561.04 $91,341.04 $35,297.73 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 58 22 — — $24,550.34 $91,301.23 $35,113.39 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 58 22 — — $17,817.46 $66,262.06 $35,078.51 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 58 22 — — $26,829.34 $99,776.69 $35,065.52 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $964.00 $87,242.74 $34,977.62 2026-04-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 6 5 — — $6,626.00 $53,744.28 $34,961.59 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 $60,028.00 $60,028.00 $964.00 $87,242.74 $34,823.54 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 58 22 — — $24,149.42 $89,810.24 $34,653.66 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 58 22 — — $24,248.68 $90,179.37 $34,642.64 2026-04-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 6 5 — — $4,578.00 $53,744.28 $34,620.25 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 58 22 — — $14,887.46 $55,365.55 $34,328.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 56 22 — — $14,728.84 $54,775.67 $34,321.11 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 58 22 — — $34,667.66 $128,926.93 $34,224.87 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 6 4 — — $2,819.18 $61,119.76 $34,118.49 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 58 22 — — $23,930.48 $88,995.99 $34,089.06 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 58 22 — — $23,756.29 $88,348.21 $34,061.78 2026-04-01
792 MS_DRG Prematurity Without Major Problems 58 22 — — $23,833.17 $88,634.10 $34,042.86 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 58 22 — — $30,647.78 $113,977.26 $33,904.99 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 56 22 — — $23,304.77 $86,669.04 $33,873.59 2026-04-01
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