Price Transparencybeta Hospital negotiated rates

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

PROVIDENCE ST. JUDE MEDICAL CENTER

Fullerton, CA · CCN 050168 · Rates published

14,791 distinct procedures filed
28 distinct payers
226,104 rate rows
2026-04-01 last MRF observed
Data quality

152,008 of 226,104 rate rows are consumer-grade (67.2%)

74,096 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 73,934
placeholder amount (≤ $0.02) — excluded from medians 93
template filing: same amount across many unrelated codes — excluded 69
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/socal/live/951643325_providence-st-jude-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 3ba4f7dcb941ae18… · 200,610,795 bytes · first seen 2026-05-08

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,137,732.50 $4,355,852.51 $3,779,451.13 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $2,823,169.92 $3,919,171.50 $3,400,555.26 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $2,758,574.18 $3,829,498.62 $3,322,748.62 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,497,572.00 $3,467,171.05 $3,008,367.13 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,199,024.17 $4,786,111.43 $2,710,435.32 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $1,982,200.00 $4,314,200.00 $2,443,185.93 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $655,027.00 $1,656,833.00 $1,425,647.00 nat. median
$824,563
1.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $500,220.59 $1,189,314.00 $1,088,715.39 nat. median
$674,867
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $477,921.71 $1,110,350.92 $1,061,726.93 nat. median
$673,137
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $475,813.92 $1,134,388.29 $1,035,595.00 nat. median
$625,184
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $452,071.75 $1,081,107.57 $983,920.87 nat. median
$634,303
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $415,897.01 $1,052,208.19 $905,187.61 nat. median
$619,808
1.5× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$459,112
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $1,293.00 $1,244,357.91 $568,117.25 nat. median
$753,246
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 $415,594.25 $876,762.15 $415,594.25 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $123,187.68 $654,868.80 $269,888.22 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $205,744.08 $551,555.10 $205,744.08 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $50,897.74 $498,252.15 $204,539.71 nat. median
$202,976
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $11,913.00 $206,027.55 $164,091.97 nat. median
$87,428
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $16,617.00 $178,015.95 $148,133.89 nat. median
$63,570
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $133,176.69 $339,560.92 $133,663.38 nat. median
$133,161
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $93,186.46 $169,820.76 $131,503.61 nat. median
$76,329
1.7× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $16,617.00 $164,823.90 $131,404.23 nat. median
$54,196
outlier · 2.4×
7
MS_DRG 		Lung Transplant 22 $125,001.13 $303,828.68 $125,001.13 nat. median
$122,708
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $11,913.00 $154,200.98 $120,152.54 nat. median
$65,393
1.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 $16,617.00 $148,820.93 $118,010.71 nat. median
$49,935
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $116,039.94 $304,595.93 $116,039.94 nat. median
$117,357
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $109,445.21 $331,508.18 $109,445.21 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 21 $109,320.25 $202,242.46 $109,320.25 nat. median
$98,047
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $11,913.00 $142,203.98 $108,841.94 nat. median
$62,372
1.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $54,639.95 $135,956.56 $107,004.21 nat. median
$69,774
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $4,048.64 $243,697.20 $106,459.75 nat. median
$98,894
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $57,667.00 $253,264.58 $105,045.83 nat. median
$102,358
1.0× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $16,617.00 $129,267.59 $104,974.95 nat. median
$44,728
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 23 $99,628.56 $338,037.84 $99,628.56 nat. median
$100,136
1.0× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $16,617.00 $117,591.53 $98,396.26 nat. median
$48,704
outlier · 2.0×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $97,225.26 $97,225.26 $97,225.26 nat. median
$21,806
outlier · 4.5×
215
MS_DRG 		Other Heart Assist System Implant 22 $16,617.00 $246,315.15 $96,230.75 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $16,617.00 $224,371.80 $94,556.35 nat. median
$93,672
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 $16,617.00 $116,731.28 $93,738.54 nat. median
$39,020
outlier · 2.4×
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $92,737.01 $92,737.01 $92,737.01 nat. median
$775
outlier · 119.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $48,300.87 $122,172.78 $90,765.85 nat. median
$62,507
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $47,828.81 $122,586.77 $88,708.45 nat. median
$66,682
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $50,460.00 $193,905.00 $87,124.42 nat. median
$82,711
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $11,913.00 $107,080.20 $85,512.17 nat. median
$48,483
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 23 $23,418.94 $214,162.73 $83,759.29 nat. median
$83,470
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 24 $16,491.08 $264,139.63 $81,552.40 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $11,913.00 $212,002.56 $81,297.68 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 $32,318.96 $214,750.96 $76,159.15 nat. median
$77,570
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $16,617.00 $198,813.04 $74,328.08 nat. median
$74,915
1.0× median

Other procedures at this hospital

Browse this hospital's 14,791 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,137,732.50 $4,355,852.51 $3,779,451.13 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 3 — — $2,823,169.92 $3,919,171.50 $3,400,555.26 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 3 — — $2,758,574.18 $3,829,498.62 $3,322,748.62 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 3 — — $2,497,572.00 $3,467,171.05 $3,008,367.13 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 4 — — $2,199,024.17 $4,786,111.43 $2,710,435.32 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 4 — — $1,982,200.00 $4,314,200.00 $2,443,185.93 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 4 — — $655,027.00 $1,656,833.00 $1,425,647.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $500,220.59 $1,189,314.00 $1,088,715.39 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $477,921.71 $1,110,350.92 $1,061,726.93 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $475,813.92 $1,134,388.29 $1,035,595.00 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 4 — — $452,071.75 $1,081,107.57 $983,920.87 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $415,897.01 $1,052,208.19 $905,187.61 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $598,237.50 $598,237.50 $598,237.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 5 — — $1,293.00 $1,244,357.91 $568,117.25 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 22 — — $415,594.25 $876,762.15 $415,594.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 22 — — $123,187.68 $654,868.80 $269,888.22 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 22 — — $205,744.08 $551,555.10 $205,744.08 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 23 — — $50,897.74 $498,252.15 $204,539.71 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 5 — — $11,913.00 $206,027.55 $164,091.97 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 5 — — $16,617.00 $178,015.95 $148,133.89 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 24 — — $133,176.69 $339,560.92 $133,663.38 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $93,186.46 $169,820.76 $131,503.61 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 5 — — $16,617.00 $164,823.90 $131,404.23 2026-04-01
7 MS_DRG Lung Transplant 32 22 — — $125,001.13 $303,828.68 $125,001.13 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 5 — — $11,913.00 $154,200.98 $120,152.54 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 5 — — $16,617.00 $148,820.93 $118,010.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 22 — — $116,039.94 $304,595.93 $116,039.94 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 22 — — $109,445.21 $331,508.18 $109,445.21 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 23 21 — — $109,320.25 $202,242.46 $109,320.25 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 5 — — $11,913.00 $142,203.98 $108,841.94 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 5 — — $54,639.95 $135,956.56 $107,004.21 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 24 — — $4,048.64 $243,697.20 $106,459.75 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 22 — — $57,667.00 $253,264.58 $105,045.83 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 5 — — $16,617.00 $129,267.59 $104,974.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 23 — — $99,628.56 $338,037.84 $99,628.56 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 5 — — $16,617.00 $117,591.53 $98,396.26 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $97,225.26 $97,225.26 $97,225.26 2026-04-01
215 MS_DRG Other Heart Assist System Implant 40 22 — — $16,617.00 $246,315.15 $96,230.75 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 22 — — $16,617.00 $224,371.80 $94,556.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 5 — — $16,617.00 $116,731.28 $93,738.54 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $92,737.01 $92,737.01 $92,737.01 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 5 — — $48,300.87 $122,172.78 $90,765.85 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 6 — — $47,828.81 $122,586.77 $88,708.45 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 22 — — $50,460.00 $193,905.00 $87,124.42 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 5 — — $11,913.00 $107,080.20 $85,512.17 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 30 23 — — $23,418.94 $214,162.73 $83,759.29 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 24 — — $16,491.08 $264,139.63 $81,552.40 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 22 — — $11,913.00 $212,002.56 $81,297.68 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 39 23 — — $32,318.96 $214,750.96 $76,159.15 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 22 — — $16,617.00 $198,813.04 $74,328.08 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 23 — — $919.00 $181,717.35 $74,009.93 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 22 — — $73,766.75 $173,531.03 $73,766.75 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 5 — — $11,913.00 $85,046.18 $70,002.83 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 22 — — $16,296.00 $165,044.78 $69,909.49 2026-04-01
10 MS_DRG Pancreas Transplant 32 22 — — $61,392.37 $185,362.95 $69,497.13 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 22 — — $69,468.30 $155,275.13 $69,468.30 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 22 — — $69,102.09 $184,295.78 $69,102.09 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 22 — — $40,365.98 $175,951.38 $69,061.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 45 24 — — $20,856.44 $161,738.63 $66,960.55 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 22 — — $57,667.00 $155,012.40 $66,634.71 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 22 — — $65,223.68 $158,748.68 $65,223.68 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 23 — — $10,423.44 $143,824.50 $64,794.99 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 22 — — $50,460.00 $155,872.65 $64,747.89 2026-04-01
J9226 HCPCS Supprelin La Implant 12 6 — — $26,007.98 $97,205.89 $64,405.83 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 22 — — $16,617.00 $138,316.58 $63,726.14 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 22 — — $16,617.00 $150,134.55 $63,726.14 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 22 — — $63,496.42 $143,168.85 $63,496.42 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 24 — — $12,041.26 $150,374.03 $62,374.71 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 22 — — $44,570.82 $178,030.70 $59,430.58 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 22 — — $59,362.33 $147,030.68 $59,362.33 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 22 — — $16,617.00 $142,017.98 $58,798.11 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 22 — — $58,276.19 $141,339.08 $58,276.19 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 22 — — $44,068.55 $144,010.50 $58,259.85 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 22 — — $11,913.00 $135,300.12 $57,841.73 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 23 — — $24,960.00 $159,012.66 $57,653.34 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 32 22 — — $57,520.69 $140,325.38 $57,520.69 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 22 — — $16,617.00 $136,798.35 $56,933.40 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 22 — — $55,046.67 $135,359.18 $56,896.88 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 5 — — $16,617.00 $69,977.85 $56,649.35 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 22 — — $49,284.60 $127,179.83 $55,957.79 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 10 5 — — $16,617.00 $69,643.05 $55,789.06 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 22 — — $29,754.29 $214,444.72 $55,604.08 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 21 — — $55,379.16 $102,451.45 $55,379.16 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 24 — — $4,149.73 $125,566.28 $55,308.03 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 22 — — $50,460.00 $161,006.79 $54,563.11 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 22 — — $54,395.86 $126,498.60 $54,395.86 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 22 — — $45,763.88 $116,317.43 $54,026.76 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 22 — — $10,923.00 $142,678.28 $53,611.53 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 36 22 — — $32,541.82 $172,156.87 $53,293.37 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 39 23 — — $36,433.71 $126,210.30 $53,106.90 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 42 24 — — $119.04 $183,725.64 $53,031.93 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 22 — — $52,949.27 $125,447.70 $52,949.27 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 8 5 — — $29,867.03 $61,763.63 $52,811.41 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 32 22 — — $52,739.73 $140,325.38 $52,739.73 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 23 — — $16,617.00 $163,730.93 $51,783.34 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 22 — — $50,460.00 $119,730.53 $51,752.58 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 24 — — $33,823.55 $156,725.06 $51,408.48 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 23 — — $40,898.03 $154,817.17 $51,240.27 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 24 — — $7,893.78 $118,442.48 $50,558.78 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 32 22 — — $50,472.28 $129,600.15 $50,472.28 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 22 — — $16,617.00 $106,770.98 $48,970.89 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 37 22 — — $48,074.66 $222,120.34 $48,463.39 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 4 — — $298.59 $51,053.89 $48,329.69 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 47 24 — — $21.44 $137,847.40 $48,078.91 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 51 25 — — $9,526.59 $322,535.76 $47,994.32 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 22 — — $33,884.23 $117,098.63 $47,831.88 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 22 — — $47,634.84 $125,431.43 $47,634.84 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 37 22 — — $11,913.00 $112,925.25 $46,937.97 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 22 — — $27,591.49 $118,592.57 $46,703.44 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 22 — — $44,636.68 $164,361.10 $46,285.33 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 22 — — $45,714.38 $107,112.75 $45,714.38 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 23 — — $31,231.61 $181,339.56 $45,622.10 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 23 — — $22,325.08 $120,104.40 $45,487.54 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 32 22 — — $45,095.37 $112,736.93 $45,095.37 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 9 6 — — $249.78 $73,954.79 $44,947.73 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 22 — — $35,525.84 $108,163.65 $44,917.55 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 24 — — $425.00 $114,921.36 $44,706.09 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 23 — — $44,593.63 $268,856.22 $44,593.63 2026-04-01
245 MS_DRG Aicd Generator Procedures 39 23 — — $6,208.58 $113,611.13 $44,378.32 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 8 5 — — $25,397.94 $52,521.75 $44,311.62 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 23 — — $12,597.58 $104,887.73 $44,246.64 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 22 — — $125.00 $103,974.00 $44,227.42 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 22 — — $44,056.32 $110,542.13 $44,056.32 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 6 — — $2,232.99 $58,201.64 $43,710.46 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 23 — — $15,224.10 $107,156.93 $43,603.60 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 22 — — $17,246.00 $97,424.48 $43,591.11 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 37 22 — — $16,617.00 $102,125.63 $43,421.94 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 36 22 — — $35,022.01 $99,170.55 $42,748.14 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 23 — — $1,716.83 $99,026.40 $42,119.52 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 22 — — $40,945.47 $104,262.30 $41,787.91 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 2 — — $31,256.54 $51,917.47 $41,587.01 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 5 4 — — $33,734.93 $73,423.09 $41,580.42 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 4 — — $33,734.93 $73,423.09 $41,580.42 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 5 4 — — $33,734.93 $73,423.09 $41,580.42 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 35 24 — — $7,058.34 $98,324.25 $41,522.62 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 22 — — $38,790.34 $94,934.40 $41,287.13 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 36 22 — — $41,117.96 $173,615.19 $41,117.96 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 22 — — $41,048.76 $95,404.05 $41,048.76 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 22 — — $41,028.57 $95,545.88 $41,028.57 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 22 — — $39,786.92 $97,417.50 $40,910.34 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 22 — — $40,862.28 $103,002.15 $40,862.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 39 22 — — $16,617.00 $125,115.19 $40,787.31 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 22 — — $11,913.00 $104,407.08 $40,631.60 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 43 23 — — $43.03 $96,966.45 $40,602.76 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 22 — — $40,443.21 $94,560.08 $40,443.21 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 36 22 — — $40,178.88 $91,523.01 $40,178.88 2026-04-01
791 MS_DRG Prematurity With Major Problems 41 23 — — $1,002.55 $303,946.94 $39,539.69 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 1 1 — — $39,356.74 $39,356.74 $39,356.74 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 37 22 — — $34,828.06 $107,059.85 $39,169.63 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 22 — — $38,819.75 $83,341.95 $38,819.75 2026-04-01
81280 HCPCS Long Qt Synd Gene Full Seq 2 1 — — $35,220.67 $42,264.89 $38,742.78 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 22 — — $27,863.73 $108,443.14 $38,125.77 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 22 — — $37,955.64 $100,595.78 $37,955.64 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 2 1 — — $37,809.65 $37,809.65 $37,809.65 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 22 — — $28,553.78 $90,407.63 $37,729.76 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 22 — — $37,674.01 $91,358.55 $37,674.01 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 23 — — $37,638.45 $87,694.35 $37,638.45 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 9 6 — — $1,599.00 $81,514.94 $37,452.81 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 22 — — $37,427.95 $92,616.38 $37,427.95 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 22 — — $36,694.56 $94,045.31 $36,694.56 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 24 — — $6,071.19 $76,764.53 $36,536.92 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 2 — — $4,677.51 $52,091.10 $36,532.82 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 23 — — $36,451.38 $89,535.75 $36,451.38 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 22 — — $10,923.00 $83,323.35 $36,447.53 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 22 — — $36,346.61 $91,751.48 $36,346.61 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 22 — — $36,144.76 $80,728.65 $36,144.76 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 22 — — $35,830.45 $89,765.93 $35,830.45 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 37 22 — — $10,923.00 $82,560.75 $35,816.03 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 10 5 — — $16,617.00 $44,395.88 $35,486.38 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 22 — — $35,401.76 $73,790.85 $35,401.76 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 36 22 — — $10,923.00 $81,846.98 $35,374.84 2026-04-01
332 MS_DRG Rectal Resection With Mcc 32 22 — — $35,326.78 $86,559.20 $35,326.78 2026-04-01
265 MS_DRG Aicd Lead Procedures 34 22 — — $35,302.75 $82,930.43 $35,302.75 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 22 — — $8,175.35 $83,346.60 $35,241.24 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 23 — — $5,379.84 $74,497.65 $35,189.33 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 36 22 — — $9,928.00 $92,551.28 $34,962.49 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 7 5 — — $15,005.00 $64,562.94 $34,898.89 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 7 5 — — $15,005.00 $64,562.94 $34,898.89 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 22 — — $9,928.00 $91,542.23 $34,882.71 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 23 — — $7,931.00 $84,255.68 $34,848.11 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 22 — — $34,797.17 $81,400.58 $34,797.17 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 22 — — $21,624.00 $81,458.70 $34,768.33 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 23 — — $18,298.33 $132,605.86 $34,735.65 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 22 — — $32,760.46 $126,107.05 $34,707.78 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 22 — — $28,832.00 $79,628.93 $34,422.30 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 22 — — $65.00 $139,875.00 $34,353.10 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 37 23 — — $11,561.65 $79,752.15 $34,054.17 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 22 — — $34,045.52 $89,858.93 $34,045.52 2026-04-01
5627 OTHER Level 7 Radiation Therapy 4 4 — — $4,180.40 $37,755.43 $33,952.44 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 22 — — $33,891.73 $80,554.28 $33,891.73 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 33 22 — — $344.79 $79,952.10 $33,730.24 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 21 — — $15,856.08 $62,950.70 $33,576.45 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 10 5 — — $16,617.00 $42,238.28 $33,542.68 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 23 — — $10,685.61 $119,873.00 $33,478.41 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 36 23 — — $27,478.46 $104,171.68 $33,316.93 2026-04-01
1519 OTHER New Technology - Level 19 ($1701-$1800) 3 3 — — $1,693.06 $70,027.61 $33,290.59 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 37 25 — — $3,148.00 $322,651.13 $33,273.68 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 38 23 — — $16,870.84 $81,256.43 $32,634.49 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 22 — — $21,624.00 $78,083.69 $32,275.96 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 8 5 — — $18,308.10 $37,860.30 $32,179.56 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 22 — — $32,168.31 $77,206.28 $32,168.31 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 37 22 — — $32,164.46 $93,415.80 $32,164.46 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 23 — — $31,790.56 $79,208.10 $31,790.56 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 23 — — $100.00 $75,774.08 $31,653.11 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 23 — — $12,239.01 $74,153.55 $31,618.51 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 22 — — $29,424.67 $71,744.85 $31,575.25 2026-04-01
652 MS_DRG Kidney Transplant 32 22 — — $31,566.60 $71,405.40 $31,566.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 36 22 — — $10,923.00 $74,948.70 $31,543.53 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 32 22 — — $31,482.98 $73,939.65 $31,482.98 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 23 — — $22,093.81 $66,541.50 $31,383.02 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 24 — — $10,217.14 $78,864.00 $31,213.85 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 36 22 — — $10,923.00 $71,893.65 $31,157.14 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 22 — — $31,127.34 $75,741.53 $31,127.34 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 23 — — $31,065.82 $101,123.42 $31,065.82 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 22 — — $30,944.71 $73,667.63 $30,944.71 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 22 — — $30,898.58 $76,229.07 $30,898.58 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 35 23 — — $15,998.14 $74,283.75 $30,812.07 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 23 — — $3,299.43 $93,543.32 $30,797.65 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 36 22 — — $16,617.00 $69,202.00 $30,726.52 2026-04-01
665 MS_DRG Prostatectomy With Mcc 34 22 — — $30,525.63 $79,826.55 $30,525.63 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 22 — — $30,463.16 $70,251.74 $30,463.16 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 38 22 — — $15,967.27 $71,107.80 $30,410.29 2026-04-01
81211 HCPCS Brca1&2 Seq & Com Dup/del 2 1 — — $27,593.94 $33,112.79 $30,353.36 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 32 22 — — $29,951.80 $72,526.05 $29,951.80 2026-04-01
263 MS_DRG Vein Ligation And Stripping 38 24 — — $3,229.06 $62,354.18 $29,912.39 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 18 11 — — $1,682.17 $60,595.45 $29,815.69 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $29,701.94 $29,701.94 $29,701.94 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 37 24 — — $5,463.76 $75,992.63 $29,679.78 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 36 22 — — $10,923.00 $66,448.50 $29,557.71 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 33 23 — — $11,500.06 $66,655.43 $29,553.87 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 36 22 — — $10,923.00 $58,699.28 $29,522.15 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 14 8 — — $1,549.95 $63,157.90 $29,478.64 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 9 6 — — $1,599.00 $64,047.70 $29,427.32 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 5 — — $15,005.00 $64,047.70 $29,427.32 2026-04-01
9143 OTHER Inj Acetaminophen -fresenius 1 1 — — $29,399.17 $29,399.17 $29,399.17 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 5 5 — — $596.79 $60,319.49 $29,378.61 2026-04-01
81436 HCPCS Hereditary Colon Ca Dsordrs 2 1 — — $26,630.66 $31,956.85 $29,293.75 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 29 22 — — $29,133.83 $71,340.30 $29,133.83 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 44 22 — — $11,913.00 $73,094.00 $28,842.59 2026-04-01
509 MS_DRG Arthroscopy 13 6 — — $10,923.00 $40,838.63 $28,832.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 32 22 — — $28,823.36 $61,466.03 $28,823.36 2026-04-01
570 MS_DRG Skin Debridement With Mcc 33 22 — — $28,222.60 $69,991.80 $28,794.53 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 9 5 — — $17,383.93 $35,949.15 $28,687.89 2026-04-01
0788 OTHER Inj Cefazolin Sodium, Hikma 1 1 — — $28,662.48 $28,662.48 $28,662.48 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 32 22 — — $28,591.72 $67,799.33 $28,591.72 2026-04-01
G0419 HCPCS Sat Biopsy Prostate: >60 2 1 — — $25,959.55 $31,151.52 $28,555.53 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 22 — — $10,923.00 $68,378.25 $28,517.70 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 34 23 — — $20,963.85 $68,187.60 $28,418.70 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 37 22 — — $9,289.86 $65,290.65 $28,401.40 2026-04-01
9404 OTHER Inj, Nitroglycerin, 5 Mg 1 1 — — $28,383.72 $28,383.72 $28,383.72 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 22 — — $28,278.37 $63,698.43 $28,278.37 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 35 24 — — $18,716.83 $69,424.50 $28,264.91 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 32 22 — — $28,224.54 $61,607.85 $28,224.54 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 22 — — $20,960.93 $67,764.45 $28,113.04 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 8 5 — — $16,338.33 $33,786.90 $27,972.63 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 24 — — $7,349.62 $67,704.00 $27,923.69 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 10 5 — — $1,522.47 $51,641.67 $27,671.87 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 22 — — $27,528.64 $67,741.20 $27,528.64 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 22 — — $27,431.56 $65,609.18 $27,431.56 2026-04-01
503 MS_DRG Foot Procedures With Mcc 36 22 — — $10,923.00 $61,531.13 $27,352.74 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 22 — — $10,923.00 $59,243.33 $27,168.19 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 38 22 — — $9,074.00 $72,967.47 $27,025.94 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 44 23 — — $6,988.00 $62,405.33 $26,945.20 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 37 23 — — $17,576.46 $60,989.40 $26,938.47 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 22 — — $14,524.91 $63,160.95 $26,801.98 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 48 23 — — $21.44 $66,185.78 $26,677.02 2026-04-01
849 MS_DRG Radiotherapy 32 22 — — $26,568.41 $62,098.43 $26,568.41 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 22 — — $26,536.69 $63,502.73 $26,536.69 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 22 — — $26,452.10 $60,828.98 $26,452.10 2026-04-01
0797 OTHER Inj, Immphentiv, 20 Mcg 1 1 — — $26,221.91 $26,221.91 $26,221.91 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 36 22 — — $10,923.00 $66,578.70 $26,092.62 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 22 — — $26,003.23 $61,905.45 $26,003.23 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 22 — — $25,875.39 $61,686.90 $25,875.39 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 40 24 — — $150.00 $61,355.49 $25,473.61 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 22 — — $25,443.81 $59,371.20 $25,443.81 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 37 24 — — $7,294.58 $173,979.97 $25,350.58 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 33 22 — — $25,315.98 $55,730.25 $25,315.98 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 36 24 — — $16,146.52 $56,104.99 $25,315.98 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 32 22 — — $25,204.48 $60,180.30 $25,204.48 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 37 22 — — $16,617.00 $83,095.74 $25,064.14 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 34 22 — — $12,971.75 $60,082.65 $24,947.84 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 41 22 — — $10,923.00 $115,562.19 $24,901.70 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 34 22 — — $8,216.60 $58,515.60 $24,785.40 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 40 22 — — $7,988.00 $69,382.79 $24,774.83 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 5 4 — — $20,040.92 $43,618.46 $24,701.69 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 32 22 — — $24,476.86 $56,260.35 $24,476.86 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $24,387.73 $24,387.73 $24,387.73 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 34 22 — — $24,378.81 $58,745.78 $24,378.81 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 33 22 — — $22,400.79 $54,367.80 $24,162.55 2026-04-01
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