Price Transparency 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 SAINT JOSEPH MEDICAL CTR

Burbank, CA · CCN 050235 · Rates published

17,069 distinct procedures filed
25 distinct payers
307,677 rate rows
2026-04-01 last MRF observed
Data quality

231,643 of 307,677 rate rows are consumer-grade (75.3%)

76,034 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 75,661
placeholder amount (≤ $0.02) — excluded from medians 373
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/socal/live/951675600_providence-st-joseph-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 309515174fa409d7… · 225,700,767 bytes · first seen 2026-05-05

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 $4,335,000.00 $4,955,500.00 $4,782,395.50 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,570,000.00 $4,798,885.00 $3,990,000.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,990,000.00 $3,990,000.00 nat. median
$3,710,000
1.1× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,990,000.00 $3,990,000.00 nat. median
$3,570,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,264,000.00 $4,317,789.29 $3,648,000.00 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,162,000.00 $4,218,995.81 $3,534,000.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,856,000.00 $3,819,816.00 $3,192,000.00 nat. median
$3,004,655
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,439,539.81 $4,786,111.43 $2,726,544.49 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,244,000.00 $4,990,480.00 $2,508,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $741,540.00 $1,656,833.00 $838,231.00 nat. median
$824,563
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $541,977.41 $1,203,238.19 $674,713.01 nat. median
$673,137
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $566,416.65 $1,259,378.89 $640,199.09 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $353.00 $1,314,346.93 $617,002.34 nat. median
$753,246
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $538,878.68 $1,197,931.51 $609,017.68 nat. median
$625,184
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 2 $535,500.00 $598,500.00 $598,368.75 nat. median
$459,112
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $513,651.60 $1,138,157.11 $579,557.61 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $471,240.00 $1,052,208.19 $532,449.83 nat. median
$619,808
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $431,987.60 $924,453.46 $466,060.42 nat. median
$370,174
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $598,500.00 $438,243.75 nat. median
$324,450
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $280,461.80 $1,523,440.00 $364,600.34 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $213,755.63 $892,106.00 $277,882.32 nat. median
$206,474
1.3× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $260,769.00 $260,769.00 $260,769.00 nat. median
$29,847
outlier · 8.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $51,367.19 $1,180,323.00 $260,446.19 nat. median
$202,976
1.3× median
984
MS_DRG 		Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 $212,734.00 $212,734.00 $212,734.00 nat. median
$23,989
outlier · 8.9×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $128,894.27 $631,336.00 $174,210.69 nat. median
$87,428
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $250.00 $717,116.00 $168,753.77 nat. median
$133,161
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $115,005.28 $555,851.00 $163,770.77 nat. median
$63,570
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $120,468.54 $470,914.00 $158,743.61 nat. median
$117,357
1.4× median
7
MS_DRG 		Lung Transplant 20 $129,787.65 $617,611.00 $158,343.74 nat. median
$122,708
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $113,610.40 $823,480.00 $147,693.52 nat. median
$108,660
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 21 $82,252.00 $789,170.00 $144,589.64 nat. median
$99,019
1.5× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $101,934.43 $511,245.00 $144,030.83 nat. median
$54,196
outlier · 2.7×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $108,243.35 $231,640.77 $141,278.11 nat. median
$111,989
1.3× median
985
MS_DRG 		Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 $140,677.00 $140,677.00 $140,677.00 nat. median
$12,711
outlier · 11.1×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $132,218.57 $148,895.03 $140,556.80 nat. median
$96,983
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $87,462.00 $696,528.00 $134,422.14 nat. median
$100,136
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $67,138.44 $194,211.35 $133,605.50 nat. median
$76,329
1.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $94,379.84 $384,292.00 $130,387.71 nat. median
$65,393
2.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $92,169.88 $432,328.00 $129,734.01 nat. median
$49,935
outlier · 2.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $84,414.75 $449,484.00 $120,243.40 nat. median
$62,372
1.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $82,731.97 $404,878.00 $119,518.83 nat. median
$44,728
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $94,296.82 $648,490.00 $116,933.90 nat. median
$93,672
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $113,480.45 $242,848.16 $113,480.45 nat. median
$98,047
1.2× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $61,200.00 $223,009.13 $112,843.94 nat. median
$69,774
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $109,035.30 $233,335.54 $111,216.01 nat. median
$102,358
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $5,180.65 $236,482.18 $110,505.69 nat. median
$98,894
1.1× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $77,851.76 $380,861.00 $110,046.52 nat. median
$48,704
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $84,338.60 $545,557.00 $109,640.18 nat. median
$81,118
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $9,071.16 $449,484.00 $103,228.87 nat. median
$73,807
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $77,090.63 $518,107.00 $102,906.20 nat. median
$74,915
1.4× median

Other procedures at this hospital

Browse this hospital's 17,069 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 8 5 — — $4,335,000.00 $4,955,500.00 $4,782,395.50 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,990,000.00 $3,990,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,990,000.00 $3,990,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 6 — — $3,570,000.00 $4,798,885.00 $3,990,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 6 — — $3,264,000.00 $4,317,789.29 $3,648,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 6 — — $3,162,000.00 $4,218,995.81 $3,534,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 6 — — $2,856,000.00 $3,819,816.00 $3,192,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $2,439,539.81 $4,786,111.43 $2,726,544.49 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 12 7 — — $2,244,000.00 $4,990,480.00 $2,508,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 7 — — $741,540.00 $1,656,833.00 $838,231.00 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 7 — — $541,977.41 $1,203,238.19 $674,713.01 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 7 — — $566,416.65 $1,259,378.89 $640,199.09 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 7 — — $353.00 $1,314,346.93 $617,002.34 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 — — $538,878.68 $1,197,931.51 $609,017.68 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 6 2 — — $535,500.00 $598,500.00 $598,368.75 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 7 — — $513,651.60 $1,138,157.11 $579,557.61 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 7 — — $471,240.00 $1,052,208.19 $532,449.83 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 18 — — $431,987.60 $924,453.46 $466,060.42 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 7 — — $278,250.00 $598,500.00 $438,243.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 20 — — $280,461.80 $1,523,440.00 $364,600.34 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 20 — — $213,755.63 $892,106.00 $277,882.32 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $260,769.00 $260,769.00 $260,769.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 21 — — $51,367.19 $1,180,323.00 $260,446.19 2026-04-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $212,734.00 $212,734.00 $212,734.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 5 — — $128,894.27 $631,336.00 $174,210.69 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 21 — — $250.00 $717,116.00 $168,753.77 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $115,005.28 $555,851.00 $163,770.77 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 35 20 — — $120,468.54 $470,914.00 $158,743.61 2026-04-01
7 MS_DRG Lung Transplant 35 20 — — $129,787.65 $617,611.00 $158,343.74 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 20 — — $113,610.40 $823,480.00 $147,693.52 2026-04-01
215 MS_DRG Other Heart Assist System Implant 39 21 — — $82,252.00 $789,170.00 $144,589.64 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $101,934.43 $511,245.00 $144,030.83 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 6 — — $108,243.35 $231,640.77 $141,278.11 2026-04-01
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $140,677.00 $140,677.00 $140,677.00 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $132,218.57 $148,895.03 $140,556.80 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 21 — — $87,462.00 $696,528.00 $134,422.14 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 9 4 — — $67,138.44 $194,211.35 $133,605.50 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 5 — — $94,379.84 $384,292.00 $130,387.71 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $92,169.88 $432,328.00 $129,734.01 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 5 — — $84,414.75 $449,484.00 $120,243.40 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $82,731.97 $404,878.00 $119,518.83 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 20 — — $94,296.82 $648,490.00 $116,933.90 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 16 — — $113,480.45 $242,848.16 $113,480.45 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 21 9 — — $61,200.00 $223,009.13 $112,843.94 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 17 — — $109,035.30 $233,335.54 $111,216.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 20 — — $5,180.65 $236,482.18 $110,505.69 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $77,851.76 $380,861.00 $110,046.52 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 20 — — $84,338.60 $545,557.00 $109,640.18 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 21 — — $9,071.16 $449,484.00 $103,228.87 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 20 — — $77,090.63 $518,107.00 $102,906.20 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $72,068.83 $322,530.00 $102,348.74 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 4 2 — — $5,149.00 $126,240.00 $102,254.00 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 4 2 — — $5,149.00 $126,240.00 $102,254.00 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 4 2 — — $5,149.00 $126,240.00 $102,254.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 21 — — $12,935.21 $863,452.43 $100,181.18 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $97,225.26 $97,225.26 $97,225.26 2026-04-01
90288 HCPCS Botulism Ig IV 3 2 — — $1,806.79 $96,922.95 $96,922.95 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 20 — — $59,437.61 $384,292.00 $94,948.29 2026-04-01
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/Mcc 1 1 — — $92,642.00 $92,642.00 $92,642.00 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 6 — — $68,801.71 $147,235.66 $92,558.54 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 17 — — $90,398.08 $193,451.89 $92,206.04 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 — — $56,824.55 $206,564.65 $90,765.85 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 5 — — $66,336.90 $329,392.00 $90,543.80 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 21 — — $13,192.86 $490,657.00 $89,679.70 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 29 17 — — $86,898.54 $193,861.02 $88,636.51 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 20 — — $66,065.23 $449,484.00 $87,007.70 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 18 — — $71,655.89 $166,825.33 $85,987.07 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 35 20 — — $72,036.74 $322,530.00 $85,378.11 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 21 — — $41,369.50 $255,130.00 $85,301.71 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 20 — — $67,622.58 $329,392.00 $83,801.45 2026-04-01
986 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $82,348.00 $82,348.00 $82,348.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 21 — — $61,598.09 $349,286.00 $80,917.25 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 20 — — $61,527.12 $346,548.00 $79,972.81 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 20 9 — — $1,142.00 $173,128.88 $79,584.68 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 1 1 — — $78,799.68 $78,799.68 $78,799.68 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 9 — — $56,269.19 $122,586.77 $78,772.97 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 47 21 — — $7,465.00 $329,392.00 $78,369.12 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 35 20 — — $59,611.92 $250,820.00 $77,495.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 43 21 — — $12,599.33 $1,276,853.64 $77,335.67 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 35 20 — — $60,397.59 $332,823.00 $77,046.89 2026-04-01
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/Mcc 1 1 — — $75,486.00 $75,486.00 $75,486.00 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 4 2 — — $3,623.00 $93,018.00 $75,344.50 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 21 — — $11,514.81 $356,842.00 $75,263.13 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 20 — — $11,053.61 $363,705.00 $74,816.61 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 20 — — $65,826.33 $205,871.00 $74,614.06 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 21 — — $30,268.20 $363,705.00 $73,997.76 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 17 — — $4,540.83 $155,140.46 $73,945.45 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 20 — — $56,309.94 $363,705.00 $73,734.49 2026-04-01
10 MS_DRG Pancreas Transplant 35 20 — — $50,720.15 $240,182.00 $73,508.05 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 35 20 — — $56,362.27 $312,236.00 $73,270.95 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 20 — — $9,799.56 $291,651.00 $73,170.60 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 21 — — $24,936.42 $349,980.00 $72,389.71 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 20 — — $50,285.22 $408,309.00 $72,334.42 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 19 — — $46,561.46 $153,253.77 $72,330.05 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 21 — — $21,054.00 $426,141.02 $72,014.12 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 5 — — $54,582.23 $229,888.00 $71,987.17 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 21 — — $17,452.69 $367,136.00 $70,185.52 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 36 21 — — $26,016.68 $295,082.00 $69,374.96 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 20 — — $1,950.30 $363,705.00 $68,652.15 2026-04-01
765 MS_DRG Cesarean Section W Cc/Mcc 1 1 — — $68,623.00 $68,623.00 $68,623.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 17 — — $67,127.78 $143,653.45 $68,470.34 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 20 — — $54,857.90 $315,667.00 $68,135.45 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 35 20 — — $52,281.98 $373,999.00 $67,966.57 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 17 — — $16,345.70 $143,758.27 $67,848.53 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 35 20 — — $54,639.99 $177,600.00 $67,719.40 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 21 — — $17,353.60 $339,686.00 $66,957.15 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 20 — — $49,331.21 $219,594.00 $65,370.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 21 — — $49,884.32 $370,567.00 $65,250.70 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 6 — — $48,155.50 $103,052.77 $64,783.31 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 20 — — $15,832.24 $500,951.00 $64,730.91 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 20 — — $49,536.12 $288,219.00 $64,357.81 2026-04-01
J9226 HCPCS Supprelin La Implant 19 9 — — $41,173.43 $97,205.89 $64,199.34 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 20 — — $48,606.51 $284,788.00 $63,188.46 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 20 — — $50,720.63 $281,357.00 $63,010.27 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 20 — — $48,362.61 $411,740.00 $62,871.39 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 42 21 — — $7,065.57 $295,082.00 $62,449.74 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 41 21 — — $46,194.29 $266,374.00 $62,306.13 2026-04-01
767 MS_DRG Vaginal Delivery W Sterilization &/Or D&c 1 1 — — $61,760.00 $61,760.00 $61,760.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 17 — — $60,380.60 $130,358.92 $61,588.21 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 3 — — $43,727.53 $202,440.00 $61,426.08 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 3 — — $42,675.96 $181,852.00 $61,314.20 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 20 — — $47,098.14 $295,082.00 $61,227.58 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 35 20 — — $46,690.31 $315,667.00 $60,697.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 47 21 — — $18,246.80 $322,530.00 $60,565.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 21 — — $2,034.00 $192,338.00 $60,291.42 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 20 — — $44,311.39 $636,655.20 $60,272.49 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 49 21 — — $23,841.36 $332,823.00 $60,171.12 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 6 — — $44,356.85 $94,923.66 $59,673.01 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 20 — — $46,168.53 $264,200.00 $59,159.85 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 17 — — $57,986.60 $124,091.32 $59,146.33 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 36 21 — — $26,640.30 $305,373.00 $58,451.49 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 17 — — $56,536.20 $120,987.47 $57,666.92 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 16 — — $57,384.85 $122,803.58 $57,384.85 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 21 — — $2,034.00 $301,942.00 $57,310.88 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 20 — — $31,502.86 $322,530.00 $57,263.33 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 20 9 — — $1,528.00 $126,240.00 $57,217.64 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 17 — — $55,978.43 $119,793.84 $57,098.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 21 — — $25,402.84 $158,590.00 $56,781.14 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 15 8 — — $353.00 $121,233.42 $56,651.13 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 3 — — $39,239.18 $205,871.00 $55,586.49 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 21 — — $28,424.00 $229,888.00 $55,201.15 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 35 20 — — $42,288.14 $257,338.00 $54,974.58 2026-04-01
685 MS_DRG Admit For Renal Dialysis 1 1 — — $54,898.00 $54,898.00 $54,898.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 19 — — $44,950.03 $106,138.47 $54,869.88 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 17 — — $53,613.42 $114,732.72 $54,685.69 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 21 — — $8,954.97 $349,980.00 $54,675.56 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 20 — — $42,048.24 $301,942.00 $54,662.71 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 20 — — $42,668.85 $281,357.00 $53,981.54 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 18 — — $47,334.04 $110,990.67 $53,945.23 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 21 — — $33,231.48 $247,044.00 $53,937.91 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 20 — — $41,700.69 $223,025.00 $53,870.67 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 6 — — $39,938.10 $85,467.53 $53,728.50 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 17 9 — — $353.00 $121,233.42 $53,623.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 42 20 — — $15,302.88 $205,871.00 $52,573.51 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 20 — — $40,389.32 $229,888.00 $52,497.10 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 47 22 — — $5,573.89 $291,651.00 $52,371.94 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 36 21 — — $41,577.44 $144,202.00 $52,249.51 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 20 — — $42,482.06 $195,577.00 $52,013.27 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 20 — — $20,390.59 $322,530.00 $51,961.89 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 21 — — $7,021.40 $295,082.00 $51,844.54 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 8 5 — — $346.38 $78,253.06 $51,652.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 21 — — $8,862.44 $223,025.00 $51,275.03 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 36 20 — — $39,030.50 $205,871.00 $51,236.57 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 38 21 — — $17,444.00 $253,907.00 $51,046.86 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 21 — — $25,030.00 $178,421.00 $48,908.90 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 20 — — $37,592.10 $209,303.00 $48,869.73 2026-04-01
245 MS_DRG Aicd Generator Procedures 40 21 — — $3,942.55 $257,338.00 $48,701.29 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 39 21 — — $347.29 $236,750.00 $48,268.07 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 35 20 — — $37,055.33 $188,715.00 $48,171.93 2026-04-01
766 MS_DRG Cesarean Section Without Cc/Mcc 1 1 — — $48,035.00 $48,035.00 $48,035.00 2026-04-01
777 MS_DRG Ectopic Pregnancy 1 1 — — $48,035.00 $48,035.00 $48,035.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 20 — — $36,069.74 $267,632.00 $47,708.26 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 36 20 — — $100.00 $192,146.00 $47,616.32 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 35 20 — — $38,972.53 $161,265.00 $47,612.54 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 20 — — $37,040.33 $178,421.00 $47,483.12 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 17 — — $46,505.38 $99,521.51 $47,435.49 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 36 20 — — $36,581.52 $202,440.00 $47,432.04 2026-04-01
332 MS_DRG Rectal Resection With Mcc 35 20 — — $36,531.54 $291,651.00 $47,338.09 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 3 — — $32,473.12 $137,246.00 $47,268.51 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 6 — — $34,970.13 $74,836.08 $47,045.11 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 37 20 — — $20,713.98 $118,813.00 $46,977.33 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 39 20 — — $13,955.55 $264,200.00 $46,843.88 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 20 — — $33,892.20 $127,656.00 $46,831.66 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 20 — — $35,199.10 $301,942.00 $46,830.99 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 20 — — $35,980.77 $274,494.00 $46,775.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 20 — — $35,950.79 $229,888.00 $46,736.03 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 41 21 — — $12,622.74 $236,750.00 $46,662.57 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 37 20 — — $33,374.26 $226,456.00 $46,313.60 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 18 8 — — $353.00 $126,240.00 $45,886.23 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 18 8 — — $1,142.00 $93,018.00 $45,886.23 2026-04-01
69930 HCPCS Implant Cochlear Device 20 9 — — $3,409.00 $126,240.00 $45,539.00 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 3 2 — — $37,063.93 $126,955.00 $45,489.51 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 37 21 — — $23,302.95 $202,440.00 $45,366.05 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 18 — — $42,729.96 $91,442.11 $45,293.76 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 8 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 8 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 20 — — $34,871.24 $209,303.00 $45,098.57 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 18 — — $500.00 $124,666.99 $44,580.67 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 14 8 — — $353.00 $94,292.96 $44,502.75 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 37 21 — — $16,759.00 $216,163.00 $44,207.66 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 37 21 — — $34,441.42 $178,421.00 $44,198.87 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 20 — — $40,164.03 $219,594.00 $44,180.43 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 20 — — $3,887.69 $195,577.00 $43,883.87 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 18 — — $12,931.27 $93,294.58 $43,595.60 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 21 — — $18,356.21 $205,871.00 $43,437.02 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 36 18 — — $5,859.79 $97,894.90 $43,404.61 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 9 — — $1,528.00 $126,240.00 $43,352.31 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 9 — — $1,528.00 $126,240.00 $43,352.31 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 9 — — $4,589.00 $126,240.00 $43,352.31 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 9 — — $1,142.00 $126,240.00 $43,352.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 20 — — $36,609.51 $171,559.00 $43,316.02 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 35 20 — — $31,651.55 $137,246.00 $43,278.24 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 6 3 — — $4,751.00 $126,240.00 $43,264.50 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 6 3 — — $4,751.00 $126,240.00 $43,264.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 21 9 — — $4,653.80 $65,072.15 $43,239.76 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 35 20 — — $33,246.91 $195,577.00 $43,220.98 2026-04-01
265 MS_DRG Aicd Lead Procedures 35 20 — — $36,506.56 $140,677.00 $43,220.13 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 20 — — $35,039.17 $126,955.00 $43,024.65 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 20 — — $32,100.39 $267,632.00 $42,777.86 2026-04-01
61886 HCPCS Implant Neurostim Arrays 20 9 — — $1,747.00 $126,240.00 $42,618.69 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 20 — — $33,242.92 $98,291.00 $42,592.68 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 20 — — $7,009.27 $219,594.00 $42,445.85 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 50 21 — — $1,269.07 $212,734.00 $42,438.44 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 20 — — $32,597.19 $212,734.00 $42,376.35 2026-04-01
652 MS_DRG Kidney Transplant 35 20 — — $32,621.18 $188,715.00 $41,915.74 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 20 — — $32,195.35 $195,577.00 $41,853.96 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 18 — — $37,382.19 $90,836.70 $41,596.53 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 43 21 — — $4,906.41 $188,715.00 $41,563.73 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 20 — — $31,926.47 $185,284.00 $41,504.41 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 1 — — $37,945.35 $44,979.94 $41,462.65 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 37 20 — — $26,567.05 $219,594.00 $41,280.20 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 17 9 — — $353.00 $86,394.63 $41,178.75 2026-04-01
774 MS_DRG Vaginal Delivery W Complicating Diagnoses 1 1 — — $41,175.00 $41,175.00 $41,175.00 2026-04-01
781 MS_DRG Other Antepartum Diagnoses W Medical Complications 1 1 — — $41,175.00 $41,175.00 $41,175.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 35 20 — — $31,538.63 $164,696.00 $41,000.22 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 41 21 — — $21,054.00 $192,146.00 $40,844.28 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 36 20 — — $32,081.61 $209,303.00 $40,643.62 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 35 20 — — $32,534.21 $137,246.00 $40,539.75 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 20 — — $31,473.65 $168,127.00 $40,468.30 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 36 20 — — $31,575.74 $178,421.00 $40,269.14 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 20 9 — — $1,528.00 $93,018.00 $40,085.04 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 20 9 — — $1,528.00 $126,240.00 $40,085.04 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 37 20 — — $29,347.54 $161,265.00 $40,026.85 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 40 20 — — $10,087.09 $181,852.00 $39,974.10 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 8 6 — — $29,510.19 $63,151.81 $39,699.88 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 15 8 — — $353.00 $84,932.66 $39,688.16 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 20 9 — — $2,160.00 $126,240.00 $39,615.63 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 38 20 — — $20,104.80 $322,530.00 $39,502.29 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 4 2 — — $5,149.00 $48,502.00 $39,287.50 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 3 — — $27,874.56 $123,523.00 $39,211.88 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 36 20 — — $29,788.36 $168,127.00 $39,131.57 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 6 — — $28,851.23 $61,741.63 $38,813.39 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 3 2 — — $31,551.13 $130,383.00 $38,723.51 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 13 5 — — $9,748.46 $55,286.71 $38,700.06 2026-04-01
570 MS_DRG Skin Debridement With Mcc 35 20 — — $29,738.38 $99,538.00 $38,659.89 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 6 — — $28,715.00 $61,450.10 $38,630.12 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 35 20 — — $29,527.47 $144,108.00 $38,385.71 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 42 21 — — $6,520.06 $236,750.00 $38,290.31 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 20 — — $31,747.54 $181,852.00 $38,288.10 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 35 20 — — $30,532.05 $126,955.00 $38,284.41 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 36 20 — — $29,329.55 $178,421.00 $38,227.36 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 8 — — $4,751.00 $74,087.61 $38,082.42 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 40 21 — — $425.00 $161,265.00 $37,900.49 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 39 21 — — $4,873.38 $264,200.00 $37,836.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 37 19 — — $6,167.55 $80,870.64 $37,790.02 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 10 7 — — $4,751.00 $74,683.62 $37,475.79 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 10 7 — — $4,751.00 $74,683.62 $37,475.79 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 35 20 — — $33,156.96 $240,182.00 $37,346.39 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 21 — — $7,455.31 $168,127.00 $37,294.31 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 35 20 — — $29,201.60 $212,734.00 $37,209.91 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 17 — — $36,388.60 $77,871.60 $37,116.37 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 3 — — $26,347.79 $106,367.00 $37,007.86 2026-04-01
800 MS_DRG Splenic Procedures With Cc 35 20 — — $28,421.93 $164,696.00 $36,948.51 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 36 21 — — $11,055.94 $137,246.00 $36,932.84 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 3 2 — — $29,588.58 $99,504.00 $36,314.81 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 41 20 — — $9,573.86 $242,471.54 $36,181.36 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 35 20 — — $29,768.37 $154,402.00 $36,081.22 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 20 — — $27,666.24 $185,284.00 $35,966.11 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 38 20 — — $4,389.95 $174,990.00 $35,916.92 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $33,581.40 $37,816.96 $35,699.18 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 36 21 — — $10,476.13 $188,715.00 $35,505.11 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 20 9 — — $1,747.00 $74,683.62 $35,247.88 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 20 9 — — $2,455.00 $74,683.62 $35,247.88 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 17 — — $30,091.23 $116,829.36 $35,140.07 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 14 8 — — $353.00 $74,087.61 $34,966.58 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 36 21 — — $5,578.22 $202,440.00 $34,852.68 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 18 8 — — $3,409.00 $93,018.00 $34,755.25 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 18 8 — — $3,409.00 $93,018.00 $34,755.25 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 18 8 — — $3,409.00 $93,018.00 $34,755.25 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 35 20 — — $26,702.64 $164,696.00 $34,713.43 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 16 — — $34,711.30 $74,282.18 $34,711.30 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 21 — — $11,259.12 $185,284.00 $34,511.79 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 36 20 — — $26,942.90 $199,009.00 $34,351.32 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 43 20 — — $10,868.41 $168,127.00 $34,349.29 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 35 20 — — $26,253.83 $137,246.00 $34,129.98 2026-04-01
503 MS_DRG Foot Procedures With Mcc 36 21 — — $10,181.91 $147,540.00 $34,093.54 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 37 21 — — $26,004.94 $161,265.00 $33,806.42 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 38 21 — — $9,743.00 $99,183.39 $33,759.16 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 20 — — $30,495.06 $130,383.00 $33,739.71 2026-04-01
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