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 HOLY CROSS MEDICAL CENTER

Mission Hills, CA · CCN 050278 · Rates published

17,061 distinct procedures filed
25 distinct payers
298,220 rate rows
2026-04-01 last MRF observed
Data quality

224,708 of 298,220 rate rows are consumer-grade (75.3%)

73,512 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 73,211
placeholder amount (≤ $0.02) — excluded from medians 301
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/socal/live/954582647_providence-holy-cross-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 621bd9927503ac7f… · 224,921,136 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 $4,335,000.00 $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
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
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
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
$3,006,423
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
$2,469,189
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
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $566,416.65 $1,259,378.89 $640,199.09 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $541,977.41 $1,203,238.19 $618,486.92 nat. median
$674,188
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $353.00 $1,314,346.93 $617,002.34 nat. median
$754,974
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
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $471,240.00 $1,052,208.19 $532,449.83 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $438,921.67 $939,292.37 $443,310.89 nat. median
$370,174
1.2× 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 $285,142.29 $1,523,440.00 $313,656.52 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $217,444.02 $892,106.00 $235,652.40 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $141,657.91 $1,180,323.00 $223,959.28 nat. median
$202,986
1.1× 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×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 2 $43,335.00 $260,769.00 $152,052.00 nat. median
$29,793
outlier · 5.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $34.58 $717,116.00 $148,436.32 nat. median
$133,176
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $40,447.00 $631,336.00 $145,148.33 nat. median
$87,411
1.7× median
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
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $122,769.51 $470,914.00 $135,046.46 nat. median
$117,303
1.2× median
7
MS_DRG 		Lung Transplant 20 $127,450.92 $617,611.00 $134,871.76 nat. median
$122,708
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $67,138.44 $223,567.37 $133,605.50 nat. median
$76,377
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $115,809.37 $823,480.00 $127,390.31 nat. median
$108,660
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $115,677.50 $247,549.85 $115,677.50 nat. median
$98,017
1.2× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $26,001.00 $555,851.00 $115,380.78 nat. median
$63,570
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $4,002.94 $241,160.65 $112,658.49 nat. median
$98,905
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 20 $101,862.72 $789,170.00 $112,048.99 nat. median
$99,019
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $111,166.24 $250,628.44 $111,166.24 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $49.10 $696,528.00 $107,557.78 nat. median
$100,136
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $40,447.00 $384,292.00 $106,032.21 nat. median
$65,381
1.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $26,001.00 $511,245.00 $102,267.26 nat. median
$54,196
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $43,335.00 $648,490.00 $102,097.46 nat. median
$93,672
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $61,200.00 $256,718.08 $101,272.08 nat. median
$69,774
1.5× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $97,225.26 $97,225.26 $97,225.26 nat. median
$21,806
outlier · 4.5×
90288
HCPCS 		Botulism Ig IV 2 $2,079.89 $96,922.95 $96,922.95 nat. median
$55,037
1.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $40,447.00 $449,484.00 $95,484.04 nat. median
$62,270
1.5× median
691
MS_DRG 		Urinary Stones W Esw Lithotripsy W Cc/Mcc 1 $92,642.00 $92,642.00 $92,642.00 nat. median
$12,671
outlier · 7.3×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $147,235.66 $92,558.54 nat. median
$70,825
1.3× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $26,001.00 $432,328.00 $92,470.83 nat. median
$49,935
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $92,251.83 $197,418.92 $92,251.83 nat. median
$82,712
1.1× median

Other procedures at this hospital

Browse this hospital's 17,061 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 6 — — $3,570,000.00 $4,798,885.00 $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
C9172 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,990,000.00 $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
Q2056 HCPCS Ciltacabtagene Car-pos T 12 7 — — $566,416.65 $1,259,378.89 $640,199.09 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 7 — — $541,977.41 $1,203,238.19 $618,486.92 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 30 18 — — $438,921.67 $939,292.37 $443,310.89 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 33 20 — — $285,142.29 $1,523,440.00 $313,656.52 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 20 — — $217,444.02 $892,106.00 $235,652.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 21 — — $141,657.91 $1,180,323.00 $223,959.28 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
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 2 — — $43,335.00 $260,769.00 $152,052.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 21 — — $34.58 $717,116.00 $148,436.32 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 5 — — $40,447.00 $631,336.00 $145,148.33 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
14 MS_DRG Allogeneic Bone Marrow Transplant 33 20 — — $122,769.51 $470,914.00 $135,046.46 2026-04-01
7 MS_DRG Lung Transplant 33 20 — — $127,450.92 $617,611.00 $134,871.76 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 9 4 — — $67,138.44 $223,567.37 $133,605.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 20 — — $115,809.37 $823,480.00 $127,390.31 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 17 — — $115,677.50 $247,549.85 $115,677.50 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 4 — — $26,001.00 $555,851.00 $115,380.78 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 19 — — $4,002.94 $241,160.65 $112,658.49 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 20 — — $101,862.72 $789,170.00 $112,048.99 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 17 — — $111,166.24 $250,628.44 $111,166.24 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 37 21 — — $49.10 $696,528.00 $107,557.78 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 5 — — $40,447.00 $384,292.00 $106,032.21 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 4 — — $26,001.00 $511,245.00 $102,267.26 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 — — $43,335.00 $648,490.00 $102,097.46 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 9 — — $61,200.00 $256,718.08 $101,272.08 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 — — $2,079.89 $96,922.95 $96,922.95 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 5 — — $40,447.00 $449,484.00 $95,484.04 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
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 7 4 — — $26,001.00 $432,328.00 $92,470.83 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 17 — — $92,251.83 $197,418.92 $92,251.83 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 — — $56,824.55 $237,787.93 $90,765.85 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 1 1 — — $90,710.65 $90,710.65 $90,710.65 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 22 — — $14,157.00 $531,832.00 $90,088.83 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 17 — — $27,713.47 $211,933.59 $88,700.24 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 22 — — $40,447.00 $545,557.00 $86,963.26 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 22 — — $510.15 $490,657.00 $86,371.07 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 4 — — $26,001.00 $404,878.00 $83,002.10 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 21 — — $43,335.00 $518,107.00 $80,321.39 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 22 — — $11,244.48 $449,484.00 $79,194.79 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 21 — — $12,631.36 $507,721.56 $78,935.56 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 9 — — $56,269.19 $132,637.80 $78,772.97 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 3 2 — — $3,757.00 $126,240.00 $78,268.00 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 3 2 — — $3,757.00 $126,240.00 $78,268.00 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 3 2 — — $3,757.00 $126,240.00 $78,268.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 19 9 — — $1,142.00 $173,128.88 $78,268.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 4 — — $26,001.00 $380,861.00 $78,105.96 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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 33 20 — — $73,198.94 $322,530.00 $75,089.76 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 5 — — $40,447.00 $329,392.00 $75,025.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 19 — — $5,667.74 $163,326.89 $74,083.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 18 — — $73,230.90 $182,377.51 $73,963.21 2026-04-01
10 MS_DRG Pancreas Transplant 33 20 — — $46,563.42 $240,182.00 $73,647.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 17 — — $70,674.75 $162,586.03 $73,188.29 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 7 4 — — $26,001.00 $322,530.00 $72,304.15 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 20 — — $42,711.62 $255,130.00 $72,039.35 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 20 — — $57,768.95 $603,429.12 $71,847.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 21 — — $43,335.00 $449,484.00 $71,610.51 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 21 — — $17,452.69 $367,136.00 $70,970.71 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 19 — — $10,828.74 $146,986.22 $68,685.15 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 20 — — $62,805.58 $205,871.00 $68,660.92 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 18 — — $20,624.27 $154,250.23 $68,635.45 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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 20 — — $62,951.48 $346,548.00 $68,564.70 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 21 — — $39,412.13 $325,961.00 $67,747.75 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 21 — — $43,335.00 $349,980.00 $67,557.09 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 33 20 — — $61,007.80 $250,820.00 $67,108.58 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 20 — — $63,023.51 $349,286.00 $66,804.92 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 20 — — $60,349.42 $363,705.00 $66,384.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 21 — — $6,756.00 $329,392.00 $66,130.77 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 21 — — $43,335.00 $356,842.00 $66,097.36 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 21 — — $40,447.00 $363,705.00 $65,027.42 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 6 — — $48,155.50 $103,052.77 $64,783.31 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 34 20 — — $56,546.25 $295,082.00 $64,585.16 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 40 21 — — $12,266.00 $301,942.00 $64,110.66 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 20 — — $57,709.82 $312,236.00 $63,480.80 2026-04-01
J9226 HCPCS Supprelin La Implant 18 9 — — $41,173.43 $97,205.89 $63,298.06 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 35 21 — — $40,447.00 $332,823.00 $63,041.26 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 18 — — $50,007.38 $142,511.55 $61,787.91 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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 5 — — $40,447.00 $229,888.00 $61,649.78 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 22 — — $32,279.58 $363,705.00 $60,991.85 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 21 — — $14,157.00 $291,651.00 $60,294.95 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 20 — — $56,183.08 $357,759.05 $60,108.67 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 6 — — $44,356.85 $94,923.66 $59,673.01 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 17 — — $59,358.30 $127,026.76 $59,358.30 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 33 20 — — $53,568.84 $373,999.00 $58,925.72 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 17 — — $57,431.59 $125,719.89 $58,747.61 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 41 23 — — $98.70 $301,942.00 $58,672.54 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 17 — — $55,200.75 $126,663.64 $57,886.34 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 19 9 — — $1,528.00 $126,240.00 $57,784.15 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 3 2 — — $2,716.00 $93,018.00 $57,671.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 17 — — $57,320.28 $122,665.40 $57,320.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 33 20 — — $52,550.48 $177,600.00 $57,081.17 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 21 — — $12,667.39 $363,705.00 $56,912.94 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 22 — — $7,284.55 $295,082.00 $56,833.03 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 17 9 — — $353.00 $121,233.42 $56,651.13 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 15 8 — — $353.00 $121,233.42 $56,651.13 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 39 22 — — $5,933.96 $459,182.12 $55,648.06 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 20 — — $33,549.68 $288,219.00 $55,177.18 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 22 — — $12,792.78 $339,686.00 $54,952.55 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 17 — — $51,700.70 $118,484.30 $54,920.09 2026-04-01
685 MS_DRG Admit For Renal Dialysis 1 1 — — $54,898.00 $54,898.00 $54,898.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 20 — — $49,591.19 $411,740.00 $54,550.31 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 21 — — $1,734.00 $192,338.00 $54,379.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 45 21 — — $32,199.09 $473,730.65 $54,187.22 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 20 — — $49,149.90 $266,374.00 $54,064.89 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 21 — — $43,335.00 $281,357.00 $53,666.33 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 22 — — $5,775.42 $291,651.00 $53,660.14 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 21 — — $27,768.13 $322,530.00 $53,294.92 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 20 — — $48,307.91 $295,082.00 $53,138.70 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 33 20 — — $47,894.01 $315,667.00 $52,683.41 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 20 — — $22,138.91 $219,594.00 $51,585.67 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 22 — — $7,883.09 $500,951.00 $51,517.54 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 35 21 — — $26,701.84 $305,373.00 $51,477.13 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 22 — — $13,437.28 $370,567.00 $51,448.64 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 21 — — $10,768.50 $349,980.00 $50,953.59 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 22 — — $24,336.00 $284,788.00 $50,835.48 2026-04-01
245 MS_DRG Aicd Generator Procedures 34 21 — — $26,001.00 $257,338.00 $49,965.46 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 37 21 — — $21,234.00 $247,044.00 $49,958.40 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 20 — — $23,721.54 $264,200.00 $49,147.90 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 21 — — $14,157.00 $281,357.00 $49,003.20 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 18 — — $25,853.40 $105,997.86 $48,547.32 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 20 — — $42,984.08 $295,082.00 $48,281.77 2026-04-01
777 MS_DRG Ectopic Pregnancy 1 1 — — $48,035.00 $48,035.00 $48,035.00 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 20 — — $20,024.00 $305,373.00 $47,938.22 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 33 20 — — $43,426.38 $257,338.00 $47,769.02 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 47 22 — — $104.99 $332,823.00 $47,762.28 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 19 — — $46,127.86 $101,062.64 $47,752.15 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 17 — — $46,798.33 $107,037.82 $47,706.34 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $39,931.20 $55,439.66 $47,685.43 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
163 MS_DRG Major Chest Procedures With Mcc 42 22 — — $21,234.00 $322,530.00 $46,319.59 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 20 — — $43,623.18 $195,577.00 $46,289.54 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 20 — — $49.10 $254,191.24 $46,217.99 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 22 — — $30,938.48 $229,888.00 $45,911.02 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 21 — — $40,447.00 $301,942.00 $45,773.88 2026-04-01
791 MS_DRG Prematurity With Major Problems 38 20 — — $9,337.99 $205,871.00 $45,603.80 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 21 — — $43,862.61 $223,025.00 $45,538.59 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 21 — — $42,705.10 $144,202.00 $45,408.26 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
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 8 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 21 — — $27,994.49 $774,335.68 $45,061.32 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 20 — — $40,023.91 $253,907.00 $44,864.60 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 17 — — $25,094.87 $97,995.67 $44,753.28 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 3 — — $34,385.74 $205,871.00 $44,507.72 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 14 8 — — $353.00 $94,292.96 $44,502.75 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 17 8 — — $1,142.00 $93,018.00 $44,408.46 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 17 8 — — $353.00 $126,240.00 $44,408.46 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 19 — — $5,340.92 $97,300.83 $44,123.30 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 22 — — $21,234.00 $178,421.00 $43,911.87 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 17 — — $332.88 $186,398.79 $43,874.76 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 7 4 — — $13,001.00 $202,440.00 $43,870.31 2026-04-01
69930 HCPCS Implant Cochlear Device 20 10 — — $3,409.00 $126,240.00 $43,842.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 20 — — $39,801.75 $236,750.00 $43,781.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 21 — — $32,718.42 $158,590.00 $43,696.22 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 42 21 — — $5,718.13 $212,734.00 $43,152.47 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 20 — — $9,010.00 $223,025.00 $42,970.53 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 7 4 — — $13,001.00 $181,852.00 $42,815.31 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 19 9 — — $4,589.00 $126,240.00 $42,296.16 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 19 9 — — $1,142.00 $126,240.00 $42,296.16 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 19 9 — — $1,528.00 $126,240.00 $42,296.16 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 19 9 — — $1,528.00 $126,240.00 $42,296.16 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 36 21 — — $37,493.88 $267,037.42 $42,242.77 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 20 — — $37,248.76 $219,594.00 $42,096.08 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 18 — — $39,489.14 $90,403.03 $41,639.93 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 21 — — $10,866.19 $161,265.00 $41,419.43 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 36 20 — — $34,825.15 $127,656.00 $41,179.87 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
781 MS_DRG Other Antepartum Diagnoses W Medical Complications 1 1 — — $41,175.00 $41,175.00 $41,175.00 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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 36 21 — — $21,234.00 $209,303.00 $41,158.93 2026-04-01
61886 HCPCS Implant Neurostim Arrays 20 10 — — $1,747.00 $126,240.00 $41,031.17 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 21 — — $18,958.93 $205,871.00 $40,922.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 20 — — $37,025.20 $274,494.00 $40,727.72 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 20 — — $37,242.28 $252,478.03 $40,709.66 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 34 20 — — $38,115.73 $188,715.00 $40,375.57 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 20 — — $36,994.77 $229,888.00 $40,368.18 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 33 20 — — $29,057.57 $137,246.00 $40,358.68 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 21 — — $11,374.87 $118,813.00 $39,909.18 2026-04-01
332 MS_DRG Rectal Resection With Mcc 34 20 — — $34,535.16 $291,651.00 $39,798.07 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
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 21 — — $26,825.51 $202,440.00 $39,473.59 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 40 22 — — $17,335.00 $192,146.00 $39,431.67 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 44 21 — — $125.00 $236,750.00 $39,305.78 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 36 20 — — $13,788.72 $264,200.00 $39,303.71 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 18 — — $9,088.24 $83,163.29 $38,861.35 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 18 — — $38,447.46 $82,277.56 $38,831.93 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 6 — — $28,851.23 $61,741.63 $38,813.39 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 20 — — $53.70 $216,163.00 $38,749.91 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 19 9 — — $2,160.00 $126,240.00 $38,650.52 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 6 — — $28,715.00 $61,450.10 $38,630.12 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 20 — — $37,663.29 $171,559.00 $38,456.93 2026-04-01
J9266 HCPCS Pegaspargase Injection 19 9 — — $5,357.25 $64,443.30 $38,396.84 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 20 10 — — $1,528.00 $126,240.00 $38,358.58 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 20 10 — — $1,528.00 $93,018.00 $38,358.58 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 8 — — $4,768.00 $74,087.61 $38,082.42 2026-04-01
265 MS_DRG Aicd Lead Procedures 34 21 — — $26,001.00 $140,677.00 $37,934.39 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 3 — — $29,811.81 $137,246.00 $37,868.79 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 37 22 — — $17,335.00 $267,632.00 $37,857.80 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 39 21 — — $17,624.00 $168,127.00 $37,754.48 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 41 22 — — $29,404.28 $168,127.00 $37,732.32 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 21 — — $2,400.00 $202,440.00 $37,699.49 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 21 — — $14,889.07 $209,303.00 $37,540.88 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 21 — — $33,152.03 $209,303.00 $37,497.24 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 10 7 — — $4,768.00 $74,683.62 $37,475.79 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 10 7 — — $4,768.00 $74,683.62 $37,475.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 17 — — $8,227.40 $80,119.67 $37,439.10 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 20 — — $34,246.62 $98,291.00 $37,336.20 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 3 2 — — $31,776.77 $126,955.00 $37,184.95 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 21 — — $14,157.00 $195,577.00 $37,076.85 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 17 9 — — $1,142.00 $84,932.66 $37,029.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 17 9 — — $353.00 $84,932.66 $37,029.00 2026-04-01
652 MS_DRG Kidney Transplant 33 20 — — $33,615.64 $188,715.00 $36,977.20 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 21 — — $26,316.00 $301,942.00 $36,956.54 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 20 — — $33,591.29 $212,734.00 $36,950.42 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 20 — — $27,555.18 $126,955.00 $36,839.09 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 21 — — $20,627.43 $185,284.00 $36,651.35 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $11,221.99 $54,752.43 $36,532.82 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 22 — — $17,676.00 $219,594.00 $36,346.05 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 42 21 — — $5,030.12 $188,715.00 $36,241.03 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 38 22 — — $19,693.71 $178,421.00 $36,208.01 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 21 — — $15,891.00 $219,594.00 $35,883.12 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 17 — — $35,736.85 $76,476.86 $35,736.85 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $33,581.40 $37,816.96 $35,699.18 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 37 21 — — $19,429.87 $161,265.00 $35,688.99 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 36 21 — — $30,987.11 $192,146.00 $35,529.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 39 21 — — $4,567.90 $264,200.00 $35,417.30 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 20 — — $31,239.77 $195,577.00 $35,174.49 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 33 20 — — $31,911.36 $174,990.00 $35,102.50 2026-04-01
665 MS_DRG Prostatectomy With Mcc 33 20 — — $32,516.99 $164,696.00 $35,075.80 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 21 — — $14,157.00 $267,632.00 $35,072.33 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 20 — — $33,156.96 $240,182.00 $35,051.59 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 14 8 — — $353.00 $74,087.61 $34,966.58 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 19 9 — — $1,747.00 $74,683.62 $34,898.89 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 21 — — $15,464.16 $322,530.00 $34,772.32 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 33 20 — — $33,527.38 $137,246.00 $34,756.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 34 20 — — $9,309.27 $181,852.00 $34,623.04 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 36 21 — — $10,669.00 $195,577.00 $34,593.18 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 33 20 — — $31,491.38 $137,246.00 $34,562.98 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 17 8 — — $3,409.00 $93,018.00 $34,290.01 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 17 8 — — $3,409.00 $93,018.00 $34,290.01 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 17 8 — — $3,409.00 $93,018.00 $34,290.01 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 21 — — $3,468.00 $187,803.27 $34,044.01 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 20 — — $14,634.00 $168,127.00 $33,994.58 2026-04-01
570 MS_DRG Skin Debridement With Mcc 33 20 — — $30,689.96 $99,538.00 $33,758.96 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 21 — — $15,891.00 $181,852.00 $33,688.31 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 17 — — $33,624.77 $71,957.01 $33,624.77 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 17 — — $33,421.88 $71,522.82 $33,421.88 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 37 20 — — $30,275.05 $178,421.00 $33,302.56 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 22 — — $8,924.02 $236,750.00 $33,243.33 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 34 21 — — $30,145.20 $212,734.00 $33,097.76 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 35 20 — — $30,720.40 $154,402.00 $33,090.71 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 33 20 — — $30,475.91 $144,108.00 $32,946.55 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 20 — — $31,495.44 $126,955.00 $32,943.01 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 36 20 — — $12,048.57 $73,510.56 $32,819.29 2026-04-01
800 MS_DRG Splenic Procedures With Cc 33 20 — — $29,353.93 $164,696.00 $32,289.32 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 20 — — $27,484.39 $185,284.00 $32,230.19 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 33 20 — — $29,251.47 $188,715.00 $32,176.62 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 34 21 — — $20,024.00 $161,265.00 $32,110.91 2026-04-01
503 MS_DRG Foot Procedures With Mcc 33 20 — — $29,168.29 $147,540.00 $32,067.64 2026-04-01
263 MS_DRG Vein Ligation And Stripping 40 21 — — $6,756.00 $99,504.00 $31,869.77 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 3 2 — — $27,050.37 $130,383.00 $31,654.15 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 43 22 — — $8,354.51 $212,734.00 $31,624.27 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 35 21 — — $9,011.10 $164,696.00 $31,594.80 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 17 8 — — $1,142.00 $93,018.00 $31,469.85 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 17 8 — — $1,142.00 $93,018.00 $31,469.85 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 17 8 — — $1,747.00 $93,018.00 $31,469.85 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 20 — — $28,926.75 $130,383.00 $31,457.90 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 21 — — $28,307.02 $199,009.00 $31,268.78 2026-04-01
5378 OTHER Level 8 Urology And Related Services 2 2 — — $25,063.84 $37,156.36 $31,110.10 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 18 — — $18,774.71 $70,597.75 $31,048.06 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 33 20 — — $28,217.75 $154,402.00 $31,039.52 2026-04-01
775 MS_DRG Vaginal Delivery Without Complicating Diagnoses 1 1 — — $30,881.00 $30,881.00 $30,881.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 33 20 — — $28,657.34 $123,523.00 $30,690.16 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 35 21 — — $14,157.00 $202,440.00 $30,622.18 2026-04-01
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