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 MARY MEDICAL CENTER

Apple Valley, CA · CCN 050300 · Rates published

14,369 distinct procedures filed
26 distinct payers
188,419 rate rows
2026-04-01 last MRF observed
Data quality

129,477 of 188,419 rate rows are consumer-grade (68.7%)

58,942 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 58,807
template filing: same amount across many unrelated codes — excluded 69
placeholder amount (≤ $0.02) — excluded from medians 32
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 30
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/price-transparency-4-30-2022/southern-california/941196203_St-Mary-Medical-Center_standardcharges.csv
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-07

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $7,976,500.00 $7,976,500.00 $7,976,500.00 nat. median
$3,508,750
outlier · 2.3×
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,691,450.00 $9,361,517.20 $6,200,896.06 nat. median
$3,685,267
1.7× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,321,376.38 $8,423,010.50 $5,584,019.82 nat. median
$3,325,455
1.7× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,245,381.39 $8,230,287.20 $5,484,596.12 nat. median
$3,248,446
1.7× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,938,320.00 $7,451,579.52 $4,946,406.14 nat. median
$2,968,000
1.7× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,587,087.26 $6,560,853.28 $4,231,391.86 nat. median
$2,455,111
1.7× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $5,913,952.00 $3,920,092.00 nat. median
$2,332,000
1.7× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,954,292.32 $1,295,412.22 nat. median
$813,967
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $588,494.81 $1,492,422.83 $963,943.16 nat. median
$599,737
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,260.84 $1,425,893.48 $936,744.91 nat. median
$579,571
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $559,781.08 $1,419,604.82 $917,944.99 nat. median
$574,037
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $531,849.12 $1,348,769.36 $873,249.02 nat. median
$562,501
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,290.60 $1,240,840.96 $822,575.30 nat. median
$513,770
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $1,310.00 $1,557,562.53 $755,671.37 nat. median
$621,313
1.2× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$377,029
1.6× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 24 $42,631.48 $96,419.49 $582,499.54 nat. median
$28,755
outlier · 20.3×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 $431,992.01 $844,456.64 $481,290.14 nat. median
$168,055
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $280,598.00 $655,248.49 $327,251.02 nat. median
$186,516
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $213,949.83 $475,761.02 $252,136.53 nat. median
$131,925
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $212,698.45 $429,616.66 $189,457.33 nat. median
$145,435
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $14,364.00 $235,949.72 $167,306.18 nat. median
$69,822
outlier · 2.4×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 $38,301.06 $87,067.55 $149,280.88 nat. median
$27,340
outlier · 5.5×
7
MS_DRG 		Lung Transplant 24 $130,054.88 $261,833.81 $148,727.13 nat. median
$70,649
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $120,743.88 $289,082.01 $143,206.81 nat. median
$72,715
2.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $113,891.70 $360,391.08 $138,748.03 nat. median
$65,418
outlier · 2.1×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 $60,078.01 $128,201.14 $132,863.56 nat. median
$40,584
outlier · 3.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $88,948.40 $169,820.76 $129,384.58 nat. median
$92,809
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 20 $11,158.00 $207,977.62 $121,562.58 nat. median
$2,106
outlier · 57.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 24 $103,691.84 $231,271.49 $120,619.93 nat. median
$69,922
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 24 $56,710.00 $204,637.78 $115,832.92 nat. median
$74,509
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 24 $113,761.87 $113,761.87 $113,761.87 nat. median
$2,110
outlier · 53.9×
668
MS_DRG 		Transurethral Procedures With Mcc 24 $29,881.90 $62,325.87 $110,243.76 nat. median
$20,640
outlier · 5.3×
215
MS_DRG 		Other Heart Assist System Implant 24 $14,364.00 $252,414.01 $109,884.45 nat. median
$73,023
1.5× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 20 $14,364.00 $190,502.12 $109,370.87 nat. median
$2,024
outlier · 54.0×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $64,282.30 $163,019.91 $108,332.01 nat. median
$66,211
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $139,055.29 $268,342.16 $107,085.26 nat. median
$97,418
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 $14,364.00 $176,286.46 $105,083.61 nat. median
$55,935
1.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $49,622.00 $133,356.18 $100,928.03 nat. median
$9,905
outlier · 10.2×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 20 $14,364.00 $166,547.69 $99,003.29 nat. median
$2,024
outlier · 48.9×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $97,225.26 $97,225.26 $97,225.26 nat. median
$7,098
outlier · 13.7×
151
MS_DRG 		Epistaxis Without Mcc 24 $8,050.02 $16,672.41 $96,441.54 nat. median
$5,673
outlier · 17.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 $79,306.25 $233,461.30 $96,114.06 nat. median
$56,428
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 24 $87,203.08 $173,043.48 $95,448.00 nat. median
$2,633
outlier · 36.3×
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $144,107.06 $95,293.10 nat. median
$65,477
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 $49,622.00 $156,675.24 $94,813.49 nat. median
$2,596
outlier · 36.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 20 $11,158.00 $152,286.78 $90,974.77 nat. median
$2,106
outlier · 43.2×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 20 $14,364.00 $149,572.14 $89,616.66 nat. median
$2,024
outlier · 44.3×
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $88,519.39 $88,519.39 $88,519.39 nat. median
$77,438
1.1× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $52,771.21 $142,698.67 $85,482.86 nat. median
$63,499
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $11,158.00 $194,506.22 $84,218.97 nat. median
$59,651
1.4× median

Other procedures at this hospital

Browse this hospital's 14,369 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $7,976,500.00 $7,976,500.00 $7,976,500.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 4 — — $3,691,450.00 $9,361,517.20 $6,200,896.06 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 4 — — $3,321,376.38 $8,423,010.50 $5,584,019.82 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 4 — — $3,245,381.39 $8,230,287.20 $5,484,596.12 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 4 — — $2,938,320.00 $7,451,579.52 $4,946,406.14 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 4 — — $2,587,087.26 $6,560,853.28 $4,231,391.86 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 4 — — $2,332,000.00 $5,913,952.00 $3,920,092.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 4 — — $770,620.00 $1,954,292.32 $1,295,412.22 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $588,494.81 $1,492,422.83 $963,943.16 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 4 — — $562,260.84 $1,425,893.48 $936,744.91 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $559,781.08 $1,419,604.82 $917,944.99 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $531,849.12 $1,348,769.36 $873,249.02 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $489,290.60 $1,240,840.96 $822,575.30 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 5 — — $1,310.00 $1,557,562.53 $755,671.37 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $598,237.50 $598,237.50 $598,237.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 64 24 — — $42,631.48 $96,419.49 $582,499.54 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 64 24 — — $431,992.01 $844,456.64 $481,290.14 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 64 24 — — $280,598.00 $655,248.49 $327,251.02 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 64 24 — — $213,949.83 $475,761.02 $252,136.53 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 64 24 — — $212,698.45 $429,616.66 $189,457.33 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 24 — — $14,364.00 $235,949.72 $167,306.18 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 64 24 — — $38,301.06 $87,067.55 $149,280.88 2026-04-01
7 MS_DRG Lung Transplant 64 24 — — $130,054.88 $261,833.81 $148,727.13 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 64 24 — — $120,743.88 $289,082.01 $143,206.81 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 64 24 — — $113,891.70 $360,391.08 $138,748.03 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 64 24 — — $60,078.01 $128,201.14 $132,863.56 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $88,948.40 $169,820.76 $129,384.58 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 45 20 — — $11,158.00 $207,977.62 $121,562.58 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 64 24 — — $103,691.84 $231,271.49 $120,619.93 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 63 24 — — $56,710.00 $204,637.78 $115,832.92 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 59 24 — — $113,761.87 $113,761.87 $113,761.87 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 64 24 — — $29,881.90 $62,325.87 $110,243.76 2026-04-01
215 MS_DRG Other Heart Assist System Implant 67 24 — — $14,364.00 $252,414.01 $109,884.45 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 45 20 — — $14,364.00 $190,502.12 $109,370.87 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 5 — — $64,282.30 $163,019.91 $108,332.01 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 64 24 — — $139,055.29 $268,342.16 $107,085.26 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 67 24 — — $14,364.00 $176,286.46 $105,083.61 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 63 24 — — $49,622.00 $133,356.18 $100,928.03 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 45 20 — — $14,364.00 $166,547.69 $99,003.29 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $97,225.26 $97,225.26 $97,225.26 2026-04-01
151 MS_DRG Epistaxis Without Mcc 64 24 — — $8,050.02 $16,672.41 $96,441.54 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 64 24 — — $79,306.25 $233,461.30 $96,114.06 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 62 24 — — $87,203.08 $173,043.48 $95,448.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 8 5 — — $56,824.55 $144,107.06 $95,293.10 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 63 24 — — $49,622.00 $156,675.24 $94,813.49 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 45 20 — — $11,158.00 $152,286.78 $90,974.77 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 45 20 — — $14,364.00 $149,572.14 $89,616.66 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $88,519.39 $88,519.39 $88,519.39 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 6 — — $52,771.21 $142,698.67 $85,482.86 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 24 — — $11,158.00 $194,506.22 $84,218.97 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 64 24 — — $71,973.69 $150,705.50 $84,052.66 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 24 — — $14,364.00 $182,222.47 $84,017.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 45 20 — — $11,158.00 $137,951.22 $83,512.95 2026-04-01
935 MS_DRG Non-extensive Burns 64 24 — — $21,292.96 $43,735.11 $82,816.56 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 64 24 — — $72,354.20 $147,635.70 $81,747.03 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 63 24 — — $40,872.75 $73,813.95 $80,374.14 2026-04-01
10 MS_DRG Pancreas Transplant 64 24 — — $69,405.57 $149,773.26 $79,577.30 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 65 24 — — $56,710.00 $157,326.96 $79,172.25 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 64 24 — — $45,479.81 $112,230.00 $79,138.93 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 45 20 — — $14,364.00 $140,530.13 $78,804.96 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 64 24 — — $67,943.88 $142,247.14 $78,088.46 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 64 24 — — $69,748.56 $145,341.83 $77,398.55 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 67 24 — — $11,158.00 $48,601.10 $77,050.50 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 64 24 — — $9,872.67 $20,513.63 $76,242.67 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 45 20 — — $14,364.00 $127,289.47 $74,161.98 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 63 24 — — $49,622.00 $196,907.34 $72,700.40 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 65 24 — — $56,710.00 $160,552.86 $72,320.70 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 45 20 — — $14,364.00 $118,808.48 $71,659.25 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 64 24 — — $12,728.99 $25,361.52 $71,517.77 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 64 24 — — $61,853.72 $130,922.56 $71,397.58 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 64 24 — — $16,025.75 $33,670.58 $70,999.21 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 64 24 — — $59,940.19 $152,160.10 $70,808.27 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 64 24 — — $60,725.18 $131,660.04 $70,068.82 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 24 — — $14,364.00 $116,349.47 $68,766.80 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 64 24 — — $59,292.02 $128,658.10 $68,204.43 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 64 24 — — $39,063.08 $89,517.52 $67,603.76 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 24 — — $57,948.75 $128,092.55 $66,854.43 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 67 24 — — $14,364.00 $133,431.34 $66,421.33 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 64 24 — — $53,589.37 $170,379.86 $65,998.80 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 24 — — $11,158.00 $147,088.24 $65,449.19 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 64 24 — — $56,693.37 $122,765.07 $64,955.48 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 45 20 — — $11,158.00 $108,382.00 $64,940.93 2026-04-01
9512 OTHER Rbc Leukocytes Reduced 41 22 — — — — $64,764.67 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 64 24 — — $55,354.09 $129,635.37 $64,338.30 2026-04-01
J9226 HCPCS Supprelin La Implant 10 6 — — $24,825.15 $104,415.81 $63,781.81 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 64 24 — — $54,972.59 $113,382.90 $63,747.29 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 63 24 — — $43,072.91 $76,707.00 $63,211.68 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 64 24 — — $55,190.31 $113,481.00 $62,994.84 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 64 24 — — $52,616.62 $123,271.80 $61,954.67 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 63 24 — — $49,622.00 $102,761.30 $61,885.16 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 24 — — $56,309.86 $93,984.48 $59,669.45 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 64 24 — — $64,983.69 $129,542.62 $59,554.39 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 24 — — $14,364.00 $140,602.52 $58,157.82 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 64 24 — — $48,700.66 $128,925.04 $58,105.01 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 59 24 — — $57,715.05 $57,715.05 $57,715.05 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 4 3 — — $39,688.16 $100,649.17 $57,408.92 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 3 — — $39,688.16 $100,649.17 $57,408.92 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 4 3 — — $39,688.16 $100,649.17 $57,408.92 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 65 24 — — $48,266.22 $126,703.56 $57,004.71 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 64 24 — — $50,041.94 $111,856.74 $56,417.12 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 63 24 — — $46,845.05 $87,396.23 $55,648.59 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 64 24 — — $47,437.29 $113,942.49 $55,575.30 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 63 24 — — $56,710.00 $116,360.48 $55,080.38 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 64 24 — — $47,029.82 $106,135.64 $54,832.68 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 24 — — $14,364.00 $102,982.13 $54,479.17 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 64 24 — — $46,508.49 $101,733.40 $53,773.12 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 7 — — $4,243.00 $205,165.81 $53,140.27 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 45 20 — — $11,158.00 $88,965.54 $53,061.35 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 64 24 — — $46,127.98 $101,611.24 $53,059.57 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 67 24 — — $14,364.00 $120,290.22 $52,928.81 2026-04-01
245 MS_DRG Aicd Generator Procedures 67 24 — — $14,364.00 $122,475.51 $52,771.98 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 63 24 — — $49,622.00 $125,945.10 $52,585.83 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 24 — — $46,625.34 $109,723.49 $52,560.38 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 64 24 — — $42,804.26 $95,134.56 $51,854.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 64 24 — — $45,466.83 $98,769.91 $51,783.14 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 67 24 — — $14,364.00 $192,065.30 $51,665.58 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 64 24 — — $18,793.18 $38,661.00 $51,589.35 2026-04-01
791 MS_DRG Prematurity With Major Problems 64 24 — — $41,257.25 $87,556.19 $50,449.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 64 24 — — $47,577.11 $104,237.65 $50,372.28 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 43 20 — — $38,710.52 $63,314.45 $49,904.72 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 65 24 — — $42,897.14 $97,604.88 $49,831.99 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 67 24 — — $14,364.00 $97,632.03 $49,619.48 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 67 24 — — $14,364.00 $136,415.18 $49,338.30 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 65 24 — — $28,355.00 $80,900.80 $49,028.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 64 24 — — $27,658.76 $57,527.75 $48,787.46 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 64 24 — — $42,825.23 $86,685.24 $48,623.85 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 64 24 — — $9,009.78 $17,880.43 $48,620.35 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 64 24 — — $14,325.94 $31,609.72 $48,364.47 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 63 24 — — $49,622.00 $96,742.26 $48,261.78 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 63 24 — — $56,710.00 $132,751.27 $48,026.64 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 64 24 — — $23,638.94 $47,752.78 $47,752.78 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 63 24 — — $49,622.00 $103,420.69 $47,644.13 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 65 24 — — $41,921.39 $86,805.14 $47,346.17 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 65 24 — — $53,414.59 $117,218.16 $46,376.02 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 64 24 — — $44,590.96 $97,080.05 $45,944.48 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 24 — — $39,788.14 $88,961.02 $45,753.16 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 64 24 — — $40,509.21 $83,898.21 $45,559.76 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 45 20 — — $14,364.00 $71,799.97 $44,918.59 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 64 24 — — $15,901.91 $36,079.83 $44,564.56 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 64 24 — — $39,318.75 $73,817.71 $44,540.35 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 45 20 — — $14,364.00 $70,709.59 $44,528.10 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 64 24 — — $17,676.62 $37,170.21 $44,487.77 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 67 24 — — $11,158.00 $68,420.24 $44,375.71 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 64 24 — — $39,611.37 $81,281.39 $43,925.04 2026-04-01
332 MS_DRG Rectal Resection With Mcc 64 24 — — $36,879.89 $94,100.73 $43,130.82 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 64 24 — — $37,729.79 $83,556.62 $43,074.91 2026-04-01
265 MS_DRG Aicd Lead Procedures 65 24 — — $36,854.92 $76,071.00 $42,562.05 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 64 24 — — $23,645.93 $55,686.32 $42,310.35 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 64 24 — — $42,681.42 $78,713.34 $42,047.79 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 43 20 — — $32,918.15 $52,397.08 $41,903.82 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 64 24 — — $35,868.19 $82,187.99 $41,812.08 2026-04-01
0316T CPT Replc Vagus Nerve Pls Gen 3 2 — — $16,413.00 $89,248.00 $41,785.67 2026-04-01
0312T CPT Laps Impltj Nstim Vagus 3 2 — — $16,413.00 $89,248.00 $41,785.67 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 64 24 — — $23,960.53 $52,299.80 $41,701.45 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 64 24 — — $36,957.79 $76,602.62 $41,384.58 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 7 — — $4,035.00 $143,667.26 $41,349.04 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 64 24 — — $32,452.59 $109,933.87 $40,799.10 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 65 24 — — $36,236.72 $80,638.38 $40,795.49 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 67 24 — — $9,898.00 $96,329.00 $40,767.45 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 64 24 — — $35,388.81 $73,442.32 $40,450.81 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 64 24 — — $49,668.42 $114,469.58 $40,273.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 67 24 — — $9,898.00 $86,454.50 $40,272.86 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 67 24 — — $11,158.00 $82,212.87 $39,860.94 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 65 24 — — $33,205.62 $81,081.77 $39,770.89 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 41 22 — — — — $39,304.34 2026-04-01
0424T CPT Insj/rplc Nstim Apnea Compl 3 2 — — $12,647.00 $89,248.00 $39,023.67 2026-04-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 3 2 — — $12,647.00 $89,248.00 $39,023.67 2026-04-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 3 2 — — $12,647.00 $89,248.00 $39,023.67 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 64 24 — — $55,547.84 $136,865.36 $38,825.47 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 24 — — $36,737.07 $60,194.10 $38,804.73 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 6 — — $2,131.43 $72,083.41 $38,615.70 2026-04-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 6 4 — — $14,105.00 $88,503.57 $38,598.32 2026-04-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 6 4 — — $14,105.00 $88,503.57 $38,598.32 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 64 24 — — $39,376.67 $89,913.40 $38,533.51 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 64 24 — — $66,149.19 $125,264.80 $38,522.00 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 64 24 — — $20,376.14 $42,576.87 $37,947.54 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 65 24 — — $21,265.00 $84,886.79 $37,872.25 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 64 24 — — $32,516.51 $74,238.62 $37,790.33 2026-04-01
652 MS_DRG Kidney Transplant 64 24 — — $32,972.92 $71,980.94 $37,640.68 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 64 24 — — $37,939.52 $83,658.42 $37,592.81 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 64 24 — — $32,886.03 $68,067.34 $37,501.45 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 64 24 — — $39,281.79 $89,533.35 $37,349.06 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 6 — — $1,310.00 $143,667.26 $37,299.31 2026-04-01
69930 HCPCS Implant Cochlear Device 12 7 — — $11,564.00 $107,545.82 $37,166.14 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 64 24 — — $32,278.81 $72,519.35 $37,142.11 2026-04-01
81280 HCPCS Long Qt Synd Gene Full Seq 2 1 — — $33,730.02 $40,476.02 $37,103.02 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 11 6 — — $1,310.00 $143,667.26 $37,102.40 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 7 — — $11,564.00 $102,381.68 $36,605.62 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 2 1 — — $36,090.09 $36,090.09 $36,090.09 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 62 24 — — $43,937.80 $80,013.33 $35,907.66 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 67 24 — — $14,364.00 $84,210.40 $35,816.57 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 65 24 — — $34,082.49 $73,471.73 $35,776.65 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 41 22 — — — — $35,453.17 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 62 24 — — $32,188.93 $60,021.27 $35,229.71 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 64 24 — — $36,329.60 $84,821.19 $35,154.62 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 64 24 — — $30,881.61 $64,273.63 $35,011.75 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 64 24 — — $49,873.15 $108,782.41 $34,846.56 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 64 24 — — $21,530.66 $48,191.65 $34,795.63 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 62 24 — — $32,782.17 $53,765.53 $34,632.95 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 65 24 — — $21,265.00 $82,016.06 $34,529.91 2026-04-01
710 MS_DRG Penis Procedures Without Cc/Mcc 64 24 — — $14,713.44 $36,192.94 $34,440.73 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 7 — — $5,678.00 $102,381.68 $34,197.79 2026-04-01
0981T CPT Tcat Impl Wrls Ivc Snr 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 4 3 — — $23,577.55 $59,792.66 $34,104.92 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 64 24 — — $29,556.32 $69,248.20 $34,025.35 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 7 — — $6,489.00 $100,649.17 $34,023.39 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 64 24 — — $29,684.16 $65,083.49 $33,989.52 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 24 — — $14,364.00 $146,880.12 $33,979.16 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 64 24 — — $35,221.02 $75,939.79 $33,902.10 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 8 5 — — $14,105.00 $87,797.28 $33,884.56 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 64 24 — — $30,122.59 $61,853.07 $33,798.41 2026-04-01
665 MS_DRG Prostatectomy With Mcc 65 24 — — $31,891.31 $68,696.23 $33,783.77 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 7 — — $8,024.00 $93,557.06 $33,619.31 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 12 7 — — $1,310.00 $102,381.68 $33,598.29 2026-04-01
800 MS_DRG Splenic Procedures With Cc 64 24 — — $28,777.32 $66,766.57 $33,578.92 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 7 — — $5,678.00 $102,381.68 $33,507.29 2026-04-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 8 5 — — $1,310.00 $111,741.56 $33,462.93 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 64 24 — — $36,265.68 $81,728.76 $33,447.74 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 64 24 — — $24,593.71 $52,869.88 $33,375.90 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 64 24 — — $29,500.39 $61,543.15 $33,285.54 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 7 — — $4,243.00 $102,381.68 $33,233.04 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 67 24 — — $11,158.00 $61,773.90 $33,042.37 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 62 24 — — $30,445.18 $57,642.96 $33,017.07 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 63 24 — — $27,892.46 $53,478.11 $33,006.11 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 7 — — $4,035.00 $100,649.17 $32,785.72 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 64 24 — — $21,544.64 $47,130.67 $32,765.71 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 64 24 — — $36,382.53 $88,008.63 $32,311.63 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 67 24 — — $14,364.00 $92,315.86 $32,258.74 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 67 24 — — $11,158.00 $58,462.03 $32,231.25 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 67 24 — — $11,158.00 $47,404.40 $32,161.61 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 65 24 — — $28,164.11 $63,432.09 $32,143.75 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 67 24 — — $11,158.00 $52,600.67 $31,963.80 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 64 24 — — $27,746.65 $60,649.58 $31,961.91 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 64 24 — — $20,047.57 $38,627.77 $31,955.34 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 12 7 — — $4,243.00 $102,381.68 $31,854.54 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 59 24 — — $35,061.23 $35,061.23 $31,752.51 2026-04-01
849 MS_DRG Radiotherapy 64 24 — — $27,779.61 $56,272.23 $31,561.51 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 64 24 — — $31,295.08 $66,277.94 $31,388.77 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 67 24 — — $11,158.00 $70,965.21 $31,139.02 2026-04-01
0426T CPT Insj/rplc Nstim Apnea Stm Ld 3 2 — — $12,647.00 $65,271.00 $31,031.33 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 7 — — $11,564.00 $85,254.37 $30,929.81 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 7 — — $11,564.00 $85,254.37 $30,929.81 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 7 — — $11,564.00 $85,254.37 $30,929.81 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 64 24 — — $18,177.97 $39,475.39 $30,910.88 2026-04-01
503 MS_DRG Foot Procedures With Mcc 67 24 — — $11,158.00 $59,466.45 $30,872.49 2026-04-01
570 MS_DRG Skin Debridement With Mcc 64 24 — — $30,092.63 $64,162.78 $30,801.38 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 7 — — $4,035.00 $100,649.17 $30,787.64 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 67 24 — — $11,158.00 $57,464.40 $30,754.39 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 10 6 — — $1,310.00 $102,381.68 $30,735.65 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 64 24 — — $34,959.36 $73,795.23 $30,720.18 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 64 24 — — $26,611.11 $60,398.48 $30,685.96 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 64 24 — — $26,362.43 $61,246.80 $30,612.17 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 67 24 — — $14,364.00 $90,216.54 $30,590.14 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 64 24 — — $24,660.63 $57,437.26 $30,476.56 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 43 20 — — $23,729.04 $38,344.29 $30,418.47 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 63 24 — — $32,981.91 $57,969.84 $30,394.13 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 64 24 — — $23,944.55 $50,983.20 $30,315.03 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 64 24 — — $34,791.58 $74,539.49 $30,149.26 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 64 24 — — $26,478.28 $56,735.98 $30,017.90 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 45 20 — — $14,364.00 $44,977.06 $29,996.18 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 64 24 — — $26,478.28 $52,743.19 $29,734.09 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 64 24 — — $25,916.01 $56,821.94 $29,705.32 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 67 24 — — $11,158.00 $113,490.05 $29,573.14 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 3 2 — — $16,413.00 $51,951.00 $29,353.33 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 7 — — $11,564.00 $72,552.31 $29,351.87 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 62 24 — — $24,637.66 $46,544.19 $29,259.18 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 64 24 — — $22,770.06 $49,268.45 $29,170.17 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $29,130.86 $29,130.86 $29,130.86 2026-04-01
81211 HCPCS Brca1&2 Seq & Com Dup/del 2 1 — — $26,426.08 $31,711.29 $29,068.69 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 64 24 — — $25,279.83 $53,317.79 $29,056.74 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 12 7 — — $10,482.00 $88,503.57 $28,823.41 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 45 20 — — $14,364.00 $42,513.52 $28,684.48 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 67 24 — — $14,364.00 $56,710.00 $28,465.72 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 6 — — $1,310.00 $100,649.17 $28,376.79 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 6 — — $1,310.00 $100,649.17 $28,376.79 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 12 7 — — $7,824.00 $88,503.57 $28,368.00 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 10 6 — — $1,310.00 $100,649.17 $28,349.37 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 10 6 — — $1,310.00 $100,649.17 $28,349.37 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 41 22 — — — — $28,315.06 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 67 24 — — $14,364.00 $72,419.81 $28,306.75 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $4,464.78 $52,091.10 $28,277.94 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 64 24 — — $19,003.91 $41,497.80 $28,185.54 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 64 24 — — $15,131.90 $28,501.46 $28,184.11 2026-04-01
81436 HCPCS Hereditary Colon Ca Dsordrs 2 1 — — $25,503.56 $30,604.28 $28,053.92 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 64 24 — — $50,529.31 $121,654.33 $27,935.33 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 11 6 — — $1,310.00 $100,649.17 $27,923.24 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 65 24 — — $21,869.22 $49,521.82 $27,905.27 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 64 24 — — $23,801.73 $56,500.71 $27,767.78 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 6 4 — — $14,105.00 $59,792.66 $27,680.78 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 12 7 — — $6,489.00 $88,503.57 $27,506.33 2026-04-01
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