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 LITTLE COMPANY OF MARY MED CTR TORRANCE

Torrance, CA · CCN 050353 · Rates published

17,233 distinct procedures filed
24 distinct payers
608,452 rate rows
2026-04-01 last MRF observed
Data quality

465,272 of 608,452 rate rows are consumer-grade (76.5%)

143,180 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 140,324
template filing: same amount across many unrelated codes — excluded 2,190
placeholder amount (≤ $0.02) — excluded from medians 666
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/socal/live/421672810_providence-little-company-of-mary-med-center-torrance_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 efa901a556d7f9ea… · 222,495,611 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,335,000.00 $4,955,500.00 $4,845,000.00 nat. median
$4,505,000
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
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
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 $828,780.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $566,416.65 $1,259,378.89 $633,053.90 nat. median
$675,122
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
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $541,977.41 $1,203,238.19 $612,113.19 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $538,878.68 $1,197,931.51 $602,276.17 nat. median
$625,184
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 2 $535,500.00 $598,500.00 $598,500.00 nat. median
$459,112
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $513,651.60 $1,138,157.11 $574,081.20 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $471,240.00 $1,052,208.19 $526,680.00 nat. median
$620,080
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $598,500.00 $514,762.50 nat. median
$324,450
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $427,601.99 $915,068.26 $463,648.34 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $272,389.82 $1,523,440.00 $351,151.14 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $211,708.67 $892,106.00 $287,449.17 nat. median
$206,368
1.4× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $260,769.00 $260,769.00 $260,769.00 nat. median
$29,793
outlier · 8.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $16,171.00 $1,180,323.00 $235,562.40 nat. median
$202,986
1.2× 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×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $70,423.43 $717,116.00 $171,202.30 nat. median
$133,176
1.3× median
7
MS_DRG 		Lung Transplant 19 $128,640.52 $617,611.00 $162,954.57 nat. median
$122,708
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $119,421.27 $470,914.00 $158,743.61 nat. median
$117,303
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $129,436.69 $631,336.00 $153,202.15 nat. median
$87,411
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $112,636.63 $823,480.00 $146,427.62 nat. median
$108,660
1.3× 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
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $118,560.67 $555,851.00 $140,329.21 nat. median
$63,570
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $97,063.43 $696,528.00 $133,298.48 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 20 $40,635.57 $789,170.00 $128,369.92 nat. median
$99,019
1.3× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $103,652.41 $511,245.00 $122,683.70 nat. median
$54,196
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 15 $112,508.07 $240,767.27 $112,508.07 nat. median
$98,017
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $94,777.01 $384,292.00 $112,178.72 nat. median
$65,381
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $93,087.53 $432,328.00 $110,179.04 nat. median
$49,935
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $4,048.64 $234,469.51 $109,565.19 nat. median
$98,905
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $83,678.52 $545,557.00 $108,782.08 nat. median
$81,118
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $108,110.56 $231,356.60 $108,110.56 nat. median
$102,358
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $67,138.44 $228,172.23 $104,321.29 nat. median
$76,377
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $87,460.16 $404,878.00 $103,518.43 nat. median
$44,728
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $27,040.18 $490,657.00 $102,672.19 nat. median
$79,312
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $150.00 $648,490.00 $102,184.96 nat. median
$93,672
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $85,855.15 $449,484.00 $101,618.74 nat. median
$62,270
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $75,930.72 $384,292.00 $100,287.26 nat. median
$72,138
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $77,411.37 $531,832.00 $99,789.36 nat. median
$77,576
1.3× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $97,225.26 $97,225.26 $97,225.26 nat. median
$21,806
outlier · 4.5×

Other procedures at this hospital

Browse this hospital's 17,233 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
             
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 106 20 — — $34.58 $349,980.00 $49,786.32 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 94 20 — — $140.00 $325,961.00 $59,696.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 94 19 — — $40,273.77 $322,530.00 $55,592.87 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 92 19 — — $8,727.80 $449,484.00 $96,869.61 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 90 19 — — $6,670.68 $212,734.00 $41,811.69 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 88 19 — — $140.00 $367,136.00 $72,374.95 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 88 20 — — $28,285.43 $223,063.45 $44,625.63 2026-04-01
215 MS_DRG Other Heart Assist System Implant 86 20 — — $40,635.57 $789,170.00 $128,369.92 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 86 20 — — $2,130.00 $192,338.00 $64,293.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 19 — — $9,757.32 $437,546.74 $83,063.43 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 20 — — $42,981.53 $332,823.00 $65,477.44 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 84 20 — — $26,630.98 $322,530.00 $57,107.33 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 84 20 — — $11,553.39 $236,750.00 $37,747.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 82 19 — — $16,171.00 $1,180,323.00 $235,562.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 82 20 — — $70,423.43 $717,116.00 $171,202.30 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 82 19 — — $33,063.46 $236,750.00 $48,802.99 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 80 20 — — $8,135.40 $500,951.00 $49,503.13 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 80 20 — — $2,100.00 $178,421.00 $47,548.96 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 80 20 — — $4,873.38 $264,200.00 $34,271.55 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 80 19 — — $200.00 $168,127.00 $34,197.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 78 20 — — $18,262.34 $408,309.00 $58,221.44 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 78 19 — — $5,169.65 $301,942.00 $56,940.43 2026-04-01
791 MS_DRG Prematurity With Major Problems 78 19 — — $6,519.00 $205,871.00 $52,933.40 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 78 19 — — $28,294.29 $168,127.00 $38,626.70 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 76 19 — — $150.00 $648,490.00 $102,184.96 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 76 19 — — $77,411.37 $531,832.00 $99,789.36 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 76 19 — — $7,284.55 $295,082.00 $62,259.95 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 76 19 — — $30,884.98 $322,530.00 $60,969.57 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 76 19 — — $33,397.94 $453,391.13 $55,039.41 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 76 19 — — $41,701.22 $247,044.00 $54,454.18 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 76 19 — — $35,746.95 $127,656.00 $50,186.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 76 19 — — $29,975.80 $192,146.00 $41,232.23 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 76 19 — — $23,736.55 $185,284.00 $36,914.15 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 76 20 — — $8,072.66 $185,284.00 $34,475.86 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 74 20 — — $4,612.15 $329,392.00 $78,369.12 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 74 19 — — $44,725.45 $349,286.00 $72,585.68 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 74 19 — — $38,019.00 $370,567.00 $61,538.61 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 74 20 — — $40,962.97 $305,373.00 $59,228.65 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 74 19 — — $5,295.76 $291,651.00 $57,259.86 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 74 19 — — $45,821.59 $266,374.00 $57,003.21 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 74 19 — — $38,474.57 $229,888.00 $54,602.03 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 74 19 — — $4,906.41 $188,715.00 $45,596.86 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 74 19 — — $50.00 $195,577.00 $38,998.58 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 74 20 — — $9,011.10 $311,199.04 $36,181.36 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 74 19 — — $9,513.75 $157,834.00 $35,801.43 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 74 19 — — $9,935.93 $202,440.00 $34,948.80 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 72 19 — — $49,331.47 $363,705.00 $73,745.21 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 19 — — $48,787.39 $339,686.00 $66,741.89 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 72 20 — — $32,331.40 $288,219.00 $62,525.48 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 72 20 — — $15,316.30 $275,021.39 $58,195.31 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 72 19 — — $12,777.24 $267,632.00 $47,206.63 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 72 20 — — $25.00 $118,813.00 $46,111.37 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 72 19 — — $9,416.87 $322,530.00 $37,526.30 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 72 19 — — $13,956.22 $181,852.00 $36,727.89 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 72 19 — — $7,223.30 $185,284.00 $36,187.42 2026-04-01
503 MS_DRG Foot Procedures With Mcc 72 20 — — $50.00 $147,540.00 $34,093.54 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 70 20 — — $97,063.43 $696,528.00 $133,298.48 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 70 20 — — $27,040.18 $490,657.00 $102,672.19 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 19 — — $58,720.41 $363,705.00 $77,411.23 2026-04-01
245 MS_DRG Aicd Generator Procedures 70 19 — — $6,208.58 $257,338.00 $59,209.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 70 19 — — $35,891.32 $264,200.00 $49,458.99 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 70 20 — — $36,009.00 $192,146.00 $48,234.14 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 70 20 — — $25,275.38 $178,421.00 $47,953.24 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 70 19 — — $31,939.29 $202,440.00 $46,508.31 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 70 19 — — $12,883.99 $253,907.00 $45,702.90 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 20 — — $33,947.38 $219,594.00 $42,445.85 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 70 19 — — $24,671.89 $209,303.00 $41,667.94 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 70 19 — — $19,512.55 $219,594.00 $41,280.20 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 70 20 — — $18,246.00 $103,306.50 $37,814.73 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 19 — — $272,389.82 $1,523,440.00 $351,151.14 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 19 — — $75,930.72 $384,292.00 $100,287.26 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 19 — — $75,016.06 $518,107.00 $96,604.96 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 19 — — $13,138.88 $346,548.00 $78,035.82 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 68 19 — — $59,206.22 $332,823.00 $75,826.37 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 19 — — $56,579.86 $363,705.00 $73,345.76 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 19 — — $55,195.08 $291,651.00 $73,055.99 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 68 19 — — $47,326.92 $284,788.00 $60,840.21 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 68 19 — — $41,810.05 $257,338.00 $54,191.51 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 68 19 — — $24,573.10 $229,888.00 $52,359.75 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 68 19 — — $9,384.44 $295,082.00 $51,711.43 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 68 19 — — $38,174.48 $144,202.00 $50,370.57 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 68 20 — — $37,432.97 $209,303.00 $50,364.21 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 68 19 — — $16,571.80 $205,871.00 $48,814.85 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 68 19 — — $34,907.39 $126,955.00 $45,543.54 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 68 20 — — $33,613.95 $161,265.00 $44,711.96 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 68 19 — — $22,010.30 $178,421.00 $42,640.79 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 68 19 — — $31,975.91 $209,303.00 $40,577.99 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 68 19 — — $25,170.94 $178,421.00 $40,355.51 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 68 19 — — $10,993.84 $195,577.00 $39,595.24 2026-04-01
570 MS_DRG Skin Debridement With Mcc 68 20 — — $29,663.41 $99,538.00 $39,247.35 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 68 19 — — $6,998.65 $174,990.00 $38,953.99 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 68 19 — — $29,276.76 $161,265.00 $38,586.90 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 68 19 — — $28,261.19 $188,715.00 $37,626.42 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 68 19 — — $29,258.96 $178,421.00 $37,320.70 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 68 19 — — $9,208.65 $137,246.00 $36,932.84 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 68 19 — — $27,340.55 $199,009.00 $36,409.75 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 68 19 — — $26,791.73 $102,936.00 $35,347.04 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 66 19 — — $211,708.67 $892,106.00 $287,449.17 2026-04-01
7 MS_DRG Lung Transplant 66 19 — — $128,640.52 $617,611.00 $162,954.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 66 19 — — $119,421.27 $470,914.00 $158,743.61 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 66 19 — — $112,636.63 $823,480.00 $146,427.62 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 19 — — $83,678.52 $545,557.00 $108,782.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 66 19 — — $71,508.48 $322,530.00 $91,148.17 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 66 19 — — $68,593.29 $255,130.00 $89,171.28 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 66 19 — — $67,141.63 $329,392.00 $87,284.12 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 19 — — $65,600.97 $449,484.00 $85,281.26 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 66 19 — — $60,531.03 $356,842.00 $78,690.34 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 66 19 — — $65,364.63 $205,871.00 $77,959.65 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 66 19 — — $59,216.82 $250,820.00 $76,981.87 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 66 19 — — $56,002.00 $312,236.00 $72,802.60 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 19 — — $65,600.97 $349,980.00 $72,411.11 2026-04-01
10 MS_DRG Pancreas Transplant 66 19 — — $50,933.60 $240,182.00 $71,538.15 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 66 19 — — $54,867.76 $295,082.00 $71,328.09 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 66 19 — — $54,675.92 $363,705.00 $71,078.70 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 66 19 — — $54,513.74 $315,667.00 $70,625.90 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 66 19 — — $54,298.17 $177,600.00 $70,587.62 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 66 19 — — $51,965.42 $373,999.00 $67,555.05 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 66 19 — — $49,046.28 $219,594.00 $65,370.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 19 — — $50,420.81 $281,357.00 $62,675.71 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 66 19 — — $48,088.06 $411,740.00 $62,514.48 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 66 19 — — $46,837.14 $295,082.00 $60,888.28 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 66 19 — — $46,433.68 $315,667.00 $60,363.78 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 66 19 — — $45,364.71 $305,373.00 $58,974.12 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 66 19 — — $44,886.09 $281,357.00 $57,189.21 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 66 19 — — $43,030.97 $223,025.00 $55,940.26 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 66 19 — — $42,341.73 $158,590.00 $55,044.25 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 19 — — $41,841.36 $301,942.00 $54,393.77 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 66 19 — — $42,270.53 $195,577.00 $53,949.32 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 66 19 — — $37,790.94 $226,456.00 $49,128.22 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 66 19 — — $39,977.34 $219,594.00 $48,922.62 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 66 19 — — $36,901.95 $188,715.00 $47,972.54 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 66 19 — — $38,798.60 $161,265.00 $47,612.54 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 66 19 — — $36,433.22 $202,440.00 $47,363.19 2026-04-01
332 MS_DRG Rectal Resection With Mcc 66 19 — — $36,383.78 $291,651.00 $47,298.91 2026-04-01
265 MS_DRG Aicd Lead Procedures 66 19 — — $36,359.06 $140,677.00 $47,266.78 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 66 19 — — $36,295.77 $205,871.00 $47,184.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 66 19 — — $35,065.61 $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… 66 19 — — $35,838.91 $274,494.00 $46,590.58 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 66 19 — — $35,809.25 $229,888.00 $46,552.02 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 66 19 — — $35,382.05 $216,163.00 $45,996.67 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 66 19 — — $36,460.91 $171,559.00 $43,316.02 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 66 19 — — $33,134.35 $195,577.00 $43,074.66 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 66 19 — — $32,000.11 $267,632.00 $42,777.86 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 66 17 — — $7,058.35 $91,502.21 $42,758.04 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 66 19 — — $32,491.58 $212,734.00 $42,239.05 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 66 19 — — $32,429.28 $137,246.00 $42,158.06 2026-04-01
652 MS_DRG Kidney Transplant 66 19 — — $32,515.32 $188,715.00 $41,915.74 2026-04-01
665 MS_DRG Prostatectomy With Mcc 66 19 — — $31,444.37 $164,696.00 $41,602.51 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 19 — — $31,380.09 $168,127.00 $40,242.49 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 66 17 — — $9,126.21 $80,525.57 $40,006.70 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 66 19 — — $31,784.75 $137,246.00 $39,088.34 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 66 19 — — $30,448.57 $126,955.00 $38,445.53 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 66 19 — — $29,454.76 $144,108.00 $38,291.19 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 66 19 — — $31,651.04 $181,852.00 $38,288.10 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 66 19 — — $33,156.96 $240,182.00 $37,346.39 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 66 19 — — $29,132.39 $212,734.00 $37,209.91 2026-04-01
800 MS_DRG Splenic Procedures With Cc 66 19 — — $28,361.07 $164,696.00 $36,869.39 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 66 19 — — $29,077.01 $123,523.00 $36,164.47 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 66 19 — — $29,693.08 $154,402.00 $36,081.22 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 66 19 — — $27,613.48 $185,284.00 $35,897.52 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 66 19 — — $27,253.53 $154,402.00 $35,429.59 2026-04-01
849 MS_DRG Radiotherapy 66 19 — — $27,373.19 $78,917.00 $35,021.51 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 66 19 — — $26,660.21 $164,696.00 $34,658.27 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 66 19 — — $30,411.99 $130,383.00 $34,457.11 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 64 18 — — $44,712.05 $134,068.29 $55,674.79 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 18 — — $5,397.85 $153,999.49 $71,962.38 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 62 18 — — $40,337.29 $111,939.20 $44,371.02 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 60 17 — — $427,601.99 $915,068.26 $463,648.34 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 60 17 — — $71,131.72 $162,116.87 $85,358.07 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 17 — — $49,179.12 $156,247.19 $56,983.82 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 60 17 — — $47,070.51 $100,730.89 $53,800.29 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 60 17 — — $19,593.22 $92,816.36 $43,372.13 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 60 17 — — $37,225.31 $79,662.16 $41,510.24 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 16 — — $4,048.64 $234,469.51 $109,565.19 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 58 17 — — $45,019.06 $142,635.58 $66,652.14 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 58 17 — — $42,595.88 $176,456.37 $59,977.26 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 16 — — $10,870.27 $142,739.26 $66,700.59 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 16 — — $47,812.33 $119,031.66 $55,622.27 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 16 — — $46,250.74 $112,907.88 $46,250.74 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 17 — — $42,515.77 $90,983.75 $42,515.77 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 52 16 — — $108,110.56 $231,356.60 $108,110.56 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 52 16 — — $89,673.06 $191,900.35 $89,673.06 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 52 16 — — $86,211.02 $188,389.51 $86,211.02 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 16 — — $71,090.19 $152,133.01 $71,090.19 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 52 16 — — $57,608.91 $123,283.07 $57,608.91 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 52 16 — — $53,282.60 $114,024.76 $53,282.60 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 16 — — $36,242.37 $77,558.67 $36,242.37 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 40 9 — — $61,200.00 $262,005.76 $95,600.76 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 40 9 — — $1,528.00 $126,240.00 $55,342.07 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 40 9 — — $1,142.00 $173,128.88 $49,505.00 2026-04-01
69930 HCPCS Implant Cochlear Device 40 9 — — $3,409.00 $126,240.00 $43,842.70 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 40 9 — — $1,528.00 $126,240.00 $41,737.46 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 40 9 — — $1,528.00 $126,240.00 $41,737.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 40 9 — — $4,589.00 $126,240.00 $41,737.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 40 9 — — $1,142.00 $126,240.00 $41,737.46 2026-04-01
61886 HCPCS Implant Neurostim Arrays 40 9 — — $1,747.00 $126,240.00 $41,031.17 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 40 9 — — $2,160.00 $126,240.00 $38,139.97 2026-04-01
J9266 HCPCS Pegaspargase Injection 40 9 — — $5,467.59 $68,025.01 $37,674.06 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 40 9 — — $1,528.00 $126,240.00 $35,775.58 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 40 9 — — $1,528.00 $93,018.00 $35,775.58 2026-04-01
J9226 HCPCS Supprelin La Implant 38 9 — — $41,173.43 $97,205.89 $63,681.98 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 38 9 — — $1,747.00 $74,683.62 $34,898.89 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 36 7 — — $353.00 $1,314,346.93 $617,002.34 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 15 — — $112,508.07 $240,767.27 $112,508.07 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 36 9 — — $56,269.19 $135,369.76 $76,350.99 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 15 — — $57,013.61 $122,009.13 $57,013.61 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 36 9 — — $353.00 $121,233.42 $50,873.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 36 8 — — $353.00 $126,240.00 $43,352.31 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 36 8 — — $1,142.00 $93,018.00 $43,352.31 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 15 — — $34,583.05 $74,007.73 $34,583.05 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 36 8 — — $3,409.00 $93,018.00 $33,953.83 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 36 8 — — $3,409.00 $93,018.00 $33,953.83 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 36 8 — — $3,409.00 $93,018.00 $33,953.83 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 32 8 — — $353.00 $121,233.42 $36,205.57 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 32 8 — — $353.00 $84,932.66 $35,775.58 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 30 8 — — $56,824.55 $242,685.70 $90,765.85 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 28 7 — — $541,977.41 $1,203,238.19 $612,113.19 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 28 9 — — $353.00 $86,394.63 $43,352.31 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 28 9 — — $353.00 $84,932.66 $40,085.04 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 28 9 — — $353.00 $84,932.66 $40,085.04 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 26 7 — — $2,244,000.00 $4,990,480.00 $2,508,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 26 7 — — $741,540.00 $1,656,833.00 $828,780.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 26 7 — — $566,416.65 $1,259,378.89 $633,053.90 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 26 7 — — $538,878.68 $1,197,931.51 $602,276.17 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 7 — — $513,651.60 $1,138,157.11 $574,081.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 26 7 — — $471,240.00 $1,052,208.19 $526,680.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 26 7 — — $278,250.00 $598,500.00 $514,762.50 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 8 — — $9,648.00 $74,087.61 $38,082.42 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 26 5 — — $11,453.13 $57,795.52 $34,365.59 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 24 7 — — $2,439,539.81 $4,786,111.43 $2,726,544.49 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 6 — — $3,570,000.00 $4,798,885.00 $3,990,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 6 — — $3,264,000.00 $4,317,789.29 $3,648,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 22 6 — — $3,162,000.00 $4,218,995.81 $3,534,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 22 6 — — $2,856,000.00 $3,819,816.00 $3,192,000.00 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 22 8 — — $353.00 $94,292.96 $46,162.94 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 22 8 — — $353.00 $74,087.61 $36,271.02 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 20 4 — — $67,138.44 $228,172.23 $104,321.29 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 20 7 — — $9,648.00 $74,683.62 $37,475.79 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 20 7 — — $9,648.00 $74,683.62 $37,475.79 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 20 4 — — $184.45 $78,458.44 $35,203.58 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 18 5 — — $4,335,000.00 $4,955,500.00 $4,845,000.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 6 — — $108,243.35 $231,640.77 $141,278.11 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 16 6 — — $68,801.71 $147,235.66 $92,558.54 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 16 6 — — $48,155.50 $103,052.77 $64,783.31 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 16 6 — — $44,356.85 $94,923.66 $59,673.01 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 16 6 — — $39,938.10 $85,467.53 $53,728.50 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 16 6 — — $34,970.13 $74,836.08 $47,045.11 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 16 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 16 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 16 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 16 6 — — $29,510.19 $63,151.81 $39,699.88 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 16 6 — — $28,851.23 $61,741.63 $38,813.39 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 16 6 — — $28,715.00 $61,450.10 $38,630.12 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 14 2 — — $535,500.00 $598,500.00 $598,500.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 3 — — $129,436.69 $631,336.00 $153,202.15 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 14 3 — — $118,560.67 $555,851.00 $140,329.21 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 14 3 — — $103,652.41 $511,245.00 $122,683.70 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 3 — — $94,777.01 $384,292.00 $112,178.72 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 14 3 — — $93,087.53 $432,328.00 $110,179.04 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 14 3 — — $87,460.16 $404,878.00 $103,518.43 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 14 3 — — $85,855.15 $449,484.00 $101,618.74 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 14 3 — — $79,219.72 $380,861.00 $93,765.00 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 14 3 — — $73,941.50 $322,530.00 $87,517.66 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 14 3 — — $67,452.49 $329,392.00 $79,837.22 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 3 — — $55,368.48 $229,888.00 $65,534.51 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 14 3 — — $44,685.34 $181,852.00 $52,889.87 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 14 3 — — $44,006.73 $202,440.00 $52,086.66 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 14 3 — — $39,404.31 $205,871.00 $46,639.20 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 14 3 — — $32,609.78 $137,246.00 $38,597.16 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 10 1 — — $3,570,000.00 $3,990,000.00 $3,990,000.00 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 10 1 — — $3,570,000.00 $3,990,000.00 $3,990,000.00 2026-04-01
90288 HCPCS Botulism Ig IV 6 2 — — $2,122.73 $96,922.95 $96,922.95 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 6 2 — — $46,731.97 $126,955.00 $87,923.97 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 6 2 — — $3,816.00 $126,240.00 $78,268.00 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 6 2 — — $3,816.00 $126,240.00 $78,268.00 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 6 2 — — $3,816.00 $126,240.00 $78,268.00 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 6 2 — — $39,781.17 $130,383.00 $74,846.37 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 6 2 — — $37,306.68 $99,504.00 $70,190.75 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 6 2 — — $2,559.00 $93,018.00 $57,671.00 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 6 2 — — $27,620.74 $72,054.00 $51,967.11 2026-04-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 6 2 — — $25,120.19 $75,486.00 $47,262.45 2026-04-01
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/Mcc 6 2 — — $21,010.53 $51,467.00 $39,530.32 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 1 — — $132,218.57 $148,895.03 $140,556.80 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $97,225.26 $97,225.26 $97,225.26 2026-04-01
L8614 HCPCS Cochlear Device 4 1 — — $33,581.40 $37,816.96 $35,699.18 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $260,769.00 $260,769.00 $260,769.00 2026-04-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 1 — — $212,734.00 $212,734.00 $212,734.00 2026-04-01
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 2 1 — — $140,677.00 $140,677.00 $140,677.00 2026-04-01
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/Mcc 2 1 — — $92,642.00 $92,642.00 $92,642.00 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 2 1 — — $92,579.04 $92,579.04 $92,579.04 2026-04-01
986 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis Without Cc/Mcc 2 1 — — $82,348.00 $82,348.00 $82,348.00 2026-04-01
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/Mcc 2 1 — — $75,486.00 $75,486.00 $75,486.00 2026-04-01
765 MS_DRG Cesarean Section W Cc/Mcc 2 1 — — $68,623.00 $68,623.00 $68,623.00 2026-04-01
767 MS_DRG Vaginal Delivery W Sterilization &/Or D&c 2 1 — — $61,760.00 $61,760.00 $61,760.00 2026-04-01
685 MS_DRG Admit For Renal Dialysis 2 1 — — $54,898.00 $54,898.00 $54,898.00 2026-04-01
766 MS_DRG Cesarean Section Without Cc/Mcc 2 1 — — $48,035.00 $48,035.00 $48,035.00 2026-04-01
777 MS_DRG Ectopic Pregnancy 2 1 — — $48,035.00 $48,035.00 $48,035.00 2026-04-01
781 MS_DRG Other Antepartum Diagnoses W Medical Complications 2 1 — — $41,175.00 $41,175.00 $41,175.00 2026-04-01
774 MS_DRG Vaginal Delivery W Complicating Diagnoses 2 1 — — $41,175.00 $41,175.00 $41,175.00 2026-04-01
999 MS_DRG Ungroupable 2 1 — — $38,747.13 $38,747.13 $38,747.13 2026-04-01
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