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

MEMORIALCARE LONG BEACH MEDICAL CENTER

Long Beach, CA · CCN 050485 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $1,139 across 13 payers · range $457-$2,920

Source: https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/953527031-1477596583_long-beach-memorial-medical-center_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,624 distinct procedures filed
51 distinct payers
1,046,432 rate rows
2026-04-01 last MRF observed
Data quality

892,942 of 1,046,432 rate rows are consumer-grade (85.3%)

153,490 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 152,666
placeholder amount (≤ $0.02) — excluded from medians 676
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 104
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/953527031-1477596583_long-beach-memorial-medical-center_standardcharges.json
Found on page https://www.memorialcare.org/patients-visitors/patient-financial-tools-and-resources#MRF
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-16
Content fingerprint 613f5f0712e97350… · 113,005,590 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $0.03 $4,606,583.33 $3,627,633.33 nat. median
$3,703,693
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 11 $0.03 $4,060,557.14 $3,403,326.27 nat. median
$3,286,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $0.03 $4,145,578.24 $3,290,231.29 nat. median
$3,324,572
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 11 $0.03 $4,772,098.80 $3,089,607.52 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $0.03 $4,419,199.09 $2,528,763.92 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $0.03 $4,780,600.00 $2,518,560.00 nat. median
$2,401,960
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $0.03 $1,819,201.27 $673,379.56 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $0.03 $1,808,493.27 $669,415.98 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $0.03 $1,791,710.79 $663,203.93 nat. median
$622,245
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $0.03 $1,902,329.27 $639,064.30 nat. median
$738,272
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $0.03 $1,714,271.50 $634,539.68 nat. median
$608,101
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $0.03 $1,573,056.04 $582,268.60 nat. median
$591,650
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 29 $443,652.97 $1,422,560.73 $514,668.81 nat. median
$359,358
1.4× median
5834
OTHER 		Description Not Available 12 $457,942.90 $457,942.90 $457,942.90 nat. median
$372,748
1.2× median
5884
OTHER 		Description Not Available 12 $375,637.05 $375,637.05 $375,637.05 nat. median
$243,175
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $102,678.36 $1,062,535.19 $352,647.18 nat. median
$249,124
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $219,719.35 $894,907.05 $277,540.24 nat. median
$198,433
1.4× median
6304
OTHER 		Description Not Available 12 $272,651.93 $272,651.93 $272,651.93 nat. median
$177,388
1.5× median
5833
OTHER 		Description Not Available 12 $251,874.54 $251,874.54 $251,874.54 nat. median
$241,478
1.0× median
5934
OTHER 		Description Not Available 12 $244,987.26 $244,987.26 $244,987.26 nat. median
$151,840
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $176,704.78 $1,245,843.91 $244,876.17 nat. median
$190,557
1.3× median
5914
OTHER 		Description Not Available 12 $236,576.22 $236,576.22 $236,576.22 nat. median
$157,493
1.5× median
6094
OTHER 		Description Not Available 12 $235,067.33 $235,067.33 $235,067.33 nat. median
$163,006
1.4× median
6314
OTHER 		Description Not Available 12 $225,672.45 $225,672.45 $225,672.45 nat. median
$156,971
1.4× median
1614
OTHER 		Description Not Available 12 $199,529.50 $199,529.50 $199,529.50 nat. median
$188,156
1.1× median
6034
OTHER 		Description Not Available 12 $196,928.78 $196,928.78 $196,928.78 nat. median
$114,956
1.7× median
5832
OTHER 		Description Not Available 12 $185,733.18 $185,733.18 $185,733.18 nat. median
$183,648
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 $127,710.03 $532,999.10 $176,968.22 nat. median
$126,722
1.4× median
6024
OTHER 		Description Not Available 12 $175,607.22 $175,607.22 $175,607.22 nat. median
$119,134
1.5× median
7
MS_DRG 		Lung Transplant 29 $133,557.58 $492,966.93 $168,704.32 nat. median
$117,894
1.4× median
5883
OTHER 		Description Not Available 12 $168,055.60 $168,055.60 $168,055.60 nat. median
$168,056
1.0× median
5882
OTHER 		Description Not Available 12 $164,558.08 $164,558.08 $164,558.08 nat. median
$138,777
1.2× median
5831
OTHER 		Description Not Available 12 $160,507.14 $160,507.14 $160,507.14 nat. median
$144,202
1.1× median
1613
OTHER 		Description Not Available 12 $152,860.98 $152,860.98 $152,860.98 nat. median
$78
outlier · 1961.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 $116,957.67 $415,701.65 $147,736.01 nat. median
$103,967
1.4× median
8414
OTHER 		Description Not Available 12 $140,708.86 $140,708.86 $140,708.86 nat. median
$140,709
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $123,090.99 $494,211.80 $137,047.10 nat. median
$110,192
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 12 $70,358.18 $347,989.48 $135,304.19 nat. median
$111,503
1.2× median
6074
OTHER 		Description Not Available 12 $134,880.80 $134,880.80 $134,880.80 nat. median
$81,519
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 30 $65,623.01 $401,702.46 $130,993.79 nat. median
$94,964
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 29 $102,288.62 $399,650.30 $128,369.92 nat. median
$93,917
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $116,158.10 $152,343.93 $126,444.80 nat. median
$52,841
outlier · 2.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 $5,413.03 $395,402.64 $125,747.84 nat. median
$93,270
1.3× median
44
MS_DRG 		Acute Major Eye Infections 12 $125,035.63 $125,035.63 $125,035.63 nat. median
$15,872
outlier · 7.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $20,886.00 $410,925.86 $124,080.21 nat. median
$97,414
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 28 $116,824.33 $303,743.26 $122,972.98 nat. median
$92,655
1.3× median
1612
OTHER 		Description Not Available 12 $122,733.22 $122,733.22 $122,733.22 nat. median
$96,189
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $62,767.03 $364,046.86 $122,347.41 nat. median
$90,581
1.4× median
1611
OTHER 		Description Not Available 12 $116,597.22 $116,597.22 $116,597.22 nat. median
$67,062
1.7× median
5933
OTHER 		Description Not Available 12 $109,404.88 $109,404.88 $109,404.88 nat. median
$109,130
1.0× median

Other procedures at this hospital

Browse this hospital's 15,624 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 36 12 — — $0.03 $4,606,583.33 $3,627,633.33 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 26 11 — — $0.03 $4,060,557.14 $3,403,326.27 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 36 12 — — $0.03 $4,145,578.24 $3,290,231.29 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 28 11 — — $0.03 $4,772,098.80 $3,089,607.52 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 42 12 — — $0.03 $4,419,199.09 $2,528,763.92 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 34 11 — — $0.03 $4,780,600.00 $2,518,560.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 64 14 — — $0.03 $1,819,201.27 $673,379.56 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 64 14 — — $0.03 $1,808,493.27 $669,415.98 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 64 14 — — $0.03 $1,791,710.79 $663,203.93 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 74 14 — — $0.03 $1,902,329.27 $639,064.30 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 64 14 — — $0.03 $1,714,271.50 $634,539.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 64 14 — — $0.03 $1,573,056.04 $582,268.60 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 118 29 — — $443,652.97 $1,422,560.73 $514,668.81 2026-04-01
5834 OTHER Description Not Available 26 12 — — $457,942.90 $457,942.90 $457,942.90 2026-04-01
5884 OTHER Description Not Available 26 12 — — $375,637.05 $375,637.05 $375,637.05 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 120 29 — — $102,678.36 $1,062,535.19 $352,647.18 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 118 29 — — $219,719.35 $894,907.05 $277,540.24 2026-04-01
6304 OTHER Description Not Available 26 12 — — $272,651.93 $272,651.93 $272,651.93 2026-04-01
5833 OTHER Description Not Available 26 12 — — $251,874.54 $251,874.54 $251,874.54 2026-04-01
5934 OTHER Description Not Available 26 12 — — $244,987.26 $244,987.26 $244,987.26 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 148 30 — — $176,704.78 $1,245,843.91 $244,876.17 2026-04-01
5914 OTHER Description Not Available 26 12 — — $236,576.22 $236,576.22 $236,576.22 2026-04-01
6094 OTHER Description Not Available 26 12 — — $235,067.33 $235,067.33 $235,067.33 2026-04-01
6314 OTHER Description Not Available 26 12 — — $225,672.45 $225,672.45 $225,672.45 2026-04-01
1614 OTHER Description Not Available 26 12 — — $199,529.50 $199,529.50 $199,529.50 2026-04-01
6034 OTHER Description Not Available 26 12 — — $196,928.78 $196,928.78 $196,928.78 2026-04-01
5832 OTHER Description Not Available 26 12 — — $185,733.18 $185,733.18 $185,733.18 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 134 29 — — $127,710.03 $532,999.10 $176,968.22 2026-04-01
6024 OTHER Description Not Available 26 12 — — $175,607.22 $175,607.22 $175,607.22 2026-04-01
7 MS_DRG Lung Transplant 118 29 — — $133,557.58 $492,966.93 $168,704.32 2026-04-01
5883 OTHER Description Not Available 26 12 — — $168,055.60 $168,055.60 $168,055.60 2026-04-01
5882 OTHER Description Not Available 26 12 — — $164,558.08 $164,558.08 $164,558.08 2026-04-01
5831 OTHER Description Not Available 26 12 — — $160,507.14 $160,507.14 $160,507.14 2026-04-01
1613 OTHER Description Not Available 26 12 — — $152,860.98 $152,860.98 $152,860.98 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 118 29 — — $116,957.67 $415,701.65 $147,736.01 2026-04-01
8414 OTHER Description Not Available 26 12 — — $140,708.86 $140,708.86 $140,708.86 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 144 32 — — $123,090.99 $494,211.80 $137,047.10 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 46 12 — — $70,358.18 $347,989.48 $135,304.19 2026-04-01
6074 OTHER Description Not Available 26 12 — — $134,880.80 $134,880.80 $134,880.80 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 124 30 — — $65,623.01 $401,702.46 $130,993.79 2026-04-01
215 MS_DRG Other Heart Assist System Implant 122 29 — — $102,288.62 $399,650.30 $128,369.92 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 1 — — $116,158.10 $152,343.93 $126,444.80 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 128 29 — — $5,413.03 $395,402.64 $125,747.84 2026-04-01
44 MS_DRG Acute Major Eye Infections 26 12 — — $125,035.63 $125,035.63 $125,035.63 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 156 32 — — $20,886.00 $410,925.86 $124,080.21 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 74 28 — — $116,824.33 $303,743.26 $122,972.98 2026-04-01
1612 OTHER Description Not Available 26 12 — — $122,733.22 $122,733.22 $122,733.22 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 132 29 — — $62,767.03 $364,046.86 $122,347.41 2026-04-01
1611 OTHER Description Not Available 26 12 — — $116,597.22 $116,597.22 $116,597.22 2026-04-01
5933 OTHER Description Not Available 26 12 — — $109,404.88 $109,404.88 $109,404.88 2026-04-01
5881 OTHER Description Not Available 26 12 — — $108,319.28 $108,319.28 $108,319.28 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 58 12 — — $44,721.11 $221,189.30 $106,534.73 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 124 29 — — $55,835.21 $319,465.23 $103,345.55 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 114 29 — — $76,592.65 $314,613.99 $102,943.00 2026-04-01
6114 OTHER Description Not Available 26 12 — — $102,499.14 $102,499.14 $102,499.14 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 110 29 — — $25,864.80 $347,482.48 $101,801.86 2026-04-01
8634 OTHER Description Not Available 26 12 — — $100,487.29 $100,487.29 $100,487.29 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 2 1 — — $100,171.37 $100,171.37 $100,171.37 2026-04-01
6124 OTHER Description Not Available 26 12 — — $98,014.95 $98,014.95 $98,014.95 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 136 31 — — $4,110.00 $319,646.30 $96,371.12 2026-04-01
5913 OTHER Description Not Available 26 12 — — $96,247.88 $96,247.88 $96,247.88 2026-04-01
6134 OTHER Description Not Available 26 12 — — $96,164.52 $96,164.52 $96,164.52 2026-04-01
6023 OTHER Description Not Available 26 12 — — $96,160.56 $96,160.56 $96,160.56 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 132 29 — — $28,808.95 $304,070.27 $95,982.70 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 166 33 — — $13,855.46 $215,201.25 $93,952.36 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 118 29 — — $73,907.05 $299,022.87 $93,356.27 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 122 29 — — $73,863.97 $266,573.11 $93,301.86 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 154 29 — — $48,609.08 $291,866.72 $91,853.92 2026-04-01
6303 OTHER Description Not Available 26 12 — — $91,485.40 $91,485.40 $91,485.40 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 80 14 — — $41,172.48 $203,637.89 $90,223.53 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 144 30 — — $17,178.65 $281,556.89 $88,433.97 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 1 — — $80,662.48 $105,790.63 $87,805.76 2026-04-01
10 MS_DRG Pancreas Transplant 118 29 — — $74,328.61 $300,754.38 $87,347.59 2026-04-01
5932 OTHER Description Not Available 26 12 — — $86,713.48 $86,713.48 $86,713.48 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 118 29 — — $68,170.32 $243,595.73 $86,109.88 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 122 29 — — $64,899.17 $251,936.39 $86,029.08 2026-04-01
43 MS_DRG Hyphema 26 12 — — $85,565.10 $85,565.10 $85,565.10 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 120 29 — — $62,537.62 $257,572.29 $85,431.05 2026-04-01
6084 OTHER Description Not Available 26 12 — — $85,401.79 $85,401.79 $85,401.79 2026-04-01
1604 OTHER Description Not Available 26 12 — — $84,429.47 $84,429.47 $84,429.47 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 58 12 — — $36,935.96 $182,684.16 $84,390.14 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 78 16 — — $2,761.00 $260,088.19 $83,328.39 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 172 32 — — $222.29 $294,839.33 $83,309.75 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 140 31 — — $4,110.00 $267,787.81 $82,639.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 126 29 — — $38,574.24 $251,510.12 $82,527.89 2026-04-01
6093 OTHER Description Not Available 26 12 — — $81,326.78 $81,326.78 $81,326.78 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 118 29 — — $68,170.32 $224,420.87 $81,193.32 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 74 14 — — $35,927.01 $177,693.94 $81,083.29 2026-04-01
6214 OTHER Description Not Available 26 12 — — $80,412.94 $80,412.94 $80,412.94 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 118 29 — — $63,513.65 $238,559.64 $80,227.76 2026-04-01
1624 OTHER Description Not Available 26 12 — — $79,573.54 $79,573.54 $79,573.54 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 158 30 — — $13,365.62 $262,423.53 $79,160.93 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 122 29 — — $35,975.72 $232,293.77 $78,650.20 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 118 29 — — $61,890.99 $216,495.17 $78,178.09 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 118 29 — — $61,689.95 $224,266.21 $77,924.15 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 118 29 — — $61,548.40 $227,680.18 $77,745.35 2026-04-01
6144 OTHER Description Not Available 26 12 — — $77,279.62 $77,279.62 $77,279.62 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 114 29 — — $15,229.24 $233,357.57 $76,606.77 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 122 29 — — $48,669.20 $252,905.89 $76,551.23 2026-04-01
3034 OTHER Description Not Available 26 12 — — $76,075.07 $76,075.07 $76,075.07 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 158 33 — — $28,829.69 $208,509.10 $75,751.28 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 58 12 — — $31,301.08 $154,814.20 $74,565.48 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 134 29 — — $7,290.30 $243,984.28 $73,752.20 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 128 29 — — $45,715.76 $233,659.36 $73,616.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 118 29 — — $58,213.86 $205,246.02 $73,533.30 2026-04-01
6022 OTHER Description Not Available 26 12 — — $73,372.40 $73,372.40 $73,372.40 2026-04-01
6334 OTHER Description Not Available 26 12 — — $73,087.69 $73,087.69 $73,087.69 2026-04-01
6073 OTHER Description Not Available 26 12 — — $72,868.54 $72,868.54 $72,868.54 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 142 29 — — $44,590.42 $225,978.85 $72,585.68 2026-04-01
4404 OTHER Description Not Available 26 12 — — $72,321.73 $72,321.73 $72,321.73 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 118 29 — — $56,446.58 $227,680.18 $71,300.94 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 146 29 — — $20,981.94 $221,957.53 $71,294.00 2026-04-01
8424 OTHER Description Not Available 26 12 — — $71,110.58 $71,110.58 $71,110.58 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 134 29 — — $21,793.09 $229,324.93 $70,887.33 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 1 — — $64,064.46 $84,021.96 $69,737.86 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 144 32 — — $18,030.40 $230,426.46 $69,533.82 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 130 29 — — $18,248.43 $219,622.44 $69,214.05 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 124 29 — — $25,113.14 $208,494.01 $68,984.66 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 58 12 — — $28,831.95 $142,601.99 $68,683.54 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 118 29 — — $57,819.99 $188,726.90 $68,279.58 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 120 29 — — $54,026.96 $210,278.33 $67,893.58 2026-04-01
1634 OTHER Description Not Available 26 12 — — $67,712.18 $67,712.18 $67,712.18 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 142 29 — — $47,285.32 $219,876.92 $67,612.17 2026-04-01
1784 OTHER Description Not Available 26 12 — — $67,260.94 $67,260.94 $67,260.94 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 124 29 — — $15,607.32 $199,794.97 $67,094.65 2026-04-01
6033 OTHER Description Not Available 26 12 — — $66,549.64 $66,549.64 $66,549.64 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 112 29 — — $54,871.72 $206,351.32 $66,232.52 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 144 32 — — $40,851.85 $192,552.40 $64,901.68 2026-04-01
J9226 HCPCS Supprelin La Implant 80 14 — — $29,263.42 $144,736.03 $64,583.25 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 120 29 — — $50,999.10 $203,514.51 $64,419.91 2026-04-01
6224 OTHER Description Not Available 26 12 — — $63,470.22 $63,470.22 $63,470.22 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 148 32 — — $5,358.14 $231,497.80 $63,416.56 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 118 29 — — $50,005.19 $188,874.02 $63,164.45 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 110 29 — — $55,393.19 $194,264.71 $62,973.31 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 134 29 — — $25,580.36 $204,778.25 $62,821.38 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 146 32 — — $52,954.62 $203,540.92 $62,635.46 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 118 29 — — $49,559.01 $177,466.43 $62,600.86 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 100 31 — — $31,247.34 $154,084.18 $62,382.26 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 186 34 — — $5,169.65 $203,733.31 $62,302.36 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 156 30 — — $786.48 $193,627.18 $62,272.97 2026-04-01
1654 OTHER Description Not Available 26 12 — — $61,921.68 $61,921.68 $61,921.68 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 58 12 — — $25,959.76 $128,396.24 $61,841.42 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 68 14 — — $1,303.66 $182,126.63 $61,749.73 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 52 13 — — $26,241.36 $129,789.00 $61,201.78 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 78 16 — — $1,714.00 $182,126.63 $61,183.22 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 134 29 — — $28,452.27 $189,994.41 $61,027.27 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 118 29 — — $48,289.19 $182,917.48 $60,996.88 2026-04-01
1674 OTHER Description Not Available 26 12 — — $60,907.82 $60,907.82 $60,907.82 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 118 29 — — $48,099.44 $175,497.27 $60,757.19 2026-04-01
6313 OTHER Description Not Available 26 12 — — $60,183.54 $60,183.54 $60,183.54 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 154 33 — — $23,590.88 $137,630.42 $60,149.19 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 154 29 — — $7,202.23 $192,174.83 $59,816.03 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 158 33 — — $2,055.00 $200,685.25 $59,745.68 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 144 32 — — $43,971.01 $154,794.61 $59,642.86 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 120 29 — — $16,495.31 $173,792.16 $59,254.96 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 136 29 — — $12,810.02 $187,972.43 $59,058.46 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 120 29 — — $44,745.28 $179,356.38 $58,603.30 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 162 30 — — $15,086.66 $192,851.50 $58,414.02 2026-04-01
3044 OTHER Description Not Available 26 12 — — $58,391.12 $58,391.12 $58,391.12 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 74 15 — — $1,303.66 $182,126.63 $58,350.66 2026-04-01
6234 OTHER Description Not Available 26 12 — — $58,250.28 $58,250.28 $58,250.28 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 154 29 — — $26,787.79 $183,223.04 $58,190.54 2026-04-01
6302 OTHER Description Not Available 26 12 — — $58,044.20 $58,044.20 $58,044.20 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 144 32 — — $11,186.40 $173,237.63 $57,943.22 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 120 29 — — $46,503.46 $165,700.47 $57,748.07 2026-04-01
3033 OTHER Description Not Available 26 12 — — $57,600.99 $57,600.99 $57,600.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 156 31 — — $9,450.79 $173,863.84 $57,416.06 2026-04-01
1834 OTHER Description Not Available 26 12 — — $57,396.14 $57,396.14 $57,396.14 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 140 30 — — $12,960.78 $191,586.34 $57,344.64 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 16 2 — — $51,660.83 $85,195.50 $57,294.42 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 132 29 — — $15,131.38 $180,137.26 $57,206.51 2026-04-01
245 MS_DRG Aicd Generator Procedures 124 29 — — $8,300.87 $184,335.88 $57,118.77 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 146 32 — — $18,447.31 $133,179.04 $56,816.12 2026-04-01
6083 OTHER Description Not Available 26 12 — — $56,483.06 $56,483.06 $56,483.06 2026-04-01
6072 OTHER Description Not Available 26 12 — — $56,424.06 $56,424.06 $56,424.06 2026-04-01
6344 OTHER Description Not Available 26 12 — — $56,015.83 $56,015.83 $56,015.83 2026-04-01
1664 OTHER Description Not Available 26 12 — — $55,816.83 $55,816.83 $55,816.83 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 118 29 — — $43,692.02 $155,111.49 $55,189.92 2026-04-01
9104 OTHER Description Not Available 26 12 — — $55,140.93 $55,140.93 $55,140.93 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 118 29 — — $43,525.86 $162,878.76 $54,980.03 2026-04-01
1794 OTHER Description Not Available 26 12 — — $54,798.26 $54,798.26 $54,798.26 2026-04-01
6804 OTHER Description Not Available 26 12 — — $54,571.70 $54,571.70 $54,571.70 2026-04-01
1623 OTHER Description Not Available 26 12 — — $54,501.84 $54,501.84 $54,501.84 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 120 29 — — $43,207.41 $167,122.65 $54,485.85 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 150 29 — — $28,473.23 $168,699.49 $54,187.22 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 58 12 — — $22,730.58 $112,424.80 $54,148.84 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 138 29 — — $20,410.54 $170,182.03 $53,867.56 2026-04-01
6254 OTHER Description Not Available 26 12 — — $53,662.44 $53,662.44 $53,662.44 2026-04-01
791 MS_DRG Prematurity With Major Problems 118 29 — — $42,360.66 $153,161.18 $53,508.20 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 120 29 — — $32,080.07 $156,944.85 $53,317.46 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 120 29 — — $43,451.01 $155,024.72 $53,201.99 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 126 29 — — $16,935.54 $158,072.78 $53,072.31 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 172 30 — — $16,058.60 $173,214.99 $52,913.13 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 164 33 — — $8,088.19 $176,515.80 $52,277.82 2026-04-01
1694 OTHER Description Not Available 26 12 — — $52,241.90 $52,241.90 $52,241.90 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 176 32 — — $6,974.27 $179,348.84 $52,193.74 2026-04-01
9114 OTHER Description Not Available 26 12 — — $52,093.70 $52,093.70 $52,093.70 2026-04-01
3124 OTHER Description Not Available 26 12 — — $51,867.14 $51,867.14 $51,867.14 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 144 29 — — $0.26 $160,905.82 $51,866.76 2026-04-01
8413 OTHER Description Not Available 26 12 — — $51,638.69 $51,638.69 $51,638.69 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 138 31 — — $4,110.00 $160,671.93 $51,608.73 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 118 29 — — $40,670.31 $163,218.27 $51,373.02 2026-04-01
5912 OTHER Description Not Available 26 12 — — $51,215.54 $51,215.54 $51,215.54 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 118 29 — — $40,369.78 $148,230.72 $50,993.40 2026-04-01
5891 OTHER Description Not Available 26 12 — — $50,965.38 $50,965.38 $50,965.38 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 136 29 — — $37,576.16 $271,919.38 $50,742.80 2026-04-01
9124 OTHER Description Not Available 26 12 — — $50,613.50 $50,613.50 $50,613.50 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 124 29 — — $15,639.95 $157,329.63 $50,448.95 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 150 30 — — $20,553.76 $166,056.71 $49,820.17 2026-04-01
1783 OTHER Description Not Available 26 12 — — $49,759.18 $49,759.18 $49,759.18 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 46 12 — — $25,797.30 $127,592.70 $49,610.20 2026-04-01
8504 OTHER Description Not Available 26 12 — — $49,556.22 $49,556.22 $49,556.22 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 138 31 — — $4,110.00 $159,532.68 $49,158.43 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 152 32 — — $12,737.39 $169,167.26 $49,000.18 2026-04-01
214 MS_DRG No Longer Valid 26 12 — — $48,751.94 $48,751.94 $48,751.94 2026-04-01
4414 OTHER Description Not Available 26 12 — — $48,743.44 $48,743.44 $48,743.44 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 118 29 — — $38,402.49 $145,646.66 $48,508.40 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 122 29 — — $24,381.96 $135,223.66 $48,159.63 2026-04-01
2604 OTHER Description Not Available 26 12 — — $48,131.73 $48,131.73 $48,131.73 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 52 13 — — $18,595.82 $91,974.39 $48,082.15 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 52 13 — — $18,595.82 $91,974.39 $48,082.15 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 136 29 — — $17,050.46 $145,273.20 $48,003.97 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 122 29 — — $15,929.32 $132,798.04 $47,894.28 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 156 32 — — $9,414.51 $153,425.25 $47,885.32 2026-04-01
6123 OTHER Description Not Available 26 12 — — $47,869.06 $47,869.06 $47,869.06 2026-04-01
265 MS_DRG Aicd Lead Procedures 118 29 — — $37,839.37 $134,555.95 $47,797.10 2026-04-01
4403 OTHER Description Not Available 26 12 — — $47,672.00 $47,672.00 $47,672.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 166 32 — — $26,062.90 $147,498.89 $47,573.57 2026-04-01
7404 OTHER Description Not Available 26 12 — — $47,516.24 $47,516.24 $47,516.24 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 140 29 — — $19,772.72 $150,271.56 $47,353.99 2026-04-01
332 MS_DRG Rectal Resection With Mcc 118 29 — — $37,865.02 $130,843.96 $47,338.09 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 132 29 — — $13,990.30 $148,528.74 $47,230.92 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 52 13 — — $2,379.00 $127,592.70 $47,228.60 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 52 13 — — $2,379.00 $127,592.70 $47,228.60 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 136 29 — — $17,658.62 $146,687.83 $46,964.89 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 134 31 — — $22,249.84 $142,285.50 $46,700.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 118 29 — — $36,899.84 $129,199.22 $46,610.33 2026-04-01
6814 OTHER Description Not Available 26 12 — — $46,533.54 $46,533.54 $46,533.54 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 128 29 — — $14,354.73 $148,868.25 $46,460.57 2026-04-01
6364 OTHER Description Not Available 26 12 — — $46,372.87 $46,372.87 $46,372.87 2026-04-01
6113 OTHER Description Not Available 26 12 — — $46,362.20 $46,362.20 $46,362.20 2026-04-01
1782 OTHER Description Not Available 26 12 — — $46,359.84 $46,359.84 $46,359.84 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 144 32 — — $30,286.13 $99,959.73 $46,277.81 2026-04-01
69930 HCPCS Implant Cochlear Device 80 17 — — $3,329.00 $136,335.57 $46,224.35 2026-04-01
2204 OTHER Description Not Available 26 12 — — $46,178.59 $46,178.59 $46,178.59 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 120 29 — — $25,332.09 $130,983.54 $46,121.49 2026-04-01
1653 OTHER Description Not Available 26 12 — — $45,733.02 $45,733.02 $45,733.02 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 166 32 — — $10,337.74 $148,223.18 $45,499.72 2026-04-01
9504 OTHER Description Not Available 26 12 — — $45,413.95 $45,413.95 $45,413.95 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 74 15 — — $1,303.66 $141,654.50 $45,383.99 2026-04-01
1603 OTHER Description Not Available 26 12 — — $45,322.38 $45,322.38 $45,322.38 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 120 29 — — $35,720.29 $126,618.93 $45,120.36 2026-04-01
1633 OTHER Description Not Available 26 12 — — $45,077.89 $45,077.89 $45,077.89 2026-04-01
8633 OTHER Description Not Available 26 12 — — $44,775.10 $44,775.10 $44,775.10 2026-04-01
1204 OTHER Description Not Available 26 12 — — $44,770.14 $44,770.14 $44,770.14 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 58 12 — — $18,753.30 $92,753.27 $44,674.15 2026-04-01
6904 OTHER Description Not Available 26 12 — — $44,542.64 $44,542.64 $44,542.64 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 58 12 — — $18,664.75 $92,315.31 $44,463.21 2026-04-01
7594 OTHER Description Not Available 26 12 — — $44,462.40 $44,462.40 $44,462.40 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 78 16 — — $1,963.00 $129,789.00 $44,408.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 78 16 — — $3,266.00 $129,789.00 $44,408.46 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 78 16 — — $1,963.00 $129,789.00 $44,408.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 78 16 — — $1,963.00 $129,789.00 $44,408.46 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 136 30 — — $17,261.34 $144,186.76 $44,084.94 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 122 29 — — $30,421.36 $119,726.84 $43,936.34 2026-04-01
3614 OTHER Description Not Available 26 12 — — $43,924.32 $43,924.32 $43,924.32 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 124 29 — — $33,384.20 $129,723.57 $43,774.24 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 118 29 — — $37,718.34 $120,873.64 $43,730.92 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 74 15 — — $1,303.66 $129,789.00 $43,601.03 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 74 15 — — $3,266.00 $129,789.00 $43,601.03 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 128 29 — — $20,684.05 $136,706.19 $43,581.53 2026-04-01
6133 OTHER Description Not Available 26 12 — — $43,546.72 $43,546.72 $43,546.72 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 126 29 — — $13,175.60 $135,231.20 $43,437.02 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 138 29 — — $15,385.01 $141,236.78 $43,284.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 144 31 — — $9,126.21 $124,551.68 $43,278.10 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 58 14 — — $3,266.00 $111,300.40 $43,275.47 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 68 14 — — $1,303.66 $127,592.70 $43,260.09 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 68 14 — — $1,303.66 $127,592.70 $43,260.09 2026-04-01
61886 HCPCS Implant Neurostim Arrays 80 17 — — $1,669.00 $127,592.70 $43,260.09 2026-04-01
1814 OTHER Description Not Available 26 12 — — $43,194.61 $43,194.61 $43,194.61 2026-04-01
1622 OTHER Description Not Available 26 12 — — $43,194.61 $43,194.61 $43,194.61 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 152 29 — — $736.05 $732,594.57 $43,172.67 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 132 29 — — $17,696.40 $150,165.94 $43,035.43 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 168 33 — — $14,759.65 $101,974.17 $42,984.93 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 144 32 — — $34,490.47 $117,727.50 $42,971.82 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 124 29 — — $15,427.99 $132,073.75 $42,806.07 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 122 29 — — $25,502.38 $121,605.47 $42,729.95 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 118 29 — — $33,763.26 $119,968.27 $42,648.32 2026-04-01
1304 OTHER Description Not Available 26 12 — — $42,486.61 $42,486.61 $42,486.61 2026-04-01
1764 OTHER Description Not Available 26 12 — — $42,434.69 $42,434.69 $42,434.69 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 174 32 — — $281.09 $133,956.15 $42,427.85 2026-04-01
5892 OTHER Description Not Available 26 12 — — $42,310.08 $42,310.08 $42,310.08 2026-04-01
2614 OTHER Description Not Available 26 12 — — $42,307.25 $42,307.25 $42,307.25 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 80 17 — — $1,459.00 $127,592.70 $42,267.88 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 118 29 — — $33,383.74 $122,891.85 $42,168.94 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 128 29 — — $20,802.29 $132,145.42 $42,002.85 2026-04-01
6954 OTHER Description Not Available 26 12 — — $41,921.15 $41,921.15 $41,921.15 2026-04-01
652 MS_DRG Kidney Transplant 118 29 — — $33,852.49 $115,856.41 $41,915.74 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 140 29 — — $10,195.19 $145,797.56 $41,876.38 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 124 29 — — $29,983.95 $116,324.18 $41,860.58 2026-04-01
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