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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

PALOMAR MEDICAL CENTER POWAY

Poway, CA · CCN 050636 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $1,089 across 3 payers · range $703-$1,296

Source: https://hospitalpricedisclosure.com/Download.aspx?pxi=TeRmqVv6zqH12Bs0PUR7KA*-* · 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.

10,519 distinct procedures filed
100 distinct payers
84,777 rate rows
2026-04-01 last MRF observed
Data quality

45,617 of 84,777 rate rows are consumer-grade (53.8%)

39,160 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 33,150
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,736
placeholder amount (≤ $0.02) — excluded from medians 267
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=TeRmqVv6zqH12Bs0PUR7KA*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=tWKNrFY5HZER1VRkXeC4JQ*-*
Discovered viaCMS hospital list
Last fetch success · 2026-10-19
Content fingerprint 253db408f4281e02… · 33,500,374 bytes · first seen 2026-09-28

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 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,680,037.38 $4,941,988.93 $4,154,057.94 nat. median
$2,466,282
1.7× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,180,000.00 $4,929,000.00 $4,054,500.00 nat. median
$3,180,000
1.3× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,930,260.34 $4,541,903.53 $3,736,081.94 nat. median
$2,994,107
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,691,450.00 $3,691,450.00 $3,691,450.00 nat. median
$3,703,693
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,300,906.67 $4,242,871.89 $3,566,405.33 nat. median
$2,401,960
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,897.12 $3,316,897.12 $3,316,897.12 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,285,782.70 $3,285,782.70 $3,285,782.70 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,235,303.98 $3,235,303.98 $3,235,303.98 nat. median
$3,286,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $813,967.38 $1,500,955.84 $1,261,649.43 nat. median
$809,217
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $611,693.17 $1,127,962.21 $948,124.42 nat. median
$738,272
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $587,977.76 $1,084,230.98 $911,365.52 nat. median
$646,415
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $579,570.61 $1,068,728.21 $898,334.45 nat. median
$640,950
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $567,977.78 $1,047,351.03 $880,365.56 nat. median
$622,245
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $562,500.89 $1,037,251.64 $871,876.38 nat. median
$608,101
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $510,103.92 $940,631.63 $790,661.07 nat. median
$591,650
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $278,250.00 $513,093.00 $431,287.50 nat. median
$319,951
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $426,641.61 $822,138.38 $426,641.61 nat. median
$359,358
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $203,659.76 $375,548.60 $315,672.63 nat. median
$209,753
1.5× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $202,975.00 $482,352.88 $287,750.00 nat. median
$265,000
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $277,081.96 $533,936.94 $277,081.96 nat. median
$249,124
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $211,241.34 $407,062.06 $211,241.34 nat. median
$198,433
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $210,005.12 $404,679.87 $210,005.12 nat. median
$190,557
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $108,243.35 $199,600.74 $167,777.19 nat. median
$111,503
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $92,671.34 $264,488.96 $137,254.26 nat. median
$126,722
1.1× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 4 $93,368.50 $224,783.60 $132,365.00 nat. median
$127,995
1.0× median
7
MS_DRG 		Lung Transplant 12 $128,362.91 $247,355.33 $128,362.91 nat. median
$117,894
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $119,164.72 $229,630.42 $119,164.72 nat. median
$110,192
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $112,395.57 $216,586.26 $112,395.57 nat. median
$103,967
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $112,267.31 $216,339.11 $112,267.31 nat. median
$92,655
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $109,331.15 $210,681.13 $109,331.15 nat. median
$93,270
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $107,879.84 $207,884.45 $107,879.84 nat. median
$97,414
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 3 $68,801.71 $126,870.35 $106,642.65 nat. median
$70,178
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $102,319.29 $197,169.27 $102,319.29 nat. median
$94,964
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 12 $98,831.62 $190,448.53 $98,831.62 nat. median
$93,917
1.1× median
J9183
HCPCS 		Gemcitabine Intravesical Sys 5 $59,340.36 $172,132.65 $98,625.08 nat. median
$80,283
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $97,112.94 $187,136.64 $97,112.94 nat. median
$90,581
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $89,484.45 $172,436.54 $89,484.45 nat. median
$78,037
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $86,030.31 $165,780.41 $86,030.31 nat. median
$78,262
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $83,765.05 $161,415.25 $83,765.05 nat. median
$77,043
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 12 $83,503.60 $160,911.44 $83,503.60 nat. median
$77,696
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $78,229.17 $150,747.61 $78,229.17 nat. median
$74,460
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $55,052.27 $104,784.47 $78,045.52 nat. median
$63,643
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $76,349.67 $147,125.81 $76,349.67 nat. median
$72,473
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $76,023.10 $146,496.51 $76,023.10 nat. median
$71,758
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $75,773.49 $146,015.52 $75,773.49 nat. median
$68,004
1.1× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $45,684.96 $131,916.10 $75,730.55 nat. median
$65,720
1.2× median
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $48,155.50 $88,798.74 $74,641.02 nat. median
$50,453
1.5× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $52,190.80 $118,627.50 $73,988.93 nat. median
$68,423
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $71,814.21 $138,385.98 $71,814.21 nat. median
$63,648
1.1× median

Other procedures at this hospital

Browse this hospital's 10,519 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,680,037.38 $4,941,988.93 $4,154,057.94 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 2 2 — — $3,180,000.00 $4,929,000.00 $4,054,500.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $2,930,260.34 $4,541,903.53 $3,736,081.94 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,691,450.00 $3,691,450.00 $3,691,450.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,300,906.67 $4,242,871.89 $3,566,405.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,897.12 $3,316,897.12 $3,316,897.12 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $3,285,782.70 $3,285,782.70 $3,285,782.70 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,235,303.98 $3,235,303.98 $3,235,303.98 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $813,967.38 $1,500,955.84 $1,261,649.43 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $611,693.17 $1,127,962.21 $948,124.42 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $587,977.76 $1,084,230.98 $911,365.52 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $579,570.61 $1,068,728.21 $898,334.45 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $567,977.78 $1,047,351.03 $880,365.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $562,500.89 $1,037,251.64 $871,876.38 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $510,103.92 $940,631.63 $790,661.07 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 3 — — $278,250.00 $513,093.00 $431,287.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 12 — — $426,641.61 $822,138.38 $426,641.61 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 3 — — $203,659.76 $375,548.60 $315,672.63 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 5 4 — — $202,975.00 $482,352.88 $287,750.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 12 — — $277,081.96 $533,936.94 $277,081.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 12 — — $211,241.34 $407,062.06 $211,241.34 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 13 — — $210,005.12 $404,679.87 $210,005.12 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $108,243.35 $199,600.74 $167,777.19 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 13 — — $92,671.34 $264,488.96 $137,254.26 2026-04-01
J3404 HCPCS Inj Zopapogene Per Ther Dose 5 4 — — $93,368.50 $224,783.60 $132,365.00 2026-04-01
7 MS_DRG Lung Transplant 14 12 — — $128,362.91 $247,355.33 $128,362.91 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 12 — — $119,164.72 $229,630.42 $119,164.72 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 12 — — $112,395.57 $216,586.26 $112,395.57 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 12 — — $112,267.31 $216,339.11 $112,267.31 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $109,331.15 $210,681.13 $109,331.15 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 12 — — $107,879.84 $207,884.45 $107,879.84 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 3 3 — — $68,801.71 $126,870.35 $106,642.65 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 12 — — $102,319.29 $197,169.27 $102,319.29 2026-04-01
215 MS_DRG Other Heart Assist System Implant 14 12 — — $98,831.62 $190,448.53 $98,831.62 2026-04-01
J9183 HCPCS Gemcitabine Intravesical Sys 6 5 — — $59,340.36 $172,132.65 $98,625.08 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 12 — — $97,112.94 $187,136.64 $97,112.94 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 12 — — $89,484.45 $172,436.54 $89,484.45 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 12 — — $86,030.31 $165,780.41 $86,030.31 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 12 — — $83,765.05 $161,415.25 $83,765.05 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 14 12 — — $83,503.60 $160,911.44 $83,503.60 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 12 — — $78,229.17 $150,747.61 $78,229.17 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 4 — — $55,052.27 $104,784.47 $78,045.52 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 12 — — $76,349.67 $147,125.81 $76,349.67 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 12 — — $76,023.10 $146,496.51 $76,023.10 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 12 — — $75,773.49 $146,015.52 $75,773.49 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $45,684.96 $131,916.10 $75,730.55 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $48,155.50 $88,798.74 $74,641.02 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $52,190.80 $118,627.50 $73,988.93 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $71,814.21 $138,385.98 $71,814.21 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 14 12 — — $71,390.95 $137,570.36 $71,390.95 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 12 — — $71,361.36 $137,513.34 $71,361.36 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 14 12 — — $70,985.46 $136,788.98 $70,985.46 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 12 — — $70,944.02 $136,709.13 $70,944.02 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 16 — — $11,235.66 $138,903.54 $68,787.28 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $44,356.85 $81,794.03 $68,753.12 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $56,647.89 $80,307.57 $68,477.73 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 12 — — $68,452.82 $131,908.58 $68,452.82 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 12 — — $67,004.47 $129,117.61 $67,004.47 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 12 — — $66,564.44 $128,269.68 $66,564.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 14 12 — — $66,516.10 $128,176.52 $66,516.10 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 12 — — $65,467.33 $126,155.54 $65,467.33 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 12 — — $65,467.33 $126,155.54 $65,467.33 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 12 — — $65,231.53 $125,701.16 $65,231.53 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 16 — — $20,039.36 $123,482.45 $64,080.15 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 12 — — $61,058.16 $117,659.07 $61,058.16 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 13 — — $20,820.72 $117,524.09 $60,988.11 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 12 — — $60,408.97 $116,408.09 $60,408.97 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 14 12 — — $59,873.24 $115,375.73 $59,873.24 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 12 — — $59,856.46 $115,343.40 $59,856.46 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 14 12 — — $59,427.29 $114,516.39 $59,427.29 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 12 — — $59,233.91 $114,143.74 $59,233.91 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 12 — — $59,097.76 $113,881.38 $59,097.76 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 12 — — $58,494.94 $112,719.75 $58,494.94 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 12 — — $58,457.45 $112,647.51 $58,457.45 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 12 — — $57,493.53 $110,790.03 $57,493.53 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 12 — — $57,130.45 $110,090.38 $57,130.45 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 12 — — $56,899.59 $109,645.51 $56,899.59 2026-04-01
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 16 12 — — $18,562.71 $109,504.82 $56,826.58 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $56,061.95 $108,031.38 $56,061.95 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 14 12 — — $55,890.28 $107,700.57 $55,890.28 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 12 — — $55,511.42 $106,970.51 $55,511.42 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 12 — — $55,085.20 $106,149.18 $55,085.20 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 14 12 — — $54,758.64 $105,519.90 $54,758.64 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 12 — — $54,567.23 $105,151.05 $54,567.23 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 12 — — $54,490.28 $105,002.77 $54,490.28 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 12 — — $54,405.43 $104,839.26 $54,405.43 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 3 3 — — $34,970.13 $64,484.92 $54,203.70 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 12 — — $54,190.35 $104,424.80 $54,190.35 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 12 — — $53,208.67 $102,533.11 $53,208.67 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 14 12 — — $53,177.10 $102,472.27 $53,177.10 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 12 — — $52,823.89 $101,791.64 $52,823.89 2026-04-01
J9226 HCPCS Supprelin La Implant 6 5 — — $33,428.71 $88,424.48 $52,751.59 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 13 — — $24,802.59 $101,458.92 $52,651.23 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 12 — — $51,951.72 $100,110.96 $51,951.72 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 14 12 — — $51,862.93 $99,939.87 $51,862.93 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 12 — — $50,321.84 $96,970.19 $50,321.84 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 15 — — $19,008.27 $100,430.00 $49,800.91 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 12 — — $49,406.26 $95,205.86 $49,406.26 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 13 — — $18,113.30 $94,717.25 $49,152.70 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 19 — — $10,479.23 $112,268.19 $49,002.28 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 12 — — $48,950.45 $94,327.52 $48,950.45 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 12 — — $48,235.15 $92,949.13 $48,235.15 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 12 — — $47,994.42 $92,485.25 $47,994.42 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 12 — — $47,565.24 $91,658.22 $47,565.24 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 12 — — $46,979.19 $90,528.90 $46,979.19 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 15 — — $16,283.42 $90,346.39 $46,884.48 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 12 — — $46,746.35 $90,080.22 $46,746.35 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 14 12 — — $46,343.82 $89,304.54 $46,343.82 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 12 — — $46,161.29 $88,952.81 $46,161.29 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 19 — — $14,980.00 $187,247.14 $45,944.24 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 13 — — $41,435.84 $88,312.10 $45,828.80 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 3 3 — — $29,510.19 $54,416.79 $45,740.79 2026-04-01
245 MS_DRG Aicd Generator Procedures 14 12 — — $45,607.80 $87,886.23 $45,607.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 14 — — $12,566.43 $87,625.78 $45,472.64 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 12 — — $45,452.90 $87,587.74 $45,452.90 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 14 12 — — $45,277.29 $87,249.34 $45,277.29 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 13 — — $10,395.87 $86,353.86 $44,812.59 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 12 — — $44,799.77 $86,329.16 $44,799.77 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 3 — — $28,851.23 $53,201.67 $44,719.41 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 12 — — $44,626.12 $85,994.53 $44,626.12 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 3 3 — — $28,715.00 $52,950.46 $44,508.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 13 — — $13,447.11 $84,661.80 $43,934.51 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 12 — — $43,289.26 $83,418.40 $43,289.26 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 16 13 — — $2,068.08 $82,762.49 $42,948.88 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 12 — — $42,676.58 $82,237.77 $42,676.58 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 12 — — $42,434.86 $81,771.98 $42,434.86 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 12 — — $42,261.21 $81,437.35 $42,261.21 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 13 — — $10,031.02 $81,300.48 $42,190.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 12 — — $42,169.46 $81,260.55 $42,169.46 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 17 — — $8,354.51 $101,933.00 $42,048.10 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 12 — — $41,998.77 $80,931.63 $41,998.77 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 12 — — $41,921.82 $80,783.35 $41,921.82 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 14 12 — — $41,761.99 $80,475.35 $41,761.99 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 14 12 — — $41,732.39 $80,418.32 $41,732.39 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 12 — — $41,568.61 $80,102.71 $41,568.61 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 12 — — $41,297.29 $79,579.88 $41,297.29 2026-04-01
791 MS_DRG Prematurity With Major Problems 14 12 — — $40,641.19 $78,315.57 $40,641.19 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 12 — — $40,261.35 $77,583.62 $40,261.35 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 12 — — $39,902.22 $76,891.58 $39,902.22 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 5 — — $23,077.49 $69,962.18 $39,347.62 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 12 — — $39,189.89 $75,518.92 $39,189.89 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 12 — — $39,015.26 $75,182.41 $39,015.26 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 12 — — $38,783.40 $74,735.61 $38,783.40 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 12 — — $38,726.18 $74,625.35 $38,726.18 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 12 — — $38,689.67 $74,554.99 $38,689.67 2026-04-01
63655 HCPCS Implant Neuroelectrodes 3 3 — — $24,951.79 $46,011.10 $38,675.27 2026-04-01
64580 HCPCS Implant Neuroelectrodes 3 3 — — $24,951.79 $46,011.10 $38,675.27 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 3 3 — — $24,951.79 $46,011.10 $38,675.27 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 3 3 — — $24,951.79 $46,011.10 $38,675.27 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $24,951.79 $46,011.10 $38,675.27 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $24,951.79 $46,011.10 $38,675.27 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 15 — — $36,133.58 $74,138.65 $38,473.61 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 12 — — $37,720.82 $72,688.02 $37,720.82 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 13 — — $29,797.52 $72,376.21 $37,559.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 12 — — $37,471.21 $72,207.02 $37,471.21 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 12 — — $37,467.26 $72,199.41 $37,467.26 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion… 14 12 — — $37,363.67 $71,999.79 $37,363.67 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 12 — — $37,156.48 $71,600.54 $37,156.48 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 14 12 — — $36,833.85 $70,978.83 $36,833.85 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 18 14 — — $10,430.58 $70,950.33 $36,819.06 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
93580 HCPCS Transcath Closure Of Asd 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
61624 HCPCS Transcath Occlusion Cns 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 3 3 — — $23,577.55 $43,477.00 $36,545.20 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 13 — — $31,059.79 $70,130.91 $36,393.83 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 12 — — $36,366.20 $70,077.67 $36,366.20 2026-04-01
332 MS_DRG Rectal Resection With Mcc 14 12 — — $36,316.87 $69,982.61 $36,316.87 2026-04-01
265 MS_DRG Aicd Lead Procedures 14 12 — — $36,292.20 $69,935.07 $36,292.20 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 12 — — $36,229.06 $69,813.40 $36,229.06 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 12 — — $36,175.78 $69,710.73 $36,175.78 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 12 — — $35,942.94 $69,262.05 $35,942.94 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 12 — — $35,861.05 $69,104.24 $35,861.05 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 14 — — $35,825.54 $69,035.82 $35,825.54 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 12 — — $35,773.25 $68,935.05 $35,773.25 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 12 — — $35,743.65 $68,878.01 $35,743.65 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 12 — — $35,710.10 $68,813.36 $35,710.10 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 14 — — $32,718.43 $159,108.95 $35,681.49 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 14 — — $17,165.41 $68,193.58 $35,388.47 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 12 — — $35,317.43 $68,056.69 $35,317.43 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 3 3 — — $22,747.26 $41,945.95 $35,258.25 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 14 — — $30,999.82 $67,465.41 $35,010.59 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 13 — — $35,001.71 $67,448.30 $35,001.71 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22610 HCPCS Thorax Spine Fusion 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22612 HCPCS Lumbar Spine Fusion 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22556 HCPCS Thorax Spine Fusion 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
23616 HCPCS Treat Humerus Fracture 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22600 HCPCS Neck Spine Fusion 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
0656T OTHER Vrt Bdy Tethering Ant 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
25446 HCPCS Wrist Replacement 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
0657T OTHER Vrt Bdy Tethering Ant 8+ Seg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
20802 HCPCS Replantation Arm Complete 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
20805 HCPCS Replant Forearm Complete 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
28705 HCPCS Fusion Of Foot Bones 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
20808 HCPCS Replantation Hand Complete 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
20838 HCPCS Replantation Foot Complete 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
27487 HCPCS Revise/replace Knee Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
24363 HCPCS Replace Elbow Joint 3 3 — — $22,551.42 $41,584.82 $34,954.70 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 3 — — $22,533.92 $41,552.55 $34,927.58 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 12 — — $34,843.86 $67,144.12 $34,843.86 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 14 12 — — $34,678.11 $66,824.72 $34,678.11 2026-04-01
L5858 HCPCS Stance Phase Only 3 3 — — $22,336.47 $41,188.45 $34,621.53 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 12 — — $34,520.25 $66,520.52 $34,520.25 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 15 — — $12,720.92 $66,326.59 $34,419.61 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 12 — — $34,253.86 $66,007.19 $34,253.86 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 12 — — $34,209.46 $65,921.63 $34,209.46 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 14 — — $33,204.54 $64,657.34 $33,553.37 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 12 — — $33,185.36 $63,948.19 $33,185.36 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 14 12 — — $33,074.86 $63,735.26 $33,074.86 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 12 — — $33,070.91 $63,727.64 $33,070.91 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 3 — — $21,127.66 $38,959.41 $32,747.87 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 12 — — $32,687.12 $62,988.08 $32,687.12 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 12 — — $32,546.04 $62,716.22 $32,546.04 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 13 — — $700.00 $62,647.77 $32,510.52 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 12 — — $32,466.12 $62,562.21 $32,466.12 2026-04-01
652 MS_DRG Kidney Transplant 14 12 — — $32,457.24 $62,545.10 $32,457.24 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 12 — — $32,433.56 $62,499.47 $32,433.56 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 12 — — $32,371.40 $62,379.69 $32,371.40 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 12 — — $32,268.80 $62,181.98 $32,268.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 12 — — $32,095.15 $61,847.35 $32,095.15 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 13 — — $24,539.61 $61,735.18 $32,036.94 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 12 — — $32,006.36 $61,676.26 $32,006.36 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 12 — — $31,943.21 $61,554.57 $31,943.21 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 12 — — $31,818.90 $61,315.02 $31,818.90 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 12 — — $31,771.54 $61,223.76 $31,771.54 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 12 — — $31,682.75 $61,052.66 $31,682.75 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 12 — — $31,667.95 $61,024.14 $31,667.95 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 12 — — $31,594.94 $60,883.45 $31,594.94 2026-04-01
665 MS_DRG Prostatectomy With Mcc 14 12 — — $31,388.74 $60,486.10 $31,388.74 2026-04-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 14 12 — — $31,324.61 $60,362.52 $31,324.61 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 12 — — $31,270.34 $60,257.95 $31,270.34 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 14 12 — — $30,799.73 $59,351.08 $30,799.73 2026-04-01
263 MS_DRG Vein Ligation And Stripping 14 12 — — $30,759.28 $59,273.13 $30,759.28 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 13 — — $12,960.79 $58,813.04 $30,520.52 2026-04-01
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