Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER

Tarzana, CA · CCN 050761 · Rates published

17,012 distinct procedures filed
25 distinct payers
290,105 rate rows
2026-04-01 last MRF observed
Data quality

221,659 of 290,105 rate rows are consumer-grade (76.4%)

68,446 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 68,145
placeholder amount (≤ $0.02) — excluded from medians 301
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/socal/live/833972614_providence-cedars-sinai-tarzana-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-16
Content fingerprint 8608d6061c6d3329… · 198,679,443 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 $4,782,395.50 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
$3,004,655
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
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,244,000.00 $4,990,480.00 $2,508,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $741,540.00 $1,656,833.00 $838,231.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $566,416.65 $1,259,378.89 $640,199.09 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $541,977.41 $1,203,238.19 $618,486.92 nat. median
$673,137
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $353.00 $1,314,346.93 $617,002.34 nat. median
$753,246
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $538,878.68 $1,197,931.51 $609,017.68 nat. median
$625,184
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 2 $535,500.00 $598,500.00 $598,368.75 nat. median
$459,112
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $513,651.60 $1,138,157.11 $579,557.61 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $471,240.00 $1,052,208.19 $532,449.83 nat. median
$619,808
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $424,964.01 $909,422.98 $439,809.75 nat. median
$370,174
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $598,500.00 $438,243.75 nat. median
$324,450
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $275,875.80 $1,523,440.00 $341,292.27 nat. median
$265,286
1.3× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $260,769.00 $260,769.00 $260,769.00 nat. median
$29,847
outlier · 8.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $210,242.73 $892,106.00 $251,361.32 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $11,452.00 $1,180,323.00 $220,086.12 nat. median
$202,976
1.1× median
984
MS_DRG 		Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 $212,734.00 $212,734.00 $212,734.00 nat. median
$23,989
outlier · 8.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $118,456.34 $470,914.00 $152,732.22 nat. median
$117,357
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $109,881.91 $631,336.00 $152,490.21 nat. median
$87,428
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $134,969.36 $717,116.00 $150,137.76 nat. median
$133,161
1.1× 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
7
MS_DRG 		Lung Transplant 20 $127,625.54 $617,611.00 $140,388.09 nat. median
$122,708
1.1× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $100,648.99 $555,851.00 $137,467.75 nat. median
$63,570
outlier · 2.2×
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $67,138.44 $193,816.32 $133,605.50 nat. median
$76,329
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $111,708.53 $823,480.00 $133,525.70 nat. median
$108,660
1.2× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $87,993.01 $511,245.00 $121,001.55 nat. median
$54,196
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $92,671.33 $696,528.00 $117,009.65 nat. median
$100,136
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $93,236.40 $648,490.00 $116,933.90 nat. median
$93,672
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $111,580.68 $238,782.66 $111,580.68 nat. median
$98,047
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $80,458.47 $384,292.00 $111,364.50 nat. median
$65,393
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $79,024.23 $432,328.00 $109,036.87 nat. median
$49,935
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $7,993.19 $232,519.07 $108,653.77 nat. median
$98,894
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 21 $29,519.77 $789,170.00 $108,006.06 nat. median
$99,019
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $107,207.04 $229,423.07 $107,207.04 nat. median
$102,358
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $61,200.00 $222,555.53 $101,272.08 nat. median
$69,774
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $72,884.49 $449,484.00 $100,215.17 nat. median
$62,372
1.6× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $74,247.02 $404,878.00 $100,166.58 nat. median
$44,728
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $77,649.83 $531,832.00 $97,669.08 nat. median
$77,570
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×
90288
HCPCS 		Botulism Ig IV 2 $1,803.11 $96,922.95 $96,922.95 nat. median
$55,037
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $42,679.55 $545,557.00 $96,906.21 nat. median
$81,118
1.2× median

Other procedures at this hospital

Browse this hospital's 17,012 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 5 — — $4,335,000.00 $4,955,500.00 $4,782,395.50 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 6 — — $3,570,000.00 $4,798,885.00 $3,990,000.00 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,990,000.00 $3,990,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,990,000.00 $3,990,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 6 — — $3,264,000.00 $4,317,789.29 $3,648,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 6 — — $3,162,000.00 $4,218,995.81 $3,534,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 6 — — $2,856,000.00 $3,819,816.00 $3,192,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $2,439,539.81 $4,786,111.43 $2,726,544.49 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 12 7 — — $2,244,000.00 $4,990,480.00 $2,508,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 7 — — $741,540.00 $1,656,833.00 $838,231.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 7 — — $566,416.65 $1,259,378.89 $640,199.09 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 7 — — $541,977.41 $1,203,238.19 $618,486.92 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 7 — — $353.00 $1,314,346.93 $617,002.34 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 — — $538,878.68 $1,197,931.51 $609,017.68 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 6 2 — — $535,500.00 $598,500.00 $598,368.75 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 7 — — $513,651.60 $1,138,157.11 $579,557.61 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 7 — — $471,240.00 $1,052,208.19 $532,449.83 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 30 18 — — $424,964.01 $909,422.98 $439,809.75 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 7 — — $278,250.00 $598,500.00 $438,243.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 20 — — $275,875.80 $1,523,440.00 $341,292.27 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $260,769.00 $260,769.00 $260,769.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 20 — — $210,242.73 $892,106.00 $251,361.32 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 21 — — $11,452.00 $1,180,323.00 $220,086.12 2026-04-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $212,734.00 $212,734.00 $212,734.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 20 — — $118,456.34 $470,914.00 $152,732.22 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $109,881.91 $631,336.00 $152,490.21 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 21 — — $134,969.36 $717,116.00 $150,137.76 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 6 — — $108,243.35 $231,640.77 $141,278.11 2026-04-01
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $140,677.00 $140,677.00 $140,677.00 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $132,218.57 $148,895.03 $140,556.80 2026-04-01
7 MS_DRG Lung Transplant 33 20 — — $127,625.54 $617,611.00 $140,388.09 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $100,648.99 $555,851.00 $137,467.75 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 9 4 — — $67,138.44 $193,816.32 $133,605.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 20 — — $111,708.53 $823,480.00 $133,525.70 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $87,993.01 $511,245.00 $121,001.55 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 21 — — $92,671.33 $696,528.00 $117,009.65 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 20 — — $93,236.40 $648,490.00 $116,933.90 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 16 — — $111,580.68 $238,782.66 $111,580.68 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $80,458.47 $384,292.00 $111,364.50 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $79,024.23 $432,328.00 $109,036.87 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 18 — — $7,993.19 $232,519.07 $108,653.77 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 21 — — $29,519.77 $789,170.00 $108,006.06 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 17 — — $107,207.04 $229,423.07 $107,207.04 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 9 — — $61,200.00 $222,555.53 $101,272.08 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $72,884.49 $449,484.00 $100,215.17 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $74,247.02 $404,878.00 $100,166.58 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 20 — — $77,649.83 $531,832.00 $97,669.08 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $97,225.26 $97,225.26 $97,225.26 2026-04-01
90288 HCPCS Botulism Ig IV 3 2 — — $1,803.11 $96,922.95 $96,922.95 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 20 — — $42,679.55 $545,557.00 $96,906.21 2026-04-01
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/Mcc 1 1 — — $92,642.00 $92,642.00 $92,642.00 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 6 — — $68,801.71 $147,235.66 $92,558.54 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $67,251.51 $380,861.00 $92,446.98 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 — — $56,824.55 $206,144.49 $90,765.85 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 17 — — $88,869.63 $190,181.01 $88,869.63 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 20 — — $75,201.89 $384,292.00 $88,693.40 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $62,770.71 $322,530.00 $85,936.25 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 17 — — $17,460.10 $193,041.21 $85,426.39 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 21 — — $15,938.60 $490,657.00 $84,831.63 2026-04-01
986 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $82,348.00 $82,348.00 $82,348.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 20 — — $67,904.30 $255,130.00 $80,786.46 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 9 — — $56,269.19 $122,586.77 $78,772.97 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 3 — — $57,262.03 $329,392.00 $78,743.98 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 1 1 — — $78,639.40 $78,639.40 $78,639.40 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 19 9 — — $1,142.00 $173,128.88 $78,268.00 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 3 2 — — $5,446.00 $126,240.00 $78,268.00 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 3 2 — — $5,446.00 $126,240.00 $78,268.00 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 3 2 — — $5,446.00 $126,240.00 $78,268.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 33 20 — — $70,803.67 $322,530.00 $78,001.14 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 20 — — $64,928.22 $449,484.00 $77,601.95 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 47 21 — — $786.48 $449,484.00 $76,959.73 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 45 21 — — $1,481.00 $417,408.00 $76,789.21 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 21 — — $100.00 $518,107.00 $76,534.02 2026-04-01
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/Mcc 1 1 — — $75,486.00 $75,486.00 $75,486.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 20 — — $66,460.52 $329,392.00 $75,154.18 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 18 — — $70,428.95 $166,119.85 $74,654.68 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 21 — — $58,714.45 $498,193.28 $74,182.18 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 33 20 — — $58,578.73 $250,820.00 $73,132.15 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 21 — — $58,536.13 $363,705.00 $73,059.43 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 20 — — $64,693.16 $205,871.00 $72,888.27 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 20 — — $60,532.95 $349,286.00 $72,585.68 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 20 — — $61,471.53 $349,980.00 $71,421.04 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 21 — — $31,332.93 $363,705.00 $71,294.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 19 — — $32,540.27 $189,027.51 $71,255.09 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 20 — — $54,578.82 $291,651.00 $70,952.47 2026-04-01
10 MS_DRG Pancreas Transplant 33 20 — — $43,238.75 $240,182.00 $70,833.17 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 20 — — $59,885.80 $356,842.00 $70,496.48 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 17 — — $70,387.64 $150,629.55 $70,387.64 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 33 20 — — $59,351.76 $332,823.00 $69,560.64 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 20 — — $60,463.12 $346,548.00 $69,171.00 2026-04-01
765 MS_DRG Cesarean Section W Cc/Mcc 1 1 — — $68,623.00 $68,623.00 $68,623.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 21 — — $26,038.41 $339,686.00 $68,520.66 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 20 — — $5,023.60 $329,392.00 $68,441.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 20 — — $57,940.43 $363,705.00 $67,974.61 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 20 — — $54,062.48 $363,705.00 $67,133.43 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 33 20 — — $54,253.28 $295,082.00 $66,969.45 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 18 — — $13,044.32 $141,286.82 $66,021.88 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 17 — — $65,973.68 $141,183.68 $65,973.68 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 33 20 — — $51,366.70 $373,999.00 $65,128.84 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 21 — — $13,855.46 $325,961.00 $64,977.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 20 — — $55,381.36 $312,236.00 $64,861.11 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 6 — — $48,155.50 $103,052.77 $64,783.31 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $47,003.63 $229,888.00 $64,713.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 21 — — $16,992.28 $408,309.00 $62,265.69 2026-04-01
767 MS_DRG Vaginal Delivery W Sterilization &/Or D&c 1 1 — — $61,760.00 $61,760.00 $61,760.00 2026-04-01
J9226 HCPCS Supprelin La Implant 18 9 — — $41,173.43 $97,205.89 $60,703.19 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 20 — — $47,510.39 $411,740.00 $60,667.40 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 20 — — $48,463.40 $219,594.00 $60,478.32 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 18 — — $59,335.04 $166,163.97 $59,928.39 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 6 — — $44,356.85 $94,923.66 $59,673.01 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 21 — — $33,043.76 $315,667.00 $59,623.66 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 34 20 — — $47,750.36 $284,788.00 $59,406.53 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 33 20 — — $53,686.78 $177,600.00 $59,055.46 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 21 — — $23,235.34 $332,823.00 $57,970.79 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 20 — — $46,266.25 $295,082.00 $57,861.10 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 3 2 — — $3,855.00 $93,018.00 $57,671.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 33 20 — — $44,801.82 $305,373.00 $57,610.28 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 21 — — $33,697.22 $322,530.00 $57,607.85 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 20 — — $48,665.02 $288,219.00 $57,473.58 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 20 — — $12,025.21 $500,951.00 $57,093.68 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 20 — — $47,082.56 $266,374.00 $57,003.21 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 17 — — $56,979.55 $121,936.24 $56,979.55 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 15 8 — — $353.00 $121,233.42 $56,651.13 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 19 9 — — $1,528.00 $126,240.00 $56,651.13 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $56,404.76 $56,404.76 $56,404.76 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 16 — — $56,387.48 $120,669.21 $56,387.48 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 21 — — $5,169.65 $301,942.00 $56,314.70 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 33 20 — — $45,864.99 $315,667.00 $56,075.20 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 43 21 — — $44,338.59 $322,530.00 $55,580.21 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 18 — — $51,435.19 $118,882.33 $55,552.49 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 17 — — $55,003.69 $117,707.90 $55,003.69 2026-04-01
685 MS_DRG Admit For Renal Dialysis 1 1 — — $54,898.00 $54,898.00 $54,898.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 20 — — $44,326.29 $281,357.00 $54,813.52 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 21 — — $41,216.68 $305,373.00 $54,330.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 43 21 — — $6,909.32 $295,082.00 $53,985.77 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 20 — — $45,351.60 $264,200.00 $53,749.34 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 6 — — $39,938.10 $85,467.53 $53,728.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 21 — — $33,187.28 $322,530.00 $53,684.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 20 — — $39,045.18 $192,338.00 $53,195.57 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 17 — — $52,676.73 $112,728.20 $52,676.73 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 17 9 — — $353.00 $121,233.42 $52,628.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 21 — — $441.90 $291,651.00 $52,515.80 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 20 — — $41,297.60 $301,942.00 $52,317.57 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 3 — — $37,358.37 $202,440.00 $51,637.85 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 21 — — $36,318.01 $158,590.00 $51,568.10 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 3 — — $37,934.45 $181,852.00 $51,416.85 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 20 — — $27,140.68 $247,044.00 $51,290.81 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 33 20 — — $41,533.64 $257,338.00 $50,941.81 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 20 — — $44,325.80 $281,357.00 $50,773.87 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 19 — — $44,152.71 $94,486.80 $50,075.21 2026-04-01
5432 OTHER Level 2 Nerve Procedures 1 1 — — $49,839.98 $49,839.98 $49,839.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 21 — — $7,881.40 $370,567.00 $49,804.29 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 20 — — $41,703.78 $229,888.00 $49,794.81 2026-04-01
245 MS_DRG Aicd Generator Procedures 37 21 — — $6,208.58 $257,338.00 $49,644.42 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 18 — — $46,498.36 $99,506.49 $49,288.26 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 20 — — $41,104.83 $295,082.00 $49,281.05 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 21 — — $20,241.45 $349,980.00 $49,033.08 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 20 — — $42,480.75 $223,025.00 $48,678.11 2026-04-01
766 MS_DRG Cesarean Section Without Cc/Mcc 1 1 — — $48,035.00 $48,035.00 $48,035.00 2026-04-01
777 MS_DRG Ectopic Pregnancy 1 1 — — $48,035.00 $48,035.00 $48,035.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 42 21 — — $9,320.18 $205,871.00 $47,727.62 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 20 — — $38,328.40 $205,871.00 $47,116.95 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 6 — — $34,970.13 $74,836.08 $47,045.11 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 20 — — $35,415.27 $267,632.00 $46,874.06 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 3 — — $33,451.26 $205,871.00 $46,798.86 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 20 — — $38,733.61 $223,025.00 $46,061.56 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 20 — — $37,269.17 $226,456.00 $46,000.86 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 20 — — $41,724.44 $195,577.00 $45,896.88 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 20 — — $37,914.48 $144,202.00 $45,862.21 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 20 — — $41,390.97 $178,421.00 $45,741.09 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 17 — — $550.00 $97,761.71 $45,683.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 20 — — $35,496.90 $192,146.00 $45,676.96 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 8 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 8 6 — — $39,688.16 $84,932.66 $45,244.18 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 21 — — $35,379.86 $264,200.00 $44,952.31 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 20 — — $34,558.64 $301,942.00 $44,926.23 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 21 — — $7,944.04 $236,750.00 $44,558.40 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 14 8 — — $353.00 $94,292.96 $44,502.75 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 35 21 — — $10,490.75 $253,907.00 $44,462.83 2026-04-01
69930 HCPCS Implant Cochlear Device 19 9 — — $3,409.00 $126,240.00 $44,429.59 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 17 8 — — $353.00 $126,240.00 $44,408.46 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 17 8 — — $1,142.00 $93,018.00 $44,408.46 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 20 — — $36,913.14 $209,303.00 $44,199.69 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 3 2 — — $38,876.52 $126,955.00 $43,693.06 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 21 — — $12,413.16 $205,871.00 $43,437.02 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 20 — — $39,443.70 $219,594.00 $43,434.60 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 20 — — $34,873.36 $216,163.00 $43,422.81 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 37 20 — — $35,264.79 $202,440.00 $43,180.19 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 18 — — $10,923.35 $91,634.93 $42,820.06 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 20 — — $35,918.82 $202,440.00 $42,655.48 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 21 — — $26,792.61 $229,888.00 $42,453.12 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 20 — — $35,327.74 $274,494.00 $42,422.83 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 19 9 — — $1,528.00 $126,240.00 $42,296.16 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 19 9 — — $4,589.00 $126,240.00 $42,296.16 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 19 9 — — $1,142.00 $126,240.00 $42,296.16 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 19 9 — — $1,528.00 $126,240.00 $42,296.16 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 21 — — $1,880.59 $229,888.00 $42,286.07 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 34 21 — — $6,390.07 $188,715.00 $42,250.83 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 19 — — $49.10 $90,327.92 $42,209.31 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 20 — — $38,271.36 $161,265.00 $42,098.50 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 47 21 — — $1,193.03 $212,734.00 $42,093.45 2026-04-01
332 MS_DRG Rectal Resection With Mcc 33 20 — — $35,869.65 $291,651.00 $42,027.81 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 19 — — $425.00 $91,635.33 $41,968.35 2026-04-01
61886 HCPCS Implant Neurostim Arrays 19 9 — — $1,747.00 $126,240.00 $41,580.42 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 20 — — $36,370.25 $178,421.00 $41,451.93 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 17 9 — — $353.00 $86,394.63 $41,178.75 2026-04-01
774 MS_DRG Vaginal Delivery W Complicating Diagnoses 1 1 — — $41,175.00 $41,175.00 $41,175.00 2026-04-01
781 MS_DRG Other Antepartum Diagnoses W Medical Complications 1 1 — — $41,175.00 $41,175.00 $41,175.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 39 21 — — $32,971.65 $236,750.00 $40,722.37 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 37 21 — — $300.00 $118,813.00 $40,718.05 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 33 20 — — $34,236.05 $209,303.00 $40,121.67 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 3 — — $27,683.22 $137,246.00 $39,946.12 2026-04-01
265 MS_DRG Aicd Lead Procedures 34 20 — — $30,555.32 $140,677.00 $39,810.28 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 18 — — $35,453.62 $85,175.62 $39,801.69 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 8 6 — — $29,510.19 $63,151.81 $39,699.88 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 15 8 — — $353.00 $84,932.66 $39,688.16 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 19 9 — — $1,528.00 $126,240.00 $39,688.16 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 19 9 — — $1,528.00 $93,018.00 $39,688.16 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 20 — — $35,946.36 $171,559.00 $39,541.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 38 20 — — $28,043.72 $127,656.00 $39,482.16 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 33 20 — — $26,982.84 $137,246.00 $39,330.72 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 33 20 — — $31,572.72 $209,303.00 $39,222.88 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 20 — — $31,235.38 $322,530.00 $39,121.30 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 20 — — $31,998.58 $212,734.00 $39,060.36 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 21 — — $20,921.61 $219,594.00 $38,988.62 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 21 — — $18,777.82 $195,577.00 $38,939.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 18 — — $36,706.61 $78,552.15 $38,909.00 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 6 — — $28,851.23 $61,741.63 $38,813.39 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 20 — — $34,401.28 $126,955.00 $38,802.17 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 19 9 — — $2,160.00 $126,240.00 $38,650.52 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 6 — — $28,715.00 $61,450.10 $38,630.12 2026-04-01
J9266 HCPCS Pegaspargase Injection 19 9 — — $4,644.34 $64,744.06 $38,396.84 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 20 — — $15,147.13 $219,594.00 $38,378.33 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 21 — — $24,486.00 $178,421.00 $38,288.14 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 8 — — $4,776.00 $74,087.61 $38,082.42 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 37 21 — — $6,014.41 $188,715.00 $38,024.24 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 20 — — $31,338.65 $185,284.00 $37,839.26 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 20 — — $32,633.92 $98,291.00 $37,814.73 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 21 — — $11,753.57 $267,632.00 $37,811.74 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 20 — — $31,385.86 $181,852.00 $37,695.41 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 34 20 — — $26,110.59 $161,265.00 $37,622.02 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 34 20 — — $32,116.61 $195,577.00 $37,520.43 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 10 7 — — $4,776.00 $74,683.62 $37,475.79 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 10 7 — — $4,776.00 $74,683.62 $37,475.79 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 33 20 — — $31,603.21 $195,577.00 $37,468.19 2026-04-01
652 MS_DRG Kidney Transplant 33 20 — — $32,022.18 $188,715.00 $37,213.73 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 3 2 — — $33,094.12 $130,383.00 $37,194.26 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 18 — — $49.60 $79,410.86 $37,107.88 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 20 — — $30,360.42 $192,146.00 $36,549.22 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $9,728.63 $55,007.95 $36,532.82 2026-04-01
665 MS_DRG Prostatectomy With Mcc 33 20 — — $30,957.05 $164,696.00 $36,294.64 2026-04-01
5378 OTHER Level 8 Urology And Related Services 3 3 — — $25,063.84 $83,392.41 $36,218.57 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 20 — — $32,748.01 $240,182.00 $36,022.81 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 33 20 — — $31,936.62 $137,246.00 $35,962.37 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 21 — — $4,092.00 $264,200.00 $35,795.01 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 17 — — $8,227.40 $76,460.08 $35,729.01 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $33,581.40 $37,816.96 $35,699.18 2026-04-01
800 MS_DRG Splenic Procedures With Cc 33 20 — — $27,890.49 $164,696.00 $35,275.13 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 21 — — $18,503.64 $168,127.00 $35,226.95 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 20 — — $17,052.93 $178,421.00 $35,157.42 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 33 20 — — $30,369.90 $174,990.00 $35,016.97 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 14 8 — — $353.00 $74,087.61 $34,966.58 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 19 9 — — $1,747.00 $74,683.62 $34,898.89 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 19 9 — — $2,455.00 $74,683.62 $34,898.89 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 3 2 — — $31,035.59 $99,504.00 $34,880.68 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 20 — — $16,952.00 $168,127.00 $34,766.82 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 6 3 — — $172.38 $42,520.36 $34,759.28 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 17 8 — — $3,409.00 $93,018.00 $34,290.01 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 17 8 — — $3,409.00 $93,018.00 $34,290.01 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 17 8 — — $3,409.00 $93,018.00 $34,290.01 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 33 20 — — $31,162.60 $181,852.00 $34,278.86 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 33 20 — — $27,791.15 $188,715.00 $34,192.96 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 36 20 — — $49.10 $164,696.00 $34,140.43 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 16 — — $34,078.69 $72,928.40 $34,078.69 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 20 — — $28,783.51 $178,421.00 $34,026.96 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 20 — — $27,778.98 $168,127.00 $33,999.81 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 36 20 — — $25,648.89 $185,284.00 $33,714.43 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 36 21 — — $18,617.43 $137,246.00 $33,458.51 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 33 20 — — $28,657.62 $212,734.00 $33,035.79 2026-04-01
570 MS_DRG Skin Debridement With Mcc 34 20 — — $14,210.78 $99,538.00 $33,001.90 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 3 — — $23,762.97 $123,523.00 $32,980.24 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 20 — — $29,966.66 $126,955.00 $32,963.33 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 33 20 — — $27,376.12 $185,284.00 $32,754.67 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 34 20 — — $27,156.44 $144,108.00 $32,402.51 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 33 20 — — $26,198.86 $164,696.00 $32,148.82 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 33 20 — — $29,215.27 $154,402.00 $32,136.80 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 33 20 — — $28,602.54 $123,523.00 $32,107.63 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 20 — — $26,875.51 $199,009.00 $32,043.31 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 18 — — $15,041.79 $68,546.40 $32,031.03 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 42 21 — — $3,738.96 $236,750.00 $31,977.85 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 29 18 — — $31,377.14 $68,125.47 $31,834.33 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 34 21 — — $17,974.42 $202,440.00 $31,705.36 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 35 20 — — $24,947.33 $161,265.00 $31,681.33 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 17 8 — — $1,142.00 $93,018.00 $31,469.85 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 17 8 — — $1,747.00 $93,018.00 $31,469.85 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 17 8 — — $1,142.00 $93,018.00 $31,469.85 2026-04-01
503 MS_DRG Foot Procedures With Mcc 33 20 — — $27,710.51 $147,540.00 $31,418.22 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 33 20 — — $25,512.38 $161,265.00 $31,363.64 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 21 — — $16,127.86 $212,734.00 $31,312.75 2026-04-01
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