Price Transparency Hospital negotiated rates

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

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Hospital

UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS

San Francisco, CA · CCN 054144 · Rates published

13,312 distinct procedures filed
28 distinct payers
327,284 rate rows
2026-04-01 last MRF observed
Data quality

198,988 of 327,284 rate rows are consumer-grade (60.8%)

128,296 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 128,020
placeholder amount (≤ $0.02) — excluded from medians 276
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/index.php?rm=box_download_shared_file&shared_name=3qwt5aex5xogbxxsjw6cz5u50kf15vxt&file_id=f_1959272306335
Found on page https://www.ucsfhealth.org/about/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint cfebbd9f8442b705… · 90,990,580 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,663,680.00 $4,663,680.00 $4,663,680.00 nat. median
$3,710,000
1.3× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,663,680.00 $4,663,680.00 $4,663,680.00 nat. median
$3,570,000
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,663,680.00 $4,663,680.00 nat. median
$3,710,000
1.3× median
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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,643,047.62 $4,263,936.00 nat. median
$3,325,455
1.3× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 4 $3,335,820.00 $4,670,148.00 $4,193,314.56 nat. median
$3,335,820
1.3× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,547,824.00 $4,130,688.00 nat. median
$3,286,000
1.3× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 4 $3,090,000.00 $4,326,000.00 $3,997,440.00 nat. median
$3,180,000
1.3× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $4,124,036.00 $3,730,944.00 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $4,910,221.21 $3,346,244.99 nat. median
$2,469,189
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $4,664,000.00 $2,931,456.00 nat. median
$2,448,600
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,541,240.00 $968,712.96 nat. median
$824,563
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,131,737.89 $739,940.06 nat. median
$675,122
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $2,207.00 $1,183,452.40 $739,657.75 nat. median
$754,974
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $1,125,076.37 $708,013.78 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $1,114,635.87 $703,965.75 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $1,066,460.34 $671,010.28 nat. median
$634,511
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 $78,584.00 $1,810,614.49 $659,425.83 nat. median
$370,174
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $101,843.00 $4,369,291.76 $618,869.78 nat. median
$265,286
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $978,609.22 $615,605.76 nat. median
$620,080
1.0× median
7
MS_DRG 		Lung Transplant 16 $197,710.91 $1,411,853.35 $550,475.49 nat. median
$122,708
outlier · 4.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $117,959.37 $3,937,473.74 $452,109.70 nat. median
$202,986
outlier · 2.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $556,500.00 $349,776.00 nat. median
$324,450
1.1× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $349,776.00 $349,776.00 $349,776.00 nat. median
$459,112
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $7,143.82 $766,349.66 $338,549.00 nat. median
$117,303
outlier · 2.9×
J3403
HCPCS 		Revakinagene, Per Implant 5 $257,500.00 $515,000.00 $333,120.00 nat. median
$265,000
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $324,831.65 $649,663.30 $324,831.65 nat. median
$206,368
1.6× median
9489
OTHER 		Inj, Nusinersen, 0.1mg 3 $109,776.70 $436,875.22 $323,588.07 nat. median
$1,280
outlier · 252.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $1,873.29 $2,386,386.75 $310,031.78 nat. median
$100,136
outlier · 3.1×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $205,640.00 $411,280.00 $258,501.12 nat. median
$209,753
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $93,614.75 $2,719,227.60 $253,618.39 nat. median
$133,176
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $91,417.13 $624,118.05 $206,436.48 nat. median
$98,905
outlier · 2.1×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $48,209.98 $3,737,783.30 $183,358.72 nat. median
$52,278
outlier · 3.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $83,348.00 $934,027.27 $175,296.35 nat. median
$93,672
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $173,219.86 $985,874.91 $173,219.86 nat. median
$108,660
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $173,023.13 $346,046.26 $173,023.13 nat. median
$98,017
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $56,938.97 $332,587.08 $166,293.54 nat. median
$102,358
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $53,456.00 $929,234.10 $164,340.09 nat. median
$81,118
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $43,585.72 $1,663,176.64 $162,655.82 nat. median
$83,442
1.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 21 $90,080.46 $470,020.51 $162,036.65 nat. median
$56,920
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 14 $83,348.00 $808,000.85 $162,023.89 nat. median
$99,019
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $69,092.00 $798,132.15 $151,018.36 nat. median
$77,576
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $62,218.78 $802,122.41 $145,205.05 nat. median
$74,915
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $98,423.97 $276,156.56 $139,739.61 nat. median
$82,712
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $108,243.35 $216,486.70 $135,304.19 nat. median
$111,989
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $80,062.66 $258,611.50 $129,305.75 nat. median
$79,312
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $56,069.52 $1,133,235.98 $129,247.48 nat. median
$62,134
outlier · 2.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $45,107.56 $747,549.54 $129,174.08 nat. median
$73,807
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $31,388.07 $337,394.72 $128,307.47 nat. median
$68,090
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $109,704.13 $507,891.52 $120,674.54 nat. median
$71,240
1.7× median

Other procedures at this hospital

Browse this hospital's 13,312 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
             
C9172 HCPCS Inj, Beqvez, Per Tx Dose 8 1 — — $4,663,680.00 $4,663,680.00 $4,663,680.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 3 — — $3,685,266.67 $4,663,680.00 $4,663,680.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 1 — — $4,663,680.00 $4,663,680.00 $4,663,680.00 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 4 — — $3,316,462.59 $4,643,047.62 $4,263,936.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 16 4 — — $3,335,820.00 $4,670,148.00 $4,193,314.56 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 4 — — $3,248,445.72 $4,547,824.00 $4,130,688.00 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 16 4 — — $3,090,000.00 $4,326,000.00 $3,997,440.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 16 4 — — $2,945,740.00 $4,124,036.00 $3,730,944.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 5 — — $2,455,110.60 $4,910,221.21 $3,346,244.99 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 18 5 — — $2,332,000.00 $4,664,000.00 $2,931,456.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 18 5 — — $770,620.00 $1,541,240.00 $968,712.96 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 18 5 — — $565,868.94 $1,131,737.89 $739,940.06 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 5 — — $2,207.00 $1,183,452.40 $739,657.75 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 5 — — $562,538.19 $1,125,076.37 $708,013.78 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 18 5 — — $557,317.93 $1,114,635.87 $703,965.75 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 18 5 — — $533,230.17 $1,066,460.34 $671,010.28 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 68 21 — — $78,584.00 $1,810,614.49 $659,425.83 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 19 — — $101,843.00 $4,369,291.76 $618,869.78 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 18 5 — — $489,304.61 $978,609.22 $615,605.76 2026-04-01
7 MS_DRG Lung Transplant 56 16 — — $197,710.91 $1,411,853.35 $550,475.49 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 70 17 — — $117,959.37 $3,937,473.74 $452,109.70 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 8 1 — — $349,776.00 $349,776.00 $349,776.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 5 — — $278,250.00 $556,500.00 $349,776.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 66 20 — — $7,143.82 $766,349.66 $338,549.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 18 5 — — $257,500.00 $515,000.00 $333,120.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 11 — — $324,831.65 $649,663.30 $324,831.65 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 6 3 — — $109,776.70 $436,875.22 $323,588.07 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 74 21 — — $1,873.29 $2,386,386.75 $310,031.78 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 18 5 — — $205,640.00 $411,280.00 $258,501.12 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 16 — — $93,614.75 $2,719,227.60 $253,618.39 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 16 — — $91,417.13 $624,118.05 $206,436.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 50 16 — — $48,209.98 $3,737,783.30 $183,358.72 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 15 — — $83,348.00 $934,027.27 $175,296.35 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 11 — — $173,219.86 $985,874.91 $173,219.86 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 12 — — $173,023.13 $346,046.26 $173,023.13 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 13 — — $56,938.97 $332,587.08 $166,293.54 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 14 — — $53,456.00 $929,234.10 $164,340.09 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 40 16 — — $43,585.72 $1,663,176.64 $162,655.82 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 60 21 — — $90,080.46 $470,020.51 $162,036.65 2026-04-01
215 MS_DRG Other Heart Assist System Implant 36 14 — — $83,348.00 $808,000.85 $162,023.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 16 — — $69,092.00 $798,132.15 $151,018.36 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 76 20 — — $62,218.78 $802,122.41 $145,205.05 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 13 — — $98,423.97 $276,156.56 $139,739.61 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 5 — — $108,243.35 $216,486.70 $135,304.19 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 14 — — $80,062.66 $258,611.50 $129,305.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 15 — — $56,069.52 $1,133,235.98 $129,247.48 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 15 — — $45,107.56 $747,549.54 $129,174.08 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 17 — — $31,388.07 $337,394.72 $128,307.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 11 — — $109,704.13 $507,891.52 $120,674.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 64 19 — — $12,249.32 $894,936.96 $119,854.40 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 14 — — $66,894.00 $240,020.59 $119,348.68 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 13 — — $77,708.59 $702,929.89 $118,701.85 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 11 — — $117,048.12 $234,096.24 $117,048.12 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 17 — — $49,659.43 $209,821.21 $113,476.95 2026-04-01
10 MS_DRG Pancreas Transplant 26 11 — — $110,326.09 $533,035.95 $110,326.09 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 11 — — $110,280.69 $220,561.38 $110,280.69 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 13 — — $78,358.88 $206,736.31 $108,517.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 17 — — $45,663.93 $1,363,075.39 $107,247.69 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 68 18 — — $150.00 $3,193,662.81 $106,717.27 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 18 — — $46,270.54 $327,079.24 $105,568.22 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 12 — — $86,550.82 $993,720.08 $103,860.98 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 11 — — $103,598.01 $207,196.02 $103,598.01 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 13 — — $32,636.08 $356,724.76 $102,923.09 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 13 — — $46,130.18 $205,697.86 $102,848.93 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 15 — — $72,882.80 $1,452,289.22 $102,035.92 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 12 — — $83,348.00 $202,480.62 $101,240.31 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $30,666.64 $206,885.40 $101,240.31 2026-04-01
652 MS_DRG Kidney Transplant 62 19 — — $20,193.25 $517,802.92 $101,217.44 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 11 — — $72,535.14 $201,757.26 $100,878.63 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 40 13 — — $71,908.25 $666,989.68 $100,671.55 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 64 17 — — $46,739.72 $4,130,739.09 $99,938.81 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 17 — — $44,603.97 $218,822.37 $96,191.14 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 14 — — $49,594.19 $679,334.27 $94,477.42 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 12 — — $45,938.42 $188,739.96 $94,369.98 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 12 — — $83,348.00 $186,963.36 $93,481.68 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 1 — — $92,969.35 $92,969.35 $92,969.35 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 54 18 — — $27,275.00 $478,623.06 $92,659.97 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 17 — — $53,456.00 $222,522.38 $92,236.31 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 5 — — $7,145.00 $184,027.59 $92,013.79 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 74 19 — — $14,750.00 $942,931.01 $91,766.78 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 15 — — $45,107.56 $281,695.94 $90,545.90 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 14 — — $17,418.74 $506,965.30 $90,488.40 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 72 19 — — $885.85 $945,605.36 $89,625.92 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 16 — — $40,001.65 $232,713.48 $89,505.16 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 19 — — $13,546.33 $1,575,978.23 $89,103.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 13 — — $53,802.03 $234,884.82 $89,009.92 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 46 18 — — $56,115.94 $1,811,816.77 $88,897.89 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 14 — — $43,916.00 $483,398.57 $88,843.95 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 12 — — $80,875.07 $176,197.84 $88,098.92 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 16 — — $39,642.37 $549,511.33 $87,986.93 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 60 19 — — $24,470.76 $367,402.78 $87,334.20 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 18 — — $35,798.90 $382,061.90 $86,924.94 2026-04-01
791 MS_DRG Prematurity With Major Problems 54 17 — — $2,984.07 $365,878.29 $86,810.21 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 5 — — $55,272.32 $110,544.65 $86,411.33 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 10 5 — — $68,801.71 $137,603.42 $86,002.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 13 — — $34,610.45 $171,939.44 $85,969.72 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 13 — — $66,894.00 $161,019.56 $85,754.58 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 12 — — $66,894.00 $170,631.96 $85,315.98 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 18 — — $13,729.84 $409,242.16 $84,521.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 12 — — $83,348.00 $199,811.00 $84,403.47 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 11 — — $83,943.43 $167,886.86 $83,943.43 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 13 — — $43,969.45 $254,824.02 $82,389.28 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 16 — — $5,455.00 $220,683.50 $81,895.07 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 13 — — $11,793.77 $222,524.98 $81,847.52 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 74 20 — — $27,008.84 $247,943.26 $81,580.92 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 13 — — $54,891.61 $275,383.47 $81,149.82 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 5 — — $63,342.28 $126,684.56 $81,148.03 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 13 — — $66,894.00 $442,014.13 $80,972.59 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 34 15 — — $28,079.85 $160,747.16 $80,373.58 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 62 18 — — $29,805.01 $178,070.32 $79,886.66 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 15 — — $53,456.00 $332,241.92 $79,478.66 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 12 — — $65,639.44 $156,019.64 $78,009.82 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 12 — — $40,728.87 $152,433.16 $76,216.58 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 11 — — $69,273.61 $161,722.66 $76,200.97 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 12 — — $75,906.35 $151,812.70 $75,906.35 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 17 — — $18,669.17 $2,280,819.76 $74,722.08 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 18 — — $15,138.65 $332,483.95 $74,439.98 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 50 14 — — $42,736.85 $241,609.38 $73,781.70 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 17 — — $35,631.04 $433,931.04 $73,122.48 2026-04-01
5166 OTHER Cochlear Implant Procedure 40 15 — — $28,274.30 $126,649.65 $72,286.43 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 11 — — $65,505.53 $224,683.24 $72,056.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 50 14 — — $40,830.25 $437,332.22 $71,997.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 36 12 — — $7,790.80 $329,048.78 $70,825.23 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 12 — — $10,769.48 $142,052.45 $70,779.33 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 88 22 — — $24,966.83 $469,995.62 $70,541.75 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 26 12 — — $68,623.75 $140,544.76 $70,272.38 2026-04-01
5627 OTHER Level 7 Radiation Therapy 54 17 — — $3,526.21 $111,322.68 $69,836.51 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 50 16 — — $18,507.81 $902,019.11 $69,559.62 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 74 20 — — $17,488.40 $1,126,169.66 $69,218.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 36 13 — — $60,384.98 $154,755.69 $68,243.73 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 14 — — $24,678.98 $149,995.17 $68,212.80 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 16 — — $23,078.26 $146,203.86 $68,053.82 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 38 14 — — $5,310.00 $238,917.83 $67,942.78 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 68 19 — — $40,745.57 $220,173.12 $67,887.44 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 32 11 — — $17,969.42 $107,746.28 $67,464.02 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 11 — — $750.00 $139,543.16 $67,223.11 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 58 18 — — $27,825.00 $556,602.71 $66,894.00 2026-04-01
J9226 HCPCS Supprelin La Implant 18 5 — — $45,020.65 $90,041.30 $66,866.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 13 — — $22,275.60 $882,841.37 $66,701.02 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 14 — — $11,389.72 $720,426.37 $66,168.54 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 16 — — $25,088.75 $184,007.83 $65,537.30 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 12 — — $10,753.65 $3,739,298.22 $65,319.39 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 30 13 — — $18,575.51 $130,487.46 $65,243.73 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 68 19 — — $2,569.95 $582,462.33 $64,835.14 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 46 15 — — $4,695.61 $326,326.61 $64,583.93 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 18 5 — — $2,207.00 $128,865.23 $64,432.62 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 18 5 — — $2,207.00 $128,865.23 $64,432.62 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 18 5 — — $9,562.00 $128,865.23 $64,432.62 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 17 — — $26,531.18 $128,335.56 $64,167.78 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 44 15 — — $6,636.87 $88,989.70 $62,161.43 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 50 16 — — $77.94 $180,604.87 $62,121.40 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 13 — — $10,910.00 $179,642.30 $62,027.99 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 60 17 — — $34,708.64 $202,874.98 $62,012.36 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 16 — — $11,130.00 $166,690.57 $61,859.98 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 16 — — $23,512.47 $463,103.29 $61,743.29 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 15 — — $26,808.33 $468,117.09 $61,352.59 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 11 — — $60,667.54 $121,335.08 $60,667.54 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 36 13 — — $26,996.27 $120,623.84 $60,311.92 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 18 — — $14,952.09 $120,448.30 $60,224.15 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 10 5 — — $48,155.50 $96,311.00 $60,194.38 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 40 14 — — $9,981.20 $322,180.68 $60,168.16 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 11 — — $54,269.36 $185,697.00 $60,166.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 50 14 — — $41,443.30 $461,032.47 $60,064.01 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 42 14 — — $31,724.08 $1,279,972.17 $59,555.54 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 4 1 — — $12,606.45 $105,756.64 $59,181.54 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 15 — — $21,483.75 $173,941.17 $58,862.42 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 52 15 — — $10,840.00 $164,706.38 $58,746.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 11 — — $45,384.36 $117,364.22 $58,682.11 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 70 20 — — $19,408.65 $190,206.25 $58,545.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 50 15 — — $5,900.00 $116,867.86 $58,433.93 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 60 18 — — $16,365.00 $560,029.18 $58,299.25 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 14 — — $46,182.47 $256,025.27 $58,134.30 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 12 — — $55,649.48 $500,470.95 $57,881.64 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 19 — — $18,557.05 $504,576.46 $57,716.66 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 58 17 — — $20,754.69 $1,389,855.16 $57,374.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 38 15 — — $18,157.10 $246,324.00 $57,321.66 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 13 — — $26,660.06 $155,313.96 $57,298.96 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 64 19 — — $6,150.00 $162,054.68 $56,742.07 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 38 13 — — $5,455.00 $465,497.05 $56,646.74 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 12 — — $48,161.51 $433,856.29 $56,604.36 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 12 — — $51,940.64 $113,057.40 $56,528.70 2026-04-01
265 MS_DRG Aicd Lead Procedures 28 13 — — $21,651.13 $112,981.74 $56,490.87 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 5 — — $45,139.64 $90,279.29 $56,424.55 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 11 — — $55,123.11 $112,624.60 $56,312.30 2026-04-01
2051 OTHER Cath Renal Denerv Radiofreq 2 1 — — $56,142.22 $56,142.22 $56,142.22 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 17 — — $15,375.00 $119,139.46 $56,112.93 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 13 — — $36,017.60 $111,910.32 $55,955.16 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 13 — — $26,760.12 $216,856.26 $55,829.56 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 36 13 — — $25,286.82 $126,845.00 $55,819.40 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 13 — — $12,240.14 $111,389.76 $55,694.88 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 40 15 — — $18,414.26 $293,740.39 $55,627.94 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 13 — — $23,054.94 $111,196.06 $55,598.03 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 10 5 — — $44,356.85 $88,713.70 $55,446.06 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 14 — — $6,150.00 $263,537.54 $54,995.74 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 12 — — $49,820.29 $103,198.11 $54,802.32 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 11 — — $54,511.49 $109,022.98 $54,511.49 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 66 19 — — $24,122.00 $283,900.68 $54,465.16 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 13 — — $10,623.56 $118,698.73 $54,337.90 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 4 2 — — $48,173.39 $60,455.88 $54,314.63 2026-04-01
5801 OTHER Ventilation Initiation And Management 4 2 — — $1,941.11 $105,890.15 $53,915.63 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 12 — — $19,452.79 $157,180.24 $53,773.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 38 14 — — $12,615.62 $394,476.30 $53,296.32 2026-04-01
93662 HCPCS Hc Intracardiac ECG At Op 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93652 HCPCS Ablate Heart Dysrhythm Focus 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93651 HCPCS Ablate Heart Dysrhythm Focus 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93640 HCPCS Evaluation Heart Device 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93641 HCPCS Electrophysiology Evaluation 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93623 HCPCS Hc Stim & Pacing S/p IV Drugs 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93631 HCPCS Hc Map For Tachycardia Site 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93644 HCPCS Electrophysiology Evaluation 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93621 HCPCS Electrophysiology Evaluation 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93609 HCPCS Hc Map Tachycardia, Add-on 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93622 HCPCS Electrophysiology Evaluation 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
33202 HCPCS Hc Insertion Epicardial Electrode Open 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
33203 HCPCS Insert Epicard Eltrd Endo 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
93607 HCPCS Description Not Available 2 1 — — $53,184.00 $53,184.00 $53,184.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 13 — — $47,765.34 $110,335.00 $52,809.32 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 15 — — $26,836.08 $104,420.06 $52,401.94 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 12 — — $50,475.77 $376,471.73 $52,355.02 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 32 13 — — $43,194.00 $117,605.52 $52,289.98 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 64 17 — — $16,864.00 $510,973.43 $52,062.37 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 54 16 — — $25,320.84 $204,013.37 $51,986.69 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 11 — — $51,725.52 $103,451.04 $51,725.52 2026-04-01
5378 OTHER Level 8 Urology And Related Services 36 12 — — $347.83 $82,982.23 $51,674.69 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 12 — — $46,244.39 $445,862.82 $50,868.83 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 13 — — $40,859.45 $170,941.13 $50,572.40 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 11 — — $50,477.06 $100,954.12 $50,477.06 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 11 — — $48,166.94 $100,639.36 $50,319.68 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 18 5 — — $2,207.00 $100,228.83 $50,114.42 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 40 15 — — $17,248.72 $658,342.08 $49,964.06 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 14 — — $23,528.34 $99,834.28 $49,917.14 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 66 20 — — $7,832.74 $228,569.83 $49,894.78 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 36 13 — — $44,463.22 $254,187.37 $49,860.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 6 — — $7,145.00 $91,833.30 $49,550.32 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 6 — — $9,562.00 $91,833.30 $49,550.32 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 6 — — $28,708.00 $91,833.30 $49,550.32 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 12 — — $21,233.71 $100,098.89 $49,420.79 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 12 — — $42,875.16 $98,572.20 $49,286.10 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 15 — — $21,313.88 $462,474.99 $49,257.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 74 19 — — $1,065.34 $572,851.41 $49,257.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 22 8 — — $19,497.17 $77,425.52 $49,195.12 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 11 — — $48,969.83 $97,939.66 $48,969.83 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 58 16 — — $5,600.00 $328,299.47 $48,689.82 2026-04-01
69930 HCPCS Implant Cochlear Device 18 5 — — $21,331.00 $96,465.38 $48,232.69 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 11 — — $48,066.39 $96,132.78 $48,066.39 2026-04-01
263 MS_DRG Vein Ligation And Stripping 26 11 — — $40,555.12 $96,008.70 $48,004.35 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 58 16 — — $667.60 $331,810.12 $47,742.48 2026-04-01
5495 OTHER Level 5 Intraocular Procedures 10 4 — — $14,350.55 $56,380.70 $47,653.60 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 50 18 — — $10,220.16 $1,025,479.44 $47,488.25 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 12 — — $47,445.95 $101,567.08 $47,445.95 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 13 — — $18,444.18 $510,600.74 $47,439.89 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 32 13 — — $7,860.11 $94,779.90 $47,389.95 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 11 — — $46,778.59 $93,557.18 $46,778.59 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 68 19 — — $10,149.99 $237,598.76 $46,609.02 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 50 15 — — $16,365.00 $241,546.53 $46,327.34 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 11 — — $46,289.79 $92,579.58 $46,289.79 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 36 13 — — $24,507.00 $145,948.60 $46,189.60 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 38 13 — — $919.24 $87,595.15 $46,088.37 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 11 — — $45,925.09 $91,850.18 $45,925.09 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 18 5 — — $2,207.00 $91,833.30 $45,916.65 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 18 5 — — $7,145.00 $91,833.30 $45,916.65 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 18 5 — — $2,207.00 $91,833.30 $45,916.65 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 18 5 — — $9,562.00 $91,833.30 $45,916.65 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 62 16 — — $19,945.93 $132,188.50 $45,794.44 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 30 10 — — $12,476.60 $102,076.80 $45,680.46 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 48 17 — — $11,762.48 $226,015.85 $45,575.60 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 11 — — $32,865.41 $90,863.52 $45,431.76 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 26 11 — — $45,347.02 $94,737.00 $45,347.02 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 38 14 — — $18,347.35 $118,895.47 $45,331.56 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 34 14 — — $25,488.62 $90,342.94 $45,171.47 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 18 5 — — $9,562.00 $90,279.29 $45,139.64 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 5 — — $10,928.00 $90,279.29 $45,139.64 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 18 5 — — $2,207.00 $90,279.29 $45,139.64 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 18 5 — — $2,207.00 $90,279.29 $45,139.64 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 18 5 — — $2,207.00 $90,279.29 $45,139.64 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 18 5 — — $2,207.00 $90,279.29 $45,139.64 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 5 — — $7,145.00 $90,279.29 $45,139.64 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 18 5 — — $9,562.00 $90,279.29 $45,139.64 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 18 5 — — $2,207.00 $90,279.29 $45,139.64 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 38 14 — — $27,825.00 $332,464.81 $45,027.66 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 36 13 — — $14,866.81 $111,863.03 $44,873.36 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 19 — — $16,695.00 $208,708.92 $44,621.66 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 42 15 — — $23,790.84 $415,021.86 $44,521.33 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 36 13 — — $36,265.28 $161,491.06 $44,408.45 2026-04-01
800 MS_DRG Splenic Procedures With Cc 26 11 — — $8,879.00 $88,502.78 $44,251.39 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 44 12 — — $18,036.71 $163,396.22 $44,098.55 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 54 17 — — $1,409.76 $106,669.19 $44,076.36 2026-04-01
503 MS_DRG Foot Procedures With Mcc 26 11 — — $40,271.03 $87,948.92 $43,974.46 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 74 21 — — $19,336.21 $128,031.18 $43,916.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 38 15 — — $34,280.26 $203,502.09 $43,762.18 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 10 5 — — $34,970.13 $69,940.26 $43,712.66 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 54 16 — — $3,075.00 $94,153.63 $43,683.91 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 74 20 — — $7,549.37 $123,043.86 $43,631.66 2026-04-01
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