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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

AdventHealth Parker

Parker, CO · CCN 060114 · Rates published

14,131 distinct procedures filed
18 distinct payers
223,777 rate rows
2026-04-01 last MRF observed
Data quality

210,630 of 223,777 rate rows are consumer-grade (94.1%)

13,147 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 12,715
placeholder amount (≤ $0.02) — excluded from medians 287
template filing: same amount across many unrelated codes — excluded 145
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=frGwcF6pG1MW96eqg4b2tg*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch — · 2026-05-17

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 4 $4,414,900.00 $4,595,100.00 $4,527,525.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,611,561.33 $4,606,583.33 $3,722,119.33 nat. median
$3,710,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,886,825.20 $4,868,633.01 $3,682,175.00 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,406,008.39 $4,541,954.62 $3,557,439.50 nat. median
$2,469,189
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,285,360.00 $4,314,200.00 $3,381,400.00 nat. median
$2,448,600
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,250,133.34 $4,145,578.24 $3,349,627.21 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,183,476.80 $4,060,557.14 $3,280,930.17 nat. median
$3,286,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $755,207.60 $1,425,647.00 $1,271,523.00 nat. median
$824,563
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $579,891.68 $1,236,707.76 $954,235.56 nat. median
$754,974
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $554,551.57 $1,182,666.10 $913,075.07 nat. median
$675,122
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $551,287.42 $1,175,704.81 $893,698.84 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $546,171.58 $1,164,794.48 $893,079.74 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $522,565.57 $1,114,451.06 $879,576.19 nat. median
$634,511
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $479,518.52 $1,022,646.63 $808,038.00 nat. median
$620,080
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $272,685.00 $514,762.50 $396,965.62 nat. median
$324,450
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $201,527.20 $429,787.60 $343,830.08 nat. median
$209,753
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $327,427.65 $977,917.69 $339,121.50 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $212,833.69 $634,629.24 $220,434.89 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $162,385.99 $483,503.42 $168,185.49 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $161,438.79 $480,665.88 $167,204.46 nat. median
$202,986
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $105,652.21 $132,065.26 $123,185.87 nat. median
$76,377
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $101,489.61 $389,693.00 $117,847.76 nat. median
$87,411
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $105,696.41 $313,678.80 $109,471.28 nat. median
$133,176
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $62,075.44 $140,525.16 $104,661.23 nat. median
$69,774
1.5× median
7
MS_DRG 		Lung Transplant 17 $98,883.77 $293,270.23 $102,415.34 nat. median
$122,708
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $63,687.60 $173,391.36 $101,825.12 nat. median
$63,570
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $91,836.04 $272,157.36 $95,115.89 nat. median
$117,303
0.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $58,967.97 $160,542.02 $94,279.27 nat. median
$54,196
1.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $55,688.06 $125,024.90 $93,760.51 nat. median
$62,507
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $54,166.88 $106,707.50 $92,310.85 nat. median
$66,682
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $86,649.45 $256,619.94 $89,744.08 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $86,551.18 $256,325.54 $89,642.30 nat. median
$98,017
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $51,275.42 $150,195.07 $88,202.96 nat. median
$65,381
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $84,301.46 $126,225.80 $86,452.01 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $83,189.46 $269,155.72 $86,160.51 nat. median
$102,358
0.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 7 $53,242.69 $144,954.78 $85,125.57 nat. median
$49,935
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $78,928.92 $233,491.58 $81,747.80 nat. median
$100,136
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $40,879.71 $228,859.00 $81,340.67 nat. median
$62,270
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 17 $76,256.62 $246,455.66 $78,980.07 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $74,939.76 $242,143.87 $77,616.18 nat. median
$93,672
0.8× median
J9226
HCPCS 		Supprelin La Implant 9 $44,120.24 $100,934.48 $75,174.64 nat. median
$60,368
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $69,094.74 $103,186.95 $70,857.36 nat. median
$82,712
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $43,409.15 $118,182.68 $69,403.49 nat. median
$44,728
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $66,448.16 $206,191.35 $68,821.30 nat. median
$83,442
0.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $42,069.95 $114,536.67 $67,262.35 nat. median
$48,649
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $64,712.49 $208,656.88 $67,023.64 nat. median
$79,312
0.8× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 7 $41,762.18 $113,698.77 $66,770.29 nat. median
$39,020
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $64,512.16 $134,454.40 $66,487.02 nat. median
$81,118
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $60,470.84 $179,093.89 $62,630.51 nat. median
$77,576
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $44,614.60 $157,928.55 $61,249.87 nat. median
$48,483
1.3× median

Other procedures at this hospital

Browse this hospital's 14,131 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
             
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 17 — — $33,382.12 $129,070.88 $45,421.12 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 17 — — $38,274.12 $123,884.94 $43,637.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 21 10 — — $905.00 $215,631.00 $41,389.51 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 21 10 — — $1,546.00 $215,631.00 $41,389.51 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 17 — — $38,319.94 $111,839.54 $39,884.02 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 21 10 — — $905.00 $85,958.25 $36,346.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 21 10 — — $777.00 $85,958.25 $36,346.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 17 — — $32,841.56 $95,427.98 $34,182.04 2026-04-01
69930 HCPCS Implant Cochlear Device 21 10 — — $1,546.00 $67,161.00 $34,086.12 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 17 — — $31,953.26 $95,149.43 $33,751.09 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 21 10 — — $698.63 $215,631.00 $32,449.37 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 21 10 — — $694.14 $215,631.00 $32,449.37 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 21 10 — — $1,546.00 $75,623.00 $32,312.00 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 21 10 — — $1,420.58 $75,623.00 $32,312.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 21 10 — — $1,546.00 $75,623.00 $32,312.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 21 10 — — $604.87 $67,161.00 $31,900.26 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 21 10 — — $777.00 $75,294.00 $31,900.26 2026-04-01
61886 HCPCS Implant Neurostim Arrays 21 10 — — $905.00 $94,118.00 $31,900.26 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 21 10 — — $676.24 $67,161.00 $30,892.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 21 10 — — $777.00 $67,161.00 $30,892.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 17 — — $28,742.04 $83,481.17 $29,915.18 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 21 10 — — $570.95 $67,161.00 $29,652.45 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 21 10 — — $622.80 $215,631.00 $29,330.49 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 17 — — $27,980.79 $80,866.60 $29,122.87 2026-04-01
27447 HCPCS Total Knee Arthroplasty 21 10 — — $1,371.00 $44,420.00 $28,996.00 2026-04-01
27130 HCPCS Total Hip Arthroplasty 21 10 — — $1,371.00 $44,420.00 $28,996.00 2026-04-01
22558 HCPCS Lumbar Spine Fusion 21 10 — — $1,371.00 $52,953.00 $28,909.47 2026-04-01
22630 HCPCS Lumbar Spine Fusion 21 10 — — $1,371.00 $52,953.00 $28,909.47 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 17 — — $27,591.48 $80,101.54 $28,717.66 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 17 — — $26,742.54 $477,066.82 $27,834.08 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 17 — — $23,888.51 $72,170.54 $25,845.63 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 17 — — $12,145.56 $71,670.06 $25,673.44 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 17 — — $24,581.27 $70,682.70 $25,333.76 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 21 10 — — $1,371.00 $52,953.00 $24,386.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 17 — — $23,002.09 $65,951.95 $23,940.95 2026-04-01
22600 HCPCS Neck Spine Fusion 21 10 — — $1,371.00 $44,124.00 $23,367.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 21 10 — — $670.75 $215,631.00 $22,995.10 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 21 10 — — $646.66 $215,631.00 $22,995.10 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 21 10 — — $645.45 $215,631.00 $22,995.10 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 17 — — $327,427.65 $977,917.69 $339,121.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 17 — — $212,833.69 $634,629.24 $220,434.89 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 17 — — $162,385.99 $483,503.42 $168,185.49 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 17 — — $161,438.79 $480,665.88 $167,204.46 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 17 — — $105,696.41 $313,678.80 $109,471.28 2026-04-01
7 MS_DRG Lung Transplant 20 17 — — $98,883.77 $293,270.23 $102,415.34 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 17 — — $91,836.04 $272,157.36 $95,115.89 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 17 — — $86,649.45 $256,619.94 $89,744.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 17 — — $86,551.18 $256,325.54 $89,642.30 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 17 — — $83,189.46 $269,155.72 $86,160.51 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 17 — — $78,928.92 $233,491.58 $81,747.80 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 17 — — $76,256.62 $246,455.66 $78,980.07 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $74,939.76 $242,143.87 $77,616.18 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 17 — — $66,448.16 $206,191.35 $68,821.30 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 17 — — $64,712.49 $208,656.88 $67,023.64 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 17 — — $60,470.84 $179,093.89 $62,630.51 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 17 — — $58,780.54 $189,233.99 $60,879.84 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 17 — — $58,589.28 $172,560.26 $60,681.76 2026-04-01
10 MS_DRG Pancreas Transplant 20 17 — — $55,231.34 $162,500.90 $57,203.89 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 17 — — $55,208.66 $162,432.96 $57,180.40 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 17 — — $54,920.64 $161,570.15 $56,882.09 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 17 — — $54,888.90 $176,491.66 $56,849.21 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 17 — — $53,236.38 $156,524.62 $55,137.68 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 17 — — $52,980.11 $170,241.78 $54,872.26 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 17 — — $51,870.38 $152,432.49 $53,722.90 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 17 — — $51,533.22 $165,504.25 $53,373.69 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $50,692.61 $162,751.83 $52,503.06 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $50,692.61 $162,751.83 $52,503.06 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 17 — — $50,511.93 $148,363.00 $52,315.93 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 17 — — $49,629.74 $145,720.22 $51,402.23 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 17 — — $47,260.59 $138,622.96 $48,948.46 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 17 — — $46,816.84 $150,061.48 $48,488.88 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 17 — — $46,393.50 $148,675.36 $48,050.42 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 17 — — $45,812.18 $134,283.99 $47,448.32 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 17 — — $45,321.57 $139,646.75 $46,940.19 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 17 — — $44,127.92 $129,238.46 $45,703.91 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 17 — — $43,354.58 $126,921.77 $44,902.96 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 17 — — $43,064.30 $137,774.58 $44,602.30 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 17 — — $42,487.51 $130,720.01 $44,004.92 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 17 — — $42,281.88 $135,212.75 $43,791.96 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 17 — — $42,216.87 $123,513.55 $43,724.62 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 17 — — $42,052.07 $123,019.87 $43,553.93 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 17 — — $41,005.08 $120,486.89 $42,469.55 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 17 — — $40,336.82 $83,286.40 $41,777.42 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 17 — — $40,268.79 $117,677.67 $41,706.96 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 17 — — $38,688.85 $112,944.66 $40,070.60 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 17 — — $38,386.46 $122,458.04 $39,757.41 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 17 — — $38,192.19 $121,821.92 $39,556.19 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 17 — — $38,037.22 $110,992.58 $39,395.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 17 — — $37,304.70 $114,395.19 $38,637.01 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 17 — — $36,526.82 $106,467.90 $37,831.35 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 17 — — $36,454.26 $106,250.50 $37,756.19 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 17 — — $36,348.42 $111,383.10 $37,646.57 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 17 — — $36,039.99 $105,009.50 $37,327.13 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 17 — — $35,900.14 $114,317.11 $37,182.29 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 17 — — $35,645.38 $109,168.67 $36,918.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 17 — — $35,476.05 $112,928.52 $36,743.05 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 17 — — $35,372.48 $103,009.86 $36,635.79 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 17 — — $35,222.81 $102,561.47 $36,480.76 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 17 — — $34,866.75 $101,494.84 $36,111.99 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 17 — — $34,856.92 $101,976.18 $36,101.82 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 17 — — $34,723.88 $110,465.70 $35,964.02 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 17 — — $34,193.95 $99,479.35 $35,415.17 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 17 — — $33,438.77 $97,217.01 $34,633.01 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 17 — — $33,230.11 $96,591.98 $34,416.90 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 17 — — $32,911.86 $104,532.65 $34,087.29 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 17 — — $32,857.43 $95,475.54 $34,030.91 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 17 — — $32,710.78 $95,036.20 $33,879.02 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 17 — — $32,381.19 $94,048.84 $33,537.66 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 20 10 — — $1,843.00 $67,161.00 $32,780.49 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 17 — — $31,104.39 $90,223.93 $32,215.26 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 17 — — $30,424.79 $88,188.05 $31,511.39 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 17 — — $30,247.13 $88,097.13 $31,327.39 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 17 — — $30,175.32 $87,880.91 $31,253.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 17 — — $30,009.77 $86,944.79 $31,081.54 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 17 — — $29,432.98 $85,216.90 $30,484.15 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 17 — — $29,309.00 $84,845.50 $30,355.74 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 17 — — $29,241.72 $84,643.95 $30,286.06 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 17 — — $29,238.69 $84,634.90 $30,282.93 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 17 — — $29,159.32 $84,397.11 $30,200.72 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 17 — — $29,000.57 $83,921.55 $30,036.31 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 17 — — $28,753.38 $83,181.02 $29,780.28 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 17 — — $28,416.22 $82,171.01 $29,431.08 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 17 — — $28,395.05 $82,107.60 $29,409.16 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 17 — — $28,357.25 $81,994.37 $29,370.01 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 17 — — $28,338.36 $89,557.69 $29,350.44 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 17 — — $28,289.97 $82,204.57 $29,300.33 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 17 — — $28,249.16 $89,265.61 $29,258.06 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 17 — — $28,070.75 $81,136.09 $29,073.28 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 17 — — $28,008.01 $85,112.42 $29,008.29 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 17 — — $27,940.72 $80,746.58 $28,938.60 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 17 — — $27,918.04 $80,678.64 $28,915.12 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 17 — — $27,892.34 $80,601.64 $28,888.49 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 17 — — $27,349.57 $78,975.66 $28,326.33 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 17 — — $27,228.61 $78,613.32 $28,201.07 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 17 — — $27,101.62 $78,232.87 $28,069.53 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 17 — — $26,980.66 $77,870.54 $27,944.26 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 17 — — $26,903.56 $77,639.55 $27,864.40 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 17 — — $26,239.83 $82,686.53 $27,176.97 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 17 — — $25,957.86 $74,806.53 $26,884.93 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 17 — — $25,873.20 $74,928.20 $26,797.24 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 17 — — $25,576.11 $80,513.31 $26,489.54 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 17 — — $25,468.00 $73,339.07 $26,377.58 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 17 — — $25,440.79 $77,026.20 $26,349.39 2026-04-01
652 MS_DRG Kidney Transplant 20 17 — — $25,399.97 $73,135.26 $26,307.11 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 17 — — $25,381.82 $73,080.91 $26,288.32 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 17 — — $25,334.21 $72,938.24 $26,239.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 17 — — $25,255.58 $79,463.82 $26,157.56 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 17 — — $25,122.54 $79,028.19 $26,019.76 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 17 — — $25,054.50 $72,100.33 $25,949.31 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 17 — — $25,006.12 $72,317.62 $25,899.19 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 17 — — $24,874.59 $75,242.76 $25,762.96 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 17 — — $24,795.21 $77,956.42 $25,680.75 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 17 — — $24,739.27 $77,773.26 $25,622.81 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 20 10 — — $1,843.00 $54,754.00 $25,620.96 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 17 — — $24,532.13 $70,535.50 $25,408.28 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 17 — — $24,129.97 $69,330.73 $24,991.75 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 17 — — $24,098.97 $75,676.76 $24,959.65 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 17 — — $23,820.03 $68,402.24 $24,670.74 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 17 — — $23,817.01 $68,393.18 $24,667.61 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 17 — — $23,486.66 $67,403.55 $24,325.47 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 17 — — $23,242.48 $66,672.09 $24,072.58 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 17 — — $23,219.81 $66,604.15 $24,049.08 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 17 — — $23,060.30 $66,126.32 $23,883.89 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 17 — — $22,924.23 $65,718.69 $23,742.95 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 17 — — $22,910.62 $65,677.93 $23,728.85 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 20 10 — — $1,843.00 $52,953.00 $23,674.39 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 20 10 — — $1,843.00 $52,953.00 $23,674.39 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 17 — — $22,803.28 $65,356.36 $23,617.68 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 17 — — $22,771.52 $65,261.24 $23,584.79 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 17 — — $22,534.91 $70,555.58 $23,339.74 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 20 10 — — $1,440.00 $67,161.00 $23,229.74 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 20 10 — — $1,440.00 $67,161.00 $23,229.74 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 20 10 — — $1,371.00 $54,754.00 $23,205.05 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 17 — — $22,224.21 $63,621.67 $23,017.94 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $64,512.16 $134,454.40 $66,487.02 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $46,064.66 $95,409.60 $47,474.81 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $32,529.36 $66,761.60 $33,525.15 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 17 — — $30,203.29 $61,838.40 $31,127.88 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 17 — — $26,689.64 $86,342.40 $28,193.82 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 17 — — $26,776.56 $77,648.02 $27,596.25 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 17 — — $23,792.06 $48,268.80 $24,520.39 2026-04-01
J9226 HCPCS Supprelin La Implant 18 9 — — $44,120.24 $100,934.48 $75,174.64 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 17 — — $47,314.25 $151,690.16 $48,762.65 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 17 — — $46,406.36 $136,748.91 $47,826.96 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 17 — — $45,916.50 $134,596.50 $47,322.11 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 9 — — $27,855.58 $62,970.66 $46,899.70 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 17 — — $45,350.29 $145,259.59 $46,738.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 17 — — $40,872.79 $130,598.98 $42,124.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 17 — — $36,975.86 $117,839.32 $38,107.77 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 17 — — $33,699.56 $107,111.80 $34,731.18 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 17 — — $32,651.82 $103,681.18 $33,651.36 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 17 — — $32,506.67 $94,424.76 $33,501.77 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 18 10 — — $1,546.00 $67,161.00 $33,277.17 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 17 — — $32,173.30 $102,114.38 $33,158.20 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 17 — — $31,670.59 $91,920.11 $32,640.10 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 17 — — $27,870.42 $88,025.54 $28,723.59 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 17 — — $25,870.17 $81,476.16 $26,662.11 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 17 — — $24,806.54 $77,993.55 $25,565.93 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 17 — — $51,496.18 $88,858.60 $53,072.59 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 16 — — $42,737.72 $125,073.86 $44,046.02 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 17 — — $41,275.72 $70,878.35 $42,539.26 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 9 — — $62,075.44 $140,525.16 $104,661.23 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 9 — — $54,166.88 $106,707.50 $92,310.85 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 14 — — $44,304.81 $130,943.09 $45,661.08 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 14 — — $36,933.70 $109,350.74 $38,445.51 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 16 10 — — $1,546.00 $67,161.00 $33,608.28 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 16 10 — — $905.00 $60,219.88 $32,225.78 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 16 10 — — $1,064.00 $66,856.63 $28,126.13 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 14 — — $24,490.56 $71,048.33 $25,240.27 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 16 10 — — $1,064.00 $67,161.00 $23,816.35 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 16 10 — — $1,546.00 $67,161.00 $23,816.35 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 16 10 — — $1,546.00 $67,161.00 $23,816.35 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 14 — — $22,710.95 $34,411.76 $23,732.25 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 14 — — $22,683.83 $64,998.55 $23,378.24 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 9 — — $579,891.68 $1,236,707.76 $954,235.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $554,551.57 $1,182,666.10 $913,075.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $551,287.42 $1,175,704.81 $893,698.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $546,171.58 $1,164,794.48 $893,079.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 9 — — $522,565.57 $1,114,451.06 $879,576.19 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $479,518.52 $1,022,646.63 $808,038.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $59,030.75 $190,053.28 $60,837.81 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $41,299.90 $131,997.47 $42,564.19 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $39,087.99 $124,755.03 $40,284.56 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 14 — — $35,733.83 $104,092.34 $36,827.72 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 14 — — $35,357.37 $103,482.89 $36,439.74 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 15 6 — — $1,119.58 $70,194.00 $35,342.00 2026-04-01
93616 HCPCS Esophageal Recording 15 6 — — $101.41 $75,623.00 $32,312.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $30,558.59 $89,034.84 $31,494.05 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 14 — — $23,916.04 $68,689.85 $24,648.16 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $84,301.46 $126,225.80 $86,452.01 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 14 — — $69,094.74 $103,186.95 $70,857.36 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $55,555.64 $82,674.63 $56,972.88 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 14 — — $44,583.00 $66,050.60 $45,720.32 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $43,486.12 $64,388.77 $44,595.46 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 14 8 — — $521.43 $75,623.00 $36,351.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 14 8 — — $522.04 $75,623.00 $36,351.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 14 — — $33,044.91 $48,892.98 $33,887.90 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $31,379.55 $46,428.93 $32,180.05 2026-04-01
22614 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $36,907.00 $28,426.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 14 — — $25,406.77 $37,591.66 $26,054.90 2026-04-01
22634 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $33,009.00 $24,241.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 14 — — $22,813.86 $33,755.20 $23,395.85 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $755,207.60 $1,425,647.00 $1,271,523.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 13 6 — — $23,743.85 $46,795.27 $39,976.89 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 13 — — $27,645.91 $40,904.66 $28,210.11 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 9 — — $201,527.20 $429,787.60 $343,830.08 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 6 — — $55,688.06 $125,024.90 $93,760.51 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 6 — — $2,406,008.39 $4,541,954.62 $3,557,439.50 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 6 — — $2,285,360.00 $4,314,200.00 $3,381,400.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 6 — — $272,685.00 $514,762.50 $396,965.62 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 7 — — $51,275.42 $150,195.07 $88,202.96 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 8 — — $40,879.71 $228,859.00 $81,340.67 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 7 — — $44,614.60 $157,928.55 $61,249.87 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 5 — — $2,886,825.20 $4,868,633.01 $3,682,175.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 7 — — $101,489.61 $389,693.00 $117,847.76 2026-04-01
93644 HCPCS Electrophysiology Evaluation 9 4 — — $91.53 $75,623.00 $51,100.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 6 — — $33,103.19 $82,836.80 $48,646.41 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 9 3 — — $1,142.00 $71,683.00 $44,177.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 7 — — $63,687.60 $173,391.36 $101,825.12 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 7 — — $58,967.97 $160,542.02 $94,279.27 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 7 — — $53,242.69 $144,954.78 $85,125.57 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 7 — — $43,409.15 $118,182.68 $69,403.49 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 7 — — $42,069.95 $114,536.67 $67,262.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 7 — — $41,762.18 $113,698.77 $66,770.29 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 8 3 — — $1,120.88 $70,194.00 $45,385.50 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 8 7 — — $25,035.52 $68,159.93 $40,027.33 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 7 — — $24,915.74 $67,833.83 $39,835.82 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 8 7 — — $22,096.77 $60,159.10 $35,328.79 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 8 7 — — $18,790.36 $51,157.31 $30,042.44 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 8 7 — — $15,883.22 $43,242.54 $25,394.44 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 8 7 — — $15,111.31 $41,140.99 $24,160.29 2026-04-01
509 MS_DRG Arthroscopy 8 7 — — $14,610.57 $39,777.70 $23,359.69 2026-04-01
93631 HCPCS Heart Pacing Mapping 7 3 — — $664.79 $75,623.00 $50,198.00 2026-04-01
93623 HCPCS Stimulation Pacing Heart 7 3 — — $93.48 $75,623.00 $50,198.00 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92921 HCPCS Prq Cardiac Angio Addl Art 7 2 — — $1,142.00 $38,909.00 $27,349.00 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 7 2 — — $1,142.00 $38,909.00 $27,349.00 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 6 6 — — $31,900.26 $60,219.88 $33,039.56 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,611,561.33 $4,606,583.33 $3,722,119.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,250,133.34 $4,145,578.24 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,183,476.80 $4,060,557.14 $3,280,930.17 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 5 2 — — $494.28 $75,623.00 $58,673.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 5 2 — — $30,892.00 $67,161.00 $40,120.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 5 2 — — $30,892.00 $67,161.00 $40,120.00 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,414,900.00 $4,595,100.00 $4,527,525.00 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 4 3 — — $10,952.23 $68,478.25 $60,279.66 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $105,652.21 $132,065.26 $123,185.87 2026-04-01
5622 OTHER Level 2 Radiation Therapy 2 2 — — $378.21 $46,264.25 $23,321.23 2026-04-01
5626 OTHER Level 6 Radiation Therapy 1 1 — — $49,259.00 $49,259.00 $49,259.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $40,120.00 $40,120.00 $40,120.00 2026-04-01
2043 OTHER Orth/matrx/bn Fill Drug-elut 1 1 — — $36,008.24 $36,008.24 $36,008.24 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $28,207.00 $28,207.00 $28,207.00 2026-04-01
5303 OTHER Level 3 Upper Gi Procedures 1 1 — — $25,588.72 $25,588.72 $25,588.72 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 1 1 — — $23,415.00 $23,415.00 $23,415.00 2026-04-01
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