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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 CASTLE ROCK

Castle Rock, CO · CCN 060125 · Rates published

14,158 distinct procedures filed
17 distinct payers
223,381 rate rows
2026-04-01 last MRF observed
Data quality

210,502 of 223,381 rate rows are consumer-grade (94.2%)

12,879 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 12,551
placeholder amount (≤ $0.02) — excluded from medians 287
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=TplTmB9R8D9DreAFXxbNOA*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-03
Content fingerprint 214ac0010e78c86f… · 41,644,712 bytes · first seen 2026-05-05

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
$2,997,086
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
$2,460,273
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,285,360.00 $4,314,200.00 $3,381,400.00 nat. median
$2,405,851
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,250,133.34 $4,145,578.24 $3,349,627.21 nat. median
$3,324,572
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
$809,151
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $579,891.68 $1,236,707.76 $954,235.56 nat. median
$691,418
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $554,551.57 $1,182,666.10 $913,075.07 nat. median
$631,793
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $551,287.42 $1,175,704.81 $893,698.84 nat. median
$624,417
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $546,171.58 $1,164,794.48 $893,079.74 nat. median
$610,161
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $522,565.57 $1,114,451.06 $879,576.19 nat. median
$588,565
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $479,518.52 $1,022,646.63 $808,038.00 nat. median
$577,541
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $272,685.00 $514,762.50 $396,965.62 nat. median
$302,242
1.3× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $201,527.20 $429,787.60 $343,830.08 nat. median
$209,736
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $323,846.21 $977,917.69 $335,412.15 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $210,458.73 $634,629.24 $217,975.12 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $160,542.19 $483,503.42 $166,275.84 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $159,604.95 $480,665.88 $165,305.12 nat. median
$199,832
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $105,652.21 $132,065.26 $123,185.87 nat. median
$75,807
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $101,489.61 $200,675.26 $117,847.76 nat. median
$83,623
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $104,449.46 $313,678.80 $108,179.79 nat. median
$132,706
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $62,075.44 $140,525.16 $104,661.23 nat. median
$69,291
1.5× 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
$58,534
1.7× median
999
MS_DRG 		Ungroupable 1 $101,571.00 $101,571.00 $101,571.00 nat. median
$7,940
outlier · 12.8×
7
MS_DRG 		Lung Transplant 17 $97,708.55 $293,270.23 $101,198.14 nat. median
$122,690
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
$51,048
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $90,735.02 $272,157.36 $93,975.55 nat. median
$114,305
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $55,688.06 $125,024.90 $93,760.51 nat. median
$63,643
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $54,166.88 $106,707.50 $92,310.85 nat. median
$65,655
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $85,603.03 $256,619.94 $88,660.28 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $85,505.79 $256,325.54 $88,559.58 nat. median
$96,134
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $55,167.47 $150,195.07 $88,202.96 nat. median
$62,767
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $83,279.76 $126,225.80 $85,404.24 nat. median
$96,835
0.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 7 $53,242.69 $144,954.78 $85,125.57 nat. median
$46,826
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $82,179.47 $269,155.72 $85,114.45 nat. median
$100,978
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $30,587.24 $145,537.00 $81,340.67 nat. median
$57,648
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $77,963.78 $233,491.58 $80,748.20 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 17 $75,319.62 $246,455.66 $78,009.61 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $74,016.63 $242,143.87 $76,660.08 nat. median
$92,900
0.8× median
J9226
HCPCS 		Supprelin La Implant 9 $44,120.24 $100,934.48 $75,174.64 nat. median
$55,200
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $68,233.15 $103,186.95 $69,973.79 nat. median
$81,124
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
$40,712
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $65,614.42 $206,191.35 $67,957.79 nat. median
$81,364
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
$45,104
1.5× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 7 $41,762.18 $113,698.77 $66,770.29 nat. median
$38,383
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $63,897.03 $208,656.88 $66,179.07 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $63,698.81 $134,454.40 $65,648.78 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $59,700.04 $179,093.89 $61,832.18 nat. median
$77,385
0.8× median

Other procedures at this hospital

Browse this hospital's 14,158 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 4 4 — — $4,414,900.00 $4,595,100.00 $4,527,525.00 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
J3393 HCPCS Inj, Betibeglogene Autotemce 9 5 — — $2,886,825.20 $4,868,633.01 $3,682,175.00 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
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
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $755,207.60 $1,425,647.00 $1,271,523.00 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
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 6 — — $272,685.00 $514,762.50 $396,965.62 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 9 — — $201,527.20 $429,787.60 $343,830.08 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 17 — — $323,846.21 $977,917.69 $335,412.15 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 17 — — $210,458.73 $634,629.24 $217,975.12 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 17 — — $160,542.19 $483,503.42 $166,275.84 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 17 — — $159,604.95 $480,665.88 $165,305.12 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $105,652.21 $132,065.26 $123,185.87 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 6 — — $101,489.61 $200,675.26 $117,847.76 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 17 — — $104,449.46 $313,678.80 $108,179.79 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 9 — — $62,075.44 $140,525.16 $104,661.23 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
999 MS_DRG Ungroupable 1 1 — — $101,571.00 $101,571.00 $101,571.00 2026-04-01
7 MS_DRG Lung Transplant 20 17 — — $97,708.55 $293,270.23 $101,198.14 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
14 MS_DRG Allogeneic Bone Marrow Transplant 20 17 — — $90,735.02 $272,157.36 $93,975.55 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 6 — — $55,688.06 $125,024.90 $93,760.51 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 9 — — $54,166.88 $106,707.50 $92,310.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 17 — — $85,603.03 $256,619.94 $88,660.28 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 17 — — $85,505.79 $256,325.54 $88,559.58 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 7 — — $55,167.47 $150,195.07 $88,202.96 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $83,279.76 $126,225.80 $85,404.24 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 17 — — $82,179.47 $269,155.72 $85,114.45 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 8 — — $30,587.24 $145,537.00 $81,340.67 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 17 — — $77,963.78 $233,491.58 $80,748.20 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 17 — — $75,319.62 $246,455.66 $78,009.61 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $74,016.63 $242,143.87 $76,660.08 2026-04-01
J9226 HCPCS Supprelin La Implant 18 9 — — $44,120.24 $100,934.48 $75,174.64 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 14 — — $68,233.15 $103,186.95 $69,973.79 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
850 MS_DRG Acute Leukemia With Other Procedures 20 17 — — $65,614.42 $206,191.35 $67,957.79 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 17 — — $63,897.03 $208,656.88 $66,179.07 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $63,698.81 $134,454.40 $65,648.78 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 17 — — $59,700.04 $179,093.89 $61,832.18 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 7 — — $42,425.63 $104,298.42 $61,249.87 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 17 — — $58,027.53 $189,233.99 $60,099.95 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $58,275.11 $190,053.28 $60,059.04 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 17 — — $57,838.29 $172,560.26 $59,903.94 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 5 2 — — $494.28 $75,623.00 $58,673.00 2026-04-01
10 MS_DRG Pancreas Transplant 20 17 — — $54,515.70 $162,500.90 $56,462.69 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 17 — — $54,493.26 $162,432.96 $56,439.45 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $54,836.60 $82,674.63 $56,235.49 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 17 — — $54,208.28 $161,570.15 $56,144.29 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 17 — — $54,176.86 $176,491.66 $56,111.75 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 17 — — $52,541.75 $156,524.62 $54,418.24 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 17 — — $52,288.18 $170,241.78 $54,155.62 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 17 — — $51,190.12 $152,432.49 $53,018.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 17 — — $50,856.52 $165,504.25 $52,672.82 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 17 — — $50,819.87 $88,858.60 $52,375.58 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $50,024.76 $162,751.83 $51,811.35 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $50,024.76 $162,751.83 $51,811.35 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 17 — — $49,845.98 $148,363.00 $51,626.20 2026-04-01
93644 HCPCS Electrophysiology Evaluation 9 4 — — $91.53 $75,623.00 $51,100.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 17 — — $48,973.08 $145,720.22 $50,722.12 2026-04-01
93623 HCPCS Stimulation Pacing Heart 7 3 — — $93.48 $75,623.00 $50,198.00 2026-04-01
93631 HCPCS Heart Pacing Mapping 7 3 — — $664.79 $75,623.00 $50,198.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 7 — — $32,203.72 $82,836.80 $48,646.41 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 17 — — $46,628.87 $138,622.96 $48,294.18 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 17 — — $46,681.98 $151,690.16 $48,111.02 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 17 — — $46,189.80 $150,061.48 $47,839.43 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 17 — — $45,770.92 $148,675.36 $47,405.60 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 17 — — $45,783.64 $136,748.91 $47,185.18 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 9 — — $27,855.58 $62,970.66 $46,899.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $45,445.54 $95,409.60 $46,836.73 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 17 — — $45,195.72 $134,283.99 $46,809.85 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 17 — — $45,298.94 $134,596.50 $46,685.64 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
92944 HCPCS Prq Card Revasc Chronic Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 17 — — $44,710.27 $139,646.75 $46,307.06 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 17 — — $44,738.70 $145,259.59 $46,108.25 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 14 — — $43,979.48 $66,050.60 $45,101.40 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 17 — — $43,529.19 $129,238.46 $45,083.81 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $43,704.22 $130,421.63 $45,042.10 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 17 — — $43,473.84 $129,070.88 $45,026.47 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 17 — — $42,763.99 $126,921.77 $44,291.27 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 17 — — $42,476.76 $137,774.58 $43,993.79 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $42,894.14 $64,388.77 $43,988.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 16 — — $42,153.63 $125,073.86 $43,444.05 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 17 — — $41,906.04 $130,720.01 $43,402.69 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 17 — — $41,760.94 $123,884.94 $43,252.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 17 — — $41,702.59 $135,212.75 $43,191.96 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 17 — — $41,638.26 $123,513.55 $43,125.34 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 17 — — $41,475.20 $123,019.87 $42,956.46 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $40,730.95 $131,997.47 $41,977.81 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 17 — — $40,707.00 $70,878.35 $41,953.14 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 17 — — $40,439.23 $120,486.89 $41,883.49 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 17 — — $40,308.33 $130,598.98 $41,542.26 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
653 MS_DRG Major Bladder Procedures With Mcc 20 17 — — $39,710.69 $117,677.67 $41,128.93 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 17 — — $39,778.00 $83,286.40 $40,995.70 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 5 2 — — $30,892.00 $67,161.00 $40,120.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 5 2 — — $30,892.00 $67,161.00 $40,120.00 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
J9600 HCPCS Porfimer Sodium Injection 13 6 — — $23,743.85 $46,795.27 $39,976.89 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $38,542.32 $124,755.03 $39,722.19 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 17 — — $38,147.38 $112,944.66 $39,509.79 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 17 — — $37,848.18 $122,458.04 $39,199.90 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 17 — — $37,390.63 $111,839.54 $39,131.73 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 17 — — $37,655.95 $121,821.92 $39,000.81 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 17 — — $37,502.61 $110,992.58 $38,841.99 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 14 — — $36,960.32 $109,350.74 $38,091.76 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 17 — — $36,777.80 $114,395.19 $38,091.29 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 17 — — $36,452.42 $117,839.32 $37,568.31 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 17 — — $36,008.12 $106,467.90 $37,294.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 17 — — $35,936.32 $106,250.50 $37,219.76 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 17 — — $35,831.59 $111,383.10 $37,111.29 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 17 — — $35,526.41 $105,009.50 $36,795.21 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 17 — — $35,388.04 $114,317.11 $36,651.89 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 17 — — $35,135.96 $109,168.67 $36,390.82 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 14 8 — — $522.04 $75,623.00 $36,351.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 14 8 — — $521.43 $75,623.00 $36,351.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 21 10 — — $777.00 $85,958.25 $36,346.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 21 10 — — $905.00 $85,958.25 $36,346.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 14 — — $35,223.47 $136,604.23 $36,301.74 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 17 — — $34,968.41 $112,928.52 $36,217.28 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 17 — — $34,717.83 $102,561.47 $35,957.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 17 — — $17,408.47 $103,009.86 $35,933.25 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 14 — — $34,850.98 $103,482.89 $35,917.84 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 17 — — $34,365.52 $101,494.84 $35,592.86 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 17 — — $34,355.80 $101,976.18 $35,582.79 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 17 — — $34,224.16 $110,465.70 $35,446.45 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 15 6 — — $1,119.58 $70,194.00 $35,342.00 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 17 — — $33,699.81 $99,479.35 $34,903.38 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 17 — — $33,210.62 $107,111.80 $34,227.27 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 17 — — $32,952.57 $97,217.01 $34,129.44 2026-04-01
69930 HCPCS Implant Cochlear Device 21 10 — — $1,546.00 $67,161.00 $34,086.12 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 17 — — $32,746.12 $96,591.98 $33,915.62 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 17 — — $32,361.66 $95,427.98 $33,682.54 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 16 10 — — $1,546.00 $67,161.00 $33,608.28 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 17 — — $32,431.22 $104,532.65 $33,589.48 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 17 — — $32,377.36 $95,475.54 $33,533.69 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 17 — — $32,269.66 $95,149.43 $33,422.14 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 14 — — $32,562.86 $48,569.88 $33,393.54 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 17 — — $32,232.25 $95,036.20 $33,383.40 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 18 10 — — $1,546.00 $67,161.00 $33,277.17 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 17 — — $32,173.91 $103,681.18 $33,158.83 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 17 — — $31,906.12 $94,048.84 $33,045.63 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $32,052.73 $66,761.60 $33,033.94 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 17 — — $32,030.29 $94,424.76 $33,010.81 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 20 10 — — $1,843.00 $67,161.00 $32,780.49 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 17 — — $31,700.43 $102,114.38 $32,670.85 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 21 10 — — $694.14 $215,631.00 $32,449.37 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 21 10 — — $698.63 $215,631.00 $32,449.37 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
93616 HCPCS Esophageal Recording 15 6 — — $101.41 $75,623.00 $32,312.00 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
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 16 10 — — $905.00 $60,219.88 $32,225.78 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 17 — — $31,203.01 $91,920.11 $32,158.21 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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 17 — — $30,642.77 $90,223.93 $31,737.15 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 14 — — $30,915.04 $46,046.79 $31,703.69 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 17 — — $29,970.32 $88,188.05 $31,040.69 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $30,102.72 $89,034.84 $31,024.23 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 21 10 — — $777.00 $67,161.00 $30,892.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 21 10 — — $676.24 $67,161.00 $30,892.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 17 — — $29,794.54 $88,097.13 $30,858.63 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 17 — — $29,723.49 $87,880.91 $30,785.04 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 17 — — $29,751.16 $61,838.40 $30,661.91 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $30,622.68 $30,622.68 $30,622.68 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 17 — — $29,559.67 $86,944.79 $30,615.38 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 1 — — $20,697.76 $40,120.00 $30,408.88 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 17 — — $28,988.96 $85,216.90 $30,024.28 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 17 — — $28,796.72 $84,634.90 $29,972.10 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 17 — — $28,866.28 $84,845.50 $29,897.22 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 17 — — $28,799.71 $84,643.95 $29,828.27 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 17 — — $28,718.18 $84,397.11 $29,743.83 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 17 — — $28,561.10 $83,921.55 $29,581.14 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 21 10 — — $622.80 $215,631.00 $29,330.49 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 17 — — $28,316.51 $83,181.02 $29,327.82 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 17 — — $28,305.29 $83,147.05 $29,316.19 2026-04-01
27130 HCPCS Total Hip Arthroplasty 21 10 — — $1,371.00 $44,420.00 $28,996.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 21 10 — — $1,371.00 $44,420.00 $28,996.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 17 — — $27,982.90 $82,171.01 $28,982.29 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 17 — — $27,961.96 $82,107.60 $28,960.60 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 17 — — $27,924.56 $81,994.37 $28,921.86 2026-04-01
22630 HCPCS Lumbar Spine Fusion 21 10 — — $1,371.00 $52,953.00 $28,909.47 2026-04-01
22558 HCPCS Lumbar Spine Fusion 21 10 — — $1,371.00 $52,953.00 $28,909.47 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 17 — — $27,905.86 $89,557.69 $28,902.50 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 17 — — $27,857.99 $82,204.57 $28,852.92 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 17 — — $27,817.59 $89,265.61 $28,811.08 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 17 — — $27,641.08 $81,136.09 $28,628.25 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 17 — — $27,578.98 $85,112.42 $28,563.95 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 17 — — $27,552.06 $80,866.60 $28,536.07 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 17 — — $27,512.41 $80,746.58 $28,495.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 17 — — $27,489.98 $80,678.64 $28,471.76 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 17 — — $27,464.55 $80,601.64 $28,445.42 2026-04-01
22614 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $36,907.00 $28,426.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 17 — — $27,442.85 $88,025.54 $28,282.94 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 17 — — $27,166.84 $80,101.54 $28,137.09 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 16 10 — — $1,064.00 $66,856.63 $28,126.13 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 13 — — $27,220.70 $74,956.23 $27,915.10 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 17 — — $26,927.49 $78,975.66 $27,889.18 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 17 — — $26,807.81 $78,613.32 $27,765.24 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 17 — — $26,934.22 $86,342.40 $27,758.74 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 17 — — $26,682.15 $78,232.87 $27,635.08 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 17 — — $26,562.47 $77,870.54 $27,511.13 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 17 — — $26,486.18 $77,639.55 $27,432.11 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 17 — — $26,326.85 $77,157.19 $27,267.09 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 17 — — $26,360.51 $77,699.00 $27,167.46 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 17 — — $25,829.43 $82,686.53 $26,751.91 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 17 — — $25,550.43 $74,806.53 $26,462.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 17 — — $25,466.65 $74,928.20 $26,376.18 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 17 — — $25,463.66 $81,476.16 $26,243.16 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 17 — — $25,172.69 $80,513.31 $26,071.72 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 17 — — $25,065.73 $73,339.07 $25,960.94 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 17 — — $25,038.80 $77,026.20 $25,933.05 2026-04-01
652 MS_DRG Kidney Transplant 20 17 — — $24,998.42 $73,135.26 $25,891.22 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 17 — — $24,980.46 $73,080.91 $25,872.62 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 17 — — $24,933.34 $72,938.24 $25,823.81 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 17 — — $24,855.54 $79,463.82 $25,743.25 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 14 — — $25,005.14 $36,997.77 $25,643.03 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 20 10 — — $1,843.00 $54,754.00 $25,620.96 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 17 — — $24,679.77 $72,170.54 $25,561.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 17 — — $24,656.58 $72,100.33 $25,537.18 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 17 — — $24,514.46 $71,670.06 $25,515.06 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 17 — — $24,608.71 $72,317.62 $25,487.60 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 17 — — $24,465.48 $79,028.19 $25,480.75 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
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 17 — — $24,478.56 $75,242.76 $25,352.79 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 17 — — $24,400.02 $77,956.42 $25,271.45 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 17 — — $24,344.67 $77,773.26 $25,214.12 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 17 — — $24,411.24 $77,993.55 $25,158.52 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 17 — — $24,188.34 $70,682.70 $25,052.21 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 17 — — $24,139.71 $70,535.50 $25,001.85 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 14 — — $24,098.58 $70,765.39 $24,836.29 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 17 — — $23,741.78 $69,330.73 $24,589.71 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 17 — — $23,711.12 $75,676.76 $24,557.94 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 21 10 — — $1,371.00 $52,953.00 $24,386.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 17 — — $23,435.11 $68,402.24 $24,272.08 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 17 — — $23,432.11 $68,393.18 $24,268.97 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 14 — — $23,530.10 $68,689.85 $24,250.41 2026-04-01
22634 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $33,009.00 $24,241.00 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
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 17 — — $23,407.44 $48,268.80 $24,123.99 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 17 — — $23,105.24 $67,403.55 $23,930.43 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 16 10 — — $1,546.00 $67,161.00 $23,816.35 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 16 10 — — $1,064.00 $67,161.00 $23,816.35 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 16 10 — — $1,546.00 $67,161.00 $23,816.35 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 17 — — $22,863.64 $66,672.09 $23,680.21 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 20 10 — — $1,843.00 $52,953.00 $23,674.39 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 20 10 — — $1,843.00 $52,953.00 $23,674.39 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 17 — — $22,841.20 $66,604.15 $23,656.96 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 17 — — $22,683.37 $66,126.32 $23,493.49 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 14 14 — — $22,878.60 $33,850.99 $23,462.24 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 17 — — $22,625.78 $65,951.95 $23,433.85 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 1 1 — — $23,415.00 $23,415.00 $23,415.00 2026-04-01
22600 HCPCS Neck Spine Fusion 21 10 — — $1,371.00 $44,124.00 $23,367.00 2026-04-01
509 MS_DRG Arthroscopy 8 7 — — $14,610.57 $39,777.70 $23,359.69 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 17 — — $22,548.74 $65,718.69 $23,354.06 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 17 — — $22,535.28 $65,677.93 $23,340.11 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 17 — — $22,429.05 $65,356.36 $23,230.10 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 20 10 — — $1,440.00 $67,161.00 $23,229.74 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 20 10 — — $1,440.00 $67,161.00 $23,229.74 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 20 10 — — $1,371.00 $54,754.00 $23,205.05 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 17 — — $22,397.65 $65,261.24 $23,197.56 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 14 — — $22,439.53 $33,201.35 $23,011.97 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 21 10 — — $670.75 $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
33230 HCPCS Insrt Pulse Gen W/dual Leads 21 10 — — $646.66 $215,631.00 $22,995.10 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 14 — — $22,310.88 $64,998.55 $22,993.86 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 17 — — $22,163.52 $70,555.58 $22,955.08 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 16 10 — — $1,064.00 $85,958.25 $22,937.00 2026-04-01
22612 HCPCS Lumbar Spine Fusion 21 10 — — $1,371.00 $34,245.00 $22,686.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 17 — — $21,856.10 $63,621.67 $22,636.67 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 13 6 — — $4,124.00 $46,539.00 $22,587.02 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 17 — — $21,780.55 $63,392.95 $22,558.42 2026-04-01
92943 HCPCS Prq Card Revasc Chronic 1vsl 15 6 — — $1,120.75 $70,194.00 $22,528.89 2026-04-01
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