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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

SPANISH PEAKS REGIONAL HEALTH CENTER

Walsenburg, CO · CCN 061316 · Rates published

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You selected 27447 (HCPCS)

Replacement of knee joint, both sides of knee

This hospital’s price: $1,872 across 15 payers · range $1,123-$13,456

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSPMCWALSENBURGCO&type=CDMWithoutLabel · observed 2026-02-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,626 distinct procedures filed
18 distinct payers
155,248 rate rows
2026-02-17 last MRF observed
Data quality

135,219 of 155,248 rate rows are consumer-grade (87.1%)

20,029 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
template filing: same amount across many unrelated codes — excluded 17,876
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,067
exceeds 10× this hospital's gross charge — excluded from medians 532
per-diem day rate — not a per-procedure price 509
percent-of-charges filed in the dollar field — excluded from medians 32
exceeds 3× this hospital's gross charge for a DRG stay — excluded 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSPMCWALSENBURGCO&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-17
Content fingerprint 40cddce9d3f27522… · 54,747,326 bytes · first seen 2026-05-07

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
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 11 $76,050.73 $80,275.77 $76,050.73 nat. median
$34,738
outlier · 2.2×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 11 $56,317.40 $59,446.14 $56,317.40 nat. median
$17,453
outlier · 3.2×
615
MS_DRG 		Adrenal And Pituitary Procedures Without Cc/mcc 11 $51,296.54 $54,146.35 $51,296.54 nat. median
$15,012
outlier · 3.4×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 $48,450.77 $51,142.48 $48,450.77 nat. median
$58,534
0.8× median
198
MS_DRG 		Interstitial Lung Disease Without Cc/mcc 11 $46,588.00 $49,176.22 $46,588.00 nat. median
$8,111
outlier · 5.7×
539
MS_DRG 		Osteomyelitis With Mcc 11 $39,529.62 $41,725.71 $39,529.62 nat. median
$19,527
outlier · 2.0×
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 11 $38,627.74 $40,773.72 $38,627.74 nat. median
$11,345
outlier · 3.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $35,954.47 $37,951.94 $35,954.47 nat. median
$59,257
0.6× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 11 $35,811.77 $37,801.31 $35,811.77 nat. median
$10,806
outlier · 3.3×
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 11 $35,728.61 $37,713.54 $35,728.61 nat. median
$10,606
outlier · 3.4×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 12 $34,516.88 $110,127.09 $34,900.40 nat. median
$19,576
1.8× median
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 11 $33,672.02 $35,542.68 $33,672.02 nat. median
$16,512
outlier · 2.0×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 12 $30,416.07 $73,670.63 $30,754.03 nat. median
$12,892
outlier · 2.4×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 12 $29,072.12 $80,152.35 $29,395.14 nat. median
$13,243
outlier · 2.2×
643
MS_DRG 		Endocrine Disorders With Mcc 12 $27,218.30 $62,142.56 $27,520.73 nat. median
$16,558
1.7× median
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/mcc 11 $27,184.59 $28,694.85 $27,184.59 nat. median
$18,912
1.4× median
346
MS_DRG 		Minor Small And Large Bowel Procedures Without Cc/mcc 11 $26,889.95 $28,383.83 $26,889.95 nat. median
$12,986
outlier · 2.1×
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 11 $25,084.09 $26,477.65 $25,084.09 nat. median
$11,005
outlier · 2.3×
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 $22,576.54 $72,935.04 $22,827.39 nat. median
$17,605
1.3× median
385
MS_DRG 		Inflammatory Bowel Disease With Mcc 11 $22,818.74 $24,086.45 $22,818.74 nat. median
$16,070
1.4× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 11 $22,245.53 $23,481.39 $22,245.53 nat. median
$13,072
1.7× median
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 11 $21,977.17 $23,198.13 $21,977.17 nat. median
$10,671
outlier · 2.1×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 11 $21,569.85 $22,768.18 $21,569.85 nat. median
$11,661
1.8× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 18 $7,441.38 $23,482.80 $21,134.52 nat. median
$3,475
outlier · 6.1×
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 12 $20,725.72 $46,953.58 $20,956.01 nat. median
$14,075
1.5× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 12 $20,502.03 $46,705.03 $20,729.83 nat. median
$17,345
1.2× median
181
MS_DRG 		Respiratory Neoplasms With Cc 11 $20,444.92 $21,580.75 $20,444.92 nat. median
$11,691
1.7× median
292
MS_DRG 		Heart Failure And Shock With Cc 11 $20,315.30 $21,443.93 $20,315.30 nat. median
$9,526
outlier · 2.1×
291
MS_DRG 		Heart Failure And Shock With Mcc 12 $19,559.63 $53,632.92 $19,776.96 nat. median
$13,359
1.5× median
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 11 $19,527.58 $20,612.44 $19,527.58 nat. median
$10,965
1.8× median
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 11 $19,316.59 $20,389.74 $19,316.59 nat. median
$10,254
1.9× median
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 17 $11,470.41 $21,241.50 $19,117.35 nat. median
$109
outlier · 175.4×
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 11 $19,078.60 $20,138.52 $19,078.60 nat. median
$8,869
outlier · 2.2×
603
MS_DRG 		Cellulitis Without Mcc 12 $18,809.81 $60,774.79 $19,018.81 nat. median
$9,525
2.0× median
37231
HCPCS 		Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 15 $11,380.50 $21,075.00 $18,967.50 nat. median
$18,256
1.0× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 11 $18,838.18 $19,884.75 $18,838.18 nat. median
$19,136
1.0× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 11 $18,482.68 $19,509.50 $18,482.68 nat. median
$12,112
1.5× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 11 $18,339.71 $19,358.58 $18,339.71 nat. median
$8,921
outlier · 2.1×
37227
HCPCS 		Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 15 $10,967.94 $20,311.00 $18,279.90 nat. median
$18,306
1.0× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 11 $18,220.04 $19,232.27 $18,220.04 nat. median
$24,774
0.7× median
383
MS_DRG 		Uncomplicated Peptic Ulcer With Mcc 12 $17,978.45 $51,876.06 $18,178.22 nat. median
$13,631
1.3× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 $17,850.41 $43,758.79 $18,048.75 nat. median
$11,013
1.6× median
J9312
HCPCS 		Injection, Rituximab, 10 Mg 18 $5,613.51 $19,905.92 $17,915.33 nat. median
$1,027
outlier · 17.4×
694
MS_DRG 		Urinary Stones Without Mcc 11 $17,913.00 $18,908.16 $17,913.00 nat. median
$8,610
outlier · 2.1×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 12 $17,032.21 $50,824.68 $17,221.46 nat. median
$16,480
1.0× median
203
MS_DRG 		Bronchitis And Asthma Without Cc/mcc 12 $16,874.72 $42,674.69 $17,062.22 nat. median
$7,576
outlier · 2.3×
425
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 11 $17,040.78 $17,987.49 $17,040.78 nat. median
$15,584
1.1× median
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 11 $17,030.53 $17,976.67 $17,030.53 nat. median
$15,473
1.1× median
139
MS_DRG 		Salivary Gland Procedures 12 $16,727.57 $42,511.19 $16,913.43 nat. median
$13,303
1.3× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 11 $16,902.77 $17,841.82 $16,902.77 nat. median
$9,038
1.9× median

Other procedures at this hospital

Browse this hospital's 7,626 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
             
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 11 $84,500.81 $76,050.73 $76,050.73 $80,275.77 $76,050.73 2026-02-17
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 11 11 $62,574.89 $56,317.40 $56,317.40 $59,446.14 $56,317.40 2026-02-17
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 11 11 $56,996.16 $51,296.54 $51,296.54 $54,146.35 $51,296.54 2026-02-17
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 11 $53,834.19 $48,450.77 $48,450.77 $51,142.48 $48,450.77 2026-02-17
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 11 11 $51,764.44 $46,588.00 $46,588.00 $49,176.22 $46,588.00 2026-02-17
539 MS_DRG Osteomyelitis With Mcc 11 11 $43,921.80 $39,529.62 $39,529.62 $41,725.71 $39,529.62 2026-02-17
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 11 11 $42,919.71 $38,627.74 $38,627.74 $40,773.72 $38,627.74 2026-02-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 11 $39,949.41 $35,954.47 $35,954.47 $37,951.94 $35,954.47 2026-02-17
178 MS_DRG Respiratory Infections And Inflammations With Cc 11 11 $39,790.85 $35,811.77 $35,811.77 $37,801.31 $35,811.77 2026-02-17
378 MS_DRG Gastrointestinal Hemorrhage With Cc 11 11 $39,698.46 $35,728.61 $35,728.61 $37,713.54 $35,728.61 2026-02-17
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 12 $38,352.09 $34,516.88 $34,516.88 $110,127.09 $34,900.40 2026-02-17
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 11 11 $37,413.35 $33,672.02 $33,672.02 $35,542.68 $33,672.02 2026-02-17
189 MS_DRG Pulmonary Edema And Respiratory Failure 12 12 $33,795.63 $30,416.07 $30,416.07 $73,670.63 $30,754.03 2026-02-17
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 12 12 $32,302.35 $29,072.12 $29,072.12 $80,152.35 $29,395.14 2026-02-17
643 MS_DRG Endocrine Disorders With Mcc 12 12 $30,242.56 $27,218.30 $27,218.30 $62,142.56 $27,520.73 2026-02-17
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 11 11 $30,205.10 $27,184.59 $27,184.59 $28,694.85 $27,184.59 2026-02-17
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 11 11 $29,877.72 $26,889.95 $26,889.95 $28,383.83 $26,889.95 2026-02-17
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 11 11 $27,871.21 $25,084.09 $25,084.09 $26,477.65 $25,084.09 2026-02-17
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 12 $25,085.04 $22,576.54 $22,576.54 $72,935.04 $22,827.39 2026-02-17
385 MS_DRG Inflammatory Bowel Disease With Mcc 11 11 $25,354.16 $22,818.74 $22,818.74 $24,086.45 $22,818.74 2026-02-17
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 11 11 $24,717.25 $22,245.53 $22,245.53 $23,481.39 $22,245.53 2026-02-17
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 11 11 $24,419.08 $21,977.17 $21,977.17 $23,198.13 $21,977.17 2026-02-17
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 11 11 $23,966.50 $21,569.85 $21,569.85 $22,768.18 $21,569.85 2026-02-17
J3101 HCPCS Injection, Tenecteplase, 1 Mg 18 18 $23,482.80 $21,134.52 $7,441.38 $23,482.80 $21,134.52 2026-02-17
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 12 12 $23,028.58 $20,725.72 $20,725.72 $46,953.58 $20,956.01 2026-02-17
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 12 12 $22,780.03 $20,502.03 $20,502.03 $46,705.03 $20,729.83 2026-02-17
181 MS_DRG Respiratory Neoplasms With Cc 11 11 $22,716.58 $20,444.92 $20,444.92 $21,580.75 $20,444.92 2026-02-17
292 MS_DRG Heart Failure And Shock With Cc 11 11 $22,572.56 $20,315.30 $20,315.30 $21,443.93 $20,315.30 2026-02-17
291 MS_DRG Heart Failure And Shock With Mcc 12 12 $21,732.92 $19,559.63 $19,559.63 $53,632.92 $19,776.96 2026-02-17
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 11 11 $21,697.31 $19,527.58 $19,527.58 $20,612.44 $19,527.58 2026-02-17
202 MS_DRG Bronchitis And Asthma With Cc/mcc 11 11 $21,462.88 $19,316.59 $19,316.59 $20,389.74 $19,316.59 2026-02-17
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 17 17 $21,241.50 $19,117.35 $11,470.41 $21,241.50 $19,117.35 2026-02-17
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 11 11 $21,198.45 $19,078.60 $19,078.60 $20,138.52 $19,078.60 2026-02-17
603 MS_DRG Cellulitis Without Mcc 12 12 $20,899.79 $18,809.81 $18,809.81 $60,774.79 $19,018.81 2026-02-17
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 15 15 $21,075.00 $18,967.50 $11,380.50 $21,075.00 $18,967.50 2026-02-17
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 11 11 $20,931.32 $18,838.18 $18,838.18 $19,884.75 $18,838.18 2026-02-17
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 11 11 $20,536.31 $18,482.68 $18,482.68 $19,509.50 $18,482.68 2026-02-17
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 11 11 $20,377.45 $18,339.71 $18,339.71 $19,358.58 $18,339.71 2026-02-17
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 15 15 $20,311.00 $18,279.90 $10,967.94 $20,311.00 $18,279.90 2026-02-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 11 $20,244.49 $18,220.04 $18,220.04 $19,232.27 $18,220.04 2026-02-17
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 12 12 $19,976.06 $17,978.45 $17,978.45 $51,876.06 $18,178.22 2026-02-17
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 12 $19,833.79 $17,850.41 $17,850.41 $43,758.79 $18,048.75 2026-02-17
J9312 HCPCS Injection, Rituximab, 10 Mg 18 18 $19,905.92 $17,915.33 $5,613.51 $19,905.92 $17,915.33 2026-02-17
694 MS_DRG Urinary Stones Without Mcc 11 11 $19,903.33 $17,913.00 $17,913.00 $18,908.16 $17,913.00 2026-02-17
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 12 $18,924.68 $17,032.21 $17,032.21 $50,824.68 $17,221.46 2026-02-17
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 12 12 $18,749.69 $16,874.72 $16,874.72 $42,674.69 $17,062.22 2026-02-17
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 11 11 $18,934.20 $17,040.78 $17,040.78 $17,987.49 $17,040.78 2026-02-17
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 11 11 $18,922.81 $17,030.53 $17,030.53 $17,976.67 $17,030.53 2026-02-17
139 MS_DRG Salivary Gland Procedures 12 12 $18,586.19 $16,727.57 $16,727.57 $42,511.19 $16,913.43 2026-02-17
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 11 11 $18,780.86 $16,902.77 $16,902.77 $17,841.82 $16,902.77 2026-02-17
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 12 $18,562.91 $16,706.62 $16,706.62 $42,487.91 $16,892.25 2026-02-17
594 MS_DRG Skin Ulcers Without Cc/mcc 12 12 $18,083.01 $16,274.71 $16,274.71 $49,983.01 $16,455.54 2026-02-17
683 MS_DRG Renal Failure With Cc 11 11 $18,271.99 $16,444.79 $16,444.79 $17,358.39 $16,444.79 2026-02-17
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 11 11 $18,016.06 $16,214.45 $16,214.45 $17,115.25 $16,214.45 2026-02-17
949 MS_DRG Aftercare With Cc/mcc 11 11 $17,782.51 $16,004.26 $16,004.26 $16,893.38 $16,004.26 2026-02-17
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 12 $17,323.13 $15,590.82 $15,590.82 $49,223.13 $15,764.05 2026-02-17
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 12 $17,290.59 $15,561.53 $15,561.53 $41,215.59 $15,734.44 2026-02-17
948 MS_DRG Signs And Symptoms Without Mcc 12 12 $16,549.91 $14,894.92 $14,894.92 $48,449.91 $15,060.42 2026-02-17
121 MS_DRG Acute Major Eye Infections With Cc/mcc 12 12 $16,245.62 $14,621.06 $14,621.06 $40,170.62 $14,783.51 2026-02-17
35471 HCPCS Repair Arterial Blockage 14 14 $16,312.00 $14,680.80 $8,808.48 $16,312.00 $14,680.80 2026-02-17
602 MS_DRG Cellulitis With Mcc 12 12 $16,019.51 $14,417.55 $14,417.55 $39,944.51 $14,577.74 2026-02-17
137 MS_DRG Mouth Procedures With Cc/mcc 11 11 $16,149.75 $14,534.78 $14,534.78 $15,342.26 $14,534.78 2026-02-17
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 15 15 $16,132.00 $14,518.80 $8,711.28 $16,132.00 $14,518.80 2026-02-17
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 15 15 $16,031.00 $14,427.90 $8,656.74 $16,031.00 $14,427.90 2026-02-17
37225 HCPCS Removal Of Plaque In Arteries Of Leg 15 15 $15,847.00 $14,262.30 $8,557.38 $15,847.00 $14,262.30 2026-02-17
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 11 11 $15,560.70 $14,004.63 $14,004.63 $14,782.67 $14,004.63 2026-02-17
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 11 11 $15,554.09 $13,998.69 $13,998.69 $14,776.39 $13,998.69 2026-02-17
37243 HCPCS Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 15 15 $15,485.00 $13,936.50 $8,361.90 $15,833.77 $13,936.50 2026-02-17
947 MS_DRG Signs And Symptoms With Mcc 11 11 $15,363.48 $13,827.13 $13,827.13 $14,595.31 $13,827.13 2026-02-17
J2508 HCPCS Injection, Pegunigalsidase Alfa-iwxj, 1 Mg 17 17 $15,196.55 $13,676.90 $8,206.14 $15,196.55 $13,676.90 2026-02-17
33400 HCPCS Repair Of Aortic Valve 14 14 $14,888.00 $13,399.20 $8,039.52 $14,888.00 $13,399.20 2026-02-17
37226 HCPCS Insertion Of Stent In Arteries Of Leg 15 15 $14,786.00 $13,307.40 $7,984.44 $15,833.77 $13,307.40 2026-02-17
638 MS_DRG Diabetes With Cc 11 11 $14,746.13 $13,271.51 $13,271.51 $14,008.82 $13,271.51 2026-02-17
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 12 $14,200.88 $12,780.79 $12,780.79 $30,150.88 $12,922.80 2026-02-17
90375 HCPCS Rabies Immune Globulin For Injection 18 18 $14,290.36 $12,861.32 $2,083.60 $14,290.36 $12,861.32 2026-02-17
866 MS_DRG Viral Illness Without Mcc 11 11 $14,111.76 $12,700.58 $12,700.58 $13,406.17 $12,700.58 2026-02-17
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 11 11 $13,993.02 $12,593.72 $12,593.72 $13,293.37 $12,593.72 2026-02-17
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 12 $13,627.91 $12,265.12 $12,265.12 $29,577.91 $12,401.40 2026-02-17
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 11 11 $13,511.51 $12,160.36 $12,160.36 $12,835.93 $12,160.36 2026-02-17
663 MS_DRG Minor Bladder Procedures With Cc 11 11 $13,408.45 $12,067.61 $12,067.61 $12,738.03 $12,067.61 2026-02-17
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 11 11 $13,327.11 $11,994.39 $11,994.39 $12,660.75 $11,994.39 2026-02-17
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 12 12 $13,162.33 $11,846.09 $11,846.09 $29,112.33 $11,977.72 2026-02-17
61332 HCPCS Explore/biopsy Eye Socket 15 15 $13,117.00 $11,805.30 $5,560.45 $13,117.00 $11,805.30 2026-02-17
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 11 11 $13,003.66 $11,703.29 $11,703.29 $12,353.48 $11,703.29 2026-02-17
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 12 12 $12,816.05 $11,534.45 $11,534.45 $36,741.05 $11,662.61 2026-02-17
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 11 11 $12,928.38 $11,635.54 $11,635.54 $12,281.96 $11,635.54 2026-02-17
61480 HCPCS Incise Skull For Surgery 15 15 $12,830.00 $11,547.00 $5,560.45 $12,830.00 $11,547.00 2026-02-17
37242 HCPCS Occlusion Of Artery With Review By Radiologist 15 15 $12,828.00 $11,545.20 $6,927.12 $15,833.77 $11,545.20 2026-02-17
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 11 11 $12,791.61 $11,512.45 $11,512.45 $12,152.03 $11,512.45 2026-02-17
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 12 12 $12,580.97 $11,322.87 $11,322.87 $36,505.97 $11,448.68 2026-02-17
61610 HCPCS Transect Artery Sinus 15 15 $12,471.00 $11,223.90 $6,734.34 $12,471.00 $11,223.90 2026-02-17
593 MS_DRG Skin Ulcers With Cc 12 12 $12,315.38 $11,083.84 $11,083.84 $28,265.38 $11,206.99 2026-02-17
31582 HCPCS Revision Of Larynx 14 14 $12,199.00 $10,979.10 $6,587.46 $12,199.00 $10,979.10 2026-02-17
37244 HCPCS Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 15 15 $11,801.00 $10,620.90 $6,372.54 $15,833.77 $10,620.90 2026-02-17
35472 HCPCS Repair Arterial Blockage 14 14 $11,751.00 $10,575.90 $6,345.54 $11,751.00 $10,575.90 2026-02-17
61612 HCPCS Transect Artery Sinus 15 15 $11,717.00 $10,545.30 $6,327.18 $11,717.00 $10,545.30 2026-02-17
36870 HCPCS Percut Thrombect Av Fistula 14 14 $11,708.00 $10,537.20 $6,322.32 $11,708.00 $10,537.20 2026-02-17
444 MS_DRG Disorders Of The Biliary Tract With Mcc 11 11 $11,601.30 $10,441.17 $10,441.17 $11,021.24 $10,441.17 2026-02-17
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 11 11 $11,576.98 $10,419.28 $10,419.28 $10,998.13 $10,419.28 2026-02-17
201 MS_DRG Pneumothorax Without Cc/mcc 11 11 $11,458.13 $10,312.32 $10,312.32 $10,885.22 $10,312.32 2026-02-17
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 18 18 $11,243.00 $10,118.70 $6,071.22 $11,461.44 $10,118.70 2026-02-17
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 11 11 $11,164.15 $10,047.73 $10,047.73 $10,605.94 $10,047.73 2026-02-17
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 11 11 $11,143.01 $10,028.71 $10,028.71 $10,585.86 $10,028.71 2026-02-17
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 18 18 $10,673.40 $9,606.06 $1,620.42 $10,673.40 $9,606.06 2026-02-17
47383 HCPCS Destruction Of Growth Of Liver Through Skin Using Freezing 15 15 $10,662.00 $9,595.80 $5,757.48 $10,662.00 $9,595.80 2026-02-17
389 MS_DRG Gastrointestinal Obstruction With Cc 11 11 $10,646.25 $9,581.63 $9,581.63 $10,113.94 $9,581.63 2026-02-17
37183 HCPCS Revision Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist 15 15 $10,530.00 $9,477.00 $5,686.20 $10,530.00 $9,477.00 2026-02-17
33860 HCPCS Ascending Aorta Graft, With Cardiopulmonary Bypass, Includes Valve Suspension, W… 15 15 $10,484.00 $9,435.60 $5,661.36 $17,022.38 $9,435.60 2026-02-17
22513 HCPCS Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 15 15 $10,307.00 $9,276.30 $5,565.78 $10,307.00 $9,276.30 2026-02-17
22514 HCPCS Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 15 15 $10,260.00 $9,234.00 $5,540.40 $10,260.00 $9,234.00 2026-02-17
55873 HCPCS Destruction Of Prostate Using Imaging Guidance 15 15 $10,204.00 $9,183.60 $5,510.16 $10,204.00 $9,183.60 2026-02-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 12 $9,896.74 $8,907.07 $8,907.07 $25,846.74 $9,006.03 2026-02-17
35475 HCPCS Repair Arterial Blockage 14 14 $9,941.00 $8,946.90 $5,368.14 $9,941.00 $8,946.90 2026-02-17
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 15 15 $9,772.00 $8,794.80 $5,276.88 $15,833.77 $8,794.80 2026-02-17
865 MS_DRG Viral Illness With Mcc 11 11 $9,771.28 $8,794.15 $8,794.15 $9,282.71 $8,794.15 2026-02-17
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 12 $9,655.94 $8,690.35 $8,690.35 $25,605.94 $8,786.90 2026-02-17
570 MS_DRG Skin Debridement With Mcc 11 11 $9,740.07 $8,766.06 $8,766.06 $9,253.07 $8,766.06 2026-02-17
33403 HCPCS Valvuloplasty W/cp Bypass 14 14 $9,696.00 $8,726.40 $5,235.84 $9,696.00 $8,726.40 2026-02-17
552 MS_DRG Medical Back Problems Without Mcc 12 12 $9,389.12 $8,450.20 $8,450.20 $25,339.12 $8,544.10 2026-02-17
33401 HCPCS Valvuloplasty Open 14 14 $9,443.00 $8,498.70 $5,099.22 $9,443.00 $8,498.70 2026-02-17
375 MS_DRG Digestive Malignancy With Cc 11 11 $9,192.86 $8,273.57 $8,273.57 $8,733.22 $8,273.57 2026-02-17
39503 HCPCS Repair Of Congenital Defect Of Muscle Separating Chest And Abdominal Cavities, N… 15 15 $9,171.00 $8,253.90 $4,952.34 $10,030.90 $8,253.90 2026-02-17
20983 HCPCS Freezing Of Growth Of Bone And Adjacent Soft Tissue 15 15 $9,119.00 $8,207.10 $2,518.07 $9,119.00 $8,207.10 2026-02-17
35476 HCPCS Repair Venous Blockage 14 14 $9,112.00 $8,200.80 $4,920.48 $9,112.00 $8,200.80 2026-02-17
32994 HCPCS Destruction Of Growth Of Lung Using Extreme Cold 15 15 $8,818.00 $7,936.20 $4,761.72 $8,818.00 $7,936.20 2026-02-17
47135 HCPCS Transplantation Of Donor Liver 15 15 $8,653.00 $7,787.70 $4,672.62 $8,653.00 $7,787.70 2026-02-17
34803 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $8,504.00 $7,653.60 $4,592.16 $8,504.00 $7,653.60 2026-02-17
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 11 11 $8,418.91 $7,577.02 $7,577.02 $7,997.96 $7,577.02 2026-02-17
153 MS_DRG Otitis Media And Uri Without Mcc 11 11 $8,415.19 $7,573.67 $7,573.67 $7,994.43 $7,573.67 2026-02-17
37241 HCPCS Occlusion Of Vein With Review By Radiologist 15 15 $8,379.00 $7,541.10 $4,524.66 $15,833.77 $7,541.10 2026-02-17
300 MS_DRG Peripheral Vascular Disorders With Cc 11 11 $8,353.92 $7,518.53 $7,518.53 $7,936.22 $7,518.53 2026-02-17
34804 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $8,216.00 $7,394.40 $4,436.64 $8,216.00 $7,394.40 2026-02-17
34802 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $8,201.00 $7,380.90 $4,428.54 $8,201.00 $7,380.90 2026-02-17
63615 HCPCS Remove Lesion Of Spinal Cord 15 15 $8,179.00 $7,361.10 $1,234.63 $8,179.00 $7,361.10 2026-02-17
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 15 15 $7,898.00 $7,108.20 $4,264.92 $11,978.88 $7,108.20 2026-02-17
49605 HCPCS Repair Of Large Defect Of Abdominal Wall At Navel 15 15 $7,883.00 $7,094.70 $4,256.82 $7,883.00 $7,094.70 2026-02-17
34805 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $7,849.00 $7,064.10 $4,238.46 $7,849.00 $7,064.10 2026-02-17
43116 HCPCS Partial Removal Of Upper Esophagus With Reconstruction Using Bowel Graft 15 15 $7,839.00 $7,055.10 $4,233.06 $7,839.00 $7,055.10 2026-02-17
33935 HCPCS Transplantation Of Donor Heart And Lung 15 15 $7,775.00 $6,997.50 $4,198.50 $7,775.00 $6,997.50 2026-02-17
36903 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 15 15 $7,734.00 $6,960.60 $4,176.36 $15,833.77 $6,960.60 2026-02-17
36566 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins With Port 15 15 $7,674.00 $6,906.60 $3,170.52 $7,674.00 $6,906.60 2026-02-17
33945 HCPCS Transplantation Of Donor Heart 15 15 $7,665.00 $6,898.50 $4,139.10 $7,665.00 $6,898.50 2026-02-17
C1783 HCPCS Ocular Implant, Aqueous Drainage Assist Device 17 17 $7,650.00 $6,885.00 $4,131.00 $7,650.00 $6,885.00 2026-02-17
47540 HCPCS Placement Of Stent And Drainage Tube Of Biliary Duct Using Imaging Guidance With… 15 15 $7,640.00 $6,876.00 $4,125.60 $9,211.04 $6,876.00 2026-02-17
32854 HCPCS Transplantation Of 2 Lungs On Heart-lung Machine 14 14 $7,636.00 $6,872.40 $4,123.44 $7,636.00 $6,872.40 2026-02-17
113 MS_DRG Orbital Procedures With Cc/mcc 12 12 $7,511.44 $6,760.30 $6,760.30 $15,486.44 $6,835.41 2026-02-17
47539 HCPCS Placement Of Stent Of Biliary Duct Through New Skin Access Using Imaging With Re… 15 15 $7,543.00 $6,788.70 $3,635.88 $7,543.00 $6,788.70 2026-02-17
47142 HCPCS Removal Of Right Lobe Of Donor Liver 15 15 $7,538.00 $6,784.20 $4,070.52 $7,538.00 $6,784.20 2026-02-17
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 15 15 $7,445.00 $6,700.50 $4,020.30 $8,507.16 $6,700.50 2026-02-17
34800 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $7,428.00 $6,685.20 $4,011.12 $7,428.00 $6,685.20 2026-02-17
31599 HCPCS Other Procedure On Voice Box 15 15 $7,336.00 $6,602.40 $1,326.01 $7,336.00 $6,602.40 2026-02-17
61698 HCPCS Repair Of Complex Aneurysm Of Back Of Brain Artery 15 15 $7,306.00 $6,575.40 $3,945.24 $7,306.00 $6,575.40 2026-02-17
21215 HCPCS Repair Of Lower Jaw Bone With Bone Graft 15 15 $7,223.00 $6,500.70 $3,900.42 $7,223.00 $6,500.70 2026-02-17
32853 HCPCS Transplantation Of 2 Lungs 15 15 $7,210.00 $6,489.00 $3,893.40 $7,210.00 $6,489.00 2026-02-17
43123 HCPCS Partial Removal Of Esophagus With Repair Using Bowel Graft 15 15 $7,110.00 $6,399.00 $3,839.40 $7,110.00 $6,399.00 2026-02-17
J0897 HCPCS Injection, Denosumab, 1 Mg 18 18 $7,106.59 $6,395.93 $1,303.61 $7,106.59 $6,395.93 2026-02-17
61686 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Lower Brain 15 15 $7,095.00 $6,385.50 $3,831.30 $7,095.00 $6,385.50 2026-02-17
21127 HCPCS Insertion Of Bone Grafts Between Portions Of Bone To Enlarge Lower Jaw Bone 15 15 $7,081.00 $6,372.90 $3,823.74 $7,081.00 $6,372.90 2026-02-17
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 18 18 $7,047.17 $6,342.45 $3,305.11 $7,047.17 $6,342.45 2026-02-17
43108 HCPCS Removal Of Esophagus And Reconstruction Using Bowel Graft 15 15 $7,014.00 $6,312.60 $3,787.56 $7,014.00 $6,312.60 2026-02-17
37235 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Each Additional Vess… 15 15 $6,951.00 $6,255.90 $3,753.54 $15,833.77 $6,255.90 2026-02-17
47141 HCPCS Removal Of Left Liver Lobe Of Donor 15 15 $6,861.00 $6,174.90 $3,704.94 $7,180.76 $6,174.90 2026-02-17
43113 HCPCS Removal Of Esophagus Through Chest And Reconstruction Using Bowel Graft 15 15 $6,860.00 $6,174.00 $3,704.40 $6,860.00 $6,174.00 2026-02-17
47538 HCPCS Placement Of Stent Of Biliary Duct Through Existing Skin Access Using Imaging Gu… 15 15 $6,818.00 $6,136.20 $3,635.88 $6,818.00 $6,136.20 2026-02-17
639 MS_DRG Diabetes Without Cc/mcc 12 12 $6,729.32 $6,056.38 $6,056.38 $14,704.32 $6,123.68 2026-02-17
46748 HCPCS Repair Of Defect For Single Channel Outlet Of Rectum, Vagina, And Urinary Tract … 15 15 $6,800.00 $6,120.00 $3,242.99 $6,800.00 $6,120.00 2026-02-17
50593 HCPCS Destruction Of Growth Of Kidney By Freezing 15 15 $6,756.00 $6,080.40 $3,648.24 $10,009.81 $6,080.40 2026-02-17
19296 HCPCS Insertion Of Expandable Tube In Breast For Radiation Treatment Using Imaging Gui… 15 15 $6,738.00 $6,064.20 $3,638.52 $6,738.00 $6,064.20 2026-02-17
36516 HCPCS Mechanical Separation Of Plasma And Abnormal Antibodies From Blood 29 15 $13,284.00 $11,955.60 $1,697.76 $13,284.00 $6,038.25 2026-02-17
61576 HCPCS Biopsy Of Brain Stem Or Upper Spinal Cord With Splitting Of Tongue And Lower Jaw… 15 15 $6,708.00 $6,037.20 $3,622.32 $6,708.00 $6,037.20 2026-02-17
6020000008_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $6,695.00 $6,025.50 $3,615.30 $6,360.25 $6,025.50 2026-02-17
61697 HCPCS Repair Of Complex Aneurysm Of Neck Artery 15 15 $6,675.00 $6,007.50 $3,604.50 $6,914.05 $6,007.50 2026-02-17
33916 HCPCS Removal Of Plaque From Pulmonary Artery On Heart-lung Machine 15 15 $6,574.00 $5,916.60 $3,549.96 $17,022.38 $5,916.60 2026-02-17
61682 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Upper Brain 15 15 $6,568.00 $5,911.20 $3,546.72 $6,914.05 $5,911.20 2026-02-17
47382 HCPCS Destruction Of Growth Of Liver Through Skin Using Radiofrequency 15 15 $6,529.00 $5,876.10 $3,525.66 $9,211.04 $5,876.10 2026-02-17
37234 HCPCS Insertion Of Stent In Artery Of Leg, Each Additional Vessel 15 15 $6,499.00 $5,849.10 $3,509.46 $15,833.77 $5,849.10 2026-02-17
33305 HCPCS Repair Of Wound To Heart On Heart-lung Machine 15 15 $6,435.00 $5,791.50 $3,474.90 $17,784.43 $5,791.50 2026-02-17
6020000006_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $6,386.00 $5,747.40 $3,448.44 $6,066.70 $5,747.40 2026-02-17
61702 HCPCS Repair Of Simple Aneurysm Of Back Of Brain Artery 15 15 $6,358.00 $5,722.20 $3,433.32 $6,914.05 $5,722.20 2026-02-17
20808 HCPCS Reattachment Of Cutoff Hand 15 15 $6,346.00 $5,711.40 $3,170.08 $6,346.00 $5,711.40 2026-02-17
46746 HCPCS Repair Of Defect For Single Channel Outlet Of Rectum, Vagina, And Urinary Tract … 15 15 $6,279.00 $5,651.10 $3,242.99 $6,279.00 $5,651.10 2026-02-17
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 18 18 $6,265.00 $5,638.50 $3,305.11 $6,265.00 $5,638.50 2026-02-17
26554 HCPCS Transfer Of 2 Toes To Hand 15 15 $6,217.00 $5,595.30 $3,357.18 $7,548.77 $5,595.30 2026-02-17
20982 HCPCS Destruction Of Growths And Adjacent Soft Tissue 15 15 $6,217.00 $5,595.30 $2,518.07 $6,217.00 $5,595.30 2026-02-17
6020000007_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $6,180.00 $5,562.00 $3,337.20 $5,871.00 $5,562.00 2026-02-17
37238 HCPCS Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 15 15 $6,140.00 $5,526.00 $3,315.60 $15,833.77 $5,526.00 2026-02-17
43124 HCPCS Removal Of Esophagus With Creation Of Artificial Opening Into Esophagus 15 15 $6,020.00 $5,418.00 $3,250.80 $6,020.00 $5,418.00 2026-02-17
46762 HCPCS Implant Artificial Sphincter 15 15 $5,998.00 $5,398.20 $3,238.92 $5,998.00 $5,398.20 2026-02-17
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 18 18 $5,997.08 $5,397.37 $3,238.42 $5,997.08 $5,397.37 2026-02-17
61520 HCPCS Removal Of Skull Bone For Removal Of Eighth Cranial Nerve Brain Growth 15 15 $5,945.00 $5,350.50 $3,210.30 $5,945.00 $5,350.50 2026-02-17
43288 HCPCS Removal Of Esophagus And Partial Removal Of Stomach Using An Endoscope For Each … 15 15 $5,945.00 $5,350.50 $3,210.30 $5,945.00 $5,350.50 2026-02-17
57112 HCPCS Vaginectomy, Complete Removal Of Vaginal Wall; With Removal Of Paravaginal Tissu… 15 15 $5,901.00 $5,310.90 $3,186.54 $8,270.84 $5,310.90 2026-02-17
34900 HCPCS Endovascular Repair Of Iliac Artery (eg, Aneurysm, Pseudoaneurysm, Arteriovenous… 14 14 $5,874.00 $5,286.60 $3,171.96 $5,874.00 $5,286.60 2026-02-17
6020000005_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $5,871.00 $5,283.90 $3,170.34 $5,577.45 $5,283.90 2026-02-17
69840 HCPCS Revision Fenestration Operation 14 14 $5,806.00 $5,225.40 $3,135.24 $5,806.00 $5,225.40 2026-02-17
61692 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Membrane Covering Brain 15 15 $5,769.00 $5,192.10 $3,115.26 $6,914.05 $5,192.10 2026-02-17
47140 HCPCS Partial Removal Of Left Segment Of Donor Liver 15 15 $5,742.00 $5,167.80 $3,100.68 $7,180.76 $5,167.80 2026-02-17
43118 HCPCS Partial Removal Of Lower Esophagus Through Chest And Abdomen With Bowel Graft 15 15 $5,725.00 $5,152.50 $3,091.50 $5,884.72 $5,152.50 2026-02-17
46744 HCPCS Repair Of Defect For Single Channel Outlet Of Rectum, Vagina, And Urinary Tract … 15 15 $5,703.00 $5,132.70 $3,079.62 $5,703.00 $5,132.70 2026-02-17
33877 HCPCS Repair Of Aortic Aneurysm With Graft 15 15 $5,675.00 $5,107.50 $3,064.50 $17,022.38 $5,107.50 2026-02-17
43287 HCPCS Removal Of Lower Esophagus And Partial Removal Of Stomach Using An Endoscope 15 15 $5,637.00 $5,073.30 $3,043.98 $5,884.72 $5,073.30 2026-02-17
31298 HCPCS Dilation Of Sphenoid And Frontal Nasal Sinus Using An Endoscope 15 15 $5,611.00 $5,049.90 $1,097.21 $5,611.00 $5,049.90 2026-02-17
32852 HCPCS Transplantation Of Lung On Heart-lung Machine 14 14 $5,596.00 $5,036.40 $3,021.84 $5,596.00 $5,036.40 2026-02-17
32445 HCPCS Removal Of Lung And Lining Of Chest Cavity 15 15 $5,574.00 $5,016.60 $3,009.96 $7,503.72 $5,016.60 2026-02-17
26556 HCPCS Transfer Of Toe And Joint To Finger 15 15 $5,563.00 $5,006.70 $3,004.02 $7,548.77 $5,006.70 2026-02-17
32998 HCPCS Destruction Of Growth Of Lung Using Radiofrequency 15 15 $5,557.00 $5,001.30 $3,000.78 $7,503.72 $5,001.30 2026-02-17
47122 HCPCS Removal Of Right Liver Lobe With Partial Removal Of Left Liver Lobe 15 15 $5,513.00 $4,961.70 $2,977.02 $9,211.04 $4,961.70 2026-02-17
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 15 15 $5,511.00 $4,959.90 $2,975.94 $15,833.77 $4,959.90 2026-02-17
43112 HCPCS Removal Of Esophagus Through Chest 15 15 $5,500.00 $4,950.00 $2,970.00 $5,884.72 $4,950.00 2026-02-17
33783 HCPCS Relocation Of Aorta And Repair Of Wall Between Lower Heart Chambers With Reimpla… 15 15 $5,484.00 $4,935.60 $2,961.36 $17,784.43 $4,935.60 2026-02-17
33871 HCPCS Repair Of Aortic Arch With Graft On Heart-lung Machine 29 15 $8,255.00 $7,429.50 $2,770.20 $17,022.38 $4,873.50 2026-02-17
33622 HCPCS Reconstruction Of Complex Cardiac Defects 15 15 $5,396.00 $4,856.40 $2,913.84 $17,784.43 $4,856.40 2026-02-17
61700 HCPCS Repair Of Simple Aneurysm Of Neck Artery 15 15 $5,391.00 $4,851.90 $2,911.14 $6,914.05 $4,851.90 2026-02-17
26551 HCPCS Transfer Of Great Toe To Hand 15 15 $5,386.00 $4,847.40 $2,908.44 $7,548.77 $4,847.40 2026-02-17
61616 HCPCS Removal Of Growth Or Tissue Of Skull Base Within Brain Membrane 15 15 $5,379.00 $4,841.10 $2,904.66 $6,479.40 $4,841.10 2026-02-17
69820 HCPCS Fenestration Semicircular Canal 14 14 $5,367.00 $4,830.30 $2,898.18 $5,367.00 $4,830.30 2026-02-17
33440 HCPCS Replacement Of Aortic And Pulmonary Valves And Enlargement Of Outflow Tract From… 15 15 $5,365.00 $4,828.50 $2,897.10 $17,784.43 $4,828.50 2026-02-17
61526 HCPCS Removal Of Skull Bone With Bone Flap For Removal Of Eighth Cranial Nerve Brain T… 15 15 $5,362.00 $4,825.80 $2,895.48 $5,560.45 $4,825.80 2026-02-17
26553 HCPCS Transfer Of Toe To Hand 15 15 $5,350.00 $4,815.00 $2,889.00 $7,548.77 $4,815.00 2026-02-17
36147 HCPCS Access Av Dial Grft For Eval 14 14 $5,349.00 $4,814.10 $2,888.46 $5,349.00 $4,814.10 2026-02-17
33858 HCPCS Repair Of Ascending Aorta With Graft On Heart-lung Machine With Valve Suspension… 15 15 $5,347.00 $4,812.30 $2,887.38 $17,022.38 $4,812.30 2026-02-17
61585 HCPCS Removal Of Facial Bone And Eyeball To Approach Growth Of Brain 15 15 $5,312.00 $4,780.80 $2,868.48 $6,430.16 $4,780.80 2026-02-17
22515 HCPCS Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 15 15 $5,309.00 $4,778.10 $2,866.86 $6,717.07 $4,778.10 2026-02-17
47130 HCPCS Removal Of Right Liver Lobe 15 15 $5,298.00 $4,768.20 $2,860.92 $9,211.04 $4,768.20 2026-02-17
33411 HCPCS Replacement Of Aortic Valve With Aorta Enlargement 15 15 $5,289.00 $4,760.10 $2,856.06 $17,784.43 $4,760.10 2026-02-17
61613 HCPCS Destruction Of Abnormal Blood Vessel At Skull Base 15 15 $5,282.00 $4,753.80 $2,852.28 $6,914.05 $4,753.80 2026-02-17
20805 HCPCS Reattachment Of Cutoff Forearm 15 15 $5,262.00 $4,735.80 $2,841.48 $8,192.86 $4,735.80 2026-02-17
61608 HCPCS Removal Of Growth Or Tissue Of Middle Skull Base Within Brain Membrane 15 15 $5,253.00 $4,727.70 $2,836.62 $6,479.40 $4,727.70 2026-02-17
37224 HCPCS Balloon Dilation Of Artery Of Leg 15 15 $5,228.00 $4,705.20 $2,823.12 $8,507.16 $4,705.20 2026-02-17
63182 HCPCS Laminectomy And Section Of Dentate Ligaments, With Or Without Dural Graft, Cervi… 15 15 $5,218.00 $4,696.20 $2,817.72 $18,955.73 $4,696.20 2026-02-17
47785 HCPCS Connection Of Bile Duct Within Liver To Small Bowel Using Roux-en-y Connection 15 15 $5,180.00 $4,662.00 $2,797.20 $9,211.04 $4,662.00 2026-02-17
32851 HCPCS Transplantation Of Lung 15 15 $5,165.00 $4,648.50 $2,789.10 $7,180.76 $4,648.50 2026-02-17
43117 HCPCS Partial Removal Of Lower Esophagus 15 15 $5,163.00 $4,646.70 $2,788.02 $5,884.72 $4,646.70 2026-02-17
61592 HCPCS Removal Of Cheek Bone And Skull To Approach Growth Of Brain 15 15 $5,114.00 $4,602.60 $2,761.56 $6,430.16 $4,602.60 2026-02-17
55874 HCPCS Injection Of Biodegradable Material Next To Prostate 15 15 $5,113.00 $4,601.70 $2,761.02 $6,196.47 $4,601.70 2026-02-17
33413 HCPCS Repair And Enlargement Of Blood Outflow Tract To Great Vessels From Left Or Righ… 15 15 $5,085.00 $4,576.50 $2,745.90 $17,784.43 $4,576.50 2026-02-17
33782 HCPCS Relocation Of Aorta And Repair Of Wall Between Lower Heart Chambers 15 15 $5,077.00 $4,569.30 $2,741.58 $17,784.43 $4,569.30 2026-02-17
50592 HCPCS Destruction Of Growth Of Kidney Using Radiofrequency 15 15 $5,076.00 $4,568.40 $2,741.04 $5,076.00 $4,568.40 2026-02-17
33864 HCPCS Repair Of Ascending Aorta With Graft On Heart-lung Machine With Aortic Root Remo… 15 15 $5,070.00 $4,563.00 $2,737.80 $17,022.38 $4,563.00 2026-02-17
43286 HCPCS Removal Of Esophagus And Partial Removal Of Stomach Using An Endoscope 15 15 $5,065.00 $4,558.50 $2,735.10 $5,884.72 $4,558.50 2026-02-17
61545 HCPCS Removal Of Skull Bone With Bone Flap For Removal Of Growth Of Pituitary Gland 15 15 $5,060.00 $4,554.00 $2,732.40 $5,560.45 $4,554.00 2026-02-17
66999 HCPCS Other Procedure On Front Of Eye 18 18 $5,055.00 $4,549.50 $1,326.92 $5,055.00 $4,549.50 2026-02-17
69706 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On Both Sides … 15 15 $5,040.00 $4,536.00 $2,721.60 $5,040.00 $4,536.00 2026-02-17
61521 HCPCS Removal Of Skull Bone For Removal Of Skull Base Bone Growth 15 15 $5,029.00 $4,526.10 $2,715.66 $5,560.45 $4,526.10 2026-02-17
48150 HCPCS Partial Removal Of Pancreas, Bile Duct, And Small Bowel With Connection Of Pancr… 15 15 $5,008.00 $4,507.20 $2,704.32 $9,211.04 $4,507.20 2026-02-17
69605 HCPCS Revision Mastoidectomy; With Apicectomy 15 15 $5,006.00 $4,505.40 $2,703.24 $6,595.24 $4,505.40 2026-02-17
43314 HCPCS Repair Of Congenital Defect Of Esophagus And Abnormal Drainage Tract Between Eso… 15 15 $5,002.00 $4,501.80 $2,701.08 $7,561.16 $4,501.80 2026-02-17
48153 HCPCS Near Total Removal Of Pancreas, Bile Duct, And Small Bowel With Connection Of Pa… 15 15 $4,996.00 $4,496.40 $2,697.84 $9,211.04 $4,496.40 2026-02-17
61591 HCPCS Removal Of Skull Bone Behind Ear To Approach Growth Of Brain 15 15 $4,978.00 $4,480.20 $2,688.12 $6,430.16 $4,480.20 2026-02-17
43401 HCPCS Transection Of Esophagus With Repair, For Esophageal Varices 15 15 $4,968.00 $4,471.20 $2,682.72 $5,884.72 $4,471.20 2026-02-17
61582 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Outside Brain Membrane 15 15 $4,964.00 $4,467.60 $2,680.56 $6,430.16 $4,467.60 2026-02-17
33412 HCPCS Replacement Of Aortic Valve With Enlargement At Base Of Valve 15 15 $4,960.00 $4,464.00 $2,678.40 $17,784.43 $4,464.00 2026-02-17
61590 HCPCS Removal Of Jaw Bone To Approach Growth Of Brain 15 15 $4,959.00 $4,463.10 $2,677.86 $6,430.16 $4,463.10 2026-02-17
33863 HCPCS Repair Of Ascending Aorta With Graft On Heart-lung Machine With Aortic Root Repl… 15 15 $4,955.00 $4,459.50 $2,675.70 $17,022.38 $4,459.50 2026-02-17
47125 HCPCS Removal Of Left Liver Lobe 15 15 $4,938.00 $4,444.20 $2,666.52 $9,211.04 $4,444.20 2026-02-17
41155 HCPCS Removal Of Tongue, Floor Of Mouth, Jaw Bone, Tissue, And Lymph Nodes 15 15 $4,905.00 $4,414.50 $2,648.70 $6,595.24 $4,414.50 2026-02-17
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 15 15 $4,898.00 $4,408.20 $2,644.92 $15,833.77 $4,408.20 2026-02-17
69705 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On One Side Of… 15 15 $4,888.00 $4,399.20 $2,639.52 $4,888.00 $4,399.20 2026-02-17
47765 HCPCS Connection Of Bile Duct Within Liver To Small Bowel 15 15 $4,878.00 $4,390.20 $2,634.12 $9,211.04 $4,390.20 2026-02-17
61530 HCPCS Removal Of Skull Bone With Bone Flap For Removal Of Eighth Cranial Nerve Brain T… 15 15 $4,870.00 $4,383.00 $2,629.80 $5,560.45 $4,383.00 2026-02-17
33463 HCPCS Repair Of Tricuspid Valve 15 15 $4,859.00 $4,373.10 $2,623.86 $17,784.43 $4,373.10 2026-02-17
47361 HCPCS Control Of Bleeding Of Liver With Exploration, Removal Of Tissue, Suture Or Caut… 15 15 $4,844.00 $4,359.60 $2,615.76 $9,211.04 $4,359.60 2026-02-17
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 18 18 $4,841.20 $4,357.08 $761.49 $4,841.20 $4,357.08 2026-02-17
33545 HCPCS Repair Of Lower Heart Chamber Following Heart Attack 15 15 $4,840.00 $4,356.00 $2,613.60 $17,784.43 $4,356.00 2026-02-17
20973 HCPCS Placement Of Bone And Skin Flap From Big Toe With Connection Of Small Blood Vess… 15 15 $4,840.00 $4,356.00 $2,613.60 $7,548.77 $4,356.00 2026-02-17
31395 HCPCS Removal Of Voice Box And Throat, Muscle, Lymph Nodes, And Glands With Reconstruc… 15 15 $4,835.00 $4,351.50 $2,610.90 $6,595.24 $4,351.50 2026-02-17
32442 HCPCS Removal Of Lung With Portion Of Windpipe Cartilage 15 15 $4,815.00 $4,333.50 $2,600.10 $7,503.72 $4,333.50 2026-02-17
31595 HCPCS Larynx Nerve Surgery 15 15 $4,811.00 $4,329.90 $2,597.94 $5,035.17 $4,329.90 2026-02-17
63251 HCPCS Removal Of Middle Spine Bone And Artery-vein Malformation 15 15 $4,808.00 $4,327.20 $2,596.32 $18,955.73 $4,327.20 2026-02-17
63252 HCPCS Removal Of Middle And Lower Spine Bone And Artery-vein Malformation 15 15 $4,807.00 $4,326.30 $2,595.78 $18,955.73 $4,326.30 2026-02-17
61597 HCPCS Removal Of Base Skull Bone To Approach Growth Of Brain 15 15 $4,791.00 $4,311.90 $2,587.14 $6,430.16 $4,311.90 2026-02-17
66220 HCPCS Repair Eye Lesion 15 15 $4,783.00 $4,304.70 $2,582.82 $4,864.11 $4,304.70 2026-02-17
58240 HCPCS Removal Of Malignant Uterus, Cervix, Lymph Nodes, And Bladder With Transplant Of… 15 15 $4,778.00 $4,300.20 $2,580.12 $8,620.21 $4,300.20 2026-02-17
63180 HCPCS Laminectomy And Section Of Dentate Ligaments, With Or Without Dural Graft, Cervi… 15 15 $4,754.00 $4,278.60 $2,567.16 $18,955.73 $4,278.60 2026-02-17
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 11 $4,739.91 $4,265.92 $4,265.92 $4,502.91 $4,265.92 2026-02-17
43107 HCPCS Removal Of Esophagus 15 15 $4,728.00 $4,255.20 $2,553.12 $5,884.72 $4,255.20 2026-02-17
61583 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Within Brain Membrane 15 15 $4,719.00 $4,247.10 $2,548.26 $6,430.16 $4,247.10 2026-02-17
61606 HCPCS Removal Of Growth Or Tissue Of Lower Skull Base Within Brain Membrane 15 15 $4,703.00 $4,232.70 $2,539.62 $6,479.40 $4,232.70 2026-02-17
63250 HCPCS Removal Of Upper Spine Bone And Artery-vein Malformation 15 15 $4,702.00 $4,231.80 $2,539.08 $18,955.73 $4,231.80 2026-02-17
33548 HCPCS Restoration And Reshaping Of Left Lower Heart Chamber 15 15 $4,692.00 $4,222.80 $2,533.68 $17,784.43 $4,222.80 2026-02-17
61581 HCPCS Removal Of Nasal Sinuses To Approach Growth Of Brain With The Removal Of The Max… 15 15 $4,688.00 $4,219.20 $2,531.52 $6,430.16 $4,219.20 2026-02-17
48154 HCPCS Partial Removal Of Pancreas, Bile Duct, And Small Bowel 15 15 $4,681.00 $4,212.90 $2,527.74 $9,211.04 $4,212.90 2026-02-17
50365 HCPCS Removal Of Kidney And Transplantation Of Donor Kidney 14 14 $4,680.00 $4,212.00 $2,527.20 $4,680.00 $4,212.00 2026-02-17
43313 HCPCS Repair Of Congenital Defect Of Esophagus Through Chest 15 15 $4,668.00 $4,201.20 $2,520.72 $7,561.16 $4,201.20 2026-02-17
61584 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Without Orbital Exenteration 15 15 $4,668.00 $4,201.20 $2,520.72 $6,430.16 $4,201.20 2026-02-17
61519 HCPCS Removal Of Skull Bone For Removal Of Growth Of Lower Brain Membrane 15 15 $4,664.00 $4,197.60 $2,518.56 $5,560.45 $4,197.60 2026-02-17
48152 HCPCS Partial Removal Of Pancreas, Bile Duct, Stomach, And Small Bowel 15 15 $4,661.00 $4,194.90 $2,516.94 $9,211.04 $4,194.90 2026-02-17
253 MS_DRG Other Vascular Procedures With Cc 11 11 $4,632.01 $4,168.81 $4,168.81 $4,400.41 $4,168.81 2026-02-17
61598 HCPCS Removal Of Skull Bone To Approach Growth Of Brain Or Defect At Skull Base With T… 15 15 $4,624.00 $4,161.60 $2,496.96 $6,430.16 $4,161.60 2026-02-17
21125 HCPCS Enlargement Of Lower Jaw With Implant 15 15 $4,610.00 $4,149.00 $2,489.40 $6,430.16 $4,149.00 2026-02-17
31390 HCPCS Removal Of Voice Box, Throat, Muscle, Lymph Nodes, And Glands 15 15 $4,597.00 $4,137.30 $2,482.38 $6,595.24 $4,137.30 2026-02-17
20970 HCPCS Placement Of Bone And Skin Flap From Hip Bone With Connection Of Small Blood Ves… 15 15 $4,596.00 $4,136.40 $2,481.84 $4,940.39 $4,136.40 2026-02-17
44127 HCPCS Partial Removal Of Small Bowel To Correct Congenital Defect With Reconnection An… 15 15 $4,585.00 $4,126.50 $2,475.90 $7,283.62 $4,126.50 2026-02-17
20972 HCPCS Placement Of Bone And Skin Flap From Foot Bone With Connection Of Small Blood Ve… 15 15 $4,582.00 $4,123.80 $2,474.28 $7,548.77 $4,123.80 2026-02-17
34825 HCPCS Placement Of Proximal Or Distal Extension Prosthesis For Endovascular Repair Of … 14 14 $4,576.00 $4,118.40 $2,471.04 $4,576.00 $4,118.40 2026-02-17
48105 HCPCS Removal Of Pancreatic Tissue 15 15 $4,574.00 $4,116.60 $2,469.96 $9,211.04 $4,116.60 2026-02-17
30468 HCPCS Repair Of Collapsed Nostril Using Implant In Side Of Nose 15 15 $4,571.00 $4,113.90 $2,468.34 $5,035.17 $4,113.90 2026-02-17
61615 HCPCS Removal Of Growth Or Tissue Of Skull Base Outside Brain Membrane 15 15 $4,565.00 $4,108.50 $2,465.10 $6,479.40 $4,108.50 2026-02-17
21160 HCPCS Reconstruction Of Nose, Cheek, Mouth, And Forehead Bones With Bone Grafts And Re… 15 15 $4,562.00 $4,105.80 $2,463.48 $6,430.16 $4,105.80 2026-02-17
27194 HCPCS Treat Pelvic Ring Fracture 14 14 $4,555.00 $4,099.50 $2,459.70 $4,555.00 $4,099.50 2026-02-17
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