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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

7,561 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 success · 2026-11-11
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
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 1 $110,127.09 $110,127.09 $110,127.09 nat. median
$18,763
outlier · 5.9×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $80,152.35 $80,152.35 $80,152.35 nat. median
$12,804
outlier · 6.3×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $73,670.63 $73,670.63 $73,670.63 nat. median
$12,249
outlier · 6.0×
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $72,935.04 $72,935.04 $72,935.04 nat. median
$16,857
outlier · 4.3×
643
MS_DRG 		Endocrine Disorders With Mcc 1 $62,142.56 $62,142.56 $62,142.56 nat. median
$15,877
outlier · 3.9×
603
MS_DRG 		Cellulitis Without Mcc 1 $60,774.79 $60,774.79 $60,774.79 nat. median
$8,967
outlier · 6.8×
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $53,632.92 $53,632.92 $53,632.92 nat. median
$12,730
outlier · 4.2×
383
MS_DRG 		Uncomplicated Peptic Ulcer With Mcc 1 $51,876.06 $51,876.06 $51,876.06 nat. median
$13,179
outlier · 3.9×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 1 $50,824.68 $50,824.68 $50,824.68 nat. median
$15,885
outlier · 3.2×
594
MS_DRG 		Skin Ulcers Without Cc/mcc 1 $49,983.01 $49,983.01 $49,983.01 nat. median
$9,004
outlier · 5.6×
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 1 $49,223.13 $49,223.13 $49,223.13 nat. median
$8,824
outlier · 5.6×
948
MS_DRG 		Signs And Symptoms Without Mcc 1 $48,449.91 $48,449.91 $48,449.91 nat. median
$7,968
outlier · 6.1×
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 1 $46,953.58 $46,953.58 $46,953.58 nat. median
$13,398
outlier · 3.5×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 1 $46,705.03 $46,705.03 $46,705.03 nat. median
$16,449
outlier · 2.8×
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 $43,758.79 $43,758.79 $43,758.79 nat. median
$10,399
outlier · 4.2×
203
MS_DRG 		Bronchitis And Asthma Without Cc/mcc 1 $42,674.69 $42,674.69 $42,674.69 nat. median
$7,235
outlier · 5.9×
139
MS_DRG 		Salivary Gland Procedures 1 $42,511.19 $42,511.19 $42,511.19 nat. median
$12,787
outlier · 3.3×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 1 $42,487.91 $42,487.91 $42,487.91 nat. median
$12,837
outlier · 3.3×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $41,215.59 $41,215.59 $41,215.59 nat. median
$15,338
outlier · 2.7×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 1 $40,170.62 $40,170.62 $40,170.62 nat. median
$11,734
outlier · 3.4×
602
MS_DRG 		Cellulitis With Mcc 1 $39,944.51 $39,944.51 $39,944.51 nat. median
$13,976
outlier · 2.9×
93
MS_DRG 		Other Disorders Of Nervous System Without Cc/mcc 1 $36,741.05 $36,741.05 $36,741.05 nat. median
$8,454
outlier · 4.3×
604
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 $36,505.97 $36,505.97 $36,505.97 nat. median
$14,377
outlier · 2.5×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 1 $30,150.88 $30,150.88 $30,150.88 nat. median
$19,324
1.6× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 1 $29,577.91 $29,577.91 $29,577.91 nat. median
$10,288
outlier · 2.9×
249
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 $29,112.33 $29,112.33 $29,112.33 nat. median
$11,470
outlier · 2.5×
593
MS_DRG 		Skin Ulcers With Cc 1 $28,265.38 $28,265.38 $28,265.38 nat. median
$11,920
outlier · 2.4×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $25,846.74 $25,846.74 $25,846.74 nat. median
$31,280
0.8× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $25,605.94 $25,605.94 $25,605.94 nat. median
$18,237
1.4× median
552
MS_DRG 		Medical Back Problems Without Mcc 1 $25,339.12 $25,339.12 $25,339.12 nat. median
$9,816
outlier · 2.6×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 18 $7,441.38 $23,482.80 $21,134.52 nat. median
$4,042
outlier · 5.2×
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 17 $11,470.41 $21,241.50 $19,117.35 nat. median
$112
outlier · 170.0×
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
$18,620
1.0× median
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
$18,547
1.0× median
J9312
HCPCS 		Injection, Rituximab, 10 Mg 18 $5,613.51 $19,905.92 $17,915.33 nat. median
$1,109
outlier · 16.2×
113
MS_DRG 		Orbital Procedures With Cc/mcc 1 $15,486.44 $15,486.44 $15,486.44 nat. median
$21,712
0.7× median
639
MS_DRG 		Diabetes Without Cc/mcc 1 $14,704.32 $14,704.32 $14,704.32 nat. median
$6,784
outlier · 2.2×
35471
HCPCS 		Repair Arterial Blockage 14 $8,808.48 $16,312.00 $14,680.80 nat. median
$5,194
outlier · 2.8×
37230
HCPCS 		Insertion Of Stent In Artery Of Leg, Initial Vessel 15 $8,711.28 $16,132.00 $14,518.80 nat. median
$16,995
0.9× median
37229
HCPCS 		Removal Of Plaque In Artery Of Leg, Initial Vessel 15 $8,656.74 $16,031.00 $14,427.90 nat. median
$17,216
0.8× median
37225
HCPCS 		Removal Of Plaque In Arteries Of Leg 15 $8,557.38 $15,847.00 $14,262.30 nat. median
$16,559
0.9× median
37243
HCPCS 		Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 15 $8,361.90 $15,833.77 $13,936.50 nat. median
$12,478
1.1× median
J2508
HCPCS 		Injection, Pegunigalsidase Alfa-iwxj, 1 Mg 17 $8,206.14 $15,196.55 $13,676.90 nat. median
$323
outlier · 42.3×
33400
HCPCS 		Repair Of Aortic Valve 14 $8,039.52 $14,888.00 $13,399.20 nat. median
$5,063
outlier · 2.6×
37226
HCPCS 		Insertion Of Stent In Arteries Of Leg 15 $7,984.44 $15,833.77 $13,307.40 nat. median
$12,847
1.0× median
90375
HCPCS 		Rabies Immune Globulin For Injection 18 $2,083.60 $14,290.36 $12,861.32 nat. median
$1,054
outlier · 12.2×
61332
HCPCS 		Explore/biopsy Eye Socket 15 $5,560.45 $13,117.00 $11,805.30 nat. median
$2,738
outlier · 4.3×
61480
HCPCS 		Incise Skull For Surgery 15 $5,560.45 $12,830.00 $11,547.00 nat. median
$2,706
outlier · 4.3×
37242
HCPCS 		Occlusion Of Artery With Review By Radiologist 15 $6,927.12 $15,833.77 $11,545.20 nat. median
$16,889
0.7× median
61610
HCPCS 		Transect Artery Sinus 15 $6,734.34 $12,471.00 $11,223.90 nat. median
$2,859
outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 7,561 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
             
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 18 18 $4,177.67 $3,759.90 $518.80 $4,177.67 $3,759.90 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
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
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
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
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
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
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
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
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
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
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
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
948 MS_DRG Signs And Symptoms Without Mcc 1 1 $16,549.91 $14,894.92 $48,449.91 $48,449.91 $48,449.91 2026-02-17
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 1 1 $12,816.05 $11,534.45 $36,741.05 $36,741.05 $36,741.05 2026-02-17
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 $14,200.88 $12,780.79 $30,150.88 $30,150.88 $30,150.88 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
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 17 17 $4,500.00 $4,050.00 $2,430.00 $4,500.00 $4,050.00 2026-02-17
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 $13,627.91 $12,265.12 $29,577.91 $29,577.91 $29,577.91 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
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
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 $18,924.68 $17,032.21 $50,824.68 $50,824.68 $50,824.68 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
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
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
69554 HCPCS Removal Of Growth Of Outer Ear 15 15 $4,187.00 $3,768.30 $2,260.98 $4,198.22 $3,768.30 2026-02-17
69535 HCPCS Removal Of Skull Bone Surrounding Ear 15 15 $4,419.00 $3,977.10 $2,386.26 $6,430.16 $3,977.10 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
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
64553 HCPCS Insertion Of Cranial Nerve Neurostimulator Electrode 15 15 $4,395.00 $3,955.50 $2,373.30 $29,813.29 $3,955.50 2026-02-17
643 MS_DRG Endocrine Disorders With Mcc 1 1 $30,242.56 $27,218.30 $62,142.56 $62,142.56 $62,142.56 2026-02-17
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $32,302.35 $29,072.12 $80,152.35 $80,152.35 $80,152.35 2026-02-17
639 MS_DRG Diabetes Without Cc/mcc 1 1 $6,729.32 $6,056.38 $14,704.32 $14,704.32 $14,704.32 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
63290 HCPCS Removal Or Biopsy Of Growth Of Spine Bone Outside And Within Spine Membrane 15 15 $4,429.00 $3,986.10 $2,391.66 $18,955.73 $3,986.10 2026-02-17
63287 HCPCS Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Intramedu… 15 15 $4,357.00 $3,921.30 $2,352.78 $18,955.73 $3,921.30 2026-02-17
63286 HCPCS Removal Or Biopsy Of Growth Of Middle Spine Bone Within Spine Membrane, Intramed… 15 15 $4,101.00 $3,690.90 $2,214.54 $18,955.73 $3,690.90 2026-02-17
63285 HCPCS Removal Or Biopsy Of Growth Of Upper Spine Bone Within Spine Membrane, Intramedu… 15 15 $4,156.00 $3,740.40 $2,244.24 $18,955.73 $3,740.40 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
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
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
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
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
61711 HCPCS Connection Of Arteries Of Head 15 15 $4,086.00 $3,677.40 $2,206.44 $6,914.05 $3,677.40 2026-02-17
61705 HCPCS Repair Of Abnormal Blood Vessel In Brain By Clamping Neck Artery 15 15 $4,133.00 $3,719.70 $2,231.82 $6,914.05 $3,719.70 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
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
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $9,655.94 $8,690.35 $25,605.94 $25,605.94 $25,605.94 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
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
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
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
61684 HCPCS Simple Repair Of Abnormal Artery-vein Connection In Lower Brain 15 15 $4,511.00 $4,059.90 $2,435.94 $6,914.05 $4,059.90 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
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
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
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
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
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
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
61607 HCPCS Removal Of Growth Or Tissue Of Middle Skull Base Outside Brain Membrane 15 15 $4,319.00 $3,887.10 $2,332.26 $6,479.40 $3,887.10 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
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
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
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
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
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
61586 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Without Bone Graft 15 15 $4,174.00 $3,756.60 $2,253.96 $6,430.16 $3,756.60 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
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
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
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
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
61580 HCPCS Removal Of Nasal Sinuses To Approach Growth Of Brain 15 15 $4,104.00 $3,693.60 $2,216.16 $6,430.16 $3,693.60 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
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
61538 HCPCS Removal Of Skull Bone For Removal Of Brain Lobe With Monitoring 15 15 $4,218.00 $3,796.20 $2,277.72 $5,560.45 $3,796.20 2026-02-17
61536 HCPCS Removal Of Skull Bone For Removal Of Brain Tissue To Stop Seizures With Monitori… 15 15 $4,094.00 $3,684.60 $2,210.76 $5,560.45 $3,684.60 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
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
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
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
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
61518 HCPCS Removal Of Skull Bone For Removal Of Growth Of Lower Brain 15 15 $4,406.00 $3,965.40 $2,379.24 $5,560.45 $3,965.40 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
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
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 1 $12,580.97 $11,322.87 $36,505.97 $36,505.97 $36,505.97 2026-02-17
603 MS_DRG Cellulitis Without Mcc 1 1 $20,899.79 $18,809.81 $60,774.79 $60,774.79 $60,774.79 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
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
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
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
6020000004_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $4,429.00 $3,986.10 $2,391.66 $4,207.55 $3,986.10 2026-02-17
6020000002_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $4,120.00 $3,708.00 $2,224.80 $3,914.00 $3,708.00 2026-02-17
6020000000_1 CDM Operating Room Services - General Classification 16 16 $4,495.00 $4,045.50 $2,427.30 $4,270.25 $4,045.50 2026-02-17
602 MS_DRG Cellulitis With Mcc 1 1 $16,019.51 $14,417.55 $39,944.51 $39,944.51 $39,944.51 2026-02-17
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 15 15 $4,290.00 $3,861.00 $2,316.60 $4,290.00 $3,861.00 2026-02-17
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 15 15 $4,248.00 $3,823.20 $2,293.92 $4,248.00 $3,823.20 2026-02-17
594 MS_DRG Skin Ulcers Without Cc/mcc 1 1 $18,083.01 $16,274.71 $49,983.01 $49,983.01 $49,983.01 2026-02-17
593 MS_DRG Skin Ulcers With Cc 1 1 $12,315.38 $11,083.84 $28,265.38 $28,265.38 $28,265.38 2026-02-17
58293 HCPCS Vaginal Hysterectomy, For Uterus Greater Than 250 G; With Colpo-urethrocystopexy… 15 15 $4,430.00 $3,987.00 $2,392.20 $5,974.50 $3,987.00 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
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
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
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
552 MS_DRG Medical Back Problems Without Mcc 1 1 $9,389.12 $8,450.20 $25,339.12 $25,339.12 $25,339.12 2026-02-17
53860 HCPCS Reconstruction Of Female Bladder Neck For Stress Urinary Incontinence Using Radi… 15 15 $4,262.00 $3,835.80 $2,301.48 $4,262.00 $3,835.80 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
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
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
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
48554 HCPCS Transplantation Of Donor Pancreas 15 15 $4,230.00 $3,807.00 $2,284.20 $7,180.76 $3,807.00 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 $9,896.74 $8,907.07 $25,846.74 $25,846.74 $25,846.74 2026-02-17
45388 HCPCS Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 15 15 $4,454.00 $4,008.60 $1,401.26 $4,454.00 $4,008.60 2026-02-17
45346 HCPCS Destruction Of Polyp Or Growth Of Lower Large Bowel Using A Flexible Endoscope 15 15 $4,187.00 $3,768.30 $1,401.26 $4,187.00 $3,768.30 2026-02-17
45126 HCPCS Removal Of Large Bowel, Rectum, Bladder And Ureter 15 15 $4,409.00 $3,968.10 $2,380.86 $5,375.35 $3,968.10 2026-02-17
44401 HCPCS Destruction Of Growth Or Polyp Of Large Bowel Using An Endoscope Inserted Throug… 15 15 $4,316.00 $3,884.40 $1,401.26 $4,316.00 $3,884.40 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
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
43361 HCPCS Reconnection Of Esophagus To Stomach With Bowel Graft Reconstruction After Previ… 15 15 $4,337.00 $3,903.30 $2,341.98 $5,884.72 $3,903.30 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
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
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
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
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
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 $38,352.09 $34,516.88 $110,127.09 $110,127.09 $110,127.09 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
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
43121 HCPCS Partial Removal Of Lower Esophagus Through Chest 15 15 $4,523.00 $4,070.70 $2,442.42 $5,884.72 $4,070.70 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
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
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
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
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
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
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
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
41145 HCPCS Complete Removal Of Tongue And Surrounding Lymph Nodes On Side Of Neck 15 15 $4,533.00 $4,079.70 $2,447.82 $6,595.24 $4,079.70 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
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 $19,976.06 $17,978.45 $51,876.06 $51,876.06 $51,876.06 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
37220 HCPCS Balloon Dilation Of Groin Artery, Initial Vessel 15 15 $4,483.00 $4,034.70 $2,420.82 $8,507.16 $4,034.70 2026-02-17
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $19,833.79 $17,850.41 $43,758.79 $43,758.79 $43,758.79 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
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $25,085.04 $22,576.54 $72,935.04 $72,935.04 $72,935.04 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
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
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
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
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 32 18 $6,929.00 $6,236.10 $792.72 $6,929.00 $3,741.66 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
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
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 1 1 $23,028.58 $20,725.72 $46,953.58 $46,953.58 $46,953.58 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
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
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
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
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 $22,780.03 $20,502.03 $46,705.03 $46,705.03 $46,705.03 2026-02-17
35092 HCPCS Repair Of Ruptured Aneurysm Of Abdominal Aorta Involving Arteries To Abdominal O… 15 15 $4,079.00 $3,671.10 $2,202.66 $17,022.38 $3,671.10 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
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
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
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
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
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
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
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
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
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
33910 HCPCS Removal Of Blood Clot In Pulmonary Artery On Heart-lung Machine 15 15 $4,152.00 $3,736.80 $2,242.08 $17,022.38 $3,736.80 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
33875 HCPCS Repair Of Descending Aorta With Graft 15 15 $4,292.00 $3,862.80 $2,317.68 $17,022.38 $3,862.80 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
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
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
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
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
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
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
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
33619 HCPCS Repair To Improve Congenital Blood Flow Defect From Lower Heart Chamber 15 15 $4,348.00 $3,913.20 $2,347.92 $17,784.43 $3,913.20 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
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
33542 HCPCS Partial Removal Of Heart Muscle 15 15 $4,131.00 $3,717.90 $2,230.74 $17,784.43 $3,717.90 2026-02-17
33536 HCPCS Coronary Artery Bypass Using Artery Graft, 4 Grafts 15 15 $4,162.00 $3,745.80 $2,247.48 $31,166.14 $3,745.80 2026-02-17
33516 HCPCS Coronary Artery Bypass Using Vein Graft, 6 Or More Grafts 15 15 $4,266.00 $3,839.40 $2,303.64 $31,166.14 $3,839.40 2026-02-17
33514 HCPCS Coronary Artery Bypass Using Vein Graft, 5 Grafts 15 15 $4,120.00 $3,708.00 $2,224.80 $31,166.14 $3,708.00 2026-02-17
33465 HCPCS Replacement Of Tricuspid Valve On Heart-lung Machine 15 15 $4,344.00 $3,909.60 $2,345.76 $17,784.43 $3,909.60 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
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
33430 HCPCS Replacement Of Mitral Valve On Heart-lung Machine 15 15 $4,426.00 $3,983.40 $2,390.04 $17,784.43 $3,983.40 2026-02-17
33425 HCPCS Repair Of Mitral Valve On Heart-lung Machine 15 15 $4,312.00 $3,880.80 $2,328.48 $17,784.43 $3,880.80 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
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
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
33406 HCPCS Replacement Of Aortic Valve Using Human Donor Valve On Heart-lung Machine 15 15 $4,536.00 $4,082.40 $2,449.44 $17,784.43 $4,082.40 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
33401 HCPCS Valvuloplasty Open 14 14 $9,443.00 $8,498.70 $5,099.22 $9,443.00 $8,498.70 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
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
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
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
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
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
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
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
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
32815 HCPCS Closure Of Abnormal Drainage Tract From Chest Cavity To Lung Airway 15 15 $4,435.00 $3,991.50 $2,394.90 $7,503.72 $3,991.50 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
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
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
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
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
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
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
31365 HCPCS Complete Removal Of Voice Box With Extensive Dissection Of Neck 15 15 $4,157.00 $3,741.30 $2,244.78 $6,595.24 $3,741.30 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
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
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $21,732.92 $19,559.63 $53,632.92 $53,632.92 $53,632.92 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
27077 HCPCS Extensive Removal Of Growth Of Side Of Pelvic Bone 15 15 $4,527.00 $4,074.30 $2,444.58 $21,059.76 $4,074.30 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
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
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
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
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 $13,162.33 $11,846.09 $29,112.33 $29,112.33 $29,112.33 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
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
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
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
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
21159 HCPCS Reconstruction Of Nose, Cheek, Mouth, And Forehead Bones With Bone Grafts 15 15 $4,209.00 $3,788.10 $2,272.86 $6,430.16 $3,788.10 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
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
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
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
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
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
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
20969 HCPCS Placement Of Skin And Bone Flap With Microvascular Connection 15 15 $4,398.00 $3,958.20 $2,374.92 $10,077.69 $3,958.20 2026-02-17
20962 HCPCS Bone Graft With Microvascular Connection 15 15 $4,314.00 $3,882.60 $2,329.56 $10,077.69 $3,882.60 2026-02-17
20957 HCPCS Bone Graft Of Foot Bone With Microvascular Connection 15 15 $4,441.00 $3,996.90 $2,398.14 $7,548.77 $3,996.90 2026-02-17
20956 HCPCS Bone Graft Of Pelvic Bone With Microvascular Connection 15 15 $4,264.00 $3,837.60 $2,302.56 $4,940.39 $3,837.60 2026-02-17
20838 HCPCS Reattachment Of Cutoff Foot 15 15 $4,505.00 $4,054.50 $2,432.70 $7,548.77 $4,054.50 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
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
20802 HCPCS Reattachment Of Cutoff Arm 15 15 $4,432.00 $3,988.80 $2,393.28 $13,910.16 $3,988.80 2026-02-17
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 1 1 $18,749.69 $16,874.72 $42,674.69 $42,674.69 $42,674.69 2026-02-17
19366 HCPCS Breast Reconstruction With Other Technique 15 15 $4,511.00 $4,059.90 $2,435.94 $9,830.20 $4,059.90 2026-02-17
19364 HCPCS Reconstruction Of Breast With Tissue Graft 15 15 $4,411.00 $3,969.90 $2,381.94 $9,830.20 $3,969.90 2026-02-17
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $18,562.91 $16,706.62 $42,487.91 $42,487.91 $42,487.91 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
19105 HCPCS Removal Of Growth Of Breast Using Ultrasound, Each Growth 15 15 $4,199.00 $3,779.10 $2,019.50 $4,199.00 $3,779.10 2026-02-17
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 $17,323.13 $15,590.82 $49,223.13 $49,223.13 $49,223.13 2026-02-17
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $33,795.63 $30,416.07 $73,670.63 $73,670.63 $73,670.63 2026-02-17
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $17,290.59 $15,561.53 $41,215.59 $41,215.59 $41,215.59 2026-02-17
15842 HCPCS Microsurgical Muscle Graft To Treat Facial Paralysis 15 15 $4,375.00 $3,937.50 $2,362.50 $4,375.00 $3,937.50 2026-02-17
139 MS_DRG Salivary Gland Procedures 1 1 $18,586.19 $16,727.57 $42,511.19 $42,511.19 $42,511.19 2026-02-17
121 MS_DRG Acute Major Eye Infections With Cc/mcc 1 1 $16,245.62 $14,621.06 $40,170.62 $40,170.62 $40,170.62 2026-02-17
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 $7,511.44 $6,760.30 $15,486.44 $15,486.44 $15,486.44 2026-02-17
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