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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

Spalding Rehabilitation Hospital

Aurora, CO · CCN 063027 · Rates published

19,006 distinct procedures filed
24 distinct payers
650,814 rate rows
2026-03-01 last MRF observed
Data quality

636,252 of 650,814 rate rows are consumer-grade (97.8%)

14,562 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
per-diem day rate — not a per-procedure price 7,918
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,218
placeholder amount (≤ $0.02) — excluded from medians 410
exceeds 10× this hospital's gross charge — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/84-1321505_HCA-HEALTHONE-SPALDING-REHABILITATION_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.healthonecares.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint bdfdaeef8ca1f17f… · 140,392,456 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$3,004,655
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 15 $4,459,950.00 $4,730,250.00 $4,505,000.00 nat. median
$9,966
outlier · 452.1×
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 $3,670,252.89 $4,271,819.03 $3,824,789.85 nat. median
$2,468,984
1.5× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 15 $3,648,414.33 $3,869,530.35 $3,685,267.00 nat. median
$3,746,358
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 15 $3,302,461.80 $3,502,611.00 $3,335,820.00 nat. median
$22,747
outlier · 146.6×
714
OTHER 		Inj Delandistrogene Mox R 15 $3,294,581.40 $3,494,253.00 $3,327,860.00 nat. median
$13,041
outlier · 255.2×
748
OTHER 		Inj, Lovotibeglogene Auto 15 $3,219,982.92 $3,415,133.40 $3,252,508.00 nat. median
$17,963
outlier · 181.1×
906
OTHER 		Inj Elivaldogene Autoteme 15 $3,148,200.00 $3,339,000.00 $3,180,000.00 nat. median
$20,756
outlier · 153.2×
746
OTHER 		Inj, Betibeglogene Autote 15 $2,910,569.31 $3,086,967.45 $2,939,969.00 nat. median
$21,896
outlier · 134.3×
9141
OTHER 		Inj Onase Abepar-xioi Tre 15 $2,563,091.19 $2,718,430.05 $2,588,981.00 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 15 $2,308,680.00 $2,448,600.00 $2,332,000.00 nat. median
$25,250
outlier · 92.4×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $2,311,860.00 $2,311,860.00 nat. median
$824,563
outlier · 2.8×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $819,605.32 $1,762,948.71 $911,868.41 nat. median
$674,867
1.4× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $836,958.70 $1,699,593.90 $903,487.86 nat. median
$753,246
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $782,774.83 $1,674,245.19 $868,284.31 nat. median
$625,184
1.4× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $765,607.90 $1,686,603.72 $862,738.04 nat. median
$673,137
1.3× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $834,750.00 $834,750.00 nat. median
$324,450
outlier · 2.6×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $741,901.04 $1,596,576.72 $825,628.09 nat. median
$634,303
1.3× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $725,845.60 $1,468,350.60 $782,000.18 nat. median
$619,808
1.3× median
2067
OTHER 		Afamitresgene Autoleucel 15 $762,913.80 $809,151.00 $770,620.00 nat. median
$786,032
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 2 $332,753.88 $605,007.06 $605,007.06 nat. median
$209,753
outlier · 2.9×
9498
OTHER 		Ciltacabtagene Car-pos T 15 $581,773.10 $617,032.08 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 15 $560,865.99 $594,857.87 $566,531.30 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 15 $556,579.19 $590,311.26 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 15 $552,500.98 $585,985.89 $558,081.80 nat. median
$558,082
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 15 $526,870.28 $558,801.81 $532,192.20 nat. median
$532,192
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 15 $484,555.70 $513,922.71 $489,450.20 nat. median
$489,450
1.0× median
831
OTHER 		Obecbtge Autol Up To 400 15 $275,467.50 $292,162.50 $278,250.00 nat. median
$12,362
outlier · 22.5×
897
OTHER 		Revakinagene, Per Implant 15 $262,350.00 $278,250.00 $265,000.00 nat. median
$9,577
outlier · 27.7×
215
MS_DRG 		Other Heart Assist System Implant 2 $184,035.00 $258,231.00 $258,231.00 nat. median
$99,019
outlier · 2.6×
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 2 $138,148.31 $251,178.75 $251,178.75 nat. median
$76,329
outlier · 3.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $189,492.00 $250,835.00 $250,835.00 nat. median
$79,312
outlier · 3.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $189,492.00 $250,835.00 $250,835.00 nat. median
$59,898
outlier · 4.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $153,188.00 $214,777.00 $214,777.00 nat. median
$77,570
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $156,788.00 $207,546.00 $207,546.00 nat. median
$68,886
outlier · 3.0×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $153,188.00 $202,620.00 $202,620.00 nat. median
$54,045
outlier · 3.7×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 $153,188.00 $202,620.00 $202,620.00 nat. median
$34,274
outlier · 5.9×
886
OTHER 		Inj. Remestemcel-l-rknd/ 15 $199,652.31 $211,752.45 $201,669.00 nat. median
$17,985
outlier · 11.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $138,051.00 $193,554.00 $193,554.00 nat. median
$81,118
outlier · 2.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $125,550.00 $178,565.00 $178,565.00 nat. median
$98,894
1.8× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $125,502.00 $166,001.00 $166,001.00 nat. median
$42,730
outlier · 3.9×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $125,502.00 $166,001.00 $166,001.00 nat. median
$58,020
outlier · 2.9×
1908
OTHER 		New Technology - Level 52 15 $155,885.20 $165,332.79 $157,459.80 nat. median
$152,962
1.0× median
1907
OTHER 		New Technology - Level 52 15 $155,885.20 $165,332.79 $157,459.80 nat. median
$153,199
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $107,043.00 $150,198.00 $150,198.00 nat. median
$60,726
outlier · 2.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $106,847.00 $149,922.00 $149,922.00 nat. median
$61,920
outlier · 2.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $106,847.00 $149,922.00 $149,922.00 nat. median
$93,672
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $106,847.00 $149,922.00 $149,922.00 nat. median
$64,508
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $99,965.00 $142,175.00 $142,175.00 nat. median
$82,711
1.7× median

Other procedures at this hospital

Browse this hospital's 19,006 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 42 15 — — $4,459,950.00 $4,730,250.00 $4,505,000.00 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 2 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 8 3 — — $3,670,252.89 $4,271,819.03 $3,824,789.85 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 42 15 — — $3,648,414.33 $3,869,530.35 $3,685,267.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 42 15 — — $3,302,461.80 $3,502,611.00 $3,335,820.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 42 15 — — $3,294,581.40 $3,494,253.00 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 42 15 — — $3,219,982.92 $3,415,133.40 $3,252,508.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 42 15 — — $3,148,200.00 $3,339,000.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 42 15 — — $2,910,569.31 $3,086,967.45 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 42 15 — — $2,563,091.19 $2,718,430.05 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 42 15 — — $2,308,680.00 $2,448,600.00 $2,332,000.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 6 2 — — $1,271,523.00 $2,311,860.00 $2,311,860.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 12 4 — — $819,605.32 $1,762,948.71 $911,868.41 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 12 4 — — $836,958.70 $1,699,593.90 $903,487.86 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 12 4 — — $782,774.83 $1,674,245.19 $868,284.31 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 12 4 — — $765,607.90 $1,686,603.72 $862,738.04 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 6 2 — — $459,112.50 $834,750.00 $834,750.00 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 4 — — $741,901.04 $1,596,576.72 $825,628.09 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 12 4 — — $725,845.60 $1,468,350.60 $782,000.18 2026-03-01
2067 OTHER Afamitresgene Autoleucel 42 15 — — $762,913.80 $809,151.00 $770,620.00 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 6 2 — — $332,753.88 $605,007.06 $605,007.06 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 42 15 — — $581,773.10 $617,032.08 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 42 15 — — $560,865.99 $594,857.87 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 42 15 — — $556,579.19 $590,311.26 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 42 15 — — $552,500.98 $585,985.89 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 42 15 — — $526,870.28 $558,801.81 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 42 15 — — $484,555.70 $513,922.71 $489,450.20 2026-03-01
831 OTHER Obecbtge Autol Up To 400 42 15 — — $275,467.50 $292,162.50 $278,250.00 2026-03-01
897 OTHER Revakinagene, Per Implant 42 15 — — $262,350.00 $278,250.00 $265,000.00 2026-03-01
215 MS_DRG Other Heart Assist System Implant 6 2 — — $184,035.00 $258,231.00 $258,231.00 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 6 2 — — $138,148.31 $251,178.75 $251,178.75 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 2 — — $189,492.00 $250,835.00 $250,835.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 2 — — $189,492.00 $250,835.00 $250,835.00 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 2 — — $153,188.00 $214,777.00 $214,777.00 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 2 — — $156,788.00 $207,546.00 $207,546.00 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 2 — — $153,188.00 $202,620.00 $202,620.00 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 2 — — $153,188.00 $202,620.00 $202,620.00 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 42 15 — — $199,652.31 $211,752.45 $201,669.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $138,051.00 $193,554.00 $193,554.00 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $125,550.00 $178,565.00 $178,565.00 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $125,502.00 $166,001.00 $166,001.00 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $125,502.00 $166,001.00 $166,001.00 2026-03-01
1908 OTHER New Technology - Level 52 42 15 — — $155,885.20 $165,332.79 $157,459.80 2026-03-01
1907 OTHER New Technology - Level 52 42 15 — — $155,885.20 $165,332.79 $157,459.80 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 2 — — $107,043.00 $150,198.00 $150,198.00 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $106,847.00 $149,922.00 $149,922.00 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $106,847.00 $149,922.00 $149,922.00 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $106,847.00 $149,922.00 $149,922.00 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 2 — — $99,965.00 $142,175.00 $142,175.00 2026-03-01
1906 OTHER New Technology - Level 51 42 15 — — $140,552.28 $149,070.60 $141,972.00 2026-03-01
1905 OTHER New Technology - Level 51 42 15 — — $140,552.28 $149,070.60 $141,972.00 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 2 — — $100,121.00 $140,484.00 $140,484.00 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 6 2 — — $77,046.96 $140,085.39 $140,085.39 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 2 — — $100,121.00 $132,532.00 $132,532.00 2026-03-01
1904 OTHER New Technology - Level 50 42 15 — — $125,219.36 $132,808.41 $126,484.20 2026-03-01
1903 OTHER New Technology - Level 50 42 15 — — $125,219.36 $132,808.41 $126,484.20 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 2 — — $88,375.00 $124,003.00 $124,003.00 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $85,128.00 $121,074.00 $121,074.00 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 2 — — $80,358.00 $114,289.00 $114,289.00 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 42 15 — — $111,218.58 $117,959.10 $112,342.00 2026-03-01
1901 OTHER New Technology - Level 49 42 15 — — $109,886.44 $116,546.22 $110,996.40 2026-03-01
1902 OTHER New Technology - Level 49 42 15 — — $109,886.44 $116,546.22 $110,996.40 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 12 4 — — $93,760.51 $170,473.65 $110,197.09 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 12 4 — — $102,561.22 $192,824.37 $106,879.59 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $72,671.00 $102,847.00 $102,847.00 2026-03-01
1585 OTHER New Technology - Level 48 42 15 — — $97,109.01 $102,994.41 $98,089.91 2026-03-01
1599 OTHER New Technology - Level 48 42 15 — — $97,109.01 $102,994.41 $98,089.91 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 42 15 — — $94,130.19 $99,835.05 $95,081.00 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $65,968.00 $93,824.00 $93,824.00 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $66,063.00 $93,498.00 $93,498.00 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 2 — — $66,593.00 $93,440.00 $93,440.00 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 2 — — $66,593.00 $93,440.00 $93,440.00 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 12 4 — — $89,557.51 $163,212.33 $93,328.35 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 2 — — $65,566.00 $93,251.00 $93,251.00 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 6 2 — — $61,725.00 $87,789.00 $87,789.00 2026-03-01
1598 OTHER New Technology - Level 47 42 15 — — $86,887.07 $92,152.96 $87,764.72 2026-03-01
1584 OTHER New Technology - Level 47 42 15 — — $86,887.07 $92,152.96 $87,764.72 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $58,126.00 $81,561.00 $81,561.00 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $58,126.00 $81,561.00 $81,561.00 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $58,126.00 $81,561.00 $81,561.00 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 6 2 — — $58,126.00 $81,561.00 $81,561.00 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 2 — — $56,792.00 $79,687.00 $79,687.00 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 2 — — $56,792.00 $79,687.00 $79,687.00 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 2 — — $56,640.00 $79,474.00 $79,474.00 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 2 — — $56,640.00 $79,474.00 $79,474.00 2026-03-01
1597 OTHER New Technology - Level 46 42 15 — — $76,665.12 $81,311.50 $77,439.52 2026-03-01
1583 OTHER New Technology - Level 46 42 15 — — $76,665.12 $81,311.50 $77,439.52 2026-03-01
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 6 2 — — $72,675.81 $75,735.84 $75,735.84 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 12 4 — — $71,255.81 $129,556.02 $75,026.04 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 6 2 — — $53,240.00 $74,645.00 $74,645.00 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 2 — — $52,054.00 $72,982.00 $72,982.00 2026-03-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 2 — — $49,673.00 $69,642.00 $69,642.00 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 2 — — $48,942.00 $69,608.00 $69,608.00 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 42 15 — — $68,113.68 $72,241.79 $68,801.70 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 2 — — $48,519.00 $68,722.00 $68,722.00 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 2 — — $48,519.00 $68,722.00 $68,722.00 2026-03-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 2 — — $48,519.00 $68,080.00 $68,080.00 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 2 — — $48,519.00 $68,080.00 $68,080.00 2026-03-01
1596 OTHER New Technology - Level 45 42 15 — — $66,443.17 $70,470.03 $67,114.31 2026-03-01
1582 OTHER New Technology - Level 45 42 15 — — $66,443.17 $70,470.03 $67,114.31 2026-03-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 6 2 — — $46,040.00 $66,730.00 $66,730.00 2026-03-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 6 2 — — $46,040.00 $66,730.00 $66,730.00 2026-03-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 6 2 — — $46,040.00 $66,730.00 $66,730.00 2026-03-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 6 2 — — $46,040.00 $66,730.00 $66,730.00 2026-03-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 6 2 — — $46,040.00 $66,730.00 $66,730.00 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $46,889.00 $66,688.00 $66,688.00 2026-03-01
5244 OTHER Level 4 Blood Product Exc 42 15 — — $65,689.84 $69,671.04 $66,353.37 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 2 — — $46,883.00 $65,783.00 $65,783.00 2026-03-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 6 2 — — $49,307.00 $65,218.00 $65,218.00 2026-03-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 16 7 — — $62,654.01 $64,926.43 $64,926.43 2026-03-01
69930 CPT Cochlear Device Implantation, With Or Without Mastoidectomy 12 4 — — $51,601.51 $112,905.00 $64,479.10 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 42 15 — — $63,632.04 $67,488.53 $64,274.79 2026-03-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 16 7 — — $61,622.43 $63,857.44 $63,857.44 2026-03-01
64565 CPT HPercutaneous Implantation Of Neurostimulator Electrode Array; Neuromuscular 6 2 — — $42,364.00 $63,617.00 $63,617.00 2026-03-01
33276 CPT Insertion Of Phrenic Nerve Stimulator System (pulse Generator And Stimulating Le… 12 4 — — $31,620.00 $75,735.84 $60,079.90 2026-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 2 — — $42,238.00 $59,779.00 $59,779.00 2026-03-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 2 — — $42,238.00 $59,779.00 $59,779.00 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 2 — — $42,238.00 $59,779.00 $59,779.00 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 2 — — $41,550.00 $58,301.00 $58,301.00 2026-03-01
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 12 4 — — $50,623.76 $103,634.00 $58,206.15 2026-03-01
33231 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Multi… 12 4 — — $50,623.76 $103,634.00 $58,206.15 2026-03-01
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 12 4 — — $50,623.76 $103,634.00 $58,206.15 2026-03-01
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 12 4 — — $50,623.76 $103,634.00 $58,206.15 2026-03-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 16 7 — — $55,868.87 $57,895.20 $57,895.20 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 42 15 — — $56,256.30 $59,665.78 $56,824.55 2026-03-01
1581 OTHER New Technology - Level 44 42 15 — — $56,221.23 $59,628.58 $56,789.12 2026-03-01
1595 OTHER New Technology - Level 44 42 15 — — $56,221.23 $59,628.58 $56,789.12 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 2 — — $39,933.00 $56,515.00 $56,515.00 2026-03-01
33225 CPT Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 6 2 — — $34,654.00 $56,455.00 $56,455.00 2026-03-01
B1903 OTHER Guillian Barre; M < 18.05 16 7 — — $54,432.95 $56,407.20 $56,407.20 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $40,072.00 $56,181.00 $56,181.00 2026-03-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 16 7 — — $53,744.57 $55,693.86 $55,693.86 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 42 15 — — $53,860.07 $57,124.32 $54,404.11 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 2 — — $38,540.00 $54,035.00 $54,035.00 2026-03-01
505 MS_DRG Foot Procedures Without Cc/mcc 6 2 — — $40,764.00 $53,918.00 $53,918.00 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 2 — — $37,999.00 $53,276.00 $53,276.00 2026-03-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 16 7 — — $51,211.98 $53,069.41 $53,069.41 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 2 — — $36,987.00 $52,604.00 $52,604.00 2026-03-01
B2102 OTHER Burns; M=12-45 16 7 — — $50,200.13 $52,020.86 $52,020.86 2026-03-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 16 7 — — $49,864.82 $51,673.39 $51,673.39 2026-03-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 16 7 — — $49,628.13 $51,428.11 $51,428.11 2026-03-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 16 7 — — $49,612.35 $51,411.76 $51,411.76 2026-03-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 16 7 — — $49,598.54 $51,397.45 $51,397.45 2026-03-01
33262 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 12 4 — — $36,270.72 $103,634.00 $50,727.46 2026-03-01
33230 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Dual … 12 4 — — $36,270.72 $103,634.00 $50,727.46 2026-03-01
33263 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 12 4 — — $36,270.72 $103,634.00 $50,727.46 2026-03-01
33240 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Singl… 12 4 — — $36,270.72 $103,634.00 $50,727.46 2026-03-01
B0604 OTHER Neurological; M < 25.85 16 7 — — $48,320.41 $50,072.96 $50,072.96 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 42 15 — — $49,380.31 $52,373.06 $49,879.10 2026-03-01
61886 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 12 4 — — $42,364.00 $63,617.00 $49,793.72 2026-03-01
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 12 4 — — $42,364.00 $63,617.00 $49,793.72 2026-03-01
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, … 12 4 — — $42,364.00 $63,617.00 $49,793.72 2026-03-01
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Pulse… 6 2 — — $47,781.86 $49,793.72 $49,793.72 2026-03-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 16 7 — — $47,355.90 $49,073.47 $49,073.47 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 12 4 — — $31,620.00 $52,755.29 $49,053.88 2026-03-01
0408T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 12 4 — — $31,620.00 $52,755.29 $49,053.88 2026-03-01
B1004 OTHER Amputation, Lower Extremity; M=39-45 16 7 — — $46,616.24 $48,306.98 $48,306.98 2026-03-01
61798 CPT Stereotactic Radiosurgery (particle Beam, Gamma Ray, Or Linear Accelerator); 1 C… 6 2 — — $32,064.00 $48,152.00 $48,152.00 2026-03-01
61799 CPT Stereotactic Radiosurgery (particle Beam, Gamma Ray, Or Linear Accelerator); Eac… 6 2 — — $32,064.00 $48,152.00 $48,152.00 2026-03-01
61796 CPT Stereotactic Radiosurgery (particle Beam, Gamma Ray, Or Linear Accelerator); 1 S… 6 2 — — $32,064.00 $48,152.00 $48,152.00 2026-03-01
61797 CPT Stereotactic Radiosurgery (particle Beam, Gamma Ray, Or Linear Accelerator); Eac… 6 2 — — $32,064.00 $48,152.00 $48,152.00 2026-03-01
61800 CPT Application Of Stereotactic Headframe For Stereotactic Radiosurgery (List Separa… 6 2 — — $32,064.00 $48,152.00 $48,152.00 2026-03-01
63621 CPT Stereotactic Radiosurgery (particle Beam, Gamma Ray, Or Linear Accelerator); Eac… 6 2 — — $32,064.00 $48,152.00 $48,152.00 2026-03-01
63620 CPT Stereotactic Radiosurgery (particle Beam, Gamma Ray, Or Linear Accelerator); 1 S… 6 2 — — $32,064.00 $48,152.00 $48,152.00 2026-03-01
38240 CPT Hematopoietic Progenitor Cell (hpc); Allogeneic Transplantation Per Donor 12 4 — — $7,225.00 $87,627.37 $48,005.43 2026-03-01
B1504 OTHER Pulmonary; M < 29.15 16 7 — — $46,204.00 $47,879.79 $47,879.79 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 6 2 — — $33,599.00 $47,553.00 $47,553.00 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 6 2 — — $31,620.00 $47,484.00 $47,484.00 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 6 2 — — $31,620.00 $47,484.00 $47,484.00 2026-03-01
0100T CPT Placement Of A Subconjunctival Retinal Prosthesis Receiver And Pulse Generator, … 6 2 — — $31,620.00 $47,484.00 $47,484.00 2026-03-01
64654 CPT Initial Open Implantation Of Baroreflex Activation Therapy (bat) Modulation Syst… 6 2 — — $31,620.00 $47,484.00 $47,484.00 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 6 2 — — $31,620.00 $47,484.00 $47,484.00 2026-03-01
253 MS_DRG Other Vascular Procedures With Cc 6 2 — — $33,523.00 $47,483.00 $47,483.00 2026-03-01
30 MS_DRG Spinal Procedures Without Cc/mcc 6 2 — — $33,599.00 $47,109.00 $47,109.00 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 2 — — $33,599.00 $47,109.00 $47,109.00 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 6 2 — — $33,523.00 $47,040.00 $47,040.00 2026-03-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 6 2 — — $33,523.00 $47,040.00 $47,040.00 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 6 2 — — $47,040.00 $48,925.00 $47,040.00 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 6 2 — — $33,523.00 $47,040.00 $47,040.00 2026-03-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 16 7 — — $45,247.38 $46,888.47 $46,888.47 2026-03-01
B1304 OTHER Rheumatoid, Other Arthritis; M=12-35 16 7 — — $45,192.15 $46,831.24 $46,831.24 2026-03-01
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 16 7 — — $45,123.11 $46,759.70 $46,759.70 2026-03-01
92941 CPT Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 6 2 — — $31,041.00 $46,614.00 $46,614.00 2026-03-01
37215 CPT Transcatheter Placement Of Intravascular Stent(s), Cervical Carotid Artery, Open… 6 2 — — $31,041.00 $46,614.00 $46,614.00 2026-03-01
37216 CPT Transcatheter Placement Of Intravascular Stent(s), Cervical Carotid Artery, Open… 6 2 — — $31,041.00 $46,614.00 $46,614.00 2026-03-01
33289 CPT Transcatheter Implantation Of Wireless Pulmonary Artery Pressure Sensor For Long… 12 4 — — $31,620.00 $47,484.00 $46,606.43 2026-03-01
D0106 OTHER Stroke; M > 30.05 & M < 34.25 16 7 — — $44,949.54 $46,579.83 $46,579.83 2026-03-01
1580 OTHER New Technology - Level 43 42 15 — — $45,999.28 $48,787.12 $46,463.92 2026-03-01
1594 OTHER New Technology - Level 43 42 15 — — $45,999.28 $48,787.12 $46,463.92 2026-03-01
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 12 4 — — $31,620.00 $47,484.00 $46,283.34 2026-03-01
B0904 OTHER Other Orthopedic; M < 24.15 16 7 — — $44,344.01 $45,952.34 $45,952.34 2026-03-01
D0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 16 7 — — $44,056.03 $45,653.92 $45,653.92 2026-03-01
C0105 OTHER Stroke; M > 34.25 & M < 38.85 16 7 — — $44,044.20 $45,641.66 $45,641.66 2026-03-01
B2005 OTHER Miscellaneous; M=12-32 And A Tm81 16 7 — — $43,626.04 $45,208.34 $45,208.34 2026-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 2 — — $32,220.00 $45,176.00 $45,176.00 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 12 4 — — $41,637.06 $85,272.18 $45,144.95 2026-03-01
B0504 OTHER Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3 16 7 — — $43,371.60 $44,944.66 $44,944.66 2026-03-01
B1704 OTHER Major Multiple Trauma,no Brain Or Spinal Cord Inju 16 7 — — $43,300.59 $44,871.08 $44,871.08 2026-03-01
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 16 7 — — $43,158.58 $44,723.92 $44,723.92 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 6 2 — — $31,672.00 $44,408.00 $44,408.00 2026-03-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 2 — — $31,369.00 $44,395.00 $44,395.00 2026-03-01
C0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 16 7 — — $42,732.54 $44,282.42 $44,282.42 2026-03-01
B0304 OTHER Nontraumatic Brain Injury; M < 26.15 16 7 — — $42,673.36 $44,221.10 $44,221.10 2026-03-01
A0106 OTHER Stroke; M > 30.05 & M < 34.25 16 7 — — $42,635.89 $44,182.27 $44,182.27 2026-03-01
B1404 OTHER Cardiac; M < 31.15 16 7 — — $42,343.97 $43,879.76 $43,879.76 2026-03-01
B1204 OTHER Osteoarthritis; M=39-47 16 7 — — $42,338.05 $43,873.63 $43,873.63 2026-03-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 2 — — $31,000.00 $43,873.00 $43,873.00 2026-03-01
C2102 OTHER Burns; M=12-45 16 7 — — $42,203.93 $43,734.64 $43,734.64 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 42 15 — — $43,273.89 $45,896.55 $43,711.00 2026-03-01
B0204 OTHER Traumatic Brain Injury; M > 40.65 & M < 44.25 16 7 — — $41,892.28 $43,411.69 $43,411.69 2026-03-01
B2004 OTHER Miscellaneous; M < 27.85 16 7 — — $41,679.26 $43,190.95 $43,190.95 2026-03-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 6 2 — — $30,803.00 $43,188.00 $43,188.00 2026-03-01
1142 OTHER Supprelin La Implant 42 15 — — $42,753.49 $45,344.61 $43,185.34 2026-03-01
B0805 OTHER Replacement Of Lower Extremity Joint; M > 22.05 & 16 7 — — $41,243.36 $42,739.23 $42,739.23 2026-03-01
B1203 OTHER Osteoarthritis; M < 30.75 16 7 — — $41,125.01 $42,616.59 $42,616.59 2026-03-01
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Code In 16 7 — — $40,760.11 $42,238.46 $42,238.46 2026-03-01
A0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 16 7 — — $40,600.35 $42,072.90 $42,072.90 2026-03-01
C0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 16 7 — — $40,564.84 $42,036.11 $42,036.11 2026-03-01
A5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or 16 7 — — $40,405.08 $41,870.55 $41,870.55 2026-03-01
504 MS_DRG Foot Procedures With Cc 6 2 — — $29,767.00 $41,733.00 $41,733.00 2026-03-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 2 — — $29,601.00 $41,501.00 $41,501.00 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 2 — — $29,601.00 $41,501.00 $41,501.00 2026-03-01
D0105 OTHER Stroke; M > 34.25 & M < 38.85 16 7 — — $39,904.08 $41,351.38 $41,351.38 2026-03-01
33824 CPT Repair Of Patent Ductus Arteriosus; By Division, 18 Years And Older 6 2 — — $27,464.00 $41,284.00 $41,284.00 2026-03-01
33820 CPT Repair Of Patent Ductus Arteriosus; By Ligation 6 2 — — $27,464.00 $41,284.00 $41,284.00 2026-03-01
B0104 OTHER Stroke; M > 38.85 & M < 44.45 16 7 — — $39,797.57 $41,241.01 $41,241.01 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 2 — — $29,273.00 $41,074.00 $41,074.00 2026-03-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 6 2 — — $29,273.00 $41,074.00 $41,074.00 2026-03-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 2 — — $29,273.00 $41,074.00 $41,074.00 2026-03-01
245 MS_DRG Aicd Generator Procedures 6 2 — — $29,273.00 $41,074.00 $41,074.00 2026-03-01
265 MS_DRG Aicd Lead Procedures 6 2 — — $29,273.00 $41,074.00 $41,074.00 2026-03-01
D0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 16 7 — — $39,497.76 $40,930.32 $40,930.32 2026-03-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 2 — — $29,096.00 $40,793.00 $40,793.00 2026-03-01
D0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 16 7 — — $39,040.16 $40,456.13 $40,456.13 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 2 — — $28,768.00 $40,366.00 $40,366.00 2026-03-01
92998 CPT Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Each Additional … 6 2 — — $26,858.00 $40,335.00 $40,335.00 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 42 15 — — $39,869.38 $42,285.71 $40,272.10 2026-03-01
C1004 OTHER Amputation, Lower Extremity; M=39-45 16 7 — — $38,734.44 $40,139.31 $40,139.31 2026-03-01
B0403 OTHER Traumatic Spinal Cord Injury; M > 16.05 & M < 30.3 16 7 — — $38,667.37 $40,069.82 $40,069.82 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 2 — — $28,546.00 $40,053.00 $40,053.00 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 2 — — $28,546.00 $40,053.00 $40,053.00 2026-03-01
B1902 OTHER Guillian Barre; M > 18.05 & M < 35.95 16 7 — — $38,472.10 $39,867.46 $39,867.46 2026-03-01
C1903 OTHER Guillian Barre; M < 18.05 16 7 — — $38,470.13 $39,865.42 $39,865.42 2026-03-01
93655 CPT Intracardiac Catheter Ablation Of A Discrete Mechanism Of Arrhythmia Which Is Di… 6 2 — — $25,557.00 $39,829.00 $39,829.00 2026-03-01
93657 CPT Additional Linear Or Focal Intracardiac Catheter Ablation Of The Left Or Right A… 6 2 — — $25,557.00 $39,829.00 $39,829.00 2026-03-01
93631 CPT Intra-operative Epicardial And Endocardial Pacing And Mapping To Localize The Si… 6 2 — — $11,556.00 $39,829.00 $39,829.00 2026-03-01
93623 CPT Programmed Stimulation And Pacing After Intravenous Drug Infusion (List Separate… 6 2 — — $11,556.00 $39,829.00 $39,829.00 2026-03-01
93621 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 6 2 — — $11,556.00 $39,829.00 $39,829.00 2026-03-01
93609 CPT Intraventricular And/or Intra-atrial Mapping Of Tachycardia Site(s) With Cathete… 6 2 — — $11,556.00 $39,829.00 $39,829.00 2026-03-01
93622 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 6 2 — — $11,556.00 $39,829.00 $39,829.00 2026-03-01
93613 CPT Intracardiac Electrophysiologic 3-dimensional Mapping (List Separately In Additi… 6 2 — — $11,556.00 $39,829.00 $39,829.00 2026-03-01
B0603 OTHER Neurological; M > 25.85 & M < 37.35 16 7 — — $38,205.83 $39,591.53 $39,591.53 2026-03-01
B1103 OTHER Amputation, Non-lower Extremity; M=12-37 16 7 — — $38,154.54 $39,538.39 $39,538.39 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 6 2 — — $29,750.85 $39,376.13 $39,376.13 2026-03-01
A0105 OTHER Stroke; M > 34.25 & M < 38.85 16 7 — — $37,850.79 $39,223.62 $39,223.62 2026-03-01
B1703 OTHER Maj Mult Trauma No Brain Or Spinal Cord Injury; M 16 7 — — $37,629.88 $38,994.69 $38,994.69 2026-03-01
64590 CPT Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Pulse… 12 4 — — $33,661.19 $63,617.00 $38,721.25 2026-03-01
64580 CPT Open Implantation Of Neurostimulator Electrode Array; Neuromuscular 12 4 — — $33,661.19 $63,617.00 $38,721.25 2026-03-01
63655 CPT Laminectomy For Implantation Of Neurostimulator Electrodes, Plate/paddle, Epidur… 12 4 — — $33,661.19 $63,617.00 $38,721.25 2026-03-01
61885 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 12 4 — — $33,661.19 $63,617.00 $38,721.25 2026-03-01
33271 CPT Insertion Of Subcutaneous Implantable Defibrillator Electrode 12 4 — — $13,072.80 $103,634.00 $38,640.12 2026-03-01
C1504 OTHER Pulmonary; M < 29.15 16 7 — — $37,150.58 $38,498.01 $38,498.01 2026-03-01
B1503 OTHER Pulmonary; M > 29.15 & M < 39.05 16 7 — — $36,844.86 $38,181.20 $38,181.20 2026-03-01
B0903 OTHER Other Orthopedic; M > 24.15 & M < 34.35 16 7 — — $36,825.13 $38,160.76 $38,160.76 2026-03-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 2 — — $26,944.00 $38,134.00 $38,134.00 2026-03-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 6 2 — — $28,827.00 $38,130.00 $38,130.00 2026-03-01
93656 CPT Comprehensive Electrophysiologic Evaluation With Transseptal Catheterizations, I… 12 4 — — $25,557.00 $39,829.00 $38,084.92 2026-03-01
93654 CPT Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of … 12 4 — — $25,557.00 $39,829.00 $38,084.92 2026-03-01
93653 CPT Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of … 12 4 — — $25,557.00 $39,829.00 $38,084.92 2026-03-01
A0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 16 7 — — $36,679.17 $38,009.50 $38,009.50 2026-03-01
B0703 OTHER Fracture Of Lower Extremity; M > 28.15 & M < 34.15 16 7 — — $36,643.67 $37,972.71 $37,972.71 2026-03-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 2 — — $27,044.00 $37,948.00 $37,948.00 2026-03-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 6 2 — — $27,044.00 $37,948.00 $37,948.00 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 6 2 — — $27,044.00 $37,948.00 $37,948.00 2026-03-01
C0604 OTHER Neurological; M < 25.85 16 7 — — $36,594.36 $37,921.61 $37,921.61 2026-03-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 12 4 — — $31,620.00 $47,484.00 $37,797.91 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 12 4 — — $31,620.00 $47,484.00 $37,797.91 2026-03-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 12 4 — — $31,620.00 $47,484.00 $37,797.91 2026-03-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 12 4 — — $31,620.00 $47,484.00 $37,797.91 2026-03-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 2 — — $26,841.00 $37,661.00 $37,661.00 2026-03-01
B0503 OTHER Nontraumatic Spinal Cord Injury; M > 31.25 & M < 4 16 7 — — $36,296.52 $37,612.98 $37,612.98 2026-03-01
C0704 OTHER Fracture Of Lower Extremity; M < 28.15 16 7 — — $36,178.18 $37,490.34 $37,490.34 2026-03-01
C1304 OTHER Rheumatoid, Other Arthritis; M=12-35 16 7 — — $36,130.84 $37,441.28 $37,441.28 2026-03-01
C1103 OTHER Amputation, Non-lower Extremity; M=12-37 16 7 — — $36,120.98 $37,431.06 $37,431.06 2026-03-01
B0303 OTHER Nontraumatic Brain Injury; M > 26.15 & M < 35.05 16 7 — — $36,020.38 $37,326.82 $37,326.82 2026-03-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 12 4 — — $26,982.31 $66,730.00 $37,079.21 2026-03-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 12 4 — — $26,982.31 $66,730.00 $37,079.21 2026-03-01
A0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 16 7 — — $35,742.27 $37,038.62 $37,038.62 2026-03-01
32 MS_DRG Ventricular Shunt Procedures With Cc 6 2 — — $26,392.00 $37,002.00 $37,002.00 2026-03-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 2 — — $26,310.00 $36,887.00 $36,887.00 2026-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 6 2 — — $26,310.00 $36,887.00 $36,887.00 2026-03-01
37239 CPT Transcatheter Placement Of An Intravascular Stent(s), Open Or Percutaneous, Incl… 6 2 — — $24,519.00 $36,821.00 $36,821.00 2026-03-01
37237 CPT Transcatheter Placement Of An Intravascular Stent(s) (except Lower Extremity Art… 6 2 — — $24,519.00 $36,821.00 $36,821.00 2026-03-01
C0104 OTHER Stroke; M > 38.85 & M < 44.45 16 7 — — $35,341.87 $36,623.70 $36,623.70 2026-03-01
D1004 OTHER Amputation, Lower Extremity; M=39-45 16 7 — — $35,156.46 $36,431.57 $36,431.57 2026-03-01
B1003 OTHER Amputation, Lower Extremity; M < 36.25 16 7 — — $35,046.01 $36,317.10 $36,317.10 2026-03-01
B1303 OTHER Rheumatoid, Other Arthritis; M < 26.15 16 7 — — $35,014.45 $36,284.40 $36,284.40 2026-03-01
C2005 OTHER Miscellaneous; M=12-32 And A Tm81 16 7 — — $34,986.83 $36,255.79 $36,255.79 2026-03-01
B1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord In 16 7 — — $34,900.05 $36,165.85 $36,165.85 2026-03-01
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