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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

Centura Health-porter Adventist Hospital

Denver, CO · CCN 069868 · Rates published

14,164 distinct procedures filed
16 distinct payers
215,223 rate rows
2026-04-01 last MRF observed
Data quality

201,163 of 215,223 rate rows are consumer-grade (93.5%)

14,060 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,630
placeholder amount (≤ $0.02) — excluded from medians 285
template filing: same amount across many unrelated codes — excluded 145
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/840438224_adventhealth-porter_standardcharges.json
Found on page https://www.adventhealth.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch —
Content fingerprint b307b5259c488839… · 40,631,453 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,414,900.00 $4,595,100.00 $4,527,525.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,406,008.39 $4,541,954.62 $4,045,990.74 nat. median
$2,469,189
1.6× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,886,825.20 $4,868,633.01 $3,936,643.90 nat. median
$3,006,423
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,285,360.00 $4,314,200.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,611,561.33 $3,758,972.00 $3,703,693.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,250,133.34 $3,382,791.84 $3,333,044.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,183,476.80 $3,313,414.63 $3,264,687.95 nat. median
$3,286,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $755,207.60 $1,425,647.00 $1,271,523.00 nat. median
$824,563
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $579,891.68 $1,236,707.76 $954,235.56 nat. median
$754,974
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $554,551.57 $1,182,666.10 $913,075.07 nat. median
$675,122
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $551,287.42 $1,175,704.81 $893,698.84 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $546,171.58 $1,164,794.48 $893,079.74 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $522,565.57 $1,114,451.06 $879,576.19 nat. median
$634,511
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $479,518.52 $1,022,646.63 $808,038.00 nat. median
$620,080
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $272,685.00 $514,762.50 $446,118.75 nat. median
$324,450
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $201,527.20 $429,787.60 $351,850.04 nat. median
$209,753
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $332,303.92 $977,917.69 $342,476.49 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $215,957.86 $634,629.24 $222,568.81 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $164,738.85 $483,503.42 $169,781.88 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $163,777.17 $480,665.88 $168,790.76 nat. median
$202,986
0.8× median
999
MS_DRG 		Ungroupable 1 $8,086.04 $275,124.06 $141,605.05 nat. median
$9,134
outlier · 15.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $105,652.21 $132,065.26 $123,185.87 nat. median
$76,377
1.6× median
5623
OTHER 		Level 3 Radiation Therapy 1 $118,224.25 $118,224.25 $118,224.25 nat. median
$723
outlier · 163.6×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $101,489.61 $216,225.37 $117,847.76 nat. median
$87,411
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $107,182.52 $313,678.80 $110,463.62 nat. median
$133,176
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $62,075.44 $140,525.16 $104,661.23 nat. median
$69,774
1.5× median
7
MS_DRG 		Lung Transplant 16 $100,265.72 $293,270.23 $103,335.08 nat. median
$122,708
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $63,687.60 $173,391.36 $101,825.12 nat. median
$63,570
1.6× median
5224
OTHER 		Level 4 Pacemaker And Similar Procedures 1 $97,966.50 $97,966.50 $97,966.50 nat. median
$19,497
outlier · 5.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $93,110.23 $272,157.36 $95,960.54 nat. median
$117,303
0.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $58,967.97 $160,542.02 $94,279.27 nat. median
$54,196
1.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $55,688.06 $125,024.90 $93,760.51 nat. median
$62,507
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $54,166.88 $106,707.50 $92,310.85 nat. median
$66,682
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $87,844.35 $256,619.94 $90,533.46 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $87,744.56 $256,325.54 $90,430.62 nat. median
$98,017
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $55,167.47 $150,195.07 $88,202.96 nat. median
$65,381
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $85,460.46 $126,225.80 $87,204.55 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $84,331.45 $269,155.72 $86,913.02 nat. median
$102,358
0.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 7 $53,242.69 $144,954.78 $85,125.57 nat. median
$49,935
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $80,005.77 $233,491.58 $82,454.93 nat. median
$100,136
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 9 $31,081.82 $264,225.00 $81,340.67 nat. median
$62,270
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 16 $77,292.62 $246,455.66 $79,658.72 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $75,955.62 $242,143.87 $78,280.79 nat. median
$93,672
0.8× median
J9226
HCPCS 		Supprelin La Implant 8 $44,120.24 $100,934.48 $75,174.64 nat. median
$60,368
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $70,021.24 $103,186.95 $71,450.24 nat. median
$82,712
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $43,409.15 $118,182.68 $69,403.49 nat. median
$44,728
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $67,334.18 $206,191.35 $69,395.43 nat. median
$83,442
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $65,571.98 $208,656.88 $67,579.28 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $65,368.59 $134,454.40 $67,369.67 nat. median
$81,118
0.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $42,069.95 $114,536.67 $67,262.35 nat. median
$48,649
1.4× median

Other procedures at this hospital

Browse this hospital's 14,164 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
             
5623 OTHER Level 3 Radiation Therapy 1 1 — — $118,224.25 $118,224.25 $118,224.25 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 1 1 — — $97,966.50 $97,966.50 $97,966.50 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $53,497.59 $53,497.59 $53,497.59 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 1 1 — — $46,328.68 $46,328.68 $46,328.68 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $30,625.35 $30,625.35 $30,625.35 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 1 1 — — $28,311.51 $28,311.51 $28,311.51 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $24,850.00 $24,850.00 $24,850.00 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 1 1 — — $23,415.00 $23,415.00 $23,415.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $22,907.90 $22,907.90 $22,907.90 2026-04-01
999 MS_DRG Ungroupable 2 1 — — $8,086.04 $275,124.06 $141,605.05 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 2 1 — — $10,105.46 $50,874.00 $30,489.73 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $105,652.21 $132,065.26 $123,185.87 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,414,900.00 $4,595,100.00 $4,527,525.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,611,561.33 $3,758,972.00 $3,703,693.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,250,133.34 $3,382,791.84 $3,333,044.90 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,183,476.80 $3,313,414.63 $3,264,687.95 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 4 4 — — $20,228.66 $67,429.00 $35,228.51 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 5 2 — — $494.28 $75,623.00 $58,673.00 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 5 4 — — $23,684.65 $114,086.00 $53,189.84 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 5 2 — — $30,892.00 $67,161.00 $40,120.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 5 2 — — $30,892.00 $67,161.00 $40,120.00 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 5 — — $31,900.26 $60,219.88 $32,876.80 2026-04-01
93623 HCPCS Stimulation Pacing Heart 7 3 — — $93.48 $75,623.00 $50,198.00 2026-04-01
93631 HCPCS Heart Pacing Mapping 7 3 — — $664.79 $75,623.00 $50,198.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 6 — — $41,893.93 $82,836.80 $48,646.41 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92921 HCPCS Prq Cardiac Angio Addl Art 7 2 — — $1,142.00 $38,909.00 $27,349.00 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 7 2 — — $1,142.00 $38,909.00 $27,349.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 4 — — $2,886,825.20 $4,868,633.01 $3,936,643.90 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 7 — — $101,489.61 $216,225.37 $117,847.76 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 7 — — $63,687.60 $173,391.36 $101,825.12 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 7 — — $58,967.97 $160,542.02 $94,279.27 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 7 — — $55,167.47 $150,195.07 $88,202.96 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 7 — — $53,242.69 $144,954.78 $85,125.57 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 7 — — $43,409.15 $118,182.68 $69,403.49 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 7 — — $42,069.95 $114,536.67 $67,262.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 7 — — $41,762.18 $113,698.77 $66,770.29 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 8 3 — — $1,120.88 $70,194.00 $45,385.50 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 8 7 — — $25,035.52 $68,159.93 $40,027.33 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 7 — — $24,915.74 $67,833.83 $39,835.82 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 8 7 — — $22,096.77 $60,159.10 $35,328.79 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 8 7 — — $18,790.36 $51,157.31 $30,042.44 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 8 7 — — $15,883.22 $43,242.54 $25,394.44 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 8 7 — — $15,111.31 $41,140.99 $24,160.29 2026-04-01
509 MS_DRG Arthroscopy 8 7 — — $14,610.57 $39,777.70 $23,359.69 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 5 — — $2,406,008.39 $4,541,954.62 $4,045,990.74 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 5 — — $2,285,360.00 $4,314,200.00 $3,847,800.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 5 — — $272,685.00 $514,762.50 $446,118.75 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 7 — — $31,072.91 $104,298.42 $61,249.87 2026-04-01
93644 HCPCS Electrophysiology Evaluation 9 4 — — $91.53 $75,623.00 $51,100.00 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 9 3 — — $1,142.00 $71,683.00 $44,177.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 8 — — $201,527.20 $429,787.60 $351,850.04 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 5 — — $55,688.06 $125,024.90 $93,760.51 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 8 — — $755,207.60 $1,425,647.00 $1,271,523.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 9 — — $31,081.82 $264,225.00 $81,340.67 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $23,743.85 $46,795.27 $39,976.89 2026-04-01
93612 HCPCS Intraventricular Pacing 12 5 — — $271.37 $75,623.00 $32,709.66 2026-04-01
93602 HCPCS Intra-atrial Recording 12 5 — — $194.74 $75,623.00 $32,709.66 2026-04-01
93610 HCPCS Intra-atrial Pacing 12 5 — — $273.92 $75,623.00 $32,709.66 2026-04-01
93603 HCPCS Right Ventricular Recording 12 5 — — $194.74 $75,623.00 $26,287.03 2026-04-01
93615 HCPCS Esophageal Recording 12 5 — — $62.87 $75,623.00 $26,287.03 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $85,460.46 $126,225.80 $87,204.55 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 13 — — $70,021.24 $103,186.95 $71,450.24 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $56,275.13 $82,674.63 $57,423.60 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 13 — — $45,134.72 $66,050.60 $46,055.84 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 — — $44,021.07 $64,388.77 $44,919.46 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 13 — — $33,420.21 $48,569.88 $34,102.26 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 13 — — $31,729.39 $46,046.79 $32,376.93 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 13 — — $25,665.30 $36,997.77 $26,189.08 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 13 — — $23,032.74 $33,069.39 $23,502.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 8 — — $579,891.68 $1,236,707.76 $954,235.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 8 — — $554,551.57 $1,182,666.10 $913,075.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $551,287.42 $1,175,704.81 $893,698.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $546,171.58 $1,164,794.48 $893,079.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 8 — — $522,565.57 $1,114,451.06 $879,576.19 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $479,518.52 $1,022,646.63 $808,038.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 13 — — $59,803.37 $190,053.28 $61,328.97 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 13 — — $44,852.28 $130,421.63 $45,996.47 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 13 — — $41,801.43 $131,997.47 $42,867.79 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 13 — — $39,555.69 $124,755.03 $40,564.76 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 13 — — $37,932.41 $109,350.74 $38,900.07 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 13 — — $35,768.03 $103,482.89 $36,680.48 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 14 8 — — $522.04 $75,623.00 $36,351.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 14 8 — — $521.43 $75,623.00 $36,351.00 2026-04-01
93616 HCPCS Esophageal Recording 14 5 — — $101.41 $75,623.00 $36,351.00 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 14 5 — — $1,119.58 $70,194.00 $35,558.42 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 13 — — $30,895.88 $89,034.84 $31,684.04 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 12 — — $17,960.39 $48,645.11 $28,508.84 2026-04-01
22614 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $36,907.00 $28,426.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 13 — — $24,735.08 $70,765.39 $25,366.08 2026-04-01
22634 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $33,009.00 $24,241.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 14 13 — — $573.25 $33,741.68 $23,962.52 2026-04-01
92937 HCPCS Prq Revasc Byp Graft 1 Vsl 14 5 — — $996.91 $70,194.00 $22,971.94 2026-04-01
92943 HCPCS Prq Card Revasc Chronic 1vsl 14 5 — — $1,120.75 $70,194.00 $22,971.94 2026-04-01
92928 HCPCS Prq Card Stent W/angio 1 Vsl 14 5 — — $997.49 $70,194.00 $22,971.94 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 15 8 — — $62,075.44 $140,525.16 $104,661.23 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $54,166.88 $106,707.50 $92,310.85 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 13 — — $16,732.00 $104,092.34 $36,888.01 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 15 9 — — $1,546.00 $67,161.00 $33,442.72 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 15 9 — — $905.00 $60,219.88 $31,900.26 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 15 9 — — $1,064.00 $66,856.63 $28,126.13 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 15 9 — — $1,064.00 $67,161.00 $23,699.03 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 15 9 — — $1,546.00 $67,161.00 $23,699.03 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 15 9 — — $1,546.00 $67,161.00 $23,699.03 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 13 — — $22,443.01 $64,998.55 $23,368.09 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 16 — — $52,153.60 $88,858.60 $53,750.14 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 15 — — $43,261.23 $125,073.86 $44,585.55 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 16 — — $41,776.87 $70,878.35 $43,055.75 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 13 — — $21,586.07 $68,689.85 $24,644.66 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $44,120.24 $100,934.48 $75,174.64 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 16 — — $47,907.73 $151,690.16 $49,374.29 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 16 — — $46,985.95 $136,748.91 $48,424.30 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 16 — — $46,488.61 $134,596.50 $47,911.73 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 16 — — $45,913.74 $145,259.59 $47,319.27 2026-04-01
J9266 HCPCS Pegaspargase Injection 17 8 — — $27,855.58 $62,970.66 $46,899.70 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 16 — — $41,367.78 $130,598.98 $42,634.14 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 16 — — $37,411.27 $117,839.32 $38,556.52 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 16 — — $34,084.88 $107,111.80 $35,128.29 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 16 — — $33,021.11 $103,681.18 $34,031.96 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 17 16 — — $32,873.76 $94,424.76 $33,880.10 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 16 — — $32,535.28 $102,114.38 $33,531.26 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 17 9 — — $1,546.00 $67,161.00 $33,111.61 2026-04-01
791 MS_DRG Prematurity With Major Problems 17 16 — — $32,024.89 $91,920.11 $33,005.24 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 17 16 — — $27,644.71 $86,342.40 $28,490.98 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 16 — — $25,055.90 $77,993.55 $25,822.91 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 16 — — $65,368.59 $134,454.40 $67,369.67 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 16 — — $32,896.78 $66,761.60 $33,903.82 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 16 — — $30,535.15 $61,838.40 $31,469.90 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 16 — — $28,166.61 $88,025.54 $29,028.85 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 16 — — $27,056.03 $77,958.47 $27,884.27 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 16 — — $24,025.90 $48,268.80 $24,761.38 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 16 — — $332,303.92 $977,917.69 $342,476.49 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 16 — — $215,957.86 $634,629.24 $222,568.81 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 16 — — $164,738.85 $483,503.42 $169,781.88 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 16 — — $163,777.17 $480,665.88 $168,790.76 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 16 — — $107,182.52 $313,678.80 $110,463.62 2026-04-01
7 MS_DRG Lung Transplant 19 16 — — $100,265.72 $293,270.23 $103,335.08 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 16 — — $93,110.23 $272,157.36 $95,960.54 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 16 — — $87,844.35 $256,619.94 $90,533.46 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 16 — — $87,744.56 $256,325.54 $90,430.62 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 16 — — $84,331.45 $269,155.72 $86,913.02 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 16 — — $80,005.77 $233,491.58 $82,454.93 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 16 — — $77,292.62 $246,455.66 $79,658.72 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 16 — — $75,955.62 $242,143.87 $78,280.79 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 16 — — $67,334.18 $206,191.35 $69,395.43 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 16 — — $65,571.98 $208,656.88 $67,579.28 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 16 — — $61,265.47 $179,093.89 $63,140.95 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 16 — — $59,549.33 $189,233.99 $61,372.27 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 16 — — $59,355.15 $172,560.26 $61,172.14 2026-04-01
10 MS_DRG Pancreas Transplant 19 16 — — $55,945.87 $162,500.90 $57,658.50 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 16 — — $55,922.84 $162,432.96 $57,634.76 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 16 — — $55,630.43 $161,570.15 $57,333.40 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 16 — — $55,598.18 $176,491.66 $57,300.17 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 16 — — $53,920.40 $156,524.62 $55,571.03 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 16 — — $53,660.22 $170,241.78 $55,302.88 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 16 — — $52,533.52 $152,432.49 $54,141.69 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 16 — — $52,191.21 $165,504.25 $53,788.90 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 16 — — $51,337.74 $162,751.83 $52,909.30 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 16 — — $51,337.74 $162,751.83 $52,909.30 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 16 — — $51,154.30 $148,363.00 $52,720.25 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 16 — — $50,258.61 $145,720.22 $51,797.14 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 16 — — $47,853.24 $138,622.96 $49,318.14 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 16 — — $47,402.72 $150,061.48 $48,853.82 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 16 — — $46,972.91 $148,675.36 $48,410.86 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 16 — — $46,382.69 $134,283.99 $47,802.57 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 16 — — $45,884.58 $139,646.75 $47,289.21 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 16 — — $44,672.68 $129,238.46 $46,040.21 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 16 — — $44,615.88 $129,070.88 $45,981.67 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 16 — — $43,887.52 $126,921.77 $45,231.01 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 16 — — $43,592.79 $137,774.58 $44,927.26 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 16 — — $42,798.42 $135,212.75 $44,108.58 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 16 — — $42,732.42 $123,513.55 $44,040.56 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 16 — — $42,565.10 $123,019.87 $43,868.12 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 16 — — $41,502.10 $120,486.89 $42,772.57 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 16 — — $39,150.45 $112,944.66 $40,348.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 16 — — $38,843.45 $122,458.04 $40,032.53 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 16 — — $38,646.19 $121,821.92 $39,829.24 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 16 — — $38,488.85 $110,992.58 $39,667.08 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 16 — — $37,745.14 $114,395.19 $38,900.60 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 16 — — $36,955.37 $106,467.90 $38,086.66 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 16 — — $36,774.24 $111,383.10 $37,899.98 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 16 — — $36,461.10 $105,009.50 $37,577.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 16 — — $36,319.10 $114,317.11 $37,430.91 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 16 — — $36,060.45 $109,168.67 $37,164.34 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 16 — — $35,888.53 $112,928.52 $36,987.16 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 16 — — $35,631.42 $102,561.47 $36,722.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 16 — — $35,259.94 $101,976.18 $36,339.33 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 16 — — $35,124.86 $110,465.70 $36,200.11 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 16 — — $34,586.84 $99,479.35 $35,645.62 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 16 — — $33,820.09 $97,217.01 $34,855.40 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 16 — — $33,608.26 $96,591.98 $34,637.08 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 16 — — $33,285.14 $104,532.65 $34,304.07 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 16 — — $33,229.88 $95,475.54 $34,247.12 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 16 — — $33,213.76 $95,427.98 $34,230.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 16 — — $33,119.35 $95,149.43 $34,133.21 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 16 — — $33,080.98 $95,036.20 $34,093.66 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 16 — — $32,746.35 $94,048.84 $33,748.79 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 19 9 — — $1,843.00 $67,161.00 $32,449.37 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 16 — — $31,450.02 $90,223.93 $32,412.78 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 16 — — $30,760.03 $88,188.05 $31,701.67 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 16 — — $30,579.67 $88,097.13 $31,515.78 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 16 — — $30,506.75 $87,880.91 $31,440.63 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 16 — — $30,338.66 $86,944.79 $31,267.40 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 16 — — $29,753.05 $85,216.90 $30,663.86 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 16 — — $29,627.18 $84,845.50 $30,534.14 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 16 — — $29,558.88 $84,643.95 $30,463.74 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 16 — — $29,475.22 $84,397.11 $30,377.52 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 16 — — $29,314.04 $83,921.55 $30,211.41 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 16 — — $29,063.07 $83,181.02 $29,952.75 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 16 — — $29,051.55 $83,147.05 $29,940.88 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 16 — — $28,720.75 $82,171.01 $29,599.96 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 16 — — $28,699.27 $82,107.60 $29,577.82 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 16 — — $28,660.89 $81,994.37 $29,538.27 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 16 — — $28,641.71 $89,557.69 $29,518.49 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 16 — — $28,592.58 $82,204.57 $29,467.86 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 16 — — $28,551.13 $89,265.61 $29,425.15 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 16 — — $28,370.00 $81,136.09 $29,238.47 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 16 — — $28,306.30 $85,112.42 $29,172.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 16 — — $28,278.67 $80,866.60 $29,144.35 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 16 — — $28,237.99 $80,746.58 $29,102.42 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 16 — — $28,214.96 $80,678.64 $29,078.69 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 16 — — $28,188.88 $80,601.64 $29,051.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 16 — — $27,883.40 $80,101.54 $28,736.97 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 16 — — $27,637.80 $78,975.66 $28,483.86 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 16 — — $27,515.00 $78,613.32 $28,357.30 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 16 — — $27,386.06 $78,232.87 $28,224.41 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 16 — — $27,263.26 $77,870.54 $28,097.85 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 16 — — $27,184.96 $77,639.55 $28,017.16 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 16 — — $27,021.49 $77,157.19 $27,848.68 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 16 — — $26,511.10 $82,686.53 $27,322.66 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 16 — — $26,224.81 $74,806.53 $27,027.61 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 16 — — $26,138.85 $74,928.20 $26,939.02 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 16 — — $26,135.79 $81,476.16 $26,935.86 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 16 — — $25,837.22 $80,513.31 $26,628.16 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 16 — — $25,727.47 $73,339.07 $26,515.05 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 16 — — $25,699.83 $77,026.20 $26,486.56 2026-04-01
652 MS_DRG Kidney Transplant 19 16 — — $25,658.39 $73,135.26 $26,443.85 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 16 — — $25,639.98 $73,080.91 $26,424.87 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 16 — — $25,591.62 $72,938.24 $26,375.04 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 16 — — $25,511.80 $79,463.82 $26,292.77 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 16 — — $25,376.72 $79,028.19 $26,153.56 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 16 — — $25,331.43 $72,170.54 $26,106.88 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 16 — — $25,307.64 $72,100.33 $26,082.36 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 16 — — $25,258.52 $72,317.62 $26,031.74 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 16 — — $25,161.81 $71,670.06 $25,932.07 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 16 — — $25,124.98 $75,242.76 $25,894.11 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 16 — — $25,044.38 $77,956.42 $25,811.04 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 16 — — $24,987.59 $77,773.26 $25,752.52 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 16 — — $24,827.18 $70,682.70 $25,587.20 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 16 — — $24,777.29 $70,535.50 $25,535.78 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 16 — — $24,368.97 $69,330.73 $25,114.96 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 16 — — $24,054.30 $68,402.24 $24,790.65 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 16 — — $24,051.23 $68,393.18 $24,787.49 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 16 — — $23,715.82 $67,403.55 $24,441.82 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 16 — — $23,467.92 $66,672.09 $24,186.33 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 16 — — $23,282.95 $66,126.32 $23,995.69 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 16 — — $23,223.85 $65,951.95 $23,934.79 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 16 — — $23,144.80 $65,718.69 $23,853.31 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 16 — — $23,130.98 $65,677.93 $23,839.07 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 16 — — $23,021.99 $65,356.36 $23,726.75 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 16 — — $22,989.76 $65,261.24 $23,693.53 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 16 — — $22,749.53 $70,555.58 $23,445.95 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 19 9 — — $1,843.00 $54,754.00 $23,415.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 16 — — $22,434.08 $63,621.67 $23,120.84 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 16 — — $22,356.56 $63,392.95 $23,040.95 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 19 9 — — $1,371.00 $54,754.00 $22,995.10 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 19 9 — — $1,440.00 $67,161.00 $22,995.10 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 19 9 — — $1,440.00 $67,161.00 $22,995.10 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 16 — — $22,293.63 $63,207.25 $22,976.09 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 16 — — $22,032.67 $62,751.60 $22,707.14 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 16 — — $32,727.32 $95,409.60 $48,066.77 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 9 — — $1,546.00 $215,631.00 $47,515.15 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 9 — — $905.00 $215,631.00 $47,515.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 16 — — $42,858.29 $136,238.00 $44,388.94 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 16 — — $40,161.83 $130,720.01 $44,323.73 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 16 — — $17,736.87 $83,286.40 $42,073.33 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 16 — — $39,910.37 $117,677.67 $42,002.13 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 16 — — $35,269.92 $197,352.14 $36,529.56 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 20 9 — — $622.80 $215,631.00 $33,671.40 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 20 9 — — $1,546.00 $75,623.00 $30,217.92 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 20 9 — — $1,546.00 $75,623.00 $30,217.92 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 20 9 — — $1,420.58 $75,623.00 $30,217.92 2026-04-01
27130 HCPCS Total Hip Arthroplasty 20 9 — — $1,371.00 $44,420.00 $29,044.50 2026-04-01
27447 HCPCS Total Knee Arthroplasty 20 9 — — $1,371.00 $44,420.00 $29,044.50 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 9 — — $1,371.00 $52,953.00 $28,766.36 2026-04-01
22630 HCPCS Lumbar Spine Fusion 20 9 — — $1,371.00 $52,953.00 $28,766.36 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 16 — — $24,337.51 $75,979.45 $25,206.70 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 16 — — $13,100.72 $66,604.15 $24,162.59 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 20 9 — — $1,371.00 $52,953.00 $23,900.50 2026-04-01
22600 HCPCS Neck Spine Fusion 20 9 — — $1,371.00 $44,124.00 $23,391.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 16 — — $34,665.62 $106,250.50 $38,010.72 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 16 — — $37,968.47 $119,866.00 $40,160.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 16 — — $35,060.84 $103,009.86 $36,878.80 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 16 — — $29,555.81 $84,634.90 $30,924.51 2026-04-01
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