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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

Skokie Hospital

Skokie, IL · CCN 140051 · Rates published

16,744 distinct procedures filed
12 distinct payers
91,977 rate rows
2026-04-01 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.endeavorhealth.org/362167060_endeavor-health-skokie-hospital_standardcharges.json
Found on page https://www.endeavorhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-13
Content fingerprint 02eb5d87dcf510a9… · 34,978,617 bytes · first seen 2026-05-18

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 		Inj, Betibeglogene Autotemce 2 $2,945,740.00 $4,864,551.99 $4,864,551.99 nat. median
$2,968,000
1.6× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,455,110.60 $3,998,166.53 $3,998,166.53 nat. median
$2,455,111
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,332,000.00 $3,847,800.00 $3,847,800.00 nat. median
$2,332,000
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,248,446
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $1,271,523.00 $1,271,523.00 nat. median
$813,967
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $954,972.35 $954,972.35 nat. median
$621,313
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $912,729.35 $912,729.35 nat. median
$599,737
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $870,577.06 $870,577.06 nat. median
$574,037
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $852,129.78 $852,129.78 nat. median
$579,571
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $829,687.20 $829,687.20 nat. median
$562,501
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $807,508.61 $807,508.61 nat. median
$513,770
1.6× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$377,029
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $390,745.67 $2,744,748.09 $390,745.67 nat. median
$168,055
outlier · 2.3×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $110,901.76 $378,999.81 $335,499.84 nat. median
$108,243
outlier · 3.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $133,545.77 $591,071.29 $253,763.34 nat. median
$186,516
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $193,459.63 $413,749.35 $193,459.63 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $42,843.08 $495,190.10 $192,327.36 nat. median
$145,435
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $169,597.46 $199,619.38 $183,818.37 nat. median
$92,809
2.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $280,931.59 $166,220.59 nat. median
$65,477
outlier · 2.5×
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $148,600.04 $174,905.01 $161,060.29 nat. median
$3,608
outlier · 44.6×
E0194
HCPCS 		Air Fluidized Bed 1 $137,684.17 $162,056.84 $149,229.12 nat. median
$4,113
outlier · 36.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $230,104.66 $144,788.05 nat. median
$63,499
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $20,926.00 $452,202.21 $125,694.53 nat. median
$97,418
1.3× median
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $49,338.18 $134,358.61 $118,937.50 nat. median
$48,410
outlier · 2.5×
7
MS_DRG 		Lung Transplant 9 $117,550.90 $227,917.24 $117,550.90 nat. median
$70,649
1.7× median
J9226
HCPCS 		Supprelin La Implant 3 $45,020.65 $186,815.54 $116,659.57 nat. median
$57,036
outlier · 2.0×
L7180
HCPCS 		Electronic Elbow Sequential 2 $47,919.99 $130,496.60 $115,518.76 nat. median
$42,745
outlier · 2.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $109,126.24 $228,492.80 $109,126.24 nat. median
$72,715
1.5× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,342.28 $104,338.76 $104,338.76 nat. median
$66,211
1.6× median
0100T
OTHER 		Prosth Retina Receive&Gen 2 $10,156.00 $113,667.00 $103,825.00 nat. median
$66,159
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $102,926.35 $192,194.59 $102,926.35 nat. median
$65,418
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $102,808.87 $102,808.87 $102,808.87 nat. median
$2,110
outlier · 48.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $50,807.63 $393,250.53 $100,119.63 nat. median
$2,736
outlier · 36.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $98,790.37 $189,986.56 $98,790.37 nat. median
$74,509
1.3× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 2 $39,537.89 $107,670.30 $95,312.36 nat. median
$38,763
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $93,697.44 $185,722.23 $93,697.44 nat. median
$69,922
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 9 $31,190.04 $480,001.67 $90,503.06 nat. median
$73,023
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $57,362.41 $245,743.10 $88,928.92 nat. median
$69,822
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $81,941.95 $145,457.94 $81,941.95 nat. median
$2,596
outlier · 31.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $78,778.29 $160,654.28 $78,778.29 nat. median
$2,633
outlier · 29.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $76,703.53 $147,784.57 $76,703.53 nat. median
$60,505
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $47,079.41 $147,700.85 $76,464.06 nat. median
$59,651
1.3× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 2 $6,180.00 $113,667.00 $75,513.01 nat. median
$44,163
1.7× median
Q0483
HCPCS 		Monitor Elec Vad, Rep 2 $23,087.32 $81,651.72 $72,280.09 nat. median
$22,635
outlier · 3.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $16,751.91 $489,859.63 $71,633.19 nat. median
$56,428
1.3× median
L5856
HCPCS 		Elec Knee-shin Swing/stance 2 $29,559.78 $80,497.74 $71,258.55 nat. median
$29,004
outlier · 2.5×
K0864
HCPCS 		Pwc Gp3 Xhd Mult Pow Opt S/b 1 $65,442.80 $77,027.39 $70,930.24 nat. median
$2,216
outlier · 32.0×
L6880
HCPCS 		Elec Hand Ind Art Digits 2 $29,420.21 $80,117.64 $70,922.08 nat. median
$28,867
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 16,744 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
             
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,945,740.00 $4,864,551.99 $4,864,551.99 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,455,110.60 $3,998,166.53 $3,998,166.53 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 2 — — $2,332,000.00 $3,847,800.00 $3,847,800.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $770,620.00 $1,271,523.00 $1,271,523.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $591,726.20 $954,972.35 $954,972.35 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 2 — — $565,868.94 $912,729.35 $912,729.35 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $557,317.93 $870,577.06 $870,577.06 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 2 — — $562,538.19 $852,129.78 $852,129.78 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $533,230.17 $829,687.20 $829,687.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $489,304.61 $807,508.61 $807,508.61 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 10 — — $390,745.67 $2,744,748.09 $390,745.67 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 2 — — $110,901.76 $378,999.81 $335,499.84 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 9 — — $133,545.77 $591,071.29 $253,763.34 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 9 — — $193,459.63 $413,749.35 $193,459.63 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 10 — — $42,843.08 $495,190.10 $192,327.36 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $169,597.46 $199,619.38 $183,818.37 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 3 — — $56,824.55 $280,931.59 $166,220.59 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 3 1 — — $148,600.04 $174,905.01 $161,060.29 2026-04-01
E0194 HCPCS Air Fluidized Bed 3 1 — — $137,684.17 $162,056.84 $149,229.12 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 3 — — $55,272.32 $230,104.66 $144,788.05 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 9 — — $20,926.00 $452,202.21 $125,694.53 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 2 — — $49,338.18 $134,358.61 $118,937.50 2026-04-01
7 MS_DRG Lung Transplant 19 9 — — $117,550.90 $227,917.24 $117,550.90 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $186,815.54 $116,659.57 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 2 — — $47,919.99 $130,496.60 $115,518.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 9 — — $109,126.24 $228,492.80 $109,126.24 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $63,342.28 $104,338.76 $104,338.76 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 3 2 — — $10,156.00 $113,667.00 $103,825.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 9 — — $102,926.35 $192,194.59 $102,926.35 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $102,808.87 $102,808.87 $102,808.87 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 9 — — $50,807.63 $393,250.53 $100,119.63 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 9 — — $98,790.37 $189,986.56 $98,790.37 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 2 — — $39,537.89 $107,670.30 $95,312.36 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 9 — — $93,697.44 $185,722.23 $93,697.44 2026-04-01
215 MS_DRG Other Heart Assist System Implant 27 9 — — $31,190.04 $480,001.67 $90,503.06 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $57,362.41 $245,743.10 $88,928.92 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 9 — — $81,941.95 $145,457.94 $81,941.95 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 9 — — $78,778.29 $160,654.28 $78,778.29 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 9 — — $76,703.53 $147,784.57 $76,703.53 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 9 — — $47,079.41 $147,700.85 $76,464.06 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 2 — — $6,180.00 $113,667.00 $75,513.01 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 2 — — $23,087.32 $81,651.72 $72,280.09 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 9 — — $16,751.91 $489,859.63 $71,633.19 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 2 — — $29,559.78 $80,497.74 $71,258.55 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 3 1 — — $65,442.80 $77,027.39 $70,930.24 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 2 — — $29,420.21 $80,117.64 $70,922.08 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 9 — — $46,529.66 $278,040.43 $69,911.75 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 9 — — $38,316.38 $246,280.14 $69,612.64 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 9 — — $220.59 $130,174.39 $69,384.02 2026-04-01
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 3 1 — — $63,698.36 $74,974.16 $69,039.53 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 2 — — $10,156.00 $113,667.00 $68,730.95 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 4 2 — — $9,691.00 $113,667.00 $68,730.95 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 2 — — $10,156.00 $113,667.00 $68,730.95 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 3 1 — — $61,824.00 $72,768.00 $67,008.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 4 2 — — $9,691.00 $113,667.00 $66,335.13 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 10 — — $1,114.95 $438,886.03 $65,757.70 2026-04-01
10 MS_DRG Pancreas Transplant 19 9 — — $65,370.04 $139,050.12 $65,370.04 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 9 — — $65,342.93 $116,479.72 $65,342.93 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $101,158.70 $65,305.62 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 9 — — $64,998.64 $138,249.57 $64,998.64 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 9 — — $51,590.59 $250,006.11 $64,960.69 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 4 2 — — $9,691.00 $113,667.00 $63,830.82 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $10,156.00 $113,667.00 $63,830.82 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 4 2 — — $10,156.00 $113,667.00 $63,830.82 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 2 — — $10,156.00 $113,667.00 $63,830.82 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 4 2 — — $9,691.00 $113,667.00 $63,830.82 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 4 2 — — $6,180.00 $113,667.00 $63,830.82 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 10 — — $42,143.64 $237,987.16 $62,985.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 10 — — $33,925.63 $304,431.32 $62,678.99 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 2 — — $20,015.46 $70,787.65 $62,662.95 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 9 — — $52,105.12 $119,085.40 $61,352.44 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 9 — — $20,783.86 $234,786.23 $60,949.42 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 9 — — $20,363.96 $116,927.95 $60,905.14 2026-04-01
L8614 HCPCS Cochlear Device 3 1 — — $55,781.86 $65,656.29 $60,459.22 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 9 — — $45,487.91 $103,758.25 $59,944.57 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 9 — — $59,944.57 $302,029.73 $59,944.57 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $59,728.60 $107,398.19 $59,728.60 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 3 1 — — $54,993.93 $64,728.88 $59,605.22 2026-04-01
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 3 1 — — $54,993.93 $64,728.88 $59,605.22 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 10 — — $15,276.92 $112,803.16 $58,674.05 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 4 2 — — $6,180.00 $113,667.00 $57,512.77 2026-04-01
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 3 1 — — $52,720.54 $62,053.06 $57,141.21 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 4 2 — — $17,892.75 $63,280.34 $56,017.29 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 9 — — $35,998.33 $414,285.75 $55,906.19 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 9 — — $55,842.03 $110,295.14 $55,842.03 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 9 — — $55,311.59 $106,534.86 $55,311.59 2026-04-01
L5858 HCPCS Stance Phase Only 4 2 — — $22,885.05 $62,320.98 $55,168.04 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 3 — — $24,228.42 $82,709.93 $55,123.79 2026-04-01
K0862 HCPCS Pwc Gp3 Hd Mult Pow Opt S/b 3 1 — — $50,650.18 $59,616.21 $54,897.25 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 21 9 — — $46,433.13 $106,025.58 $54,820.91 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 9 — — $45,168.85 $255,195.25 $54,805.55 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $52,304.00 $57,263.00 $54,783.50 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $52,304.00 $57,263.00 $54,783.50 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 9 — — $43,533.60 $254,786.46 $54,412.47 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 11 — — $6,750.57 $189,358.43 $54,235.35 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 10 — — $54,110.65 $218,568.44 $54,110.65 2026-04-01
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 3 1 — — $49,802.29 $58,618.22 $53,978.26 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 11 — — $29,158.00 $331,668.05 $53,558.52 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 9 — — $44,484.95 $101,539.76 $53,524.18 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 9 — — $45,041.41 $185,055.63 $52,641.32 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 4 2 — — $21,834.21 $59,459.30 $52,634.82 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 2 — — $21,739.52 $59,201.47 $52,406.58 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 10 — — $29,532.92 $284,125.24 $52,308.78 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 3 2 — — $18,356.27 $57,263.00 $52,304.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 9 — — $44,779.16 $52,097.33 $52,097.33 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 10 — — $13,024.75 $94,193.61 $52,030.46 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 10 — — $17,141.89 $183,311.47 $51,330.14 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 9 — — $51,172.90 $94,892.99 $51,172.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 9 — — $20,879.13 $180,713.73 $50,825.91 2026-04-01
E0764 HCPCS Functional Neuromuscularstim 3 1 — — $46,820.70 $55,108.84 $50,746.66 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 9 — — $50,435.53 $107,030.18 $50,435.53 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 26 10 — — $35,756.06 $272,083.10 $50,136.43 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 11 — — $6,206.83 $131,691.57 $49,961.12 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 9 — — $38,179.63 $164,862.70 $49,890.64 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 9 — — $38,075.64 $94,104.66 $49,812.92 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 9 — — $49,615.93 $105,265.16 $49,615.93 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 9 — — $32,383.69 $206,922.31 $48,716.80 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 9 — — $39,425.59 $89,815.92 $48,687.89 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 10 — — $42,060.81 $239,045.81 $48,364.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 11 — — $25,756.60 $165,783.43 $48,206.24 2026-04-01
E0483 HCPCS Chest Compression Gen System 3 1 — — $44,387.51 $52,244.92 $48,109.44 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 4 2 — — $19,809.02 $53,944.28 $47,752.79 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 9 — — $38,463.29 $88,849.69 $47,565.56 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 9 — — $47,484.23 $366,749.34 $47,484.23 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 4 2 — — $14,780.89 $52,274.83 $46,274.95 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 9 — — $18,769.32 $222,133.46 $46,072.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 9 — — $12,288.64 $92,778.96 $45,595.62 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 10 — — $23,941.16 $150,766.28 $45,234.16 2026-04-01
K0839 HCPCS Pwc Gp2 Vhd Sing Pow Opt S/b 3 1 — — $41,675.82 $49,053.21 $45,170.37 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 10 — — $16,291.08 $296,165.89 $45,154.64 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 10 — — $25,595.44 $146,771.06 $45,001.93 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $44,816.68 $94,092.45 $44,816.68 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 4 2 — — $18,506.37 $50,396.88 $44,612.54 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 9 — — $22,328.12 $148,012.29 $44,161.54 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 9 — — $27,193.72 $87,323.60 $43,941.05 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 3 1 — — $40,535.45 $47,710.98 $43,934.39 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 10 — — $10,129.00 $225,099.06 $43,547.97 2026-04-01
K0853 HCPCS Pwc Gp 3 Vhd Cap Chair 3 1 — — $39,795.95 $46,840.57 $43,132.88 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 4 2 — — $17,866.14 $48,653.37 $43,069.15 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 9 — — $43,011.20 $80,350.69 $43,011.20 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 9 — — $20,184.03 $253,595.88 $42,924.45 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 9 — — $35,862.64 $177,222.51 $42,797.94 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 2 — — $6,180.00 $57,263.00 $42,685.84 2026-04-01
E1007 HCPCS Pwr Seat Combo W/shear 3 1 — — $39,248.35 $46,196.04 $42,539.37 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 9 — — $42,429.26 $84,569.66 $42,429.26 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 9 — — $35,027.56 $170,322.96 $42,262.08 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 10 — — $18,040.68 $203,059.48 $42,063.28 2026-04-01
K0852 HCPCS Pwc Gp 3 Vhd Seat/back 3 1 — — $38,739.72 $45,597.38 $41,988.09 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 9 — — $35,251.10 $97,021.03 $41,957.55 2026-04-01
S2068 HCPCS Breast Reconstruct, Deip 4 2 — — $9,691.00 $47,375.00 $41,937.50 2026-04-01
S2066 HCPCS Breast Reconstruct, Gap 4 2 — — $9,691.00 $47,375.00 $41,937.50 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 9 — — $35,438.81 $85,225.45 $41,755.14 2026-04-01
K0858 HCPCS Pwc Gp3 Hd Sing Pow Opt S/b 3 1 — — $38,494.13 $45,308.31 $41,721.90 2026-04-01
E0636 HCPCS Pt Support & Positioning Sys 3 1 — — $38,462.00 $45,270.49 $41,687.07 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 10 — — $7,989.73 $122,203.57 $41,631.34 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 10 — — $23,111.91 $139,908.29 $41,613.27 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 9 — — $40,093.99 $82,923.23 $41,452.42 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 29 10 — — $18,682.34 $85,690.70 $41,026.80 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 9 — — $35,810.45 $73,088.25 $41,015.05 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 9 — — $30,166.81 $76,609.59 $40,856.01 2026-04-01
K0861 HCPCS Pwc Gp3 Std Mult Pow Opt S/b 3 1 — — $37,617.75 $44,276.79 $40,772.03 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 10 — — $11,176.88 $106,885.36 $40,222.56 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 7 4 — — $3,466.84 $157,578.25 $40,220.86 2026-04-01
K0859 HCPCS Pwc Gp3 Hd Sing Pow Opt Cap 3 1 — — $36,711.61 $43,210.24 $39,789.91 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 9 — — $31,868.27 $119,219.03 $39,631.58 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 9 — — $39,319.82 $133,235.03 $39,319.82 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $39,070.41 $73,757.99 $39,070.41 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 9 — — $5,259.00 $149,927.03 $38,849.02 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 9 — — $19,487.06 $148,430.28 $38,689.98 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 10 — — $14,836.64 $174,852.75 $38,624.92 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 9 — — $38,605.94 $218,264.30 $38,605.94 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 9 — — $29,418.66 $191,472.70 $38,494.79 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 9 — — $38,449.61 $77,267.12 $38,449.61 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 9 — — $25,680.50 $153,082.79 $38,379.13 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 9 — — $33,120.06 $237,761.25 $38,232.74 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 33 12 — — $1,004.83 $72,739.43 $38,205.63 2026-04-01
E1008 HCPCS Pwr Seat Combo Pwr Shear 3 1 — — $35,190.58 $41,419.96 $38,141.34 2026-04-01
K0828 HCPCS Pwc Gp 2 Xtra Hd Seat/back 3 1 — — $35,137.80 $41,357.84 $38,084.14 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 9 — — $31,220.10 $109,308.11 $38,055.62 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 9 — — $27,391.09 $328,985.87 $37,807.12 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 4 2 — — $15,621.74 $42,541.39 $37,658.66 2026-04-01
K0856 HCPCS Pwc Gp3 Std Sing Pow Opt S/b 3 1 — — $34,699.65 $40,842.14 $37,609.25 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 11 — — $7,587.00 $100,242.64 $37,206.20 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 35 9 — — $18,888.40 $110,160.41 $36,858.30 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 3 1 — — $33,990.45 $40,007.39 $36,840.58 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 9 — — $25,736.27 $62,519.01 $36,529.37 2026-04-01
E2402 HCPCS Neg Press Wound Therapy Pump 3 1 — — $33,651.48 $39,608.42 $36,473.19 2026-04-01
K0850 HCPCS Pwc Gp 3 Hd Seat/back 3 1 — — $33,528.02 $39,463.11 $36,339.38 2026-04-01
K0843 HCPCS Pwc Gp2 Hd Mult Pow Opt S/b 3 1 — — $33,314.80 $39,212.14 $36,108.27 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 9 — — $27,549.22 $103,838.69 $35,876.94 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 4 2 — — $14,850.10 $40,440.10 $35,798.56 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 9 — — $35,717.00 $75,461.97 $35,717.00 2026-04-01
K0829 HCPCS Pwc Gp 2 Xtra Hd Cap Chair 3 1 — — $32,952.84 $38,786.10 $35,715.96 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 9 — — $17,620.77 $67,819.33 $35,504.64 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 9 — — $3,093.73 $68,532.67 $35,452.23 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 9 — — $35,418.79 $221,476.99 $35,418.79 2026-04-01
E1036 HCPCS Patient Transfer System >300 3 1 — — $32,647.74 $38,427.00 $35,385.28 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 4 2 — — $9,691.00 $57,263.00 $35,330.13 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 9 — — $17,013.38 $183,266.43 $35,220.90 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 6 3 — — $3,159.80 $74,054.55 $35,018.33 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 4 2 — — $4,038.00 $57,263.00 $34,971.87 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 1 1 — — $34,970.13 $34,970.13 $34,970.13 2026-04-01
K0851 HCPCS Pwc Gp 3 Hd Cap Chair 3 1 — — $32,237.67 $37,944.34 $34,940.83 2026-04-01
Q4244 HCPCS Procenta, Per 200 Mg 3 1 — — $32,133.02 $37,821.17 $34,827.41 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 9 — — $31,398.20 $329,057.94 $34,531.42 2026-04-01
L6945 HCPCS Elbow Disart Myoelectronic C 4 2 — — $14,312.50 $38,976.06 $34,502.55 2026-04-01
5378 OTHER Level 8 Urology And Related Services 8 5 — — $2,215.63 $97,110.83 $34,456.21 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $9,553.77 $57,584.95 $34,383.22 2026-04-01
K0837 HCPCS Pwc Gp 2 Hd Sing Pow Opt S/b 3 1 — — $31,650.35 $37,253.05 $34,304.26 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 9 — — $10,878.68 $67,165.29 $34,302.79 2026-04-01
K0857 HCPCS Pwc Gp3 Std Sing Pow Opt Cap 3 1 — — $31,647.87 $37,250.13 $34,301.57 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 9 — — $10,264.17 $95,416.48 $34,299.18 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 10 — — $15,226.33 $109,267.39 $34,204.30 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 9 — — $34,014.53 $60,558.64 $34,014.53 2026-04-01
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 3 1 — — $31,147.61 $36,661.31 $33,759.36 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 9 — — $33,719.04 $67,337.96 $33,719.04 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 10 — — $22,831.43 $75,614.16 $33,705.49 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 9 — — $23,412.69 $55,354.25 $33,316.02 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 9 — — $25,584.61 $61,397.55 $33,290.71 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 9 — — $33,245.53 $60,494.11 $33,245.53 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 9 — — $26,543.64 $62,210.30 $33,222.94 2026-04-01
L7191 HCPCS Elbow Child Myoelectronic CT 4 2 — — $13,769.77 $37,498.07 $33,194.21 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 9 — — $27,620.28 $70,056.13 $33,165.11 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 10 — — $16,163.45 $55,884.45 $33,116.31 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 1 1 — — $33,067.68 $33,067.68 $33,067.68 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 9 — — $32,903.05 $69,427.39 $32,903.05 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 9 — — $32,828.05 $68,670.45 $32,828.05 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 9 — — $27,851.70 $180,644.00 $32,795.52 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 18 8 — — $28,975.70 $194,107.76 $32,753.20 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 10 — — $6,218.39 $61,062.69 $32,747.62 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 9 — — $32,720.52 $61,106.29 $32,720.52 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 10 — — $16,775.48 $133,725.76 $32,689.79 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 11 — — $16,623.39 $163,289.56 $32,663.59 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 8 4 — — $8,708.32 $64,254.65 $32,442.12 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 10 — — $16,296.51 $115,622.45 $32,395.20 2026-04-01
5166 OTHER Cochlear Implant Procedure 10 6 — — $26,886.67 $151,952.85 $32,338.72 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 9 — — $24,466.78 $63,631.74 $32,330.14 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 34 10 — — $10,475.71 $136,054.07 $32,049.11 2026-04-01
K0826 HCPCS Pwc Gp 2 Vhd Seat/back 3 1 — — $29,562.47 $34,795.57 $32,041.31 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 10 — — $13,090.35 $96,633.54 $32,040.98 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 9 — — $31,896.39 $68,681.45 $31,896.39 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $28,720.61 $34,982.08 $31,851.35 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 31 10 — — $13,160.16 $99,178.69 $31,822.37 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 9 — — $24,488.58 $115,785.09 $31,744.58 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 9 — — $31,600.00 $31,600.00 $31,600.00 2026-04-01
L7186 HCPCS Electron Elbow Child Switch 4 2 — — $13,091.11 $35,649.91 $31,558.17 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 9 — — $12,498.92 $117,024.14 $31,507.83 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 9 — — $285.37 $58,540.72 $31,356.01 2026-04-01
K0848 HCPCS Pwc Gp 3 Std Seat/back 3 1 — — $28,905.20 $34,021.96 $31,328.93 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 9 — — $27,416.94 $61,558.01 $31,315.35 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 16 7 — — $25,588.95 $128,028.33 $31,132.45 2026-04-01
81416 HCPCS Exome Sequence Analysis 4 2 — — $12,000.00 $35,019.60 $31,000.20 2026-04-01
L6940 HCPCS Elbow Disarticulation Switch 4 2 — — $12,829.08 $34,936.37 $30,926.53 2026-04-01
L6950 HCPCS Above Elbow Switch Control 4 2 — — $12,805.28 $34,871.60 $30,869.19 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 9 — — $9,891.36 $101,453.57 $30,714.43 2026-04-01
K0838 HCPCS Pwc Gp 2 Hd Sing Pow Opt Cap 3 1 — — $28,142.99 $33,124.83 $30,502.81 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 9 — — $30,377.37 $111,362.32 $30,377.37 2026-04-01
K0841 HCPCS Pwc Gp2 Std Mult Pow Opt S/b 3 1 — — $27,952.02 $32,900.04 $30,295.82 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 9 — — $25,574.45 $61,805.37 $30,276.16 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 9 — — $15,050.80 $132,423.23 $30,272.55 2026-04-01
K0842 HCPCS Pwc Gp2 Std Mult Pow Opt Cap 3 1 — — $27,925.87 $32,869.27 $30,267.48 2026-04-01
K0849 HCPCS Pwc Gp 3 Std Cap Chair 3 1 — — $27,790.15 $32,709.52 $30,120.38 2026-04-01
E0193 HCPCS Powered Air Flotation Bed 3 1 — — $27,695.64 $32,598.28 $30,017.94 2026-04-01
V5259 HCPCS Hearing Aid, Digit, Bin, Itc 3 1 — — $27,643.70 $32,537.15 $29,961.65 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 9 — — $26,207.15 $114,186.35 $29,921.03 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 9 — — $24,974.43 $108,549.61 $29,791.81 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 10 — — $10,240.81 $197,800.60 $29,759.28 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 35 11 — — $18,888.40 $109,903.02 $29,718.61 2026-04-01
652 MS_DRG Kidney Transplant 19 9 — — $29,710.48 $53,564.80 $29,710.48 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 9 — — $23,742.96 $99,477.70 $29,688.79 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 9 — — $29,631.86 $55,465.87 $29,631.86 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 9 — — $21,953.28 $131,806.20 $29,537.88 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $29,510.19 $29,510.19 $29,510.19 2026-04-01
K0824 HCPCS Pwc Gp 2 Hd Seat/back 3 1 — — $27,181.21 $31,992.79 $29,460.38 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 9 — — $16,106.60 $94,781.16 $29,378.84 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 9 — — $9,843.98 $53,934.55 $29,325.53 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 9 — — $23,535.17 $90,623.98 $29,297.52 2026-04-01
K0825 HCPCS Pwc Gp 2 Hd Cap Chair 3 1 — — $26,995.51 $31,774.22 $29,259.11 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 9 — — $26,334.31 $226,229.74 $29,239.68 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 9 — — $17,176.16 $104,829.84 $29,125.82 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 9 — — $13,891.97 $65,764.13 $29,082.45 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 7 5 — — $19,144.14 $157,020.97 $29,046.58 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 9 — — $828.57 $103,572.17 $29,001.12 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 10 — — $18,769.32 $112,830.12 $28,987.57 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 9 — — $21,633.57 $48,928.98 $28,920.70 2026-04-01
E0783 HCPCS Programmable Infusion Pump 3 1 — — $26,643.92 $31,360.39 $28,878.04 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 9 — — $24,615.79 $59,881.93 $28,731.83 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 9 — — $22,731.48 $84,433.17 $28,673.10 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 11 — — $15,202.95 $87,973.77 $28,623.40 2026-04-01
K0836 HCPCS Pwc Gp2 Std Sing Pow Opt Cap 3 1 — — $26,250.41 $30,897.22 $28,451.53 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 9 — — $28,192.36 $54,405.46 $28,192.36 2026-04-01
E0786 HCPCS Implantable Pump Replacement 3 1 — — $25,989.52 $30,590.15 $28,168.77 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 9 — — $28,155.31 $73,819.90 $28,155.31 2026-04-01
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 3 1 — — $25,864.94 $30,443.52 $28,033.74 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 3 2 — — $9,691.00 $30,647.00 $27,992.00 2026-04-01
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