Price Transparency Hospital negotiated rates

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

THE UNIVERSITY OF CHICAGO MEDICAL CENTER

Chicago, IL · CCN 140088 · Rates published

14,631 distinct procedures filed
25 distinct payers
117,018 rate rows
2026-04-01 last MRF observed
Data quality

73,620 of 117,018 rate rows are consumer-grade (62.9%)

43,398 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 43,288
template filing: same amount across many unrelated codes — excluded 65
placeholder amount (≤ $0.02) — excluded from medians 45
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/unichicagomc-81nbqnb3/media/files/pricing-transparency/2026/363488183_the-university-of-chicago-medical-center_standardcharges.json
Found on page https://www.uchicagomedicine.org/patients-visitors/patient-information/billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint a0f699c35bc550d8… · 42,386,565 bytes · first seen 2026-05-17

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,685,266.67 $4,238,056.67 $3,961,661.67 nat. median
$3,710,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $4,897,200.00 $3,829,462.00 nat. median
$3,006,423
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,808,870.75 $3,813,931.98 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $4,710,246.29 $3,735,712.57 nat. median
$3,286,000
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $3,847,800.00 $3,031,600.00 nat. median
$2,448,600
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,209,599.54 $3,559,910.38 $2,639,243.90 nat. median
$2,469,189
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,155,930.00 $924,744.00 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $591,726.20 $933,279.34 $784,037.21 nat. median
$754,974
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $909,675.26 $749,776.35 nat. median
$675,122
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,538.19 $852,201.85 $745,363.09 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $557,317.93 $871,715.51 $738,446.26 nat. median
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $533,230.17 $807,703.30 $706,529.98 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $805,284.99 $648,328.60 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $411,316.17 $4,308,203.05 $605,124.02 nat. median
$370,174
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $182,511.41 $1,560,500.23 $364,310.70 nat. median
$265,286
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $205,640.00 $308,460.00 $246,768.00 nat. median
$209,753
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $203,363.51 $442,083.45 $246,721.53 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $99,550.48 $955,484.06 $245,279.93 nat. median
$202,986
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $114,470.50 $917,421.58 $179,143.80 nat. median
$117,303
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $30,437.93 $957,229.89 $173,571.15 nat. median
$100,136
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $41,223.29 $546,108.75 $160,442.96 nat. median
$133,176
1.2× median
7
MS_DRG 		Lung Transplant 13 $292.58 $424,956.64 $150,074.48 nat. median
$122,708
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $72,579.55 $504,088.30 $142,189.11 nat. median
$72,138
2.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $107,935.40 $234,636.25 $131,454.49 nat. median
$108,660
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $107,811.57 $234,367.07 $131,304.92 nat. median
$98,017
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $92,740.84 $535,450.28 $127,880.97 nat. median
$98,905
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $110,901.76 $160,807.55 $127,537.02 nat. median
$111,989
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $103,575.80 $520,058.20 $126,188.56 nat. median
$102,358
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 12 $94,840.43 $677,051.07 $117,018.34 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $57,958.75 $837,510.73 $113,632.95 nat. median
$93,672
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $44,367.05 $735,151.61 $112,573.50 nat. median
$83,442
1.3× median
9431
OTHER 		Inj, Dostarlimab-gxly, 10 Mg 1 $109,930.43 $109,930.43 $109,930.43 nat. median
$248
outlier · 442.9×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 13 $64,113.73 $1,164,203.21 $106,822.71 nat. median
$64,732
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $72,526.62 $146,124.84 $105,376.79 nat. median
$76,377
1.4× median
5232
OTHER 		Level 2 Icd And Similar Procedures 6 $31,795.66 $303,964.44 $105,331.22 nat. median
$32,531
outlier · 3.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $43,879.93 $186,552.78 $104,737.13 nat. median
$82,712
1.3× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $50,504.25 $1,324,850.65 $104,002.83 nat. median
$52,278
2.0× median
9432
OTHER 		Inj, Amivantamab-vmjw 1 $102,503.82 $102,503.82 $102,503.82 nat. median
$23
outlier · 4545.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $23,528.46 $843,847.30 $100,033.70 nat. median
$77,576
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $80,294.80 $174,549.51 $98,067.58 nat. median
$79,312
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $35,012.26 $377,717.01 $97,762.69 nat. median
$81,118
1.2× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 6 $30,768.72 $253,751.36 $93,801.79 nat. median
$31,444
outlier · 3.0×
9284
OTHER 		Ipilimumab Injection 1 $18,117.54 $163,737.83 $90,927.68 nat. median
$188
outlier · 484.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $72,820.53 $209,921.52 $90,233.40 nat. median
$73,807
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $46,510.43 $341,491.20 $89,420.28 nat. median
$74,915
1.2× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $117,347.44 $86,423.15 nat. median
$69,774
1.2× median
5166
OTHER 		Cochlear Implant Procedure 9 $32,495.31 $323,917.95 $84,387.00 nat. median
$33,509
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $68,757.17 $725,127.85 $84,131.34 nat. median
$68,090
1.2× median
10
MS_DRG 		Pancreas Transplant 12 $68,348.54 $399,567.04 $83,637.77 nat. median
$68,882
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $9,401.15 $347,643.50 $83,603.25 nat. median
$64,027
1.3× median

Other procedures at this hospital

Browse this hospital's 14,631 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
             
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 16 — — $21,621.21 $909,051.97 $57,899.51 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 14 — — $99,550.48 $955,484.06 $245,279.93 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 15 — — $7,687.83 $249,018.12 $55,060.03 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 15 — — $23,469.36 $384,041.32 $67,008.17 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 15 — — $13,454.47 $891,956.68 $51,619.98 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 15 — — $72,579.55 $504,088.30 $142,189.11 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 30 15 — — $9,401.15 $347,643.50 $83,603.25 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 14 — — $14,589.50 $312,048.50 $61,784.81 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 15 — — $19,782.54 $492,359.99 $56,405.93 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 14 — — $26,598.22 $337,550.35 $53,963.58 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 14 — — $13,675.90 $474,826.24 $40,175.91 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 16 — — $50,504.25 $1,324,850.65 $104,002.83 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 15 — — $46,510.43 $341,491.20 $89,420.28 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 29 14 — — $29,895.29 $216,507.31 $52,643.94 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 29 15 — — $1,389.07 $86,335.74 $49,052.02 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 14 — — $8,743.45 $147,373.69 $37,436.38 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 14 — — $18,846.72 $394,482.73 $80,826.43 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 14 — — $30,543.95 $297,254.40 $68,599.33 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 14 — — $27,089.92 $237,483.04 $66,252.41 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 15 — — $227.08 $176,589.27 $52,171.20 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 14 — — $23,311.18 $236,558.58 $41,213.53 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 15 — — $56.89 $672,674.04 $39,514.22 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 13 — — $182,511.41 $1,560,500.23 $364,310.70 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 14 — — $41,223.29 $546,108.75 $160,442.96 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 15 — — $44,367.05 $735,151.61 $112,573.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 14 — — $52,291.30 $284,072.87 $74,383.95 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 14 — — $5,184.66 $408,530.70 $74,259.87 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 14 — — $24,643.49 $301,972.37 $46,087.13 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 14 — — $12,550.78 $150,305.10 $45,251.85 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 14 — — $17,001.19 $183,318.95 $44,082.93 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 14 — — $15,182.38 $249,528.89 $40,331.08 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 15 — — $9,214.96 $166,018.43 $36,851.91 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 14 — — $23,528.46 $843,847.30 $100,033.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 14 — — $35,353.66 $215,600.19 $58,460.96 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 12 — — $19,226.52 $210,105.20 $51,863.66 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 13 — — $9,636.46 $270,475.81 $49,420.18 2026-04-01
791 MS_DRG Prematurity With Major Problems 26 14 — — $23,525.66 $103,863.45 $47,779.54 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 13 — — $18,795.33 $303,073.97 $42,163.86 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 14 — — $411,316.17 $4,308,203.05 $605,124.02 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 15 — — $30,437.93 $957,229.89 $173,571.15 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 14 — — $32,491.55 $289,439.14 $75,112.42 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 13 — — $41,116.05 $289,243.73 $69,326.40 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 14 — — $13,676.65 $1,559,634.91 $66,653.81 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 13 — — $29,121.15 $283,216.26 $62,152.86 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 13 — — $31,763.43 $207,345.73 $56,354.36 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 13 — — $29,597.60 $246,062.48 $53,413.64 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 13 — — $22,798.54 $306,960.80 $41,995.89 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 14 — — $30,103.14 $283,583.09 $41,571.34 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 14 — — $15,893.28 $160,831.78 $40,524.37 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 14 — — $15,875.45 $140,745.65 $38,951.61 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 14 — — $18,433.91 $181,721.93 $37,315.57 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 25 13 — — $21,934.61 $159,067.47 $34,975.42 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $57,958.75 $837,510.73 $113,632.95 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 14 — — $190.55 $405,064.48 $80,211.52 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 12 — — $32,130.77 $177,131.10 $56,715.68 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 14 — — $28,911.87 $377,479.14 $55,853.89 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 14 — — $22,071.53 $230,820.73 $49,801.54 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 15 — — $202.69 $363,482.47 $44,185.32 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 13 — — $24,277.54 $552,689.51 $43,512.35 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 12 — — $9,574.17 $351,294.20 $40,120.77 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 14 — — $9,264.18 $67,056.38 $38,339.54 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 14 — — $20,196.59 $157,386.51 $35,084.11 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 14 — — $12,029.80 $367,697.73 $34,917.89 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 13 — — $36,036.57 $238,589.87 $71,588.38 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 12 — — $29,515.12 $347,574.27 $70,206.61 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 13 — — $15,817.47 $426,115.38 $68,555.61 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 13 — — $33,727.53 $260,338.92 $64,019.12 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 13 — — $47,886.42 $389,924.00 $63,830.43 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 13 — — $5,885.30 $141,148.18 $60,577.03 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 15 — — $22,581.40 $427,851.29 $50,153.06 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 13 — — $30,238.20 $247,538.46 $49,810.03 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 14 — — $21,813.44 $341,744.26 $48,544.64 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 13 — — $4,840.41 $179,948.83 $42,029.25 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 13 — — $20,494.16 $188,553.52 $41,654.18 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 14 — — $11,836.70 $425,238.23 $38,135.89 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 14 — — $24,026.10 $173,381.53 $37,710.20 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 14 — — $8,132.89 $267,606.06 $36,915.19 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 14 — — $114,470.50 $917,421.58 $179,143.80 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 13 — — $64,113.73 $1,164,203.21 $106,822.71 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 13 — — $50,423.45 $418,885.18 $79,349.66 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 13 — — $39,972.62 $290,617.93 $56,954.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 14 — — $21,365.42 $99,983.06 $56,635.09 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 12 — — $25,215.40 $471,045.19 $55,170.48 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 13 — — $30.00 $197,163.66 $49,871.19 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 13 — — $10.00 $292,213.73 $45,503.82 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 13 — — $5,418.57 $163,629.69 $43,957.52 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 14 — — $15,814.76 $146,555.57 $43,322.43 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 13 — — $30,355.22 $216,515.36 $37,745.87 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 13 — — $22,030.44 $295,572.10 $37,332.83 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 13 — — $17,930.14 $69,542.69 $35,324.03 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $103,575.80 $520,058.20 $126,188.56 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 12 — — $94,840.43 $677,051.07 $117,018.34 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 13 — — $72,820.53 $209,921.52 $90,233.40 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 13 — — $29,082.47 $406,483.07 $83,116.58 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 13 — — $57,212.87 $224,436.17 $70,387.18 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 13 — — $50,140.65 $425,584.79 $69,686.57 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $45,755.65 $363,996.39 $65,522.60 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 14 — — $18,398.52 $101,908.72 $57,705.07 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 14 — — $8,649.70 $127,833.89 $52,628.98 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 13 — — $40,225.98 $248,404.56 $49,668.70 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 13 — — $11,663.92 $330,220.90 $49,585.86 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 13 — — $28,807.58 $140,845.16 $42,634.42 2026-04-01
652 MS_DRG Kidney Transplant 21 13 — — $30,760.99 $114,759.66 $38,235.99 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 — — $68,757.17 $725,127.85 $84,131.34 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 13 — — $33,294.85 $323,152.36 $78,009.43 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 13 — — $13,068.06 $113,110.67 $63,929.38 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 12 — — $43,254.34 $145,855.39 $60,969.09 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 12 — — $39,217.05 $362,357.05 $58,000.75 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 14 — — $22,983.02 $89,603.14 $50,867.54 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $12,366.63 $242,006.77 $49,810.49 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 12 — — $13,178.52 $100,806.56 $45,883.49 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 13 — — $26,417.65 $252,836.87 $43,457.11 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 13 — — $11,793.86 $175,150.07 $42,068.37 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 12 — — $11,139.56 $225,031.37 $41,019.09 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 13 — — $22,774.65 $171,230.18 $38,740.43 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 12 — — $29,656.90 $86,254.36 $37,943.42 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 13 — — $15,332.63 $65,530.35 $37,491.60 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 14 — — $28,042.55 $118,909.04 $36,612.86 2026-04-01
7 MS_DRG Lung Transplant 19 13 — — $292.58 $424,956.64 $150,074.48 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $92,740.84 $535,450.28 $127,880.97 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 13 — — $35,012.26 $377,717.01 $97,762.69 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $25,505.68 $622,627.74 $65,762.15 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $44,556.05 $569,144.89 $60,811.40 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 12 — — $27,723.96 $442,853.67 $52,426.49 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 12 — — $34,047.11 $81,531.95 $44,137.84 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 12 — — $35,597.78 $227,619.89 $44,078.32 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 12 — — $11,417.87 $262,114.20 $42,102.88 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 12 — — $30,264.74 $488,630.47 $41,306.20 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 13 — — $567.34 $72,210.10 $41,203.18 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 12 — — $31,357.25 $68,431.94 $38,956.21 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 13 — — $54,931.63 $119,413.57 $70,151.24 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 12 — — $54,358.22 $219,951.58 $66,738.95 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 13 — — $19,020.63 $115,253.74 $65,120.17 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 13 — — $33,873.06 $110,354.70 $62,398.04 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $15,747.61 $101,484.25 $57,469.21 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 13 — — $44,167.43 $184,578.84 $57,355.27 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 12 — — $6,287.88 $137,554.80 $53,185.83 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 13 — — $38,725.97 $88,888.79 $50,470.61 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 12 — — $36,868.42 $255,977.78 $47,966.11 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 13 — — $10,918.30 $82,494.77 $46,917.81 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 12 — — $32,905.07 $108,808.72 $40,825.81 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 13 — — $17,805.50 $70,547.41 $40,279.31 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 13 — — $30,738.13 $66,820.33 $38,208.38 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 13 — — $28,735.02 $168,676.03 $37,503.62 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 12 — — $28,891.23 $62,805.44 $35,977.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 13 — — $27,641.55 $98,646.38 $35,864.10 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 13 — — $27,691.13 $105,790.18 $35,831.40 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 13 — — $18,822.98 $62,534.19 $35,826.80 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 13 — — $43,879.93 $186,552.78 $104,737.13 2026-04-01
10 MS_DRG Pancreas Transplant 17 12 — — $68,348.54 $399,567.04 $83,637.77 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 12 — — $45,346.69 $138,349.21 $77,953.05 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $62,629.73 $500,452.48 $76,730.05 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $62,381.47 $136,148.16 $76,730.05 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 12 — — $58,305.38 $126,747.64 $71,506.70 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 12 — — $43,991.21 $169,490.67 $54,216.70 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 12 — — $35,297.75 $76,732.29 $43,715.91 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 12 — — $34,561.46 $156,735.90 $42,826.56 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 12 — — $34,463.36 $74,918.45 $42,708.06 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 12 — — $29,160.79 $88,756.63 $36,303.12 2026-04-01
263 MS_DRG Vein Ligation And Stripping 17 12 — — $29,121.74 $63,306.52 $36,255.95 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 12 — — $203,363.51 $442,083.45 $246,721.53 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 12 — — $107,935.40 $234,636.25 $131,454.49 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 16 12 — — $107,811.57 $234,367.07 $131,304.92 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 12 — — $80,294.80 $174,549.51 $98,067.58 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 12 — — $67,957.07 $147,729.03 $83,164.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $62,402.09 $135,653.29 $76,455.08 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 12 — — $57,746.27 $125,532.20 $70,831.34 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 12 — — $53,383.82 $116,048.85 $65,561.96 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 12 — — $52,606.58 $114,359.24 $64,623.14 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 12 — — $51,742.66 $112,481.20 $63,579.62 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 12 — — $43,456.86 $94,469.05 $53,571.26 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 12 — — $34,534.79 $75,073.74 $42,794.35 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 12 — — $34,487.17 $74,970.21 $42,736.82 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $34,350.96 $74,674.12 $42,572.30 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 12 — — $32,752.67 $71,199.65 $40,641.72 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 12 — — $31,463.93 $68,398.13 $39,085.07 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 12 — — $30,579.06 $66,474.54 $38,016.24 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 12 — — $29,928.50 $65,060.32 $37,230.44 2026-04-01
665 MS_DRG Prostatectomy With Mcc 16 12 — — $29,729.43 $64,627.57 $36,989.98 2026-04-01
5166 OTHER Cochlear Implant Procedure 15 9 — — $32,495.31 $323,917.95 $84,387.00 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 12 7 — — $21,906.98 $180,904.61 $47,554.52 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 11 7 — — $21,947.71 $177,354.26 $66,109.10 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 11 7 — — $136.97 $115,891.04 $46,082.16 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 9 6 — — $31,795.66 $303,964.44 $105,331.22 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 9 6 — — $30,768.72 $253,751.36 $93,801.79 2026-04-01
J9226 HCPCS Supprelin La Implant 9 5 — — $45,020.65 $84,286.72 $65,279.94 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 9 6 — — $18,792.95 $153,630.45 $62,078.64 2026-04-01
J9266 HCPCS Pegaspargase Injection 9 5 — — $28,424.06 $53,275.14 $42,636.09 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 4 — — $63,342.28 $117,347.44 $86,423.15 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 5 — — $55,272.32 $121,184.41 $77,835.96 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 8 5 — — $12,615.13 $189,202.37 $54,944.44 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 7 6 — — $15,473.00 $207,895.86 $64,913.09 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 6 — — $24,228.42 $51,777.06 $39,976.89 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $591,726.20 $933,279.34 $784,037.21 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $565,868.94 $909,675.26 $749,776.35 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $562,538.19 $852,201.85 $745,363.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $557,317.93 $871,715.51 $738,446.26 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $533,230.17 $807,703.30 $706,529.98 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $489,304.61 $805,284.99 $648,328.60 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $770,620.00 $1,155,930.00 $924,744.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 3 — — $205,640.00 $308,460.00 $246,768.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $56,824.55 $93,760.51 $82,395.60 2026-04-01
5377 OTHER Level 7 Urology And Related Services 5 4 — — $13,279.69 $88,465.26 $49,240.22 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $2,945,740.00 $4,897,200.00 $3,829,462.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,332,000.00 $3,847,800.00 $3,031,600.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $2,209,599.54 $3,559,910.38 $2,639,243.90 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 4 — — $72,526.62 $146,124.84 $105,376.79 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 4 4 — — $22,280.00 $97,738.71 $72,461.46 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 4 4 — — $47,201.02 $78,953.00 $61,361.34 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 4 — — $47,201.02 $78,953.00 $61,361.34 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 4 — — $36,418.00 $68,441.49 $50,741.10 2026-04-01
69930 HCPCS Implant Cochlear Device 4 4 — — $35,333.54 $78,953.00 $45,933.60 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 4 — — $33,636.89 $78,953.00 $43,727.96 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 4 — — $33,636.89 $78,953.00 $43,727.96 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 4 — — $33,636.89 $78,953.00 $43,727.96 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 4 — — $33,636.89 $78,953.00 $43,727.96 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 4 — — $33,636.89 $78,953.00 $43,727.96 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 4 — — $33,636.89 $78,953.00 $43,727.96 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 4 — — $33,067.68 $73,109.00 $42,987.99 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $33,067.68 $73,109.00 $42,987.99 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 4 — — $33,067.68 $73,109.00 $42,987.99 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 4 — — $33,067.68 $78,953.00 $42,987.99 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 4 — — $33,067.68 $73,109.00 $42,987.99 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 4 — — $30,737.62 $78,953.00 $39,958.90 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 4 4 — — $36,712.02 $53,232.44 $39,860.17 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 4 4 — — $29,077.32 $66,129.00 $37,800.52 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 4 4 — — $28,845.27 $78,953.00 $37,498.86 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 4 — — $33,067.68 $47,948.14 $37,222.92 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 4 — — $28,009.82 $66,129.00 $36,412.76 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $10,008.00 $47,948.14 $35,547.76 2026-04-01
22630 HCPCS Lumbar Spine Fusion 4 4 — — $29,077.32 $42,162.12 $34,928.46 2026-04-01
22558 HCPCS Lumbar Spine Fusion 4 4 — — $29,077.32 $42,162.12 $34,928.46 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,316,462.59 $4,808,870.75 $3,813,931.98 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,248,445.72 $4,710,246.29 $3,735,712.57 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $110,901.76 $160,807.55 $127,537.02 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 3 3 — — $68,801.71 $99,762.48 $79,121.97 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $49,338.18 $71,540.36 $56,738.91 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $47,919.99 $69,483.99 $55,107.99 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 3 3 — — $47,201.02 $68,441.49 $54,281.18 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 3 3 — — $34,970.13 $50,706.69 $40,215.65 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $33,636.89 $48,773.49 $38,682.42 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $33,067.68 $47,948.14 $38,027.84 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 3 3 — — $33,067.68 $47,948.14 $38,027.84 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 3 3 — — $33,067.68 $47,948.14 $38,027.84 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,685,266.67 $4,238,056.67 $3,961,661.67 2026-04-01
9284 OTHER Ipilimumab Injection 2 1 — — $18,117.54 $163,737.83 $90,927.68 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 2 — — $18,063.38 $146,155.00 $82,109.19 2026-04-01
9483 OTHER Inj, Atezolizumab,10 Mg 2 2 — — $17,553.58 $119,372.99 $68,463.29 2026-04-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 2 2 — — $21,855.57 $101,881.88 $61,868.72 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 2 2 — — $46,159.89 $48,275.96 $47,217.93 2026-04-01
9431 OTHER Inj, Dostarlimab-gxly, 10 Mg 1 1 — — $109,930.43 $109,930.43 $109,930.43 2026-04-01
9432 OTHER Inj, Amivantamab-vmjw 1 1 — — $102,503.82 $102,503.82 $102,503.82 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 1 1 — — $78,953.00 $78,953.00 $78,953.00 2026-04-01
A9699 HCPCS Hc Pluvicto 1 Millicurie 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
33967 HCPCS Hc Insertion Of Intra-aortic Balloon Assist Device, Percutaneous 1 1 — — $73,109.00 $73,109.00 $73,109.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $73,109.00 $73,109.00 $73,109.00 2026-04-01
37231 HCPCS Hc Rvscztn, Endvsc, Opn/Perc, Tib, Peronl Artry, Unilt, Ini Vssl W/Trnslum Stnt … 1 1 — — $73,109.00 $73,109.00 $73,109.00 2026-04-01
0268T HCPCS Hc Implant/Replace Carotid Sinus Baro Activation Device, Pulse Gen 1 1 — — $73,109.00 $73,109.00 $73,109.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $73,109.00 $73,109.00 $73,109.00 2026-04-01
33968 HCPCS Noncdm Charge Record 1 1 — — $73,109.00 $73,109.00 $73,109.00 2026-04-01
1471 OTHER Injection, Pertuzumab, 1 Mg 1 1 — — $71,598.12 $71,598.12 $71,598.12 2026-04-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 1 1 — — $68,416.06 $68,416.06 $68,416.06 2026-04-01
33824 HCPCS Revise Major Vessel 1 1 — — $66,129.00 $66,129.00 $66,129.00 2026-04-01
33820 HCPCS Revise Major Vessel 1 1 — — $66,129.00 $66,129.00 $66,129.00 2026-04-01
33225 HCPCS Hc Insrt Pacing Elec, Card Ven Sys, Lt Vent Pcing, At Time Ins Of Implntble Defi… 1 1 — — $66,129.00 $66,129.00 $66,129.00 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $65,751.75 $65,751.75 $65,751.75 2026-04-01
9150 OTHER Inj Mosunetuzumab-axgb, 1 Mg 1 1 — — $65,059.34 $65,059.34 $65,059.34 2026-04-01
9364 OTHER Inj Enfort Vedo-ejfv 0.25mg 1 1 — — $56,853.81 $56,853.81 $56,853.81 2026-04-01
9029 OTHER Inj., Guselkumab, 1 Mg 1 1 — — $42,966.51 $42,966.51 $42,966.51 2026-04-01
9295 OTHER Injection, Carfilzomib, 1 Mg 1 1 — — $42,579.01 $42,579.01 $42,579.01 2026-04-01
5221 OTHER Level 1 Pacemaker And Similar Procedures 1 1 — — $39,320.62 $39,320.62 $39,320.62 2026-04-01
37233 HCPCS Hc Revsc, Endovsc,Opn/Perc,Tib/Peroneal Art,Unilat,Ea Add Vsl;W Athery,Incl Angi… 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
32652 HCPCS Pr Thrsc Tot Pulm Dcrtctj Intrapleural Pneumonolss-gold,oprm 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
33822 HCPCS Revise Major Vessel 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
32650 HCPCS Pr Thoracoscopy W/pleurodesis-gold 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
37229 HCPCS Hc Revsc,Endovsc,Opn/Perc,Tibial,Peroneal Art,Unilat,Ini Vsl;W Athery,Incl Angio… 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
37230 HCPCS Hc Revas Endvas,Open Or Perc,Tib, Per Art,Uni,Ini Vsl;W Trnl Stnt Plcmt(S),Inc A… 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
92925 HCPCS Hc Perc Translum Coronary Atherec W/Coronary Angioplsty; Ea Add Branch/Major Cor… 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
37221 HCPCS Hc Revsc,Endovsc,Opn/Perc,Iliac Art,Unilat,Ini Vsl;W Translumnl Stnt Plcmnt,Incl… 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
56631 HCPCS Extensive Vulva Surgery 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 1 1 — — $36,418.00 $36,418.00 $36,418.00 2026-04-01
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