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

PARKVIEW REGIONAL MEDICAL CENTER

Fort Wayne, IN · CCN 150021 · Rates published

14,722 distinct procedures filed
34 distinct payers
483,855 rate rows
2026-04-01 last MRF observed
Data quality

297,126 of 483,855 rate rows are consumer-grade (61.4%)

186,729 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 183,353
template filing: same amount across many unrelated codes — excluded 2,699
placeholder amount (≤ $0.02) — excluded from medians 677
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://parkview.com/-/media/parkview-media/file/price-transparency/350868085_parkview-regional-medical-center_standardcharges.ashx
Found on page https://www.parkview.com/patients-and-visitors/billing-and-insurance/request-an-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 77cca31dcc36703d… · 38,858,348 bytes · first seen 2026-05-13

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 $4,505,000.00 $4,955,500.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $4,897,200.00 $4,197,679.50 nat. median
$3,006,423
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,975,110.00 $3,869,530.00 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.60 $4,910,221.21 $3,682,665.91 nat. median
$2,469,189
1.5× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $4,984,800.00 $3,573,290.29 nat. median
$3,286,000
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $4,664,000.00 $3,498,000.00 nat. median
$2,448,600
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $4,974,693.88 $3,482,285.72 nat. median
$3,325,455
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,541,240.00 $1,155,930.00 nat. median
$824,563
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,156,649.16 $887,589.30 nat. median
$754,974
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.94 $1,131,737.89 $848,803.42 nat. median
$675,122
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $1,125,076.37 $843,807.28 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $557,317.93 $1,114,635.87 $835,976.90 nat. median
$625,184
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,230.17 $1,066,460.34 $799,845.26 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $979,440.00 $734,580.00 nat. median
$620,080
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $335,641.30 $1,152,030.74 $347,198.75 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $556,500.00 $340,856.25 nat. median
$324,450
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $202,483.87 $747,621.60 $225,690.77 nat. median
$265,286
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $164,067.36 $630,209.72 $179,754.72 nat. median
$202,986
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $165,948.24 $569,588.64 $172,199.33 nat. median
$206,368
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,901.76 $166,352.64 $141,345.39 nat. median
$111,989
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $121,181.71 $139,825.05 $139,825.05 nat. median
$96,983
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $66,047.57 $369,527.65 $113,406.26 nat. median
$133,176
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $102,820.55 $148,099.50 $105,841.78 nat. median
$76,377
1.4× median
7
MS_DRG 		Lung Transplant 15 $100,656.32 $345,485.44 $104,865.71 nat. median
$122,708
0.9× median
C7535
HCPCS 		Fem/pop Revasc W/stent & US 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$6,056
outlier · 16.5×
0585T
HCPCS 		Laps Islet Cell Transplant 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$7,273
outlier · 13.8×
93583
HCPCS 		Perq Transcath Septal Reduxn 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$7,072
outlier · 14.2×
C7534
HCPCS 		Fem/pop Revasc W/arthr & US 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$5,986
outlier · 16.7×
0871T
HCPCS 		Rplcmt Subq Prtl Ascites Pmp 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$9,048
outlier · 11.1×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$30,333
outlier · 3.3×
C7539
HCPCS 		Insrt A & V Pm W/l Vent Lead 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$7,411
outlier · 13.5×
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$42,941
outlier · 2.3×
22860
HCPCS 		Tot Disc Arthrp 2ntrspc Lmbr 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$3,350
outlier · 29.9×
61889
HCPCS 		Ins Sk-mnt Crnl Nstm Pg/rcvr 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$3,824
outlier · 26.2×
50380
HCPCS 		Reimplantation Of Kidney 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$3,700
outlier · 27.1×
47135
HCPCS 		Transplantation Of Liver 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$6,112
outlier · 16.4×
50360
HCPCS 		Transplantation Of Kidney 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$3,824
outlier · 26.2×
54438
HCPCS 		Replantation Of Penis 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$4,020
outlier · 24.9×
G0343
HCPCS 		Laparotomy Islet Cell Transp 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$3,703
outlier · 27.0×
37229
HCPCS 		Tib/per Revasc W/ather 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$16,929
outlier · 5.9×
33935
HCPCS 		Transplantation Heart/lung 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$5,452
outlier · 18.4×
33929
HCPCS 		Rmvl Rplcmt Hrt Sys F/trnspl 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$4,690
outlier · 21.3×
33945
HCPCS 		Transplantation Of Heart 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$5,401
outlier · 18.5×
37230
HCPCS 		Tib/per Revasc W/stent 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$16,861
outlier · 5.9×
0942T
HCPCS 		Cysto Flx Rmv&rplc Urtl Scaf 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$9,586
outlier · 10.4×
37227
HCPCS 		Fem/popl Revasc Stnt & Ather 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$18,025
outlier · 5.6×
33737
HCPCS 		Revision Of Heart Chamber 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$3,875
outlier · 25.8×
48554
HCPCS 		Transpl Allograft Pancreas 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$4,384
outlier · 22.8×
50365
HCPCS 		Transplantation Of Kidney 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$4,261
outlier · 23.5×
33736
HCPCS 		Revision Of Heart Chamber 1 $40,050.00 $100,125.00 $100,125.00 nat. median
$3,595
outlier · 27.9×

Other procedures at this hospital

Browse this hospital's 14,722 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
             
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 1 — — $121,181.71 $139,825.05 $139,825.05 2026-04-01
33736 HCPCS Revision Of Heart Chamber 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0873T HCPCS Revj Subq Prtl Asct Pmp Sys 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
93583 HCPCS Perq Transcath Septal Reduxn 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0872T HCPCS Rplcmt Ndwllg Bldr&prtl Cath 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
47135 HCPCS Transplantation Of Liver 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33945 HCPCS Transplantation Of Heart 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0586T HCPCS Open Islet Cell Transplant 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0942T HCPCS Cysto Flx Rmv&rplc Urtl Scaf 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0968T HCPCS Insj/rplcmt Epcrnl Nstim Sys 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
32853 HCPCS Lung Transplant Double 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0585T HCPCS Laps Islet Cell Transplant 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
54438 HCPCS Replantation Of Penis 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0814T HCPCS Prq Njx Biod Osteo Matrl Fem 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0584T HCPCS Perq Islet Cell Transplant 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
32851 HCPCS Lung Transplant Single 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 3 1 — — $40,050.00 $100,125.00 $100,125.00 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $76,782.00 $76,782.00 $76,782.00 2026-04-01
9396 OTHER Afamelanotide Implant, 1 Mg 2 1 — — $76,025.38 $76,025.38 $76,025.38 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
33692 HCPCS Repair Of Heart Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33694 HCPCS Repair Of Heart Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33305 HCPCS Repair Of Heart Wound 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33697 HCPCS Repair Of Heart Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
C9751 HCPCS Microwave Bronch, 3d, Ebus 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33702 HCPCS Repair Of Heart Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33310 HCPCS Exploratory Heart Surgery 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33362 HCPCS Replace Aortic Valve Open 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33688 HCPCS Repair Heart Septum Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33975 HCPCS Implant Ventricular Device 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33910 HCPCS Remove Lung Artery Emboli 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33676 HCPCS Close Mult Vsd W/resection 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33681 HCPCS Repair Heart Septum Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33915 HCPCS Remove Lung Artery Emboli 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33665 HCPCS Repair Of Heart Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33670 HCPCS Repair Of Heart Chambers 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33988 HCPCS Insertion Of Left Heart Vent 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33361 HCPCS Replace Aortic Valve Perq 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33684 HCPCS Repair Heart Septum Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0545T HCPCS Tcat Tv Annulus Rcnstj 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33363 HCPCS Replace Aortic Valve Open 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33675 HCPCS Close Mult Vsd 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33617 HCPCS Repair Single Ventricle 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0952T HCPCS Tot Impl Amei Rev/rplc Mstdc 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
51721 HCPCS Ins Trurl Ablt Trnsdc Thr US 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33619 HCPCS Repair Single Ventricle 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33895 HCPCS Evasc St Rpr Thrc/aa X Crsg 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
C7515 HCPCS Cath/angio Dial Cir W/embol 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
C7530 HCPCS Cath/aplasty Dial Cir W/stnt 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33881 HCPCS Endovasc Taa Repr Without Subcl 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33883 HCPCS Insert Endovasc Prosth Taa 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33884 HCPCS Endovasc Prosth Taa Add-on 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33897 HCPCS Perq Trluml Angp Nt/recr Coa 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33980 HCPCS Remove Intracorporeal Device 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0951T HCPCS Tot Impl Amei 1st Plmt 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33622 HCPCS Redo Compl Cardiac Anomaly 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33871 HCPCS Transvrs A-arch Grf Hypthrm 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33600 HCPCS Closure Of Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33602 HCPCS Closure Of Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33572 HCPCS Open Coronary Endarterectomy 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33364 HCPCS Replace Aortic Valve Open 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33875 HCPCS Thoracic Aortic Graft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
22632 HCPCS Spine Fusion Extra Segment 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33340 HCPCS Perq Clsr Tcat L Atr Apndge 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34701 HCPCS Evasc Rpr A-ao Ndgft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33976 HCPCS Implant Ventricular Device 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33608 HCPCS Repair Anomaly W/conduit 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
43283 HCPCS Lap Esoph Lengthening 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33720 HCPCS Repair Of Heart Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33989 HCPCS Removal Of Left Heart Vent 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
C7531 HCPCS Angio Fem/pop With US 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33533 HCPCS Cabg Arterial Single 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0483T HCPCS Tmvi Percutaneous Approach 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33534 HCPCS Cabg Arterial Two 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33536 HCPCS Cabg Arterial Four Or More 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33535 HCPCS Cabg Arterial Three 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33853 HCPCS Repair Septal Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33523 HCPCS Cabg Art-vein Six Or More 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33641 HCPCS Repair Heart Septum Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33859 HCPCS As-aort Grf F/ds Oth/thn Dsj 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33530 HCPCS Coronary Artery Bypass/reop 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33518 HCPCS Cabg Artery-vein Two 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33519 HCPCS Cabg Artery-vein Three 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33521 HCPCS Cabg Artery-vein Four 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33542 HCPCS Removal Of Heart Lesion 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0659T HCPCS Tcat Intra-c Nfs Supersat O2 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33606 HCPCS Anastomosis/artery-aorta 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
37228 HCPCS Tib/per Revasc W/tla 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33852 HCPCS Repair Septal Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33978 HCPCS Remove Ventricular Device 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33612 HCPCS Repair Double Ventricle 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33877 HCPCS Thoracoabdominal Graft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33611 HCPCS Repair Double Ventricle 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33610 HCPCS Repair By Enlargement 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33880 HCPCS Endovasc Taa Repr Incl Subcl 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33889 HCPCS Artery Transpose/endovas Taa 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33894 HCPCS Evasc St Rpr Thrc/aa Acrs Br 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33517 HCPCS Cabg Artery-vein Single 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33886 HCPCS Endovasc Prosth Delayed 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33522 HCPCS Cabg Artery-vein Five 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33891 HCPCS Car-car Bp Grft/endovas Taa 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0953T HCPCS Tot Impl Amei Rev/rplc Without 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33615 HCPCS Repair Modified Fontan 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33545 HCPCS Repair Of Heart Damage 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33863 HCPCS Ascending Aortic Graft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33512 HCPCS Cabg Vein Three 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33513 HCPCS Cabg Vein Four 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33845 HCPCS Remove Aorta Constriction 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33710 HCPCS Repair Of Heart Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33647 HCPCS Repair Heart Septum Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33660 HCPCS Repair Of Heart Defects 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0553T HCPCS Perq Tcat Iliac Anast Implt 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33315 HCPCS Exploratory Heart Surgery 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0570T HCPCS Ttvr Perq Ea Addl Prosth 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33514 HCPCS Cabg Vein Five 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33982 HCPCS Replace Vad Intra Without Bp 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34502 HCPCS Reconstruct Vena Cava 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33677 HCPCS Cl Mult Vsd W/rem Pul Band 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0806T HCPCS Tcat S&ivc Prstc Vl Impl Opn 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
37221 HCPCS Iliac Revasc W/stent 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33507 HCPCS Repair Art Intramural 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33506 HCPCS Repair Artery Translocation 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33511 HCPCS Cabg Vein Two 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33504 HCPCS Coronary Artery Graft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33505 HCPCS Repair Artery W/tunnel 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0613T HCPCS Perq Tcat Intratrl Septl Sht 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33510 HCPCS Cabg Vein Single 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33516 HCPCS Cabg Vein Six Or More 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33995 HCPCS Insj Perq Vad R Hrt Venous 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34830 HCPCS Open Aortic Tube Prosth Repr 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34832 HCPCS Open Aortofemor Prosth Repr 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33864 HCPCS Ascending Aortic Graft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0569T HCPCS Ttvr Perq Appr 1st Prosth 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33300 HCPCS Repair Of Heart Wound 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33851 HCPCS Remove Aorta Constriction 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34831 HCPCS Open Aortoiliac Prosth Repr 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
43279 HCPCS Lap Myotomy Heller 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33478 HCPCS Revision Of Heart Chamber 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
22226 HCPCS Revise Extra Spine Segment 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33501 HCPCS Repair Heart Vessel Fistula 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33476 HCPCS Revision Of Heart Chamber 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33475 HCPCS Replacement Pulmonary Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33500 HCPCS Repair Heart Vessel Fistula 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33813 HCPCS Repair Septal Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33203 HCPCS Insert Epicard Eltrd Endo 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33471 HCPCS Valvotomy Pulmonary Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33474 HCPCS Revision Of Pulmonary Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33120 HCPCS Removal Of Heart Lesion 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33202 HCPCS Insert Epicard Eltrd Open 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34706 HCPCS Evasc Rpr A-biiliac Rpt 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33463 HCPCS Valvuloplasty Tricuspid 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33460 HCPCS Revision Of Tricuspid Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33464 HCPCS Valvuloplasty Tricuspid 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33465 HCPCS Replace Tricuspid Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33440 HCPCS Rplcmt A-valve Tlcj Autol Pv 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33503 HCPCS Coronary Artery Graft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34717 HCPCS Evasc Rpr A-iliac Ndgft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33426 HCPCS Repair Of Mitral Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32666 HCPCS Thoracoscopy W/wedge Resect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
34705 HCPCS Evac Rpr A-biiliac Ndgft 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33814 HCPCS Repair Septal Defect 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33977 HCPCS Remove Ventricular Device 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33468 HCPCS Revision Of Tricuspid Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33502 HCPCS Coronary Artery Correction 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33979 HCPCS Insert Intracorporeal Device 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32503 HCPCS Resect Apical Lung Tumor 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0805T HCPCS Tcat S&ivc Prstc Vl Impl Prq 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33417 HCPCS Repair Of Aortic Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32504 HCPCS Resect Apical Lung Tum/chest 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33427 HCPCS Repair Of Mitral Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32540 HCPCS Removal Of Lung Lesion 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0543T HCPCS Ta Mv Rpr W/artif Chord Tend 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32501 HCPCS Repair Bronchus Add-on 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33993 HCPCS Reposition Vad Diff Session 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32906 HCPCS Revise & Repair Chest Wall 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0235T HCPCS Trluml Perip Athrc Visceral 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32905 HCPCS Revise & Repair Chest Wall 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
33430 HCPCS Replacement Of Mitral Valve 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
32940 HCPCS Revision Of Lung 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
0345T HCPCS Transcath Mtral Vlve Repair 3 1 — — $47,628.00 $50,875.00 $47,628.00 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 4 2 — — $26,742.65 $92,432.69 $59,587.67 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 3 — — $102,820.55 $148,099.50 $105,841.78 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 6 3 — — $46,601.62 $69,902.43 $48,931.70 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 4 — — $4,505,000.00 $4,955,500.00 $4,617,625.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 13 4 — — $110,901.76 $166,352.64 $141,345.39 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 13 4 — — $68,801.71 $103,202.56 $87,688.46 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 13 4 — — $40,050.00 $100,125.00 $69,877.52 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 13 4 — — $49,338.18 $74,007.27 $62,881.99 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 13 4 — — $47,919.99 $71,879.98 $61,074.49 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 13 4 — — $39,537.89 $59,306.84 $50,391.42 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 4 — — $40,050.00 $100,125.00 $48,931.70 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 4 — — $40,050.00 $100,125.00 $48,931.70 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 4 — — $40,050.00 $100,125.00 $48,931.70 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 5 — — $3,685,266.67 $4,975,110.00 $3,869,530.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 5 — — $3,316,462.59 $4,974,693.88 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 6 — — $3,248,445.72 $4,984,800.00 $3,573,290.29 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 18 7 — — $2,945,740.00 $4,897,200.00 $4,197,679.50 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 25 7 — — $770,620.00 $1,541,240.00 $1,155,930.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 25 7 — — $591,726.20 $1,156,649.16 $887,589.30 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 7 — — $278,250.00 $556,500.00 $340,856.25 2026-04-01
5378 OTHER Level 8 Urology And Related Services 16 7 — — $18,563.28 $154,652.06 $56,203.05 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 19 8 — — $2,455,110.60 $4,910,221.21 $3,682,665.91 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 19 8 — — $2,332,000.00 $4,664,000.00 $3,498,000.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 28 8 — — $565,868.94 $1,131,737.89 $848,803.42 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 28 8 — — $562,538.19 $1,125,076.37 $843,807.28 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 28 8 — — $557,317.93 $1,114,635.87 $835,976.90 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 8 — — $533,230.17 $1,066,460.34 $799,845.26 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 28 8 — — $489,304.61 $979,440.00 $734,580.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 32 8 — — $63,342.28 $142,719.86 $99,085.64 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 32 8 — — $55,272.32 $125,878.43 $87,393.20 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 23 8 — — $56,824.55 $150,310.46 $85,236.82 2026-04-01
J9226 HCPCS Supprelin La Implant 32 8 — — $45,020.65 $102,510.88 $71,169.89 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 48 13 — — $4,080.00 $281,930.92 $48,836.76 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 80 15 — — $335,641.30 $1,152,030.74 $347,198.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 88 15 — — $202,483.87 $747,621.60 $225,690.77 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 80 15 — — $165,948.24 $569,588.64 $172,199.33 2026-04-01
7 MS_DRG Lung Transplant 80 15 — — $100,656.32 $345,485.44 $104,865.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 80 15 — — $93,409.96 $320,613.54 $97,392.75 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 80 15 — — $88,077.20 $302,309.76 $91,893.23 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 80 15 — — $87,976.16 $301,962.95 $91,789.03 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 15 — — $80,615.44 $427,339.19 $89,403.58 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 84 15 — — $83,932.51 $438,014.66 $88,224.48 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 80 15 — — $80,139.07 $275,063.52 $83,706.88 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 15 — — $71,986.29 $308,270.95 $79,477.04 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 88 15 — — $64,502.12 $399,508.09 $73,279.36 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 84 15 — — $13,387.60 $231,018.14 $70,473.09 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 84 15 — — $65,521.98 $307,027.24 $68,632.71 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 98 15 — — $61,160.79 $330,755.30 $66,064.08 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 15 — — $54,927.81 $385,481.64 $59,942.57 2026-04-01
10 MS_DRG Pancreas Transplant 80 15 — — $55,773.62 $191,433.32 $58,579.52 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 80 15 — — $55,750.31 $191,353.29 $58,555.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 80 15 — — $55,454.17 $190,336.86 $58,250.07 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 92 15 — — $52,435.84 $192,188.20 $58,216.41 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 90 15 — — $52,265.56 $333,437.34 $56,192.46 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 86 15 — — $49,740.90 $178,382.45 $54,658.27 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 15 — — $51,106.97 $175,415.85 $53,766.94 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 86 15 — — $47,422.68 $249,890.43 $53,766.94 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 80 15 — — $50,921.21 $174,778.25 $53,575.36 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 98 15 — — $37,441.06 $164,752.43 $50,184.76 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 80 15 — — $47,578.23 $163,304.04 $50,127.85 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 84 15 — — $47,121.98 $161,738.04 $49,657.33 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 90 15 — — $46,699.93 $162,188.90 $49,222.08 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 88 15 — — $46,533.64 $258,256.08 $49,208.45 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 80 15 — — $46,089.00 $158,192.54 $48,592.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 90 15 — — $44,033.43 $156,461.13 $48,071.84 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 102 16 — — $66,047.57 $369,527.65 $113,406.26 2026-04-01
215 MS_DRG Other Heart Assist System Implant 98 16 — — $17,946.47 $368,918.62 $81,088.96 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 88 16 — — $54,322.40 $224,185.91 $68,420.29 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 98 16 — — $57,701.70 $203,283.69 $63,177.25 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 108 16 — — $1,355.14 $203,141.92 $56,464.19 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 90 16 — — $50,913.20 $260,162.79 $56,013.08 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 98 16 — — $51,388.11 $439,487.05 $54,619.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 112 16 — — $43,473.28 $172,531.96 $52,639.94 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 16 — — $42,936.72 $366,439.29 $48,859.77 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 112 16 — — $7,801.90 $269,351.14 $48,624.37 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 112 17 — — $164,067.36 $630,209.72 $179,754.72 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 104 17 — — $10,891.94 $447,219.95 $62,608.17 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 104 17 — — $59,422.85 $229,139.75 $62,342.85 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 110 17 — — $43,387.13 $222,754.77 $49,859.82 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 119 19 — — $703.24 $786,429.87 $48,702.67 2026-04-01
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