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 →

Export CSV
Hospital

PARKVIEW DEKALB HOSPITAL

Auburn, IN · CCN 150045 · Rates published

14,476 distinct procedures filed
26 distinct payers
187,260 rate rows
2026-04-01 last MRF observed
Data quality

120,954 of 187,260 rate rows are consumer-grade (64.6%)

66,306 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 65,919
placeholder amount (≤ $0.02) — excluded from medians 319
template filing: same amount across many unrelated codes — excluded 68
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://parkview.com/-/media/parkview-media/file/price-transparency/334188855_parkview-logansport-hospital_standardcharges.ashx
Found on page https://www.parkview.com/patients-and-visitors/billing-and-insurance/request-an-estimate
Discovered viaCMS hospital list
Last fetch success · 2026-06-22
Content fingerprint 6cc24d9ab7b6e854… · 17,395,311 bytes · first seen 2026-06-22

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 2 $4,505,000.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $4,984,800.00 $4,385,401.72 nat. median
$3,286,000
1.3× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $4,897,200.00 $4,197,679.50 nat. median
$3,006,423
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,974,693.88 $3,979,755.11 nat. median
$3,325,455
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $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 6 $2,455,110.60 $3,965,706.94 $3,498,532.62 nat. median
$2,469,189
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,847,800.00 $3,323,100.00 nat. median
$2,448,600
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $1,541,240.00 $1,098,133.50 nat. median
$824,563
1.3× 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 7 $565,868.94 $1,106,757.66 $848,803.42 nat. median
$675,122
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $1,083,271.32 $843,807.28 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,082,520.90 $835,976.90 nat. median
$625,184
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $1,066,152.96 $799,845.26 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $979,440.00 $733,956.91 nat. median
$620,080
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $422,100.00 $375,637.50 nat. median
$324,450
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $336,677.62 $1,152,030.74 $336,677.62 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $219,078.96 $747,621.60 $219,078.96 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $167,308.52 $569,588.64 $167,308.52 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $166,336.48 $566,245.89 $166,336.48 nat. median
$202,986
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 $121,181.71 $121,181.71 nat. median
$96,983
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $109,132.53 $369,527.65 $109,132.53 nat. median
$133,176
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $102,820.55 $120,116.70 $105,841.78 nat. median
$76,377
1.4× median
7
MS_DRG 		Lung Transplant 11 $102,141.26 $345,485.44 $102,141.26 nat. median
$122,708
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $126,862.11 $97,049.53 nat. median
$69,774
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $94,908.73 $320,613.54 $94,908.73 nat. median
$117,303
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $89,586.15 $302,309.76 $89,586.15 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $89,485.30 $301,962.95 $89,485.30 nat. median
$98,017
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $103,202.56 $87,688.46 nat. median
$70,825
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $87,176.60 $294,023.57 $87,176.60 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $86,035.43 $290,099.24 $86,035.43 nat. median
$102,358
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $107,421.88 $85,236.82 nat. median
$62,507
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $111,891.94 $85,150.85 nat. median
$66,682
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $81,663.18 $275,063.52 $81,663.18 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $78,920.82 $265,632.85 $78,920.82 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $77,569.42 $260,985.54 $77,569.42 nat. median
$93,672
0.8× median
90288
HCPCS 		Botulism Ig IV 1 $76,782.00 $76,782.00 $76,782.00 nat. median
$55,037
1.4× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $74,614.73 $74,614.73 $74,614.73 nat. median
$21,806
outlier · 3.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $71,571.15 $240,358.11 $71,571.15 nat. median
$82,712
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $40,050.00 $99,825.02 $69,877.52 nat. median
$15,912
outlier · 4.4×
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $91,120.78 $69,350.43 nat. median
$60,368
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $68,855.17 $231,018.14 $68,855.17 nat. median
$83,442
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $67,073.99 $224,892.87 $67,073.99 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $66,868.41 $224,185.91 $66,868.41 nat. median
$81,118
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,338.18 $74,007.27 $62,881.99 nat. median
$50,598
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $62,721.13 $209,923.85 $62,721.13 nat. median
$77,576
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $61,243.28 $204,841.69 $61,243.28 nat. median
$74,915
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $47,919.99 $71,879.98 $61,074.49 nat. median
$49,027
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $60,986.50 $203,958.65 $60,986.50 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $60,790.23 $203,283.69 $60,790.23 nat. median
$72,138
0.8× median

Other procedures at this hospital

Browse this hospital's 14,476 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
             
0100T HCPCS Prosth Retina Receive&Gen 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0570T HCPCS Ttvr Perq Ea Addl Prosth 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
0584T HCPCS Perq Islet Cell Transplant 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0585T HCPCS Laps Islet Cell Transplant 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0586T HCPCS Open Islet Cell Transplant 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $40,050.00 $69,902.43 $48,931.70 2026-04-01
0646T HCPCS Ttvi/rplcmt W/prstc Vlv Perq 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $10,284.00 $48,971.64 $34,280.15 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 6 5 — — $12,990.00 $54,368.73 $37,151.96 2026-04-01
0814T HCPCS Prq Njx Biod Osteo Matrl Fem 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0872T HCPCS Rplcmt Ndwllg Bldr&prtl Cath 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0873T HCPCS Revj Subq Prtl Asct Pmp Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $29,226.00 $48,971.64 $34,280.15 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0942T HCPCS Cysto Flx Rmv&rplc Urtl Scaf 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 5 4 — — $28,708.07 $43,062.10 $30,143.47 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 5 4 — — $28,708.07 $43,062.10 $30,143.47 2026-04-01
0968T HCPCS Insj/rplcmt Epcrnl Nstim Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 11 — — $219,078.96 $747,621.60 $219,078.96 2026-04-01
10 MS_DRG Pancreas Transplant 18 11 — — $57,344.25 $191,433.32 $57,344.25 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 11 — — $43,988.54 $145,504.48 $43,988.54 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 11 — — $34,383.69 $112,474.45 $34,383.69 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 11 — — $94,908.73 $320,613.54 $94,908.73 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 11 — — $34,766.15 $113,789.67 $34,766.15 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 11 — — $30,742.21 $99,951.79 $30,742.21 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 11 — — $47,678.11 $158,192.54 $47,678.11 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 11 — — $36,445.70 $119,565.46 $36,445.70 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 11 — — $30,673.17 $99,714.36 $30,673.17 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 11 — — $43,819.42 $144,922.90 $43,819.42 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 11 — — $336,677.62 $1,152,030.74 $336,677.62 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 11 — — $57,025.40 $190,336.86 $57,025.40 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 11 — — $89,586.15 $302,309.76 $89,586.15 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 11 — — $62,721.13 $209,923.85 $62,721.13 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 5 4 — — $28,708.07 $43,062.10 $38,755.89 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 11 — — $51,595.77 $171,664.93 $51,595.77 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 11 — — $89,485.30 $301,962.95 $89,485.30 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 11 — — $42,744.97 $141,228.00 $42,744.97 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 11 — — $86,035.43 $290,099.24 $86,035.43 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 5 4 — — $28,708.07 $43,062.10 $38,755.89 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 11 — — $45,949.69 $152,248.68 $45,949.69 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 11 — — $78,920.82 $265,632.85 $78,920.82 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 11 — — $77,569.42 $260,985.54 $77,569.42 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 11 — — $52,686.50 $175,415.85 $52,686.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 11 — — $52,686.50 $175,415.85 $52,686.50 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 11 — — $61,243.28 $204,841.69 $61,243.28 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 11 — — $43,047.52 $142,268.44 $43,047.52 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 11 — — $40,777.61 $134,462.46 $40,777.61 2026-04-01
22558 HCPCS Lumbar Spine Fusion 5 4 — — $10,284.00 $43,062.10 $30,143.47 2026-04-01
22630 HCPCS Lumbar Spine Fusion 5 4 — — $28,708.07 $43,062.10 $30,143.47 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 5 4 — — $28,708.07 $43,062.10 $30,143.47 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 11 — — $40,057.69 $131,986.74 $40,057.69 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 11 — — $46,131.22 $152,872.94 $46,131.22 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 11 — — $67,073.99 $224,892.87 $67,073.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 11 — — $48,709.12 $161,738.04 $48,709.12 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 11 — — $60,986.50 $203,958.65 $60,986.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 11 — — $44,055.25 $145,733.91 $44,055.25 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 11 — — $47,204.12 $156,562.51 $47,204.12 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 11 — — $34,172.68 $111,748.81 $34,172.68 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 11 — — $39,858.32 $131,301.11 $39,858.32 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 11 — — $32,024.57 $104,361.67 $32,024.57 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 11 — — $37,070.97 $121,715.71 $37,070.97 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 11 — — $36,949.17 $121,296.86 $36,949.17 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 11 — — $29,746.12 $96,526.34 $29,746.12 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 11 — — $49,219.57 $163,493.46 $49,219.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 11 — — $38,610.10 $127,008.62 $38,610.10 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 11 — — $55,033.99 $183,488.62 $55,033.99 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 11 — — $34,439.55 $112,666.53 $34,439.55 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 11 — — $42,609.21 $140,761.13 $42,609.21 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 11 — — $29,265.92 $94,874.97 $29,265.92 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 11 — — $33,681.62 $110,060.09 $33,681.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 11 — — $56,992.82 $190,224.81 $56,992.82 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 11 — — $48,274.68 $160,244.07 $48,274.68 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 11 — — $37,506.18 $123,212.34 $37,506.18 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 5 4 — — $10,284.00 $43,062.10 $30,143.47 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $44,858.18 $148,495.08 $44,858.18 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $29,654.58 $96,211.54 $29,654.58 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 11 — — $48,287.87 $160,289.43 $48,287.87 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 11 — — $166,336.48 $566,245.89 $166,336.48 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 11 — — $36,435.61 $119,530.78 $36,435.61 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 11 — — $53,549.16 $178,382.45 $53,549.16 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 11 — — $36,299.07 $119,061.25 $36,299.07 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 11 — — $35,247.90 $115,446.38 $35,247.90 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 11 — — $40,368.00 $133,053.86 $40,368.00 2026-04-01
32851 HCPCS Lung Transplant Single 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
32853 HCPCS Lung Transplant Double 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 11 — — $37,335.51 $122,625.43 $37,335.51 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 11 — — $29,765.51 $96,593.03 $29,765.51 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $40,050.00 $69,902.43 $48,931.70 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 4 — — $30,347.28 $45,520.92 $40,050.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33415 HCPCS Revision Subvalvular Tissue 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33416 HCPCS Revise Ventricle Muscle 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33420 HCPCS Revision Of Mitral Valve 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33425 HCPCS Repair Of Mitral Valve 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33426 HCPCS Repair Of Mitral Valve 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33427 HCPCS Repair Of Mitral Valve 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33430 HCPCS Replacement Of Mitral Valve 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33440 HCPCS Rplcmt A-valve Tlcj Autol Pv 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 11 — — $29,379.18 $95,264.47 $29,379.18 2026-04-01
33736 HCPCS Revision Of Heart Chamber 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33845 HCPCS Remove Aorta Constriction 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33851 HCPCS Remove Aorta Constriction 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33852 HCPCS Repair Septal Defect 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33853 HCPCS Repair Septal Defect 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33859 HCPCS As-aort Grf F/ds Oth/thn Dsj 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33863 HCPCS Ascending Aortic Graft 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33864 HCPCS Ascending Aortic Graft 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33871 HCPCS Transvrs A-arch Grf Hypthrm 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33875 HCPCS Thoracic Aortic Graft 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33877 HCPCS Thoracoabdominal Graft 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33880 HCPCS Endovasc Taa Repr Incl Subcl 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33881 HCPCS Endovasc Taa Repr Without Subcl 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33883 HCPCS Insert Endovasc Prosth Taa 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33945 HCPCS Transplantation Of Heart 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 11 — — $31,704.95 $103,262.53 $31,704.95 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 11 — — $35,755.26 $117,191.12 $35,755.26 2026-04-01
37221 HCPCS Iliac Revasc W/stent 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 1 1 — — $29,226.00 $29,226.00 $29,226.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $40,050.00 $99,825.02 $69,877.52 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 11 — — $109,132.53 $369,527.65 $109,132.53 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 11 — — $31,631.25 $103,009.09 $31,631.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 11 — — $32,867.05 $107,258.90 $32,867.05 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 11 — — $44,115.76 $145,942.00 $44,115.76 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 11 — — $29,338.06 $95,123.08 $29,338.06 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 11 — — $29,314.79 $95,043.04 $29,314.79 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 11 — — $33,894.95 $110,793.73 $33,894.95 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $87,176.60 $294,023.57 $87,176.60 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $57,677.05 $192,577.81 $57,677.05 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $45,291.06 $149,983.72 $45,291.06 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 11 — — $71,571.15 $240,358.11 $71,571.15 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 11 — — $46,416.71 $153,854.69 $46,416.71 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 11 — — $53,511.15 $178,251.72 $53,511.15 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 11 — — $34,576.08 $113,136.06 $34,576.08 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 11 — — $43,022.70 $142,183.07 $43,022.70 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $66,868.41 $224,185.91 $66,868.41 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $47,937.22 $159,083.58 $47,937.22 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $34,047.01 $111,316.62 $34,047.01 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 11 — — $44,523.04 $147,342.59 $44,523.04 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 11 — — $45,892.28 $152,051.26 $45,892.28 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 11 — — $42,059.19 $138,869.66 $42,059.19 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 11 — — $39,136.85 $128,820.06 $39,136.85 2026-04-01
47135 HCPCS Transplantation Of Liver 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 11 — — $34,980.26 $114,525.99 $34,980.26 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 11 — — $30,160.38 $97,950.94 $30,160.38 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 11 — — $29,804.30 $96,726.42 $29,804.30 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 11 — — $81,663.18 $275,063.52 $81,663.18 2026-04-01
50360 HCPCS Transplantation Of Kidney 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 11 — — $30,670.07 $99,703.69 $30,670.07 2026-04-01
53444 HCPCS Insert Tandem Cuff 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 5 4 — — $21,928.45 $40,050.00 $29,603.40 2026-04-01
54438 HCPCS Replantation Of Penis 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $47,885.28 $47,885.28 $47,885.28 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 11 — — $52,501.09 $174,778.25 $52,501.09 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 11 — — $39,699.29 $130,754.21 $39,699.29 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 11 — — $37,649.70 $123,705.89 $37,649.70 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 11 — — $28,731.41 $93,036.86 $29,449.69 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 11 — — $29,288.41 $94,952.34 $29,288.41 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 11 — — $30,588.61 $99,423.57 $30,588.61 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 4 — — $40,050.00 $69,902.43 $48,931.70 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $32,647.76 $48,971.64 $39,177.31 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 11 — — $38,149.29 $125,423.95 $38,149.29 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 11 — — $30,425.70 $98,863.33 $30,425.70 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 11 — — $41,989.37 $138,629.56 $41,989.37 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 11 — — $34,271.98 $112,090.28 $34,271.98 2026-04-01
69930 HCPCS Implant Cochlear Device 5 4 — — $34,884.84 $52,327.26 $40,050.00 2026-04-01
7 MS_DRG Lung Transplant 18 11 — — $102,141.26 $345,485.44 $102,141.26 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 11 — — $29,407.11 $95,360.51 $29,407.11 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 11 — — $29,471.50 $95,581.94 $29,471.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 11 — — $47,785.17 $158,560.69 $47,785.17 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 11 — — $33,165.73 $108,286.00 $33,165.73 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 11 — — $34,023.73 $111,236.59 $34,023.73 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 11 — — $36,811.08 $120,821.99 $36,811.08 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 11 — — $45,156.08 $149,519.52 $45,156.08 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 11 — — $32,584.67 $106,287.82 $32,584.67 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 11 — — $47,174.64 $156,461.13 $47,174.64 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 11 — — $37,244.74 $122,313.29 $37,244.74 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 11 — — $37,966.21 $124,794.35 $37,966.21 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 11 — — $44,266.26 $146,459.55 $44,266.26 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 11 — — $38,947.56 $128,169.12 $38,947.56 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 11 — — $68,855.17 $231,018.14 $68,855.17 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 11 — — $8,221.14 $131,751.97 $39,989.43 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 11 — — $34,997.12 $121,350.22 $36,964.69 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 11 — — $55,296.98 $184,393.00 $55,296.98 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 11 — — $31,659.95 $103,107.80 $31,659.95 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 11 — — $34,233.19 $111,956.89 $34,233.19 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $76,782.00 $76,782.00 $76,782.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 11 — — $30,172.02 $97,990.96 $30,172.02 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 11 — — $31,461.35 $102,424.85 $31,461.35 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 11 — — $167,308.52 $569,588.64 $167,308.52 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 11 — — $57,320.97 $191,353.29 $57,320.97 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 11 — — $31,887.25 $103,889.47 $31,887.25 2026-04-01
93583 HCPCS Perq Transcath Septal Reduxn 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 4 — — $27,654.12 $41,481.18 $37,333.06 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 4 — — $27,654.12 $41,481.18 $37,333.06 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 4 — — $27,654.12 $41,481.18 $37,333.06 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 11 — — $29,826.02 $96,801.12 $29,826.02 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 11 — — $53,895.16 $179,572.29 $53,895.16 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 11 — — $30,869.44 $100,389.31 $30,869.44 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 11 — — $60,790.23 $203,283.69 $60,790.23 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 11 — — $34,367.40 $112,418.42 $34,367.40 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 11 — — $49,164.49 $163,304.04 $49,164.49 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 11 — — $29,696.47 $96,355.60 $29,696.47 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 11 — — $38,074.82 $125,167.84 $38,074.82 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 6 — — $56,824.55 $107,421.88 $85,236.82 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 5 4 — — $28,478.97 $42,718.45 $29,902.92 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,685,266.67 $4,975,110.00 $3,869,530.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,316,462.59 $4,974,693.88 $3,979,755.11 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,730,250.00 $4,617,625.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 6 — — $2,332,000.00 $3,847,800.00 $3,323,100.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,945,740.00 $4,897,200.00 $4,197,679.50 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $4,984,800.00 $4,385,401.72 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,455,110.60 $3,965,706.94 $3,498,532.62 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $102,820.55 $120,116.70 $105,841.78 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 7 — — $63,342.28 $126,862.11 $97,049.53 2026-04-01
J9226 HCPCS Supprelin La Implant 10 7 — — $45,020.65 $91,120.78 $69,350.43 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 7 — — $28,424.06 $56,848.12 $43,518.65 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 6 — — $24,228.42 $39,976.89 $36,342.63 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $121,181.71 $121,181.71 $121,181.71 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 4 — — $39,537.89 $59,306.84 $50,391.42 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 4 — — $29,559.78 $44,339.67 $37,674.23 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 5 4 — — $29,510.19 $44,265.28 $37,611.03 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 4 — — $29,420.21 $44,130.32 $37,496.34 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $47,919.99 $71,879.98 $61,074.49 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,338.18 $74,007.27 $62,881.99 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $30,728.19 $30,728.19 $30,728.19 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 4 — — $34,970.13 $52,455.19 $44,569.77 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $103,202.56 $87,688.46 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $110,901.76 $166,352.64 $141,345.39 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 5 4 — — $23,087.32 $34,630.98 $29,425.02 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $533,230.17 $1,066,152.96 $799,845.26 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $591,726.20 $1,156,649.16 $887,589.30 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 7 — — $55,272.32 $111,891.94 $85,150.85 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $489,304.61 $979,440.00 $733,956.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $562,538.19 $1,083,271.32 $843,807.28 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $557,317.93 $1,082,520.90 $835,976.90 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $565,868.94 $1,106,757.66 $848,803.42 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 8 6 — — $770,620.00 $1,541,240.00 $1,098,133.50 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $278,250.00 $422,100.00 $375,637.50 2026-04-01
See an error in this hospital's data? Submit a correction