Price Transparencybeta 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

UCHICAGO MEDICINE NORTHWEST INDIANA

Crown Point, IN · CCN 150195 · Rates published

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This hospital’s price: $811 across 3 payers · range $580-$1,739

Source: https://edge.sitecorecloud.io/unichicagomc-81nbqnb3/media/files/pricing-transparency/2026/922355855_uchicago-medicine-northwest-indiana_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,883 distinct procedures filed
10 distinct payers
113,473 rate rows
2026-04-01 last MRF observed
Data quality

93,887 of 113,473 rate rows are consumer-grade (82.7%)

19,586 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 17,229
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,566
placeholder amount (≤ $0.02) — excluded from medians 641
template filing: same amount across many unrelated codes — excluded 136
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/unichicagomc-81nbqnb3/media/files/pricing-transparency/2026/922355855_uchicago-medicine-northwest-indiana_standardcharges.json
Found on page https://www.uchicagomedicine.org/patients-visitors/patient-information/billing/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-09-05
Content fingerprint b84eadb1dd89d243… · 24,502,481 bytes · first seen 2026-09-05

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 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,691,450.00 $4,614,312.50 $4,152,881.25 nat. median
$3,703,693
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,930,260.34 $4,868,633.01 $4,102,364.48 nat. median
$2,994,107
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,316,897.12 $4,146,121.40 $3,731,509.26 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,235,303.98 $4,044,129.98 $3,639,716.98 nat. median
$3,286,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,680,037.38 $4,154,057.94 $3,350,046.73 nat. median
$2,466,282
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,300,906.67 $3,847,800.00 $3,221,269.33 nat. median
$2,401,960
1.3× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $813,967.38 $2,441,902.12 $1,261,649.43 nat. median
$809,217
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $611,693.17 $1,835,079.51 $948,124.42 nat. median
$738,272
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $587,977.76 $1,763,933.26 $911,365.52 nat. median
$646,415
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $579,570.61 $1,738,711.84 $893,698.84 nat. median
$640,950
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $567,977.78 $1,703,933.34 $880,365.56 nat. median
$622,245
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $562,500.89 $1,687,502.68 $871,876.38 nat. median
$608,101
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $510,103.92 $1,530,311.76 $790,661.07 nat. median
$591,650
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $834,750.00 $431,287.50 nat. median
$319,951
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $327,447.11 $507,543.02 $327,447.11 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $212,500.00 $329,375.00 $212,500.00 nat. median
$249,124
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $161,896.85 $371,925.71 $182,133.96 nat. median
$198,433
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $160,946.73 $369,742.98 $181,065.07 nat. median
$190,557
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $170,473.65 $123,540.72 nat. median
$63,643
1.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $96,075.58 $130,327.56 $121,330.00 nat. median
$75,037
1.6× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $64,331.61 $192,994.84 $118,309.33 nat. median
$68,423
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $105,032.58 $241,291.39 $118,161.65 nat. median
$126,722
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,932.43 $167,797.28 $104,476.48 nat. median
$65,720
1.6× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 2 $104,000.00 $104,000.00 $104,000.00 nat. median
$1,036
outlier · 100.4×
7
MS_DRG 		Lung Transplant 5 $98,198.95 $152,208.37 $98,198.95 nat. median
$117,894
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $85,828.35 $197,173.50 $96,556.90 nat. median
$92,655
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $83,571.70 $191,989.30 $94,018.16 nat. median
$93,270
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $82,456.27 $189,426.82 $92,763.30 nat. median
$97,414
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $91,129.49 $141,250.71 $91,129.49 nat. median
$110,192
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $85,926.92 $133,186.73 $85,926.92 nat. median
$103,967
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 7 $75,502.07 $173,450.94 $84,939.83 nat. median
$93,917
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $74,181.14 $170,416.38 $83,453.78 nat. median
$90,581
0.9× median
J9226
HCPCS 		Supprelin La Implant 6 $37,491.97 $112,475.92 $81,745.57 nat. median
$55,159
1.5× median
90288
HCPCS 		Botulism Ig IV 1 $79,521.75 $79,521.75 $79,521.75 nat. median
$51,570
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $78,182.60 $121,183.03 $78,182.60 nat. median
$94,964
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $68,318.11 $156,947.23 $76,857.88 nat. median
$78,037
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $65,663.37 $150,848.49 $73,871.29 nat. median
$78,262
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $63,922.36 $146,848.86 $71,912.65 nat. median
$77,043
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $63,721.41 $146,387.23 $71,686.58 nat. median
$77,696
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $59,667.64 $137,074.50 $67,126.10 nat. median
$74,460
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $58,223.11 $133,755.99 $65,501.00 nat. median
$72,473
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $57,972.12 $133,179.38 $65,218.63 nat. median
$71,758
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $57,780.28 $132,738.66 $65,002.82 nat. median
$68,004
1.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 2 $53,853.93 $74,614.73 $64,234.33 nat. median
$1,683
outlier · 38.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $54,737.30 $125,748.01 $61,579.46 nat. median
$63,648
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $54,389.24 $124,948.43 $61,187.90 nat. median
$61,329
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $54,068.49 $124,211.57 $60,827.05 nat. median
$66,649
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $52,410.89 $120,403.56 $58,962.25 nat. median
$62,721
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $52,153.83 $119,813.02 $58,673.06 nat. median
$63,896
0.9× median

Other procedures at this hospital

Browse this hospital's 11,883 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,691,450.00 $4,614,312.50 $4,152,881.25 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $2,930,260.34 $4,868,633.01 $4,102,364.48 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,316,897.12 $4,146,121.40 $3,731,509.26 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,235,303.98 $4,044,129.98 $3,639,716.98 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,680,037.38 $4,154,057.94 $3,350,046.73 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,300,906.67 $3,847,800.00 $3,221,269.33 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 4 — — $813,967.38 $2,441,902.12 $1,261,649.43 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 4 — — $611,693.17 $1,835,079.51 $948,124.42 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $587,977.76 $1,763,933.26 $911,365.52 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 4 — — $579,570.61 $1,738,711.84 $893,698.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $567,977.78 $1,703,933.34 $880,365.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 4 — — $562,500.89 $1,687,502.68 $871,876.38 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $510,103.92 $1,530,311.76 $790,661.07 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 4 — — $278,250.00 $834,750.00 $431,287.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 5 — — $327,447.11 $507,543.02 $327,447.11 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 5 — — $212,500.00 $329,375.00 $212,500.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 7 — — $161,896.85 $371,925.71 $182,133.96 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 7 — — $160,946.73 $369,742.98 $181,065.07 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 6 — — $56,824.55 $170,473.65 $123,540.72 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 4 — — $96,075.58 $130,327.56 $121,330.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 6 — — $64,331.61 $192,994.84 $118,309.33 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 7 — — $105,032.58 $241,291.39 $118,161.65 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 6 — — $55,932.43 $167,797.28 $104,476.48 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 4 2 — — $104,000.00 $104,000.00 $104,000.00 2026-04-01
7 MS_DRG Lung Transplant 11 5 — — $98,198.95 $152,208.37 $98,198.95 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 7 — — $85,828.35 $197,173.50 $96,556.90 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 7 — — $83,571.70 $191,989.30 $94,018.16 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 7 — — $82,456.27 $189,426.82 $92,763.30 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 5 — — $91,129.49 $141,250.71 $91,129.49 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 5 — — $85,926.92 $133,186.73 $85,926.92 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 7 — — $75,502.07 $173,450.94 $84,939.83 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $74,181.14 $170,416.38 $83,453.78 2026-04-01
J9226 HCPCS Supprelin La Implant 10 6 — — $37,491.97 $112,475.92 $81,745.57 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $79,521.75 $79,521.75 $79,521.75 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 5 — — $78,182.60 $121,183.03 $78,182.60 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 7 — — $68,318.11 $156,947.23 $76,857.88 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 7 — — $65,663.37 $150,848.49 $73,871.29 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 7 — — $63,922.36 $146,848.86 $71,912.65 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $63,721.41 $146,387.23 $71,686.58 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 7 — — $59,667.64 $137,074.50 $67,126.10 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $58,223.11 $133,755.99 $65,501.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 7 — — $57,972.12 $133,179.38 $65,218.63 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 7 — — $57,780.28 $132,738.66 $65,002.82 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 2 — — $53,853.93 $74,614.73 $64,234.33 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 7 — — $54,737.30 $125,748.01 $61,579.46 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 7 — — $54,389.24 $124,948.43 $61,187.90 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 7 — — $54,068.49 $124,211.57 $60,827.05 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 7 — — $52,410.89 $120,403.56 $58,962.25 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 7 — — $52,153.83 $119,813.02 $58,673.06 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 7 — — $51,040.67 $117,255.76 $57,420.75 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 7 — — $50,702.48 $116,478.83 $57,040.29 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 7 — — $50,665.32 $116,393.47 $56,998.49 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $49,859.27 $114,541.73 $56,091.68 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $49,859.27 $114,541.73 $56,091.68 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 7 — — $49,678.04 $114,125.39 $55,887.79 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 7 — — $48,793.13 $112,092.47 $54,892.27 2026-04-01
10 MS_DRG Pancreas Transplant 11 5 — — $54,411.99 $84,338.58 $54,411.99 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 5 — — $54,100.34 $83,855.53 $54,100.34 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 6 — — $29,663.96 $88,991.90 $52,596.51 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 7 — — $46,470.51 $106,756.73 $52,279.32 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 7 — — $46,416.67 $106,633.05 $52,218.75 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 8 4 — — $37,268.00 $200,147.45 $51,991.91 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 7 — — $45,971.56 $105,610.49 $51,718.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 7 — — $45,559.82 $104,664.59 $51,254.80 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 7 — — $45,546.93 $104,634.97 $51,240.29 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $45,217.07 $103,877.20 $50,869.21 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 7 — — $45,068.45 $103,535.77 $50,702.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 7 — — $44,500.50 $102,231.01 $50,063.06 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 7 — — $44,471.68 $102,164.82 $50,030.64 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 7 — — $43,730.84 $100,462.88 $49,197.19 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 7 — — $43,451.79 $99,821.83 $48,883.26 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 7 — — $43,274.36 $99,414.20 $48,683.65 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 7 — — $43,218.24 $99,285.29 $48,620.52 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 7 — — $42,630.58 $97,935.24 $47,959.40 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 7 — — $42,207.45 $96,963.20 $47,483.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 7 — — $41,879.88 $96,210.66 $47,114.86 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 7 — — $41,628.89 $95,634.06 $46,832.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 7 — — $41,481.78 $95,296.11 $46,667.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 7 — — $41,422.63 $95,160.23 $46,600.46 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 7 — — $41,357.42 $95,010.42 $46,527.10 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 4 — — $39,976.89 $45,958.00 $45,958.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $40,437.63 $92,897.38 $45,492.33 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 7 — — $40,413.36 $92,841.63 $45,465.03 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 7 — — $40,141.90 $92,218.00 $45,159.64 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 7 — — $40,009.20 $91,913.15 $45,010.35 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 11 5 — — $44,963.81 $69,693.91 $44,963.81 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 7 — — $39,471.58 $90,678.07 $44,405.53 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 7 — — $39,403.33 $90,521.29 $44,328.75 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $38,218.89 $87,800.28 $42,996.25 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 7 — — $37,818.52 $86,880.51 $42,545.83 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 5 — — $42,498.63 $65,872.88 $42,498.63 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 7 — — $37,515.21 $86,183.71 $42,204.61 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 7 — — $37,448.48 $86,030.41 $42,129.54 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 8 4 — — $37,268.00 $140,153.16 $41,992.86 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 4 — — $37,268.00 $140,153.16 $41,992.86 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 8 4 — — $37,268.00 $140,153.16 $41,992.86 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 8 4 — — $37,268.00 $140,153.16 $41,992.86 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 7 — — $37,320.33 $85,736.01 $41,985.37 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 7 — — $37,164.88 $85,378.90 $41,810.49 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 11 5 — — $41,192.12 $63,847.79 $41,192.12 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 7 — — $36,615.13 $84,115.95 $41,192.02 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 7 — — $36,430.11 $83,690.91 $40,983.88 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 7 — — $36,100.26 $82,933.14 $40,612.79 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 7 — — $35,577.04 $81,731.16 $40,024.17 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 7 — — $35,470.88 $81,487.28 $39,904.74 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 7 — — $35,021.22 $80,454.27 $39,398.87 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 7 — — $34,854.40 $80,071.03 $39,211.20 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 7 — — $34,765.68 $79,867.22 $39,111.39 2026-04-01
39499 HCPCS Chest Procedure 2 1 — — $39,063.00 $39,063.00 $39,063.00 2026-04-01
61799 HCPCS Srs Cran Les Complex Addl 2 1 — — $39,063.00 $39,063.00 $39,063.00 2026-04-01
44899 HCPCS Bowel Surgery Procedure 2 1 — — $39,063.00 $39,063.00 $39,063.00 2026-04-01
39599 HCPCS Diaphragm Surgery Procedure 2 1 — — $39,063.00 $39,063.00 $39,063.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 7 — — $34,595.83 $79,477.01 $38,920.31 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 7 — — $34,491.94 $79,238.35 $38,803.43 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 7 — — $34,476.78 $79,203.51 $38,786.38 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 7 — — $34,341.80 $78,893.44 $38,634.53 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 7 — — $33,984.65 $78,072.96 $38,232.73 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 7 — — $33,974.79 $78,050.31 $38,221.64 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 7 — — $33,841.34 $77,743.72 $38,071.51 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 7 — — $33,309.78 $76,522.58 $37,473.50 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 8 4 — — $33,292.47 $99,877.42 $37,268.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
24546 HCPCS Treat Humerus Fracture 8 4 — — $13,617.30 $40,851.89 $37,268.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 8 4 — — $23,592.56 $70,777.68 $37,268.00 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
53444 HCPCS Insert Tandem Cuff 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 8 4 — — $17,459.11 $52,377.33 $37,268.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 8 4 — — $19,116.93 $57,350.78 $37,268.00 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
62360 HCPCS Insert Spine Infusion Device 8 4 — — $19,116.93 $57,350.78 $37,268.00 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 8 4 — — $33,292.47 $99,877.42 $37,268.00 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 8 4 — — $28,779.59 $86,338.77 $37,268.00 2026-04-01
54400 HCPCS Insert Semi-rigid Prosthesis 8 4 — — $13,993.59 $41,980.76 $37,268.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 8 4 — — $32,729.09 $98,187.28 $37,268.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 8 4 — — $32,729.09 $98,187.28 $37,268.00 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
0585T OTHER Laps Islet Cell Transplant 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 8 4 — — $20,576.65 $61,729.96 $37,268.00 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 4 — — $32,729.09 $98,187.28 $37,268.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 8 4 — — $36,336.12 $109,008.36 $37,268.00 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
24363 HCPCS Replace Elbow Joint 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
0584T OTHER Perq Islet Cell Transplant 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 8 4 — — $20,576.65 $61,729.96 $37,268.00 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
69930 HCPCS Implant Cochlear Device 8 4 — — $34,971.75 $104,915.25 $37,268.00 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 8 4 — — $28,779.59 $86,338.77 $37,268.00 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 8 4 — — $33,292.47 $99,877.42 $37,268.00 2026-04-01
63655 HCPCS Implant Neuroelectrodes 8 4 — — $20,576.65 $61,729.96 $37,268.00 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
22869 HCPCS Insj Stablj Dev Without Dcmprn 8 4 — — $13,617.30 $40,851.89 $37,268.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
32853 HCPCS Lung Transplant Double 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 8 4 — — $20,576.65 $61,729.96 $37,268.00 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 8 4 — — $32,729.09 $98,187.28 $37,268.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 4 — — $32,729.09 $98,187.28 $37,268.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 8 4 — — $30,422.88 $91,268.65 $37,268.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 8 4 — — $33,292.47 $99,877.42 $37,268.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 8 4 — — $33,292.47 $99,877.42 $37,268.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 8 4 — — $33,292.47 $99,877.42 $37,268.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 8 4 — — $23,592.56 $70,777.68 $37,268.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 8 4 — — $23,592.56 $70,777.68 $37,268.00 2026-04-01
25446 HCPCS Wrist Replacement 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 8 4 — — $23,592.56 $70,777.68 $37,268.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 8 4 — — $27,723.01 $83,169.04 $37,268.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 8 4 — — $23,592.56 $70,777.68 $37,268.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33945 HCPCS Transplantation Of Heart 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 8 4 — — $23,592.56 $70,777.68 $37,268.00 2026-04-01
93583 HCPCS Perq Transcath Septal Reduxn 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
93580 HCPCS Transcath Closure Of Asd 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
32851 HCPCS Lung Transplant Single 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
67027 HCPCS Implant Eye Drug System 8 4 — — $14,799.15 $44,397.44 $37,268.00 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 8 4 — — $27,723.01 $83,169.04 $37,268.00 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 8 4 — — $20,429.84 $61,289.51 $37,268.00 2026-04-01
64580 HCPCS Implant Neuroelectrodes 8 4 — — $20,576.65 $61,729.96 $37,268.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 8 4 — — $27,723.01 $83,169.04 $37,268.00 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 8 4 — — $19,116.93 $57,350.78 $37,268.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
33736 HCPCS Revision Of Heart Chamber 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 4 — — $32,729.09 $98,187.28 $37,268.00 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 8 4 — — $23,592.56 $70,777.68 $37,268.00 2026-04-01
0586T OTHER Open Islet Cell Transplant 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
0814T OTHER Prq Njx Biod Osteo Matrl Fem 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
23616 HCPCS Treat Humerus Fracture 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 8 4 — — $21,983.08 $65,949.24 $37,268.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
53451 HCPCS Tprnl Balo Cntnc Dev Bi 8 4 — — $13,993.59 $41,980.76 $37,268.00 2026-04-01
54438 HCPCS Replantation Of Penis 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
28705 HCPCS Fusion Of Foot Bones 8 4 — — $18,597.17 $55,791.52 $37,268.00 2026-04-01
47135 HCPCS Transplantation Of Liver 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 8 4 — — $19,443.38 $58,330.13 $37,268.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 4 2 — — $37,268.00 $37,268.00 $37,268.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 7 — — $32,813.87 $75,383.31 $36,915.60 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 7 — — $32,552.26 $74,782.32 $36,621.29 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 7 — — $32,342.97 $74,301.53 $36,385.84 2026-04-01
64575 HCPCS Implant Neuroelectrodes 8 4 — — $11,818.45 $37,268.00 $36,361.68 2026-04-01
63664 HCPCS Revise Spine Eltrd Plate 8 4 — — $11,818.45 $37,268.00 $36,361.68 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 7 — — $32,157.19 $73,874.74 $36,176.84 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 7 — — $32,023.74 $73,568.14 $36,026.71 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 7 — — $31,969.14 $73,442.72 $35,965.28 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 7 — — $31,953.22 $73,406.14 $35,947.37 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 7 — — $31,859.95 $73,191.87 $35,842.44 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 7 — — $31,822.03 $73,104.77 $35,799.79 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 7 — — $31,762.89 $72,968.90 $35,733.25 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 5 — — $35,649.84 $55,257.25 $35,649.84 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $31,640.05 $72,686.69 $35,595.06 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 7 — — $31,617.30 $72,634.43 $35,569.46 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 7 — — $31,491.42 $72,345.26 $35,427.85 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 8 4 — — $11,085.87 $37,268.00 $35,262.80 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 7 — — $31,282.90 $71,866.21 $35,193.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 11 5 — — $35,161.50 $54,500.32 $35,161.50 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 7 — — $30,778.64 $70,707.78 $34,625.97 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 7 — — $30,486.70 $70,037.11 $34,297.54 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 7 — — $30,210.69 $69,403.02 $33,987.03 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 7 — — $29,663.21 $68,145.30 $33,371.11 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 7 — — $29,528.99 $67,836.96 $33,220.11 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 7 — — $29,350.79 $67,427.59 $33,019.64 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 7 — — $29,306.81 $67,326.56 $32,970.16 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 7 — — $29,278.76 $67,262.10 $32,938.60 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 7 — — $29,112.69 $66,880.61 $32,751.78 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 7 — — $28,534.13 $65,551.46 $32,100.90 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 7 — — $28,409.77 $65,265.77 $31,960.99 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 7 — — $28,342.28 $65,110.73 $31,885.06 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 7 — — $28,339.25 $65,103.77 $31,881.65 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 7 — — $28,259.63 $64,920.86 $31,792.08 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 7 — — $27,852.43 $63,985.40 $31,333.99 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 7 — — $27,841.06 $63,959.27 $31,321.19 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 7 — — $27,514.24 $63,208.47 $30,953.52 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 7 — — $27,493.01 $63,159.69 $30,929.64 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 7 — — $27,455.09 $63,072.59 $30,886.97 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 7 — — $27,436.13 $63,029.04 $30,865.65 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 7 — — $27,387.60 $62,917.56 $30,811.05 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 7 — — $27,346.66 $62,823.49 $30,764.99 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 7 — — $27,167.70 $62,412.38 $30,563.66 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 7 — — $27,104.77 $62,267.79 $30,492.86 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 7 — — $27,077.47 $62,205.08 $30,462.15 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 7 — — $27,037.28 $62,112.75 $30,416.94 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 7 — — $27,014.53 $62,060.49 $30,391.35 2026-04-01
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