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

MENORAH MEDICAL CENTER

Overland Park, KS · CCN 170182 · Rates published

21,293 distinct procedures filed
25 distinct payers
148,490 rate rows
2026-07-17 last MRF observed
Data quality

118,474 of 148,490 rate rows are consumer-grade (79.8%)

30,016 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 21,331
per-diem day rate — not a per-procedure price 7,829
template filing: same amount across many unrelated codes — excluded 563
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 200
placeholder amount (≤ $0.02) — excluded from medians 38
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 20
exceeds 10× this hospital's gross charge — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/4e12eecc20ff47979a74e565cb413594?download=true
Found on page https://www.hcamidwest.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 0fe4cfe3144654cf… · 593,481,414 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$2,968,000
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $3,884,946.48 $3,884,946.48 nat. median
$2,455,111
1.6× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,672,900.00 $3,672,900.00 $3,672,900.00 nat. median
$3,562,713
1.0× median
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,325,455.00 $3,325,455.00 $3,325,455.00 nat. median
$3,225,691
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,286,000.00 $3,286,000.00 $3,286,000.00 nat. median
$3,187,420
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$2,878,960
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,388,614.00 $2,388,614.00 $2,388,614.00 nat. median
$2,316,956
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $819,043.85 $819,043.85 $819,043.85 nat. median
$579,571
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $807,075.90 $807,075.90 $807,075.90 nat. median
$562,501
1.4× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $449,440.00 $741,576.00 $595,508.00 nat. median
$513,770
1.2× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $526,587.60 $526,587.60 $526,587.60 nat. median
$510,790
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $518,241.00 $863,696.72 $518,241.00 nat. median
$621,313
0.8× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $516,726.10 $516,726.10 $516,726.10 nat. median
$501,224
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $507,496.00 $837,683.55 $507,496.00 nat. median
$599,737
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $489,456.00 $489,456.00 $489,456.00 nat. median
$474,772
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $484,690.00 $830,699.97 $484,690.00 nat. median
$574,037
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $460,530.40 $460,530.40 $460,530.40 nat. median
$446,714
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $48,209.00 $277,493.00 $256,681.00 nat. median
$65,418
outlier · 3.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $106,701.00 $277,493.00 $256,681.00 nat. median
$186,516
1.4× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $165,475.60 $165,475.60 $165,475.60 nat. median
$149,977
1.1× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $162,705.70 $162,705.70 $162,705.70 nat. median
$2
outlier · 101059.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $115,670.00 $203,491.37 $159,580.68 nat. median
$131,925
1.2× median
01908
OTHER 		New Technology - Level 52 2 $142,051.20 $142,051.20 $142,051.20 nat. median
$145,788
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $129,317.00 $129,317.00 $129,317.00 nat. median
$168,055
0.8× median
01906
OTHER 		New Technology - Level 51 2 $128,079.00 $128,079.00 $128,079.00 nat. median
$131,449
1.0× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $120,116.70 $120,116.70 $120,116.70 nat. median
$92,809
1.3× median
01903
OTHER 		New Technology - Level 50 2 $114,106.80 $114,106.80 $114,106.80 nat. median
$117,109
1.0× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 $108,036.36 $108,036.36 $108,036.36 nat. median
$65,477
1.7× median
01902
OTHER 		New Technology - Level 49 2 $100,134.60 $100,134.60 $100,134.60 nat. median
$102,769
1.0× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $94,445.16 $94,445.16 $94,445.16 nat. median
$106,489
0.9× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 1 $91,596.09 $91,596.09 $91,596.09 nat. median
$63,499
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $89,909.91 $89,909.91 $89,909.91 nat. median
$2,736
outlier · 32.9×
01599
OTHER 		New Technology - Level 48 2 $88,491.06 $88,491.06 $88,491.06 nat. median
$90,819
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $83,930.00 $83,930.00 $83,930.00 nat. median
$145,435
0.6× median
01584
OTHER 		New Technology - Level 47 2 $79,176.27 $79,176.27 $79,176.27 nat. median
$81,259
1.0× median
A9699
HCPCS 		Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 $76,785.37 $76,785.37 $76,785.37 nat. median
$7,098
outlier · 10.8×
007
OTHER 		Lung Transplant 2 $75,717.29 $75,717.29 $75,717.29 nat. median
$67,163
1.1× median
J9226
HCPCS 		Histrelin Implant (supprelin La), 50 Mg 1 $72,861.11 $72,861.11 $72,861.11 nat. median
$57,036
1.3× median
2W1VX7Z
OTHER 		Compression Of Left Toe Using Intermittent Pressure Device 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3FX3Z
OTHER 		Immobilization Of Left Hand Using Brace 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3SXYZ
OTHER 		Immobilization Of Right Foot Using Other Device 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3VX3Z
OTHER 		Immobilization Of Left Toe Using Brace 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3EXYZ
OTHER 		Immobilization Of Right Hand Using Other Device 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3QX3Z
OTHER 		Immobilization Of Right Lower Leg Using Brace 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3TX3Z
OTHER 		Immobilization Of Left Foot Using Brace 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W42X5Z
OTHER 		Packing Of Neck Using Packing Material 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3GXYZ
OTHER 		Immobilization Of Right Thumb Using Other Device 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3NXYZ
OTHER 		Immobilization Of Right Upper Leg Using Other Device 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W3MXYZ
OTHER 		Immobilization Of Left Lower Extremity Using Other Device 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median
2W44X5Z
OTHER 		Packing Of Chest Wall Using Packing Material 1 $71,319.00 $71,319.00 $71,319.00 nat. median
$71,319
1.0× median

Other procedures at this hospital

Browse this hospital's 21,293 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
             
0024 RC Maj Mult Trauma No Brain Or Spinal Cord Injury; M 256 1 — — $3,094.15 $54,578.19 $24,033.00 2025-01-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 $221,149.03 — $94,445.16 $94,445.16 $94,445.16 2026-07-17
006 OTHER Liver Transplant Without Mcc 2 2 $77,453.78 — $40,535.45 $40,535.45 $40,535.45 2026-07-17
007 OTHER Lung Transplant 2 2 $196,598.57 — $75,717.29 $75,717.29 $75,717.29 2026-07-17
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,325,455.00 $3,325,455.00 $3,325,455.00 2025-01-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $63,354.77 $63,354.77 $63,354.77 2025-01-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2025-01-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,286,000.00 $3,286,000.00 $3,286,000.00 2025-01-01
00856 OTHER Porfimer Sodium Injection 2 2 — — $23,870.14 $23,870.14 $23,870.14 2025-01-01
010 OTHER Pancreas Transplant 2 2 $229,232.00 — $29,713.13 $29,713.13 $29,713.13 2026-07-17
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 $109,073.53 — $32,467.50 $32,467.50 $32,467.50 2026-07-17
01142 OTHER Supprelin La Implant 2 2 — — $45,350.21 $45,350.21 $45,350.21 2025-01-01
01579 OTHER New Technology - Level 42 2 2 — — $32,602.27 $32,602.27 $32,602.27 2025-01-01
01580 OTHER New Technology - Level 43 2 2 — — $41,917.07 $41,917.07 $41,917.07 2025-01-01
01583 OTHER New Technology - Level 46 2 2 — — $69,861.47 $69,861.47 $69,861.47 2025-01-01
01584 OTHER New Technology - Level 47 2 2 — — $79,176.27 $79,176.27 $79,176.27 2025-01-01
01591 OTHER New Technology - Level 40 2 2 — — $20,958.77 $20,958.77 $20,958.77 2025-01-01
01592 OTHER New Technology - Level 41 2 2 — — $25,616.17 $25,616.17 $25,616.17 2025-01-01
01593 OTHER New Technology - Level 42 2 2 — — $32,602.27 $32,602.27 $32,602.27 2025-01-01
01595 OTHER New Technology - Level 44 2 2 — — $51,231.87 $51,231.87 $51,231.87 2025-01-01
01596 OTHER New Technology - Level 45 2 2 — — $60,546.66 $60,546.66 $60,546.66 2025-01-01
01597 OTHER New Technology - Level 46 2 2 — — $69,861.47 $69,861.47 $69,861.47 2025-01-01
01599 OTHER New Technology - Level 48 2 2 — — $88,491.06 $88,491.06 $88,491.06 2025-01-01
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 2 2 $97,989.26 — $29,914.99 $29,914.99 $29,914.99 2026-07-17
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $65,476.58 $65,476.58 $65,476.58 2025-01-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 $763,278.19 — $165,475.60 $165,475.60 $165,475.60 2026-07-17
01902 OTHER New Technology - Level 49 2 2 — — $100,134.60 $100,134.60 $100,134.60 2025-01-01
01903 OTHER New Technology - Level 50 2 2 — — $114,106.80 $114,106.80 $114,106.80 2025-01-01
01906 OTHER New Technology - Level 51 2 2 — — $128,079.00 $128,079.00 $128,079.00 2025-01-01
01908 OTHER New Technology - Level 52 2 2 — — $142,051.20 $142,051.20 $142,051.20 2025-01-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 $144,076.00 — $50,584.78 $50,584.78 $50,584.78 2026-07-17
0219 RC — 1 1 — — $33,708.00 $33,708.00 $33,708.00 2025-01-01
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 $144,076.00 — $24,534.70 $24,534.70 $24,534.70 2026-07-17
0220 RC — 1 1 — — $33,708.00 $33,708.00 $33,708.00 2025-01-01
0221 RC — 1 1 — — $33,708.00 $33,708.00 $33,708.00 2025-01-01
0232 RC — 1 1 — — $33,708.00 $33,708.00 $33,708.00 2025-01-01
0234 RC — 1 1 — — $33,708.00 $33,708.00 $33,708.00 2025-01-01
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 $95,814.00 — $25,356.62 $25,356.62 $25,356.62 2026-07-17
0243 RC — 1 1 — — $22,472.00 $22,472.00 $22,472.00 2025-01-01
0259 RC — 1 1 — — $22,472.00 $22,472.00 $22,472.00 2025-01-01
0260 RC — 1 1 — — $22,472.00 $22,472.00 $22,472.00 2025-01-01
0261 RC — 1 1 — — $22,472.00 $22,472.00 $22,472.00 2025-01-01
028 OTHER Spinal Procedures With Mcc 2 2 $94,657.14 — $23,703.88 $23,703.88 $23,703.88 2026-07-17
037 OTHER Extracranial Procedures With Mcc 2 2 $71,227.64 — $20,836.62 $20,836.62 $20,836.62 2026-07-17
0429 RC — 1 1 — — $65,000.00 $65,000.00 $65,000.00 2025-01-01
052 OTHER Spinal Disorders And Injuries With Cc/mcc 2 2 $37,594.60 — $24,027.53 $24,027.53 $24,027.53 2026-07-17
05231 OTHER Level 1 Icd And Similar P 2 2 — — $20,919.78 $20,919.78 $20,919.78 2025-01-01
05232 OTHER Level 2 Icd And Similar P 2 2 — — $29,198.15 $29,198.15 $29,198.15 2025-01-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $489,456.00 $489,456.00 $489,456.00 2025-01-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,672,900.00 $3,672,900.00 $3,672,900.00 2025-01-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,388,614.00 $2,388,614.00 $2,388,614.00 2025-01-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $55,015.23 $55,015.23 $55,015.23 2025-01-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $460,530.40 $460,530.40 $460,530.40 2025-01-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $516,726.10 $516,726.10 $516,726.10 2025-01-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $526,587.60 $526,587.60 $526,587.60 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 1 — — $106,701.00 $277,493.00 $256,681.00 2025-01-01
10 MS_DRG Pancreas Transplant 1 1 — — $68,388.01 $68,388.01 $68,388.01 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $20,296.00 $46,282.80 $33,289.40 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $40,206.00 $40,206.00 $40,206.00 2025-01-01
163 OTHER Major Chest Procedures With Mcc 2 2 $102,284.41 — $20,792.68 $20,792.68 $20,792.68 2026-07-17
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 $77,410.70 — $30,038.45 $30,038.45 $30,038.45 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $14,884.00 $33,033.42 $23,958.71 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $129,317.00 $129,317.00 $129,317.00 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $31,469.00 $31,469.00 $31,469.00 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 1 — — $48,209.00 $277,493.00 $256,681.00 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $39,046.00 $39,046.00 $39,046.00 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $33,479.00 $33,479.00 $33,479.00 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $28,376.00 $28,376.00 $28,376.00 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $52,113.00 $52,113.00 $52,113.00 2025-01-01
215 OTHER Other Heart Assist System Implant 2 2 $317,476.00 — $57,648.39 $57,648.39 $57,648.39 2026-07-17
215 MS_DRG Other Heart Assist System Implant 1 1 — — $49,446.00 $49,446.00 $49,446.00 2025-01-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $205,719.70 — $55,803.25 $55,803.25 $55,803.25 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $46,971.00 $46,971.00 $46,971.00 2025-01-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $142,470.00 — $55,492.94 $55,492.94 $55,492.94 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $30,812.00 $30,812.00 $30,812.00 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $27,564.00 $27,564.00 $27,564.00 2025-01-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 $208,360.00 — $42,518.51 $42,518.51 $42,518.51 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $37,306.00 $37,306.00 $37,306.00 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $25,360.00 $25,360.00 $25,360.00 2025-01-01
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 $101,559.00 — $22,568.32 $22,568.32 $22,568.32 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $22,500.00 $22,500.00 $22,500.00 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $61,220.25 $62,162.10 $61,220.25 2025-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $40,844.70 $41,473.08 $40,844.70 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 — — $38,996.10 $39,596.04 $38,996.10 2025-01-01
228 OTHER Other Cardiothoracic Procedures With Mcc 2 2 $104,070.91 — $35,710.14 $35,710.14 $35,710.14 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $24,394.00 $24,394.00 $24,394.00 2025-01-01
229 OTHER Other Cardiothoracic Procedures Without Mcc 2 2 $84,447.00 — $23,730.57 $23,730.57 $23,730.57 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $25,167.00 $25,167.00 $25,167.00 2025-01-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 $191,155.00 — $50,093.18 $50,093.18 $50,093.18 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $39,278.00 $39,278.00 $39,278.00 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $28,801.00 $28,801.00 $28,801.00 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $37,732.00 $37,732.00 $37,732.00 2025-01-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 $109,519.10 — $33,924.49 $33,924.49 $33,924.49 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $25,167.00 $25,167.00 $25,167.00 2025-01-01
23470 CPT Arthroplasty, Glenohumeral Joint; Hemiarthroplasty 10 3 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
23472 CPT Arthroplasty, Glenohumeral Joint; Total Shoulder (glenoid And Proximal Humeral R… 10 3 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
23473 CPT Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Hum… 19 6 $36,164.00 — $3,291.00 $40,740.00 $24,991.00 2026-07-17
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 $126,490.83 — $34,369.38 $34,369.38 $34,369.38 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $28,453.00 $28,453.00 $28,453.00 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $23,273.00 $43,202.49 $33,237.74 2025-01-01
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 $98,196.16 — $24,027.53 $24,027.53 $24,027.53 2026-07-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 2 — — $16,701.00 $29,096.17 $22,898.58 2025-01-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $21,920.00 $21,920.00 $21,920.00 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $21,263.00 $21,263.00 $21,263.00 2025-01-01
252 OTHER Other Vascular Procedures With Mcc 2 2 $70,600.47 — $26,493.29 $26,493.29 $26,493.29 2026-07-17
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $16,237.00 $29,423.84 $22,830.42 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $15,811.00 $29,978.83 $22,894.92 2025-01-01
265 OTHER Aicd Lead Procedures 2 2 $71,419.81 — $21,815.36 $21,815.36 $21,815.36 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $35,721.00 $35,721.00 $35,721.00 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $23,621.00 $23,621.00 $23,621.00 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $33,170.00 $57,190.44 $45,180.22 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $20,141.00 $35,687.41 $27,914.21 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $24,471.00 $24,471.00 $24,471.00 2025-01-01
27132 CPT Conversion Of Previous Hip Surgery To Total Hip Arthroplasty, With Or Without Au… 10 3 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
27134 CPT Revision Of Total Hip Arthroplasty; Both Components, With Or Without Autograft O… 13 4 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
27137 CPT Revision Of Total Hip Arthroplasty; Acetabular Component Only, With Or Without A… 13 4 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
27138 CPT Revision Of Total Hip Arthroplasty; Femoral Component Only, With Or Without Allo… 13 4 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 — — $18,866.00 $33,539.51 $26,202.76 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $15,695.00 $26,769.84 $21,232.42 2025-01-01
27447 CPT Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 19 6 $36,164.00 — $1,995.00 $36,887.00 $20,955.00 2026-07-17
27486 CPT Revision Of Total Knee Arthroplasty, With Or Without Allograft; 1 Component 13 4 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
27487 CPT Revision Of Total Knee Arthroplasty, With Or Without Allograft; Femoral And Enti… 13 4 $36,164.00 — $17,773.00 $36,887.00 $24,993.00 2026-07-17
27488 CPT Removal Of Prosthesis, Including Total Knee Prosthesis, Methylmethacrylate With … 11 4 $33,887.00 — $11,334.00 $40,740.00 $20,955.00 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $34,059.00 $34,059.00 $34,059.00 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $30,038.00 $30,038.00 $30,038.00 2025-01-01
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 $18,089.55 — $22,271.92 $22,271.92 $22,271.92 2026-07-17
277 OTHER Cardiac Defibrillator Implant Without Mcc 2 2 $29,135.25 — $26,176.31 $26,176.31 $26,176.31 2026-07-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $23,157.00 $23,157.00 $23,157.00 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 1 1 — — $21,572.00 $21,572.00 $21,572.00 2025-01-01
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 2 2 $17,346.17 — $20,827.16 $20,827.16 $20,827.16 2026-07-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 2 2 — — $15,502.00 $27,485.24 $21,493.62 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 5 3 — — $24,731.00 $52,145.79 $29,494.00 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 3 — — $15,850.00 $36,867.00 $28,791.66 2025-01-01
2W1VX7Z OTHER Compression Of Left Toe Using Intermittent Pressure Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3EXYZ OTHER Immobilization Of Right Hand Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3FX3Z OTHER Immobilization Of Left Hand Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3GXYZ OTHER Immobilization Of Right Thumb Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3MXYZ OTHER Immobilization Of Left Lower Extremity Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3NXYZ OTHER Immobilization Of Right Upper Leg Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3QX3Z OTHER Immobilization Of Right Lower Leg Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3SXYZ OTHER Immobilization Of Right Foot Using Other Device 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3TX3Z OTHER Immobilization Of Left Foot Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W3VX3Z OTHER Immobilization Of Left Toe Using Brace 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W42X5Z OTHER Packing Of Neck Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W44X5Z OTHER Packing Of Chest Wall Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W48X5Z OTHER Packing Of Right Upper Extremity Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4BX5Z OTHER Packing Of Left Upper Arm Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4DX5Z OTHER Packing Of Left Lower Arm Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4EX5Z OTHER Packing Of Right Hand Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4FX5Z OTHER Packing Of Left Hand Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4GX5Z OTHER Packing Of Right Thumb Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4KX5Z OTHER Packing Of Left Finger Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4MX5Z OTHER Packing Of Left Lower Extremity Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4PX5Z OTHER Packing Of Left Upper Leg Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4QX5Z OTHER Packing Of Right Lower Leg Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4RX5Z OTHER Packing Of Left Lower Leg Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4SX5Z OTHER Packing Of Right Foot Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4TX5Z OTHER Packing Of Left Foot Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2W4VX5Z OTHER Packing Of Left Toe Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
2Y40X5Z OTHER Packing Of Mouth And Pharynx Using Packing Material 1 1 — — $71,319.00 $71,319.00 $71,319.00 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $83,930.00 $83,930.00 $83,930.00 2025-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 5 3 — — $10,708.00 $36,867.00 $24,731.00 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $19,020.00 $35,943.89 $27,481.94 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $21,108.00 $37,678.33 $29,393.17 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $22,964.00 $43,564.47 $33,264.24 2025-01-01
329 OTHER Major Small And Large Bowel Procedures With Mcc 2 2 $97,630.23 — $25,292.11 $25,292.11 $25,292.11 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $22,654.00 $22,654.00 $22,654.00 2025-01-01
332 MS_DRG Rectal Resection With Mcc 2 2 — — $16,507.00 $29,752.38 $23,129.69 2025-01-01
332 OTHER Rectal Resection With Mcc 2 2 $85,741.36 — $22,557.20 $22,557.20 $22,557.20 2026-07-17
33207 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 13 4 $32,177.00 — $3,266.00 $33,152.00 $22,239.00 2026-07-17
33212 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Single Lead 13 4 $32,177.00 — $3,266.00 $33,152.00 $22,239.00 2026-07-17
33213 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Dual Leads 13 4 $32,177.00 — $3,266.00 $33,152.00 $22,239.00 2026-07-17
33221 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads 13 4 $51,744.84 — $4,068.00 $56,942.40 $29,488.00 2026-07-17
33225 CPT Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 13 4 $32,177.00 — $3,266.00 $33,152.00 $22,239.00 2026-07-17
33227 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 10 3 $32,177.00 — $4,068.00 $33,152.00 $25,737.50 2026-07-17
33228 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 10 3 $32,177.00 — $4,068.00 $33,152.00 $25,737.50 2026-07-17
33229 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 13 4 $51,744.84 — $4,068.00 $56,942.40 $29,488.00 2026-07-17
33230 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Dual … 10 3 $76,341.00 — $4,068.00 $76,341.00 $29,837.00 2026-07-17
33231 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Multi… 10 3 $76,341.00 — $4,068.00 $76,341.00 $29,837.00 2026-07-17
33262 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 17 8 $76,341.00 — $4,068.00 $76,341.00 $29,629.92 2026-07-17
33263 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 17 8 $76,341.00 — $4,068.00 $76,341.00 $29,629.92 2026-07-17
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 10 3 $76,341.00 — $4,068.00 $76,341.00 $29,837.00 2026-07-17
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 10 3 $91,263.37 — $4,068.00 $100,429.48 $70,049.38 2026-07-17
33271 CPT Insertion Of Subcutaneous Implantable Defibrillator Electrode 10 3 $76,341.00 — $4,068.00 $76,341.00 $29,837.00 2026-07-17
33272 CPT Removal Of Subcutaneous Implantable Defibrillator Electrode 10 3 $76,341.00 — $4,068.00 $76,341.00 $29,837.00 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $16,159.00 $31,085.38 $23,622.19 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $19,330.00 $36,588.08 $27,959.04 2025-01-01
37225 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 12 4 $48,500.00 — $5,690.00 $50,925.00 $21,490.26 2026-07-17
37227 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 9 3 $48,500.00 — $5,690.00 $50,925.00 $22,480.35 2026-07-17
37229 CPT Revascularization, Endovascular, Open Or Percutaneous, Tibial, Peroneal Artery, … 7 3 $48,500.00 — $5,690.00 $50,925.00 $21,409.86 2026-07-17
37231 CPT Revascularization, Endovascular, Open Or Percutaneous, Tibial, Peroneal Artery, … 7 2 $48,500.00 — $5,690.00 $50,925.00 $40,740.00 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $57,874.00 $57,874.00 $57,874.00 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $17,783.00 $32,354.04 $25,068.52 2025-01-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 2 2 $117,028.30 — $38,069.13 $38,069.13 $38,069.13 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $21,185.00 $46,564.17 $33,874.58 2025-01-01
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 $77,488.83 — $32,810.62 $32,810.62 $32,810.62 2026-07-17
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 $74,642.26 — $21,760.30 $21,760.30 $21,760.30 2026-07-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $12,332.00 $30,273.05 $21,302.53 2025-01-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 $83,029.93 — $46,039.19 $46,039.19 $46,039.19 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $89,909.91 $89,909.91 $89,909.91 2025-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $26,469.63 $26,469.63 $26,469.63 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $40,786.00 $40,786.00 $40,786.00 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $28,144.00 $28,144.00 $28,144.00 2025-01-01
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 $125,000.00 — $24,698.19 $24,698.19 $24,698.19 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $21,185.00 $21,185.00 $21,185.00 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $38,814.00 $72,642.64 $55,728.32 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $27,951.00 $49,228.45 $38,589.72 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $20,837.00 $37,036.71 $28,936.85 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $30,541.00 $30,541.00 $30,541.00 2025-01-01
459 OTHER Spinal Fusion Except Cervical With Mcc 2 2 $140,069.06 — $28,364.02 $28,364.02 $28,364.02 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $31,391.00 $31,391.00 $31,391.00 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 1 1 — — $26,056.00 $26,056.00 $26,056.00 2025-01-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 2 2 $110,760.78 — $42,353.90 $42,353.90 $42,353.90 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $23,853.00 $23,853.00 $23,853.00 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $15,309.00 $28,036.80 $21,672.90 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $22,654.00 $22,654.00 $22,654.00 2025-01-01
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 2 2 $17,164.89 — $22,647.29 $22,647.29 $22,647.29 2026-07-17
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 $17,264.44 — $20,646.98 $20,646.98 $20,646.98 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $14,922.00 $27,179.01 $21,050.50 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $16,817.00 $30,741.40 $23,779.20 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $27,293.00 $52,820.86 $40,056.93 2025-01-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 $123,967.35 — $38,382.77 $38,382.77 $38,382.77 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $14,961.00 $29,719.78 $22,340.39 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $24,935.00 $46,276.81 $35,605.90 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $14,652.00 $27,956.17 $21,304.08 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 2 — — $8,427.00 $24,149.00 $22,862.37 2025-01-01
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 $76,466.77 — $23,614.35 $23,614.35 $23,614.35 2026-07-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $12,409.00 $32,115.58 $22,262.29 2025-01-01
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 $76,967.24 — $24,780.50 $24,780.50 $24,780.50 2026-07-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $13,028.00 $33,850.89 $23,439.44 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $21,069.00 $21,069.00 $21,069.00 2025-01-01
653 OTHER Major Bladder Procedures With Mcc 2 2 $117,340.83 — $33,416.77 $33,416.77 $33,416.77 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $25,360.00 $25,360.00 $25,360.00 2025-01-01
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc* 2 2 $73,782.80 — $20,744.30 $20,744.30 $20,744.30 2026-07-17
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 $82,404.87 — $22,322.52 $22,322.52 $22,322.52 2026-07-17
77371 CPT Srs Dl One Sess Cobalt60 28 15 $73,482.25 $73,482.25 $1,986.08 $58,785.80 $34,536.66 2026-07-17
77372 CPT Radiation Treatment Delivery, Stereotactic Radiosurgery (srs), Complete Course O… 11 4 $39,154.00 — $17,405.00 $39,154.00 $30,099.00 2026-07-17
77373 CPT Stereotactic Body Radiation Therapy, Treatment Delivery, Per Fraction To 1 Or Mo… 5 1 $34,341.00 — $28,852.00 $35,777.00 $28,852.00 2026-07-17
793 OTHER Full Term Neonate With Major Problems 2 2 $41,289.60 — $25,982.79 $25,982.79 $25,982.79 2026-07-17
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $21,726.00 $21,726.00 $21,726.00 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $15,038.00 $30,748.26 $22,893.13 2025-01-01
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 $49.81 — $34,870.98 $34,870.98 $34,870.98 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $26,520.00 $26,520.00 $26,520.00 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 2 2 — — $20,296.00 $40,961.09 $30,628.54 2025-01-01
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 2 2 $108,581.50 — $30,000.63 $30,000.63 $30,000.63 2026-07-17
834 OTHER Acute Leukemia With Mcc 2 2 $38,975.92 — $47,115.25 $47,115.25 $47,115.25 2026-07-17
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 $103,494.42 — $27,931.38 $27,931.38 $27,931.38 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $21,997.00 $21,997.00 $21,997.00 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $31,894.00 $31,894.00 $31,894.00 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $16,391.00 $33,705.92 $25,048.46 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $16,314.00 $34,169.98 $25,241.99 2025-01-01
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 $1.57 — $162,705.70 $162,705.70 $162,705.70 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $115,670.00 $203,491.37 $159,580.68 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $30,386.00 $30,386.00 $30,386.00 2025-01-01
93591 CPT Percutaneous Transcatheter Closure Of Paravalvular Leak; Initial Occlusion Devic… 2 1 $43,200.00 — $40,759.00 $44,064.00 $42,411.50 2026-07-17
93602 CPT Intra-atrial Recording 8 3 $32,177.00 — $189.88 $33,152.00 $22,983.50 2026-07-17
93603 CPT Right Ventricular Recording 8 3 $8,298.27 $8,298.27 $288.80 $33,152.00 $22,983.50 2026-07-17
93610 CPT Intra-atrial Pacing 8 3 $32,177.00 — $233.43 $33,152.00 $22,983.50 2026-07-17
93612 CPT Intraventricular Pacing 8 3 $32,177.00 — $276.89 $33,152.00 $22,983.50 2026-07-17
93613 CPT Intracardiac Electrophysiologic 3-dimensional Mapping (List Separately In Additi… 8 3 $32,177.00 — $5,134.99 $33,152.00 $22,983.50 2026-07-17
93615 CPT Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogr… 8 3 $32,177.00 — $53.40 $33,152.00 $22,983.50 2026-07-17
93616 CPT Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogr… 8 3 $32,177.00 — $53.40 $33,152.00 $22,983.50 2026-07-17
93623 CPT Programmed Stimulation And Pacing After Intravenous Drug Infusion (List Separate… 2 1 $32,177.00 — $23,728.00 $25,652.00 $24,690.00 2026-07-17
93624 CPT Electrophysiologic Follow-up Study With Pacing And Recording To Test Effectivene… 8 3 $32,177.00 — $340.20 $33,152.00 $22,983.50 2026-07-17
93631 CPT Intra-operative Epicardial And Endocardial Pacing And Mapping To Localize The Si… 8 3 $32,177.00 — $1,083.97 $33,152.00 $22,983.50 2026-07-17
93655 CPT Intracardiac Catheter Ablation Of A Discrete Mechanism Of Arrhythmia Which Is Di… 8 3 $39,879.00 — $2,255.00 $39,879.00 $24,380.50 2026-07-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $14,110.00 $27,224.48 $20,667.24 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $22,848.00 $31,295.53 $27,071.76 2025-01-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 $142,244.11 — $69,948.27 $69,948.27 $69,948.27 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $24,278.00 $24,278.00 $24,278.00 2025-01-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 $80,333.29 — $48,557.78 $48,557.78 $48,557.78 2026-07-17
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 $156,487.53 — $47,983.88 $47,983.88 $47,983.88 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $28,801.00 $64,022.72 $46,411.86 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $16,121.00 $35,250.79 $25,685.90 2025-01-01
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 $88,068.45 — $25,615.21 $25,615.21 $25,615.21 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $30,154.00 $54,245.66 $42,199.83 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $22,964.00 $30,749.98 $26,856.99 2025-01-01
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 $96,724.31 — $28,968.51 $28,968.51 $28,968.51 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $22,461.00 $22,461.00 $22,461.00 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $16,005.00 $30,048.31 $23,026.65 2025-01-01
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 $70,074.65 — $22,108.42 $22,108.42 $22,108.42 2026-07-17
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 $108,036.36 — $108,036.36 $108,036.36 $108,036.36 2026-07-17
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 4 2 $28,478.75 — $15,533.87 $28,478.75 $22,394.65 2026-07-17
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 $78,168.72 — $76,785.37 $76,785.37 $76,785.37 2026-07-17
C9752 HCPCS Destruction Of Intraosseous Basivertebral Nerve, First Two Vertebral Bodies, Inc… 5 2 $27,110.00 — $18,257.00 $27,347.00 $21,878.00 2026-07-17
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 4 2 $43,200.00 — $15,750.45 $44,064.00 $28,648.49 2026-07-17
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2025-01-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 2 1 $4,463,735.93 — $3,884,946.48 $3,884,946.48 $3,884,946.48 2026-07-17
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 $103,458.96 — $120,116.70 $120,116.70 $120,116.70 2026-07-17
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 7 4 — — $63,505.40 $104,773.89 $63,505.40 2025-01-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 2 1 $71,842.65 — $72,861.11 $72,861.11 $72,861.11 2026-07-17
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 2 1 $38,902.07 — $44,574.52 $44,574.52 $44,574.52 2026-07-17
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 $37,108.53 — $38,803.31 $38,803.31 $38,803.31 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 1 $741,255.67 — $807,075.90 $807,075.90 $807,075.90 2026-07-17
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 7 4 $772,928.48 — $518,241.00 $863,696.72 $518,241.00 2026-07-17
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 1 $88,490.11 — $91,596.09 $91,596.09 $91,596.09 2026-07-17
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 3 $740,441.46 — $449,440.00 $741,576.00 $595,508.00 2026-07-17
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 1 $717,614.70 — $819,043.85 $819,043.85 $819,043.85 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 4 $733,705.50 — $484,690.00 $830,699.97 $484,690.00 2026-07-17
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 7 4 $813,285.00 — $507,496.00 $837,683.55 $507,496.00 2026-07-17
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