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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

THIBODAUX REGIONAL MEDICAL CENTER

Thibodaux, LA · CCN 190004 · Rates published

12,920 distinct procedures filed
18 distinct payers
146,540 rate rows
2026-04-01 last MRF observed
Data quality

82,856 of 146,540 rate rows are consumer-grade (56.5%)

63,684 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 42,032
placeholder amount (≤ $0.02) — excluded from medians 21,652
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.thibodaux.com/documents/84-2046902%20_thibodaux-regional-medical-center_standardcharges.json
Found on page https://www.thibodaux.com/patients-visitors/hospital-charges-estimates/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 6a11eaf23d1963f3… · 22,431,798 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
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 $3,685,266.67 $4,496,025.34 $4,090,646.00 nat. median
$3,710,000
1.1× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $3,335,820.00 $4,069,700.40 $3,702,760.20 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,316,462.59 $4,059,988.87 $3,688,225.73 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,248,445.72 $3,968,059.86 $3,608,252.79 nat. median
$3,286,000
1.1× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,090,000.00 $3,879,600.00 $3,484,800.00 nat. median
$3,180,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,945,740.00 $3,586,762.05 $3,266,251.02 nat. median
$3,006,423
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,332,000.00 $2,845,040.00 $2,588,520.00 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $940,156.40 $855,388.20 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $691,168.19 $641,447.19 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $716,932.48 $641,400.71 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $685,885.51 $624,211.85 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $680,859.71 $619,088.82 nat. median
$625,184
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $597,129.24 $543,216.93 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $285,231.40 $622,552.72 $467,281.08 nat. median
$370,174
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $278,250.00 $339,465.00 $308,857.50 nat. median
$324,450
1.0× median
0100T
HCPCS 		Prosth Retina Receive&Gen 2 $296,369.47 $311,680.53 $304,025.00 nat. median
$11,210
outlier · 27.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $185,206.16 $464,994.69 $303,246.62 nat. median
$265,286
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 3 $257,500.00 $270,000.00 $270,000.00 nat. median
$265,000
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.95 $649,274.53 $266,615.56 nat. median
$634,511
outlier · 0.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $141,172.07 $391,609.58 $231,033.76 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $140,345.28 $353,787.07 $229,677.89 nat. median
$202,986
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $205,640.00 $246,036.20 $225,838.10 nat. median
$209,753
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $111,492.17 $185,752.77 $176,627.81 nat. median
$111,989
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $34,037.88 $233,254.22 $147,960.65 nat. median
$133,176
1.1× median
7
MS_DRG 		Lung Transplant 3 $85,743.11 $215,736.22 $140,134.11 nat. median
$122,708
1.1× median
5231
OTHER 		Level 1 Icd And Similar Procedures 1 $136,516.37 $136,516.37 $136,516.37 nat. median
$23,015
outlier · 5.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $79,591.38 $216,280.98 $130,045.70 nat. median
$117,303
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $75,064.18 $181,910.23 $122,621.41 nat. median
$108,660
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $74,978.40 $130,211.48 $120,907.42 nat. median
$98,017
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $73,014.70 $172,925.07 $117,728.46 nat. median
$98,905
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $72,044.07 $179,833.56 $117,668.64 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $68,325.19 $175,797.42 $111,569.92 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 5 $65,992.63 $174,896.10 $107,744.70 nat. median
$99,019
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $64,843.18 $159,317.75 $105,859.68 nat. median
$93,672
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $59,741.26 $137,684.37 $97,492.88 nat. median
$82,712
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $57,431.14 $152,067.56 $93,704.45 nat. median
$83,442
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $55,916.14 $139,884.85 $91,219.95 nat. median
$79,312
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $55,741.28 $139,807.27 $90,933.19 nat. median
$81,118
1.1× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 3 $39,883.94 $91,972.02 $87,453.97 nat. median
$43,787
2.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $52,213.75 $133,070.46 $85,148.28 nat. median
$77,576
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $50,956.75 $127,728.56 $83,086.88 nat. median
$74,915
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $50,571.40 $123,217.00 $82,454.94 nat. median
$72,138
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $10,563.48 $129,031.02 $80,603.34 nat. median
$73,807
1.1× median
L7180
HCPCS 		Electronic Elbow Sequential 3 $50,007.15 $83,314.98 $79,222.20 nat. median
$49,027
1.6× median
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $49,600.83 $82,638.03 $78,578.50 nat. median
$50,598
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $47,165.84 $117,249.45 $78,112.47 nat. median
$68,090
1.1× median
10
MS_DRG 		Pancreas Transplant 3 $47,640.37 $131,616.13 $77,648.25 nat. median
$68,882
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $47,620.57 $110,253.48 $77,615.79 nat. median
$64,027
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $47,369.17 $130,861.73 $77,203.51 nat. median
$71,240
1.1× median

Other procedures at this hospital

Browse this hospital's 12,920 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 2 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 2 — — $3,685,266.67 $4,496,025.34 $4,090,646.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 4 2 — — $3,335,820.00 $4,069,700.40 $3,702,760.20 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 2 — — $3,316,462.59 $4,059,988.87 $3,688,225.73 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 2 — — $3,248,445.72 $3,968,059.86 $3,608,252.79 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 4 2 — — $3,090,000.00 $3,879,600.00 $3,484,800.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 2 — — $2,945,740.00 $3,586,762.05 $3,266,251.02 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 2 — — $2,332,000.00 $2,845,040.00 $2,588,520.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 2 — — $770,620.00 $940,156.40 $855,388.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 2 — — $591,726.20 $691,168.19 $641,447.19 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 2 — — $565,868.94 $716,932.48 $641,400.71 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 2 — — $562,538.19 $685,885.51 $624,211.85 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 2 — — $557,317.93 $680,859.71 $619,088.82 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 2 — — $489,304.61 $597,129.24 $543,216.93 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 3 — — $285,231.40 $622,552.72 $467,281.08 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 2 — — $278,250.00 $339,465.00 $308,857.50 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 4 2 — — $296,369.47 $311,680.53 $304,025.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 3 — — $185,206.16 $464,994.69 $303,246.62 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 6 3 — — $257,500.00 $270,000.00 $270,000.00 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 4 — — $0.95 $649,274.53 $266,615.56 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 5 — — $141,172.07 $391,609.58 $231,033.76 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 5 — — $140,345.28 $353,787.07 $229,677.89 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 2 — — $205,640.00 $246,036.20 $225,838.10 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 3 — — $111,492.17 $185,752.77 $176,627.81 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 6 — — $34,037.88 $233,254.22 $147,960.65 2026-04-01
7 MS_DRG Lung Transplant 6 3 — — $85,743.11 $215,736.22 $140,134.11 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 1 — — $136,516.37 $136,516.37 $136,516.37 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 3 — — $79,591.38 $216,280.98 $130,045.70 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 3 — — $75,064.18 $181,910.23 $122,621.41 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 8 4 — — $74,978.40 $130,211.48 $120,907.42 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 5 — — $73,014.70 $172,925.07 $117,728.46 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $72,044.07 $179,833.56 $117,668.64 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 3 — — $68,325.19 $175,797.42 $111,569.92 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 5 — — $65,992.63 $174,896.10 $107,744.70 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $64,843.18 $159,317.75 $105,859.68 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 5 — — $59,741.26 $137,684.37 $97,492.88 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 5 — — $57,431.14 $152,067.56 $93,704.45 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 5 — — $55,916.14 $139,884.85 $91,219.95 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $55,741.28 $139,807.27 $90,933.19 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 3 — — $39,883.94 $91,972.02 $87,453.97 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 5 — — $52,213.75 $133,070.46 $85,148.28 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $50,956.75 $127,728.56 $83,086.88 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $50,571.40 $123,217.00 $82,454.94 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 6 — — $10,563.48 $129,031.02 $80,603.34 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 6 3 — — $50,007.15 $83,314.98 $79,222.20 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 6 3 — — $49,600.83 $82,638.03 $78,578.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 5 — — $47,165.84 $117,249.45 $78,112.47 2026-04-01
10 MS_DRG Pancreas Transplant 6 3 — — $47,640.37 $131,616.13 $77,648.25 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 5 — — $47,620.57 $110,253.48 $77,615.79 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 3 — — $47,369.17 $130,861.73 $77,203.51 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 5 — — $47,341.46 $116,660.13 $77,158.06 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 — — $45,899.03 $319,922.99 $77,152.97 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 5 — — $45,675.35 $110,066.94 $74,425.76 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $44,706.69 $112,719.73 $72,837.23 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 3 — — $56,956.76 $76,511.45 $72,752.89 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 5 — — $44,412.40 $102,123.42 $72,354.62 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 5 — — $44,380.07 $110,679.38 $72,301.59 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $43,678.66 $98,209.44 $71,151.32 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $43,678.66 $106,605.27 $71,151.32 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $71,087.76 $71,087.76 $71,087.76 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $43,520.95 $101,657.90 $70,892.70 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 8 4 — — $56,824.55 $72,149.02 $70,737.49 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $42,750.91 $106,758.79 $69,629.89 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 4 — — $63,342.28 $78,415.24 $69,559.17 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 5 — — $40,729.81 $98,894.51 $66,315.42 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $40,682.96 $104,399.84 $66,238.59 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 5 — — $40,295.63 $100,840.77 $65,603.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 10 5 — — $39,937.33 $100,358.74 $65,015.81 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 — — $39,926.12 $102,255.48 $64,997.42 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $39,639.09 $94,744.47 $64,526.71 2026-04-01
69930 HCPCS Implant Cochlear Device 6 3 — — $29,856.15 $67,666.78 $64,342.71 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 5 — — $39,509.76 $98,135.15 $64,314.61 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 3 — — $39,418.70 $99,639.01 $64,165.28 2026-04-01
5054 OTHER Level 4 Skin Procedures 4 2 — — $481.27 $127,157.00 $63,819.13 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 — — $37,899.73 $238,020.41 $63,620.67 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $38,990.46 $96,112.96 $63,463.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 3 — — $28,422.52 $65,979.26 $62,738.08 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 3 — — $28,422.52 $65,979.26 $62,738.08 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 3 — — $28,422.52 $65,979.26 $62,738.08 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 6 3 — — $28,422.52 $65,979.26 $62,738.08 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 6 3 — — $28,422.52 $65,979.26 $62,738.08 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 4 — — $55,272.32 $66,373.01 $62,718.81 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 6 3 — — $28,422.52 $65,527.46 $62,308.47 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $38,102.97 $94,178.25 $62,007.58 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 4 — — $37,948.56 $65,652.18 $60,961.10 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 6 — — $2,417.86 $90,305.54 $60,802.54 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 3 — — $37,273.54 $89,820.21 $60,647.38 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $37,020.16 $82,593.13 $60,231.85 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 5 — — $36,735.11 $101,302.99 $59,764.38 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 10 5 — — $36,516.70 $91,243.18 $59,406.21 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 5 — — $36,388.69 $89,615.51 $59,196.28 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 — — $36,280.47 $89,074.06 $59,018.82 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 3 — — $36,136.63 $99,639.01 $58,782.92 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 7 — — $19,126.14 $90,860.20 $58,684.22 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 3 — — $27,941.55 $61,443.74 $58,425.37 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 2 — — $56,589.36 $59,512.88 $58,051.12 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 2 — — $56,589.36 $59,512.88 $58,051.12 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $35,480.08 $87,436.49 $57,706.23 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 5 — — $35,458.97 $85,016.46 $57,671.60 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 3 — — $27,941.55 $60,468.46 $57,498.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 5 — — $35,222.74 $91,243.18 $57,284.21 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 6 — — $4,835.72 $84,734.18 $57,094.84 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 6 3 — — $27,941.55 $59,512.88 $56,589.36 2026-04-01
61886 HCPCS Implant Neurostim Arrays 6 3 — — $27,941.55 $59,512.88 $56,589.36 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 6 3 — — $39,883.94 $59,512.88 $56,589.36 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 5 — — $35,423.90 $87,824.43 $56,491.20 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 12 6 — — $22,109.84 $108,438.59 $56,490.45 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 10 5 — — $34,580.05 $92,023.99 $56,230.24 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 5 — — $23,859.21 $84,100.28 $55,604.08 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 3 — — $25,972.68 $58,292.30 $55,428.74 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 5 — — $38,028.02 $97,134.78 $55,336.66 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 2 1 — — $55,160.90 $55,160.90 $55,160.90 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $33,549.38 $75,813.40 $54,540.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 — — $33,200.98 $83,842.76 $53,968.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 5 — — $32,937.04 $82,262.97 $53,535.82 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $32,767.46 $83,147.79 $53,257.72 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 5 — — $32,030.03 $82,560.11 $52,754.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $31,250.48 $146,804.10 $52,372.22 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 5 — — $17,202.43 $89,064.16 $52,354.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 5 — — $31,333.90 $80,183.00 $51,580.17 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 5 — — $31,705.77 $77,663.92 $51,516.62 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 5 — — $31,992.80 $82,657.51 $51,319.53 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 3 — — $31,313.82 $76,056.06 $50,873.85 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $31,158.10 $78,832.66 $50,618.47 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 3 — — $30,888.88 $80,049.28 $50,176.98 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 5 — — $30,766.81 $76,792.31 $49,976.79 2026-04-01
245 MS_DRG Aicd Generator Procedures 10 5 — — $30,396.64 $80,669.97 $49,369.73 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $30,306.24 $74,476.27 $49,221.48 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 5 — — $30,175.59 $78,490.95 $49,007.23 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 5 — — $30,544.44 $77,247.92 $48,974.84 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 5 — — $28,729.63 $73,827.52 $48,567.85 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 5 — — $29,856.22 $69,177.29 $48,483.49 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 5 — — $29,399.11 $75,801.85 $48,460.90 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $29,740.09 $72,515.16 $48,293.04 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 12 5 — — $29,127.71 $76,087.43 $47,874.59 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $29,277.54 $70,417.02 $47,534.49 2026-04-01
J9226 HCPCS Supprelin La Implant 8 4 — — $45,020.65 $52,686.11 $47,109.28 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 6 3 — — $29,717.20 $49,510.67 $47,078.50 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 6 3 — — $29,576.84 $49,276.84 $46,856.15 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $28,846.00 $70,313.03 $46,826.80 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 — — $28,436.24 $69,814.49 $46,154.81 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 5 — — $28,274.58 $67,409.32 $45,899.58 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 5 — — $28,158.44 $68,683.71 $45,890.56 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 5 — — $28,618.35 $74,032.22 $45,856.76 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $28,110.93 $67,742.77 $45,621.34 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $28,097.08 $67,843.47 $45,598.61 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 — — $28,015.92 $69,160.79 $45,465.51 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 5 — — $27,982.92 $73,137.50 $45,411.41 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $27,824.56 $71,280.38 $45,151.70 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 — — $27,695.23 $67,143.54 $44,939.61 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 5 — — $27,513.77 $64,550.18 $44,642.04 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 6 3 — — $28,422.52 $46,420.60 $44,140.23 2026-04-01
0520T HCPCS Rmvl&rplcmt Pg Wcs New Eltrd 6 3 — — $9,464.25 $46,420.60 $44,140.23 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 6 3 — — $20,141.49 $46,420.60 $44,140.23 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 7 — — $5,868.60 $67,881.44 $43,682.12 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 6 3 — — $20,141.49 $45,875.52 $43,621.93 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 6 3 — — $20,141.49 $45,875.52 $43,621.93 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 7 — — $3,521.16 $112,548.66 $43,505.83 2026-04-01
791 MS_DRG Prematurity With Major Problems 12 6 — — $3,521.16 $67,019.73 $43,358.24 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 — — $26,580.75 $59,176.91 $43,111.95 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $26,104.35 $62,757.44 $42,330.67 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 5 — — $25,987.55 $71,427.30 $42,139.14 2026-04-01
5627 OTHER Level 7 Radiation Therapy 4 2 — — $8,184.15 $75,901.33 $42,042.74 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 — — $25,832.49 $64,193.61 $41,884.84 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $25,794.22 $64,868.78 $41,822.08 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 5 — — $25,769.80 $62,268.81 $41,245.34 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 5 — — $25,611.34 $65,761.84 $41,011.40 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $25,121.84 $63,099.15 $40,719.42 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 — — $25,013.62 $54,506.87 $40,541.96 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 6 3 — — $27,941.55 $42,598.60 $40,505.98 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 6 3 — — $17,566.74 $42,598.60 $40,505.98 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 6 3 — — $17,566.74 $42,598.60 $40,505.98 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 — — $24,952.26 $59,163.70 $40,441.32 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 5 — — $24,088.52 $201,262.44 $40,256.44 2026-04-01
0308T HCPCS Insj Ocular Telescope Prosth 6 3 — — $14,905.23 $42,256.83 $40,181.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 3 — — $24,744.40 $57,323.09 $40,100.46 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 5 — — $23,781.85 $63,559.71 $39,926.11 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 5 — — $24,882.97 $65,134.55 $39,809.68 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 6 3 — — $23,667.75 $41,765.60 $39,713.90 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 6 3 — — $23,667.75 $41,765.60 $39,713.90 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 6 3 — — $23,667.75 $41,765.60 $39,713.90 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $39,525.62 $39,525.62 $39,525.62 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $24,234.34 $52,395.54 $39,264.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 5 — — $24,528.64 $63,738.00 $39,236.06 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 5 — — $24,215.87 $58,117.11 $39,233.70 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 5 — — $125.00 $58,622.25 $39,220.03 2026-04-01
332 MS_DRG Rectal Resection With Mcc 10 5 — — $24,182.88 $57,260.36 $39,179.59 2026-04-01
265 MS_DRG Aicd Lead Procedures 10 5 — — $24,166.38 $58,886.37 $39,152.54 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $23,932.80 $65,715.62 $38,769.48 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 — — $23,878.03 $65,000.84 $38,679.66 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 5 — — $23,854.27 $59,814.11 $38,640.71 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $23,819.30 $57,798.52 $38,583.36 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 5 — — $22,973.19 $59,173.61 $38,581.25 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 5 — — $23,799.51 $57,839.78 $38,550.89 2026-04-01
L8614 HCPCS Cochlear Device 4 2 — — $37,538.73 $39,478.06 $38,508.40 2026-04-01
61867 HCPCS Implant Neuroelectrode 4 2 — — $37,467.62 $39,403.28 $38,435.45 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 7 — — $22,010.10 $56,542.28 $38,161.34 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 — — $23,514.45 $60,231.75 $38,083.43 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 5 — — $23,189.92 $61,771.93 $38,019.38 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 10 5 — — $23,309.24 $56,628.12 $37,746.89 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $23,303.30 $63,802.38 $37,737.16 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 6 — — $1,173.72 $118,644.99 $37,494.07 2026-04-01
63655 HCPCS Implant Neuroelectrodes 6 3 — — $17,566.74 $39,403.28 $37,467.62 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 6 3 — — $17,566.74 $39,403.28 $37,467.62 2026-04-01
64580 HCPCS Implant Neuroelectrodes 6 3 — — $17,566.74 $39,403.28 $37,467.62 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 6 3 — — $27,941.55 $39,403.28 $37,467.62 2026-04-01
63664 HCPCS Revise Spine Eltrd Plate 6 3 — — $10,089.67 $39,403.28 $37,467.62 2026-04-01
64575 HCPCS Implant Neuroelectrodes 6 3 — — $10,089.67 $39,403.28 $37,467.62 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 6 3 — — $23,640.73 $39,386.91 $37,452.06 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 5 — — $23,086.87 $56,770.08 $37,382.23 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 6 3 — — $23,514.53 $39,176.62 $37,252.10 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 — — $22,773.45 $58,264.03 $36,868.23 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 6 3 — — $23,210.23 $38,669.68 $36,770.06 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 4 — — $22,981.30 $39,557.65 $36,731.12 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 6 3 — — $23,134.38 $38,543.29 $36,649.88 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $20,490.15 $57,821.63 $36,622.17 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 6 — — $10,880.37 $57,197.63 $36,598.97 2026-04-01
L5858 HCPCS Stance Phase Only 6 3 — — $23,006.91 $38,330.92 $36,447.94 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 5 — — $21,556.35 $55,411.50 $36,442.71 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 6 3 — — $17,441.40 $37,943.86 $36,079.90 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $22,088.53 $45,171.75 $35,745.01 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 6 3 — — $15,876.81 $37,585.58 $35,739.22 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 12 5 — — $200.00 $57,696.17 $35,684.29 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 5 — — $22,011.99 $51,520.63 $35,619.49 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 6 3 — — $17,441.40 $37,428.56 $35,589.91 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 6 3 — — $17,441.40 $37,428.56 $35,589.91 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 5 — — $21,755.31 $56,228.63 $35,198.55 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 5 — — $20,290.66 $54,820.52 $35,166.21 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 — — $21,660.95 $53,805.30 $35,043.81 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $21,637.19 $52,643.15 $35,004.85 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 2 1 — — $34,970.13 $34,970.13 $34,970.13 2026-04-01
652 MS_DRG Kidney Transplant 6 3 — — $21,601.56 $50,701.84 $34,946.42 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 5 — — $21,585.73 $53,143.34 $34,920.45 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 6 3 — — $16,599.24 $36,699.94 $34,897.09 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 8 4 — — $15,510.69 $39,376.13 $34,888.99 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 10 5 — — $21,544.16 $52,501.18 $34,852.28 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $21,475.53 $47,246.77 $34,739.74 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 5 — — $21,300.01 $53,782.18 $34,727.18 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 5 — — $19,742.95 $50,942.85 $34,551.70 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 — — $21,359.40 $55,994.22 $34,549.29 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 6 3 — — $15,876.81 $36,290.29 $34,507.55 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 5 — — $21,320.47 $51,048.50 $34,485.44 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 5 — — $21,257.78 $58,278.89 $34,382.65 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $21,174.64 $52,308.04 $34,246.30 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 5 — — $21,142.97 $50,906.54 $34,194.36 2026-04-01
53444 HCPCS Insert Tandem Cuff 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
54400 HCPCS Insert Semi-rigid Prosthesis 6 3 — — $11,946.63 $35,917.66 $34,153.23 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 6 3 — — $18,767.44 $35,917.66 $34,153.23 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 5 — — $20,751.87 $235,276.13 $34,080.74 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 6 3 — — $15,510.69 $35,767.52 $34,010.47 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 5 — — $21,024.86 $46,312.44 $34,000.66 2026-04-01
665 MS_DRG Prostatectomy With Mcc 10 5 — — $20,886.95 $56,680.94 $33,774.51 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 6 3 — — $21,297.95 $35,483.70 $33,740.59 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 5 — — $20,535.70 $52,743.85 $33,658.98 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 5 — — $20,807.77 $50,490.54 $33,644.65 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 6 3 — — $16,599.24 $35,107.58 $33,382.95 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 6 3 — — $16,599.24 $35,107.58 $33,382.95 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 6 3 — — $16,599.24 $35,107.58 $33,382.95 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 6 3 — — $17,771.01 $34,931.75 $33,215.76 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 5 — — $20,493.02 $51,497.51 $33,128.49 2026-04-01
263 MS_DRG Vein Ligation And Stripping 10 5 — — $20,465.97 $44,275.38 $33,084.13 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 5 — — $19,046.87 $48,674.69 $32,838.28 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 5 — — $20,306.29 $53,958.82 $32,822.26 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 5 — — $20,222.49 $47,180.74 $32,684.83 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 5 — — $20,219.85 $47,329.31 $32,680.50 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 6 3 — — $30,977.74 $39,883.94 $32,578.11 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 5 — — $19,508.53 $166,491.86 $32,508.55 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 6 3 — — $16,599.24 $34,146.40 $32,468.99 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 5 — — $16,321.79 $41,680.37 $32,225.46 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $19,931.50 $50,655.62 $32,207.62 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 6 — — $19,225.84 $47,826.20 $32,158.73 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 5 — — $19,440.57 $48,417.17 $32,120.55 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 6 3 — — $16,320.54 $33,756.30 $32,098.05 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 6 3 — — $16,320.54 $33,756.30 $32,098.05 2026-04-01
62360 HCPCS Insert Spine Infusion Device 6 3 — — $16,320.54 $33,756.30 $32,098.05 2026-04-01
66683 HCPCS Implantation Iris Prosthesis 6 3 — — $14,905.23 $33,551.92 $31,903.71 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 6 3 — — $20,122.03 $33,524.53 $31,877.67 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 10 5 — — $19,718.37 $43,644.79 $31,858.11 2026-04-01
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