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

WILLIS KNIGHTON MEDICAL CENTER

Shreveport, LA · CCN 190111 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $5,696 across 7 payers · range $5,179-$14,966

Source: https://hospitalpricedisclosure.com/download.aspx?pi=EQGzpo*__*Zt8w*__*tMoFmXcTzQ*-* · 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.

13,524 distinct procedures filed
15 distinct payers
107,166 rate rows
2026-04-01 last MRF observed
Data quality

77,059 of 107,166 rate rows are consumer-grade (71.9%)

30,107 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 24,687
template filing: same amount across many unrelated codes — excluded 5,262
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 121
placeholder amount (≤ $0.02) — excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=EQGzpo*__*Zt8w*__*tMoFmXcTzQ*-*
Found on page https://hospitalpricedisclosure.com/Default.aspx?pi=EQGzpo*__*Zt8w*__*tMoFmXcTzQ*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint de6b1d3647d8e173… · 29,254,833 bytes · first seen 2026-05-06

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $3.14 $1,733,757.77 $680,485.13 nat. median
$691,418
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $0.95 $1,562,364.40 $613,214.70 nat. median
$588,565
1.0× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $447,329.72 $447,329.72 $447,329.72 nat. median
$5,118
outlier · 87.4×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $299,631.82 $865,935.96 $329,595.00 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $194,627.49 $626,984.06 $214,090.24 nat. median
$261,939
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,492.17 $326,672.06 $164,450.95 nat. median
$111,503
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $148,401.45 $528,069.53 $163,241.60 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $147,168.30 $477,036.25 $162,286.86 nat. median
$199,832
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $147,635.00 $147,635.00 $147,635.00 nat. median
$62,767
outlier · 2.4×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $136,148.84 $136,148.84 $136,148.84 nat. median
$57,648
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $32,704.83 $314,513.77 $106,101.45 nat. median
$132,706
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $102,520.66 $102,520.66 $102,520.66 nat. median
$46,399
outlier · 2.2×
7
MS_DRG 		Lung Transplant 7 $90,213.33 $290,891.45 $99,234.66 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $83,755.37 $291,626.03 $92,130.91 nat. median
$114,305
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $58,992.63 $172,848.39 $87,014.12 nat. median
$13,835
outlier · 6.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $79,002.82 $245,298.52 $86,903.10 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $78,912.77 $228,057.91 $86,804.05 nat. median
$96,134
0.9× median
0312T
OTHER 		Laps Impltj Nstim Vagus 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$17,494
outlier · 4.9×
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$39,896
outlier · 2.1×
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$22,408
outlier · 3.8×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$22,408
outlier · 3.8×
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$28,090
outlier · 3.0×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$22,425
outlier · 3.8×
0316T
OTHER 		Replc Vagus Nerve Pls Gen 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$14,552
outlier · 5.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $27,791.38 $233,320.42 $84,337.32 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $75,832.37 $242,480.41 $83,415.61 nat. median
$100,978
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 5 $68,801.71 $201,589.01 $82,562.05 nat. median
$70,178
1.2× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $81,424.85 $81,424.85 $81,424.85 nat. median
$37,051
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $71,928.36 $237,037.84 $79,121.20 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $2,505.04 $235,826.89 $76,427.67 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $68,273.03 $214,817.90 $75,100.33 nat. median
$92,900
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 5 $50,007.15 $146,520.95 $73,760.54 nat. median
$46,980
1.6× median
L7181
HCPCS 		Electronic Elbo Simultaneous 5 $49,600.83 $145,330.43 $73,161.23 nat. median
$50,449
1.5× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $185,592.89 $72,933.34 nat. median
$69,291
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $62,917.15 $185,648.40 $69,208.87 nat. median
$81,124
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $166,495.93 $67,450.73 nat. median
$63,643
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $60,492.04 $205,043.54 $66,541.24 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $58,011.73 $188,617.88 $64,791.78 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $4,845.16 $188,511.04 $64,589.86 nat. median
$80,459
0.8× median
0775T
OTHER 		Arthrd Si Jt Prq Iartic Impl 1 $64,232.32 $64,232.32 $64,232.32 nat. median
$7,542
outlier · 8.5×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $55,272.32 $161,947.91 $63,662.86 nat. median
$65,655
1.0× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 5 $41,309.56 $131,999.97 $60,931.60 nat. median
$43,061
1.4× median
64568
HCPCS 		Inc For Vagus N Elect Impl 5 $41,309.56 $121,037.01 $60,931.60 nat. median
$27,651
outlier · 2.2×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $60,664.68 $60,664.68 $60,664.68 nat. median
$75,807
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $26,648.38 $179,426.73 $60,516.42 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $9,690.32 $172,225.62 $59,064.88 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $53,466.07 $173,979.71 $58,812.68 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $53,290.82 $166,141.96 $58,619.90 nat. median
$71,485
0.8× median
L8614
HCPCS 		Cochlear Device 1 $56,659.65 $56,659.65 $56,659.65 nat. median
$22,570
outlier · 2.5×
61867
HCPCS 		Implant Neuroelectrode 1 $56,552.32 $56,552.32 $56,552.32 nat. median
$4,386
outlier · 12.9×

Other procedures at this hospital

Browse this hospital's 13,524 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $3.14 $1,733,757.77 $680,485.13 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $0.95 $1,562,364.40 $613,214.70 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $447,329.72 $447,329.72 $447,329.72 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 7 — — $299,631.82 $865,935.96 $329,595.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 7 — — $194,627.49 $626,984.06 $214,090.24 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 5 — — $111,492.17 $326,672.06 $164,450.95 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 7 — — $148,401.45 $528,069.53 $163,241.60 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 7 — — $147,168.30 $477,036.25 $162,286.86 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $147,635.00 $147,635.00 $147,635.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $136,148.84 $136,148.84 $136,148.84 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 8 — — $32,704.83 $314,513.77 $106,101.45 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $102,520.66 $102,520.66 $102,520.66 2026-04-01
7 MS_DRG Lung Transplant 10 7 — — $90,213.33 $290,891.45 $99,234.66 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 — — $83,755.37 $291,626.03 $92,130.91 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $58,992.63 $172,848.39 $87,014.12 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 7 — — $79,002.82 $245,298.52 $86,903.10 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 9 7 — — $78,912.77 $228,057.91 $86,804.05 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 7 — — $27,791.38 $233,320.42 $84,337.32 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 7 — — $75,832.37 $242,480.41 $83,415.61 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 5 — — $68,801.71 $201,589.01 $82,562.05 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $81,424.85 $81,424.85 $81,424.85 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 8 — — $71,928.36 $237,037.84 $79,121.20 2026-04-01
215 MS_DRG Other Heart Assist System Implant 14 8 — — $2,505.04 $235,826.89 $76,427.67 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $68,273.03 $214,817.90 $75,100.33 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 6 5 — — $50,007.15 $146,520.95 $73,760.54 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 6 5 — — $49,600.83 $145,330.43 $73,161.23 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 5 — — $63,342.28 $185,592.89 $72,933.34 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 7 — — $62,917.15 $185,648.40 $69,208.87 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $166,495.93 $67,450.73 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 7 — — $60,492.04 $205,043.54 $66,541.24 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 8 — — $58,011.73 $188,617.88 $64,791.78 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $4,845.16 $188,511.04 $64,589.86 2026-04-01
0775T OTHER Arthrd Si Jt Prq Iartic Impl 1 1 — — $64,232.32 $64,232.32 $64,232.32 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $55,272.32 $161,947.91 $63,662.86 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 6 5 — — $41,309.56 $121,037.01 $60,931.60 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 5 — — $41,309.56 $131,999.97 $60,931.60 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $60,664.68 $60,664.68 $60,664.68 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 8 — — $26,648.38 $179,426.73 $60,516.42 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $9,690.32 $172,225.62 $59,064.88 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 7 — — $53,466.07 $173,979.71 $58,812.68 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 7 — — $53,290.82 $166,141.96 $58,619.90 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $56,659.65 $56,659.65 $56,659.65 2026-04-01
61867 HCPCS Implant Neuroelectrode 1 1 — — $56,552.32 $56,552.32 $56,552.32 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 1 1 — — $56,552.32 $56,552.32 $56,552.32 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 9 — — $40,694.07 $158,017.06 $56,531.42 2026-04-01
10 MS_DRG Pancreas Transplant 10 7 — — $50,213.89 $177,470.08 $55,235.28 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 7 — — $50,193.11 $148,663.41 $55,212.42 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 7 — — $49,929.19 $176,448.34 $54,922.11 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 7 — — $49,900.10 $157,300.29 $54,890.11 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 7 — — $48,385.88 $154,851.69 $53,224.47 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 7 — — $48,151.05 $148,411.87 $52,966.16 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $47,134.18 $151,989.05 $51,847.60 2026-04-01
J9226 HCPCS Supprelin La Implant 6 5 — — $45,020.65 $131,910.50 $51,773.75 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 7 — — $46,825.24 $137,700.36 $51,507.76 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 8 — — $41,674.59 $233,120.42 $51,470.43 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $46,054.97 $143,741.72 $50,660.47 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $46,054.97 $133,098.86 $50,660.47 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $45,889.42 $137,072.63 $50,478.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 7 — — $45,081.05 $143,971.00 $49,589.16 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 8 — — $42,910.15 $476,736.25 $48,432.03 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 6 5 — — $41,309.56 $121,037.01 $48,164.09 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 5 — — $39,525.62 $115,810.07 $47,430.74 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 7 — — $42,959.33 $133,346.30 $47,255.26 2026-04-01
1490 OTHER Inj Pembrolizumab 1 1 — — $47,242.59 $47,242.59 $47,242.59 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 1 1 — — $46,774.64 $46,774.64 $46,774.64 2026-04-01
33967 HCPCS Insert I-aort Percut Device 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
37231 HCPCS Stent & Atherect Tib/Peron Rt 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
33477 HCPCS Implant Tcat Pulm Vlv Perq 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
37229 HCPCS Atherect Tib/Peroneal,Init Rt 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
33990 HCPCS Insert Vad Artery Access 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
37230 HCPCS Pta/Stent/Tibi/Pero 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
33418 HCPCS Repair Tcat Mitral Valve 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 7 — — $42,503.54 $135,970.76 $46,753.89 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $8,479.03 $137,878.44 $46,327.20 2026-04-01
2045 OTHER Grft, Trnsmurl/trnsvens Byps 1 1 — — $46,254.87 $46,254.87 $46,254.87 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 11 — — $9,325.71 $127,750.14 $45,995.75 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 13 — — $23,257.20 $178,964.99 $45,846.41 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 10 7 — — $41,582.96 $134,350.23 $45,741.26 2026-04-01
69930 HCPCS Implant Cochlear Device 6 5 — — $30,923.33 $97,116.64 $45,611.92 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 10 — — $8,479.03 $168,254.16 $45,275.69 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 8 — — $6,056.45 $129,595.49 $45,246.74 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 8 — — $37,781.31 $121,764.43 $44,502.30 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 8 — — $26,648.38 $126,986.62 $44,221.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 7 — — $40,039.64 $115,714.56 $44,043.60 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 7 — — $39,259.47 $120,219.58 $43,987.22 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 4 — — $24,658.46 $53,779.32 $43,928.79 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 6 5 — — $29,717.20 $87,071.40 $43,832.87 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 6 5 — — $29,576.84 $86,660.14 $43,625.84 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 6 5 — — $29,438.45 $86,254.67 $43,421.71 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 7 — — $1,286.49 $139,604.71 $43,264.12 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 8 — — $21,803.22 $145,961.21 $42,971.53 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 5 — — $28,940.29 $88,185.21 $42,686.93 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 6 5 — — $28,940.29 $85,414.00 $42,686.93 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 5 — — $28,940.29 $86,785.46 $42,686.93 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 6 5 — — $28,940.29 $84,795.06 $42,686.93 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 6 5 — — $28,940.29 $84,795.06 $42,686.93 2026-04-01
61886 HCPCS Implant Neurostim Arrays 6 5 — — $28,940.29 $85,414.00 $42,686.93 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 7 — — $38,765.78 $136,602.94 $42,642.36 2026-04-01
55815 HCPCS Extensive Prostate Surgery 1 1 — — $42,576.20 $42,576.20 $42,576.20 2026-04-01
55845 HCPCS Extensive Prostate Surgery 1 1 — — $42,576.20 $42,576.20 $42,576.20 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 11 7 — — $18,333.44 $123,028.79 $42,390.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 8 — — $15,746.77 $207,565.36 $42,242.33 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 13 8 — — $29,070.96 $135,320.77 $42,127.41 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 7 — — $38,288.52 $160,661.33 $42,117.37 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 5 — — $34,970.13 $102,462.48 $41,964.16 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 10 7 — — $38,137.51 $134,350.23 $41,951.26 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 15 7 — — $18,169.35 $124,081.69 $41,650.20 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 12 — — $4,845.16 $122,545.75 $41,586.12 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $8,479.03 $117,895.64 $41,193.11 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 7 — — $37,426.12 $114,632.32 $41,168.73 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 7 — — $37,178.14 $123,037.70 $40,895.95 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 7 — — $38,348.09 $118,420.97 $40,816.47 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 9 — — $1,429.32 $165,016.79 $40,762.60 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 7 — — $36,565.80 $113,399.12 $40,222.38 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 5 — — $26,901.06 $83,662.20 $39,679.06 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $39,099.69 $39,099.69 $39,099.69 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $35,421.47 $102,368.05 $38,963.62 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 9 — — $3,633.87 $70,163.32 $38,749.76 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 11 — — $8,902.95 $129,470.82 $38,391.07 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 10 — — $29,209.53 $93,269.40 $37,994.30 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $34,458.63 $120,090.47 $37,904.49 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 6 5 — — $32,129.76 $94,140.19 $37,611.71 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 6 5 — — $25,447.99 $74,562.62 $37,535.79 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 6 5 — — $25,447.99 $74,562.62 $37,535.79 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 9 — — $17,805.90 $108,116.82 $37,352.07 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 1 1 — — $37,322.11 $37,322.11 $37,322.11 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 9 — — $7,146.60 $112,112.49 $37,300.65 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 7 — — $33,787.41 $111,451.37 $37,166.15 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 9 — — $4,845.16 $113,051.86 $37,028.04 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 8 — — $14,293.20 $110,919.35 $36,893.22 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 8 — — $32,859.07 $104,719.94 $36,834.70 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 1 1 — — $36,667.72 $36,667.72 $36,667.72 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 1 1 — — $36,667.72 $36,667.72 $36,667.72 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 7 — — $33,074.63 $102,551.82 $36,382.09 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 11 — — $9,690.32 $220,471.40 $36,308.95 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 7 — — $32,911.16 $106,295.95 $36,268.82 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 6 5 — — $24,513.73 $71,825.23 $36,157.75 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 6 5 — — $24,513.73 $71,825.23 $36,157.75 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 6 5 — — $24,513.73 $71,825.23 $36,157.75 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 12 — — $1,425.15 $111,333.39 $36,133.83 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 7 — — $377.35 $107,936.51 $35,891.39 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 9 — — $3,633.87 $103,557.97 $35,750.43 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 7 — — $32,266.96 $104,158.99 $35,493.66 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 5 5 — — $29,510.19 $86,464.86 $35,412.23 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $29,438.45 $86,254.67 $35,326.14 2026-04-01
245 MS_DRG Aicd Generator Procedures 11 8 — — $10,901.61 $108,773.49 $35,322.97 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 10 — — $8,575.92 $99,546.72 $35,203.34 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 7 — — $31,879.74 $105,835.17 $35,067.71 2026-04-01
22846 HCPCS Insert Spine Fixation Device 1 1 — — $34,908.35 $34,908.35 $34,908.35 2026-04-01
69718 HCPCS Revise Temple Bone Implant 1 1 — — $34,908.35 $34,908.35 $34,908.35 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 1 1 — — $34,908.35 $34,908.35 $34,908.35 2026-04-01
69710 HCPCS Implant/replace Hearing Aid 1 1 — — $34,908.35 $34,908.35 $34,908.35 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 6 5 — — $23,640.73 $69,267.34 $34,870.08 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $28,940.29 $84,795.06 $34,728.35 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $28,940.29 $84,795.06 $34,728.35 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $28,940.29 $84,795.06 $34,728.35 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 5 — — $28,940.29 $84,795.06 $34,728.35 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 9 — — $9,690.32 $93,276.08 $34,698.93 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 8 — — $1,063.60 $100,421.54 $34,695.04 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 6 5 — — $23,514.53 $68,897.57 $34,683.93 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 7 — — $31,422.57 $97,777.05 $34,564.83 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 9 — — $8,479.03 $133,386.54 $34,561.88 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $34,418.41 $34,418.41 $34,418.41 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 6 5 — — $23,210.23 $68,005.97 $34,235.09 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 6 5 — — $23,134.38 $67,783.73 $34,123.21 2026-04-01
L5858 HCPCS Stance Phase Only 6 5 — — $23,006.91 $67,410.25 $33,935.19 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 7 — — $29,884.16 $94,809.79 $33,532.37 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 6 5 — — $25,244.91 $73,967.58 $33,480.81 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 12 — — $8,479.03 $91,528.67 $33,451.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 21 11 — — $2,422.58 $148,074.85 $33,347.81 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 8 — — $8,902.95 $99,822.74 $33,269.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 8 — — $1,211.29 $92,610.50 $32,738.41 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 8 — — $100.00 $94,947.80 $32,735.94 2026-04-01
22558 HCPCS Lumbar Spine Fusion 6 5 — — $25,447.99 $74,562.62 $32,722.97 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 6 5 — — $25,447.99 $74,562.62 $32,722.97 2026-04-01
22630 HCPCS Lumbar Spine Fusion 6 5 — — $25,447.99 $74,562.62 $32,722.97 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 5 — — $28,359.61 $83,282.49 $32,687.67 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 7 — — $29,697.77 $91,477.47 $32,667.55 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 11 8 — — $14,766.69 $84,789.68 $32,620.06 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 7 — — $29,577.93 $98,616.25 $32,535.72 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 7 — — $13,429.70 $80,252.75 $32,466.60 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 7 — — $29,141.40 $141,086.72 $32,203.51 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 12 — — $10,973.34 $108,165.78 $31,610.69 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 6 5 — — $21,297.95 $62,402.99 $31,414.48 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 1 1 — — $31,385.87 $31,385.87 $31,385.87 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 7 — — $27,327.60 $277,455.72 $31,197.93 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 7 — — $28,358.10 $87,463.99 $31,193.91 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 7 — — $28,105.96 $81,226.22 $30,916.56 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $27,605.84 $84,619.16 $30,366.42 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 7 — — $27,483.23 $96,312.34 $30,231.55 2026-04-01
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 1 1 — — $30,072.02 $30,072.02 $30,072.02 2026-04-01
33202 HCPCS Insert Epicard Eltrd Open 1 1 — — $30,072.02 $30,072.02 $30,072.02 2026-04-01
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 1 1 — — $30,072.02 $30,072.02 $30,072.02 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $30,072.02 $30,072.02 $30,072.02 2026-04-01
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 1 1 — — $30,072.02 $30,072.02 $30,072.02 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 7 — — $27,280.27 $87,468.44 $30,008.30 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 12 — — $2,425.26 $90,892.03 $29,884.10 2026-04-01
33732 HCPCS Repair Heart-vein Defect 1 1 — — $29,830.05 $29,830.05 $29,830.05 2026-04-01
33533 HCPCS Cabg Arterial Single 1 1 — — $29,830.05 $29,830.05 $29,830.05 2026-04-01
33261 HCPCS Ablate Heart Dysrhythm Focus 1 1 — — $29,830.05 $29,830.05 $29,830.05 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 8 — — $4,845.16 $88,672.71 $29,813.25 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 7 — — $25,764.69 $87,844.64 $29,749.19 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 6 5 — — $7,347.80 $32,908.13 $29,691.37 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 6 5 — — $20,122.03 $58,957.55 $29,680.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 9 — — $3,815.55 $87,036.60 $29,644.08 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 8 — — $8,479.03 $86,558.01 $29,589.46 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 7 — — $25,623.36 $78,361.88 $29,466.86 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 10 — — $3,633.87 $96,112.00 $29,411.68 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 12 — — $3,394.20 $92,837.56 $29,390.90 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 6 5 — — $17,546.85 $74,562.62 $29,265.19 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 7 — — $15,746.77 $85,082.17 $29,231.86 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 8 — — $7,251.21 $85,723.26 $29,117.40 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 9 — — $7,631.10 $107,049.35 $29,106.90 2026-04-01
61600 HCPCS Resect/excise Cranial Lesion 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
61630 HCPCS Angioplasty;Intracran Carotid 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
92970 HCPCS Cardioassist Internal 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37228 HCPCS Pta Tibial/Peroneal Uni,Init 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37221 HCPCS Iliac Revasc W/stent 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37218 HCPCS Stent Placemt Ante Carotid 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37225 HCPCS Atherectomy Fem/Pop Rt 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37215 HCPCS Transcath Stent Cca W/eps 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
34705 HCPCS Ev Rpr Aaa Aortoiliac Tube Bil 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
34701 HCPCS Ev Rpr Aaa Aorto-aortic Tube 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
33340 HCPCS Perc Closure,Lt Atr Appendage 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
61645 HCPCS Perq Art M-thrombect &/nfs 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
61650 HCPCS Evasc Prlng Admn Rx Agnt 1st 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
61635 HCPCS Intracran Angioplsty W/stent 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
0075T OTHER Perq Stent/Chest Vert Art 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
C7515 HCPCS Cath/angio Dial Cir W/embol 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 7 — — $26,178.20 $77,291.17 $28,796.02 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 1 1 — — $28,769.10 $28,769.10 $28,769.10 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
53444 HCPCS Insert Tandem Cuff 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 11 7 — — $25,951.69 $85,943.63 $28,546.86 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 7 — — $13,681.62 $79,045.26 $28,535.43 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 8 — — $12,112.90 $79,775.39 $28,392.85 2026-04-01
47120 HCPCS Partial Removal Of Liver 1 1 — — $28,357.44 $28,357.44 $28,357.44 2026-04-01
47130 HCPCS Partial Removal Of Liver 1 1 — — $28,357.44 $28,357.44 $28,357.44 2026-04-01
332 MS_DRG Rectal Resection With Mcc 11 7 — — $24,018.51 $77,208.81 $28,147.59 2026-04-01
265 MS_DRG Aicd Lead Procedures 11 7 — — $25,571.41 $79,399.19 $28,128.55 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 7 — — $24,338.31 $79,797.65 $28,079.78 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 7 — — $9,690.32 $73,665.15 $28,038.64 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 8 — — $25,268.70 $87,644.30 $27,976.10 2026-04-01
E0783 HCPCS Programmable Infusion Pump 1 1 — — $27,898.79 $27,898.79 $27,898.79 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 5 — — $24,228.42 $70,989.27 $27,862.68 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 9 — — $3,815.55 $88,610.38 $27,858.81 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 7 — — $25,186.27 $77,990.14 $27,704.90 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 7 — — $25,162.72 $83,341.44 $27,678.99 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 7 — — $24,887.03 $105,578.78 $27,375.73 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 8 — — $4,845.16 $83,960.27 $27,354.08 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 8 — — $7,631.10 $86,032.67 $27,131.91 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 7 — — $24,554.53 $77,124.22 $27,009.98 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 7 — — $22,209.28 $74,107.55 $26,924.89 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 7 — — $16,827.19 $76,547.69 $26,881.98 2026-04-01
63655 HCPCS Implant Neuroelectrodes 6 5 — — $18,194.65 $56,552.32 $26,837.11 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 6 5 — — $18,194.65 $56,552.32 $26,837.11 2026-04-01
64580 HCPCS Implant Neuroelectrodes 6 5 — — $18,194.65 $56,552.32 $26,837.11 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 6 5 — — $18,194.65 $61,138.30 $26,837.11 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 6 5 — — $18,194.65 $61,138.30 $26,837.11 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 8 — — $50.00 $76,238.27 $26,733.81 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 6 5 — — $18,064.83 $52,929.94 $26,645.62 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
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