Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Willis-knighton Medical Center

Shreveport, LA · CCN 199804 · Rates published

18,677 distinct procedures filed
15 distinct payers
107,166 rate rows
2026-04-01 last MRF observed
Data quality

82,442 of 107,166 rate rows are consumer-grade (76.9%)

24,724 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
placeholder amount (≤ $0.02) — excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/720400933_willis-knighton-health-system_standardcharges.json
Found on page https://www.wkhs.com/patients-and-visitors/billing-insurance-and-financial-assistance/pricing-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-16
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
$753,246
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $0.95 $1,562,364.40 $613,214.70 nat. median
$634,303
1.0× median
0100T
HCPCS 		Prosth Retina Receive&Gen 1 $447,329.72 $447,329.72 $447,329.72 nat. median
$11,210
outlier · 39.9×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $299,631.82 $865,935.96 $329,595.00 nat. median
$370,174
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
$265,286
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,492.17 $326,672.06 $164,450.95 nat. median
$111,989
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
$206,474
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
$202,976
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $147,635.00 $147,635.00 $147,635.00 nat. median
$65,393
outlier · 2.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $136,148.84 $136,148.84 $136,148.84 nat. median
$62,372
outlier · 2.2×
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
$133,161
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
$48,483
outlier · 2.1×
7
MS_DRG 		Lung Transplant 7 $90,213.33 $290,891.45 $99,234.66 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $83,755.37 $291,626.03 $92,130.91 nat. median
$117,357
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $58,992.63 $172,848.39 $87,014.12 nat. median
$15,979
outlier · 5.4×
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
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $78,912.77 $228,057.91 $86,804.05 nat. median
$98,047
0.9× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$42,941
2.0× median
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$8,204
outlier · 10.4×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$15,886
outlier · 5.4×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$9,564
outlier · 8.9×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$30,333
outlier · 2.8×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$24,752
outlier · 3.5×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $85,414.00 $85,414.00 $85,414.00 nat. median
$18,872
outlier · 4.5×
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
$98,894
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $75,832.37 $242,480.41 $83,415.61 nat. median
$102,358
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $81,424.85 $81,424.85 $81,424.85 nat. median
$39,075
outlier · 2.1×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 5 $0.03 $201,589.01 $79,121.96 nat. median
$70,825
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $71,928.36 $237,037.84 $79,121.20 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $2,505.04 $235,826.89 $76,427.67 nat. median
$99,019
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
$93,672
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 5 $50,007.15 $146,520.95 $73,760.54 nat. median
$49,027
1.5× median
L7181
HCPCS 		Electronic Elbo Simultaneous 5 $49,600.83 $145,330.43 $73,161.23 nat. median
$50,598
1.4× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $185,592.89 $72,933.34 nat. median
$69,774
1.0× 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
$82,711
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $166,495.93 $67,450.73 nat. median
$62,507
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $60,492.04 $205,043.54 $66,541.24 nat. median
$83,470
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $58,011.73 $188,617.88 $64,791.78 nat. median
$79,312
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
$81,118
0.8× median
0775T
HCPCS 		Arthrd Si Jt Prq Iartic Impl 1 $64,232.32 $64,232.32 $64,232.32 nat. median
$9,524
outlier · 6.7×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $55,272.32 $161,947.91 $63,662.86 nat. median
$66,682
1.0× median
64568
HCPCS 		Inc For Vagus N Elect Impl 5 $41,309.56 $121,037.01 $60,931.60 nat. median
$27,591
outlier · 2.2×
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 5 $41,309.56 $131,999.97 $60,931.60 nat. median
$43,787
1.4× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $60,664.68 $60,664.68 $60,664.68 nat. median
$76,329
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
$77,570
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
$74,915
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
$73,807
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
$72,135
0.8× median
L8614
HCPCS 		Cochlear Device 1 $56,659.65 $56,659.65 $56,659.65 nat. median
$23,403
outlier · 2.4×
61867
HCPCS 		Implant Neuroelectrode 1 $56,552.32 $56,552.32 $56,552.32 nat. median
$4,294
outlier · 13.2×

Other procedures at this hospital

Browse this hospital's 18,677 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
             
0075T HCPCS Perq Stent/Chest Vert Art 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 1 1 — — $447,329.72 $447,329.72 $447,329.72 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 1 1 — — $36,667.72 $36,667.72 $36,667.72 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 6 5 — — $29,438.45 $86,254.67 $43,421.71 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 1 1 — — $56,552.32 $56,552.32 $56,552.32 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $85,414.00 $85,414.00 $85,414.00 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 6 5 — — $20,861.43 $66,623.72 $30,770.60 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 6 5 — — $41,309.56 $121,037.01 $48,164.09 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $28,940.29 $84,795.06 $34,728.35 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 6 5 — — $32,129.76 $94,140.19 $37,611.71 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 1 1 — — $64,232.32 $64,232.32 $64,232.32 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 6 5 — — $18,194.65 $61,138.30 $26,837.11 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 6 5 — — $18,194.65 $61,138.30 $26,837.11 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 6 5 — — $18,064.83 $54,457.74 $26,645.62 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $28,940.29 $84,795.06 $34,728.35 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $28,940.29 $84,795.06 $34,728.35 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $29,438.45 $86,254.67 $35,326.14 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
10 MS_DRG Pancreas Transplant 10 7 — — $50,213.89 $177,470.08 $55,235.28 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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 — — $83,755.37 $291,626.03 $92,130.91 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
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
1490 OTHER Inj Pembrolizumab 1 1 — — $47,242.59 $47,242.59 $47,242.59 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
163 MS_DRG Major Chest Procedures With Mcc 21 11 — — $2,422.58 $148,074.85 $33,347.81 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 10 7 — — $38,137.51 $134,350.23 $41,951.26 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 7 — — $49,929.19 $176,448.34 $54,922.11 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
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
2045 OTHER Grft, Trnsmurl/trnsvens Byps 1 1 — — $46,254.87 $46,254.87 $46,254.87 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 1 1 — — $37,322.11 $37,322.11 $37,322.11 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 6 5 — — $25,447.99 $74,562.62 $37,535.79 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
209 MS_DRG Complex Aortic Arch Procedures 9 7 — — $78,912.77 $228,057.91 $86,804.05 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 7 — — $75,832.37 $242,480.41 $83,415.61 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 6 5 — — $25,447.99 $74,562.62 $37,535.79 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
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
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
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
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
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
22558 HCPCS Lumbar Spine Fusion 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
22633 HCPCS Lumbar Spine Fusion Combined 6 5 — — $25,447.99 $74,562.62 $32,722.97 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
22846 HCPCS Insert Spine Fixation Device 1 1 — — $34,908.35 $34,908.35 $34,908.35 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 8 — — $58,011.73 $188,617.88 $64,791.78 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
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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 10 — — $8,479.03 $168,254.16 $45,275.69 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
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
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
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
265 MS_DRG Aicd Lead Procedures 11 7 — — $25,571.41 $79,399.19 $28,128.55 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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 9 — — $1,429.32 $165,016.79 $40,762.60 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 9 — — $3,633.87 $70,163.32 $38,749.76 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 9 — — $3,633.87 $103,557.97 $35,750.43 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 6 5 — — $17,546.85 $74,562.62 $29,265.19 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
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
28 MS_DRG Spinal Procedures With Mcc 13 8 — — $29,070.96 $135,320.77 $42,127.41 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 9 — — $9,690.32 $93,276.08 $34,698.93 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 7 — — $31,422.57 $97,777.05 $34,564.83 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 9 — — $4,845.16 $113,051.86 $37,028.04 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
332 MS_DRG Rectal Resection With Mcc 11 7 — — $24,018.51 $77,208.81 $28,147.59 2026-04-01
33202 HCPCS Insert Epicard Eltrd Open 1 1 — — $30,072.02 $30,072.02 $30,072.02 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 6 5 — — $18,064.83 $53,718.17 $26,645.62 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 6 5 — — $18,064.83 $53,718.17 $26,645.62 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
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 5 — — $29,438.45 $94,694.67 $43,421.71 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
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
33261 HCPCS Ablate Heart Dysrhythm Focus 1 1 — — $29,830.05 $29,830.05 $29,830.05 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
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 5 — — $20,861.43 $66,623.72 $30,770.60 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
33270 HCPCS Ins/rep Subq Defibrillator 6 5 — — $29,438.45 $94,694.67 $43,421.71 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 5 — — $41,309.56 $131,999.97 $60,931.60 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
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 5 — — $26,901.06 $83,662.20 $39,679.06 2026-04-01
33340 HCPCS Perc Closure,Lt Atr Appendage 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
33418 HCPCS Repair Tcat Mitral Valve 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
33533 HCPCS Cabg Arterial Single 1 1 — — $29,830.05 $29,830.05 $29,830.05 2026-04-01
33732 HCPCS Repair Heart-vein Defect 1 1 — — $29,830.05 $29,830.05 $29,830.05 2026-04-01
33967 HCPCS Insert I-aort Percut Device 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 8 — — $8,479.03 $86,558.01 $29,589.46 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
34705 HCPCS Ev Rpr Aaa Aortoiliac Tube Bil 1 1 — — $29,064.54 $29,064.54 $29,064.54 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
37215 HCPCS Transcath Stent Cca W/eps 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
37221 HCPCS Iliac Revasc W/stent 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
37226 HCPCS Fem/popl Revasc W/stent 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
37228 HCPCS Pta Tibial/Peroneal Uni,Init 1 1 — — $29,064.54 $29,064.54 $29,064.54 2026-04-01
37229 HCPCS Atherect Tib/Peroneal,Init Rt 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
37231 HCPCS Stent & Atherect Tib/Peron Rt 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $58,992.63 $172,848.39 $87,014.12 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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 8 — — $15,746.77 $207,565.36 $42,242.33 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $147,635.00 $147,635.00 $147,635.00 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
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
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
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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 8 — — $50.00 $76,238.27 $26,733.81 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
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
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
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
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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 8 — — $71,928.36 $237,037.84 $79,121.20 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $39,099.69 $39,099.69 $39,099.69 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
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
5232 OTHER Level 2 Icd And Similar Procedures 11 8 — — $14,766.69 $84,789.68 $32,620.06 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
53447 HCPCS Remove/replace Ur Sphincter 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 6 5 — — $7,347.80 $32,908.13 $29,691.37 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 6 5 — — $19,438.26 $56,954.11 $28,671.44 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 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
54416 HCPCS Remv/repl Penis Contain Pros 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
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 7 — — $13,429.70 $80,252.75 $32,466.60 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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 12 7 — — $377.35 $107,936.51 $35,891.39 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
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
61635 HCPCS Intracran Angioplsty W/stent 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
61867 HCPCS Implant Neuroelectrode 1 1 — — $56,552.32 $56,552.32 $56,552.32 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 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
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 6 5 — — $28,940.29 $84,795.06 $42,686.93 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
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
63655 HCPCS Implant Neuroelectrodes 6 5 — — $18,194.65 $56,552.32 $26,837.11 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 6 5 — — $28,940.29 $85,414.00 $42,686.93 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
64580 HCPCS Implant Neuroelectrodes 6 5 — — $18,194.65 $56,552.32 $26,837.11 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
64590 HCPCS Insrt/redo Pn/gastr Stimul 6 5 — — $18,194.65 $56,552.32 $26,837.11 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 7 — — $33,074.63 $102,551.82 $36,382.09 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
653 MS_DRG Major Bladder Procedures With Mcc 15 7 — — $18,169.35 $124,081.69 $41,650.20 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
69710 HCPCS Implant/replace Hearing Aid 1 1 — — $34,908.35 $34,908.35 $34,908.35 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 1 1 — — $46,774.64 $46,774.64 $46,774.64 2026-04-01
69718 HCPCS Revise Temple Bone Implant 1 1 — — $34,908.35 $34,908.35 $34,908.35 2026-04-01
69930 HCPCS Implant Cochlear Device 6 5 — — $30,923.33 $97,116.64 $45,611.92 2026-04-01
7 MS_DRG Lung Transplant 10 7 — — $90,213.33 $290,891.45 $99,234.66 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
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
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $34,418.41 $34,418.41 $34,418.41 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
791 MS_DRG Prematurity With Major Problems 20 12 — — $10,973.34 $108,165.78 $31,610.69 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
799 MS_DRG Splenic Procedures With Mcc 10 7 — — $31,879.74 $105,835.17 $35,067.71 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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 11 7 — — $18,333.44 $123,028.79 $42,390.15 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
850 MS_DRG Acute Leukemia With Other Procedures 10 7 — — $60,492.04 $205,043.54 $66,541.24 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
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
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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 10 7 — — $29,577.93 $98,616.25 $32,535.72 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
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
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
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
92941 HCPCS Prq Card Revasc Mi 1 Vsl 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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $47,134.18 $151,989.05 $51,847.60 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
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
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
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
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
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
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $166,495.93 $67,450.73 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
C7515 HCPCS Cath/angio Dial Cir W/embol 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
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $29,064.54 $29,064.54 $29,064.54 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
C7538 HCPCS Insrt Vent Pm W/l Vent 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
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 1 1 — — $30,072.02 $30,072.02 $30,072.02 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 1 1 — — $34,908.35 $34,908.35 $34,908.35 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 6 5 — — $25,244.91 $73,967.58 $33,480.81 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 1 1 — — $28,769.10 $28,769.10 $28,769.10 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 1 1 — — $36,667.72 $36,667.72 $36,667.72 2026-04-01
E0783 HCPCS Programmable Infusion Pump 1 1 — — $27,898.79 $27,898.79 $27,898.79 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
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $46,756.71 $46,756.71 $46,756.71 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $60,664.68 $60,664.68 $60,664.68 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 5 — — $63,342.28 $185,592.89 $72,933.34 2026-04-01
J9226 HCPCS Supprelin La Implant 6 5 — — $45,020.65 $131,910.50 $51,773.75 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 5 — — $28,359.61 $83,282.49 $32,687.67 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 5 — — $24,228.42 $70,989.27 $27,862.68 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 6 5 — — $0.03 $115,810.07 $45,454.46 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 6 5 — — $29,717.20 $87,071.40 $43,832.87 2026-04-01
L5858 HCPCS Stance Phase Only 6 5 — — $23,006.91 $67,410.25 $33,935.19 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
L6700 HCPCS Ue Add Ext Power Myoel 5 5 — — $29,510.19 $86,464.86 $35,412.23 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 6 5 — — $29,576.84 $86,660.14 $43,625.84 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 6 5 — — $23,134.38 $67,783.73 $34,123.21 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 6 5 — — $23,514.53 $68,897.57 $34,683.93 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 6 5 — — $23,640.73 $69,267.34 $34,870.08 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
L8614 HCPCS Cochlear Device 1 1 — — $56,659.65 $56,659.65 $56,659.65 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 6 5 — — $0.03 $102,462.48 $40,215.65 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 6 5 — — $0.03 $201,589.01 $79,121.96 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 5 — — $111,492.17 $326,672.06 $164,450.95 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 6 5 — — $23,210.23 $68,005.97 $34,235.09 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
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $0.95 $1,562,364.40 $613,214.70 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $3.14 $1,733,757.77 $680,485.13 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $55,272.32 $161,947.91 $63,662.86 2026-04-01
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