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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

Beth Israel Deaconess Med Ctr - Transplant Center

Boston, MA · CCN 229803 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $20,633 across 4 payers · range $15,386-$26,856

Source: https://bidmc.org/042103881_beth-israel-deaconess-medical-center_standardcharges.json · observed 2026-04-01

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

12,079 distinct procedures filed
15 distinct payers
76,670 rate rows
2026-04-01 last MRF observed
Data quality

53,412 of 76,670 rate rows are consumer-grade (69.7%)

23,258 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 23,154
placeholder amount (≤ $0.02) — excluded from medians 75
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 29
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bidmc.org/042103881_beth-israel-deaconess-medical-center_standardcharges.json
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-17
Content fingerprint 738d667752fb807c… · 30,801,741 bytes · first seen 2026-05-13

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 2 $4,335,000.00 $4,505,000.00 $4,420,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,570,000.00 $3,685,266.67 $3,627,633.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,264,000.00 $3,316,462.59 $3,290,231.29 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,162,000.00 $3,248,445.72 $3,205,222.86 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,856,000.00 $4,897,200.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,146,250.00 $3,884,946.48 $2,455,110.60 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,244,000.00 $2,332,000.00 $2,288,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $566,531.30 $863,696.72 $591,726.20 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $837,683.55 $587,649.57 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,201.24 $819,043.85 $562,538.19 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $830,699.97 $558,081.73 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $532,192.24 $807,075.90 $533,230.17 nat. median
$588,565
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $430,014.32 $850,604.07 $529,073.82 nat. median
$370,165
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $741,576.00 $489,450.20 nat. median
$577,541
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $253,831.12 $506,202.39 $343,516.14 nat. median
$261,939
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $267,750.00 $278,250.00 $273,000.00 nat. median
$302,242
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $212,608.28 $261,828.11 $261,828.11 nat. median
$205,166
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $257,500.00 $265,000.00 $261,250.00 nat. median
$265,000
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $1,750.00 $1,670,935.52 $260,294.34 nat. median
$199,832
1.3× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $201,669.02 $205,640.00 $203,654.51 nat. median
$209,736
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $34,288.05 $620,836.84 $170,032.83 nat. median
$132,706
1.3× median
7
MS_DRG 		Lung Transplant 11 $128,958.09 $159,001.38 $159,001.38 nat. median
$122,690
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $4,316.00 $356,535.00 $147,589.25 nat. median
$114,305
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $112,842.06 $359,286.93 $139,190.81 nat. median
$108,240
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $112,712.61 $139,031.68 $139,031.68 nat. median
$96,134
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $109,749.11 $135,388.80 $135,388.80 nat. median
$96,835
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $97,640.60 $133,588.17 $133,588.17 nat. median
$100,978
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $102,671.96 $458,387.02 $126,689.24 nat. median
$99,646
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 11 $99,151.81 $130,162.61 $122,362.10 nat. median
$98,002
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $38,470.01 $1,115,163.00 $120,229.74 nat. median
$92,900
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $89,717.60 $110,765.13 $110,765.13 nat. median
$81,124
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $108,243.35 $108,243.35 $108,243.35 nat. median
$111,503
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $107,115.68 $107,115.68 $107,115.68 nat. median
$62,767
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $86,231.30 $106,479.61 $106,479.61 nat. median
$81,364
1.3× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $104,181.48 $104,181.48 $104,181.48 nat. median
$46,399
outlier · 2.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $83,944.94 $133,612.14 $103,669.11 nat. median
$79,040
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $8,653.80 $103,344.73 $103,344.73 nat. median
$80,459
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $78,357.51 $189,965.95 $96,800.78 nat. median
$77,385
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $63,842.31 $234,525.48 $94,468.90 nat. median
$74,472
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $56,059.18 $230,592.22 $94,063.72 nat. median
$73,475
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $66,978.44 $93,754.03 $93,754.03 nat. median
$71,485
1.3× median
64654
HCPCS 		1st Opn Implt Bat Modulj Sys 2 $52,787.39 $131,401.46 $92,094.42 nat. median
$44,598
outlier · 2.1×
38240
HCPCS 		Transplt Allo Hct/donor 2 $75,383.68 $94,984.93 $90,825.00 nat. median
$13,835
outlier · 6.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $71,882.82 $88,841.78 $88,841.78 nat. median
$66,640
1.3× median
10
MS_DRG 		Pancreas Transplant 11 $71,455.62 $88,316.65 $88,316.65 nat. median
$67,750
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $71,425.75 $88,279.93 $88,279.93 nat. median
$62,911
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $71,046.35 $87,813.55 $87,813.55 nat. median
$69,153
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $63,922.33 $204,067.84 $87,762.14 nat. median
$68,581
1.3× median

Other procedures at this hospital

Browse this hospital's 12,079 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 2 — — $4,335,000.00 $4,505,000.00 $4,420,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,570,000.00 $3,685,266.67 $3,627,633.33 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,264,000.00 $3,316,462.59 $3,290,231.29 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,162,000.00 $3,248,445.72 $3,205,222.86 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,856,000.00 $4,897,200.00 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,146,250.00 $3,884,946.48 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $2,244,000.00 $2,332,000.00 $2,288,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $770,620.00 $770,620.00 $770,620.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $566,531.30 $863,696.72 $591,726.20 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $565,868.94 $837,683.55 $587,649.57 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $562,201.24 $819,043.85 $562,538.19 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $557,317.93 $830,699.97 $558,081.73 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $532,192.24 $807,075.90 $533,230.17 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 12 — — $430,014.32 $850,604.07 $529,073.82 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $489,304.61 $741,576.00 $489,450.20 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 12 — — $253,831.12 $506,202.39 $343,516.14 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 2 — — $267,750.00 $278,250.00 $273,000.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 11 — — $212,608.28 $261,828.11 $261,828.11 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $257,500.00 $265,000.00 $261,250.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 13 — — $1,750.00 $1,670,935.52 $260,294.34 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $201,669.02 $205,640.00 $203,654.51 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 12 — — $34,288.05 $620,836.84 $170,032.83 2026-04-01
7 MS_DRG Lung Transplant 13 11 — — $128,958.09 $159,001.38 $159,001.38 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $4,316.00 $356,535.00 $147,589.25 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 11 — — $112,842.06 $359,286.93 $139,190.81 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 11 — — $112,712.61 $139,031.68 $139,031.68 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 — — $109,749.11 $135,388.80 $135,388.80 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $97,640.60 $133,588.17 $133,588.17 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 12 — — $102,671.96 $458,387.02 $126,689.24 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 11 — — $99,151.81 $130,162.61 $122,362.10 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 13 — — $38,470.01 $1,115,163.00 $120,229.74 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 11 — — $89,717.60 $110,765.13 $110,765.13 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $107,115.68 $107,115.68 $107,115.68 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 13 11 — — $86,231.30 $106,479.61 $106,479.61 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $104,181.48 $104,181.48 $104,181.48 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 12 — — $83,944.94 $133,612.14 $103,669.11 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 12 — — $8,653.80 $103,344.73 $103,344.73 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $78,357.51 $189,965.95 $96,800.78 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 13 — — $63,842.31 $234,525.48 $94,468.90 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 13 — — $56,059.18 $230,592.22 $94,063.72 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 12 — — $66,978.44 $93,754.03 $93,754.03 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 2 — — $52,787.39 $131,401.46 $92,094.42 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 3 2 — — $75,383.68 $94,984.93 $90,825.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 — — $71,882.82 $88,841.78 $88,841.78 2026-04-01
10 MS_DRG Pancreas Transplant 13 11 — — $71,455.62 $88,316.65 $88,316.65 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 11 — — $71,425.75 $88,279.93 $88,279.93 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 11 — — $71,046.35 $87,813.55 $87,813.55 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $63,922.33 $204,067.84 $87,762.14 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 11 — — $740.30 $102,736.05 $85,086.29 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 12 — — $62,567.13 $127,903.79 $84,671.33 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 11 — — $67,028.29 $82,874.37 $82,874.37 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 11 — — $66,584.17 $82,328.43 $82,328.43 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 11 — — $66,535.37 $82,268.45 $82,268.45 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 2 — — $48,155.50 $85,280.11 $81,545.22 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $65,476.84 $1,115,163.00 $80,967.25 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 12 — — $65,476.84 $1,115,163.00 $80,967.25 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 11 — — $65,238.84 $80,674.69 $80,674.69 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 3 — — $31,905.54 $128,100.78 $79,539.70 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 11 — — $64,076.74 $79,246.19 $79,246.19 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 2 — — $46,081.51 $81,607.20 $78,033.16 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 11 — — $955.00 $106,610.26 $75,496.82 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 11 — — $60,955.91 $75,409.91 $75,409.91 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 12 — — $60,371.37 $98,928.52 $74,691.37 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 13 11 — — $59,830.65 $74,026.69 $74,026.69 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 12 — — $56,117.99 $112,224.00 $74,005.88 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $837.00 $112,801.27 $73,473.41 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 13 — — $29,736.00 $318,766.44 $73,233.49 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 11 — — $59,047.95 $135,568.36 $73,064.56 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 12 — — $46,101.28 $141,592.16 $72,316.65 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 11 — — $52,731.07 $72,270.13 $72,270.13 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 11 — — $57,428.78 $71,074.20 $71,074.20 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 13 — — $1,750.00 $383,837.22 $70,623.74 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 11 — — $56,829.31 $70,337.30 $70,337.30 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 11 — — $48,556.80 $88,747.77 $70,246.72 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 — — $55,983.88 $69,298.06 $69,298.06 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 11 — — $55,810.61 $69,085.06 $69,085.06 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
69930 HCPCS Implant Cochlear Device 4 3 — — $39,515.35 $80,132.88 $68,649.12 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 11 — — $55,428.22 $68,615.02 $68,615.02 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 11 — — $54,998.03 $68,086.21 $68,086.21 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 12 — — $2,695.00 $229,027.92 $67,681.04 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 12 — — $1,980.00 $94,936.58 $67,443.57 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 13 — — $49,610.77 $142,465.74 $67,348.09 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 11 — — $36,973.63 $67,242.82 $67,242.82 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 13 11 — — $54,094.84 $66,975.97 $66,975.97 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 3 — — $37,617.90 $76,845.65 $65,832.98 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 3 — — $37,617.90 $76,845.65 $65,832.98 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 3 — — $37,617.90 $76,845.65 $65,832.98 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 3 — — $37,617.90 $76,845.65 $65,832.98 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $53,104.02 $160,854.75 $65,758.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 11 — — $53,072.16 $65,718.83 $65,718.83 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 11 — — $52,715.66 $125,214.28 $65,280.61 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 14 — — $46,611.03 $135,650.82 $65,066.40 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 6 — — $63,342.28 $109,620.00 $64,274.79 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 11 — — $45,008.74 $64,198.52 $64,198.52 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 16 11 — — $50,522.61 $201,331.73 $64,088.35 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 2 2 — — $50,621.71 $76,239.19 $63,430.45 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 12 — — $50,190.31 $112,224.00 $62,176.33 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 3 — — $36,981.33 $74,159.33 $61,791.35 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 11 — — $2,370.00 $96,281.01 $61,530.02 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 12 — — $49,266.21 $129,022.06 $61,040.38 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 13 — — $28,459.28 $139,494.09 $60,932.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 11 — — $49,010.29 $181,308.24 $60,725.79 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 11 — — $48,806.15 $60,474.86 $60,474.86 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 4 3 — — $52,570.51 $69,429.56 $59,588.12 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 — — $25,081.00 $156,182.40 $59,587.40 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 3 — — $36,981.33 $69,429.56 $59,479.68 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 3 — — $36,981.33 $69,429.56 $59,479.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 12 — — $38,136.22 $113,239.14 $59,288.72 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 12 — — $42,347.66 $134,559.61 $58,756.24 2026-04-01
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $58,185.82 $58,185.82 $58,185.82 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 11 — — $46,816.54 $167,224.57 $58,029.14 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $1,632.00 $86,390.88 $57,911.63 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 11 — — $46,581.53 $57,740.25 $57,740.25 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 14 12 — — $31,004.65 $57,240.83 $57,240.83 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 — — $41,917.83 $114,184.00 $57,014.37 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 14 — — $11,891.05 $353,816.82 $56,745.07 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 12 — — $31,719.51 $69,538.33 $56,601.86 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 12 — — $32,353.48 $72,238.63 $56,327.66 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 12 — — $50.00 $68,263.32 $56,159.96 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 13 — — $1,632.00 $269,898.23 $56,135.48 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 13 11 — — $45,098.79 $55,917.59 $55,917.59 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 11 — — $41,806.88 $291,731.18 $55,341.05 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 11 — — $44,616.82 $55,325.14 $55,325.14 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 6 — — $54,404.11 $99,490.18 $55,272.32 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 11 — — $44,441.56 $55,109.70 $55,109.70 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 11 — — $38,596.40 $54,251.61 $54,251.61 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 11 — — $38,659.34 $69,177.44 $53,451.06 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 11 — — $42,748.70 $53,028.75 $53,028.75 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 1 1 — — $52,787.39 $52,787.39 $52,787.39 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 11 — — $42,473.86 $115,111.77 $52,690.91 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 2 2 — — $32,518.70 $72,852.72 $52,685.71 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 2 2 — — $32,518.70 $72,852.72 $52,685.71 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 11 — — $42,229.89 $52,391.01 $52,391.01 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $26,123.08 $78,655.89 $52,389.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 13 — — $37,803.90 $115,542.64 $52,175.57 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 12 — — $41,982.93 $118,618.84 $52,087.43 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 11 — — $41,962.02 $52,061.73 $52,061.73 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 11 — — $20,943.98 $51,911.17 $51,911.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 11 — — $41,789.74 $56,618.72 $51,849.96 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 14 — — $37,335.96 $107,948.73 $51,754.48 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $41,550.75 $133,044.35 $51,556.18 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 14 — — $2,331.73 $51,519.46 $51,519.46 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 11 — — $36,931.74 $70,783.84 $51,316.26 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 12 — — $35,518.14 $83,215.33 $50,979.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 13 — — $2,102.44 $50,165.62 $50,165.62 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 11 — — $40,036.14 $49,694.35 $49,694.35 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 2 — — $29,180.00 $51,675.81 $49,412.63 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 11 — — $39,673.67 $49,248.78 $49,248.78 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 10 7 — — $464.80 $147,470.76 $48,592.32 2026-04-01
9449 OTHER Injection, Blinatumomab 1 1 — — $48,542.71 $48,542.71 $48,542.71 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $30,500.05 $107,291.85 $48,364.99 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 3 — — $36,981.33 $52,570.51 $48,194.93 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 11 — — $38,778.44 $48,148.33 $48,148.33 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $37,617.90 $58,185.82 $47,901.86 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 11 — — $35,323.78 $47,860.67 $47,860.67 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 12 — — $879.24 $63,225.24 $47,789.67 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 11 — — $1,875.00 $47,744.38 $47,744.38 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 11 — — $34,288.05 $119,104.23 $47,476.31 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 3 — — $26,657.76 $55,138.03 $47,236.25 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 3 — — $26,657.76 $55,138.03 $47,236.25 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 3 — — $26,657.76 $55,138.03 $47,236.25 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 3 — — $26,657.76 $55,138.03 $47,236.25 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $40,351.63 $52,787.39 $46,569.51 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 11 — — $34,906.18 $46,542.33 $46,542.33 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 12 — — $18,745.85 $46,341.58 $46,341.58 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 12 — — $35,010.90 $128,246.98 $46,232.64 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 11 — — $32,363.80 $46,227.74 $46,227.74 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 11 — — $35,562.90 $46,099.21 $46,099.21 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 11 — — $36,902.36 $45,842.16 $45,842.16 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 13 11 — — $36,576.73 $45,441.88 $45,441.88 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 11 — — $21,781.08 $45,423.52 $45,423.52 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 2 — — $34,375.49 $55,688.69 $45,032.09 2026-04-01
J9226 HCPCS Supprelin La Implant 7 6 — — $43,185.34 $81,037.17 $45,020.65 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 11 — — $36,132.60 $44,895.94 $44,895.94 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 12 — — $36,104.72 $60,661.29 $44,861.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 13 11 — — $36,054.93 $44,800.46 $44,800.46 2026-04-01
265 MS_DRG Aicd Lead Procedures 13 11 — — $36,030.04 $44,769.86 $44,769.86 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 11 — — $27,068.54 $55,431.03 $44,691.52 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 11 — — $35,912.53 $44,625.42 $44,625.42 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 11 — — $35,677.52 $44,336.53 $44,336.53 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 11 — — $35,594.87 $44,234.93 $44,234.93 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 11 — — $1,200.00 $51,507.52 $44,190.87 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 11 — — $35,506.24 $44,125.99 $44,125.99 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 11 — — $35,476.37 $44,089.27 $44,089.27 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 12 — — $35,442.51 $192,067.60 $44,047.65 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 12 — — $22,887.45 $119,586.44 $44,012.15 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 10 9 — — $12,301.01 $70,920.96 $43,817.88 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 11 — — $31,163.18 $45,362.61 $43,648.60 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 11 — — $35,046.19 $107,368.49 $43,560.46 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 23 13 — — $31,199.98 $164,943.47 $43,179.77 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 11 — — $34,727.53 $43,168.76 $43,168.76 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 11 — — $34,568.20 $42,972.90 $42,972.90 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 11 — — $31,317.35 $211,714.81 $42,767.26 2026-04-01
999 MS_DRG Ungroupable 9 8 — — $15,400.77 $66,588.75 $42,666.19 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 11 — — $34,241.58 $42,571.40 $42,571.40 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 11 — — $6,343.13 $42,446.55 $42,446.55 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 11 — — $30,566.81 $42,240.90 $42,240.90 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 2 2 — — $32,259.19 $52,195.96 $42,227.57 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 12 — — $1,975.00 $42,185.82 $42,185.82 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 3 — — $21,969.50 $45,390.16 $41,876.95 2026-04-01
20802 HCPCS Replantation Arm Complete 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
20805 HCPCS Replant Forearm Complete 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
20808 HCPCS Replantation Hand Complete 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
20838 HCPCS Replantation Foot Complete 3 2 — — $21,013.36 $43,414.72 $41,513.35 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 11 — — $31,782.12 $94,681.75 $41,371.80 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 4 3 — — $21,013.36 $43,414.72 $40,995.50 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 4 3 — — $21,013.36 $43,414.72 $40,995.50 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 4 3 — — $21,013.36 $43,414.72 $40,995.50 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 4 3 — — $21,013.36 $43,414.72 $40,995.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 11 — — $32,894.26 $40,915.22 $40,915.22 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 3 — — $35,506.18 $46,892.82 $40,910.23 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 13 11 — — $32,782.73 $40,778.12 $40,778.12 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 14 — — $4,842.08 $77,597.33 $40,773.22 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $39,691.95 $41,509.90 $40,600.93 2026-04-01
22534 HCPCS Lat Thor/lumb Addl Seg 1 1 — — $40,477.65 $40,477.65 $40,477.65 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 12 — — $8,456.95 $134,122.49 $40,297.06 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 4 3 — — $21,969.50 $41,830.51 $40,175.07 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 4 3 — — $23,250.02 $46,892.82 $40,172.65 2026-04-01
64575 HCPCS Implant Neuroelectrodes 4 3 — — $13,353.93 $46,892.82 $40,172.65 2026-04-01
63655 HCPCS Implant Neuroelectrodes 4 3 — — $23,250.02 $46,892.82 $40,172.65 2026-04-01
63664 HCPCS Revise Spine Eltrd Plate 4 3 — — $13,353.93 $46,892.82 $40,172.65 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 11 — — $32,248.98 $40,122.01 $40,122.01 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 11 — — $1,480.28 $120,447.38 $40,077.94 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 11 — — $32,168.32 $40,022.86 $40,022.86 2026-04-01
652 MS_DRG Kidney Transplant 17 12 — — $32,159.36 $204,121.00 $40,011.84 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 11 — — $32,135.46 $50,263.38 $39,982.47 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 13 11 — — $32,072.73 $39,905.35 $39,905.35 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 12 — — $31,969.16 $103,974.25 $39,778.04 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 2 — — $37,617.90 $41,749.28 $39,683.59 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 12 — — $20,603.83 $63,381.51 $39,562.61 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 11 — — $31,735.15 $52,099.90 $39,490.38 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 11 — — $30,899.87 $39,452.44 $39,452.44 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 12 — — $8,468.00 $39,374.10 $39,374.10 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 11 — — $31,515.08 $78,411.52 $39,219.86 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 11 — — $29,738.18 $51,870.55 $39,161.11 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 3 2 — — $23,078.64 $40,870.72 $39,080.76 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 12 — — $31,377.66 $39,050.94 $39,050.94 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 12 — — $11,179.77 $112,755.00 $39,032.58 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 11 — — $25,577.09 $38,941.99 $38,941.99 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 2 2 — — $36,501.46 $41,056.99 $38,779.22 2026-04-01
665 MS_DRG Prostatectomy With Mcc 13 11 — — $31,080.91 $38,686.16 $38,686.16 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 4 3 — — $21,969.50 $40,351.63 $38,632.33 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 4 3 — — $21,969.50 $40,351.63 $38,632.33 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 13 — — $31,016.18 $62,423.05 $38,606.60 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 13 — — $300.00 $74,007.96 $38,539.27 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 4 3 — — $23,084.13 $44,315.58 $37,964.76 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 4 3 — — $23,084.13 $44,315.58 $37,964.76 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 13 11 — — $30,486.42 $37,955.38 $37,955.38 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 2 2 — — $23,250.02 $52,570.51 $37,910.26 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 2 2 — — $23,250.02 $52,570.51 $37,910.26 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 2 2 — — $23,250.02 $52,570.51 $37,910.26 2026-04-01
263 MS_DRG Vein Ligation And Stripping 13 11 — — $30,445.59 $37,905.20 $37,905.20 2026-04-01
L5858 HCPCS Stance Phase Only 3 2 — — $22,336.47 $39,556.35 $37,823.95 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
24363 HCPCS Replace Elbow Joint 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
23616 HCPCS Treat Humerus Fracture 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
24546 HCPCS Treat Humerus Fracture 4 3 — — $15,386.48 $40,477.65 $37,763.54 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
28705 HCPCS Fusion Of Foot Bones 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 4 3 — — $32,518.70 $40,477.65 $37,763.54 2026-04-01
25446 HCPCS Wrist Replacement 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
22869 HCPCS Insj Stablj Dev Without Dcmprn 4 3 — — $15,386.48 $40,477.65 $37,763.54 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 4 3 — — $21,013.36 $40,477.65 $37,763.54 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 4 3 — — $21,969.50 $40,351.63 $37,645.96 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 11 — — $30,204.61 $37,608.97 $37,608.97 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 4 3 — — $23,084.13 $40,351.63 $37,454.24 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 11 — — $30,078.14 $37,453.51 $37,453.51 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 11 — — $30,074.16 $37,448.61 $37,448.61 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 11 — — $30,041.29 $37,408.22 $37,408.22 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 4 3 — — $5,394.77 $40,898.91 $37,328.04 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 6 — — $12,865.77 $79,398.13 $37,100.51 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 1 1 — — $36,981.33 $36,981.33 $36,981.33 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 1 1 — — $36,981.33 $36,981.33 $36,981.33 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 1 1 — — $36,981.33 $36,981.33 $36,981.33 2026-04-01
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