Hospital

PRESBYTERIAN ESPANOLA HOSPITAL

Espanola, NM · CCN 320011 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $13,464 across 8 payers · range $9,990-$22,655

Source: https://onbaseext.phs.org/PEL/DisplayDocument?ContentID=PEL_00954556 · 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.

13,308 distinct procedures filed

12 distinct payers

176,405 rate rows

2026-04-01 last MRF observed

Data quality

152,429 of 176,405 rate rows are consumer-grade (86.4%)

23,976 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	23,930
placeholder amount (≤ $0.02) — excluded from medians	26
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	20

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://onbaseext.phs.org/PEL/DisplayDocument?ContentID=PEL_00954556
Found on page	https://www.phs.org/tools-resources/patient/standard-charges
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-08-13
Content fingerprint	9744cea7e95e3474… · 36,952,721 bytes · first seen 2026-08-12

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
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$3,685,266.67	$4,053,793.33	$3,869,530.00	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,316,462.59	$3,648,108.85	$3,482,285.72	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	7	$3,248,445.72	$4,970,121.94	$3,443,352.46	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	7	$2,945,740.00	$4,506,982.20	$3,122,484.40	nat. median $2,997,086 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	8	$2,455,110.60	$4,402,595.74	$2,676,070.56	nat. median $2,460,273 1.1× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	8	$591,726.20	$1,851,308.39	$795,871.74	nat. median $691,418 1.2× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	8	$565,868.94	$1,810,431.00	$761,093.73	nat. median $631,793 1.2× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	8	$562,538.19	$1,643,990.04	$756,613.85	nat. median $624,417 1.2× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	8	$557,317.93	$1,680,852.60	$749,592.62	nat. median $610,161 1.2× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	8	$533,230.17	$1,494,536.40	$717,194.58	nat. median $588,565 1.2× median
Q2053 HCPCS	Brexucabtagene Car Pos T	8	$489,304.61	$1,546,624.80	$658,114.70	nat. median $577,541 1.1× median
18 MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	10	$257,885.73	$1,608,134.51	$353,030.92	nat. median $370,165 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$192,619.31	$1,201,143.45	$229,102.86	nat. median $261,939 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$162,231.21	$1,011,648.13	$174,546.03	nat. median $205,166 0.9× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	$146,552.99	$913,881.24	$173,521.68	nat. median $199,832 0.9× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	8	$111,492.17	$310,504.96	$122,641.39	nat. median $111,503 1.1× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	$96,623.55	$602,529.11	$113,238.90	nat. median $132,706 0.9× median
0266T OTHER	Implt/rpl Crtd Sns Dev Total	1	$102,466.93	$111,300.29	$106,883.61	nat. median $39,896 outlier · 2.7×
7 MS_DRG	Lung Transplant	10	$89,366.40	$557,274.71	$105,871.34	nat. median $122,690 0.9× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	10	$89,592.08	$558,681.99	$98,249.54	nat. median $114,305 0.9× median
0424T OTHER	Insj/rplc Nstim Apnea Compl	1	$93,014.80	$101,033.31	$97,024.05	nat. median $22,425 outlier · 4.3×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	$75,359.54	$469,930.15	$92,640.49	nat. median $108,240 0.9× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	$71,679.68	$446,983.12	$90,101.25	nat. median $96,835 0.9× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	$74,493.77	$464,531.35	$88,898.67	nat. median $100,978 0.9× median
209 MS_DRG	Complex Aortic Arch Procedures	9	$86,645.67	$147,213.52	$88,328.11	nat. median $96,134 0.9× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	10	$72,821.73	$454,104.76	$84,291.09	nat. median $99,646 0.8× median
J7330 HCPCS	Cultured Chondrocytes Implnt	1	$76,931.32	$115,020.84	$83,563.33	nat. median $75,807 1.1× median
215 MS_DRG	Other Heart Assist System Implant	10	$72,449.71	$451,784.89	$81,401.13	nat. median $98,002 0.8× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$65,995.42	$411,536.97	$79,977.00	nat. median $92,900 0.9× median
0775T OTHER	Arthrd Si Jt Prq Iartic Impl	1	$76,203.75	$82,773.04	$79,488.39	nat. median $7,542 outlier · 10.5×
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	8	$55,272.32	$124,152.59	$74,341.28	nat. median $65,655 1.1× median
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	10	$57,034.09	$355,655.55	$73,655.89	nat. median $81,124 0.9× median
850 MS_DRG	Acute Leukemia With Other Procedures	10	$62,992.58	$392,811.74	$70,793.72	nat. median $81,364 0.9× median
J9029 HCPCS	Inj, Adstiladrin, Per Tx Dos	8	$28,440.00	$233,604.00	$69,359.80	nat. median $69,291 1.0× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	10	$57,946.36	$361,344.33	$68,916.68	nat. median $79,040 0.9× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	$57,913.54	$361,139.64	$68,700.04	nat. median $80,459 0.9× median
38240 HCPCS	Transplt Allo Hct/donor	8	$7,031.69	$110,996.92	$65,963.88	nat. median $13,835 outlier · 4.8×
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	$55,122.70	$343,736.40	$64,329.54	nat. median $77,385 0.8× median
J7310 HCPCS	Ganciclovir Long Act Implant	1	$60,603.78	$65,828.25	$63,216.01	nat. median $18,387 outlier · 3.4×
0426T OTHER	Insj/rplc Nstim Apnea Stm Ld	1	$60,410.61	$65,618.42	$63,014.51	nat. median $13,011 outlier · 4.8×
0427T OTHER	Insj/rplc Nstim Apnea Pls Gn	1	$60,410.61	$65,618.42	$63,014.51	nat. median $22,408 outlier · 2.8×
0431T OTHER	Rmvl/rplc Nstim Apnea Pls Gn	1	$60,410.61	$65,618.42	$63,014.51	nat. median $22,408 outlier · 2.8×
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	$52,910.40	$329,940.88	$62,772.15	nat. median $74,472 0.8× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	10	$53,449.29	$333,301.27	$62,501.55	nat. median $73,475 0.9× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	$51,041.41	$318,286.13	$62,294.72	nat. median $71,485 0.9× median
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	10	$47,572.86	$296,656.81	$61,724.46	nat. median $65,958 0.9× median
A9543 HCPCS	Y90 Ibritumomab, Rx	8	$35,115.52	$99,442.96	$59,665.78	nat. median $63,643 0.9× median
0268T OTHER	Implt/rpl Crtd Sns Dev Gen	1	$57,053.66	$61,972.08	$59,512.87	nat. median $28,090 outlier · 2.1×
427 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	$48,545.31	$302,720.87	$59,013.98	nat. median $66,640 0.9× median
10 MS_DRG	Pancreas Transplant	10	$54,521.58	$339,987.94	$58,663.26	nat. median $67,750 0.9× median

Other procedures at this hospital

Browse this hospital's 13,308 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	7	7	—	—	$3,685,266.67	$4,053,793.33	$3,869,530.00	2026-04-01
J1413	HCPCS	Inj Delandistrogene Mox Rokl	7	7	—	—	$3,316,462.59	$3,648,108.85	$3,482,285.72	2026-04-01
J3394	HCPCS	Inj, Lovotibeglogene Autotem	8	7	—	—	$3,248,445.72	$4,970,121.94	$3,443,352.46	2026-04-01
J3393	HCPCS	Inj, Betibeglogene Autotemce	8	7	—	—	$2,945,740.00	$4,506,982.20	$3,122,484.40	2026-04-01
J3399	HCPCS	Inj Onase Abepar-xioi Treat	11	8	—	—	$2,455,110.60	$4,402,595.74	$2,676,070.56	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	16	8	—	—	$591,726.20	$1,851,308.39	$795,871.74	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	16	8	—	—	$565,868.94	$1,810,431.00	$761,093.73	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	16	8	—	—	$562,538.19	$1,643,990.04	$756,613.85	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	16	8	—	—	$557,317.93	$1,680,852.60	$749,592.62	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	16	8	—	—	$533,230.17	$1,494,536.40	$717,194.58	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	16	8	—	—	$489,304.61	$1,546,624.80	$658,114.70	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	17	10	—	—	$257,885.73	$1,608,134.51	$353,030.92	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	10	—	—	$192,619.31	$1,201,143.45	$229,102.86	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	10	—	—	$162,231.21	$1,011,648.13	$174,546.03	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	17	10	—	—	$146,552.99	$913,881.24	$173,521.68	2026-04-01
Q0480	HCPCS	Driver Pneumatic Vad, Rep	13	8	—	—	$111,492.17	$310,504.96	$122,641.39	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	17	10	—	—	$96,623.55	$602,529.11	$113,238.90	2026-04-01
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	4	1	—	—	$102,466.93	$111,300.29	$106,883.61	2026-04-01
7	MS_DRG	Lung Transplant	17	10	—	—	$89,366.40	$557,274.71	$105,871.34	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	17	10	—	—	$89,592.08	$558,681.99	$98,249.54	2026-04-01
0424T	OTHER	Insj/rplc Nstim Apnea Compl	4	1	—	—	$93,014.80	$101,033.31	$97,024.05	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	10	—	—	$75,359.54	$469,930.15	$92,640.49	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	10	—	—	$71,679.68	$446,983.12	$90,101.25	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	17	10	—	—	$74,493.77	$464,531.35	$88,898.67	2026-04-01
209	MS_DRG	Complex Aortic Arch Procedures	9	9	—	—	$86,645.67	$147,213.52	$88,328.11	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	17	10	—	—	$72,821.73	$454,104.76	$84,291.09	2026-04-01
J7330	HCPCS	Cultured Chondrocytes Implnt	6	1	—	—	$76,931.32	$115,020.84	$83,563.33	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	17	10	—	—	$72,449.71	$451,784.89	$81,401.13	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	10	—	—	$65,995.42	$411,536.97	$79,977.00	2026-04-01
0775T	OTHER	Arthrd Si Jt Prq Iartic Impl	4	1	—	—	$76,203.75	$82,773.04	$79,488.39	2026-04-01
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	16	8	—	—	$55,272.32	$124,152.59	$74,341.28	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	17	10	—	—	$57,034.09	$355,655.55	$73,655.89	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	17	10	—	—	$62,992.58	$392,811.74	$70,793.72	2026-04-01
J9029	HCPCS	Inj, Adstiladrin, Per Tx Dos	16	8	—	—	$28,440.00	$233,604.00	$69,359.80	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	17	10	—	—	$57,946.36	$361,344.33	$68,916.68	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	17	10	—	—	$57,913.54	$361,139.64	$68,700.04	2026-04-01
38240	HCPCS	Transplt Allo Hct/donor	13	8	—	—	$7,031.69	$110,996.92	$65,963.88	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	17	10	—	—	$55,122.70	$343,736.40	$64,329.54	2026-04-01
J7310	HCPCS	Ganciclovir Long Act Implant	4	1	—	—	$60,603.78	$65,828.25	$63,216.01	2026-04-01
0426T	OTHER	Insj/rplc Nstim Apnea Stm Ld	4	1	—	—	$60,410.61	$65,618.42	$63,014.51	2026-04-01
0431T	OTHER	Rmvl/rplc Nstim Apnea Pls Gn	4	1	—	—	$60,410.61	$65,618.42	$63,014.51	2026-04-01
0427T	OTHER	Insj/rplc Nstim Apnea Pls Gn	4	1	—	—	$60,410.61	$65,618.42	$63,014.51	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	10	—	—	$52,910.40	$329,940.88	$62,772.15	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	17	10	—	—	$53,449.29	$333,301.27	$62,501.55	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	17	10	—	—	$51,041.41	$318,286.13	$62,294.72	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	18	10	—	—	$47,572.86	$296,656.81	$61,724.46	2026-04-01
A9543	HCPCS	Y90 Ibritumomab, Rx	15	8	—	—	$35,115.52	$99,442.96	$59,665.78	2026-04-01
0268T	OTHER	Implt/rpl Crtd Sns Dev Gen	4	1	—	—	$57,053.66	$61,972.08	$59,512.87	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	10	—	—	$48,545.31	$302,720.87	$59,013.98	2026-04-01
10	MS_DRG	Pancreas Transplant	17	10	—	—	$54,521.58	$339,987.94	$58,663.26	2026-04-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc	17	10	—	—	$45,671.72	$284,801.63	$58,638.73	2026-04-01
E0194	HCPCS	Air Fluidized Bed	8	1	—	—	$10,107.66	$115,279.61	$58,554.72	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	17	10	—	—	$54,207.69	$338,030.55	$58,327.26	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	17	10	—	—	$48,325.11	$301,347.71	$58,292.93	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	18	10	—	—	$42,110.85	$262,596.61	$56,408.29	2026-04-01
L8687	HCPCS	Implt Nrostm Pls Gen Dua Rec	4	1	—	—	$54,015.03	$58,671.50	$56,343.26	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	17	10	—	—	$45,594.45	$284,319.74	$56,228.67	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	25	10	—	—	$8,613.51	$213,286.72	$55,826.52	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	17	10	—	—	$46,693.41	$291,172.72	$55,028.53	2026-04-01
L7180	HCPCS	Electronic Elbow Sequential	13	8	—	—	$50,007.15	$139,269.60	$55,007.87	2026-04-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	17	10	—	—	$42,303.70	$263,799.19	$54,663.92	2026-04-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	17	10	—	—	$45,847.48	$285,897.59	$54,623.87	2026-04-01
L7181	HCPCS	Electronic Elbo Simultaneous	13	8	—	—	$49,600.83	$138,138.02	$54,560.91	2026-04-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	10	—	—	$40,683.63	$253,696.69	$53,754.83	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	10	—	—	$44,159.70	$275,372.92	$53,754.83	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	17	10	—	—	$44,230.14	$275,812.16	$52,605.39	2026-04-01
J9226	HCPCS	Supprelin La Implant	16	8	—	—	$45,020.65	$92,462.93	$52,462.39	2026-04-01
37231	HCPCS	Tib/per Revasc Stent & Ather	4	1	—	—	$48,367.51	$52,537.12	$50,452.32	2026-04-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	17	10	—	—	$40,966.07	$255,457.91	$50,101.30	2026-04-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	17	10	—	—	$43,246.75	$269,679.87	$50,043.26	2026-04-01
L5969	HCPCS	Ak/ft Power Asst Incl Motors	4	1	—	—	$47,961.92	$52,096.56	$50,029.24	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	17	10	—	—	$41,772.34	$260,485.70	$49,563.37	2026-04-01
28	MS_DRG	Spinal Procedures With Mcc	17	10	—	—	$41,572.65	$259,240.48	$49,119.46	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	17	10	—	—	$42,358.41	$264,140.34	$49,105.56	2026-04-01
33276	HCPCS	Insj Phrnc Nrv Stim Sys	13	8	—	—	$44,414.59	$170,101.89	$48,856.05	2026-04-01
64568	HCPCS	Inc For Vagus N Elect Impl	13	8	—	—	$44,414.59	$86,200.71	$48,856.05	2026-04-01
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	13	8	—	—	$44,414.59	$77,725.54	$48,856.05	2026-04-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	17	10	—	—	$39,246.84	$244,737.07	$48,749.93	2026-04-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	17	10	—	—	$40,655.60	$253,521.85	$48,589.70	2026-04-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/Mcc	17	10	—	—	$41,274.49	$257,381.18	$48,476.88	2026-04-01
K0606	HCPCS	Aed Garment W Elec Analysis	8	1	—	—	$8,288.00	$94,526.12	$48,013.27	2026-04-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	17	10	—	—	$40,237.07	$250,912.00	$47,977.37	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	17	10	—	—	$39,813.76	$248,272.31	$47,946.31	2026-04-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	17	10	—	—	$37,407.94	$233,269.95	$47,147.58	2026-04-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	17	10	—	—	$39,012.28	$243,274.36	$46,846.73	2026-04-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	17	10	—	—	$36,933.34	$230,310.42	$46,594.93	2026-04-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	10	—	—	$37,647.97	$234,766.78	$45,961.36	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	17	10	—	—	$37,207.56	$232,020.47	$45,819.10	2026-04-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	17	10	—	—	$34,212.93	$213,346.42	$45,505.17	2026-04-01
C9790	HCPCS	Kidney Histotripsy W/image	4	1	—	—	$43,501.74	$47,251.89	$45,376.82	2026-04-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	17	10	—	—	$41,966.56	$261,696.81	$45,152.00	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	17	10	—	—	$37,796.37	$235,692.16	$44,881.40	2026-04-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	17	10	—	—	$37,122.76	$231,491.68	$44,722.80	2026-04-01
27445	HCPCS	Revision Of Knee Joint	4	1	—	—	$42,855.36	$46,549.79	$44,702.57	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	17	10	—	—	$36,380.77	$226,864.74	$44,659.03	2026-04-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	17	10	—	—	$36,898.46	$230,092.93	$44,588.72	2026-04-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	9	9	—	—	$43,686.45	$74,224.55	$44,534.73	2026-04-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/Mcc	17	10	—	—	$41,274.49	$257,381.18	$44,410.50	2026-04-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	10	—	—	$36,219.38	$225,858.33	$43,597.06	2026-04-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	17	10	—	—	$35,216.84	$219,606.64	$43,570.90	2026-04-01
L8685	HCPCS	Implt Nrostm Pls Gen Sng Rec	4	1	—	—	$41,505.30	$45,083.34	$43,294.32	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	17	10	—	—	$37,799.10	$235,709.22	$43,278.22	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	17	10	—	—	$35,101.27	$218,885.95	$43,135.16	2026-04-01
653	MS_DRG	Major Bladder Procedures With Mcc	17	10	—	—	$38,119.84	$237,709.25	$42,481.96	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	18	10	—	—	$16,330.95	$217,244.13	$42,362.10	2026-04-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	18	10	—	—	$32,512.85	$202,744.98	$42,053.90	2026-04-01
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	19	10	—	—	$30,851.07	$192,382.36	$41,215.04	2026-04-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	10	—	—	$31,404.99	$195,836.57	$41,204.98	2026-04-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	17	10	—	—	$34,731.30	$216,578.88	$40,773.33	2026-04-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	17	10	—	—	$34,076.16	$212,493.53	$40,446.32	2026-04-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	17	10	—	—	$34,442.71	$214,779.28	$40,236.21	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	17	10	—	—	$36,893.67	$230,063.08	$40,068.62	2026-04-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	17	10	—	—	$33,215.18	$207,124.58	$39,475.91	2026-04-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	17	10	—	—	$34,239.60	$213,512.73	$39,276.44	2026-04-01
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	18	10	—	—	$30,667.11	$191,235.22	$39,124.71	2026-04-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	17	10	—	—	$32,171.60	$200,617.02	$38,920.82	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	17	10	—	—	$31,505.52	$196,463.44	$38,435.20	2026-04-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	17	10	—	—	$32,655.78	$203,636.26	$38,242.26	2026-04-01
0686T	OTHER	Histotripsy Mal Hepatcel Tis	13	8	—	—	$34,544.79	$60,453.39	$37,999.27	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	17	10	—	—	$33,159.78	$206,779.16	$37,908.72	2026-04-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	22	10	—	—	$571.65	$195,810.98	$37,838.54	2026-04-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	17	10	—	—	$31,814.63	$198,390.98	$37,757.47	2026-04-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	17	10	—	—	$31,999.27	$199,542.38	$37,481.96	2026-04-01
245	MS_DRG	Aicd Generator Procedures	17	10	—	—	$33,416.92	$208,382.59	$37,298.83	2026-04-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	17	10	—	—	$30,582.31	$190,706.43	$37,170.48	2026-04-01
799	MS_DRG	Splenic Procedures With Mcc	17	10	—	—	$32,514.22	$202,753.51	$37,024.97	2026-04-01
163	MS_DRG	Major Chest Procedures With Mcc	17	10	—	—	$31,518.52	$196,544.47	$36,639.91	2026-04-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	17	10	—	—	$28,655.87	$178,693.46	$36,629.29	2026-04-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	17	10	—	—	$30,038.64	$187,316.19	$36,485.39	2026-04-01
L8688	HCPCS	Implt Nrostm Pls Gen Dua Non	4	1	—	—	$34,465.89	$37,437.08	$35,951.49	2026-04-01
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	17	10	—	—	$29,169.45	$181,896.06	$35,912.32	2026-04-01
33225	HCPCS	L Ventric Pacing Lead Add-on	4	1	—	—	$34,384.28	$37,348.44	$35,866.36	2026-04-01
C9784	HCPCS	Endo Sleeve Gastro W/tube	4	1	—	—	$34,166.54	$37,111.93	$35,639.24	2026-04-01
0398T	OTHER	Mrgfus Strtctc Les Abltj	4	1	—	—	$33,931.74	$36,856.89	$35,394.32	2026-04-01
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	17	10	—	—	$29,127.05	$181,631.67	$35,377.65	2026-04-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	17	10	—	—	$28,920.52	$180,343.80	$34,869.97	2026-04-01
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	13	8	—	—	$31,651.20	$124,131.00	$34,816.31	2026-04-01
33264	HCPCS	Rmvl & Rplcmt Dfb Gen Mlt Ld	13	8	—	—	$31,651.20	$55,389.59	$34,816.31	2026-04-01
33270	HCPCS	Ins/rep Subq Defibrillator	13	8	—	—	$31,651.20	$116,493.70	$34,816.31	2026-04-01
33249	HCPCS	Insj/rplcmt Defib W/lead(s)	13	8	—	—	$31,651.20	$55,389.59	$34,816.31	2026-04-01
33231	HCPCS	Insrt Pulse Gen W/mult Leads	13	8	—	—	$31,651.20	$55,389.59	$34,816.31	2026-04-01
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	13	8	—	—	$31,651.20	$82,895.51	$34,816.31	2026-04-01
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	17	10	—	—	$27,923.45	$174,126.23	$34,669.67	2026-04-01
69930	HCPCS	Implant Cochlear Device	13	8	—	—	$12,699.45	$58,183.45	$34,577.59	2026-04-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	17	10	—	—	$28,451.39	$177,418.39	$34,525.79	2026-04-01
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	17	10	—	—	$28,061.59	$174,987.65	$34,466.93	2026-04-01
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	17	10	—	—	$28,103.31	$175,247.78	$34,449.76	2026-04-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	17	10	—	—	$28,653.82	$178,680.66	$34,349.20	2026-04-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	17	10	—	—	$30,296.45	$188,923.89	$34,308.33	2026-04-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	17	10	—	—	$28,119.04	$175,345.86	$34,244.56	2026-04-01
64582	HCPCS	Opn Mpltj Hpglsl Nstm Ary Pg	13	8	—	—	$31,115.59	$113,639.95	$34,227.15	2026-04-01
61891	HCPCS	Rev/rplcmt Sk-mnt Crnl Nstm	13	8	—	—	$31,115.59	$78,867.89	$34,227.15	2026-04-01
33287	HCPCS	Rmv&rplcmt Phrnc Nrv Stim Pg	13	8	—	—	$31,115.59	$111,952.52	$34,227.15	2026-04-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	17	10	—	—	$29,527.11	$184,126.37	$34,112.12	2026-04-01
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	17	10	—	—	$27,813.35	$173,439.65	$33,951.88	2026-04-01
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	18	11	—	—	$26,138.57	$162,996.00	$33,772.47	2026-04-01
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	17	10	—	—	$26,739.00	$166,740.19	$33,727.07	2026-04-01
793	MS_DRG	Full Term Neonate With Major Problems	20	11	—	—	$4,499.20	$177,853.36	$33,467.82	2026-04-01
791	MS_DRG	Prematurity With Major Problems	17	10	—	—	$27,765.48	$173,141.14	$33,183.40	2026-04-01
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	19	11	—	—	$23,421.59	$146,053.32	$32,958.16	2026-04-01
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	17	10	—	—	$26,870.31	$167,558.97	$32,868.66	2026-04-01
L5856	HCPCS	Elec Knee-shin Swing/stance	13	8	—	—	$29,717.20	$82,762.16	$32,688.92	2026-04-01
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	17	10	—	—	$24,513.72	$152,863.65	$32,571.08	2026-04-01
L6880	HCPCS	Elec Hand Ind Art Digits	13	8	—	—	$29,576.84	$84,938.00	$32,534.52	2026-04-01
61885	HCPCS	Insrt/redo Neurostim 1 Array	13	8	—	—	$4,386.95	$54,452.28	$32,360.21	2026-04-01
63685	HCPCS	Insrt/redo Spine N Generator	13	8	—	—	$4,171.46	$54,452.28	$32,360.21	2026-04-01
61886	HCPCS	Implant Neurostim Arrays	13	8	—	—	$9,395.40	$54,452.28	$32,360.21	2026-04-01
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	17	10	—	—	$25,996.33	$162,108.99	$31,980.83	2026-04-01
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	17	10	—	—	$29,588.66	$184,510.17	$31,836.12	2026-04-01
33289	HCPCS	Tcat Impl Wrls P-art Prs Snr	13	8	—	—	$28,923.07	$110,907.96	$31,815.38	2026-04-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	17	10	—	—	$26,591.97	$165,823.33	$31,644.01	2026-04-01
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	17	10	—	—	$26,871.67	$167,567.49	$31,596.59	2026-04-01
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	17	10	—	—	$25,793.91	$160,846.71	$31,566.34	2026-04-01
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	19	11	—	—	$221.00	$169,874.56	$31,387.30	2026-04-01
E2402	HCPCS	Neg Press Wound Therapy Pump	8	1	—	—	$5,405.83	$61,654.45	$31,316.54	2026-04-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	18	10	—	—	$24,782.48	$154,539.58	$30,943.82	2026-04-01
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	22	10	—	—	$20,112.38	$125,417.62	$30,642.76	2026-04-01
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	17	10	—	—	$22,579.07	$140,799.51	$30,629.46	2026-04-01
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	17	10	—	—	$26,335.53	$164,224.16	$30,556.69	2026-04-01
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	17	10	—	—	$24,508.25	$152,829.54	$30,553.42	2026-04-01
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	17	10	—	—	$26,987.25	$168,288.19	$30,467.58	2026-04-01
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	17	10	—	—	$23,745.06	$148,070.41	$30,295.90	2026-04-01
J9266	HCPCS	Pegaspargase Injection	16	8	—	—	$9,356.88	$49,742.10	$30,129.50	2026-04-01
27702	HCPCS	Reconstruct Ankle Joint	13	8	—	—	$27,360.79	$47,881.39	$30,096.87	2026-04-01
904	MS_DRG	Skin Grafts For Injuries With Cc/Mcc	17	10	—	—	$26,403.23	$164,646.34	$30,028.57	2026-04-01
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	17	10	—	—	$24,283.94	$151,430.80	$30,016.30	2026-04-01
C9751	HCPCS	Microwave Bronch, 3d, Ebus	4	1	—	—	$28,711.74	$31,186.89	$29,949.32	2026-04-01
C9760	HCPCS	Non-blind Interatrial Shunt	13	8	—	—	$27,142.44	$103,951.89	$29,856.69	2026-04-01
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	17	10	—	—	$21,704.41	$135,345.27	$29,663.95	2026-04-01
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	17	10	—	—	$24,073.99	$150,121.61	$29,641.06	2026-04-01
332	MS_DRG	Rectal Resection With Mcc	17	10	—	—	$23,719.75	$147,912.62	$29,600.19	2026-04-01
265	MS_DRG	Aicd Lead Procedures	17	10	—	—	$24,392.67	$152,108.85	$29,579.75	2026-04-01
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	17	10	—	—	$24,515.08	$152,872.18	$29,527.43	2026-04-01
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	17	10	—	—	$21,912.31	$136,641.67	$29,483.28	2026-04-01
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	17	10	—	—	$27,222.49	$169,755.16	$29,290.35	2026-04-01
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	17	10	—	—	$26,925.70	$167,904.39	$29,222.49	2026-04-01
L8679	HCPCS	Imp Neurosti Pls Gn Any Type	4	1	—	—	$27,995.70	$30,409.12	$29,202.41	2026-04-01
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	17	10	—	—	$23,942.69	$149,302.83	$29,149.74	2026-04-01
37233	HCPCS	Tibper Revasc W/ather Add-on	4	1	—	—	$27,927.87	$30,335.45	$29,131.66	2026-04-01
37229	HCPCS	Tib/per Revasc W/ather	4	1	—	—	$27,927.52	$30,335.07	$29,131.29	2026-04-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	17	10	—	—	$23,959.79	$149,409.45	$29,125.21	2026-04-01
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	17	10	—	—	$25,603.79	$159,661.20	$29,097.41	2026-04-01
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	17	10	—	—	$23,554.94	$146,884.89	$29,073.70	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	17	10	—	—	$24,950.02	$155,584.38	$28,772.03	2026-04-01
509	MS_DRG	Arthroscopy	8	3	—	—	$12,012.04	$74,905.15	$28,595.55	2026-04-01
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	18	10	—	—	$21,811.09	$136,010.53	$28,569.04	2026-04-01
252	MS_DRG	Other Vascular Procedures With Mcc	17	10	—	—	$23,457.83	$146,279.34	$28,517.79	2026-04-01
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	17	10	—	—	$26,430.58	$164,816.92	$28,510.43	2026-04-01
22558	HCPCS	Lumbar Spine Fusion	13	8	—	—	$11,420.84	$47,881.39	$28,455.22	2026-04-01
21243	HCPCS	Reconstruction Of Jaw Joint	13	8	—	—	$9,162.56	$47,881.39	$28,455.22	2026-04-01
20696	HCPCS	Comp Multiplane Ext Fixation	13	8	—	—	$3,456.48	$47,881.39	$28,455.22	2026-04-01
22633	HCPCS	Lumbar Spine Fusion Combined	13	8	—	—	$6,262.68	$47,881.39	$28,455.22	2026-04-01
22630	HCPCS	Lumbar Spine Fusion	13	8	—	—	$11,690.80	$47,881.39	$28,455.22	2026-04-01
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	17	10	—	—	$23,693.77	$147,750.57	$28,379.63	2026-04-01
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	17	10	—	—	$23,516.65	$146,646.08	$28,242.28	2026-04-01
C9603	HCPCS	Perc D-e Cor Stent Ather Br	4	1	—	—	$27,015.87	$29,344.82	$28,180.35	2026-04-01
C9605	HCPCS	Perc D-e Cor Revasc T Cabg B	4	1	—	—	$27,015.87	$29,344.82	$28,180.35	2026-04-01
C9608	HCPCS	Perc D-e Cor Revasc Chro Add	4	1	—	—	$27,015.87	$29,344.82	$28,180.35	2026-04-01
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	17	10	—	—	$23,955.69	$149,383.86	$28,028.09	2026-04-01
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	17	10	—	—	$22,953.83	$143,136.43	$27,890.74	2026-04-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	17	10	—	—	$24,134.86	$150,501.15	$27,853.95	2026-04-01
92925	HCPCS	Prq Card Angio/athrect Addl	4	1	—	—	$26,695.71	$28,997.06	$27,846.39	2026-04-01
0764	OTHER	Ketorolac Tromethamine Inj	2	2	—	—	$12,173.14	$43,295.60	$27,734.37	2026-04-01
L8686	HCPCS	Implt Nrostm Pls Gen Sng Non	4	1	—	—	$26,483.67	$28,766.75	$27,625.21	2026-04-01
93656	HCPCS	Tx Atrial Fib Pulm Vein Isol	13	8	—	—	$15,583.51	$46,123.53	$27,410.56	2026-04-01
93653	HCPCS	Ep & Ablate Supravent Arrhyt	13	8	—	—	$22,239.50	$46,123.53	$27,410.56	2026-04-01
93654	HCPCS	Ep & Ablate Ventric Tachy	13	8	—	—	$24,068.10	$46,123.53	$27,410.56	2026-04-01
264	MS_DRG	Other Circulatory System O.r. Procedures	19	10	—	—	$179.25	$149,038.44	$27,310.29	2026-04-01
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	18	10	—	—	$20,164.35	$125,741.72	$26,919.08	2026-04-01
37	MS_DRG	Extracranial Procedures With Mcc	17	10	—	—	$22,709.01	$141,609.76	$26,913.80	2026-04-01
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	17	10	—	—	$21,341.97	$133,085.11	$26,910.52	2026-04-01
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	9	9	—	—	$26,322.56	$44,722.79	$26,833.67	2026-04-01
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	17	10	—	—	$18,713.20	$116,692.55	$26,759.86	2026-04-01
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	17	10	—	—	$23,297.81	$145,281.45	$26,592.51	2026-04-01
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	17	10	—	—	$22,287.75	$138,982.85	$26,475.60	2026-04-01
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	17	10	—	—	$21,102.61	$131,592.55	$26,409.38	2026-04-01
652	MS_DRG	Kidney Transplant	17	10	—	—	$21,002.77	$130,969.94	$26,402.02	2026-04-01
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	17	10	—	—	$22,044.98	$137,468.97	$26,382.40	2026-04-01
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc	17	10	—	—	$21,748.18	$135,618.20	$26,330.90	2026-04-01
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	17	10	—	—	$19,572.13	$122,048.70	$26,245.88	2026-04-01
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	17	10	—	—	$23,196.60	$144,650.31	$26,101.99	2026-04-01
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	17	10	—	—	$21,146.38	$131,865.48	$26,053.75	2026-04-01
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	17	10	—	—	$22,278.17	$138,923.15	$26,028.42	2026-04-01
L6975	HCPCS	Interscap-thor Myoelectronic	13	8	—	—	$23,640.73	$65,839.28	$26,004.80	2026-04-01
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	17	10	—	—	$24,143.06	$150,552.32	$25,976.09	2026-04-01
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	18	10	—	—	$20,056.30	$125,067.94	$25,973.62	2026-04-01
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	19	10	—	—	$18,425.98	$114,901.48	$25,928.48	2026-04-01
500	MS_DRG	Soft Tissue Procedures With Mcc	17	10	—	—	$21,668.17	$135,119.26	$25,873.09	2026-04-01
L6970	HCPCS	Interscapular-thor Switch CT	13	8	—	—	$23,514.53	$65,487.78	$25,865.98	2026-04-01
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	17	10	—	—	$21,087.57	$131,498.73	$25,833.84	2026-04-01
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	17	10	—	—	$21,849.39	$136,249.34	$25,760.26	2026-04-01
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	18	10	—	—	$19,931.84	$124,291.81	$25,756.07	2026-04-01
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	17	10	—	—	$21,241.44	$132,458.24	$25,748.01	2026-04-01
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	17	10	—	—	$19,185.06	$119,635.02	$25,687.51	2026-04-01
Q0483	HCPCS	Monitor Elec Vad, Rep	13	8	—	—	$23,210.23	$64,640.38	$25,531.25	2026-04-01
665	MS_DRG	Prostatectomy With Mcc	17	10	—	—	$23,479.72	$146,415.80	$25,516.65	2026-04-01
L6965	HCPCS	Shldr Disartic Myoelectronic	13	8	—	—	$23,134.38	$64,429.08	$25,447.82	2026-04-01
J9600	HCPCS	Porfimer Sodium Injection	15	8	—	—	$9,070.65	$44,220.41	$25,439.84	2026-04-01
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	17	10	—	—	$20,915.24	$130,424.09	$25,418.54	2026-04-01
L5858	HCPCS	Stance Phase Only	13	8	—	—	$23,006.91	$64,074.06	$25,307.60	2026-04-01
77	MS_DRG	Hypertensive Encephalopathy With Mcc	8	3	—	—	$10,573.87	$65,937.00	$25,171.90	2026-04-01
662	MS_DRG	Minor Bladder Procedures With Mcc	17	10	—	—	$21,332.39	$133,025.41	$25,028.58	2026-04-01
263	MS_DRG	Vein Ligation And Stripping	17	10	—	—	$18,340.49	$114,368.42	$24,995.06	2026-04-01
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	17	10	—	—	$22,352.03	$139,383.71	$24,797.22	2026-04-01
510	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	17	10	—	—	$19,544.78	$121,878.12	$24,693.39	2026-04-01
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	17	10	—	—	$19,605.64	$122,257.66	$24,690.13	2026-04-01
0614T	OTHER	Rmvl&rplcmt Ss Impl Dfb Pg	13	8	—	—	$22,429.48	$87,091.80	$24,672.42	2026-04-01
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	13	8	—	—	$22,429.48	$82,895.51	$24,672.42	2026-04-01
0515T	OTHER	Insj Wcs Lv Compl Sys	13	8	—	—	$22,429.48	$83,146.62	$24,672.42	2026-04-01
33263	HCPCS	Rmvl & Rplcmt Dfb Gen 2 Lead	13	8	—	—	$22,429.48	$39,251.58	$24,672.42	2026-04-01
33240	HCPCS	Insrt Pulse Gen W/singl Lead	13	8	—	—	$22,429.48	$83,310.63	$24,672.42	2026-04-01
33262	HCPCS	Rmvl& Replc Pulse Gen 1 Lead	13	8	—	—	$22,429.48	$39,251.58	$24,672.42	2026-04-01
33230	HCPCS	Insrt Pulse Gen W/dual Leads	13	8	—	—	$22,429.48	$85,095.51	$24,672.42	2026-04-01
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	13	8	—	—	$22,429.48	$82,895.51	$24,672.42	2026-04-01
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	17	10	—	—	$17,265.46	$107,664.70	$24,438.93	2026-04-01
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	17	10	—	—	$20,983.62	$130,850.54	$24,332.87	2026-04-01
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	23	11	—	—	$14,189.45	$88,483.18	$24,234.55	2026-04-01
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	18	10	—	—	$18,355.54	$114,462.24	$24,150.36	2026-04-01
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	21	10	—	—	$15,149.02	$106,781.95	$24,096.24	2026-04-01
472	MS_DRG	Cervical Spinal Fusion With Cc	17	10	—	—	$19,811.48	$123,541.26	$24,085.15	2026-04-01
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc	17	10	—	—	$18,079.26	$112,739.40	$24,068.80	2026-04-01
570	MS_DRG	Skin Debridement With Mcc	17	10	—	—	$20,586.98	$128,377.15	$24,044.27	2026-04-01
668	MS_DRG	Transurethral Procedures With Mcc	17	10	—	—	$19,942.10	$124,355.77	$23,871.78	2026-04-01
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	25	11	—	—	$13,664.93	$85,212.34	$23,836.50	2026-04-01
406	MS_DRG	Pancreas, Liver And Shunt Procedures With Cc	17	10	—	—	$19,204.21	$119,754.43	$23,709.91	2026-04-01
619	MS_DRG	O.r. Procedures For Obesity With Mcc	17	10	—	—	$18,644.81	$116,266.10	$23,605.26	2026-04-01
974	MS_DRG	HIV With Major Related Condition With Mcc	17	10	—	—	$20,420.12	$127,336.63	$23,593.82	2026-04-01
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	18	10	—	—	$17,425.49	$108,662.58	$23,590.82	2026-04-01
13	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc	17	10	—	—	$18,120.98	$112,999.53	$23,559.48	2026-04-01
5116	OTHER	Level 6 Musculoskeletal Procedures	7	6	—	—	$18,679.29	$34,750.55	$23,446.42	2026-04-01
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	13	8	—	—	$21,297.95	$61,162.86	$23,427.75	2026-04-01
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	17	10	—	—	$19,914.06	$124,180.93	$23,303.60	2026-04-01
53447	HCPCS	Remove/replace Ur Sphincter	13	8	—	—	$20,899.34	$36,573.85	$22,989.28	2026-04-01
53445	HCPCS	Insert Uro/ves Nck Sphincter	13	8	—	—	$20,899.34	$36,573.85	$22,989.28	2026-04-01
54405	HCPCS	Insert Multi-comp Penis Pros	13	8	—	—	$20,899.34	$36,573.85	$22,989.28	2026-04-01
54401	HCPCS	Insert Self-contd Prosthesis	13	8	—	—	$20,899.34	$36,573.85	$22,989.28	2026-04-01
54417	HCPCS	Remv/replc Penis Pros Compl	13	8	—	—	$20,899.34	$54,294.45	$22,989.28	2026-04-01
54411	HCPCS	Remov/replc Penis Pros Comp	13	8	—	—	$20,899.34	$54,294.45	$22,989.28	2026-04-01
54416	HCPCS	Remv/repl Penis Contain Pros	13	8	—	—	$20,899.34	$36,573.85	$22,989.28	2026-04-01
800	MS_DRG	Splenic Procedures With Cc	17	10	—	—	$19,925.00	$124,249.16	$22,967.59	2026-04-01

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