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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

PRESBYTERIAN HOSPITAL

Albuquerque, NM · CCN 320021 · Rates published

13,604 distinct procedures filed
10 distinct payers
155,204 rate rows
2026-04-01 last MRF observed
Data quality

135,948 of 155,204 rate rows are consumer-grade (87.6%)

19,256 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 19,236
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://onbaseext.phs.org/PEL/DisplayDocument?ContentID=PEL_00954557
Found on page https://www.phs.org/tools-resources/patient/standard-charges
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-18
Content fingerprint 0a3596738600e0f3… · 39,503,390 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,691,450.00 $3,876,022.50 $3,839,108.00 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,587,087.26 $4,527,402.70 $3,790,082.83 nat. median
$2,469,189
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,938,320.00 $4,804,800.00 $3,599,442.00 nat. median
$3,006,423
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,321,376.38 $4,649,926.93 $3,470,838.32 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,245,381.39 $4,965,433.53 $3,407,650.46 nat. median
$3,286,000
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $614,180.81 $1,851,308.39 $939,696.64 nat. median
$754,974
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $588,494.81 $1,810,431.00 $900,397.06 nat. median
$675,122
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,260.84 $1,643,990.04 $860,259.08 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $559,781.08 $1,680,852.60 $856,465.05 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $531,849.12 $1,494,536.40 $813,729.15 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,290.60 $1,546,624.80 $792,792.00 nat. median
$620,080
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $290,977.56 $874,273.28 $380,269.28 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $46,609.54 $653,009.82 $248,516.08 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $166,196.60 $549,989.40 $239,220.48 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $100,280.20 $496,837.76 $188,823.46 nat. median
$202,986
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,492.17 $310,504.96 $182,847.16 nat. median
$111,989
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $93,980.89 $303,731.27 $132,109.35 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 8 $100,833.88 $302,966.19 $131,776.57 nat. median
$122,708
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $68,375.89 $205,442.70 $118,654.15 nat. median
$87,411
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $85,029.66 $255,480.72 $111,122.54 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $84,052.79 $252,545.63 $109,845.91 nat. median
$102,358
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $83,856.02 $327,569.05 $109,208.60 nat. median
$133,176
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $80,769.01 $246,877.14 $107,380.38 nat. median
$100,136
1.1× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $59,079.47 $177,510.61 $102,521.87 nat. median
$63,570
1.6× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 1 $89,216.90 $111,300.29 $99,964.14 nat. median
$42,941
outlier · 2.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $56,269.19 $124,152.59 $98,471.09 nat. median
$66,682
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $67,993.57 $243,634.42 $95,152.18 nat. median
$83,442
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $132.26 $243,005.41 $95,108.16 nat. median
$98,905
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $69,454.43 $223,734.87 $94,941.02 nat. median
$93,672
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $54,701.33 $164,356.01 $94,924.39 nat. median
$54,196
1.8× median
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $80,987.02 $101,033.31 $90,742.89 nat. median
$24,752
outlier · 3.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $65,382.03 $196,447.31 $90,105.18 nat. median
$79,312
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $25,740.00 $233,604.00 $89,995.22 nat. median
$69,774
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $88,571.25 $149,038.16 $88,997.07 nat. median
$98,017
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $51,175.82 $153,763.24 $88,806.50 nat. median
$65,381
1.4× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $49,390.30 $148,398.47 $85,708.05 nat. median
$49,935
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $64,160.28 $196,336.02 $83,314.43 nat. median
$81,118
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $59,839.01 $193,354.56 $82,049.25 nat. median
$82,712
1.0× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $50,007.15 $139,269.60 $82,011.73 nat. median
$49,027
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $47,194.29 $141,800.30 $81,897.26 nat. median
$62,270
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 8 $56,076.79 $245,615.93 $81,746.44 nat. median
$99,019
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,600.83 $138,138.02 $81,345.36 nat. median
$50,598
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $61,875.12 $186,874.63 $81,282.00 nat. median
$77,576
1.0× median
10
MS_DRG 		Pancreas Transplant 8 $56,511.92 $184,836.76 $80,395.62 nat. median
$68,882
1.2× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $66,983.30 $115,020.84 $80,247.33 nat. median
$76,377
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $56,193.88 $183,772.61 $79,932.76 nat. median
$71,240
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $45,872.51 $137,828.88 $79,048.08 nat. median
$52,278
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $41,728.58 $181,201.51 $76,473.40 nat. median
$73,807
1.0× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 5 $43,604.58 $193,458.78 $76,308.02 nat. median
$43,787
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $89.28 $206,537.03 $76,116.92 nat. median
$74,915
1.0× median

Other procedures at this hospital

Browse this hospital's 13,604 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
             
27280 HCPCS Fusion Of Sacroiliac Joint 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
20838 HCPCS Replantation Foot Complete 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
22610 HCPCS Thorax Spine Fusion 11 5 — — $17,357.91 $77,011.17 $30,376.34 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 8 — — $28,264.88 $88,613.88 $30,393.89 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $17,725.47 $43,084.74 $30,405.10 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 11 5 — — $18,147.73 $80,515.32 $30,430.11 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 11 5 — — $18,147.73 $80,515.32 $30,430.11 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 8 — — $42.20 $72,320.17 $30,688.78 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 7 5 — — $22,020.42 $97,697.15 $30,828.59 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 5 — — $22,020.42 $97,697.15 $30,828.59 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 7 5 — — $22,020.42 $97,697.15 $30,828.59 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 8 — — $23,419.12 $110,502.87 $30,840.88 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 8 — — $23,676.23 $71,137.79 $30,941.72 2026-04-01
652 MS_DRG Kidney Transplant 18 8 — — $23,439.05 $241,691.67 $30,969.95 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 11 5 — — $17,771.01 $78,843.96 $31,099.27 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 11 5 — — $17,843.03 $79,163.49 $31,225.30 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 11 5 — — $17,843.03 $79,163.49 $31,225.30 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 9 — — $19,082.19 $81,493.45 $31,332.60 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 11 5 — — $20,518.19 $91,032.27 $31,392.83 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 11 5 — — $20,518.19 $91,032.27 $31,392.83 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 11 5 — — $20,518.19 $91,032.27 $31,392.83 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 11 5 — — $20,518.19 $91,032.27 $31,392.83 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 11 5 — — $20,518.19 $91,032.27 $31,392.83 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 8 — — $24,724.09 $74,286.17 $31,523.05 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
61624 HCPCS Transcath Occlusion Cns 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
0645T HCPCS Tcat Impltj C Sins Rdctj Dev 11 5 — — $18,147.73 $80,515.32 $31,758.52 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 11 5 — — $3,632.05 $135,531.68 $31,770.05 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 11 5 — — $3,819.67 $135,531.68 $31,770.05 2026-04-01
61886 HCPCS Implant Neurostim Arrays 11 5 — — $8,180.47 $135,531.68 $31,770.05 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 8 — — $22,221.48 $91,095.66 $31,853.40 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 8 — — $24,489.52 $73,581.38 $32,004.57 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 8 — — $24,307.16 $75,526.52 $32,049.38 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 16 8 — — $24,538.90 $73,729.76 $32,069.10 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 9 — — $22,362.50 $82,356.36 $32,085.83 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 8 — — $20,925.49 $159,292.28 $32,191.94 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 8 — — $23,280.70 $103,706.46 $32,237.68 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 8 — — $11,178.62 $82,326.38 $32,307.36 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 8 — — $13,987.08 $83,086.82 $32,725.34 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 10 4 — — $20,122.03 $56,039.79 $33,000.13 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 8 — — $23,586.81 $74,072.88 $33,004.16 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 8 — — $23,785.71 $106,908.79 $33,021.38 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 4 1 — — $29,544.02 $36,856.89 $33,102.95 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 8 — — $25,476.41 $76,546.61 $33,294.31 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 4 1 — — $29,748.45 $37,111.93 $33,332.01 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 11 5 — — $19,068.45 $84,600.26 $33,369.79 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 11 5 — — $19,068.45 $84,600.26 $33,369.79 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 11 5 — — $19,068.45 $84,600.26 $33,369.79 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 11 5 — — $19,068.45 $84,600.26 $33,369.79 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 11 5 — — $19,068.45 $84,600.26 $33,369.79 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 11 5 — — $19,068.45 $84,600.26 $33,369.79 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 11 5 — — $19,068.45 $84,600.26 $33,369.79 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 4 1 — — $29,938.04 $37,348.44 $33,544.43 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 25 9 — — $3,627.00 $96,691.19 $33,570.41 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 11 5 — — $19,205.48 $85,208.23 $33,609.60 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 11 5 — — $19,205.48 $85,208.23 $33,609.60 2026-04-01
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 4 1 — — $30,009.09 $37,437.08 $33,624.05 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 8 — — $25,562.49 $79,409.84 $33,694.30 2026-04-01
69930 HCPCS Implant Cochlear Device 11 5 — — $11,057.28 $144,818.54 $33,946.98 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 8 — — $20,264.96 $148,565.03 $34,134.09 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 8 — — $26,115.69 $81,169.50 $34,443.96 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 8 — — $26,608.13 $91,282.36 $34,558.06 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 9 — — $22,015.25 $103,966.33 $34,567.99 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 8 — — $19,652.16 $81,820.97 $34,720.41 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 8 — — $26,897.27 $90,150.98 $34,745.25 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 8 — — $11,693.20 $91,099.21 $34,923.78 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 10 4 — — $21,297.95 $61,162.86 $34,928.64 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 9 — — $17,401.69 $80,325.60 $34,938.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 8 — — $24,862.62 $94,291.65 $34,955.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 8 — — $26,763.47 $80,413.70 $34,976.32 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 8 — — $26,792.02 $80,499.48 $35,013.63 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 8 — — $23,927.19 $78,640.13 $35,039.16 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 8 — — $20,936.21 $83,110.00 $35,267.41 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 8 — — $27,034.30 $81,227.46 $35,330.27 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 9 6 — — $20,497.95 $61,588.30 $35,570.54 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 8 — — $25,573.05 $81,848.79 $35,600.52 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 11 5 — — $20,518.19 $91,032.27 $35,906.83 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 11 5 — — $20,518.19 $91,032.27 $35,906.83 2026-04-01
265 MS_DRG Aicd Lead Procedures 16 8 — — $27,522.74 $82,695.01 $35,968.58 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 8 — — $26,848.55 $89,603.84 $36,082.53 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 13 5 — — $12,553.71 $171,825.00 $36,383.67 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 8 — — $23,860.76 $104,589.98 $36,532.09 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 8 — — $19,601.86 $86,800.90 $36,833.62 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 8 — — $26,678.77 $86,317.77 $37,028.70 2026-04-01
791 MS_DRG Prematurity With Major Problems 24 9 — — $14,457.25 $94,129.36 $37,672.21 2026-04-01
L5858 HCPCS Stance Phase Only 10 4 — — $23,006.91 $64,074.06 $37,731.33 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 10 4 — — $23,134.38 $64,429.08 $37,940.38 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 8 — — $28,267.40 $89,511.11 $37,983.69 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 10 4 — — $23,210.23 $64,640.38 $38,064.78 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 8 — — $29,332.17 $88,131.66 $38,333.28 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 10 5 — — $30,025.52 $132,010.25 $38,401.53 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 8 — — $23,363.34 $121,194.75 $38,466.74 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 11 5 — — $22,020.42 $97,697.15 $38,535.73 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 10 4 — — $23,514.53 $65,487.78 $38,563.83 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 8 — — $13,804.00 $116,077.65 $38,633.22 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 8 — — $16,880.51 $98,889.03 $38,638.67 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 10 4 — — $23,640.73 $65,839.28 $38,770.80 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 8 — — $33,459.62 $102,709.76 $38,884.29 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 8 — — $20,374.80 $92,353.46 $39,190.82 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 8 — — $23,039.73 $129,560.79 $39,959.40 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 9 6 — — $23,112.96 $69,445.35 $40,108.41 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 8 — — $28,710.03 $92,288.55 $40,141.34 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 9 6 — — $23,224.07 $69,779.20 $40,301.22 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 8 — — $26,020.89 $91,491.02 $40,394.52 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 8 — — $28,068.72 $95,274.65 $40,429.43 2026-04-01
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 4 1 — — $36,138.23 $45,083.34 $40,491.52 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 8 — — $29,068.74 $91,094.57 $40,588.40 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 5 — — $26,861.80 $119,176.72 $40,761.86 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 9 — — $20,152.93 $106,453.97 $41,039.43 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 9 — — $13,969.03 $97,181.69 $41,221.39 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 8 — — $31,662.45 $95,133.23 $41,378.65 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 9 — — $31,790.79 $108,482.57 $41,424.14 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 8 — — $31,727.27 $95,327.97 $41,463.35 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 8 — — $23,300.47 $106,808.69 $41,524.45 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 5 — — $31,073.96 $137,864.64 $41,553.03 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 5 — — $31,073.96 $137,864.64 $41,568.99 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 8 — — $35,725.33 $118,106.25 $41,662.51 2026-04-01
27445 HCPCS Revision Of Knee Joint 4 1 — — $37,313.72 $46,549.79 $41,808.61 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 8 — — $30,389.77 $98,745.29 $41,902.18 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 9 — — $11,372.50 $96,454.71 $41,953.43 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 8 — — $18,134.22 $94,664.91 $42,179.21 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 8 1 — — $7,216.28 $94,526.12 $42,386.71 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 4 1 — — $37,876.52 $47,251.89 $42,439.20 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 5 — — $31,073.96 $137,864.64 $42,490.78 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 5 — — $30,548.12 $135,531.68 $42,767.37 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 5 — — $30,548.12 $135,531.68 $42,767.37 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 7 5 — — $30,548.12 $135,531.68 $42,767.37 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 7 5 — — $30,548.12 $135,531.68 $42,767.37 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 7 5 — — $30,548.12 $135,531.68 $42,767.37 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 7 5 — — $30,548.12 $135,531.68 $42,767.37 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 8 — — $21,524.65 $89,281.58 $43,170.11 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 9 — — $32,332.98 $135,406.54 $43,285.55 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 5 — — $31,073.96 $137,864.64 $43,503.54 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 8 — — $33,273.91 $100,101.56 $43,539.65 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 8 — — $31,119.65 $100,310.21 $43,630.40 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 17 8 — — $32,631.60 $98,045.14 $43,685.32 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 9 — — $26,644.96 $191,957.67 $44,390.57 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 8 — — $30,186.61 $103,678.85 $45,095.60 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 6 — — $32,899.12 $75,967.38 $45,146.33 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 8 — — $33,893.19 $101,835.72 $45,762.59 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 8 — — $33,335.00 $107,856.60 $45,768.53 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 8 — — $34,453.23 $115,043.52 $46,282.08 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 26 8 — — $31,964.38 $106,852.74 $46,476.10 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 5 — — $26,647.43 $118,225.65 $46,633.01 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 9 — — $21,580.64 $115,430.50 $46,772.99 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 4 1 — — $41,759.94 $52,096.56 $46,790.43 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 1 — — $42,113.09 $52,537.12 $47,186.12 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 8 — — $35,434.88 $106,467.88 $47,438.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 16 8 — — $36,030.96 $110,228.33 $47,944.33 2026-04-01
245 MS_DRG Aicd Generator Procedures 17 8 — — $36,290.19 $113,288.62 $48,076.53 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 8 — — $35,319.77 $110,708.24 $48,153.07 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 10 4 — — $29,576.84 $84,938.00 $48,506.02 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 10 4 — — $29,717.20 $82,762.16 $48,736.21 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 8 — — $36,867.44 $112,416.90 $48,896.26 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 8 — — $24,986.11 $129,232.25 $48,925.28 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 8 — — $33,767.90 $112,604.69 $48,977.94 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 6 — — $28,224.91 $84,804.75 $48,979.28 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 8 — — $38,354.34 $125,209.83 $49,327.46 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 8 — — $29,452.84 $116,766.22 $49,549.29 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 5 — — $28,395.59 $125,981.63 $49,692.28 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 8 — — $24,642.30 $126,818.80 $49,932.90 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 9 — — $35,394.94 $284,696.18 $50,247.51 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 8 — — $38,603.13 $115,987.23 $50,449.20 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 9 — — $40.00 $181,843.31 $50,496.69 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 8 — — $37,371.36 $119,390.64 $50,662.95 2026-04-01
E0194 HCPCS Air Fluidized Bed 8 1 — — $8,800.64 $115,279.61 $51,692.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 8 — — $38,290.81 $122,789.42 $52,105.21 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $250.00 $142,762.44 $52,178.01 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 8 — — $41,027.80 $134,974.93 $52,678.98 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 4 1 — — $47,030.33 $58,671.50 $52,695.69 2026-04-01
J9226 HCPCS Supprelin La Implant 13 4 — — $41,173.43 $92,462.93 $52,700.84 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 8 — — $20,064.69 $125,075.36 $53,075.24 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 8 — — $85.03 $155,430.17 $53,195.18 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 9 — — $20,264.75 $125,852.03 $53,404.82 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 5 — — $30,548.12 $135,531.68 $53,459.21 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 5 — — $30,548.12 $135,531.68 $53,459.21 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 5 — — $30,548.12 $135,531.68 $53,459.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 8 — — $41,049.15 $123,336.56 $53,645.82 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 8 — — $43,893.76 $138,881.43 $53,903.57 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 11 5 — — $31,073.96 $137,864.64 $54,379.43 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 11 5 — — $31,073.96 $137,864.64 $54,379.43 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 5 — — $31,073.96 $137,864.64 $54,379.43 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 8 — — $41,633.26 $125,091.59 $54,409.18 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 8 — — $27,539.87 $154,572.36 $54,728.76 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 8 — — $41,982.03 $126,139.51 $54,864.97 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $40,684.71 $127,632.56 $55,514.38 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 1 — — $49,676.03 $61,972.08 $55,660.11 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 8 — — $40,328.85 $281,363.24 $55,733.21 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 8 — — $41,949.76 $128,144.92 $55,737.24 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 11 5 — — $43,604.58 $193,458.78 $55,902.72 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 8 — — $679.61 $136,410.02 $56,179.78 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 8 — — $26,294.36 $133,052.98 $56,460.51 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 8 — — $36,259.18 $132,257.76 $58,929.21 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 4 1 — — $52,598.89 $65,618.42 $58,935.06 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 4 1 — — $52,598.89 $65,618.42 $58,935.06 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 4 1 — — $52,598.89 $65,618.42 $58,935.06 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 4 1 — — $52,767.09 $65,828.25 $59,123.51 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 5 — — $30,574.72 $252,111.29 $59,665.78 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 21 9 — — $43,407.49 $140,937.85 $59,806.43 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 8 — — $45,904.15 $137,923.93 $59,990.67 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 8 — — $46,291.06 $236,263.32 $60,325.84 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 8 — — $43,021.47 $139,927.03 $60,861.92 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 8 — — $46,570.82 $139,927.03 $60,861.92 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 8 — — $40,862.93 $143,601.70 $60,936.82 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 8 — — $47,132.56 $141,614.83 $61,596.04 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 6 — — $35,537.50 $106,776.23 $61,668.98 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 8 — — $43,723.32 $142,273.25 $61,882.42 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 8 — — $47,732.10 $143,416.22 $62,379.57 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 8 — — $48,352.96 $146,613.30 $63,770.15 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 5 — — $6,122.42 $276,271.21 $64,760.87 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 8 — — $49,826.27 $149,708.36 $65,116.36 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 9 6 — — $38,740.47 $116,399.91 $67,227.17 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 8 — — $51,532.31 $154,834.34 $67,345.93 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 6 — — $39,025.97 $117,257.72 $67,722.60 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 9 — — $36,302.17 $162,411.24 $68,141.36 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 8 — — $52,685.10 $158,298.03 $68,852.48 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 5 — — $43,604.58 $193,458.78 $69,097.39 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 8 — — $95.61 $163,829.74 $69,520.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 8 — — $52,208.46 $164,576.26 $69,837.29 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 6 — — $40,268.27 $120,990.34 $69,878.39 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 4 1 — — $66,349.82 $82,773.04 $74,342.46 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 8 — — $57,591.03 $173,038.42 $75,263.88 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 9 — — $89.28 $206,537.03 $76,116.92 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 5 — — $43,604.58 $193,458.78 $76,308.02 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 8 — — $41,728.58 $181,201.51 $76,473.40 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 9 — — $45,872.51 $137,828.88 $79,048.08 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 8 — — $56,193.88 $183,772.61 $79,932.76 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $66,983.30 $115,020.84 $80,247.33 2026-04-01
10 MS_DRG Pancreas Transplant 16 8 — — $56,511.92 $184,836.76 $80,395.62 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 8 — — $61,875.12 $186,874.63 $81,282.00 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 10 4 — — $49,600.83 $138,138.02 $81,345.36 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 8 — — $56,076.79 $245,615.93 $81,746.44 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 6 — — $47,194.29 $141,800.30 $81,897.26 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 10 4 — — $50,007.15 $139,269.60 $82,011.73 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 8 — — $59,839.01 $193,354.56 $82,049.25 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 8 — — $64,160.28 $196,336.02 $83,314.43 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 9 6 — — $49,390.30 $148,398.47 $85,708.05 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 6 — — $51,175.82 $153,763.24 $88,806.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 6 — — $88,571.25 $149,038.16 $88,997.07 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 13 4 — — $25,740.00 $233,604.00 $89,995.22 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 8 — — $65,382.03 $196,447.31 $90,105.18 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 4 1 — — $80,987.02 $101,033.31 $90,742.89 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 6 — — $54,701.33 $164,356.01 $94,924.39 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 8 — — $69,454.43 $223,734.87 $94,941.02 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 8 — — $132.26 $243,005.41 $95,108.16 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 17 8 — — $67,993.57 $243,634.42 $95,152.18 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 4 — — $56,269.19 $124,152.59 $98,471.09 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 1 — — $89,216.90 $111,300.29 $99,964.14 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 6 — — $59,079.47 $177,510.61 $102,521.87 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 8 — — $80,769.01 $246,877.14 $107,380.38 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 8 — — $83,856.02 $327,569.05 $109,208.60 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 8 — — $84,052.79 $252,545.63 $109,845.91 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 8 — — $85,029.66 $255,480.72 $111,122.54 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 6 — — $68,375.89 $205,442.70 $118,654.15 2026-04-01
7 MS_DRG Lung Transplant 16 8 — — $100,833.88 $302,966.19 $131,776.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 8 — — $93,980.89 $303,731.27 $132,109.35 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 4 — — $111,492.17 $310,504.96 $182,847.16 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 8 — — $100,280.20 $496,837.76 $188,823.46 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 8 — — $166,196.60 $549,989.40 $239,220.48 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 8 — — $46,609.54 $653,009.82 $248,516.08 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 8 — — $290,977.56 $874,273.28 $380,269.28 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 4 — — $489,290.60 $1,546,624.80 $792,792.00 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 4 — — $531,849.12 $1,494,536.40 $813,729.15 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 4 — — $559,781.08 $1,680,852.60 $856,465.05 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 4 — — $562,260.84 $1,643,990.04 $860,259.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 4 — — $588,494.81 $1,810,431.00 $900,397.06 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 4 — — $614,180.81 $1,851,308.39 $939,696.64 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 3 — — $3,245,381.39 $4,965,433.53 $3,407,650.46 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 3 — — $3,321,376.38 $4,649,926.93 $3,470,838.32 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 3 — — $2,938,320.00 $4,804,800.00 $3,599,442.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 4 — — $2,587,087.26 $4,527,402.70 $3,790,082.83 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,691,450.00 $3,876,022.50 $3,839,108.00 2026-04-01
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