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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

PLAINS REGIONAL MEDICAL CENTER

Clovis, NM · CCN 320022 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $13,854 across 6 payers · range $12,710-$17,794

Source: https://onbaseext.phs.org/PEL/DisplayDocument?ContentID=PEL_00954558 · 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.

13,336 distinct procedures filed
11 distinct payers
125,983 rate rows
2026-04-01 last MRF observed
Data quality

105,855 of 125,983 rate rows are consumer-grade (84.0%)

20,128 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 19,874
template filing: same amount across many unrelated codes — excluded 222
placeholder amount (≤ $0.02) — excluded from medians 22
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://onbaseext.phs.org/PEL/DisplayDocument?ContentID=PEL_00954558
Found on page https://www.phs.org/tools-resources/patient/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-13
Content fingerprint cc9858bf3a1d80f5… · 27,635,081 bytes · first seen 2026-05-08

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 6 $3,685,266.67 $4,053,793.33 $3,906,382.67 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $4,643,047.62 $3,548,614.97 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $4,547,824.00 $3,475,836.92 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $4,124,036.00 $3,151,941.80 nat. median
$2,997,086
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $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 6 $591,726.20 $2,630,033.35 $668,650.60 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $2,571,961.50 $639,431.91 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $2,335,509.66 $635,668.15 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $2,387,877.90 $629,769.27 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $2,123,190.60 $602,550.09 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $2,197,189.20 $552,914.21 nat. median
$577,541
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $236,104.69 $649,181.09 $342,310.79 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $176,350.68 $484,884.58 $222,821.19 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $148,529.16 $408,388.00 $170,218.30 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $134,175.13 $368,920.89 $169,230.62 nat. median
$199,832
0.8× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $158,117.07 $158,117.07 $158,117.07 nat. median
$39,896
outlier · 4.0×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $143,531.45 $143,531.45 $143,531.45 nat. median
$22,425
outlier · 6.4×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,492.17 $441,114.19 $121,526.47 nat. median
$111,503
1.1× median
0775T
OTHER 		Arthrd Si Jt Prq Iartic Impl 1 $117,590.27 $117,590.27 $117,590.27 nat. median
$7,542
outlier · 15.6×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $115,020.84 $118,712.98 $116,866.91 nat. median
$75,807
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $88,462.72 $243,232.46 $111,106.85 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 8 $81,818.51 $224,963.90 $104,003.17 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $82,025.13 $225,531.99 $96,654.34 nat. median
$114,305
0.8× median
J7310
HCPCS 		Ganciclovir Long Act Implant 1 $93,517.91 $93,517.91 $93,517.91 nat. median
$18,387
outlier · 5.1×
0426T
OTHER 		Insj/rplc Nstim Apnea Stm Ld 1 $93,219.82 $93,219.82 $93,219.82 nat. median
$13,011
outlier · 7.2×
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $93,219.82 $93,219.82 $93,219.82 nat. median
$22,408
outlier · 4.2×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $93,219.82 $93,219.82 $93,219.82 nat. median
$22,408
outlier · 4.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $68,994.67 $189,704.14 $91,246.18 nat. median
$108,240
0.8× median
E0194
HCPCS 		Air Fluidized Bed 1 $15,597.17 $163,770.23 $89,683.70 nat. median
$4,438
outlier · 20.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $65,625.61 $180,440.74 $88,797.87 nat. median
$96,835
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $86,126.62 $91,979.89 $88,635.17 nat. median
$96,134
0.9× median
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 1 $88,039.70 $88,039.70 $88,039.70 nat. median
$28,090
outlier · 3.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $68,202.03 $187,524.72 $87,638.37 nat. median
$100,978
0.9× median
L8687
HCPCS 		Implt Nrostm Pls Gen Dua Rec 1 $83,350.78 $83,350.78 $83,350.78 nat. median
$14,605
outlier · 5.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $66,671.20 $183,315.65 $83,195.81 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $66,330.60 $182,379.15 $80,409.35 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $60,421.44 $166,131.64 $79,036.23 nat. median
$92,900
0.9× median
37231
HCPCS 		Tib/per Revasc Stent & Ather 1 $74,636.07 $74,636.07 $74,636.07 nat. median
$18,256
outlier · 4.1×
L5969
HCPCS 		Ak/ft Power Asst Incl Motors 1 $74,010.20 $74,010.20 $74,010.20 nat. median
$19,551
outlier · 3.8×
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $12,789.25 $134,287.11 $73,538.18 nat. median
$3,697
outlier · 19.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $52,216.99 $143,573.10 $72,941.50 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $57,672.23 $158,572.53 $70,181.84 nat. median
$81,364
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $28,440.00 $331,866.00 $68,409.67 nat. median
$69,291
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $53,052.21 $145,869.58 $68,372.03 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $53,022.16 $145,786.95 $68,163.14 nat. median
$80,459
0.8× median
C9790
HCPCS 		Kidney Histotripsy W/image 1 $67,127.69 $67,127.69 $67,127.69 nat. median
$7,921
outlier · 8.5×
27445
HCPCS 		Revision Of Knee Joint 1 $66,130.26 $66,130.26 $66,130.26 nat. median
$6,143
outlier · 10.8×
38240
HCPCS 		Transplt Allo Hct/donor 6 $10,850.62 $87,178.09 $65,383.57 nat. median
$13,835
outlier · 4.7×
L8685
HCPCS 		Implt Nrostm Pls Gen Sng Rec 1 $64,046.97 $64,046.97 $64,046.97 nat. median
$12,132
outlier · 5.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $50,467.03 $138,761.51 $63,949.18 nat. median
$77,385
0.8× median

Other procedures at this hospital

Browse this hospital's 13,336 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,685,266.67 $4,053,793.33 $3,906,382.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,316,462.59 $4,643,047.62 $3,548,614.97 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,248,445.72 $4,547,824.00 $3,475,836.92 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,945,740.00 $4,124,036.00 $3,151,941.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 6 — — $2,455,110.60 $4,402,595.74 $2,676,070.56 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 6 — — $591,726.20 $2,630,033.35 $668,650.60 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 6 — — $565,868.94 $2,571,961.50 $639,431.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 6 — — $562,538.19 $2,335,509.66 $635,668.15 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 6 — — $557,317.93 $2,387,877.90 $629,769.27 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 6 — — $533,230.17 $2,123,190.60 $602,550.09 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 6 — — $489,304.61 $2,197,189.20 $552,914.21 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 8 — — $236,104.69 $649,181.09 $342,310.79 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 8 — — $176,350.68 $484,884.58 $222,821.19 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 8 — — $148,529.16 $408,388.00 $170,218.30 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 8 — — $134,175.13 $368,920.89 $169,230.62 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $158,117.07 $158,117.07 $158,117.07 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 2 1 — — $143,531.45 $143,531.45 $143,531.45 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 6 — — $111,492.17 $441,114.19 $121,526.47 2026-04-01
0775T OTHER Arthrd Si Jt Prq Iartic Impl 2 1 — — $117,590.27 $117,590.27 $117,590.27 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $115,020.84 $118,712.98 $116,866.91 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 8 — — $88,462.72 $243,232.46 $111,106.85 2026-04-01
7 MS_DRG Lung Transplant 13 8 — — $81,818.51 $224,963.90 $104,003.17 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 8 — — $82,025.13 $225,531.99 $96,654.34 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $93,517.91 $93,517.91 $93,517.91 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 2 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 2 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 8 — — $68,994.67 $189,704.14 $91,246.18 2026-04-01
E0194 HCPCS Air Fluidized Bed 4 1 — — $15,597.17 $163,770.23 $89,683.70 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 8 — — $65,625.61 $180,440.74 $88,797.87 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 6 — — $86,126.62 $91,979.89 $88,635.17 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $88,039.70 $88,039.70 $88,039.70 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 8 — — $68,202.03 $187,524.72 $87,638.37 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 2 1 — — $83,350.78 $83,350.78 $83,350.78 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 8 — — $66,671.20 $183,315.65 $83,195.81 2026-04-01
215 MS_DRG Other Heart Assist System Implant 13 8 — — $66,330.60 $182,379.15 $80,409.35 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $60,421.44 $166,131.64 $79,036.23 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 1 — — $74,636.07 $74,636.07 $74,636.07 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $74,010.20 $74,010.20 $74,010.20 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 4 1 — — $12,789.25 $134,287.11 $73,538.18 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 8 — — $52,216.99 $143,573.10 $72,941.50 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 13 8 — — $57,672.23 $158,572.53 $70,181.84 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 6 — — $28,440.00 $331,866.00 $68,409.67 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 8 — — $53,052.21 $145,869.58 $68,372.03 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 8 — — $53,022.16 $145,786.95 $68,163.14 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 2 1 — — $67,127.69 $67,127.69 $67,127.69 2026-04-01
27445 HCPCS Revision Of Knee Joint 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 9 6 — — $10,850.62 $87,178.09 $65,383.57 2026-04-01
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 2 1 — — $64,046.97 $64,046.97 $64,046.97 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 8 — — $50,467.03 $138,761.51 $63,949.18 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 6 — — $55,272.32 $176,375.50 $62,457.73 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $48,441.59 $133,192.46 $62,447.56 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 8 — — $48,934.96 $134,549.00 $62,186.66 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 8 — — $46,730.45 $128,487.60 $61,987.23 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 6 — — $54,186.88 $79,554.37 $60,802.27 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 8 — — $44,445.17 $122,204.12 $58,823.99 2026-04-01
10 MS_DRG Pancreas Transplant 13 8 — — $49,916.69 $137,248.31 $58,485.84 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 8 — — $41,814.29 $114,970.38 $58,462.18 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 8 — — $49,629.31 $136,458.14 $58,161.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 8 — — $44,243.57 $121,649.80 $58,128.75 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 9 — — $43,554.86 $203,493.32 $56,923.13 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 10 — — $40,494.46 $116,472.38 $56,201.85 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 8 — — $41,743.54 $114,775.85 $56,138.43 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 8 — — $42,749.69 $117,542.30 $54,981.29 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 8 — — $38,730.73 $106,491.99 $54,629.73 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 8 — — $41,975.20 $115,412.80 $54,591.10 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 9 6 — — $50,007.15 $197,851.26 $54,507.79 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 9 6 — — $49,600.83 $196,243.70 $54,064.90 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $40,429.98 $111,164.14 $53,753.20 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $37,247.49 $102,413.76 $53,753.20 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 8 — — $38,554.17 $106,006.53 $53,564.80 2026-04-01
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 2 1 — — $53,184.43 $53,184.43 $53,184.43 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 2 1 — — $53,058.50 $53,058.50 $53,058.50 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 2 1 — — $52,722.50 $52,722.50 $52,722.50 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 2 1 — — $52,360.19 $52,360.19 $52,360.19 2026-04-01
J9226 HCPCS Supprelin La Implant 12 6 — — $45,020.65 $92,462.93 $50,873.33 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 8 — — $37,506.07 $103,124.74 $50,230.52 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 8 — — $39,594.13 $108,865.94 $50,174.55 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 8 — — $38,244.25 $105,154.38 $49,711.85 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 13 8 — — $38,061.43 $104,651.71 $49,283.84 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 8 — — $38,780.82 $106,629.71 $49,270.43 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 8 — — $35,932.05 $98,796.89 $48,927.55 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 10 — — $31,314.54 $120,942.16 $48,793.76 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 13 8 — — $37,788.45 $103,901.13 $48,664.27 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 9 — — $29,195.49 $102,343.18 $48,325.59 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 8 — — $36,838.65 $101,289.62 $48,182.65 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 8 — — $36,451.09 $100,224.01 $48,152.70 2026-04-01
E2402 HCPCS Neg Press Wound Therapy Pump 4 1 — — $8,341.76 $87,588.46 $47,965.11 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 6 — — $43,604.58 $241,652.69 $47,529.00 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 6 — — $43,604.58 $86,263.68 $47,529.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 6 — — $43,604.58 $122,459.74 $47,529.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 8 — — $34,248.46 $94,167.77 $47,382.58 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 8 — — $35,717.30 $98,206.41 $47,092.51 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 8 — — $33,813.94 $92,973.05 $46,849.73 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 8 — — $34,468.22 $94,772.02 $46,238.84 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 8 — — $34,065.01 $93,663.37 $46,101.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 8 — — $31,323.31 $86,124.92 $45,799.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 6 — — $44,325.96 $47,338.40 $45,617.01 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 8 — — $38,422.06 $105,643.29 $45,458.47 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 13 8 — — $34,604.09 $95,145.58 $45,197.56 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 8 — — $33,987.38 $93,449.91 $45,044.64 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 8 — — $33,308.05 $91,582.08 $44,983.16 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 8 — — $33,782.01 $92,885.25 $44,915.37 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 13 8 — — $37,788.45 $103,901.13 $44,743.53 2026-04-01
C9751 HCPCS Microwave Bronch, 3d, Ebus 2 1 — — $44,305.19 $44,305.19 $44,305.19 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $33,160.29 $91,175.80 $43,959.22 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 8 — — $32,242.43 $88,652.09 $43,934.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 8 — — $34,606.59 $95,152.47 $43,651.81 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 8 — — $32,136.61 $88,361.15 $43,513.87 2026-04-01
L8679 HCPCS Imp Neurosti Pls Gn Any Type 2 1 — — $43,200.25 $43,200.25 $43,200.25 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 2 1 — — $43,095.59 $43,095.59 $43,095.59 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 2 1 — — $43,095.06 $43,095.06 $43,095.06 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 8 — — $31,895.57 $87,698.37 $42,954.99 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 13 8 — — $34,900.23 $95,959.85 $42,884.06 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 2 1 — — $41,688.28 $41,688.28 $41,688.28 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 2 1 — — $41,688.28 $41,688.28 $41,688.28 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 2 1 — — $41,688.28 $41,688.28 $41,688.28 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $28,752.53 $79,056.44 $41,652.81 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 2 1 — — $41,194.24 $41,194.24 $41,194.24 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 8 — — $31,198.09 $85,780.62 $40,921.33 2026-04-01
L8686 HCPCS Implt Nrostm Pls Gen Sng Non 2 1 — — $40,867.04 $40,867.04 $40,867.04 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 8 — — $31,797.89 $87,429.82 $40,858.30 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 8 — — $31,533.68 $86,703.35 $40,718.74 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 8 — — $33,777.63 $92,873.20 $40,557.15 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 8 — — $30,409.82 $83,613.26 $39,985.67 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 8 — — $31,347.73 $86,192.06 $39,793.34 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 8 — — $29,454.39 $80,986.25 $39,450.45 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 8 — — $28,844.57 $79,309.51 $38,982.24 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 8 — — $29,766.81 $81,845.27 $38,906.56 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 8 — — $29,897.67 $82,205.07 $38,796.21 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 13 8 — — $30,359.11 $83,473.81 $38,474.60 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 9 — — $27,011.19 $94,287.55 $38,330.39 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 8 — — $29,127.56 $80,087.62 $38,328.77 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 9 — — $28,245.38 $89,085.34 $38,125.18 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 8 — — $29,296.61 $80,552.43 $38,063.14 2026-04-01
245 MS_DRG Aicd Generator Procedures 13 8 — — $30,594.52 $84,121.10 $37,886.57 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 8 — — $27,999.33 $76,985.48 $37,762.81 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 13 8 — — $29,768.07 $81,848.72 $37,622.51 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 13 8 — — $28,856.46 $79,342.21 $37,251.24 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 8 — — $26,235.59 $72,136.01 $37,240.99 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 8 — — $27,501.57 $75,616.89 $37,102.26 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 9 6 — — $33,914.78 $67,127.69 $36,967.12 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 8 — — $26,705.80 $73,428.86 $36,549.71 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 9 — — $28,076.96 $77,198.95 $36,090.34 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 8 — — $26,666.98 $73,322.13 $36,034.19 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 13 8 — — $26,477.90 $72,802.24 $35,544.68 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 8 — — $25,565.04 $70,292.29 $35,351.57 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 8 — — $26,048.39 $71,621.29 $35,212.83 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 8 — — $25,691.51 $70,640.03 $35,156.08 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 8 — — $25,729.70 $70,745.04 $35,139.53 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 8 — — $27,737.62 $76,265.89 $35,003.16 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 8 — — $25,744.10 $70,784.64 $34,941.67 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 8 — — $27,033.25 $74,329.21 $34,813.98 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 8 — — $26,233.72 $72,130.85 $34,721.08 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 8 — — $25,464.24 $70,015.13 $34,659.48 2026-04-01
E0483 HCPCS Chest Compression Gen System 4 1 — — $5,994.48 $62,942.04 $34,468.26 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 8 — — $24,480.63 $67,310.65 $34,442.71 2026-04-01
69930 HCPCS Implant Cochlear Device 9 6 — — $19,596.56 $45,697.86 $34,273.40 2026-04-01
E0636 HCPCS Pt Support & Positioning Sys 4 1 — — $5,946.15 $62,434.57 $34,190.36 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 6 — — $31,073.96 $64,120.63 $33,870.61 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 6 — — $31,073.96 $176,344.84 $33,870.61 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 6 — — $31,073.96 $65,567.66 $33,870.61 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 6 — — $31,073.96 $64,145.26 $33,870.61 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 6 — — $31,073.96 $117,764.26 $33,870.61 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 9 6 — — $31,073.96 $165,495.02 $33,870.61 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 9 — — $3,736.54 $71,796.88 $33,832.81 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 8 — — $24,600.84 $67,641.18 $33,615.06 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 4 1 — — $5,814.58 $61,053.14 $33,433.86 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 8 — — $22,443.29 $61,708.89 $33,328.13 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 6 — — $30,548.12 $159,043.67 $33,297.45 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 6 — — $30,548.12 $161,440.89 $33,297.45 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 9 6 — — $30,548.12 $112,042.47 $33,297.45 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 9 — — $14,420.24 $69,894.62 $33,296.17 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 2 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 2 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 2 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 2 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 2 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 8 — — $23,800.68 $65,441.10 $32,759.02 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 8 — — $27,089.60 $74,484.14 $32,619.50 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 8 — — $24,346.02 $66,940.53 $32,434.26 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 9 6 — — $29,717.20 $117,574.81 $32,391.75 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 8 — — $24,602.09 $67,644.62 $32,388.54 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 8 — — $23,615.35 $64,931.54 $32,359.38 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 6 — — $29,576.84 $120,665.89 $32,238.76 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 8 — — $24,940.81 $68,575.95 $32,186.75 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 9 6 — — $6,769.51 $42,767.37 $32,075.53 2026-04-01
61886 HCPCS Implant Neurostim Arrays 9 6 — — $14,498.07 $42,767.37 $32,075.53 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 9 6 — — $6,437.00 $42,767.37 $32,075.53 2026-04-01
E1008 HCPCS Pwr Seat Combo Pwr Shear 6 1 — — $4,248.48 $42,485.08 $31,863.86 2026-04-01
E1007 HCPCS Pwr Seat Combo W/shear 6 1 — — $4,248.15 $42,481.26 $31,860.91 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 8 — — $23,930.91 $65,799.17 $31,585.32 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 8 — — $20,672.04 $56,838.77 $31,456.05 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 8 — — $24,111.23 $66,294.97 $31,385.90 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 8 — — $22,438.28 $61,695.12 $31,382.74 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 8 — — $24,707.90 $67,935.55 $31,299.97 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 8 — — $21,739.55 $59,773.92 $31,134.44 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 9 6 — — $28,395.59 $157,559.72 $30,951.19 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $30,901.92 $30,901.92 $30,901.92 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 2 1 — — $30,901.92 $30,901.92 $30,901.92 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 13 8 — — $24,173.21 $66,465.39 $30,876.68 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 8 — — $22,232.92 $61,130.47 $30,864.87 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 6 — — $14,438.64 $48,420.51 $30,697.98 2026-04-01
0404T OTHER Trnscrv Uterin Fibroid Abltj 2 1 — — $30,603.36 $30,603.36 $30,603.36 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 8 — — $19,871.26 $54,636.97 $30,525.12 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 8 — — $22,040.70 $60,601.96 $30,503.06 2026-04-01
332 MS_DRG Rectal Resection With Mcc 13 8 — — $21,716.38 $59,710.23 $30,463.65 2026-04-01
265 MS_DRG Aicd Lead Procedures 13 8 — — $22,332.47 $61,404.18 $30,443.94 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 8 — — $22,444.54 $61,712.33 $30,393.49 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 8 — — $20,061.59 $55,160.30 $30,350.93 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 8 — — $24,923.28 $68,527.75 $30,164.90 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 8 — — $24,651.55 $67,780.62 $30,099.48 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 8 — — $21,920.49 $60,271.44 $30,029.31 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 8 — — $21,936.14 $60,314.47 $30,005.67 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 8 — — $23,441.30 $64,452.96 $29,978.87 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 8 — — $21,565.49 $59,295.35 $29,956.01 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 8 — — $22,689.35 $62,385.44 $29,840.75 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 8 — — $21,443.40 $58,959.65 $29,721.90 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 9 — — $24,198.25 $70,084.03 $29,682.75 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 8 — — $22,842.74 $62,807.21 $29,665.15 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 13 8 — — $21,476.59 $59,050.89 $29,420.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 8 — — $21,692.59 $59,644.81 $29,286.80 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 9 6 — — $26,861.80 $66,130.26 $29,279.36 2026-04-01
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 4 1 — — $4,886.16 $53,452.71 $29,169.44 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 8 — — $21,530.43 $59,198.94 $29,154.36 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 6 — — $26,647.43 $147,677.69 $29,045.70 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 8 — — $21,932.39 $60,304.15 $28,947.85 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 8 — — $21,015.15 $57,782.15 $28,815.41 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 8 — — $22,096.43 $60,755.18 $28,779.95 2026-04-01
E2510 HCPCS Sgd W Multi Methods Msg/accs 6 1 — — $3,816.24 $38,162.76 $28,622.05 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 6 — — $27,430.36 $29,294.56 $28,229.31 2026-04-01
22558 HCPCS Lumbar Spine Fusion 9 6 — — $17,623.53 $37,606.52 $28,204.89 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 9 6 — — $9,663.96 $37,606.52 $28,204.89 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 9 6 — — $14,138.78 $37,606.52 $28,204.89 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 9 6 — — $5,333.70 $37,606.52 $28,204.89 2026-04-01
22630 HCPCS Lumbar Spine Fusion 9 6 — — $18,040.11 $37,606.52 $28,204.89 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 9 6 — — $25,875.63 $36,225.89 $28,204.44 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 9 6 — — $25,875.63 $37,139.56 $28,204.44 2026-04-01
0425T OTHER Insj/rplc Nstim Apnea Sen Ld 2 1 — — $28,162.27 $28,162.27 $28,162.27 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 4 1 — — $4,886.16 $51,304.71 $28,095.44 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 8 — — $16,020.69 $60,164.70 $27,996.53 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 8 — — $17,132.68 $47,107.13 $27,961.75 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 13 8 — — $20,791.00 $57,165.85 $27,873.47 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 8 — — $19,539.42 $53,724.57 $27,870.31 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 8 — — $21,330.08 $58,648.06 $27,563.68 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 8 — — $20,405.32 $56,105.41 $27,450.96 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 8 — — $19,968.93 $54,905.52 $27,422.59 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 8 — — $19,320.29 $53,122.05 $27,387.11 2026-04-01
652 MS_DRG Kidney Transplant 13 8 — — $19,228.88 $52,870.71 $27,380.03 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 8 — — $20,183.06 $55,494.27 $27,361.10 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 13 8 — — $19,911.33 $54,747.14 $27,311.44 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 11 — — $17,823.27 $92,843.79 $27,233.55 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 8 — — $17,919.07 $49,269.33 $27,229.46 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 8 — — $21,237.41 $58,393.28 $27,215.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 9 6 — — $24,046.97 $36,225.89 $27,169.41 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 8 — — $19,360.36 $53,232.22 $27,044.23 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 8 — — $20,396.56 $56,081.31 $27,019.79 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 9 — — $20,003.99 $103,249.64 $27,006.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 9 — — $19,838.07 $54,545.73 $26,993.28 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 8 — — $22,103.94 $60,775.84 $26,969.35 2026-04-01
509 MS_DRG Arthroscopy 7 3 — — $10,997.50 $30,238.15 $26,952.95 2026-04-01
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 4 1 — — $4,684.20 $49,184.04 $26,934.12 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $26,906.93 $26,906.93 $26,906.93 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 8 — — $19,306.51 $53,084.17 $26,832.19 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 8 — — $19,447.39 $53,471.51 $26,749.43 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 8 — — $17,564.69 $48,294.96 $26,691.09 2026-04-01
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 4 1 — — $4,616.05 $48,468.55 $26,542.30 2026-04-01
665 MS_DRG Prostatectomy With Mcc 13 8 — — $21,496.62 $59,105.98 $26,526.35 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 8 — — $19,148.73 $52,650.36 $26,431.76 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 9 — — $17,020.76 $50,760.15 $26,232.22 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 13 8 — — $19,530.66 $53,700.47 $26,055.76 2026-04-01
263 MS_DRG Vein Ligation And Stripping 13 8 — — $16,791.46 $46,168.91 $26,023.44 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 9 — — $20,464.18 $56,267.23 $25,951.19 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 11 6 — — $13,996.96 $44,220.41 $25,924.41 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 9 6 — — $23,640.73 $93,533.59 $25,768.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 8 — — $17,894.02 $49,200.47 $25,732.59 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 8 — — $17,949.75 $49,353.68 $25,729.43 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 8 — — $15,807.22 $43,462.71 $25,703.42 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 9 6 — — $23,514.53 $93,034.23 $25,630.84 2026-04-01
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 4 1 — — $4,424.93 $46,461.83 $25,443.38 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 8 — — $19,211.34 $52,822.51 $25,384.97 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 9 6 — — $23,210.23 $91,830.38 $25,299.15 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 9 6 — — $23,134.38 $91,530.20 $25,216.47 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 8 — — $18,138.20 $49,871.86 $25,146.13 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 13 8 — — $16,552.29 $45,511.30 $25,130.36 2026-04-01
570 MS_DRG Skin Debridement With Mcc 13 8 — — $18,848.20 $51,824.04 $25,106.71 2026-04-01
L5858 HCPCS Stance Phase Only 9 6 — — $23,006.91 $91,025.85 $25,077.53 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 13 8 — — $18,257.79 $50,200.66 $24,940.40 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 8 — — $18,413.69 $50,629.32 $24,879.70 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 9 — — $18,362.35 $50,488.15 $24,798.51 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 9 — — $17,070.07 $88,811.67 $24,796.65 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 8 — — $17,582.22 $48,343.16 $24,784.32 2026-04-01
44208 HCPCS L Colectomy/coloproctostomy 2 1 — — $24,700.17 $24,700.17 $24,700.17 2026-04-01
44207 HCPCS L Colectomy/coloproctostomy 2 1 — — $24,700.17 $24,700.17 $24,700.17 2026-04-01
44206 HCPCS Lap Part Colectomy W/stoma 2 1 — — $24,700.17 $24,700.17 $24,700.17 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 13 8 — — $18,695.44 $51,403.99 $24,672.39 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 8 — — $18,248.40 $50,174.84 $24,660.46 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 13 8 — — $16,590.48 $45,616.31 $24,639.29 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 8 — — $18,232.12 $50,130.08 $24,392.56 2026-04-01
800 MS_DRG Splenic Procedures With Cc 13 8 — — $18,242.14 $50,157.62 $24,068.60 2026-04-01
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