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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 SANTA FE MEDICAL CENTER

Santa Fe, NM · CCN 320090 · Rates published

13,478 distinct procedures filed
11 distinct payers
303,830 rate rows
2026-04-01 last MRF observed
Data quality

259,058 of 303,830 rate rows are consumer-grade (85.3%)

44,772 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 44,276
template filing: same amount across many unrelated codes — excluded 444
placeholder amount (≤ $0.02) — excluded from medians 52
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.phs.org/tools-resources/patient/standard-charges/850105601_presbyterian-santa-fe-medical-center_standardcharges
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-05-18
Content fingerprint c6f6eb7b9c9f94e0… · 32,857,963 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 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 $4,643,047.62 $3,515,450.35 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,248,445.72 $4,547,824.00 $3,443,352.46 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $4,124,036.00 $3,122,484.40 nat. median
$3,004,655
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
$2,468,984
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $2,630,033.35 $668,650.60 nat. median
$753,246
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.94 $2,571,961.50 $639,431.91 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $2,335,509.66 $635,668.15 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $557,317.93 $2,387,877.90 $629,769.27 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,230.17 $2,123,190.60 $602,550.09 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $2,197,189.20 $552,914.21 nat. median
$619,808
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $290,977.56 $618,974.09 $371,692.17 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $217,336.17 $462,322.44 $242,012.35 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $173,946.22 $389,385.33 $184,923.41 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $165,358.64 $351,754.66 $183,851.51 nat. median
$202,976
0.9× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 1 $158,117.07 $158,117.07 $158,117.07 nat. median
$42,941
outlier · 3.7×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $143,531.45 $143,531.45 $143,531.45 nat. median
$24,752
outlier · 5.8×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $111,492.17 $441,114.19 $121,526.47 nat. median
$111,989
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $109,022.25 $231,914.62 $120,770.86 nat. median
$133,161
0.9× median
0775T
HCPCS 		Arthrd Si Jt Prq Iartic Impl 1 $117,590.27 $117,590.27 $117,590.27 nat. median
$9,524
outlier · 12.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $115,020.84 $118,712.98 $116,866.91 nat. median
$76,329
1.5× median
7
MS_DRG 		Lung Transplant 9 $100,833.88 $214,496.12 $113,061.37 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $98,847.85 $215,037.78 $105,085.82 nat. median
$117,357
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $85,029.66 $180,877.03 $99,216.45 nat. median
$108,660
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $80,877.60 $172,044.67 $96,559.36 nat. median
$98,894
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $93,222.27 $158,387.35 $95,937.48 nat. median
$98,047
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $84,052.79 $178,799.02 $95,300.96 nat. median
$102,358
0.9× median
J7310
HCPCS 		Ganciclovir Long Act Implant 1 $93,517.91 $93,517.91 $93,517.91 nat. median
$19,165
outlier · 4.9×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $93,219.82 $93,219.82 $93,219.82 nat. median
$15,886
outlier · 5.9×
0426T
HCPCS 		Insj/rplc Nstim Apnea Stm Ld 1 $93,219.82 $93,219.82 $93,219.82 nat. median
$13,244
outlier · 7.0×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $93,219.82 $93,219.82 $93,219.82 nat. median
$18,872
outlier · 4.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $82,166.19 $174,785.80 $90,479.53 nat. median
$100,136
0.9× median
E0194
HCPCS 		Air Fluidized Bed 1 $15,597.17 $163,770.23 $89,683.70 nat. median
$4,451
outlier · 20.1×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 1 $88,039.70 $88,039.70 $88,039.70 nat. median
$30,333
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 9 $81,746.44 $173,892.88 $87,455.45 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $74,463.93 $158,401.38 $85,965.22 nat. median
$93,672
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×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $64,352.69 $136,892.51 $79,350.73 nat. median
$82,711
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $71,075.77 $151,194.00 $76,355.73 nat. median
$83,470
0.9× median
37231
HCPCS 		Tib/per Revasc Stent & Ather 1 $74,636.07 $74,636.07 $74,636.07 nat. median
$18,087
outlier · 4.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $65,382.03 $139,082.13 $74,391.57 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $65,344.99 $139,003.35 $74,164.87 nat. median
$81,118
0.9× median
L5969
HCPCS 		Ak/ft Power Asst Incl Motors 1 $74,010.20 $74,010.20 $74,010.20 nat. median
$15,234
outlier · 4.9×
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $12,789.25 $134,287.11 $73,538.18 nat. median
$3,697
outlier · 19.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $62,196.03 $132,304.81 $69,591.52 nat. median
$77,570
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $10,850.62 $114,991.54 $68,994.92 nat. median
$15,979
outlier · 4.3×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $28,440.00 $331,866.00 $68,409.67 nat. median
$69,774
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $59,699.85 $126,994.89 $67,961.85 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $60,307.89 $128,288.31 $67,678.70 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $57,591.03 $122,508.95 $67,462.26 nat. median
$72,135
0.9× median

Other procedures at this hospital

Browse this hospital's 13,478 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 14 7 — — $3,685,266.67 $4,053,793.33 $3,869,530.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 7 — — $3,316,462.59 $4,643,047.62 $3,515,450.35 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 7 — — $3,248,445.72 $4,547,824.00 $3,443,352.46 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 16 7 — — $2,945,740.00 $4,124,036.00 $3,122,484.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 22 8 — — $2,455,110.60 $4,402,595.74 $2,676,070.56 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 28 8 — — $591,726.20 $2,630,033.35 $668,650.60 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 28 8 — — $565,868.94 $2,571,961.50 $639,431.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 28 8 — — $562,538.19 $2,335,509.66 $635,668.15 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 28 8 — — $557,317.93 $2,387,877.90 $629,769.27 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 8 — — $533,230.17 $2,123,190.60 $602,550.09 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 28 8 — — $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 32 9 — — $290,977.56 $618,974.09 $371,692.17 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 9 — — $217,336.17 $462,322.44 $242,012.35 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 9 — — $173,946.22 $389,385.33 $184,923.41 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 9 — — $165,358.64 $351,754.66 $183,851.51 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 1 — — $158,117.07 $158,117.07 $158,117.07 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 4 1 — — $143,531.45 $143,531.45 $143,531.45 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 22 8 — — $111,492.17 $441,114.19 $121,526.47 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 9 — — $109,022.25 $231,914.62 $120,770.86 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 4 1 — — $117,590.27 $117,590.27 $117,590.27 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 1 — — $115,020.84 $118,712.98 $116,866.91 2026-04-01
7 MS_DRG Lung Transplant 32 9 — — $100,833.88 $214,496.12 $113,061.37 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 9 — — $98,847.85 $215,037.78 $105,085.82 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 9 — — $85,029.66 $180,877.03 $99,216.45 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 9 — — $80,877.60 $172,044.67 $96,559.36 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 16 8 — — $93,222.27 $158,387.35 $95,937.48 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 9 — — $84,052.79 $178,799.02 $95,300.96 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 4 1 — — $93,517.91 $93,517.91 $93,517.91 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 4 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 4 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 4 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 9 — — $82,166.19 $174,785.80 $90,479.53 2026-04-01
E0194 HCPCS Air Fluidized Bed 8 1 — — $15,597.17 $163,770.23 $89,683.70 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 1 — — $88,039.70 $88,039.70 $88,039.70 2026-04-01
215 MS_DRG Other Heart Assist System Implant 32 9 — — $81,746.44 $173,892.88 $87,455.45 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 9 — — $74,463.93 $158,401.38 $85,965.22 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 4 1 — — $83,350.78 $83,350.78 $83,350.78 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 9 — — $64,352.69 $136,892.51 $79,350.73 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 9 — — $71,075.77 $151,194.00 $76,355.73 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 1 — — $74,636.07 $74,636.07 $74,636.07 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 9 — — $65,382.03 $139,082.13 $74,391.57 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 9 — — $65,344.99 $139,003.35 $74,164.87 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 4 1 — — $74,010.20 $74,010.20 $74,010.20 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 8 1 — — $12,789.25 $134,287.11 $73,538.18 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 9 — — $62,196.03 $132,304.81 $69,591.52 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 22 8 — — $10,850.62 $114,991.54 $68,994.92 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 28 8 — — $28,440.00 $331,866.00 $68,409.67 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 9 — — $59,699.85 $126,994.89 $67,961.85 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 9 — — $60,307.89 $128,288.31 $67,678.70 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 9 — — $57,591.03 $122,508.95 $67,462.26 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 4 1 — — $67,127.69 $67,127.69 $67,127.69 2026-04-01
27445 HCPCS Revision Of Knee Joint 4 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 4 1 — — $64,046.97 $64,046.97 $64,046.97 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 9 — — $54,774.63 $116,517.85 $64,029.26 2026-04-01
10 MS_DRG Pancreas Transplant 32 9 — — $59,883.22 $130,862.02 $63,662.26 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 9 — — $51,532.31 $109,620.70 $63,636.59 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 9 — — $59,552.50 $130,108.62 $63,310.67 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 9 — — $54,526.17 $115,989.32 $63,274.74 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 28 8 — — $55,272.32 $176,375.50 $62,457.73 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 9 — — $53,677.40 $114,183.78 $61,404.68 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 9 — — $51,445.12 $109,435.22 $61,114.68 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 26 8 — — $54,186.88 $99,442.96 $60,802.27 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 9 — — $52,685.10 $112,072.95 $59,858.84 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 9 — — $47,732.10 $101,536.82 $59,477.31 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 9 — — $51,730.61 $110,042.54 $59,435.38 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 9 — — $49,826.27 $105,991.57 $58,526.02 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 9 — — $45,904.15 $97,648.35 $58,526.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 9 — — $47,514.51 $101,073.94 $58,321.56 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 9 — — $49,905.74 $106,160.63 $57,323.23 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 9 — — $46,222.82 $98,326.25 $54,702.93 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 9 — — $48,796.16 $103,800.30 $54,642.18 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 22 8 — — $50,007.15 $197,851.26 $54,507.79 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 9 — — $47,132.56 $100,261.45 $54,140.03 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 22 8 — — $49,600.83 $196,243.70 $54,064.90 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 9 — — $46,907.25 $99,782.17 $53,675.51 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 9 — — $47,793.83 $101,668.13 $53,660.97 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 9 — — $44,282.98 $94,199.77 $53,288.83 2026-04-01
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 4 1 — — $53,184.43 $53,184.43 $53,184.43 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 4 1 — — $53,058.50 $53,058.50 $53,058.50 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 32 9 — — $46,570.82 $99,066.52 $53,003.10 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 9 — — $10,739.00 $97,581.05 $52,878.60 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 4 1 — — $52,722.50 $52,722.50 $52,722.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 9 — — $45,400.28 $96,576.52 $52,480.42 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 9 — — $44,922.65 $95,560.49 $52,447.90 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 4 1 — — $52,360.19 $52,360.19 $52,360.19 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 9 — — $42,208.11 $89,786.06 $51,612.11 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 9 — — $44,018.32 $93,636.77 $51,297.31 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 9 — — $41,672.61 $88,646.93 $51,033.81 2026-04-01
J9226 HCPCS Supprelin La Implant 28 8 — — $45,020.65 $92,462.93 $50,873.33 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 9 — — $42,478.95 $90,362.19 $50,370.82 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 9 — — $41,982.03 $89,305.13 $50,221.98 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 22 8 — — $46,013.01 $122,459.74 $50,154.18 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 22 8 — — $46,013.01 $86,263.68 $50,154.18 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 22 8 — — $46,013.01 $241,652.69 $50,154.18 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 9 — — $38,603.13 $82,117.45 $49,893.48 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 9 — — $46,584.14 $100,727.61 $49,523.92 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 8 — — $48,063.96 $81,662.07 $49,463.88 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 9 — — $42,646.39 $90,718.37 $49,240.74 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 9 — — $41,886.35 $89,101.59 $49,074.79 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 9 — — $41,049.15 $87,320.68 $49,008.06 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 9 — — $41,633.26 $88,563.22 $48,934.49 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 32 9 — — $45,854.28 $99,066.52 $48,747.99 2026-04-01
E2402 HCPCS Neg Press Wound Therapy Pump 8 1 — — $8,341.76 $87,588.46 $47,965.11 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 9 — — $40,867.05 $86,933.31 $47,896.81 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 9 — — $39,735.86 $84,527.02 $47,869.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 9 — — $42,649.48 $90,724.94 $47,563.18 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 9 — — $39,605.45 $84,249.63 $47,413.47 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 9 — — $39,308.38 $83,617.69 $46,806.94 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 32 9 — — $43,011.36 $91,494.75 $46,729.94 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 9 — — $35,434.88 $75,377.87 $45,393.71 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 10 — — $22,219.50 $83,361.63 $44,736.80 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 9 — — $38,448.80 $81,789.17 $44,599.82 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 9 — — $38,862.39 $82,668.96 $44,379.97 2026-04-01
C9751 HCPCS Microwave Bronch, 3d, Ebus 4 1 — — $44,305.19 $44,305.19 $44,305.19 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 9 — — $41,580.58 $88,551.73 $44,204.60 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 10 — — $24,486.26 $82,094.47 $43,806.01 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 9 — — $37,477.34 $79,722.65 $43,584.39 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 9 — — $38,633.22 $82,181.46 $43,375.65 2026-04-01
L8679 HCPCS Imp Neurosti Pls Gn Any Type 4 1 — — $43,200.25 $43,200.25 $43,200.25 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 4 1 — — $43,095.59 $43,095.59 $43,095.59 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 1 — — $43,095.06 $43,095.06 $43,095.06 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 9 — — $36,299.86 $77,217.88 $43,003.52 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 9 — — $35,548.30 $75,619.16 $42,495.38 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 9 — — $36,846.16 $78,379.99 $42,293.48 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 9 — — $36,684.89 $78,036.94 $42,219.58 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 32 9 — — $37,414.84 $79,589.70 $41,944.44 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 9 — — $35,897.07 $76,361.07 $41,786.18 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 4 1 — — $41,688.28 $41,688.28 $41,688.28 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 4 1 — — $41,688.28 $41,688.28 $41,688.28 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 4 1 — — $41,688.28 $41,688.28 $41,688.28 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 9 — — $36,105.41 $76,804.25 $41,497.90 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 9 — — $37,704.97 $80,206.86 $41,306.27 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 4 1 — — $41,194.24 $41,194.24 $41,194.24 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 10 — — $22,799.36 $74,048.34 $41,189.07 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 9 — — $34,506.62 $73,403.27 $41,171.96 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 9 — — $36,686.44 $78,040.22 $41,019.68 2026-04-01
L8686 HCPCS Implt Nrostm Pls Gen Sng Non 4 1 — — $40,867.04 $40,867.04 $40,867.04 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 9 — — $35,562.96 $75,650.35 $40,616.76 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 9 — — $32,332.98 $68,779.46 $40,605.64 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 9 — — $33,893.19 $72,098.36 $40,455.07 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 11 — — $17,047.62 $75,368.03 $40,268.36 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 9 — — $32,912.47 $70,012.15 $39,855.40 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 9 — — $32,864.63 $69,910.38 $39,295.92 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 22 8 — — $35,788.01 $67,127.69 $39,008.93 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 9 — — $34,602.30 $73,606.81 $39,000.78 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 9 — — $32,631.60 $69,414.68 $38,764.67 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 9 — — $31,506.58 $67,021.52 $38,555.07 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 9 — — $32,102.27 $68,288.68 $38,404.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 9 — — $32,330.67 $68,774.53 $38,394.25 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 9 — — $31,662.45 $67,353.08 $38,342.92 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 9 — — $31,709.52 $67,453.21 $38,324.96 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 9 — — $34,184.09 $72,717.17 $38,176.96 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 9 — — $31,727.27 $67,490.96 $38,110.23 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 9 — — $33,316.02 $70,870.60 $37,971.65 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 9 — — $31,382.35 $66,757.26 $37,803.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 9 — — $30,170.15 $64,178.62 $37,568.71 2026-04-01
791 MS_DRG Prematurity With Major Problems 34 9 — — $3,378.37 $66,642.36 $36,830.88 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 40 10 — — $1,269.26 $68,456.10 $36,733.09 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 9 — — $30,318.30 $64,493.77 $36,670.47 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 9 — — $27,659.31 $58,837.52 $36,359.08 2026-04-01
69930 HCPCS Implant Cochlear Device 22 8 — — $19,596.56 $60,277.39 $36,166.43 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 9 — — $29,332.17 $62,396.07 $35,741.43 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 22 8 — — $32,790.28 $64,120.63 $35,741.40 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 22 8 — — $32,790.28 $64,145.26 $35,741.40 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 22 8 — — $32,790.28 $176,344.84 $35,741.40 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 22 8 — — $32,790.28 $117,764.26 $35,741.40 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 22 8 — — $32,790.28 $65,567.66 $35,741.40 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 22 8 — — $32,790.28 $165,495.02 $35,741.40 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 9 — — $33,385.47 $71,018.32 $35,590.02 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 9 — — $30,004.25 $63,825.72 $35,388.97 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 9 — — $30,319.84 $64,497.05 $35,339.37 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 9 — — $29,103.77 $61,910.21 $35,307.71 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 22 8 — — $32,235.40 $159,043.67 $35,136.58 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 22 8 — — $32,235.40 $161,440.89 $35,136.58 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 22 8 — — $32,235.40 $112,042.47 $35,136.58 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 9 — — $30,737.28 $65,385.05 $35,120.37 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 18 8 — — $32,235.40 $56,411.94 $34,491.87 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 18 8 — — $32,235.40 $56,411.94 $34,491.87 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 18 8 — — $32,235.40 $56,411.94 $34,491.87 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 18 8 — — $32,235.40 $56,411.94 $34,491.87 2026-04-01
E0483 HCPCS Chest Compression Gen System 8 1 — — $5,994.48 $62,942.04 $34,468.26 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 9 — — $29,492.67 $62,737.48 $34,467.65 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 9 — — $25,476.41 $54,861.05 $34,327.35 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 9 — — $29,714.89 $63,210.20 $34,251.21 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 9 — — $27,653.14 $58,824.39 $34,247.79 2026-04-01
E0636 HCPCS Pt Support & Positioning Sys 8 1 — — $5,946.15 $62,434.57 $34,190.36 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 9 — — $30,450.24 $64,774.45 $34,157.96 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 9 — — $26,792.02 $56,992.59 $33,978.31 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 22 8 — — $6,437.00 $56,411.94 $33,847.17 2026-04-01
61886 HCPCS Implant Neurostim Arrays 22 8 — — $14,498.07 $56,411.94 $33,847.17 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 22 8 — — $6,769.51 $56,411.94 $33,847.17 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 9 — — $29,791.28 $63,372.70 $33,698.57 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 9 — — $27,400.05 $58,286.01 $33,531.92 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 8 1 — — $5,814.58 $61,053.14 $33,433.86 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 9 — — $24,489.52 $53,246.39 $33,317.03 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 9 — — $27,163.16 $57,782.10 $33,293.08 2026-04-01
332 MS_DRG Rectal Resection With Mcc 32 9 — — $26,763.47 $56,931.85 $33,250.31 2026-04-01
265 MS_DRG Aicd Lead Procedures 32 9 — — $27,522.74 $58,546.99 $33,228.93 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 9 — — $27,660.85 $58,840.80 $33,174.18 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 9 — — $24,724.09 $52,944.26 $33,127.98 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 9 — — $30,715.68 $65,339.09 $32,926.08 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 9 — — $30,380.80 $64,626.72 $32,855.08 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 4 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 4 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 4 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 4 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 4 1 — — $32,813.06 $32,813.06 $32,813.06 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 9 — — $27,015.01 $57,466.95 $32,778.94 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 9 — — $28,889.27 $61,453.90 $32,724.19 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 9 — — $26,577.51 $56,536.28 $32,699.38 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 9 — — $1,300.00 $59,482.59 $32,674.40 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 22 8 — — $29,963.97 $157,559.72 $32,660.73 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 9 — — $27,034.30 $57,507.99 $32,603.72 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 9 — — $26,427.04 $56,216.21 $32,445.31 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 22 8 — — $29,717.20 $117,574.81 $32,391.75 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 9 — — $28,151.60 $59,884.73 $32,383.72 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 22 8 — — $29,576.84 $120,665.89 $32,238.76 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 32 9 — — $26,467.94 $56,303.20 $32,117.67 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 9 — — $29,822.15 $63,438.35 $32,109.97 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 9 — — $26,734.14 $56,869.48 $31,973.10 2026-04-01
E1008 HCPCS Pwr Seat Combo Pwr Shear 12 1 — — $4,248.48 $42,485.08 $31,863.86 2026-04-01
E1007 HCPCS Pwr Seat Combo W/shear 12 1 — — $4,248.15 $42,481.26 $31,860.91 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 9 — — $26,534.30 $56,444.36 $31,829.37 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 9 — — $27,029.67 $57,498.14 $31,749.55 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 9 — — $25,899.26 $55,093.49 $31,461.52 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 9 — — $27,231.84 $57,928.18 $31,423.01 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 1 — — $30,901.92 $30,901.92 $30,901.92 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 4 1 — — $30,901.92 $30,901.92 $30,901.92 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 22 8 — — $28,345.47 $66,130.26 $30,896.56 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 34 9 — — $11,302.22 $57,365.18 $30,713.25 2026-04-01
J9266 HCPCS Pegaspargase Injection 28 8 — — $14,438.64 $49,742.10 $30,697.98 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 8 — — $29,811.21 $50,650.11 $30,679.49 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 22 8 — — $28,119.26 $147,677.69 $30,649.99 2026-04-01
0404T HCPCS Trnscrv Uterin Fibroid Abltj 4 1 — — $30,603.36 $30,603.36 $30,603.36 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 9 — — $25,623.02 $54,505.87 $30,439.24 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 9 — — $24,080.56 $51,224.72 $30,435.81 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 9 — — $25,147.70 $53,494.77 $30,117.60 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 9 — — $21,114.47 $48,800.31 $30,116.76 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 9 — — $26,287.38 $55,919.11 $30,103.03 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 9 — — $24,609.89 $52,350.72 $29,949.90 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 5 — — $6,219.20 $36,014.13 $29,935.02 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 9 — — $23,810.50 $50,650.23 $29,911.40 2026-04-01
652 MS_DRG Kidney Transplant 32 9 — — $23,697.84 $50,410.58 $29,903.71 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 9 — — $24,873.78 $52,912.07 $29,883.18 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 2 1 — — $29,844.33 $29,844.33 $29,844.33 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 32 9 — — $24,538.90 $52,199.71 $29,829.28 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 22 8 — — $14,138.78 $49,604.57 $29,762.74 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 22 8 — — $5,333.70 $49,604.57 $29,762.74 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 22 8 — — $9,663.96 $49,604.57 $29,762.74 2026-04-01
22630 HCPCS Lumbar Spine Fusion 22 8 — — $18,040.11 $49,604.57 $29,762.74 2026-04-01
22558 HCPCS Lumbar Spine Fusion 22 8 — — $17,623.53 $49,604.57 $29,762.74 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 22 8 — — $27,304.83 $47,783.45 $29,762.26 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 22 8 — — $27,304.83 $47,783.45 $29,762.26 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 9 — — $22,083.62 $47,530.18 $29,740.31 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 9 — — $26,173.18 $55,676.19 $29,589.75 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 9 — — $23,859.88 $50,755.28 $29,539.28 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 9 — — $25,136.90 $53,471.79 $29,512.76 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 9 — — $27,241.10 $57,947.88 $29,458.01 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 9 — — $24,448.62 $52,007.66 $29,350.22 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 9 — — $23,793.52 $50,614.12 $29,309.15 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 9 — — $24,653.10 $52,442.63 $29,232.16 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 9 — — $23,967.13 $50,983.43 $29,219.33 2026-04-01
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 8 1 — — $4,886.16 $53,452.71 $29,169.44 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 9 — — $21,646.89 $46,596.39 $29,156.03 2026-04-01
665 MS_DRG Prostatectomy With Mcc 32 9 — — $26,492.63 $56,355.72 $28,977.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 9 — — $23,599.07 $50,200.49 $28,874.58 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 22 8 — — $24,046.97 $47,783.45 $28,670.07 2026-04-01
E2510 HCPCS Sgd W Multi Methods Msg/accs 12 1 — — $3,816.24 $38,162.76 $28,622.05 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 9 — — $21,701.07 $48,398.23 $28,525.44 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 32 9 — — $24,069.76 $51,201.74 $28,466.51 2026-04-01
263 MS_DRG Vein Ligation And Stripping 32 9 — — $20,693.94 $45,438.38 $28,431.44 2026-04-01
0425T HCPCS Insj/rplc Nstim Apnea Sen Ld 4 1 — — $28,162.27 $28,162.27 $28,162.27 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 9 — — $22,052.76 $46,911.13 $28,115.78 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 9 — — $22,121.43 $47,057.21 $28,112.35 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 9 — — $16,803.77 $53,649.06 $28,095.55 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 8 1 — — $4,886.16 $51,304.71 $28,095.44 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 9 — — $23,676.23 $50,364.63 $27,738.52 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 32 9 — — $19,480.96 $44,883.30 $27,699.40 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 32 9 — — $22,353.69 $47,551.27 $27,479.31 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 32 9 — — $20,399.19 $43,889.35 $27,462.19 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 32 9 — — $22,501.07 $47,864.78 $27,256.03 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 9 — — $22,629.92 $48,138.89 $27,102.05 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 9 — — $21,668.49 $46,093.71 $27,086.65 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 34 9 — — $22,693.20 $48,273.49 $27,066.00 2026-04-01
570 MS_DRG Skin Debridement With Mcc 36 9 — — $15,370.85 $49,412.62 $27,060.68 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 9 — — $21,037.31 $44,751.05 $26,977.15 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 32 9 — — $23,040.42 $49,012.11 $26,965.17 2026-04-01
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 8 1 — — $4,684.20 $49,184.04 $26,934.12 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 32 9 — — $20,446.25 $43,493.74 $26,929.24 2026-04-01
509 MS_DRG Arthroscopy 16 3 — — $13,553.42 $28,831.14 $26,902.28 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 9 — — $22,469.43 $47,797.48 $26,661.47 2026-04-01
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 8 1 — — $4,616.05 $48,468.55 $26,542.30 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 36 9 — — $21,451.94 $47,840.16 $26,462.47 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 9 — — $22,481.77 $47,823.74 $26,309.89 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 9 — — $21,774.20 $46,318.58 $26,223.47 2026-04-01
503 MS_DRG Foot Procedures With Mcc 32 9 — — $20,420.79 $43,439.57 $26,153.33 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 32 9 — — $19,661.52 $41,824.44 $25,989.08 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 26 8 — — $13,996.96 $44,220.41 $25,924.41 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 9 — — $20,858.30 $44,370.24 $25,862.47 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 36 9 — — $20,241.00 $43,057.13 $25,784.62 2026-04-01
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