Price Transparencybeta Hospital negotiated rates

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

SOCORRO GENERAL HOSPITAL

Socorro, NM · CCN 321301 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $15,415 across 1 payer

Source: https://onbaseext.phs.org/PEL/DisplayDocument?ContentID=PEL_00954560 · observed 2026-04-01

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

12,270 distinct procedures filed
10 distinct payers
49,195 rate rows
2026-04-01 last MRF observed
Data quality

31,730 of 49,195 rate rows are consumer-grade (64.5%)

17,465 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 17,225
template filing: same amount across many unrelated codes — excluded 222
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://onbaseext.phs.org/PEL/DisplayDocument?ContentID=PEL_00954560
Found on page https://www.phs.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-13
Content fingerprint c6e3fb9f41c71838… · 14,234,339 bytes · first seen 2026-05-15

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $4,402,595.74 $4,402,595.74 $4,402,595.74 nat. median
$2,460,273
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $984,816.97 $2,630,033.35 $1,807,425.16 nat. median
$691,418
outlier · 2.6×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $989,817.28 $2,571,961.50 $1,780,889.39 nat. median
$631,793
outlier · 2.8×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $944,981.41 $2,387,877.90 $1,666,429.65 nat. median
$610,161
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $924,257.25 $2,335,509.66 $1,629,883.46 nat. median
$624,417
outlier · 2.6×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $875,952.00 $2,197,189.20 $1,536,570.60 nat. median
$577,541
outlier · 2.7×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $875,952.00 $2,123,190.60 $1,499,571.30 nat. median
$588,565
outlier · 2.5×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $189,653.65 $676,771.38 $618,974.09 nat. median
$370,165
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $141,655.59 $505,492.24 $462,322.44 nat. median
$261,939
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $441,114.19 $441,114.19 $441,114.19 nat. median
$111,503
outlier · 4.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $119,307.65 $425,744.55 $389,385.33 nat. median
$205,166
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $107,777.62 $384,600.08 $351,754.66 nat. median
$199,832
1.8× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 1 $241,652.69 $241,652.69 $241,652.69 nat. median
$43,061
outlier · 5.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $71,058.63 $253,569.87 $231,914.62 nat. median
$132,706
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $65,887.57 $235,117.14 $215,037.78 nat. median
$114,305
1.9× median
7
MS_DRG 		Lung Transplant 3 $65,721.61 $234,524.90 $214,496.12 nat. median
$122,690
1.7× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $197,851.26 $197,851.26 $197,851.26 nat. median
$46,980
outlier · 4.2×
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $196,243.70 $196,243.70 $196,243.70 nat. median
$50,449
outlier · 3.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $55,420.72 $197,766.59 $180,877.03 nat. median
$108,240
1.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $28,440.00 $331,866.00 $180,153.00 nat. median
$69,291
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $54,784.01 $195,494.54 $178,799.02 nat. median
$100,978
1.8× median
0571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 1 $176,344.84 $176,344.84 $176,344.84 nat. median
$32,779
outlier · 5.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $53,554.37 $191,106.59 $174,785.80 nat. median
$99,646
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 3 $53,280.77 $190,130.29 $173,892.88 nat. median
$98,002
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $52,714.48 $188,109.50 $172,044.67 nat. median
$96,835
1.8× median
33270
HCPCS 		Ins/rep Subq Defibrillator 1 $165,495.02 $165,495.02 $165,495.02 nat. median
$31,963
outlier · 5.2×
64582
HCPCS 		Opn Mpltj Hpglsl Nstm Ary Pg 1 $161,440.89 $161,440.89 $161,440.89 nat. median
$28,070
outlier · 5.8×
33287
HCPCS 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $159,043.67 $159,043.67 $159,043.67 nat. median
$29,000
outlier · 5.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $48,534.18 $173,192.25 $158,401.38 nat. median
$92,900
1.7× 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×
33289
HCPCS 		Tcat Impl Wrls P-art Prs Snr 1 $157,559.72 $157,559.72 $157,559.72 nat. median
$27,692
outlier · 5.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $46,325.84 $165,311.89 $151,194.00 nat. median
$81,364
1.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $122,955.60 $176,375.50 $149,665.55 nat. median
$65,655
outlier · 2.3×
C9760
HCPCS 		Non-blind Interatrial Shunt 1 $147,677.69 $147,677.69 $147,677.69 nat. median
$27,848
outlier · 5.3×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $143,531.45 $143,531.45 $143,531.45 nat. median
$22,425
outlier · 6.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $42,614.76 $152,069.06 $139,082.13 nat. median
$79,040
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $42,590.62 $151,982.92 $139,003.35 nat. median
$80,459
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $41,943.86 $149,674.98 $136,892.51 nat. median
$81,124
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $40,538.19 $144,658.89 $132,304.81 nat. median
$77,385
1.7× median
10
MS_DRG 		Pancreas Transplant 3 $40,096.12 $143,081.38 $130,862.02 nat. median
$67,750
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $39,865.28 $142,257.63 $130,108.62 nat. median
$69,153
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $39,307.53 $140,267.35 $128,288.31 nat. median
$73,475
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $38,911.23 $138,853.15 $126,994.89 nat. median
$74,472
1.7× median
0614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $123,725.66 $123,725.66 $123,725.66 nat. median
$23,467
outlier · 5.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $37,536.74 $133,948.34 $122,508.95 nat. median
$71,485
1.7× median
64568
HCPCS 		Inc For Vagus N Elect Impl 1 $122,459.74 $122,459.74 $122,459.74 nat. median
$27,651
outlier · 4.4×
33230
HCPCS 		Insrt Pulse Gen W/dual Leads 1 $120,889.65 $120,889.65 $120,889.65 nat. median
$22,374
outlier · 5.4×
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $120,665.89 $120,665.89 $120,665.89 nat. median
$30,016
outlier · 4.0×
33240
HCPCS 		Insrt Pulse Gen W/singl Lead 1 $118,353.99 $118,353.99 $118,353.99 nat. median
$21,987
outlier · 5.4×
J1412
HCPCS 		Inj Roctavian Ml 2x10^13vc G 1 $64,481.96 $171,825.00 $118,153.48 nat. median
$13,208
outlier · 8.9×

Other procedures at this hospital

Browse this hospital's 12,270 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $4,402,595.74 $4,402,595.74 $4,402,595.74 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 1 — — $984,816.97 $2,630,033.35 $1,807,425.16 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 1 — — $989,817.28 $2,571,961.50 $1,780,889.39 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 1 — — $944,981.41 $2,387,877.90 $1,666,429.65 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 1 — — $924,257.25 $2,335,509.66 $1,629,883.46 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 1 — — $875,952.00 $2,197,189.20 $1,536,570.60 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 1 — — $875,952.00 $2,123,190.60 $1,499,571.30 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 3 — — $189,653.65 $676,771.38 $618,974.09 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 — — $141,655.59 $505,492.24 $462,322.44 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $441,114.19 $441,114.19 $441,114.19 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 3 — — $119,307.65 $425,744.55 $389,385.33 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 3 — — $107,777.62 $384,600.08 $351,754.66 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 1 — — $241,652.69 $241,652.69 $241,652.69 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 — — $71,058.63 $253,569.87 $231,914.62 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 7 3 — — $65,887.57 $235,117.14 $215,037.78 2026-04-01
7 MS_DRG Lung Transplant 7 3 — — $65,721.61 $234,524.90 $214,496.12 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $197,851.26 $197,851.26 $197,851.26 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $196,243.70 $196,243.70 $196,243.70 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 3 — — $55,420.72 $197,766.59 $180,877.03 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 1 — — $28,440.00 $331,866.00 $180,153.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 3 — — $54,784.01 $195,494.54 $178,799.02 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 1 — — $176,344.84 $176,344.84 $176,344.84 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 3 — — $53,554.37 $191,106.59 $174,785.80 2026-04-01
215 MS_DRG Other Heart Assist System Implant 7 3 — — $53,280.77 $190,130.29 $173,892.88 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 3 — — $52,714.48 $188,109.50 $172,044.67 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 1 — — $165,495.02 $165,495.02 $165,495.02 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 1 — — $161,440.89 $161,440.89 $161,440.89 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 1 — — $159,043.67 $159,043.67 $159,043.67 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $48,534.18 $173,192.25 $158,401.38 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
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 1 — — $157,559.72 $157,559.72 $157,559.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 3 — — $46,325.84 $165,311.89 $151,194.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 1 — — $122,955.60 $176,375.50 $149,665.55 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $147,677.69 $147,677.69 $147,677.69 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 2 1 — — $143,531.45 $143,531.45 $143,531.45 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 3 — — $42,614.76 $152,069.06 $139,082.13 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 — — $42,590.62 $151,982.92 $139,003.35 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 3 — — $41,943.86 $149,674.98 $136,892.51 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 — — $40,538.19 $144,658.89 $132,304.81 2026-04-01
10 MS_DRG Pancreas Transplant 7 3 — — $40,096.12 $143,081.38 $130,862.02 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 3 — — $39,865.28 $142,257.63 $130,108.62 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 — — $39,307.53 $140,267.35 $128,288.31 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $38,911.23 $138,853.15 $126,994.89 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $123,725.66 $123,725.66 $123,725.66 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 3 — — $37,536.74 $133,948.34 $122,508.95 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 2 1 — — $122,459.74 $122,459.74 $122,459.74 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 2 1 — — $120,889.65 $120,889.65 $120,889.65 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $120,665.89 $120,665.89 $120,665.89 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 1 — — $118,353.99 $118,353.99 $118,353.99 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 4 1 — — $64,481.96 $171,825.00 $118,153.48 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 2 1 — — $118,120.99 $118,120.99 $118,120.99 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 2 1 — — $118,120.99 $118,120.99 $118,120.99 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 2 1 — — $117,764.26 $117,764.26 $117,764.26 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 1 — — $117,764.26 $117,764.26 $117,764.26 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 2 1 — — $117,764.26 $117,764.26 $117,764.26 2026-04-01
A9607 HCPCS Lutetium Lu 177 Vipivotide 4 1 — — $406.94 $235,071.75 $117,739.35 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
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $117,574.81 $117,574.81 $117,574.81 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $115,020.84 $118,712.98 $116,866.91 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 3 — — $35,701.07 $127,397.81 $116,517.85 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 3 — — $35,539.12 $126,819.93 $115,989.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 3 — — $34,985.91 $124,845.80 $114,183.78 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 3 — — $34,339.15 $122,537.86 $112,072.95 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 2 1 — — $112,042.47 $112,042.47 $112,042.47 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 1 — — $112,042.47 $112,042.47 $112,042.47 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 2 1 — — $112,042.47 $112,042.47 $112,042.47 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 3 — — $33,717.03 $120,317.86 $110,042.54 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 3 — — $33,587.78 $119,856.64 $109,620.70 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 3 — — $33,530.95 $119,653.84 $109,435.22 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 — — $32,527.62 $116,073.48 $106,160.63 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $32,475.81 $115,888.63 $105,991.57 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 3 — — $31,804.41 $113,492.76 $103,800.30 2026-04-01
81162 HCPCS Brca1&2 Seq & Full Dup/del 2 1 — — $101,705.33 $101,705.33 $101,705.33 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 3 — — $31,151.11 $111,161.49 $101,668.13 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 3 — — $31,110.88 $111,017.92 $101,536.82 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 3 — — $30,969.05 $110,511.82 $101,073.94 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 3 — — $30,862.94 $110,133.15 $100,727.61 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 3 — — $30,720.11 $109,623.46 $100,261.45 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 7 3 — — $30,573.25 $109,099.42 $99,782.17 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 7 3 — — $30,353.98 $108,316.95 $99,066.52 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 3 — — $30,353.98 $108,316.95 $99,066.52 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 3 — — $30,127.16 $107,507.55 $98,326.25 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $29,919.45 $106,766.36 $97,648.35 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 3 — — $29,898.83 $106,692.77 $97,581.05 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 3 — — $29,591.04 $105,594.44 $96,576.52 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 3 — — $29,279.73 $104,483.54 $95,560.49 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 1 — — $95,450.46 $95,450.46 $95,450.46 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 — — $28,862.81 $102,995.77 $94,199.77 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 — — $28,690.31 $102,380.20 $93,636.77 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 1 — — $93,533.59 $93,533.59 $93,533.59 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $93,517.91 $93,517.91 $93,517.91 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
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 2 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 2 1 — — $93,034.23 $93,034.23 $93,034.23 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 2 1 — — $92,243.71 $92,243.71 $92,243.71 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 2 1 — — $92,243.71 $92,243.71 $92,243.71 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 2 1 — — $92,243.71 $92,243.71 $92,243.71 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 2 1 — — $92,243.71 $92,243.71 $92,243.71 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 2 1 — — $91,830.38 $91,830.38 $91,830.38 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 2 1 — — $91,530.20 $91,530.20 $91,530.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 7 3 — — $28,033.99 $100,038.16 $91,494.75 2026-04-01
L5858 HCPCS Stance Phase Only 2 1 — — $91,025.85 $91,025.85 $91,025.85 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 3 — — $27,798.12 $99,196.46 $90,724.94 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 7 3 — — $27,796.11 $99,189.28 $90,718.37 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 3 — — $27,686.97 $98,799.84 $90,362.19 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 2 1 — — $89,811.64 $89,811.64 $89,811.64 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 3 — — $27,510.45 $98,169.92 $89,786.06 2026-04-01
E0194 HCPCS Air Fluidized Bed 4 1 — — $15,597.17 $163,770.23 $89,683.70 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 3 — — $27,363.09 $97,644.08 $89,305.13 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 3 — — $27,300.73 $97,421.54 $89,101.59 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 — — $27,161.42 $96,924.42 $88,646.93 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $88,646.51 $88,646.51 $88,646.51 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 3 — — $27,135.77 $96,832.89 $88,563.22 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 3 — — $27,132.25 $96,820.33 $88,551.73 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 2 1 — — $88,080.40 $88,080.40 $88,080.40 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 3 — — $26,755.05 $95,474.33 $87,320.68 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $26,636.36 $95,050.79 $86,933.31 2026-04-01
J9226 HCPCS Supprelin La Implant 4 1 — — $81,322.85 $92,462.93 $86,892.89 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 1 — — $86,890.09 $86,890.09 $86,890.09 2026-04-01
61624 HCPCS Transcath Occlusion Cns 2 1 — — $86,263.68 $86,263.68 $86,263.68 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 2 1 — — $86,263.68 $86,263.68 $86,263.68 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 2 1 — — $86,263.68 $86,263.68 $86,263.68 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 2 1 — — $86,263.68 $86,263.68 $86,263.68 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 2 1 — — $86,263.68 $86,263.68 $86,263.68 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 2 1 — — $86,263.68 $86,263.68 $86,263.68 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
20802 HCPCS Replantation Arm Complete 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22849 HCPCS Reinsert Spinal Fixation 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
20805 HCPCS Replant Forearm Complete 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27590 HCPCS Amputate Leg At Thigh 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27591 HCPCS Amputate Leg At Thigh 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27592 HCPCS Amputate Leg At Thigh 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22595 HCPCS Neck Spinal Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
20808 HCPCS Replantation Hand Complete 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27284 HCPCS Fusion Of Hip Joint 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22600 HCPCS Neck Spine Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22610 HCPCS Thorax Spine Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22590 HCPCS Spine & Skull Spinal Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
20838 HCPCS Replantation Foot Complete 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27286 HCPCS Fusion Of Hip Joint 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22548 HCPCS Neck Spine Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27880 HCPCS Amputation Of Lower Leg 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22532 HCPCS Lat Thorax Spine Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
22556 HCPCS Thorax Spine Fusion 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 3 — — $25,899.08 $92,419.81 $84,527.02 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 3 — — $25,814.08 $92,116.51 $84,249.63 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 3 — — $25,620.46 $91,425.57 $83,617.69 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 3 — — $25,542.00 $91,145.60 $83,361.63 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 — — $25,329.77 $90,388.25 $82,668.96 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 2 1 — — $82,453.67 $82,453.67 $82,453.67 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 3 — — $25,180.40 $89,855.24 $82,181.46 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 3 — — $25,160.78 $89,785.25 $82,117.45 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 3 — — $25,153.74 $89,760.12 $82,094.47 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 3 — — $25,060.20 $89,426.31 $81,789.17 2026-04-01
245 MS_DRG Aicd Generator Procedures 7 3 — — $24,575.38 $87,696.26 $80,206.86 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 7 3 — — $24,427.02 $87,166.83 $79,722.65 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 1 — — $79,612.08 $79,612.08 $79,612.08 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 7 3 — — $24,386.28 $87,021.46 $79,589.70 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 1 — — $79,380.09 $79,380.09 $79,380.09 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 2 1 — — $79,380.09 $79,380.09 $79,380.09 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 2 1 — — $79,380.09 $79,380.09 $79,380.09 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 2 1 — — $78,961.18 $78,961.18 $78,961.18 2026-04-01
22869 HCPCS Insj Stablj Dev Without Dcmprn 2 1 — — $78,961.18 $78,961.18 $78,961.18 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 3 — — $24,015.63 $85,698.80 $78,379.99 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 7 3 — — $23,911.52 $85,327.30 $78,040.22 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 — — $23,910.52 $85,323.71 $78,036.94 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 3 — — $23,659.56 $84,428.17 $77,217.88 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 2 1 — — $77,132.59 $77,132.59 $77,132.59 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 2 1 — — $77,132.59 $77,132.59 $77,132.59 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 3 — — $23,532.82 $83,975.92 $76,804.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 3 — — $23,397.03 $83,491.36 $76,361.07 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 7 3 — — $23,179.26 $82,714.27 $75,650.35 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 3 — — $23,169.71 $82,680.17 $75,619.16 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $23,095.78 $82,416.35 $75,377.87 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 3 — — $23,092.76 $82,405.59 $75,368.03 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 2 1 — — $75,120.34 $75,120.34 $75,120.34 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 1 — — $74,636.07 $74,636.07 $74,636.07 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 — — $22,688.41 $80,962.68 $74,048.34 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
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 3 — — $22,553.12 $80,479.91 $73,606.81 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 4 1 — — $12,789.25 $134,287.11 $73,538.18 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 3 — — $22,490.76 $80,257.37 $73,403.27 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 3 — — $22,280.54 $79,507.20 $72,717.17 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 3 — — $22,090.94 $78,830.62 $72,098.36 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 2 1 — — $71,168.72 $71,168.72 $71,168.72 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 3 — — $21,760.01 $77,649.73 $71,018.32 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 — — $21,714.75 $77,488.21 $70,870.60 2026-04-01
69729 HCPCS Impl Oi Implt Sk Tc Esp>=100 2 1 — — $70,068.19 $70,068.19 $70,068.19 2026-04-01
69730 HCPCS Rplc Oi Implt Sk Tc Esp>=100 2 1 — — $70,068.19 $70,068.19 $70,068.19 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 3 — — $21,451.72 $76,549.60 $70,012.15 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 3 — — $21,420.54 $76,438.33 $69,910.38 2026-04-01
33288 HCPCS Rmv&rplcmt Phrnc Nrv Stim Ld 2 1 — — $69,769.51 $69,769.51 $69,769.51 2026-04-01
64596 HCPCS Ins/rplcmt Prq Eltrd Ra Pn 1 2 1 — — $69,769.51 $69,769.51 $69,769.51 2026-04-01
0786T OTHER Insj/rplcmt Prq Ra Sac Nstim 2 1 — — $69,769.51 $69,769.51 $69,769.51 2026-04-01
0784T OTHER Ins/rplmt Eltrd Ra Spi Nstim 2 1 — — $69,769.51 $69,769.51 $69,769.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 3 — — $21,268.66 $75,896.34 $69,414.68 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 3 — — $21,074.02 $75,201.81 $68,779.46 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 3 — — $21,072.52 $75,196.42 $68,774.53 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 3 — — $20,923.65 $74,665.20 $68,288.68 2026-04-01
69719 HCPCS Revj/rplcmt Oi Implt Tc Esp 2 1 — — $67,625.97 $67,625.97 $67,625.97 2026-04-01
64628 HCPCS Trml Dstrj Ios Bvn 1st 2 L/s 2 1 — — $67,625.97 $67,625.97 $67,625.97 2026-04-01
69716 HCPCS Impltj Oi Implt Skl Tc Esp 2 1 — — $67,625.97 $67,625.97 $67,625.97 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 — — $20,679.23 $73,792.99 $67,490.96 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 3 — — $20,667.66 $73,751.72 $67,453.21 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 3 — — $20,636.98 $73,642.24 $67,353.08 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 2 1 — — $67,127.69 $67,127.69 $67,127.69 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 2 1 — — $67,127.69 $67,127.69 $67,127.69 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 2 1 — — $67,127.69 $67,127.69 $67,127.69 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 3 — — $20,535.39 $73,279.72 $67,021.52 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 3 — — $20,454.42 $72,990.78 $66,757.26 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 3 — — $20,419.22 $72,865.15 $66,642.36 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 8 3 — — $7,105.28 $74,848.26 $66,226.33 2026-04-01
27712 HCPCS Realignment Of Lower Leg 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27715 HCPCS Revision Of Lower Leg 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22865 HCPCS Remove Lumb Artif Disc 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22850 HCPCS Remove Spine Fixation Device 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22852 HCPCS Remove Spine Fixation Device 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22855 HCPCS Remove Spine Fixation Device 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22327 HCPCS Treat Thorax Spine Fracture 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27077 HCPCS Resect Hip Tum W/innom Bone 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22830 HCPCS Exploration Of Spinal Fusion 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
0627T OTHER Perq Njx Algc Fluor Lmbr 1st 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27598 HCPCS Amputate Lower Leg At Knee 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27580 HCPCS Fusion Of Knee 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27486 HCPCS Revise/replace Knee Joint 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27487 HCPCS Revise/replace Knee Joint 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27132 HCPCS Total Hip Arthroplasty 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22319 HCPCS Treat Odontoid Fx W/graft 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27078 HCPCS Rsect Hip Tum Incl Femur 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
25905 HCPCS Amputation Of Forearm 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27125 HCPCS Partial Hip Replacement 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
0219T OTHER Plmt Post Facet Implt Cerv 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27445 HCPCS Revision Of Knee Joint 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
23900 HCPCS Amputation Of Arm & Girdle 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
23920 HCPCS Amputation At Shoulder Joint 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
0202T OTHER Post Vert Arthrplst 1 Lumbar 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27120 HCPCS Reconstruction Of Hip Socket 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27282 HCPCS Fusion Of Pubic Bones 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22318 HCPCS Treat Odontoid Fx Without Graft 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27122 HCPCS Reconstruction Of Hip Socket 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
24940 HCPCS Revision Of Upper Arm 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27176 HCPCS Treat Slipped Epiphysis 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
24920 HCPCS Amputation Of Upper Arm 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27888 HCPCS Amputation Of Foot At Ankle 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
24900 HCPCS Amputation Of Upper Arm 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
24931 HCPCS Amputate Upper Arm & Implant 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
25900 HCPCS Amputation Of Forearm 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22325 HCPCS Treat Spine Fracture 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
22326 HCPCS Treat Neck Spine Fracture 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27134 HCPCS Revise Hip Joint Replacement 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27137 HCPCS Revise Hip Joint Replacement 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27138 HCPCS Revise Hip Joint Replacement 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27140 HCPCS Transplant Femur Ridge 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
0629T OTHER Perq Njx Algc CT Lmbr 1st 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
0220T OTHER Plmt Post Facet Implt Thor 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
27130 HCPCS Total Hip Arthroplasty 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 1 — — $65,567.66 $65,567.66 $65,567.66 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 3 — — $20,033.98 $71,490.44 $65,385.05 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 3 — — $20,019.90 $71,440.19 $65,339.09 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 2 1 — — $65,200.18 $65,200.18 $65,200.18 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 2 1 — — $65,200.18 $65,200.18 $65,200.18 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 1 — — $54,186.88 $75,404.25 $64,795.57 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 3 — — $19,846.89 $70,822.83 $64,774.45 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 3 — — $19,801.63 $70,661.31 $64,626.72 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 3 — — $19,761.90 $70,519.53 $64,497.05 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 3 — — $19,760.89 $70,515.94 $64,493.77 2026-04-01
81416 HCPCS Exome Sequence Analysis 2 1 — — $64,440.00 $64,440.00 $64,440.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 3 — — $19,664.33 $70,171.36 $64,178.62 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 1 — — $64,145.26 $64,145.26 $64,145.26 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $64,120.63 $64,120.63 $64,120.63 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
C9757 HCPCS Spine/lumbar Disk Surgery 2 1 — — $63,906.81 $63,906.81 $63,906.81 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 3 — — $19,556.20 $69,785.51 $63,825.72 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 2 1 — — $63,541.55 $63,541.55 $63,541.55 2026-04-01
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