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

LINCOLN COUNTY MEDICAL CENTER

Ruidoso, NM · CCN 321306 · Rates published

12,285 distinct procedures filed
10 distinct payers
51,669 rate rows
2026-04-01 last MRF observed
Data quality

31,440 of 51,669 rate rows are consumer-grade (60.8%)

20,229 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 19,989
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_00954562
Found on page https://www.phs.org/tools-resources/patient/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-05
Content fingerprint f605df7def0d4623… · 15,284,008 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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $4,402,595.74 $4,402,595.74 $4,402,595.74 nat. median
$2,455,111
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $984,816.97 $2,630,033.35 $1,807,425.16 nat. median
$621,313
outlier · 2.9×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $989,817.28 $2,571,961.50 $1,780,889.39 nat. median
$599,737
outlier · 3.0×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $944,981.41 $2,387,877.90 $1,666,429.65 nat. median
$574,037
outlier · 2.9×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $924,257.25 $2,335,509.66 $1,629,883.46 nat. median
$579,571
outlier · 2.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $875,952.00 $2,197,189.20 $1,536,570.60 nat. median
$513,770
outlier · 3.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $875,952.00 $2,123,190.60 $1,499,571.30 nat. median
$562,501
outlier · 2.7×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $189,653.65 $676,771.38 $598,812.71 nat. median
$168,055
outlier · 3.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $141,655.59 $505,492.24 $447,263.56 nat. median
$186,516
outlier · 2.4×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $441,114.19 $441,114.19 $441,114.19 nat. median
$108,243
outlier · 4.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $119,307.65 $425,744.55 $376,702.17 nat. median
$131,925
outlier · 2.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $107,777.62 $384,600.08 $340,297.22 nat. median
$145,435
outlier · 2.3×
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 1 $241,652.69 $241,652.69 $241,652.69 nat. median
$44,163
outlier · 5.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $71,058.63 $253,569.87 $224,360.64 nat. median
$97,418
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $65,887.57 $235,117.14 $208,033.52 nat. median
$72,715
outlier · 2.9×
7
MS_DRG 		Lung Transplant 3 $65,721.61 $234,524.90 $207,509.49 nat. median
$70,649
outlier · 2.9×
L7180
HCPCS 		Electronic Elbow Sequential 1 $197,851.26 $197,851.26 $197,851.26 nat. median
$42,745
outlier · 4.6×
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $196,243.70 $196,243.70 $196,243.70 nat. median
$48,410
outlier · 4.1×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $28,440.00 $331,866.00 $180,153.00 nat. median
$66,211
outlier · 2.7×
0571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 1 $176,344.84 $176,344.84 $176,344.84 nat. median
$34,418
outlier · 5.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $55,420.72 $197,766.59 $174,985.46 nat. median
$65,418
outlier · 2.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $54,784.01 $195,494.54 $172,975.13 nat. median
$74,509
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $53,554.37 $191,106.59 $169,092.64 nat. median
$69,922
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 3 $53,280.77 $190,130.29 $168,228.79 nat. median
$73,023
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $52,714.48 $188,109.50 $166,440.79 nat. median
$2,736
outlier · 60.8×
33270
HCPCS 		Ins/rep Subq Defibrillator 1 $165,495.02 $165,495.02 $165,495.02 nat. median
$32,475
outlier · 5.1×
64582
HCPCS 		Opn Mpltj Hpglsl Nstm Ary Pg 1 $161,440.89 $161,440.89 $161,440.89 nat. median
$29,815
outlier · 5.4×
33287
HCPCS 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $159,043.67 $159,043.67 $159,043.67 nat. median
$27,599
outlier · 5.8×
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $158,117.07 $158,117.07 $158,117.07 nat. median
$44,339
outlier · 3.6×
33289
HCPCS 		Tcat Impl Wrls P-art Prs Snr 1 $157,559.72 $157,559.72 $157,559.72 nat. median
$28,889
outlier · 5.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $48,534.18 $173,192.25 $153,241.89 nat. median
$69,822
outlier · 2.2×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $122,955.60 $176,375.50 $149,665.55 nat. median
$63,499
outlier · 2.4×
C9760
HCPCS 		Non-blind Interatrial Shunt 1 $147,677.69 $147,677.69 $147,677.69 nat. median
$28,845
outlier · 5.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $46,325.84 $165,311.89 $146,269.27 nat. median
$2,633
outlier · 55.6×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $143,531.45 $143,531.45 $143,531.45 nat. median
$14,049
outlier · 10.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $42,614.76 $152,069.06 $134,551.92 nat. median
$60,505
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $42,590.62 $151,982.92 $134,475.70 nat. median
$59,651
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $41,943.86 $149,674.98 $132,433.61 nat. median
$2,596
outlier · 51.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $40,538.19 $144,658.89 $127,995.34 nat. median
$56,428
outlier · 2.3×
10
MS_DRG 		Pancreas Transplant 3 $40,096.12 $143,081.38 $126,599.55 nat. median
$23,080
outlier · 5.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $39,865.28 $142,257.63 $125,870.68 nat. median
$45,605
outlier · 2.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $39,307.53 $140,267.35 $124,109.67 nat. median
$55,935
outlier · 2.2×
0614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $123,725.66 $123,725.66 $123,725.66 nat. median
$26,112
outlier · 4.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $38,911.23 $138,853.15 $122,858.38 nat. median
$55,923
outlier · 2.2×
64568
HCPCS 		Inc For Vagus N Elect Impl 1 $122,459.74 $122,459.74 $122,459.74 nat. median
$27,905
outlier · 4.4×
33230
HCPCS 		Insrt Pulse Gen W/dual Leads 1 $120,889.65 $120,889.65 $120,889.65 nat. median
$23,060
outlier · 5.2×
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $120,665.89 $120,665.89 $120,665.89 nat. median
$28,867
outlier · 4.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $37,536.74 $133,948.34 $118,518.55 nat. median
$52,327
outlier · 2.3×
33240
HCPCS 		Insrt Pulse Gen W/singl Lead 1 $118,353.99 $118,353.99 $118,353.99 nat. median
$23,398
outlier · 5.1×
J1412
HCPCS 		Inj Roctavian Ml 2x10^13vc G 1 $64,481.96 $171,825.00 $118,153.48 nat. median
$13,181
outlier · 9.0×

Other procedures at this hospital

Browse this hospital's 12,285 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 6 3 — — $189,653.65 $676,771.38 $598,812.71 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 3 — — $141,655.59 $505,492.24 $447,263.56 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 6 3 — — $119,307.65 $425,744.55 $376,702.17 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 3 — — $107,777.62 $384,600.08 $340,297.22 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… 6 3 — — $71,058.63 $253,569.87 $224,360.64 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 3 — — $65,887.57 $235,117.14 $208,033.52 2026-04-01
7 MS_DRG Lung Transplant 6 3 — — $65,721.61 $234,524.90 $207,509.49 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
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 1 — — $28,440.00 $331,866.00 $180,153.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 1 — — $176,344.84 $176,344.84 $176,344.84 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 3 — — $55,420.72 $197,766.59 $174,985.46 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 — — $54,784.01 $195,494.54 $172,975.13 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 3 — — $53,554.37 $191,106.59 $169,092.64 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 3 — — $53,280.77 $190,130.29 $168,228.79 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $52,714.48 $188,109.50 $166,440.79 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
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $48,534.18 $173,192.25 $153,241.89 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
850 MS_DRG Acute Leukemia With Other Procedures 6 3 — — $46,325.84 $165,311.89 $146,269.27 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 6 3 — — $42,614.76 $152,069.06 $134,551.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $42,590.62 $151,982.92 $134,475.70 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 3 — — $41,943.86 $149,674.98 $132,433.61 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 3 — — $40,538.19 $144,658.89 $127,995.34 2026-04-01
10 MS_DRG Pancreas Transplant 6 3 — — $40,096.12 $143,081.38 $126,599.55 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 3 — — $39,865.28 $142,257.63 $125,870.68 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 3 — — $39,307.53 $140,267.35 $124,109.67 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $38,911.23 $138,853.15 $122,858.38 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 3 — — $37,536.74 $133,948.34 $118,518.55 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
0515T OTHER Insj Wcs Lv Compl Sys 2 1 — — $118,120.99 $118,120.99 $118,120.99 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
0409T OTHER Insj/rplc Car Modulj Pls Gn 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
0408T OTHER Insj/rplc Cardiac Modulj Sys 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… 6 3 — — $35,701.07 $127,397.81 $112,722.60 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $35,539.12 $126,819.93 $112,211.29 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $34,985.91 $124,845.80 $110,464.56 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $34,339.15 $122,537.86 $108,422.48 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 3 — — $33,717.03 $120,317.86 $106,458.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 3 — — $33,587.78 $119,856.64 $106,050.10 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $33,530.95 $119,653.84 $105,870.67 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $32,527.62 $116,073.48 $102,702.74 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $32,475.81 $115,888.63 $102,539.18 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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 3 — — $31,804.41 $113,492.76 $100,419.29 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
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 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
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 2 1 — — $99,799.68 $99,799.68 $99,799.68 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
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 — — $31,151.11 $111,161.49 $98,356.57 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 3 — — $31,110.88 $111,017.92 $98,229.54 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $30,969.05 $110,511.82 $97,781.74 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 3 — — $30,862.94 $110,133.15 $97,446.68 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 3 — — $30,720.11 $109,623.46 $96,995.71 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 3 — — $30,573.25 $109,099.42 $96,532.04 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 3 — — $30,353.98 $108,316.95 $95,839.70 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 3 — — $30,353.98 $108,316.95 $95,839.70 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 3 — — $30,127.16 $107,507.55 $95,123.54 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $29,919.45 $106,766.36 $94,467.73 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 3 — — $29,898.83 $106,692.77 $94,402.61 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 3 — — $29,591.04 $105,594.44 $93,430.80 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 3 — — $29,279.73 $104,483.54 $92,447.87 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
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 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
36837 HCPCS Prq Av Fstl Crt Uxtr Sep 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $28,862.81 $102,995.77 $91,131.48 2026-04-01
L5858 HCPCS Stance Phase Only 2 1 — — $91,025.85 $91,025.85 $91,025.85 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $28,690.31 $102,380.20 $90,586.81 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
E0194 HCPCS Air Fluidized Bed 4 1 — — $15,597.17 $163,770.23 $89,683.70 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $88,646.51 $88,646.51 $88,646.51 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 3 — — $28,033.99 $100,038.16 $88,514.56 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 3 — — $27,798.12 $99,196.46 $87,769.83 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 3 — — $27,796.11 $99,189.28 $87,763.47 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $27,686.97 $98,799.84 $87,418.89 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 3 — — $27,510.45 $98,169.92 $86,861.52 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 3 — — $27,363.09 $97,644.08 $86,396.26 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
C9774 HCPCS Revasc Lithotr-ather Tib/per 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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $27,300.73 $97,421.54 $86,199.35 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $27,161.42 $96,924.42 $85,759.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $27,135.77 $96,832.89 $85,678.51 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $27,132.25 $96,820.33 $85,667.40 2026-04-01
22849 HCPCS Reinsert Spinal Fixation 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
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
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
20808 HCPCS Replantation Hand Complete 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
27880 HCPCS Amputation Of Lower Leg 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
22556 HCPCS Thorax Spine Fusion 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
27286 HCPCS Fusion Of Hip Joint 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
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
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
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
22595 HCPCS Neck Spinal Fusion 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
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
27290 HCPCS Amputation Of Leg At Hip 2 1 — — $85,211.86 $85,211.86 $85,211.86 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 3 — — $26,755.05 $95,474.33 $84,476.45 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $26,636.36 $95,050.79 $84,101.70 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
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 2 1 — — $82,453.67 $82,453.67 $82,453.67 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 3 — — $25,899.08 $92,419.81 $81,773.79 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $25,814.08 $92,116.51 $81,505.43 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $25,620.46 $91,425.57 $80,894.07 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $25,542.00 $91,145.60 $80,646.36 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $25,329.77 $90,388.25 $79,976.24 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
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 3 — — $25,180.40 $89,855.24 $79,504.62 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $25,160.78 $89,785.25 $79,442.70 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 3 — — $25,153.74 $89,760.12 $79,420.47 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $25,060.20 $89,426.31 $79,125.11 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
245 MS_DRG Aicd Generator Procedures 6 3 — — $24,575.38 $87,696.26 $77,594.35 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
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 — — $24,427.02 $87,166.83 $77,125.90 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 3 — — $24,386.28 $87,021.46 $76,997.29 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $24,015.63 $85,698.80 $75,826.98 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 3 — — $23,911.52 $85,327.30 $75,498.27 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $23,910.52 $85,323.71 $75,495.10 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 3 — — $23,659.56 $84,428.17 $74,702.72 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 1 — — $74,636.07 $74,636.07 $74,636.07 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 3 — — $23,532.82 $83,975.92 $74,302.56 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 — — $23,397.03 $83,491.36 $73,873.82 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 4 1 — — $12,789.25 $134,287.11 $73,538.18 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 6 3 — — $23,179.26 $82,714.27 $73,186.24 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 3 — — $23,169.71 $82,680.17 $73,156.08 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $23,095.78 $82,416.35 $72,922.64 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 3 — — $23,092.76 $82,405.59 $72,913.12 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $22,553.12 $80,479.91 $71,209.27 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 2 1 — — $71,168.72 $71,168.72 $71,168.72 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 $71,161.92 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 3 — — $22,490.76 $80,257.37 $71,012.36 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $22,280.54 $79,507.20 $70,348.61 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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 3 — — $22,090.94 $78,830.62 $69,749.96 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 3 — — $21,760.01 $77,649.73 $68,705.10 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $21,714.75 $77,488.21 $68,562.18 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $21,451.72 $76,549.60 $67,731.69 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 3 — — $21,420.54 $76,438.33 $67,633.24 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
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $21,268.66 $75,896.34 $67,153.68 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 3 — — $21,074.02 $75,201.81 $66,539.15 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $21,072.52 $75,196.42 $66,534.39 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
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
0627T OTHER Perq Njx Algc Fluor Lmbr 1st 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
0629T OTHER Perq Njx Algc CT Lmbr 1st 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
0220T OTHER Plmt Post Facet Implt Thor 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
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
0202T OTHER Post Vert Arthrplst 1 Lumbar 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
27130 HCPCS Total Hip Arthroplasty 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $20,923.65 $74,665.20 $66,064.36 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 3 — — $20,679.23 $73,792.99 $65,292.63 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $20,667.66 $73,751.72 $65,256.11 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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 3 — — $20,636.98 $73,642.24 $65,159.24 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $20,535.39 $73,279.72 $64,838.48 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 1 — — $54,186.88 $75,404.25 $64,795.57 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 3 — — $20,454.42 $72,990.78 $64,582.82 2026-04-01
81416 HCPCS Exome Sequence Analysis 2 1 — — $64,440.00 $64,440.00 $64,440.00 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
L6955 HCPCS Above Elbow Myoelectronic CT 2 1 — — $63,541.55 $63,541.55 $63,541.55 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $20,033.98 $71,490.44 $63,255.31 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 3 — — $20,019.90 $71,440.19 $63,210.85 2026-04-01
53451 HCPCS Tprnl Balo Cntnc Dev Bi 2 1 — — $62,989.89 $62,989.89 $62,989.89 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 3 — — $19,846.89 $70,822.83 $62,664.60 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 2 1 — — $62,655.17 $62,655.17 $62,655.17 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 3 — — $19,801.63 $70,661.31 $62,521.68 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 — — $19,761.90 $70,519.53 $62,396.24 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $19,760.89 $70,515.94 $62,393.07 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 3 — — $4,785.00 $72,865.15 $62,300.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $19,664.33 $70,171.36 $62,088.18 2026-04-01
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