Price Transparency 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 →

Export CSV
Hospital

LINCOLN COUNTY MEDICAL CENTER

Ruidoso, NM · CCN 321306 · Rates published

12,287 distinct procedures filed
10 distinct payers
51,669 rate rows
2026-04-01 last MRF observed
Data quality

31,450 of 51,669 rate rows are consumer-grade (60.9%)

20,219 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
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 · 2026-05-15
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
$2,469,189
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $984,816.97 $2,630,033.35 $1,807,425.16 nat. median
$754,974
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $989,817.28 $2,571,961.50 $1,780,889.39 nat. median
$675,122
outlier · 2.6×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $944,981.41 $2,387,877.90 $1,666,429.65 nat. median
$625,184
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $924,257.25 $2,335,509.66 $1,629,883.46 nat. median
$674,188
outlier · 2.4×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $875,952.00 $2,197,189.20 $1,536,570.60 nat. median
$620,080
outlier · 2.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $875,952.00 $2,123,190.60 $1,499,571.30 nat. median
$634,511
outlier · 2.4×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $189,653.65 $676,771.38 $598,812.71 nat. median
$370,174
1.6× median
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
$265,286
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $441,114.19 $441,114.19 $441,114.19 nat. median
$111,989
outlier · 3.9×
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
$206,368
1.8× median
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
$202,986
1.7× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 1 $241,652.69 $241,652.69 $241,652.69 nat. median
$43,787
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
$133,176
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $65,887.57 $235,117.14 $208,033.52 nat. median
$117,303
1.8× median
7
MS_DRG 		Lung Transplant 3 $65,721.61 $234,524.90 $207,509.49 nat. median
$122,708
1.7× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $197,851.26 $197,851.26 $197,851.26 nat. median
$49,027
outlier · 4.0×
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $196,243.70 $196,243.70 $196,243.70 nat. median
$50,598
outlier · 3.9×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $28,440.00 $331,866.00 $180,153.00 nat. median
$69,774
outlier · 2.6×
0571T
HCPCS 		Insj/rplcmt Icds Ss Eltrd 1 $176,344.84 $176,344.84 $176,344.84 nat. median
$32,221
outlier · 5.5×
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
$108,660
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $54,784.01 $195,494.54 $172,975.13 nat. median
$102,358
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $53,554.37 $191,106.59 $169,092.64 nat. median
$100,136
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $53,280.77 $190,130.29 $168,228.79 nat. median
$99,019
1.7× median
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
$98,905
1.7× median
33270
HCPCS 		Ins/rep Subq Defibrillator 1 $165,495.02 $165,495.02 $165,495.02 nat. median
$32,221
outlier · 5.1×
64582
HCPCS 		Opn Mpltj Hpglsl Nstm Ary Pg 1 $161,440.89 $161,440.89 $161,440.89 nat. median
$28,316
outlier · 5.7×
33287
HCPCS 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $159,043.67 $159,043.67 $159,043.67 nat. median
$29,718
outlier · 5.4×
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×
33289
HCPCS 		Tcat Impl Wrls P-art Prs Snr 1 $157,559.72 $157,559.72 $157,559.72 nat. median
$28,318
outlier · 5.6×
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
$93,672
1.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $122,955.60 $176,375.50 $149,665.55 nat. median
$66,682
outlier · 2.2×
C9760
HCPCS 		Non-blind Interatrial Shunt 1 $147,677.69 $147,677.69 $147,677.69 nat. median
$28,432
outlier · 5.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $46,325.84 $165,311.89 $146,269.27 nat. median
$83,442
1.8× median
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $143,531.45 $143,531.45 $143,531.45 nat. median
$24,752
outlier · 5.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $42,614.76 $152,069.06 $134,551.92 nat. median
$79,312
1.7× median
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
$81,118
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $41,943.86 $149,674.98 $132,433.61 nat. median
$82,712
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $40,538.19 $144,658.89 $127,995.34 nat. median
$77,576
1.6× median
10
MS_DRG 		Pancreas Transplant 3 $40,096.12 $143,081.38 $126,599.55 nat. median
$68,882
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $39,865.28 $142,257.63 $125,870.68 nat. median
$71,240
1.8× median
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
$73,807
1.7× median
0614T
HCPCS 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $123,725.66 $123,725.66 $123,725.66 nat. median
$23,514
outlier · 5.3×
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
$74,915
1.6× median
64568
HCPCS 		Inc For Vagus N Elect Impl 1 $122,459.74 $122,459.74 $122,459.74 nat. median
$27,541
outlier · 4.4×
33230
HCPCS 		Insrt Pulse Gen W/dual Leads 1 $120,889.65 $120,889.65 $120,889.65 nat. median
$22,359
outlier · 5.4×
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $120,665.89 $120,665.89 $120,665.89 nat. median
$30,168
outlier · 4.0×
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
$72,138
1.6× median
33240
HCPCS 		Insrt Pulse Gen W/singl Lead 1 $118,353.99 $118,353.99 $118,353.99 nat. median
$22,134
outlier · 5.3×
J1412
HCPCS 		Inj Roctavian Ml 2x10^13vc G 1 $64,481.96 $171,825.00 $118,153.48 nat. median
$13,558
outlier · 8.7×

Other procedures at this hospital

Browse this hospital's 12,287 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $19,664.33 $70,171.36 $62,088.18 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 3 — — $4,785.00 $72,865.15 $62,300.98 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
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
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
L6960 HCPCS Shldr Disartic Switch Contro 2 1 — — $62,655.17 $62,655.17 $62,655.17 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
53451 HCPCS Tprnl Balo Cntnc Dev Bi 2 1 — — $62,989.89 $62,989.89 $62,989.89 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
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
L6955 HCPCS Above Elbow Myoelectronic CT 2 1 — — $63,541.55 $63,541.55 $63,541.55 2026-04-01
C9757 HCPCS Spine/lumbar Disk Surgery 2 1 — — $63,906.81 $63,906.81 $63,906.81 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
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $64,120.63 $64,120.63 $64,120.63 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
81416 HCPCS Exome Sequence Analysis 2 1 — — $64,440.00 $64,440.00 $64,440.00 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
A9543 HCPCS Y90 Ibritumomab, Rx 4 1 — — $54,186.88 $75,404.25 $64,795.57 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
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
62361 HCPCS Implant Spine Infusion Pump 2 1 — — $65,200.18 $65,200.18 $65,200.18 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 2 1 — — $65,200.18 $65,200.18 $65,200.18 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 3 — — $20,679.23 $73,792.99 $65,292.63 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
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
22318 HCPCS Treat Odontoid Fx Without Graft 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
22319 HCPCS Treat Odontoid Fx W/graft 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
27598 HCPCS Amputate Lower Leg At Knee 2 1 — — $66,130.26 $66,130.26 $66,130.26 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
27445 HCPCS Revision Of Knee Joint 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
22327 HCPCS Treat Thorax Spine Fracture 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
22326 HCPCS Treat Neck Spine Fracture 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
22865 HCPCS Remove Lumb Artif Disc 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
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
0220T HCPCS Plmt Post Facet Implt Thor 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
22850 HCPCS Remove Spine Fixation Device 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
0219T HCPCS Plmt Post Facet Implt Cerv 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
24900 HCPCS Amputation Of Upper Arm 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
0202T HCPCS Post Vert Arthrplst 1 Lumbar 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
27122 HCPCS Reconstruction Of Hip Socket 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
27888 HCPCS Amputation Of Foot At Ankle 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
27702 HCPCS Reconstruct Ankle Joint 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
27077 HCPCS Resect Hip Tum W/innom Bone 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
0629T HCPCS Perq Njx Algc CT Lmbr 1st 2 1 — — $66,130.26 $66,130.26 $66,130.26 2026-04-01
0627T HCPCS Perq Njx Algc Fluor Lmbr 1st 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
25900 HCPCS Amputation Of Forearm 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
27120 HCPCS Reconstruction Of Hip Socket 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
27703 HCPCS Reconstruction Ankle Joint 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
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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 3 — — $21,074.02 $75,201.81 $66,539.15 2026-04-01
0686T HCPCS 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
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $21,268.66 $75,896.34 $67,153.68 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
69719 HCPCS Revj/rplcmt Oi Implt Tc Esp 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
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
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
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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 3 — — $22,090.94 $78,830.62 $69,749.96 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
0784T HCPCS Ins/rplmt Eltrd Ra Spi Nstim 2 1 — — $69,769.51 $69,769.51 $69,769.51 2026-04-01
0786T HCPCS Insj/rplcmt Prq Ra Sac Nstim 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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $22,280.54 $79,507.20 $70,348.61 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
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
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 2 1 — — $71,168.72 $71,168.72 $71,168.72 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
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
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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 3 — — $23,169.71 $82,680.17 $73,156.08 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
K0606 HCPCS Aed Garment W Elec Analysis 4 1 — — $12,789.25 $134,287.11 $73,538.18 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
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $74,010.20 $74,010.20 $74,010.20 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
37231 HCPCS Tib/per Revasc Stent & Ather 2 1 — — $74,636.07 $74,636.07 $74,636.07 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
L5859 HCPCS Knee-shin Pro Flex/ext Cont 2 1 — — $75,120.34 $75,120.34 $75,120.34 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
799 MS_DRG Splenic Procedures With Mcc 6 3 — — $23,911.52 $85,327.30 $75,498.27 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
6 MS_DRG Liver Transplant Without Mcc 6 3 — — $24,386.28 $87,021.46 $76,997.29 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
54411 HCPCS Remov/replc Penis Pros Comp 2 1 — — $77,132.59 $77,132.59 $77,132.59 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 2 1 — — $77,132.59 $77,132.59 $77,132.59 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 3 — — $24,575.38 $87,696.26 $77,594.35 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $25,060.20 $89,426.31 $79,125.11 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
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
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
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
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 1 — — $79,612.08 $79,612.08 $79,612.08 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $25,542.00 $91,145.60 $80,646.36 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $25,814.08 $92,116.51 $81,505.43 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
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 2 1 — — $82,453.67 $82,453.67 $82,453.67 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
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
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
27591 HCPCS Amputate Leg At Thigh 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
20808 HCPCS Replantation Hand 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
20838 HCPCS Replantation Foot Complete 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
22610 HCPCS Thorax Spine Fusion 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
22600 HCPCS Neck Spine Fusion 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
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
27295 HCPCS Amputation Of Leg At Hip 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
22808 HCPCS Ant Fusion 2-3 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
27290 HCPCS Amputation Of Leg At Hip 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
22810 HCPCS Ant Fusion 4-7 Vert Seg 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
27590 HCPCS Amputate Leg At Thigh 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
27880 HCPCS Amputation Of Lower Leg 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
22819 HCPCS Kyphectomy 3 Or More 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
22849 HCPCS Reinsert Spinal Fixation 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
22532 HCPCS Lat Thorax Spine 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
27284 HCPCS Fusion Of Hip Joint 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
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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $27,300.73 $97,421.54 $86,199.35 2026-04-01
C9773 HCPCS Revasc Lithotr-stent 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
61624 HCPCS Transcath Occlusion Cns 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
C9775 HCPCS Revasc Lith-sten-ath Tib/per 2 1 — — $86,263.68 $86,263.68 $86,263.68 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 2 1 — — $86,263.68 $86,263.68 $86,263.68 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
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
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 1 — — $86,890.09 $86,890.09 $86,890.09 2026-04-01
J9226 HCPCS Supprelin La Implant 4 1 — — $81,322.85 $92,462.93 $86,892.89 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
834 MS_DRG Acute Leukemia With Mcc 6 3 — — $27,796.11 $99,189.28 $87,763.47 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
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 2 1 — — $88,039.70 $88,039.70 $88,039.70 2026-04-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 2 1 — — $88,080.40 $88,080.40 $88,080.40 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
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $88,646.51 $88,646.51 $88,646.51 2026-04-01
E0194 HCPCS Air Fluidized Bed 4 1 — — $15,597.17 $163,770.23 $89,683.70 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 2 1 — — $89,811.64 $89,811.64 $89,811.64 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
L5858 HCPCS Stance Phase Only 2 1 — — $91,025.85 $91,025.85 $91,025.85 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
L6965 HCPCS Shldr Disartic Myoelectronic 2 1 — — $91,530.20 $91,530.20 $91,530.20 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 2 1 — — $91,830.38 $91,830.38 $91,830.38 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
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 2 1 — — $92,243.71 $92,243.71 $92,243.71 2026-04-01
0645T HCPCS Tcat Impltj C Sins Rdctj Dev 2 1 — — $92,243.71 $92,243.71 $92,243.71 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
L6970 HCPCS Interscapular-thor Switch CT 2 1 — — $93,034.23 $93,034.23 $93,034.23 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 2 1 — — $93,219.82 $93,219.82 $93,219.82 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 2 1 — — $93,219.82 $93,219.82 $93,219.82 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
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $93,517.91 $93,517.91 $93,517.91 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 1 — — $93,533.59 $93,533.59 $93,533.59 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
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
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
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 1 — — $95,450.46 $95,450.46 $95,450.46 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
28 MS_DRG Spinal Procedures With Mcc 6 3 — — $30,573.25 $109,099.42 $96,532.04 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
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
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
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
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
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 2 1 — — $99,799.68 $99,799.68 $99,799.68 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
81162 HCPCS Brca1&2 Seq & Full Dup/del 2 1 — — $101,705.33 $101,705.33 $101,705.33 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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $34,339.15 $122,537.86 $108,422.48 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
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 1 — — $112,042.47 $112,042.47 $112,042.47 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 2 1 — — $112,042.47 $112,042.47 $112,042.47 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 2 1 — — $112,042.47 $112,042.47 $112,042.47 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
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
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $115,020.84 $118,712.98 $116,866.91 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $117,574.81 $117,574.81 $117,574.81 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 2 1 — — $117,590.27 $117,590.27 $117,590.27 2026-04-01
A9607 HCPCS Lutetium Lu 177 Vipivotide 4 1 — — $406.94 $235,071.75 $117,739.35 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 2 1 — — $117,764.26 $117,764.26 $117,764.26 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 2 1 — — $117,764.26 $117,764.26 $117,764.26 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 2 1 — — $117,764.26 $117,764.26 $117,764.26 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 2 1 — — $118,120.99 $118,120.99 $118,120.99 2026-04-01
0520T HCPCS Rmvl&rplcmt Pg Wcs New Eltrd 2 1 — — $118,120.99 $118,120.99 $118,120.99 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
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 1 — — $118,353.99 $118,353.99 $118,353.99 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
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $120,665.89 $120,665.89 $120,665.89 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
64568 HCPCS Inc For Vagus N Elect Impl 2 1 — — $122,459.74 $122,459.74 $122,459.74 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
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $123,725.66 $123,725.66 $123,725.66 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 3 — — $39,865.28 $142,257.63 $125,870.68 2026-04-01
10 MS_DRG Pancreas Transplant 6 3 — — $40,096.12 $143,081.38 $126,599.55 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
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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 3 — — $42,614.76 $152,069.06 $134,551.92 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 2 1 — — $143,531.45 $143,531.45 $143,531.45 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
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $147,677.69 $147,677.69 $147,677.69 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 1 — — $122,955.60 $176,375.50 $149,665.55 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
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 1 — — $157,559.72 $157,559.72 $157,559.72 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 2 1 — — $158,117.07 $158,117.07 $158,117.07 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
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 1 — — $161,440.89 $161,440.89 $161,440.89 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 1 — — $165,495.02 $165,495.02 $165,495.02 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
215 MS_DRG Other Heart Assist System Implant 6 3 — — $53,280.77 $190,130.29 $168,228.79 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 — — $54,784.01 $195,494.54 $172,975.13 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
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 2 1 — — $176,344.84 $176,344.84 $176,344.84 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 1 — — $28,440.00 $331,866.00 $180,153.00 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $196,243.70 $196,243.70 $196,243.70 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $197,851.26 $197,851.26 $197,851.26 2026-04-01
7 MS_DRG Lung Transplant 6 3 — — $65,721.61 $234,524.90 $207,509.49 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 3 — — $65,887.57 $235,117.14 $208,033.52 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
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 1 — — $241,652.69 $241,652.69 $241,652.69 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
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
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $441,114.19 $441,114.19 $441,114.19 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
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
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 1 — — $875,952.00 $2,123,190.60 $1,499,571.30 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
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 1 — — $924,257.25 $2,335,509.66 $1,629,883.46 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 1 — — $944,981.41 $2,387,877.90 $1,666,429.65 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
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 1 — — $984,816.97 $2,630,033.35 $1,807,425.16 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $4,402,595.74 $4,402,595.74 $4,402,595.74 2026-04-01
See an error in this hospital's data? Submit a correction