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

Roswell Park Cancer Institute

Buffalo, NY · CCN 330354 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $769 across 4 payers · range $141-$1,967

Source: https://www.roswellpark.org/sites/default/files/161552370_roswell-park-cancer-institute_standardcharges.json.zip · 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.

19,011 distinct procedures filed
15 distinct payers
424,350 rate rows
2026-04-01 last MRF observed
Data quality

391,004 of 424,350 rate rows are consumer-grade (92.1%)

33,346 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 31,300
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
placeholder amount (≤ $0.02) — excluded from medians 221
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 47
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.roswellpark.org/sites/default/files/161552370_roswell-park-cancer-institute_standardcharges.json.zip
Found on page https://www.roswellpark.org/become-patient/paying-cancer-care/understanding-charges-services/getting-estimate-costs
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint e3a23fd4caa10d4c… · 3,238,526 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,367,596.68 $4,982,480.53 $3,570,000.00 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,030,583.51 $4,992,000.00 $3,456,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $2,968,429.69 $4,836,000.00 $3,348,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,691,817.21 $4,374,423.90 $3,029,399.02 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,243,480.07 $4,934,035.78 $2,962,090.95 nat. median
$2,466,282
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,130,981.60 $4,816,046.40 $2,834,546.00 nat. median
$2,401,960
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $704,192.56 $2,222,313.96 $978,147.97 nat. median
$809,217
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $540,719.40 $1,706,420.02 $762,498.38 nat. median
$738,272
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $517,091.04 $1,631,852.86 $718,257.45 nat. median
$646,415
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $497,226.98 $1,622,247.62 $678,702.32 nat. median
$640,950
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $508,376.11 $1,607,193.46 $672,404.09 nat. median
$622,245
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $487,265.73 $1,537,729.17 $643,342.20 nat. median
$608,101
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $447,126.55 $1,411,056.63 $590,346.01 nat. median
$591,650
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $4,877.46 $599,252.17 $531,580.12 nat. median
$359,358
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $67.82 $706,695.24 $292,648.60 nat. median
$110,192
outlier · 2.7×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 $285,533.88 $285,533.88 $285,533.88 nat. median
$34,464
outlier · 8.3×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $187,913.83 $593,024.63 $261,018.85 nat. median
$209,753
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $59,490.00 $396,241.66 $221,639.42 nat. median
$190,557
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $206,901.16 $206,901.16 $206,901.16 nat. median
$62,721
outlier · 3.3×
834
MS_DRG 		Acute Leukemia With Mcc 7 $20,048.00 $1,310,584.30 $178,277.91 nat. median
$50,391
outlier · 3.5×
197
MS_DRG 		Interstitial Lung Disease With Cc 1 $167,618.00 $167,618.00 $167,618.00 nat. median
$10,140
outlier · 16.5×
252
MS_DRG 		Other Vascular Procedures With Mcc 1 $167,028.18 $167,028.18 $167,028.18 nat. median
$32,714
outlier · 5.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 6 $17,600.00 $356,700.90 $165,726.53 nat. median
$53,907
outlier · 3.1×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 1 $146,208.95 $146,208.95 $146,208.95 nat. median
$15,915
outlier · 9.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $61,589.04 $230,289.15 $145,939.10 nat. median
$53,532
outlier · 2.7×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $60,762.30 $312,152.17 $145,814.62 nat. median
$111,503
1.3× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $141,239.35 $141,239.35 $141,239.35 nat. median
$38,579
outlier · 3.7×
693
MS_DRG 		Urinary Stones With Mcc 1 $125,404.88 $125,404.88 $125,404.88 nat. median
$13,714
outlier · 9.1×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 2 $62,585.07 $184,288.44 $123,436.76 nat. median
$38,387
outlier · 3.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $56,898.30 $397,778.51 $119,469.82 nat. median
$53,879
outlier · 2.2×
539
MS_DRG 		Osteomyelitis With Mcc 1 $118,980.00 $118,980.00 $118,980.00 nat. median
$18,853
outlier · 6.3×
835
MS_DRG 		Acute Leukemia With Cc 5 $14,124.84 $335,872.07 $115,134.00 nat. median
$20,410
outlier · 5.6×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 $33,374.34 $116,290.59 $109,524.59 nat. median
$30,223
outlier · 3.6×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 3 $6,098.24 $170,000.00 $108,771.04 nat. median
$50,898
outlier · 2.1×
810
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 $4,383.66 $207,839.60 $106,111.63 nat. median
$10,355
outlier · 10.2×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 4 $20,436.00 $239,203.09 $103,179.19 nat. median
$11,997
outlier · 8.6×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 1 $100,738.00 $100,738.00 $100,738.00 nat. median
$15,359
outlier · 6.6×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 $82,337.95 $116,089.66 $99,213.80 nat. median
$19,254
outlier · 5.2×
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 $96,658.65 $96,658.65 $96,658.65 nat. median
$21,174
outlier · 4.6×
686
MS_DRG 		Kidney And Urinary Tract Neoplasms With Mcc 2 $29,416.08 $355,755.42 $95,267.47 nat. median
$17,580
outlier · 5.4×
38240
HCPCS 		Transplt Allo Hct/donor 4 $437.75 $226,431.52 $94,025.85 nat. median
$12,855
outlier · 7.3×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $52,697.39 $198,410.37 $92,682.78 nat. median
$70,178
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $91,031.93 $91,031.93 $91,031.93 nat. median
$97,020
0.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $47,592.00 $516,723.30 $90,114.74 nat. median
$50,083
1.8× median
103
MS_DRG 		Headaches Without Mcc 1 $89,628.40 $89,628.40 $89,628.40 nat. median
$8,811
outlier · 10.2×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 $35,631.01 $217,736.04 $88,764.00 nat. median
$42,894
outlier · 2.1×
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 2 $72,433.44 $127,126.20 $87,954.96 nat. median
$26,422
outlier · 3.3×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 $24,660.58 $139,242.03 $80,710.51 nat. median
$38,719
outlier · 2.1×
654
MS_DRG 		Major Bladder Procedures With Cc 4 $36,453.10 $128,107.98 $78,760.02 nat. median
$26,744
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 19,011 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 5 — — $3,367,596.68 $4,982,480.53 $3,570,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 29 6 — — $3,030,583.51 $4,992,000.00 $3,456,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 29 6 — — $2,968,429.69 $4,836,000.00 $3,348,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 29 6 — — $2,691,817.21 $4,374,423.90 $3,029,399.02 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 34 7 — — $2,243,480.07 $4,934,035.78 $2,962,090.95 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 35 7 — — $2,130,981.60 $4,816,046.40 $2,834,546.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 40 8 — — $704,192.56 $2,222,313.96 $978,147.97 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 27 5 — — $540,719.40 $1,706,420.02 $762,498.38 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 40 8 — — $517,091.04 $1,631,852.86 $718,257.45 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 44 8 — — $497,226.98 $1,622,247.62 $678,702.32 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 44 8 — — $508,376.11 $1,607,193.46 $672,404.09 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 44 8 — — $487,265.73 $1,537,729.17 $643,342.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 44 8 — — $447,126.55 $1,411,056.63 $590,346.01 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 6 — — $4,877.46 $599,252.17 $531,580.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 8 — — $67.82 $706,695.24 $292,648.60 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $285,533.88 $285,533.88 $285,533.88 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 40 8 — — $187,913.83 $593,024.63 $261,018.85 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $59,490.00 $396,241.66 $221,639.42 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $206,901.16 $206,901.16 $206,901.16 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 7 — — $20,048.00 $1,310,584.30 $178,277.91 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 1 1 — — $167,618.00 $167,618.00 $167,618.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $167,028.18 $167,028.18 $167,028.18 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 6 — — $17,600.00 $356,700.90 $165,726.53 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 — — $146,208.95 $146,208.95 $146,208.95 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $61,589.04 $230,289.15 $145,939.10 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 25 4 — — $60,762.30 $312,152.17 $145,814.62 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $141,239.35 $141,239.35 $141,239.35 2026-04-01
693 MS_DRG Urinary Stones With Mcc 1 1 — — $125,404.88 $125,404.88 $125,404.88 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $62,585.07 $184,288.44 $123,436.76 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 3 — — $56,898.30 $397,778.51 $119,469.82 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $118,980.00 $118,980.00 $118,980.00 2026-04-01
835 MS_DRG Acute Leukemia With Cc 10 5 — — $14,124.84 $335,872.07 $115,134.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 1 — — $33,374.34 $116,290.59 $109,524.59 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 9 3 — — $6,098.24 $170,000.00 $108,771.04 2026-04-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $4,383.66 $207,839.60 $106,111.63 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 6 4 — — $20,436.00 $239,203.09 $103,179.19 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $100,738.00 $100,738.00 $100,738.00 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $82,337.95 $116,089.66 $99,213.80 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $96,658.65 $96,658.65 $96,658.65 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 3 2 — — $29,416.08 $355,755.42 $95,267.47 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 31 4 — — $437.75 $226,431.52 $94,025.85 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 25 4 — — $52,697.39 $198,410.37 $92,682.78 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 1 — — $91,031.93 $91,031.93 $91,031.93 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 2 — — $47,592.00 $516,723.30 $90,114.74 2026-04-01
103 MS_DRG Headaches Without Mcc 1 1 — — $89,628.40 $89,628.40 $89,628.40 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $35,631.01 $217,736.04 $88,764.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 3 2 — — $72,433.44 $127,126.20 $87,954.96 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 5 — — $24,660.58 $139,242.03 $80,710.51 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 8 4 — — $36,453.10 $128,107.98 $78,760.02 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $16,555.08 $98,054.17 $78,694.04 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 44 8 — — $57,882.18 $182,666.47 $78,085.20 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 5 — — $21,253.68 $253,908.43 $77,211.05 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 1 1 — — $75,977.44 $75,977.44 $75,977.44 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 — — $75,951.44 $75,951.44 $75,951.44 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $74,932.00 $74,932.00 $74,932.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 1 1 — — $72,216.93 $72,216.93 $72,216.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 42 7 — — $51,926.27 $163,870.63 $71,193.48 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 17 5 — — $71,167.10 $125,589.00 $71,167.10 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 40 8 — — $50,507.85 $159,394.33 $70,630.96 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 — — $11,611.20 $87,794.28 $69,841.23 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 1 1 — — $69,186.00 $69,186.00 $69,186.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 4 — — $25,013.42 $218,832.11 $67,509.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $66,419.30 $66,419.30 $66,419.30 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 30 4 — — $374.03 $158,558.56 $66,336.40 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $27,248.00 $104,486.79 $65,867.39 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 31 4 — — $1,180.36 $158,558.56 $65,841.56 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 25 4 — — $27,032.05 $138,870.83 $64,870.27 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 1 1 — — $63,514.00 $63,514.00 $63,514.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $19,827.32 $106,185.09 $63,006.20 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $62,949.19 $62,949.19 $62,949.19 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $57,127.38 $63,456.00 $60,291.69 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 1 — — $32,142.10 $88,424.48 $60,283.29 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 25 4 — — $24,704.34 $126,912.84 $59,284.38 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $42,669.12 $75,012.00 $58,840.56 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $25,471.62 $152,351.09 $58,648.32 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 5 — — $14,583.04 $190,124.00 $58,347.50 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 5 4 — — $20,436.00 $61,665.48 $58,033.35 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 2 — — $24,993.23 $171,477.00 $55,617.17 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 5 — — $9,160.82 $200,855.08 $55,569.66 2026-04-01
J9226 HCPCS Supprelin La Implant 44 8 — — $41,139.87 $129,830.55 $55,499.21 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $19,780.87 $115,687.74 $55,099.47 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 3 2 — — $38,029.28 $89,628.39 $54,978.02 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $54,246.00 $54,246.00 $54,246.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 4 — — $16,555.08 $72,688.08 $54,209.23 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $54,084.64 $54,084.64 $54,084.64 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 25 4 — — $30,652.49 $115,409.36 $53,910.79 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $21,789.75 $89,953.90 $53,337.48 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $52,813.07 $52,813.07 $52,813.07 2026-04-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 2 — — $32,448.00 $72,858.94 $52,653.47 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 7 5 — — $27,035.84 $84,655.57 $52,379.38 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 7 5 — — $17,616.00 $87,613.50 $51,842.00 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 4 — — $17,805.06 $120,530.88 $51,438.32 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $51,053.94 $51,053.94 $51,053.94 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 1 1 — — $49,793.55 $49,793.55 $49,793.55 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 7 — — $21,611.49 $140,586.07 $49,770.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $47,495.71 $51,778.84 $49,637.27 2026-04-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $49,505.73 $49,505.73 $49,505.73 2026-04-01
N905 OTHER Not Recognized By Opps 4 2 — — $398.42 $73,030.00 $49,445.00 2026-04-01
69930 HCPCS Implant Cochlear Device 32 4 — — $2,295.97 $118,693.09 $49,264.75 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 2 — — $19,986.00 $55,993.03 $48,785.92 2026-04-01
90288 HCPCS Botulism Ig IV 8 2 — — $48,705.00 $56,936.15 $48,705.00 2026-04-01
813 MS_DRG Coagulation Disorders 7 6 — — $6,530.92 $259,072.03 $48,672.00 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 — — $48,672.00 $48,672.00 $48,672.00 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 6 4 — — $4,800.00 $123,656.00 $48,368.03 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $48,176.81 $48,176.81 $48,176.81 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 3 — — $33,374.34 $142,114.00 $47,734.03 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $47,606.04 $47,606.04 $47,606.04 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 4 — — $12,689.00 $113,026.01 $47,558.27 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $47,448.00 $47,448.00 $47,448.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 1 1 — — $47,341.79 $47,341.79 $47,341.79 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 30 4 — — $709.22 $112,993.67 $47,273.34 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 25 4 — — $26,784.72 $100,846.86 $47,108.26 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 31 4 — — $686.70 $112,993.67 $46,920.70 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 31 4 — — $1,723.67 $112,993.67 $46,920.70 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 31 4 — — $753.69 $112,993.67 $46,920.70 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $42,691.74 $231,427.00 $46,888.19 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 15 7 — — $187.82 $140,447.29 $46,607.08 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 30 4 — — $250.88 $111,081.58 $46,473.38 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 30 4 — — $613.74 $111,081.58 $46,473.38 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 30 4 — — $400.70 $111,081.58 $46,473.38 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 5 4 — — $32,087.16 $50,959.00 $46,416.00 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 2 — — $19,190.70 $138,219.87 $46,348.12 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 32 4 — — $677.19 $111,081.58 $46,105.52 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 32 4 — — $951.75 $111,081.58 $46,105.52 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 4 — — $1,570.09 $111,081.58 $46,105.52 2026-04-01
333 MS_DRG Rectal Resection With Cc 7 5 — — $13,369.18 $60,977.99 $45,766.72 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 9 4 — — $10,816.00 $123,366.66 $44,916.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $44,687.28 $44,687.28 $44,687.28 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 4 2 — — $15,245.60 $84,655.57 $44,384.72 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 6 3 — — $7,293.42 $244,888.97 $44,375.16 2026-04-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 2 2 — — $14,130.76 $74,060.00 $44,095.38 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $43,626.00 $44,149.12 $43,887.56 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 3 — — $22,724.00 $86,268.09 $43,760.52 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 3 — — $17,860.00 $94,569.37 $43,728.21 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $4,048.94 $143,769.95 $43,497.72 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 2 2 — — $23,001.33 $63,695.16 $43,348.25 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 30 4 — — $260.08 $103,254.37 $43,198.69 2026-04-01
C1722 HCPCS Aicd, Single Chamber 4 1 — — $36,418.76 $42,845.60 $42,845.60 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 7 — — $17,600.00 $204,900.67 $42,677.04 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 4 — — $14,260.96 $174,521.36 $41,619.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 2 2 — — $10,226.32 $71,631.40 $40,928.86 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 30 4 — — $2,254.02 $97,677.09 $40,865.32 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 4 — — $17,383.97 $50,664.16 $40,818.03 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 7 3 — — $8,277.54 $119,504.53 $40,586.00 2026-04-01
22558 HCPCS Lumbar Spine Fusion 31 4 — — $2,862.97 $97,677.09 $40,560.48 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 31 4 — — $1,813.61 $97,677.09 $40,560.48 2026-04-01
22630 HCPCS Lumbar Spine Fusion 31 4 — — $2,910.07 $97,677.09 $40,560.48 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 31 4 — — $3,443.40 $97,677.09 $40,560.48 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 32 4 — — $2,985.00 $97,677.09 $40,541.85 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 7 — — $9,654.44 $89,618.66 $40,433.20 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 6 — — $12,731.18 $242,480.81 $40,140.91 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 14 6 — — $3,200.00 $218,988.00 $39,885.58 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $39,834.84 $39,834.84 $39,834.84 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $39,829.07 $39,829.07 $39,829.07 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 11 6 — — $13,795.90 $72,986.42 $39,816.00 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 23 4 — — $330.63 $85,101.49 $39,785.64 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 1 1 — — $39,654.64 $39,654.64 $39,654.64 2026-04-01
304 MS_DRG Hypertension With Mcc 3 3 — — $24,885.00 $72,632.00 $39,198.56 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 10 5 — — $3,333.26 $329,692.37 $39,147.72 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 32 4 — — $744.03 $94,091.10 $39,053.44 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 32 4 — — $743.82 $94,091.10 $39,053.44 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 32 4 — — $557.38 $94,091.10 $39,053.44 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 25 4 — — $16,269.02 $83,578.23 $39,041.63 2026-04-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 2 1 — — $3,837.80 $73,840.12 $38,838.96 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 25 4 — — $17,944.58 $82,808.32 $38,681.98 2026-04-01
100 MS_DRG Seizures With Mcc 3 2 — — $19,827.33 $40,790.86 $38,628.52 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 1 1 — — $38,596.33 $38,596.33 $38,596.33 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 2 — — $9,954.00 $66,933.39 $38,443.69 2026-04-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 2 2 — — $15,816.00 $60,445.07 $38,130.54 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 4 — — $21,288.00 $59,488.00 $37,775.07 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 1 1 — — $37,630.55 $37,630.55 $37,630.55 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 6 3 — — $5,518.36 $192,793.20 $37,452.57 2026-04-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 1 1 — — $37,082.60 $37,082.60 $37,082.60 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 2 — — $19,827.33 $53,496.00 $36,661.67 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 26 3 — — $897.13 $80,072.45 $36,591.82 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 7 3 — — $28,563.70 $66,220.32 $36,589.44 2026-04-01
682 MS_DRG Renal Failure With Mcc 12 6 — — $27,248.00 $220,114.05 $36,520.51 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 2 — — $9,413.28 $132,816.00 $36,463.86 2026-04-01
5378 OTHER Level 8 Urology And Related Services 6 4 — — $3,475.56 $71,171.24 $36,414.12 2026-04-01
5627 OTHER Level 7 Radiation Therapy 18 9 — — $10,124.61 $65,449.58 $36,369.50 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 3 2 — — $27,771.24 $44,484.51 $36,365.24 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $32,000.00 $40,677.49 $36,338.74 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 2 2 — — $2,759.18 $69,678.00 $36,218.59 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 2 2 — — $7,782.00 $64,608.64 $36,195.32 2026-04-01
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 3 2 — — $19,254.72 $47,684.00 $36,085.49 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 3 — — $11,200.00 $96,658.62 $36,035.11 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 1 1 — — $35,951.03 $35,951.03 $35,951.03 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 15 7 — — $5,774.00 $213,066.57 $35,869.34 2026-04-01
683 MS_DRG Renal Failure With Cc 11 5 — — $3,966.00 $59,488.00 $35,814.77 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 15 7 — — $11,548.00 $145,752.79 $35,720.00 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 15 7 — — $15,245.60 $76,869.83 $35,652.40 2026-04-01
602 MS_DRG Cellulitis With Mcc 5 4 — — $10,120.08 $78,550.14 $35,645.16 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 5 — — $8,628.82 $139,356.00 $35,336.17 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 2 2 — — $23,046.14 $47,408.19 $35,227.17 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 5 — — $22,803.35 $153,652.96 $35,056.35 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 5 — — $19,314.26 $79,669.68 $35,022.80 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 6 — — $4,742.86 $244,564.07 $34,839.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 44 8 — — $25,973.91 $81,969.30 $34,739.43 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 — — $9,864.00 $59,445.78 $34,654.89 2026-04-01
645 MS_DRG Endocrine Disorders Without Cc/Mcc 1 1 — — $34,454.39 $34,454.39 $34,454.39 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 6 — — $9,910.82 $73,124.37 $34,272.66 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $34,060.00 $34,060.00 $34,060.00 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 2 2 — — $19,314.26 $48,309.70 $33,811.98 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 5 4 — — $18,859.29 $92,469.78 $33,638.11 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 4 3 — — $7,908.00 $175,742.95 $33,411.95 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 13 6 — — $9,133.00 $71,388.00 $33,402.21 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 31 4 — — $636.65 $80,072.45 $33,250.14 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 31 4 — — $686.24 $80,072.45 $33,250.14 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 31 4 — — $717.82 $80,072.45 $33,250.14 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 31 4 — — $661.69 $80,072.45 $33,250.14 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 2 2 — — $19,827.32 $46,560.00 $33,193.66 2026-04-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 4 3 — — $3,205.24 $134,241.38 $33,171.61 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 24 4 — — $121.14 $69,836.56 $32,635.84 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 2 2 — — $24,099.15 $40,967.00 $32,533.08 2026-04-01
199 MS_DRG Pneumothorax With Mcc 5 4 — — $10,300.00 $269,104.04 $32,393.21 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 5 — — $4,336.16 $113,455.50 $32,246.75 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $24,645.00 $39,654.66 $32,149.83 2026-04-01
596 MS_DRG Major Skin Disorders Without Mcc 2 2 — — $13,795.90 $49,815.64 $31,805.77 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 2 2 — — $29,790.07 $33,374.34 $31,582.20 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 4 2 — — $19,680.00 $54,900.92 $31,512.89 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $31,498.43 $31,498.43 $31,498.43 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 29 4 — — $1,724.23 $74,609.93 $31,447.52 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 29 4 — — $1,971.41 $74,609.93 $31,447.52 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 6 3 — — $13,795.90 $67,645.62 $31,372.35 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 32 4 — — $1,258.28 $74,609.93 $30,967.60 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 32 4 — — $1,651.60 $74,609.93 $30,967.60 2026-04-01
53444 HCPCS Insert Tandem Cuff 32 4 — — $1,522.20 $74,609.93 $30,967.60 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 32 4 — — $1,381.00 $74,609.93 $30,967.60 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 32 4 — — $1,381.00 $74,609.93 $30,967.60 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 32 4 — — $1,552.84 $74,609.93 $30,967.60 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 32 4 — — $1,365.72 $74,609.93 $30,967.60 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 21 3 — — $20,910.57 $65,990.25 $30,937.93 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 22 3 — — $7,637.26 $65,990.25 $30,894.46 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 22 3 — — $7,637.26 $65,990.25 $30,894.46 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 29 4 — — $634.14 $65,990.25 $30,850.98 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 3 2 — — $9,160.82 $61,326.25 $30,778.17 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 25 4 — — $12,649.38 $64,983.32 $30,355.44 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $19,890.41 $40,772.36 $30,331.39 2026-04-01
L5858 HCPCS Stance Phase Only 25 4 — — $12,538.55 $64,413.91 $30,089.46 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 3 — — $13,132.00 $69,678.00 $30,047.82 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 10 5 — — $4,977.00 $94,539.36 $30,011.22 2026-04-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 1 — — $6,410.48 $53,580.00 $29,995.24 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $29,862.00 $29,862.00 $29,862.00 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 5 — — $4,932.00 $47,606.04 $29,862.00 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 9 5 — — $6,812.00 $76,522.00 $29,740.98 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 6 — — $16,224.00 $60,843.60 $29,715.68 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $29,624.00 $29,624.00 $29,624.00 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 9 6 — — $6,400.00 $55,424.00 $29,376.13 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 42 7 — — $22,139.93 $69,869.92 $29,231.58 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $29,173.68 $29,173.68 $29,173.68 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 30 4 — — $387.97 $69,338.26 $29,009.16 2026-04-01
63655 HCPCS Implant Neuroelectrodes 31 4 — — $1,536.01 $69,836.56 $28,999.68 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 31 4 — — $306.36 $69,836.56 $28,999.68 2026-04-01
64580 HCPCS Implant Neuroelectrodes 32 4 — — $573.72 $69,836.56 $28,986.36 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 6 — — $10,234.00 $72,891.00 $28,823.89 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 31 4 — — $703.35 $69,338.26 $28,792.76 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 31 4 — — $675.90 $69,338.26 $28,792.76 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 3 — — $19,770.00 $51,408.00 $28,692.14 2026-04-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $28,677.74 $28,677.74 $28,677.74 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $28,647.74 $28,647.74 $28,647.74 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $21,648.80 $51,943.20 $28,576.00 2026-04-01
101 MS_DRG Seizures Without Mcc 3 3 — — $6,977.00 $33,374.34 $28,433.00 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 25 4 — — $12,328.58 $60,319.32 $28,176.77 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 7 4 — — $5,590.14 $36,171.84 $27,979.93 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 1 1 — — $27,948.00 $27,948.00 $27,948.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 15 7 — — $9,213.62 $81,600.00 $27,828.00 2026-04-01
66683 HCPCS Implantation Iris Prosthesis 25 4 — — $482.97 $59,255.71 $27,679.92 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 30 4 — — $240.75 $65,990.25 $27,608.44 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 30 4 — — $313.43 $65,990.25 $27,608.44 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 30 4 — — $587.42 $65,990.25 $27,608.44 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 30 4 — — $500.10 $65,990.25 $27,608.44 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 30 4 — — $1,487.75 $65,990.25 $27,608.44 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 30 4 — — $1,250.43 $65,990.25 $27,608.44 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 30 4 — — $1,792.62 $65,990.25 $27,608.44 2026-04-01
20808 HCPCS Replantation Hand Complete 30 4 — — $7,461.96 $63,118.26 $27,403.85 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 31 4 — — $636.52 $65,990.25 $27,402.50 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 31 4 — — $841.20 $65,990.25 $27,402.50 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 31 4 — — $1,590.49 $65,990.25 $27,402.50 2026-04-01
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