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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

DOCTORS HOSPITAL

Columbus, OH · CCN 360152 · Rates published

12,070 distinct procedures filed
15 distinct payers
76,676 rate rows
2026-04-01 last MRF observed
Data quality

41,639 of 76,676 rate rows are consumer-grade (54.3%)

35,037 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 34,526
placeholder amount (≤ $0.02) — excluded from medians 271
template filing: same amount across many unrelated codes — excluded 240
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/314394942_grove-city-methodist_standardcharges.json
Found on page https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 0bf609afc40c6e88… · 25,349,926 bytes · first seen 2026-05-09

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 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,455,110.60 $2,455,110.60 $2,455,110.60 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $1,532,840.61 $1,247,200.56 nat. median
$754,974
1.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $1,494,072.70 $1,215,656.94 nat. median
$675,122
1.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $1,431,726.69 $1,164,928.91 nat. median
$625,184
1.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $1,399,676.98 $1,138,851.56 nat. median
$674,188
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $1,326,591.48 $1,079,385.32 nat. median
$634,511
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $1,322,619.59 $1,076,153.58 nat. median
$620,080
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $389,624.13 $882,569.52 $389,624.13 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $253,922.96 $659,206.43 $253,922.96 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $194,183.26 $555,208.41 $194,183.26 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $93,333.11 $501,552.40 $193,061.58 nat. median
$202,986
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $141,956.10 $197,282.58 $169,619.34 nat. median
$76,377
outlier · 2.2×
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $153,994.53 $151,769.78 nat. median
$62,507
outlier · 2.4×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $171,819.53 $148,360.77 nat. median
$69,774
outlier · 2.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $150,503.92 $129,955.41 nat. median
$66,682
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $63,875.49 $575,933.24 $127,051.96 nat. median
$133,176
1.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $122,549.05 $122,549.05 $122,549.05 nat. median
$21,806
outlier · 5.6×
7
MS_DRG 		Lung Transplant 11 $118,984.50 $305,841.13 $118,984.50 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $110,638.63 $306,613.46 $110,638.63 nat. median
$117,303
0.9× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $122,659.48 $105,912.61 nat. median
$60,368
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $104,496.72 $257,905.06 $104,496.72 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $104,380.34 $104,380.34 $104,380.34 nat. median
$98,017
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $101,716.25 $245,311.37 $101,716.25 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $100,399.43 $254,942.11 $100,399.43 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $95,354.13 $249,219.83 $95,354.13 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 11 $13,815.00 $247,946.66 $92,189.63 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $90,630.20 $225,857.96 $90,630.20 nat. median
$93,672
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $83,708.58 $195,189.36 $83,708.58 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $80,574.52 $215,581.27 $80,574.52 nat. median
$83,442
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $78,519.16 $198,311.45 $78,519.16 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $78,281.93 $198,199.11 $78,281.93 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $73,496.24 $188,647.94 $73,496.24 nat. median
$77,576
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $71,790.90 $181,076.75 $71,790.90 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $71,494.59 $182,920.98 $71,494.59 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $12,809.01 $174,680.43 $71,268.11 nat. median
$72,138
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $67,675.71 $166,137.97 $67,675.71 nat. median
$68,090
1.0× median
10
MS_DRG 		Pancreas Transplant 11 $67,291.67 $186,590.73 $67,291.67 nat. median
$68,882
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $67,264.81 $156,303.61 $67,264.81 nat. median
$64,027
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $66,923.75 $185,516.49 $66,923.75 nat. median
$71,240
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $66,886.15 $165,384.37 $66,886.15 nat. median
$68,887
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $13,387.04 $278,337.25 $64,929.26 nat. median
$66,526
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $23,810.63 $177,178.76 $64,625.79 nat. median
$65,950
1.0× median
J9266
HCPCS 		Pegaspargase Injection 4 $28,424.06 $73,361.14 $63,345.04 nat. median
$34,109
1.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $63,311.65 $159,800.17 $63,311.65 nat. median
$64,732
1.0× median
33422
HCPCS 		Revision Of Mitral Valve 1 $63,079.00 $63,079.00 $63,079.00 nat. median
$3,700
outlier · 17.0×

Other procedures at this hospital

Browse this hospital's 12,070 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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 13 — — $13,387.04 $278,337.25 $64,929.26 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 12 — — $12,809.01 $174,680.43 $71,268.11 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $12,307.73 $117,874.25 $47,114.05 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 12 — — $16,467.76 $143,956.64 $40,861.14 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 12 — — $4,369.36 $98,062.76 $40,667.78 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 26 12 — — $2,136.05 $97,608.72 $40,381.32 2026-04-01
791 MS_DRG Prematurity With Major Problems 21 12 — — $2,116.81 $95,022.58 $39,391.24 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 11 — — $389,624.13 $882,569.52 $389,624.13 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 11 — — $253,922.96 $659,206.43 $253,922.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 11 — — $194,183.26 $555,208.41 $194,183.26 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 11 — — $93,333.11 $501,552.40 $193,061.58 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 11 — — $63,875.49 $575,933.24 $127,051.96 2026-04-01
7 MS_DRG Lung Transplant 16 11 — — $118,984.50 $305,841.13 $118,984.50 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 11 — — $110,638.63 $306,613.46 $110,638.63 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 11 — — $104,496.72 $257,905.06 $104,496.72 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $101,716.25 $245,311.37 $101,716.25 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 11 — — $100,399.43 $254,942.11 $100,399.43 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 11 — — $95,354.13 $249,219.83 $95,354.13 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 11 — — $13,815.00 $247,946.66 $92,189.63 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $90,630.20 $225,857.96 $90,630.20 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 11 — — $83,708.58 $195,189.36 $83,708.58 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 11 — — $80,574.52 $215,581.27 $80,574.52 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 11 — — $78,519.16 $198,311.45 $78,519.16 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $78,281.93 $198,199.11 $78,281.93 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 11 — — $73,496.24 $188,647.94 $73,496.24 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $71,790.90 $181,076.75 $71,790.90 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 11 — — $71,494.59 $182,920.98 $71,494.59 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $67,675.71 $166,137.97 $67,675.71 2026-04-01
10 MS_DRG Pancreas Transplant 16 11 — — $67,291.67 $186,590.73 $67,291.67 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 11 — — $67,264.81 $156,303.61 $67,264.81 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 11 — — $66,923.75 $185,516.49 $66,923.75 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 11 — — $66,886.15 $165,384.37 $66,886.15 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 11 — — $23,810.63 $177,178.76 $64,625.79 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 11 — — $63,311.65 $159,800.17 $63,311.65 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 11 — — $62,912.39 $144,777.14 $62,912.39 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 11 — — $62,868.53 $156,905.10 $62,868.53 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $61,916.94 $151,128.99 $61,916.94 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $61,916.94 $139,232.74 $61,916.94 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 11 — — $35,908.42 $144,117.15 $61,702.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 11 — — $37,935.92 $151,370.05 $60,658.30 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 11 — — $57,916.33 $140,199.32 $57,916.33 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 11 — — $57,852.77 $148,004.56 $57,852.77 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 11 — — $57,327.29 $142,958.65 $57,327.29 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 11 — — $56,841.20 $142,275.26 $56,841.20 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 11 — — $56,825.99 $144,964.38 $56,825.99 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $56,436.58 $134,315.56 $56,436.58 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 11 — — $56,261.12 $139,136.78 $56,261.12 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 11 — — $56,137.58 $141,254.84 $56,137.58 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 11 — — $55,590.62 $137,704.46 $55,590.62 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 11 — — $55,556.60 $136,255.75 $55,556.60 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 11 — — $54,682.00 $128,022.22 $54,682.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 11 — — $54,352.57 $133,512.80 $54,352.57 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 11 — — $18,401.50 $180,580.96 $54,076.85 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $53,383.08 $128,843.70 $53,383.08 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 11 — — $53,227.32 $127,336.48 $53,227.32 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 11 — — $52,883.56 $117,087.87 $52,883.56 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 11 — — $52,496.84 $143,623.33 $52,496.84 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 11 — — $52,200.53 $129,351.57 $52,200.53 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 11 — — $52,026.87 $127,046.27 $52,026.87 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 11 — — $51,957.04 $124,506.94 $51,957.04 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 11 — — $51,880.05 $126,278.62 $51,880.05 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 11 — — $51,684.90 $141,254.84 $51,684.90 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $50,794.19 $123,954.61 $50,794.19 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 11 — — $50,765.54 $120,523.58 $50,765.54 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 11 — — $50,445.06 $129,360.93 $50,445.06 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 11 — — $4,776.00 $120,128.05 $50,288.40 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 11 — — $42,336.89 $119,227.00 $49,653.71 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 11 — — $47,198.59 $130,458.58 $49,573.15 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $48,174.86 $107,478.19 $48,174.86 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 11 — — $37,589.00 $118,861.89 $47,702.20 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 11 — — $47,344.12 $116,619.79 $47,344.12 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 11 — — $9,298.46 $217,247.90 $47,265.34 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $46,930.54 $126,262.24 $46,930.54 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 11 — — $46,281.53 $113,673.23 $46,281.53 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 11 — — $46,063.10 $117,179.15 $46,063.10 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 11 — — $45,673.69 $110,101.78 $45,673.69 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 11 — — $45,141.95 $107,822.23 $45,141.95 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 11 — — $17,132.86 $430,621.45 $45,056.01 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 11 — — $44,930.68 $111,758.78 $44,930.68 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 11 — — $44,565.44 $113,483.66 $44,565.44 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 11 — — $44,399.83 $108,880.09 $44,399.83 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 11 — — $28,717.91 $107,464.15 $44,202.89 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 11 — — $9,995.57 $109,512.00 $44,098.16 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 11 — — $43,897.63 $114,363.65 $43,897.63 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 11 — — $16,461.70 $105,582.47 $43,774.99 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 11 — — $43,757.09 $104,662.69 $43,757.09 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 16 11 — — $43,597.74 $111,274.32 $43,597.74 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 21 11 — — $5,428.76 $107,866.70 $43,176.11 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 11 — — $43,164.47 $98,069.78 $43,164.47 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 11 — — $43,006.92 $102,802.07 $43,006.92 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 11 — — $40,026.83 $99,827.42 $42,379.39 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 11 — — $28,852.86 $99,682.32 $41,793.93 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 11 — — $13,603.28 $104,952.90 $41,485.09 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 11 — — $41,238.02 $98,975.52 $41,238.02 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 11 — — $41,018.70 $95,563.21 $41,018.70 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 11 — — $40,796.69 $96,035.97 $40,796.69 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 11 — — $40,777.89 $96,178.74 $40,777.89 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 11 — — $36,330.33 $103,684.40 $40,623.02 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 11 — — $40,553.20 $96,232.57 $40,553.20 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $40,408.18 $101,051.45 $40,408.18 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 11 — — $40,232.72 $95,186.41 $40,232.72 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 11 — — $39,986.54 $91,509.64 $39,986.54 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 11 — — $39,046.59 $91,959.00 $39,046.59 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 11 — — $38,720.74 $83,893.98 $38,720.74 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 10 — — $104,380.34 $104,380.34 $104,380.34 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 10 — — $54,143.10 $54,143.10 $54,143.10 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 5 5 — — $5,607.76 $66,156.44 $40,596.20 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $63,342.28 $171,819.53 $148,360.77 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $55,272.32 $150,503.92 $129,955.41 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $45,020.65 $122,659.48 $105,912.61 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $28,424.06 $73,361.14 $63,345.04 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $591,726.20 $1,532,840.61 $1,247,200.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $565,868.94 $1,494,072.70 $1,215,656.94 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $557,317.93 $1,431,726.69 $1,164,928.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,538.19 $1,399,676.98 $1,138,851.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $533,230.17 $1,326,591.48 $1,079,385.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,304.61 $1,322,619.59 $1,076,153.58 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $153,994.53 $151,769.78 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $65,659.02 $54,575.82 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $141,956.10 $197,282.58 $169,619.34 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $61,977.02 $63,079.00 $62,528.01 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $43,399.38 $63,079.00 $53,239.19 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 2 2 — — $43,399.38 $63,079.00 $53,239.19 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $43,399.38 $63,079.00 $53,239.19 2026-04-01
69930 HCPCS Implant Cochlear Device 2 2 — — $32,487.72 $63,079.00 $47,783.36 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 2 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 2 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 2 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 2 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 2 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
61886 HCPCS Implant Neurostim Arrays 2 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 2 — — $28,261.96 $63,079.00 $45,670.48 2026-04-01
81416 HCPCS Exome Sequence Analysis 3 2 — — $12,000.00 $45,000.00 $45,000.00 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 2 2 — — $26,735.39 $63,079.00 $44,907.19 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 2 2 — — $26,735.39 $63,079.00 $44,907.19 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 2 2 — — $25,753.86 $63,079.00 $44,416.43 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 2 2 — — $25,753.86 $63,079.00 $44,416.43 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 2 2 — — $25,753.86 $63,079.00 $44,416.43 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 2 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
53444 HCPCS Insert Tandem Cuff 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 2 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
64580 HCPCS Implant Neuroelectrodes 2 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 2 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 2 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 2 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
63655 HCPCS Implant Neuroelectrodes 2 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 2 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93580 HCPCS Transcath Closure Of Asd 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 2 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 2 2 — — $17,759.06 $63,079.00 $40,419.03 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 2 2 — — $17,759.06 $63,079.00 $40,419.03 2026-04-01
62360 HCPCS Insert Spine Infusion Device 2 2 — — $17,759.06 $63,079.00 $40,419.03 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
28705 HCPCS Fusion Of Foot Bones 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
24363 HCPCS Replace Elbow Joint 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
23616 HCPCS Treat Humerus Fracture 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
25446 HCPCS Wrist Replacement 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 2 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
0308T HCPCS Insj Ocular Telescope Prosth 2 2 — — $16,219.00 $63,079.00 $39,649.00 2026-04-01
67027 HCPCS Implant Eye Drug System 2 2 — — $13,747.97 $63,079.00 $38,413.49 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $122,549.05 $122,549.05 $122,549.05 2026-04-01
C9606 HCPCS Hc Revasc Occ During Mi De Stent Sgl 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37229 HCPCS Hc Revasc Endo Tibiopero W Atherectm 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0873T HCPCS Revj Subq Prtl Asct Pmp Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0814T HCPCS Prq Njx Biod Osteo Matrl Fem 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37230 HCPCS Hc Revasc Endo Tibiopero W Stent 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0942T HCPCS Cysto Flx Rmv&rplc Urtl Scaf 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32851 HCPCS Lung Transplant Single 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0585T HCPCS Laps Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32853 HCPCS Lung Transplant Double 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33945 HCPCS Transplantation Of Heart 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0586T HCPCS Open Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
93583 HCPCS Hc Perq Transcath Septal Reduction 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37231 HCPCS Hc Revasc/Endo Tibioper W Stnt&Ather 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
54438 HCPCS Replantation Of Penis 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0872T HCPCS Rplcmt Ndwllg Bldr&prtl Cath 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0584T HCPCS Perq Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33736 HCPCS Revision Of Heart Chamber 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
47135 HCPCS Transplantation Of Liver 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33853 HCPCS Repair Septal Defect 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34703 HCPCS Evasc Rpr A-unilac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34701 HCPCS Evasc Rpr A-ao Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33859 HCPCS As-aort Grf F/ds Oth/thn Dsj 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33995 HCPCS Hc Insert Right Vad Arterial Access Percutaneous W Img 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33410 HCPCS Replacement Aortic Valve Opn 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33500 HCPCS Repair Heart Vessel Fistula 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33852 HCPCS Repair Septal Defect 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34502 HCPCS Reconstruct Vena Cava 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34705 HCPCS Evac Rpr A-biiliac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33990 HCPCS Hc Insert Left Vad Arterial Access Percutaneous With Img 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33411 HCPCS Replacement Of Aortic Valve 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33991 HCPCS Hc Insert Left Vad Arterial & Venous Access Percutaneous With Img 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
0235T HCPCS Trluml Perip Athrc Visceral 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33478 HCPCS Revision Of Heart Chamber 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33992 HCPCS Hc Remove Left Vad Percutaneous 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32540 HCPCS Removal Of Lung Lesion 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33505 HCPCS Repair Artery W/tunnel 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32506 HCPCS Wedge Resect Of Lung Add-on 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32507 HCPCS Wedge Resect Of Lung Diag 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33863 HCPCS Ascending Aortic Graft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33993 HCPCS Hc Reposition Right Or Left Vad Percutaneous With Img 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34706 HCPCS Evasc Rpr A-biiliac Rpt 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32504 HCPCS Resect Apical Lung Tum/chest 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32501 HCPCS Repair Bronchus Add-on 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33366 HCPCS Hc Trcath Replace Aortic Valve 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32503 HCPCS Resect Apical Lung Tumor 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33506 HCPCS Repair Artery Translocation 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
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