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 →

Export CSV
Hospital

SAINT FRANCIS HOSPITAL MUSKOGEE

Muskogee, OK · CCN 370025 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $24,447 across 3 payers · range $12,348-$29,635

Source: https://www.saintfrancis.com/finance/sfhm-cms-hpt · observed 2026-04-01

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

12,634 distinct procedures filed
18 distinct payers
106,506 rate rows
2026-04-01 last MRF observed
Data quality

67,385 of 106,506 rate rows are consumer-grade (63.3%)

39,121 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 39,096
placeholder amount (≤ $0.02) — excluded from medians 19
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://saintfrancis.com/finance/sfhm-cms-hpt
Found on page https://www.saintfrancis.com/patients-and-guests/billing-and-insurance/standard-hospital-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint 5ad1a842aa753cd2… · 29,342,445 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,600,400.00 $4,600,400.00 $4,600,400.00 nat. median
$3,710,000
1.2× median
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $4,505,000.00 $4,640,150.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,569,730.67 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,122,469.16 $3,415,956.47 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $4,044,080.20 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,945,740.00 $3,658,851.47 $3,034,112.20 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.60 $3,040,623.34 $2,528,763.92 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,891,680.00 $2,401,960.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,849,488.00 $955,568.80 nat. median
$809,151
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $1,420,142.88 $717,122.48 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $1,358,085.47 $686,189.75 nat. median
$631,793
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $1,350,091.64 $671,628.21 nat. median
$624,417
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $1,337,563.04 $671,162.95 nat. median
$610,161
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $1,279,752.41 $661,014.83 nat. median
$588,565
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $1,174,331.06 $607,252.80 nat. median
$577,541
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $306,523.65 $721,152.76 $408,175.00 nat. median
$370,165
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $278,250.00 $667,800.00 $335,265.00 nat. median
$302,242
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $199,129.12 $467,999.13 $297,873.51 nat. median
$261,939
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $150,963.14 $354,460.84 $215,985.64 nat. median
$199,832
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $151,850.84 $356,553.35 $212,410.54 nat. median
$205,166
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $111,492.17 $267,581.21 $191,285.50 nat. median
$111,503
1.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $163,129.23 $163,129.23 $163,129.23 nat. median
$97,404
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $37,831.07 $231,318.38 $128,339.67 nat. median
$132,706
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $85,733.24 $200,698.93 $127,994.80 nat. median
$114,305
1.1× median
7
MS_DRG 		Lung Transplant 8 $92,338.20 $216,268.34 $126,052.29 nat. median
$122,690
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $117,390.00 $140,525.11 $119,435.63 nat. median
$83,623
1.4× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 3 $68,801.71 $165,124.10 $118,042.16 nat. median
$70,178
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $80,872.50 $219,941.68 $117,882.38 nat. median
$108,240
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $77,629.89 $181,597.47 $115,855.15 nat. median
$100,978
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $78,672.03 $184,054.04 $112,501.00 nat. median
$96,835
1.2× median
38240
HCPCS 		Transplt Allo Hct/donor 3 $60,496.39 $145,191.34 $112,370.43 nat. median
$13,835
outlier · 8.1×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $80,780.40 $189,023.96 $110,265.24 nat. median
$96,134
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $73,637.01 $172,185.35 $109,873.40 nat. median
$99,646
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 8 $71,132.61 $185,894.59 $105,544.20 nat. median
$98,002
1.1× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $102,255.15 $122,407.50 $104,037.04 nat. median
$58,534
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $57,762.47 $163,372.76 $103,697.68 nat. median
$92,900
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $64,420.68 $150,460.32 $90,272.00 nat. median
$81,124
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $88,467.60 $105,902.71 $90,009.23 nat. median
$51,048
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $60,313.74 $140,779.33 $89,913.77 nat. median
$79,040
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $60,126.00 $140,336.78 $89,632.52 nat. median
$80,459
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $61,940.36 $144,613.65 $88,574.71 nat. median
$81,364
1.1× median
L7180
HCPCS 		Electronic Elbow Sequential 3 $50,007.15 $120,017.16 $85,796.59 nat. median
$46,980
1.8× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 3 $42,362.57 $101,670.17 $85,500.95 nat. median
$43,061
2.0× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $85,500.95 $85,500.95 $85,500.95 nat. median
$39,896
outlier · 2.1×
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $49,600.83 $119,041.99 $85,099.46 nat. median
$50,449
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $56,338.58 $144,247.02 $83,958.57 nat. median
$77,385
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $81,914.26 $98,057.85 $83,341.70 nat. median
$46,826
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $54,988.97 $128,227.61 $81,936.72 nat. median
$74,472
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $54,754.47 $127,674.84 $81,585.41 nat. median
$73,475
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $54,575.23 $127,252.33 $80,778.97 nat. median
$71,485
1.1× median

Other procedures at this hospital

Browse this hospital's 12,634 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,600,400.00 $4,600,400.00 $4,600,400.00 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,640,150.00 $4,572,575.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,685,266.67 $4,569,730.67 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,316,462.59 $4,122,469.16 $3,415,956.47 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,248,445.72 $4,044,080.20 $3,345,899.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,945,740.00 $3,658,851.47 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,455,110.60 $3,040,623.34 $2,528,763.92 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,332,000.00 $2,891,680.00 $2,401,960.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $770,620.00 $1,849,488.00 $955,568.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 3 — — $591,726.20 $1,420,142.88 $717,122.48 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $565,868.94 $1,358,085.47 $686,189.75 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $562,538.19 $1,350,091.64 $671,628.21 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $557,317.93 $1,337,563.04 $671,162.95 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 3 — — $533,230.17 $1,279,752.41 $661,014.83 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 3 — — $489,304.61 $1,174,331.06 $607,252.80 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 8 — — $306,523.65 $721,152.76 $408,175.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 3 — — $278,250.00 $667,800.00 $335,265.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 8 — — $199,129.12 $467,999.13 $297,873.51 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 8 — — $150,963.14 $354,460.84 $215,985.64 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 8 — — $151,850.84 $356,553.35 $212,410.54 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 3 — — $111,492.17 $267,581.21 $191,285.50 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $163,129.23 $163,129.23 $163,129.23 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 11 — — $37,831.07 $231,318.38 $128,339.67 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 8 — — $85,733.24 $200,698.93 $127,994.80 2026-04-01
7 MS_DRG Lung Transplant 18 8 — — $92,338.20 $216,268.34 $126,052.29 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 1 — — $117,390.00 $140,525.11 $119,435.63 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 3 — — $68,801.71 $165,124.10 $118,042.16 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 8 — — $80,872.50 $219,941.68 $117,882.38 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 8 — — $77,629.89 $181,597.47 $115,855.15 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $78,672.03 $184,054.04 $112,501.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 3 — — $60,496.39 $145,191.34 $112,370.43 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 7 — — $80,780.40 $189,023.96 $110,265.24 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 8 — — $73,637.01 $172,185.35 $109,873.40 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 8 — — $71,132.61 $185,894.59 $105,544.20 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $102,255.15 $122,407.50 $104,037.04 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 8 — — $57,762.47 $163,372.76 $103,697.68 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 8 — — $64,420.68 $150,460.32 $90,272.00 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $88,467.60 $105,902.71 $90,009.23 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 8 — — $60,313.74 $140,779.33 $89,913.77 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 8 — — $60,126.00 $140,336.78 $89,632.52 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 8 — — $61,940.36 $144,613.65 $88,574.71 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 3 — — $50,007.15 $120,017.16 $85,796.59 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $85,500.95 $85,500.95 $85,500.95 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 3 — — $42,362.57 $101,670.17 $85,500.95 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 3 — — $49,600.83 $119,041.99 $85,099.46 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 8 — — $56,338.58 $144,247.02 $83,958.57 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $81,914.26 $98,057.85 $83,341.70 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $54,988.97 $128,227.61 $81,936.72 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 8 — — $54,754.47 $127,674.84 $81,585.41 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 8 — — $54,575.23 $127,252.33 $80,778.97 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $78,292.94 $93,722.84 $79,657.26 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $77,632.54 $92,932.29 $78,985.36 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 3 — — $63,342.28 $152,021.48 $78,654.51 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 8 — — $51,107.32 $119,077.68 $76,035.12 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 1 — — $72,765.14 $87,105.63 $74,033.14 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $51,732.18 $120,550.62 $73,977.02 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 8 — — $51,137.08 $119,147.82 $73,126.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 8 — — $49,318.46 $114,860.93 $72,535.87 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 8 — — $48,278.45 $112,409.37 $71,883.67 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 8 — — $51,407.00 $119,784.09 $71,108.70 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $136,378.92 $70,462.44 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 8 — — $47,174.67 $109,807.51 $69,796.59 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $68,223.12 $81,668.47 $69,411.97 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $55,272.32 $132,653.58 $69,373.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $69,113.10 $69,113.10 $69,113.10 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 8 — — $47,927.76 $111,582.72 $68,536.70 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 8 — — $47,174.67 $109,807.51 $67,978.83 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 8 — — $47,962.47 $111,664.55 $66,957.00 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 3 — — $42,362.57 $101,670.17 $66,500.95 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $39,507.77 $93,480.74 $66,494.26 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $65,134.45 $77,971.09 $66,269.48 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 8 — — $43,958.27 $102,225.71 $65,245.71 2026-04-01
10 MS_DRG Pancreas Transplant 18 8 — — $51,428.25 $119,834.19 $64,965.04 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 8 — — $44,008.57 $111,837.57 $64,900.52 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 8 — — $43,542.40 $101,245.42 $64,788.58 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 11 — — $29,830.30 $115,427.06 $64,426.22 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 8 — — $43,157.71 $100,338.61 $64,212.27 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 8 — — $43,145.66 $100,310.22 $64,194.22 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 8 — — $42,600.86 $99,025.99 $63,378.06 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 9 — — $17,063.49 $107,459.49 $63,033.76 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 8 — — $42,167.99 $98,005.62 $62,729.57 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 8 — — $42,837.48 $99,583.77 $62,663.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 8 — — $42,141.07 $97,942.16 $62,591.44 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 1 — — $61,197.39 $73,258.11 $62,263.81 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 8 — — $0.70 $99,256.45 $62,030.07 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 8 — — $41,188.19 $95,696.01 $61,244.59 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 3 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 3 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 3 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 3 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 3 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
69930 HCPCS Implant Cochlear Device 5 3 — — $31,711.59 $76,107.82 $60,434.86 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 3 — — $34,970.13 $83,928.31 $59,997.77 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 8 — — $47,005.35 $109,408.38 $59,863.51 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 8 — — $41,448.91 $96,310.57 $59,208.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 8 — — $40,297.66 $93,596.82 $59,149.88 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 8 — — $39,719.56 $92,234.10 $58,751.66 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 8 — — $39,485.06 $91,681.33 $58,710.26 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 8 — — $37,277.63 $95,181.65 $58,587.09 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 8 — — $39,347.62 $91,357.35 $58,372.15 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 8 — — $39,231.43 $91,083.47 $58,107.73 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 3 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 3 — — $42,362.57 $101,670.17 $57,899.82 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 3 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 3 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 3 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $57,899.82 $57,899.82 $57,899.82 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $40,420.93 $93,887.40 $57,801.93 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 8 — — $39,292.36 $91,227.09 $57,743.81 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $38,372.07 $89,057.76 $56,927.34 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 8 — — $38,095.77 $108,718.66 $56,628.97 2026-04-01
J9226 HCPCS Supprelin La Implant 5 3 — — $45,020.65 $108,049.56 $56,494.88 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 7 — — $41,022.41 $95,305.23 $55,995.59 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 8 — — $37,971.79 $88,114.21 $55,742.89 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 8 — — $39,076.99 $90,719.41 $55,698.96 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 8 — — $37,405.73 $86,779.88 $55,595.22 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 8 — — $38,349.40 $89,004.32 $54,839.64 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 8 — — $40,025.61 $92,955.54 $54,419.98 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 9 — — $36,298.66 $86,930.18 $54,361.18 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 3 — — $27,586.78 $66,208.28 $54,013.83 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 8 — — $35,459.60 $82,192.39 $53,189.40 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 8 — — $35,641.67 $95,159.67 $52,952.47 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $36,299.12 $84,171.34 $52,666.93 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 8 — — $35,314.36 $81,850.04 $52,462.13 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 8 — — $15,199.61 $83,289.58 $52,119.63 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 8 — — $34,800.73 $80,639.29 $51,692.66 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 8 — — $34,627.87 $82,281.58 $51,433.69 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 3 — — $29,717.20 $71,321.28 $50,985.39 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 3 — — $29,576.84 $70,984.42 $50,744.58 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 8 — — $34,319.69 $88,093.81 $50,692.24 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 2 — — $30,188.86 $72,453.27 $50,264.46 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 2 — — $30,188.86 $72,453.27 $50,264.46 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 8 — — $33,731.67 $78,119.26 $50,091.09 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 8 — — $33,898.86 $78,513.38 $49,850.42 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 8 — — $27,772.10 $76,761.55 $49,701.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 8 — — $33,442.62 $77,437.90 $49,658.07 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 4 2 — — $29,678.00 $71,227.21 $49,413.88 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 2 — — $29,678.00 $71,227.21 $49,413.88 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 4 2 — — $29,678.00 $71,227.21 $49,413.88 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 4 2 — — $29,678.00 $71,227.21 $49,413.88 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 1 — — $48,383.56 $57,918.95 $49,226.69 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 8 — — $32,676.77 $75,632.63 $49,015.16 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 8 — — $33,311.55 $77,128.95 $48,956.10 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 8 — — $32,914.11 $78,656.32 $48,866.30 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 8 — — $26,029.28 $76,566.16 $48,598.88 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 8 — — $32,802.88 $75,929.89 $48,300.01 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 8 — — $32,343.09 $74,846.06 $48,010.86 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 8 — — $32,209.19 $74,530.43 $47,425.37 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 9 — — $16,082.44 $78,353.06 $47,140.65 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 9 — — $23,215.04 $75,963.29 $46,928.38 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 8 — — $32,333.88 $74,824.35 $46,865.38 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 3 — — $25,138.60 $60,332.65 $46,611.37 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 3 — — $25,138.60 $60,332.65 $46,611.37 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 3 — — $25,138.60 $60,332.65 $46,611.37 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 8 — — $31,004.81 $71,691.43 $46,005.98 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 8 — — $22,698.04 $73,359.76 $45,867.31 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 8 — — $16,072.41 $72,267.58 $45,278.42 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 8 — — $30,809.27 $71,230.51 $45,212.18 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 8 — — $30,511.01 $70,527.44 $44,898.96 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 8 — — $30,152.53 $77,405.59 $44,729.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 8 — — $30,445.13 $70,372.13 $44,574.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 8 — — $14,017.10 $70,083.22 $44,483.96 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 8 — — $30,267.30 $69,952.96 $44,453.64 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 8 — — $30,013.68 $69,355.10 $44,021.90 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 8 — — $30,635.70 $70,821.36 $43,809.05 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 8 — — $30,460.00 $70,407.20 $43,380.33 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 8 — — $29,818.85 $68,895.85 $42,886.35 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 5 3 — — $26,096.68 $62,632.04 $42,750.95 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 3 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 5 3 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 5 3 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 5 3 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 5 3 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 8 — — $29,074.97 $67,142.35 $41,577.21 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 8 — — $28,013.70 $64,640.69 $41,524.99 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 8 — — $27,972.61 $64,543.83 $41,463.43 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 8 — — $28,305.58 $65,328.73 $41,306.07 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 9 — — $18,190.11 $70,166.72 $40,967.76 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 8 — — $25,833.15 $64,482.04 $40,826.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 3 — — $29,678.00 $71,227.21 $40,744.34 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 5 3 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
64580 HCPCS Implant Neuroelectrodes 5 3 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 5 3 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 5 3 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
63655 HCPCS Implant Neuroelectrodes 5 3 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 3 — — $29,678.00 $71,227.21 $40,744.34 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 8 — — $26,780.91 $64,116.31 $40,696.58 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 5 3 — — $23,640.73 $56,737.75 $40,560.08 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 5 3 — — $23,514.53 $56,434.87 $40,343.56 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 8 — — $28,180.18 $65,033.14 $40,107.90 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 10 — — $0.70 $67,785.30 $40,059.64 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 8 — — $26,994.23 $62,237.56 $39,997.71 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 8 — — $27,250.69 $62,842.10 $39,887.80 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 5 3 — — $23,210.23 $55,704.55 $39,821.48 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 5 3 — — $23,134.38 $55,522.51 $39,691.35 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 8 — — $27,071.45 $62,419.59 $39,619.62 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 8 — — $28,817.09 $66,534.47 $39,554.41 2026-04-01
L5858 HCPCS Stance Phase Only 5 3 — — $23,006.91 $55,216.58 $39,472.63 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $38,687.33 $46,311.79 $39,361.49 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 8 — — $26,613.78 $61,340.77 $39,055.73 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 8 — — $26,845.45 $61,886.86 $38,835.24 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 8 — — $26,224.84 $60,423.94 $38,480.46 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 8 — — $25,974.04 $59,832.76 $38,469.37 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 8 — — $25,915.24 $59,694.15 $38,381.28 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 8 — — $24,655.15 $60,317.06 $38,285.08 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
53444 HCPCS Insert Tandem Cuff 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 5 3 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 9 — — $19,832.80 $61,315.72 $38,239.26 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 8 — — $26,242.55 $60,465.69 $37,961.21 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 8 — — $23,103.14 $59,634.03 $37,851.54 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 8 — — $25,852.19 $59,545.52 $37,845.68 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 8 — — $25,830.94 $59,495.42 $37,843.28 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 8 — — $25,524.88 $58,773.98 $37,796.48 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 8 — — $24,796.46 $59,438.64 $37,727.52 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 8 — — $10,907.03 $60,226.88 $37,381.97 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $36,726.63 $43,964.68 $37,366.62 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 8 — — $26,277.97 $60,549.19 $37,254.43 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 8 — — $27,068.61 $62,412.91 $37,089.59 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 8 — — $25,304.55 $58,254.61 $37,051.99 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 8 — — $24,316.74 $58,324.32 $36,966.44 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 8 — — $25,065.80 $57,691.82 $36,920.38 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 9 — — $24,474.69 $191,457.55 $36,830.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 12 — — $3,584.39 $82,474.62 $36,646.71 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 8 — — $24,729.28 $58,545.04 $36,604.59 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 5 3 — — $21,297.95 $51,115.08 $36,540.60 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 9 — — $378.75 $58,894.22 $36,387.54 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 8 — — $24,761.16 $56,973.72 $36,246.98 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 5 3 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 5 3 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 5 3 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 5 3 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 5 3 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 10 — — $18,737.75 $59,390.21 $36,230.43 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 8 — — $25,184.82 $57,972.38 $36,149.74 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 8 — — $27,134.50 $62,568.22 $36,038.57 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 8 — — $21,748.03 $60,595.95 $35,979.43 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 8 — — $24,258.16 $55,788.02 $35,898.80 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 4 2 — — $21,393.20 $51,343.68 $35,619.68 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $21,393.20 $51,343.68 $35,619.68 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 4 2 — — $21,393.20 $51,343.68 $35,619.68 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 2 — — $21,393.20 $51,343.68 $35,619.68 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 4 2 — — $21,393.20 $51,343.68 $35,619.68 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 8 — — $23,914.56 $54,978.07 $35,384.05 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 3 — — $28,424.06 $68,217.74 $35,245.83 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 8 — — $23,636.13 $54,321.76 $34,966.94 2026-04-01
24363 HCPCS Replace Elbow Joint 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
23616 HCPCS Treat Humerus Fracture 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
22630 HCPCS Lumbar Spine Fusion 5 3 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 5 3 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 5 3 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 5 3 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
25446 HCPCS Wrist Replacement 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
28705 HCPCS Fusion Of Foot Bones 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 5 3 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
22612 HCPCS Lumbar Spine Fusion 5 3 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 8 — — $23,993.90 $55,165.11 $34,663.13 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 8 — — $23,454.06 $53,892.57 $34,549.63 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 5 3 — — $20,122.03 $48,292.87 $34,523.09 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 8 — — $23,147.29 $53,169.46 $34,234.61 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93580 HCPCS Transcath Closure Of Asd 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
37229 HCPCS Hc Revsc Opn/Prq Tib/Pero W/Athrc/Angiop Sm Vsl 1 1 — — $34,117.77 $34,117.77 $34,117.77 2026-04-01
37230 HCPCS Hc Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Sm Vsl 1 1 — — $34,117.77 $34,117.77 $34,117.77 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $34,117.77 $34,117.77 $34,117.77 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 1 1 — — $34,117.77 $34,117.77 $34,117.77 2026-04-01
37231 HCPCS Hc Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Sm Vsl 1 1 — — $34,117.77 $34,117.77 $34,117.77 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 5 3 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 7 — — $24,952.45 $57,424.62 $34,060.09 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 8 — — $23,012.69 $52,852.16 $33,921.44 2026-04-01
652 MS_DRG Kidney Transplant 18 8 — — $23,471.06 $53,932.65 $33,898.16 2026-04-01
See an error in this hospital's data? Submit a correction