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

OKLAHOMA STATE UNIVERSITY MEDICAL CENTER

Tulsa, OK · CCN 370078 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $860 across 6 payers · range $526-$1,156

Source: https://osumc.com/264331175_oklahoma-state-university-medical-center_standardcharges.csv · 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.

14,591 distinct procedures filed
13 distinct payers
111,783 rate rows
2026-04-01 last MRF observed
Data quality

83,033 of 111,783 rate rows are consumer-grade (74.3%)

28,750 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 28,722
placeholder amount (≤ $0.02) — excluded from medians 21
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osumc.com/264331175_oklahoma-state-university-medical-center_standardcharges.csv
Found on page https://osumc.com/resources/standard-hospital-charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint ee771c07004619ab… · 30,989,731 bytes · first seen 2026-06-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,505,000.00 $4,990,350.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,229,400.00 $4,229,400.00 $4,229,400.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,201,204.00 $3,795,824.67 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,974,693.88 $3,602,984.22 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,872,668.57 $3,531,921.90 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $4,418,610.00 $3,198,947.50 nat. median
$2,994,107
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $4,910,221.21 $2,795,411.78 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $4,664,000.00 $2,658,480.00 nat. median
$2,401,960
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $1,695,364.00 $1,017,218.40 nat. median
$809,217
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,301,797.64 $773,439.66 nat. median
$738,272
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,244,911.68 $739,827.65 nat. median
$646,415
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,237,584.01 $730,635.97 nat. median
$640,950
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,226,099.45 $726,506.91 nat. median
$622,245
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,173,106.38 $703,776.22 nat. median
$608,101
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,076,470.14 $646,118.85 nat. median
$591,650
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $442,177.57 $663,266.36 $460,981.63 nat. median
$359,358
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $612,150.00 $362,801.25 nat. median
$319,951
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $62,055.21 $449,469.64 $296,244.79 nat. median
$249,124
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $210,062.60 $329,360.73 $222,867.42 nat. median
$198,433
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $84,054.52 $327,444.39 $218,579.05 nat. median
$190,557
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,492.17 $245,282.77 $165,598.63 nat. median
$111,503
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $124,417.95 $205,502.67 $144,300.99 nat. median
$110,192
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $80,236.18 $214,668.68 $143,112.45 nat. median
$126,722
1.1× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $139,825.05 $139,825.05 $139,825.05 nat. median
$97,020
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $114,463.00 $269,278.38 $139,732.68 nat. median
$103,967
1.3× median
7
MS_DRG 		Lung Transplant 9 $121,441.62 $200,885.62 $135,212.81 nat. median
$117,894
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 9 $103,404.86 $227,593.95 $134,274.78 nat. median
$93,917
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $112,755.68 $190,232.10 $133,084.61 nat. median
$97,414
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $107,009.17 $184,373.62 $129,464.48 nat. median
$94,964
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $114,255.52 $185,126.02 $128,787.40 nat. median
$93,270
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $117,289.87 $175,934.80 $117,289.87 nat. median
$92,655
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $90,175.45 $162,689.98 $113,179.27 nat. median
$78,262
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $87,564.24 $162,568.11 $108,616.49 nat. median
$77,696
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $24,000.00 $167,781.94 $107,763.76 nat. median
$90,581
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $82,113.42 $176,604.10 $104,482.56 nat. median
$74,460
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $93,745.10 $147,301.08 $102,473.34 nat. median
$78,037
1.3× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $151,363.76 $102,190.77 nat. median
$70,178
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $24,000.00 $143,279.44 $100,608.74 nat. median
$77,043
1.3× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $4,059.00 $133,092.06 $90,744.59 nat. median
$12,855
outlier · 7.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $79,575.61 $128,990.88 $90,575.53 nat. median
$68,004
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $24,000.00 $134,363.67 $89,758.45 nat. median
$72,473
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $75,483.93 $125,377.24 $87,221.54 nat. median
$63,648
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $62,602.27 $124,266.30 $86,635.49 nat. median
$66,649
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $24,000.00 $129,702.66 $85,546.18 nat. median
$71,758
1.2× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $139,353.02 $83,662.41 nat. median
$68,423
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $74,627.46 $117,662.48 $82,620.88 nat. median
$66,660
1.2× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $70,008.64 $118,409.58 $82,374.74 nat. median
$60,543
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $72,010.13 $115,276.34 $80,945.37 nat. median
$63,896
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $64,368.17 $136,924.66 $79,906.01 nat. median
$58,331
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $62,682.76 $120,211.10 $77,132.74 nat. median
$55,188
1.4× median

Other procedures at this hospital

Browse this hospital's 14,591 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,505,000.00 $4,990,350.00 $4,640,150.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,229,400.00 $4,229,400.00 $4,229,400.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,685,266.67 $4,201,204.00 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,316,462.59 $4,974,693.88 $3,602,984.22 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,248,445.72 $4,872,668.57 $3,531,921.90 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $2,945,740.00 $4,418,610.00 $3,198,947.50 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $4,910,221.21 $2,795,411.78 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $4,664,000.00 $2,658,480.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 6 — — $770,620.00 $1,695,364.00 $1,017,218.40 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 6 — — $591,726.20 $1,301,797.64 $773,439.66 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 6 — — $565,868.94 $1,244,911.68 $739,827.65 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 6 — — $562,538.19 $1,237,584.01 $730,635.97 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 6 — — $557,317.93 $1,226,099.45 $726,506.91 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 6 — — $533,230.17 $1,173,106.38 $703,776.22 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 6 — — $489,304.61 $1,076,470.14 $646,118.85 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 9 — — $442,177.57 $663,266.36 $460,981.63 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 6 — — $278,250.00 $612,150.00 $362,801.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 9 — — $62,055.21 $449,469.64 $296,244.79 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 9 — — $210,062.60 $329,360.73 $222,867.42 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 9 — — $84,054.52 $327,444.39 $218,579.05 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 6 — — $111,492.17 $245,282.77 $165,598.63 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 9 — — $124,417.95 $205,502.67 $144,300.99 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 9 — — $80,236.18 $214,668.68 $143,112.45 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $139,825.05 $139,825.05 $139,825.05 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 9 — — $114,463.00 $269,278.38 $139,732.68 2026-04-01
7 MS_DRG Lung Transplant 20 9 — — $121,441.62 $200,885.62 $135,212.81 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 9 — — $103,404.86 $227,593.95 $134,274.78 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 9 — — $112,755.68 $190,232.10 $133,084.61 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 9 — — $107,009.17 $184,373.62 $129,464.48 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 9 — — $114,255.52 $185,126.02 $128,787.40 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 8 — — $117,289.87 $175,934.80 $117,289.87 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 9 — — $90,175.45 $162,689.98 $113,179.27 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 9 — — $87,564.24 $162,568.11 $108,616.49 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 10 — — $24,000.00 $167,781.94 $107,763.76 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 9 — — $82,113.42 $176,604.10 $104,482.56 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 9 — — $93,745.10 $147,301.08 $102,473.34 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 6 6 — — $68,801.71 $151,363.76 $102,190.77 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 10 — — $24,000.00 $143,279.44 $100,608.74 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 7 7 — — $4,059.00 $133,092.06 $90,744.59 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 9 — — $79,575.61 $128,990.88 $90,575.53 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $24,000.00 $134,363.67 $89,758.45 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 9 — — $75,483.93 $125,377.24 $87,221.54 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 10 — — $62,602.27 $124,266.30 $86,635.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 11 — — $24,000.00 $129,702.66 $85,546.18 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 6 — — $63,342.28 $139,353.02 $83,662.41 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 9 — — $74,627.46 $117,662.48 $82,620.88 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 9 — — $70,008.64 $118,409.58 $82,374.74 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 9 — — $72,010.13 $115,276.34 $80,945.37 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 9 — — $64,368.17 $136,924.66 $79,906.01 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 9 — — $62,682.76 $120,211.10 $77,132.74 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 9 — — $62,342.21 $113,815.69 $76,691.86 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 9 — — $63,126.29 $109,684.55 $76,205.95 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 9 — — $70,733.57 $112,523.89 $76,141.17 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 10 — — $24,000.00 $110,968.58 $75,542.45 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 10 — — $20,510.33 $111,880.43 $75,523.22 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 9 — — $65,379.68 $109,257.13 $75,296.00 2026-04-01
10 MS_DRG Pancreas Transplant 20 9 — — $54,224.02 $112,569.78 $75,046.52 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 6 — — $56,824.55 $125,014.01 $75,008.40 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 9 — — $70,513.34 $106,505.39 $74,786.54 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 6 6 — — $50,007.15 $110,015.73 $74,275.33 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 6 6 — — $49,600.83 $109,121.83 $73,671.82 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 6 — — $55,272.32 $121,599.11 $73,343.45 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 10 — — $24,000.00 $103,153.14 $72,432.64 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 10 — — $24,000.00 $102,061.63 $71,618.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 10 — — $24,000.00 $116,505.62 $70,640.92 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 10 — — $24,000.00 $103,387.18 $70,492.97 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 9 — — $55,858.53 $133,106.13 $70,207.01 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $69,113.10 $69,113.10 $69,113.10 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 9 — — $63,143.62 $98,175.99 $68,937.76 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 9 — — $50,395.53 $103,021.66 $68,681.11 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 9 — — $54,865.43 $97,670.86 $68,216.03 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 9 — — $60,309.11 $97,050.92 $68,147.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 9 — — $63,867.00 $101,236.84 $68,018.77 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 9 — — $57,857.98 $97,033.26 $67,704.18 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 9 — — $59,204.88 $97,232.84 $67,642.24 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 9 — — $64,295.78 $96,443.67 $67,516.49 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 9 — — $60,684.33 $96,612.91 $67,211.09 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 9 — — $61,680.48 $95,685.65 $67,189.08 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 9 — — $57,660.17 $93,386.06 $65,574.33 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 9 — — $50,867.55 $100,738.75 $64,807.10 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 10 — — $24,000.00 $90,787.98 $63,750.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 7 — — $23,093.00 $93,197.66 $63,543.86 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 9 — — $0.70 $95,588.51 $63,420.15 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 9 — — $56,223.55 $90,954.00 $63,274.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 9 — — $59,027.47 $89,405.04 $62,778.92 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 9 — — $50,424.02 $107,854.77 $62,667.21 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 9 — — $54,957.19 $89,069.47 $62,543.29 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 9 — — $59,995.07 $89,992.60 $62,222.07 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 9 — — $49,577.74 $92,105.56 $61,399.60 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 9 — — $57,492.96 $86,881.14 $61,006.68 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 10 — — $12,065.50 $89,309.67 $60,899.13 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 9 — — $58,195.47 $87,293.20 $60,676.79 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 8 — — $60,070.52 $90,105.78 $60,070.52 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 9 — — $51,116.33 $86,874.08 $60,060.36 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 7 7 — — $8,200.00 $93,197.66 $59,500.85 2026-04-01
245 MS_DRG Aicd Generator Procedures 21 10 — — $13,860.00 $96,300.29 $59,478.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 9 — — $48,059.55 $86,135.81 $59,177.65 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 9 — — $55,317.88 $87,953.91 $58,635.94 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 9 — — $56,156.26 $85,906.02 $58,129.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 9 — — $43,064.28 $87,269.71 $57,539.11 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 9 — — $44,522.95 $84,466.75 $56,627.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 9 — — $52,734.45 $80,323.24 $56,401.82 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 9 — — $44,426.69 $94,768.99 $56,265.51 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 9 — — $51,855.55 $80,060.08 $56,217.03 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 9 — — $49,818.37 $79,710.37 $55,971.47 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 9 — — $49,161.74 $79,510.79 $55,831.32 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $24,000.00 $80,959.08 $55,383.99 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 9 — — $48,261.43 $78,618.86 $54,912.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 10 — — $24,100.98 $90,568.97 $53,803.99 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 9 — — $37,292.18 $82,050.59 $53,626.51 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 9 — — $48,629.51 $76,169.14 $53,484.87 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 9 — — $39,123.73 $76,119.69 $53,450.14 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 9 — — $48,241.04 $76,059.64 $53,407.97 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 9 — — $44,847.79 $75,165.94 $52,780.43 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 6 6 — — $34,970.13 $76,934.29 $51,940.93 2026-04-01
J9226 HCPCS Supprelin La Implant 7 6 — — $38,061.45 $99,045.43 $51,938.85 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 7 — — $23,093.00 $93,197.66 $51,805.10 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 9 — — $44,671.39 $73,369.71 $51,519.15 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 9 — — $46,005.04 $73,120.68 $51,344.28 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 26 9 — — $44,188.56 $87,289.14 $50,912.06 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 9 — — $47,386.61 $72,426.56 $50,856.88 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 9 — — $47,566.06 $71,958.52 $50,528.23 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 9 — — $45,122.06 $72,117.48 $50,170.43 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 9 — — $39,509.17 $73,687.63 $50,114.69 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 9 — — $45,371.86 $70,305.36 $49,367.40 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 10 — — $13,524.92 $86,778.70 $49,331.35 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 9 — — $37,440.34 $71,407.47 $48,592.65 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 9 — — $40,906.01 $73,396.21 $48,465.44 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 9 — — $41,348.49 $70,503.17 $48,418.65 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 2 — — $20,229.00 $76,500.85 $48,364.93 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 9 — — $38,328.42 $69,371.04 $48,318.17 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 9 — — $42,875.86 $69,397.53 $48,277.97 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 9 — — $45,653.28 $68,479.92 $47,908.93 2026-04-01
69930 HCPCS Implant Cochlear Device 7 7 — — $23,093.00 $69,765.50 $47,567.39 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 9 — — $40,250.38 $68,998.37 $47,486.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 9 — — $38,291.71 $72,304.70 $47,440.65 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 9 — — $41,251.63 $67,253.36 $47,224.34 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 9 — — $42,233.27 $70,007.79 $47,203.25 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 9 — — $44,226.84 $66,885.99 $46,966.37 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 9 — — $41,768.57 $67,670.19 $46,894.01 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 9 — — $36,621.59 $71,677.69 $46,198.07 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $45,878.00 $45,878.00 $45,878.00 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $45,878.00 $45,878.00 $45,878.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 9 — — $38,237.67 $69,710.15 $45,782.22 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 10 — — $19,155.86 $68,595.68 $45,604.53 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 9 — — $43,699.69 $67,303.80 $45,542.24 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 7 — — $23,093.00 $66,415.49 $45,283.29 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 7 — — $23,093.00 $66,415.49 $45,283.29 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 7 — — $23,093.00 $66,415.49 $45,283.29 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 7 — — $23,093.00 $66,415.49 $45,283.29 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 7 — — $23,093.00 $66,415.49 $45,283.29 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 9 — — $0.70 $65,284.05 $45,203.99 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 9 — — $43,946.45 $65,919.67 $44,826.42 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 9 — — $38,799.47 $67,492.86 $44,805.76 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 9 — — $13,577.00 $67,083.56 $44,722.37 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 7 — — $23,093.00 $65,291.61 $44,517.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 7 — — $20,229.00 $65,291.61 $44,517.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 7 — — $20,229.00 $65,291.61 $44,517.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 7 — — $20,229.00 $65,291.61 $44,517.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 9 — — $0.70 $67,060.85 $44,396.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 9 — — $34,478.09 $63,164.61 $44,353.27 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 6 6 — — $29,717.20 $65,377.84 $44,138.79 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 9 — — $39,667.16 $65,236.36 $44,036.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 9 — — $18,960.07 $62,647.11 $43,989.89 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 9 — — $38,207.08 $62,643.58 $43,987.41 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 6 6 — — $29,576.84 $65,069.05 $43,930.31 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 9 — — $38,413.04 $62,546.44 $43,919.20 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 9 — — $41,289.36 $61,983.02 $43,523.58 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 9 — — $40,354.87 $63,757.10 $43,068.37 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 9 — — $35,048.34 $63,362.43 $42,980.09 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 9 — — $37,840.02 $61,424.90 $42,409.84 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 9 — — $37,766.61 $60,282.17 $42,329.27 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 9 — — $38,708.73 $60,123.21 $42,217.65 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 9 — — $40,377.19 $62,382.15 $42,211.92 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 9 — — $38,631.00 $61,500.85 $41,615.18 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 9 — — $38,773.98 $58,952.22 $41,395.40 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 7 — — $23,093.00 $60,690.92 $41,380.17 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 9 — — $35,326.96 $63,786.31 $40,992.73 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 9 — — $39,318.45 $58,977.68 $40,936.52 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 9 — — $33,617.00 $100,975.42 $40,792.68 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 9 — — $36,667.48 $57,820.09 $40,600.43 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 9 — — $39,333.75 $59,000.62 $40,415.71 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 9 — — $34,786.30 $57,461.55 $40,348.67 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 9 — — $20,990.25 $59,761.14 $40,223.52 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 9 — — $35,878.99 $59,982.51 $40,158.38 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 9 — — $35,409.23 $57,157.76 $40,135.35 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 11 — — $19,790.00 $66,936.65 $40,100.63 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 9 — — $37,105.91 $57,104.78 $40,098.15 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 9 — — $36,757.05 $60,124.74 $40,083.16 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 9 — — $34,344.81 $57,482.75 $40,008.28 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 9 — — $35,943.55 $62,416.44 $39,905.92 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 9 — — $32,809.28 $56,536.06 $39,698.80 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 9 — — $38,653.67 $57,980.50 $39,693.84 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 9 — — $37,356.06 $58,275.68 $39,433.21 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 9 — — $35,449.04 $55,969.11 $39,300.70 2026-04-01
652 MS_DRG Kidney Transplant 20 9 — — $34,810.77 $58,632.54 $39,276.96 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 9 — — $33,028.00 $58,256.34 $38,768.45 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 9 — — $33,706.54 $55,163.72 $38,735.17 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 8 — — $31,322.69 $55,050.69 $38,655.79 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 7 7 — — $20,229.00 $57,412.70 $38,250.85 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 9 — — $34,865.83 $54,386.60 $38,189.48 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 6 6 — — $23,093.00 $66,415.49 $38,188.91 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 6 6 — — $23,093.00 $66,415.49 $38,188.91 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 9 — — $34,102.14 $55,296.19 $38,181.09 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 9 — — $34,819.95 $54,501.40 $37,915.04 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 9 — — $9,184.96 $55,915.80 $37,836.36 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 10 — — $24,000.00 $80,966.14 $37,807.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 9 — — $33,097.83 $53,791.39 $37,771.53 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 9 — — $32,230.14 $54,310.65 $37,742.57 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 7 — — $14,114.00 $55,304.92 $37,707.90 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 7 — — $14,114.00 $55,304.92 $37,707.90 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 7 — — $14,114.00 $55,304.92 $37,707.90 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 10 — — $13,860.00 $65,446.54 $37,704.48 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 6 6 — — $20,229.00 $65,291.61 $37,542.67 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 6 6 — — $996.00 $65,291.61 $37,542.67 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 6 6 — — $996.00 $65,291.61 $37,542.67 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 3 — — $1,000.00 $64,325.70 $37,387.97 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 9 — — $33,584.18 $52,934.78 $37,170.03 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 9 — — $29,004.11 $57,648.77 $37,005.78 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 8 — — $36,942.77 $55,414.16 $36,942.77 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 9 — — $34,010.38 $52,431.41 $36,816.58 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 9 — — $34,151.08 $52,265.39 $36,700.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 9 — — $33,919.63 $54,423.69 $36,576.37 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 7 — — $8,200.00 $65,291.61 $36,455.46 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 7 — — $20,229.00 $65,291.61 $36,455.46 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 9 — — $34,376.42 $51,564.63 $36,207.64 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 2 — — $20,229.00 $51,805.10 $36,017.05 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 9 — — $34,333.70 $53,167.46 $35,976.65 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 9 — — $19,004.37 $53,160.85 $35,698.00 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 9 — — $20,878.32 $115,208.44 $35,614.30 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 2 1 — — $26,096.42 $44,876.33 $35,486.38 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 9 — — $31,921.20 $50,396.75 $35,324.93 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $35,324.00 $35,324.00 $35,324.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $35,324.00 $35,324.00 $35,324.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 9 — — $33,116.05 $50,460.39 $35,268.81 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 9 — — $32,676.79 $52,083.09 $35,242.89 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 6 6 — — $23,640.73 $52,009.61 $35,113.44 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 6 6 — — $23,514.53 $51,731.97 $34,926.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 9 — — $23,415.26 $52,353.81 $34,902.54 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 9 — — $23,043.21 $53,337.47 $34,855.72 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 9 — — $32,794.61 $51,924.04 $34,726.01 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 6 6 — — $23,210.23 $51,062.51 $34,474.02 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 9 — — $31,453.20 $49,379.42 $34,427.26 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 9 — — $30,424.42 $48,969.66 $34,366.90 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 6 6 — — $23,134.38 $50,895.64 $34,361.37 2026-04-01
L5858 HCPCS Stance Phase Only 6 6 — — $23,006.91 $50,615.20 $34,172.03 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 26 9 — — $10,814.91 $48,982.02 $33,835.45 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 9 — — $29,994.15 $49,416.51 $33,801.28 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 9 — — $25,762.84 $54,105.77 $33,779.37 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 9 — — $32,675.71 $49,013.56 $33,498.14 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 9 — — $28,216.97 $48,619.95 $33,468.12 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 9 — — $30,527.40 $47,456.03 $33,322.93 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 9 — — $28,717.33 $47,830.46 $33,245.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 9 — — $30,854.94 $49,019.68 $33,169.99 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 9 — — $29,756.58 $47,307.67 $33,142.38 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 9 — — $30,946.46 $47,102.79 $33,074.89 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 9 — — $28,982.23 $49,584.04 $33,056.03 2026-04-01
22558 HCPCS Lumbar Spine Fusion 6 6 — — $8,200.00 $57,412.70 $33,012.30 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 6 6 — — $20,229.00 $57,412.70 $33,012.30 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 21 9 — — $25,161.02 $47,851.22 $32,857.83 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 6 6 — — $23,093.00 $56,954.53 $32,748.85 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 9 — — $30,124.46 $48,963.10 $32,642.07 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 22 9 — — $29,637.88 $47,482.64 $32,642.01 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 9 — — $31,870.22 $47,805.33 $32,503.52 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 6 — — $18,080.54 $62,532.93 $32,403.43 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 7 — — $21,393.20 $47,065.04 $32,089.80 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 7 — — $21,393.20 $47,065.04 $32,089.80 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 7 — — $21,393.20 $47,065.04 $32,089.80 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 7 — — $21,393.20 $47,065.04 $32,089.80 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 7 — — $21,393.20 $47,065.04 $32,089.80 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 21 9 — — $29,387.23 $49,753.85 $31,930.00 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 9 — — $28,773.68 $45,380.74 $31,865.70 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 9 — — $29,873.94 $46,898.40 $31,734.58 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 20 9 — — $28,061.99 $45,516.74 $31,733.60 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 6 6 — — $21,297.95 $46,855.49 $31,633.72 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 9 — — $5,127.40 $50,772.95 $31,434.12 2026-04-01
22630 HCPCS Lumbar Spine Fusion 7 7 — — $8,200.00 $57,412.70 $31,263.09 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 7 7 — — $2,419.00 $57,412.70 $31,263.09 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 7 7 — — $14,511.00 $57,412.70 $31,263.09 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 7 7 — — $4,059.00 $57,412.70 $31,263.09 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 7 7 — — $4,494.00 $57,412.70 $31,263.09 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 9 — — $26,422.62 $44,425.23 $31,194.75 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 9 — — $30,340.81 $45,511.22 $31,050.50 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 20 9 — — $25,288.66 $46,444.00 $30,709.15 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 9 — — $5,830.00 $45,525.57 $30,325.08 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 9 — — $28,909.28 $47,162.10 $30,291.89 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 9 — — $26,955.04 $45,217.58 $30,145.05 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 6 5 — — $57.58 $124,248.30 $30,057.89 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 9 — — $27,290.15 $43,460.88 $29,985.80 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 10 — — $6,768.00 $49,639.23 $29,931.29 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 7 7 — — $461.00 $43,854.27 $29,900.64 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 7 7 — — $14,511.00 $43,854.27 $29,900.64 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 7 7 — — $14,511.00 $43,854.27 $29,900.64 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 7 7 — — $14,511.00 $43,854.27 $29,900.64 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 7 7 — — $14,511.00 $43,854.27 $29,900.64 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 7 7 — — $14,511.00 $43,854.27 $29,900.64 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 7 7 — — $14,511.00 $43,854.27 $29,900.64 2026-04-01
53444 HCPCS Insert Tandem Cuff 7 7 — — $8,200.00 $43,854.27 $29,900.64 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 6 6 — — $20,122.03 $44,268.47 $29,887.13 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 9 — — $28,315.87 $42,473.80 $29,521.72 2026-04-01
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