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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

SAINT FRANCIS HOSPITAL SOUTH, LLC

Tulsa, OK · CCN 370218 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $13,561 across 5 payers · range $6,979-$16,749

Source: https://saintfrancis.com/finance/sfhs-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.

15,000 distinct procedures filed
20 distinct payers
115,767 rate rows
2026-04-01 last MRF observed
Data quality

77,124 of 115,767 rate rows are consumer-grade (66.6%)

38,643 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 38,599
placeholder amount (≤ $0.02) — excluded from medians 32
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.saintfrancis.com/finance/sfhs-cms-hpt
Found on page https://www.saintfrancis.com/patients-and-guests/billing-and-insurance/standard-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-02
Content fingerprint a7066470f9f536ce… · 31,534,271 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
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
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $3,790,011.97 $3,415,956.47 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $3,717,944.70 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,945,740.00 $3,363,782.80 $3,034,112.20 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.60 $2,795,411.78 $2,528,763.92 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,658,480.00 $2,401,960.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,849,488.00 $1,267,669.90 nat. median
$813,967
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $1,420,142.88 $951,823.96 nat. median
$739,658
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,358,085.47 $910,082.94 nat. median
$646,415
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $1,337,563.04 $875,712.60 nat. median
$623,527
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $1,350,091.64 $863,907.78 nat. median
$640,950
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $1,279,752.41 $844,407.38 nat. median
$608,239
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $1,174,331.06 $805,244.49 nat. median
$592,235
1.4× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$459,112
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $310,350.64 $844,482.84 $423,628.62 nat. median
$359,244
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $667,800.00 $308,227.50 nat. median
$319,951
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $201,802.33 $660,844.05 $302,703.50 nat. median
$248,541
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $154,016.12 $417,530.38 $231,024.18 nat. median
$198,115
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $153,118.89 $457,673.02 $229,678.34 nat. median
$190,359
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,492.17 $267,581.21 $163,959.00 nat. median
$111,503
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $100,317.33 $287,369.68 $150,476.00 nat. median
$126,461
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $146,886.05 $200,432.87 $149,730.45 nat. median
$70,795
outlier · 2.1×
7
MS_DRG 		Lung Transplant 9 $93,864.11 $253,254.11 $140,796.16 nat. median
$117,977
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $139,825.05 $139,825.05 $139,825.05 nat. median
$96,983
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $87,188.19 $239,407.93 $130,782.28 nat. median
$110,084
1.2× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $127,948.33 $174,591.48 $130,426.01 nat. median
$47,543
outlier · 2.7×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $69,113.10 $169,820.76 $119,466.93 nat. median
$75,037
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $78,997.78 $221,617.92 $118,496.67 nat. median
$97,137
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $82,275.23 $395,913.32 $117,653.58 nat. median
$103,938
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $110,696.45 $151,050.47 $112,840.05 nat. median
$39,601
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $74,962.01 $214,792.86 $112,443.01 nat. median
$94,943
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $80,051.12 $215,530.59 $109,269.78 nat. median
$93,226
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 9 $72,430.70 $265,143.98 $108,646.05 nat. median
$93,787
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $82,182.14 $221,350.45 $106,836.78 nat. median
$92,645
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $71,183.31 $195,463.77 $106,774.96 nat. median
$90,512
1.2× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $102,496.49 $139,861.24 $104,481.30 nat. median
$38,225
outlier · 2.7×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $152,021.48 $104,133.98 nat. median
$68,400
1.5× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $165,124.10 $101,178.99 nat. median
$70,178
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $97,965.25 $133,678.16 $99,862.31 nat. median
$49,522
outlier · 2.0×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $97,138.92 $132,550.59 $99,019.98 nat. median
$32,619
outlier · 3.0×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $97,225.26 $97,225.26 $97,225.26 nat. median
$1,683
outlier · 57.8×
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $136,378.92 $93,476.38 nat. median
$63,504
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $55,272.32 $132,653.58 $93,182.59 nat. median
$65,720
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $91,048.51 $124,239.95 $92,811.64 nat. median
$52,917
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $61,495.60 $166,918.68 $92,243.40 nat. median
$76,979
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $61,305.84 $189,389.73 $91,958.76 nat. median
$77,487
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $65,646.66 $176,191.74 $89,607.69 nat. median
$77,936
1.1× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $85,365.23 $116,484.85 $87,018.31 nat. median
$34,024
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 15,000 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 3 3 — — $3,316,462.59 $3,790,011.97 $3,415,956.47 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,248,445.72 $3,717,944.70 $3,345,899.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,945,740.00 $3,363,782.80 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,455,110.60 $2,795,411.78 $2,528,763.92 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,332,000.00 $2,658,480.00 $2,401,960.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 5 — — $770,620.00 $1,849,488.00 $1,267,669.90 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $591,726.20 $1,420,142.88 $951,823.96 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $565,868.94 $1,358,085.47 $910,082.94 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $557,317.93 $1,337,563.04 $875,712.60 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 5 — — $562,538.19 $1,350,091.64 $863,907.78 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $533,230.17 $1,279,752.41 $844,407.38 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $489,304.61 $1,174,331.06 $805,244.49 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $598,237.50 $598,237.50 $598,237.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 9 — — $310,350.64 $844,482.84 $423,628.62 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 4 — — $278,250.00 $667,800.00 $308,227.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 9 — — $201,802.33 $660,844.05 $302,703.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 9 — — $154,016.12 $417,530.38 $231,024.18 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 9 — — $153,118.89 $457,673.02 $229,678.34 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $111,492.17 $267,581.21 $163,959.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 9 — — $100,317.33 $287,369.68 $150,476.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 1 — — $146,886.05 $200,432.87 $149,730.45 2026-04-01
7 MS_DRG Lung Transplant 19 9 — — $93,864.11 $253,254.11 $140,796.16 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
14 MS_DRG Allogeneic Bone Marrow Transplant 19 9 — — $87,188.19 $239,407.93 $130,782.28 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $127,948.33 $174,591.48 $130,426.01 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $69,113.10 $169,820.76 $119,466.93 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 9 — — $78,997.78 $221,617.92 $118,496.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 9 — — $82,275.23 $395,913.32 $117,653.58 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $110,696.45 $151,050.47 $112,840.05 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 9 — — $74,962.01 $214,792.86 $112,443.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $80,051.12 $215,530.59 $109,269.78 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 9 — — $72,430.70 $265,143.98 $108,646.05 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 8 — — $82,182.14 $221,350.45 $106,836.78 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $71,183.31 $195,463.77 $106,774.96 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $102,496.49 $139,861.24 $104,481.30 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 5 — — $63,342.28 $152,021.48 $104,133.98 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $165,124.10 $101,178.99 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $97,965.25 $133,678.16 $99,862.31 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $97,138.92 $132,550.59 $99,019.98 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $97,225.26 $97,225.26 $97,225.26 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $136,378.92 $93,476.38 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $55,272.32 $132,653.58 $93,182.59 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 1 — — $91,048.51 $124,239.95 $92,811.64 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 9 — — $61,495.60 $166,918.68 $92,243.40 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $61,305.84 $189,389.73 $91,958.76 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 9 — — $65,646.66 $176,191.74 $89,607.69 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $85,365.23 $116,484.85 $87,018.31 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 9 — — $57,477.73 $205,741.48 $86,216.60 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 9 — — $63,139.70 $169,345.18 $86,185.69 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $56,113.62 $156,531.92 $84,170.43 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 9 — — $55,876.60 $151,101.91 $83,814.90 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 9 — — $55,695.44 $150,272.70 $83,543.16 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $81,500.49 $111,211.22 $83,078.72 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $11,050.00 $145,191.34 $81,426.62 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 9 — — $52,493.17 $140,269.32 $78,739.76 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 9 — — $52,190.27 $144,768.62 $78,285.40 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 1 — — $76,574.18 $104,489.04 $78,057.01 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 9 — — $50,382.20 $134,504.21 $75,573.30 2026-04-01
J9226 HCPCS Supprelin La Implant 6 5 — — $45,020.65 $108,049.56 $74,572.37 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 9 — — $49,331.01 $131,633.39 $73,996.52 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $50,007.15 $120,017.16 $73,539.93 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,600.83 $119,041.99 $72,942.39 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 9 — — $5,397.49 $135,167.16 $72,393.68 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $48,215.37 $129,276.95 $72,323.06 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $48,215.37 $128,586.57 $72,323.06 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $52,821.85 $141,166.94 $72,101.82 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 9 — — $52,220.35 $139,524.24 $71,280.78 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 9 — — $47,208.58 $125,836.99 $70,781.70 2026-04-01
10 MS_DRG Pancreas Transplant 19 9 — — $52,514.65 $140,327.99 $68,269.04 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $45,015.25 $159,515.44 $67,412.40 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 9 — — $44,964.41 $119,708.14 $67,334.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 — — $49,011.64 $130,761.19 $66,900.89 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $48,976.55 $130,665.37 $66,852.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 9 — — $44,544.08 $120,172.07 $66,688.60 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 9 — — $44,155.25 $117,498.31 $66,091.30 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $44,143.08 $127,781.08 $66,072.60 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $43,831.59 $176,743.40 $65,594.10 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 9 — — $43,592.42 $132,593.80 $65,226.70 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 9 — — $43,154.90 $118,900.47 $64,554.60 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 9 — — $43,127.69 $114,692.03 $64,512.80 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 5 — — $42,362.57 $101,670.17 $64,008.43 2026-04-01
69930 HCPCS Implant Cochlear Device 6 5 — — $31,711.59 $132,697.00 $63,504.98 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $42,164.58 $113,063.06 $63,033.30 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 9 — — $41,944.03 $111,459.42 $62,694.50 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $48,044.23 $128,119.18 $62,460.06 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 2 — — $43,535.00 $81,000.90 $62,267.95 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 5 — — $30,188.86 $110,345.00 $61,969.54 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 6 5 — — $30,188.86 $110,345.00 $61,969.54 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 5 — — $30,188.86 $110,345.00 $61,969.54 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 5 — — $30,188.86 $110,345.00 $61,969.54 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 1 — — $60,540.68 $82,610.58 $61,713.03 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 9 — — $41,264.48 $109,603.56 $61,650.60 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 9 — — $40,989.51 $108,852.61 $61,061.60 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 9 — — $40,680.17 $108,007.79 $60,753.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 9 — — $40,443.15 $113,042.49 $60,388.90 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 5 3 — — $202.50 $119,310.40 $60,356.47 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 9 — — $40,304.23 $108,793.54 $60,175.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $40,248.38 $106,828.56 $60,089.70 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 9 — — $40,186.80 $106,660.38 $59,995.10 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 9 — — $40,030.69 $106,234.06 $59,755.30 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $39,318.20 $105,766.81 $58,660.80 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 9 — — $39,038.94 $155,066.91 $58,231.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 9 — — $38,913.62 $103,183.32 $58,204.87 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 9 — — $42,428.09 $112,781.41 $57,914.35 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 6 5 — — $29,678.00 $71,227.21 $57,743.55 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 9 — — $38,341.48 $113,785.28 $57,160.40 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $41,389.08 $109,943.83 $56,496.09 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 9 — — $35,995.46 $103,764.77 $56,089.94 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $37,222.98 $98,566.15 $55,442.20 2026-04-01
C9603 HCPCS Hc Atherect W Balloon And/Or Stent Ea Addtl Ld (Des) 1 1 — — $55,148.00 $55,148.00 $55,148.00 2026-04-01
C9605 HCPCS Hc Add'l Pci, Des Through Bypapss Graft - Lc 1 1 — — $55,148.00 $55,148.00 $55,148.00 2026-04-01
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami S - Lc 1 1 — — $55,148.00 $55,148.00 $55,148.00 2026-04-01
C9601 HCPCS Hc Perc Drug-el Cor Stent Bran - Lc 1 1 — — $55,148.00 $55,148.00 $55,148.00 2026-04-01
C9608 HCPCS Hc Perc D-e Cor Revasc Chro Add - Lc 1 1 — — $55,148.00 $55,148.00 $55,148.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $36,844.90 $97,533.59 $54,861.40 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 6 5 — — $30,188.86 $72,453.27 $54,613.42 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 8 — — $41,997.02 $111,604.14 $54,596.13 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 9 — — $36,558.47 $135,727.53 $54,421.40 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 9 — — $21,953.98 $96,248.77 $54,138.70 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $36,227.65 $95,847.87 $53,913.20 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 9 — — $39,295.29 $104,225.66 $53,638.07 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 6 5 — — $24,065.00 $101,670.17 $53,317.18 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 9 — — $35,708.49 $101,207.17 $53,115.70 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 9 — — $35,533.77 $117,359.33 $52,847.30 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $35,222.28 $125,649.40 $52,368.80 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 9 — — $34,728.19 $91,752.84 $51,851.04 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 9 — — $34,796.94 $92,861.55 $51,715.40 2026-04-01
61886 HCPCS Implant Neurostim Arrays 6 5 — — $29,678.00 $71,227.21 $51,660.55 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 6 5 — — $42,362.57 $101,670.17 $51,660.55 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $51,516.00 $51,516.00 $51,516.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 4 — — $30,188.86 $72,453.27 $51,516.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 5 4 — — $30,188.86 $72,453.27 $51,516.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 5 4 — — $25,888.42 $62,132.21 $51,516.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 9 — — $34,627.95 $107,301.78 $51,455.80 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 4 — — $34,970.13 $83,928.31 $51,426.66 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 10 — — $21,328.14 $127,588.57 $51,068.67 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 9 — — $34,335.79 $92,629.04 $51,007.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 11 — — $0.70 $140,541.41 $50,900.29 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 9 — — $34,203.32 $98,402.66 $50,803.50 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 9 — — $33,962.00 $89,660.35 $50,432.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 9 — — $33,703.50 $91,589.95 $50,295.47 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 9 — — $33,801.60 $112,188.58 $50,186.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 9 — — $33,689.18 $88,915.27 $50,013.70 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 5 — — $27,586.78 $66,208.28 $49,922.08 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 9 — — $33,561.72 $100,347.09 $49,817.90 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 3 — — $29,678.00 $71,227.21 $49,413.88 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $48,408.11 $66,055.13 $49,345.52 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 9 — — $33,224.45 $101,690.71 $49,299.80 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 9 — — $33,215.14 $87,620.66 $49,285.50 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 5 4 — — $21,393.20 $51,516.00 $49,204.36 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 5 4 — — $21,393.20 $51,516.00 $49,204.36 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 5 4 — — $21,393.20 $51,516.00 $49,204.36 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $21,393.20 $51,516.00 $49,204.36 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 5 4 — — $21,393.20 $51,516.00 $49,204.36 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 2 — — $43,535.00 $54,852.46 $49,193.73 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 9 — — $33,089.11 $87,276.47 $49,091.90 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 9 — — $32,587.15 $85,905.60 $48,320.80 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 5 — — $29,678.00 $71,227.21 $47,670.05 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 5 — — $29,678.00 $71,227.21 $47,670.05 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 9 — — $32,118.84 $85,184.64 $47,601.40 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 9 — — $31,871.79 $83,951.95 $47,221.90 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $31,674.16 $83,412.21 $46,918.30 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $45,954.76 $62,707.42 $46,844.66 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 9 — — $31,372.69 $85,505.63 $46,455.20 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 9 — — $31,321.13 $82,448.10 $46,376.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 9 — — $31,306.10 $87,567.34 $46,352.90 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 9 — — $31,182.22 $85,474.76 $46,162.60 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 9 — — $31,126.36 $81,916.17 $46,076.80 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $31,010.36 $110,404.64 $45,898.60 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 9 — — $30,870.01 $81,216.07 $45,683.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 9 — — $1,200.00 $82,166.49 $45,429.68 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 9 — — $30,673.09 $80,678.28 $45,380.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 5 — — $28,424.06 $68,217.74 $45,302.54 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 6 5 — — $21,393.20 $51,516.00 $44,803.75 2026-04-01
92944 HCPCS Hc Prq Card Revasc Chronic Addl - Rc 1 1 — — $44,779.00 $44,779.00 $44,779.00 2026-04-01
92941 HCPCS Hc Prq Card Revasc Mi 1 Vsl - Lc 1 1 — — $44,779.00 $44,779.00 $44,779.00 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 1 1 — — $44,779.00 $44,779.00 $44,779.00 2026-04-01
92938 HCPCS Hc Prq Trluml Coronary Byp Grft Revasc Addl Vessel - Lc 1 1 — — $44,779.00 $44,779.00 $44,779.00 2026-04-01
92929 HCPCS Hc Prq Trluml Coronary Stent W/Angio Addl Art/Brnch 1 1 — — $44,779.00 $44,779.00 $44,779.00 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 4 — — $29,717.20 $71,321.28 $43,701.77 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 5 — — $21,393.20 $110,345.00 $43,681.44 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 5 — — $21,393.20 $110,345.00 $43,681.44 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 5 — — $21,393.20 $110,345.00 $43,681.44 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 5 — — $21,393.20 $110,345.00 $43,681.44 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 9 — — $29,660.57 $77,913.06 $43,632.00 2026-04-01
33967 HCPCS Hc Insertion Intra-aortic Balloon Assist Dev Prq 1 1 — — $43,535.00 $43,535.00 $43,535.00 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 5 4 — — $26,096.68 $62,632.04 $43,535.00 2026-04-01
33968 HCPCS Hc Removal Intra-aortic Balloon Assist Device Prq 1 1 — — $43,535.00 $43,535.00 $43,535.00 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $29,678.00 $71,227.21 $43,535.00 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 4 — — $29,576.84 $70,984.42 $43,495.35 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $29,143.57 $78,834.89 $43,030.90 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $31,498.72 $82,933.08 $42,995.75 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 9 — — $29,016.82 $76,154.98 $42,836.20 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 9 — — $28,623.70 $85,845.13 $42,583.93 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 9 — — $28,848.55 $82,135.28 $42,577.70 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 9 — — $28,807.01 $75,581.98 $42,513.90 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 1 — — $41,676.85 $56,870.01 $42,483.91 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 6 5 — — $26,096.68 $62,632.04 $42,017.95 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 9 — — $27,896.17 $73,094.46 $41,114.70 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 9 — — $27,893.31 $73,086.64 $41,110.30 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 9 — — $29,921.22 $78,624.90 $40,842.46 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 9 — — $27,667.75 $75,999.51 $40,763.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 9 — — $27,433.59 $71,831.14 $40,404.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 10 — — $13,835.98 $73,585.95 $40,387.36 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 9 — — $27,959.90 $73,268.51 $40,188.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 9 — — $1,175.00 $80,382.20 $40,150.60 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 6 5 — — $29,678.00 $71,227.21 $39,995.23 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 9 — — $27,094.17 $70,904.19 $39,882.70 2026-04-01
33225 HCPCS Hc Insj Eltrd Car Ven Sys Tm Insj Cvdfb/Pm Pls Gen 1 1 — — $39,869.00 $39,869.00 $39,869.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 5 — — $24,228.42 $58,148.21 $39,855.75 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 9 — — $27,058.37 $78,628.30 $39,827.70 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $11,875.93 $71,801.81 $39,801.14 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 9 — — $27,040.47 $70,757.52 $39,800.20 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 9 — — $26,994.64 $70,632.36 $39,729.80 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 6 5 — — $18,658.44 $44,780.26 $39,684.94 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 3 1 — — $38,771.12 $52,905.01 $39,521.92 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 9 — — $26,786.98 $72,865.79 $39,410.80 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 9 — — $26,727.55 $80,816.36 $39,319.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 9 — — $660.00 $78,349.29 $39,285.41 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 9 — — $26,663.82 $81,211.41 $39,221.60 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 9 — — $26,642.33 $72,978.96 $39,188.60 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 9 — — $26,617.99 $74,310.22 $39,151.20 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 6 5 — — $25,138.60 $60,332.65 $38,913.57 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 6 5 — — $25,138.60 $60,332.65 $38,913.57 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 6 5 — — $25,138.60 $60,332.65 $38,913.57 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 9 — — $26,384.55 $71,559.21 $38,792.60 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 9 — — $23,725.39 $70,526.76 $38,774.52 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 9 — — $27,114.22 $71,647.69 $38,773.33 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 9 — — $26,103.85 $83,188.77 $38,758.58 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 9 — — $26,332.99 $70,227.95 $38,713.40 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 3 1 — — $37,516.55 $51,193.09 $38,243.05 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 9 — — $25,989.28 $67,886.70 $38,185.40 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 9 — — $14,032.59 $84,234.03 $38,183.53 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 10 — — $18,717.75 $69,620.95 $38,034.02 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 9 — — $25,868.98 $67,558.16 $38,000.60 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 5 4 — — $16,474.62 $43,535.00 $37,891.63 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 9 — — $23,493.15 $68,217.19 $37,854.51 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 12 — — $1,175.00 $133,161.31 $37,590.32 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 9 — — $25,561.07 $67,359.65 $37,527.60 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 6 5 — — $18,525.31 $44,460.75 $37,514.60 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 9 — — $25,528.85 $83,503.58 $37,478.10 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 9 — — $25,556.91 $67,045.79 $37,218.38 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 8 5 — — $1,062.00 $53,532.84 $37,033.01 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 2 — — $30,526.42 $43,535.00 $37,030.71 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 — — $30,526.42 $43,535.00 $37,030.71 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 6 5 — — $17,630.81 $55,148.00 $36,436.49 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 6 5 — — $17,630.81 $44,779.00 $36,436.49 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 6 5 — — $17,630.81 $55,148.00 $36,436.49 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 6 5 — — $17,630.81 $43,535.00 $36,436.49 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 6 5 — — $17,630.81 $43,535.00 $36,436.49 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 9 — — $23,787.98 $66,207.40 $36,285.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 9 — — $24,705.37 $65,203.29 $36,213.10 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 9 — — $24,702.50 $64,372.49 $36,208.70 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 6 5 — — $18,525.31 $44,460.75 $36,144.99 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 6 5 — — $18,525.31 $44,460.75 $36,144.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 9 — — $24,423.95 $73,816.40 $35,780.80 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 6 5 — — $17,630.81 $43,535.00 $35,538.65 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 6 5 — — $17,630.81 $74,303.00 $35,538.65 2026-04-01
652 MS_DRG Kidney Transplant 19 9 — — $24,257.11 $68,306.15 $35,524.50 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 9 — — $24,239.92 $66,941.96 $35,498.10 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 9 — — $24,785.57 $67,867.88 $35,443.37 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 9 — — $24,194.81 $62,985.96 $35,428.80 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 3 1 — — $34,567.10 $47,168.42 $35,236.48 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 9 — — $1,200.00 $63,332.11 $35,201.66 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 11 — — $0.70 $95,985.52 $35,179.39 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 8 — — $25,754.41 $67,245.26 $35,154.77 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 9 — — $23,435.06 $60,911.07 $35,152.59 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 9 — — $23,929.86 $66,966.65 $35,021.80 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 6 5 — — $17,334.80 $43,535.00 $34,958.01 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 6 5 — — $17,334.80 $43,535.00 $34,958.01 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 9 — — $24,120.34 $62,782.58 $34,836.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 9 — — $23,793.81 $61,890.83 $34,812.80 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 5 4 — — $23,640.73 $56,737.75 $34,765.79 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 9 — — $23,994.31 $76,244.37 $34,716.33 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 6 5 — — $16,474.62 $43,535.00 $34,696.26 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 9 — — $23,572.38 $61,620.96 $34,661.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 9 — — $22,963.03 $62,323.02 $34,653.68 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $23,684.25 $94,324.50 $34,644.50 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 5 4 — — $23,514.53 $56,434.87 $34,580.19 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 9 — — $22,744.40 $64,419.34 $34,368.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 9 — — $23,395.67 $61,668.33 $34,201.20 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 9 — — $23,884.03 $117,635.05 $34,154.16 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 9 — — $23,631.26 $63,402.89 $34,147.00 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 5 4 — — $23,210.23 $55,704.55 $34,132.70 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 5 4 — — $23,134.38 $55,522.51 $34,021.16 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 9 — — $90.00 $64,265.02 $33,955.94 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 6 5 — — $19,933.76 $47,841.02 $33,892.28 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 6 5 — — $19,933.76 $47,841.02 $33,892.28 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 6 5 — — $19,933.76 $47,841.02 $33,892.28 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 6 5 — — $19,933.76 $47,841.02 $33,892.28 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 6 5 — — $19,933.76 $47,841.02 $33,892.28 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 6 5 — — $19,933.76 $47,841.02 $33,892.28 2026-04-01
L5858 HCPCS Stance Phase Only 5 4 — — $23,006.91 $55,216.58 $33,833.69 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 9 — — $23,054.11 $62,666.27 $33,676.50 2026-04-01
93657 HCPCS Hc Ablate L/r Atrial Fibril W/Isolated Pulm Vein 1 1 — — $33,669.00 $33,669.00 $33,669.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 1 1 — — $33,669.00 $33,669.00 $33,669.00 2026-04-01
43775 HCPCS Lap Sleeve Gastrectomy 1 1 — — $33,669.00 $33,669.00 $33,669.00 2026-04-01
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