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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 VINITA, INC

Vinita, OK · CCN 370237 · Rates published

12,314 distinct procedures filed
18 distinct payers
95,169 rate rows
2026-04-01 last MRF observed
Data quality

63,669 of 95,169 rate rows are consumer-grade (66.9%)

31,500 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,481
placeholder amount (≤ $0.02) — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://saintfrancis.widen.net/content/ylhencntby/original/813747248_saint-francis-hospital-vinita_standardcharges.json?u=w68luo&download=true
Found on page https://www.saintfrancis.com/patients-and-guests/for-patients/standard-hospital-pricing
Discovered viaDiscovered by HANK
Last fetch success · 2026-06-08
Content fingerprint 108d32ba725c6c09… · 25,193,186 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
$3,325,455
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
$3,006,423
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
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,891,680.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,849,488.00 $955,568.80 nat. median
$824,563
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $591,726.20 $1,420,142.88 $717,122.48 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $1,358,085.47 $686,189.75 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,538.19 $1,350,091.64 $671,628.21 nat. median
$674,188
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $557,317.93 $1,337,563.04 $671,162.95 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $533,230.17 $1,279,752.41 $661,014.83 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $1,174,331.06 $607,252.80 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $308,256.06 $721,152.76 $394,828.83 nat. median
$370,174
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $667,800.00 $335,265.00 nat. median
$324,450
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $200,330.94 $467,999.13 $263,772.67 nat. median
$265,286
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,492.17 $267,581.21 $191,285.50 nat. median
$111,989
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $151,927.01 $354,460.84 $186,414.34 nat. median
$202,986
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $152,819.09 $356,553.35 $179,151.11 nat. median
$206,368
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $163,129.23 $163,129.23 $163,129.23 nat. median
$96,983
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $86,374.83 $200,698.93 $120,599.88 nat. median
$117,303
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $165,124.10 $118,042.16 nat. median
$70,825
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $99,428.59 $231,318.38 $117,048.26 nat. median
$133,176
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $60,496.39 $145,191.34 $112,370.43 nat. median
$15,912
outlier · 7.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $78,231.44 $181,597.47 $111,638.31 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $74,218.85 $172,185.35 $106,132.96 nat. median
$100,136
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $81,490.08 $193,520.02 $105,937.10 nat. median
$108,660
1.0× median
7
MS_DRG 		Lung Transplant 8 $93,012.42 $216,268.34 $103,571.04 nat. median
$122,708
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $100,966.50 $123,643.78 $103,031.61 nat. median
$87,411
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 8 $71,702.07 $166,281.90 $102,533.96 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $70,461.84 $163,372.76 $98,463.35 nat. median
$93,672
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $79,278.74 $184,054.04 $92,359.73 nat. median
$98,905
0.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $87,949.10 $107,702.64 $89,747.96 nat. median
$63,570
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $60,641.08 $140,336.78 $86,716.74 nat. median
$81,118
1.1× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $50,007.15 $120,017.16 $85,796.59 nat. median
$49,027
1.8× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 4 $42,362.57 $101,670.17 $85,500.95 nat. median
$43,787
2.0× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 1 $85,500.95 $85,500.95 $85,500.95 nat. median
$42,941
2.0× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,600.83 $119,041.99 $85,099.46 nat. median
$50,598
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $60,829.75 $140,779.33 $84,083.99 nat. median
$79,312
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $81,397.53 $189,023.96 $83,839.46 nat. median
$98,017
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $56,834.95 $131,408.96 $81,273.98 nat. median
$77,576
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $55,478.67 $128,227.61 $78,851.74 nat. median
$74,915
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $152,021.48 $78,654.51 nat. median
$69,774
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $76,090.50 $93,180.58 $77,646.81 nat. median
$54,196
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $55,243.01 $127,674.84 $76,116.41 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $55,062.88 $127,252.33 $75,698.70 nat. median
$72,138
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $64,956.97 $150,460.32 $75,674.87 nat. median
$82,712
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $51,577.85 $119,077.68 $72,926.07 nat. median
$68,887
1.1× median

Other procedures at this hospital

Browse this hospital's 12,314 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 8 — — $308,256.06 $721,152.76 $394,828.83 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 8 — — $200,330.94 $467,999.13 $263,772.67 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 8 — — $151,927.01 $354,460.84 $186,414.34 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 8 — — $152,819.09 $356,553.35 $179,151.11 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 8 — — $86,374.83 $200,698.93 $120,599.88 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 8 — — $99,428.59 $231,318.38 $117,048.26 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 8 — — $78,231.44 $181,597.47 $111,638.31 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 8 — — $74,218.85 $172,185.35 $106,132.96 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 8 — — $81,490.08 $193,520.02 $105,937.10 2026-04-01
7 MS_DRG Lung Transplant 17 8 — — $93,012.42 $216,268.34 $103,571.04 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 8 — — $71,702.07 $166,281.90 $102,533.96 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 8 — — $70,461.84 $163,372.76 $98,463.35 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $79,278.74 $184,054.04 $92,359.73 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 8 — — $60,641.08 $140,336.78 $86,716.74 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 8 — — $60,829.75 $140,779.33 $84,083.99 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 8 — — $56,834.95 $131,408.96 $81,273.98 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 8 — — $55,478.67 $128,227.61 $78,851.74 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 8 — — $55,243.01 $127,674.84 $76,116.41 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 8 — — $55,062.88 $127,252.33 $75,698.70 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 8 — — $64,956.97 $150,460.32 $75,674.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 8 — — $51,577.85 $119,077.68 $72,926.07 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 8 — — $62,464.41 $144,613.65 $72,771.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 8 — — $51,607.75 $119,147.82 $69,050.59 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 8 — — $49,780.15 $114,860.93 $67,650.28 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 8 — — $47,625.76 $109,807.51 $65,122.26 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 8 — — $50,021.50 $115,427.06 $64,409.70 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 8 — — $44,444.02 $102,344.28 $63,554.95 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 8 — — $48,734.99 $112,409.37 $63,355.49 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 8 — — $43,576.85 $100,310.22 $62,314.90 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 8 — — $43,267.15 $99,583.77 $61,872.02 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 8 — — $43,029.36 $99,025.99 $61,531.98 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $52,205.79 $120,550.62 $60,819.74 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 8 — — $43,975.55 $101,245.42 $60,535.75 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 8 — — $51,879.00 $119,784.09 $60,324.86 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 8 — — $47,625.76 $109,807.51 $60,119.67 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 8 — — $42,594.35 $98,005.62 $59,895.19 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 8 — — $46,624.75 $107,459.49 $58,009.56 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 8 — — $43,588.96 $100,338.61 $57,614.89 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 8 — — $44,393.47 $102,225.71 $57,581.19 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 8 — — $41,609.71 $95,696.01 $56,954.64 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 8 — — $39,898.16 $91,681.33 $56,944.27 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 8 — — $48,417.46 $111,664.55 $56,406.34 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 8 — — $48,382.57 $111,582.72 $56,365.69 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 8 — — $42,567.30 $97,942.16 $56,153.42 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 8 — — $0.70 $99,256.45 $56,065.89 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 8 — — $38,502.01 $95,658.26 $55,057.87 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 8 — — $39,760.04 $91,357.35 $54,803.90 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 8 — — $37,808.56 $86,779.88 $54,066.24 2026-04-01
10 MS_DRG Pancreas Transplant 17 8 — — $45,317.85 $119,834.19 $53,457.37 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 8 — — $38,779.68 $89,057.76 $53,279.21 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 8 — — $41,390.43 $95,181.65 $53,065.87 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 8 — — $40,714.78 $93,596.82 $52,929.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 8 — — $39,704.51 $91,227.09 $52,411.66 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 8 — — $37,872.64 $86,930.18 $52,270.70 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 8 — — $40,133.82 $92,234.10 $51,747.97 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 8 — — $39,643.28 $91,083.47 $51,536.26 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 8 — — $36,035.79 $83,728.11 $51,531.18 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 8 — — $35,973.13 $82,474.62 $51,441.58 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 8 — — $38,377.42 $88,114.21 $51,214.50 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 8 — — $35,190.69 $80,639.29 $50,322.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 8 — — $35,016.97 $80,231.81 $50,074.27 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 8 — — $34,707.27 $79,505.36 $49,631.40 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 8 — — $42,118.18 $109,408.38 $48,879.27 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 8 — — $34,116.35 $78,119.26 $48,786.38 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 8 — — $41,871.71 $96,310.57 $48,780.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 8 — — $33,694.15 $77,128.95 $48,182.63 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 8 — — $35,852.81 $82,192.39 $48,151.64 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 8 — — $33,537.52 $76,761.55 $47,958.65 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 8 — — $39,488.07 $90,719.41 $47,892.66 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 8 — — $36,696.48 $84,171.34 $47,705.42 2026-04-01
245 MS_DRG Aicd Generator Procedures 17 8 — — $33,294.75 $76,192.08 $47,611.49 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $40,838.66 $93,887.40 $47,577.04 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 17 8 — — $33,056.24 $75,632.63 $47,270.42 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 8 — — $36,320.57 $83,289.58 $47,216.74 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 8 — — $40,441.39 $92,955.54 $47,177.65 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 8 — — $35,706.86 $81,850.04 $46,983.51 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 17 8 — — $32,720.91 $74,846.06 $46,790.90 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 8 — — $34,284.37 $78,513.38 $46,778.28 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 8 — — $33,825.87 $77,437.90 $46,661.16 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 8 — — $33,197.21 $75,963.29 $46,137.72 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 8 — — $38,756.89 $89,004.32 $45,151.78 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 8 — — $33,454.22 $76,566.16 $44,700.10 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 8 — — $34,216.02 $78,353.06 $44,671.08 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 8 — — $33,182.97 $75,929.89 $44,635.84 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 8 — — $30,813.57 $70,372.13 $44,063.41 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 8 — — $30,519.53 $69,682.42 $43,642.93 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 8 — — $30,879.78 $70,527.44 $43,072.79 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 8 — — $30,690.40 $70,083.22 $43,057.25 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 8 — — $31,621.64 $72,267.58 $42,911.10 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 8 — — $32,711.65 $74,824.35 $42,525.14 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 8 — — $32,586.35 $74,530.43 $42,503.76 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 17 8 — — $31,179.52 $71,230.51 $41,258.92 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 8 — — $31,376.02 $71,691.43 $40,788.83 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 8 — — $28,370.13 $64,640.69 $40,569.29 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 8 — — $32,087.26 $73,359.76 $40,257.12 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 8 — — $30,634.87 $69,952.96 $40,255.59 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 8 — — $28,146.57 $64,116.31 $40,249.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 8 — — $28,663.45 $65,328.73 $39,712.46 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 8 — — $30,379.99 $69,355.10 $39,493.99 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 8 — — $27,603.35 $62,842.10 $39,472.79 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 8 — — $28,302.49 $64,482.04 $39,467.85 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 17 8 — — $0.70 $69,632.32 $39,354.87 2026-04-01
791 MS_DRG Prematurity With Major Problems 17 8 — — $0.70 $67,785.30 $38,312.15 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 8 — — $30,184.20 $68,895.85 $37,856.14 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 8 — — $27,196.11 $61,886.86 $37,583.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 8 — — $26,261.30 $59,694.15 $37,553.66 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 8 — — $26,590.23 $60,465.69 $37,543.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 8 — — $26,235.67 $59,634.03 $37,517.01 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 8 — — $26,197.94 $59,545.52 $37,463.05 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 8 — — $26,152.38 $59,438.64 $37,397.90 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 8 — — $30,726.00 $70,166.72 $37,275.46 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 8 — — $30,828.52 $70,407.20 $37,269.12 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 8 — — $27,345.62 $62,237.56 $37,068.35 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 8 — — $28,328.83 $64,543.83 $36,827.48 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 8 — — $27,423.22 $62,419.59 $36,764.66 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 8 — — $26,176.58 $59,495.42 $36,762.58 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 8 — — $26,320.40 $59,832.76 $36,705.57 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 8 — — $25,641.19 $58,239.58 $36,666.90 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $31,005.09 $70,821.36 $36,120.93 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 8 — — $25,920.28 $58,894.22 $36,047.40 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 8 — — $25,069.49 $56,898.57 $35,849.37 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 8 — — $25,869.02 $58,773.98 $35,376.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 8 — — $26,131.73 $59,390.21 $35,071.01 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 8 — — $26,952.62 $61,315.72 $34,912.56 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 8 — — $19,804.04 $60,317.06 $34,884.21 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 8 — — $26,645.76 $60,595.95 $34,639.49 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 8 — — $26,572.43 $60,423.94 $34,596.30 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 8 — — $28,537.44 $65,033.14 $34,435.54 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 8 — — $29,177.49 $66,534.47 $34,416.50 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 8 — — $26,963.30 $61,340.77 $34,384.77 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $29,436.64 $67,142.35 $34,293.68 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 8 — — $23,970.93 $54,321.76 $34,278.43 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 8 — — $25,101.52 $56,973.72 $33,931.90 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 8 — — $26,488.42 $60,226.88 $33,852.75 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 8 — — $23,787.96 $53,892.57 $33,721.49 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 8 — — $23,543.76 $53,319.76 $33,667.58 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 8 — — $23,479.68 $53,169.46 $33,575.94 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 8 — — $25,221.13 $57,254.28 $33,543.21 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 17 8 — — $25,647.60 $58,254.61 $33,514.19 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 8 — — $25,407.67 $57,691.82 $33,512.12 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 8 — — $24,596.03 $55,788.02 $33,351.46 2026-04-01
652 MS_DRG Kidney Transplant 17 8 — — $23,805.05 $53,932.65 $33,243.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 8 — — $23,235.48 $58,187.25 $33,226.74 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 8 — — $24,250.73 $54,978.07 $32,845.65 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 8 — — $23,310.24 $52,772.00 $32,450.74 2026-04-01
665 MS_DRG Prostatectomy With Mcc 17 8 — — $23,034.00 $52,124.04 $32,373.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 8 — — $22,407.47 $50,654.44 $32,042.68 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 8 — — $23,843.49 $54,022.83 $31,916.94 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 8 — — $26,625.83 $60,549.19 $31,858.98 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 8 — — $24,330.47 $55,165.11 $31,629.61 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 8 — — $22,608.96 $51,127.05 $31,567.64 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 8 — — $22,003.08 $49,705.88 $31,464.40 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 8 — — $27,486.59 $62,568.22 $31,348.11 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 8 — — $25,527.28 $57,972.38 $31,301.57 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 7 — — $81,397.53 $189,023.96 $83,839.46 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 7 — — $41,443.11 $95,305.23 $42,686.40 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 4 — — $770,620.00 $1,849,488.00 $955,568.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 4 — — $591,726.20 $1,420,142.88 $717,122.48 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $565,868.94 $1,358,085.47 $686,189.75 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 4 — — $562,538.19 $1,350,091.64 $671,628.21 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $557,317.93 $1,337,563.04 $671,162.95 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 4 — — $533,230.17 $1,279,752.41 $661,014.83 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $489,304.61 $1,174,331.06 $607,252.80 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 4 — — $278,250.00 $667,800.00 $335,265.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $111,492.17 $267,581.21 $191,285.50 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $165,124.10 $118,042.16 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $60,496.39 $145,191.34 $112,370.43 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $50,007.15 $120,017.16 $85,796.59 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $42,362.57 $101,670.17 $85,500.95 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,600.83 $119,041.99 $85,099.46 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $63,342.28 $152,021.48 $78,654.51 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 4 — — $56,824.55 $136,378.92 $70,462.44 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $55,272.32 $132,653.58 $69,373.00 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $42,362.57 $101,670.17 $66,500.95 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 4 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 4 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 4 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 4 — — $30,188.86 $72,453.27 $60,917.00 2026-04-01
69930 HCPCS Implant Cochlear Device 5 4 — — $31,711.59 $76,107.82 $60,434.86 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 4 — — $34,970.13 $83,928.31 $59,997.77 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 4 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 4 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 4 — — $42,362.57 $101,670.17 $57,899.82 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $29,678.00 $71,227.21 $57,899.82 2026-04-01
J9226 HCPCS Supprelin La Implant 5 4 — — $45,020.65 $108,049.56 $56,494.88 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 4 — — $27,586.78 $66,208.28 $54,013.83 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 4 — — $29,717.20 $71,321.28 $50,985.39 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 4 — — $29,576.84 $70,984.42 $50,744.58 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 4 — — $25,138.60 $60,332.65 $46,611.37 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 4 — — $25,138.60 $60,332.65 $46,611.37 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 4 — — $25,138.60 $60,332.65 $46,611.37 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 5 4 — — $26,096.68 $62,632.04 $42,750.95 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 5 4 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 4 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 5 4 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 5 4 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 5 4 — — $21,393.20 $51,343.68 $42,647.76 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 5 4 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 5 4 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
64580 HCPCS Implant Neuroelectrodes 5 4 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
63655 HCPCS Implant Neuroelectrodes 5 4 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $29,678.00 $71,227.21 $40,744.34 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $29,678.00 $71,227.21 $40,744.34 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 5 4 — — $18,658.44 $44,780.26 $40,744.34 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 5 4 — — $23,640.73 $56,737.75 $40,560.08 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 5 4 — — $23,514.53 $56,434.87 $40,343.56 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 5 4 — — $23,210.23 $55,704.55 $39,821.48 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 5 4 — — $23,134.38 $55,522.51 $39,691.35 2026-04-01
L5858 HCPCS Stance Phase Only 5 4 — — $23,006.91 $55,216.58 $39,472.63 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
53444 HCPCS Insert Tandem Cuff 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 5 4 — — $19,933.76 $47,841.02 $38,244.26 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 5 4 — — $21,297.95 $51,115.08 $36,540.60 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 5 4 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 5 4 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 5 4 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 5 4 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 5 4 — — $18,525.31 $44,460.75 $36,235.20 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 4 — — $28,424.06 $68,217.74 $35,245.83 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 5 4 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 5 4 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
25446 HCPCS Wrist Replacement 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 5 4 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
22612 HCPCS Lumbar Spine Fusion 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
22630 HCPCS Lumbar Spine Fusion 5 4 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
24363 HCPCS Replace Elbow Joint 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
23616 HCPCS Treat Humerus Fracture 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
28705 HCPCS Fusion Of Foot Bones 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 5 4 — — $16,863.50 $40,472.39 $34,941.10 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 5 4 — — $26,096.68 $62,632.04 $34,941.10 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 5 4 — — $20,122.03 $48,292.87 $34,523.09 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
93580 HCPCS Transcath Closure Of Asd 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 5 4 — — $17,630.81 $42,313.95 $34,117.77 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 5 4 — — $17,334.80 $41,603.51 $33,580.83 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 5 4 — — $17,334.80 $41,603.51 $33,580.83 2026-04-01
62360 HCPCS Insert Spine Infusion Device 5 4 — — $17,334.80 $41,603.51 $33,580.83 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 5 4 — — $16,474.62 $39,539.09 $33,250.95 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 5 4 — — $17,771.01 $42,650.42 $33,221.69 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
L6700 HCPCS Ue Add Ext Power Myoel 4 3 — — $29,510.19 $70,824.46 $49,134.47 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
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,600,400.00 $4,600,400.00 $4,600,400.00 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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 1 — — $100,966.50 $123,643.78 $103,031.61 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $87,949.10 $107,702.64 $89,747.96 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $85,500.95 $85,500.95 $85,500.95 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $76,090.50 $93,180.58 $77,646.81 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $70,454.01 $86,278.13 $71,895.04 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $69,113.10 $69,113.10 $69,113.10 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $67,339.33 $82,463.88 $68,716.65 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $66,771.33 $81,768.31 $68,137.03 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 1 — — $62,584.91 $76,641.60 $63,864.98 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $58,678.34 $71,857.61 $59,878.51 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 1 1 — — $57,899.82 $57,899.82 $57,899.82 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $56,021.79 $68,604.40 $57,167.63 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 1 — — $52,635.54 $64,457.59 $53,712.12 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 1 — — $41,614.44 $50,961.13 $42,465.60 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
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
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
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $33,274.76 $40,748.34 $33,955.34 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $31,588.37 $38,683.19 $32,234.47 2026-04-01
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