Price Transparency 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

PROVIDENCE ST VINCENT MEDICAL CENTER

Portland, OR · CCN 380004 · Rates published

14,063 distinct procedures filed
13 distinct payers
434,060 rate rows
2026-04-01 last MRF observed
Data quality

310,378 of 434,060 rate rows are consumer-grade (71.5%)

123,682 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 117,564
template filing: same amount across many unrelated codes — excluded 6,054
placeholder amount (≤ $0.02) — excluded from medians 64
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/oregon/live/930386929_providence-st-vincent-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint d31b09510ab9099b… · 209,998,063 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,632,386.80 $4,023,680.50 $3,949,851.50 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,268,234.36 $3,620,300.25 $3,553,872.73 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,193,455.29 $3,537,465.71 $3,472,558.09 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,891,306.88 $3,202,768.80 $3,144,002.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,545,693.86 $4,734,369.68 $2,781,118.80 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,294,688.00 $4,664,000.00 $2,518,560.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $758,290.08 $4,211,438.30 $843,828.90 nat. median
$824,563
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $375,867.64 $1,659,248.80 $719,786.53 nat. median
$370,174
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $604,353.92 $3,356,498.12 $669,457.08 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $579,078.89 $3,216,124.13 $641,459.34 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $553,264.66 $3,072,755.47 $612,864.31 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $550,824.58 $3,059,203.61 $610,161.38 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $523,339.53 $2,906,555.43 $586,384.12 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $481,461.95 $2,673,973.13 $538,692.00 nat. median
$620,080
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $186,328.97 $1,043,803.20 $356,819.98 nat. median
$206,368
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $175,997.52 $1,239,321.60 $337,052.47 nat. median
$265,286
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $229,648.16 $290,095.65 $288,660.11 nat. median
$87,411
outlier · 3.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $218,394.00 $276,632.40 $218,394.00 nat. median
$76,377
outlier · 2.9×
7
MS_DRG 		Lung Transplant 11 $113,401.16 $574,987.60 $217,163.22 nat. median
$122,708
1.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $166,388.81 $217,121.61 $216,047.17 nat. median
$65,381
outlier · 3.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $105,307.34 $576,439.60 $201,663.55 nat. median
$117,303
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $302.86 $942,928.80 $200,986.67 nat. median
$202,986
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $152,790.23 $200,229.31 $199,238.47 nat. median
$62,270
outlier · 3.2×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $192,065.81 $192,065.81 $192,065.81 nat. median
$63,570
outlier · 3.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $99,350.91 $484,866.80 $190,256.99 nat. median
$108,660
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $177,832.58 $177,832.58 $177,832.58 nat. median
$54,196
outlier · 3.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $90,484.42 $468,538.40 $173,277.66 nat. median
$100,136
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 11 $87,415.49 $466,144.80 $167,400.67 nat. median
$99,019
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $75,374.05 $628,311.03 $164,328.34 nat. median
$133,176
1.2× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $160,566.58 $160,566.58 $160,566.58 nat. median
$49,935
outlier · 3.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $59,087.29 $424,617.60 $151,438.55 nat. median
$93,672
1.6× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $120,106.98 $150,773.53 $150,027.42 nat. median
$48,483
outlier · 3.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $74,157.86 $372,829.60 $142,012.30 nat. median
$79,312
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $76,151.15 $405,297.20 $139,356.60 nat. median
$83,442
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $268.44 $479,296.40 $139,250.93 nat. median
$102,358
1.4× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $135,663.15 $171,839.99 $135,663.15 nat. median
$21,806
outlier · 6.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $65,587.70 $343,895.20 $134,690.86 nat. median
$73,807
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $10,000.00 $340,428.00 $133,731.53 nat. median
$74,915
1.8× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $130,911.09 $130,911.09 $130,911.09 nat. median
$44,728
outlier · 2.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $67,125.78 $328,402.80 $128,545.87 nat. median
$72,138
1.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $126,872.40 $126,872.40 $126,872.40 nat. median
$48,649
outlier · 2.6×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $125,944.26 $125,944.26 $125,944.26 nat. median
$39,020
outlier · 3.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $59,752.90 $310,926.00 $124,603.01 nat. median
$68,887
1.8× median
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$9,564
outlier · 12.7×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$24,752
outlier · 4.9×
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$8,204
outlier · 14.8×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$15,886
outlier · 7.6×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$18,872
outlier · 6.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $63,243.39 $293,854.00 $121,111.09 nat. median
$64,027
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $62,912.62 $348,774.80 $120,477.67 nat. median
$71,240
1.7× median

Other procedures at this hospital

Browse this hospital's 14,063 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0100T HCPCS Prosth Retina Receive&Gen 8 2 — — $30,025.00 $95,876.00 $78,254.50 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 8 2 — — $51,720.00 $121,137.79 $65,117.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 8 2 — — $51,720.00 $121,137.79 $65,117.00 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 2 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 2 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 2 1 — — $46,268.83 $46,268.83 $46,268.83 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 2 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0425T HCPCS Insj/rplc Nstim Apnea Sen Ld 2 1 — — $46,271.13 $46,271.13 $46,271.13 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 2 1 — — $46,271.13 $46,271.13 $46,271.13 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 2 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 24 8 — — $41,147.00 $267,559.54 $53,120.24 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 22 7 — — $33,750.31 $187,444.54 $51,720.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 22 7 — — $34,331.26 $190,671.09 $63,847.78 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 22 7 — — $24,328.69 $135,118.20 $45,245.44 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 22 7 — — $24,328.69 $135,118.20 $45,245.44 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 22 7 — — $29,677.57 $164,825.13 $51,720.00 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 22 7 — — $29,677.57 $164,825.13 $51,720.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 64 12 — — $175,997.52 $1,239,321.60 $337,052.47 2026-04-01
10 MS_DRG Pancreas Transplant 40 11 — — $63,269.43 $350,794.40 $109,902.77 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 11 — — $48,323.24 $237,406.40 $92,539.01 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 11 — — $37,574.58 $180,549.60 $71,955.32 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 40 11 — — $25,991.63 $116,591.20 $49,773.97 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 11 — — $105,307.34 $576,439.60 $201,663.55 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 42 11 — — $115.76 $186,076.00 $69,544.74 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 44 11 — — $4,733.25 $145,274.80 $64,151.44 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 40 11 — — $52,452.19 $265,562.00 $100,445.95 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 60 11 — — $19,082.14 $202,791.60 $70,233.12 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 46 11 — — $22,885.32 $110,739.20 $45,770.74 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 11 — — $48,133.98 $265,562.00 $92,176.57 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 11 — — $26,812.91 $135,009.60 $51,346.72 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 40 11 — — $375,867.64 $1,659,248.80 $719,786.53 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 11 — — $62,912.62 $348,774.80 $120,477.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 11 — — $99,350.91 $484,866.80 $190,256.99 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 12 — — $50,395.94 $354,662.00 $105,778.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 12 — — $2,233.86 $284,578.80 $61,951.67 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 24 10 — — $99,238.05 $198,476.10 $102,711.38 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 11 — — $46,931.58 $361,819.54 $93,863.16 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 11 — — $268.44 $479,296.40 $139,250.93 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 10 — — $50,517.94 $101,035.88 $52,286.07 2026-04-01
215 MS_DRG Other Heart Assist System Implant 56 11 — — $87,415.49 $466,144.80 $167,400.67 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 12 — — $59,087.29 $424,617.60 $151,438.55 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 12 — — $57.25 $284,125.60 $108,197.19 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 11 — — $58,057.02 $261,760.40 $111,179.20 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 12 — — $10,000.00 $340,428.00 $133,731.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 44 11 — — $28,557.90 $155,337.60 $57,115.80 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 11 — — $33,136.52 $233,037.20 $91,162.96 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 11 — — $28,677.19 $202,061.20 $81,855.79 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $192,065.81 $192,065.81 $192,065.81 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $130,911.09 $130,911.09 $130,911.09 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $177,832.58 $177,832.58 $177,832.58 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $126,872.40 $126,872.40 $126,872.40 2026-04-01
22558 HCPCS Lumbar Spine Fusion 24 8 — — $29,677.57 $164,825.13 $44,883.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $160,566.58 $160,566.58 $160,566.58 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $125,944.26 $125,944.26 $125,944.26 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 11 — — $671.46 $219,247.60 $48,531.06 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 11 — — $26,787.90 $136,668.40 $56,631.38 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 11 — — $7,350.72 $251,006.80 $66,489.35 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 11 — — $74,157.86 $372,829.60 $142,012.30 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 11 — — $53,605.97 $268,765.20 $107,211.94 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 11 — — $65,587.70 $343,895.20 $134,690.86 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 11 — — $326.24 $234,075.60 $92,681.98 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 60 11 — — $36,787.44 $258,887.20 $102,140.76 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 64 11 — — $1,278.46 $180,919.20 $71,503.13 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 11 — — $32,830.33 $221,606.00 $57,954.57 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 11 — — $40,581.88 $215,006.00 $74,264.84 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $75,139.61 $75,139.61 $75,139.61 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $47,899.81 $47,899.81 $47,899.81 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $75,500.83 $75,500.83 $75,500.83 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 1 — — $45,571.92 $45,571.92 $45,571.92 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 11 — — $28,251.45 $123,437.60 $54,101.53 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 68 12 — — $19,098.56 $134,569.60 $55,931.64 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 11 — — $21,583.33 $149,899.20 $53,458.88 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 8 3 — — $23,815.54 $141,816.40 $53,476.60 2026-04-01
263 MS_DRG Vein Ligation And Stripping 42 11 — — $11,998.10 $118,003.60 $50,354.50 2026-04-01
265 MS_DRG Aicd Lead Procedures 44 11 — — $23,436.13 $156,943.60 $47,281.72 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 58 11 — — $54.19 $263,577.60 $99,144.31 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 11 — — $39,720.49 $206,993.60 $77,416.87 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 11 — — $60,684.06 $293,356.80 $116,209.98 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 11 — — $26,007.23 $183,057.60 $68,875.87 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 64 13 — — $15,409.48 $108,574.40 $45,751.64 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 52 12 — — $32,229.95 $257,521.75 $68,676.16 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 11 — — $34,018.07 $172,040.00 $73,577.80 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 58 12 — — $19,497.17 $137,315.20 $54,076.88 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 11 — — $59,752.90 $310,926.00 $124,603.01 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 11 — — $2,260.89 $272,536.00 $97,209.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 50 11 — — $30,398.60 $204,696.80 $75,156.12 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 11 — — $49,296.44 $220,127.60 $94,402.68 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 11 — — $27,610.63 $140,984.80 $59,076.61 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 50 11 — — $38,024.50 $267,480.40 $57,916.67 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 52 11 — — $21,162.13 $147,686.00 $58,051.38 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 60 12 — — $302.86 $942,928.80 $200,986.67 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 11 — — $39,870.86 $184,373.20 $79,741.72 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 10 — — $39,899.67 $272,184.00 $108,011.01 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 11 — — $37,261.92 $193,270.00 $72,684.05 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 58 12 — — $541.13 $329,684.80 $70,531.33 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 11 — — $28,844.40 $125,928.00 $55,237.03 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 11 — — $32,145.97 $223,462.80 $84,780.02 2026-04-01
32650 HCPCS Thoracoscopy W/pleurodesis 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 12 — — $29,043.91 $202,034.80 $77,219.16 2026-04-01
332 MS_DRG Rectal Resection With Mcc 40 11 — — $32,406.45 $152,614.00 $62,058.35 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 24 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 22 7 — — $48,175.40 $267,559.54 $71,741.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 22 7 — — $33,750.31 $187,444.54 $51,720.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 24 8 — — $31,372.14 $174,236.52 $61,054.52 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $66,638.30 $66,638.30 $66,638.30 2026-04-01
33822 HCPCS Revise Major Vessel 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 6 1 — — $51,720.00 $69,121.00 $61,113.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 6 1 — — $51,720.00 $69,121.00 $61,113.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 11 — — $34,576.84 $171,094.00 $66,214.65 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $56,667.02 $56,667.02 $56,667.02 2026-04-01
37221 HCPCS Iliac Revasc W/stent 8 2 — — $41,147.00 $54,989.00 $44,976.26 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 8 2 — — $41,147.00 $54,989.00 $44,976.26 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 8 2 — — $41,147.00 $54,989.00 $44,976.26 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 8 2 — — $51,720.00 $69,121.00 $63,600.60 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 8 2 — — $41,147.00 $66,088.19 $51,804.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 8 2 — — $41,147.00 $66,088.19 $51,804.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 8 2 — — $51,720.00 $69,121.00 $63,600.60 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 24 8 — — $19,180.00 $382,091.70 $75,159.85 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 11 — — $75,374.05 $628,311.03 $164,328.34 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 12 — — $1,487.65 $165,959.20 $50,361.76 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 64 12 — — $24,621.82 $172,884.80 $68,705.10 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 11 — — $36,962.75 $238,849.60 $92,811.66 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 11 — — $26,151.37 $123,560.80 $50,079.88 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 11 — — $31,928.09 $154,048.40 $61,142.29 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 11 — — $29,650.91 $120,401.60 $56,781.49 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 40 11 — — $31,902.05 $154,158.40 $61,092.43 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 11 — — $30,552.06 $155,284.80 $55,910.27 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 11 — — $35,247.43 $178,952.40 $67,760.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 11 — — $65,410.67 $461,190.40 $105,353.31 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 11 — — $45,713.54 $312,342.80 $118,651.89 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 10 — — $2,019.95 $242,228.80 $72,680.07 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 10 — — $52,080.52 $366,960.00 $86,317.71 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 10 — — $34,158.99 $240,684.40 $93,124.97 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 10 — — $43,371.88 $294,984.80 $86,110.61 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 58 11 — — $25,498.26 $179,660.80 $69,599.17 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 10 — — $8.31 $226,586.80 $51,494.19 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 58 11 — — $973.91 $135,775.20 $53,102.99 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $229,648.16 $290,095.65 $288,660.11 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $152,790.23 $200,229.31 $199,238.47 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 3 — — $120,106.98 $150,773.53 $150,027.42 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 12 — — $234.80 $372,618.40 $98,306.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 11 — — $52,657.23 $252,516.00 $96,518.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 11 — — $36,002.34 $189,978.80 $54,897.99 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $166,388.81 $217,121.61 $216,047.17 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $94,470.11 $119,748.67 $119,156.09 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 11 — — $48,921.40 $270,014.80 $93,684.48 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 11 — — $14,753.00 $237,630.80 $82,447.99 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 11 — — $23,125.61 $129,738.40 $52,111.73 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 11 — — $31,972.83 $224,149.20 $67,399.63 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 58 11 — — $1,815.80 $150,695.60 $52,282.17 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 11 — — $419.60 $213,708.00 $46,539.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 62 11 — — $18,283.96 $127,468.00 $50,109.48 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 11 — — $29,519.30 $197,313.60 $55,833.61 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 44 11 — — $29,106.56 $151,307.20 $49,492.65 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 46 11 — — $26,082.75 $141,838.40 $53,050.57 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 11 — — $22,230.40 $154,893.20 $59,383.23 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 11 — — $90,484.42 $468,538.40 $173,277.66 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 42 11 — — $28,448.52 $139,414.00 $55,020.45 2026-04-01
503 MS_DRG Foot Procedures With Mcc 42 11 — — $21,872.41 $116,446.00 $46,123.70 2026-04-01
509 MS_DRG Arthroscopy 18 5 — — $35,268.22 $77,286.00 $45,735.75 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 18 6 — — $19,451.33 $94,963.07 $86,536.33 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 26 6 — — $27,783.79 $157,833.73 $65,280.74 2026-04-01
56631 HCPCS Extensive Vulva Surgery 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 6 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 11 — — $1,052.13 $132,457.60 $48,506.80 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 11 — — $57,849.53 $270,943.20 $110,781.85 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 11 — — $31,110.29 $152,446.80 $59,576.21 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 11 — — $43,523.20 $237,375.60 $83,346.93 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 50 11 — — $20,813.95 $143,400.40 $58,176.70 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 40 11 — — $41,229.53 $213,351.60 $78,954.55 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 46 11 — — $23,492.09 $118,940.80 $45,583.54 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 50 11 — — $11,963.22 $170,055.60 $51,206.92 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 11 — — $26,040.25 $119,961.60 $49,867.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 11 — — $21,024.40 $164,736.00 $58,326.73 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 40 11 — — $27,192.29 $126,143.60 $52,073.24 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 11 — — $1,844.98 $173,637.20 $47,957.10 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 24 8 — — $48,175.40 $267,559.54 $78,254.50 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 24 8 — — $33,750.31 $187,444.54 $56,416.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 11 — — $41,788.62 $202,708.00 $80,025.21 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 11 — — $33,145.25 $152,776.80 $63,473.15 2026-04-01
652 MS_DRG Kidney Transplant 40 11 — — $29,010.21 $135,132.80 $55,554.55 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 40 11 — — $46,086.00 $245,264.80 $88,254.69 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 44 11 — — $25,275.40 $124,163.60 $48,402.39 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 40 11 — — $28,613.47 $143,338.80 $54,794.79 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 42 11 — — $1,453.48 $137,253.60 $50,419.63 2026-04-01
665 MS_DRG Prostatectomy With Mcc 42 11 — — $1,357.56 $151,069.60 $51,368.10 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 40 11 — — $26,323.27 $128,308.40 $50,409.06 2026-04-01
7 MS_DRG Lung Transplant 40 11 — — $113,401.16 $574,987.60 $217,163.22 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 40 11 — — $32,005.36 $173,241.20 $61,290.26 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 40 11 — — $32,077.41 $175,150.80 $61,428.24 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 16 5 — — $32,338.77 $68,032.80 $44,955.76 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 13 — — $6,145.31 $559,549.63 $96,206.76 2026-04-01
791 MS_DRG Prematurity With Major Problems 60 12 — — $9,388.81 $178,644.40 $47,078.38 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 40 11 — — $40,291.05 $209,198.00 $77,157.36 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 40 11 — — $49,629.81 $239,395.20 $95,041.08 2026-04-01
800 MS_DRG Splenic Procedures With Cc 40 11 — — $25,363.09 $128,198.40 $48,570.32 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 11 — — $35,561.33 $157,722.40 $68,099.95 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 11 — — $49,739.92 $256,163.60 $94,956.43 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 11 — — $31,358.04 $210,108.80 $76,098.23 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 52 11 — — $46,549.20 $243,183.60 $97,268.08 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 48 11 — — $29,919.50 $248,469.36 $81,735.93 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 46 11 — — $15,946.48 $112,358.40 $46,960.10 2026-04-01
849 MS_DRG Radiotherapy 40 11 — — $24,495.80 $117,519.60 $46,909.46 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 38 10 — — $76,151.15 $405,297.20 $139,356.60 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 72 12 — — $30,960.89 $220,066.00 $61,649.93 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 11 — — $27,989.46 $198,497.20 $54,449.26 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 11 — — $43,283.85 $310,267.52 $97,809.67 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 11 — — $554.79 $172,893.60 $63,183.46 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 11 — — $37,406.16 $194,928.80 $68,453.27 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 40 11 — — $32,861.36 $169,879.60 $62,929.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 11 — — $25,321.29 $175,274.00 $50,084.19 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 11 — — $186,328.97 $1,043,803.20 $356,819.98 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 40 11 — — $63,243.39 $293,854.00 $121,111.09 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 40 11 — — $28,934.68 $139,928.80 $55,409.91 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 6 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 6 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 6 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 6 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 6 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 11 — — $34,780.85 $190,374.80 $66,605.33 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 6 1 — — $40,226.00 $53,759.00 $47,531.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 6 1 — — $40,226.00 $53,759.00 $47,531.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 11 — — $26,688.08 $139,647.20 $59,427.71 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 11 — — $22,350.53 $160,529.60 $46,029.42 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 11 — — $59,409.60 $300,427.60 $113,769.39 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 11 — — $31,260.36 $168,176.80 $61,277.59 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 11 — — $67,125.78 $328,402.80 $128,545.87 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 11 — — $37,556.35 $180,818.00 $71,920.41 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 40 11 — — $26,532.49 $116,322.80 $50,809.72 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 42 11 — — $23,364.59 $105,468.00 $46,729.18 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 40 11 — — $24,706.76 $119,530.40 $47,313.44 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 11 — — $54,115.58 $278,251.60 $103,631.33 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 42 11 — — $282.11 $157,731.20 $59,162.40 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 40 11 — — $23,869.86 $116,740.80 $45,710.78 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 46 11 — — $8,222.87 $131,384.00 $46,812.06 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 11 — — $29,996.79 $209,189.20 $71,553.02 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 24 8 — — $55,915.36 $310,546.16 $96,839.85 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 6 1 — — $135,663.15 $171,839.99 $135,663.15 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 6 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 6 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 6 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 6 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 6 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 24 8 — — $29,440.73 $163,509.76 $57,295.74 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 2 1 — — $66,088.19 $66,088.19 $66,088.19 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 2 1 — — $66,088.19 $66,088.19 $66,088.19 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 5 — — $3,632,386.80 $4,023,680.50 $3,949,851.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 5 — — $3,268,234.36 $3,620,300.25 $3,553,872.73 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 7 — — $2,294,688.00 $4,664,000.00 $2,518,560.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 5 — — $2,891,306.88 $3,202,768.80 $3,144,002.40 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 5 — — $3,193,455.29 $3,537,465.71 $3,472,558.09 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 6 — — $2,545,693.86 $4,734,369.68 $2,781,118.80 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $218,394.00 $276,632.40 $218,394.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 32 7 — — $63,253.78 $351,302.76 $93,243.65 2026-04-01
J9226 HCPCS Supprelin La Implant 34 8 — — $40,514.65 $225,012.78 $66,973.77 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 2 — — $32,784.53 $92,068.00 $72,685.26 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 16 7 — — $44,135.91 $245,124.76 $48,666.12 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 16 7 — — $47,385.01 $263,169.81 $52,248.72 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 16 7 — — $67,700.88 $376,001.35 $74,649.86 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 7 — — $106,511.46 $591,549.91 $117,444.04 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 7 — — $523,339.53 $2,906,555.43 $586,384.12 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 7 — — $604,353.92 $3,356,498.12 $669,457.08 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 28 8 — — $55,368.88 $307,511.13 $72,106.35 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 26 7 — — $481,461.95 $2,673,973.13 $538,692.00 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 26 7 — — $553,264.66 $3,072,755.47 $612,864.31 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 26 7 — — $550,824.58 $3,059,203.61 $610,161.38 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 26 7 — — $579,078.89 $3,216,124.13 $641,459.34 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 20 7 — — $758,290.08 $4,211,438.30 $843,828.90 2026-04-01
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