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.

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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
             
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
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 5 — — $3,193,455.29 $3,537,465.71 $3,472,558.09 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 6 — — $2,545,693.86 $4,734,369.68 $2,781,118.80 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
Q2057 HCPCS Afamitresgene Autoleucel 20 7 — — $758,290.08 $4,211,438.30 $843,828.90 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
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 7 — — $604,353.92 $3,356,498.12 $669,457.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 26 7 — — $579,078.89 $3,216,124.13 $641,459.34 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
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 7 — — $523,339.53 $2,906,555.43 $586,384.12 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 26 7 — — $481,461.95 $2,673,973.13 $538,692.00 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
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
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
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $218,394.00 $276,632.40 $218,394.00 2026-04-01
7 MS_DRG Lung Transplant 40 11 — — $113,401.16 $574,987.60 $217,163.22 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
14 MS_DRG Allogeneic Bone Marrow Transplant 40 11 — — $105,307.34 $576,439.60 $201,663.55 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
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
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
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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 11 — — $90,484.42 $468,538.40 $173,277.66 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
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
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
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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 11 — — $74,157.86 $372,829.60 $142,012.30 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 11 — — $268.44 $479,296.40 $139,250.93 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 6 1 — — $135,663.15 $171,839.99 $135,663.15 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
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
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
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
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
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
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
0316T HCPCS Replc Vagus Nerve Pls Gen 2 1 — — $121,137.79 $121,137.79 $121,137.79 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
0312T HCPCS Laps Impltj Nstim Vagus 2 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 2 1 — — $121,137.79 $121,137.79 $121,137.79 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 11 — — $62,912.62 $348,774.80 $120,477.67 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
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
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 7 — — $106,511.46 $591,549.91 $117,444.04 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 11 — — $59,409.60 $300,427.60 $113,769.39 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
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
10 MS_DRG Pancreas Transplant 40 11 — — $63,269.43 $350,794.40 $109,902.77 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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 11 — — $53,605.97 $268,765.20 $107,211.94 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
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
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
209 MS_DRG Complex Aortic Arch Procedures 24 10 — — $99,238.05 $198,476.10 $102,711.38 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 40 11 — — $52,452.19 $265,562.00 $100,445.95 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
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
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
834 MS_DRG Acute Leukemia With Mcc 52 11 — — $46,549.20 $243,183.60 $97,268.08 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
A9543 HCPCS Y90 Ibritumomab, Rx 24 8 — — $55,915.36 $310,546.16 $96,839.85 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 13 — — $6,145.31 $559,549.63 $96,206.76 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
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
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
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
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
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 32 7 — — $63,253.78 $351,302.76 $93,243.65 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 11 — — $36,962.75 $238,849.60 $92,811.66 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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 11 — — $48,133.98 $265,562.00 $92,176.57 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
653 MS_DRG Major Bladder Procedures With Mcc 40 11 — — $46,086.00 $245,264.80 $88,254.69 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
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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 11 — — $32,145.97 $223,462.80 $84,780.02 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
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
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
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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 11 — — $41,788.62 $202,708.00 $80,025.21 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
6 MS_DRG Liver Transplant Without Mcc 40 11 — — $41,229.53 $213,351.60 $78,954.55 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
0100T HCPCS Prosth Retina Receive&Gen 8 2 — — $30,025.00 $95,876.00 $78,254.50 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
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
799 MS_DRG Splenic Procedures With Mcc 40 11 — — $40,291.05 $209,198.00 $77,157.36 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
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
38240 HCPCS Transplt Allo Hct/donor 24 8 — — $19,180.00 $382,091.70 $75,159.85 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
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
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 16 7 — — $67,700.88 $376,001.35 $74,649.86 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 11 — — $40,581.88 $215,006.00 $74,264.84 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
J9600 HCPCS Porfimer Sodium Injection 8 2 — — $32,784.53 $92,068.00 $72,685.26 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
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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 28 8 — — $55,368.88 $307,511.13 $72,106.35 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
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
33276 HCPCS Insj Phrnc Nrv Stim Sys 22 7 — — $48,175.40 $267,559.54 $71,741.00 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 64 11 — — $1,278.46 $180,919.20 $71,503.13 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
163 MS_DRG Major Chest Procedures With Mcc 60 11 — — $19,082.14 $202,791.60 $70,233.12 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
140 MS_DRG Major Head And Neck Procedures With Mcc 42 11 — — $115.76 $186,076.00 $69,544.74 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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 52 12 — — $32,229.95 $257,521.75 $68,676.16 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
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
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
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
J9226 HCPCS Supprelin La Implant 34 8 — — $40,514.65 $225,012.78 $66,973.77 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
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 24 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 24 8 — — $34,331.26 $190,671.09 $66,813.39 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
33270 HCPCS Ins/rep Subq Defibrillator 24 8 — — $34,331.26 $190,671.09 $66,813.39 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
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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 11 — — $34,576.84 $171,094.00 $66,214.65 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 2 1 — — $66,088.19 $66,088.19 $66,088.19 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
5232 OTHER Level 2 Icd And Similar Procedures 26 6 — — $27,783.79 $157,833.73 $65,280.74 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
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
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 22 7 — — $34,331.26 $190,671.09 $63,847.78 2026-04-01
92938 HCPCS Prq Revasc Byp Graft 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
92941 HCPCS Prq Card Revasc Mi 1 Vsl 6 1 — — $53,982.00 $72,144.00 $63,787.00 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
92944 HCPCS Prq Card Revasc Chronic Addl 6 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 8 2 — — $51,720.00 $69,121.00 $63,600.60 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 8 2 — — $51,720.00 $69,121.00 $63,600.60 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
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
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 40 11 — — $32,861.36 $169,879.60 $62,929.51 2026-04-01
332 MS_DRG Rectal Resection With Mcc 40 11 — — $32,406.45 $152,614.00 $62,058.35 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
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
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
C9601 HCPCS Perc Drug-el Cor Stent Bran 6 1 — — $52,337.00 $69,943.00 $61,840.00 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
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
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
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
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
33968 HCPCS Remove Aortic Assist Device 6 1 — — $51,720.00 $69,121.00 $61,113.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 6 1 — — $51,720.00 $69,121.00 $61,113.00 2026-04-01
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
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 24 8 — — $31,372.14 $174,236.52 $61,054.52 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
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
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
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
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
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
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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 52 11 — — $21,162.13 $147,686.00 $58,051.38 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
28 MS_DRG Spinal Procedures With Mcc 50 11 — — $38,024.50 $267,480.40 $57,916.67 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 24 8 — — $29,440.73 $163,509.76 $57,295.74 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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 11 — — $29,650.91 $120,401.60 $56,781.49 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 11 — — $26,787.90 $136,668.40 $56,631.38 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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 68 12 — — $19,098.56 $134,569.60 $55,931.64 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
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
652 MS_DRG Kidney Transplant 40 11 — — $29,010.21 $135,132.80 $55,554.55 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 11 — — $28,844.40 $125,928.00 $55,237.03 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
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
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
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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 11 — — $28,251.45 $123,437.60 $54,101.53 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
2616 OTHER Brachytx, Non-str,yttrium-90 8 3 — — $23,815.54 $141,816.40 $53,476.60 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
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 24 8 — — $41,147.00 $267,559.54 $53,120.24 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
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
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 10 — — $50,517.94 $101,035.88 $52,286.07 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
L7181 HCPCS Electronic Elbo Simultaneous 16 7 — — $47,385.01 $263,169.81 $52,248.72 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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 40 11 — — $27,192.29 $126,143.60 $52,073.24 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 8 2 — — $41,147.00 $66,088.19 $51,804.00 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 8 2 — — $41,147.00 $66,088.19 $51,804.00 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
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 22 7 — — $29,677.57 $164,825.13 $51,720.00 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
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 22 7 — — $29,677.57 $164,825.13 $51,720.00 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
665 MS_DRG Prostatectomy With Mcc 42 11 — — $1,357.56 $151,069.60 $51,368.10 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
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
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
662 MS_DRG Minor Bladder Procedures With Mcc 42 11 — — $1,453.48 $137,253.60 $50,419.63 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 40 11 — — $26,323.27 $128,308.40 $50,409.06 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
263 MS_DRG Vein Ligation And Stripping 42 11 — — $11,998.10 $118,003.60 $50,354.50 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
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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 11 — — $26,151.37 $123,560.80 $50,079.88 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
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
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
L7180 HCPCS Electronic Elbow Sequential 16 7 — — $44,135.91 $245,124.76 $48,666.12 2026-04-01
32650 HCPCS Thoracoscopy W/pleurodesis 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
32656 HCPCS Thoracoscopy W/pleurectomy 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
56631 HCPCS Extensive Vulva Surgery 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
33822 HCPCS Revise Major Vessel 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
56632 HCPCS Extensive Vulva Surgery 6 1 — — $41,147.00 $54,989.00 $48,619.00 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
800 MS_DRG Splenic Procedures With Cc 40 11 — — $25,363.09 $128,198.40 $48,570.32 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 11 — — $671.46 $219,247.60 $48,531.06 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 11 — — $1,052.13 $132,457.60 $48,506.80 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
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
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
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
33240 HCPCS Insrt Pulse Gen W/singl Lead 24 8 — — $24,328.69 $135,118.20 $47,347.01 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
33230 HCPCS Insrt Pulse Gen W/dual Leads 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
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 24 8 — — $24,328.69 $135,118.20 $47,347.01 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
0515T HCPCS Insj Wcs Lv Compl Sys 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
963 MS_DRG Other Multiple Significant Trauma With Mcc 40 11 — — $24,706.76 $119,530.40 $47,313.44 2026-04-01
265 MS_DRG Aicd Lead Procedures 44 11 — — $23,436.13 $156,943.60 $47,281.72 2026-04-01
791 MS_DRG Prematurity With Major Problems 60 12 — — $9,388.81 $178,644.40 $47,078.38 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
974 MS_DRG HIV With Major Related Condition With Mcc 46 11 — — $8,222.87 $131,384.00 $46,812.06 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
471 MS_DRG Cervical Spinal Fusion With Mcc 48 11 — — $419.60 $213,708.00 $46,539.75 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
0398T HCPCS Mrgfus Strtctc Les Abltj 2 1 — — $46,268.83 $46,268.83 $46,268.83 2026-04-01
503 MS_DRG Foot Procedures With Mcc 42 11 — — $21,872.41 $116,446.00 $46,123.70 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
164 MS_DRG Major Chest Procedures With Cc 46 11 — — $22,885.32 $110,739.20 $45,770.74 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
509 MS_DRG Arthroscopy 18 5 — — $35,268.22 $77,286.00 $45,735.75 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
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
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
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 22 7 — — $24,328.69 $135,118.20 $45,245.44 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
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
77 MS_DRG Hypertensive Encephalopathy With Mcc 16 5 — — $32,338.77 $68,032.80 $44,955.76 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
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 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
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
22558 HCPCS Lumbar Spine Fusion 24 8 — — $29,677.57 $164,825.13 $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
63252 HCPCS Revise Spine Cord Vsl Thrlmb 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
63190 HCPCS Incise Spine Nrv >2 Segmnts 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 8 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
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