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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

LEGACY EMANUEL MEDICAL CENTER

Portland, OR · CCN 380007 · Rates published

15,102 distinct procedures filed
25 distinct payers
495,300 rate rows
2026-04-01 last MRF observed
Data quality

384,554 of 495,300 rate rows are consumer-grade (77.6%)

110,746 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 94,325
professional (physician) fee — not the facility price 11,495
template filing: same amount across many unrelated codes — excluded 4,834
placeholder amount (≤ $0.02) — excluded from medians 92
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.legacyhealth.org/-/media/Files/CSV/930386823_legacy-Unity-Adolescent-IP_standardcharges.csv
Found on page https://www.legacyhealth.org/Patients-and-Visitors/paying-for-your-care/estimate-hospital-costs
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint b044874a29f5a9a2… · 71,696,453 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 7 $3,685,266.67 $4,127,498.67 $3,906,382.67 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,714,438.10 $3,515,450.34 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,248,445.72 $3,638,259.20 $3,443,352.46 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $3,299,228.80 $3,122,484.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,455,110.60 $4,910,221.21 $2,626,968.35 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,664,000.00 $2,495,240.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $2,980,372.85 $855,388.20 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $2,288,501.08 $656,816.08 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.94 $2,188,498.14 $628,114.53 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $2,175,616.43 $624,417.39 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $2,155,427.11 $618,622.91 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $2,062,267.69 $591,885.49 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,892,385.57 $543,128.11 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $398,636.64 $1,187,527.00 $442,486.67 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $598.40 $770,657.25 $290,803.82 nat. median
$265,286
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $795,312.70 $228,260.40 nat. median
$209,753
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $16.80 $587,732.37 $218,304.42 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $85.56 $1,679,077.96 $217,040.67 nat. median
$202,986
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $177,719.40 $177,719.40 $177,719.40 nat. median
$76,377
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $75.42 $499,561.98 $145,264.11 nat. median
$133,176
1.1× median
7
MS_DRG 		Lung Transplant 18 $121,437.09 $356,130.50 $134,795.17 nat. median
$122,708
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $112,888.93 $330,492.25 $125,306.71 nat. median
$117,303
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $106,598.15 $311,624.50 $118,323.95 nat. median
$108,660
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $106,478.95 $311,267.00 $117,126.84 nat. median
$98,017
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $108,243.35 $418,631.16 $116,902.82 nat. median
$111,989
1.0× median
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$15,886
outlier · 7.2×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$18,872
outlier · 6.1×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$24,752
outlier · 4.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $29.64 $303,083.00 $114,125.32 nat. median
$98,905
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $5,027.04 $299,037.75 $113,665.73 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $97,233.96 $323,920.85 $108,902.04 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 18 $76,122.66 $273,817.50 $105,271.88 nat. median
$99,019
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $48.00 $269,027.00 $101,635.08 nat. median
$93,672
1.1× median
0312T
HCPCS 		Laps Impltj Nstim Vagus 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$8,204
outlier · 12.0×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$9,564
outlier · 10.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $85,306.14 $247,764.00 $95,542.88 nat. median
$82,712
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $15.45 $238,136.25 $91,126.68 nat. median
$83,442
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $15,263.68 $231,822.25 $87,990.02 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $78,672.36 $231,093.50 $87,722.76 nat. median
$81,118
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $127.58 $216,392.00 $82,330.89 nat. median
$77,576
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $29.64 $211,153.25 $81,871.54 nat. median
$74,915
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $10,920.88 $210,243.00 $80,075.71 nat. median
$73,807
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $214.64 $287,873.97 $79,820.54 nat. median
$72,138
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $66,252.02 $196,086.00 $76,245.06 nat. median
$68,887
1.1× median
0426T
HCPCS 		Insj/rplc Nstim Apnea Stm Ld 1 $54,340.97 $79,651.00 $76,066.95 nat. median
$13,244
outlier · 5.7×
10
MS_DRG 		Pancreas Transplant 18 $68,491.30 $197,521.17 $76,025.35 nat. median
$68,882
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $48,397.33 $198,511.50 $75,773.12 nat. median
$68,090
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $68,114.46 $196,383.99 $75,607.05 nat. median
$71,240
1.1× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 2 $33,256.29 $117,086.61 $75,171.45 nat. median
$31,444
outlier · 2.4×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $266,090.61 $74,305.85 nat. median
$70,825
1.0× median

Other procedures at this hospital

Browse this hospital's 15,102 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
             
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 114 20 — — $19.25 $267,113.55 $48,824.91 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 108 20 — — $2,562.07 $275,795.24 $52,777.53 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 104 21 — — $85.56 $1,679,077.96 $217,040.67 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 104 20 — — $41.92 $77,475.94 $29,785.39 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 100 22 — — $11,736.02 $176,059.12 $30,411.65 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 21 — — $29.64 $211,153.25 $81,871.54 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 98 22 — — $14,319.93 $653,449.00 $64,056.60 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 98 24 — — $3,038.44 $114,664.00 $42,975.12 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 98 20 — — $14,998.78 $88,748.17 $28,546.43 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 96 23 — — $37,543.38 $191,014.59 $67,249.89 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 94 21 — — $3,000.37 $197,249.25 $73,940.90 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 94 20 — — $33,090.36 $146,652.00 $56,753.34 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 94 22 — — $29,680.24 $123,249.50 $48,170.34 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 94 19 — — $26,504.30 $115,192.00 $45,215.20 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 92 23 — — $2,277.76 $423,899.65 $56,666.18 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 92 20 — — $18,820.37 $80,088.25 $31,017.67 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 19 — — $23,539.52 $157,583.25 $60,762.44 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 90 19 — — $20,250.22 $90,521.75 $36,167.24 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 88 20 — — $127.58 $216,392.00 $82,330.89 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 88 22 — — $77.88 $309,541.59 $72,678.79 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 88 19 — — $38,727.48 $168,531.00 $64,777.59 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 88 20 — — $14.82 $129,024.50 $49,831.18 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 88 21 — — $1,978.97 $608,560.00 $49,327.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 88 21 — — $16.77 $115,882.25 $45,468.36 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 88 19 — — $19,276.12 $92,007.93 $38,769.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 86 21 — — $36,845.71 $161,386.50 $63,287.44 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 86 18 — — $40.78 $81,017.75 $32,681.59 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 84 19 — — $48.00 $269,027.00 $101,635.08 2026-04-01
791 MS_DRG Prematurity With Major Problems 84 21 — — $16,300.00 $111,622.50 $44,305.21 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 84 21 — — $19,404.72 $141,912.46 $35,364.56 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 82 21 — — $214.64 $287,873.97 $79,820.54 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 82 18 — — $30,343.93 $130,922.00 $50,057.29 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 82 18 — — $1,546.93 $96,981.50 $38,536.40 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 82 19 — — $1,472.13 $95,928.25 $38,150.11 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 80 21 — — $75.42 $499,561.98 $145,264.11 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 80 20 — — $88.61 $359,518.08 $56,183.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 80 19 — — $26,800.44 $116,138.00 $45,562.15 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 80 19 — — $22,174.46 $160,742.38 $39,998.84 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 80 20 — — $20,978.27 $104,684.97 $38,056.10 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 78 19 — — $31,811.78 $143,148.50 $55,468.41 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 78 18 — — $596.17 $113,451.25 $44,576.77 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 78 19 — — $39.21 $107,577.25 $42,422.45 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 78 19 — — $22,179.69 $97,798.25 $38,835.94 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 78 20 — — $22,579.81 $167,442.24 $37,545.97 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 78 19 — — $17,116.67 $111,528.71 $28,716.88 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 76 20 — — $33.67 $181,230.31 $40,920.67 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 76 19 — — $14,067.94 $95,443.35 $35,169.76 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 76 19 — — $16.34 $79,365.00 $31,783.85 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 76 18 — — $11.55 $87,172.42 $30,540.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 74 19 — — $2,619.86 $165,228.25 $63,566.28 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 74 20 — — $6,407.20 $378,423.67 $60,451.80 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 74 20 — — $38.50 $294,969.07 $56,360.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 74 19 — — $18,762.99 $237,844.16 $48,845.07 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 74 19 — — $2,045.82 $105,580.75 $41,690.22 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 74 18 — — $29,488.87 $147,998.51 $37,326.99 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 72 21 — — $10,920.88 $210,243.00 $80,075.71 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 72 19 — — $47,701.67 $458,357.79 $62,479.57 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 72 19 — — $26,984.74 $123,213.75 $48,595.03 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 72 21 — — $62.88 $119,003.50 $46,613.09 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 72 18 — — $1,752.40 $207,162.06 $46,155.48 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 72 19 — — $117.82 $128,979.04 $45,986.77 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 72 20 — — $59.89 $106,183.00 $41,911.10 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 72 18 — — $1,408.58 $113,419.62 $35,872.16 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 72 19 — — $18,420.01 $85,654.25 $34,382.06 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 70 18 — — $598.40 $770,657.25 $290,803.82 2026-04-01
215 MS_DRG Other Heart Assist System Implant 70 18 — — $76,122.66 $273,817.50 $105,271.88 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 70 19 — — $57,218.34 $189,142.25 $73,652.11 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 19 — — $27,805.11 $114,746.50 $45,051.81 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 70 20 — — $343.69 $103,031.50 $40,755.26 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 70 19 — — $20.39 $89,058.75 $35,630.68 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 70 18 — — $21,506.85 $78,930.50 $31,916.08 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 70 19 — — $12,070.31 $71,379.00 $29,146.54 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 70 19 — — $15,946.48 $91,714.98 $29,115.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 68 18 — — $66,252.02 $196,086.00 $76,245.06 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 68 18 — — $138.82 $135,346.75 $52,607.07 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 68 20 — — $21,336.41 $151,129.29 $52,400.32 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 68 20 — — $69.91 $120,802.00 $47,272.70 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 68 18 — — $40,449.82 $118,054.75 $46,265.13 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 68 19 — — $281.48 $115,544.00 $45,344.30 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 68 19 — — $14,125.00 $96,783.50 $38,463.78 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 68 18 — — $20,852.06 $88,572.00 $35,774.46 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 68 19 — — $12,823.86 $88,959.75 $35,594.37 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 68 18 — — $19,309.62 $87,639.75 $35,110.25 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 68 18 — — $26,221.52 $75,570.00 $30,683.60 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 66 19 — — $16.80 $587,732.37 $218,304.42 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 66 20 — — $10,564.26 $183,878.75 $70,406.47 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 66 19 — — $40.49 $150,224.25 $58,063.49 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 18 — — $33,188.75 $138,605.50 $53,802.24 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 66 19 — — $31,266.04 $132,118.25 $51,423.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 66 20 — — $9,634.23 $114,207.50 $44,854.13 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 66 19 — — $36,731.32 $146,607.49 $41,404.88 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 66 18 — — $19,857.67 $86,900.00 $35,472.38 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 66 19 — — $18,706.99 $87,465.66 $35,014.44 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 66 18 — — $100.40 $103,290.99 $33,394.66 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 66 18 — — $27,294.69 $203,911.60 $32,822.93 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 66 18 — — $1,332.08 $76,227.25 $30,924.65 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 66 18 — — $17,146.70 $72,894.25 $29,702.26 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 64 18 — — $73.76 $187,452.03 $72,144.59 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 64 18 — — $39,990.62 $183,744.00 $70,996.65 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 64 18 — — $16.46 $150,972.25 $58,337.82 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 64 18 — — $31,277.85 $132,789.25 $51,669.10 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 64 18 — — $2,040.49 $124,544.75 $49,087.61 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 64 18 — — $25,650.79 $107,193.99 $42,243.93 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 64 18 — — $23,498.24 $102,775.75 $41,031.12 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 64 18 — — $18,868.98 $136,597.89 $40,377.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 64 18 — — $33,937.50 $98,199.75 $38,983.20 2026-04-01
263 MS_DRG Vein Ligation And Stripping 64 19 — — $14,731.41 $84,078.50 $33,804.14 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 64 18 — — $19,097.25 $79,755.50 $32,218.66 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 64 18 — — $26,587.69 $78,388.75 $31,717.40 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 64 18 — — $1,230.78 $75,820.25 $30,775.38 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 64 19 — — $15,703.69 $70,928.00 $28,981.13 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 64 20 — — $15,717.07 $70,928.00 $28,981.13 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 64 18 — — $23,703.99 $69,874.75 $28,594.84 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 19 — — $29.64 $303,083.00 $114,125.32 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 19 — — $15,263.68 $231,822.25 $87,990.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 18 — — $61,033.12 $180,163.50 $69,043.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 19 — — $102.57 $168,335.75 $64,705.98 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 62 18 — — $46,508.97 $165,181.50 $63,549.14 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 18 — — $38,182.34 $161,282.00 $62,118.98 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 62 18 — — $20,778.24 $102,487.00 $40,555.57 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 18 — — $25,590.27 $99,324.50 $39,395.71 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 19 — — $11,580.12 $99,176.00 $39,341.24 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 19 — — $18,778.64 $97,878.00 $38,865.19 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 18 — — $24,896.31 $95,903.50 $38,141.04 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 19 — — $22,311.71 $95,463.50 $37,979.66 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 62 18 — — $177.49 $89,452.00 $35,774.90 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 62 18 — — $29,204.41 $86,652.50 $34,748.18 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 62 21 — — $6,748.53 $83,413.00 $33,560.06 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 18 — — $5,027.04 $299,037.75 $113,665.73 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 60 20 — — $97,233.96 $323,920.85 $108,902.04 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 60 19 — — $15.45 $238,136.25 $91,126.68 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 18 — — $48,397.33 $198,511.50 $75,773.12 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 18 — — $61,032.37 $180,820.75 $69,914.79 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 60 18 — — $61.86 $149,987.75 $57,976.74 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 60 18 — — $46,687.42 $146,564.00 $57,236.71 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 60 18 — — $37,996.00 $106,444.25 $42,388.79 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 60 18 — — $34,372.93 $95,001.50 $38,497.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 60 20 — — $6,045.44 $93,695.25 $37,331.14 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 60 18 — — $27,161.32 $83,063.75 $33,735.91 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 60 18 — — $28,793.72 $83,052.75 $33,731.83 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 60 18 — — $19,738.81 $132,599.15 $32,958.35 2026-04-01
800 MS_DRG Splenic Procedures With Cc 60 18 — — $26,586.19 $77,258.50 $31,302.88 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 60 18 — — $7,127.93 $74,420.50 $30,537.12 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 58 18 — — $85,306.14 $247,764.00 $95,542.88 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 18 — — $78,672.36 $231,093.50 $87,722.76 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 18 — — $57,146.38 $180,820.75 $69,284.93 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 18 — — $57,373.10 $163,985.25 $63,110.41 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 58 18 — — $35,234.68 $158,595.25 $61,133.60 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 18 — — $52,232.10 $154,605.00 $59,670.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 18 — — $35,592.87 $150,438.75 $58,142.15 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 58 18 — — $45,588.32 $128,639.50 $51,058.92 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 58 19 — — $19,011.16 $129,288.50 $50,385.18 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 58 18 — — $43,135.29 $127,008.75 $49,549.06 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 18 — — $23,027.93 $126,082.00 $49,209.17 2026-04-01
245 MS_DRG Aicd Generator Procedures 58 19 — — $12,292.16 $125,466.00 $48,983.25 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 58 18 — — $41,176.25 $115,406.50 $45,293.88 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 58 18 — — $39,561.60 $110,563.75 $44,308.99 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 58 18 — — $39,227.86 $109,562.75 $43,935.20 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 58 18 — — $38,134.92 $106,284.75 $42,711.11 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 58 18 — — $31,629.46 $99,783.75 $39,564.14 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 58 18 — — $20,621.88 $99,706.75 $39,535.89 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 58 18 — — $28,595.53 $98,054.00 $38,929.74 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 58 18 — — $32,985.67 $90,840.75 $36,943.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 58 18 — — $32,882.98 $90,532.75 $36,828.94 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 58 18 — — $29,920.26 $88,745.25 $35,515.70 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 58 18 — — $26,127.66 $88,286.00 $35,347.27 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 58 18 — — $29,933.62 $87,554.50 $35,078.99 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 58 18 — — $30,551.09 $87,032.00 $34,887.36 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 58 19 — — $31.59 $84,191.25 $33,845.49 2026-04-01
570 MS_DRG Skin Debridement With Mcc 58 18 — — $19,391.96 $80,880.25 $32,631.17 2026-04-01
503 MS_DRG Foot Procedures With Mcc 58 18 — — $28,289.36 $76,755.25 $31,684.08 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 58 18 — — $28,364.55 $76,980.75 $31,201.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 58 18 — — $27,430.24 $74,178.50 $30,721.87 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 58 19 — — $12,553.07 $73,150.00 $29,796.05 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 58 19 — — $10,373.68 $71,027.00 $29,017.43 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 56 18 — — $398,636.64 $1,187,527.00 $442,486.67 2026-04-01
7 MS_DRG Lung Transplant 56 18 — — $121,437.09 $356,130.50 $134,795.17 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 56 18 — — $112,888.93 $330,492.25 $125,306.71 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 56 18 — — $106,598.15 $311,624.50 $118,323.95 2026-04-01
10 MS_DRG Pancreas Transplant 56 18 — — $68,491.30 $197,521.17 $76,025.35 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 18 — — $68,114.46 $196,383.99 $75,607.05 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 56 18 — — $58,285.41 $166,721.50 $64,696.81 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 56 18 — — $57,066.86 $163,066.75 $63,344.21 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 18 — — $54,086.05 $154,126.50 $60,035.52 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 18 — — $53,733.97 $153,070.50 $59,644.71 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 18 — — $53,337.87 $152,036.74 $59,205.04 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 56 18 — — $52,506.25 $149,529.51 $58,281.94 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 56 18 — — $50,343.31 $142,901.00 $55,881.07 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 56 18 — — $45,214.23 $127,517.50 $50,187.79 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 56 18 — — $43,617.92 $122,729.75 $48,415.89 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 56 18 — — $41,354.12 $115,940.00 $45,903.07 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 56 18 — — $36,676.15 $101,909.50 $40,710.53 2026-04-01
332 MS_DRG Rectal Resection With Mcc 56 18 — — $35,895.88 $99,569.25 $39,844.43 2026-04-01
265 MS_DRG Aicd Lead Procedures 56 18 — — $35,872.96 $99,500.50 $39,818.99 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 56 18 — — $35,548.38 $98,621.84 $39,458.71 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 18 — — $35,472.28 $98,298.75 $39,374.23 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 56 18 — — $35,363.17 $97,971.50 $39,253.12 2026-04-01
652 MS_DRG Kidney Transplant 56 18 — — $32,309.01 $88,811.25 $35,863.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 56 18 — — $31,507.65 $86,407.75 $34,973.49 2026-04-01
665 MS_DRG Prostatectomy With Mcc 56 18 — — $31,316.02 $85,833.00 $34,760.78 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 56 18 — — $29,988.36 $81,851.00 $33,287.08 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 56 18 — — $29,471.23 $80,300.00 $32,713.06 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 56 18 — — $29,172.33 $79,403.50 $32,381.28 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 56 18 — — $29,120.98 $79,249.50 $32,324.29 2026-04-01
849 MS_DRG Radiotherapy 56 18 — — $27,541.18 $74,511.25 $30,570.71 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 56 18 — — $26,880.10 $72,528.50 $29,836.91 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 56 18 — — $26,240.12 $70,609.00 $29,126.53 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 50 17 — — $32,957.77 $94,561.50 $37,648.84 2026-04-01
5166 OTHER Cochlear Implant Procedure 48 16 — — $19,135.48 $73,641.44 $35,988.44 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 46 17 — — $106,478.95 $311,267.00 $117,126.84 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 46 17 — — $55,024.03 $156,939.75 $60,526.43 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 36 11 — — $13,821.00 $270,400.67 $73,761.53 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 36 11 — — $6,072.60 $189,347.94 $52,385.85 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 36 11 — — $9,105.00 $189,347.94 $52,385.85 2026-04-01
69930 HCPCS Implant Cochlear Device 36 11 — — $12,230.00 $141,741.27 $39,214.77 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 36 11 — — $14,755.00 $134,935.12 $37,331.76 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 36 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 36 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 36 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 36 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
61886 HCPCS Implant Neurostim Arrays 36 11 — — $8,991.00 $132,651.74 $36,700.03 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 36 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 36 11 — — $9,105.00 $132,651.74 $36,700.03 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 36 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 36 11 — — $9,105.00 $132,651.74 $36,185.54 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 36 11 — — $12,230.00 $123,304.62 $34,114.01 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 36 11 — — $14,755.00 $116,644.32 $32,271.34 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 36 11 — — $10,615.00 $116,644.32 $31,818.94 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 36 11 — — $10,243.00 $116,644.32 $31,818.94 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 34 11 — — $13,746.00 $189,347.94 $51,406.68 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 34 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 34 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 34 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 32 10 — — $13,746.00 $147,271.09 $40,173.49 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 32 10 — — $7,920.26 $115,713.45 $32,612.19 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 10 — — $55,272.32 $213,765.71 $61,905.00 2026-04-01
J9226 HCPCS Supprelin La Implant 30 10 — — $45,020.65 $174,117.36 $50,423.13 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 30 10 — — $10,243.00 $116,644.32 $33,176.15 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 30 10 — — $6,072.60 $116,644.32 $33,176.15 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 30 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 30 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 30 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 30 10 — — $14,755.00 $116,644.32 $31,064.94 2026-04-01
J9266 HCPCS Pegaspargase Injection 30 10 — — $24,657.63 $109,930.05 $30,697.98 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 28 10 — — $10,243.00 $132,651.74 $36,185.54 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 26 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 26 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 24 9 — — $770,620.00 $2,980,372.85 $855,388.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 9 — — $591,726.20 $2,288,501.08 $656,816.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 24 9 — — $565,868.94 $2,188,498.14 $628,114.53 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 24 9 — — $562,538.19 $2,175,616.43 $624,417.39 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 24 9 — — $557,317.93 $2,155,427.11 $618,622.91 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 9 — — $533,230.17 $2,062,267.69 $591,885.49 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 24 9 — — $489,304.61 $1,892,385.57 $543,128.11 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 24 8 — — $205,640.00 $795,312.70 $228,260.40 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 24 9 — — $63,342.28 $244,976.28 $70,309.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 24 8 — — $56,824.55 $219,768.94 $63,075.24 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 22 8 — — $17,451.00 $135,504.52 $35,396.56 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 20 7 — — $7,920.26 $189,347.94 $52,385.85 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 7 — — $7,920.26 $132,651.74 $36,700.03 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 7 — — $108,243.35 $418,631.16 $116,902.82 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 18 7 — — $68,801.71 $266,090.61 $74,305.85 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 18 7 — — $48,155.50 $186,241.40 $52,007.94 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 18 7 — — $44,853.57 $173,471.18 $48,441.86 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 18 7 — — $34,970.13 $135,246.98 $37,767.74 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 18 7 — — $29,510.19 $114,130.66 $31,871.01 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 18 7 — — $28,851.23 $111,582.13 $31,159.33 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 18 7 — — $28,715.00 $111,055.26 $31,012.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 7 — — $2,455,110.60 $4,910,221.21 $2,626,968.35 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 16 7 — — $2,332,000.00 $4,664,000.00 $2,495,240.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 16 5 — — $15,483.00 $630,040.57 $38,698.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 7 — — $3,685,266.67 $4,127,498.67 $3,906,382.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 7 — — $3,316,462.59 $3,714,438.10 $3,515,450.34 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 7 — — $3,248,445.72 $3,638,259.20 $3,443,352.46 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 14 7 — — $2,945,740.00 $3,299,228.80 $3,122,484.40 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 12 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 12 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
509 MS_DRG Arthroscopy 12 4 — — $11,312.00 $43,517.29 $33,472.12 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 10 3 — — $13,746.00 $51,644.57 $35,233.91 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 8 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 8 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 8 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
0809T HCPCS Arthrd Si Jt Prq Tfx&implt 8 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 8 2 — — $7,920.26 $65,879.63 $53,930.44 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 8 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 8 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
69718 HCPCS Revise Temple Bone Implant 8 2 — — $7,920.26 $49,166.59 $40,248.79 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 6 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 6 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 6 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 6 1 — — $54,340.97 $79,651.00 $76,066.95 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 6 1 — — $35,233.91 $51,644.57 $49,320.72 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 6 1 — — $33,543.34 $49,166.59 $46,954.25 2026-04-01
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 6 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
0454T HCPCS Insj/rplcmt Subq Electrode 6 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 2 — — $33,256.29 $117,086.61 $75,171.45 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 4 2 — — $32,296.24 $32,926.58 $32,611.41 2026-04-01
5378 OTHER Level 8 Urology And Related Services 4 2 — — $18,357.43 $40,074.69 $29,216.06 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $177,719.40 $177,719.40 $177,719.40 2026-04-01
9143 OTHER Inj Acetaminophen -fresenius 2 1 — — $33,575.28 $33,575.28 $33,575.28 2026-04-01
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