Price Transparencybeta 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

LEGACY MOUNT HOOD MEDICAL CENTER

Gresham, OR · CCN 380025 · Rates published

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You selected 93350 (HCPCS)

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This hospital’s price: $674 across 8 payers · range $607-$2,349

Source: https://www.legacyhealth.org/-/media/Files/CSV/930591528_legacy-mount-hood-medical-center_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,174 distinct procedures filed
25 distinct payers
929,520 rate rows
2026-04-01 last MRF observed
Data quality

724,773 of 929,520 rate rows are consumer-grade (78.0%)

204,747 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 171,829
professional (physician) fee — not the facility price 22,990
template filing: same amount across many unrelated codes — excluded 9,668
placeholder amount (≤ $0.02) — excluded from medians 184
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 76
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.legacyhealth.org/-/media/Files/JSON/930591528_legacy-mount-hood-medical-center_standardcharges.json
Found on page https://www.legacyhealth.org/Patients-and-Visitors/paying-for-your-care/estimate-hospital-costs
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint db8d943a4bedd17c… · 59,492,933 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
$3,705,478
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,714,438.10 $3,515,450.34 nat. median
$3,324,572
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
$2,994,107
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
$2,467,386
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,664,000.00 $2,495,240.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $2,980,372.85 $855,388.20 nat. median
$813,967
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $2,288,501.08 $656,816.08 nat. median
$739,258
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.94 $2,188,498.14 $628,114.53 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $2,175,616.43 $624,417.39 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $2,155,427.11 $618,622.91 nat. median
$622,450
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $2,062,267.69 $591,885.49 nat. median
$608,239
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,892,385.57 $543,128.11 nat. median
$591,721
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $358,841.92 $1,187,527.00 $426,541.21 nat. median
$359,454
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $598.40 $770,657.25 $280,417.97 nat. median
$249,036
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 $208,381.49 nat. median
$198,418
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 $207,175.19 nat. median
$190,559
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $177,719.40 $177,719.40 $177,719.40 nat. median
$75,000
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $75.42 $499,561.98 $136,185.11 nat. median
$126,695
1.1× median
7
MS_DRG 		Lung Transplant 18 $109,291.60 $356,130.50 $129,937.69 nat. median
$117,974
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $101,596.08 $330,492.25 $120,791.15 nat. median
$110,307
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $108,243.35 $418,631.16 $116,902.82 nat. median
$111,503
1.0× median
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$22,408
outlier · 5.1×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$22,425
outlier · 5.1×
0427T
CPT 		Insj/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$15,162
outlier · 7.6×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$22,408
outlier · 5.1×
0431T
CPT 		Rmvl/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$17,424
outlier · 6.6×
0424T
CPT 		Insj/rplc Nstim Apnea Compl 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$22,771
outlier · 5.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $95,932.77 $311,624.50 $114,060.02 nat. median
$104,013
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $5,027.04 $299,037.75 $109,569.65 nat. median
$97,323
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $29.64 $303,083.00 $108,937.80 nat. median
$93,276
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $95,825.46 $311,267.00 $107,324.52 nat. median
$92,678
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $87,502.61 $323,920.85 $105,012.68 nat. median
$95,038
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 18 $76,122.66 $273,817.50 $101,512.17 nat. median
$93,901
1.1× median
0312T
OTHER 		Laps Impltj Nstim Vagus 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$17,924
outlier · 5.5×
0316T
CPT 		Replc Vagus Nerve Pls Gen 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$11,636
outlier · 8.5×
0312T
CPT 		Laps Impltj Nstim Vagus 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$9,552
outlier · 10.3×
0316T
OTHER 		Replc Vagus Nerve Pls Gen 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$14,923
outlier · 6.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $48.00 $269,027.00 $97,477.29 nat. median
$90,551
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $76,764.53 $247,764.00 $92,130.63 nat. median
$78,049
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $15.45 $238,136.25 $87,842.84 nat. median
$78,268
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $15,263.68 $231,822.25 $84,790.39 nat. median
$77,028
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $71,760.75 $231,093.50 $84,532.84 nat. median
$77,632
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $29.64 $211,153.25 $78,947.56 nat. median
$72,398
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $127.58 $216,392.00 $78,588.57 nat. median
$74,370
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $10,920.88 $210,243.00 $76,435.91 nat. median
$71,748
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $214.64 $287,873.97 $76,192.34 nat. median
$67,976
1.1× median
0426T
CPT 		Insj/rplc Nstim Apnea Stm Ld 1 $54,340.97 $79,651.00 $76,066.95 nat. median
$12,687
outlier · 6.0×
0426T
OTHER 		Insj/rplc Nstim Apnea Stm Ld 1 $54,340.97 $79,651.00 $76,066.95 nat. median
$13,386
outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 16,174 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 28 7 — — $3,685,266.67 $4,127,498.67 $3,906,382.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 28 7 — — $3,316,462.59 $3,714,438.10 $3,515,450.34 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 28 7 — — $3,248,445.72 $3,638,259.20 $3,443,352.46 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 28 7 — — $2,945,740.00 $3,299,228.80 $3,122,484.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 32 7 — — $2,455,110.60 $4,910,221.21 $2,626,968.35 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 32 7 — — $2,332,000.00 $4,664,000.00 $2,495,240.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 48 9 — — $770,620.00 $2,980,372.85 $855,388.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 48 9 — — $591,726.20 $2,288,501.08 $656,816.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 48 9 — — $565,868.94 $2,188,498.14 $628,114.53 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 48 9 — — $562,538.19 $2,175,616.43 $624,417.39 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 48 9 — — $557,317.93 $2,155,427.11 $618,622.91 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 48 9 — — $533,230.17 $2,062,267.69 $591,885.49 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 48 9 — — $489,304.61 $1,892,385.57 $543,128.11 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 106 18 — — $358,841.92 $1,187,527.00 $426,541.21 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 113 18 — — $598.40 $770,657.25 $280,417.97 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 48 8 — — $205,640.00 $795,312.70 $228,260.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 111 19 — — $16.80 $587,732.37 $208,381.49 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 133 21 — — $85.56 $1,679,077.96 $207,175.19 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $177,719.40 $177,719.40 $177,719.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 124 21 — — $75.42 $499,561.98 $136,185.11 2026-04-01
7 MS_DRG Lung Transplant 106 18 — — $109,291.60 $356,130.50 $129,937.69 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 106 18 — — $101,596.08 $330,492.25 $120,791.15 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 7 — — $108,243.35 $418,631.16 $116,902.82 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 9 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 3 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0424T CPT Insj/rplc Nstim Apnea Compl 3 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 9 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 3 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 9 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 106 18 — — $95,932.77 $311,624.50 $114,060.02 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 108 18 — — $5,027.04 $299,037.75 $109,569.65 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 109 19 — — $29.64 $303,083.00 $108,937.80 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 86 17 — — $95,825.46 $311,267.00 $107,324.52 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 108 20 — — $87,502.61 $323,920.85 $105,012.68 2026-04-01
215 MS_DRG Other Heart Assist System Implant 113 18 — — $76,122.66 $273,817.50 $101,512.17 2026-04-01
0312T CPT Laps Impltj Nstim Vagus 4 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 12 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 12 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
0316T CPT Replc Vagus Nerve Pls Gen 4 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 120 19 — — $48.00 $269,027.00 $97,477.29 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 107 18 — — $76,764.53 $247,764.00 $92,130.63 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 108 19 — — $15.45 $238,136.25 $87,842.84 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 109 19 — — $15,263.68 $231,822.25 $84,790.39 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 107 18 — — $71,760.75 $231,093.50 $84,532.84 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 127 21 — — $29.64 $211,153.25 $78,947.56 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 122 20 — — $127.58 $216,392.00 $78,588.57 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 114 21 — — $10,920.88 $210,243.00 $76,435.91 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 119 21 — — $214.64 $287,873.97 $76,192.34 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 9 1 — — $54,340.97 $79,651.00 $76,066.95 2026-04-01
0426T CPT Insj/rplc Nstim Apnea Stm Ld 3 1 — — $54,340.97 $79,651.00 $76,066.95 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $33,256.29 $117,086.61 $75,171.45 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 9 7 — — $68,801.71 $266,090.61 $74,305.85 2026-04-01
0809T CPT Arthrd Si Jt Prq Tfx&implt 4 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
0775T CPT Arthrd Si Jt Prq Iartic Impl 4 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
0809T OTHER Arthrd Si Jt Prq Tfx&implt 12 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
0775T OTHER Arthrd Si Jt Prq Iartic Impl 12 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 72 11 — — $13,821.00 $270,400.67 $73,761.53 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 112 18 — — $61,252.96 $196,086.00 $73,522.03 2026-04-01
10 MS_DRG Pancreas Transplant 106 18 — — $61,626.89 $197,521.17 $73,285.69 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 108 18 — — $48,397.33 $198,511.50 $73,141.03 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 106 18 — — $61,287.63 $196,383.99 $72,882.48 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 113 19 — — $57,218.34 $189,142.25 $71,021.67 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 125 21 — — $3,000.37 $197,249.25 $70,517.71 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 48 9 — — $63,342.28 $244,976.28 $70,309.93 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 110 18 — — $73.76 $187,452.03 $69,567.99 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 110 18 — — $39,990.62 $183,744.00 $68,438.22 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 111 20 — — $10,564.26 $183,878.75 $67,206.17 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 107 18 — — $56,670.98 $180,820.75 $66,765.48 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 152 22 — — $77.88 $309,541.59 $66,582.39 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 109 18 — — $56,473.70 $180,163.50 $66,533.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 111 18 — — $56.58 $180,820.75 $66,135.62 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 48 8 — — $56,824.55 $219,768.94 $63,075.24 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 106 18 — — $52,438.97 $166,721.50 $62,365.38 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 138 23 — — $37,543.38 $191,014.59 $62,171.67 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 60 10 — — $55,272.32 $213,765.71 $61,905.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 122 19 — — $38,727.48 $168,531.00 $61,833.16 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 127 22 — — $14,319.93 $653,449.00 $61,768.86 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 109 19 — — $102.57 $168,335.75 $61,764.80 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 115 19 — — $2,619.86 $165,228.25 $61,254.78 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 109 18 — — $46,508.97 $165,181.50 $61,238.27 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 106 18 — — $51,341.97 $163,066.75 $61,061.54 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 121 21 — — $36,845.71 $161,386.50 $61,027.17 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 107 18 — — $51,617.67 $163,985.25 $60,815.49 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 109 18 — — $38,182.34 $161,282.00 $59,860.11 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 18 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 18 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 6 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 6 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 107 18 — — $35,234.68 $158,595.25 $58,910.56 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 123 19 — — $23,539.52 $157,583.25 $58,000.51 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 118 20 — — $6,407.20 $378,423.67 $57,978.77 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 106 18 — — $48,658.48 $154,126.50 $57,872.07 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 107 18 — — $48,802.11 $154,605.00 $57,500.33 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 106 18 — — $48,341.52 $153,070.50 $57,495.35 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 106 18 — — $47,984.93 $152,036.74 $57,071.52 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 106 18 — — $47,236.26 $149,529.51 $56,181.68 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 113 18 — — $16.46 $150,972.25 $55,686.10 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 108 18 — — $61.86 $149,987.75 $55,604.97 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 110 18 — — $35,592.87 $150,438.75 $55,499.32 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 86 17 — — $49,502.90 $156,939.75 $55,443.25 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 111 19 — — $40.49 $150,224.25 $55,424.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 108 18 — — $46,388.54 $146,564.00 $55,174.13 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 125 20 — — $33,090.36 $146,652.00 $54,173.65 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 16 2 — — $7,920.26 $65,879.63 $53,930.44 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 16 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 16 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 115 20 — — $38.50 $294,969.07 $53,798.18 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 124 20 — — $88.61 $359,518.08 $53,629.70 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 117 19 — — $31,811.78 $143,148.50 $52,947.12 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 112 18 — — $45,289.06 $142,901.00 $52,860.48 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 72 11 — — $6,072.60 $189,347.94 $52,385.85 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 72 11 — — $9,105.00 $189,347.94 $52,385.85 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 40 7 — — $7,920.26 $189,347.94 $52,385.85 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 124 23 — — $2,277.76 $423,899.65 $52,385.68 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 9 7 — — $48,155.50 $186,241.40 $52,007.94 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 111 18 — — $33,188.75 $138,605.50 $51,845.80 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 11 — — $13,746.00 $189,347.94 $51,406.68 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 51 11 — — $13,746.00 $189,347.94 $51,406.68 2026-04-01
J9226 HCPCS Supprelin La Implant 60 10 — — $45,020.65 $174,117.36 $50,423.13 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 112 20 — — $21,336.41 $151,129.29 $50,256.67 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 115 18 — — $138.82 $135,346.75 $50,215.84 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 129 19 — — $32,705.45 $458,357.79 $49,879.82 2026-04-01
0398T CPT Mrgfus Strtctc Les Abltj 3 1 — — $35,233.91 $51,644.57 $49,320.72 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 9 1 — — $35,233.91 $51,644.57 $49,320.72 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 110 18 — — $31,277.85 $132,789.25 $49,320.51 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 107 18 — — $41,008.36 $128,639.50 $49,235.39 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 111 19 — — $31,266.04 $132,118.25 $49,085.59 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 119 18 — — $30,343.93 $130,922.00 $48,666.81 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 107 19 — — $19,011.16 $129,288.50 $48,552.99 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 9 7 — — $44,853.57 $173,471.18 $48,441.86 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 106 18 — — $40,671.58 $127,517.50 $48,379.23 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 177 20 — — $2,562.07 $275,795.24 $47,979.57 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 107 18 — — $40,518.87 $127,008.75 $47,747.28 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 110 18 — — $2,040.49 $124,544.75 $47,318.68 2026-04-01
245 MS_DRG Aicd Generator Procedures 107 19 — — $12,292.16 $125,466.00 $47,202.04 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 128 20 — — $14.82 $129,024.50 $47,088.18 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 12 1 — — $33,543.34 $49,166.59 $46,954.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 114 19 — — $26,984.74 $123,213.75 $46,843.85 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 106 18 — — $39,234.50 $122,729.75 $46,671.18 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 115 19 — — $18,762.99 $237,844.16 $46,624.84 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 135 20 — — $19.25 $267,113.55 $46,605.59 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 116 18 — — $23,027.93 $126,082.00 $46,525.04 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 128 22 — — $69.57 $123,249.50 $45,980.78 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 161 21 — — $1,978.97 $608,560.00 $45,177.75 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 115 20 — — $69.91 $120,802.00 $45,123.94 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 117 18 — — $1,752.40 $207,162.06 $44,908.03 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 120 21 — — $62.88 $119,003.50 $44,494.32 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 112 18 — — $37,831.26 $118,054.75 $44,372.46 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 114 19 — — $117.82 $128,979.04 $43,896.46 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 107 18 — — $37,036.37 $115,406.50 $43,646.82 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 118 19 — — $26,800.44 $116,138.00 $43,491.15 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 109 18 — — $34,915.20 $115,940.00 $43,421.83 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 113 19 — — $27,805.11 $114,746.50 $43,413.56 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 125 21 — — $16.77 $115,882.25 $43,401.61 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 127 19 — — $281.48 $115,544.00 $43,283.19 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 125 19 — — $26,504.30 $115,192.00 $43,159.97 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 114 20 — — $9,634.23 $114,207.50 $42,815.30 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 107 18 — — $35,582.78 $110,563.75 $42,726.53 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 117 18 — — $596.17 $113,451.25 $42,550.56 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 107 18 — — $35,282.32 $109,562.75 $42,366.09 2026-04-01
791 MS_DRG Prematurity With Major Problems 126 21 — — $4,410.00 $111,622.50 $41,910.34 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 107 18 — — $34,298.40 $106,284.75 $41,185.71 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 108 18 — — $34,346.27 $106,444.25 $40,861.27 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 110 18 — — $25,650.79 $107,193.99 $40,515.76 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 145 24 — — $2,894.40 $114,664.00 $40,494.85 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 117 19 — — $39.21 $107,577.25 $40,494.15 2026-04-01
69718 HCPCS Revise Temple Bone Implant 16 2 — — $7,920.26 $49,166.59 $40,248.79 2026-04-01
0686T CPT Histotripsy Mal Hepatcel Tis 16 10 — — $13,746.00 $147,271.09 $40,173.49 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 48 10 — — $13,746.00 $147,271.09 $40,173.49 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 120 20 — — $59.89 $106,183.00 $40,006.05 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 118 19 — — $2,045.82 $105,580.75 $39,984.71 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 110 18 — — $23,498.24 $102,775.75 $39,552.52 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 106 18 — — $32,985.13 $101,909.50 $39,243.48 2026-04-01
69930 HCPCS Implant Cochlear Device 72 11 — — $12,230.00 $141,741.27 $39,214.77 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 116 20 — — $33.67 $181,230.31 $39,060.64 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 110 18 — — $18,868.98 $136,597.89 $38,922.68 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 113 20 — — $343.69 $103,031.50 $38,902.75 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 117 19 — — $24,793.42 $146,607.49 $38,817.07 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 115 18 — — $20,778.24 $102,487.00 $38,712.14 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 24 5 — — $15,483.00 $630,040.57 $38,698.00 2026-04-01
0100T CPT Prosth Retina Receive&Gen 8 5 — — $15,483.00 $630,040.57 $38,698.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 106 18 — — $32,282.69 $99,569.25 $38,408.59 2026-04-01
265 MS_DRG Aicd Lead Procedures 106 18 — — $32,262.05 $99,500.50 $38,384.07 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 121 19 — — $22,174.46 $160,742.38 $38,180.71 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 107 18 — — $31,629.46 $99,783.75 $38,125.44 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 107 18 — — $20,621.88 $99,706.75 $38,098.22 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 106 18 — — $31,969.85 $98,621.84 $38,036.76 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 115 18 — — $23,090.71 $99,324.50 $37,963.14 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 106 18 — — $31,901.34 $98,298.75 $37,955.34 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 106 18 — — $31,803.11 $97,971.50 $37,838.59 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 9 7 — — $34,970.13 $135,246.98 $37,767.74 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 51 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 17 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 51 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 17 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 17 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 51 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 112 19 — — $9,509.53 $99,176.00 $37,553.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 107 18 — — $28,595.53 $98,054.00 $37,514.11 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 109 19 — — $18,778.64 $97,878.00 $37,451.91 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 122 18 — — $30,568.46 $98,199.75 $37,388.43 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 72 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 72 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 72 11 — — $14,755.00 $134,935.12 $37,331.76 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 72 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 123 19 — — $306.17 $97,798.25 $37,070.67 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 119 18 — — $1,546.93 $96,981.50 $36,784.74 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 72 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 72 11 — — $9,105.00 $132,651.74 $36,700.03 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 72 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 72 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 40 7 — — $7,920.26 $132,651.74 $36,700.03 2026-04-01
61886 HCPCS Implant Neurostim Arrays 72 11 — — $8,991.00 $132,651.74 $36,700.03 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 118 20 — — $20,978.27 $104,684.97 $36,696.95 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 111 18 — — $29,594.77 $95,001.50 $36,435.31 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 128 19 — — $4.90 $95,928.25 $36,416.02 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 115 18 — — $24,896.31 $95,903.50 $36,407.35 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 109 19 — — $22,311.71 $95,463.50 $36,253.31 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 42 10 — — $10,243.00 $132,651.74 $36,185.54 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 14 10 — — $10,243.00 $132,651.74 $36,185.54 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 72 11 — — $9,105.00 $132,651.74 $36,185.54 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 121 20 — — $269.66 $96,783.50 $36,016.08 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 39 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 39 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 13 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 13 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 115 18 — — $29,488.87 $147,998.51 $35,993.88 2026-04-01
5166 OTHER Cochlear Implant Procedure 24 16 — — $19,135.48 $73,641.44 $35,988.44 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 123 20 — — $22,579.81 $167,442.24 $35,839.34 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 108 20 — — $6,045.44 $93,695.25 $35,803.96 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 107 18 — — $29,662.76 $90,840.75 $35,624.52 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 107 18 — — $29,570.31 $90,532.75 $35,513.62 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 11 8 — — $17,451.00 $135,504.52 $35,396.56 2026-04-01
509 MS_DRG Arthroscopy 21 4 — — $11,312.00 $43,517.29 $35,327.25 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 20 3 — — $13,746.00 $51,644.57 $35,233.91 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 114 18 — — $1,408.58 $113,419.62 $34,579.47 2026-04-01
652 MS_DRG Kidney Transplant 106 18 — — $29,053.59 $88,811.25 $34,570.64 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 123 19 — — $20,250.22 $90,521.75 $34,523.28 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 112 18 — — $20,852.06 $88,572.00 $34,485.29 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 109 18 — — $177.49 $89,452.00 $34,474.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 88 17 — — $30,779.57 $94,561.50 $34,473.12 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 111 19 — — $18,706.99 $87,465.66 $34,334.98 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 107 18 — — $29,033.78 $88,745.25 $34,224.22 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 111 18 — — $19,857.67 $86,900.00 $34,205.51 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 72 11 — — $12,230.00 $123,304.62 $34,114.01 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 120 21 — — $19,404.72 $141,912.46 $34,101.54 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 107 18 — — $26,127.66 $88,286.00 $34,061.91 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 122 19 — — $19,276.12 $92,007.93 $34,014.53 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 113 19 — — $20.39 $89,058.75 $34,011.11 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 106 18 — — $28,332.16 $86,407.75 $33,713.18 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 112 18 — — $19,309.62 $87,639.75 $33,673.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 107 18 — — $28,519.53 $87,032.00 $33,618.73 2026-04-01
9143 OTHER Inj Acetaminophen -fresenius 1 1 — — $33,575.28 $33,575.28 $33,575.28 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 119 19 — — $14,067.94 $95,443.35 $33,571.14 2026-04-01
665 MS_DRG Prostatectomy With Mcc 106 18 — — $28,159.64 $85,833.00 $33,508.14 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 124 19 — — $8,718.17 $88,959.75 $33,329.28 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 45 10 — — $10,243.00 $116,644.32 $33,176.15 2026-04-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 15 10 — — $6,072.60 $116,644.32 $33,176.15 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 45 10 — — $6,072.60 $116,644.32 $33,176.15 2026-04-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 15 10 — — $10,243.00 $116,644.32 $33,176.15 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 115 18 — — $26,256.03 $86,652.50 $33,168.71 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 116 18 — — $20,979.40 $87,554.50 $33,165.59 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 117 19 — — $18,420.01 $85,654.25 $32,819.24 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 107 19 — — $31.59 $84,191.25 $32,614.75 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 64 10 — — $7,920.26 $115,713.45 $32,612.19 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 2 — — $32,296.24 $32,926.58 $32,611.41 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 108 18 — — $27,161.32 $83,063.75 $32,520.20 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 108 18 — — $27,325.13 $83,052.75 $32,516.27 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 72 11 — — $14,755.00 $116,644.32 $32,271.34 2026-04-01
263 MS_DRG Vein Ligation And Stripping 110 19 — — $14,731.41 $84,078.50 $32,267.59 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 106 18 — — $26,964.41 $81,851.00 $32,087.54 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 109 21 — — $6,748.53 $83,413.00 $32,034.61 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 60 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 60 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 60 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 111 18 — — $100.40 $103,290.99 $31,876.72 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 9 7 — — $29,510.19 $114,130.66 $31,871.01 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 72 11 — — $10,615.00 $116,644.32 $31,818.94 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 72 11 — — $10,243.00 $116,644.32 $31,818.94 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 108 18 — — $19,738.81 $132,599.15 $31,770.67 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 117 18 — — $19,230.00 $203,911.60 $31,650.69 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 106 18 — — $26,229.78 $79,403.50 $31,214.39 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 127 18 — — $40.78 $81,017.75 $31,196.07 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 106 18 — — $26,183.55 $79,249.50 $31,159.45 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 9 7 — — $28,851.23 $111,582.13 $31,159.33 2026-04-01
570 MS_DRG Skin Debridement With Mcc 113 18 — — $15,944.53 $80,880.25 $31,147.94 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 60 10 — — $14,755.00 $116,644.32 $31,064.94 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 7 — — $28,715.00 $111,055.26 $31,012.20 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 109 18 — — $25,787.61 $80,300.00 $30,944.79 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 110 18 — — $19,097.25 $79,755.50 $30,900.62 2026-04-01
J9266 HCPCS Pegaspargase Injection 60 10 — — $24,657.63 $109,930.05 $30,697.98 2026-04-01
503 MS_DRG Foot Procedures With Mcc 107 18 — — $25,434.88 $76,755.25 $30,552.51 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 113 18 — — $18,752.67 $78,388.75 $30,275.70 2026-04-01
0454T CPT Insj/rplcmt Subq Electrode 3 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
0453T CPT Insj/rplcmt Mech-elec Ntrfce 3 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 9 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
0454T OTHER Insj/rplcmt Subq Electrode 9 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 125 19 — — $16.34 $79,365.00 $30,034.27 2026-04-01
800 MS_DRG Splenic Procedures With Cc 108 18 — — $25,585.94 $77,258.50 $30,022.31 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 119 18 — — $19,360.28 $78,930.50 $29,885.06 2026-04-01
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