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

LEGACY MOUNT HOOD MEDICAL CENTER

Gresham, OR · CCN 380025 · Rates published

15,123 distinct procedures filed
25 distinct payers
1,394,077 rate rows
2026-04-01 last MRF observed
Data quality

1,084,583 of 1,394,077 rate rows are consumer-grade (77.8%)

309,494 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 260,231
professional (physician) fee — not the facility price 34,485
template filing: same amount across many unrelated codes — excluded 14,502
placeholder amount (≤ $0.02) — excluded from medians 276
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 · 2026-05-17
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
$3,710,000
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 $358,841.92 $1,187,527.00 $436,829.44 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 $285,610.90 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 $215,903.92 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $85.56 $1,679,077.96 $209,909.46 nat. median
$202,986
1.0× 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 $140,592.91 nat. median
$133,176
1.1× median
7
MS_DRG 		Lung Transplant 18 $109,291.60 $356,130.50 $132,561.62 nat. median
$122,708
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $101,596.08 $330,492.25 $123,178.74 nat. median
$117,303
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $108,243.35 $418,631.16 $116,902.82 nat. median
$111,989
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $95,932.77 $311,624.50 $116,273.67 nat. median
$108,660
1.1× 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 $112,170.13 nat. median
$98,905
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $5,027.04 $299,037.75 $111,667.28 nat. median
$102,358
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $95,825.46 $311,267.00 $109,827.41 nat. median
$98,017
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $87,502.61 $323,920.85 $106,957.36 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 18 $41.24 $273,817.50 $101,512.17 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $48.00 $269,027.00 $99,787.17 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 $76,764.53 $247,764.00 $93,671.40 nat. median
$82,712
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $15.45 $238,136.25 $88,663.80 nat. median
$83,442
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $13,301.83 $231,822.25 $86,268.38 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $71,760.75 $231,093.50 $86,127.80 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 $80,511.60 nat. median
$77,576
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $29.64 $211,153.25 $80,054.01 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 $78,442.93 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 $78,369.26 nat. median
$72,138
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×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $61,252.96 $196,086.00 $74,449.73 nat. median
$68,887
1.1× median
10
MS_DRG 		Pancreas Transplant 18 $61,626.89 $197,521.17 $74,441.85 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 $74,395.42 nat. median
$68,090
1.1× median
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
0775T
HCPCS 		Arthrd Si Jt Prq Iartic Impl 2 $7,920.26 $90,467.87 $74,058.88 nat. median
$9,524
outlier · 7.8×
0809T
HCPCS 		Arthrd Si Jt Prq Tfx&implt 2 $7,920.26 $90,467.87 $74,058.88 nat. median
$9,875
outlier · 7.5×

Other procedures at this hospital

Browse this hospital's 15,123 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5213 OTHER Level 3 Electrophysiologic Procedures 32 16 — — $11,717.40 $94,009.62 $27,928.43 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 161 19 — — $10,373.68 $71,027.00 $27,933.93 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 172 19 — — $32.93 $91,714.98 $28,033.15 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 244 23 — — $10,280.69 $176,059.12 $28,095.09 2026-04-01
22558 HCPCS Lumbar Spine Fusion 108 11 — — $14,755.00 $116,644.32 $28,130.07 2026-04-01
22630 HCPCS Lumbar Spine Fusion 108 11 — — $14,755.00 $116,644.32 $28,130.07 2026-04-01
49654 HCPCS Lap Inc Hernia Repair 24 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 24 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
49657 HCPCS Lap Inc Hern Recur Comp 24 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
49655 HCPCS Lap Inc Hern Repair Comp 24 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 233 20 — — $41.92 $79,972.12 $28,474.13 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 160 18 — — $24,166.19 $72,528.50 $28,492.41 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 166 18 — — $17,146.70 $72,894.25 $28,625.31 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 161 19 — — $12,553.07 $73,150.00 $28,723.57 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 162 18 — — $23,645.28 $74,178.50 $29,106.13 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 163 18 — — $7,127.93 $74,420.50 $29,196.15 2026-04-01
849 MS_DRG Radiotherapy 161 18 — — $17,857.99 $74,511.25 $29,229.89 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 169 18 — — $1,230.78 $75,820.25 $29,376.50 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 170 18 — — $11.55 $87,172.42 $29,454.14 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 169 18 — — $1,332.08 $76,227.25 $29,518.99 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 174 18 — — $25,079.12 $75,570.00 $29,595.76 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 222 20 — — $15,653.60 $80,088.25 $29,607.55 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 180 18 — — $19,360.28 $78,930.50 $29,885.06 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 177 18 — — $25,473.73 $83,166.85 $29,967.81 2026-04-01
503 MS_DRG Foot Procedures With Mcc 162 18 — — $24,673.75 $76,755.25 $30,064.55 2026-04-01
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 18 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
0454T HCPCS Insj/rplcmt Subq Electrode 18 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
800 MS_DRG Splenic Procedures With Cc 163 18 — — $25,585.94 $77,258.50 $30,251.74 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 171 18 — — $18,752.67 $78,388.75 $30,275.70 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 186 19 — — $16.34 $79,365.00 $30,470.98 2026-04-01
J9266 HCPCS Pegaspargase Injection 90 10 — — $24,657.63 $109,930.05 $30,697.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 174 18 — — $18,084.27 $79,755.50 $30,900.62 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 160 18 — — $26,183.55 $79,249.50 $30,992.29 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 7 — — $28,715.00 $111,055.26 $31,012.20 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 161 18 — — $17,876.10 $79,403.50 $31,049.57 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 90 10 — — $14,755.00 $116,644.32 $31,064.94 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 5 5 — — $30,876.25 $32,926.58 $31,083.61 2026-04-01
570 MS_DRG Skin Debridement With Mcc 169 18 — — $15,944.53 $80,880.25 $31,147.94 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 9 7 — — $28,851.23 $111,582.13 $31,159.33 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 186 18 — — $40.78 $81,017.75 $31,196.07 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 177 18 — — $18,886.61 $203,911.60 $31,198.92 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 165 18 — — $25,787.61 $80,300.00 $31,239.50 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 162 18 — — $19,738.81 $132,599.15 $31,629.53 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 108 11 — — $10,615.00 $116,644.32 $31,818.94 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 108 11 — — $10,243.00 $116,644.32 $31,818.94 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 9 7 — — $29,510.19 $114,130.66 $31,871.01 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 90 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 90 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 90 10 — — $17,599.00 $112,361.99 $31,958.16 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 160 18 — — $26,964.41 $81,851.00 $31,959.92 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 108 11 — — $14,755.00 $116,644.32 $32,271.34 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 165 18 — — $100.40 $103,290.99 $32,373.15 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 162 18 — — $27,325.13 $83,052.75 $32,406.91 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 163 19 — — $22,270.97 $83,063.75 $32,411.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 165 21 — — $6,748.53 $83,413.00 $32,540.90 2026-04-01
263 MS_DRG Vein Ligation And Stripping 165 19 — — $14,731.41 $84,078.50 $32,574.90 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 96 10 — — $7,920.26 $115,713.45 $32,612.19 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 177 20 — — $16,116.88 $85,654.25 $32,819.24 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 161 19 — — $31.59 $84,191.25 $32,830.38 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 90 10 — — $10,243.00 $116,644.32 $33,176.15 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 90 10 — — $6,072.60 $116,644.32 $33,176.15 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 5 3 — — $27,139.76 $117,086.61 $33,423.19 2026-04-01
665 MS_DRG Prostatectomy With Mcc 160 18 — — $28,159.64 $85,833.00 $33,441.03 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 5 4 — — $11,728.75 $59,166.68 $33,446.48 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 175 18 — — $17,685.48 $87,554.50 $33,484.49 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 176 19 — — $19,276.12 $92,007.93 $33,510.38 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 181 19 — — $14,067.94 $95,443.35 $33,571.14 2026-04-01
9143 OTHER Inj Acetaminophen -fresenius 1 1 — — $33,575.28 $33,575.28 $33,575.28 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 165 19 — — $16,229.18 $87,032.00 $33,618.73 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 161 18 — — $24,789.40 $86,407.75 $33,654.81 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 179 21 — — $19,404.72 $141,912.46 $33,730.50 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 179 20 — — $25,327.37 $93,232.39 $33,745.84 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 167 18 — — $16,539.15 $86,900.00 $33,837.90 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 188 20 — — $8,718.17 $88,959.75 $33,974.87 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 165 19 — — $18,706.99 $87,465.66 $34,015.88 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 167 18 — — $19,309.62 $87,639.75 $34,113.06 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 108 11 — — $12,230.00 $123,304.62 $34,114.01 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 170 19 — — $20.39 $89,058.75 $34,334.40 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 162 18 — — $18,507.94 $88,286.00 $34,353.43 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 166 18 — — $20,852.06 $88,572.00 $34,459.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 162 18 — — $29,033.78 $256,997.13 $34,524.25 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 179 19 — — $20,250.22 $90,521.75 $34,545.29 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 173 18 — — $1,408.58 $113,419.62 $34,558.00 2026-04-01
652 MS_DRG Kidney Transplant 174 18 — — $24,409.53 $192,433.40 $34,721.26 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 165 19 — — $177.49 $89,452.00 $34,787.12 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 133 17 — — $30,779.57 $94,561.50 $35,019.99 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 162 18 — — $21,454.08 $90,532.75 $35,189.11 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 30 3 — — $13,746.00 $51,644.57 $35,233.91 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 163 18 — — $23,815.16 $90,840.75 $35,303.66 2026-04-01
509 MS_DRG Arthroscopy 31 4 — — $11,312.00 $43,517.29 $35,327.25 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 20 9 — — $17,451.00 $135,504.52 $35,549.43 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 172 18 — — $20,770.60 $147,998.51 $35,685.20 2026-04-01
5166 OTHER Cochlear Implant Procedure 31 18 — — $19,135.48 $73,641.44 $35,801.28 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 186 20 — — $13,910.78 $167,442.24 $35,839.34 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 78 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 78 9 — — $6,072.60 $132,651.74 $36,014.05 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 84 10 — — $10,243.00 $132,651.74 $36,185.54 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 108 11 — — $9,105.00 $132,651.74 $36,185.54 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 162 20 — — $6,045.44 $93,695.25 $36,365.41 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 175 18 — — $14,463.72 $95,903.50 $36,407.35 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 172 20 — — $20,978.27 $104,684.97 $36,411.43 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 194 19 — — $4.90 $95,928.25 $36,416.02 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 169 18 — — $19,887.73 $95,001.50 $36,435.31 2026-04-01
61886 HCPCS Implant Neurostim Arrays 108 11 — — $8,991.00 $132,651.74 $36,700.03 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 108 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 60 7 — — $7,920.26 $132,651.74 $36,700.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 108 11 — — $9,105.00 $132,651.74 $36,700.03 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 108 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 108 11 — — $4,275.00 $132,651.74 $36,700.03 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 185 20 — — $269.66 $96,783.50 $36,715.42 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 164 19 — — $22,311.71 $95,463.50 $36,810.85 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 179 18 — — $1,546.93 $96,981.50 $36,904.31 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 182 19 — — $306.17 $97,798.25 $37,070.67 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 108 11 — — $14,755.00 $134,935.12 $37,331.76 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 108 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 108 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 108 11 — — $10,243.00 $134,935.12 $37,331.76 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 187 18 — — $28,187.92 $121,576.88 $37,565.63 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 102 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 102 11 — — $14,884.00 $134,935.12 $37,680.66 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 102 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 … 167 19 — — $9,509.53 $99,176.00 $37,705.72 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
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 164 20 — — $18,778.64 $97,878.00 $37,921.18 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 160 18 — — $31,803.11 $97,971.50 $37,955.95 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 161 18 — — $28,595.53 $98,054.00 $37,986.64 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 163 18 — — $31,901.34 $98,298.75 $38,077.68 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 162 18 — — $25,674.90 $98,621.84 $38,162.58 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 176 19 — — $22,174.46 $160,742.38 $38,360.50 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 174 18 — — $16,100.88 $99,324.50 $38,459.20 2026-04-01
265 MS_DRG Aicd Lead Procedures 160 18 — — $32,262.05 $99,500.50 $38,524.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 161 18 — — $32,282.69 $99,569.25 $38,550.24 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 161 18 — — $20,621.88 $99,706.75 $38,601.39 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 161 18 — — $31,629.46 $99,783.75 $38,630.02 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 48 5 — — $15,483.00 $630,040.57 $38,698.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 173 18 — — $20,778.24 $102,487.00 $38,712.14 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 179 19 — — $24,793.42 $146,607.49 $39,024.32 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 165 18 — — $18,868.98 $136,597.89 $39,086.22 2026-04-01
69930 HCPCS Implant Cochlear Device 108 11 — — $12,230.00 $141,741.27 $39,214.77 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 167 20 — — $343.69 $103,031.50 $39,273.25 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 170 20 — — $33.67 $181,230.31 $39,355.53 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 160 18 — — $32,985.13 $101,909.50 $39,420.70 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 165 18 — — $23,498.24 $102,775.75 $39,742.90 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 96 10 — — $13,746.00 $147,271.09 $40,173.49 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 179 19 — — $2,045.82 $105,580.75 $40,174.21 2026-04-01
69718 HCPCS Revise Temple Bone Implant 24 2 — — $7,920.26 $49,166.59 $40,248.79 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 177 20 — — $59.89 $106,183.00 $40,264.59 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 216 24 — — $979.64 $114,664.00 $40,494.85 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 173 19 — — $39.21 $107,577.25 $40,773.76 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 177 20 — — $17,226.00 $106,284.75 $41,048.07 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 162 18 — — $34,346.27 $106,444.25 $41,107.41 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 164 18 — — $25,650.79 $107,193.99 $41,347.78 2026-04-01
791 MS_DRG Prematurity With Major Problems 186 21 — — $4,410.00 $111,622.50 $42,080.68 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 162 18 — — $35,282.32 $109,562.75 $42,267.34 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 165 18 — — $25,200.25 $110,563.75 $42,639.65 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 171 18 — — $596.17 $113,451.25 $42,918.87 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 191 19 — — $281.48 $115,544.00 $43,283.19 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 179 19 — — $26,504.30 $115,192.00 $43,571.01 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 172 20 — — $9,634.23 $114,207.50 $43,609.01 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 172 19 — — $26,800.44 $116,138.00 $43,902.69 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 169 19 — — $27,805.11 $114,746.50 $44,195.43 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 164 18 — — $34,915.20 $115,940.00 $44,237.36 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 168 19 — — $117.82 $128,979.04 $44,322.83 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 161 18 — — $37,036.37 $115,406.50 $44,440.92 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 171 19 — — $3,677.98 $118,054.75 $44,600.01 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 180 21 — — $16.77 $115,882.25 $44,617.87 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 175 18 — — $1,752.40 $207,162.06 $44,893.02 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 183 21 — — $23.40 $119,003.50 $44,918.07 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 178 20 — — $69.91 $120,802.00 $45,338.82 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 193 23 — — $69.57 $123,249.50 $45,980.78 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 249 22 — — $1,978.97 $608,560.00 $46,188.18 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 18 1 — — $33,543.34 $49,166.59 $46,954.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 178 18 — — $213.57 $126,082.00 $46,972.39 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 160 18 — — $39,234.50 $122,729.75 $47,136.08 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 189 20 — — $19.25 $267,113.55 $47,148.85 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 174 19 — — $18,762.99 $237,844.16 $47,168.92 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 168 19 — — $26,984.74 $123,213.75 $47,313.24 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 164 18 — — $2,040.49 $124,544.75 $47,800.41 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 192 22 — — $14.82 $165,590.60 $47,854.22 2026-04-01
245 MS_DRG Aicd Generator Procedures 161 19 — — $12,292.16 $125,466.00 $48,092.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 269 20 — — $2,562.07 $275,795.24 $48,340.42 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 9 7 — — $44,853.57 $173,471.18 $48,441.86 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 163 18 — — $40,518.87 $127,008.75 $48,648.17 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 160 18 — — $40,671.58 $127,517.50 $48,888.49 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 173 18 — — $30,343.93 $130,922.00 $49,130.30 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 18 1 — — $35,233.91 $51,644.57 $49,320.72 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 161 18 — — $41,008.36 $128,639.50 $49,362.94 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 166 20 — — $19,011.16 $139,585.30 $49,536.72 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 176 18 — — $138.82 $135,346.75 $50,215.84 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 164 18 — — $31,277.85 $132,789.25 $50,355.27 2026-04-01
J9226 HCPCS Supprelin La Implant 90 10 — — $45,020.65 $174,117.36 $50,423.13 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 165 19 — — $31,266.04 $132,118.25 $50,488.03 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 206 21 — — $100.10 $458,357.79 $50,848.36 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 102 11 — — $13,746.00 $189,347.94 $51,406.68 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 167 20 — — $21,336.41 $151,129.29 $51,447.58 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 9 7 — — $48,155.50 $186,241.40 $52,007.94 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 185 23 — — $2,277.76 $423,899.65 $52,120.58 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 108 11 — — $6,072.60 $189,347.94 $52,385.85 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 60 7 — — $7,920.26 $189,347.94 $52,385.85 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 108 11 — — $9,105.00 $189,347.94 $52,385.85 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 165 18 — — $33,188.75 $138,605.50 $52,824.02 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 176 20 — — $75.90 $143,148.50 $53,199.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 170 18 — — $24,872.39 $142,901.00 $53,518.74 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 24 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 24 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 24 2 — — $7,920.26 $65,879.63 $53,930.44 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 187 20 — — $88.61 $359,518.08 $54,475.98 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 169 20 — — $38.50 $294,969.07 $55,335.27 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 179 20 — — $33,090.36 $146,652.00 $55,721.47 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 162 18 — — $46,388.54 $146,564.00 $55,859.88 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 166 18 — — $61.86 $149,987.75 $56,592.09 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 168 18 — — $16.46 $150,972.25 $56,621.10 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 130 17 — — $49,502.90 $156,939.75 $56,674.75 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 160 18 — — $47,236.26 $149,529.51 $56,893.60 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 165 19 — — $40.49 $150,224.25 $57,007.79 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 171 18 — — $35,592.87 $267,924.25 $57,085.02 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 160 18 — — $47,984.93 $152,036.74 $57,806.55 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 160 18 — — $48,341.52 $153,070.50 $58,241.38 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 161 19 — — $15,947.24 $154,126.50 $58,412.93 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 163 18 — — $48,802.11 $154,605.00 $58,585.24 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 175 20 — — $6,407.20 $378,423.67 $59,352.67 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 36 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 36 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 177 19 — — $23,539.52 $157,583.25 $59,657.67 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 161 18 — — $35,234.68 $158,595.25 $60,022.08 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 163 18 — — $38,182.34 $161,282.00 $60,989.54 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 175 21 — — $36,845.71 $161,386.50 $61,543.22 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 90 10 — — $55,272.32 $213,765.71 $61,905.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 161 18 — — $51,617.67 $163,985.25 $61,962.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 168 18 — — $177.60 $165,181.50 $62,101.93 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 163 18 — — $51,341.97 $163,066.75 $62,168.19 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 181 22 — — $14,319.93 $653,449.00 $62,309.35 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 169 19 — — $2,619.86 $165,228.25 $62,410.53 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 176 19 — — $38,727.48 $168,531.00 $63,033.34 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 72 8 — — $56,824.55 $219,768.94 $63,075.24 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 160 18 — — $52,438.97 $166,721.50 $63,237.90 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 206 23 — — $8,659.39 $191,014.59 $63,415.31 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 163 19 — — $102.57 $168,335.75 $63,529.51 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 166 18 — — $56.58 $180,820.75 $67,773.30 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 163 18 — — $56,473.70 $180,163.50 $67,788.53 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 161 18 — — $56,670.98 $180,820.75 $68,025.20 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 226 22 — — $77.88 $309,541.59 $68,488.79 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 165 20 — — $10,564.26 $183,878.75 $68,638.16 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 165 18 — — $39,990.62 $183,744.00 $69,859.11 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 72 9 — — $63,342.28 $244,976.28 $70,309.93 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 164 18 — — $73.76 $187,452.03 $70,365.43 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 167 19 — — $57,218.34 $189,142.25 $71,866.99 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 179 21 — — $3,000.37 $197,249.25 $72,159.40 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 108 11 — — $13,821.00 $270,400.67 $73,761.53 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 160 18 — — $61,287.63 $196,383.99 $74,028.15 2026-04-01
0809T HCPCS Arthrd Si Jt Prq Tfx&implt 24 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 24 2 — — $7,920.26 $90,467.87 $74,058.88 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 162 18 — — $48,397.33 $198,511.50 $74,395.42 2026-04-01
10 MS_DRG Pancreas Transplant 160 18 — — $61,626.89 $197,521.17 $74,441.85 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 166 18 — — $61,252.96 $196,086.00 $74,449.73 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 18 1 — — $54,340.97 $79,651.00 $76,066.95 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 173 21 — — $214.64 $287,873.97 $78,369.26 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 168 21 — — $10,920.88 $210,243.00 $78,442.93 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 182 21 — — $29.64 $211,153.25 $80,054.01 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 176 20 — — $127.58 $216,392.00 $80,511.60 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 161 18 — — $71,760.75 $231,093.50 $86,127.80 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 166 20 — — $13,301.83 $231,822.25 $86,268.38 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 163 19 — — $15.45 $238,136.25 $88,663.80 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 161 18 — — $76,764.53 $247,764.00 $93,671.40 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 24 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 24 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… 177 19 — — $48.00 $269,027.00 $99,787.17 2026-04-01
215 MS_DRG Other Heart Assist System Implant 171 18 — — $41.24 $273,817.50 $101,512.17 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 162 20 — — $87,502.61 $323,920.85 $106,957.36 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 130 17 — — $95,825.46 $311,267.00 $109,827.41 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 162 18 — — $5,027.04 $299,037.75 $111,667.28 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 163 19 — — $29.64 $303,083.00 $112,170.13 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 18 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 18 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 18 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 160 18 — — $95,932.77 $311,624.50 $116,273.67 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 7 — — $108,243.35 $418,631.16 $116,902.82 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 160 18 — — $101,596.08 $330,492.25 $123,178.74 2026-04-01
7 MS_DRG Lung Transplant 160 18 — — $109,291.60 $356,130.50 $132,561.62 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 186 21 — — $75.42 $499,561.98 $140,592.91 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $177,719.40 $177,719.40 $177,719.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 192 21 — — $85.56 $1,679,077.96 $209,909.46 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 165 19 — — $16.80 $587,732.37 $215,903.92 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 72 8 — — $205,640.00 $795,312.70 $228,260.40 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 167 18 — — $598.40 $770,657.25 $285,610.90 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 160 18 — — $358,841.92 $1,187,527.00 $436,829.44 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 72 9 — — $489,304.61 $1,892,385.57 $543,128.11 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 72 9 — — $533,230.17 $2,062,267.69 $591,885.49 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 72 9 — — $557,317.93 $2,155,427.11 $618,622.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 72 9 — — $562,538.19 $2,175,616.43 $624,417.39 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 72 9 — — $565,868.94 $2,188,498.14 $628,114.53 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 72 9 — — $591,726.20 $2,288,501.08 $656,816.08 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 72 9 — — $770,620.00 $2,980,372.85 $855,388.20 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 48 7 — — $2,332,000.00 $4,664,000.00 $2,495,240.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 48 7 — — $2,455,110.60 $4,910,221.21 $2,626,968.35 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 42 7 — — $2,945,740.00 $3,299,228.80 $3,122,484.40 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 42 7 — — $3,248,445.72 $3,638,259.20 $3,443,352.46 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 42 7 — — $3,316,462.59 $3,714,438.10 $3,515,450.34 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 42 7 — — $3,685,266.67 $4,127,498.67 $3,906,382.67 2026-04-01
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