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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 SILVERTON MEDICAL CENTER

Silverton, OR · CCN 380029 · Rates published

12,179 distinct procedures filed
19 distinct payers
210,760 rate rows
2026-04-01 last MRF observed
Data quality

138,108 of 210,760 rate rows are consumer-grade (65.5%)

72,652 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 60,005
professional (physician) fee — not the facility price 12,627
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.legacyhealth.org/-/media/Files/JSON/930281321_legacy-silverton-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 c45a962334181bdc… · 36,125,093 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $365,273.08 $964,487.84 $383,536.73 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $239,521.96 $625,913.81 $251,498.06 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $184,162.56 $483,707.89 $193,370.69 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $183,123.13 $474,064.84 $192,279.29 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $121,953.55 $309,371.02 $128,051.23 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 15 $114,477.61 $289,242.72 $120,201.49 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $106,743.69 $268,419.80 $112,080.87 nat. median
$117,303
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $101,052.13 $253,095.75 $106,104.74 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $100,944.28 $252,805.40 $105,991.49 nat. median
$98,017
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $98,475.53 $246,158.50 $103,399.31 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $97,255.26 $242,873.02 $102,118.02 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $92,579.90 $230,285.02 $97,208.90 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 15 $89,647.43 $222,389.60 $94,129.80 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $88,202.35 $218,498.84 $92,612.47 nat. median
$93,672
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $81,788.24 $201,229.42 $85,877.65 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $78,883.98 $193,409.93 $82,828.18 nat. median
$83,442
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $76,979.33 $188,281.82 $80,828.30 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $76,759.49 $187,689.94 $80,597.46 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $72,324.70 $175,749.65 $75,940.94 nat. median
$77,576
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 6 $16,268.00 $141,266.64 $75,930.82 nat. median
$15,912
outlier · 4.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $70,744.40 $171,494.83 $74,281.62 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $70,469.82 $170,755.54 $73,993.31 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $70,259.95 $170,190.47 $73,772.95 nat. median
$72,138
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $66,930.95 $161,227.43 $70,277.50 nat. median
$68,090
1.0× median
10
MS_DRG 		Pancreas Transplant 15 $66,575.07 $162,561.31 $69,903.82 nat. median
$68,882
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $66,550.18 $160,202.25 $69,877.69 nat. median
$64,027
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $66,234.12 $161,625.41 $69,545.83 nat. median
$71,240
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $66,199.28 $159,257.48 $69,509.24 nat. median
$68,887
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $64,385.88 $154,375.05 $67,605.17 nat. median
$66,526
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $64,104.66 $153,617.90 $67,309.89 nat. median
$65,950
1.0× median
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $66,151.68 $66,151.68 $66,151.68 nat. median
$24,752
outlier · 2.7×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $66,151.68 $66,151.68 $66,151.68 nat. median
$15,886
outlier · 4.2×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $66,151.68 $66,151.68 $66,151.68 nat. median
$18,872
outlier · 3.5×
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $66,151.68 $66,151.68 $66,151.68 nat. median
$8,204
outlier · 8.1×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $66,151.68 $66,151.68 $66,151.68 nat. median
$9,564
outlier · 6.9×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $62,886.88 $150,339.12 $66,031.22 nat. median
$64,732
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $62,516.90 $149,342.98 $65,642.75 nat. median
$60,691
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $62,476.25 $149,233.54 $65,600.06 nat. median
$63,738
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $61,594.43 $146,859.33 $64,674.15 nat. median
$61,920
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $61,594.43 $146,859.33 $64,674.15 nat. median
$64,510
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $61,396.17 $146,325.52 $64,465.98 nat. median
$59,793
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $60,428.08 $143,719.02 $63,449.48 nat. median
$62,134
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $57,887.16 $136,877.81 $60,781.52 nat. median
$60,726
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 15 $57,828.26 $136,719.24 $60,719.67 nat. median
$60,185
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $57,341.32 $135,408.17 $60,208.39 nat. median
$59,899
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $113,649.10 $59,793.85 nat. median
$62,507
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 15 $56,890.87 $134,195.38 $59,735.41 nat. median
$57,823
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 $56,876.77 $134,157.41 $59,720.61 nat. median
$59,099
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $56,515.91 $133,185.84 $59,341.71 nat. median
$58,024
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $4,757.70 $132,748.07 $59,170.99 nat. median
$52,278
1.1× median

Other procedures at this hospital

Browse this hospital's 12,179 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
             
793 MS_DRG Full Term Neonate With Major Problems 56 17 — — $1,451.00 $93,128.02 $42,678.82 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 16 — — $4,757.70 $132,748.07 $59,170.99 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 16 — — $13,762.48 $122,616.92 $55,219.98 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 16 — — $24,320.91 $102,662.83 $47,438.20 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 42 16 — — $22,191.42 $83,238.08 $39,862.84 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 42 16 — — $18,945.56 $64,458.81 $32,539.22 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 44 16 — — $10,426.97 $61,392.21 $31,343.30 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 52 16 — — $25,121.08 $106,747.69 $28,954.99 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 44 16 — — $18,827.65 $54,834.66 $28,785.95 2026-04-01
792 MS_DRG Prematurity Without Major Problems 52 16 — — $1,538.59 $54,732.48 $28,734.55 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 40 15 — — $365,273.08 $964,487.84 $383,536.73 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 15 — — $239,521.96 $625,913.81 $251,498.06 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 15 — — $184,162.56 $483,707.89 $193,370.69 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 15 — — $183,123.13 $474,064.84 $192,279.29 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 40 15 — — $121,953.55 $309,371.02 $128,051.23 2026-04-01
7 MS_DRG Lung Transplant 40 15 — — $114,477.61 $289,242.72 $120,201.49 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 15 — — $106,743.69 $268,419.80 $112,080.87 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 15 — — $101,052.13 $253,095.75 $106,104.74 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 34 15 — — $100,944.28 $252,805.40 $105,991.49 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 15 — — $98,475.53 $246,158.50 $103,399.31 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 15 — — $97,255.26 $242,873.02 $102,118.02 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 15 — — $92,579.90 $230,285.02 $97,208.90 2026-04-01
215 MS_DRG Other Heart Assist System Implant 40 15 — — $89,647.43 $222,389.60 $94,129.80 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 15 — — $88,202.35 $218,498.84 $92,612.47 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 15 — — $81,788.24 $201,229.42 $85,877.65 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 40 15 — — $78,883.98 $193,409.93 $82,828.18 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 15 — — $76,979.33 $188,281.82 $80,828.30 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 15 — — $76,759.49 $187,689.94 $80,597.46 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 15 — — $72,324.70 $175,749.65 $75,940.94 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 15 — — $70,744.40 $171,494.83 $74,281.62 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 15 — — $70,469.82 $170,755.54 $73,993.31 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 15 — — $70,259.95 $170,190.47 $73,772.95 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 15 — — $66,930.95 $161,227.43 $70,277.50 2026-04-01
10 MS_DRG Pancreas Transplant 40 15 — — $66,575.07 $162,561.31 $69,903.82 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 40 15 — — $66,550.18 $160,202.25 $69,877.69 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 15 — — $66,234.12 $161,625.41 $69,545.83 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 15 — — $66,199.28 $159,257.48 $69,509.24 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 15 — — $64,385.88 $154,375.05 $67,605.17 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 15 — — $64,104.66 $153,617.90 $67,309.89 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 15 — — $62,886.88 $150,339.12 $66,031.22 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 15 — — $62,516.90 $149,342.98 $65,642.75 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 15 — — $62,476.25 $149,233.54 $65,600.06 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 15 — — $61,594.43 $146,859.33 $64,674.15 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 15 — — $61,594.43 $146,859.33 $64,674.15 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 15 — — $61,396.17 $146,325.52 $64,465.98 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 15 — — $60,428.08 $143,719.02 $63,449.48 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 15 — — $57,887.16 $136,877.81 $60,781.52 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 15 — — $57,828.26 $136,719.24 $60,719.67 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 15 — — $57,341.32 $135,408.17 $60,208.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 40 15 — — $56,890.87 $134,195.38 $59,735.41 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 15 — — $56,876.77 $134,157.41 $59,720.61 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 15 — — $56,515.91 $133,185.84 $59,341.71 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 40 15 — — $56,238.84 $132,439.85 $59,050.78 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 15 — — $55,731.98 $131,075.18 $58,518.58 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 15 — — $55,700.46 $130,990.31 $58,485.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 15 — — $54,889.99 $128,808.18 $57,634.49 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 15 — — $54,584.71 $127,986.25 $57,313.95 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 34 15 — — $54,390.59 $127,463.61 $57,110.12 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 15 — — $54,329.21 $127,298.33 $57,045.67 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 15 — — $53,686.30 $125,567.37 $56,370.62 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 40 15 — — $53,541.96 $125,178.74 $56,219.06 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 15 — — $53,223.41 $124,321.08 $55,884.58 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 15 — — $52,865.05 $125,127.31 $55,508.30 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 15 — — $52,429.53 $122,183.62 $55,051.01 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 15 — — $52,364.83 $122,009.40 $54,983.07 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 15 — — $52,293.48 $121,817.32 $54,908.15 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 15 — — $52,112.64 $123,063.85 $54,718.27 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 15 — — $51,287.24 $119,108.09 $53,851.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 15 — — $51,260.69 $119,036.62 $53,823.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 15 — — $50,963.71 $118,237.02 $53,511.90 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 15 — — $50,818.54 $117,846.16 $53,359.47 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 15 — — $50,230.39 $116,262.61 $52,741.91 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 40 15 — — $50,155.73 $116,061.59 $52,663.52 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 15 — — $48,859.96 $112,572.87 $51,302.96 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 15 — — $28,510.25 $111,393.58 $50,843.06 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 15 — — $48,090.14 $110,500.18 $50,494.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 15 — — $48,017.14 $110,303.63 $50,418.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 15 — — $47,876.94 $109,926.17 $50,270.79 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 15 — — $47,706.89 $110,002.01 $50,092.23 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 15 — — $47,105.46 $107,849.01 $49,460.73 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 40 15 — — $46,903.05 $107,304.04 $49,248.20 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 15 — — $46,542.19 $106,332.47 $48,869.30 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 15 — — $46,049.44 $105,005.77 $48,351.91 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 15 — — $28,675.41 $104,791.35 $48,268.29 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 15 — — $45,853.66 $104,478.66 $48,146.34 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 40 15 — — $45,515.21 $103,567.40 $47,790.97 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 15 — — $45,361.74 $103,154.20 $47,629.83 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 15 — — $45,082.18 $102,401.51 $47,336.29 2026-04-01
245 MS_DRG Aicd Generator Procedures 40 15 — — $44,896.36 $101,901.20 $47,141.18 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 15 — — $36,275.34 $101,595.21 $47,021.85 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 40 15 — — $44,766.12 $101,550.54 $47,004.43 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 40 15 — — $44,618.46 $101,152.98 $46,849.38 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 40 15 — — $44,227.74 $100,101.00 $46,439.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 15 — — $44,216.96 $100,071.97 $46,427.81 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 15 — — $44,070.95 $99,678.87 $46,274.50 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 15 — — $43,489.44 $98,113.19 $45,663.91 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 15 — — $42,946.91 $96,652.48 $45,094.26 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 15 — — $42,660.71 $95,881.92 $44,793.75 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 40 15 — — $42,431.76 $95,265.48 $44,553.35 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 15 — — $42,228.52 $94,718.27 $44,339.95 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 15 — — $42,082.52 $94,325.17 $44,186.65 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 15 — — $42,022.79 $94,164.36 $44,123.93 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 15 — — $42,005.37 $94,117.46 $44,105.64 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 15 — — $41,903.33 $93,842.74 $43,998.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 40 15 — — $41,861.85 $93,731.06 $43,954.94 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 15 — — $41,797.15 $93,556.85 $43,887.01 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 15 — — $41,662.76 $93,195.02 $43,745.90 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 15 — — $41,500.17 $92,757.26 $43,575.18 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 15 — — $41,272.04 $92,143.04 $43,335.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 44 15 — — $4,809.40 $90,657.77 $42,756.41 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 15 — — $40,401.01 $89,797.87 $42,421.06 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 15 — — $40,099.05 $88,984.87 $42,104.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 15 — — $39,500.12 $87,372.29 $41,475.13 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 15 — — $39,353.29 $88,221.41 $41,320.95 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 15 — — $39,158.34 $86,452.08 $41,116.26 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 15 — — $39,110.23 $86,322.54 $41,065.74 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 40 15 — — $39,079.53 $86,239.90 $41,033.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 15 — — $38,897.86 $85,750.77 $40,842.75 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 40 15 — — $38,264.91 $84,046.61 $40,178.16 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 40 15 — — $38,128.87 $83,680.31 $40,035.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 15 — — $38,055.04 $83,481.53 $39,957.79 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 15 — — $38,051.72 $83,472.60 $39,954.31 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 15 — — $37,790.41 $82,769.04 $39,679.93 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 40 15 — — $37,519.14 $82,038.69 $39,395.10 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 15 — — $37,506.70 $82,005.19 $39,382.03 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 15 — — $37,149.16 $81,042.55 $39,006.62 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 15 — — $37,125.94 $80,980.01 $38,982.24 2026-04-01
332 MS_DRG Rectal Resection With Mcc 40 15 — — $37,084.46 $80,868.33 $38,938.68 2026-04-01
265 MS_DRG Aicd Lead Procedures 40 15 — — $37,063.72 $80,812.50 $38,916.91 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 40 15 — — $37,010.63 $80,669.55 $38,861.16 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 15 — — $36,965.83 $80,548.94 $38,814.12 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 40 15 — — $36,770.06 $81,166.47 $38,608.56 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 40 15 — — $36,701.20 $80,281.55 $38,536.26 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 15 — — $36,671.34 $79,756.05 $38,504.91 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 15 — — $36,627.37 $79,637.68 $38,458.74 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 40 15 — — $36,602.49 $79,570.67 $38,432.61 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 40 15 — — $36,574.28 $79,494.73 $38,402.99 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 15 — — $36,550.23 $79,429.96 $38,377.74 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 15 — — $36,303.85 $78,766.61 $38,119.04 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 40 15 — — $36,244.12 $78,605.80 $38,056.33 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 40 15 — — $35,986.13 $77,911.18 $37,785.44 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 15 — — $35,978.66 $78,805.31 $37,777.59 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 15 — — $35,845.94 $77,533.72 $37,638.24 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 15 — — $35,706.57 $77,158.49 $37,491.90 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 34 15 — — $35,573.84 $76,801.13 $37,352.53 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 15 — — $35,489.23 $76,573.31 $37,263.69 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 15 — — $35,349.86 $76,198.09 $37,117.35 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 40 15 — — $35,312.53 $76,097.58 $37,078.16 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 40 15 — — $34,760.88 $74,612.30 $36,498.92 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 15 — — $34,451.46 $73,779.21 $36,174.03 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 40 15 — — $34,358.55 $73,529.05 $36,076.48 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 40 15 — — $34,355.23 $73,520.12 $36,072.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 40 15 — — $34,032.53 $72,651.29 $35,734.16 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 40 15 — — $33,913.91 $72,331.90 $35,609.61 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 15 — — $33,884.04 $72,251.49 $35,578.24 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 15 — — $33,846.71 $72,150.98 $35,539.05 2026-04-01
652 MS_DRG Kidney Transplant 40 15 — — $33,839.25 $72,130.88 $35,531.21 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 15 — — $33,819.34 $72,077.28 $35,510.31 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 40 15 — — $33,767.08 $71,936.57 $35,455.43 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 15 — — $33,680.80 $71,704.28 $35,364.84 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 15 — — $33,534.80 $71,311.19 $35,211.54 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 40 15 — — $33,485.86 $71,179.41 $35,160.15 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 40 15 — — $33,460.14 $71,110.17 $35,133.15 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 40 15 — — $33,407.05 $71,984.86 $35,077.40 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 40 15 — — $33,302.53 $70,685.81 $34,967.66 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 40 15 — — $33,262.71 $70,578.60 $34,925.85 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 15 — — $33,188.05 $70,377.59 $34,847.45 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 40 15 — — $33,175.60 $70,344.08 $34,834.38 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 15 — — $33,114.22 $70,178.80 $34,769.93 2026-04-01
665 MS_DRG Prostatectomy With Mcc 40 15 — — $32,940.84 $70,007.03 $34,587.88 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 15 — — $32,886.92 $69,566.82 $34,531.27 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 15 — — $32,841.29 $69,443.98 $34,483.35 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 40 15 — — $32,445.60 $68,378.60 $34,067.88 2026-04-01
263 MS_DRG Vein Ligation And Stripping 40 15 — — $32,411.59 $68,287.03 $34,032.17 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 15 — — $32,210.83 $67,746.52 $33,821.37 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 40 15 — — $32,105.48 $67,462.87 $33,710.75 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 40 15 — — $32,102.16 $67,453.93 $33,707.27 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 15 — — $32,074.79 $67,380.23 $33,678.53 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 15 — — $31,739.65 $66,477.89 $33,326.63 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 40 15 — — $31,488.29 $65,801.14 $33,062.70 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 40 15 — — $31,471.70 $65,756.47 $33,045.29 2026-04-01
570 MS_DRG Skin Debridement With Mcc 40 15 — — $31,446.82 $65,689.47 $33,019.16 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 40 15 — — $31,271.78 $65,218.20 $32,835.37 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 15 — — $31,207.90 $65,046.22 $32,768.30 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 15 — — $31,122.46 $64,816.17 $32,678.58 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 15 — — $31,107.53 $64,775.97 $32,662.91 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 15 — — $31,001.35 $64,490.08 $32,551.42 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 40 15 — — $30,954.89 $64,365.00 $32,502.63 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 15 — — $30,858.66 $64,105.92 $32,401.59 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 40 15 — — $30,695.24 $63,665.92 $32,230.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 40 15 — — $30,354.29 $62,747.95 $31,872.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 40 15 — — $30,270.51 $62,522.37 $31,784.04 2026-04-01
503 MS_DRG Foot Procedures With Mcc 40 15 — — $30,202.49 $62,339.22 $31,712.61 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 15 — — $30,043.21 $61,910.39 $31,545.37 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 15 — — $29,920.44 $61,579.83 $31,416.46 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 40 15 — — $29,844.95 $61,376.58 $31,337.20 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 40 15 — — $29,727.15 $61,059.42 $31,213.51 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 15 — — $29,619.31 $60,769.07 $31,100.28 2026-04-01
849 MS_DRG Radiotherapy 40 15 — — $29,525.57 $60,516.68 $31,001.85 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 40 15 — — $29,498.20 $60,442.98 $30,973.11 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 15 — — $29,425.19 $60,246.43 $30,896.45 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 40 15 — — $29,114.94 $59,411.10 $30,570.69 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 40 15 — — $29,037.79 $59,203.38 $30,489.68 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 40 15 — — $28,927.46 $58,906.33 $30,373.83 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 40 15 — — $28,580.71 $57,972.73 $30,009.75 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 40 15 — — $28,554.99 $57,903.49 $29,982.74 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 40 15 — — $28,474.53 $57,686.84 $29,898.26 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 40 15 — — $28,444.66 $57,606.43 $29,866.89 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 40 15 — — $28,444.66 $57,606.43 $29,866.89 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 40 15 — — $28,348.43 $57,347.35 $29,765.85 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 40 15 — — $28,227.32 $57,021.26 $29,638.69 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 40 15 — — $28,126.94 $56,751.00 $29,533.29 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 46 15 — — $10.28 $56,643.79 $29,491.49 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 40 15 — — $27,986.75 $56,373.54 $29,386.09 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 40 15 — — $27,977.62 $56,348.97 $29,376.50 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 40 15 — — $27,720.46 $55,656.59 $29,106.48 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 40 15 — — $27,635.85 $55,428.77 $29,017.64 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 40 15 — — $27,449.20 $54,926.23 $28,821.66 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 15 — — $27,443.39 $54,910.60 $28,815.56 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 42 15 — — $27,324.77 $54,649.54 $28,691.01 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 40 15 — — $27,300.71 $54,601.42 $28,665.75 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 34 15 — — $27,142.26 $54,284.52 $28,499.37 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 34 15 — — $27,076.73 $54,153.46 $28,430.57 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 6 — — $16,268.00 $141,266.64 $75,930.82 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 6 — — $40,935.00 $99,019.10 $53,170.52 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 6 — — $40,935.00 $98,921.90 $53,170.52 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 6 — — $35,247.38 $73,816.88 $51,588.06 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 6 — — $35,247.38 $73,816.88 $51,588.06 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 6 — — $35,247.38 $73,816.88 $51,588.06 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 6 — — $35,247.38 $73,816.88 $51,588.06 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 6 — — $26,460.00 $98,921.90 $50,697.47 2026-04-01
69930 HCPCS Implant Cochlear Device 12 6 — — $37,025.26 $77,459.82 $40,831.40 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 6 — — $29,350.89 $58,701.78 $40,254.51 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 6 — — $29,350.89 $58,701.78 $40,254.51 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 6 — — $29,350.89 $58,701.78 $40,254.51 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 6 — — $35,247.38 $73,816.88 $39,853.56 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 6 — — $35,247.38 $70,548.30 $39,853.56 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 6 — — $35,247.38 $70,494.77 $39,853.56 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 6 — — $34,650.92 $69,301.85 $39,525.51 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 6 — — $24,977.90 $64,404.00 $38,715.75 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 6 — — $24,977.90 $64,404.00 $38,715.75 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 6 — — $24,977.90 $64,404.00 $38,715.75 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 6 — — $24,977.90 $64,404.00 $38,715.75 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 6 — — $32,209.29 $64,823.78 $38,182.61 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 6 — — $33,446.00 $69,301.85 $37,249.74 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 6 — — $33,446.00 $69,301.85 $37,249.74 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 12 6 — — $26,460.00 $69,301.85 $37,249.74 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 6 — — $33,446.00 $69,301.85 $37,249.74 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 6 — — $33,446.00 $69,301.85 $37,249.74 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 6 — — $30,226.35 $60,512.10 $37,091.99 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 12 6 — — $24,977.90 $49,955.80 $34,205.35 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 12 6 — — $24,977.90 $51,821.29 $34,205.35 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 12 6 — — $24,977.90 $51,821.29 $34,205.35 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 12 6 — — $24,977.90 $49,955.80 $34,205.35 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 12 6 — — $24,977.90 $51,821.29 $34,205.35 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 12 6 — — $24,977.90 $51,821.29 $34,205.35 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 12 6 — — $30,469.51 $60,939.02 $33,481.23 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 12 6 — — $30,469.51 $60,939.02 $33,481.23 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 6 — — $26,460.00 $60,939.02 $32,754.72 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 12 6 — — $16,268.00 $60,939.02 $32,754.72 2026-04-01
22630 HCPCS Lumbar Spine Fusion 12 6 — — $26,460.00 $60,939.02 $32,754.72 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 12 6 — — $13,246.00 $60,939.02 $32,754.72 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 12 6 — — $27,710.28 $60,939.02 $31,314.49 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 12 6 — — $21,386.00 $60,939.02 $31,231.24 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 6 — — $21,784.90 $46,015.98 $28,704.69 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 12 6 — — $21,629.46 $43,258.92 $28,619.21 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 5 — — $56,824.55 $113,649.10 $59,793.85 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 5 — — $55,114.75 $110,544.65 $58,035.94 2026-04-01
J9226 HCPCS Supprelin La Implant 10 5 — — $42,302.58 $90,041.30 $47,271.68 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 10 5 — — $27,506.10 $76,939.50 $40,393.24 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 10 5 — — $33,446.00 $69,301.85 $36,383.47 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 10 5 — — $5,517.00 $69,301.85 $36,383.47 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 10 5 — — $5,517.00 $69,301.85 $36,383.47 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 5 — — $23,554.48 $56,848.12 $29,845.26 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 2 — — $33,446.00 $66,151.68 $49,798.84 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 2 — — $33,446.00 $66,151.68 $49,798.84 2026-04-01
509 MS_DRG Arthroscopy 6 2 — — $28,632.71 $35,815.04 $35,815.04 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 2 — — $33,446.00 $36,091.64 $34,768.82 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 2 — — $33,446.00 $36,091.64 $34,768.82 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 6 2 — — $25,204.61 $31,527.02 $31,527.02 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 2 — — $26,460.00 $36,091.64 $31,275.82 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 2 — — $26,460.00 $36,091.64 $31,275.82 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 2 1 — — $66,151.68 $66,151.68 $66,151.68 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 2 1 — — $66,151.68 $66,151.68 $66,151.68 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 2 1 — — $66,151.68 $66,151.68 $66,151.68 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 2 1 — — $66,151.68 $66,151.68 $66,151.68 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $66,151.68 $66,151.68 $66,151.68 2026-04-01
93657 HCPCS Pr Ablate L/r Atrial Fibril W/isolated Pulm Vein 2 1 — — $53,231.00 $53,231.00 $53,231.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 2 1 — — $53,231.00 $53,231.00 $53,231.00 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $52,934.22 $52,934.22 $52,934.22 2026-04-01
0809T HCPCS Arthrd Si Jt Prq Tfx&implt 2 1 — — $48,183.55 $48,183.55 $48,183.55 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 2 1 — — $48,183.55 $48,183.55 $48,183.55 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 2 1 — — $40,935.00 $40,935.00 $40,935.00 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 2 1 — — $36,091.64 $36,091.64 $36,091.64 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 2 1 — — $36,091.64 $36,091.64 $36,091.64 2026-04-01
5671 OTHER Level 1 Pathology 2 1 — — $35,581.32 $35,581.32 $35,581.32 2026-04-01
33968 HCPCS Pr Removal Intra-aortic Balloon Assist Device Prq 2 1 — — $33,446.00 $33,446.00 $33,446.00 2026-04-01
33967 HCPCS Hc Iabp Insertion 2 1 — — $33,446.00 $33,446.00 $33,446.00 2026-04-01
33824 HCPCS Revise Major Vessel 2 1 — — $30,636.00 $30,636.00 $30,636.00 2026-04-01
33820 HCPCS Revise Major Vessel 2 1 — — $30,636.00 $30,636.00 $30,636.00 2026-04-01
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