Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PROVIDENCE NEWBERG MEDICAL CENTER

Newberg, OR · CCN 380037 · Rates published

10,215 distinct procedures filed
13 distinct payers
230,886 rate rows
2026-04-01 last MRF observed
Data quality

132,484 of 230,886 rate rows are consumer-grade (57.4%)

98,402 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 98,370
placeholder amount (≤ $0.02) — excluded from medians 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/oregon/live/931146501_providence-newberg-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint de84c5ad8a182dd0… · 161,066,319 bytes · first seen 2026-05-08

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
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $758,290.08 $1,410,234.60 $836,122.70 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $604,353.92 $1,123,950.88 $646,665.25 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $579,078.89 $1,076,945.50 $619,203.07 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $553,264.66 $1,028,937.33 $598,709.16 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $550,824.58 $1,024,399.38 $597,176.12 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $523,339.53 $973,283.89 $577,056.30 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $481,461.95 $895,401.80 $530,880.30 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $363,401.27 $665,024.32 $363,401.27 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $236,359.44 $432,537.78 $236,359.44 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $180,431.83 $330,190.25 $180,431.83 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $179,381.74 $328,268.58 $179,381.74 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $117,584.31 $215,179.29 $117,584.31 nat. median
$133,176
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $106,511.46 $198,085.33 $116,361.60 nat. median
$111,989
1.0× median
7
MS_DRG 		Lung Transplant 10 $110,031.64 $201,357.90 $110,031.64 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $102,218.34 $187,059.56 $102,218.34 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $96,468.35 $176,537.08 $96,468.35 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $96,359.41 $176,337.72 $96,359.41 nat. median
$98,017
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $93,865.32 $171,773.54 $93,865.32 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $92,632.52 $169,517.51 $92,632.52 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $87,909.17 $160,873.78 $87,909.17 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 10 $84,946.60 $155,452.28 $84,946.60 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $83,486.69 $152,780.64 $83,486.69 nat. median
$93,672
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $77,006.75 $140,922.35 $77,006.75 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $74,072.67 $135,552.99 $74,072.67 nat. median
$83,442
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $67,700.88 $125,907.13 $73,961.84 nat. median
$70,825
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $72,148.47 $132,031.70 $72,148.47 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $71,926.38 $131,625.28 $71,926.38 nat. median
$81,118
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,253.78 $117,636.61 $69,774.16 nat. median
$69,774
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $67,446.07 $123,426.31 $67,446.07 nat. median
$77,576
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $65,849.55 $120,504.68 $65,849.55 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $65,572.15 $119,997.03 $65,572.15 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $65,360.12 $119,609.02 $65,360.12 nat. median
$72,138
0.9× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 3 $19,393.46 $121,026.31 $63,483.55 nat. median
$16,303
outlier · 3.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $61,996.96 $113,454.44 $61,996.96 nat. median
$68,090
0.9× median
10
MS_DRG 		Pancreas Transplant 10 $61,637.43 $112,796.50 $61,637.43 nat. median
$68,882
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $61,612.29 $112,750.49 $61,612.29 nat. median
$64,027
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $61,292.98 $112,166.15 $61,292.98 nat. median
$71,240
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $61,257.78 $112,101.74 $61,257.78 nat. median
$68,887
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,368.88 $102,972.62 $61,052.07 nat. median
$66,682
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $59,425.77 $108,749.16 $59,425.77 nat. median
$66,526
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $59,141.66 $108,229.24 $59,141.66 nat. median
$65,950
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $57,911.38 $105,977.83 $57,911.38 nat. median
$64,732
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $57,537.60 $105,293.81 $57,537.60 nat. median
$60,691
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $57,496.54 $105,218.67 $57,496.54 nat. median
$63,738
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $56,605.67 $103,588.38 $56,605.67 nat. median
$64,510
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $56,605.67 $103,588.38 $56,605.67 nat. median
$61,920
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $56,405.37 $103,221.83 $56,405.37 nat. median
$59,793
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $55,427.35 $101,432.05 $55,427.35 nat. median
$62,134
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $52,860.35 $96,734.44 $52,860.35 nat. median
$60,726
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $52,800.84 $96,625.54 $52,800.84 nat. median
$60,185
0.9× median

Other procedures at this hospital

Browse this hospital's 10,215 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 34 11 — — $1,491.81 $66,693.03 $36,444.28 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 12 — — $28,356.27 $84,636.09 $42,889.02 2026-04-01
792 MS_DRG Prematurity Without Major Problems 30 12 — — $3,817.56 $40,307.87 $22,026.16 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 10 — — $30,328.18 $156,068.27 $40,021.99 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 10 — — $20,177.56 $54,279.18 $21,590.37 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 11 — — $32.90 $62,284.10 $21,499.86 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 11 — — $5,093.80 $93,898.69 $51,310.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 10 — — $24,317.54 $72,507.14 $39,621.39 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 10 — — $209.35 $47,410.27 $25,907.25 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 10 — — $175.11 $44,901.19 $24,536.17 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 24 10 — — $20,179.51 $45,081.79 $21,984.26 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 10 — — $20,953.52 $38,373.93 $20,969.36 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 10 — — $5,348.70 $72,717.26 $39,736.21 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 10 — — $19,419.27 $70,116.16 $38,314.84 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 10 — — $5,593.76 $64,996.79 $35,517.37 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 10 — — $7,734.27 $59,901.96 $32,733.31 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 10 — — $16,090.07 $58,138.26 $31,769.54 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 10 — — $29,336.43 $56,831.56 $31,055.50 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 22 6 — — $11,805.87 $38,695.87 $30,951.89 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 10 — — $26,796.93 $55,727.32 $30,452.09 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 11 — — $22,509.00 $52,357.87 $28,610.86 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 10 — — $25,027.28 $49,698.50 $27,157.65 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 10 — — $26,920.48 $49,264.48 $26,920.48 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 11 — — $25,686.84 $47,006.92 $25,686.84 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 10 — — $23,429.49 $46,764.61 $25,554.43 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 10 — — $21,861.53 $45,257.02 $24,730.61 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 10 — — $22,101.62 $44,249.40 $24,180.00 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 22 7 — — $7,506.50 $48,525.57 $23,365.29 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 22 10 — — $859.35 $40,806.31 $22,298.53 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 22 10 — — $22,109.97 $40,461.25 $22,109.97 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 10 — — $11,744.46 $40,450.50 $22,104.10 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 22 10 — — $21,571.09 $53,565.28 $21,571.09 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 10 — — $363,401.27 $665,024.32 $363,401.27 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 — — $236,359.44 $432,537.78 $236,359.44 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $180,431.83 $330,190.25 $180,431.83 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 10 — — $179,381.74 $328,268.58 $179,381.74 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 — — $117,584.31 $215,179.29 $117,584.31 2026-04-01
7 MS_DRG Lung Transplant 20 10 — — $110,031.64 $201,357.90 $110,031.64 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $102,218.34 $187,059.56 $102,218.34 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $96,468.35 $176,537.08 $96,468.35 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 10 — — $96,359.41 $176,337.72 $96,359.41 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $93,865.32 $171,773.54 $93,865.32 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $92,632.52 $169,517.51 $92,632.52 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $87,909.17 $160,873.78 $87,909.17 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 10 — — $84,946.60 $155,452.28 $84,946.60 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $83,486.69 $152,780.64 $83,486.69 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $77,006.75 $140,922.35 $77,006.75 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $74,072.67 $135,552.99 $74,072.67 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $72,148.47 $132,031.70 $72,148.47 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $71,926.38 $131,625.28 $71,926.38 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $67,446.07 $123,426.31 $67,446.07 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $65,849.55 $120,504.68 $65,849.55 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $65,572.15 $119,997.03 $65,572.15 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $65,360.12 $119,609.02 $65,360.12 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $61,996.96 $113,454.44 $61,996.96 2026-04-01
10 MS_DRG Pancreas Transplant 20 10 — — $61,637.43 $112,796.50 $61,637.43 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 10 — — $61,612.29 $112,750.49 $61,612.29 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $61,292.98 $112,166.15 $61,292.98 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $61,257.78 $112,101.74 $61,257.78 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 10 — — $59,425.77 $108,749.16 $59,425.77 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $59,141.66 $108,229.24 $59,141.66 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $57,911.38 $105,977.83 $57,911.38 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $57,537.60 $105,293.81 $57,537.60 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $57,496.54 $105,218.67 $57,496.54 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $56,605.67 $103,588.38 $56,605.67 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $56,605.67 $103,588.38 $56,605.67 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $56,405.37 $103,221.83 $56,405.37 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 10 — — $55,427.35 $101,432.05 $55,427.35 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $52,860.35 $96,734.44 $52,860.35 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $52,800.84 $96,625.54 $52,800.84 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $52,308.90 $95,725.29 $52,308.90 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $51,853.83 $94,892.51 $51,853.83 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $51,839.58 $94,866.43 $51,839.58 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $51,475.02 $94,199.29 $51,475.02 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 10 — — $51,195.10 $93,687.03 $51,195.10 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $50,683.05 $92,749.98 $50,683.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $50,651.20 $92,691.70 $50,651.20 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $49,832.41 $91,193.31 $49,832.41 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $49,524.00 $90,628.92 $49,524.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 10 — — $49,327.89 $90,270.04 $49,327.89 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $49,265.87 $90,156.54 $49,265.87 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $48,616.37 $88,967.96 $48,616.37 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 10 — — $48,470.55 $88,701.11 $48,470.55 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $48,148.73 $88,112.18 $48,148.73 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $47,786.68 $87,449.62 $47,786.68 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $47,509.28 $86,941.98 $47,509.28 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $47,346.70 $86,644.46 $47,346.70 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $47,281.33 $86,524.83 $47,281.33 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $47,209.26 $86,392.95 $47,209.26 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 10 — — $47,026.56 $86,058.60 $47,026.56 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $46,192.68 $84,532.60 $46,192.68 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $46,165.86 $84,483.52 $46,165.86 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $45,865.83 $83,934.47 $45,865.83 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 10 — — $45,719.17 $83,666.08 $45,719.17 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 — — $45,124.98 $82,578.71 $45,124.98 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $45,049.56 $82,440.69 $45,049.56 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $43,740.49 $80,045.10 $43,740.49 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 10 — — $43,297.99 $79,235.32 $43,297.99 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $42,962.77 $78,621.87 $42,962.77 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 10 — — $42,747.38 $78,227.71 $42,747.38 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $42,575.58 $77,913.31 $42,575.58 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 — — $41,967.98 $76,801.40 $41,967.98 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $41,763.49 $76,427.19 $41,763.49 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $41,398.93 $75,760.04 $41,398.93 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 10 — — $40,901.12 $74,849.05 $40,901.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $40,820.67 $74,701.83 $40,820.67 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $40,703.34 $74,487.11 $40,703.34 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 10 — — $40,361.40 $73,861.36 $40,361.40 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $40,206.36 $73,577.64 $40,206.36 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 10 — — $39,923.93 $73,060.79 $39,923.93 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $39,604.63 $72,476.47 $39,604.63 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $39,455.45 $72,203.47 $39,455.45 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 10 — — $39,060.72 $71,481.12 $39,060.72 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $39,049.83 $71,461.19 $39,049.83 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $38,902.33 $71,191.26 $38,902.33 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $37,766.75 $69,113.15 $37,766.75 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $37,477.61 $68,584.03 $37,477.61 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $37,246.31 $68,160.75 $37,246.31 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $37,040.98 $67,784.99 $37,040.98 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 10 — — $36,893.48 $67,515.07 $36,893.48 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $36,833.14 $67,404.65 $36,833.14 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $36,815.54 $67,372.44 $36,815.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 10 — — $36,712.46 $67,183.80 $36,712.46 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $36,670.56 $67,107.12 $36,670.56 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $36,605.19 $66,987.50 $36,605.19 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $36,469.42 $66,739.04 $36,469.42 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $36,305.16 $66,438.44 $36,305.16 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $36,074.69 $66,016.68 $36,074.69 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $35,194.72 $64,406.34 $35,194.72 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $34,889.66 $63,848.08 $34,889.66 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $34,284.58 $62,740.78 $34,284.58 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $34,136.24 $62,469.32 $34,136.24 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $33,939.29 $62,108.90 $33,939.29 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 — — $33,890.68 $62,019.94 $33,890.68 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $33,859.68 $61,963.21 $33,859.68 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 10 — — $33,676.14 $61,627.34 $33,676.14 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 10 — — $33,036.69 $60,457.14 $33,036.69 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $32,899.25 $60,205.63 $32,899.25 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 10 — — $32,824.66 $60,069.13 $32,824.66 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 10 — — $32,821.31 $60,063.00 $32,821.31 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 10 — — $32,557.32 $59,579.90 $32,557.32 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 10 — — $32,283.27 $59,078.38 $32,283.27 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $32,270.70 $59,055.38 $32,270.70 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $31,909.49 $58,394.37 $31,909.49 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $31,886.03 $58,351.43 $31,886.03 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 10 — — $31,844.12 $58,274.74 $31,844.12 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $31,823.17 $58,236.40 $31,823.17 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $31,724.28 $58,055.43 $31,724.28 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $31,526.50 $57,693.50 $31,526.50 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $31,456.94 $57,566.20 $31,456.94 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $31,426.77 $57,510.99 $31,426.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $31,382.35 $57,429.70 $31,382.35 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $31,357.21 $57,383.69 $31,357.21 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $31,328.71 $57,331.54 $31,328.71 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 10 — — $31,304.41 $57,287.07 $31,304.41 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 10 — — $30,995.16 $56,721.14 $30,995.16 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 10 — — $30,734.52 $56,244.17 $30,734.52 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 10 — — $30,726.98 $56,230.37 $30,726.98 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $30,592.89 $55,984.99 $30,592.89 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 10 — — $30,318.00 $55,481.94 $30,318.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $30,232.52 $55,325.51 $30,232.52 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $30,091.72 $55,067.85 $30,091.72 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $30,054.01 $54,998.84 $30,054.01 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 10 — — $29,496.70 $53,978.96 $29,496.70 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $29,184.10 $53,406.90 $29,184.10 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 10 — — $29,090.23 $53,235.12 $29,090.23 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $29,086.88 $53,228.99 $29,086.88 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $28,760.87 $52,632.39 $28,760.87 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $28,641.03 $52,413.08 $28,641.03 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $28,573.15 $52,288.86 $28,573.15 2026-04-01
652 MS_DRG Kidney Transplant 20 10 — — $28,565.60 $52,275.05 $28,565.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $28,545.49 $52,238.25 $28,545.49 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 10 — — $28,492.69 $52,141.62 $28,492.69 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $28,405.53 $51,982.12 $28,405.53 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $28,258.03 $51,712.19 $28,258.03 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 10 — — $28,208.59 $51,621.72 $28,208.59 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 10 — — $28,182.61 $51,574.18 $28,182.61 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $28,128.97 $51,476.02 $28,128.97 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 10 — — $28,023.37 $51,282.77 $28,023.37 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 10 — — $27,983.15 $51,209.16 $27,983.15 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $27,907.72 $51,071.13 $27,907.72 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $27,895.15 $51,048.12 $27,895.15 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 10 — — $27,833.13 $50,934.63 $27,833.13 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 10 — — $27,657.98 $50,614.10 $27,657.98 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $27,603.50 $50,514.40 $27,603.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $27,557.41 $50,430.06 $27,557.41 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 10 — — $27,123.29 $49,635.62 $27,123.29 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $26,814.04 $49,069.69 $26,814.04 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 10 — — $26,810.69 $49,063.56 $26,810.69 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 10 — — $26,783.03 $49,012.94 $26,783.03 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $26,444.45 $48,393.34 $26,444.45 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 10 — — $26,190.52 $47,928.65 $26,190.52 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 10 — — $26,173.76 $47,897.98 $26,173.76 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 10 — — $26,148.62 $47,851.97 $26,148.62 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 10 — — $25,971.78 $47,528.36 $25,971.78 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 10 — — $25,820.93 $47,252.30 $25,820.93 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $25,805.85 $47,224.71 $25,805.85 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 10 — — $25,698.57 $47,028.38 $25,698.57 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $25,651.64 $46,942.50 $25,651.64 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 10 — — $25,389.33 $46,462.47 $25,389.33 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 10 — — $25,044.88 $45,832.13 $25,044.88 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 10 — — $24,960.24 $45,677.24 $24,960.24 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 10 — — $24,891.51 $45,551.46 $24,891.51 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 10 — — $24,606.57 $45,030.02 $24,606.57 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 20 10 — — $24,530.31 $44,890.47 $24,530.31 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 10 — — $24,411.30 $44,672.68 $24,411.30 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 10 — — $24,302.35 $44,473.30 $24,302.35 2026-04-01
849 MS_DRG Radiotherapy 20 10 — — $24,207.65 $44,300.00 $24,207.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 10 — — $24,106.25 $44,114.44 $24,106.25 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 10 — — $23,792.81 $43,540.84 $23,792.81 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 10 — — $23,714.87 $43,398.21 $23,714.87 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 10 — — $23,603.41 $43,194.24 $23,603.41 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 20 10 — — $23,253.09 $42,553.15 $23,253.09 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 10 — — $23,227.11 $42,505.61 $23,227.11 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 10 — — $23,145.82 $42,356.85 $23,145.82 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 10 — — $23,115.65 $42,301.64 $23,115.65 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 20 10 — — $23,115.65 $42,301.64 $23,115.65 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 20 10 — — $23,018.43 $42,123.73 $23,018.43 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 20 10 — — $22,896.08 $41,899.83 $22,896.08 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 10 — — $22,794.67 $41,714.25 $22,794.67 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 20 10 — — $22,754.44 $41,640.63 $22,754.44 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 20 10 — — $22,653.04 $41,455.06 $22,653.04 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 20 10 — — $22,643.82 $41,438.19 $22,643.82 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 10 — — $22,384.02 $40,962.76 $22,384.02 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 20 10 — — $22,075.61 $40,398.37 $22,075.61 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 20 10 — — $21,959.95 $40,186.71 $21,959.95 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 20 10 — — $21,799.88 $39,893.78 $21,799.88 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 20 10 — — $21,733.68 $39,772.63 $21,733.68 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 10 — — $21,658.25 $39,634.60 $21,658.25 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 10 — — $21,534.22 $39,407.62 $21,534.22 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 20 10 — — $21,204.02 $38,803.36 $21,204.02 2026-04-01
333 MS_DRG Rectal Resection With Cc 20 10 — — $21,129.43 $38,666.86 $21,129.43 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 10 — — $21,099.26 $38,611.65 $21,099.26 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 20 10 — — $21,085.01 $38,585.57 $21,085.01 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 20 10 — — $21,002.88 $38,435.27 $21,002.88 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 20 10 — — $20,989.47 $38,410.73 $20,989.47 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 7 — — $63,253.78 $117,636.61 $69,774.16 2026-04-01
J9226 HCPCS Supprelin La Implant 18 7 — — $40,514.65 $75,347.37 $44,879.04 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 18 6 — — $7,663.47 $55,112.59 $37,344.51 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 7 — — $27,969.27 $52,016.03 $30,982.22 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 16 7 — — $758,290.08 $1,410,234.60 $836,122.70 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 7 — — $604,353.92 $1,123,950.88 $646,665.25 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 16 7 — — $579,078.89 $1,076,945.50 $619,203.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 7 — — $553,264.66 $1,028,937.33 $598,709.16 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 16 7 — — $550,824.58 $1,024,399.38 $597,176.12 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 7 — — $523,339.53 $973,283.89 $577,056.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 16 7 — — $481,461.95 $895,401.80 $530,880.30 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 7 — — $55,368.88 $102,972.62 $61,052.07 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 16 6 — — $10,795.51 $35,647.50 $29,308.26 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 6 — — $106,511.46 $198,085.33 $116,361.60 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 12 6 — — $67,700.88 $125,907.13 $73,961.84 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 6 — — $47,385.01 $88,124.56 $51,767.16 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 6 — — $44,135.91 $82,082.03 $48,217.59 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 12 6 — — $34,410.61 $63,995.34 $37,592.89 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 12 6 — — $29,038.03 $54,003.65 $31,723.46 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 6 — — $28,389.61 $52,797.75 $31,015.08 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 6 — — $28,255.56 $52,548.45 $30,868.62 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 12 6 — — $22,173.38 $41,237.07 $24,223.96 2026-04-01
L5858 HCPCS Stance Phase Only 12 6 — — $21,979.09 $40,875.74 $24,011.71 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 6 — — $21,218.69 $39,461.58 $23,180.98 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 12 6 — — $21,218.69 $39,461.58 $23,180.98 2026-04-01
63655 HCPCS Implant Neuroelectrodes 12 6 — — $21,218.69 $39,461.58 $23,180.98 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 12 6 — — $21,218.69 $39,461.58 $23,180.98 2026-04-01
64580 HCPCS Implant Neuroelectrodes 12 6 — — $21,218.69 $39,461.58 $23,180.98 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 12 6 — — $21,218.69 $39,461.58 $23,180.98 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 12 6 — — $20,789.62 $38,663.62 $22,712.24 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 12 6 — — $19,250.99 $35,802.14 $21,031.31 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 12 6 — — $19,223.10 $35,750.28 $21,000.85 2026-04-01
25446 HCPCS Wrist Replacement 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22600 HCPCS Neck Spine Fusion 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22610 HCPCS Thorax Spine Fusion 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22612 HCPCS Lumbar Spine Fusion 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
24363 HCPCS Replace Elbow Joint 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22556 HCPCS Thorax Spine Fusion 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 12 6 — — $19,177.44 $35,665.36 $20,950.97 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 10 3 — — $19,393.46 $121,026.31 $63,483.55 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 10 3 — — $19,231.45 $49,290.19 $39,259.94 2026-04-01
0790 OTHER Inj, Methylpred Acetate 1 Mg 8 4 — — $77.99 $40,004.67 $27,133.29 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 6 3 — — $21,923.48 $27,965.91 $23,214.58 2026-04-01
5376 OTHER Level 6 Urology And Related Services 2 1 — — $31,141.15 $31,141.15 $31,141.15 2026-04-01
5691 OTHER Level 1 Drug Administration 2 1 — — $27,583.49 $27,583.49 $27,583.49 2026-04-01
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