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 →

Export CSV
Hospital

PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER

Oregon City, OR · CCN 380038 · Rates published

12,907 distinct procedures filed
13 distinct payers
200,385 rate rows
2026-04-01 last MRF observed
Data quality

143,252 of 200,385 rate rows are consumer-grade (71.5%)

57,133 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 54,074
template filing: same amount across many unrelated codes — excluded 3,027
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/611659489_providence-willamette-falls-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 776ce0380cc2603d… · 200,250,281 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 5 $3,632,386.80 $4,023,680.50 $3,949,851.50 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,268,234.36 $3,620,300.25 $3,553,872.73 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,193,455.29 $3,537,465.71 $3,472,558.09 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,891,306.88 $3,202,768.80 $3,144,002.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,545,693.86 $4,734,369.68 $2,781,118.80 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,294,688.00 $4,664,000.00 $2,518,560.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $758,290.08 $4,211,438.30 $843,828.90 nat. median
$824,563
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $367,707.88 $1,659,248.80 $704,160.59 nat. median
$370,174
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $604,353.92 $3,356,498.12 $669,457.08 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $579,078.89 $3,216,124.13 $641,459.34 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $553,264.66 $3,072,755.47 $612,864.31 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $550,824.58 $3,059,203.61 $610,161.38 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $523,339.53 $2,906,555.43 $586,384.12 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $481,461.95 $2,673,973.13 $538,692.00 nat. median
$620,080
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $239,085.11 $1,239,321.60 $457,847.98 nat. median
$265,286
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $182,461.52 $1,043,803.20 $349,413.81 nat. median
$206,368
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $181,398.36 $942,928.80 $347,377.86 nat. median
$202,986
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $229,648.16 $290,095.65 $259,871.91 nat. median
$87,411
outlier · 3.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $118,831.90 $621,680.40 $227,563.09 nat. median
$133,176
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $218,394.00 $276,632.40 $218,394.00 nat. median
$76,377
outlier · 2.9×
7
MS_DRG 		Lung Transplant 11 $111,185.25 $574,987.60 $212,919.76 nat. median
$122,708
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $103,274.71 $576,439.60 $197,771.07 nat. median
$117,303
1.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $192,065.81 $192,065.81 $192,065.81 nat. median
$63,570
outlier · 3.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $166,388.81 $217,121.61 $191,755.21 nat. median
$65,381
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $97,453.18 $484,866.80 $186,622.84 nat. median
$108,660
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $93,569.61 $479,296.40 $179,185.80 nat. median
$102,358
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $177,832.58 $177,832.58 $177,832.58 nat. median
$54,196
outlier · 3.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $152,790.23 $200,229.31 $176,509.77 nat. median
$62,270
outlier · 2.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $94,817.75 $461,190.40 $173,516.48 nat. median
$98,905
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $88,787.48 $468,538.40 $170,028.02 nat. median
$100,136
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 11 $85,788.04 $466,144.80 $164,284.09 nat. median
$99,019
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $84,309.96 $424,617.60 $161,453.58 nat. median
$93,672
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $160,566.58 $160,566.58 $160,566.58 nat. median
$49,935
outlier · 3.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $77,749.39 $366,960.00 $142,281.38 nat. median
$82,712
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $72,830.65 $372,829.60 $139,470.70 nat. median
$79,312
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $72,605.80 $372,618.40 $139,040.10 nat. median
$81,118
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $74,778.80 $405,297.20 $136,845.20 nat. median
$83,442
1.6× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $135,663.15 $171,839.99 $135,663.15 nat. median
$21,806
outlier · 6.2×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $120,106.98 $150,773.53 $135,440.26 nat. median
$48,483
outlier · 2.8×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $130,911.09 $130,911.09 $130,911.09 nat. median
$44,728
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $68,069.73 $354,662.00 $130,353.54 nat. median
$77,576
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $66,453.35 $340,428.00 $127,258.17 nat. median
$74,915
1.7× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $126,872.40 $126,872.40 $126,872.40 nat. median
$48,649
outlier · 2.6×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $66,172.50 $343,895.20 $126,720.34 nat. median
$73,807
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $65,957.83 $328,402.80 $126,309.24 nat. median
$72,138
1.8× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $125,944.26 $125,944.26 $125,944.26 nat. median
$39,020
outlier · 3.2×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$9,564
outlier · 12.7×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$24,752
outlier · 4.9×
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$8,204
outlier · 14.8×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$15,886
outlier · 7.6×

Other procedures at this hospital

Browse this hospital's 12,907 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,632,386.80 $4,023,680.50 $3,949,851.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,268,234.36 $3,620,300.25 $3,553,872.73 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,193,455.29 $3,537,465.71 $3,472,558.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,891,306.88 $3,202,768.80 $3,144,002.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,545,693.86 $4,734,369.68 $2,781,118.80 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,294,688.00 $4,664,000.00 $2,518,560.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 10 7 — — $758,290.08 $4,211,438.30 $843,828.90 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 11 — — $367,707.88 $1,659,248.80 $704,160.59 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 7 — — $604,353.92 $3,356,498.12 $669,457.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 7 — — $579,078.89 $3,216,124.13 $641,459.34 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 7 — — $553,264.66 $3,072,755.47 $612,864.31 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 7 — — $550,824.58 $3,059,203.61 $610,161.38 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 7 — — $523,339.53 $2,906,555.43 $586,384.12 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 7 — — $481,461.95 $2,673,973.13 $538,692.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 11 — — $239,085.11 $1,239,321.60 $457,847.98 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 11 — — $182,461.52 $1,043,803.20 $349,413.81 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 11 — — $181,398.36 $942,928.80 $347,377.86 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $229,648.16 $290,095.65 $259,871.91 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 11 — — $118,831.90 $621,680.40 $227,563.09 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $218,394.00 $276,632.40 $218,394.00 2026-04-01
7 MS_DRG Lung Transplant 20 11 — — $111,185.25 $574,987.60 $212,919.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $103,274.71 $576,439.60 $197,771.07 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $192,065.81 $192,065.81 $192,065.81 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $166,388.81 $217,121.61 $191,755.21 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 11 — — $97,453.18 $484,866.80 $186,622.84 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 11 — — $93,569.61 $479,296.40 $179,185.80 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $177,832.58 $177,832.58 $177,832.58 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $152,790.23 $200,229.31 $176,509.77 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $94,817.75 $461,190.40 $173,516.48 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 11 — — $88,787.48 $468,538.40 $170,028.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 11 — — $85,788.04 $466,144.80 $164,284.09 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $84,309.96 $424,617.60 $161,453.58 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $160,566.58 $160,566.58 $160,566.58 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 10 — — $77,749.39 $366,960.00 $142,281.38 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 11 — — $72,830.65 $372,829.60 $139,470.70 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $72,605.80 $372,618.40 $139,040.10 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 10 — — $74,778.80 $405,297.20 $136,845.20 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 1 — — $135,663.15 $171,839.99 $135,663.15 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 2 — — $120,106.98 $150,773.53 $135,440.26 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $130,911.09 $130,911.09 $130,911.09 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 11 — — $68,069.73 $354,662.00 $130,353.54 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $66,453.35 $340,428.00 $127,258.17 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $126,872.40 $126,872.40 $126,872.40 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 11 — — $66,172.50 $343,895.20 $126,720.34 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 11 — — $65,957.83 $328,402.80 $126,309.24 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $125,944.26 $125,944.26 $125,944.26 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $62,552.81 $312,342.80 $119,788.63 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 11 — — $62,163.35 $293,854.00 $119,042.82 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 11 — — $61,840.07 $348,774.80 $118,423.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 11 — — $61,804.43 $310,926.00 $118,355.49 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 11 — — $59,661.98 $293,356.80 $114,252.69 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 11 — — $58,416.39 $300,427.60 $111,867.39 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $57,094.43 $261,760.40 $109,335.83 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $57,094.43 $284,125.60 $109,335.83 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $56,891.64 $270,943.20 $108,947.49 2026-04-01
10 MS_DRG Pancreas Transplant 20 11 — — $62,188.80 $350,794.40 $108,913.99 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $94,470.11 $119,748.67 $107,109.39 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 10 — — $58,037.96 $272,184.00 $106,209.47 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 10 — — $57,996.38 $294,984.80 $106,133.38 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 11 — — $53,302.50 $263,577.60 $102,074.29 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 11 — — $53,242.25 $278,251.60 $101,958.91 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 11 — — $52,744.19 $268,765.20 $101,005.12 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $97,342.87 $194,685.74 $100,749.87 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 11 — — $52,283.45 $267,480.40 $100,122.80 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 11 — — $52,269.03 $272,536.00 $100,095.19 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $51,899.93 $252,516.00 $99,388.36 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 11 — — $51,733.63 $261,580.00 $99,069.90 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 11 — — $51,616.53 $265,562.00 $98,845.65 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 11 — — $51,098.10 $258,887.20 $97,852.86 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 11 — — $51,065.86 $256,163.60 $97,791.12 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 8 — — $55,915.36 $310,546.16 $96,839.85 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $49,924.63 $251,006.80 $95,605.67 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 11 — — $49,663.29 $237,630.80 $95,105.20 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 11 — — $48,858.07 $239,395.20 $93,563.21 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 7 — — $63,253.78 $351,302.76 $93,243.65 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $48,532.25 $220,127.60 $92,939.26 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 11 — — $48,165.70 $270,014.80 $92,237.32 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 11 — — $47,884.84 $243,183.60 $91,699.47 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 11 — — $47,720.24 $238,849.60 $91,384.26 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 11 — — $47,654.05 $234,075.60 $91,257.51 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 11 — — $47,581.08 $237,406.40 $91,117.77 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 11 — — $47,396.11 $265,562.00 $90,763.55 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $46,551.86 $233,037.20 $89,146.81 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 11 — — $46,220.94 $243,201.20 $88,513.10 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 11 — — $46,072.46 $225,843.20 $88,228.76 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 11 — — $43,621.15 $223,462.80 $87,242.30 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 11 — — $45,470.87 $224,149.20 $87,076.71 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 11 — — $45,394.51 $245,264.80 $86,930.49 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 10 — — $46,524.70 $226,586.80 $85,140.20 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $44,069.15 $202,061.20 $84,392.42 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 11 — — $43,281.75 $219,247.60 $82,884.55 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 11 — — $43,063.69 $221,606.00 $82,466.96 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $42,889.74 $237,375.60 $82,133.85 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 11 — — $42,274.58 $213,708.00 $80,955.82 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 11 — — $42,067.55 $220,299.20 $80,559.36 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 11 — — $41,698.45 $206,993.60 $79,852.53 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $41,194.45 $202,708.00 $78,887.37 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 11 — — $40,994.20 $210,108.80 $78,503.89 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 4 2 — — $30,025.00 $95,876.00 $78,254.50 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 8 — — $48,175.40 $267,559.54 $78,254.50 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 11 — — $40,648.02 $213,351.60 $77,840.96 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 11 — — $40,491.04 $204,696.80 $77,540.34 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 11 — — $40,205.10 $205,884.80 $76,992.76 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 11 — — $40,015.04 $215,006.00 $76,628.80 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 11 — — $39,881.82 $196,768.00 $76,373.68 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 11 — — $39,730.79 $209,198.00 $76,084.46 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $75,500.83 $75,500.83 $75,500.83 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 11 — — $39,331.15 $202,791.60 $75,319.15 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 11 — — $39,320.12 $184,373.20 $75,298.03 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 8 — — $19,180.00 $382,091.70 $75,159.85 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $75,139.61 $75,139.61 $75,139.61 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 11 — — $39,170.78 $193,270.00 $75,012.04 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 11 — — $17,888.04 $220,066.00 $74,872.22 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 11 — — $38,575.99 $187,677.60 $73,873.02 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $50,236.88 $240,684.40 $73,345.85 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 11 — — $39,898.79 $198,497.20 $73,014.79 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 11 — — $38,021.07 $187,404.80 $72,810.35 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $32,784.53 $92,068.00 $72,685.26 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 11 — — $37,728.34 $197,313.60 $72,249.77 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 8 — — $55,368.88 $307,511.13 $72,106.35 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 11 — — $37,494.15 $186,076.00 $71,801.29 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $48,175.40 $267,559.54 $71,741.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $48,169.92 $242,228.80 $71,548.33 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 11 — — $37,136.94 $183,057.60 $71,117.24 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 11 — — $37,075.84 $180,549.60 $71,000.23 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 11 — — $37,058.03 $180,818.00 $70,966.12 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 11 — — $36,953.66 $184,360.00 $70,766.26 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 11 — — $36,911.24 $194,928.80 $70,685.02 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $36,845.05 $180,919.20 $70,558.27 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 11 — — $36,541.29 $178,952.40 $69,976.57 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 11 — — $36,307.95 $172,040.00 $69,529.73 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 11 — — $35,743.70 $178,644.40 $68,449.18 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 10 — — $37,286.27 $179,660.80 $68,233.87 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 11 — — $35,108.18 $157,722.40 $67,232.17 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 11 — — $36,203.93 $189,978.80 $67,174.91 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $40,514.65 $225,012.78 $66,973.77 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $66,638.30 $66,638.30 $66,638.30 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 1 1 — — $66,088.19 $66,088.19 $66,088.19 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $66,088.19 $66,088.19 $66,088.19 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $34,495.57 $167,261.60 $66,059.01 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 11 — — $34,345.38 $190,374.80 $65,771.40 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 11 — — $34,145.98 $171,094.00 $65,389.55 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 11 — — $31,997.51 $306,086.00 $65,345.09 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 11 — — $34,096.77 $172,893.60 $65,295.31 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 11 — — $34,065.38 $165,959.20 $65,235.21 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 2 — — $51,720.00 $121,137.79 $65,117.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 2 — — $51,720.00 $121,137.79 $65,117.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $34,331.26 $190,671.09 $63,847.78 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 3 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 3 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 3 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 3 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 3 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 2 — — $51,720.00 $69,121.00 $63,600.60 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 2 — — $51,720.00 $69,121.00 $63,600.60 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 11 — — $33,093.00 $145,274.80 $63,373.10 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 11 — — $33,014.09 $157,687.20 $63,221.98 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 11 — — $32,925.00 $173,637.20 $63,051.38 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 11 — — $32,746.81 $152,776.80 $62,710.14 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 11 — — $28,612.77 $150,695.60 $62,452.62 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 11 — — $32,469.35 $169,879.60 $62,178.81 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 11 — — $32,456.63 $156,244.00 $62,154.44 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 11 — — $33,879.56 $175,274.00 $61,999.59 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 3 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 3 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 3 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 3 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 3 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 11 — — $32,090.93 $139,647.20 $61,454.13 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 11 — — $32,067.17 $154,893.20 $61,408.63 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 11 — — $32,024.74 $152,614.00 $61,327.38 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 11 — — $32,003.53 $156,943.60 $61,286.76 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 11 — — $31,949.23 $157,731.20 $61,182.77 2026-04-01
33968 HCPCS Remove Aortic Assist Device 3 1 — — $51,720.00 $69,121.00 $61,113.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 3 1 — — $51,720.00 $69,121.00 $61,113.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $31,903.41 $140,984.80 $61,095.03 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 8 — — $31,372.14 $174,236.52 $61,054.52 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 12 — — $20,129.34 $284,578.80 $60,932.57 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 11 — — $33,232.15 $168,176.80 $60,814.83 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 11 — — $31,703.16 $175,150.80 $60,711.55 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 11 — — $31,632.74 $173,241.20 $60,576.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 11 — — $31,557.22 $154,048.40 $60,432.07 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 11 — — $31,531.77 $154,158.40 $60,383.34 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 11 — — $31,502.92 $164,736.00 $60,328.09 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 11 — — $31,478.31 $151,553.60 $60,280.96 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 11 — — $29,693.35 $209,189.20 $60,024.97 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 11 — — $31,165.22 $160,529.60 $59,681.40 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 11 — — $30,901.33 $150,928.80 $59,176.04 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 11 — — $30,893.70 $170,055.60 $59,161.43 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 11 — — $30,757.94 $152,446.80 $58,901.46 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 11 — — $30,615.39 $151,307.20 $58,628.47 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 11 — — $30,250.54 $147,686.00 $57,929.79 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 11 — — $30,212.35 $155,284.80 $57,856.65 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 8 — — $29,440.73 $163,509.76 $57,295.74 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $56,667.02 $56,667.02 $56,667.02 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 8 — — $33,750.31 $187,444.54 $56,416.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 11 — — $29,331.61 $120,401.60 $56,170.04 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 11 — — $29,236.58 $146,110.80 $55,988.05 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 11 — — $29,233.19 $137,315.20 $55,981.56 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 11 — — $29,860.79 $154,132.00 $55,619.34 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 11 — — $28,903.12 $149,899.20 $55,349.47 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 11 — — $28,781.79 $143,400.40 $55,117.13 2026-04-01
652 MS_DRG Kidney Transplant 20 11 — — $28,705.42 $135,132.80 $54,970.88 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 11 — — $28,631.60 $139,928.80 $54,829.51 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 11 — — $28,543.36 $125,928.00 $54,660.54 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 11 — — $28,394.02 $149,248.00 $54,374.55 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 11 — — $28,343.96 $136,056.80 $54,278.68 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 21 11 — — $8.39 $153,775.60 $54,256.02 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 11 — — $28,317.66 $143,338.80 $54,228.32 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 11 — — $28,263.36 $155,337.60 $54,124.33 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 11 — — $28,115.72 $135,678.40 $53,841.60 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 11 — — $28,039.35 $140,580.00 $53,695.35 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 11 — — $28,026.63 $136,668.40 $53,671.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 11 — — $27,963.84 $123,437.60 $53,550.76 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 11 — — $27,786.50 $151,069.60 $53,211.15 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 8 — — $41,147.00 $267,559.54 $53,120.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 11 — — $27,684.68 $134,569.60 $53,016.16 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 11 — — $17,234.04 $140,333.60 $52,614.77 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 11 — — $27,279.95 $137,253.60 $52,241.10 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 11 — — $27,245.16 $118,003.60 $52,174.48 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 2 — — $41,147.00 $66,088.19 $51,804.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 2 — — $41,147.00 $66,088.19 $51,804.00 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $33,750.31 $187,444.54 $51,720.00 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 11 7 — — $29,677.57 $164,825.13 $51,720.00 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 11 7 — — $29,677.57 $164,825.13 $51,720.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 7 — — $33,750.31 $187,444.54 $51,720.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 11 — — $26,932.07 $125,752.00 $51,574.92 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 11 — — $26,928.67 $126,143.60 $51,568.40 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 11 — — $28,156.45 $139,414.00 $51,526.30 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 11 — — $26,900.67 $111,086.80 $51,514.79 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $49,726.08 $99,452.16 $51,466.50 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 10 — — $26,163.50 $135,775.20 $51,248.28 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 11 — — $26,557.88 $135,009.60 $50,858.34 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 11 — — $18,411.69 $129,738.40 $50,748.37 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 11 — — $26,283.81 $116,322.80 $50,333.50 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 11 — — $26,258.36 $132,457.60 $50,284.76 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 11 — — $26,079.33 $128,308.40 $49,941.92 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 11 — — $25,926.60 $129,043.20 $49,649.44 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 11 — — $25,911.32 $123,560.80 $49,620.18 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 11 — — $25,802.72 $119,961.60 $49,412.21 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 11 — — $25,790.84 $131,384.00 $49,389.46 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 11 — — $25,755.20 $116,591.20 $49,321.21 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 11 — — $25,489.62 $128,128.00 $48,812.62 2026-04-01
509 MS_DRG Arthroscopy 8 5 — — $38,076.52 $77,286.00 $48,776.25 2026-04-01
32650 HCPCS Thoracoscopy W/pleurodesis 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
33822 HCPCS Revise Major Vessel 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
56631 HCPCS Extensive Vulva Surgery 3 1 — — $41,147.00 $54,989.00 $48,619.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 11 — — $11,695.66 $169,444.00 $48,205.52 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 11 — — $25,140.89 $128,198.40 $48,144.81 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 11 — — $25,055.19 $124,163.60 $47,980.69 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $47,899.81 $47,899.81 $47,899.81 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 11 — — $24,985.61 $116,446.00 $47,847.44 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 3 1 — — $40,226.00 $53,759.00 $47,531.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 3 1 — — $40,226.00 $53,759.00 $47,531.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 11 — — $24,697.12 $118,940.80 $47,294.99 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 11 — — $24,499.42 $119,530.40 $46,916.39 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 11 — — $24,389.12 $125,254.80 $46,705.16 2026-04-01
849 MS_DRG Radiotherapy 20 11 — — $24,293.24 $117,519.60 $46,521.56 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 11 — — $24,265.24 $120,177.20 $46,467.93 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 11 — — $24,190.57 $115,117.20 $46,324.94 2026-04-01
0425T HCPCS Insj/rplc Nstim Apnea Sen Ld 1 1 — — $46,271.13 $46,271.13 $46,271.13 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 1 1 — — $46,271.13 $46,271.13 $46,271.13 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 1 1 — — $46,268.83 $46,268.83 $46,268.83 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 11 — — $30,757.95 $159,451.60 $46,139.20 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 11 — — $23,873.23 $125,998.40 $45,717.24 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $45,571.92 $45,571.92 $45,571.92 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 11 — — $23,794.32 $117,154.40 $45,566.12 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 11 — — $23,681.47 $116,740.80 $45,350.01 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 11 7 — — $24,328.69 $135,118.20 $45,245.44 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 11 7 — — $24,328.69 $135,118.20 $45,245.44 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 27 11 — — $22,392.61 $115,420.80 $45,054.44 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 4 2 — — $41,147.00 $54,989.00 $44,976.26 2026-04-01
See an error in this hospital's data? Submit a correction