Price Transparencybeta Hospital negotiated rates

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

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Hospital

PROVIDENCE PORTLAND MEDICAL CENTER

Portland, OR · CCN 380061 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $13,163 across 12 payers · range $3,880-$28,037

Source: https://pricetransparency.providence.org/oregon/live/930386906_providence-portland-medical-center_standardcharges.json · observed 2026-04-01

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

14,063 distinct procedures filed
13 distinct payers
217,055 rate rows
2026-04-01 last MRF observed
Data quality

154,918 of 217,055 rate rows are consumer-grade (71.4%)

62,137 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 58,166
template filing: same amount across many unrelated codes — excluded 3,027
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
placeholder amount (≤ $0.02) — excluded from medians 32
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/oregon/live/930386906_providence-portland-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-04
Content fingerprint e1a2f4a4fdf463e2… · 208,900,329 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
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
$3,324,572
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
$2,997,086
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
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,294,688.00 $4,664,000.00 $2,518,560.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $758,290.08 $4,211,438.30 $843,828.90 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $604,353.92 $3,356,498.12 $669,457.08 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $579,078.89 $3,216,124.13 $641,459.34 nat. median
$631,793
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $10,941.36 $1,659,248.80 $628,557.72 nat. median
$370,165
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $553,264.66 $3,072,755.47 $612,864.31 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $550,824.58 $3,059,203.61 $610,161.38 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $523,339.53 $2,906,555.43 $586,384.12 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $481,461.95 $2,673,973.13 $538,692.00 nat. median
$577,541
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $246,940.82 $1,239,321.60 $472,891.67 nat. median
$261,939
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $188,434.26 $1,043,803.20 $360,851.61 nat. median
$205,166
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $229,648.16 $290,095.65 $288,660.11 nat. median
$83,623
outlier · 3.5×
7
MS_DRG 		Lung Transplant 11 $114,787.75 $574,987.60 $219,818.54 nat. median
$122,690
1.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $218,394.00 $276,632.40 $218,394.00 nat. median
$75,807
outlier · 2.9×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $166,388.81 $217,121.61 $216,047.17 nat. median
$62,767
outlier · 3.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $880.00 $952,559.81 $208,263.96 nat. median
$199,832
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $106,614.16 $576,439.60 $204,166.11 nat. median
$114,305
1.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $152,790.23 $200,229.31 $199,238.47 nat. median
$57,648
outlier · 3.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $100,599.03 $484,866.80 $192,647.14 nat. median
$108,240
1.8× 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
$58,534
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $96,586.31 $479,296.40 $184,962.79 nat. median
$100,978
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
$51,048
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $91,645.16 $468,538.40 $175,500.48 nat. median
$99,646
1.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $160,566.58 $160,566.58 $160,566.58 nat. median
$46,826
outlier · 3.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $91,688.67 $461,190.40 $159,531.02 nat. median
$96,835
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $1,484.96 $466,144.80 $154,735.38 nat. median
$98,002
1.6× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $120,106.98 $150,773.53 $150,027.42 nat. median
$46,399
outlier · 3.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $70,631.81 $366,960.00 $146,839.20 nat. median
$81,124
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $15,909.50 $372,829.60 $137,538.59 nat. median
$79,040
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $74,925.37 $372,618.40 $137,113.43 nat. median
$80,459
1.7× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $135,663.15 $171,839.99 $135,663.15 nat. median
$4,125
outlier · 32.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $19,210.52 $621,680.40 $132,503.79 nat. median
$132,706
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $68,568.32 $340,428.00 $131,308.34 nat. median
$74,472
1.8× median
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
$40,712
outlier · 3.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $68,278.13 $343,895.20 $130,752.62 nat. median
$73,475
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $68,056.32 $328,402.80 $130,327.86 nat. median
$71,485
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $880.00 $354,662.00 $128,536.38 nat. median
$77,385
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $2,904.64 $424,617.60 $127,047.38 nat. median
$92,900
1.4× 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
$45,104
outlier · 2.8×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $125,944.26 $125,944.26 $125,944.26 nat. median
$38,383
outlier · 3.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $64,135.66 $293,854.00 $122,819.79 nat. median
$62,911
2.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $63,801.64 $348,774.80 $122,180.14 nat. median
$69,153
1.8× median
0312T
OTHER 		Laps Impltj Nstim Vagus 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$17,494
outlier · 6.9×
0316T
OTHER 		Replc Vagus Nerve Pls Gen 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$14,552
outlier · 8.3×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $121,137.79 $121,137.79 $121,137.79 nat. median
$22,425
outlier · 5.4×

Other procedures at this hospital

Browse this hospital's 14,063 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
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
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 11 — — $10,941.36 $1,659,248.80 $628,557.72 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 — — $246,940.82 $1,239,321.60 $472,891.67 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 11 — — $188,434.26 $1,043,803.20 $360,851.61 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 3 — — $229,648.16 $290,095.65 $288,660.11 2026-04-01
7 MS_DRG Lung Transplant 20 11 — — $114,787.75 $574,987.60 $219,818.54 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $218,394.00 $276,632.40 $218,394.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $166,388.81 $217,121.61 $216,047.17 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 11 — — $880.00 $952,559.81 $208,263.96 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $106,614.16 $576,439.60 $204,166.11 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 3 — — $152,790.23 $200,229.31 $199,238.47 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 11 — — $100,599.03 $484,866.80 $192,647.14 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 11 — — $96,586.31 $479,296.40 $184,962.79 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 11 — — $91,645.16 $468,538.40 $175,500.48 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 10 — — $91,688.67 $461,190.40 $159,531.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 11 — — $1,484.96 $466,144.80 $154,735.38 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 3 — — $120,106.98 $150,773.53 $150,027.42 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 10 — — $70,631.81 $366,960.00 $146,839.20 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 11 — — $15,909.50 $372,829.60 $137,538.59 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 11 — — $74,925.37 $372,618.40 $137,113.43 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 1 — — $135,663.15 $171,839.99 $135,663.15 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 12 — — $19,210.52 $621,680.40 $132,503.79 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 11 — — $68,568.32 $340,428.00 $131,308.34 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 11 — — $68,278.13 $343,895.20 $130,752.62 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 11 — — $68,056.32 $328,402.80 $130,327.86 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 11 — — $880.00 $354,662.00 $128,536.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 11 — — $2,904.64 $424,617.60 $127,047.38 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
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 11 — — $64,135.66 $293,854.00 $122,819.79 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 11 — — $63,801.64 $348,774.80 $122,180.14 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $121,137.79 $121,137.79 $121,137.79 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $94,470.11 $119,748.67 $119,156.09 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 7 — — $106,511.46 $591,549.91 $117,444.04 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 11 — — $9,147.48 $310,926.00 $116,689.60 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 11 — — $60,264.10 $300,427.60 $115,405.75 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $58,898.18 $261,760.40 $112,790.01 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $58,898.18 $284,125.60 $112,790.01 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $56,752.53 $405,297.20 $112,669.12 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 11 — — $60,604.37 $293,356.80 $112,638.53 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $58,688.65 $270,943.20 $112,388.76 2026-04-01
10 MS_DRG Pancreas Transplant 20 11 — — $64,161.97 $350,794.40 $110,719.45 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 10 — — $59,873.09 $272,184.00 $109,567.75 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 11 — — $37,597.29 $265,562.00 $106,476.24 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 12 — — $40,788.90 $284,578.80 $106,405.85 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 11 — — $54,980.15 $263,577.60 $105,286.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 11 — — $54,403.27 $268,765.20 $104,182.26 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $100,485.06 $200,970.12 $104,002.04 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 11 — — $53,912.32 $272,536.00 $103,242.10 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 11 — — $52,702.45 $258,887.20 $100,925.19 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 11 — — $51,310.88 $256,163.60 $100,861.40 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 11 — — $40,261.96 $278,251.60 $100,499.78 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 11 — — $193.20 $267,480.40 $98,686.81 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 11 — — $454.45 $238,849.60 $98,424.52 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 12 — — $33,693.17 $237,406.40 $98,136.96 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 8 — — $55,915.36 $310,546.16 $96,839.85 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 11 — — $50,387.93 $239,395.20 $96,492.89 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 12 — — $2,814.17 $276,040.31 $96,042.71 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $50,051.27 $220,127.60 $95,848.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 11 — — $49,672.53 $270,014.80 $95,122.89 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 11 — — $49,143.87 $234,075.60 $94,110.51 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 12 — — $20,402.14 $309,863.23 $93,771.44 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 11 — — $48,877.35 $265,562.00 $93,600.12 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 7 — — $63,253.78 $351,302.76 $93,243.65 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 11 — — $1,499.43 $243,201.20 $91,274.86 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 24 11 — — $47,204.90 $243,183.60 $90,107.04 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 11 — — $32,396.39 $226,586.80 $87,797.86 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 10 — — $443.70 $294,984.80 $87,351.99 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 11 — — $46,809.19 $245,264.80 $85,660.82 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $44,221.13 $237,375.60 $84,683.46 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 11 — — $42,990.23 $206,993.60 $82,326.29 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 12 — — $477.34 $277,272.02 $82,307.65 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 11 — — $44,626.17 $219,247.60 $81,665.89 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 12 — — $136.73 $251,006.80 $81,375.79 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $42,469.46 $202,708.00 $81,329.01 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 11 — — $41,904.86 $213,351.60 $80,247.80 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 11 — — $31,359.84 $415,363.33 $79,370.03 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 11 — — $41,250.83 $215,006.00 $78,995.34 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 11 — — $40,957.13 $209,198.00 $78,432.90 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
0100T OTHER Prosth Retina Receive&Gen 4 2 — — $30,025.00 $95,876.00 $78,254.50 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $50,701.73 $252,516.00 $78,155.19 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 11 — — $40,532.80 $184,373.20 $77,620.31 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 11 — — $1,936.32 $210,108.80 $77,340.47 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 11 — — $40,378.50 $193,270.00 $77,324.83 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 11 — — $27,130.74 $187,677.60 $75,194.30 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
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 7 — — $67,700.88 $376,001.35 $74,649.86 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 11 — — $38,195.48 $180,818.00 $73,144.35 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $37,975.43 $180,919.20 $72,722.95 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $32,784.53 $92,068.00 $72,685.26 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $37,833.40 $189,978.80 $72,450.96 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 8 — — $55,368.88 $307,511.13 $72,106.35 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $48,175.40 $267,559.54 $71,741.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 11 — — $1,315.33 $187,404.80 $71,718.71 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 11 — — $37,420.47 $172,040.00 $71,660.20 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 11 — — $4,702.50 $186,076.00 $70,722.38 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 10 — — $45,849.60 $312,342.80 $70,346.51 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 11 — — $25,672.78 $179,660.80 $70,329.32 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 11 — — $38,213.89 $180,549.60 $69,931.42 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 21 11 — — $26,971.13 $194,928.80 $69,620.17 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 10 — — $34,158.99 $240,684.40 $67,918.13 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 11 — — $35,392.63 $190,374.80 $67,776.88 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 11 — — $24,504.48 $172,884.80 $67,483.98 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 11 — — $35,135.76 $172,893.60 $67,284.98 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 11 — — $33,057.63 $165,959.20 $67,222.86 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $40,514.65 $225,012.78 $66,973.77 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 11 — — $33,454.22 $169,879.60 $66,908.44 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 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
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 8 — — $34,331.26 $190,671.09 $66,813.39 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 11 — — $36,180.80 $157,722.40 $66,210.86 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… 26 11 — — $24,060.02 $167,261.60 $65,831.45 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 4 2 — — $51,720.00 $121,137.79 $65,117.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 2 — — $51,720.00 $121,137.79 $65,117.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 11 — — $22,962.27 $164,736.00 $64,911.28 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 11 — — $21,636.90 $550,500.50 $64,825.26 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 12 — — $16,602.36 $233,037.20 $64,656.84 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 11 — — $33,740.91 $152,776.80 $64,613.85 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 11 — — $34,909.72 $171,094.00 $64,391.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 11 — — $25,068.29 $175,274.00 $63,887.72 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $34,331.26 $190,671.09 $63,847.78 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
92938 HCPCS Prq Revasc Byp Graft 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
92934 HCPCS Prq Card Stent/ath/angio 3 1 — — $53,982.00 $72,144.00 $63,787.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 11 — — $41,199.74 $213,708.00 $63,634.85 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
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 11 — — $33,063.21 $139,647.20 $63,316.04 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 11 — — $33,038.66 $154,893.20 $63,269.04 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 11 — — $32,972.91 $156,943.60 $63,143.12 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 11 — — $21,516.67 $145,274.80 $62,400.44 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 11 — — $31,409.85 $159,451.60 $62,348.99 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 11 — — $30,320.20 $154,048.40 $62,260.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 11 — — $22,767.63 $157,687.20 $62,251.24 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 11 — — $22,101.96 $154,158.40 $62,209.64 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
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 11 — — $31,161.62 $147,686.00 $61,785.72 2026-04-01
33967 HCPCS Insert I-aort Percut Device 3 1 — — $51,720.00 $69,121.00 $61,113.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 3 1 — — $51,720.00 $69,121.00 $61,113.00 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 11 — — $683.05 $204,696.80 $60,944.29 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 11 — — $31,685.89 $152,446.80 $60,678.48 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 11 — — $28,908.53 $152,614.00 $60,380.52 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 21 11 — — $30,113.94 $146,110.80 $60,227.88 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 11 — — $25,980.32 $183,057.60 $60,081.97 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 11 — — $3,517.48 $205,884.80 $59,804.77 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 11 — — $32,662.55 $175,150.80 $59,772.47 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — — $22.74 $202,061.20 $58,305.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 11 — — $30,212.14 $120,401.60 $57,856.25 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 11 — — $30,110.44 $137,315.20 $57,661.49 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 8 — — $29,440.73 $163,509.76 $57,295.74 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 11 — — $29,769.40 $149,899.20 $57,008.40 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 12 — — $32,589.78 $173,241.20 $56,927.85 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 11 — — $26,943.24 $141,771.28 $56,707.86 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
652 MS_DRG Kidney Transplant 20 11 — — $29,565.12 $135,132.80 $56,617.21 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 11 — — $29,488.85 $139,928.80 $56,471.15 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 11 — — $29,397.67 $125,928.00 $56,296.54 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 11 — — $25,221.12 $169,444.00 $56,106.89 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 11 — — $33,238.94 $237,630.80 $55,573.62 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 11 — — $28,863.75 $136,668.40 $55,274.08 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 11 — — $28,798.88 $123,437.60 $55,149.85 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 11 — — $34,368.79 $242,228.80 $55,089.12 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 11 — — $28,615.64 $151,069.60 $54,798.95 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 11 — — $21,029.93 $135,775.20 $54,326.47 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 12 — — $30,648.98 $220,066.00 $54,087.12 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 12 — — $25,585.10 $178,952.40 $53,979.57 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 11 — — $28,056.30 $118,003.60 $53,727.82 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 11 — — $27,123.72 $136,056.80 $53,420.70 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 11 — — $17,705.18 $133,569.28 $53,356.22 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 11 — — $1,299.97 $155,337.60 $53,268.28 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 12 8 — — $41,147.00 $267,559.54 $53,120.24 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 11 — — $27,729.29 $126,143.60 $53,101.59 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 11 — — $27,700.35 $111,086.80 $53,046.17 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 11 — — $27,346.16 $135,009.60 $52,367.90 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 7 — — $47,385.01 $263,169.81 $52,248.72 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 11 — — $1,096.92 $134,569.60 $52,174.11 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 11 — — $27,062.98 $116,322.80 $51,825.60 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 OTHER Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $33,750.31 $187,444.54 $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
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 11 7 — — $29,677.57 $164,825.13 $51,720.00 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 11 7 — — $29,677.57 $164,825.13 $51,720.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 11 — — $31,306.77 $225,843.20 $51,548.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 21 11 — — $26,868.85 $137,253.60 $51,408.80 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 10 — — $50,661.94 $102,569.62 $51,284.81 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 11 — — $1,687.98 $202,791.60 $51,225.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 11 — — $31,256.87 $224,149.20 $51,108.02 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 11 — — $26,516.79 $116,591.20 $50,779.65 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 11 — — $24,796.22 $125,752.00 $50,751.01 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 5 4 — — $960.97 $216,491.43 $50,678.32 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 11 — — $33,043.02 $168,176.80 $49,993.89 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 11 — — $25,882.05 $128,198.40 $49,564.12 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 11 — — $19,234.33 $132,457.60 $49,477.12 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 11 — — $25,793.50 $124,163.60 $49,394.55 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 11 — — $24,652.66 $128,308.40 $49,138.61 2026-04-01
509 MS_DRG Arthroscopy 8 5 — — $38,076.52 $77,286.00 $48,776.25 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 7 — — $44,135.91 $245,124.76 $48,666.12 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 12 — — $22,576.97 $198,497.20 $48,663.98 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
56637 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
56633 HCPCS Extensive Vulva Surgery 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
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
32651 HCPCS Thoracoscopy Remove Cortex 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
32650 HCPCS Thoracoscopy W/pleurodesis 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
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 11 — — $25,219.26 $119,530.40 $48,294.88 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 11 — — $22,419.16 $157,731.20 $48,058.52 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 11 — — $27,883.40 $140,984.80 $47,989.39 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 25 11 — — $582.71 $112,358.40 $47,960.92 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
849 MS_DRG Radiotherapy 20 11 — — $25,006.22 $117,519.60 $47,886.91 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 11 — — $23,895.42 $118,553.60 $47,790.84 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 21 11 — — $23,863.86 $105,468.00 $47,727.72 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 12 — — $27,926.01 $196,768.00 $47,691.40 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 3 1 — — $40,226.00 $53,759.00 $47,531.00 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
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 25 11 — — $16,582.33 $113,889.60 $47,524.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 11 — — $165.74 $195,452.67 $47,363.21 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 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
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 8 — — $24,328.69 $135,118.20 $47,347.01 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
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 12 8 — — $24,328.69 $135,118.20 $47,347.01 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 11 — — $16,804.34 $116,446.00 $47,070.55 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 11 — — $24,572.24 $125,998.40 $47,055.84 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 11 — — $739.29 $112,116.40 $46,762.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 31 11 — — $15,409.48 $108,574.40 $46,740.54 2026-04-01
0425T OTHER Insj/rplc Nstim Apnea Sen Ld 1 1 — — $46,271.13 $46,271.13 $46,271.13 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 1 1 — — $46,271.13 $46,271.13 $46,271.13 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 1 1 — — $46,268.83 $46,268.83 $46,268.83 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 28 11 — — $16,600.39 $115,420.80 $46,138.16 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 11 — — $29,895.52 $209,189.20 $45,988.04 2026-04-01
791 MS_DRG Prematurity With Major Problems 27 12 — — $8,999.87 $192,500.00 $45,747.62 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 11 — — $24,427.26 $120,177.20 $45,708.42 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
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 11 — — $16,607.42 $115,117.20 $45,567.24 2026-04-01
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 2 2 — — $7.32 $90,915.99 $45,461.65 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 11 — — $7,806.42 $155,284.80 $45,438.35 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 27 11 — — $15,287.68 $104,156.80 $45,309.74 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 11 — — $1,091.56 $202,034.80 $45,289.27 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 26 11 — — $16,147.18 $110,088.00 $45,259.42 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 7 — — $24,328.69 $135,118.20 $45,245.44 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 7 — — $24,328.69 $135,118.20 $45,245.44 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 4 2 — — $41,147.00 $54,989.00 $44,976.26 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 4 2 — — $41,147.00 $54,989.00 $44,976.26 2026-04-01
37221 HCPCS Iliac Revasc W/stent 4 2 — — $41,147.00 $54,989.00 $44,976.26 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 4 2 — — $30,025.00 $54,989.00 $44,883.00 2026-04-01
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