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 MILWAUKIE HOSPITAL

Milwaukie, OR · CCN 380082 · Rates published

13,795 distinct procedures filed
13 distinct payers
206,463 rate rows
2026-04-01 last MRF observed
Data quality

149,850 of 206,463 rate rows are consumer-grade (72.6%)

56,613 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 52,642
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/930924302_providence-milwaukie-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint 2fdbd5a8f6c7f661… · 199,342,453 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $417,964.18 $1,659,248.80 $776,791.64 nat. median
$370,165
outlier · 2.1×
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
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 $271,742.76 $1,239,321.60 $520,387.39 nat. median
$261,939
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $207,371.73 $1,043,803.20 $397,116.86 nat. median
$205,166
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $206,163.10 $942,928.80 $394,802.33 nat. median
$199,832
2.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $229,648.16 $290,095.65 $259,871.91 nat. median
$83,623
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $135,036.07 $621,680.40 $258,594.08 nat. median
$132,706
1.9× median
7
MS_DRG 		Lung Transplant 11 $126,343.17 $574,987.60 $241,947.17 nat. median
$122,690
2.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $117,350.29 $576,439.60 $224,725.80 nat. median
$114,305
2.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $218,394.00 $276,632.40 $218,394.00 nat. median
$75,807
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $110,732.23 $484,866.80 $212,052.22 nat. median
$108,240
2.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $106,317.30 $479,296.40 $203,597.63 nat. median
$100,978
outlier · 2.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $107,736.21 $461,190.40 $197,157.26 nat. median
$96,835
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $100,880.86 $468,538.40 $193,186.85 nat. median
$99,646
1.9× 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×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $166,388.81 $217,121.61 $191,755.21 nat. median
$62,767
outlier · 3.1×
215
MS_DRG 		Other Heart Assist System Implant 11 $97,471.03 $466,144.80 $186,657.02 nat. median
$98,002
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $95,790.71 $424,617.60 $183,439.21 nat. median
$92,900
2.0× 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×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $152,790.23 $200,229.31 $176,509.77 nat. median
$57,648
outlier · 3.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $88,332.49 $366,960.00 $161,648.46 nat. median
$81,124
2.0× 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×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $82,740.76 $372,829.60 $158,448.55 nat. median
$79,040
outlier · 2.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $82,485.14 $372,618.40 $157,959.04 nat. median
$80,459
2.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $84,955.46 $405,297.20 $155,468.49 nat. median
$81,364
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $77,328.44 $354,662.00 $148,083.96 nat. median
$77,385
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $75,490.89 $340,428.00 $144,565.05 nat. median
$74,472
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $75,171.61 $343,895.20 $143,953.64 nat. median
$73,475
2.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $74,927.57 $328,402.80 $143,486.30 nat. median
$71,485
outlier · 2.0×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $135,663.15 $171,839.99 $135,663.15 nat. median
$4,125
outlier · 32.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $120,106.98 $150,773.53 $135,440.26 nat. median
$46,399
outlier · 2.9×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $70,613.92 $293,854.00 $135,225.65 nat. median
$62,911
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $70,246.41 $348,774.80 $134,521.88 nat. median
$69,153
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $70,205.89 $310,926.00 $134,444.28 nat. median
$68,581
2.0× 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×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $71,056.66 $312,342.80 $130,033.69 nat. median
$66,640
2.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $67,770.30 $293,356.80 $129,780.12 nat. median
$65,792
2.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $66,354.28 $300,427.60 $127,068.45 nat. median
$64,357
2.0× median

Other procedures at this hospital

Browse this hospital's 13,795 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
             
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 — — $417,964.18 $1,659,248.80 $776,791.64 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 — — $271,742.76 $1,239,321.60 $520,387.39 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 11 — — $207,371.73 $1,043,803.20 $397,116.86 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 11 — — $206,163.10 $942,928.80 $394,802.33 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 — — $135,036.07 $621,680.40 $258,594.08 2026-04-01
7 MS_DRG Lung Transplant 20 11 — — $126,343.17 $574,987.60 $241,947.17 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $117,350.29 $576,439.60 $224,725.80 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $218,394.00 $276,632.40 $218,394.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 11 — — $110,732.23 $484,866.80 $212,052.22 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 11 — — $106,317.30 $479,296.40 $203,597.63 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $107,736.21 $461,190.40 $197,157.26 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 11 — — $100,880.86 $468,538.40 $193,186.85 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
215 MS_DRG Other Heart Assist System Implant 20 11 — — $97,471.03 $466,144.80 $186,657.02 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $95,790.71 $424,617.60 $183,439.21 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 10 — — $88,332.49 $366,960.00 $161,648.46 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 11 — — $82,740.76 $372,829.60 $158,448.55 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $82,485.14 $372,618.40 $157,959.04 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 10 — — $84,955.46 $405,297.20 $155,468.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 11 — — $77,328.44 $354,662.00 $148,083.96 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $75,490.89 $340,428.00 $144,565.05 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 11 — — $75,171.61 $343,895.20 $143,953.64 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 11 — — $74,927.57 $328,402.80 $143,486.30 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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 11 — — $70,613.92 $293,854.00 $135,225.65 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 11 — — $70,246.41 $348,774.80 $134,521.88 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 11 — — $70,205.89 $310,926.00 $134,444.28 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $71,056.66 $312,342.80 $130,033.69 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 11 — — $67,770.30 $293,356.80 $129,780.12 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 11 — — $66,354.28 $300,427.60 $127,068.45 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 11 — — $66,909.47 $306,086.00 $124,618.06 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $64,851.45 $284,125.60 $124,190.52 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $64,851.45 $261,760.40 $124,190.52 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $64,620.91 $270,943.20 $123,749.05 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 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
0316T OTHER Replc Vagus Nerve Pls Gen 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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 10 — — $65,924.07 $272,184.00 $120,641.05 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 10 — — $65,876.81 $294,984.80 $120,554.56 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 7 — — $106,511.46 $591,549.91 $117,444.04 2026-04-01
10 MS_DRG Pancreas Transplant 20 11 — — $70,642.85 $350,794.40 $116,649.45 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 11 — — $63,495.23 $284,578.80 $116,196.27 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 11 — — $60,540.69 $263,577.60 $115,935.42 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 11 — — $60,472.20 $278,251.60 $115,804.26 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 11 — — $59,905.99 $268,765.20 $114,719.97 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $110,606.83 $221,213.66 $114,478.07 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 11 — — $59,382.22 $267,480.40 $113,716.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 11 — — $59,365.82 $272,536.00 $113,685.54 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $58,946.22 $252,516.00 $112,882.01 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 11 — — $58,757.16 $261,580.00 $112,519.96 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 11 — — $58,624.05 $265,562.00 $112,265.05 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 11 — — $58,034.68 $258,887.20 $111,136.41 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 11 — — $57,998.03 $256,163.60 $111,066.23 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $56,700.65 $251,006.80 $108,581.74 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 11 — — $55,488.16 $239,395.20 $106,259.83 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $55,117.76 $220,127.60 $105,550.51 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 11 — — $54,701.05 $270,014.80 $104,752.51 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 10 — — $57,055.62 $240,684.40 $104,411.78 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 11 — — $54,194.64 $238,849.60 $103,782.74 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 11 — — $54,119.41 $234,075.60 $103,638.67 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 11 — — $53,826.17 $265,562.00 $103,077.11 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $55,656.00 $242,228.80 $101,850.48 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $52,866.40 $233,037.20 $101,239.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 11 — — $52,490.21 $243,201.20 $100,518.75 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 11 — — $52,321.41 $225,843.20 $100,195.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 21 11 — — $4,917.64 $243,183.60 $99,518.64 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 11 — — $49,571.14 $237,406.40 $98,886.70 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 11 — — $51,550.70 $245,264.80 $98,719.59 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 11 — — $34,520.69 $237,630.80 $98,480.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 8 — — $55,915.36 $310,546.16 $96,839.85 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 10 — — $52,835.53 $226,586.80 $96,689.02 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $50,044.01 $202,061.20 $95,834.28 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 11 — — $49,148.87 $219,247.60 $94,120.08 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 11 — — $48,900.97 $221,606.00 $93,645.36 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $48,703.23 $237,375.60 $93,266.68 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 7 — — $63,253.78 $351,302.76 $93,243.65 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 11 — — $48,003.90 $213,708.00 $91,927.47 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 11 — — $47,768.54 $220,299.20 $91,476.76 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 11 — — $47,348.94 $206,993.60 $90,673.22 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 11 — — $49,534.70 $223,462.80 $90,648.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $46,775.97 $202,708.00 $89,575.99 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 11 — — $46,683.37 $209,189.20 $89,398.65 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 11 — — $46,548.33 $210,108.80 $89,140.05 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 11 — — $46,154.78 $213,351.60 $88,386.40 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 11 — — $45,976.33 $204,696.80 $88,044.67 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 11 — — $45,651.26 $205,884.80 $87,422.17 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 11 — — $45,435.19 $215,006.00 $87,008.39 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 11 — — $45,303.04 $198,497.20 $86,755.32 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 11 — — $45,283.75 $196,768.00 $86,718.38 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 11 — — $45,112.05 $209,198.00 $86,389.58 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 11 — — $44,657.73 $202,791.60 $85,519.55 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 11 — — $44,645.19 $184,373.20 $85,495.54 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 11 — — $44,475.42 $193,270.00 $85,170.43 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 11 — — $43,168.40 $187,404.80 $82,667.49 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 11 — — $42,835.62 $197,313.60 $82,030.21 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 11 — — $42,163.30 $183,057.60 $80,742.72 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 11 — — $42,093.85 $180,549.60 $80,609.73 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 11 — — $42,073.59 $180,818.00 $80,570.92 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 11 — — $41,954.95 $184,360.00 $80,343.73 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 11 — — $41,906.72 $194,928.80 $80,251.37 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 11 — — $43,799.24 $187,677.60 $80,152.61 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $41,831.48 $180,919.20 $80,107.29 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $41,675.21 $189,978.80 $79,808.02 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 20 11 — — $41,646.28 $183,506.40 $79,752.62 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 11 — — $41,486.15 $178,952.40 $79,445.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 11 — — $41,220.89 $172,040.00 $78,938.01 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
140 MS_DRG Major Head And Neck Procedures With Mcc 21 11 — — $7,467.82 $186,076.00 $77,901.98 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 11 — — $40,579.44 $178,644.40 $77,709.63 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 10 — — $42,333.07 $179,660.80 $77,469.52 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 11 — — $39,856.96 $157,722.40 $76,326.08 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 11 — — $36,687.04 $224,149.20 $75,390.76 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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $39,160.52 $167,261.60 $74,992.39 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 11 — — $38,763.11 $171,094.00 $74,231.36 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 11 — — $38,707.17 $172,893.60 $74,124.23 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 11 — — $38,989.79 $190,374.80 $73,717.07 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 11 — — $38,460.23 $175,274.00 $73,651.34 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 10 — — $40,208.07 $172,884.80 $73,580.77 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $32,784.53 $92,068.00 $72,685.26 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 8 — — $55,368.88 $307,511.13 $72,106.35 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 11 — — $37,480.21 $169,444.00 $71,774.60 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 11 — — $37,476.35 $157,687.20 $71,767.21 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $48,175.40 $267,559.54 $71,741.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 11 — — $37,375.07 $173,637.20 $71,573.26 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 11 — — $37,172.50 $152,776.80 $71,185.34 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 11 — — $37,566.06 $145,274.80 $71,158.83 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 11 — — $3,587.58 $165,959.20 $70,768.81 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 11 — — $36,857.08 $169,879.60 $70,581.31 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 11 — — $36,842.61 $156,244.00 $70,553.60 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 11 — — $36,399.86 $154,893.20 $69,705.73 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 11 — — $36,351.63 $152,614.00 $69,613.37 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 11 — — $36,327.52 $156,943.60 $69,567.20 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 11 — — $34,654.24 $168,176.80 $69,035.38 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 11 — — $35,986.05 $175,150.80 $68,913.29 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $36,213.70 $140,984.80 $68,835.13 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 11 — — $35,905.99 $173,241.20 $68,759.97 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 11 — — $35,871.27 $159,451.60 $68,693.48 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 11 — — $36,426.87 $139,647.20 $68,691.48 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 11 — — $35,820.15 $154,048.40 $68,595.58 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 11 — — $35,791.21 $154,158.40 $68,540.17 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 11 — — $35,758.41 $164,736.00 $68,477.36 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 11 — — $35,730.44 $151,553.60 $68,423.79 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 11 — — $33,053.00 $150,695.60 $67,875.16 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 11 — — $35,374.50 $160,529.60 $67,742.17 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 11 — — $35,074.52 $150,928.80 $67,167.71 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 11 — — $35,065.83 $170,055.60 $67,151.07 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $40,514.65 $225,012.78 $66,973.77 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 11 — — $34,911.50 $152,446.80 $66,855.52 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 12 8 — — $34,331.26 $190,671.09 $66,813.39 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
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $66,638.30 $66,638.30 $66,638.30 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 11 — — $34,749.45 $151,307.20 $66,545.19 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 11 — — $32,175.84 $157,731.20 $66,366.40 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 11 — — $34,334.67 $147,686.00 $65,750.89 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 11 — — $34,291.27 $155,284.80 $65,667.78 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
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
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
92938 HCPCS Prq Revasc Byp Graft Addl 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
37 MS_DRG Extracranial Procedures With Mcc 20 11 — — $33,181.99 $146,110.80 $63,543.51 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 11 — — $33,178.13 $137,315.20 $63,536.12 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 11 — — $32,802.90 $149,899.20 $62,817.56 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 11 — — $32,664.97 $143,400.40 $62,553.42 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 11 — — $32,630.24 $140,333.60 $62,486.91 2026-04-01
652 MS_DRG Kidney Transplant 20 11 — — $32,578.15 $135,132.80 $62,387.15 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 11 — — $32,555.00 $141,838.40 $62,342.82 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 11 — — $32,494.23 $139,928.80 $62,226.45 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 11 — — $26,925.96 $202,034.80 $62,198.85 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
C9606 HCPCS Perc D-e Cor Revasc W Ami S 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
C9603 HCPCS Perc D-e Cor Stent Ather Br 3 1 — — $52,337.00 $69,943.00 $61,840.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 11 — — $32,167.24 $136,056.80 $61,600.26 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 21 11 — — $18.66 $153,775.60 $61,579.15 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 11 — — $32,137.34 $143,338.80 $61,543.01 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 11 — — $32,393.92 $125,928.00 $61,527.41 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 11 — — $32,075.60 $155,337.60 $61,424.77 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 11 — — $31,954.06 $139,414.00 $61,192.03 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
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 11 — — $31,907.76 $135,678.40 $61,103.36 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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 11 — — $33,290.02 $120,401.60 $60,947.97 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 11 — — $31,820.95 $140,580.00 $60,937.12 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 11 — — $31,806.48 $136,668.40 $60,909.41 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 11 — — $31,533.50 $151,069.60 $60,386.65 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 11 — — $31,735.10 $123,437.60 $60,293.98 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 11 — — $31,417.75 $134,569.60 $60,164.99 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 10 — — $32,586.84 $135,775.20 $59,633.92 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 11 — — $30,957.64 $137,253.60 $59,283.88 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 11 — — $9,773.94 $149,248.00 $58,970.19 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 11 — — $30,684.66 $143,814.00 $58,761.12 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 11 — — $30,558.30 $126,143.60 $58,519.15 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $56,474.94 $112,949.88 $58,451.57 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 11 — — $30,918.09 $118,003.60 $58,170.44 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 11 — — $30,136.77 $135,009.60 $57,711.92 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 11 — — $473.28 $129,738.40 $57,591.56 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 8 — — $29,440.73 $163,509.76 $57,295.74 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 11 — — $29,844.50 $127,468.00 $57,152.22 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 11 — — $29,796.27 $132,457.60 $57,059.85 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 11 — — $29,825.21 $116,322.80 $56,744.85 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 11 — — $29,592.74 $128,308.40 $56,670.10 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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 11 — — $29,401.76 $123,560.80 $56,304.37 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 11 — — $29,278.29 $119,961.60 $56,067.93 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 11 — — $30,526.47 $111,086.80 $56,060.67 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 11 — — $29,224.27 $116,591.20 $55,964.48 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 11 — — $28,112.80 $125,752.00 $55,928.75 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 11 — — $28,922.35 $128,128.00 $55,386.30 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 11 — — $28,525.91 $128,198.40 $54,627.12 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 11 — — $28,428.48 $124,163.60 $54,440.54 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 11 — — $28,349.39 $116,446.00 $54,289.08 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 11 — — $28,684.29 $129,043.20 $53,836.99 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 11 — — $28,021.42 $118,940.80 $53,661.02 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 20 11 — — $27,933.65 $115,420.80 $53,492.94 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 11 — — $18,926.54 $220,066.00 $53,479.74 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 11 — — $27,796.68 $119,530.40 $53,230.64 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
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 11 — — $27,671.28 $125,254.80 $52,990.50 2026-04-01
849 MS_DRG Radiotherapy 20 11 — — $27,562.28 $117,519.60 $52,781.76 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 11 — — $27,445.56 $115,117.20 $52,558.25 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 7 — — $47,385.01 $263,169.81 $52,248.72 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 11 — — $27,084.81 $125,998.40 $51,867.41 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
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
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $33,750.31 $187,444.54 $51,720.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 11 — — $26,995.10 $117,154.40 $51,695.61 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 11 — — $26,866.81 $116,740.80 $51,449.94 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 20 11 — — $26,463.61 $112,327.60 $50,677.82 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 11 — — $26,433.71 $112,358.40 $50,620.56 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 11 — — $26,340.14 $118,553.60 $50,441.37 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 11 — — $25,218.60 $120,177.20 $50,380.72 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 11 — — $4,746.18 $154,132.00 $50,365.23 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 20 11 — — $26,193.52 $113,889.60 $50,160.59 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 20 11 — — $26,052.69 $110,088.00 $49,890.90 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 12 — — $19,733.51 $105,644.00 $49,578.74 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 20 11 — — $25,772.96 $110,739.20 $49,355.22 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 20 11 — — $25,762.35 $108,574.40 $49,334.90 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 11 — — $1,992.98 $105,468.00 $49,136.09 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 20 11 — — $26,305.42 $105,468.00 $49,136.09 2026-04-01
509 MS_DRG Arthroscopy 8 5 — — $38,076.52 $77,286.00 $48,776.25 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 11 — — $25,463.33 $106,471.20 $48,762.28 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 7 — — $44,135.91 $245,124.76 $48,666.12 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
33822 HCPCS Revise Major Vessel 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
56637 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
56633 HCPCS Extensive Vulva Surgery 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
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