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

COVENANT MEDICAL CENTER

Lubbock, TX · CCN 450040 · Rates published

20,239 distinct procedures filed
19 distinct payers
252,308 rate rows
2026-04-01 last MRF observed
Data quality

186,424 of 252,308 rate rows are consumer-grade (73.9%)

65,884 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 64,785
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 198
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/txnm/live/822913146_covenant-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint d2483db3152f941b… · 205,065,868 bytes · first seen 2026-05-18

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 3 $3,691,450.00 $3,894,479.75 $3,876,022.50 nat. median
$3,685,267
1.1× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $1,791,273.00 $1,810,431.00 $1,791,273.00 nat. median
$2,313,353
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $588,494.81 $1,936,825.91 $1,732,143.60 nat. median
$599,737
outlier · 2.9×
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 2 $1,687,675.00 $2,375,068.19 $1,696,700.00 nat. median
$6
outlier · 295592.3×
C9081
HCPCS 		Idecabtagene Car Pos T 1 $1,615,997.90 $1,633,281.30 $1,615,997.90 nat. median
$422,856
outlier · 3.8×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $1,580,557.66 $1,597,462.02 $1,580,557.66 nat. median
$1,000,529
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $559,781.08 $1,894,411.57 $1,562,654.28 nat. median
$574,037
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,260.84 $1,895,724.80 $1,528,383.91 nat. median
$579,571
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $614,180.81 $2,024,136.03 $1,444,554.40 nat. median
$621,313
outlier · 2.3×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 2 $1,436,870.60 $2,022,110.69 $1,444,554.40 nat. median
$1,000,529
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,290.60 $1,955,361.41 $1,396,870.08 nat. median
$513,770
outlier · 2.7×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $531,849.12 $1,865,767.67 $1,332,356.00 nat. median
$562,501
outlier · 2.4×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $2,697,170.00 $813,004.10 nat. median
$813,967
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $311,003.22 $855,644.44 $473,878.06 nat. median
$168,055
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $201,828.58 $639,095.62 $248,824.04 nat. median
$186,516
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $124,480.37 $1,375,575.64 $242,196.66 nat. median
$145,435
1.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $64,282.30 $604,800.00 $228,424.35 nat. median
$66,211
outlier · 3.4×
C9074
HCPCS 		Injection, Lumasiran 2 $205,700.00 $289,482.00 $206,800.00 nat. median
$297
outlier · 696.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $287,036.19 $203,962.06 nat. median
$65,477
outlier · 3.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $56,269.19 $320,473.36 $203,021.31 nat. median
$63,499
outlier · 3.2×
C9031
HCPCS 		Lutetium Lu 177 Dotatate, Tx 2 $188,309.00 $265,007.61 $189,316.00 —
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $159,930.55 $187,843.96 $173,408.73 nat. median
$2,106
outlier · 82.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $153,766.65 $538,270.33 $162,223.82 nat. median
$131,925
1.2× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $142,789.46 $256,139.76 $154,821.87 nat. median
$92,809
1.7× median
A9545
HCPCS 		I-131 Tositumomab, Rx, Per Dose 1 $153,339.01 $153,339.01 $153,339.01 nat. median
$41,848
outlier · 3.7×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $135,812.77 $149,112.29 $143,132.48 nat. median
$2,024
outlier · 70.7×
J9226
HCPCS 		Supprelin La Implant 6 $41,173.43 $193,421.45 $137,441.33 nat. median
$57,036
outlier · 2.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $78,315.44 $247,164.44 $136,886.07 nat. median
$74,509
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $125,748.23 $138,062.17 $132,525.51 nat. median
$2,024
outlier · 65.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $119,699.75 $140,591.50 $129,787.48 nat. median
$2,106
outlier · 61.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $70,901.43 $320,589.28 $126,010.73 nat. median
$97,418
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 12 $48,553.84 $240,382.40 $121,592.65 nat. median
$73,023
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $110,386.98 $129,653.33 $119,689.88 nat. median
$2,106
outlier · 56.8×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $113,539.16 $124,657.53 $119,658.42 nat. median
$2,024
outlier · 59.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $111,492.17 $412,870.36 $117,345.51 nat. median
$108,243
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $1,000.00 $218,967.58 $105,042.48 nat. median
$69,822
1.5× median
7
MS_DRG 		Lung Transplant 12 $93,267.55 $296,510.65 $98,397.27 nat. median
$70,649
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $92,569.30 $101,634.18 $97,558.38 nat. median
$2,024
outlier · 48.2×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $89,713.48 $98,498.71 $94,548.65 nat. median
$2,024
outlier · 46.7×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $89,057.18 $97,778.13 $93,856.96 nat. median
$2,024
outlier · 46.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $27,983.84 $192,152.53 $92,178.85 nat. median
$59,651
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $86,553.11 $297,259.42 $91,313.53 nat. median
$72,715
1.3× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $83,121.87 $97,629.51 $90,126.99 nat. median
$2,106
outlier · 42.8×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $88,550.00 $92,400.00 $88,550.00 nat. median
$95,583
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $13,392.24 $192,261.45 $88,023.88 nat. median
$60,505
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $81,611.81 $250,036.99 $86,100.46 nat. median
$65,418
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $48,477.49 $154,925.05 $85,801.51 nat. median
$47,340
1.8× median
C1820
HCPCS 		Disc - Ipg Sns Recharge Axonics 1 $85,783.24 $85,783.24 $85,783.24 nat. median
$21,100
outlier · 4.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $42,394.92 $146,518.41 $85,024.20 nat. median
$47,458
1.8× median
J9600
HCPCS 		Porfimer Sodium Injection 4 $81,050.29 $114,062.22 $84,332.07 nat. median
$26,416
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 20,239 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 3 3 — — $3,691,450.00 $3,894,479.75 $3,876,022.50 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 4 1 — — $1,791,273.00 $1,810,431.00 $1,791,273.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 5 — — $588,494.81 $1,936,825.91 $1,732,143.60 2026-04-01
Q2040 HCPCS Tisagenlecleucel Car-pos T 6 2 — — $1,687,675.00 $2,375,068.19 $1,696,700.00 2026-04-01
C9081 HCPCS Idecabtagene Car Pos T 4 1 — — $1,615,997.90 $1,633,281.30 $1,615,997.90 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 4 1 — — $1,580,557.66 $1,597,462.02 $1,580,557.66 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 5 — — $559,781.08 $1,894,411.57 $1,562,654.28 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 5 — — $562,260.84 $1,895,724.80 $1,528,383.91 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 6 2 — — $1,436,870.60 $2,022,110.69 $1,444,554.40 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 6 — — $614,180.81 $2,024,136.03 $1,444,554.40 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 6 — — $489,290.60 $1,955,361.41 $1,396,870.08 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 6 — — $531,849.12 $1,865,767.67 $1,332,356.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 4 — — $770,620.00 $2,697,170.00 $813,004.10 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 12 — — $311,003.22 $855,644.44 $473,878.06 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $201,828.58 $639,095.62 $248,824.04 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 12 — — $124,480.37 $1,375,575.64 $242,196.66 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 5 — — $64,282.30 $604,800.00 $228,424.35 2026-04-01
C9074 HCPCS Injection, Lumasiran 6 2 — — $205,700.00 $289,482.00 $206,800.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 5 — — $56,824.55 $287,036.19 $203,962.06 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 6 — — $56,269.19 $320,473.36 $203,021.31 2026-04-01
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 6 2 — — $188,309.00 $265,007.61 $189,316.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 1 — — $159,930.55 $187,843.96 $173,408.73 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 12 — — $153,766.65 $538,270.33 $162,223.82 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 4 — — $142,789.46 $256,139.76 $154,821.87 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 1 1 — — $153,339.01 $153,339.01 $153,339.01 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $135,812.77 $149,112.29 $143,132.48 2026-04-01
J9226 HCPCS Supprelin La Implant 13 6 — — $41,173.43 $193,421.45 $137,441.33 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 12 — — $78,315.44 $247,164.44 $136,886.07 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $125,748.23 $138,062.17 $132,525.51 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $119,699.75 $140,591.50 $129,787.48 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 12 — — $70,901.43 $320,589.28 $126,010.73 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 12 — — $48,553.84 $240,382.40 $121,592.65 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 1 — — $110,386.98 $129,653.33 $119,689.88 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $113,539.16 $124,657.53 $119,658.42 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 3 — — $111,492.17 $412,870.36 $117,345.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 — — $1,000.00 $218,967.58 $105,042.48 2026-04-01
7 MS_DRG Lung Transplant 19 12 — — $93,267.55 $296,510.65 $98,397.27 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $92,569.30 $101,634.18 $97,558.38 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $89,713.48 $98,498.71 $94,548.65 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $89,057.18 $97,778.13 $93,856.96 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 13 — — $27,983.84 $192,152.53 $92,178.85 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 12 — — $86,553.11 $297,259.42 $91,313.53 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 1 — — $83,121.87 $97,629.51 $90,126.99 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 1 — — $88,550.00 $92,400.00 $88,550.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 12 — — $13,392.24 $192,261.45 $88,023.88 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $81,611.81 $250,036.99 $86,100.46 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 12 — — $48,477.49 $154,925.05 $85,801.51 2026-04-01
C1820 HCPCS Disc - Ipg Sns Recharge Axonics 1 1 — — $85,783.24 $85,783.24 $85,783.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 12 — — $42,394.92 $146,518.41 $85,024.20 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 4 — — $81,050.29 $114,062.22 $84,332.07 2026-04-01
C1722 HCPCS Aicd, Single Chamber 1 1 — — $84,113.86 $84,113.86 $84,113.86 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $79,374.86 $237,827.50 $83,740.48 2026-04-01
C1816 HCPCS Receiver/transmitter, Neuro 1 1 — — $82,097.12 $82,097.12 $82,097.12 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 8 — — $81,518.18 $86,001.68 $81,518.18 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 12 — — $43,601.48 $160,338.89 $81,104.24 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 12 — — $44,085.70 $143,489.29 $79,468.09 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 12 — — $31,999.68 $249,133.34 $78,346.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 12 — — $74,256.39 $241,616.73 $78,340.49 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 12 — — $47,355.42 $134,985.08 $78,331.44 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 12 — — $40,879.97 $179,354.10 $78,065.86 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 12 — — $517.37 $140,541.86 $77,680.46 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 12 — — $47,183.29 $139,720.48 $77,380.82 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 12 — — $54,319.14 $249,087.51 $77,271.77 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 12 — — $42,946.34 $133,541.27 $76,954.25 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 12 — — $20,872.28 $151,278.77 $76,521.36 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 12 — — $17,946.07 $179,182.82 $75,256.19 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 12 — — $12,076.02 $324,347.55 $71,786.67 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $66,017.78 $77,540.16 $71,581.45 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 8 4 — — $17,771.01 $83,919.61 $70,759.10 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 12 — — $15,714.04 $139,241.72 $70,432.65 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 12 — — $40,826.37 $138,597.33 $70,106.70 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 12 — — $35,298.52 $122,410.28 $70,067.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 12 — — $37,424.56 $126,478.60 $70,047.13 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 29 13 — — $33,388.82 $450,000.00 $69,452.74 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 12 — — $19,327.17 $248,156.71 $69,271.15 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 12 — — $64,887.28 $189,234.60 $68,456.08 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 12 — — $62,365.86 $209,004.40 $65,795.98 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 6 — — $28,424.06 $99,484.21 $65,529.25 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 14 — — $27,099.23 $281,071.36 $65,474.47 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 13 — — $18,987.57 $261,329.63 $64,500.36 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 12 — — $33,689.59 $108,349.29 $62,018.65 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 12 — — $26,358.71 $223,968.06 $61,329.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 12 — — $29,955.60 $156,130.24 $60,771.83 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 12 — — $36,299.60 $104,199.29 $60,466.54 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 8 4 — — $15,789.91 $90,943.76 $59,919.36 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 14 — — $4,310.00 $503,318.75 $59,788.14 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 12 — — $32,617.21 $107,879.61 $59,746.52 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 12 — — $34,600.65 $113,604.29 $58,935.76 2026-04-01
K0880 HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 1 1 — — $58,173.44 $58,173.44 $58,173.44 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 12 — — $5,334.11 $314,765.87 $58,089.20 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 12 — — $34,063.00 $113,515.80 $57,419.71 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 12 — — $30,051.13 $97,968.61 $56,850.90 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 10 5 — — $3,159.80 $79,774.76 $56,686.32 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 12 — — $436.61 $157,050.00 $56,391.63 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 1 — — $53,387.83 $58,615.86 $56,265.21 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 12 — — $28,352.85 $122,426.16 $56,050.90 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 1 — — $53,132.41 $58,335.42 $55,996.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 12 — — $21,231.87 $137,934.78 $55,910.74 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 12 — — $32,141.88 $99,665.83 $55,197.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $37,089.68 $161,069.50 $54,717.86 2026-04-01
10 MS_DRG Pancreas Transplant 19 12 — — $51,679.51 $180,898.29 $54,521.88 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 12 — — $51,657.90 $151,535.17 $54,499.08 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 12 — — $51,383.50 $179,856.82 $54,209.59 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 12 — — $12,555.62 $287,554.63 $53,860.70 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 12 — — $30,363.70 $93,106.15 $53,293.54 2026-04-01
C1767 HCPCS Disc - Imp Ipg Vns Model-103 1 1 — — $53,130.94 $53,130.94 $53,130.94 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 3 — — $50,007.15 $90,533.98 $52,632.53 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 13 — — $644.59 $353,326.51 $52,392.29 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 12 — — $9,602.45 $144,216.69 $52,280.88 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 3 — — $49,600.83 $89,798.38 $52,204.88 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 13 — — $23,171.72 $640,789.49 $51,956.88 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 13 — — $33,347.93 $113,062.00 $51,763.66 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 12 — — $24,014.53 $388,289.41 $51,641.25 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 7 2 — — $32,074.19 $61,731.73 $51,540.17 2026-04-01
245 MS_DRG Aicd Generator Procedures 25 12 — — $4,859.70 $110,874.69 $50,762.23 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 12 — — $685.51 $161,109.00 $50,647.34 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $42,241.52 $140,360.34 $50,564.09 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 12 — — $25,803.38 $90,322.08 $50,022.71 2026-04-01
C9741 HCPCS Impl Pressure Sensor W/angio 7 2 — — $3,359.56 $69,172.57 $49,921.71 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 1 — — $47,121.00 $51,735.34 $49,660.61 2026-04-01
81280 HCPCS Long Qt Synd Gene Full Seq 5 2 — — $17,845.57 $50,978.17 $49,628.45 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 12 — — $12,319.66 $110,205.33 $49,625.09 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 12 — — $26,840.47 $89,541.55 $49,590.43 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 39 13 — — $619.92 $517,436.10 $48,891.66 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 12 — — $342.57 $110,305.34 $48,884.06 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 12 — — $26,453.73 $87,603.82 $48,517.27 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 12 — — $33,262.51 $105,558.42 $48,328.26 2026-04-01
K0014 HCPCS Other Power Whlchr Base 1 1 — — $48,104.96 $48,104.96 $48,104.96 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 12 — — $29,274.76 $95,077.91 $48,093.27 2026-04-01
K0868 HCPCS Pwc Gp 4 Std Seat/back 1 1 — — $47,502.83 $47,502.83 $47,502.83 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 12 — — $24,822.34 $182,939.87 $47,192.30 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 14 — — $20,163.75 $102,361.40 $46,864.56 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 12 — — $30,917.54 $101,751.04 $46,585.11 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 4 — — $3,340.00 $95,401.06 $46,459.55 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 12 — — $527.87 $135,922.18 $46,343.68 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 12 — — $29,094.35 $100,521.24 $46,022.07 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 12 — — $16,092.00 $166,986.65 $45,719.76 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 12 — — $20,809.79 $79,496.68 $45,503.54 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 12 — — $25,679.51 $79,439.96 $45,471.08 2026-04-01
E0464 HCPCS Press Supp Vent Noninv Int 1 1 — — $45,357.83 $45,357.83 $45,357.83 2026-04-01
E0463 HCPCS Press Supp Vent Invasive Int 1 1 — — $45,357.83 $45,357.83 $45,357.83 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 12 — — $563.99 $89,337.34 $45,189.51 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 12 — — $42,805.18 $134,892.05 $45,159.46 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 12 — — $22,910.52 $81,339.11 $45,047.71 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 12 — — $26,916.09 $81,316.42 $45,035.14 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 13 — — $26,157.46 $203,328.22 $44,974.31 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 12 — — $850.63 $114,278.19 $44,858.08 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 12 — — $26,058.33 $80,932.96 $44,822.77 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 7 2 — — $20,831.33 $61,731.73 $44,551.67 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 7 2 — — $20,527.32 $61,731.73 $44,551.67 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 7 2 — — $20,831.33 $61,731.73 $44,551.67 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 7 2 — — $3,731.75 $61,731.73 $44,551.67 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 14 — — $15,786.01 $173,805.16 $44,481.42 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 12 — — $22,883.69 $128,241.48 $44,364.10 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 5 — — $2,875.00 $61,731.73 $44,247.19 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 8 1 — — $24,388.15 $83,047.24 $44,074.02 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 8 1 — — $24,388.15 $83,047.24 $44,074.02 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 25 12 — — $7,287.31 $95,956.01 $43,931.95 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 12 — — $41,534.75 $124,116.57 $43,819.16 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 12 — — $26,076.34 $78,700.27 $43,586.25 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 12 — — $25,001.08 $78,614.04 $43,538.49 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 12 — — $16,273.33 $98,491.90 $43,283.40 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 12 — — $400.00 $125,106.13 $43,202.90 2026-04-01
0283T OTHER Periph Field Stimul Perm 8 3 — — $20,458.59 $55,464.27 $43,167.94 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $42,898.70 $42,898.70 $42,898.70 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 12 — — $23,426.72 $77,300.29 $42,810.90 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 — — $36,862.13 $124,912.99 $42,615.44 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 12 — — $40,364.42 $123,451.75 $42,584.46 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 4 1 — — $40,070.14 $43,994.03 $42,229.75 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 8 4 — — $12,553.71 $45,629.68 $42,197.71 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 12 — — $33,859.56 $369,385.50 $41,790.27 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 12 — — $23,709.76 $75,346.68 $41,728.95 2026-04-01
0809T OTHER Arthrd Si Jt Prq Tfx&implt 4 1 — — $33,503.37 $46,422.98 $41,605.50 2026-04-01
0775T OTHER Arthrd Si Jt Prq Iartic Impl 4 1 — — $33,503.37 $46,422.98 $41,605.50 2026-04-01
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $41,550.84 $41,550.84 $41,550.84 2026-04-01
K0885 HCPCS Pwc Gp4 Std Mult Pow Opt Cap 1 1 — — $41,531.16 $41,531.16 $41,531.16 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 13 — — $3,691.53 $312,885.79 $41,506.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 12 — — $39,123.51 $136,945.50 $41,275.30 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $41,101.19 $43,361.76 $41,101.19 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 12 — — $23,234.54 $80,572.19 $40,755.84 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 29 12 — — $25,722.92 $88,717.90 $40,618.10 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 12 — — $9,134.13 $73,948.98 $40,574.06 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $36,342.31 $116,846.69 $40,494.98 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 12 — — $22,852.70 $79,875.61 $40,403.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 12 — — $25,457.19 $88,230.07 $40,394.75 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 12 — — $25,973.35 $72,703.30 $40,264.97 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 29 12 — — $19,702.18 $163,112.63 $40,078.99 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 12 — — $20,785.02 $94,447.57 $40,039.27 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 12 — — $26,132.52 $72,013.52 $39,882.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 12 — — $10,668.66 $227,132.86 $39,551.29 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 8 3 — — $20,527.32 $61,731.73 $39,278.49 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 12 — — $21,436.08 $69,622.00 $38,558.47 2026-04-01
K0886 HCPCS Pwc Gp4 Hd Mult Pow S/b 1 1 — — $38,356.71 $38,356.71 $38,356.71 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 41 13 — — $13,122.76 $625,800.77 $37,944.66 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 12 — — $17,681.39 $82,782.20 $37,900.53 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 12 — — $11,798.32 $114,997.68 $37,264.21 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 12 — — $25,742.50 $81,334.57 $37,237.76 2026-04-01
K0879 HCPCS Pwc Gp4 Hd Sing Pow Opt S/b 1 1 — — $37,173.80 $37,173.80 $37,173.80 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 12 — — $357.71 $117,798.22 $36,902.56 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 12 — — $20,160.60 $64,028.91 $36,649.87 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 12 — — $21,338.75 $155,637.21 $36,412.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 12 — — $4,713.64 $308,542.06 $36,390.07 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $16,524.00 $62,381.34 $36,274.36 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 12 — — $30,906.52 $140,366.59 $36,173.16 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 12 — — $21,750.81 $65,049.96 $36,026.35 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 12 — — $23,121.35 $64,938.78 $35,964.78 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 4 1 — — $33,870.71 $37,187.51 $35,696.19 2026-04-01
665 MS_DRG Prostatectomy With Mcc 25 12 — — $268.84 $77,903.85 $35,667.05 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 12 — — $200.00 $127,778.20 $35,564.42 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 12 — — $12,636.68 $63,718.06 $35,288.71 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 12 — — $22,629.45 $63,654.53 $35,253.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 12 — — $33,395.75 $110,021.54 $35,232.52 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 5 — — $3,340.00 $68,439.20 $35,124.21 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 39 12 — — $17,187.31 $122,635.57 $34,924.79 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 25 12 — — $18,491.90 $99,339.70 $34,707.86 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 12 — — $23,790.42 $62,088.92 $34,386.45 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 13 — — $20,101.55 $60,049.09 $34,371.83 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 12 — — $12,181.16 $85,582.14 $34,260.16 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 7 2 — — $20,831.33 $40,872.37 $34,124.57 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 37 13 — — $28,437.34 $119,641.60 $34,053.29 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $33,973.60 $33,973.60 $33,973.60 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 4 1 — — $32,224.62 $35,380.23 $33,961.39 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 3 — — $3,731.75 $61,731.73 $33,669.83 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 12 — — $21,394.11 $82,924.54 $33,627.94 2026-04-01
849 MS_DRG Radiotherapy 23 12 — — $19,513.86 $60,602.72 $33,563.36 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 12 — — $19,090.38 $60,414.39 $33,459.06 2026-04-01
800 MS_DRG Splenic Procedures With Cc 24 12 — — $20,233.34 $66,109.58 $33,440.21 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 26 12 — — $18,575.44 $54,387.93 $33,400.30 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 12 — — $18,994.60 $60,201.11 $33,340.93 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 12 — — $20,754.77 $60,123.96 $33,298.21 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 12 — — $378.37 $96,781.93 $33,297.96 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 15 5 — — $2,470.76 $68,439.20 $33,266.15 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 15 5 — — $5,129.00 $68,439.20 $33,266.15 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 15 5 — — $2,501.28 $68,439.20 $33,266.15 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 4 — — $5,129.00 $68,439.20 $33,108.49 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 12 — — $15,585.10 $55,556.47 $32,831.94 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 12 — — $20,176.19 $64,848.02 $32,802.08 2026-04-01
K0884 HCPCS Pwc Gp4 Std Mult Pow Opt S/b 1 1 — — $32,704.74 $32,704.74 $32,704.74 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 36 12 — — $14,926.30 $119,815.00 $32,672.39 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 4 — — $3,340.00 $62,722.93 $32,548.23 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 3 3 — — $30,998.31 $32,703.22 $32,548.23 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 4 — — $2,875.00 $63,734.58 $32,548.23 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 3 3 — — $30,998.31 $32,703.22 $32,548.23 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $30,998.31 $32,703.22 $32,548.23 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $32,517.49 $32,517.49 $32,517.49 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 5 — — $5,129.00 $48,151.33 $32,471.10 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 25 12 — — $3,690.68 $70,779.19 $32,405.14 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 12 — — $18,193.53 $86,725.72 $32,145.39 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 12 — — $17,314.65 $147,012.51 $32,141.37 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 12 — — $15,320.82 $92,647.81 $32,069.43 2026-04-01
93651 HCPCS Ablate Heart Dysrhythm Focus 4 1 — — $24,593.91 $37,576.03 $32,022.56 2026-04-01
93652 HCPCS Ablate Heart Dysrhythm Focus 4 1 — — $24,593.91 $37,576.03 $32,022.56 2026-04-01
C1899 HCPCS Lead, Pmkr/aicd Combination 1 1 — — $31,974.45 $31,974.45 $31,974.45 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 12 — — $9,068.38 $71,893.27 $31,971.44 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 4 — — $3,340.00 $44,186.82 $31,889.55 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 26 12 — — $15,785.38 $130,988.43 $31,753.28 2026-04-01
69930 HCPCS Implant Cochlear Device 20 9 — — $3,300.00 $70,189.64 $31,752.19 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 12 — — $30,029.53 $94,630.91 $31,681.15 2026-04-01
D7949 HCPCS Reconstruct Midface W/graft 1 1 — — $31,677.06 $31,677.06 $31,677.06 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 12 7 — — $24,312.42 $83,867.61 $31,593.22 2026-04-01
K0869 HCPCS Pwc Gp 4 Std Cap Chair 1 1 — — $31,341.28 $31,341.28 $31,341.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 12 — — $19,935.80 $61,862.02 $31,291.67 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 3 — — $29,717.20 $53,800.58 $31,277.36 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 12 — — $2,891.11 $80,077.55 $31,274.92 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 7 — — $2,300.00 $61,731.73 $31,196.65 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 25 12 — — $200.00 $56,216.74 $31,134.29 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 3 — — $29,576.84 $53,546.52 $31,129.62 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 12 — — $276.59 $111,338.63 $30,985.82 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 12 — — $4,906.54 $61,135.94 $30,924.40 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 12 — — $29,232.98 $92,123.67 $30,840.79 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 13 — — $13,761.79 $228,794.70 $30,806.18 2026-04-01
E0461 HCPCS Vol Vent Noninvasive Interfa 1 1 — — $30,784.46 $30,784.46 $30,784.46 2026-04-01
E0450 HCPCS Volume Vent Stationary/porta 1 1 — — $30,784.46 $30,784.46 $30,784.46 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 24 12 — — $17,582.28 $53,711.77 $30,744.38 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 12 — — $268.28 $93,525.16 $30,630.82 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 12 — — $24,807.97 $109,779.99 $30,475.89 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 12 — — $4,403.68 $64,975.08 $30,453.70 2026-04-01
C1817 HCPCS Occldr Asd Cardioform 27mm 10f 1 1 — — $30,451.74 $30,451.74 $30,451.74 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 4 1 — — $28,884.56 $31,713.09 $30,441.31 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 3 — — $5,129.00 $33,266.15 $30,382.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 4 — — $5,129.00 $60,465.64 $30,382.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 12 — — $11,373.82 $59,985.55 $30,342.50 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 25 12 — — $15,344.11 $54,703.32 $30,296.12 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 12 — — $19,459.90 $87,694.58 $30,283.79 2026-04-01
S4011 HCPCS Ivf Package 1 1 — — $30,258.27 $30,258.27 $30,258.27 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 12 — — $16,718.04 $59,363.85 $30,041.19 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 25 13 — — $16,122.43 $69,220.40 $29,931.57 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 12 — — $618.52 $70,810.95 $29,894.46 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 27 12 — — $15,809.87 $52,495.94 $29,837.71 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 24 12 — — $15,249.55 $52,048.59 $29,792.39 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 12 — — $20,965.15 $110,664.60 $29,723.12 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 12 — — $16,460.36 $110,335.26 $29,659.60 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 12 — — $28,046.09 $98,172.82 $29,588.62 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 12 — — $307.57 $82,226.29 $29,511.49 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 16 4 — — $5,129.00 $106,467.76 $29,483.53 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 16 4 — — $3,988.12 $106,467.76 $29,483.53 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 12 — — $27,835.07 $89,158.09 $29,366.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 26 12 — — $15,536.90 $51,247.63 $29,333.92 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 34 12 — — $15,840.47 $61,376.14 $29,300.36 2026-04-01
906 MS_DRG Hand Procedures For Injuries 25 12 — — $14,146.92 $107,998.45 $29,263.80 2026-04-01
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