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

GRACE SURGICAL HOSPITAL

Lubbock, TX · CCN 450162 · Rates published

20,061 distinct procedures filed
17 distinct payers
202,973 rate rows
2026-04-01 last MRF observed
Data quality

186,982 of 202,973 rate rows are consumer-grade (92.1%)

15,991 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 15,767
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 14
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/txnm/live/264021016_grace-surgical-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint cc2e8609f5f493bd… · 173,024,196 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,580,706.50 $3,894,479.75 $3,783,736.25 nat. median
$3,685,267
1.0× 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 $570,839.96 $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×
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.04 $3,504,052.08 $1,610,867.56 nat. median
$3,325,455
outlier · 0.5×
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 $542,987.65 $1,894,411.57 $1,562,654.28 nat. median
$574,037
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $545,393.01 $1,895,724.80 $1,528,383.91 nat. median
$579,571
outlier · 2.6×
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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $595,755.38 $2,024,136.03 $1,436,870.60 nat. median
$621,313
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $474,611.88 $1,955,361.41 $1,389,439.92 nat. median
$513,770
outlier · 2.7×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $515,893.64 $1,865,767.67 $1,325,269.00 nat. median
$562,501
outlier · 2.4×
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $747,501.40 $2,697,170.00 $811,077.55 nat. median
$813,967
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $285,503.92 $722,810.67 $358,738.60 nat. median
$168,055
outlier · 2.1×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $62,353.83 $604,800.00 $222,008.69 nat. median
$66,211
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $196,360.56 $471,421.04 $210,887.24 nat. median
$186,516
1.1× median
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 $55,119.81 $287,036.19 $203,962.06 nat. median
$65,477
outlier · 3.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $54,581.12 $320,473.36 $199,416.10 nat. median
$63,499
outlier · 3.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $148,722.78 $418,279.34 $192,435.27 nat. median
$145,435
1.3× median
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 $153,644.62 $187,296.06 $164,719.78 nat. median
$2,106
outlier · 78.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $149,600.74 $397,048.50 $160,668.15 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… 2 $11,101.00 $150,213.53 $138,715.89 nat. median
$2,024
outlier · 68.5×
J9226
HCPCS 		Supprelin La Implant 6 $39,938.22 $193,421.45 $137,441.33 nat. median
$57,036
outlier · 2.4×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $11,101.00 $139,081.81 $128,436.21 nat. median
$2,024
outlier · 63.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $97,055.33 $288,396.80 $126,874.09 nat. median
$97,418
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $114,995.06 $140,181.42 $123,284.24 nat. median
$2,106
outlier · 58.6×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $108,147.40 $412,870.36 $117,066.78 nat. median
$108,243
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $11,101.00 $125,578.17 $115,966.16 nat. median
$2,024
outlier · 57.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $106,048.32 $129,275.16 $113,692.60 nat. median
$2,106
outlier · 54.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $76,193.70 $211,308.53 $97,816.01 nat. median
$74,509
1.3× median
7
MS_DRG 		Lung Transplant 10 $90,740.71 $218,717.44 $97,453.67 nat. median
$70,649
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $11,101.00 $102,384.79 $94,548.05 nat. median
$2,024
outlier · 46.7×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $11,101.00 $99,226.16 $91,631.19 nat. median
$2,024
outlier · 45.3×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $11,101.00 $98,500.26 $90,960.85 nat. median
$2,024
outlier · 44.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $84,208.19 $219,269.76 $90,437.88 nat. median
$72,715
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $68,547.07 $190,406.63 $89,417.75 nat. median
$69,822
1.3× median
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
C1820
HCPCS 		Generator Neuro Rechg Bat Sy 1 $85,783.24 $85,783.24 $85,783.24 nat. median
$21,100
outlier · 4.1×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $79,854.84 $97,344.74 $85,611.01 nat. median
$2,106
outlier · 40.7×
J9600
HCPCS 		Porfimer Sodium Injection 4 $81,050.29 $114,062.22 $84,332.07 nat. median
$26,416
outlier · 3.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $79,400.75 $184,436.72 $84,251.19 nat. median
$65,418
1.3× median
C1722
HCPCS 		Aicd, Single Chamber 1 $84,113.86 $84,113.86 $84,113.86 nat. median
$19,800
outlier · 4.2×
C1816
HCPCS 		Receiver/transmitter, Neuro 1 $82,097.12 $82,097.12 $82,097.12 nat. median
$9,555
outlier · 8.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $77,224.41 $175,430.54 $81,048.32 nat. median
$2,736
outlier · 29.6×
209
MS_DRG 		Complex Aortic Arch Procedures 8 $79,309.66 $85,379.27 $80,928.22 nat. median
$2,110
outlier · 38.3×

Other procedures at this hospital

Browse this hospital's 20,061 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 4 4 — — $3,580,706.50 $3,894,479.75 $3,783,736.25 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 11 5 — — $570,839.96 $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
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 4 — — $0.04 $3,504,052.08 $1,610,867.56 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 11 5 — — $542,987.65 $1,894,411.57 $1,562,654.28 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 5 — — $545,393.01 $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 13 6 — — $595,755.38 $2,024,136.03 $1,436,870.60 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 6 — — $474,611.88 $1,955,361.41 $1,389,439.92 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 6 — — $515,893.64 $1,865,767.67 $1,325,269.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 5 — — $747,501.40 $2,697,170.00 $811,077.55 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 10 — — $285,503.92 $722,810.67 $358,738.60 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 5 — — $62,353.83 $604,800.00 $222,008.69 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 10 — — $196,360.56 $471,421.04 $210,887.24 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 11 5 — — $55,119.81 $287,036.19 $203,962.06 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 6 — — $54,581.12 $320,473.36 $199,416.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 10 — — $148,722.78 $418,279.34 $192,435.27 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 — — $153,644.62 $187,296.06 $164,719.78 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 10 — — $149,600.74 $397,048.50 $160,668.15 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… 5 2 — — $11,101.00 $150,213.53 $138,715.89 2026-04-01
J9226 HCPCS Supprelin La Implant 14 6 — — $39,938.22 $193,421.45 $137,441.33 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 2 — — $11,101.00 $139,081.81 $128,436.21 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 10 — — $97,055.33 $288,396.80 $126,874.09 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $114,995.06 $140,181.42 $123,284.24 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $108,147.40 $412,870.36 $117,066.78 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 2 — — $11,101.00 $125,578.17 $115,966.16 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 1 — — $106,048.32 $129,275.16 $113,692.60 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 10 — — $76,193.70 $211,308.53 $97,816.01 2026-04-01
7 MS_DRG Lung Transplant 18 10 — — $90,740.71 $218,717.44 $97,453.67 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 2 — — $11,101.00 $102,384.79 $94,548.05 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 2 — — $11,101.00 $99,226.16 $91,631.19 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 2 — — $11,101.00 $98,500.26 $90,960.85 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 10 — — $84,208.19 $219,269.76 $90,437.88 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 10 — — $68,547.07 $190,406.63 $89,417.75 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
C1820 HCPCS Generator Neuro Rechg Bat Sy 1 1 — — $85,783.24 $85,783.24 $85,783.24 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 1 — — $79,854.84 $97,344.74 $85,611.01 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 4 — — $81,050.29 $114,062.22 $84,332.07 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 10 — — $79,400.75 $184,436.72 $84,251.19 2026-04-01
C1722 HCPCS Aicd, Single Chamber 1 1 — — $84,113.86 $84,113.86 $84,113.86 2026-04-01
C1816 HCPCS Receiver/transmitter, Neuro 1 1 — — $82,097.12 $82,097.12 $82,097.12 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $77,224.41 $175,430.54 $81,048.32 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 8 — — $79,309.66 $85,379.27 $80,928.22 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 10 — — $11,101.00 $200,402.42 $80,208.69 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $58,881.75 $178,165.23 $78,147.31 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 10 — — $72,244.61 $178,225.62 $77,589.24 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 10 — — $59,067.43 $159,210.73 $76,087.99 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 10 — — $55,135.87 $165,826.20 $72,380.31 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $53,801.05 $162,985.23 $71,396.18 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 10 — — $53,569.12 $153,019.03 $70,182.99 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $63,423.01 $77,314.00 $67,994.73 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 10 — — $53,391.85 $141,893.19 $67,506.41 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 9 4 — — $17,237.88 $83,919.61 $66,998.95 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — — $63,129.34 $139,586.58 $66,028.13 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 6 — — $27,571.34 $99,484.21 $65,529.25 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — — $60,676.22 $154,169.53 $65,165.02 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — — $49,961.98 $138,034.16 $63,597.12 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 10 — — $48,430.27 $136,643.19 $62,466.79 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 10 — — $47,164.12 $119,482.60 $61,312.01 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 10 — — $48,192.73 $134,481.19 $60,570.78 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 10 — — $46,072.45 $124,879.74 $59,942.89 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 8 4 — — $15,789.91 $90,943.76 $59,919.36 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 10 — — $45,087.28 $135,526.88 $58,077.55 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 15 5 — — $1,371.40 $79,364.07 $57,276.90 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 10 — — $45,040.64 $111,762.59 $57,176.52 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 10 — — $42,891.32 $134,832.37 $56,786.29 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 10 — — $45,904.98 $121,991.85 $56,693.48 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 11 5 — — $3,065.01 $79,774.76 $56,686.32 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 22 10 — — $42,099.54 $127,368.67 $56,097.27 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — — $42,087.63 $121,836.86 $55,619.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 10 — — $38,699.09 $133,770.99 $55,105.30 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 10 — — $42,480.01 $116,704.57 $54,850.28 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 5 2 — — $13,169.00 $59,048.75 $54,529.04 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $50,579.99 $118,810.94 $54,321.87 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 2 — — $12,751.00 $58,766.24 $54,268.16 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 10 — — $42,941.06 $122,541.17 $54,228.60 2026-04-01
10 MS_DRG Pancreas Transplant 18 10 — — $50,279.39 $133,437.41 $53,999.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 10 — — $49,991.41 $132,669.18 $53,689.75 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 1 1 — — $53,130.94 $53,130.94 $53,130.94 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 10 — — $41,120.67 $115,370.49 $52,834.35 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 10 — — $50,258.37 $111,778.05 $52,566.15 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $48,506.94 $90,533.98 $52,507.51 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 10 — — $41,094.05 $118,629.18 $52,359.21 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $48,112.81 $89,798.38 $52,080.87 2026-04-01
0424T CPT Insj/rplc Nstim Apnea Compl 7 2 — — $32,074.19 $61,731.73 $51,540.17 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 10 — — $40,151.62 $111,215.22 $51,243.18 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — — $46,817.28 $112,208.20 $50,280.80 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 22 10 — — $36,410.64 $106,208.50 $50,054.25 2026-04-01
C9741 HCPCS Impl Pressure Sensor W/angio 7 2 — — $3,359.56 $69,172.57 $49,921.71 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 10 — — $37,093.11 $120,487.08 $49,633.11 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 22 10 — — $38,467.17 $109,845.83 $49,629.51 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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 10 — — $39,935.80 $111,115.17 $49,548.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — — $46,834.21 $103,535.08 $49,002.96 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $37,366.38 $110,850.76 $48,937.56 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 10 — — $38,331.23 $108,005.58 $48,828.18 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 1 — — $47,112.22 $52,117.42 $48,677.90 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 10 — — $38,216.32 $101,160.57 $48,595.96 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 10 — — $34,342.20 $111,495.77 $48,444.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 10 — — $38,276.58 $101,976.72 $48,235.21 2026-04-01
K0014 HCPCS Other Power Whlchr Base 1 1 — — $48,104.96 $48,104.96 $48,104.96 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — — $37,876.96 $87,507.83 $46,979.03 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 10 — — $39,392.78 $92,140.53 $46,855.17 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 10 — — $36,970.49 $99,210.46 $46,560.36 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 4 — — $5,305.00 $95,401.06 $46,459.55 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 10 — — $36,473.70 $101,755.02 $46,092.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 10 — — $34,946.19 $99,644.04 $45,604.85 2026-04-01
E0463 HCPCS Press Supp Vent Invasive Int 1 1 — — $45,357.83 $45,357.83 $45,357.83 2026-04-01
E0464 HCPCS Press Supp Vent Noninv Int 1 1 — — $45,357.83 $45,357.83 $45,357.83 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 10 — — $34,485.85 $94,303.79 $45,225.90 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 10 — — $13,452.79 $128,408.57 $44,980.49 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 10 — — $33,663.24 $93,318.93 $44,959.21 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 10 — — $34,604.26 $98,080.42 $44,911.62 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 10 — — $41,645.49 $99,501.47 $44,726.41 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 10 — — $41,548.80 $101,016.16 $44,622.56 2026-04-01
0316T CPT Replc Vagus Nerve Pls Gen 7 2 — — $20,527.32 $61,731.73 $44,551.67 2026-04-01
0312T CPT Laps Impltj Nstim Vagus 7 2 — — $3,731.75 $61,731.73 $44,551.67 2026-04-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 7 2 — — $20,831.33 $61,731.73 $44,551.67 2026-04-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 7 2 — — $20,831.33 $61,731.73 $44,551.67 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 5 — — $4,008.34 $61,731.73 $44,247.19 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
G2171 HCPCS Avf Use Magnetic/art/ven 8 1 — — $24,388.15 $83,047.24 $44,074.02 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 10 — — $31,968.27 $88,900.77 $43,878.96 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 10 — — $33,834.20 $96,505.02 $43,614.07 2026-04-01
0283T CPT 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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 10 — — $32,776.86 $86,103.12 $42,879.53 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 22 10 — — $31,733.54 $97,203.46 $42,693.65 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 10 — — $32,874.95 $93,001.10 $42,691.85 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 10 — — $33,358.44 $95,743.81 $42,390.96 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — — $40,409.48 $91,553.06 $42,355.00 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 9 4 — — $12,177.10 $45,629.68 $42,197.71 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 10 — — $32,125.22 $88,322.01 $42,017.49 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — — $32,361.35 $93,825.09 $41,775.04 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 10 — — $39,270.85 $91,062.67 $41,634.11 2026-04-01
0809T CPT Arthrd Si Jt Prq Tfx&implt 4 1 — — $33,503.37 $46,422.98 $41,605.50 2026-04-01
0775T CPT 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
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 4 1 — — $40,062.68 $44,318.94 $41,394.09 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 22 10 — — $31,403.51 $92,475.32 $41,386.21 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 10 — — $32,207.20 $88,614.33 $41,231.76 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 10 — — $38,063.56 $101,016.16 $40,879.49 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $39,987.66 $43,047.94 $40,803.73 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 10 — — $31,872.27 $86,880.03 $40,588.01 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 10 — — $31,858.25 $86,636.75 $40,376.34 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 10 — — $30,079.90 $84,415.90 $40,268.25 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $29,236.98 $95,767.99 $39,843.26 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 10 — — $29,405.14 $84,906.37 $39,781.56 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 10 — — $31,271.07 $85,575.37 $39,647.35 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — — $37,343.96 $86,190.53 $39,499.88 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 8 3 — — $20,527.32 $61,731.73 $39,278.49 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 10 — — $30,779.90 $83,943.09 $38,722.79 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 10 — — $31,394.40 $80,762.88 $38,663.48 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 10 — — $30,321.64 $81,221.96 $38,443.93 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
140 MS_DRG Major Head And Neck Procedures With Mcc 22 10 — — $29,886.51 $74,121.90 $38,052.85 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 10 — — $8,145.00 $98,253.60 $38,018.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 10 — — $7,599.00 $98,853.40 $37,725.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 10 — — $29,440.18 $72,550.43 $37,624.65 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 10 — — $29,526.36 $79,354.24 $37,238.29 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 10 — — $29,541.07 $78,571.45 $37,214.53 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 22 10 — — $29,099.64 $76,727.28 $36,788.37 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 10 — — $26,901.58 $72,972.24 $35,770.35 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 10 — — $25,104.31 $70,947.57 $35,745.22 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 10 — — $26,113.31 $78,759.79 $35,436.32 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 10 — — $25,046.15 $76,262.32 $35,355.50 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 5 — — $5,305.00 $68,439.20 $35,124.21 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 10 — — $32,942.22 $77,107.36 $35,087.42 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 10 — — $27,121.60 $76,540.90 $34,917.29 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 10 — — $32,490.98 $81,156.04 $34,894.65 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 10 — — $24,435.85 $77,645.44 $34,705.38 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 22 10 — — $25,737.03 $64,619.88 $34,669.45 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 5 2 — — $9,330.00 $37,462.16 $34,594.73 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 10 — — $26,189.68 $79,609.29 $34,580.56 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 10 — — $27,410.28 $74,331.82 $34,498.96 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 10 — — $26,366.95 $76,085.75 $34,321.94 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 10 — — $27,055.03 $75,542.30 $34,154.00 2026-04-01
0426T CPT Insj/rplc Nstim Apnea Stm Ld 7 2 — — $20,831.33 $40,872.37 $34,124.57 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 10 — — $27,139.01 $66,513.72 $33,645.18 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 10 — — $24,938.94 $75,053.80 $33,619.74 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 10 — — $26,186.87 $77,185.07 $33,599.92 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 8 3 — — $3,731.75 $61,731.73 $33,446.33 2026-04-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 7 4 — — $4,465.00 $36,307.39 $33,382.15 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 15 5 — — $5,553.47 $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
33231 HCPCS Insrt Pulse Gen W/mult Leads 15 5 — — $2,470.76 $68,439.20 $33,266.15 2026-04-01
69930 HCPCS Implant Cochlear Device 19 7 — — $5,197.00 $70,189.64 $33,122.37 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 11 4 — — $8,144.00 $68,439.20 $33,108.49 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 5 2 — — $9,481.00 $35,641.53 $32,913.45 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 10 — — $24,660.07 $71,073.14 $32,761.28 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
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 11 4 — — $6,415.00 $46,680.79 $32,609.92 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 4 — — $5,305.00 $62,722.93 $32,548.23 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 4 — — $4,566.00 $63,734.58 $32,548.23 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 10 — — $25,020.93 $70,137.32 $32,541.28 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 CPT Insj/rplc Cardiac Modulj Sys 14 5 — — $8,144.00 $48,151.33 $32,471.10 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 10 — — $24,710.52 $68,397.13 $32,308.40 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 10 — — $25,726.52 $67,922.35 $32,292.05 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 10 — — $25,307.51 $71,351.72 $32,242.07 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 10 — — $25,352.36 $69,334.91 $32,173.24 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
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 10 — — $25,404.90 $70,258.95 $31,959.47 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $29,714.84 $68,340.52 $31,913.14 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 4 — — $5,305.00 $44,186.82 $31,889.55 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 10 — — $7,599.00 $81,586.87 $31,856.18 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $30,068.36 $32,703.22 $31,773.27 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 4 4 — — $30,068.36 $32,703.22 $31,773.27 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 4 4 — — $30,068.36 $32,703.22 $31,773.27 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 10 — — $22,263.71 $68,208.79 $31,701.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 10 — — $23,873.20 $62,795.95 $31,690.91 2026-04-01
D7949 HCPCS Reconstruct Midface W/graft 1 1 — — $31,677.06 $31,677.06 $31,677.06 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 10 — — $25,369.87 $71,169.27 $31,671.56 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 10 — — $24,962.77 $69,160.30 $31,634.74 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 10 — — $24,983.79 $73,025.21 $31,633.07 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 10 — — $8,145.00 $79,283.62 $31,596.70 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 10 — — $24,022.45 $66,246.90 $31,455.64 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 10 — — $23,407.24 $64,075.10 $31,382.91 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 10 — — $29,215.96 $69,803.33 $31,377.34 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
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 10 — — $24,997.17 $65,244.38 $31,280.02 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 4 — — $28,825.68 $53,800.58 $31,203.06 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 6 — — $3,386.00 $61,731.73 $31,196.65 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 10 — — $8,409.00 $76,454.58 $31,119.22 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 10 — — $24,323.74 $66,817.81 $31,111.72 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 4 — — $28,689.53 $53,546.52 $31,055.68 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 19 7 — — $2,374.89 $61,731.73 $30,998.31 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 22 10 — — $24,442.16 $65,797.63 $30,973.27 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 10 — — $24,206.03 $66,095.84 $30,890.84 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 10 — — $21,869.92 $60,604.53 $30,830.66 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
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $8,144.00 $33,266.15 $30,585.94 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 10 — — $28,440.99 $67,953.89 $30,545.04 2026-04-01
C1817 HCPCS Septal Defect Imp Sys 1 1 — — $30,451.74 $30,451.74 $30,451.74 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 10 — — $28,171.23 $84,250.24 $30,327.19 2026-04-01
S4011 HCPCS Ivf Package 1 1 — — $30,258.27 $30,258.27 $30,258.27 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 4 — — $8,144.00 $60,465.64 $30,254.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — — $24,259.00 $62,792.03 $30,244.82 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 10 — — $24,028.84 $63,080.42 $30,170.27 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 7 4 — — $4,465.00 $32,703.22 $30,068.36 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 7 4 — — $4,465.00 $32,703.22 $30,068.36 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 4 1 — — $28,879.18 $31,947.30 $29,838.93 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 10 — — $23,067.41 $66,225.32 $29,818.65 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 10 — — $21,253.32 $65,326.78 $29,349.92 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 23 10 — — $19,614.41 $53,706.55 $29,314.63 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 10 — — $27,286.26 $72,415.98 $29,304.89 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 10 — — $22,691.83 $65,570.05 $29,265.51 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 10 — — $22,308.55 $61,556.04 $29,252.94 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 10 — — $27,080.96 $65,766.37 $29,084.40 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 7 4 — — $26,744.68 $96,148.48 $29,013.66 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 10 — — $22,611.95 $64,624.43 $28,946.74 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 10 — — $22,666.61 $61,312.77 $28,766.81 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 10 — — $22,078.73 $58,240.46 $28,689.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 10 — — $22,175.43 $63,619.94 $28,451.95 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 4 — — $19,125.77 $68,752.75 $28,392.15 2026-04-01
0387T CPT Leadless C Pm Ins/rpl Ventr 7 2 — — $17,815.81 $33,963.23 $28,356.09 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 10 — — $20,231.71 $45,631.76 $28,322.55 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 10 — — $22,330.28 $62,024.93 $28,080.90 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 14 5 — — $8,144.00 $48,151.33 $28,051.07 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 14 5 — — $8,144.00 $48,151.33 $28,051.07 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 10 — — $21,451.61 $58,791.75 $28,011.06 2026-04-01
C1772 HCPCS Infusion Pump, Programmable 1 1 — — $27,986.39 $27,986.39 $27,986.39 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 10 — — $22,141.80 $61,873.87 $27,934.78 2026-04-01
K0890 HCPCS Pwc Gp5 Ped Sing Pow Opt S/b 1 1 — — $27,867.99 $27,867.99 $27,867.99 2026-04-01
C9746 HCPCS Trans Imp Balloon Cont 7 2 — — $17,236.40 $33,279.38 $27,785.14 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 10 — — $21,785.84 $57,936.37 $27,612.28 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 19 5 — — $1,874.26 $106,467.76 $27,569.81 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 19 5 — — $1,408.84 $106,467.76 $27,569.81 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 10 — — $20,855.33 $60,327.90 $27,553.10 2026-04-01
K0877 HCPCS Pwc Gp4 Std Sing Pow Opt S/b 1 1 — — $27,526.57 $27,526.57 $27,526.57 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 15 5 — — $2,400.46 $48,151.33 $27,500.02 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 15 5 — — $2,307.75 $48,151.33 $27,500.02 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 15 5 — — $2,394.24 $48,151.33 $27,500.02 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 15 5 — — $2,275.20 $48,151.33 $27,500.02 2026-04-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 5 4 — — $22,341.00 $28,756.84 $27,257.67 2026-04-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 5 4 — — $22,341.00 $28,756.84 $27,257.67 2026-04-01
D7858 HCPCS Tmj Reconstruction 1 1 — — $27,203.28 $27,203.28 $27,203.28 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 10 — — $25,966.16 $58,114.21 $27,158.48 2026-04-01
570 MS_DRG Skin Debridement With Mcc 22 10 — — $20,607.98 $57,330.15 $27,032.28 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 10 — — $21,668.20 $51,878.07 $26,973.85 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 22 5 — — $1,882.28 $106,467.76 $26,913.39 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 10 — — $7,599.00 $67,806.60 $26,825.66 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 10 — — $20,221.91 $57,218.32 $26,813.17 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 10 — — $15,045.29 $66,913.96 $26,724.82 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 10 — — $20,717.28 $56,512.04 $26,671.84 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 4 1 — — $25,772.06 $28,510.08 $26,628.54 2026-04-01
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