Hospital

GRACE SURGICAL HOSPITAL

Lubbock, TX · CCN 450162 · Rates published

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This hospital’s price: $541 across 5 payers · range $273-$1,091

Source: https://pricetransparency.providence.org/txnm/live/264021016_grace-surgical-hospital_standardcharges.json · observed 2026-04-01

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

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 — reason	Rows
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 via	CMS 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 $3,703,693 1.0× median
C9098 HCPCS	Ciltacabtagene Car Pos T	1	$1,791,273.00	$1,810,431.00	$1,791,273.00	nat. median $31,873 outlier · 56.2×
Q2056 HCPCS	Ciltacabtagene Car-pos T	5	$570,839.96	$1,936,825.91	$1,732,143.60	nat. median $646,415 outlier · 2.7×
Q2040 HCPCS	Tisagenlecleucel Car-pos T	2	$1,687,675.00	$2,375,068.19	$1,696,700.00	nat. median $10,345 outlier · 164.0×
C9081 HCPCS	Idecabtagene Car Pos T	1	$1,615,997.90	$1,633,281.30	$1,615,997.90	nat. median $27,427 outlier · 58.9×
J1413 HCPCS	Inj Delandistrogene Mox Rokl	4	$0.04	$3,504,052.08	$1,610,867.56	nat. median $3,324,572 outlier · 0.5×
C9076 HCPCS	Lisocabtagene Car Pos T	1	$1,580,557.66	$1,597,462.02	$1,580,557.66	nat. median $27,935 outlier · 56.6×
Q2055 HCPCS	Idecabtagene Vicleucel Car	5	$542,987.65	$1,894,411.57	$1,562,654.28	nat. median $622,245 outlier · 2.5×
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	5	$545,393.01	$1,895,724.80	$1,528,383.91	nat. median $640,950 outlier · 2.4×
C9073 HCPCS	Brexucabtagene Autoleucel Ca	2	$1,436,870.60	$2,022,110.69	$1,444,554.40	nat. median $27,071 outlier · 53.4×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	6	$595,755.38	$2,024,136.03	$1,436,870.60	nat. median $738,272 1.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	6	$474,611.88	$1,955,361.41	$1,389,439.92	nat. median $591,650 outlier · 2.3×
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	6	$515,893.64	$1,865,767.67	$1,325,269.00	nat. median $608,101 outlier · 2.2×
Q2057 HCPCS	Afamitresgene Autoleucel	5	$747,501.40	$2,697,170.00	$811,077.55	nat. median $809,217 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 $359,358 1.0× median
J9029 HCPCS	Inj, Adstiladrin, Per Tx Dos	5	$62,353.83	$604,800.00	$222,008.69	nat. median $68,423 outlier · 3.2×
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 $249,124 0.8× median
C9074 HCPCS	Injection, Lumasiran	2	$205,700.00	$289,482.00	$206,800.00	nat. median $501 outlier · 412.6×
A9543 HCPCS	Y90 Ibritumomab, Rx	5	$55,119.81	$287,036.19	$203,962.06	nat. median $63,643 outlier · 3.2×
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	6	$54,581.12	$320,473.36	$199,416.10	nat. median $65,720 outlier · 3.0×
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 $190,557 1.0× median
C9031 HCPCS	Lutetium Lu 177 Dotatate, Tx	2	$188,309.00	$265,007.61	$189,316.00	nat. median $524 outlier · 361.5×
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	1	$153,644.62	$187,296.06	$164,719.78	nat. median $71,201 outlier · 2.3×
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 $198,433 0.8× median
J7330 HCPCS	Cultured Chondrocytes Implnt	4	$142,789.46	$256,139.76	$154,821.87	nat. median $75,037 outlier · 2.1×
A9545 HCPCS	I-131 Tositumomab, Rx, Per Dose	1	$153,339.01	$153,339.01	$153,339.01	nat. median $33,684 outlier · 4.6×
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 $47,579 outlier · 2.9×
J9226 HCPCS	Supprelin La Implant	6	$39,938.22	$193,421.45	$137,441.33	nat. median $55,159 outlier · 2.5×
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 $39,629 outlier · 3.2×
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 $126,722 1.0× median
459 MS_DRG	Spinal Fusion Except Cervical With Mcc	1	$114,995.06	$140,181.42	$123,284.24	nat. median $52,841 outlier · 2.3×
Q0480 HCPCS	Driver Pneumatic Vad, Rep	4	$108,147.40	$412,870.36	$117,066.78	nat. median $111,503 1.0× median
226 MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	2	$11,101.00	$125,578.17	$115,966.16	nat. median $38,225 outlier · 3.0×
454 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	1	$106,048.32	$129,275.16	$113,692.60	nat. median $49,639 outlier · 2.3×
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	$76,193.70	$211,308.53	$97,816.01	nat. median $97,414 1.0× median
7 MS_DRG	Lung Transplant	10	$90,740.71	$218,717.44	$97,453.67	nat. median $117,894 0.8× 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 $32,619 outlier · 2.9×
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 $34,024 outlier · 2.7×
227 MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	2	$11,101.00	$98,500.26	$90,960.85	nat. median $31,634 outlier · 2.9×
14 MS_DRG	Allogeneic Bone Marrow Transplant	10	$84,208.19	$219,269.76	$90,437.88	nat. median $110,192 0.8× 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 $90,581 1.0× median
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	1	$88,550.00	$92,400.00	$88,550.00	nat. median $97,020 0.9× median
C1820 HCPCS	Generator Neuro Rechg Bat Sy	1	$85,783.24	$85,783.24	$85,783.24	nat. median $22,969 outlier · 3.7×
455 MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc	1	$79,854.84	$97,344.74	$85,611.01	nat. median $38,944 outlier · 2.2×
J9600 HCPCS	Porfimer Sodium Injection	4	$81,050.29	$114,062.22	$84,332.07	nat. median $30,131 outlier · 2.8×
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 $103,967 0.8× median
C1722 HCPCS	Aicd, Single Chamber	1	$84,113.86	$84,113.86	$84,113.86	nat. median $20,902 outlier · 4.0×
C1816 HCPCS	Receiver/transmitter, Neuro	1	$82,097.12	$82,097.12	$82,097.12	nat. median $10,154 outlier · 8.1×
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 $93,270 0.9× median
209 MS_DRG	Complex Aortic Arch Procedures	8	$79,309.66	$85,379.27	$80,928.22	nat. median $92,655 0.9× median

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.

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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