Price Transparency 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

HOUSTON METHODIST HOSPITAL

Houston, TX · CCN 450358 · Rates published

15,592 distinct procedures filed
32 distinct payers
270,574 rate rows
2026-04-01 last MRF observed
Data quality

213,440 of 270,574 rate rows are consumer-grade (78.9%)

57,134 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 56,077
template filing: same amount across many unrelated codes — excluded 1,011
placeholder amount (≤ $0.02) — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.houstonmethodist.org/-/media/files/patient-resources/74110155_the-methodist-hospital_standardcharges.ashx
Found on page https://www.houstonmethodist.org/for-patients/patient-resources/billing-insurance/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint af8186340e56dfcd… · 72,060,229 bytes · first seen 2026-05-06

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 7 $3,685,266.67 $4,053,793.33 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,648,108.85 $3,415,956.47 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,248,445.72 $3,573,290.29 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $4,801,556.20 $3,063,569.60 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.60 $4,787,465.68 $2,577,866.14 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $4,547,400.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $4,129,136.08 $824,563.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $3,101,171.42 $633,147.04 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.94 $2,963,991.74 $605,479.77 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $2,767,201.08 $601,915.86 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $2,827,106.67 $596,330.19 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $2,694,321.20 $570,556.28 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $2,622,298.58 $523,555.93 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $4,012.78 $1,764,351.50 $388,157.33 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $22,325.09 $1,431,286.98 $281,516.93 nat. median
$265,286
1.1× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $242,303.43 $242,303.43 $242,303.43 nat. median
$21,806
outlier · 11.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $18,465.44 $2,120,922.50 $217,614.66 nat. median
$202,986
1.1× median
0927
OTHER 		Factor Viii Recombinant 1 $211,091.80 $211,091.80 $211,091.80 nat. median
$2
outlier · 131112.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $175,111.92 $875,559.60 $187,369.75 nat. median
$206,368
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $148,898.10 $423,224.93 $157,775.33 nat. median
$76,377
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $146,275.13 $159,957.13 $154,835.24 nat. median
$87,411
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $56,326.73 $1,103,230.56 $142,567.90 nat. median
$133,176
1.1× median
7
MS_DRG 		Lung Transplant 16 $10,906.36 $2,020,315.13 $133,395.95 nat. median
$122,708
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $111,492.17 $445,968.68 $119,296.62 nat. median
$111,989
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $109,479.38 $119,719.65 $115,886.18 nat. median
$65,381
1.8× median
90288
HCPCS 		Botulism Ig IV 1 $114,456.75 $121,762.50 $114,456.75 nat. median
$55,037
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $9,573.99 $620,469.89 $109,038.58 nat. median
$117,303
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $100,961.76 $110,405.33 $106,870.11 nat. median
$62,270
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $8,969.60 $1,574,520.75 $106,530.42 nat. median
$100,136
1.1× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $104,476.71 $104,476.71 $104,476.71 nat. median
$29,793
outlier · 3.5×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $624,000.00 $103,247.92 nat. median
$69,774
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $304,477.30 $101,715.94 nat. median
$62,507
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $93,539.76 $755,704.80 $100,087.54 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $93,433.91 $467,169.55 $99,039.95 nat. median
$98,017
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $89,813.17 $747,309.13 $98,794.49 nat. median
$102,358
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $60.00 $455,054.30 $97,381.62 nat. median
$98,905
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $79,837.65 $1,075,039.13 $96,305.39 nat. median
$93,672
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $55,272.32 $305,509.03 $90,093.89 nat. median
$66,682
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 18 $75,963.43 $427,019.41 $89,345.57 nat. median
$99,019
0.9× median
J9226
HCPCS 		Supprelin La Implant 9 $45,020.65 $242,255.15 $87,790.27 nat. median
$60,368
1.5× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 2 $30.45 $174,960.48 $87,495.46 nat. median
$229
outlier · 381.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $3,415.54 $373,162.15 $82,095.67 nat. median
$82,712
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $69,912.52 $349,562.60 $81,221.00 nat. median
$79,312
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $76,024.64 $83,135.69 $80,473.65 nat. median
$48,483
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $62,618.32 $318,965.00 $79,741.25 nat. median
$74,915
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $62,671.66 $317,617.50 $79,404.38 nat. median
$73,807
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $7,758.85 $363,119.31 $78,960.11 nat. median
$83,442
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $912.12 $348,483.75 $76,666.42 nat. median
$81,118
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 9 $68,801.71 $275,206.84 $73,617.83 nat. median
$70,825
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $188.40 $326,720.25 $71,878.46 nat. median
$77,576
0.9× median

Other procedures at this hospital

Browse this hospital's 15,592 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
             
0266T HCPCS Implt/rpl Crtd Sns Dev Total 2 2 — — $9,218.00 $59,402.23 $34,310.12 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 2 2 — — $9,218.00 $59,402.23 $34,310.12 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 5 3 — — $6,814.00 $27,166.00 $25,663.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 9 — — $7,618.00 $126,127.60 $33,739.13 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 9 — — $7,618.00 $126,127.60 $33,739.13 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 9 — — $9,739.00 $176,988.77 $46,459.55 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $2,583.69 $123,993.26 $32,548.23 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 12 9 — — $25,501.02 $137,658.37 $36,479.46 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 15 9 — — $6,121.00 $123,993.26 $31,928.26 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 15 9 — — $6,121.00 $123,993.26 $31,928.26 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
0927 OTHER Factor Viii Recombinant 1 1 — — $211,091.80 $211,091.80 $211,091.80 2026-04-01
0947T HCPCS Mrgfus Strtctc Bl-br Disrpj 2 1 — — $8,695.27 $49,501.98 $29,098.63 2026-04-01
0948 OTHER Gamunex-c/gammaked 1 1 — — $27,431.60 $27,431.60 $27,431.60 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 13 9 — — $7,316.00 $109,030.67 $28,620.55 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 13 9 — — $7,316.00 $109,030.67 $28,620.55 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 52 18 — — $22,325.09 $1,431,286.98 $281,516.93 2026-04-01
10 MS_DRG Pancreas Transplant 31 16 — — $59,700.83 $298,504.15 $63,879.89 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 45 18 — — $44,066.62 $517,522.22 $50,251.94 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 17 — — $2,412.82 $270,893.77 $38,629.24 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 37 17 — — $22,242.18 $123,699.70 $27,213.93 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 16 — — $9,573.99 $620,469.89 $109,038.58 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 41 17 — — $15,277.91 $299,817.37 $39,604.82 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 41 18 — — $8,359.73 $158,905.65 $34,959.24 2026-04-01
1490 OTHER Inj Pembrolizumab 1 1 — — $38,525.02 $38,525.02 $38,525.02 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 3 3 — — $44,263.46 $45,088.99 $44,272.59 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 46 16 — — $49,282.33 $247,779.55 $57,281.07 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 52 17 — — $36,520.53 $448,605.13 $41,543.83 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 53 17 — — $3,242.97 $430,745.49 $33,928.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 30 16 — — $45,506.09 $227,530.45 $48,236.46 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 37 17 — — $25,510.17 $127,550.85 $28,061.19 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 41 16 — — $4,012.78 $1,764,351.50 $388,157.33 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 16 — — $7,176.88 $296,831.00 $62,334.51 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 17 — — $93,539.76 $755,704.80 $100,087.54 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 19 — — $188.40 $326,720.25 $71,878.46 2026-04-01
2042 OTHER Endo, Single, Pulmonary 1 1 — — $28,443.29 $28,443.29 $28,443.29 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 19 10 — — $7,316.00 $109,030.67 $27,802.82 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 17 — — $18,094.25 $1,043,063.24 $59,034.38 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 51 17 — — $2,189.73 $195,881.40 $25,312.18 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 30 16 — — $93,433.91 $467,169.55 $99,039.95 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 18 — — $41,027.87 $298,381.34 $54,429.76 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 18 — — $89,813.17 $747,309.13 $98,794.49 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 21 12 — — $3,877.49 $109,030.67 $27,666.53 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 16 — — $47,741.88 $238,709.40 $50,606.39 2026-04-01
215 MS_DRG Other Heart Assist System Implant 46 18 — — $75,963.43 $427,019.41 $89,345.57 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 18 — — $79,837.65 $1,075,039.13 $96,305.39 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 18 — — $5,439.25 $274,061.90 $60,293.62 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 18 — — $8,923.62 $274,061.90 $60,293.62 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 19 — — $62,618.32 $318,965.00 $79,741.25 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 43 18 — — $18,285.05 $195,055.00 $29,861.38 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 18 — — $41,633.32 $223,479.80 $55,869.95 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 18 — — $20,308.20 $211,568.05 $46,544.97 2026-04-01
22103 HCPCS Remove Extra Spine Segment 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
22558 HCPCS Lumbar Spine Fusion 18 9 — — $3,832.08 $109,030.67 $27,734.67 2026-04-01
22630 HCPCS Lumbar Spine Fusion 18 9 — — $3,944.91 $109,030.67 $27,734.67 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 15 9 — — $7,316.00 $109,030.67 $28,075.40 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 18 — — $698.14 $417,556.12 $48,830.68 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 50 19 — — $350.00 $163,050.00 $33,649.44 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 18 — — $43,488.53 $239,662.00 $52,725.64 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $104,476.71 $104,476.71 $104,476.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 18 — — $69,912.52 $349,562.60 $81,221.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 18 — — $50,637.98 $253,189.90 $59,499.63 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 19 — — $62,671.66 $317,617.50 $79,404.38 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 43 18 — — $45,753.60 $228,768.00 $57,192.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 59 19 — — $37,208.37 $245,292.20 $53,964.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 18 — — $33,271.61 $176,907.60 $41,573.29 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 17 — — $6,931.00 $206,743.95 $43,858.94 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 47 18 — — $31,235.92 $165,635.00 $36,439.70 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 49 18 — — $6,931.00 $181,790.56 $25,709.34 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 53 17 — — $2,856.95 $178,743.61 $29,999.31 2026-04-01
245 MS_DRG Aicd Generator Procedures 43 17 — — $132.00 $192,116.85 $40,344.54 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 18 — — $33,910.14 $191,477.70 $46,423.38 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 57 17 — — $6,931.00 $193,908.87 $31,161.96 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 41 17 — — $6,931.00 $134,296.50 $28,739.45 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 59 19 — — $874.56 $132,957.15 $33,239.29 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 48 17 — — $6,931.00 $255,249.21 $29,426.26 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 8 7 — — $18,570.28 $102,860.87 $28,504.16 2026-04-01
263 MS_DRG Vein Ligation And Stripping 48 17 — — $2,259.04 $130,848.35 $27,739.85 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 52 17 — — $6,931.00 $244,133.95 $30,895.89 2026-04-01
265 MS_DRG Aicd Lead Procedures 43 17 — — $6,931.00 $153,678.50 $32,272.48 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 18 — — $4,932.15 $270,391.57 $55,523.49 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 52 19 — — $38,410.25 $252,948.38 $44,371.20 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 18 — — $34,543.50 $286,380.75 $67,299.48 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 18 — — $33,698.47 $259,153.49 $39,227.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 18 — — $21.00 $284,318.88 $48,659.53 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 53 18 — — $4,323.34 $151,158.55 $37,789.64 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 47 18 — — $19,744.65 $110,314.25 $27,578.56 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 53 18 — — $28,640.80 $210,722.74 $37,306.76 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 53 17 — — $25,776.16 $176,318.88 $30,885.07 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 49 17 — — $30,648.82 $567,401.51 $65,265.20 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 48 17 — — $40,886.69 $250,910.15 $55,200.23 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 18 — — $38,880.13 $194,400.65 $48,600.16 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 18 9 — — $2,386.75 $109,030.67 $27,734.67 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 17 — — $6,931.00 $232,981.50 $49,392.08 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 17 — — $6,931.00 $153,198.15 $32,478.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 43 17 — — $15,524.09 $250,979.35 $55,215.46 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 51 17 — — $24,450.64 $145,267.85 $31,087.32 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 53 18 — — $18,465.44 $2,120,922.50 $217,614.66 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 18 — — $10,953.50 $215,718.48 $41,532.19 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 20 — — $12,000.00 $278,588.85 $58,630.28 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 17 — — $3,555.34 $373,180.00 $41,374.56 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 17 — — $22,985.12 $117,145.40 $27,500.11 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 17 — — $3,447.39 $182,550.00 $40,161.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 45 17 — — $25,638.86 $134,658.80 $29,624.94 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 17 — — $23,714.50 $137,077.00 $30,156.94 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 51 17 — — $21,125.32 $209,418.55 $46,072.08 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 55 19 — — $20,415.21 $429,808.78 $41,410.08 2026-04-01
332 MS_DRG Rectal Resection With Mcc 37 17 — — $30,756.06 $153,780.30 $33,831.67 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 9 — — $7,316.00 $126,127.60 $32,320.20 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 15 9 — — $7,316.00 $176,988.77 $46,459.55 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 15 9 — — $7,316.00 $123,993.26 $32,548.23 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 15 9 — — $7,316.00 $115,256.24 $30,254.76 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 47 17 — — $14,479.58 $151,752.90 $33,385.64 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 17 — — $3,546.03 $163,957.75 $35,086.96 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 41 17 — — $23,262.17 $124,522.05 $26,647.72 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 49 17 — — $3,592.85 $292,408.92 $40,746.74 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 31 16 — — $27,713.61 $146,367.00 $30,737.07 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 39 17 — — $26,167.60 $140,403.00 $30,888.66 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 9 — — $7,316.00 $252,750.99 $64,767.44 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 18 — — $56,326.73 $1,103,230.56 $142,567.90 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 18 — — $29,655.83 $163,571.00 $35,985.62 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 51 18 — — $322.11 $223,179.74 $36,392.01 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 53 17 — — $18,748.99 $1,455,946.60 $50,398.82 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 47 17 — — $2,610.43 $124,448.75 $27,378.72 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 17 — — $29,681.76 $321,484.99 $33,338.17 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 17 — — $21,238.71 $140,858.95 $30,566.40 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 37 17 — — $250.00 $151,415.05 $32,402.82 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 46 18 — — $7,242.02 $284,919.86 $31,048.12 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 45 17 — — $17,281.99 $251,657.05 $37,546.34 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 18 — — $60.00 $455,054.30 $97,381.62 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 18 — — $7,325.09 $948,053.90 $66,055.13 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 17 — — $12,177.06 $297,319.22 $50,344.16 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 17 — — $3,415.54 $373,162.15 $82,095.67 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 17 — — $44,634.46 $241,160.10 $53,055.22 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 47 17 — — $1,665.83 $278,389.35 $61,245.66 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 48 17 — — $3,714.30 $221,302.15 $39,385.39 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 39 18 — — $4,266.80 $223,349.50 $47,796.79 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 49 17 — — $60.47 $159,238.61 $29,508.72 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 2 — — $146,275.13 $159,957.13 $154,835.24 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 2 — — $100,961.76 $110,405.33 $106,870.11 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 2 — — $76,024.64 $83,135.69 $80,473.65 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 17 — — $912.12 $348,483.75 $76,666.42 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 17 — — $5,254.53 $295,304.30 $54,810.64 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 17 — — $35,249.62 $209,128.96 $38,774.58 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 2 — — $109,479.38 $119,719.65 $115,886.18 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 2 — — $60,380.96 $66,028.75 $63,914.49 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 17 — — $46,244.56 $231,222.80 $50,175.35 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 37 17 — — $22,934.05 $163,797.17 $25,227.46 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 51 18 — — $2,168.02 $238,408.15 $50,065.71 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 17 — — $16,769.98 $133,181.05 $28,500.74 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 19 — — $12,165.05 $317,055.20 $47,369.66 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 55 18 — — $24,147.75 $149,949.45 $32,988.88 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 54 19 — — $9,182.82 $158,152.47 $26,015.59 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 52 18 — — $8,801.83 $243,111.00 $28,569.90 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 44 17 — — $39,743.84 $202,957.90 $44,650.74 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 49 17 — — $23,191.37 $407,476.26 $27,031.91 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 17 — — $34,811.88 $181,145.50 $38,765.14 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 17 — — $28,587.83 $147,018.35 $32,134.45 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 46 17 — — $21,872.98 $395,825.71 $26,487.57 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 44 18 — — $2,286.26 $130,984.09 $25,514.29 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 37 17 — — $27,159.35 $137,756.85 $30,306.51 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 17 — — $75.22 $155,852.40 $33,040.71 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 17 — — $21,304.75 $153,983.85 $33,876.45 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 17 — — $25,839.11 $129,195.55 $28,423.02 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 16 — — $8,969.60 $1,574,520.75 $106,530.42 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 42 17 — — $14,601.00 $326,776.50 $29,748.53 2026-04-01
503 MS_DRG Foot Procedures With Mcc 36 17 — — $21,601.88 $120,007.30 $26,041.58 2026-04-01
509 MS_DRG Arthroscopy 5 3 — — $23,939.24 $32,446.25 $28,997.85 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 35 17 — — $25,869.23 $129,346.15 $28,456.15 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 47 18 — — $21,895.52 $136,120.30 $29,129.74 2026-04-01
5166 OTHER Cochlear Implant Procedure 17 9 — — $182.00 $200,208.45 $32,193.58 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 46 18 — — $25,707.00 $158,527.05 $33,924.79 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 6 4 — — $225.00 $156,210.07 $28,126.19 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 50 18 — — $16,801.24 $123,227.45 $27,110.04 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 19 10 — — $325.00 $196,588.67 $34,084.26 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 19 12 — — $25,163.22 $185,713.71 $30,522.96 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 18 10 — — $293.21 $239,740.92 $50,126.43 2026-04-01
570 MS_DRG Skin Debridement With Mcc 40 17 — — $16,977.89 $126,113.80 $27,745.04 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 17 — — $50,458.38 $273,088.95 $59,260.31 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 36 17 — — $28,154.30 $147,702.30 $32,051.40 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 17 — — $41,181.87 $205,909.35 $45,300.06 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 17 — — $2,745.27 $138,220.95 $30,408.61 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 30 16 — — $39,030.76 $195,153.80 $41,372.61 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 49 18 — — $22,456.66 $118,623.15 $26,097.09 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 17 — — $16,834.39 $148,353.65 $32,323.43 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 21 12 — — $2,412.65 $123,993.26 $31,463.29 2026-04-01
61886 HCPCS Implant Neurostim Arrays 21 12 — — $2,757.32 $123,993.26 $31,463.29 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 15 9 — — $7,316.00 $123,993.26 $32,548.23 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 45 17 — — $14,026.20 $123,927.65 $27,264.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 40 17 — — $29,777.99 $151,276.60 $33,280.85 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 38 18 — — $21,841.98 $129,329.90 $28,452.58 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 17 — — $2,373.84 $158,099.60 $33,432.83 2026-04-01
63035 HCPCS Spinal Disk Surgery Add-on 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63048 HCPCS Remove Spinal Lamina Add-on 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63052 HCPCS Lam Facetc/frmt Arthrd Lum 1 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63053 HCPCS Lam Factc/frmt Arthrd Lum Ea 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 21 12 — — $2,412.65 $123,993.26 $31,463.29 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 9 — — $7,316.00 $176,988.77 $46,459.55 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 15 9 — — $7,316.00 $123,993.26 $32,548.23 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 11 9 — — $44,247.19 $176,988.77 $47,344.50 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 11 9 — — $30,998.31 $123,993.26 $33,168.20 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 16 — — $37,623.42 $409,855.26 $42,917.29 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 35 16 — — $31,448.94 $361,807.34 $33,650.37 2026-04-01
652 MS_DRG Kidney Transplant 45 16 — — $2,586.93 $272,701.84 $30,328.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 41 17 — — $4,695.28 $217,926.95 $46,636.37 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 47 18 — — $18,822.48 $120,341.10 $25,753.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 45 17 — — $2,744.10 $135,994.10 $29,102.74 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 43 18 — — $6,228.94 $131,015.25 $28,037.26 2026-04-01
665 MS_DRG Prostatectomy With Mcc 37 17 — — $26,150.27 $133,445.65 $29,358.04 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 41 17 — — $13,804.46 $178,377.20 $26,804.53 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 53 19 — — $3,528.74 $296,794.72 $37,969.74 2026-04-01
69930 HCPCS Implant Cochlear Device 21 12 — — $5,385.39 $132,489.49 $33,619.21 2026-04-01
7 MS_DRG Lung Transplant 45 16 — — $10,906.36 $2,020,315.13 $133,395.95 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 45 17 — — $16,523.77 $151,899.50 $32,506.49 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 39 17 — — $17,031.55 $152,237.35 $32,762.87 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 9 5 — — $1,390.46 $40,823.76 $27,018.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 17 — — $8,878.42 $248,341.35 $52,151.68 2026-04-01
791 MS_DRG Prematurity With Major Problems 36 17 — — $8,120.00 $171,623.45 $36,040.92 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 16 — — $1,648.00 $176,125.95 $36,986.45 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 38 17 — — $38,150.61 $443,878.95 $41,965.67 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 34 16 — — $4,582.84 $522,836.16 $50,192.58 2026-04-01
800 MS_DRG Splenic Procedures With Cc 36 17 — — $24,150.46 $120,752.30 $26,565.51 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 17 — — $26,476.65 $168,574.25 $36,074.89 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 17 — — $48,201.21 $332,928.20 $53,930.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 45 17 — — $18,954.56 $437,798.80 $41,308.15 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 17 — — $20.00 $196,814.75 $43,299.24 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 17 — — $15,089.43 $135,025.20 $29,705.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 51 17 — — $4,373.49 $229,875.30 $50,572.57 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 18 — — $3,827.32 $224,471.44 $44,432.21 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 55 18 — — $14,950.10 $154,168.08 $30,376.37 2026-04-01
849 MS_DRG Radiotherapy 39 17 — — $9,307.36 $116,685.35 $25,670.78 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 38 17 — — $7,758.85 $363,119.31 $78,960.11 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 19 — — $4,212.41 $414,318.49 $45,635.03 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 17 — — $3,623.70 $191,559.10 $40,993.65 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 17 — — $117.21 $490,925.28 $63,307.38 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 36 17 — — $32,744.33 $163,721.65 $36,018.76 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 17 — — $3,731.64 $177,225.15 $37,926.18 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $114,456.75 $121,762.50 $114,456.75 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 41 17 — — $31,182.70 $155,913.50 $34,300.97 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 49 18 — — $13,054.01 $231,402.44 $34,813.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 17 — — $175,111.92 $875,559.60 $187,369.75 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 34 17 — — $59,676.41 $298,382.05 $64,748.90 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 34 17 — — $27,500.07 $137,500.35 $29,837.58 2026-04-01
9291 OTHER Inj, Clindamycin Phosp 300mg 2 2 — — $66,801.59 $76,065.95 $71,433.77 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 2 2 — — $30.45 $174,960.48 $87,495.46 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 17 — — $32,982.89 $164,914.45 $35,786.43 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 14 9 — — $13,350.00 $105,027.86 $28,488.81 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 14 9 — — $13,350.00 $105,027.86 $28,488.81 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 14 9 — — $13,350.00 $105,027.86 $28,488.81 2026-04-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $25,744.60 $25,744.60 $25,744.60 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 37 17 — — $30,819.56 $154,097.80 $33,901.52 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 45 17 — — $29,680.82 $368,088.72 $32,924.40 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 48 18 — — $13,205.21 $274,849.77 $27,845.21 2026-04-01
9518 OTHER Washed Red Blood Cells Unit 1 1 — — $27,146.25 $27,146.25 $27,146.25 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 17 — — $55,337.13 $280,404.50 $60,847.77 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 17 — — $26,695.79 $159,573.30 $34,148.69 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 17 — — $60,408.76 $316,587.50 $68,699.49 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 17 — — $35,585.88 $177,929.40 $39,144.47 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 35 17 — — $25,247.18 $126,235.90 $27,771.90 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 38 17 — — $20,547.06 $117,674.60 $25,182.36 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 17 — — $4,876.50 $563,166.29 $55,460.77 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 17 — — $1,073.91 $287,780.58 $33,751.95 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 47 17 — — $2,430.53 $307,642.54 $26,508.33 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 17 — — $35,808.89 $561,909.16 $43,424.63 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 17 — — $1,565.00 $279,593.00 $31,233.67 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 16 9 — — $56,824.55 $304,477.30 $101,715.94 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $242,303.43 $242,303.43 $242,303.43 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 16 9 — — $7,316.00 $108,160.57 $28,121.75 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 7 — — $3,685,266.67 $4,053,793.33 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,316,462.59 $3,648,108.85 $3,415,956.47 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 8 — — $2,332,000.00 $4,547,400.00 $2,448,600.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,945,740.00 $4,801,556.20 $3,063,569.60 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,248,445.72 $3,573,290.29 $3,345,899.09 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 8 — — $2,455,110.60 $4,787,465.68 $2,577,866.14 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $21,994.18 $62,150.40 $39,856.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $148,898.10 $423,224.93 $157,775.33 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 9 — — $63,342.28 $624,000.00 $103,247.92 2026-04-01
J9226 HCPCS Supprelin La Implant 19 9 — — $45,020.65 $242,255.15 $87,790.27 2026-04-01
J9266 HCPCS Pegaspargase Injection 19 9 — — $28,424.06 $145,049.31 $55,426.92 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 9 — — $24,228.42 $129,820.72 $43,368.87 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 11 9 — — $29,717.20 $118,868.80 $31,797.40 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 11 9 — — $29,510.19 $118,040.76 $31,575.90 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 11 9 — — $29,576.84 $118,307.36 $31,647.22 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 11 9 — — $23,640.73 $94,562.92 $25,295.58 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 11 9 — — $50,007.15 $200,028.60 $53,507.65 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 11 9 — — $49,600.83 $198,403.32 $53,072.89 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 11 9 — — $34,970.13 $139,880.52 $37,418.04 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 11 9 — — $68,801.71 $275,206.84 $73,617.83 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 9 — — $111,492.17 $445,968.68 $119,296.62 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 9 — — $533,230.17 $2,694,321.20 $570,556.28 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 9 — — $591,726.20 $3,101,171.42 $633,147.04 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 9 — — $55,272.32 $305,509.03 $90,093.89 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 9 — — $489,304.61 $2,622,298.58 $523,555.93 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 9 — — $562,538.19 $2,767,201.08 $601,915.86 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 9 — — $557,317.93 $2,827,106.67 $596,330.19 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 9 — — $565,868.94 $2,963,991.74 $605,479.77 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $770,620.00 $4,129,136.08 $824,563.40 2026-04-01
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