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

UNIVERSITY MEDICAL CENTER

Lubbock, TX · CCN 450686 · Rates published

15,899 distinct procedures filed
21 distinct payers
164,265 rate rows
2026-04-01 last MRF observed
Data quality

130,892 of 164,265 rate rows are consumer-grade (79.7%)

33,373 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 33,014
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 342
placeholder amount (≤ $0.02) — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=aBYLhQo5r4Du5fp8OqOidQ*-*
Found on page https://hospitalpricedisclosure.com/tools.aspx?pi=aBYLhQo5r4Du5fp8OqOidQ*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 4f1f4f8d90be3c22… · 39,700,451 bytes · first seen 2026-11-02

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $1,288,079.66 $1,099,255.07 nat. median
$739,658
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,218,058.20 $1,045,187.93 nat. median
$646,415
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $1,114,635.87 $985,134.94 nat. median
$621,967
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $1,125,076.37 $979,258.70 nat. median
$637,620
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $1,066,460.34 $875,244.50 nat. median
$607,251
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $978,609.22 $870,312.58 nat. median
$589,091
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $268,918.12 $815,888.66 $407,645.63 nat. median
$360,195
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $213,990.50 $534,129.26 $267,064.63 nat. median
$247,805
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $420,800.00 $233,742.28 nat. median
$68,131
outlier · 3.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $1,603.46 $942,096.46 $205,045.19 nat. median
$197,664
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $498.38 $407,761.42 $186,804.45 nat. median
$190,274
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,492.17 $222,984.34 $159,069.27 nat. median
$111,503
1.4× median
0100T
OTHER 		Prosth Retina Receive&Gen 2 $17,127.00 $170,275.70 $142,713.08 nat. median
$5,122
outlier · 27.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $85,453.85 $270,704.16 $131,181.29 nat. median
$126,240
1.0× median
7
MS_DRG 		Lung Transplant 13 $98,887.73 $253,953.50 $126,976.75 nat. median
$117,943
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $91,768.68 $236,624.78 $118,312.39 nat. median
$109,875
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $86,529.62 $223,872.20 $111,936.10 nat. median
$103,911
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $86,430.36 $223,630.56 $111,815.28 nat. median
$92,760
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $36.00 $218,099.06 $109,049.53 nat. median
$93,094
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $83,034.63 $215,364.90 $107,682.45 nat. median
$97,029
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $121,352.01 $104,533.80 nat. median
$63,915
1.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $55,272.32 $120,228.95 $102,640.90 nat. median
$65,318
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $78,730.98 $204,889.22 $102,444.61 nat. median
$94,844
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $137,603.42 $98,161.49 nat. median
$70,178
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 16 $61,188.17 $258,733.94 $97,408.47 nat. median
$93,531
1.0× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 4 $9,717.60 $187,137.26 $92,831.98 nat. median
$16,222
outlier · 5.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $62,266.57 $195,080.84 $91,307.52 nat. median
$90,525
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $68,797.31 $180,709.32 $90,354.66 nat. median
$77,933
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $1,099.95 $174,202.00 $87,101.00 nat. median
$78,028
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $71,410.38 $88,173.38 $82,809.22 nat. median
$73,852
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $60,086.16 $551,802.62 $79,752.60 nat. median
$74,260
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $61,163.40 $169,934.40 $79,578.26 nat. median
$76,979
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $77,000.00 $80,850.00 $78,925.00 nat. median
$97,404
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $61,940.71 $169,441.84 $78,739.86 nat. median
$77,595
1.0× median
2616
OTHER 		Brachytx, Non-str,yttrium-90 2 $17,237.98 $136,167.42 $76,702.70 nat. median
$18,126
outlier · 4.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $66,230.69 $80,260.13 $75,258.81 nat. median
$70,514
1.1× median
10
MS_DRG 		Pancreas Transplant 13 $54,793.65 $146,622.52 $73,311.26 nat. median
$64,615
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $54,479.81 $145,858.58 $72,929.29 nat. median
$66,332
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $54,447.73 $145,780.52 $72,890.26 nat. median
$66,553
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $254.53 $184,166.03 $72,340.82 nat. median
$72,153
1.0× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $50,007.15 $100,014.30 $71,346.72 nat. median
$46,980
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $7,605.63 $155,349.14 $71,100.36 nat. median
$71,672
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $44,313.89 $147,419.90 $70,926.76 nat. median
$63,446
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $1,760.96 $154,878.88 $70,865.07 nat. median
$67,850
1.0× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,600.83 $99,201.66 $70,767.01 nat. median
$50,552
1.4× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $5,687.85 $93,301.11 $69,975.98 nat. median
$16,786
outlier · 4.2×
J9226
HCPCS 		Supprelin La Implant 5 $45,020.65 $90,041.30 $69,450.62 nat. median
$55,159
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $60,665.60 $73,516.20 $68,935.12 nat. median
$47,119
1.5× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $51,058.11 $137,529.72 $68,764.86 nat. median
$57,570
1.2× median
5232
OTHER 		Level 2 Icd And Similar Procedures 4 $29,254.18 $136,255.21 $68,568.01 nat. median
$32,779
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 15,899 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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 24 14 — — $19,313.92 $63,547.64 $26,371.72 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 14 — — $41,920.88 $115,288.44 $52,817.37 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 21 14 — — $1,099.95 $174,202.00 $87,101.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 24 14 — — $34,838.49 $98,048.94 $48,144.35 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 14 — — $24,224.89 $80,499.04 $34,155.81 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 13 — — $91,768.68 $236,624.78 $118,312.39 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 15 — — $3,212.60 $94,312.16 $26,908.72 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 15 — — $26,654.73 $109,267.41 $46,116.33 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 14 — — $21,207.93 $93,039.74 $40,524.98 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 15 — — $26,629.79 $78,067.86 $37,323.29 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 4 — — $21,297.95 $42,595.90 $30,386.43 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 14 — — $42,080.70 $141,087.28 $63,964.47 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 14 — — $31,082.38 $91,744.22 $39,957.39 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 23 14 — — $14,254.69 $57,761.50 $26,550.75 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 13 — — $45,279.19 $123,463.04 $61,731.52 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 13 — — $41,481.04 $114,217.82 $57,108.91 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 5 — — $533,230.17 $1,066,460.34 $875,244.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 14 — — $25,821.30 $82,712.76 $35,018.50 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 16 — — $1,580.00 $78,662.64 $32,730.42 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 1 — — $77,000.00 $80,850.00 $78,925.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 14 — — $42,173.63 $115,903.68 $53,045.23 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 15 — — $20,311.76 $108,336.66 $29,396.67 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 14 — — $27,011.40 $79,521.36 $34,999.70 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 14 — — $24,183.11 $77,458.20 $35,670.26 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 2 — — $17,237.98 $136,167.42 $76,702.70 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 8 5 — — $17,771.01 $57,006.98 $40,590.52 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 5 — — $489,304.61 $978,609.22 $870,312.58 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 14 — — $54,447.73 $145,780.52 $72,890.26 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $60,665.60 $73,516.20 $68,935.12 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $44,751.97 $54,231.63 $50,852.25 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $53,037.29 $64,272.01 $60,266.97 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $40,535.47 $49,121.96 $46,060.99 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 14 — — $45,866.40 $124,892.38 $62,446.19 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $47,631.41 $57,721.01 $54,124.19 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $37,834.69 $45,849.09 $42,992.05 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 13 — — $35,266.87 $99,091.68 $49,545.84 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 14 — — $23,062.17 $71,649.74 $29,661.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 15 — — $15,108.01 $73,707.34 $32,505.24 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $62,266.57 $195,080.84 $91,307.52 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 14 — — $46,774.13 $135,462.84 $62,070.83 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $37,051.61 $135,462.84 $61,610.56 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 16 — — $254.53 $184,166.03 $72,340.82 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 14 — — $36,385.38 $112,368.42 $50,341.63 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 14 — — $32,794.77 $106,929.84 $47,226.68 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 14 — — $28,633.02 $85,192.28 $36,268.46 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 15 — — $32.37 $68,006.68 $27,729.54 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 14 — — $36,141.03 $102,998.68 $44,906.91 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 31 16 — — $12,248.67 $90,215.57 $29,311.97 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 14 — — $36,685.63 $102,545.16 $49,754.02 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 14 — — $268,918.12 $815,888.66 $407,645.63 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 14 — — $16,599.08 $79,465.60 $33,132.18 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 14 — — $25,224.00 $74,645.98 $32,758.45 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 5 — — $565,868.94 $1,218,058.20 $1,045,187.93 2026-04-01
5166 OTHER Cochlear Implant Procedure 8 5 — — $26,504.44 $121,676.25 $64,810.46 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 13 — — $68,797.31 $180,709.32 $90,354.66 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 14 — — $44,037.58 $120,440.78 $60,220.39 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 1 — — $43,930.71 $53,236.41 $49,919.04 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 1 — — $66,230.69 $80,260.13 $75,258.81 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 1 — — $34,514.36 $41,825.43 $39,219.12 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 13 — — $86,430.36 $223,630.56 $111,815.28 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 13 — — $83,034.63 $215,364.90 $107,682.45 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 13 — — $51,058.11 $137,529.72 $68,764.86 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 15 — — $7,605.63 $155,349.14 $71,100.36 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 14 — — $34,445.93 $171,382.75 $51,462.81 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 14 — — $61,163.40 $169,934.40 $79,578.26 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 14 — — $42,491.35 $125,933.26 $57,230.94 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 16 — — $9,920.87 $199,428.14 $54,577.98 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 15 — — $152.08 $100,030.00 $39,542.27 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 13 — — $33,044.03 $93,680.98 $46,840.49 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 13 — — $24,061.04 $71,815.16 $35,907.58 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 13 — — $24,514.61 $72,919.24 $36,459.62 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 34 16 — — $20,053.08 $129,084.28 $29,133.21 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 16 — — $283.27 $156,968.44 $42,602.58 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 14 — — $1,885.04 $138,358.70 $63,070.40 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 16 — — $35,544.62 $259,207.30 $55,004.71 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 14 — — $28,329.73 $85,958.06 $36,928.34 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $71,410.38 $88,173.38 $82,809.22 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,492.17 $222,984.34 $159,069.27 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 17 — — $498.38 $407,761.42 $186,804.45 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,576.84 $59,153.68 $42,198.18 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,717.20 $59,434.40 $42,398.43 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $5,687.85 $93,301.11 $69,975.98 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,600.83 $99,201.66 $70,767.01 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $50,007.15 $100,014.30 $71,346.72 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 13 — — $43,577.89 $119,321.84 $59,660.92 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 14 — — $46,796.46 $127,156.28 $61,958.56 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 14 — — $36,353.47 $101,736.62 $48,895.86 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 14 6 — — $12,836.00 $64,250.97 $26,913.39 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 14 6 — — $12,836.00 $64,250.97 $26,913.39 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 15 — — $1,603.46 $942,096.46 $205,045.19 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 13 — — $29,736.11 $85,629.08 $42,814.54 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 18 — — $11.95 $139,829.75 $43,633.74 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 14 — — $32.32 $74,437.80 $31,077.42 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 17 — — $14,679.32 $282,677.68 $61,859.77 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 14 — — $18,937.15 $65,125.68 $26,347.98 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 17 — — $704.07 $90,747.94 $37,109.44 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 34 17 — — $751.84 $347,135.62 $68,335.10 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 16 — — $7,764.94 $89,101.58 $36,556.27 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 27 15 — — $8,877.06 $54,335.90 $27,167.95 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 2 — — $16,960.00 $41,911.68 $36,812.16 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 14 — — $213,990.50 $534,129.26 $267,064.63 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 13 — — $86,529.62 $223,872.20 $111,936.10 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 15 — — $20,345.83 $76,575.32 $31,686.03 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 14 — — $21,671.79 $67,186.98 $26,988.60 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 33 15 — — $266.04 $67,378.44 $27,084.39 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 14 — — $19,982.70 $66,595.92 $27,094.69 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 14 — — $41,692.43 $127,024.32 $57,785.07 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 26 15 — — $19,347.78 $160,928.81 $27,041.82 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 5 — — $557,317.93 $1,114,635.87 $985,134.94 2026-04-01
69930 HCPCS Implant Cochlear Device 10 6 — — $17,127.00 $66,244.74 $37,978.98 2026-04-01
61886 HCPCS Implant Neurostim Arrays 10 6 — — $17,127.00 $61,996.63 $33,148.65 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 6 — — $17,127.00 $88,494.38 $38,769.59 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 17 — — $10,576.10 $105,041.40 $46,423.57 2026-04-01
9359 OTHER Inj Crizanlizumab-tmca 5mg 1 1 — — $27,311.07 $27,311.07 $27,311.07 2026-04-01
9367 OTHER Inj Ruxience, 10 Mg 1 1 — — $47,035.60 $47,035.60 $47,035.60 2026-04-01
9149 OTHER Inj Ublituximab-xiiy, 1 Mg 1 1 — — $32,745.80 $32,745.80 $32,745.80 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 5 — — $63,342.28 $420,800.00 $233,742.28 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 6 — — $17,127.00 $63,063.80 $36,070.88 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 6 5 — — $17,127.00 $63,063.80 $32,320.19 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 6 — — $17,127.00 $88,494.38 $52,425.58 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 10 6 — — $17,127.00 $63,063.80 $30,733.62 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 6 — — $17,127.00 $63,063.80 $36,070.88 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 6 — — $17,127.00 $63,063.80 $36,070.88 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 10 6 — — $14,844.00 $61,996.63 $33,148.65 2026-04-01
9440 OTHER Instill, Bupivac And Meloxic 6 4 — — $5,396.70 $117,664.90 $39,887.40 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 4 4 — — $23,640.73 $47,281.46 $33,728.95 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 4 4 — — $23,514.53 $47,029.06 $33,548.89 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 14 — — $40,423.46 $111,643.52 $55,821.76 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 14 — — $60,086.16 $551,802.62 $79,752.60 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 14 — — $24,262.63 $72,305.86 $36,152.93 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 14 — — $23,641.37 $72,424.82 $30,805.93 2026-04-01
652 MS_DRG Kidney Transplant 19 13 — — $24,660.46 $73,274.26 $36,637.13 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 13 — — $35,899.89 $100,632.54 $50,316.27 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 13 — — $28,297.49 $82,127.26 $41,063.63 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 14 — — $24,548.35 $73,229.64 $31,334.66 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 4 4 — — $19,488.52 $38,977.04 $27,804.86 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $20,409.99 $114,015.32 $67,212.65 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 4 — — $29,254.18 $136,255.21 $68,568.01 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $15,778.98 $37,682.27 $26,730.62 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 6 4 — — $9,717.60 $187,137.26 $92,831.98 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 13 9 — — $44.55 $113,376.49 $26,699.59 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 13 8 — — $16,841.57 $164,724.63 $50,798.34 2026-04-01
5378 OTHER Level 8 Urology And Related Services 4 3 — — $18,398.55 $91,531.73 $49,672.55 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 15 — — $296.00 $906,395.43 $35,792.31 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 5 — — $562,538.19 $1,125,076.37 $979,258.70 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 13 — — $78,730.98 $204,889.22 $102,444.61 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 13 — — $35,408.13 $99,435.54 $49,717.77 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 14 — — $26,180.78 $80,638.44 $33,972.81 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 15 — — $14,147.94 $69,320.78 $28,267.42 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 16 — — $5,883.29 $263,714.17 $34,659.90 2026-04-01
7 MS_DRG Lung Transplant 19 13 — — $98,887.73 $253,953.50 $126,976.75 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 14 — — $40,971.31 $122,256.74 $54,542.64 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 14 — — $23,165.90 $73,374.62 $30,886.33 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 14 — — $27,453.33 $98,465.30 $42,638.64 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 14 — — $1,477.01 $109,833.14 $49,054.02 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 36 17 — — $314.98 $125,645.22 $42,951.70 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 14 — — $13,582.20 $92,526.72 $39,667.29 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 14 — — $22,220.02 $69,625.62 $29,865.92 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 17 — — $15,022.30 $114,875.88 $42,674.46 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 14 — — $21,106.28 $70,151.62 $29,372.40 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $23,210.23 $46,420.46 $33,114.74 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 8 1 — — $19,600.56 $59,676.71 $36,051.04 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 13 — — $36.00 $218,099.06 $109,049.53 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $44,313.89 $147,419.90 $70,926.76 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $30,448.01 $127,129.83 $58,871.90 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 15 — — $10,727.59 $164,020.64 $65,896.81 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 17 — — $24,261.89 $208,368.04 $40,888.98 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 14 — — $35,719.68 $100,193.90 $44,158.43 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 14 — — $22,223.85 $71,982.46 $29,830.40 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 14 — — $27,033.73 $80,380.08 $33,842.57 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 14 6 — — $14,000.56 $54,080.28 $27,716.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 14 — — $1,088.04 $76,971.22 $31,884.12 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 14 — — $22,048.19 $66,915.62 $27,396.53 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 14 — — $24,394.18 $80,690.48 $34,253.04 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 13 — — $29,512.38 $85,084.48 $42,542.24 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 6 5 — — $2,828.00 $61,996.63 $31,773.27 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 6 — — $14,844.00 $61,996.63 $35,023.96 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 14 — — $37,778.35 $105,204.96 $52,602.48 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 14 — — $5,275.08 $71,787.28 $34,815.24 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 31 15 — — $9,119.18 $105,084.11 $31,067.58 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 16 — — $635.71 $94,896.58 $40,853.04 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 15 — — $1,120.26 $82,885.62 $34,843.38 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 15 — — $26,641.11 $82,517.60 $36,576.15 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 14 — — $31,091.02 $96,199.54 $42,129.78 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 16 — — $61,188.17 $258,733.94 $97,408.47 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 14 — — $30,105.52 $90,439.40 $38,913.61 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 15 — — $17,031.89 $128,059.26 $39,074.88 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 15 — — $25,679.38 $130,498.06 $33,073.59 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 16 — — $24,297.21 $167,229.73 $49,052.38 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 14 — — $20,097.36 $72,482.44 $30,654.08 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 17 — — $708.30 $166,413.13 $35,796.57 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 17 — — $840.25 $125,533.05 $39,484.24 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 15 — — $1,760.96 $154,878.88 $70,865.07 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 26 14 — — $19,697.18 $67,969.50 $27,586.22 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 14 — — $26,717.47 $87,300.04 $37,609.90 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 16 — — $13,740.08 $82,720.20 $35,022.25 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 15 — — $4,021.02 $73,441.54 $29,912.69 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 15 — — $586.40 $78,084.58 $32,929.55 2026-04-01
10 MS_DRG Pancreas Transplant 19 13 — — $54,793.65 $146,622.52 $73,311.26 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 29 15 — — $11,829.87 $67,153.54 $27,256.09 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 15 — — $41,282.52 $156,600.45 $51,641.52 2026-04-01
J9266 HCPCS Pegaspargase Injection 8 5 — — $28,424.06 $56,848.12 $34,261.84 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 10 6 — — $9,057.00 $51,265.25 $35,020.69 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 6 2 — — $2,828.00 $51,265.25 $41,813.22 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 10 6 — — $9,057.00 $51,265.25 $35,020.69 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 14 — — $21,816.92 $89,928.26 $38,367.15 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 14 — — $20,350.16 $74,430.36 $31,220.29 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 29 15 — — $14,961.16 $157,259.76 $29,982.19 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 21 14 — — $18,167.75 $77,160.80 $38,580.40 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 20 14 — — $16,951.50 $58,122.08 $29,061.04 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 21 14 — — $10,718.74 $58,268.92 $29,134.46 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 14 — — $28,511.99 $85,015.70 $36,449.73 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 15 — — $11,748.25 $79,619.88 $33,836.25 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 14 — — $24,380.22 $72,592.10 $33,332.99 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 10 6 — — $12,836.00 $51,265.25 $35,020.69 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 10 6 — — $14,844.00 $51,265.25 $35,020.69 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 10 6 — — $14,844.00 $51,265.25 $35,020.69 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 5 — — $24,228.42 $55,334.70 $46,635.82 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 16 — — $621.20 $97,794.30 $41,665.07 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $34,970.13 $69,940.26 $49,892.95 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $68,801.71 $137,603.42 $98,161.49 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 17 — — $1,544.00 $88,692.22 $37,748.70 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 14 — — $21,876.39 $71,261.28 $29,245.65 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 6 2 — — $17,127.00 $170,275.70 $142,713.08 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 10 6 — — $7,719.00 $51,265.25 $35,020.69 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 10 6 — — $9,057.00 $54,968.32 $35,020.69 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 6 5 — — $14,844.00 $54,515.34 $27,939.11 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 4 — — $20,122.03 $40,244.06 $28,708.71 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 14 — — $3,032.98 $80,545.52 $36,314.18 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 17 — — $41,252.99 $149,302.69 $60,293.14 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 6 — — $9,057.00 $61,996.63 $28,971.55 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 15 — — $18,794.30 $157,862.18 $33,044.24 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 14 — — $36,628.70 $110,000.42 $48,410.22 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $30,998.31 $61,996.63 $44,226.24 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 6 — — $14,844.00 $61,996.63 $34,468.03 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 6 — — $17,127.00 $63,063.80 $36,070.88 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 10 6 — — $17,127.00 $44,689.87 $26,460.52 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 6 5 — — $14,844.00 $54,515.34 $27,939.11 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 6 5 — — $2,828.00 $61,996.63 $31,773.27 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 4 — — $18,415.17 $36,830.34 $26,273.49 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 15 — — $31,883.78 $141,717.38 $64,100.99 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 4 4 — — $23,134.38 $46,268.76 $33,006.52 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 14 — — $19,236.36 $69,389.56 $28,302.08 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 13 — — $42,796.73 $117,420.38 $58,710.19 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 13 — — $54,479.81 $145,858.58 $72,929.29 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 15 — — $18,007.22 $141,254.63 $43,988.31 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 13 — — $40,696.83 $112,308.94 $56,154.47 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 16 — — $18,305.92 $120,599.19 $30,897.04 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 5 — — $55,272.32 $120,228.95 $102,640.90 2026-04-01
570 MS_DRG Skin Debridement With Mcc 25 14 — — $20,432.71 $67,913.74 $33,956.87 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 14 — — $36,386.68 $104,346.24 $46,267.33 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 14 — — $23,400.75 $77,770.46 $32,527.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 14 — — $39,890.71 $135,018.60 $61,845.22 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 14 — — $26,026.61 $79,402.40 $33,598.85 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 29 15 — — $7.30 $81,519.48 $34,159.83 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 26 14 — — $22,720.70 $75,198.46 $33,954.45 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $48,495.89 $58,768.61 $55,106.51 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 15 — — $61,940.71 $169,441.84 $78,739.86 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 16 — — $45,534.23 $126,457.50 $56,762.46 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 16 — — $31,861.97 $90,803.70 $43,801.90 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $28,331.17 $34,332.47 $32,193.08 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 16 — — $2,102.59 $76,658.96 $31,966.69 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 15 — — $618.27 $124,923.98 $55,159.73 2026-04-01
800 MS_DRG Splenic Procedures With Cc 25 14 — — $21,261.89 $65,465.82 $26,520.74 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 15 — — $7,884.10 $97,426.28 $44,906.25 2026-04-01
L5858 HCPCS Stance Phase Only 4 4 — — $23,006.91 $46,013.82 $32,824.66 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 16 — — $23,525.33 $107,723.75 $49,458.01 2026-04-01
J9226 HCPCS Supprelin La Implant 8 5 — — $45,020.65 $90,041.30 $69,450.62 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 10 6 — — $17,127.00 $57,628.12 $34,181.95 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 10 6 — — $9,057.00 $59,409.12 $36,797.46 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 10 6 — — $9,057.00 $59,409.12 $36,797.46 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 14 — — $20,468.00 $69,382.12 $30,634.55 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 5 — — $591,726.20 $1,288,079.66 $1,099,255.07 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 14 — — $27,138.00 $91,610.38 $39,503.92 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 14 — — $9,813.63 $114,623.02 $50,723.13 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 24 14 — — $18,391.32 $66,811.54 $27,002.47 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 15 — — $85,453.85 $270,704.16 $131,181.29 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 6 — — $8,532.00 $126,375.50 $42,316.35 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 14 — — $19,847.74 $67,521.56 $28,088.65 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $59,020.38 $42,103.08 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 13 — — $42,503.50 $116,706.64 $58,353.32 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 13 — — $27,538.47 $80,279.72 $40,139.86 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 13 — — $22,727.79 $68,569.86 $34,284.93 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 14 — — $27,358.26 $79,841.06 $33,928.07 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 14 — — $27,294.88 $79,686.78 $37,720.99 2026-04-01
263 MS_DRG Vein Ligation And Stripping 25 14 — — $16,607.38 $70,075.42 $33,912.40 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 15 — — $27,851.53 $96,526.66 $41,668.65 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 15 — — $31,687.33 $119,184.30 $53,005.35 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 15 — — $15,799.93 $71,140.46 $29,184.74 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 26 14 — — $30,704.89 $91,249.80 $40,762.49 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 8 5 — — $56,824.55 $121,352.01 $104,533.80 2026-04-01
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