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

HOUSTON METHODIST CLEAR LAKE HOSPITAL

Nassau Bay, TX · CCN 450709 · Rates published

15,508 distinct procedures filed
23 distinct payers
255,921 rate rows
2026-04-01 last MRF observed
Data quality

205,799 of 255,921 rate rows are consumer-grade (80.4%)

50,122 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 49,010
template filing: same amount across many unrelated codes — excluded 1,066
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/464389870_houston-methodist-clear-lake-hospital_standardcharges.ashx
Found on page https://www.houstonmethodist.org/for-patients/patient-resources/billing-insurance/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 18a206d1e78078bd… · 64,090,063 bytes · first seen 2026-05-04

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
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.60 $4,910,221.21 $2,602,417.25 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $4,664,000.00 $2,471,920.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $4,558,217.30 $816,857.20 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $3,423,431.17 $627,229.78 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.94 $3,271,996.41 $599,821.08 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $3,054,756.15 $596,290.47 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $557,317.93 $3,120,886.85 $590,757.01 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,230.17 $2,974,302.92 $565,223.98 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $2,894,796.03 $518,662.89 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $316,713.50 $633,427.00 $338,883.44 nat. median
$370,174
0.9× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $267,482.51 $267,482.51 $267,482.51 nat. median
$21,806
outlier · 12.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $206,078.48 $426,580.74 $220,503.97 nat. median
$265,286
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $156,459.16 $324,560.15 $169,758.19 nat. median
$202,976
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $157,373.64 $359,258.08 $168,389.79 nat. median
$206,474
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $148,898.10 $467,204.56 $157,775.33 nat. median
$76,329
outlier · 2.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $111,492.17 $222,984.34 $118,181.70 nat. median
$111,989
1.1× median
90288
HCPCS 		Botulism Ig IV 1 $114,456.75 $121,762.50 $114,456.75 nat. median
$55,037
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $102,642.55 $223,660.50 $112,906.80 nat. median
$133,161
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $89,668.51 $134,826.20 $112,247.36 nat. median
$87,428
1.3× median
5463
OTHER 		Level 3 Neurostimulator And Related Procedures 1 $105,346.84 $105,346.84 $105,346.84 nat. median
$12,334
outlier · 8.5×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $104,476.71 $104,476.71 $104,476.71 nat. median
$29,847
outlier · 3.5×
7
MS_DRG 		Lung Transplant 14 $96,065.28 $192,130.56 $102,789.85 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $89,261.02 $178,522.04 $95,509.29 nat. median
$117,357
0.8× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 6 $29,270.95 $184,131.83 $93,052.41 nat. median
$31,444
outlier · 3.0×
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $336,117.21 $92,624.01 nat. median
$62,507
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $84,253.62 $168,507.24 $90,151.37 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $84,158.74 $168,317.48 $90,049.85 nat. median
$98,047
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $9,936.00 $171,746.00 $89,004.48 nat. median
$102,358
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $500.00 $163,973.50 $87,725.82 nat. median
$98,894
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $63,342.28 $624,000.00 $86,462.21 nat. median
$69,774
1.2× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $67,112.24 $100,910.44 $84,011.34 nat. median
$65,393
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $76,799.81 $153,599.62 $82,175.80 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 16 $34,387.00 $171,746.00 $81,641.82 nat. median
$99,019
0.8× median
J9226
HCPCS 		Supprelin La Implant 8 $45,020.65 $267,429.22 $80,586.96 nat. median
$60,368
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $154.71 $171,746.00 $80,243.32 nat. median
$93,672
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $61,890.84 $93,059.50 $77,475.17 nat. median
$62,372
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $337,256.15 $75,446.73 nat. median
$66,682
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $67,305.38 $134,610.76 $74,035.92 nat. median
$82,711
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 8 $68,801.71 $137,603.42 $72,929.82 nat. median
$70,825
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $64,750.23 $139,505.01 $71,225.25 nat. median
$83,470
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $9,936.00 $143,487.00 $69,381.98 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $62,881.12 $146,075.79 $69,169.23 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $48,674.00 $195,055.00 $64,877.36 nat. median
$77,570
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $7,316.00 $126,375.50 $64,293.53 nat. median
$15,979
outlier · 4.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $9,936.00 $143,487.00 $63,347.99 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $9,936.00 $118,670.91 $63,082.26 nat. median
$73,807
0.9× median

Other procedures at this hospital

Browse this hospital's 15,508 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 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
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,248,445.72 $3,573,290.29 $3,345,899.09 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,455,110.60 $4,910,221.21 $2,602,417.25 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $4,664,000.00 $2,471,920.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 8 — — $770,620.00 $4,558,217.30 $816,857.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 8 — — $591,726.20 $3,423,431.17 $627,229.78 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 8 — — $565,868.94 $3,271,996.41 $599,821.08 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 8 — — $562,538.19 $3,054,756.15 $596,290.47 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 8 — — $557,317.93 $3,120,886.85 $590,757.01 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 8 — — $533,230.17 $2,974,302.92 $565,223.98 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 8 — — $489,304.61 $2,894,796.03 $518,662.89 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 14 — — $316,713.50 $633,427.00 $338,883.44 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $267,482.51 $267,482.51 $267,482.51 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 15 — — $206,078.48 $426,580.74 $220,503.97 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 15 — — $156,459.16 $324,560.15 $169,758.19 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 15 — — $157,373.64 $359,258.08 $168,389.79 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $148,898.10 $467,204.56 $157,775.33 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $111,492.17 $222,984.34 $118,181.70 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $114,456.75 $121,762.50 $114,456.75 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 16 — — $102,642.55 $223,660.50 $112,906.80 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $89,668.51 $134,826.20 $112,247.36 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 1 1 — — $105,346.84 $105,346.84 $105,346.84 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
7 MS_DRG Lung Transplant 27 14 — — $96,065.28 $192,130.56 $102,789.85 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 14 — — $89,261.02 $178,522.04 $95,509.29 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 9 6 — — $29,270.95 $184,131.83 $93,052.41 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 — — $56,824.55 $336,117.21 $92,624.01 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 15 — — $84,253.62 $168,507.24 $90,151.37 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 14 — — $84,158.74 $168,317.48 $90,049.85 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 16 — — $9,936.00 $171,746.00 $89,004.48 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $500.00 $163,973.50 $87,725.82 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 8 — — $63,342.28 $624,000.00 $86,462.21 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $67,112.24 $100,910.44 $84,011.34 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 14 — — $76,799.81 $153,599.62 $82,175.80 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 16 — — $34,387.00 $171,746.00 $81,641.82 2026-04-01
J9226 HCPCS Supprelin La Implant 18 8 — — $45,020.65 $267,429.22 $80,586.96 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 16 — — $154.71 $171,746.00 $80,243.32 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $61,890.84 $93,059.50 $77,475.17 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 8 — — $55,272.32 $337,256.15 $75,446.73 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 15 — — $67,305.38 $134,610.76 $74,035.92 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 10 8 — — $68,801.71 $137,603.42 $72,929.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 31 15 — — $64,750.23 $139,505.01 $71,225.25 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 16 — — $9,936.00 $143,487.00 $69,381.98 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 15 — — $62,881.12 $146,075.79 $69,169.23 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 16 — — $48,674.00 $195,055.00 $64,877.36 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 8 — — $7,316.00 $126,375.50 $64,293.53 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 16 — — $9,936.00 $143,487.00 $63,347.99 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 16 — — $9,936.00 $118,670.91 $63,082.26 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 15 — — $57,162.86 $114,325.72 $62,879.15 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 2 2 — — $18,724.02 $105,813.25 $62,268.63 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 31 15 — — $53,899.04 $107,798.08 $59,288.94 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 15 — — $9,936.00 $262,128.75 $58,949.35 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 15 — — $54,234.03 $425,265.18 $58,843.92 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $46,604.07 $70,074.20 $58,339.13 2026-04-01
10 MS_DRG Pancreas Transplant 27 14 — — $53,920.93 $107,841.86 $57,695.40 2026-04-01
1475 OTHER Golimumab For IV Use 1mg 1 1 — — $57,459.15 $57,459.15 $57,459.15 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 14 — — $53,620.97 $107,241.94 $57,374.44 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 16 — — $46,861.08 $180,923.92 $57,194.39 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 16 — — $9,936.00 $110,874.00 $56,787.12 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 15 — — $50,676.08 $103,407.78 $55,743.69 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 15 — — $50,350.58 $100,701.16 $55,385.64 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 15 — — $250.00 $101,535.98 $54,591.57 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 16 — — $9,936.00 $171,746.00 $54,492.90 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 16 — — $9,936.00 $171,746.00 $54,492.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 15 — — $20,275.71 $98,729.14 $54,301.03 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 16 — — $30,949.76 $330,643.18 $53,364.14 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $50,007.15 $100,014.30 $53,007.58 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $49,600.83 $99,201.66 $52,576.88 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 16 — — $9,936.00 $171,746.00 $50,905.10 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 8 — — $28,424.06 $160,122.18 $50,879.07 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 15 — — $46,225.55 $104,566.61 $50,848.11 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 16 — — $9,936.00 $143,487.00 $50,376.84 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 33 15 — — $45,400.83 $92,067.95 $49,940.91 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 15 — — $45,070.95 $92,435.69 $49,578.04 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 16 — — $9,936.00 $106,629.85 $49,246.43 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 16 — — $9,936.00 $104,352.00 $48,819.38 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 15 — — $44,353.52 $92,000.54 $48,788.87 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 15 — — $43,640.47 $87,280.94 $48,004.52 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 14 — — $44,827.18 $89,654.36 $47,965.08 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 16 — — $43,371.89 $123,913.00 $47,709.08 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 16 — — $627.65 $89,909.45 $47,461.81 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 14 — — $6,848.19 $115,825.69 $47,174.30 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 15 — — $42,581.48 $85,162.96 $46,839.63 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $37,014.29 $55,654.95 $46,334.62 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 14 — — $43,201.11 $86,402.22 $46,225.19 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 15 — — $41,858.94 $103,743.48 $46,044.83 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 33 15 — — $41,617.37 $85,188.79 $45,779.11 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 16 — — $7,754.97 $84,348.46 $45,763.22 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 15 — — $41,475.78 $83,761.62 $45,623.36 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 8 — — $9,317.12 $88,494.38 $45,574.61 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 15 8 — — $7,316.00 $91,801.02 $45,574.61 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 8 — — $7,316.00 $88,494.38 $45,574.61 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 16 — — $9,936.00 $117,934.00 $45,560.74 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 15 — — $41,356.08 $82,712.16 $45,491.69 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 14 — — $42,454.49 $84,908.98 $45,426.30 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 16 — — $9,936.00 $143,487.00 $44,517.87 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 16 — — $40,186.16 $195,055.00 $44,204.78 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 14 — — $41,196.98 $82,393.96 $44,080.77 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 15 — — $39,606.93 $80,894.88 $43,885.47 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 16 — — $31,115.49 $88,050.00 $43,495.08 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 33 15 — — $39,475.30 $84,421.74 $43,422.83 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 16 — — $9,936.00 $110,874.00 $42,862.53 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 16 — — $9,936.00 $143,487.00 $42,168.83 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 15 — — $35,792.55 $110,711.05 $42,056.25 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 16 — — $37,949.94 $90,462.63 $41,744.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 41 16 — — $9,936.00 $163,050.00 $41,423.81 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 17 — — $27,014.35 $231,081.52 $41,353.16 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 15 — — $7,754.97 $76,278.81 $41,217.48 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 15 — — $37,320.82 $86,468.37 $41,052.90 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 33 15 — — $36,791.69 $74,842.59 $40,470.86 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 15 — — $36,613.61 $75,829.04 $40,274.97 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 16 — — $9,936.00 $171,746.00 $39,925.75 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $24,279.71 $62,150.40 $39,856.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 8 — — $24,228.42 $143,311.10 $39,492.32 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 15 — — $35,690.37 $72,320.17 $39,259.41 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 15 — — $9,936.00 $131,795.08 $38,783.34 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 39 15 — — $8,562.41 $128,696.91 $38,606.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 15 — — $35,011.62 $70,866.35 $38,512.78 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 15 — — $15,322.23 $214,444.83 $38,222.97 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 16 — — $34,733.56 $123,913.00 $38,206.92 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 33 15 — — $34,603.65 $75,384.24 $38,064.02 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 14 — — $24,671.24 $71,725.22 $38,014.36 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 14 — — $35,392.60 $70,785.20 $37,870.08 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 36 15 — — $33,048.57 $94,420.00 $37,685.88 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 15 — — $34,250.41 $68,500.82 $37,675.45 2026-04-01
245 MS_DRG Aicd Generator Procedures 37 15 — — $7,754.97 $74,005.70 $37,287.51 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 10 8 — — $34,970.13 $69,940.26 $37,068.34 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 15 — — $9,936.00 $68,243.92 $37,022.33 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 15 — — $11,921.05 $67,220.68 $36,971.37 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 15 — — $32,881.24 $67,916.30 $36,169.36 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 15 — — $9,936.00 $66,266.06 $35,949.33 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 35 16 — — $8,710.22 $65,359.60 $35,947.78 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 12 8 — — $7,250.29 $68,829.18 $35,791.18 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 15 — — $32,500.99 $65,001.98 $35,751.09 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 15 — — $32,319.99 $64,639.98 $35,551.99 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 15 — — $32,304.67 $64,609.34 $35,535.14 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 16 — — $11,834.19 $64,429.80 $35,404.69 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 34 15 — — $32,178.40 $67,095.49 $35,396.24 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 16 — — $9,936.00 $104,352.00 $35,333.63 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 15 — — $32,003.24 $68,939.17 $35,203.56 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 15 — — $31,860.20 $63,720.40 $35,046.22 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 15 — — $9,936.00 $115,194.52 $34,825.44 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 16 — — $9,936.00 $78,266.00 $34,660.29 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 15 — — $30,893.16 $159,689.87 $33,982.48 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 15 — — $30,627.50 $61,255.00 $33,690.25 2026-04-01
69930 HCPCS Implant Cochlear Device 21 11 — — $4,704.68 $67,540.97 $33,122.37 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 16 — — $28,327.39 $126,913.00 $33,110.62 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 8 — — $7,665.00 $63,063.80 $33,108.49 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 8 — — $7,665.00 $65,856.59 $33,108.49 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 15 — — $29,971.38 $65,526.57 $32,968.52 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 37 15 — — $1,839.60 $63,962.70 $32,940.79 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 8 — — $30,998.31 $61,996.63 $32,858.21 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 15 — — $28,530.41 $59,599.74 $32,779.86 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 15 — — $29,757.54 $59,515.08 $32,733.29 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 14 — — $2,703.85 $62,348.30 $32,732.86 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 15 — — $29,730.54 $59,461.08 $32,703.59 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 41 17 — — $6,234.41 $88,050.00 $32,596.34 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 15 8 — — $7,316.00 $65,856.59 $32,477.86 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 15 8 — — $7,316.00 $65,405.62 $32,477.86 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 15 8 — — $7,316.00 $65,856.59 $32,477.86 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 15 8 — — $7,316.00 $65,856.59 $32,477.86 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 8 — — $7,316.00 $65,856.59 $32,083.71 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 15 8 — — $7,316.00 $61,996.63 $31,928.26 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 15 8 — — $7,316.00 $61,996.63 $31,928.26 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 8 — — $627.00 $61,996.63 $31,928.26 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 15 8 — — $7,316.00 $61,996.63 $31,928.26 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 15 — — $16,499.78 $59,006.81 $31,915.22 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 15 — — $23,281.83 $57,788.28 $31,783.55 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 15 — — $28,829.19 $61,739.43 $31,712.11 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 16 — — $25,707.00 $57,652.54 $31,708.90 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 37 15 — — $21,170.53 $60,329.15 $31,640.65 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 15 — — $28,749.64 $61,080.62 $31,624.60 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 15 8 — — $2,110.15 $61,996.63 $31,618.28 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 15 8 — — $2,110.15 $61,996.63 $31,618.28 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 8 6 — — $350.00 $156,196.11 $31,592.90 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 10 8 — — $29,717.20 $59,434.40 $31,500.23 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 10 8 — — $29,576.84 $59,153.68 $31,351.45 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 10 8 — — $29,510.19 $59,020.38 $31,280.80 2026-04-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $31,227.16 $31,227.16 $31,227.16 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 33 15 — — $28,357.72 $58,472.50 $31,193.49 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 15 — — $26,042.84 $56,693.54 $31,181.45 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 21 11 — — $2,214.47 $61,996.63 $30,998.31 2026-04-01
61886 HCPCS Implant Neurostim Arrays 21 11 — — $2,537.60 $61,996.63 $30,998.31 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 21 11 — — $2,214.47 $61,996.63 $30,998.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 15 — — $23,830.61 $56,064.42 $30,835.43 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 15 — — $28,011.77 $56,023.54 $30,812.95 2026-04-01
332 MS_DRG Rectal Resection With Mcc 33 15 — — $27,975.28 $55,950.56 $30,772.81 2026-04-01
265 MS_DRG Aicd Lead Procedures 35 15 — — $7,754.97 $55,914.08 $30,752.74 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 15 — — $26,729.86 $55,820.66 $30,701.36 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 15 — — $7,754.97 $55,741.82 $30,658.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 14 — — $28,596.37 $57,192.74 $30,598.12 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 15 — — $27,698.67 $60,286.75 $30,468.54 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 15 — — $27,638.10 $59,631.01 $30,401.91 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 15 — — $27,611.82 $55,223.64 $30,373.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 15 — — $27,573.14 $56,633.27 $30,330.45 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 15 — — $27,551.25 $55,102.50 $30,306.38 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 15 — — $16,913.45 $112,185.13 $30,279.07 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 15 — — $27,235.96 $264,376.00 $29,959.56 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 16 — — $9,936.00 $78,266.00 $29,843.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 15 — — $27,002.41 $60,216.41 $29,702.65 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 15 8 — — $7,316.00 $58,183.92 $29,678.48 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 15 — — $26,885.64 $53,771.28 $29,574.20 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 15 — — $20,661.21 $53,526.04 $29,439.32 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 15 — — $26,571.81 $53,143.62 $29,228.99 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 15 — — $26,449.20 $52,898.40 $29,094.12 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 41 16 — — $7,754.97 $54,017.96 $28,899.61 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 15 — — $7,037.93 $53,450.75 $28,661.74 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 14 — — $26,646.25 $53,292.50 $28,511.49 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 12 8 — — $7,316.00 $54,515.34 $28,347.97 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 12 8 — — $7,316.00 $54,515.34 $28,347.97 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 1 — — $28,017.27 $28,505.41 $28,261.34 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 15 — — $4,869.65 $51,317.56 $28,224.66 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 34 15 — — $23,282.01 $51,359.75 $28,134.74 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 43 15 — — $9,936.00 $53,335.89 $28,131.53 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 15 8 — — $11,852.46 $63,758.04 $28,094.95 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 15 8 — — $11,852.46 $63,758.04 $28,094.95 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 15 8 — — $11,852.46 $63,758.04 $28,094.95 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 37 16 — — $7,754.97 $52,929.79 $27,964.63 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 17 8 — — $7,250.29 $54,080.28 $27,851.35 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 15 8 — — $6,902.41 $54,515.34 $27,802.82 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 36 15 — — $24,070.89 $50,851.57 $27,704.44 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 37 15 — — $8,643.75 $50,319.16 $27,675.54 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 19 9 — — $7,316.00 $54,515.34 $27,666.53 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 15 — — $25,126.73 $50,253.46 $27,639.40 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 15 — — $25,102.65 $50,205.30 $27,612.92 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 15 — — $25,056.67 $50,113.34 $27,562.34 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 18 8 — — $579.21 $54,515.34 $27,462.10 2026-04-01
22630 HCPCS Lumbar Spine Fusion 18 8 — — $957.34 $54,515.34 $27,462.10 2026-04-01
22558 HCPCS Lumbar Spine Fusion 18 8 — — $929.96 $54,515.34 $27,462.10 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 15 — — $7,754.97 $51,583.49 $27,439.89 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 15 — — $24,809.26 $58,086.64 $27,290.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 15 — — $24,432.39 $49,573.26 $27,265.29 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 21 11 — — $3,532.83 $54,515.34 $27,257.67 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 16 — — $24,739.92 $195,055.00 $27,213.91 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 36 15 — — $9,936.00 $49,961.54 $27,118.26 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 15 — — $24,647.96 $49,339.20 $27,112.76 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 15 — — $24,612.93 $49,225.86 $27,074.22 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 41 15 — — $9,936.00 $53,086.73 $27,001.96 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 38 16 — — $9,936.00 $163,050.00 $26,989.93 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 42 15 — — $9,936.00 $74,663.60 $26,964.76 2026-04-01
652 MS_DRG Kidney Transplant 27 14 — — $25,120.17 $50,240.34 $26,878.58 2026-04-01
665 MS_DRG Prostatectomy With Mcc 34 15 — — $13,608.85 $51,998.44 $26,762.72 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 15 — — $22,846.55 $48,564.62 $26,710.54 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 16 — — $24,242.17 $123,913.00 $26,666.39 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 36 15 — — $7,754.97 $48,964.58 $26,563.28 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 35 16 — — $7,088.25 $47,788.08 $26,283.44 2026-04-01
263 MS_DRG Vein Ligation And Stripping 34 15 — — $7,754.97 $47,728.24 $26,250.53 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 38 16 — — $491.42 $88,050.00 $26,056.25 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 15 — — $23,594.81 $47,189.62 $25,954.29 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 34 16 — — $12,978.53 $47,183.78 $25,951.08 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 15 — — $23,567.81 $47,135.62 $25,924.59 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
63048 HCPCS Remove Spinal Lamina Add-on 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
22103 HCPCS Remove Extra Spine Segment 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
63035 HCPCS Spinal Disk Surgery Add-on 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 38 15 — — $23,106.76 $69,026.31 $25,600.25 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 34 15 — — $23,051.81 $46,103.62 $25,356.99 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 33 15 — — $23,037.21 $46,074.42 $25,340.93 2026-04-01
570 MS_DRG Skin Debridement With Mcc 33 15 — — $23,015.32 $46,030.64 $25,316.85 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 33 15 — — $22,861.32 $45,722.64 $25,147.45 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 41 16 — — $21,626.16 $50,981.21 $25,085.64 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 10 8 — — $23,640.73 $47,281.46 $25,059.18 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 35 15 — — $21,892.61 $208,901.74 $25,002.95 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 15 — — $22,716.82 $45,433.64 $24,988.50 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 10 8 — — $23,514.53 $47,029.06 $24,925.40 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 38 15 — — $17,547.00 $55,560.13 $24,885.74 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 36 15 — — $20,896.19 $60,315.01 $24,874.50 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 33 15 — — $22,582.53 $45,165.06 $24,840.78 2026-04-01
5432 OTHER Level 2 Nerve Procedures 2 2 — — $6,156.74 $43,400.69 $24,778.72 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 38 17 — — $21,983.02 $88,050.00 $24,747.66 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 10 8 — — $23,210.23 $46,420.46 $24,602.85 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 10 8 — — $23,134.38 $46,268.76 $24,522.44 2026-04-01
L5858 HCPCS Stance Phase Only 10 8 — — $23,006.91 $46,013.82 $24,387.32 2026-04-01
800 MS_DRG Splenic Procedures With Cc 33 15 — — $22,054.13 $44,126.59 $24,259.54 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 16 — — $7,754.97 $44,708.18 $24,254.19 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 34 15 — — $15,802.51 $43,960.82 $24,178.45 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 16 8 — — $14,956.11 $47,178.32 $24,160.95 2026-04-01
503 MS_DRG Foot Procedures With Mcc 34 15 — — $20,776.79 $43,841.14 $24,112.63 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 34 15 — — $19,711.27 $43,560.88 $23,958.48 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 16 — — $14,868.66 $55,441.00 $23,839.66 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 41 16 — — $20,259.15 $127,136.53 $23,766.61 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 16 — — $21,502.37 $43,004.74 $23,652.61 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 47 16 — — $9,936.00 $112,102.79 $23,548.24 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 13 8 — — $7,665.00 $46,334.30 $23,462.18 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 8 — — $7,665.00 $46,334.30 $23,462.18 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 8 — — $7,665.00 $46,334.30 $23,462.18 2026-04-01
849 MS_DRG Radiotherapy 33 15 — — $21,325.02 $42,650.04 $23,457.52 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 35 15 — — $4,308.32 $42,601.88 $23,431.03 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 34 15 — — $7,754.97 $42,473.42 $23,360.38 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 43 16 — — $13,852.70 $166,748.30 $23,123.90 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 34 15 — — $20,963.75 $43,369.39 $23,060.13 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 15 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 15 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 15 8 — — $7,316.00 $45,790.23 $23,015.29 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 15 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 15 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 15 8 — — $7,316.00 $45,790.23 $23,015.29 2026-04-01
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