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 →

Export CSV
Hospital

HOUSTON METHODIST WILLOWBROOK HOSPITAL

Houston, TX · CCN 450844 · Rates published

15,515 distinct procedures filed
26 distinct payers
243,588 rate rows
2026-04-01 last MRF observed
Data quality

197,514 of 243,588 rate rows are consumer-grade (81.1%)

46,074 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 45,017
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/760545192_methodist-willowbrook-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 7fad26247c96e135… · 62,023,047 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
$3,006,423
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
$2,469,189
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
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.94 $3,271,996.41 $599,821.08 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $3,054,756.15 $596,290.47 nat. median
$674,188
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
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $2,894,796.03 $518,662.89 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $318,988.46 $637,976.92 $338,127.77 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 16 $207,637.50 $426,580.74 $222,172.12 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $158,617.48 $359,258.08 $169,720.70 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $125,322.31 $452,926.83 $165,716.52 nat. median
$202,986
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $148,898.10 $467,204.56 $157,775.33 nat. median
$76,377
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $134,826.20 $134,826.20 $134,826.20 nat. median
$87,411
1.5× median
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 $65,686.88 $317,110.36 $108,708.83 nat. median
$133,176
0.8× 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×
7
MS_DRG 		Lung Transplant 15 $96,912.38 $193,824.76 $102,727.12 nat. median
$122,708
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $100,910.44 $100,910.44 $100,910.44 nat. median
$65,381
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $90,064.09 $180,128.18 $95,467.93 nat. median
$117,303
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $93,059.50 $93,059.50 $93,059.50 nat. median
$62,270
1.5× median
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 16 $85,024.29 $170,048.58 $90,975.99 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $84,928.80 $169,857.60 $90,024.53 nat. median
$98,017
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $9,936.00 $171,746.00 $88,603.51 nat. median
$102,358
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $19,083.14 $165,485.50 $88,534.74 nat. median
$98,905
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
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $77,522.25 $157,738.09 $82,948.81 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 17 $663.20 $698,708.00 $80,841.09 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… 17 $2,241.34 $226,608.00 $79,480.79 nat. median
$93,672
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $337,256.15 $75,446.73 nat. median
$66,682
1.1× 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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $246.10 $135,932.76 $72,724.03 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $65,394.69 $139,505.01 $70,953.24 nat. median
$83,442
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $70,074.20 $70,074.20 $70,074.20 nat. median
$48,483
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $63,513.48 $144,085.01 $69,864.83 nat. median
$81,118
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $8,377.20 $143,487.00 $68,167.71 nat. median
$79,312
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $48,674.00 $236,421.61 $65,545.19 nat. median
$77,576
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $7,316.00 $126,375.50 $64,451.50 nat. median
$15,912
outlier · 4.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $9,936.00 $283,260.00 $64,005.92 nat. median
$74,915
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $57,758.22 $115,516.44 $63,534.04 nat. median
$72,138
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $9,936.00 $299,709.66 $62,000.14 nat. median
$73,807
0.8× median

Other procedures at this hospital

Browse this hospital's 15,515 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 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 15 — — $318,988.46 $637,976.92 $338,127.77 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 29 16 — — $207,637.50 $426,580.74 $222,172.12 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 16 — — $158,617.48 $359,258.08 $169,720.70 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 16 — — $125,322.31 $452,926.83 $165,716.52 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $148,898.10 $467,204.56 $157,775.33 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $134,826.20 $134,826.20 $134,826.20 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… 37 16 — — $65,686.88 $317,110.36 $108,708.83 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 28 15 — — $96,912.38 $193,824.76 $102,727.12 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $100,910.44 $100,910.44 $100,910.44 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 15 — — $90,064.09 $180,128.18 $95,467.93 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $93,059.50 $93,059.50 $93,059.50 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 29 16 — — $85,024.29 $170,048.58 $90,975.99 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 15 — — $84,928.80 $169,857.60 $90,024.53 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 17 — — $9,936.00 $171,746.00 $88,603.51 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 16 — — $19,083.14 $165,485.50 $88,534.74 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 8 — — $63,342.28 $624,000.00 $86,462.21 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 15 — — $77,522.25 $157,738.09 $82,948.81 2026-04-01
215 MS_DRG Other Heart Assist System Implant 41 17 — — $663.20 $698,708.00 $80,841.09 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… 45 17 — — $2,241.34 $226,608.00 $79,480.79 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 8 — — $55,272.32 $337,256.15 $75,446.73 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 16 — — $246.10 $135,932.76 $72,724.03 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 16 — — $65,394.69 $139,505.01 $70,953.24 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $70,074.20 $70,074.20 $70,074.20 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $63,513.48 $144,085.01 $69,864.83 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 39 17 — — $8,377.20 $143,487.00 $68,167.71 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 39 17 — — $48,674.00 $236,421.61 $65,545.19 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 17 8 — — $7,316.00 $126,375.50 $64,451.50 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 17 — — $9,936.00 $283,260.00 $64,005.92 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 16 — — $57,758.22 $115,516.44 $63,534.04 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 47 17 — — $9,936.00 $299,709.66 $62,000.14 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 16 — — $54,810.44 $159,962.48 $59,469.32 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 16 — — $54,473.27 $108,946.54 $59,103.50 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 17 — — $87.21 $136,326.31 $57,953.94 2026-04-01
10 MS_DRG Pancreas Transplant 28 15 — — $54,495.31 $108,990.62 $57,765.03 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 17 — — $9,936.00 $216,404.17 $57,538.58 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 15 — — $54,193.41 $108,386.82 $57,445.01 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 16 — — $51,229.47 $103,407.78 $56,352.42 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 17 — — $49,751.24 $473,603.10 $56,235.79 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $55,654.95 $55,654.95 $55,654.95 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 16 — — $375.00 $101,803.70 $55,228.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 16 — — $50,865.86 $101,731.72 $55,189.46 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 16 — — $178.96 $99,818.92 $54,151.76 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $9,936.00 $171,746.00 $53,590.97 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 17 — — $175.00 $171,746.00 $53,090.12 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 39 16 — — $23,261.37 $131,498.69 $52,485.89 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 16 — — $44,360.71 $104,566.61 $51,425.14 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 7 4 — — $350.00 $103,507.04 $51,189.84 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 8 — — $28,424.06 $160,122.18 $50,879.07 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 17 — — $9,936.00 $143,487.00 $50,256.05 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 16 — — $45,588.06 $92,435.69 $50,146.87 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 34 16 — — $42,778.90 $92,067.95 $49,823.29 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 45 17 — — $150.00 $171,746.00 $49,142.39 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 16 — — $4,013.00 $116,468.29 $49,121.12 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 16 — — $42,409.87 $92,000.54 $48,679.60 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 16 — — $44,148.32 $132,690.27 $48,563.15 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 17 — — $36,320.83 $222,160.64 $48,265.81 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 16 — — $6,784.43 $90,888.16 $48,170.72 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 15 — — $45,342.71 $90,685.42 $48,063.27 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 49 18 — — $9,936.00 $281,936.05 $48,036.47 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 16 — — $6,731.66 $173,600.20 $46,707.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 16 — — $42,355.27 $103,743.48 $46,590.80 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 15 — — $43,706.12 $87,412.24 $46,328.49 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 8 — — $9,799.00 $88,494.38 $46,017.08 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 14 8 — — $7,316.00 $88,494.38 $46,017.08 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 14 8 — — $7,316.00 $91,801.02 $46,017.08 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $27,532.71 $64,120.43 $45,826.57 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 38 17 — — $149.96 $85,188.79 $45,691.66 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 16 — — $10,926.78 $86,164.96 $45,667.43 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 16 — — $7,754.97 $85,345.20 $45,659.68 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 16 — — $7,298.98 $83,939.24 $45,537.04 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 15 — — $42,954.67 $85,909.34 $45,531.95 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 16 — — $41,849.16 $83,698.32 $45,406.34 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 17 — — $9,936.00 $169,956.00 $44,846.19 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 17 — — $38,813.90 $195,055.00 $44,738.83 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 16 — — $40,934.63 $81,869.26 $44,414.07 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 15 — — $41,689.02 $83,378.04 $44,190.36 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 33 16 — — $39,956.20 $84,421.74 $43,951.82 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 17 — — $753.02 $158,826.35 $43,825.21 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 52 17 — — $144.13 $352,120.92 $42,975.70 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 18 — — $20,554.14 $90,887.46 $42,823.87 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 6 5 — — $22,054.86 $138,813.45 $42,675.92 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 16 — — $37,787.78 $86,468.37 $41,566.56 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 17 — — $375.00 $143,487.00 $41,525.44 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 34 16 — — $37,255.23 $94,025.68 $40,980.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 16 — — $37,076.00 $75,829.04 $40,783.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 16 — — $11,897.99 $84,343.80 $40,726.23 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 18 — — $12,114.42 $238,169.72 $40,346.26 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 16 — — $7,754.97 $76,278.81 $40,214.68 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 18 — — $5,927.76 $163,050.00 $40,033.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 16 — — $35,413.58 $75,837.17 $39,874.58 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $24,279.71 $62,150.40 $39,856.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 16 — — $36,146.78 $72,320.17 $39,761.46 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 8 — — $24,228.42 $143,311.10 $39,492.32 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 49 18 — — $9,936.00 $197,868.83 $39,329.41 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 50 18 — — $24,495.48 $130,652.63 $38,702.15 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 33 16 — — $35,053.02 $75,384.24 $38,558.32 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 15 — — $36,320.13 $72,640.26 $38,499.34 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 16 — — $35,463.64 $70,927.28 $38,478.04 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 16 — — $9,936.00 $106,629.85 $38,210.97 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 16 — — $31,010.33 $69,395.00 $38,167.25 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 15 — — $35,847.08 $71,694.16 $37,997.90 2026-04-01
1490 OTHER Inj Pembrolizumab 1 1 — — $37,881.50 $37,881.50 $37,881.50 2026-04-01
245 MS_DRG Aicd Generator Procedures 39 16 — — $7,754.97 $81,549.77 $37,770.04 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 17 — — $125.56 $85,568.93 $37,682.56 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 17 — — $7,572.34 $112,660.57 $37,662.35 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 44 16 — — $21,503.49 $113,728.47 $37,136.53 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 37 16 — — $9,936.00 $69,136.42 $36,987.98 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 16 — — $110.52 $348,372.46 $36,437.02 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 11 8 — — $25,501.02 $68,829.18 $36,135.32 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 17 — — $9,936.00 $78,266.00 $36,088.23 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 16 — — $32,754.59 $65,509.18 $36,030.05 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 16 — — $32,739.16 $65,478.32 $36,013.08 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 41 16 — — $9,936.00 $69,061.61 $35,922.99 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 39 17 — — $9,936.00 $104,352.00 $35,810.27 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 16 — — $32,435.79 $68,939.17 $35,679.37 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 16 — — $17,001.92 $188,840.00 $35,651.82 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 16 — — $32,291.82 $64,583.64 $35,521.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 35 16 — — $11,656.66 $66,233.46 $35,434.90 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 16 — — $23,772.95 $143,528.63 $35,423.96 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 34 16 — — $32,612.08 $67,095.49 $35,384.11 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 48 16 — — $9,936.00 $64,179.62 $35,298.79 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 39 16 — — $29,273.21 $110,101.59 $35,242.33 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 37 16 — — $29,268.37 $110,143.92 $34,450.38 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 2 2 — — $9,275.00 $59,402.23 $34,338.62 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 2 2 — — $9,275.00 $59,402.23 $34,338.62 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 16 — — $25,834.32 $62,102.30 $33,690.50 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 8 — — $7,665.00 $63,063.80 $33,423.81 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 8 — — $7,665.00 $65,856.59 $33,423.81 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 40 16 — — $474.00 $64,827.50 $33,386.16 2026-04-01
69930 HCPCS Implant Cochlear Device 20 11 — — $4,704.68 $67,540.97 $33,370.79 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 16 — — $290.00 $71,447.85 $33,239.98 2026-04-01
791 MS_DRG Prematurity With Major Problems 37 16 — — $2,530.29 $63,202.66 $33,181.40 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 16 — — $30,390.78 $65,526.57 $32,974.00 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
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 14 8 — — $7,316.00 $65,405.62 $32,793.18 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 14 8 — — $7,316.00 $65,856.59 $32,793.18 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 14 8 — — $7,316.00 $65,856.59 $32,793.18 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 8 — — $7,316.00 $65,856.59 $32,793.18 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 16 — — $17,432.53 $60,296.76 $32,711.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 17 — — $15,620.36 $126,913.00 $32,657.26 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 16 — — $13,466.26 $60,351.10 $32,287.84 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 8 — — $2,583.69 $61,996.63 $32,238.24 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 14 8 — — $7,316.00 $61,996.63 $32,238.24 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 14 8 — — $7,316.00 $61,996.63 $32,238.24 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 14 8 — — $7,316.00 $61,996.63 $32,238.24 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 17 8 — — $7,316.00 $65,856.59 $32,162.54 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 13 8 — — $150.00 $190,626.98 $32,113.52 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 36 16 — — $16,914.33 $58,613.14 $31,797.63 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 16 — — $7,895.81 $60,329.15 $31,786.76 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 14 8 — — $6,159.00 $61,996.63 $31,773.27 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 14 8 — — $6,159.00 $61,996.63 $31,773.27 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 17 — — $6,823.11 $199,318.43 $31,695.35 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 36 16 — — $28,766.67 $130,846.34 $31,643.34 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 16 — — $27,288.94 $60,236.57 $31,631.22 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 10 8 — — $29,717.20 $59,434.40 $31,500.23 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 36 16 — — $22,956.87 $59,006.81 $31,486.93 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 10 8 — — $29,576.84 $59,153.68 $31,351.45 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 37 16 — — $14,415.85 $72,242.64 $31,288.08 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 39 17 — — $2,028.45 $58,476.52 $31,284.94 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 16 — — $28,439.06 $56,878.12 $31,282.97 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 10 8 — — $29,510.19 $59,020.38 $31,280.80 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 16 — — $28,418.49 $61,034.03 $31,260.34 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 20 11 — — $2,214.47 $61,996.63 $31,230.80 2026-04-01
61886 HCPCS Implant Neurostim Arrays 20 11 — — $2,537.60 $61,996.63 $31,230.80 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 20 11 — — $2,214.47 $61,996.63 $31,230.80 2026-04-01
332 MS_DRG Rectal Resection With Mcc 33 16 — — $28,381.76 $56,763.52 $31,219.94 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 16 — — $29,161.13 $61,080.62 $31,202.41 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 37 16 — — $28,103.37 $78,762.93 $30,913.71 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 16 — — $26,349.16 $86,000.39 $30,774.72 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 15 — — $29,006.87 $58,013.74 $30,747.28 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 16 — — $7,754.97 $56,553.44 $30,680.24 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 5 — — $28,793.25 $195,821.43 $30,377.02 2026-04-01
265 MS_DRG Aicd Lead Procedures 36 16 — — $7,754.97 $56,726.80 $30,348.84 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 16 — — $20,592.69 $55,909.96 $30,331.15 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 37 16 — — $17,042.26 $184,926.49 $30,298.54 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 16 — — $27,285.07 $54,570.14 $30,013.58 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 16 — — $28,042.40 $59,631.01 $30,005.37 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 16 — — $27,637.66 $115,666.46 $29,986.86 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 8 — — $7,316.00 $58,183.92 $29,966.62 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 40 17 — — $13,816.94 $125,410.99 $29,885.11 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 39 16 — — $20,650.97 $60,216.41 $29,869.21 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 17 — — $50.00 $78,266.00 $29,862.32 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 16 — — $201.07 $54,323.32 $29,470.40 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 16 — — $1,682.76 $56,031.90 $29,416.75 2026-04-01
0947T HCPCS Mrgfus Strtctc Bl-br Disrpj 2 1 — — $8,695.27 $49,501.98 $29,098.63 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $93.65 $167,395.66 $28,857.05 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 47 16 — — $7,754.97 $62,052.96 $28,779.67 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 37 16 — — $7,451.44 $53,691.60 $28,725.01 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 15 — — $218.92 $54,088.26 $28,666.78 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 38 17 — — $7,521.13 $53,625.50 $28,421.51 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
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 12 8 — — $7,316.00 $54,515.34 $28,347.97 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 16 — — $19,612.09 $52,100.56 $28,264.56 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 36 16 — — $389.92 $51,936.00 $28,175.28 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 13 8 — — $13,432.00 $63,758.04 $28,094.95 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 8 — — $13,432.00 $63,758.04 $28,094.95 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 13 8 — — $13,432.00 $63,758.04 $28,094.95 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 16 — — $25,490.54 $53,507.09 $28,039.59 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 14 8 — — $7,316.00 $54,515.34 $27,939.11 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 15 8 — — $7,316.00 $54,080.28 $27,851.35 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 18 9 — — $7,316.00 $54,515.34 $27,734.67 2026-04-01
22630 HCPCS Lumbar Spine Fusion 17 8 — — $3,944.91 $54,515.34 $27,666.53 2026-04-01
22558 HCPCS Lumbar Spine Fusion 17 8 — — $3,832.08 $54,515.34 $27,666.53 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 17 8 — — $2,386.75 $54,515.34 $27,666.53 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 17 — — $7,754.97 $64,872.13 $27,640.48 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 17 — — $25,125.47 $195,055.00 $27,638.02 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 32 16 — — $25,444.26 $50,888.52 $27,607.03 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 35 16 — — $15,078.99 $50,065.82 $27,536.20 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 17 — — $9,936.00 $148,242.97 $27,522.97 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 16 — — $24,997.65 $50,948.63 $27,497.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 16 — — $7,754.97 $51,583.49 $27,476.87 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 20 11 — — $3,532.83 $54,515.34 $27,462.10 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 17 — — $9,936.00 $163,050.00 $27,412.57 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 39 16 — — $10,030.28 $51,148.56 $27,364.48 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 16 — — $11,889.25 $63,813.59 $27,336.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 36 16 — — $22,394.51 $50,344.96 $27,312.14 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 16 — — $23,014.30 $100,948.43 $27,300.81 2026-04-01
665 MS_DRG Prostatectomy With Mcc 33 16 — — $24,712.64 $51,998.44 $27,183.90 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 41 16 — — $9,936.00 $50,735.74 $27,143.62 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 17 — — $19,423.66 $123,913.00 $27,086.95 2026-04-01
652 MS_DRG Kidney Transplant 28 15 — — $25,508.17 $51,016.34 $27,038.66 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 38 16 — — $21,440.24 $50,390.50 $26,958.92 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 16 — — $9,936.00 $49,863.08 $26,676.75 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 37 16 — — $7,754.97 $59,713.06 $26,606.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 17 — — $9,936.00 $52,569.35 $26,520.01 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 16 — — $22,700.20 $55,420.38 $26,391.44 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 16 — — $23,972.94 $47,945.88 $26,370.23 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 38 17 — — $19,217.76 $88,050.00 $26,111.86 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 16 — — $23,649.00 $47,298.00 $26,013.90 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 38 17 — — $12,585.24 $115,834.99 $26,007.46 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 35 16 — — $12,689.54 $48,548.22 $25,973.30 2026-04-01
263 MS_DRG Vein Ligation And Stripping 37 17 — — $7,754.97 $48,488.00 $25,941.08 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 33 16 — — $23,411.74 $46,823.48 $25,752.91 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 5 3 — — $6,856.00 $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
63053 HCPCS Lam Factc/frmt Arthrd Lum Ea 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
63052 HCPCS Lam Facetc/frmt Arthrd Lum 1 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
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 16 — — $22,967.29 $47,891.54 $25,621.97 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 40 16 — — $22,037.19 $114,454.38 $25,417.67 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 34 16 — — $23,089.27 $46,178.54 $25,398.20 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 41 16 — — $14,639.03 $46,956.18 $25,283.46 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 33 16 — — $22,954.11 $45,908.22 $25,249.52 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 10 8 — — $23,640.73 $47,281.46 $25,059.18 2026-04-01
570 MS_DRG Skin Debridement With Mcc 38 16 — — $22,889.12 $46,779.40 $25,026.98 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 38 16 — — $2,372.86 $55,560.13 $24,949.85 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 10 8 — — $23,514.53 $47,029.06 $24,925.40 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 35 16 — — $22,623.86 $46,469.42 $24,861.14 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 38 16 — — $17,700.55 $113,304.00 $24,719.66 2026-04-01
800 MS_DRG Splenic Procedures With Cc 33 16 — — $22,422.29 $44,844.58 $24,664.52 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 10 8 — — $23,210.23 $46,420.46 $24,602.85 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 34 16 — — $22,348.10 $44,696.20 $24,582.91 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 10 8 — — $23,134.38 $46,268.76 $24,522.44 2026-04-01
503 MS_DRG Foot Procedures With Mcc 33 16 — — $22,287.87 $44,575.74 $24,516.66 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 18 — — $19,834.59 $88,050.00 $24,469.72 2026-04-01
L5858 HCPCS Stance Phase Only 10 8 — — $23,006.91 $46,013.82 $24,387.32 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 19 11 — — $12,512.97 $66,244.15 $24,377.60 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 35 17 — — $21,313.53 $44,293.66 $24,361.51 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 16 — — $15,662.47 $46,356.30 $24,337.06 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 42 17 — — $352.53 $111,304.88 $24,168.40 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 16 — — $7,754.97 $49,541.01 $24,087.64 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 16 — — $20,781.24 $50,497.61 $24,053.67 2026-04-01
849 MS_DRG Radiotherapy 33 16 — — $21,688.47 $43,376.94 $23,857.32 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 12 8 — — $7,665.00 $46,334.30 $23,685.63 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 12 8 — — $7,665.00 $46,334.30 $23,685.63 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 12 8 — — $7,665.00 $46,334.30 $23,685.63 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 18 — — $20,012.71 $83,793.89 $23,580.79 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 16 — — $4,308.32 $43,328.46 $23,505.69 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 34 16 — — $21,324.86 $47,436.58 $23,457.35 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 36 16 — — $7,754.97 $60,353.69 $23,435.56 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 35 16 — — $2,267.03 $92,138.49 $23,382.20 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 44 16 — — $19,553.72 $73,149.15 $23,294.99 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 33 16 — — $21,158.85 $42,317.70 $23,274.74 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 52 17 — — $9,936.00 $55,835.24 $23,243.93 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 14 8 — — $7,316.00 $46,334.30 $23,238.74 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 14 8 — — $7,316.00 $46,334.30 $23,238.74 2026-04-01
See an error in this hospital's data? Submit a correction