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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 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.

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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 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
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
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
90288 HCPCS Botulism Ig IV 3 1 — — $114,456.75 $121,762.50 $114,456.75 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $111,492.17 $222,984.34 $118,181.70 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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $100,910.44 $100,910.44 $100,910.44 2026-04-01
7 MS_DRG Lung Transplant 28 15 — — $96,912.38 $193,824.76 $102,727.12 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
14 MS_DRG Allogeneic Bone Marrow Transplant 28 15 — — $90,064.09 $180,128.18 $95,467.93 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 15 — — $77,522.25 $157,738.09 $82,948.81 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
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 10 8 — — $68,801.71 $137,603.42 $72,929.82 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
850 MS_DRG Acute Leukemia With Other Procedures 32 16 — — $65,394.69 $139,505.01 $70,953.24 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
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 8 — — $63,342.28 $624,000.00 $86,462.21 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
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 — — $56,824.55 $336,117.21 $92,624.01 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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 8 — — $55,272.32 $337,256.15 $75,446.73 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
10 MS_DRG Pancreas Transplant 28 15 — — $54,495.31 $108,990.62 $57,765.03 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
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
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
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $50,007.15 $100,014.30 $53,007.58 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
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $49,600.83 $99,201.66 $52,576.88 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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 15 — — $45,342.71 $90,685.42 $48,063.27 2026-04-01
J9226 HCPCS Supprelin La Implant 18 8 — — $45,020.65 $267,429.22 $80,586.96 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
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
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 15 — — $43,706.12 $87,412.24 $46,328.49 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
28 MS_DRG Spinal Procedures With Mcc 34 16 — — $42,778.90 $92,067.95 $49,823.29 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
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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 15 — — $41,689.02 $83,378.04 $44,190.36 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
653 MS_DRG Major Bladder Procedures With Mcc 33 16 — — $39,956.20 $84,421.74 $43,951.82 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
1490 OTHER Inj Pembrolizumab 1 1 — — $37,881.50 $37,881.50 $37,881.50 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
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
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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 15 — — $36,320.13 $72,640.26 $38,499.34 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
6 MS_DRG Liver Transplant Without Mcc 28 15 — — $35,847.08 $71,694.16 $37,997.90 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
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
799 MS_DRG Splenic Procedures With Mcc 33 16 — — $35,053.02 $75,384.24 $38,558.32 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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 34 16 — — $32,612.08 $67,095.49 $35,384.11 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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 16 — — $31,010.33 $69,395.00 $38,167.25 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
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
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
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
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 15 — — $29,006.87 $58,013.74 $30,747.28 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
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 36 16 — — $28,766.67 $130,846.34 $31,643.34 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
J9266 HCPCS Pegaspargase Injection 18 8 — — $28,424.06 $160,122.18 $50,879.07 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
332 MS_DRG Rectal Resection With Mcc 33 16 — — $28,381.76 $56,763.52 $31,219.94 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
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
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $27,532.71 $64,120.43 $45,826.57 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
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
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
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
652 MS_DRG Kidney Transplant 28 15 — — $25,508.17 $51,016.34 $27,038.66 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 11 8 — — $25,501.02 $68,829.18 $36,135.32 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
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
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
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
665 MS_DRG Prostatectomy With Mcc 33 16 — — $24,712.64 $51,998.44 $27,183.90 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
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
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
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
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
L6975 HCPCS Interscap-thor Myoelectronic 10 8 — — $23,640.73 $47,281.46 $25,059.18 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 10 8 — — $23,514.53 $47,029.06 $24,925.40 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
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
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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 34 16 — — $23,089.27 $46,178.54 $25,398.20 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
L5858 HCPCS Stance Phase Only 10 8 — — $23,006.91 $46,013.82 $24,387.32 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
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
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
570 MS_DRG Skin Debridement With Mcc 38 16 — — $22,889.12 $46,779.40 $25,026.98 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
668 MS_DRG Transurethral Procedures With Mcc 35 16 — — $22,623.86 $46,469.42 $24,861.14 2026-04-01
800 MS_DRG Splenic Procedures With Cc 33 16 — — $22,422.29 $44,844.58 $24,664.52 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
654 MS_DRG Major Bladder Procedures With Cc 34 16 — — $22,348.10 $44,696.20 $24,582.91 2026-04-01
503 MS_DRG Foot Procedures With Mcc 33 16 — — $22,287.87 $44,575.74 $24,516.66 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
472 MS_DRG Cervical Spinal Fusion With Cc 40 16 — — $22,037.19 $114,454.38 $25,417.67 2026-04-01
849 MS_DRG Radiotherapy 33 16 — — $21,688.47 $43,376.94 $23,857.32 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
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
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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 16 — — $20,781.24 $50,497.61 $24,053.67 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
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
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
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
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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 16 — — $19,612.09 $52,100.56 $28,264.56 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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 17 — — $19,423.66 $123,913.00 $27,086.95 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
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
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
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
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
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
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
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
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
500 MS_DRG Soft Tissue Procedures With Mcc 35 16 — — $15,078.99 $50,065.82 $27,536.20 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
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
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
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
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
662 MS_DRG Minor Bladder Procedures With Mcc 35 16 — — $12,689.54 $48,548.22 $25,973.30 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
5213 OTHER Level 3 Electrophysiologic Procedures 19 11 — — $12,512.97 $66,244.15 $24,377.60 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 16 — — $11,897.99 $84,343.80 $40,726.23 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
140 MS_DRG Major Head And Neck Procedures With Mcc 35 16 — — $11,656.66 $66,233.46 $35,434.90 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 17 — — $9,936.00 $171,746.00 $88,603.51 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
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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 17 — — $9,936.00 $143,487.00 $50,256.05 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
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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 16 — — $9,936.00 $106,629.85 $38,210.97 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
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
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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 48 16 — — $9,936.00 $64,179.62 $35,298.79 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 17 — — $9,936.00 $163,050.00 $27,412.57 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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 17 — — $9,936.00 $52,569.35 $26,520.01 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
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 8 — — $9,799.00 $88,494.38 $46,017.08 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
0947T HCPCS Mrgfus Strtctc Bl-br Disrpj 2 1 — — $8,695.27 $49,501.98 $29,098.63 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
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
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
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
245 MS_DRG Aicd Generator Procedures 39 16 — — $7,754.97 $81,549.77 $37,770.04 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
265 MS_DRG Aicd Lead Procedures 36 16 — — $7,754.97 $56,726.80 $30,348.84 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
264 MS_DRG Other Circulatory System O.r. Procedures 43 17 — — $7,754.97 $64,872.13 $27,640.48 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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 37 16 — — $7,754.97 $59,713.06 $26,606.80 2026-04-01
263 MS_DRG Vein Ligation And Stripping 37 17 — — $7,754.97 $48,488.00 $25,941.08 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
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
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
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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 38 17 — — $7,521.13 $53,625.50 $28,421.51 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
38240 HCPCS Transplt Allo Hct/donor 17 8 — — $7,316.00 $126,375.50 $64,451.50 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
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
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
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 8 — — $7,316.00 $58,183.92 $29,966.62 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
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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 16 — — $7,298.98 $83,939.24 $45,537.04 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 5 3 — — $6,856.00 $27,166.00 $25,663.00 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 16 — — $6,784.43 $90,888.16 $48,170.72 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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 18 — — $5,927.76 $163,050.00 $40,033.51 2026-04-01
69930 HCPCS Implant Cochlear Device 20 11 — — $4,704.68 $67,540.97 $33,370.79 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
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
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
21243 HCPCS Reconstruction Of Jaw Joint 20 11 — — $3,532.83 $54,515.34 $27,462.10 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
61886 HCPCS Implant Neurostim Arrays 20 11 — — $2,537.60 $61,996.63 $31,230.80 2026-04-01
791 MS_DRG Prematurity With Major Problems 37 16 — — $2,530.29 $63,202.66 $33,181.40 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 17 8 — — $2,386.75 $54,515.34 $27,666.53 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
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
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
63685 HCPCS Insrt/redo Spine N Generator 20 11 — — $2,214.47 $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
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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 16 — — $1,682.76 $56,031.90 $29,416.75 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
215 MS_DRG Other Heart Assist System Implant 41 17 — — $663.20 $698,708.00 $80,841.09 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
37 MS_DRG Extracranial Procedures With Mcc 36 16 — — $389.92 $51,936.00 $28,175.28 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
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
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
2050 OTHER Cath Coronary Drug-delivery 7 4 — — $350.00 $103,507.04 $51,189.84 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
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
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 15 — — $218.92 $54,088.26 $28,666.78 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
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
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
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
5232 OTHER Level 2 Icd And Similar Procedures 13 8 — — $150.00 $190,626.98 $32,113.52 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 38 17 — — $149.96 $85,188.79 $45,691.66 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 17 — — $125.56 $85,568.93 $37,682.56 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
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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 17 — — $87.21 $136,326.31 $57,953.94 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
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