Hospital

COVENANT CHILDRENS HOSPITAL

Lubbock, TX · CCN 453306 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $9,496 across 3 payers · range $1,656-$29,276

Source: https://pricetransparency.providence.org/txnm/live/752428911_covenant-childrens-hospital_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,215 distinct procedures filed

18 distinct payers

169,658 rate rows

2026-04-01 last MRF observed

Data quality

110,866 of 169,658 rate rows are consumer-grade (65.3%)

58,792 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	55,922
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,667
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	197
placeholder amount (≤ $0.02) — excluded from medians	6

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://pricetransparency.providence.org/txnm/live/752428911_covenant-childrens-hospital_standardcharges.json
Found on page	https://www.providence.org/billing-support/pricing-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-12
Content fingerprint	5466f6c8a5c9d488… · 187,714,932 bytes · first seen 2026-05-08

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
Q2057 HCPCS	Afamitresgene Autoleucel	1	$2,697,170.00	$2,697,170.00	$2,697,170.00	nat. median $809,151 outlier · 3.3×
C9098 HCPCS	Ciltacabtagene Car Pos T	1	$1,791,273.00	$1,810,431.00	$1,791,273.00	nat. median $30,221 outlier · 59.3×
Q2056 HCPCS	Ciltacabtagene Car-pos T	3	$1,732,143.60	$1,936,825.91	$1,750,669.20	nat. median $631,793 outlier · 2.8×
Q2040 HCPCS	Tisagenlecleucel Car-pos T	2	$1,687,675.00	$2,179,474.34	$1,696,700.00	nat. median $10,345 outlier · 164.0×
C9081 HCPCS	Idecabtagene Car Pos T	1	$1,615,997.90	$1,633,281.30	$1,615,997.90	nat. median $27,427 outlier · 58.9×
C9076 HCPCS	Lisocabtagene Car Pos T	1	$1,580,557.66	$1,597,462.02	$1,580,557.66	nat. median $27,935 outlier · 56.6×
Q2055 HCPCS	Idecabtagene Vicleucel Car	3	$1,562,654.28	$1,894,411.57	$1,579,367.16	nat. median $610,161 outlier · 2.6×
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	3	$1,528,383.91	$1,895,724.80	$1,544,730.26	nat. median $624,417 outlier · 2.5×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	4	$1,436,870.60	$2,024,136.03	$1,533,965.45	nat. median $691,418 outlier · 2.2×
Q2053 HCPCS	Brexucabtagene Car Pos T	4	$1,389,439.92	$1,794,331.64	$1,483,329.69	nat. median $577,541 outlier · 2.6×
C9073 HCPCS	Brexucabtagene Autoleucel Ca	2	$1,436,870.60	$1,855,583.93	$1,444,554.40	nat. median $27,071 outlier · 53.4×
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	4	$1,325,269.00	$1,865,767.67	$1,414,822.50	nat. median $588,565 outlier · 2.4×
18 MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	5	$418,691.07	$899,425.98	$709,406.19	nat. median $370,165 1.9× median
J9029 HCPCS	Inj, Adstiladrin, Per Tx Dos	3	$222,008.69	$604,800.00	$598,400.00	nat. median $69,291 outlier · 8.6×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	7	$29,162.88	$803,683.02	$426,469.96	nat. median $199,832 outlier · 2.1×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	4	$312,727.60	$671,796.81	$411,681.93	nat. median $261,939 1.6× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	4	$263,390.93	$565,812.50	$346,733.98	nat. median $205,166 1.7× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	5	$125,326.28	$336,993.16	$247,656.16	nat. median $132,706 1.9× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	4	$195,810.90	$294,081.44	$227,721.83	nat. median $65,655 outlier · 3.5×
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	5	$120,944.56	$259,811.33	$207,389.83	nat. median $100,978 outlier · 2.1×
C9074 HCPCS	Injection, Lumasiran	2	$205,700.00	$265,642.30	$206,800.00	nat. median $501 outlier · 412.6×
A9543 HCPCS	Y90 Ibritumomab, Rx	2	$203,962.06	$263,397.91	$205,052.77	nat. median $63,643 outlier · 3.2×
215 MS_DRG	Other Heart Assist System Implant	5	$117,625.92	$252,682.26	$196,685.97	nat. median $98,002 outlier · 2.0×
14 MS_DRG	Allogeneic Bone Marrow Transplant	4	$145,457.46	$312,469.57	$191,483.60	nat. median $114,305 1.7× median
7 MS_DRG	Lung Transplant	4	$145,091.06	$311,682.48	$191,001.28	nat. median $122,690 1.6× median
C9031 HCPCS	Lutetium Lu 177 Dotatate, Tx	2	$188,309.00	$243,183.45	$189,316.00	nat. median $524 outlier · 361.5×
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	$112,788.37	$230,171.69	$186,875.55	nat. median $92,900 outlier · 2.0×
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	1	$162,314.26	$226,089.76	$175,739.29	nat. median $83,623 outlier · 2.1×
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	6	$118,229.92	$253,979.76	$168,262.68	nat. median $99,646 1.7× median
222 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	1	$141,700.70	$171,293.46	$161,416.44	nat. median $58,534 outlier · 2.8×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	4	$122,350.19	$262,830.86	$161,064.65	nat. median $108,240 1.5× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	5	$98,976.17	$215,067.71	$159,905.72	nat. median $80,459 2.0× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	6	$31,322.12	$192,250.99	$156,203.00	nat. median $77,385 outlier · 2.0×
224 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	1	$131,199.82	$158,599.58	$149,454.52	nat. median $51,048 outlier · 2.9×
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	5	$3,377.55	$249,996.64	$148,187.60	nat. median $96,835 1.5× median
J9226 HCPCS	Supprelin La Implant	4	$137,441.33	$177,492.62	$146,728.77	nat. median $55,200 outlier · 2.7×
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	5	$90,425.65	$196,743.56	$146,281.46	nat. median $74,472 2.0× median
J7330 HCPCS	Cultured Chondrocytes Implnt	3	$142,789.46	$256,139.76	$144,316.62	nat. median $75,807 1.9× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	5	$82,868.42	$178,016.71	$139,261.79	nat. median $71,485 1.9× median
275 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	5	$78,458.36	$168,543.09	$135,474.33	nat. median $68,581 2.0× median
226 MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	1	$118,461.46	$143,200.93	$134,943.77	nat. median $46,826 outlier · 2.9×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	7	$20,648.41	$202,099.06	$133,891.50	nat. median $79,040 1.7× median
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	10	$71,809.97	$545,440.69	$132,707.17	nat. median $62,218 outlier · 2.1×
268 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	5	$74,024.99	$159,019.39	$131,987.24	nat. median $65,792 outlier · 2.0×
459 MS_DRG	Spinal Fusion Except Cervical With Mcc	1	$121,483.84	$169,216.50	$131,531.77	nat. median $62,767 outlier · 2.1×
969 MS_DRG	HIV With Extensive O.r. Procedures With Mcc	5	$70,213.38	$153,753.81	$130,850.28	nat. median $60,294 outlier · 2.2×
461 MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	5	$68,134.92	$152,543.48	$128,358.79	nat. median $55,446 outlier · 2.3×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	4	$97,473.17	$198,917.34	$127,573.02	nat. median $81,124 1.6× median
850 MS_DRG	Acute Leukemia With Other Procedures	6	$36,727.60	$219,698.72	$123,614.45	nat. median $81,364 1.5× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	7	$23,926.79	$186,414.65	$123,500.50	nat. median $73,475 1.7× median

Other procedures at this hospital

Browse this hospital's 15,215 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

Q2057	HCPCS	Afamitresgene Autoleucel	2	1	—	—	$2,697,170.00	$2,697,170.00	$2,697,170.00	2026-04-01
C9098	HCPCS	Ciltacabtagene Car Pos T	4	1	—	—	$1,791,273.00	$1,810,431.00	$1,791,273.00	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	7	3	—	—	$1,732,143.60	$1,936,825.91	$1,750,669.20	2026-04-01
Q2040	HCPCS	Tisagenlecleucel Car-pos T	6	2	—	—	$1,687,675.00	$2,179,474.34	$1,696,700.00	2026-04-01
C9081	HCPCS	Idecabtagene Car Pos T	4	1	—	—	$1,615,997.90	$1,633,281.30	$1,615,997.90	2026-04-01
C9076	HCPCS	Lisocabtagene Car Pos T	4	1	—	—	$1,580,557.66	$1,597,462.02	$1,580,557.66	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	7	3	—	—	$1,562,654.28	$1,894,411.57	$1,579,367.16	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	7	3	—	—	$1,528,383.91	$1,895,724.80	$1,544,730.26	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	9	4	—	—	$1,436,870.60	$2,024,136.03	$1,533,965.45	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	9	4	—	—	$1,389,439.92	$1,794,331.64	$1,483,329.69	2026-04-01
C9073	HCPCS	Brexucabtagene Autoleucel Ca	6	2	—	—	$1,436,870.60	$1,855,583.93	$1,444,554.40	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	9	4	—	—	$1,325,269.00	$1,865,767.67	$1,414,822.50	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	10	5	—	—	$418,691.07	$899,425.98	$709,406.19	2026-04-01
J9029	HCPCS	Inj, Adstiladrin, Per Tx Dos	7	3	—	—	$222,008.69	$604,800.00	$598,400.00	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	13	7	—	—	$29,162.88	$803,683.02	$426,469.96	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	6	4	—	—	$312,727.60	$671,796.81	$411,681.93	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	6	4	—	—	$263,390.93	$565,812.50	$346,733.98	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	12	5	—	—	$125,326.28	$336,993.16	$247,656.16	2026-04-01
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	9	4	—	—	$195,810.90	$294,081.44	$227,721.83	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	5	—	—	$120,944.56	$259,811.33	$207,389.83	2026-04-01
C9074	HCPCS	Injection, Lumasiran	6	2	—	—	$205,700.00	$265,642.30	$206,800.00	2026-04-01
A9543	HCPCS	Y90 Ibritumomab, Rx	6	2	—	—	$203,962.06	$263,397.91	$205,052.77	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	10	5	—	—	$117,625.92	$252,682.26	$196,685.97	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	6	4	—	—	$145,457.46	$312,469.57	$191,483.60	2026-04-01
7	MS_DRG	Lung Transplant	6	4	—	—	$145,091.06	$311,682.48	$191,001.28	2026-04-01
C9031	HCPCS	Lutetium Lu 177 Dotatate, Tx	6	2	—	—	$188,309.00	$243,183.45	$189,316.00	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	5	—	—	$112,788.37	$230,171.69	$186,875.55	2026-04-01
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	4	1	—	—	$162,314.26	$226,089.76	$175,739.29	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	9	6	—	—	$118,229.92	$253,979.76	$168,262.68	2026-04-01
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	4	1	—	—	$141,700.70	$171,293.46	$161,416.44	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	6	4	—	—	$122,350.19	$262,830.86	$161,064.65	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	5	—	—	$98,976.17	$215,067.71	$159,905.72	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	12	6	—	—	$31,322.12	$192,250.99	$156,203.00	2026-04-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	4	1	—	—	$131,199.82	$158,599.58	$149,454.52	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	7	5	—	—	$3,377.55	$249,996.64	$148,187.60	2026-04-01
J9226	HCPCS	Supprelin La Implant	9	4	—	—	$137,441.33	$177,492.62	$146,728.77	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	5	—	—	$90,425.65	$196,743.56	$146,281.46	2026-04-01
J7330	HCPCS	Cultured Chondrocytes Implnt	7	3	—	—	$142,789.46	$256,139.76	$144,316.62	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	5	—	—	$82,868.42	$178,016.71	$139,261.79	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	10	5	—	—	$78,458.36	$168,543.09	$135,474.33	2026-04-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	4	1	—	—	$118,461.46	$143,200.93	$134,943.77	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	13	7	—	—	$20,648.41	$202,099.06	$133,891.50	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	18	10	—	—	$71,809.97	$545,440.69	$132,707.17	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	10	5	—	—	$74,024.99	$159,019.39	$131,987.24	2026-04-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	4	1	—	—	$121,483.84	$169,216.50	$131,531.77	2026-04-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	10	5	—	—	$70,213.38	$153,753.81	$130,850.28	2026-04-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	10	5	—	—	$68,134.92	$152,543.48	$128,358.79	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	6	4	—	—	$97,473.17	$198,917.34	$127,573.02	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	8	6	—	—	$36,727.60	$219,698.72	$123,614.45	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	13	7	—	—	$23,926.79	$186,414.65	$123,500.50	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	5	—	—	$75,470.41	$154,015.45	$122,563.86	2026-04-01
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	4	1	—	—	$112,032.27	$156,051.28	$121,298.46	2026-04-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	10	5	—	—	$66,510.57	$142,877.03	$120,268.65	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	10	5	—	—	$68,369.19	$146,869.69	$119,729.51	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	10	5	—	—	$68,771.11	$147,733.09	$119,577.40	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	14	8	—	—	$29,494.78	$285,741.15	$117,266.80	2026-04-01
10	MS_DRG	Pancreas Transplant	6	4	—	—	$88,518.66	$190,154.48	$116,528.04	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	10	5	—	—	$64,639.74	$138,858.14	$116,429.21	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	6	4	—	—	$88,009.04	$189,059.72	$115,857.17	2026-04-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	5	—	—	$67,074.16	$155,005.20	$115,248.44	2026-04-01
28	MS_DRG	Spinal Procedures With Mcc	10	5	—	—	$71,049.06	$153,749.92	$114,315.12	2026-04-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	10	5	—	—	$65,327.01	$140,334.51	$113,230.95	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	11	5	—	—	$61,364.40	$131,822.09	$111,996.80	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	11	6	—	—	$23,448.48	$145,689.06	$110,090.74	2026-04-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	4	1	—	—	$96,582.48	$116,752.76	$110,020.64	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	13	6	—	—	$47,538.56	$165,919.48	$109,922.37	2026-04-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	5	—	—	$69,529.69	$141,891.98	$109,689.96	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	10	5	—	—	$59,898.82	$128,673.76	$109,428.09	2026-04-01
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	4	1	—	—	$93,602.85	$113,150.86	$106,626.43	2026-04-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	10	5	—	—	$60,270.77	$129,472.77	$106,002.63	2026-04-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	4	1	—	—	$92,918.09	$112,323.10	$105,846.39	2026-04-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	13	6	—	—	$33,669.63	$136,062.80	$104,912.48	2026-04-01
653	MS_DRG	Major Bladder Procedures With Mcc	10	5	—	—	$61,889.56	$132,950.24	$104,238.87	2026-04-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	6	4	—	—	$78,354.87	$159,901.87	$102,550.96	2026-04-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	13	6	—	—	$56,388.10	$217,952.65	$101,595.24	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	12	6	—	—	$52,936.63	$137,395.40	$100,498.96	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	10	5	—	—	$56,561.30	$121,504.15	$99,867.99	2026-04-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	5	—	—	$61,900.14	$133,810.72	$99,490.07	2026-04-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	10	5	—	—	$59,906.59	$128,690.46	$99,284.55	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	5	—	—	$9,186.65	$169,311.09	$97,773.52	2026-04-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc	6	4	—	—	$74,150.45	$159,288.90	$97,613.39	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	10	5	—	—	$56,988.76	$122,422.41	$97,370.61	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	10	5	—	—	$55,530.95	$119,290.78	$96,261.52	2026-04-01
33276	HCPCS	Insj Phrnc Nrv Stim Sys	7	2	—	—	$5,260.00	$113,401.26	$95,851.07	2026-04-01
799	MS_DRG	Splenic Procedures With Mcc	10	5	—	—	$52,788.55	$113,399.58	$95,400.82	2026-04-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	10	5	—	—	$53,926.59	$115,844.31	$94,715.35	2026-04-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	10	5	—	—	$52,232.29	$112,204.64	$93,968.25	2026-04-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	11	5	—	—	$25,025.06	$118,847.15	$93,251.22	2026-04-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	13	7	—	—	$49,651.99	$173,042.84	$92,760.22	2026-04-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	10	5	—	—	$55,919.55	$120,125.56	$92,554.93	2026-04-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	10	5	—	—	$51,652.73	$110,959.62	$92,085.12	2026-04-01
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc	4	1	—	—	$84,360.78	$117,507.28	$91,338.26	2026-04-01
163	MS_DRG	Major Chest Procedures With Mcc	10	5	—	—	$51,171.97	$109,926.87	$90,760.37	2026-04-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	6	4	—	—	$68,682.29	$147,542.29	$90,414.98	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	12	6	—	—	$11,275.21	$126,884.93	$90,129.67	2026-04-01
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	4	1	—	—	$88,550.00	$92,400.00	$88,550.00	2026-04-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/Mcc	6	4	—	—	$67,011.31	$143,952.71	$88,215.26	2026-04-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/Mcc	6	4	—	—	$67,011.31	$143,952.71	$88,215.26	2026-04-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	5	—	—	$53,672.18	$118,604.38	$88,183.95	2026-04-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	13	7	—	—	$52,786.33	$139,382.33	$87,730.58	2026-04-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	16	8	—	—	$17,187.31	$651,499.91	$86,970.99	2026-04-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	10	5	—	—	$51,952.50	$111,603.60	$86,684.08	2026-04-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	5	—	—	$50,462.82	$115,603.93	$85,953.07	2026-04-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	10	5	—	—	$55,546.50	$119,324.17	$85,885.00	2026-04-01
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	11	5	—	—	$47,358.14	$101,734.06	$85,586.84	2026-04-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	24	11	—	—	$6,384.51	$2,533,801.66	$84,768.05	2026-04-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	10	5	—	—	$53,018.38	$113,893.30	$84,506.35	2026-04-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	6	4	—	—	$64,341.64	$131,304.53	$84,210.43	2026-04-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	10	5	—	—	$48,769.31	$104,765.52	$83,988.38	2026-04-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	6	4	—	—	$63,931.41	$130,467.36	$83,673.52	2026-04-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	12	5	—	—	$52,302.90	$119,417.19	$83,572.40	2026-04-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	10	5	—	—	$49,187.89	$105,664.70	$83,331.79	2026-04-01
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	10	5	—	—	$49,789.67	$106,957.42	$82,850.42	2026-04-01
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	11	5	—	—	$50,088.33	$107,599.02	$81,956.40	2026-04-01
J9600	HCPCS	Porfimer Sodium Injection	7	3	—	—	$81,050.29	$104,668.86	$81,917.14	2026-04-01
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	11	5	—	—	$42,757.11	$202,193.00	$81,168.17	2026-04-01
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	11	5	—	—	$45,627.20	$98,015.68	$80,908.13	2026-04-01
245	MS_DRG	Aicd Generator Procedures	12	6	—	—	$15,465.27	$116,547.91	$80,538.05	2026-04-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	10	5	—	—	$46,192.34	$99,229.70	$80,073.85	2026-04-01
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	10	5	—	—	$47,289.30	$101,586.18	$79,715.70	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	6	4	—	—	$60,408.44	$129,768.52	$79,523.08	2026-04-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	14	6	—	—	$3,579.78	$128,812.10	$78,936.99	2026-04-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	6	4	—	—	$60,186.76	$122,825.49	$78,772.51	2026-04-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	10	5	—	—	$45,652.74	$98,070.54	$77,813.30	2026-04-01
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	10	5	—	—	$43,815.22	$94,123.20	$77,299.20	2026-04-01
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	10	5	—	—	$45,559.48	$97,870.19	$77,114.35	2026-04-01
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	10	5	—	—	$42,911.44	$92,181.73	$76,205.51	2026-04-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	11	6	—	—	$46,524.31	$99,942.85	$76,185.92	2026-04-01
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	11	5	—	—	$42,206.41	$90,667.19	$75,787.37	2026-04-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	10	5	—	—	$43,173.47	$92,744.61	$75,121.46	2026-04-01
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	10	5	—	—	$43,412.18	$93,257.41	$75,036.74	2026-04-01
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	10	5	—	—	$43,715.29	$93,908.54	$74,848.04	2026-04-01
C2616	HCPCS	Brachytx, Non-str,yttrium-90	4	1	—	—	$66,998.95	$83,919.61	$74,775.62	2026-04-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	10	5	—	—	$46,953.99	$100,865.88	$72,747.32	2026-04-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	4	1	—	—	$67,001.75	$93,327.66	$72,543.47	2026-04-01
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	11	6	—	—	$41,383.14	$97,004.40	$72,379.03	2026-04-01
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	10	5	—	—	$38,872.22	$83,504.74	$71,670.96	2026-04-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	10	5	—	—	$46,520.98	$99,935.69	$71,204.99	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	6	4	—	—	$53,836.66	$115,651.11	$70,871.84	2026-04-01
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	10	5	—	—	$39,801.53	$85,501.06	$70,028.51	2026-04-01
J9266	HCPCS	Pegaspargase Injection	9	4	—	—	$65,529.25	$99,484.21	$69,957.31	2026-04-01
332	MS_DRG	Rectal Resection With Mcc	10	5	—	—	$38,510.27	$82,727.19	$69,849.43	2026-04-01
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	10	5	—	—	$44,197.15	$94,943.68	$69,631.86	2026-04-01
C9741	HCPCS	Impl Pressure Sensor W/angio	7	2	—	—	$3,040.29	$82,224.00	$69,498.85	2026-04-01
9312	OTHER	Inj., Ravulizumab-cwvz 10 Mg	1	1	—	—	$69,025.21	$69,025.21	$69,025.21	2026-04-01
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	10	5	—	—	$39,085.40	$83,962.68	$68,956.01	2026-04-01
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	11	6	—	—	$17,215.67	$95,010.46	$68,836.79	2026-04-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	10	5	—	—	$40,235.65	$86,433.64	$68,836.63	2026-04-01
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	7	2	—	—	$8,068.00	$81,352.25	$68,762.02	2026-04-01
265	MS_DRG	Aicd Lead Procedures	10	5	—	—	$39,602.79	$85,074.13	$68,049.10	2026-04-01
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	14	7	—	—	$20,644.00	$134,933.16	$67,988.07	2026-04-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	10	5	—	—	$38,899.98	$83,564.36	$67,877.73	2026-04-01
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	11	6	—	—	$38,180.51	$99,915.18	$67,390.11	2026-04-01
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	10	5	—	—	$38,026.19	$81,687.29	$67,128.71	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	11	5	—	—	$40,507.67	$87,017.99	$67,045.31	2026-04-01
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	11	6	—	—	$19,220.97	$93,172.03	$66,890.02	2026-04-01
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	10	5	—	—	$39,426.26	$84,694.90	$66,662.74	2026-04-01
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	10	5	—	—	$38,242.69	$82,152.38	$66,549.13	2026-04-01
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	10	5	—	—	$37,660.90	$80,902.59	$66,527.96	2026-04-01
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	12	6	—	—	$29,570.39	$91,163.29	$66,084.96	2026-04-01
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	10	5	—	—	$38,468.08	$82,636.56	$65,578.68	2026-04-01
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	12	7	—	—	$13,298.13	$89,961.20	$65,430.44	2026-04-01
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	10	5	—	—	$39,799.31	$85,496.29	$65,280.22	2026-04-01
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	10	5	—	—	$38,893.32	$83,550.05	$65,018.36	2026-04-01
37	MS_DRG	Extracranial Procedures With Mcc	10	5	—	—	$36,869.27	$79,202.02	$64,997.18	2026-04-01
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	10	5	—	—	$36,185.33	$77,732.79	$64,354.07	2026-04-01
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	10	5	—	—	$36,289.70	$77,956.99	$64,115.30	2026-04-01
64582	HCPCS	Opn Mpltj Hpglsl Nstm Ary Pg	7	2	—	—	$4,524.00	$75,759.97	$64,035.21	2026-04-01
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	10	5	—	—	$36,658.31	$78,748.85	$64,034.43	2026-04-01
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	10	5	—	—	$37,825.22	$81,255.59	$63,834.18	2026-04-01
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	11	6	—	—	$34,486.59	$110,899.18	$63,601.54	2026-04-01
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	4	1	—	—	$55,702.37	$67,335.25	$63,452.60	2026-04-01
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	10	5	—	—	$35,791.18	$76,886.08	$63,425.97	2026-04-01
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	6	4	—	—	$48,038.74	$103,196.12	$63,239.32	2026-04-01
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	4	1	—	—	$55,435.87	$67,013.09	$63,149.02	2026-04-01
904	MS_DRG	Skin Grafts For Injuries With Cc/Mcc	10	5	—	—	$42,867.03	$92,086.33	$63,070.68	2026-04-01
33287	HCPCS	Rmv&rplcmt Phrnc Nrv Stim Pg	7	2	—	—	$5,260.00	$74,557.45	$63,018.80	2026-04-01
264	MS_DRG	Other Circulatory System O.r. Procedures	10	5	—	—	$38,803.39	$83,356.86	$62,886.83	2026-04-01
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	6	4	—	—	$47,722.11	$97,388.40	$62,458.77	2026-04-01
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	10	5	—	—	$34,649.81	$74,434.20	$62,401.60	2026-04-01
0268T	OTHER	Implt/rpl Crtd Sns Dev Gen	7	2	—	—	$20,186.50	$73,379.22	$62,022.92	2026-04-01
0312T	OTHER	Laps Impltj Nstim Vagus	7	2	—	—	$3,669.79	$73,379.22	$62,022.92	2026-04-01
0427T	OTHER	Insj/rplc Nstim Apnea Pls Gn	7	2	—	—	$20,485.45	$73,379.22	$62,022.92	2026-04-01
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	7	2	—	—	$3,669.79	$73,379.22	$62,022.92	2026-04-01
0316T	OTHER	Replc Vagus Nerve Pls Gen	7	2	—	—	$20,186.50	$73,379.22	$62,022.92	2026-04-01
0431T	OTHER	Rmvl/rplc Nstim Apnea Pls Gn	7	2	—	—	$20,485.45	$73,379.22	$62,022.92	2026-04-01
0424T	OTHER	Insj/rplc Nstim Apnea Compl	7	2	—	—	$31,541.65	$73,379.22	$62,022.92	2026-04-01
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	10	5	—	—	$35,238.26	$75,698.30	$61,910.60	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	7	4	—	—	$19,694.77	$109,881.56	$61,875.42	2026-04-01
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	10	5	—	—	$35,575.78	$76,423.37	$61,627.55	2026-04-01
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	10	5	—	—	$34,332.26	$73,752.06	$60,874.68	2026-04-01
33289	HCPCS	Tcat Impl Wrls P-art Prs Snr	7	2	—	—	$8,068.00	$71,874.26	$60,750.86	2026-04-01
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	12	5	—	—	$9,496.29	$73,546.94	$60,726.42	2026-04-01
791	MS_DRG	Prematurity With Major Problems	16	9	—	—	$12,776.78	$531,347.83	$60,601.82	2026-04-01
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	10	5	—	—	$36,169.79	$77,699.40	$60,414.49	2026-04-01
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	10	5	—	—	$35,411.46	$76,070.38	$60,175.73	2026-04-01
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	4	—	—	$45,922.25	$93,715.35	$60,103.10	2026-04-01
500	MS_DRG	Soft Tissue Procedures With Mcc	11	5	—	—	$4,931.12	$75,571.89	$60,014.50	2026-04-01
J7310	HCPCS	Ganciclovir Long Act Implant	7	3	—	—	$15,789.91	$76,968.65	$59,600.64	2026-04-01
665	MS_DRG	Prostatectomy With Mcc	10	5	—	—	$38,120.56	$81,890.02	$59,480.62	2026-04-01
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	10	5	—	—	$34,068.02	$73,184.41	$59,209.13	2026-04-01
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	13	7	—	—	$31,905.58	$89,298.14	$59,160.40	2026-04-01
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	15	8	—	—	$22,153.13	$183,884.88	$59,070.86	2026-04-01
252	MS_DRG	Other Vascular Procedures With Mcc	12	7	—	—	$9,506.96	$81,813.70	$58,135.35	2026-04-01
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	10	5	—	—	$32,737.89	$70,327.06	$57,791.96	2026-04-01
662	MS_DRG	Minor Bladder Procedures With Mcc	10	5	—	—	$34,634.26	$74,400.81	$57,701.46	2026-04-01
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	10	5	—	—	$32,360.40	$69,516.12	$57,653.32	2026-04-01
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	6	4	—	—	$43,627.58	$93,720.12	$57,432.37	2026-04-01
81416	HCPCS	Exome Sequence Analysis	5	2	—	—	$26,208.00	$58,920.00	$57,360.00	2026-04-01
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	10	5	—	—	$35,473.64	$76,203.95	$57,160.40	2026-04-01
A9604	HCPCS	Sm 153 Lexidronam	6	2	—	—	$56,686.32	$73,205.08	$56,989.46	2026-04-01
472	MS_DRG	Cervical Spinal Fusion With Cc	10	5	—	—	$32,164.99	$69,096.35	$56,906.23	2026-04-01
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	10	5	—	—	$32,653.51	$70,145.79	$56,781.07	2026-04-01
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	10	5	—	—	$32,562.47	$69,950.21	$56,307.39	2026-04-01
570	MS_DRG	Skin Debridement With Mcc	10	5	—	—	$33,424.05	$71,801.05	$56,266.96	2026-04-01
974	MS_DRG	HIV With Major Related Condition With Mcc	10	5	—	—	$33,153.14	$71,219.09	$56,157.21	2026-04-01
338	MS_DRG	Appendectomy With Complicated Principal Diagnosis With Mcc	4	1	—	—	$49,163.85	$59,431.22	$56,004.33	2026-04-01
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	13	6	—	—	$22,473.28	$84,203.57	$55,785.23	2026-04-01
0283T	OTHER	Periph Field Stimul Perm	7	2	—	—	$30,873.72	$65,929.22	$55,725.89	2026-04-01
406	MS_DRG	Pancreas, Liver And Shunt Procedures With Cc	10	5	—	—	$31,179.05	$66,978.38	$55,596.89	2026-04-01
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	10	5	—	—	$30,381.87	$65,265.88	$55,464.03	2026-04-01
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	10	5	—	—	$31,606.51	$67,896.64	$55,352.35	2026-04-01
654	MS_DRG	Major Bladder Procedures With Cc	13	7	—	—	$31,331.16	$69,819.99	$54,758.21	2026-04-01
668	MS_DRG	Transurethral Procedures With Mcc	10	5	—	—	$32,377.05	$69,551.90	$54,260.59	2026-04-01
800	MS_DRG	Splenic Procedures With Cc	10	5	—	—	$32,349.29	$69,492.27	$54,254.81	2026-04-01
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	10	5	—	—	$32,331.53	$69,454.11	$54,091.15	2026-04-01
61	MS_DRG	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	10	5	—	—	$30,013.25	$64,474.02	$53,967.92	2026-04-01
33264	HCPCS	Rmvl & Rplcmt Dfb Gen Mlt Ld	10	3	—	—	$5,260.00	$81,352.25	$53,765.08	2026-04-01
33249	HCPCS	Insj/rplcmt Defib W/lead(s)	10	3	—	—	$8,068.00	$81,352.25	$53,765.08	2026-04-01
33270	HCPCS	Ins/rep Subq Defibrillator	10	3	—	—	$5,260.00	$81,352.25	$53,765.08	2026-04-01
33231	HCPCS	Insrt Pulse Gen W/mult Leads	10	3	—	—	$5,260.00	$81,352.25	$53,765.08	2026-04-01
255	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	10	5	—	—	$29,048.41	$62,401.37	$52,901.18	2026-04-01
963	MS_DRG	Other Multiple Significant Trauma With Mcc	10	5	—	—	$30,162.03	$64,793.63	$52,648.94	2026-04-01
510	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	10	5	—	—	$31,731.97	$68,166.16	$52,385.15	2026-04-01
263	MS_DRG	Vein Ligation And Stripping	11	6	—	—	$18,078.53	$63,966.00	$52,285.98	2026-04-01
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	10	5	—	—	$31,147.96	$66,911.60	$52,154.10	2026-04-01
849	MS_DRG	Radiotherapy	10	5	—	—	$29,654.63	$63,703.64	$51,822.90	2026-04-01
13	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc	10	5	—	—	$29,420.36	$63,200.38	$51,713.15	2026-04-01
503	MS_DRG	Foot Procedures With Mcc	10	5	—	—	$29,383.72	$63,121.67	$51,639.99	2026-04-01
793	MS_DRG	Full Term Neonate With Major Problems	22	11	—	—	$2,354.00	$322,904.85	$51,114.58	2026-04-01
164	MS_DRG	Major Chest Procedures With Cc	11	5	—	—	$27,943.68	$60,028.20	$51,015.65	2026-04-01
577	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	10	5	—	—	$29,562.48	$63,505.67	$51,008.42	2026-04-01
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	18	9	—	—	$18,603.66	$80,667.85	$50,929.23	2026-04-01
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	10	5	—	—	$31,776.39	$68,261.56	$50,915.99	2026-04-01
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	14	7	—	—	$16,867.06	$66,109.54	$50,800.59	2026-04-01
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	6	4	—	—	$38,551.35	$82,815.44	$50,749.90	2026-04-01
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc	12	7	—	—	$27,397.42	$174,152.27	$50,575.57	2026-04-01
81280	HCPCS	Long Qt Synd Gene Full Seq	4	1	—	—	$45,267.79	$50,978.17	$50,303.31	2026-04-01
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	10	5	—	—	$28,031.39	$60,216.62	$50,274.81	2026-04-01
5661	OTHER	Therapeutic Nuclear Medicine	7	4	—	—	$6,147.23	$176,043.50	$50,269.26	2026-04-01
135	MS_DRG	Sinus And Mastoid Procedures With Cc/Mcc	10	5	—	—	$26,767.89	$59,332.78	$50,181.12	2026-04-01
288	MS_DRG	Acute And Subacute Endocarditis With Mcc	10	5	—	—	$30,325.24	$65,144.24	$49,928.21	2026-04-01
659	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Mcc	10	5	—	—	$28,692.01	$61,635.75	$49,849.27	2026-04-01
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	14	7	—	—	$18,552.61	$68,378.43	$49,681.82	2026-04-01
253	MS_DRG	Other Vascular Procedures With Cc	10	5	—	—	$28,344.49	$60,889.22	$49,121.43	2026-04-01
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	12	6	—	—	$20,222.35	$68,299.72	$48,962.67	2026-04-01
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc	12	7	—	—	$29,352.63	$90,716.23	$48,761.36	2026-04-01
347	MS_DRG	Anal And Stomal Procedures With Mcc	10	5	—	—	$26,276.03	$57,028.47	$48,756.89	2026-04-01
749	MS_DRG	Other Female Reproductive System O.r. Procedures With Cc/Mcc	10	5	—	—	$28,738.64	$61,735.93	$48,468.68	2026-04-01
0614T	OTHER	Rmvl&rplcmt Ss Impl Dfb Pg	7	2	—	—	$7,334.00	$57,236.48	$48,378.46	2026-04-01
0515T	OTHER	Insj Wcs Lv Compl Sys	7	2	—	—	$6,355.00	$57,236.48	$48,378.46	2026-04-01
0520T	OTHER	Rmvl&rplcmt Pg Wcs New Eltrd	7	2	—	—	$6,355.00	$57,236.48	$48,378.46	2026-04-01
545	MS_DRG	Connective Tissue Disorders With Mcc	10	5	—	—	$28,053.60	$60,264.32	$48,006.57	2026-04-01
341	MS_DRG	Appendectomy Without Complicated Principal Diagnosis With Mcc	4	1	—	—	$41,807.31	$50,538.35	$47,624.24	2026-04-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	15	7	—	—	$3,607.04	$84,174.95	$47,399.77	2026-04-01
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	15	7	—	—	$14,462.10	$95,938.51	$47,284.26	2026-04-01
G2171	HCPCS	Avf Use Magnetic/art/ven	8	1	—	—	$33,952.14	$83,047.24	$47,262.01	2026-04-01
G2170	HCPCS	Avf By Tissue W Thermal E	8	1	—	—	$33,952.14	$83,047.24	$47,262.01	2026-04-01
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	11	5	—	—	$26,657.97	$61,276.97	$47,128.56	2026-04-01
272	MS_DRG	Other Major Cardiovascular Procedures Without Cc/Mcc	10	5	—	—	$27,779.36	$59,675.20	$46,972.57	2026-04-01
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	12	6	—	—	$16,971.98	$64,264.13	$46,645.93	2026-04-01
0775T	OTHER	Arthrd Si Jt Prq Iartic Impl	4	1	—	—	$46,641.95	$55,182.03	$46,641.95	2026-04-01
0809T	OTHER	Arthrd Si Jt Prq Tfx&implt	4	1	—	—	$46,641.95	$55,182.03	$46,641.95	2026-04-01
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc	6	4	—	—	$35,309.32	$75,850.95	$46,482.01	2026-04-01
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	10	5	—	—	$29,458.11	$63,281.47	$46,296.72	2026-04-01
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	10	5	—	—	$27,801.56	$59,722.90	$46,096.47	2026-04-01
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	11	6	—	—	$9,508.45	$58,399.17	$46,008.40	2026-04-01
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	11	5	—	—	$28,291.20	$60,774.73	$45,975.09	2026-04-01
478	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	10	5	—	—	$25,962.93	$55,773.18	$45,898.15	2026-04-01
674	MS_DRG	Other Kidney And Urinary Tract Procedures With Cc	10	5	—	—	$25,628.73	$55,055.26	$45,869.26	2026-04-01
64568	HCPCS	Inc For Vagus N Elect Impl	10	3	—	—	$4,524.00	$73,379.22	$45,642.25	2026-04-01
473	MS_DRG	Cervical Spinal Fusion Without Cc/Mcc	11	5	—	—	$26,282.69	$56,460.09	$45,538.32	2026-04-01
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	11	5	—	—	$25,157.97	$54,043.98	$45,462.82	2026-04-01
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/Mcc	12	6	—	—	$14,942.00	$62,565.94	$45,428.25	2026-04-01
250	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	10	5	—	—	$25,677.58	$55,160.21	$45,264.65	2026-04-01
652	MS_DRG	Kidney Transplant	6	4	—	—	$34,099.10	$73,251.19	$44,888.86	2026-04-01
835	MS_DRG	Acute Leukemia With Cc	11	5	—	—	$23,713.49	$72,139.24	$44,716.71	2026-04-01
827	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	10	5	—	—	$26,199.42	$56,281.20	$44,617.68	2026-04-01
350	MS_DRG	Inguinal And Femoral Hernia Procedures With Mcc	11	5	—	—	$26,866.70	$57,714.65	$44,416.80	2026-04-01
61891	HCPCS	Rev/rplcmt Sk-mnt Crnl Nstm	7	2	—	—	$5,260.00	$52,523.96	$44,395.25	2026-04-01
0817T	OTHER	Opn Insj/rplcmt Ins Ptn Subf	7	2	—	—	$4,524.00	$52,523.96	$44,395.25	2026-04-01
0816T	OTHER	Opn Insj/rplcmt Ins Ptn Subq	7	2	—	—	$4,524.00	$52,523.96	$44,395.25	2026-04-01
35	MS_DRG	Carotid Artery Stent Procedures With Cc	10	5	—	—	$25,254.57	$54,251.48	$44,276.88	2026-04-01
95	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Cc	11	6	—	—	$20,272.67	$57,170.85	$44,124.39	2026-04-01
30	MS_DRG	Spinal Procedures Without Cc/Mcc	10	5	—	—	$26,006.87	$59,166.97	$43,991.43	2026-04-01
417	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	10	5	—	—	$27,775.18	$59,136.35	$43,968.67	2026-04-01
357	MS_DRG	Other Digestive System O.r. Procedures With Cc	11	5	—	—	$25,002.53	$53,710.07	$43,942.59	2026-04-01
808	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	13	6	—	—	$24,688.24	$54,628.33	$43,808.57	2026-04-01
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	7	5	—	—	$11,532.83	$73,599.42	$43,626.67	2026-04-01
96	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc	11	5	—	—	$26,613.56	$57,170.85	$43,600.54	2026-04-01

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