Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PROVIDENCE ST MARY MEDICAL CENTER

Walla Walla, WA · CCN 500002 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $9,733 across 10 payers · range $3,054-$17,692

Source: https://pricetransparency.providence.org/wamt/live/300502262_providence-st-mary-medical-center_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.

11,733 distinct procedures filed
13 distinct payers
197,620 rate rows
2026-04-01 last MRF observed
Data quality

141,518 of 197,620 rate rows are consumer-grade (71.6%)

56,102 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 50,661
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,334
template filing: same amount across many unrelated codes — excluded 67
placeholder amount (≤ $0.02) — excluded from medians 38
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/300502262_providence-st-mary-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint 5ca9369569c1193f… · 198,743,017 bytes · first seen 2026-05-09

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 5 $3,691,450.00 $4,060,595.00 $3,857,565.25 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,321,376.38 $3,653,514.02 $3,470,838.32 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,587,087.26 $4,786,111.43 $2,845,795.98 nat. median
$2,460,273
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $1,806,919.94 $829,144.09 nat. median
$691,418
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $1,731,351.73 $794,467.99 nat. median
$631,793
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $1,654,171.38 $759,052.13 nat. median
$624,417
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $1,646,875.94 $755,704.46 nat. median
$610,161
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $1,564,700.11 $717,996.31 nat. median
$588,565
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $1,439,492.95 $660,542.31 nat. median
$577,541
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $355,155.22 $1,047,061.41 $390,670.74 nat. median
$370,165
1.1× median
0100T
OTHER 		Prosth Retina Receive&Gen 2 $24,827.00 $692,352.27 $358,589.64 nat. median
$5,118
outlier · 70.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $230,670.83 $782,068.26 $253,737.91 nat. median
$261,939
1.0× median
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 1 $163,701.25 $302,322.22 $233,011.73 nat. median
$64,263
outlier · 3.6×
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 2 $41,850.47 $261,295.40 $212,586.18 nat. median
$39,896
outlier · 5.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $175,869.09 $658,687.26 $193,456.00 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $174,840.13 $595,030.93 $192,324.14 nat. median
$199,832
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $174,613.89 $174,613.89 $174,613.89 nat. median
$83,623
outlier · 2.1×
5166
OTHER 		Cochlear Implant Procedure 1 $100,458.40 $185,525.80 $142,992.10 nat. median
$34,116
outlier · 4.2×
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 2 $27,515.25 $171,792.79 $139,768.14 nat. median
$28,090
outlier · 5.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $130,689.47 $130,689.47 $130,689.47 nat. median
$62,767
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $114,286.72 $392,308.59 $125,715.39 nat. median
$132,706
0.9× median
5200
OTHER 		Implantation Wireless Pa Pressure Monitor 1 $87,067.89 $160,796.33 $123,932.11 nat. median
$29,513
outlier · 4.2×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $123,756.60 $123,756.60 $123,756.60 nat. median
$75,807
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $120,521.69 $169,825.19 $120,521.69 nat. median
$57,648
outlier · 2.1×
7
MS_DRG 		Lung Transplant 9 $106,886.10 $362,843.31 $117,574.71 nat. median
$122,690
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $99,230.08 $363,759.59 $109,153.09 nat. median
$114,305
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $93,595.85 $305,972.99 $102,955.44 nat. median
$108,240
1.0× median
5213
OTHER 		Level 3 Electrophysiologic Procedures 1 $71,148.44 $131,396.39 $101,272.42 nat. median
$26,520
outlier · 3.8×
209
MS_DRG 		Complex Aortic Arch Procedures 9 $93,489.09 $172,954.82 $100,968.22 nat. median
$96,134
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $4,551.24 $291,032.11 $99,239.28 nat. median
$96,835
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $89,837.23 $302,457.81 $98,820.95 nat. median
$100,978
1.0× median
5232
OTHER 		Level 2 Icd And Similar Procedures 2 $18,203.24 $182,010.43 $98,554.90 nat. median
$32,779
outlier · 3.0×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,499.33 $189,118.52 $95,249.00 nat. median
$69,291
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $85,208.97 $295,669.03 $93,729.87 nat. median
$99,646
0.9× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $65,531.97 $121,023.95 $93,277.96 nat. median
$20,895
outlier · 4.5×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $90,753.35 $90,753.35 $90,753.35 nat. median
$46,399
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 9 $82,306.04 $294,158.56 $90,536.64 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $80,875.51 $267,953.01 $88,963.06 nat. median
$92,900
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,512.78 $392,318.26 $86,649.94 nat. median
$65,655
1.3× median
1592
OTHER 		New Technology - Level 41 ($25,001-$30,000) 1 $25,575.47 $159,681.65 $86,464.32 nat. median
$28,109
outlier · 3.1×
5378
OTHER 		Level 8 Urology And Related Services 1 $60,428.03 $111,598.03 $86,013.03 nat. median
$21,354
outlier · 4.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $74,526.02 $231,568.44 $81,978.62 nat. median
$81,124
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $71,651.01 $255,760.96 $78,816.11 nat. median
$81,364
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $167,177.82 $78,197.93 nat. median
$63,643
1.2× median
0617T
OTHER 		Insj Iris Prosth W/rmvl&insj 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$5,420
outlier · 14.4×
0618T
OTHER 		Insj Iris Prosth Sec Io Lens 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$5,373
outlier · 14.5×
0616T
OTHER 		Insertion Of Iris Prosthesis 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$3,955
outlier · 19.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $46,572.42 $235,272.42 $76,742.09 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $69,547.93 $235,139.15 $76,502.72 nat. median
$80,459
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $17,953.00 $245,965.02 $76,401.93 nat. median
$13,835
outlier · 5.5×

Other procedures at this hospital

Browse this hospital's 11,733 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 6 5 — — $3,691,450.00 $4,060,595.00 $3,857,565.25 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $3,321,376.38 $3,653,514.02 $3,470,838.32 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $2,587,087.26 $4,786,111.43 $2,845,795.98 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 7 — — $614,180.81 $1,806,919.94 $829,144.09 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 7 — — $588,494.81 $1,731,351.73 $794,467.99 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 7 — — $562,260.84 $1,654,171.38 $759,052.13 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 — — $559,781.08 $1,646,875.94 $755,704.46 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 7 — — $531,849.12 $1,564,700.11 $717,996.31 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 7 — — $489,290.60 $1,439,492.95 $660,542.31 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 9 — — $355,155.22 $1,047,061.41 $390,670.74 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 2 — — $24,827.00 $692,352.27 $358,589.64 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 9 — — $230,670.83 $782,068.26 $253,737.91 2026-04-01
5244 OTHER Level 4 Blood Product Exchange And Related Services 2 1 — — $163,701.25 $302,322.22 $233,011.73 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 5 2 — — $41,850.47 $261,295.40 $212,586.18 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 9 — — $175,869.09 $658,687.26 $193,456.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 9 — — $174,840.13 $595,030.93 $192,324.14 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $174,613.89 $174,613.89 $174,613.89 2026-04-01
5166 OTHER Cochlear Implant Procedure 2 1 — — $100,458.40 $185,525.80 $142,992.10 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 5 2 — — $27,515.25 $171,792.79 $139,768.14 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $130,689.47 $130,689.47 $130,689.47 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 9 — — $114,286.72 $392,308.59 $125,715.39 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 1 — — $87,067.89 $160,796.33 $123,932.11 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $123,756.60 $123,756.60 $123,756.60 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 2 — — $120,521.69 $169,825.19 $120,521.69 2026-04-01
7 MS_DRG Lung Transplant 17 9 — — $106,886.10 $362,843.31 $117,574.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $99,230.08 $363,759.59 $109,153.09 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 9 — — $93,595.85 $305,972.99 $102,955.44 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 2 1 — — $71,148.44 $131,396.39 $101,272.42 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $93,489.09 $172,954.82 $100,968.22 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $4,551.24 $291,032.11 $99,239.28 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 9 — — $89,837.23 $302,457.81 $98,820.95 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 3 2 — — $18,203.24 $182,010.43 $98,554.90 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 15 7 — — $63,499.33 $189,118.52 $95,249.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 9 — — $85,208.97 $295,669.03 $93,729.87 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 1 — — $65,531.97 $121,023.95 $93,277.96 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $90,753.35 $90,753.35 $90,753.35 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 9 — — $82,306.04 $294,158.56 $90,536.64 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $80,875.51 $267,953.01 $88,963.06 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 8 — — $55,512.78 $392,318.26 $86,649.94 2026-04-01
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 3 1 — — $25,575.47 $159,681.65 $86,464.32 2026-04-01
5378 OTHER Level 8 Urology And Related Services 2 1 — — $60,428.03 $111,598.03 $86,013.03 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 9 — — $74,526.02 $231,568.44 $81,978.62 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $71,651.01 $255,760.96 $78,816.11 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,824.55 $167,177.82 $78,197.93 2026-04-01
0618T OTHER Insj Iris Prosth Sec Io Lens 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
0616T OTHER Insertion Of Iris Prosthesis 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
0617T OTHER Insj Iris Prosth W/rmvl&insj 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 9 — — $46,572.42 $235,272.42 $76,742.09 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $69,547.93 $235,139.15 $76,502.72 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 14 7 — — $17,953.00 $245,965.02 $76,401.93 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 1 — — $53,425.74 $98,666.25 $76,045.99 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $52,789.47 $97,491.19 $75,140.33 2026-04-01
5496 OTHER Level 6 Intraocular Procedures 4 1 — — $51,614.93 $95,983.71 $73,647.63 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 5 2 — — $39,207.90 $89,821.73 $72,408.86 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $72,078.92 $72,078.92 $72,078.92 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 9 — — $65,157.81 $223,807.84 $71,673.59 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $18,203.24 $130,406.15 $70,612.24 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $63,593.43 $214,825.54 $69,952.77 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 9 — — $12,993.17 $217,013.50 $69,653.77 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 9 — — $63,113.85 $207,237.09 $69,425.24 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 5 — — $33,384.75 $171,792.79 $68,145.35 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 — — $49,865.48 $171,982.60 $67,318.40 2026-04-01
5495 OTHER Level 5 Intraocular Procedures 2 1 — — $47,282.30 $87,320.59 $67,301.45 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 7 — — $16,398.00 $261,295.40 $66,261.98 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 16 7 — — $17,967.00 $159,681.65 $66,261.98 2026-04-01
J9226 HCPCS Supprelin La Implant 16 8 — — $41,173.43 $273,064.64 $66,057.43 2026-04-01
10 MS_DRG Pancreas Transplant 17 9 — — $59,466.09 $221,367.21 $65,412.70 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 9 — — $59,441.46 $185,435.23 $65,385.61 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 9 — — $59,128.58 $220,092.75 $65,041.44 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 9 — — $59,094.09 $196,208.44 $65,003.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 9 — — $11,235.65 $197,102.50 $64,603.86 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 9 — — $57,298.95 $193,154.18 $63,028.84 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 9 — — $57,020.57 $185,121.48 $62,722.63 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 9 — — $55,815.05 $189,583.47 $61,396.56 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 3 2 — — $12,070.42 $61,313.68 $61,313.68 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 10 — — $38,285.79 $127,493.14 $61,257.26 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 9 — — $55,448.80 $171,760.48 $60,993.68 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 9 — — $55,408.56 $186,148.82 $60,949.42 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $54,535.63 $179,296.17 $59,989.19 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $54,535.63 $165,182.71 $59,989.19 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 9 — — $54,339.36 $170,977.47 $59,773.30 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 3 2 — — $17,967.00 $59,053.43 $59,053.43 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 9 — — $53,381.03 $179,582.16 $58,719.13 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 3 2 — — $22,849.45 $107,799.70 $58,371.32 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 2 2 — — $32,714.16 $81,485.48 $57,099.82 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 9 — — $50,865.70 $166,329.45 $55,952.27 2026-04-01
5377 OTHER Level 7 Urology And Related Services 4 1 — — $38,454.95 $75,440.49 $55,933.89 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 9 — — $50,807.39 $175,589.41 $55,888.13 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 9 — — $50,325.35 $169,603.06 $55,357.88 2026-04-01
1590 OTHER New Technology - Level 39 ($15,001-$20,000) 3 1 — — $16,275.47 $101,616.65 $55,023.32 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 9 — — $49,879.44 $168,792.29 $54,867.38 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $49,508.26 $159,349.07 $54,459.09 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 10 — — $14,681.65 $165,068.87 $54,282.04 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 9 — — $49,233.98 $167,581.69 $54,157.38 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 10 — — $33,555.69 $176,305.30 $53,689.10 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 9 — — $48,732.23 $163,369.59 $53,605.45 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 9 — — $48,701.03 $161,650.88 $53,571.13 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 14 7 — — $13,809.00 $144,402.03 $53,500.41 2026-04-01
5494 OTHER Level 4 Intraocular Procedures 2 1 — — $37,137.89 $68,585.97 $52,861.93 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 9 — — $47,898.72 $151,882.80 $52,688.59 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 3 2 — — $19,816.75 $97,011.00 $52,529.45 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $47,596.52 $158,396.70 $52,356.17 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $46,707.16 $152,857.38 $51,377.88 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 9 — — $46,564.27 $151,069.25 $51,220.70 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 9 — — $47,404.36 $87,698.07 $51,196.71 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 9 — — $181.14 $125,260.76 $51,155.90 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 9 — — $4,771.54 $149,955.84 $51,131.08 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 9 — — $46,248.93 $138,910.52 $50,873.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 9 — — $45,894.17 $170,391.61 $50,483.59 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 9 — — $45,622.36 $153,459.91 $50,184.60 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 9 — — $45,463.05 $150,724.95 $50,009.36 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $8,609.08 $147,712.34 $49,938.89 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 9 — — $45,328.37 $149,814.23 $49,861.21 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 9 — — $45,149.35 $167,581.69 $49,664.28 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 10 — — $36,613.01 $118,433.10 $49,427.57 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $44,332.26 $147,057.07 $48,765.49 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 9 — — $44,305.98 $142,986.57 $48,736.58 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 9 — — $44,011.99 $153,471.01 $48,413.19 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $24,732.59 $142,517.32 $48,255.11 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 9 — — $43,212.15 $154,773.24 $47,533.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 9 — — $8,190.48 $141,448.33 $47,373.06 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 16 7 — — $24,827.00 $182,010.43 $47,220.31 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 16 7 — — $24,827.00 $182,010.43 $47,220.31 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $41,929.44 $127,509.80 $46,122.38 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $23,517.16 $47,578.92 $45,656.32 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $12,786.33 $141,015.18 $45,645.44 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 9 — — $8,653.50 $138,355.20 $45,284.11 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $14,090.51 $139,843.46 $45,051.95 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 9 — — $40,787.97 $149,794.79 $44,866.77 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 12 — — $4,035.74 $165,292.00 $44,793.66 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 9 — — $40,192.61 $134,859.46 $44,211.87 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 9 — — $39,992.23 $139,018.81 $43,991.45 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 9 — — $39,635.01 $130,622.37 $43,598.51 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 9 — — $39,147.22 $127,917.96 $43,061.94 2026-04-01
J9266 HCPCS Pegaspargase Injection 16 8 — — $27,014.86 $190,918.55 $43,000.39 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $36,842.72 $132,007.89 $42,975.23 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 9 — — $38,953.42 $132,588.20 $42,848.76 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 9 — — $38,618.37 $134,634.56 $42,480.21 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 9 — — $38,466.45 $129,172.99 $42,313.10 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 9 — — $31,230.06 $101,970.69 $42,160.58 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 9 — — $38,189.71 $129,922.67 $42,008.68 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 9 — — $5,945.25 $135,678.56 $41,806.34 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 10 — — $21,431.26 $124,169.55 $41,664.51 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 17 9 — — $37,730.66 $132,013.45 $41,503.73 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 9 — — $30,690.54 $98,597.07 $41,432.22 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 11 7 — — $13,809.00 $112,313.04 $41,229.80 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 17 9 — — $37,343.87 $127,970.72 $41,078.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 9 — — $37,333.20 $116,347.87 $41,066.52 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 9 — — $37,188.67 $121,962.16 $40,907.54 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 14 8 — — $25,575.47 $129,914.68 $40,493.71 2026-04-01
69930 HCPCS Implant Cochlear Device 14 7 — — $24,827.00 $150,941.15 $40,049.10 2026-04-01
5376 OTHER Level 6 Urology And Related Services 4 1 — — $27,597.05 $53,693.58 $40,019.99 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 9 — — $22,297.58 $118,260.95 $39,683.54 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 9 — — $35,792.63 $124,513.85 $39,371.89 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $6,647.33 $117,422.41 $39,122.58 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 9 — — $35,364.79 $113,374.13 $38,901.27 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 9 — — $35,220.26 $115,517.67 $38,742.29 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 9 — — $35,161.13 $113,935.00 $38,677.24 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 9 — — $35,143.89 $114,104.38 $38,658.28 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 6 3 — — $9,121.22 $56,948.76 $38,584.65 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 9 — — $35,042.88 $116,339.54 $38,547.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 9 — — $35,001.82 $123,008.93 $38,502.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 9 — — $34,937.77 $114,168.24 $38,431.55 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $34,804.73 $119,885.26 $38,285.20 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 14 7 — — $24,827.00 $186,165.56 $38,126.03 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 7 — — $24,827.00 $148,081.06 $38,126.03 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 14 7 — — $16,398.00 $148,081.06 $38,126.03 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 14 7 — — $16,398.00 $148,081.06 $38,126.03 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 7 — — $16,398.00 $148,081.06 $38,126.03 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 9 — — $34,643.78 $112,927.10 $38,108.16 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 9 — — $34,417.95 $108,565.06 $37,859.75 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 10 — — $3,668.19 $115,800.88 $37,562.51 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 10 7 — — $34,386.10 $101,163.92 $37,480.85 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 14 7 — — $16,398.00 $101,163.92 $37,480.85 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 10 7 — — $34,386.10 $101,163.92 $37,480.85 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 14 7 — — $16,398.00 $139,768.14 $37,480.85 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 14 7 — — $13,809.00 $101,163.92 $37,480.85 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 7 — — $34,386.10 $101,163.92 $37,480.85 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 14 7 — — $13,809.00 $139,768.14 $37,480.85 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 14 7 — — $13,809.00 $139,768.14 $37,480.85 2026-04-01
61886 HCPCS Implant Neurostim Arrays 14 7 — — $16,398.00 $139,768.14 $37,480.85 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $13,809.00 $101,163.92 $37,136.99 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $16,398.00 $101,163.92 $37,136.99 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $13,809.00 $101,163.92 $37,136.99 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 9 — — $3,668.19 $112,732.74 $36,920.32 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 9 — — $33,256.78 $99,530.00 $36,582.46 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $32,663.87 $105,549.67 $35,930.26 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 9 — — $32,518.52 $120,135.15 $35,770.37 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 9 — — $32,325.54 $107,968.09 $35,558.09 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 9 — — $32,277.91 $109,103.72 $35,505.70 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 9 — — $17,688.31 $104,727.80 $35,472.28 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 11 — — $11,640.84 $75,484.08 $35,430.32 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 9 — — $32,067.69 $110,605.86 $35,274.46 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 7 — — $24,827.00 $130,821.56 $34,839.82 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 10 — — $26,528.71 $87,976.57 $34,828.32 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 9 — — $31,441.11 $106,127.21 $34,585.22 2026-04-01
C9769 HCPCS Cysto W/temp Pros Implant 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
0619T OTHER Cysto W/prst8 Commissurotomy 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
0421T OTHER Waterjet Prostate Abltj Cmpl 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 9 — — $7,093.92 $91,675.00 $34,437.08 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 9 — — $31,233.35 $106,926.87 $34,356.68 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 9 — — $31,143.84 $109,572.97 $34,258.22 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 9 — — $30,971.39 $96,409.11 $34,068.53 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 9 — — $30,702.86 $107,201.75 $33,773.15 2026-04-01
37221 HCPCS Iliac Revasc W/stent 4 3 — — $9,748.08 $49,516.97 $33,741.99 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 4 3 — — $9,748.08 $49,516.97 $33,741.99 2026-04-01
37228 HCPCS Tib/per Revasc W/tla 4 3 — — $9,748.08 $49,516.97 $33,741.99 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 16 7 — — $20,886.54 $130,406.15 $33,462.46 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 16 7 — — $17,176.00 $130,406.15 $33,462.46 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 16 7 — — $20,886.54 $130,406.15 $33,462.46 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 9 — — $30,336.60 $88,123.73 $33,370.26 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 9 — — $30,313.61 $97,744.65 $33,344.97 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 9 — — $30,272.55 $96,306.37 $33,299.80 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 9 — — $30,252.02 $99,038.55 $33,277.22 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 9 — — $30,199.46 $99,535.56 $33,219.41 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 9 — — $30,155.12 $88,967.82 $33,170.63 2026-04-01
19297 HCPCS Place Breast Cath For Rad 1 1 — — $33,104.00 $33,104.00 $33,104.00 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 14 7 — — $16,398.00 $88,956.21 $32,957.94 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
22630 HCPCS Lumbar Spine Fusion 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 9 — — $29,961.32 $110,528.12 $32,957.45 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 9 6 — — $9,436.88 $125,904.48 $32,955.86 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 11 — — $22,882.60 $108,649.18 $32,906.94 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 9 — — $29,893.16 $109,323.07 $32,882.48 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 9 — — $29,863.59 $100,621.21 $32,849.95 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $16,915.21 $97,211.54 $32,802.08 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 9 — — $29,795.43 $97,280.96 $32,774.97 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 9 — — $22,850.97 $103,955.90 $32,744.26 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 12 6 — — $7,432.31 $64,726.97 $32,723.53 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 10 — — $26,690.20 $95,095.77 $32,449.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 10 — — $16,640.81 $95,637.21 $32,420.64 2026-04-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 11 7 — — $13,809.00 $88,246.31 $32,394.97 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 9 — — $29,440.68 $101,301.47 $32,384.75 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 10 — — $430.00 $67,097.75 $32,360.34 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 16 11 — — $890.38 $56,948.76 $32,262.40 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 2 1 — — $22,636.89 $41,805.64 $32,221.26 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 10 — — $20,136.52 $65,985.90 $32,218.43 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 7 — — $14,757.36 $88,956.21 $32,202.03 2026-04-01
0275T OTHER Perq Lamot/lam Lumbar 5 2 — — $6,339.19 $39,579.02 $32,200.92 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 17 9 — — $29,185.29 $95,242.93 $32,103.82 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 9 — — $29,177.89 $107,312.81 $32,095.68 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 9 — — $29,046.50 $96,200.86 $31,951.15 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 2 1 — — $22,372.22 $41,316.85 $31,844.53 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 9 — — $28,908.54 $95,481.72 $31,799.39 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 14 7 — — $21,045.15 $106,902.24 $31,747.97 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 14 7 — — $21,045.15 $106,902.24 $31,747.97 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 14 7 — — $21,045.15 $106,902.24 $31,747.97 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 9 — — $28,693.39 $97,264.30 $31,562.73 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 19 9 — — $19,636.41 $62,526.26 $31,418.26 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 9 — — $28,555.43 $93,196.58 $31,410.97 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 9 — — $5,444.43 $97,991.77 $31,370.32 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 9 — — $28,777.15 $53,237.73 $31,079.32 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 9 — — $27,972.38 $97,039.39 $30,769.62 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 9 — — $27,666.07 $75,978.88 $30,432.68 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 9 — — $27,574.10 $92,202.56 $30,331.51 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 9 — — $27,570.81 $86,652.13 $30,327.89 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 9 — — $26,903.18 $79,466.29 $30,004.48 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 9 — — $27,251.37 $94,593.21 $29,976.51 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 9 — — $26,770.15 $90,492.17 $29,847.33 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 9 — — $20,965.01 $88,556.88 $29,814.81 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $27,067.42 $136,970.25 $29,774.16 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 5 2 — — $23,618.21 $42,931.79 $29,772.28 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $29,767.37 $29,767.37 $29,767.37 2026-04-01
652 MS_DRG Kidney Transplant 17 9 — — $27,060.03 $85,274.94 $29,766.03 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 9 — — $27,040.32 $89,506.48 $29,744.35 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 9 — — $26,988.58 $88,301.43 $29,687.44 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 9 — — $26,758.65 $94,182.27 $29,434.52 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 9 — — $26,710.20 $85,858.03 $29,381.22 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 9 — — $26,684.74 $90,453.30 $29,353.21 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 18 9 — — $21,719.79 $66,555.10 $29,321.72 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 9 — — $26,632.18 $98,025.09 $29,295.40 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 9 — — $26,489.30 $85,619.24 $29,138.23 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $26,415.39 $88,712.37 $29,056.93 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $26,088.92 $86,243.97 $29,043.38 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 9 — — $26,342.30 $77,894.74 $28,976.53 2026-04-01
665 MS_DRG Prostatectomy With Mcc 17 9 — — $26,170.67 $95,331.78 $28,787.74 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 16 7 — — $15,537.80 $97,011.00 $28,755.71 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 9 — — $26,117.29 $81,870.83 $28,729.02 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 9 — — $26,072.13 $84,919.53 $28,679.34 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 15 7 — — $15,974.62 $99,738.31 $28,433.62 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 9 — — $25,680.42 $86,613.26 $28,248.46 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 5 3 — — $11,464.83 $52,151.78 $28,239.11 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 9 — — $12,849.01 $74,465.64 $28,211.43 2026-04-01
5626 OTHER Level 6 Radiation Therapy 10 7 — — $10,614.08 $53,511.06 $28,099.62 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 17 9 — — $25,343.73 $79,355.23 $27,878.10 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 9 — — $25,340.44 $79,602.35 $27,874.48 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 9 — — $181.14 $70,100.82 $27,844.67 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 14 7 — — $15,537.80 $78,926.74 $27,577.47 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
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