Price Transparency Hospital negotiated rates

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

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Hospital

PROVIDENCE ST MARY MEDICAL CENTER

Walla Walla, WA · CCN 500002 · Rates published

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

141,632 of 197,620 rate rows are consumer-grade (71.7%)

55,988 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 55,883
template filing: same amount across many unrelated codes — excluded 67
placeholder amount (≤ $0.02) — excluded from medians 38
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 · 2026-05-16
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
$3,325,455
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
$2,469,189
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $1,806,919.94 $829,144.09 nat. median
$754,974
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $1,731,351.73 $794,467.99 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $1,654,171.38 $759,052.13 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $1,646,875.94 $755,704.46 nat. median
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $1,564,700.11 $717,996.31 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $1,439,492.95 $660,542.31 nat. median
$620,080
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
$370,174
1.1× median
0100T
HCPCS 		Prosth Retina Receive&Gen 2 $24,827.00 $692,352.27 $358,589.64 nat. median
$11,210
outlier · 32.0×
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
$265,286
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
$63,188
outlier · 3.7×
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 2 $41,850.47 $261,295.40 $212,586.18 nat. median
$42,941
outlier · 5.0×
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
$206,368
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
$202,986
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $174,613.89 $174,613.89 $174,613.89 nat. median
$87,411
2.0× median
5166
OTHER 		Cochlear Implant Procedure 1 $100,458.40 $185,525.80 $142,992.10 nat. median
$33,509
outlier · 4.3×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 2 $27,515.25 $171,792.79 $139,768.14 nat. median
$30,333
outlier · 4.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $130,689.47 $130,689.47 $130,689.47 nat. median
$65,381
2.0× median
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
$133,176
0.9× median
5200
OTHER 		Implantation Wireless Pa Pressure Monitor 1 $87,067.89 $160,796.33 $123,932.11 nat. median
$28,997
outlier · 4.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $123,756.60 $123,756.60 $123,756.60 nat. median
$76,377
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
$62,270
1.9× median
7
MS_DRG 		Lung Transplant 9 $106,886.10 $362,843.31 $117,574.71 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $99,230.08 $363,759.59 $109,153.09 nat. median
$117,303
0.9× 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
$108,660
0.9× median
5213
OTHER 		Level 3 Electrophysiologic Procedures 1 $71,148.44 $131,396.39 $101,272.42 nat. median
$26,257
outlier · 3.9×
209
MS_DRG 		Complex Aortic Arch Procedures 9 $93,489.09 $172,954.82 $100,968.22 nat. median
$98,017
1.0× 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
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $89,837.23 $302,457.81 $98,820.95 nat. median
$102,358
1.0× median
5232
OTHER 		Level 2 Icd And Similar Procedures 2 $18,203.24 $182,010.43 $98,554.90 nat. median
$32,531
outlier · 3.0×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,499.33 $189,118.52 $95,249.00 nat. median
$69,774
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
$100,136
0.9× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $65,531.97 $121,023.95 $93,277.96 nat. median
$20,658
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
$48,483
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 9 $82,306.04 $294,158.56 $90,536.64 nat. median
$99,019
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
$93,672
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,512.78 $392,318.26 $86,649.94 nat. median
$66,682
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
$27,776
outlier · 3.1×
5378
OTHER 		Level 8 Urology And Related Services 1 $60,428.03 $111,598.03 $86,013.03 nat. median
$20,900
outlier · 4.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $74,526.02 $231,568.44 $81,978.62 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $71,651.01 $255,760.96 $78,816.11 nat. median
$83,442
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $167,177.82 $78,197.93 nat. median
$62,507
1.3× median
0618T
HCPCS 		Insj Iris Prosth Sec Io Lens 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$9,456
outlier · 8.3×
0617T
HCPCS 		Insj Iris Prosth W/rmvl&insj 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$8,800
outlier · 8.9×
0616T
HCPCS 		Insertion Of Iris Prosthesis 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$4,807
outlier · 16.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $46,572.42 $235,272.42 $76,742.09 nat. median
$79,312
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
$81,118
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $17,953.00 $245,965.02 $76,401.93 nat. median
$15,912
outlier · 4.8×

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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $2,587,087.26 $4,786,111.43 $2,845,795.98 2026-04-01
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
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
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
0100T HCPCS Prosth Retina Receive&Gen 2 2 — — $24,827.00 $692,352.27 $358,589.64 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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 8 — — $55,512.78 $392,318.26 $86,649.94 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
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $99,230.08 $363,759.59 $109,153.09 2026-04-01
7 MS_DRG Lung Transplant 17 9 — — $106,886.10 $362,843.31 $117,574.71 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 9 — — $89,837.23 $302,457.81 $98,820.95 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 9 — — $85,208.97 $295,669.03 $93,729.87 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
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
J9226 HCPCS Supprelin La Implant 16 8 — — $41,173.43 $273,064.64 $66,057.43 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
0266T HCPCS Implt/rpl Crtd Sns Dev Total 5 2 — — $41,850.47 $261,295.40 $212,586.18 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 7 — — $16,398.00 $261,295.40 $66,261.98 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
38240 HCPCS Transplt Allo Hct/donor 14 7 — — $17,953.00 $245,965.02 $76,401.93 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
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
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
10 MS_DRG Pancreas Transplant 17 9 — — $59,466.09 $221,367.21 $65,412.70 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
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
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
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
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
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
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
J9266 HCPCS Pegaspargase Injection 16 8 — — $27,014.86 $190,918.55 $43,000.39 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
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 15 7 — — $63,499.33 $189,118.52 $95,249.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 14 7 — — $24,827.00 $186,165.56 $38,126.03 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
5166 OTHER Cochlear Implant Procedure 2 1 — — $100,458.40 $185,525.80 $142,992.10 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
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
5232 OTHER Level 2 Icd And Similar Procedures 3 2 — — $18,203.24 $182,010.43 $98,554.90 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 16 7 — — $24,827.00 $182,010.43 $47,220.31 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 16 7 — — $24,827.00 $182,010.43 $47,220.31 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
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
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
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
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
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $93,489.09 $172,954.82 $100,968.22 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
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 5 2 — — $27,515.25 $171,792.79 $139,768.14 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
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
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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 9 — — $50,325.35 $169,603.06 $55,357.88 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 9 — — $49,879.44 $168,792.29 $54,867.38 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 9 — — $45,149.35 $167,581.69 $49,664.28 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,824.55 $167,177.82 $78,197.93 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
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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 10 — — $14,681.65 $165,068.87 $54,282.04 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
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 1 — — $87,067.89 $160,796.33 $123,932.11 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
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 16 7 — — $17,967.00 $159,681.65 $66,261.98 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
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
653 MS_DRG Major Bladder Procedures With Mcc 17 9 — — $43,212.15 $154,773.24 $47,533.37 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
834 MS_DRG Acute Leukemia With Mcc 17 9 — — $45,622.36 $153,459.91 $50,184.60 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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 9 — — $46,564.27 $151,069.25 $51,220.70 2026-04-01
69930 HCPCS Implant Cochlear Device 14 7 — — $24,827.00 $150,941.15 $40,049.10 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
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
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
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
33231 HCPCS Insrt Pulse Gen W/mult Leads 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
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 14 7 — — $16,398.00 $148,081.06 $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
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
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
64568 HCPCS Inc For Vagus N Elect Impl 14 7 — — $13,809.00 $144,402.03 $53,500.41 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $24,732.59 $142,517.32 $48,255.11 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $12,786.33 $141,015.18 $45,645.44 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
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
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 14 7 — — $16,398.00 $139,768.14 $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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 9 — — $8,653.50 $138,355.20 $45,284.11 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
245 MS_DRG Aicd Generator Procedures 18 9 — — $5,945.25 $135,678.56 $41,806.34 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
6 MS_DRG Liver Transplant Without Mcc 17 9 — — $38,618.37 $134,634.56 $42,480.21 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
799 MS_DRG Splenic Procedures With Mcc 17 9 — — $37,730.66 $132,013.45 $41,503.73 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
5213 OTHER Level 3 Electrophysiologic Procedures 2 1 — — $71,148.44 $131,396.39 $101,272.42 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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $130,689.47 $130,689.47 $130,689.47 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
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $18,203.24 $130,406.15 $70,612.24 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 16 7 — — $20,886.54 $130,406.15 $33,462.46 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 16 7 — — $17,176.00 $130,406.15 $33,462.46 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 16 7 — — $20,886.54 $130,406.15 $33,462.46 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
C9760 HCPCS Non-blind Interatrial Shunt 14 8 — — $25,575.47 $129,914.68 $40,493.71 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
163 MS_DRG Major Chest Procedures With Mcc 17 9 — — $37,343.87 $127,970.72 $41,078.26 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
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
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
5193 OTHER Level 3 Endovascular Procedures 9 6 — — $9,436.88 $125,904.48 $32,955.86 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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 10 — — $21,431.26 $124,169.55 $41,664.51 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $123,756.60 $123,756.60 $123,756.60 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 9 — — $37,188.67 $121,962.16 $40,907.54 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
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
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
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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $6,647.33 $117,422.41 $39,122.58 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
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
793 MS_DRG Full Term Neonate With Major Problems 23 10 — — $3,668.19 $115,800.88 $37,562.51 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 9 — — $34,937.77 $114,168.24 $38,431.55 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
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
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
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
791 MS_DRG Prematurity With Major Problems 20 9 — — $3,668.19 $112,732.74 $36,920.32 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 11 7 — — $13,809.00 $112,313.04 $41,229.80 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
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
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
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
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
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
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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 9 — — $34,417.95 $108,565.06 $37,859.75 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
5224 OTHER Level 4 Pacemaker And Similar Procedures 3 2 — — $22,849.45 $107,799.70 $58,371.32 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
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 9 — — $30,702.86 $107,201.75 $33,773.15 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
93653 HCPCS Ep & Ablate Supravent Arrhyt 14 7 — — $21,045.15 $106,902.24 $31,747.97 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
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
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
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
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
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
1590 OTHER New Technology - Level 39 ($15,001-$20,000) 3 1 — — $16,275.47 $101,616.65 $55,023.32 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
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 14 7 — — $16,398.00 $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
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 10 7 — — $34,386.10 $101,163.92 $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
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 10 7 — — $34,386.10 $101,163.92 $37,480.85 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $13,809.00 $101,163.92 $37,136.99 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $16,398.00 $101,163.92 $37,136.99 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $13,809.00 $101,163.92 $37,136.99 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 9 — — $29,863.59 $100,621.21 $32,849.95 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 15 7 — — $15,974.62 $99,738.31 $28,433.62 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
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
265 MS_DRG Aicd Lead Procedures 17 9 — — $30,252.02 $99,038.55 $33,277.22 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 1 — — $53,425.74 $98,666.25 $76,045.99 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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 9 — — $5,444.43 $97,991.77 $31,370.32 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
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $52,789.47 $97,491.19 $75,140.33 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
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
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
264 MS_DRG Other Circulatory System O.r. Procedures 17 9 — — $27,972.38 $97,039.39 $30,769.62 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 3 2 — — $19,816.75 $97,011.00 $52,529.45 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 16 7 — — $15,537.80 $97,011.00 $28,755.71 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 16 7 — — $15,537.80 $97,011.00 $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
C9765 HCPCS Revasc Intra Lithotrip-stent 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 9 — — $30,971.39 $96,409.11 $34,068.53 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 9 — — $30,272.55 $96,306.37 $33,299.80 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
0616T HCPCS Insertion Of Iris Prosthesis 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
0618T HCPCS Insj Iris Prosth Sec Io Lens 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
0617T HCPCS Insj Iris Prosth W/rmvl&insj 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
5496 OTHER Level 6 Intraocular Procedures 4 1 — — $51,614.93 $95,983.71 $73,647.63 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
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
665 MS_DRG Prostatectomy With Mcc 17 9 — — $26,170.67 $95,331.78 $28,787.74 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
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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 9 — — $26,758.65 $94,182.27 $29,434.52 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
37 MS_DRG Extracranial Procedures With Mcc 17 9 — — $27,574.10 $92,202.56 $30,331.51 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
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
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
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
5463 OTHER Level 3 Neurostimulator And Related Procedures 5 2 — — $39,207.90 $89,821.73 $72,408.86 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
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
27702 HCPCS Reconstruct Ankle Joint 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
21243 HCPCS Reconstruction Of Jaw 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
20696 HCPCS Comp Multiplane Ext Fixation 14 7 — — $16,398.00 $88,956.21 $32,957.94 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 7 — — $14,757.36 $88,956.21 $32,202.03 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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 9 — — $20,965.01 $88,556.88 $29,814.81 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
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 11 7 — — $13,809.00 $88,246.31 $32,394.97 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
500 MS_DRG Soft Tissue Procedures With Mcc 18 10 — — $26,528.71 $87,976.57 $34,828.32 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
5495 OTHER Level 5 Intraocular Procedures 2 1 — — $47,282.30 $87,320.59 $67,301.45 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
662 MS_DRG Minor Bladder Procedures With Mcc 17 9 — — $25,680.42 $86,613.26 $28,248.46 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
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
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
652 MS_DRG Kidney Transplant 17 9 — — $27,060.03 $85,274.94 $29,766.03 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
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
5661 OTHER Therapeutic Nuclear Medicine 2 2 — — $32,714.16 $81,485.48 $57,099.82 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 9 — — $26,903.18 $79,466.29 $30,004.48 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
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 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
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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 9 — — $26,342.30 $77,894.74 $28,976.53 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
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
5377 OTHER Level 7 Urology And Related Services 4 1 — — $38,454.95 $75,440.49 $55,933.89 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 9 — — $12,849.01 $74,465.64 $28,211.43 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
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
5494 OTHER Level 4 Intraocular Procedures 2 1 — — $37,137.89 $68,585.97 $52,861.93 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
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
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
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 12 6 — — $7,432.31 $64,726.97 $32,723.53 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
0398T HCPCS Mrgfus Strtctc Les Abltj 3 2 — — $12,070.42 $61,313.68 $61,313.68 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 3 2 — — $17,967.00 $59,053.43 $59,053.43 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 6 3 — — $9,121.22 $56,948.76 $38,584.65 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 16 11 — — $890.38 $56,948.76 $32,262.40 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
5626 OTHER Level 6 Radiation Therapy 10 7 — — $10,614.08 $53,511.06 $28,099.62 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
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 5 3 — — $11,464.83 $52,151.78 $28,239.11 2026-04-01
0619T HCPCS Cysto W/prst8 Commissurotomy 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
C9769 HCPCS Cysto W/temp Pros Implant 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
0421T HCPCS Waterjet Prostate Abltj Cmpl 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 4 3 — — $9,748.08 $49,516.97 $33,741.99 2026-04-01
37221 HCPCS Iliac 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
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $23,517.16 $47,578.92 $45,656.32 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 5 2 — — $23,618.21 $42,931.79 $29,772.28 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 2 1 — — $22,636.89 $41,805.64 $32,221.26 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 2 1 — — $22,372.22 $41,316.85 $31,844.53 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 5 2 — — $6,339.19 $39,579.02 $32,200.92 2026-04-01
19297 HCPCS Place Breast Cath For Rad 1 1 — — $33,104.00 $33,104.00 $33,104.00 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $29,767.37 $29,767.37 $29,767.37 2026-04-01
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