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 CENTRALIA HOSPITAL

Centralia, WA · CCN 500019 · Rates published

15,071 distinct procedures filed
14 distinct payers
230,775 rate rows
2026-04-01 last MRF observed
Data quality

178,886 of 230,775 rate rows are consumer-grade (77.5%)

51,889 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 51,263
template filing: same amount across many unrelated codes — excluded 599
placeholder amount (≤ $0.02) — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/910573108_providence-centralia-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 51f2b7a310ad1314… · 199,210,636 bytes · first seen 2026-05-13

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 $3,894,479.75 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,321,376.38 $3,653,514.02 $3,504,052.08 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,245,381.39 $3,569,919.53 $3,423,877.37 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,938,320.00 $4,965,760.80 $3,158,694.00 nat. median
$3,004,655
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,587,087.26 $4,786,111.43 $2,819,925.11 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $4,314,200.00 $2,541,880.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $614,180.81 $2,296,422.04 $1,071,745.51 nat. median
$753,246
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $588,494.81 $2,200,382.09 $994,556.23 nat. median
$674,867
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,260.84 $2,102,293.27 $950,220.81 nat. median
$673,137
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $559,781.08 $2,093,021.46 $946,030.03 nat. median
$625,184
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $531,849.12 $1,988,583.85 $928,076.71 nat. median
$634,303
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,290.60 $1,854,595.74 $826,901.12 nat. median
$619,808
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $381,339.91 $2,036,350.80 $514,808.88 nat. median
$370,174
1.4× median
0100T
HCPCS 		Prosth Retina Receive&Gen 2 $22,671.14 $892,127.93 $457,399.54 nat. median
$11,210
outlier · 40.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $247,474.26 $1,520,985.60 $334,090.26 nat. median
$265,286
1.3× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 3 $164,445.33 $346,296.85 $278,277.78 nat. median
$42,941
outlier · 6.5×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $198,344.72 $292,816.10 $266,054.67 nat. median
$87,428
outlier · 3.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $188,542.61 $1,281,031.20 $254,532.52 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $187,436.11 $1,157,230.80 $253,038.75 nat. median
$202,976
1.2× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $155,933.32 $276,632.40 $218,394.00 nat. median
$76,329
outlier · 2.9×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $148,450.77 $219,157.72 $199,128.17 nat. median
$65,393
outlier · 3.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $136,901.14 $202,107.02 $183,635.79 nat. median
$62,372
outlier · 2.9×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 3 $108,117.18 $227,678.34 $182,958.11 nat. median
$30,333
outlier · 6.0×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $170,344.63 $170,344.63 $170,344.63 nat. median
$15,886
outlier · 10.7×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $170,344.63 $170,344.63 $170,344.63 nat. median
$18,872
outlier · 9.0×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $170,344.63 $170,344.63 $170,344.63 nat. median
$24,752
outlier · 6.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $122,319.34 $762,971.40 $165,131.10 nat. median
$133,161
1.2× median
7
MS_DRG 		Lung Transplant 10 $114,361.00 $705,666.60 $154,387.35 nat. median
$122,708
1.3× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $135,663.15 $171,839.99 $153,751.57 nat. median
$21,806
outlier · 7.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $108,243.35 $404,721.89 $146,128.52 nat. median
$111,989
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $106,128.02 $707,448.60 $143,272.83 nat. median
$117,357
1.2× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $103,087.14 $152,187.45 $138,278.54 nat. median
$48,483
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $100,069.18 $595,063.80 $135,093.40 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $96,027.31 $588,227.40 $129,636.87 nat. median
$102,358
1.3× median
38240
HCPCS 		Transplt Allo Hct/donor 10 $31,764.56 $400,670.00 $123,097.65 nat. median
$15,979
outlier · 7.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $91,050.26 $575,024.40 $122,917.86 nat. median
$100,136
1.2× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 1 $120,701.30 $120,701.30 $120,701.30 nat. median
$16,303
outlier · 7.4×
215
MS_DRG 		Other Heart Assist System Implant 10 $87,928.56 $572,086.80 $118,703.56 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $86,390.23 $521,121.60 $116,626.81 nat. median
$93,672
1.2× median
0426T
HCPCS 		Insj/rplc Nstim Apnea Stm Ld 1 $112,784.61 $112,784.61 $112,784.61 nat. median
$13,244
outlier · 8.5×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $81,874.78 $120,871.65 $109,824.79 nat. median
$39,075
outlier · 2.8×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $99,954.38 $184,915.60 $107,950.73 nat. median
$98,047
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,499.33 $240,927.75 $105,744.38 nat. median
$69,774
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $6,205.25 $566,006.40 $105,112.44 nat. median
$98,894
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $74,208.99 $457,304.40 $100,182.14 nat. median
$81,118
1.2× median
37231
HCPCS 		Tib/per Revasc Stent & Ather 4 $30,494.41 $128,569.43 $98,282.42 nat. median
$18,087
outlier · 5.4×
37229
HCPCS 		Tib/per Revasc W/ather 4 $30,494.41 $128,569.43 $98,282.42 nat. median
$16,929
outlier · 5.8×
37230
HCPCS 		Tib/per Revasc W/stent 4 $30,494.41 $128,569.43 $98,282.42 nat. median
$16,861
outlier · 5.8×
37227
HCPCS 		Fem/popl Revasc Stnt & Ather 4 $30,494.41 $128,569.43 $98,282.42 nat. median
$18,025
outlier · 5.5×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 11 $55,512.78 $418,010.67 $98,189.74 nat. median
$66,682
1.5× median

Other procedures at this hospital

Browse this hospital's 15,071 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 $3,894,479.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $3,321,376.38 $3,653,514.02 $3,504,052.08 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 5 — — $3,245,381.39 $3,569,919.53 $3,423,877.37 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,938,320.00 $4,965,760.80 $3,158,694.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 9 — — $2,587,087.26 $4,786,111.43 $2,819,925.11 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 9 — — $2,332,000.00 $4,314,200.00 $2,541,880.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 10 — — $614,180.81 $2,296,422.04 $1,071,745.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $588,494.81 $2,200,382.09 $994,556.23 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $562,260.84 $2,102,293.27 $950,220.81 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $559,781.08 $2,093,021.46 $946,030.03 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 10 — — $531,849.12 $1,988,583.85 $928,076.71 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $489,290.60 $1,854,595.74 $826,901.12 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 10 — — $381,339.91 $2,036,350.80 $514,808.88 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 2 2 — — $22,671.14 $892,127.93 $457,399.54 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 10 — — $247,474.26 $1,520,985.60 $334,090.26 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 5 3 — — $164,445.33 $346,296.85 $278,277.78 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $198,344.72 $292,816.10 $266,054.67 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 10 — — $188,542.61 $1,281,031.20 $254,532.52 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 10 — — $187,436.11 $1,157,230.80 $253,038.75 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $155,933.32 $276,632.40 $218,394.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $148,450.77 $219,157.72 $199,128.17 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $136,901.14 $202,107.02 $183,635.79 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 5 3 — — $108,117.18 $227,678.34 $182,958.11 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $170,344.63 $170,344.63 $170,344.63 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $170,344.63 $170,344.63 $170,344.63 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $170,344.63 $170,344.63 $170,344.63 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 10 — — $122,319.34 $762,971.40 $165,131.10 2026-04-01
7 MS_DRG Lung Transplant 18 10 — — $114,361.00 $705,666.60 $154,387.35 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $135,663.15 $171,839.99 $153,751.57 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 10 — — $108,243.35 $404,721.89 $146,128.52 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 10 — — $106,128.02 $707,448.60 $143,272.83 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 2 — — $103,087.14 $152,187.45 $138,278.54 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 10 — — $100,069.18 $595,063.80 $135,093.40 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 10 — — $96,027.31 $588,227.40 $129,636.87 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 17 10 — — $31,764.56 $400,670.00 $123,097.65 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 10 — — $91,050.26 $575,024.40 $122,917.86 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $120,701.30 $120,701.30 $120,701.30 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 10 — — $87,928.56 $572,086.80 $118,703.56 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $86,390.23 $521,121.60 $116,626.81 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 1 1 — — $112,784.61 $112,784.61 $112,784.61 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $81,874.78 $120,871.65 $109,824.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 10 — — $99,954.38 $184,915.60 $107,950.73 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 9 — — $63,499.33 $240,927.75 $105,744.38 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $6,205.25 $566,006.40 $105,112.44 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $74,208.99 $457,304.40 $100,182.14 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 6 4 — — $30,494.41 $128,569.43 $98,282.42 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 6 4 — — $30,494.41 $128,569.43 $98,282.42 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 6 4 — — $30,494.41 $128,569.43 $98,282.42 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 6 4 — — $30,494.41 $128,569.43 $98,282.42 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 11 — — $55,512.78 $418,010.67 $98,189.74 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 18 10 — — $56,824.55 $215,933.29 $97,124.18 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 10 — — $69,488.03 $435,267.00 $93,808.84 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $67,805.75 $417,798.00 $91,537.76 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 10 — — $67,290.03 $403,039.80 $90,841.54 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 2 2 — — $10,122.47 $170,344.63 $90,233.55 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 2 2 — — $10,122.47 $170,344.63 $90,233.55 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 10 — — $79,562.23 $450,360.00 $86,722.83 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 17 10 — — $9,574.57 $227,678.34 $86,199.07 2026-04-01
10 MS_DRG Pancreas Transplant 18 10 — — $63,367.38 $430,520.40 $85,545.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 10 — — $63,340.89 $360,639.00 $85,510.20 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 10 — — $63,004.43 $428,041.80 $85,055.98 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 10 — — $62,967.34 $381,591.00 $85,005.90 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 16 9 — — $30,494.41 $211,627.35 $83,903.83 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 9 — — $23,717.40 $346,296.85 $83,903.83 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 10 — — $76,470.56 $497,410.20 $83,352.91 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 6 4 — — $30,494.41 $128,569.43 $82,184.77 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 10 — — $60,737.56 $360,028.80 $81,995.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 10 — — $27,630.47 $457,563.60 $81,887.30 2026-04-01
0616T HCPCS Insertion Of Iris Prosthesis 6 4 — — $10,122.47 $127,207.96 $81,314.51 2026-04-01
0617T HCPCS Insj Iris Prosth W/rmvl&insj 6 4 — — $10,122.47 $127,207.96 $81,314.51 2026-04-01
0618T HCPCS Insj Iris Prosth Sec Io Lens 6 4 — — $10,122.47 $127,207.96 $81,314.51 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 5 3 — — $47,428.98 $99,878.21 $80,260.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 10 — — $59,441.19 $368,706.60 $80,245.60 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $58,065.35 $348,699.60 $78,388.22 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $58,065.35 $321,251.40 $78,388.22 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $57,854.29 $332,521.20 $78,103.29 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 3 2 — — $30,494.41 $80,082.64 $77,301.63 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 10 — — $10,041.37 $422,053.20 $74,264.80 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 10 — — $54,118.85 $323,481.60 $73,060.45 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 10 — — $54,056.15 $341,490.60 $72,975.80 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 10 — — $53,537.78 $329,848.20 $72,276.01 2026-04-01
J9226 HCPCS Supprelin La Implant 20 11 — — $41,173.43 $290,030.99 $71,847.63 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 10 — — $53,058.27 $328,271.40 $71,628.66 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 — — $53,043.26 $334,476.00 $71,608.40 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $52,659.11 $309,906.00 $71,089.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 10 — — $52,364.17 $325,917.00 $70,691.63 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 10 — — $51,824.60 $317,725.20 $69,963.21 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 10 — — $51,791.04 $314,382.60 $69,917.90 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 10 — — $43,611.93 $270,081.00 $69,779.09 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 1 1 — — $69,619.15 $69,619.15 $69,619.15 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $11,285.86 $383,329.80 $68,845.92 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 10 — — $43,288.12 $375,651.00 $68,367.57 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $50,603.30 $308,053.80 $68,314.46 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 10 — — $49,493.26 $293,803.20 $66,815.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $49,154.16 $270,156.60 $66,358.12 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $40,168.79 $243,610.20 $66,077.66 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 10 — — $48,480.37 $298,452.60 $65,448.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 10 — — $48,309.05 $293,133.60 $65,217.22 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 10 — — $48,164.22 $291,362.40 $65,021.69 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 10 — — $48,155.50 $180,053.41 $65,009.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 10 — — $47,971.71 $325,917.00 $64,761.81 2026-04-01
69930 HCPCS Implant Cochlear Device 17 10 — — $22,671.14 $245,878.80 $64,526.53 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 10 — — $59,004.07 $362,026.80 $64,314.44 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $19,959.96 $334,044.00 $63,771.13 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $47,093.04 $286,000.20 $63,575.60 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 5 — — $23,517.16 $92,068.00 $63,541.85 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 10 — — $46,748.64 $298,474.20 $63,110.66 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $46,594.10 $277,171.20 $62,902.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 10 — — $5,568.79 $349,255.80 $62,506.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 10 — — $45,888.52 $301,006.80 $61,949.50 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 17 10 — — $22,671.14 $241,219.85 $61,428.09 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 17 10 — — $23,717.40 $241,219.85 $61,428.09 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 17 10 — — $22,671.14 $241,219.85 $61,428.09 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 17 10 — — $22,671.14 $241,219.85 $61,428.09 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 17 10 — — $23,717.40 $241,219.85 $61,428.09 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 17 10 — — $23,717.40 $241,219.85 $61,428.09 2026-04-01
37228 HCPCS Tib/per Revasc W/tla 6 4 — — $30,494.41 $80,661.72 $61,391.45 2026-04-01
37221 HCPCS Iliac Revasc W/stent 6 4 — — $30,494.41 $80,661.72 $61,391.45 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 6 4 — — $30,494.41 $80,661.72 $61,391.45 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 5 3 — — $23,717.40 $75,474.64 $60,650.06 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 10 — — $44,853.57 $167,707.50 $60,552.32 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 17 10 — — $9,574.57 $227,678.34 $60,388.60 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 17 10 — — $9,574.57 $160,393.99 $60,388.60 2026-04-01
61886 HCPCS Implant Neurostim Arrays 17 10 — — $23,717.40 $227,678.34 $60,388.60 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $44,509.14 $247,984.20 $60,087.33 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 9 — — $9,574.57 $227,678.34 $58,780.62 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 16 9 — — $23,717.40 $227,678.34 $58,780.62 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 16 9 — — $23,717.40 $160,393.99 $58,780.62 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $43,462.69 $271,971.00 $58,674.63 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $43,281.66 $291,324.60 $58,430.25 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 10 — — $3,726.22 $321,030.00 $57,734.63 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 10 — — $42,641.42 $262,278.00 $57,565.92 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 10 — — $42,425.95 $270,367.20 $57,275.03 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 10 — — $42,041.81 $254,037.60 $56,756.44 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $8,269.76 $291,637.80 $56,589.91 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 17 10 — — $22,671.14 $213,104.63 $56,133.40 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 10 — — $41,517.26 $248,778.00 $56,048.30 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $41,308.85 $257,860.80 $55,766.95 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 10 — — $50,928.27 $295,385.40 $55,511.82 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 10 — — $40,948.55 $261,840.60 $55,280.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 10 — — $40,785.18 $251,218.80 $55,059.99 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 10 — — $40,487.58 $252,676.80 $54,658.24 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 10 — — $50,396.66 $93,233.82 $54,428.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 10 — — $40,151.13 $241,488.00 $54,204.02 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $49,646.92 $297,280.80 $54,115.14 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $39,993.94 $256,743.00 $53,991.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 10 — — $28,371.00 $331,381.80 $53,649.94 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 10 — — $39,578.01 $248,880.60 $53,430.32 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 10 — — $39,566.53 $226,276.20 $53,414.82 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 10 — — $39,411.11 $237,195.00 $53,205.00 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 17 10 — — $31,420.92 $136,641.68 $53,101.35 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 17 10 — — $23,717.40 $136,641.68 $53,101.35 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 17 10 — — $7,556.33 $136,641.68 $53,101.35 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $11,200.63 $287,274.60 $53,064.19 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 17 10 — — $10,122.47 $211,627.35 $52,677.58 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 2 2 — — $10,122.47 $93,284.57 $51,703.52 2026-04-01
22630 HCPCS Lumbar Spine Fusion 16 9 — — $7,556.33 $136,641.68 $51,687.41 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 16 9 — — $7,556.33 $136,641.68 $51,687.41 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 2 2 — — $10,122.47 $93,248.82 $51,685.65 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 2 2 — — $10,122.47 $93,248.82 $51,685.65 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 10 — — $38,214.53 $229,996.80 $51,589.62 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 10 — — $47,064.78 $278,083.80 $51,300.61 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 10 — — $37,909.86 $242,157.60 $51,178.32 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 17 10 — — $22,671.14 $174,140.67 $51,151.86 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 17 10 — — $22,671.14 $174,140.67 $51,151.86 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 17 10 — — $22,671.14 $174,140.67 $51,151.86 2026-04-01
0421T HCPCS Waterjet Prostate Abltj Cmpl 6 4 — — $9,574.57 $67,545.68 $50,737.93 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 10 — — $37,294.36 $224,661.60 $50,347.39 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 10 — — $37,230.77 $221,583.60 $50,261.54 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 10 — — $37,212.23 $221,913.00 $50,236.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 10 — — $37,103.61 $226,260.00 $50,089.88 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 10 — — $37,059.46 $239,230.80 $50,030.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 10 — — $36,990.58 $222,037.20 $49,937.29 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $36,847.52 $233,155.80 $49,744.15 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 10 — — $6,579.30 $275,092.20 $49,741.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 10 — — $12,992.67 $274,249.80 $49,611.77 2026-04-01
J9266 HCPCS Pegaspargase Injection 20 11 — — $27,014.86 $198,462.77 $49,599.99 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 10 — — $36,674.43 $219,623.40 $49,510.48 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 10 — — $36,431.58 $211,140.00 $49,182.63 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 14 9 — — $22,671.14 $246,726.68 $49,069.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 10 — — $31,487.20 $189,059.40 $48,766.35 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 10 — — $11,691.77 $269,076.60 $48,058.60 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 10 — — $35,182.90 $193,568.40 $47,496.92 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 4 3 — — $23,014.68 $105,982.34 $47,360.79 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $41,432.48 $256,732.20 $46,819.28 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 10 — — $29,170.88 $147,765.60 $46,673.41 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $34,545.32 $205,275.60 $46,636.18 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 10 — — $34,389.01 $233,641.80 $46,425.17 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 10 — — $34,181.49 $209,979.00 $46,145.01 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 5 3 — — $33,818.47 $83,494.80 $46,076.41 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 10 — — $34,097.60 $203,677.20 $46,031.76 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 10 — — $33,904.20 $215,109.00 $45,770.67 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 10 — — $28,497.97 $174,074.40 $45,596.75 2026-04-01
27445 HCPCS Revision Of Knee Joint 3 2 — — $7,556.33 $94,767.00 $45,001.83 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 10 — — $33,230.41 $206,398.80 $44,861.06 2026-04-01
0454T HCPCS Insj/rplcmt Subq Electrode 1 1 — — $44,704.82 $44,704.82 $44,704.82 2026-04-01
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 1 1 — — $44,704.82 $44,704.82 $44,704.82 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 10 — — $754.63 $247,951.80 $44,649.99 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 10 — — $33,006.99 $207,954.00 $44,559.43 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $33,003.46 $193,525.20 $44,554.68 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 10 — — $31,895.19 $193,579.20 $44,457.29 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 10 — — $32,910.73 $213,100.20 $44,429.49 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 10 — — $5,911.80 $263,871.00 $44,318.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 10 — — $32,725.29 $187,498.80 $44,179.14 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 10 — — $32,436.52 $208,488.60 $43,789.30 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 10 — — $32,423.27 $191,754.00 $43,771.42 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 17 10 — — $7,556.33 $172,828.30 $43,530.74 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 17 10 — — $25,757.83 $172,828.30 $43,530.74 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 17 10 — — $22,671.14 $172,828.30 $43,530.74 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 17 10 — — $23,717.40 $172,828.30 $43,530.74 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 17 10 — — $22,671.14 $172,828.30 $43,530.74 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 17 10 — — $22,671.14 $172,828.30 $43,530.74 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 17 10 — — $23,717.40 $172,828.30 $43,530.74 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 17 10 — — $23,717.40 $172,828.30 $43,530.74 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $43,286.17 $43,286.17 $43,286.17 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 10 — — $32,042.66 $171,385.20 $43,257.60 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 12 9 — — $9,574.57 $148,329.74 $43,241.35 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 10 — — $32,017.94 $190,096.20 $43,224.21 2026-04-01
0619T HCPCS Cysto W/prst8 Commissurotomy 6 4 — — $23,717.40 $67,545.68 $43,176.88 2026-04-01
C9769 HCPCS Cysto W/temp Pros Implant 6 4 — — $23,717.40 $67,545.68 $43,176.88 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 10 — — $31,973.78 $187,299.00 $43,164.61 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 10 — — $31,951.70 $192,612.60 $43,134.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $31,847.50 $173,026.80 $42,994.12 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 10 — — $31,639.09 $214,957.80 $42,712.77 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 10 — — $10,158.44 $230,331.60 $42,671.27 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 10 — — $31,565.80 $212,614.20 $42,613.83 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 10 — — $31,534.01 $195,690.60 $42,570.92 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 10 — — $31,460.71 $189,194.40 $42,471.96 2026-04-01
22558 HCPCS Lumbar Spine Fusion 14 9 — — $7,556.33 $122,111.61 $42,418.24 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 10 — — $31,405.08 $185,997.60 $42,396.86 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 16 9 — — $7,556.33 $142,867.79 $42,371.63 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 16 9 — — $25,757.83 $142,867.79 $42,371.63 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 10 — — $31,079.22 $197,013.60 $41,956.94 2026-04-01
509 MS_DRG Arthroscopy 5 3 — — $30,577.42 $94,851.00 $41,660.59 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 10 — — $30,804.58 $185,230.80 $41,586.18 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 10 — — $30,796.63 $208,704.60 $41,575.45 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 21 10 — — $6,629.46 $228,366.00 $41,432.74 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 10 — — $30,655.34 $187,093.80 $41,384.71 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 10 — — $34,130.27 $212,187.60 $41,247.76 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $30,506.98 $185,695.20 $41,184.43 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 10 — — $25,627.06 $158,371.20 $41,003.30 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $30,275.61 $189,162.00 $40,872.07 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $37,449.78 $220,492.80 $40,820.26 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 10 — — $30,127.26 $181,251.00 $40,671.81 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 17 10 — — $24,000.64 $102,807.67 $40,561.08 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 17 10 — — $23,717.40 $147,901.74 $40,561.08 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 17 10 — — $23,717.40 $147,901.74 $40,561.08 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 17 10 — — $24,000.64 $147,901.74 $40,561.08 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 17 10 — — $7,984.74 $147,901.74 $40,561.08 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 17 10 — — $23,717.40 $147,901.74 $40,561.08 2026-04-01
53444 HCPCS Insert Tandem Cuff 17 10 — — $9,574.57 $147,901.74 $40,561.08 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 17 10 — — $23,717.40 $147,901.74 $40,561.08 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 17 10 — — $7,984.74 $147,901.74 $40,561.08 2026-04-01
69718 HCPCS Revise Temple Bone Implant 2 2 — — $10,122.47 $69,619.15 $39,870.81 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 10 — — $29,500.27 $188,724.60 $39,825.36 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 11 — — $3,033.81 $225,212.40 $39,766.70 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 10 — — $12,600.24 $219,245.40 $39,428.76 2026-04-01
0269T HCPCS Rev/remvl Crtd Sns Dev Total 5 3 — — $23,193.73 $48,842.47 $39,248.89 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 10 — — $29,071.97 $179,317.80 $39,247.16 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 10 — — $29,068.44 $168,523.20 $39,242.39 2026-04-01
0404T HCPCS Trnscrv Uterin Fibroid Abltj 1 1 — — $39,216.06 $39,216.06 $39,216.06 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $5,146.46 $73,029.13 $39,087.79 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 10 — — $28,851.23 $107,874.75 $38,949.16 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 9 — — $23,717.40 $133,605.30 $38,948.86 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 12 9 — — $9,574.57 $133,605.30 $38,948.86 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 12 9 — — $9,574.57 $133,605.30 $38,948.86 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 10 — — $28,724.92 $183,967.20 $38,778.64 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 10 — — $28,715.00 $107,365.38 $38,765.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 10 — — $35,504.35 $212,176.80 $38,699.74 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $28,598.64 $175,991.40 $38,682.28 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 4 3 — — $24,908.91 $43,667.81 $38,572.90 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 10 — — $28,566.85 $172,227.60 $38,565.25 2026-04-01
652 MS_DRG Kidney Transplant 18 10 — — $28,519.16 $165,844.80 $38,500.87 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 10 — — $28,442.33 $171,730.80 $38,397.15 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 10 — — $28,195.07 $183,168.00 $38,063.35 2026-04-01
63655 HCPCS Implant Neuroelectrodes 17 10 — — $7,556.33 $160,393.99 $37,966.07 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 17 10 — — $9,574.57 $160,393.99 $37,966.07 2026-04-01
64580 HCPCS Implant Neuroelectrodes 17 10 — — $7,984.74 $160,393.99 $37,966.07 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 10 — — $28,115.59 $175,915.80 $37,956.04 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 10 — — $28,059.08 $190,641.60 $37,879.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 10 — — $27,947.81 $171,099.00 $37,729.54 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 17 10 — — $22,304.84 $142,867.79 $37,695.18 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 17 10 — — $22,304.84 $142,867.79 $37,695.18 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 17 10 — — $22,304.84 $142,867.79 $37,695.18 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 10 — — $27,905.42 $166,514.40 $37,672.32 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 10 — — $27,825.94 $172,530.00 $37,565.01 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 10 — — $27,812.70 $167,729.40 $37,547.15 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 10 — — $27,747.35 $151,491.60 $37,458.92 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 10 — — $27,562.78 $185,403.60 $37,209.75 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 17 10 — — $7,556.33 $83,397.80 $37,179.43 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 10 — — $27,456.81 $165,153.60 $37,066.69 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 16 9 — — $9,574.57 $160,393.99 $36,955.14 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 16 9 — — $9,574.57 $160,393.99 $36,955.14 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 16 9 — — $22,304.84 $142,867.79 $36,691.46 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 16 9 — — $22,304.84 $142,867.79 $36,691.46 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 16 9 — — $7,556.33 $142,867.79 $36,691.46 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 16 9 — — $22,304.84 $142,867.79 $36,691.46 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 16 9 — — $7,556.33 $142,867.79 $36,691.46 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 16 9 — — $22,304.84 $142,867.79 $36,691.46 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 10 — — $27,035.58 $168,447.60 $36,498.04 2026-04-01
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