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 PETER HOSPITAL

Olympia, WA · CCN 500024 · Rates published

14,113 distinct procedures filed
13 distinct payers
283,087 rate rows
2026-04-01 last MRF observed
Data quality

226,147 of 283,087 rate rows are consumer-grade (79.9%)

56,940 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 54,291
template filing: same amount across many unrelated codes — excluded 2,594
placeholder amount (≤ $0.02) — excluded from medians 55
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/910567732_providence-st-peter-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 5884053a3802b24c… · 218,181,932 bytes · first seen 2026-05-18

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 6 $3,137,732.50 $4,429,740.00 $3,820,650.75 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $2,823,169.92 $3,985,651.65 $3,437,624.55 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,199,024.17 $4,786,111.43 $2,781,118.80 nat. median
$2,468,984
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $392,240.35 $1,140,850.95 $725,644.65 nat. median
$370,174
2.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $511,072.50 $2,005,300.34 $675,598.89 nat. median
$753,246
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $500,220.59 $1,921,435.55 $641,459.34 nat. median
$674,867
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $473,853.52 $1,835,781.63 $612,864.31 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $475,813.92 $1,827,685.23 $610,161.38 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $449,440.00 $1,736,487.37 $585,034.03 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $415,897.01 $1,597,533.81 $533,326.76 nat. median
$619,808
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $254,704.88 $888,375.35 $471,204.03 nat. median
$265,286
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $193,020.82 $638,743.59 $365,483.49 nat. median
$202,976
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $194,157.66 $778,082.47 $359,191.67 nat. median
$206,474
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $126,118.93 $433,929.30 $263,447.23 nat. median
$133,161
2.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $216,590.34 $288,952.95 $252,904.36 nat. median
$87,428
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 12 $90,785.36 $325,199.90 $220,126.29 nat. median
$99,019
outlier · 2.2×
7
MS_DRG 		Lung Transplant 12 $117,942.42 $385,299.01 $218,193.48 nat. median
$122,708
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $109,483.73 $378,065.77 $202,544.90 nat. median
$117,357
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $103,258.81 $425,251.46 $191,028.80 nat. median
$108,660
1.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $162,106.68 $209,357.38 $189,285.84 nat. median
$65,393
outlier · 2.9×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $121,518.00 $241,665.27 $181,591.64 nat. median
$63,570
outlier · 2.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $99,106.13 $317,940.29 $180,868.68 nat. median
$102,358
1.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $149,494.60 $192,247.08 $174,559.20 nat. median
$62,372
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $93,992.63 $360,039.14 $173,886.37 nat. median
$100,136
1.7× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $107,941.00 $223,756.42 $165,848.71 nat. median
$54,196
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $55,141.07 $307,483.59 $150,756.20 nat. median
$93,672
1.6× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $93,617.00 $202,031.61 $147,824.30 nat. median
$49,935
outlier · 3.0×
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 4 $3,484.00 $161,079.29 $140,810.31 nat. median
$42,941
outlier · 3.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $82,189.67 $240,675.72 $138,900.54 nat. median
$82,711
1.7× median
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$8,204
outlier · 16.7×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$24,752
outlier · 5.5×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$18,872
outlier · 7.3×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$9,564
outlier · 14.3×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$15,886
outlier · 8.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $693.36 $266,682.10 $133,823.48 nat. median
$81,118
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $65,139.84 $207,689.78 $133,668.22 nat. median
$68,886
1.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $112,570.08 $151,123.64 $131,443.82 nat. median
$48,483
outlier · 2.7×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 11 $92,006.85 $353,414.54 $129,892.02 nat. median
$111,989
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $66,211.96 $293,640.06 $129,310.72 nat. median
$77,570
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $128,706.86 $128,706.86 $128,706.86 nat. median
$76,329
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $69,581.04 $233,897.61 $126,985.39 nat. median
$72,135
1.8× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $88,730.00 $164,717.83 $126,723.91 nat. median
$44,728
outlier · 2.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $15,335.18 $264,914.57 $126,550.01 nat. median
$79,312
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $3,516.88 $256,553.53 $126,199.60 nat. median
$74,915
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $10,972.04 $244,452.28 $125,659.04 nat. median
$73,807
1.7× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $83,183.00 $159,636.19 $121,409.60 nat. median
$48,704
outlier · 2.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $65,523.63 $204,262.62 $121,218.72 nat. median
$64,023
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $65,177.95 $235,960.13 $120,579.21 nat. median
$71,271
1.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $52,129.90 $190,539.52 $119,244.94 nat. median
$58,020
outlier · 2.1×
38240
HCPCS 		Transplt Allo Hct/donor 12 $3,484.00 $282,619.13 $119,001.67 nat. median
$15,979
outlier · 7.4×

Other procedures at this hospital

Browse this hospital's 14,113 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 10 6 — — $3,137,732.50 $4,429,740.00 $3,820,650.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 6 — — $2,823,169.92 $3,985,651.65 $3,437,624.55 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 9 — — $2,199,024.17 $4,786,111.43 $2,781,118.80 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 12 — — $392,240.35 $1,140,850.95 $725,644.65 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 11 — — $511,072.50 $2,005,300.34 $675,598.89 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 16 10 — — $500,220.59 $1,921,435.55 $641,459.34 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 10 — — $473,853.52 $1,835,781.63 $612,864.31 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 16 10 — — $475,813.92 $1,827,685.23 $610,161.38 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 11 — — $449,440.00 $1,736,487.37 $585,034.03 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 16 10 — — $415,897.01 $1,597,533.81 $533,326.76 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 12 — — $254,704.88 $888,375.35 $471,204.03 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 12 — — $193,020.82 $638,743.59 $365,483.49 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 12 — — $194,157.66 $778,082.47 $359,191.67 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 12 — — $126,118.93 $433,929.30 $263,447.23 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 3 — — $216,590.34 $288,952.95 $252,904.36 2026-04-01
215 MS_DRG Other Heart Assist System Implant 25 12 — — $90,785.36 $325,199.90 $220,126.29 2026-04-01
7 MS_DRG Lung Transplant 23 12 — — $117,942.42 $385,299.01 $218,193.48 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 12 — — $109,483.73 $378,065.77 $202,544.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 12 — — $103,258.81 $425,251.46 $191,028.80 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 3 — — $162,106.68 $209,357.38 $189,285.84 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $121,518.00 $241,665.27 $181,591.64 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 11 — — $99,106.13 $317,940.29 $180,868.68 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 3 — — $149,494.60 $192,247.08 $174,559.20 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 12 — — $93,992.63 $360,039.14 $173,886.37 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $107,941.00 $223,756.42 $165,848.71 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 12 — — $55,141.07 $307,483.59 $150,756.20 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $93,617.00 $202,031.61 $147,824.30 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 6 4 — — $3,484.00 $161,079.29 $140,810.31 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 11 — — $82,189.67 $240,675.72 $138,900.54 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 12 — — $693.36 $266,682.10 $133,823.48 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 11 — — $65,139.84 $207,689.78 $133,668.22 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 3 — — $112,570.08 $151,123.64 $131,443.82 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 11 — — $92,006.85 $353,414.54 $129,892.02 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 12 — — $66,211.96 $293,640.06 $129,310.72 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $128,706.86 $128,706.86 $128,706.86 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 12 — — $69,581.04 $233,897.61 $126,985.39 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $88,730.00 $164,717.83 $126,723.91 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 12 — — $15,335.18 $264,914.57 $126,550.01 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — — $3,516.88 $256,553.53 $126,199.60 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 12 — — $10,972.04 $244,452.28 $125,659.04 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $83,183.00 $159,636.19 $121,409.60 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 12 — — $65,523.63 $204,262.62 $121,218.72 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 12 — — $65,177.95 $235,960.13 $120,579.21 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 — — $52,129.90 $190,539.52 $119,244.94 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 22 12 — — $3,484.00 $282,619.13 $119,001.67 2026-04-01
10 MS_DRG Pancreas Transplant 23 12 — — $65,550.85 $230,073.29 $117,991.53 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 2 — — $71,907.00 $158,468.35 $115,187.68 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 12 — — $61,517.03 $212,608.37 $113,806.51 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 12 — — $59,607.62 $218,441.21 $113,128.07 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $103,140.86 $190,810.59 $111,392.13 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 12 — — $53,691.63 $189,062.37 $110,791.56 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 12 — — $59,886.62 $185,290.59 $110,790.25 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 11 — — $10,300.99 $302,478.01 $108,476.02 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — — $53,147.48 $200,387.17 $108,186.25 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 12 — — $52,285.98 $187,443.19 $108,186.25 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 12 — — $17,907.84 $180,900.18 $107,770.21 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 11 — — $5,676.44 $265,819.70 $106,667.87 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 3 — — $89,406.39 $118,866.26 $104,396.47 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 12 — — $25,130.09 $214,341.18 $103,892.44 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 12 — — $11,192.27 $207,239.50 $102,654.53 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 12 — — $55,984.36 $228,756.00 $102,171.46 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 12 — — $47,890.20 $163,695.19 $101,526.71 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 12 — — $55,324.34 $208,337.89 $100,887.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 12 — — $54,245.99 $192,041.92 $100,355.08 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 12 — — $44,254.20 $185,511.53 $100,300.39 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 12 — — $48,830.36 $171,548.06 $100,191.35 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 12 — — $55,451.78 $184,889.74 $99,813.20 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 12 — — $53,657.16 $178,492.54 $99,265.75 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 11 — — $42,122.50 $183,318.89 $98,898.66 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 11 — — $61,067.92 $193,469.80 $97,708.67 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 12 — — $44,914.49 $178,299.39 $97,593.52 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 6 4 — — $3,484.00 $136,858.08 $96,234.49 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $94,998.32 $94,998.32 $94,998.32 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 12 — — $51,296.38 $176,471.89 $94,898.30 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 11 — — $50,947.98 $144,373.69 $92,980.06 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 12 — — $34,565.15 $174,543.39 $92,973.08 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 12 — — $26,917.26 $189,237.86 $92,647.44 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 12 — — $49,930.91 $163,029.21 $92,372.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 12 — — $28,578.00 $202,482.96 $92,264.76 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 12 — — $49,733.12 $182,338.86 $92,006.27 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 12 — — $3,095.06 $190,043.98 $91,867.51 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 1 1 — — $90,613.27 $90,613.27 $90,613.27 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 12 — — $49,521.46 $158,869.06 $89,787.66 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 12 — — $38,303.96 $151,915.88 $89,713.17 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 11 — — $52,770.73 $157,856.15 $89,182.53 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 12 — — $6,555.01 $167,186.76 $88,146.01 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 12 — — $47,592.82 $175,386.12 $88,046.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 12 — — $29,983.71 $214,287.52 $87,257.74 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 23 11 — — $3,484.00 $197,903.91 $85,610.44 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 12 — — $39,944.90 $352,817.93 $85,030.39 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 12 — — $14,196.89 $161,564.68 $84,538.67 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $83,847.11 $83,847.11 $83,847.11 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 12 — — $2,241.84 $146,771.11 $83,435.91 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 22 12 — — $3,484.00 $197,903.91 $83,330.87 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 12 — — $39,021.23 $149,343.49 $83,116.13 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 11 — — $14,939.95 $178,515.59 $82,501.70 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 12 — — $12,775.41 $155,551.93 $81,600.59 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 23 11 — — $3,484.00 $197,903.91 $81,051.30 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 12 — — $44,256.70 $158,982.83 $80,768.48 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 12 — — $44,035.33 $169,878.38 $80,364.48 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 11 — — $48,801.33 $148,610.04 $80,278.19 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 12 — — $43,101.72 $146,575.42 $79,738.18 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 12 — — $42,367.29 $162,884.02 $79,644.18 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 22 11 — — $48,300.87 $221,998.67 $79,554.37 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 12 — — $42,887.60 $162,293.79 $79,342.06 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 23 12 — — $42,517.43 $151,795.94 $78,657.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 11 — — $42,349.58 $141,171.67 $78,346.72 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 12 — — $38,741.96 $144,571.17 $77,426.32 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 12 — — $42,619.83 $161,368.99 $77,308.38 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 12 — — $41,536.64 $164,370.64 $76,842.78 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 12 — — $10,797.58 $165,551.09 $76,279.15 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 12 — — $41,097.51 $130,071.12 $76,030.39 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 12 — — $38,521.71 $138,833.01 $75,557.62 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 12 — — $23,772.44 $152,881.70 $75,024.49 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 1 1 — — $74,946.58 $74,946.58 $74,946.58 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 1 1 — — $74,917.86 $74,917.86 $74,917.86 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $74,917.86 $74,917.86 $74,917.86 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 12 — — $11,080.02 $122,013.09 $74,018.54 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 12 — — $1,662.14 $133,274.77 $73,550.82 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 12 — — $8,048.97 $153,901.19 $73,011.83 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 11 — — $5,612.27 $204,854.28 $72,534.08 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 12 — — $28,611.13 $129,410.82 $71,896.66 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 12 — — $32,952.75 $123,168.29 $71,836.79 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 12 — — $38,697.73 $123,395.55 $71,590.80 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 12 — — $38,678.67 $131,633.49 $71,555.54 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 12 — — $21,467.06 $135,929.22 $71,436.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 12 — — $38,112.20 $120,915.02 $71,349.10 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $71,300.82 $71,300.82 $71,300.82 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 12 — — $39,743.96 $136,554.16 $71,054.06 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 10 — — $54,639.95 $209,881.71 $70,710.53 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 12 — — $5,383.31 $139,278.05 $70,500.53 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 13 — — $36,060.47 $134,972.86 $69,773.49 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 12 — — $35,611.99 $128,726.54 $69,211.69 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 12 — — $9,679.36 $124,102.56 $68,627.03 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 12 — — $9,036.37 $131,185.30 $68,308.06 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 11 — — $18,697.15 $122,911.99 $68,304.07 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 12 — — $36,593.72 $120,318.16 $67,698.38 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 21 12 — — $47,828.81 $183,718.91 $67,523.03 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 12 — — $30,459.53 $145,925.22 $67,439.95 2026-04-01
791 MS_DRG Prematurity With Major Problems 31 12 — — $7,084.74 $137,700.00 $67,091.90 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 12 — — $35,778.06 $124,859.91 $66,189.41 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 12 — — $32,997.53 $126,662.32 $66,094.71 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 12 — — $35,512.23 $113,394.63 $65,697.63 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 12 — — $35,564.85 $126,233.06 $64,905.85 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 12 — — $10,406.87 $124,635.97 $64,689.57 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 12 — — $35,378.34 $160,062.45 $64,432.33 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 2 — — $33,464.00 $94,543.81 $64,003.90 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 12 — — $35,478.66 $119,573.27 $63,861.59 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 12 — — $34,068.72 $111,928.71 $63,027.13 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 24 12 — — $3,484.00 $151,728.41 $62,994.10 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 24 12 — — $3,484.00 $141,032.37 $62,994.10 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 12 — — $33,772.04 $112,108.62 $62,478.27 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 12 — — $33,758.43 $110,025.46 $62,453.10 2026-04-01
69930 HCPCS Implant Cochlear Device 22 12 — — $11,545.00 $155,609.10 $62,379.46 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 29 12 — — $36,848.30 $117,832.99 $62,276.38 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 12 — — $34,237.96 $120,071.96 $62,257.84 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 12 — — $1,414.11 $117,657.40 $61,838.14 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 12 — — $33,341.98 $117,237.61 $61,682.66 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 12 — — $34,259.26 $118,504.03 $61,666.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 12 — — $33,296.62 $128,155.25 $61,598.75 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 12 — — $33,273.94 $106,749.22 $61,556.79 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 12 — — $33,215.87 $122,723.26 $61,449.36 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 12 — — $10,110.00 $154,690.26 $61,092.65 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 12 — — $26,217.84 $96,929.97 $60,837.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 12 — — $32,877.45 $134,622.51 $60,823.28 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 12 — — $32,462.81 $116,271.78 $60,762.86 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 12 — — $32,796.70 $115,820.43 $60,673.90 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 12 — — $32,769.48 $111,565.74 $60,623.54 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 12 — — $30,610.59 $109,959.18 $60,517.79 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 12 — — $32,865.43 $119,782.20 $60,422.61 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 12 — — $5,582.75 $100,136.77 $60,095.88 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 12 — — $1,412.70 $97,753.77 $60,061.30 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 12 — — $30,852.66 $112,790.38 $59,898.43 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 12 — — $32,738.63 $114,292.78 $59,748.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 22 12 — — $3,484.00 $151,728.41 $59,384.12 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 22 12 — — $3,484.00 $151,728.41 $59,384.12 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 22 12 — — $3,484.00 $151,728.41 $59,384.12 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 22 12 — — $3,484.00 $151,728.41 $59,384.12 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 12 — — $31,942.03 $113,771.99 $59,092.76 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 12 — — $29,116.72 $99,887.43 $58,968.49 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 12 — — $19,038.00 $114,444.28 $58,397.15 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 22 12 — — $5,180.00 $138,645.81 $58,379.22 2026-04-01
61886 HCPCS Implant Neurostim Arrays 22 12 — — $5,920.00 $138,645.81 $58,379.22 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 22 12 — — $5,180.00 $138,645.81 $58,379.22 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 12 — — $30,899.41 $104,738.66 $58,371.02 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 11 — — $11,062.96 $94,478.51 $57,876.21 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 15 11 — — $40,932.17 $157,227.71 $57,786.60 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 21 11 — — $3,484.00 $141,032.37 $57,759.63 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 12 — — $1,720.25 $118,818.91 $57,756.96 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $57,340.50 $57,340.50 $57,340.50 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 11 — — $27,450.94 $90,770.93 $57,269.73 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 21 11 — — $3,484.00 $138,645.81 $56,782.22 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 17 10 — — $30,165.55 $138,645.81 $56,782.22 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 21 11 — — $3,484.00 $138,645.81 $56,782.22 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 17 10 — — $30,165.55 $138,645.81 $56,782.22 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 21 11 — — $3,484.00 $138,645.81 $56,782.22 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 17 10 — — $30,165.55 $138,645.81 $56,782.22 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 12 — — $22,044.92 $107,869.71 $56,519.05 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 9 — — $52,224.54 $96,615.40 $56,402.50 2026-04-01
69718 HCPCS Revise Temple Bone Implant 1 1 — — $55,933.34 $55,933.34 $55,933.34 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 1 1 — — $55,933.34 $55,933.34 $55,933.34 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 12 — — $27,639.90 $106,626.13 $55,510.79 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 12 — — $29,442.76 $107,402.58 $55,472.87 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 12 — — $29,958.69 $110,426.31 $55,423.58 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 12 — — $26,939.22 $89,099.19 $55,214.15 2026-04-01
652 MS_DRG Kidney Transplant 23 12 — — $29,747.29 $97,375.01 $55,032.49 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 12 — — $29,668.36 $94,918.34 $54,886.47 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 12 — — $30,018.41 $106,462.00 $54,567.47 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 12 — — $1,245.51 $106,035.90 $54,560.93 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $54,427.00 $54,427.00 $54,427.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 22 12 — — $3,484.00 $134,051.19 $54,265.61 2026-04-01
800 MS_DRG Splenic Procedures With Cc 24 12 — — $25,935.76 $84,080.67 $54,259.97 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 12 — — $29,373.13 $102,611.31 $54,249.07 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 12 — — $29,274.59 $137,567.34 $54,157.99 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 12 — — $29,160.27 $101,143.63 $53,946.50 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 15 11 — — $38,125.53 $146,446.91 $53,824.28 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 25 12 — — $23,741.93 $79,734.45 $53,781.78 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 5 4 — — $3,484.00 $74,917.86 $53,745.90 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 5 4 — — $3,484.00 $74,917.86 $53,745.90 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 5 4 — — $3,484.00 $74,917.86 $53,745.90 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 5 4 — — $3,484.00 $74,917.86 $53,745.90 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 12 — — $19,705.46 $99,477.11 $53,692.11 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 12 — — $26,910.41 $104,464.06 $53,667.98 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 12 — — $27,413.08 $180,239.79 $53,633.32 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 12 — — $29,127.20 $98,407.12 $53,583.44 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 12 — — $28,954.32 $89,995.58 $53,565.49 2026-04-01
0618T HCPCS Insj Iris Prosth Sec Io Lens 5 3 — — $17,946.15 $59,170.53 $53,176.78 2026-04-01
0616T HCPCS Insertion Of Iris Prosthesis 5 3 — — $9,502.74 $59,170.53 $53,176.78 2026-04-01
0617T HCPCS Insj Iris Prosth W/rmvl&insj 5 3 — — $17,946.15 $59,170.53 $53,176.78 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 12 — — $29,332.66 $104,325.18 $52,798.79 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 12 — — $8,517.32 $105,524.58 $52,796.87 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 12 — — $27,157.88 $110,405.18 $52,586.44 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 12 — — $28,764.70 $99,081.06 $52,495.58 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 11 — — $23,393.87 $92,201.31 $52,263.13 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 12 — — $26,435.19 $104,186.31 $52,238.63 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 12 — — $28,223.04 $95,910.49 $52,212.62 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 12 — — $28,260.92 $118,866.26 $51,923.28 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 11 — — $26,323.64 $82,591.60 $51,606.63 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 12 — — $6,189.45 $102,933.26 $51,584.96 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 12 — — $19,224.18 $95,430.73 $51,580.48 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 12 — — $27,851.05 $91,157.10 $51,524.44 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $51,397.19 $51,397.19 $51,397.19 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 22 12 — — $9,095.84 $121,915.06 $51,334.45 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 22 12 — — $8,319.00 $121,915.06 $51,334.45 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 22 12 — — $3,484.00 $121,915.06 $51,334.45 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 27 12 — — $19,111.97 $78,762.31 $51,271.79 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 21 11 — — $12,757.68 $117,439.23 $50,802.55 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 21 11 — — $12,757.68 $117,439.23 $50,802.55 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 21 11 — — $12,757.68 $117,439.23 $50,802.55 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 30 12 — — $375.00 $80,015.36 $50,212.43 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 12 — — $26,968.18 $94,284.99 $50,091.49 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 12 — — $2,219.50 $80,899.13 $50,071.46 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 21 11 — — $3,484.00 $121,915.06 $49,930.16 2026-04-01
22630 HCPCS Lumbar Spine Fusion 21 11 — — $3,484.00 $121,915.06 $49,930.16 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 19 12 — — $3,484.00 $120,942.13 $49,531.70 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 12 — — $25,977.90 $92,072.43 $49,513.46 2026-04-01
J9226 HCPCS Supprelin La Implant 21 12 — — $34,997.41 $134,431.24 $49,408.11 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 12 — — $26,643.45 $91,270.73 $49,290.38 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 12 — — $26,592.64 $89,269.63 $49,196.38 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 12 — — $19,188.00 $92,470.12 $48,836.23 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 12 — — $15,096.26 $90,813.06 $48,593.75 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 12 — — $21,664.23 $74,820.09 $47,961.86 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 26 12 — — $23,341.91 $81,950.17 $47,832.03 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 23 12 — — $25,844.12 $89,717.83 $47,811.62 2026-04-01
263 MS_DRG Vein Ligation And Stripping 27 12 — — $14,800.41 $87,934.52 $47,634.07 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 19 11 — — $3,484.00 $153,925.75 $47,280.08 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 12 — — $6,783.65 $101,992.68 $47,263.01 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 12 — — $11,786.32 $109,634.08 $47,062.91 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 12 — — $23,179.91 $79,958.55 $47,029.74 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 12 — — $17,577.00 $93,615.86 $46,887.04 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 25 12 — — $21,545.37 $71,592.37 $46,789.98 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 12 — — $23,415.64 $90,516.37 $46,723.96 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 5 4 — — $3,484.00 $54,940.89 $46,569.86 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 12 — — $22,718.93 $92,561.65 $46,466.78 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 32 12 — — $11,460.76 $88,038.68 $46,316.09 2026-04-01
849 MS_DRG Radiotherapy 23 12 — — $25,029.37 $79,447.44 $46,304.33 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 12 — — $24,919.59 $81,100.50 $46,101.24 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 12 — — $14,342.66 $85,668.29 $45,908.61 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $45,867.35 $45,867.35 $45,867.35 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 12 — — $17,775.14 $87,530.51 $45,449.73 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 12 — — $97.76 $90,680.50 $45,434.33 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 12 — — $24,495.89 $82,654.03 $45,317.40 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 12 — — $21,822.83 $75,047.35 $45,130.02 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 12 — — $24,375.22 $97,479.17 $45,094.16 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 2 — — $29,805.00 $60,269.55 $45,037.28 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 12 — — $15,786.38 $85,109.63 $44,998.97 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 12 — — $24,580.26 $94,234.49 $44,858.98 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 24 12 — — $3,484.00 $106,750.58 $44,640.48 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 24 12 — — $3,484.00 $106,750.58 $44,640.48 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 24 12 — — $3,484.00 $106,750.58 $44,640.48 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 12 — — $21,088.12 $82,066.96 $44,296.88 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 23 12 — — $23,847.17 $72,099.36 $44,117.26 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 12 — — $1,136.65 $76,035.27 $43,741.31 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 12 — — $19,982.42 $95,295.01 $43,571.76 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 25 12 — — $19,741.68 $62,819.38 $43,432.25 2026-04-01
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