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

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $1,163 across 11 payers · range $534-$2,697

Source: https://pricetransparency.providence.org/wamt/live/910567732_providence-st-peter-hospital_standardcharges.json · observed 2026-04-01

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

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

226,137 of 283,087 rate rows are consumer-grade (79.9%)

56,950 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 53,404
template filing: same amount across many unrelated codes — excluded 2,594
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
placeholder amount (≤ $0.02) — excluded from medians 55
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
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 not_modified · 2026-08-12
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
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $2,823,169.92 $3,985,651.65 $3,437,624.55 nat. median
$3,324,572
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
$2,466,282
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
$359,358
outlier · 2.0×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $511,072.50 $2,005,300.34 $675,598.89 nat. median
$738,272
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $500,220.59 $1,921,435.55 $641,459.34 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $473,853.52 $1,835,781.63 $612,864.31 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $475,813.92 $1,827,685.23 $610,161.38 nat. median
$622,245
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $449,440.00 $1,736,487.37 $585,034.03 nat. median
$608,101
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $415,897.01 $1,597,533.81 $533,326.76 nat. median
$591,650
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
$249,124
1.9× 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
$190,557
1.9× 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
$198,433
1.8× 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
$126,722
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $216,590.34 $288,952.95 $252,904.36 nat. median
$71,201
outlier · 3.6×
215
MS_DRG 		Other Heart Assist System Implant 12 $90,785.36 $325,199.90 $220,126.29 nat. median
$93,917
outlier · 2.3×
7
MS_DRG 		Lung Transplant 12 $117,942.42 $385,299.01 $218,193.48 nat. median
$117,894
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $109,483.73 $378,065.77 $202,544.90 nat. median
$110,192
1.8× 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
$103,967
1.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $162,106.68 $209,357.38 $189,285.84 nat. median
$52,841
outlier · 3.6×
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
$47,579
outlier · 3.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $99,106.13 $317,940.29 $180,868.68 nat. median
$97,414
1.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $149,494.60 $192,247.08 $174,559.20 nat. median
$49,639
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $93,992.63 $360,039.14 $173,886.37 nat. median
$94,964
1.8× 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
$39,629
outlier · 4.2×
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
$90,581
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $93,617.00 $202,031.61 $147,824.30 nat. median
$38,225
outlier · 3.9×
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 4 $3,484.00 $161,079.29 $140,810.31 nat. median
$39,035
outlier · 3.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $82,189.67 $240,675.72 $138,900.54 nat. median
$78,037
1.8× median
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$22,425
outlier · 6.1×
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$22,408
outlier · 6.1×
0316T
OTHER 		Replc Vagus Nerve Pls Gen 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$14,923
outlier · 9.2×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$22,408
outlier · 6.1×
0312T
OTHER 		Laps Impltj Nstim Vagus 1 $136,858.08 $136,858.08 $136,858.08 nat. median
$18,162
outlier · 7.5×
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
$77,696
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $65,139.84 $207,689.78 $133,668.22 nat. median
$66,649
outlier · 2.0×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $112,570.08 $151,123.64 $131,443.82 nat. median
$38,944
outlier · 3.4×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 11 $92,006.85 $353,414.54 $129,892.02 nat. median
$111,503
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
$74,460
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $128,706.86 $128,706.86 $128,706.86 nat. median
$75,037
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
$68,004
1.9× 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
$32,619
outlier · 3.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $15,335.18 $264,914.57 $126,550.01 nat. median
$77,043
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
$72,473
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
$71,758
1.8× 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
$34,024
outlier · 3.6×
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
$61,329
2.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $65,177.95 $235,960.13 $120,579.21 nat. median
$66,660
1.8× 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
$55,188
outlier · 2.2×
38240
HCPCS 		Transplt Allo Hct/donor 12 $3,484.00 $282,619.13 $119,001.67 nat. median
$12,855
outlier · 9.3×

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 OTHER 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
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 1 1 — — $136,858.08 $136,858.08 $136,858.08 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 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 OTHER 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 OTHER 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 OTHER 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
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $74,917.86 $74,917.86 $74,917.86 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
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
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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 12 — — $36,060.47 $134,972.86 $67,641.52 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 OTHER Insj/rplcmt Icds Ss Eltrd 24 12 — — $3,484.00 $151,728.41 $62,994.10 2026-04-01
0408T OTHER 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
33249 HCPCS Insj/rplcmt Defib W/lead(s) 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
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 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
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
61885 HCPCS Insrt/redo Neurostim 1 Array 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
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 OTHER 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
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim 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
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 17 10 — — $30,165.55 $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
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 21 11 — — $3,484.00 $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
37230 HCPCS Tib/per Revasc W/stent 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
37231 HCPCS Tib/per Revasc Stent & Ather 5 4 — — $3,484.00 $74,917.86 $53,745.90 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 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
0617T OTHER Insj Iris Prosth W/rmvl&insj 5 3 — — $17,946.15 $59,170.53 $53,176.78 2026-04-01
0616T OTHER Insertion Of Iris Prosthesis 5 3 — — $9,502.74 $59,170.53 $53,176.78 2026-04-01
0618T OTHER Insj Iris Prosth Sec Io Lens 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
22633 HCPCS Lumbar Spine Fusion Combined 22 12 — — $3,484.00 $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
20696 HCPCS Comp Multiplane Ext Fixation 22 12 — — $9,095.84 $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
93654 HCPCS Ep & Ablate Ventric Tachy 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
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
22630 HCPCS Lumbar Spine Fusion 21 11 — — $3,484.00 $121,915.06 $49,930.16 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 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 OTHER 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
0409T OTHER Insj/rplc Car Modulj Pls Gn 24 12 — — $3,484.00 $106,750.58 $44,640.48 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 24 12 — — $3,484.00 $106,750.58 $44,640.48 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 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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