Price Transparency Hospital negotiated rates

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

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Hospital

SWEDISH MEDICAL CENTER

Seattle, WA · CCN 500027 · Rates published

13,755 distinct procedures filed
19 distinct payers
376,325 rate rows
2026-04-01 last MRF observed
Data quality

306,593 of 376,325 rate rows are consumer-grade (81.5%)

69,732 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 69,657
placeholder amount (≤ $0.02) — excluded from medians 75
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 85cdce4f8e845bdc… · 234,112,770 bytes · first seen 2026-05-08

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 8 $3,691,450.00 $4,429,740.00 $3,876,022.50 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,321,376.38 $4,982,064.57 $3,520,658.96 nat. median
$3,325,455
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,479,853.20 $4,786,111.43 $2,819,925.11 nat. median
$2,469,189
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $614,180.81 $2,193,693.82 $936,993.02 nat. median
$754,974
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $494,384.00 $1,899,626.47 $824,366.14 nat. median
$634,511
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $542,190.00 $2,101,950.12 $794,467.99 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $499,938.24 $2,008,249.20 $759,052.12 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $502,980.50 $1,999,392.17 $755,704.46 nat. median
$625,184
1.2× median
0100T
HCPCS 		Prosth Retina Receive&Gen 2 $7,277.00 $762,502.50 $716,752.35 nat. median
$11,210
outlier · 63.9×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $23,630.16 $1,370,162.41 $665,537.20 nat. median
$370,174
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $489,290.60 $1,747,618.54 $660,542.31 nat. median
$620,080
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $3,721.14 $1,023,397.98 $427,042.77 nat. median
$265,286
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $203,638.00 $861,944.22 $378,186.85 nat. median
$206,368
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $44,259.98 $782,503.92 $323,920.26 nat. median
$202,986
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $129,687.47 $531,309.11 $244,517.83 nat. median
$133,176
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $98,978.96 $814,518.86 $233,722.73 nat. median
$100,136
outlier · 2.3×
7
MS_DRG 		Lung Transplant 18 $124,003.28 $474,809.08 $226,305.98 nat. median
$122,708
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 10 $165,384.00 $321,970.11 $216,546.03 nat. median
$87,411
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $108,660.87 $460,510.56 $214,605.22 nat. median
$108,660
2.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $143,118.00 $278,194.90 $212,195.01 nat. median
$63,570
outlier · 3.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $115,165.09 $476,008.10 $207,297.16 nat. median
$117,303
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $135,343.80 $257,578.99 $196,470.09 nat. median
$54,196
outlier · 3.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 10 $121,203.00 $240,977.99 $183,807.56 nat. median
$65,381
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 18 $95,627.79 $384,929.66 $183,481.30 nat. median
$99,019
1.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 $118,170.00 $232,570.30 $177,394.54 nat. median
$49,935
outlier · 3.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $93,976.38 $350,637.63 $177,281.85 nat. median
$93,672
1.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 12 $108,243.35 $386,617.04 $162,365.03 nat. median
$111,989
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $80,899.69 $307,698.11 $152,232.21 nat. median
$81,118
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $75,831.69 $317,986.79 $149,767.59 nat. median
$77,576
1.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $109,675.80 $222,229.64 $149,464.02 nat. median
$62,270
outlier · 2.4×
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$8,204
outlier · 17.7×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$24,752
outlier · 5.9×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$15,886
outlier · 9.2×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$18,872
outlier · 7.7×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$9,564
outlier · 15.2×
38240
HCPCS 		Transplt Allo Hct/donor 16 $7,277.00 $308,956.24 $145,550.98 nat. median
$15,912
outlier · 9.1×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $104,374.80 $189,616.25 $144,631.05 nat. median
$44,728
outlier · 3.2×
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 7 $7,277.00 $168,751.88 $141,808.26 nat. median
$42,941
outlier · 3.3×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $101,120.40 $183,766.47 $140,169.10 nat. median
$48,649
outlier · 2.9×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 $93,817.80 $182,422.11 $139,143.68 nat. median
$39,020
outlier · 3.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $73,472.12 $271,186.08 $134,749.81 nat. median
$72,138
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $19,229.87 $307,872.52 $129,841.44 nat. median
$79,312
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 $69,232.67 $242,656.62 $126,349.62 nat. median
$64,027
2.0× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 15 $7,277.00 $216,346.47 $125,798.90 nat. median
$43,787
outlier · 2.9×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $68,871.48 $288,008.72 $125,690.45 nat. median
$71,240
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $104,321.88 $395,789.90 $125,186.26 nat. median
$102,358
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $61,131.70 $242,246.04 $122,910.24 nat. median
$65,950
1.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 $55,131.29 $332,568.00 $119,720.00 nat. median
$52,278
outlier · 2.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $65,046.31 $248,084.92 $118,709.51 nat. median
$64,732
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $108,537.63 $227,929.02 $117,220.64 nat. median
$98,017
1.2× median

Other procedures at this hospital

Browse this hospital's 13,755 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 9 8 — — $3,691,450.00 $4,429,740.00 $3,876,022.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $3,321,376.38 $4,982,064.57 $3,520,658.96 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 11 — — $2,479,853.20 $4,786,111.43 $2,819,925.11 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 12 — — $614,180.81 $2,193,693.82 $936,993.02 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 12 — — $494,384.00 $1,899,626.47 $824,366.14 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 18 11 — — $542,190.00 $2,101,950.12 $794,467.99 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 11 — — $499,938.24 $2,008,249.20 $759,052.12 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 18 11 — — $502,980.50 $1,999,392.17 $755,704.46 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 3 2 — — $7,277.00 $762,502.50 $716,752.35 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 44 18 — — $23,630.16 $1,370,162.41 $665,537.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 18 11 — — $489,290.60 $1,747,618.54 $660,542.31 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 18 — — $3,721.14 $1,023,397.98 $427,042.77 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 18 — — $203,638.00 $861,944.22 $378,186.85 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 18 — — $44,259.98 $782,503.92 $323,920.26 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 18 — — $129,687.47 $531,309.11 $244,517.83 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 18 — — $98,978.96 $814,518.86 $233,722.73 2026-04-01
7 MS_DRG Lung Transplant 40 18 — — $124,003.28 $474,809.08 $226,305.98 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 15 10 — — $165,384.00 $321,970.11 $216,546.03 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 18 — — $108,660.87 $460,510.56 $214,605.22 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 19 10 — — $143,118.00 $278,194.90 $212,195.01 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 41 18 — — $115,165.09 $476,008.10 $207,297.16 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 19 10 — — $135,343.80 $257,578.99 $196,470.09 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 19 10 — — $121,203.00 $240,977.99 $183,807.56 2026-04-01
215 MS_DRG Other Heart Assist System Implant 40 18 — — $95,627.79 $384,929.66 $183,481.30 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 19 10 — — $118,170.00 $232,570.30 $177,394.54 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 18 — — $93,976.38 $350,637.63 $177,281.85 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 17 12 — — $108,243.35 $386,617.04 $162,365.03 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 18 — — $80,899.69 $307,698.11 $152,232.21 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 18 — — $75,831.69 $317,986.79 $149,767.59 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 10 — — $109,675.80 $222,229.64 $149,464.02 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 31 16 — — $7,277.00 $308,956.24 $145,550.98 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 19 10 — — $104,374.80 $189,616.25 $144,631.05 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 13 7 — — $7,277.00 $168,751.88 $141,808.26 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 19 10 — — $101,120.40 $183,766.47 $140,169.10 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 19 10 — — $93,817.80 $182,422.11 $139,143.68 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 18 — — $73,472.12 $271,186.08 $134,749.81 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 18 — — $19,229.87 $307,872.52 $129,841.44 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 40 18 — — $69,232.67 $242,656.62 $126,349.62 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 29 15 — — $7,277.00 $216,346.47 $125,798.90 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 18 — — $68,871.48 $288,008.72 $125,690.45 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 13 — — $104,321.88 $395,789.90 $125,186.26 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 18 — — $61,131.70 $242,246.04 $122,910.24 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 57 19 — — $55,131.29 $332,568.00 $119,720.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 18 — — $65,046.31 $248,084.92 $118,709.51 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 21 13 — — $108,537.63 $227,929.02 $117,220.64 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 18 — — $59,332.72 $225,611.93 $117,182.12 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 18 — — $63,569.32 $234,623.17 $117,153.12 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 18 — — $63,569.32 $216,154.60 $116,014.01 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 18 — — $63,342.75 $223,737.51 $115,600.52 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $74,025.75 $281,116.16 $114,739.91 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 18 — — $11,277.72 $283,979.28 $114,253.54 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 14 — — $6,652.50 $380,838.45 $114,173.70 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 15 10 — — $86,063.40 $167,339.87 $112,547.05 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 13 7 — — $7,277.00 $149,379.14 $108,882.36 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 18 — — $10,241.04 $221,938.97 $107,168.40 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 18 — — $20,126.05 $252,757.47 $106,814.94 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 41 18 — — $59,265.41 $247,722.97 $106,677.74 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 40 18 — — $58,194.17 $220,878.02 $106,237.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 18 — — $53,637.80 $208,520.83 $105,422.36 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 44 18 — — $38,257.13 $219,293.86 $104,844.51 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 18 — — $53,593.54 $222,970.86 $104,309.33 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 18 — — $55,558.74 $207,274.57 $102,438.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 18 — — $17,487.50 $211,532.91 $102,375.72 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 31 16 — — $56,824.55 $241,029.35 $102,284.19 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 18 — — $51,420.72 $232,054.86 $101,555.92 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 18 — — $10,981.17 $626,390.52 $101,414.05 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 19 10 — — $70,752.60 $132,906.14 $101,375.04 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 13 — — $86,646.45 $303,025.56 $99,643.42 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 51 18 — — $49,497.69 $257,738.72 $98,567.54 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 41 18 — — $50,497.37 $202,532.98 $98,265.60 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 51 18 — — $18,724.22 $197,235.49 $98,227.30 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 44 18 — — $45,194.27 $470,012.00 $98,067.06 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 18 — — $52,778.08 $197,686.03 $97,860.78 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 18 — — $52,940.37 $237,206.43 $96,616.17 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 25 15 — — $63,499.33 $229,599.62 $96,423.45 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 2 1 — — $93,890.78 $98,903.42 $96,397.10 2026-04-01
10 MS_DRG Pancreas Transplant 40 18 — — $65,160.00 $289,676.45 $95,586.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 18 — — $48,773.89 $197,496.24 $92,812.34 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 18 — — $6,431.38 $230,331.29 $92,546.10 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 18 — — $52,733.70 $219,293.86 $91,981.86 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 13 — — $32,090.17 $334,683.37 $91,660.26 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 18 — — $46,367.89 $176,389.31 $91,576.59 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 29 16 — — $55,512.78 $200,978.89 $90,030.71 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 18 — — $47,698.88 $196,018.30 $89,694.76 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 27 15 — — $7,277.00 $154,175.10 $89,628.15 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 31 16 — — $7,277.00 $216,346.47 $89,366.28 2026-04-01
69930 HCPCS Implant Cochlear Device 31 16 — — $7,277.00 $169,845.68 $89,320.14 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 18 — — $47,011.58 $176,474.24 $88,663.01 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 14 — — $56,869.82 $213,781.99 $88,148.22 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 31 16 — — $7,277.00 $165,609.94 $87,627.69 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 31 16 — — $7,277.00 $165,609.94 $87,627.69 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 31 16 — — $7,277.00 $165,609.94 $87,627.69 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 31 16 — — $7,277.00 $154,175.10 $87,627.69 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 31 16 — — $7,277.00 $165,609.94 $87,627.69 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 31 16 — — $7,277.00 $165,609.94 $87,627.69 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 59 18 — — $2,729.16 $202,286.41 $87,328.91 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 18 — — $2,693.22 $182,996.19 $86,447.90 2026-04-01
5166 OTHER Cochlear Implant Procedure 9 5 — — $30,377.47 $121,855.39 $86,014.18 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 18 — — $29,078.46 $166,856.63 $85,334.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 18 — — $43,795.40 $175,750.14 $85,067.05 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 19 10 — — $56,919.60 $109,358.07 $83,413.60 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 11 6 — — $56,237.40 $108,834.86 $83,014.52 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 29 15 — — $7,277.00 $151,566.13 $82,708.47 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 31 16 — — $7,277.00 $151,566.13 $82,708.47 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 29 15 — — $7,277.00 $151,566.13 $82,708.47 2026-04-01
61886 HCPCS Implant Neurostim Arrays 31 16 — — $7,277.00 $151,566.13 $82,708.47 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 13 — — $68,831.66 $256,754.21 $82,597.99 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 18 — — $20,394.77 $269,061.00 $81,910.60 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 18 — — $10,212.24 $181,048.69 $81,832.67 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 41 18 — — $44,169.48 $177,999.19 $81,713.54 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 29 15 — — $7,277.00 $216,346.47 $81,608.59 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 18 — — $11,303.93 $238,935.71 $80,932.30 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 46 18 — — $42,949.31 $170,014.05 $80,745.67 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 18 — — $40,791.77 $164,511.76 $80,563.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 45 18 — — $33,814.83 $163,913.57 $79,842.94 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 18 — — $43,710.65 $152,250.36 $79,777.65 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 2 1 — — $77,657.41 $81,803.39 $79,730.40 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 2 1 — — $77,627.65 $81,772.05 $79,699.85 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 2 1 — — $77,627.65 $81,772.05 $79,699.85 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 18 — — $43,543.80 $159,597.10 $79,467.43 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 53 18 — — $23,726.41 $167,459.77 $78,774.99 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 31 16 — — $7,277.00 $146,315.45 $77,414.30 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 51 18 — — $2,261.79 $645,554.86 $77,182.67 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 31 16 — — $7,277.00 $132,212.66 $76,877.65 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 18 — — $41,183.29 $149,314.57 $75,945.85 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $5,768.63 $257,924.17 $75,937.90 2026-04-01
245 MS_DRG Aicd Generator Procedures 44 18 — — $6,337.88 $177,546.09 $75,628.01 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 46 18 — — $15,057.22 $147,774.01 $75,233.61 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 58 18 — — $21,120.21 $166,834.83 $74,580.82 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 18 — — $36,999.84 $162,936.19 $74,423.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 47 18 — — $38,187.69 $164,313.47 $74,288.61 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 51 18 — — $24,583.10 $192,958.78 $74,212.10 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 45 18 — — $40,247.65 $149,092.94 $74,165.76 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 18 — — $2,296.43 $160,966.89 $73,834.70 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 18 — — $40,345.26 $142,065.94 $73,630.10 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 19 10 — — $50,351.40 $96,521.27 $73,622.24 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 46 18 — — $38,512.12 $169,945.30 $73,541.71 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 17 12 — — $48,155.50 $171,998.90 $72,233.25 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 65 18 — — $7,873.89 $299,895.36 $72,080.14 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 18 — — $41,047.60 $162,485.65 $70,941.17 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 13 — — $16,630.37 $243,590.40 $70,388.99 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 18 — — $36,180.06 $183,381.91 $70,343.49 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 43 18 — — $35,478.81 $130,294.16 $70,208.62 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 45 18 — — $25,442.01 $199,426.76 $70,170.40 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 18 — — $23,826.27 $141,284.76 $70,170.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 18 — — $10,696.80 $138,120.07 $69,934.60 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 13 — — $58,178.06 $225,052.80 $69,813.67 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 13 — — $11,117.24 $224,762.12 $69,793.38 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 41 18 — — $37,222.01 $137,044.58 $69,566.40 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 18 — — $35,082.71 $138,875.81 $67,358.49 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 17 12 — — $44,853.57 $160,205.27 $67,280.36 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 44 18 — — $35,200.47 $144,634.75 $66,976.43 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 40 18 — — $36,056.51 $140,281.94 $66,895.27 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 51 18 — — $7,445.71 $153,656.49 $66,672.90 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 42 18 — — $35,650.62 $143,384.86 $66,023.63 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 49 18 — — $2,045.32 $153,349.75 $66,004.06 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 45 18 — — $26,885.87 $130,213.79 $65,997.23 2026-04-01
J9226 HCPCS Supprelin La Implant 29 16 — — $41,173.43 $147,060.75 $65,877.48 2026-04-01
332 MS_DRG Rectal Resection With Mcc 41 18 — — $35,559.76 $138,781.05 $65,785.56 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 18 — — $35,607.16 $127,906.58 $65,713.73 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 45 18 — — $1,701.14 $126,158.91 $65,459.72 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 15 — — $53,248.49 $219,217.29 $65,455.65 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 49 18 — — $23,602.84 $147,910.25 $65,421.16 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 44 18 — — $31,324.34 $254,730.16 $65,037.99 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 18 — — $35,121.79 $145,784.54 $64,975.31 2026-04-01
265 MS_DRG Aicd Lead Procedures 40 18 — — $35,536.06 $129,599.74 $64,853.31 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 13 — — $54,003.07 $181,775.37 $64,803.68 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 18 — — $32,109.93 $127,208.97 $64,722.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 18 — — $35,633.71 $115,316.85 $64,664.22 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 55 18 — — $31,497.86 $578,272.57 $64,177.20 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 18 — — $38,152.54 $157,206.32 $63,838.58 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 14 — — $186.16 $193,293.25 $63,626.27 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 14 — — $40,945.34 $149,398.14 $63,465.28 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 30 16 — — $30,267.37 $128,383.33 $63,259.90 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 30 16 — — $30,267.37 $128,383.33 $63,259.90 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 30 16 — — $30,267.37 $128,383.33 $63,259.90 2026-04-01
1289 OTHER AbobotulinumtoxinA 1 1 — — $63,066.49 $63,066.49 $63,066.49 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $63,030.00 $63,030.00 $63,030.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 47 18 — — $34,976.74 $246,089.56 $62,958.13 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 31 16 — — $7,277.00 $151,566.13 $62,956.42 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 31 16 — — $7,277.00 $116,517.13 $62,783.16 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 27 15 — — $7,277.00 $109,255.48 $62,748.32 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 27 15 — — $7,277.00 $109,255.48 $62,748.32 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 19 10 — — $41,803.20 $82,078.51 $62,605.93 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 45 18 — — $2,083.59 $142,770.82 $62,437.60 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 18 — — $34,144.40 $125,886.41 $62,313.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 40 18 — — $31,357.28 $148,973.53 $61,930.63 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 44 18 — — $32,072.07 $123,782.67 $61,772.37 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 18 — — $25,184.96 $140,427.28 $61,732.94 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 13 — — $55,907.60 $198,750.61 $61,498.36 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 13 7 — — $7,277.00 $81,772.05 $61,485.61 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 13 7 — — $7,277.00 $81,772.05 $61,485.61 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 13 7 — — $7,277.00 $81,772.05 $61,485.61 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 13 7 — — $7,277.00 $81,772.05 $61,485.61 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 15 — — $38,591.91 $183,900.26 $60,992.29 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 18 — — $32,550.81 $115,466.88 $60,869.37 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 41 18 — — $32,728.64 $121,955.07 $60,439.50 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 44 18 — — $31,898.01 $129,022.03 $60,063.83 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 40 18 — — $32,440.85 $114,827.71 $59,587.18 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 13 — — $51,760.11 $187,109.20 $59,524.12 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 19 11 — — $7,277.00 $168,270.01 $59,506.45 2026-04-01
69718 HCPCS Revise Temple Bone Implant 2 1 — — $57,956.46 $61,050.64 $59,503.55 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 2 1 — — $57,956.46 $61,050.64 $59,503.55 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 51 18 — — $496.37 $210,353.41 $59,227.96 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 22 13 — — $55,336.91 $116,207.51 $59,210.49 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 18 — — $32,047.37 $120,654.31 $58,996.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 44 18 — — $4,721.00 $132,560.97 $58,819.04 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 47 18 — — $2,525.19 $119,963.97 $58,805.26 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 18 — — $31,232.04 $256,616.10 $58,626.62 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 43 18 — — $27,772.90 $113,507.84 $58,323.09 2026-04-01
63655 HCPCS Implant Neuroelectrodes 31 16 — — $18,933.00 $98,903.42 $58,266.16 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 29 15 — — $7,277.00 $95,289.03 $58,266.16 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 31 16 — — $7,277.00 $98,903.42 $58,266.16 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 29 15 — — $7,277.00 $151,566.13 $58,266.16 2026-04-01
64580 HCPCS Implant Neuroelectrodes 31 16 — — $7,277.00 $98,903.42 $58,266.16 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 29 15 — — $7,277.00 $95,289.03 $58,266.16 2026-04-01
652 MS_DRG Kidney Transplant 54 18 — — $1,000.00 $225,618.26 $58,128.42 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 40 18 — — $31,768.72 $115,549.39 $57,977.91 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 44 18 — — $30,087.55 $115,124.28 $57,600.50 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 41 18 — — $30,967.44 $118,416.14 $57,485.72 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 44 18 — — $1,890.40 $124,945.36 $57,418.21 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 18 — — $31,022.64 $101,931.40 $57,208.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 14 — — $15,514.26 $192,435.76 $56,969.48 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 48 18 — — $28,405.53 $122,821.59 $56,926.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 18 — — $1,756.05 $132,898.68 $56,760.62 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 18 — — $15,937.53 $112,857.04 $56,744.34 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 41 18 — — $31,447.34 $112,351.99 $56,605.21 2026-04-01
665 MS_DRG Prostatectomy With Mcc 40 18 — — $30,824.51 $124,749.16 $56,254.73 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 53 18 — — $1,677.97 $182,616.64 $55,468.30 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 18 11 — — $35,732.90 $151,566.13 $55,385.99 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 18 11 — — $35,732.90 $151,566.13 $55,385.99 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 18 11 — — $35,732.90 $151,566.13 $55,385.99 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 52 18 — — $8,754.61 $136,625.97 $54,887.38 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 40 18 — — $29,869.87 $103,842.57 $54,512.51 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 44 18 — — $18,988.61 $117,126.28 $54,108.35 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 13 — — $45,018.89 $169,033.03 $54,022.67 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 18 — — $24,222.98 $127,278.00 $53,978.82 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 18 — — $29,834.80 $91,732.45 $53,825.38 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
53444 HCPCS Insert Tandem Cuff 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 31 16 — — $7,277.00 $133,276.26 $53,633.40 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 31 16 — — $7,277.00 $133,276.26 $53,633.40 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 31 16 — — $7,277.00 $133,276.26 $53,633.40 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 19 11 — — $7,277.00 $151,566.13 $53,599.35 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 19 11 — — $7,277.00 $151,566.13 $53,599.35 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 19 11 — — $7,277.00 $151,566.13 $53,599.35 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 18 — — $8,327.59 $123,244.93 $53,555.57 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 44 18 — — $28,202.71 $105,259.60 $53,225.32 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 40 18 — — $29,145.60 $96,056.20 $53,190.72 2026-04-01
800 MS_DRG Splenic Procedures With Cc 41 18 — — $27,868.65 $105,862.74 $53,170.20 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 11 6 — — $35,517.60 $69,379.77 $52,919.88 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 18 — — $25,393.53 $107,134.43 $52,656.30 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 44 18 — — $16,570.84 $104,046.04 $52,243.37 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 18 — — $27,642.00 $105,953.58 $52,050.85 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 41 18 — — $27,372.85 $100,236.27 $52,041.60 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 18 — — $4,635.93 $128,229.95 $51,979.00 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 31 16 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 31 16 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 31 16 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 29 15 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 29 15 — — $7,277.00 $109,255.48 $51,899.44 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 29 15 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 29 15 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 29 15 — — $7,277.00 $109,255.48 $51,899.44 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 29 15 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 29 15 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 29 15 — — $7,277.00 $94,609.13 $51,899.44 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 53 18 — — $1,375.80 $105,757.52 $51,856.20 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 18 — — $4,033.53 $109,379.87 $51,780.74 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 18 — — $28,746.50 $106,560.36 $51,743.70 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 27 15 — — $7,277.00 $86,122.20 $51,409.38 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 40 18 — — $26,238.09 $105,561.51 $51,168.54 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 51 18 — — $16,223.78 $121,371.48 $51,043.81 2026-04-01
5432 OTHER Level 2 Nerve Procedures 6 5 — — $4,760.07 $83,365.16 $50,649.48 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 13 7 — — $7,277.00 $62,652.41 $50,464.93 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 19 10 — — $33,726.60 $66,007.98 $50,348.02 2026-04-01
22630 HCPCS Lumbar Spine Fusion 29 15 — — $7,277.00 $133,276.26 $50,273.47 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 29 15 — — $7,277.00 $133,276.26 $50,273.47 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 44 18 — — $24,296.29 $96,671.29 $50,213.70 2026-04-01
503 MS_DRG Foot Procedures With Mcc 41 18 — — $27,196.36 $96,157.93 $49,851.31 2026-04-01
22612 HCPCS Lumbar Spine Fusion 31 16 — — $7,277.00 $86,122.20 $49,637.68 2026-04-01
23616 HCPCS Treat Humerus Fracture 31 16 — — $7,277.00 $86,122.20 $49,637.68 2026-04-01
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