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

PEACEHEALTH SOUTHWEST MEDICAL CENTER

Vancouver, WA · CCN 500050 · Rates published

11,978 distinct procedures filed
15 distinct payers
162,052 rate rows
2026-04-01 last MRF observed
Data quality

117,001 of 162,052 rate rows are consumer-grade (72.2%)

45,051 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 44,900
template filing: same amount across many unrelated codes — excluded 130
placeholder amount (≤ $0.02) — excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uwmedicine.org/911631806_harborview-medical-center_standardcharges.json
Found on page https://www.uwmedicine.org/patient-resources/billing-and-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-18
Content fingerprint 482427e536899750… · 62,330,717 bytes · first seen 2026-05-13

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,505,000.00 $4,955,500.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,053,793.33 $3,758,972.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,335,820.00 $3,669,402.00 $3,402,536.40 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $3,648,108.85 $3,382,791.84 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,573,290.29 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 5 $3,090,000.00 $4,944,000.00 $3,198,150.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,713,184.00 $3,048,840.90 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.60 $4,910,221.21 $2,577,866.14 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,664,000.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
999
MS_DRG 		Ungroupable 2 $241,369.22 $2,112,631.90 $1,177,000.56 nat. median
$9,134
outlier · 128.9×
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,673,427.09 $816,857.20 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,284,953.23 $627,229.77 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,228,803.33 $599,821.08 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $1,221,570.47 $596,290.48 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,210,234.52 $590,757.01 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $1,157,927.14 $565,223.98 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $1,062,541.31 $518,662.88 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $467,085.21 $1,791,006.63 $513,793.73 nat. median
$370,174
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $304,228.07 $1,187,989.17 $486,764.91 nat. median
$265,286
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $232,533.50 $1,091,585.83 $372,053.60 nat. median
$206,368
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $178,733.00 $375,652.47 $367,526.57 nat. median
$87,411
outlier · 4.2×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $158,547.40 $324,578.59 $317,557.49 nat. median
$63,570
outlier · 5.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $604,229.18 $299,118.75 nat. median
$324,450
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $140,527.80 $300,525.37 $294,024.57 nat. median
$54,196
outlier · 5.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $32,064.45 $1,126,470.30 $291,952.94 nat. median
$202,986
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $130,188.00 $281,156.46 $275,074.64 nat. median
$65,381
outlier · 4.2×
J3403
HCPCS 		Revakinagene, Per Implant 7 $257,500.00 $559,169.86 $272,950.00 nat. median
$265,000
1.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $127,066.30 $271,346.95 $265,477.33 nat. median
$49,935
outlier · 5.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $116,375.00 $259,282.19 $253,673.54 nat. median
$62,270
outlier · 4.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $145,285.42 $587,188.55 $234,383.69 nat. median
$133,176
1.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $205,640.00 $446,554.13 $217,978.40 nat. median
$209,753
1.0× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $114,055.10 $221,231.13 $216,445.58 nat. median
$44,728
outlier · 4.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $132,270.25 $498,442.40 $211,632.40 nat. median
$117,303
1.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $107,327.20 $214,406.02 $209,768.11 nat. median
$48,649
outlier · 4.3×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 $99,354.80 $212,837.51 $208,233.53 nat. median
$39,020
outlier · 5.3×
7
MS_DRG 		Lung Transplant 13 $142,286.26 $548,984.88 $204,939.70 nat. median
$122,708
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $124,899.25 $480,377.67 $199,838.80 nat. median
$108,660
1.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $91,452.70 $195,240.60 $191,017.26 nat. median
$48,483
outlier · 3.9×
215
MS_DRG 		Other Heart Assist System Implant 13 $110,129.31 $422,097.14 $176,206.90 nat. median
$99,019
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $113,927.08 $437,082.72 $175,425.71 nat. median
$100,136
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $108,257.82 $414,712.46 $173,212.51 nat. median
$93,672
1.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $75,247.60 $155,065.70 $151,711.40 nat. median
$39,075
outlier · 3.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $88,300.92 $356,236.93 $149,501.54 nat. median
$81,118
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $18,661.58 $446,280.54 $140,312.13 nat. median
$77,576
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $71,996.60 $369,124.77 $137,037.55 nat. median
$74,915
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $85,292.87 $324,095.32 $136,468.59 nat. median
$73,807
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $119,982.02 $460,974.85 $131,980.22 nat. median
$102,358
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $124,759.58 $479,826.57 $126,630.98 nat. median
$98,017
1.3× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 $58,833.50 $127,591.44 $124,831.46 nat. median
$22,459
outlier · 5.6×
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 $60,283.20 $126,981.00 $124,234.22 nat. median
$26,892
outlier · 4.6×

Other procedures at this hospital

Browse this hospital's 11,978 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,505,000.00 $4,955,500.00 $4,595,100.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $4,053,793.33 $3,758,972.00 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 5 — — $3,335,820.00 $3,669,402.00 $3,402,536.40 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $3,648,108.85 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $3,573,290.29 $3,313,414.63 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 6 5 — — $3,090,000.00 $4,944,000.00 $3,198,150.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 5 — — $2,945,740.00 $4,713,184.00 $3,048,840.90 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 6 — — $2,455,110.60 $4,910,221.21 $2,577,866.14 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 6 — — $2,332,000.00 $4,664,000.00 $2,448,600.00 2026-04-01
999 MS_DRG Ungroupable 2 2 — — $241,369.22 $2,112,631.90 $1,177,000.56 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $770,620.00 $1,673,427.09 $816,857.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $591,726.20 $1,284,953.23 $627,229.77 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $565,868.94 $1,228,803.33 $599,821.08 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $562,538.19 $1,221,570.47 $596,290.48 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $557,317.93 $1,210,234.52 $590,757.01 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $533,230.17 $1,157,927.14 $565,223.98 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $489,304.61 $1,062,541.31 $518,662.88 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 11 — — $467,085.21 $1,791,006.63 $513,793.73 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 13 — — $304,228.07 $1,187,989.17 $486,764.91 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 13 — — $232,533.50 $1,091,585.83 $372,053.60 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $178,733.00 $375,652.47 $367,526.57 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $158,547.40 $324,578.59 $317,557.49 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 7 — — $278,250.00 $604,229.18 $299,118.75 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $140,527.80 $300,525.37 $294,024.57 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 15 — — $32,064.45 $1,126,470.30 $291,952.94 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 — — $130,188.00 $281,156.46 $275,074.64 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 9 7 — — $257,500.00 $559,169.86 $272,950.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 4 — — $127,066.30 $271,346.95 $265,477.33 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 4 — — $116,375.00 $259,282.19 $253,673.54 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 14 — — $145,285.42 $587,188.55 $234,383.69 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 7 — — $205,640.00 $446,554.13 $217,978.40 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $114,055.10 $221,231.13 $216,445.58 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 13 — — $132,270.25 $498,442.40 $211,632.40 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $107,327.20 $214,406.02 $209,768.11 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 4 — — $99,354.80 $212,837.51 $208,233.53 2026-04-01
7 MS_DRG Lung Transplant 25 13 — — $142,286.26 $548,984.88 $204,939.70 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 13 — — $124,899.25 $480,377.67 $199,838.80 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 4 — — $91,452.70 $195,240.60 $191,017.26 2026-04-01
215 MS_DRG Other Heart Assist System Implant 25 13 — — $110,129.31 $422,097.14 $176,206.90 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 13 — — $113,927.08 $437,082.72 $175,425.71 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 13 — — $108,257.82 $414,712.46 $173,212.51 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 4 — — $75,247.60 $155,065.70 $151,711.40 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 13 — — $88,300.92 $356,236.93 $149,501.54 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 14 — — $18,661.58 $446,280.54 $140,312.13 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 14 — — $71,996.60 $369,124.77 $137,037.55 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 13 — — $85,292.87 $324,095.32 $136,468.59 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 11 — — $119,982.02 $460,974.85 $131,980.22 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 11 — — $124,759.58 $479,826.57 $126,630.98 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 5 4 — — $58,833.50 $127,591.44 $124,831.46 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 4 — — $60,283.20 $126,981.00 $124,234.22 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 15 — — $54,171.27 $617,833.15 $121,732.96 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 12 — — $8,651.34 $467,210.71 $121,562.37 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 14 — — $61,861.08 $1,020,367.99 $120,755.81 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 35 11 — — $11,462.11 $627,235.71 $119,904.94 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $108,243.35 $216,486.70 $113,655.52 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 13 — — $68,997.38 $259,795.13 $110,395.81 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 13 — — $50,590.30 $259,494.15 $110,251.30 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 5 4 — — $55,291.90 $112,614.35 $110,178.34 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 13 — — $68,290.46 $257,005.74 $109,264.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 11 — — $79,762.20 $302,271.92 $107,678.97 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 14 — — $10,229.54 $252,787.74 $107,554.40 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 25 13 — — $66,862.67 $245,934.31 $106,980.27 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 13 — — $66,206.26 $248,781.69 $105,930.02 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 13 — — $67,010.93 $246,506.66 $105,887.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 11 — — $89,448.48 $381,934.96 $104,948.62 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 13 — — $73,798.57 $278,740.12 $102,626.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 13 — — $63,370.02 $237,590.20 $101,392.03 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 13 — — $23,259.97 $357,360.32 $100,752.40 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 13 — — $66,231.78 $278,740.12 $99,628.07 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 13 — — $62,137.76 $227,693.60 $99,420.42 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 13 — — $66,165.43 $248,620.60 $99,187.33 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 13 — — $61,845.54 $231,574.78 $98,919.70 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 12 — — $7,242.80 $367,093.52 $97,632.68 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 15 — — $8,363.80 $422,401.81 $97,254.65 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 13 — — $49,060.46 $254,703.85 $96,968.42 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 13 — — $29,325.58 $223,672.91 $94,328.57 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 5 4 — — $48,603.90 $95,763.53 $93,692.03 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 13 — — $48,057.34 $211,425.86 $90,782.77 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 47 15 — — $43,815.74 $297,247.35 $90,503.34 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 13 — — $55,813.15 $428,505.21 $89,301.04 2026-04-01
10 MS_DRG Pancreas Transplant 25 13 — — $75,545.90 $304,192.27 $88,273.76 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 13 — — $31,142.39 $204,698.25 $87,915.68 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 15 — — $8,313.31 $441,719.36 $87,790.82 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 11 — — $79,807.32 $302,449.96 $87,788.05 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 13 — — $54,772.13 $199,258.34 $87,635.41 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 13 — — $57,306.48 $213,664.16 $87,327.80 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 36 14 — — $38,638.06 $373,179.75 $86,982.36 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 13 — — $54,304.79 $201,819.83 $86,887.66 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 12 — — $6,206.07 $306,010.89 $86,762.99 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 13 — — $51,187.82 $240,870.08 $85,701.60 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 13 — — $53,413.09 $198,301.30 $85,460.94 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 13 — — $52,974.77 $196,571.70 $84,759.63 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 25 13 — — $61,518.94 $225,304.64 $84,500.60 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 13 — — $50,338.16 $194,854.83 $84,063.46 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 13 — — $61,753.14 $231,210.21 $83,566.97 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 47 14 — — $47,501.70 $496,254.80 $83,495.50 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 14 — — $14,577.97 $582,866.33 $83,241.81 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 13 — — $37,001.45 $802,611.95 $83,219.73 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 13 — — $50,356.83 $191,989.13 $82,901.46 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 13 — — $70,968.81 $291,567.94 $82,828.21 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 13 — — $43,496.90 $285,906.27 $82,592.49 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 38 13 — — $48,528.46 $429,735.58 $82,091.84 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 11 — — $57,023.84 $244,478.90 $80,904.12 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 39 14 — — $8,492.65 $296,831.49 $79,516.87 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 5 4 — — $38,659.30 $80,947.52 $79,196.51 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 13 — — $18,953.07 $277,726.95 $79,057.45 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 8 7 — — $72,838.84 $155,055.98 $78,301.76 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 29 13 — — $45,623.69 $179,003.39 $77,522.91 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 15 — — $27,355.63 $561,916.31 $77,462.82 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 13 — — $45,281.86 $200,735.61 $77,275.39 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 29 13 — — $46,436.39 $284,518.92 $77,189.44 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 13 — — $47,985.56 $176,884.86 $76,776.90 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 13 — — $48,159.60 $177,571.61 $76,552.90 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 15 — — $40,804.77 $739,520.78 $76,170.98 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 12 — — $18,877.37 $283,454.11 $76,118.12 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 5 4 — — $36,415.40 $77,013.55 $75,347.63 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 11 — — $67,688.84 $254,631.79 $74,457.72 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 12 — — $40,854.86 $170,437.04 $74,162.40 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 13 — — $46,246.49 $181,984.62 $73,623.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 13 — — $46,765.12 $168,347.03 $72,317.80 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 13 — — $28,621.62 $165,833.26 $72,295.63 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $137,603.42 $72,241.80 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 13 — — $19,939.24 $163,683.99 $71,424.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 14 — — $30,383.51 $194,641.24 $71,047.70 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 14 — — $38,257.37 $237,897.14 $70,899.15 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 13 — — $47,479.55 $174,888.20 $70,495.70 2026-04-01
0902 OTHER Injection,onabotulinumtoxinA 1 1 — — $70,168.23 $70,168.23 $70,168.23 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 11 — — $59,915.44 $238,327.82 $69,912.64 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 — — $62,957.47 $235,962.35 $69,253.22 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 13 — — $49,577.60 $208,640.71 $69,010.07 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 14 — — $12,013.65 $234,131.02 $68,742.70 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 14 — — $37,480.01 $163,998.29 $68,297.41 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 31 14 — — $39,958.72 $539,351.33 $68,190.82 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 15 — — $6,330.84 $260,438.63 $68,165.04 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 13 — — $18,161.65 $231,905.44 $68,122.26 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 5 4 — — $32,605.90 $69,031.13 $67,537.89 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 14 — — $42,140.11 $153,819.37 $67,424.18 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 13 — — $18,071.60 $158,448.58 $67,285.17 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 7 — — $63,342.28 $137,549.88 $67,142.82 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 12 — — $51,104.35 $189,191.26 $67,064.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 13 — — $41,649.14 $151,882.06 $66,638.62 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 13 — — $41,559.97 $151,530.20 $66,495.95 2026-04-01
332 MS_DRG Rectal Resection With Mcc 25 13 — — $42,056.31 $153,488.71 $66,346.10 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 13 — — $41,395.60 $150,881.61 $66,232.96 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 13 — — $41,045.37 $149,499.63 $65,672.59 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 11 — — $64,469.06 $241,926.90 $65,436.10 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 13 — — $42,110.03 $153,700.67 $65,219.40 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 13 — — $40,624.23 $147,837.86 $64,998.77 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 13 — — $41,432.13 $151,025.74 $64,911.60 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 13 — — $8,914.29 $220,285.79 $64,883.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 13 — — $38,230.15 $186,219.58 $64,643.72 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 14 — — $18,691.34 $176,053.98 $64,496.24 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 14 — — $39,129.53 $176,707.15 $64,043.51 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 37 14 — — $35,463.78 $334,317.56 $63,695.81 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 13 — — $29,046.75 $226,068.06 $63,472.48 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 12 — — $4,371.50 $225,932.40 $63,436.38 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 37 14 — — $8,728.80 $163,840.84 $61,974.59 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 13 — — $52,662.01 $209,730.18 $61,940.45 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 14 — — $3,855.51 $299,458.86 $61,853.51 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 13 — — $40,271.85 $146,447.40 $61,850.70 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 13 — — $38,646.38 $140,033.49 $61,834.21 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 14 — — $9,172.84 $220,667.32 $61,149.12 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 8 7 — — $56,824.55 $123,396.41 $61,086.39 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 13 — — $38,103.84 $137,892.70 $60,966.14 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 13 — — $37,911.53 $134,167.48 $60,658.45 2026-04-01
652 MS_DRG Kidney Transplant 25 13 — — $37,853.52 $136,904.96 $60,565.63 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 5 4 — — $30,595.70 $61,604.05 $60,271.47 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 14 — — $24,502.93 $164,086.71 $60,268.34 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 13 — — $38,521.76 $139,541.75 $60,036.20 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 13 — — $45,960.44 $168,893.97 $59,895.60 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 13 — — $37,362.55 $134,967.65 $59,780.08 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 13 — — $37,106.86 $133,958.72 $59,370.98 2026-04-01
265 MS_DRG Aicd Lead Procedures 25 13 — — $42,029.46 $153,382.73 $59,304.70 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 13 — — $5,343.19 $272,448.40 $58,592.30 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 7 — — $55,272.32 $120,025.70 $58,588.66 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 13 — — $42,131.05 $157,986.51 $58,314.85 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 13 — — $36,914.55 $133,199.90 $58,115.30 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 11 — — $52,776.01 $195,787.45 $58,053.61 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 11 — — $25,543.64 $199,301.75 $57,691.64 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 29 13 — — $20,715.78 $287,430.17 $57,288.80 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 13 — — $5,411.14 $150,975.90 $56,741.34 2026-04-01
665 MS_DRG Prostatectomy With Mcc 25 13 — — $36,690.02 $132,313.91 $56,401.50 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 13 — — $7,865.11 $194,358.84 $56,345.01 2026-04-01
245 MS_DRG Aicd Generator Procedures 28 13 — — $5,815.57 $193,409.26 $56,086.31 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 13 — — $31,092.42 $151,377.59 $56,053.76 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 13 — — $26,103.63 $151,152.92 $55,976.89 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 13 — — $34,158.13 $136,536.15 $55,888.50 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 13 — — $35,603.87 $128,028.08 $55,576.90 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 15 — — $30,543.92 $265,971.17 $55,113.17 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 30 13 — — $5,181.59 $225,352.05 $54,972.53 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 13 — — $34,335.08 $123,021.58 $54,936.13 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 8 7 — — $51,005.37 $108,577.88 $54,830.77 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 7 — — $51,005.37 $108,577.88 $54,830.77 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 8 7 — — $51,005.37 $108,577.88 $54,830.77 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 8 7 — — $51,005.37 $108,577.88 $54,830.77 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 13 — — $34,178.23 $122,402.66 $54,685.17 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 2 — — $51,096.70 $57,903.65 $54,500.18 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 26 13 — — $34,528.46 $204,378.64 $54,111.62 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $30,069.29 $145,336.73 $53,664.86 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 37 11 — — $41,820.12 $348,617.33 $53,590.09 2026-04-01
503 MS_DRG Foot Procedures With Mcc 27 13 — — $33,143.64 $118,320.31 $53,029.82 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 13 — — $34,315.74 $122,945.28 $53,027.10 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 13 — — $8,541.05 $179,029.89 $52,168.86 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 45 14 — — $5,333.75 $200,530.97 $51,469.89 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 12 — — $11,439.79 $182,988.24 $51,258.12 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 12 — — $21,708.64 $183,447.14 $50,641.60 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $48,155.50 $96,311.00 $50,563.28 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 13 — — $29,532.81 $148,101.86 $50,484.40 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 14 — — $14,774.91 $150,758.67 $50,218.80 2026-04-01
509 MS_DRG Arthroscopy 10 6 — — $26,442.30 $74,461.55 $50,165.64 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 5 4 — — $23,512.50 $50,866.16 $49,765.85 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 14 — — $20,492.90 $172,934.16 $49,631.70 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 25 13 — — $31,010.02 $107,523.94 $49,616.03 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 13 — — $31,479.69 $161,511.95 $49,494.08 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 27 13 — — $29,339.19 $108,845.70 $49,188.02 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 34 14 — — $22,856.98 $144,343.75 $48,857.55 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 14 — — $25,544.97 $134,531.19 $48,646.54 2026-04-01
J9226 HCPCS Supprelin La Implant 10 8 — — $45,020.65 $97,763.85 $48,622.31 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 2 2 — — $43,496.70 $53,554.93 $48,525.82 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 36 14 — — $24,172.12 $126,312.41 $48,505.22 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 43 14 — — $24,385.69 $122,818.57 $48,419.65 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 25 13 — — $30,274.10 $106,997.41 $48,100.40 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 29 13 — — $27,682.89 $148,195.32 $47,711.44 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $44,853.57 $89,707.14 $47,096.25 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 33 13 — — $25,556.24 $103,491.59 $47,016.99 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 38 13 — — $11,447.62 $151,433.07 $46,817.33 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 13 — — $14,892.62 $135,349.18 $46,386.61 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 25 13 — — $29,929.24 $105,636.62 $46,346.70 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $46,250.89 $46,250.89 $46,250.89 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 25 13 — — $34,118.06 $122,165.27 $46,080.70 2026-04-01
570 MS_DRG Skin Debridement With Mcc 30 13 — — $5,003.64 $124,679.11 $45,978.62 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 27 13 — — $28,795.82 $103,662.93 $45,803.30 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 30 14 — — $31,765.24 $196,617.47 $45,737.81 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 37 14 — — $29,199.28 $189,513.42 $45,632.27 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 29 13 — — $10,354.02 $212,797.72 $45,579.34 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 11 — — $15,075.15 $157,096.27 $45,500.51 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 5 4 — — $21,880.40 $46,321.74 $45,319.73 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 14 — — $26,872.42 $126,794.94 $45,276.90 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 27 13 — — $28,264.02 $190,838.64 $45,222.43 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 31 13 — — $27,822.68 $98,582.60 $45,026.48 2026-04-01
800 MS_DRG Splenic Procedures With Cc 26 13 — — $32,205.15 $119,096.08 $45,009.34 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 29 13 — — $25,719.84 $98,650.42 $44,760.55 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 28 13 — — $23,366.34 $106,972.32 $44,742.62 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 13 — — $21,985.22 $147,159.59 $44,497.56 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 32 13 — — $14,242.45 $96,471.47 $44,170.45 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 11 7 — — $18,086.08 $64,128.65 $44,159.47 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 13 — — $27,987.92 $97,976.39 $44,007.80 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 25 13 — — $27,498.02 $96,043.32 $43,996.83 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 38 15 — — $8,523.89 $265,330.57 $43,681.44 2026-04-01
792 MS_DRG Prematurity Without Major Problems 29 14 — — $26,075.27 $381,985.24 $43,633.50 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 2 2 — — $40,791.10 $46,232.16 $43,511.63 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 11 — — $7,236.76 $152,882.51 $43,369.27 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 36 14 — — $9,424.46 $144,817.25 $43,320.41 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 13 — — $30,585.65 $108,226.78 $42,991.37 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 36 14 — — $24,285.33 $107,305.09 $42,978.30 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 13 — — $27,602.69 $112,239.65 $42,972.64 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 13 — — $29,126.35 $114,348.18 $42,846.54 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 8 7 — — $39,670.97 $84,449.73 $42,646.29 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 13 — — $29,610.44 $111,804.66 $42,514.72 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 13 — — $26,549.38 $92,300.10 $42,479.01 2026-04-01
333 MS_DRG Rectal Resection With Cc 25 13 — — $28,320.96 $99,290.54 $42,469.43 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 25 13 — — $27,207.95 $94,898.73 $42,413.70 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 27 13 — — $35,819.47 $139,558.70 $42,378.66 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 4 4 — — $8,651.87 $72,370.54 $41,990.38 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 13 — — $19,666.19 $141,614.72 $41,975.65 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 11 — — $32,041.25 $153,932.52 $41,649.51 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 25 13 — — $26,041.22 $90,294.96 $41,646.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 13 — — $34,789.73 $136,803.22 $41,610.51 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 29 14 — — $12,031.48 $106,972.32 $41,435.96 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 31 13 — — $21,994.40 $98,448.86 $41,299.82 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 25 13 — — $25,745.78 $89,129.18 $41,193.25 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 14 — — $11,938.54 $144,433.78 $41,153.19 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 13 — — $28,803.87 $234,707.85 $41,115.15 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 44 15 — — $15,717.01 $96,804.66 $41,055.74 2026-04-01
69930 HCPCS Implant Cochlear Device 8 7 — — $38,181.38 $81,278.76 $41,044.98 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 25 13 — — $25,583.56 $86,574.92 $40,933.70 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 37 14 — — $22,032.27 $214,919.47 $40,820.85 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 38 14 — — $19,697.71 $117,102.97 $40,773.82 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 32 13 — — $9,313.01 $88,149.92 $40,746.10 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 27 13 — — $25,623.31 $88,645.91 $40,740.49 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 11 — — $29,559.33 $133,577.19 $40,711.19 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 11 — — $40,099.95 $145,769.13 $40,701.45 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 14 — — $15,445.63 $133,513.60 $40,693.46 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 11 — — $32,488.37 $136,095.28 $40,471.94 2026-04-01
849 MS_DRG Radiotherapy 25 13 — — $32,266.99 $112,376.51 $40,390.20 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 26 13 — — $26,134.69 $88,702.58 $39,884.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 13 — — $18,000.11 $103,614.53 $39,712.65 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 14 — — $16,243.98 $129,783.11 $39,653.50 2026-04-01
263 MS_DRG Vein Ligation And Stripping 29 13 — — $15,857.93 $129,609.30 $39,605.05 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 25 13 — — $24,882.02 $85,720.86 $39,569.40 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 39 14 — — $3,133.97 $104,900.74 $39,543.07 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 25 13 — — $25,897.26 $89,726.91 $39,185.60 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 13 — — $5,175.24 $127,888.19 $39,125.25 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 8 7 — — $36,347.98 $77,375.91 $39,074.08 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 8 7 — — $36,347.98 $77,375.91 $39,074.08 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 8 7 — — $36,347.98 $77,375.91 $39,074.08 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 8 7 — — $36,347.98 $77,375.91 $39,074.08 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 8 7 — — $36,347.98 $77,375.91 $39,074.08 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 8 7 — — $36,347.98 $77,375.91 $39,074.08 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 8 7 — — $36,347.98 $77,375.91 $39,074.08 2026-04-01
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