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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

OVERLAKE HOSPITAL MEDICAL CENTER

Bellevue, WA · CCN 500051 · Rates published

16,870 distinct procedures filed
15 distinct payers
633,050 rate rows
2026-04-01 last MRF observed
Data quality

571,934 of 633,050 rate rows are consumer-grade (90.3%)

61,116 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 60,652
template filing: same amount across many unrelated codes — excluded 320
placeholder amount (≤ $0.02) — excluded from medians 144
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/1861432726_overlake-medical-center-&-clinics_standardcharges.json
Found on page https://hospitalpricedisclosure.com/Default?ci=xkaGltaEmDgdmoatalrjpg*-*
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 60a2ad8cd8e2cb2f… · 71,022,706 bytes · first seen 2026-05-09

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 3 $3,339,000.00 $4,060,595.00 $3,756,096.75 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,339,000.00 $3,710,000.00 $3,524,500.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $2,989,603.36 $3,653,514.02 $3,371,399.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $2,873,700.00 $3,569,919.53 $3,294,062.11 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,671,200.00 $3,232,152.00 $2,997,234.80 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,163,112.88 $4,656,757.06 $2,664,699.87 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,098,800.00 $4,197,600.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $509,061.46 $2,669,140.65 $997,619.50 nat. median
$753,246
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $440,565.44 $2,455,309.80 $887,882.51 nat. median
$634,303
1.4× median
0100T
HCPCS 		Prosth Retina Receive&Gen 3 $4,323.82 $1,454,854.77 $727,427.39 nat. median
$11,210
outlier · 64.9×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $366,876.33 $1,079,570.00 $722,904.00 nat. median
$370,174
2.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $496,186.51 $1,547,741.35 $609,092.12 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $464,837.37 $1,478,746.00 $581,939.97 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $475,481.19 $1,472,224.24 $579,373.42 nat. median
$625,184
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $238,296.29 $753,842.91 $532,099.19 nat. median
$265,286
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $439,246.36 $1,286,834.28 $506,415.78 nat. median
$619,808
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $181,691.52 $574,328.45 $403,002.93 nat. median
$206,474
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $43,159.63 $570,957.88 $372,887.81 nat. median
$202,976
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $104,259.76 $372,602.66 $256,953.92 nat. median
$133,161
1.9× median
7
MS_DRG 		Lung Transplant 12 $110,438.93 $348,360.38 $244,146.00 nat. median
$122,708
2.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $183,096.00 $228,741.83 $228,741.83 nat. median
$87,428
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $102,531.02 $300,447.50 $224,410.25 nat. median
$117,357
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $96,711.42 $336,638.88 $209,402.95 nat. median
$108,660
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $88,048.60 $285,015.30 $201,167.17 nat. median
$100,136
outlier · 2.0×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $99,267.30 $297,801.90 $198,534.60 nat. median
$111,989
1.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $191,307.81 $191,307.81 $191,307.81 nat. median
$63,570
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $92,829.14 $292,513.29 $189,312.28 nat. median
$102,358
1.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $186,433.40 $235,139.13 $186,433.40 nat. median
$96,983
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 13 $14,108.62 $267,843.30 $180,292.72 nat. median
$99,019
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $58,151.37 $296,470.28 $177,956.10 nat. median
$98,894
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $177,130.75 $177,130.75 $177,130.75 nat. median
$54,196
outlier · 3.3×
209
MS_DRG 		Complex Aortic Arch Procedures 11 $96,601.15 $304,475.72 $169,182.10 nat. median
$98,047
1.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $132,660.00 $165,732.14 $165,732.14 nat. median
$65,393
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $51,321.02 $263,157.32 $164,868.92 nat. median
$93,672
1.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $159,932.89 $159,932.89 $159,932.89 nat. median
$49,935
outlier · 3.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $71,872.30 $226,051.46 $158,449.94 nat. median
$81,118
2.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $69,761.00 $226,764.31 $157,411.52 nat. median
$79,312
2.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $74,044.57 $232,940.55 $155,315.43 nat. median
$83,470
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $77,014.17 $242,358.24 $155,246.41 nat. median
$82,711
1.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $121,818.00 $152,187.23 $152,187.23 nat. median
$62,372
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $61,045.10 $233,842.41 $140,998.74 nat. median
$72,135
2.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $61,110.15 $191,920.74 $140,515.95 nat. median
$71,271
2.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $67,131.73 $232,452.25 $140,187.86 nat. median
$77,570
1.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $51,142.10 $418,792.38 $139,597.46 nat. median
$62,507
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $52,538.00 $206,546.27 $136,673.74 nat. median
$74,915
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $43,321.92 $205,655.88 $135,128.56 nat. median
$73,807
1.8× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $130,394.44 $130,394.44 $130,394.44 nat. median
$44,728
outlier · 2.9×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $57,687.60 $181,066.59 $128,986.59 nat. median
$64,732
2.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $61,433.32 $192,945.63 $126,908.86 nat. median
$64,023
2.0× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $126,371.69 $126,371.69 $126,371.69 nat. median
$48,704
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 16,870 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 12 3 — — $3,339,000.00 $4,060,595.00 $3,756,096.75 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,339,000.00 $3,710,000.00 $3,524,500.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 3 — — $2,989,603.36 $3,653,514.02 $3,371,399.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 3 — — $2,873,700.00 $3,569,919.53 $3,294,062.11 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 12 3 — — $2,671,200.00 $3,232,152.00 $2,997,234.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 4 — — $2,163,112.88 $4,656,757.06 $2,664,699.87 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 4 — — $2,098,800.00 $4,197,600.00 $2,401,960.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 40 6 — — $509,061.46 $2,669,140.65 $997,619.50 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 40 6 — — $440,565.44 $2,455,309.80 $887,882.51 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 32 3 — — $4,323.82 $1,454,854.77 $727,427.39 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 50 12 — — $366,876.33 $1,079,570.00 $722,904.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 16 5 — — $496,186.51 $1,547,741.35 $609,092.12 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 5 — — $464,837.37 $1,478,746.00 $581,939.97 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 16 5 — — $475,481.19 $1,472,224.24 $579,373.42 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 12 — — $238,296.29 $753,842.91 $532,099.19 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 16 5 — — $439,246.36 $1,286,834.28 $506,415.78 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 12 — — $181,691.52 $574,328.45 $403,002.93 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 64 12 — — $43,159.63 $570,957.88 $372,887.81 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 64 12 — — $104,259.76 $372,602.66 $256,953.92 2026-04-01
7 MS_DRG Lung Transplant 50 12 — — $110,438.93 $348,360.38 $244,146.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 2 — — $183,096.00 $228,741.83 $228,741.83 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 50 12 — — $102,531.02 $300,447.50 $224,410.25 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 12 — — $96,711.42 $336,638.88 $209,402.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 12 — — $88,048.60 $285,015.30 $201,167.17 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 42 6 — — $99,267.30 $297,801.90 $198,534.60 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 1 — — $191,307.81 $191,307.81 $191,307.81 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 11 — — $92,829.14 $292,513.29 $189,312.28 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 2 — — $186,433.40 $235,139.13 $186,433.40 2026-04-01
215 MS_DRG Other Heart Assist System Implant 68 13 — — $14,108.62 $267,843.30 $180,292.72 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 11 — — $58,151.37 $296,470.28 $177,956.10 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 1 — — $177,130.75 $177,130.75 $177,130.75 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 30 11 — — $96,601.15 $304,475.72 $169,182.10 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 2 — — $132,660.00 $165,732.14 $165,732.14 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 13 — — $51,321.02 $263,157.32 $164,868.92 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 1 — — $159,932.89 $159,932.89 $159,932.89 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 12 — — $71,872.30 $226,051.46 $158,449.94 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 13 — — $69,761.00 $226,764.31 $157,411.52 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 40 11 — — $74,044.57 $232,940.55 $155,315.43 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 11 — — $77,014.17 $242,358.24 $155,246.41 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 2 — — $121,818.00 $152,187.23 $152,187.23 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 12 — — $61,045.10 $233,842.41 $140,998.74 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 50 12 — — $61,110.15 $191,920.74 $140,515.95 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 64 12 — — $67,131.73 $232,452.25 $140,187.86 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 54 8 — — $51,142.10 $418,792.38 $139,597.46 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 13 — — $52,538.00 $206,546.27 $136,673.74 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 12 — — $43,321.92 $205,655.88 $135,128.56 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 1 — — $130,394.44 $130,394.44 $130,394.44 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 50 12 — — $57,687.60 $181,066.59 $128,986.59 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 50 12 — — $61,433.32 $192,945.63 $126,908.86 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 1 — — $126,371.69 $126,371.69 $126,371.69 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 1 — — $125,447.21 $125,447.21 $125,447.21 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 18 5 — — $68,801.71 $180,948.50 $123,843.08 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 52 8 — — $49,982.85 $366,577.68 $122,192.56 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 50 11 — — $61,074.52 $191,807.76 $120,054.20 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 2 — — $95,760.00 $119,632.97 $119,632.97 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 12 — — $52,515.19 $181,088.53 $119,466.03 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $115,093.64 $122,519.03 $118,806.34 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 62 12 — — $34,382.11 $185,015.51 $118,305.27 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 13 — — $22,381.91 $172,795.00 $118,177.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 12 — — $50,497.66 $176,232.66 $116,814.57 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 11 — — $31,369.78 $194,180.34 $114,790.72 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 74 13 — — $52,161.11 $164,055.58 $114,499.05 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 13 — — $52,017.28 $213,255.48 $114,300.13 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 50 12 — — $50,890.01 $152,024.82 $114,018.15 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 28 7 — — $57,061.84 $186,776.93 $113,400.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 13 — — $53,191.27 $176,875.57 $113,373.57 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 13 — — $56,366.08 $176,875.57 $113,048.37 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 58 8 — — $7,297.00 $192,103.62 $112,307.64 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 54 12 — — $51,556.70 $161,623.27 $112,192.99 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 11 — — $57,309.30 $179,866.85 $110,977.83 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 12 — — $46,381.17 $157,763.12 $109,513.41 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 12 — — $47,440.32 $160,290.19 $108,775.49 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 12 — — $51,173.31 $160,407.39 $108,736.60 2026-04-01
10 MS_DRG Pancreas Transplant 50 12 — — $61,458.76 $193,026.33 $107,255.19 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 60 12 — — $48,264.48 $157,865.34 $107,022.73 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 11 — — $50,652.04 $161,577.54 $106,917.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 74 13 — — $12,276.67 $150,443.20 $105,794.30 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 54 12 — — $46,435.54 $138,172.58 $104,410.70 2026-04-01
999 MS_DRG Ungroupable 6 3 — — $324.39 $104,592.21 $103,993.23 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 12 — — $48,132.46 $150,763.74 $103,389.35 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 50 11 — — $35,314.11 $298,103.13 $103,081.91 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 11 — — $49,510.81 $155,134.99 $102,996.07 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 56 12 — — $6,926.31 $288,984.11 $102,850.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 50 12 — — $46,670.99 $135,807.50 $102,537.87 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 12 — — $46,855.90 $146,715.29 $101,928.55 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 66 12 — — $38,814.25 $164,925.09 $101,768.86 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 12 — — $45,496.21 $169,634.95 $101,556.26 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 13 — — $34,201.02 $153,316.55 $101,451.10 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 20 6 — — $51,148.47 $134,520.47 $99,395.21 2026-04-01
J9226 HCPCS Supprelin La Implant 52 8 — — $40,735.62 $296,949.06 $98,983.02 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 66 12 — — $43,687.59 $146,946.63 $97,236.06 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 60 12 — — $23,474.70 $139,783.16 $95,866.84 2026-04-01
90288 HCPCS Botulism Ig IV 8 2 — — $90,591.30 $138,901.79 $94,974.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 12 — — $41,344.20 $134,479.65 $94,586.01 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 2 — — $75,320.00 $94,097.28 $94,097.28 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 12 — — $42,166.12 $141,145.91 $94,092.24 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 58 12 — — $40,483.17 $140,025.26 $93,931.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 66 12 — — $26,805.38 $141,932.47 $93,918.14 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 12 — — $45,006.33 $154,145.07 $92,737.93 2026-04-01
5166 OTHER Cochlear Implant Procedure 6 3 — — $35,422.57 $96,371.24 $92,172.37 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 12 — — $26,475.16 $132,393.73 $91,902.90 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 50 12 — — $39,925.13 $124,735.30 $91,325.72 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 13 — — $41,682.04 $143,452.32 $90,516.55 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 11 — — $47,806.74 $149,730.78 $90,282.24 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 56 12 — — $21,889.97 $133,085.06 $90,223.26 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 12 — — $40,271.20 $128,475.51 $90,209.20 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 54 12 — — $40,048.87 $129,892.03 $90,166.32 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 13 — — $43,345.13 $135,581.38 $88,490.60 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 42 6 — — $44,162.23 $132,486.68 $88,324.45 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 50 12 — — $40,471.38 $126,467.66 $87,544.98 2026-04-01
245 MS_DRG Aicd Generator Procedures 48 12 — — $39,292.36 $122,728.56 $87,525.08 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 11 — — $40,308.39 $143,366.24 $87,489.90 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 24 1 — — $43,678.11 $131,034.33 $87,356.22 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 32 3 — — $7,297.00 $149,780.52 $87,356.22 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 24 1 — — $43,678.11 $131,034.33 $87,356.22 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 38 4 — — $7,297.00 $132,364.47 $87,356.22 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 52 12 — — $39,008.21 $130,119.59 $87,354.07 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 58 8 — — $7,297.00 $145,271.88 $87,297.50 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 58 8 — — $7,297.00 $145,271.88 $87,297.50 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 58 8 — — $7,297.00 $145,271.88 $87,297.50 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 58 8 — — $7,297.00 $145,271.88 $87,297.50 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 58 8 — — $7,297.00 $145,271.88 $87,297.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 68 12 — — $19,737.40 $134,161.06 $86,970.26 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 11 — — $45,327.73 $151,231.80 $86,904.09 2026-04-01
69930 HCPCS Implant Cochlear Device 58 8 — — $8,624.00 $148,987.44 $86,606.57 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 12 — — $38,638.48 $123,331.12 $85,611.97 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 11 — — $49,000.18 $153,515.61 $85,301.03 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 44 5 — — $7,297.00 $131,034.33 $84,999.40 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 26 6 — — $36,449.96 $97,800.24 $84,875.34 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 32 3 — — $7,297.00 $131,034.33 $83,653.46 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 32 3 — — $7,297.00 $131,034.33 $83,653.46 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 50 12 — — $38,448.39 $120,052.01 $83,335.73 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 58 8 — — $7,297.00 $134,520.47 $82,973.70 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 54 12 — — $36,189.59 $112,888.54 $82,537.77 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 42 6 — — $41,134.10 $123,402.29 $82,268.19 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 68 12 — — $37,434.29 $128,942.75 $82,075.40 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 68 13 — — $2,919.50 $121,024.69 $81,732.35 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 62 12 — — $24,330.40 $122,360.03 $80,966.86 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 74 12 — — $38,161.20 $126,209.42 $80,759.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 66 12 — — $8,476.61 $206,254.96 $80,579.07 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 76 12 — — $35,516.06 $122,306.23 $80,255.68 2026-04-01
61886 HCPCS Implant Neurostim Arrays 58 8 — — $3,980.00 $131,034.33 $79,950.70 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 58 8 — — $3,980.00 $131,034.33 $79,950.70 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 12 — — $35,986.02 $120,260.12 $79,883.77 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 12 — — $34,655.78 $120,525.45 $79,689.74 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 54 12 — — $35,389.80 $114,736.57 $79,645.95 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 6 — — $35,833.15 $94,241.19 $78,322.60 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 12 — — $8,160.86 $115,479.01 $78,287.47 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 12 — — $36,354.15 $113,410.40 $77,975.27 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 78 13 — — $35,671.99 $151,169.15 $77,955.45 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 12 — — $34,714.81 $113,353.91 $76,799.73 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 58 12 — — $31,580.67 $111,715.70 $76,681.02 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 14 — — $13,212.04 $132,848.34 $76,470.03 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 8 1 — — $75,202.86 $75,202.86 $75,202.86 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 1 — — $74,843.06 $74,843.06 $74,843.06 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 58 8 — — $7,297.00 $128,346.89 $74,359.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 50 12 — — $33,624.59 $97,355.00 $73,505.38 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 58 12 — — $27,970.35 $110,975.95 $73,433.90 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 68 12 — — $33,468.19 $160,208.21 $72,927.46 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 12 — — $31,394.04 $104,121.83 $72,277.58 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 76 12 — — $34,025.81 $114,323.38 $72,208.49 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 50 12 — — $33,376.07 $103,965.81 $72,169.28 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 12 — — $30,912.85 $228,692.72 $71,970.57 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 50 11 — — $36,143.47 $124,237.65 $71,582.78 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 52 12 — — $29,402.54 $103,866.28 $71,464.49 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 11 — — $35,203.73 $116,407.06 $71,361.47 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 52 12 — — $32,204.68 $100,250.92 $71,243.27 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 56 12 — — $30,644.89 $101,224.70 $71,235.82 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 50 12 — — $31,749.19 $98,806.39 $71,038.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 12 — — $31,479.73 $105,230.11 $70,722.96 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 50 12 — — $30,983.25 $97,502.87 $70,563.25 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 60 13 — — $28,806.39 $113,023.04 $70,526.46 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 22 7 — — $25,041.57 $92,235.15 $70,317.76 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 18 5 — — $39,038.43 $102,671.07 $70,269.17 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 34 7 — — $7,297.00 $94,241.19 $70,166.85 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 54 12 — — $30,783.07 $95,742.48 $70,098.44 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 52 12 — — $23,718.18 $107,172.29 $69,516.85 2026-04-01
791 MS_DRG Prematurity With Major Problems 72 13 — — $6,340.00 $102,744.93 $69,334.04 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 60 11 — — $23,718.96 $108,151.45 $69,012.67 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 70 14 — — $6,216.96 $103,277.17 $68,339.54 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 58 8 — — $7,297.00 $102,208.01 $68,138.67 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 58 12 — — $27,698.97 $100,533.37 $68,101.52 2026-04-01
S4015 HCPCS Complete Ivf Nos Case Rate 2 1 — — $68,022.72 $68,022.72 $68,022.72 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 50 11 — — $33,766.32 $114,077.52 $67,655.89 2026-04-01
265 MS_DRG Aicd Lead Procedures 52 12 — — $31,283.52 $97,329.58 $67,473.53 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 12 — — $27,842.64 $97,150.57 $67,443.14 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 12 — — $25,031.34 $98,766.04 $67,082.17 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 12 — — $31,347.14 $97,531.33 $66,894.85 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 58 12 — — $30,383.65 $96,057.21 $66,679.42 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 66 12 — — $28,738.11 $100,544.13 $66,531.06 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 12 — — $30,837.36 $95,914.64 $66,530.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 50 12 — — $30,811.91 $95,833.94 $66,524.43 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 10 2 — — $53,130.00 $66,375.31 $66,375.31 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 50 12 — — $32,026.56 $99,686.02 $65,980.83 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 52 12 — — $29,492.94 $91,650.99 $65,948.13 2026-04-01
332 MS_DRG Rectal Resection With Mcc 50 12 — — $31,304.72 $101,450.66 $65,910.52 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 12 — — $14,727.34 $94,059.80 $65,658.62 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 12 — — $30,038.34 $93,380.66 $65,451.96 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 50 8 — — $7,297.00 $119,254.77 $65,220.19 2026-04-01
S2404 HCPCS Fetal Surg Myelomeningo 2 1 — — $65,188.35 $65,188.35 $65,188.35 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 52 12 — — $27,668.16 $92,928.74 $64,735.23 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 12 — — $29,531.11 $91,772.04 $63,704.81 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 50 12 — — $32,372.63 $100,783.54 $63,452.00 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 18 5 — — $34,970.13 $91,971.44 $62,946.23 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 50 12 — — $28,517.49 $88,557.49 $62,731.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 58 12 — — $30,203.35 $89,287.47 $62,645.32 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 62 12 — — $20,893.51 $93,835.27 $62,091.74 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 50 12 — — $31,370.89 $97,606.65 $61,942.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 54 12 — — $28,062.85 $87,115.65 $61,570.07 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 52 7 — — $30,352.29 $91,958.72 $61,305.81 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 52 7 — — $30,352.29 $91,958.72 $61,305.81 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 52 7 — — $30,352.29 $91,958.72 $61,305.81 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 52 12 — — $27,544.59 $108,901.48 $61,276.67 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 58 8 — — $7,297.00 $102,208.01 $61,116.65 2026-04-01
S4023 HCPCS Incompl Donor Egg Case Rate 2 1 — — $60,924.19 $60,924.19 $60,924.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 52 12 — — $27,465.11 $85,644.22 $60,497.36 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 60 12 — — $27,067.81 $92,223.96 $60,264.69 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 12 — — $24,794.38 $86,808.99 $60,259.64 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 46 7 — — $17,771.01 $180,743.36 $60,247.79 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 78 12 — — $22,543.21 $94,865.54 $60,170.05 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 50 12 — — $27,912.71 $86,639.52 $60,077.76 2026-04-01
665 MS_DRG Prostatectomy With Mcc 52 12 — — $14,129.09 $83,960.28 $59,768.00 2026-04-01
S2118 HCPCS Total Hip Resurfacing 2 1 — — $59,697.30 $59,697.30 $59,697.30 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 66 12 — — $20,871.72 $95,664.47 $59,650.56 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 56 12 — — $26,220.44 $85,133.12 $59,476.52 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 58 12 — — $21,580.11 $89,862.14 $59,462.68 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 26 6 — — $25,830.10 $68,469.58 $59,420.90 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 26 6 — — $25,830.10 $68,469.58 $59,420.90 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 52 12 — — $17,753.07 $87,500.32 $59,319.68 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 40 4 — — $21,805.58 $161,299.88 $59,014.67 2026-04-01
S2411 HCPCS Fetoscop Laser Ther Ttts 2 1 — — $59,005.31 $59,005.31 $59,005.31 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 50 12 — — $26,561.51 $82,354.35 $58,929.24 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 60 12 — — $25,706.63 $85,727.61 $58,587.64 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 60 12 — — $3,064.50 $85,004.00 $58,424.70 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 26 6 — — $35,833.15 $94,241.19 $58,388.93 2026-04-01
652 MS_DRG Kidney Transplant 50 12 — — $27,986.51 $86,873.55 $58,360.79 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 58 8 — — $3,980.00 $94,241.19 $57,838.26 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 58 8 — — $3,980.00 $86,757.39 $57,838.26 2026-04-01
63655 HCPCS Implant Neuroelectrodes 58 8 — — $8,624.00 $86,757.39 $57,838.26 2026-04-01
64580 HCPCS Implant Neuroelectrodes 58 8 — — $2,654.00 $86,757.39 $57,838.26 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 58 12 — — $18,760.53 $86,788.87 $57,623.30 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 62 12 — — $24,974.63 $80,872.50 $57,581.22 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 76 12 — — $25,814.09 $88,546.73 $57,262.62 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 10 2 — — $45,180.00 $56,443.37 $56,443.37 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 54 12 — — $28,612.49 $88,858.77 $56,123.56 2026-04-01
570 MS_DRG Skin Debridement With Mcc 52 12 — — $25,053.77 $79,115.59 $55,890.92 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 62 12 — — $15,779.29 $81,593.08 $55,528.68 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 26 6 — — $22,528.16 $65,413.69 $55,176.42 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 26 6 — — $22,528.16 $65,413.69 $55,176.42 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 56 12 — — $16,111.25 $72,150.00 $55,149.80 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 28 7 — — $7,297.00 $134,520.47 $54,728.87 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 50 12 — — $26,210.35 $81,240.69 $54,478.55 2026-04-01
263 MS_DRG Vein Ligation And Stripping 50 12 — — $26,526.73 $82,244.06 $54,421.72 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 60 12 — — $1,185.00 $128,446.34 $54,415.46 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 12 — — $23,370.52 $78,063.80 $54,189.05 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 48 11 — — $6,572.72 $97,012.16 $54,170.60 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 52 12 — — $22,495.47 $81,251.45 $54,149.47 2026-04-01
800 MS_DRG Splenic Procedures With Cc 52 12 — — $24,423.16 $75,572.86 $54,105.84 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 64 12 — — $13,889.80 $83,785.43 $53,954.53 2026-04-01
S4025 HCPCS Donor Serv Ivf Case Rate 2 1 — — $53,895.06 $53,895.06 $53,895.06 2026-04-01
S4021 HCPCS Ivf Canc P Aspir Case Rate 2 1 — — $53,432.07 $53,432.07 $53,432.07 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 56 12 — — $24,635.95 $78,548.00 $53,250.58 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 52 12 — — $23,250.27 $84,522.49 $53,152.90 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 34 10 — — $16,898.46 $95,010.16 $53,109.19 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 42 6 — — $26,458.75 $79,376.25 $52,917.50 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 52 12 — — $25,084.77 $77,671.06 $52,862.56 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 56 12 — — $23,505.10 $145,041.54 $52,790.40 2026-04-01
J9266 HCPCS Pegaspargase Injection 52 8 — — $24,363.48 $145,517.09 $52,787.54 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 42 6 — — $26,333.82 $79,001.46 $52,667.64 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 11 — — $25,839.68 $80,065.16 $52,554.65 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 58 8 — — $3,980.00 $79,082.82 $52,509.06 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 58 8 — — $3,980.00 $79,082.82 $52,509.06 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 58 8 — — $7,297.00 $79,082.82 $52,509.06 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 58 8 — — $3,980.00 $79,082.82 $52,509.06 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 58 8 — — $3,980.00 $79,082.82 $52,509.06 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 58 8 — — $2,654.00 $79,082.82 $52,509.06 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 58 8 — — $2,654.00 $79,082.82 $52,509.06 2026-04-01
53444 HCPCS Insert Tandem Cuff 58 8 — — $3,980.00 $79,082.82 $52,509.06 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 64 12 — — $24,088.50 $79,250.09 $52,458.57 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 54 11 — — $25,628.99 $86,897.76 $52,424.97 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 11 — — $27,824.50 $86,359.76 $52,074.58 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 14 4 — — $19,547.09 $87,237.63 $51,845.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 66 12 — — $21,216.80 $78,015.38 $51,623.56 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 11 — — $29,760.13 $92,498.34 $51,396.75 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 12 — — $23,781.91 $69,291.18 $51,318.46 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 72 13 — — $20,508.13 $83,637.48 $51,304.18 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 50 12 — — $25,037.27 $77,520.42 $51,296.04 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 52 12 — — $23,155.92 $74,598.20 $51,029.44 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 58 8 — — $7,297.00 $82,409.49 $50,848.70 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 58 8 — — $7,297.00 $82,409.49 $50,848.70 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 52 12 — — $22,390.44 $79,196.29 $50,805.58 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 58 12 — — $22,292.68 $76,678.45 $50,738.90 2026-04-01
849 MS_DRG Radiotherapy 50 12 — — $23,575.79 $67,737.50 $50,457.08 2026-04-01
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