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

KADLEC REGIONAL MEDICAL CENTER

Richland, WA · CCN 500058 · Rates published

15,052 distinct procedures filed
15 distinct payers
232,993 rate rows
2026-04-01 last MRF observed
Data quality

175,893 of 232,993 rate rows are consumer-grade (75.5%)

57,100 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 57,061
placeholder amount (≤ $0.02) — excluded from medians 39
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/910655392_kadlec-regional-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 23502eaac87f5d76… · 177,975,479 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 7 $3,691,450.00 $4,429,740.00 $3,839,108.00 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,245,381.39 $3,894,457.67 $3,472,558.09 nat. median
$3,286,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,296,000.00 $3,985,651.65 $3,454,231.43 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,938,320.00 $4,965,760.80 $3,158,694.00 nat. median
$3,006,423
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,302,784.67 $4,786,111.43 $2,781,118.80 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $4,314,200.00 $2,541,880.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $511,072.50 $2,149,370.59 $706,307.93 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $507,195.92 $2,095,009.69 $647,344.29 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $473,853.52 $1,962,646.69 $618,486.92 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $484,690.30 $2,007,587.23 $615,759.19 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $449,440.00 $1,860,165.17 $611,626.48 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $449,440.00 $1,854,595.74 $538,219.66 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $320,536.70 $1,023,153.15 $416,336.46 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $134,290.53 $764,210.76 $270,435.67 nat. median
$265,286
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $76,840.47 $276,632.40 $218,394.00 nat. median
$76,377
outlier · 2.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $187,459.81 $643,647.01 $206,205.79 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $504.30 $581,444.19 $204,999.81 nat. median
$202,986
1.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $135,663.15 $171,839.99 $153,751.57 nat. median
$21,806
outlier · 7.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $148,393.00 $153,692.12 $151,042.56 nat. median
$87,411
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $120,097.35 $465,590.81 $134,028.74 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 13 $111,077.15 $354,558.26 $125,354.91 nat. median
$122,708
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $108,243.35 $304,055.57 $124,479.86 nat. median
$111,989
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $105,801.59 $355,453.62 $116,381.75 nat. median
$117,303
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $111,064.50 $115,030.61 $113,047.55 nat. median
$65,381
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $93,667.45 $298,986.50 $109,778.20 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $99,684.61 $184,416.53 $109,653.07 nat. median
$98,017
1.1× median
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $108,030.53 $108,030.53 $108,030.53 nat. median
$9,564
outlier · 11.3×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $108,030.53 $108,030.53 $108,030.53 nat. median
$18,872
outlier · 5.7×
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 3 $857.13 $131,790.04 $108,030.53 nat. median
$42,941
outlier · 2.5×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $108,030.53 $108,030.53 $108,030.53 nat. median
$15,886
outlier · 6.8×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $108,030.53 $108,030.53 $108,030.53 nat. median
$24,752
outlier · 4.4×
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $108,030.53 $108,030.53 $108,030.53 nat. median
$8,204
outlier · 13.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $92,591.35 $295,551.59 $105,372.94 nat. median
$102,358
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,271.91 $284,386.77 $104,847.13 nat. median
$98,905
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $102,423.56 $106,081.11 $104,252.33 nat. median
$62,270
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $90,513.10 $288,917.82 $99,948.43 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 13 $35,788.91 $287,441.83 $96,546.08 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $82,028.40 $261,834.65 $94,869.44 nat. median
$93,672
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $70,890.00 $226,280.88 $87,427.57 nat. median
$82,712
1.1× median
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 3 $548.47 $108,030.53 $84,263.80 nat. median
$30,333
outlier · 2.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $21,002.98 $249,920.99 $83,293.77 nat. median
$83,442
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $71,983.10 $229,770.06 $81,593.05 nat. median
$81,118
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 10 $407.91 $196,892.66 $80,607.54 nat. median
$15,912
outlier · 5.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $13,659.80 $229,900.29 $80,359.95 nat. median
$79,312
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $77,125.38 $79,879.53 $78,502.46 nat. median
$48,483
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $68,514.25 $218,697.49 $76,447.65 nat. median
$77,576
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 9 $68,801.71 $193,264.00 $75,681.88 nat. median
$70,825
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $65,764.50 $464,098.91 $74,614.13 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $10,149.24 $212,074.56 $74,295.55 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $44,481.89 $279,792.80 $74,052.04 nat. median
$72,138
1.0× median

Other procedures at this hospital

Browse this hospital's 15,052 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
             
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,938,320.00 $4,965,760.80 $3,158,694.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 9 — — $2,302,784.67 $4,786,111.43 $2,781,118.80 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 7 — — $3,691,450.00 $4,429,740.00 $3,839,108.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 9 — — $2,332,000.00 $4,314,200.00 $2,541,880.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $3,296,000.00 $3,985,651.65 $3,454,231.43 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,245,381.39 $3,894,457.67 $3,472,558.09 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 10 — — $511,072.50 $2,149,370.59 $706,307.93 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $507,195.92 $2,095,009.69 $647,344.29 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $484,690.30 $2,007,587.23 $615,759.19 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $473,853.52 $1,962,646.69 $618,486.92 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 10 — — $449,440.00 $1,860,165.17 $611,626.48 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $449,440.00 $1,854,595.74 $538,219.66 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 13 — — $320,536.70 $1,023,153.15 $416,336.46 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 13 — — $134,290.53 $764,210.76 $270,435.67 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 14 — — $19,060.44 $650,936.00 $57,095.59 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 13 — — $187,459.81 $643,647.01 $206,205.79 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 13 — — $504.30 $581,444.19 $204,999.81 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 3 3 — — $2,825.53 $565,776.86 $30,045.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 13 — — $120,097.35 $465,590.81 $134,028.74 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 13 — — $65,764.50 $464,098.91 $74,614.13 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 13 — — $105,801.59 $355,453.62 $116,381.75 2026-04-01
7 MS_DRG Lung Transplant 19 13 — — $111,077.15 $354,558.26 $125,354.91 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 13 — — $9,278.86 $337,144.50 $53,289.51 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 13 — — $19,617.99 $323,844.04 $53,551.30 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 10 — — $108,243.35 $304,055.57 $124,479.86 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 13 — — $93,667.45 $298,986.50 $109,778.20 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 13 — — $92,591.35 $295,551.59 $105,372.94 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 13 — — $90,513.10 $288,917.82 $99,948.43 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 13 — — $35,788.91 $287,441.83 $96,546.08 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 13 — — $6,271.91 $284,386.77 $104,847.13 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 13 — — $4,772.00 $283,263.61 $39,055.98 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 13 — — $44,481.89 $279,792.80 $74,052.04 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $76,840.47 $276,632.40 $218,394.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 13 — — $32,488.70 $270,795.20 $39,332.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 13 — — $82,028.40 $261,834.65 $94,869.44 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 13 — — $21,002.98 $249,920.99 $83,293.77 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 15 9 — — $61,800.00 $240,927.75 $70,710.53 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 13 — — $28,475.62 $240,582.18 $44,952.54 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 13 — — $13,659.80 $229,900.29 $80,359.95 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 13 — — $71,983.10 $229,770.06 $81,593.05 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 13 — — $45,112.44 $226,401.73 $54,822.74 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 13 — — $70,890.00 $226,280.88 $87,427.57 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 13 — — $11,881.74 $224,406.54 $47,367.99 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 13 — — $34,930.75 $224,081.01 $41,270.11 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 13 — — $25,554.78 $221,472.85 $52,039.25 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 14 — — $8,024.50 $220,645.48 $33,663.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 13 — — $68,514.25 $218,697.49 $76,447.65 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 13 — — $40,557.72 $218,483.29 $51,495.46 2026-04-01
10 MS_DRG Pancreas Transplant 19 13 — — $63,433.39 $216,312.58 $69,776.73 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 17 10 — — $56,824.55 $215,933.29 $68,189.46 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 13 — — $63,073.77 $215,067.22 $69,381.15 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 13 — — $10,149.24 $212,074.56 $74,295.55 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 10 — — $53,426.66 $211,038.70 $68,244.13 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 13 — — $52,649.00 $208,104.39 $58,524.42 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 16 10 — — $407.91 $196,892.66 $80,607.54 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 11 9 — — $68,801.71 $193,264.00 $75,681.88 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 13 — — $60,338.95 $192,601.93 $70,189.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 13 — — $60,065.25 $191,728.28 $69,340.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 13 — — $23,676.04 $188,743.76 $66,014.27 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 13 — — $58,037.15 $185,254.58 $65,497.55 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 13 — — $99,684.61 $184,416.53 $109,653.07 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 13 — — $38,508.81 $181,898.35 $65,021.13 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 13 — — $56,767.25 $181,201.06 $69,747.85 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 13 — — $31,951.14 $180,894.47 $66,910.47 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 13 — — $27,751.16 $179,771.75 $43,449.96 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 13 — — $26,514.90 $178,603.08 $30,178.53 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 13 — — $39,034.55 $176,780.21 $49,223.05 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 13 — — $6,326.80 $175,481.64 $61,221.04 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $54,887.90 $175,202.18 $63,998.02 2026-04-01
J9226 HCPCS Supprelin La Implant 18 10 — — $41,173.43 $171,994.84 $55,617.41 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $135,663.15 $171,839.99 $153,751.57 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 13 — — $53,753.15 $171,580.05 $59,628.38 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 13 — — $14,075.50 $167,838.55 $63,885.23 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 13 — — $52,341.30 $167,073.43 $63,767.99 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 13 — — $48,972.62 $166,500.94 $53,869.88 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 13 — — $51,920.55 $165,730.40 $59,063.40 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 13 — — $51,672.35 $164,938.14 $58,540.78 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 13 — — $51,301.75 $163,755.19 $57,784.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 13 — — $48,179.02 $163,755.19 $52,996.92 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 13 — — $40,741.17 $162,531.53 $59,154.01 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 13 — — $1,546.51 $161,957.74 $47,187.42 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $50,567.35 $161,410.98 $63,998.02 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 13 — — $50,012.30 $159,639.26 $57,196.21 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 13 — — $35,868.47 $157,959.79 $57,159.63 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $48,781.50 $155,710.55 $58,105.74 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 13 — — $29,966.64 $154,779.92 $55,865.10 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 13 — — $39,543.70 $154,586.54 $45,164.28 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $148,393.00 $153,692.12 $151,042.56 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 13 — — $46,114.94 $151,239.19 $50,726.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 13 — — $28,248.83 $149,966.70 $51,194.21 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 13 — — $46,495.85 $148,414.75 $56,219.28 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 13 — — $46,246.80 $147,619.79 $54,655.26 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 13 — — $32,410.18 $147,283.35 $52,879.46 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 13 — — $6,063.44 $146,531.79 $55,063.49 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 13 — — $45,862.60 $146,393.42 $53,206.74 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 13 — — $43,532.01 $146,374.43 $47,885.21 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 13 — — $38,012.00 $145,771.85 $44,473.23 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 13 — — $43,772.45 $139,721.66 $52,008.45 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 13 — — $6,773.13 $138,218.55 $50,351.12 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 15 9 — — $18,038.97 $137,875.62 $36,664.34 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 14 9 — — $7,909.00 $137,873.99 $56,445.38 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 16 10 — — $1,040.72 $137,873.99 $56,445.38 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 15 9 — — $7,909.00 $137,873.99 $53,991.24 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 13 — — $41,679.00 $137,795.29 $48,714.86 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 13 — — $42,810.25 $136,650.32 $48,082.52 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 13 — — $37,313.02 $135,844.50 $46,952.56 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 13 — — $42,524.65 $135,738.68 $53,792.17 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 10 — — $48,155.50 $135,268.80 $55,378.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 13 — — $9,360.56 $135,196.04 $48,329.88 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 13 — — $7,723.67 $132,580.52 $44,218.66 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 5 3 — — $857.13 $131,790.04 $108,030.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 13 — — $41,215.65 $131,560.35 $45,342.34 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 13 — — $40,589.20 $129,560.73 $45,735.03 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 21 13 — — $40,274.46 $128,999.09 $44,301.91 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 13 — — $1,513.59 $128,993.67 $45,452.78 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 13 — — $39,987.40 $127,639.78 $46,533.89 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 13 — — $22,424.16 $126,956.05 $44,839.93 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 10 — — $44,853.57 $125,993.68 $51,581.60 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 13 — — $39,159.50 $124,997.12 $45,962.18 2026-04-01
69930 HCPCS Implant Cochlear Device 16 10 — — $2,082.00 $122,831.87 $42,253.65 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 13 — — $8,299.36 $122,400.59 $43,683.53 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 13 — — $26,085.22 $121,670.74 $42,030.46 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 13 — — $37,366.91 $120,200.19 $41,103.60 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 16 10 — — $956.96 $119,768.59 $40,224.71 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 16 10 — — $1,557.06 $119,768.59 $40,224.71 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 16 10 — — $678.71 $119,768.59 $40,224.71 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 16 10 — — $688.45 $119,768.59 $40,224.71 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 16 10 — — $1,000.56 $119,768.59 $40,224.71 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 13 — — $16,505.56 $119,260.37 $34,940.86 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 13 — — $37,156.94 $119,177.31 $43,666.68 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 13 — — $34,720.97 $117,392.02 $38,193.07 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $36,700.45 $117,147.84 $40,872.60 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 14 — — $36,255.90 $115,728.83 $42,991.98 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 13 — — $17,615.32 $115,560.61 $41,592.29 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $111,064.50 $115,030.61 $113,047.55 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 13 — — $8,358.72 $114,741.23 $41,385.14 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 13 — — $35,617.55 $113,691.22 $43,836.07 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 13 — — $20,076.56 $113,683.08 $41,151.73 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 14 — — $1,814.44 $113,554.91 $38,692.16 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 31 14 — — $3,649.13 $113,156.72 $38,615.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 13 — — $22,025.57 $112,879.97 $41,359.62 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 13 — — $34,950.30 $111,561.36 $41,028.53 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 13 — — $34,878.90 $111,333.45 $41,290.32 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 13 — — $34,707.20 $110,785.38 $41,529.02 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 13 — — $13,801.48 $110,348.56 $40,314.10 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 2 2 — — $98.51 $109,141.76 $54,620.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 13 — — $19,089.89 $108,080.32 $37,322.26 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 1 1 — — $108,030.53 $108,030.53 $108,030.53 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 1 1 — — $108,030.53 $108,030.53 $108,030.53 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $108,030.53 $108,030.53 $108,030.53 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $108,030.53 $108,030.53 $108,030.53 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $108,030.53 $108,030.53 $108,030.53 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 5 3 — — $548.47 $108,030.53 $84,263.80 2026-04-01
61886 HCPCS Implant Neurostim Arrays 16 10 — — $1,496.82 $108,030.53 $39,544.01 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 16 10 — — $614.44 $108,030.53 $39,544.01 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 13 — — $31,996.29 $108,004.35 $35,195.92 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 12 9 — — $7,909.00 $107,235.67 $41,611.56 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 13 — — $33,256.26 $107,071.01 $36,581.89 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 13 — — $31,923.67 $106,826.82 $35,116.04 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 13 — — $33,399.90 $106,612.48 $37,911.07 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 13 — — $33,235.00 $106,086.12 $40,419.28 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $102,423.56 $106,081.11 $104,252.33 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 16 10 — — $563.96 $105,814.88 $36,757.60 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 13 — — $33,052.25 $105,502.78 $37,966.88 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 13 — — $27,177.18 $104,862.47 $34,277.72 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 13 — — $32,786.40 $104,753.94 $36,065.04 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 13 — — $32,733.50 $104,485.33 $36,686.79 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 13 — — $9,626.45 $103,139.58 $38,363.44 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 10 — — $25,781.46 $102,868.01 $35,543.34 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 13 — — $25,154.23 $102,336.48 $37,875.45 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 13 — — $23,900.44 $101,582.21 $34,968.78 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 13 — — $14,458.99 $98,988.39 $34,585.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 13 — — $1,153.65 $98,323.65 $35,081.39 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 16 10 — — $1,419.94 $98,253.22 $40,224.71 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 9 — — $7,909.00 $98,253.22 $38,126.03 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 11 9 — — $34,970.13 $98,231.10 $38,467.14 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 13 — — $17,177.40 $97,262.79 $35,475.04 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 13 — — $30,469.10 $97,257.37 $39,058.34 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 13 — — $1,524.14 $97,235.66 $36,682.94 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 13 — — $29,248.77 $96,777.13 $35,536.63 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 14 9 — — $7,909.00 $96,590.57 $39,544.01 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 14 9 — — $7,909.00 $96,590.57 $39,544.01 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 16 10 — — $899.58 $96,590.57 $39,544.01 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 11 9 — — $34,386.10 $96,590.57 $37,824.71 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 11 9 — — $34,386.10 $96,590.57 $37,824.71 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 11 9 — — $34,386.10 $96,590.57 $37,824.71 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 15 9 — — $1,471.57 $96,590.57 $37,824.71 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 12 9 — — $7,909.00 $96,590.57 $37,480.85 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 12 9 — — $7,909.00 $96,590.57 $37,480.85 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 9 — — $7,909.00 $96,590.57 $37,480.85 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 13 — — $30,183.50 $96,345.73 $36,050.60 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 13 — — $17,707.14 $95,786.81 $31,294.04 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 13 — — $5,725.30 $95,754.25 $32,895.68 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 13 — — $29,922.55 $95,512.78 $35,608.83 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 13 — — $29,780.60 $95,059.68 $35,001.51 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 13 — — $19,487.33 $95,043.40 $33,709.86 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 13 — — $29,759.35 $94,991.85 $35,030.38 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 13 — — $29,706.65 $94,823.63 $32,864.80 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 13 — — $29,513.70 $94,207.73 $36,379.77 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 13 — — $29,482.25 $94,107.34 $35,560.70 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 13 — — $29,449.95 $94,004.24 $34,123.73 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 13 — — $10,919.17 $93,684.38 $35,423.07 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 13 — — $50,581.71 $93,576.16 $55,639.88 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 13 — — $1,162.43 $93,301.52 $33,962.03 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 13 — — $27,957.39 $93,155.01 $30,753.13 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 13 — — $29,111.65 $92,924.39 $34,655.01 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 13 — — $28,957.80 $92,433.30 $32,019.75 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 3 — — $22,828.16 $92,068.00 $39,468.56 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 13 — — $10,902.46 $92,031.74 $31,156.43 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 13 — — $20,769.37 $91,068.56 $33,548.16 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 21 13 — — $28,225.95 $90,097.23 $32,398.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 13 — — $7,645.30 $89,581.72 $36,103.87 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 13 — — $10,320.04 $88,680.94 $29,362.40 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 13 — — $1,089.71 $88,425.90 $31,302.44 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 13 — — $27,690.45 $88,387.92 $31,355.64 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 13 — — $27,400.60 $87,462.72 $31,772.39 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 13 — — $27,157.50 $86,686.74 $31,039.95 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 13 — — $23,796.26 $86,534.80 $31,847.46 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 13 — — $26,229.30 $86,397.03 $31,804.16 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 13 — — $27,031.70 $86,285.19 $31,711.76 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 13 — — $26,977.30 $86,111.54 $35,635.78 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 13 — — $26,932.25 $85,967.74 $31,172.77 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 13 — — $25,063.10 $85,942.33 $30,690.57 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 16 10 — — $2,007.99 $84,934.74 $34,772.14 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 16 10 — — $2,711.93 $84,934.74 $34,772.14 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 16 10 — — $3,149.11 $84,934.74 $34,772.14 2026-04-01
22630 HCPCS Lumbar Spine Fusion 15 9 — — $2,694.15 $84,934.74 $33,260.31 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 15 9 — — $1,637.95 $84,934.74 $33,260.31 2026-04-01
22558 HCPCS Lumbar Spine Fusion 13 9 — — $2,601.21 $84,934.74 $32,655.58 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 13 — — $25,702.84 $84,673.55 $32,394.15 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 13 — — $15,025.76 $84,274.71 $31,025.51 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 15 10 — — $7,909.00 $84,256.93 $35,994.41 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 12 9 — — $7,909.00 $84,256.93 $32,694.92 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 13 — — $26,283.70 $83,897.57 $31,385.48 2026-04-01
5166 OTHER Cochlear Implant Procedure 7 5 — — $20,333.52 $83,821.06 $36,211.48 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 13 — — $15,220.05 $83,664.24 $31,126.57 2026-04-01
652 MS_DRG Kidney Transplant 19 13 — — $26,105.20 $83,327.80 $31,795.49 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 13 — — $14,360.62 $82,980.51 $30,080.58 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 11 9 — — $29,510.19 $82,894.12 $32,461.21 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 8 — — $15,338.88 $82,365.60 $42,633.56 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 15 10 — — $1,405.02 $81,816.55 $34,951.89 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 15 10 — — $1,879.48 $81,816.55 $34,951.89 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 15 10 — — $1,885.21 $81,816.55 $34,951.89 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 10 — — $28,851.23 $81,043.11 $33,178.92 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 10 — — $28,715.00 $80,660.44 $33,022.25 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $77,125.38 $79,879.53 $78,502.46 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 13 — — $20,350.97 $77,651.78 $31,611.66 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 13 — — $24,293.00 $77,543.26 $29,783.92 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 13 — — $23,845.90 $76,116.11 $30,954.29 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 13 — — $23,259.40 $74,244.00 $32,505.80 2026-04-01
263 MS_DRG Vein Ligation And Stripping 24 13 — — $13,944.04 $72,765.31 $29,591.09 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 3 2 — — $54,537.20 $72,285.09 $61,951.93 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 1 1 — — $71,526.65 $71,526.65 $71,526.65 2026-04-01
63655 HCPCS Implant Neuroelectrodes 16 10 — — $1,429.11 $71,526.65 $30,482.54 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 13 — — $21,459.95 $68,500.16 $29,748.30 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $61,255.19 $63,442.62 $62,348.90 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 1 1 — — $59,159.96 $59,159.96 $59,159.96 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 1 1 — — $59,137.29 $59,137.29 $59,137.29 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $59,137.29 $59,137.29 $59,137.29 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 5 3 — — $1,165.21 $59,137.29 $47,583.57 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 5 3 — — $1,232.34 $59,137.29 $47,583.57 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 5 3 — — $1,204.22 $59,137.29 $47,583.57 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 5 3 — — $1,166.36 $59,137.29 $47,583.57 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 14 10 — — $20,427.76 $59,137.29 $29,518.11 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 14 10 — — $20,427.76 $59,137.29 $29,518.11 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 13 — — $30,734.57 $56,858.95 $33,808.03 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 5 3 — — $1,005.14 $48,929.61 $36,760.46 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 4 2 — — $4,302.27 $48,876.96 $37,487.79 2026-04-01
0617T HCPCS Insj Iris Prosth W/rmvl&insj 4 2 — — $1,048.17 $48,411.49 $30,622.85 2026-04-01
0618T HCPCS Insj Iris Prosth Sec Io Lens 4 2 — — $1,390.11 $48,411.49 $30,622.85 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 1 1 — — $44,151.63 $44,151.63 $44,151.63 2026-04-01
69718 HCPCS Revise Temple Bone Implant 1 1 — — $44,151.63 $44,151.63 $44,151.63 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 5 3 — — $870.32 $36,760.46 $29,852.93 2026-04-01
37228 HCPCS Tib/per Revasc W/tla 5 3 — — $906.46 $36,760.46 $29,852.93 2026-04-01
37221 HCPCS Iliac Revasc W/stent 5 3 — — $827.29 $36,760.46 $29,852.93 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 2 1 — — $35,602.30 $36,609.41 $36,105.86 2026-04-01
49655 HCPCS Lap Inc Hern Repair Comp 1 1 — — $31,212.64 $31,212.64 $31,212.64 2026-04-01
49654 HCPCS Lap Inc Hernia Repair 1 1 — — $31,212.64 $31,212.64 $31,212.64 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $31,212.64 $31,212.64 $31,212.64 2026-04-01
49657 HCPCS Lap Inc Hern Recur Comp 1 1 — — $31,212.64 $31,212.64 $31,212.64 2026-04-01
19324 HCPCS Enlarge Breast 1 1 — — $30,182.93 $30,182.93 $30,182.93 2026-04-01
0781T HCPCS Brnchsc Rf Dstrj Pulm Nrv Bi 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7515 HCPCS Cath/angio Dial Cir W/embol 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
0782T HCPCS Brnchsc Rf Dstrj Plm Nrv Uni 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7514 HCPCS Cath/angio Dial Cir W/stents 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7546 HCPCS Rep Nph/urt Cath W/dil Stric 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7510 HCPCS Bronch/lavag With Navigation 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7511 HCPCS Bronch/bpsy(s) With Navigation 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7512 HCPCS Bronch/bpsy(s) With Ebus 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7556 HCPCS Bronch Lavage W/ebus 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7560 HCPCS Ercp Remove Forgn Body&endo 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7565 HCPCS Rpr Aa Hrn < 3 Rdc With Rmvl 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
0935T HCPCS Cysto W/rnl Pel Symp Dnrvtj 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7548 HCPCS Exch Neph Cath With Dil Stric 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7547 HCPCS Cnvrt Neph Cath With Dil Stric 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7549 HCPCS Chge Urtr Stent With Dil Stric 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7513 HCPCS Cath/angio Dialcir W/aplasty 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7509 HCPCS Dx Bronch With Navigation 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
C7550 HCPCS Cysto With Bx(s) With Blue Light 1 1 — — $30,045.00 $30,045.00 $30,045.00 2026-04-01
0548T HCPCS Tprnl Balo Cntnc Dev Bi 1 1 — — $29,932.02 $29,932.02 $29,932.02 2026-04-01
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