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

PROVIDENCE HOLY FAMILY HOSPITAL

Spokane, WA · CCN 500077 · Rates published

14,086 distinct procedures filed
16 distinct payers
485,972 rate rows
2026-04-01 last MRF observed
Data quality

371,610 of 485,972 rate rows are consumer-grade (76.5%)

114,362 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 114,114
template filing: same amount across many unrelated codes — excluded 134
placeholder amount (≤ $0.02) — excluded from medians 114
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/352345508_providence-holy-family-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint c876bc8c6b51a559… · 150,943,864 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 6 $3,691,450.00 $4,429,740.00 $3,850,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,296,000.00 $3,985,651.65 $3,504,052.08 nat. median
$3,325,455
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,302,784.67 $4,786,111.43 $2,781,118.80 nat. median
$2,469,189
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $511,072.50 $1,890,448.53 $675,598.89 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $507,195.92 $1,811,387.02 $641,459.34 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $473,853.52 $1,730,638.85 $612,864.31 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $484,690.30 $1,723,006.17 $610,161.38 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $449,440.00 $1,637,031.59 $579,715.54 nat. median
$634,511
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $69,227.43 $886,001.15 $559,574.31 nat. median
$370,174
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $449,440.00 $1,506,036.47 $533,326.76 nat. median
$620,080
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $50,918.27 $661,769.57 $375,580.30 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $49,528.00 $593,808.79 $286,354.24 nat. median
$206,368
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $40,060.84 $503,502.55 $284,678.93 nat. median
$202,986
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $27,621.30 $331,963.20 $186,088.24 nat. median
$133,176
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $16,650.57 $208,198.59 $178,557.21 nat. median
$87,411
outlier · 2.0×
7
MS_DRG 		Lung Transplant 14 $23,048.57 $307,030.31 $174,038.83 nat. median
$122,708
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $21,535.03 $307,805.65 $161,573.60 nat. median
$117,303
1.4× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $74,320.00 $179,891.82 $152,879.33 nat. median
$63,570
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $23,006.66 $275,835.08 $152,400.16 nat. median
$108,660
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $68,944.00 $166,560.75 $141,550.05 nat. median
$54,196
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $19,447.65 $250,188.86 $138,744.98 nat. median
$100,136
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 14 $19,193.61 $248,910.73 $134,018.53 nat. median
$99,019
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $18,236.26 $226,736.15 $131,689.41 nat. median
$93,672
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 8 $12,462.09 $155,825.89 $131,227.27 nat. median
$65,381
outlier · 2.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $58,268.00 $150,389.15 $127,806.77 nat. median
$49,935
outlier · 2.6×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $123,756.60 $123,756.60 $123,756.60 nat. median
$76,377
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $20,238.15 $255,933.38 $123,424.20 nat. median
$102,358
1.2× median
38240
HCPCS 		Transplt Allo Hct/donor 10 $2,985.00 $256,975.23 $121,260.52 nat. median
$15,912
outlier · 7.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $11,492.53 $143,702.47 $120,502.37 nat. median
$62,270
1.9× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 3 $2,985.00 $176,824.96 $119,453.55 nat. median
$42,941
outlier · 2.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $15,838.84 $198,969.76 $113,246.27 nat. median
$81,118
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $15,882.06 $190,415.67 $106,098.45 nat. median
$77,576
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $74,320.00 $122,613.36 $104,201.79 nat. median
$44,728
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 11 $95,141.47 $176,011.72 $103,704.20 nat. median
$98,017
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $14,489.34 $181,780.82 $103,551.39 nat. median
$74,915
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $13,589.87 $175,359.63 $102,770.56 nat. median
$72,138
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,106.71 $246,265.19 $101,920.03 nat. median
$98,905
1.0× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $68,944.00 $118,830.66 $100,987.10 nat. median
$48,649
outlier · 2.1×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 $58,268.00 $117,961.35 $100,248.32 nat. median
$39,020
outlier · 2.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $13,002.12 $156,911.36 $96,791.31 nat. median
$64,027
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $15,019.79 $186,237.82 $96,281.90 nat. median
$71,240
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $12,879.98 $156,645.86 $92,849.71 nat. median
$65,950
1.4× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 $8,653.92 $108,208.57 $92,802.84 nat. median
$48,483
1.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $11,443.49 $160,421.51 $90,148.58 nat. median
$64,732
1.4× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 1 $89,875.13 $89,875.13 $89,875.13 nat. median
$16,303
outlier · 5.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $11,960.40 $151,716.61 $88,803.84 nat. median
$64,510
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $11,683.81 $144,677.51 $88,484.27 nat. median
$59,793
1.5× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 10 $2,985.00 $179,946.79 $88,349.30 nat. median
$43,787
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $9,432.73 $183,632.22 $86,998.08 nat. median
$73,807
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $208,328.88 $84,189.65 nat. median
$62,507
1.3× median

Other procedures at this hospital

Browse this hospital's 14,086 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 18 6 — — $3,691,450.00 $4,429,740.00 $3,850,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 5 — — $3,296,000.00 $3,985,651.65 $3,504,052.08 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 24 8 — — $2,302,784.67 $4,786,111.43 $2,781,118.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 8 — — $511,072.50 $1,890,448.53 $675,598.89 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 28 8 — — $507,195.92 $1,811,387.02 $641,459.34 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 28 8 — — $473,853.52 $1,730,638.85 $612,864.31 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 28 8 — — $484,690.30 $1,723,006.17 $610,161.38 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 8 — — $449,440.00 $1,637,031.59 $579,715.54 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 48 14 — — $69,227.43 $886,001.15 $559,574.31 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 28 8 — — $449,440.00 $1,506,036.47 $533,326.76 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 48 14 — — $50,918.27 $661,769.57 $375,580.30 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 48 14 — — $49,528.00 $593,808.79 $286,354.24 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 50 14 — — $40,060.84 $503,502.55 $284,678.93 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 14 — — $27,621.30 $331,963.20 $186,088.24 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 22 8 — — $16,650.57 $208,198.59 $178,557.21 2026-04-01
7 MS_DRG Lung Transplant 48 14 — — $23,048.57 $307,030.31 $174,038.83 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 48 14 — — $21,535.03 $307,805.65 $161,573.60 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $74,320.00 $179,891.82 $152,879.33 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 48 14 — — $23,006.66 $275,835.08 $152,400.16 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $68,944.00 $166,560.75 $141,550.05 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 14 — — $19,447.65 $250,188.86 $138,744.98 2026-04-01
215 MS_DRG Other Heart Assist System Implant 48 14 — — $19,193.61 $248,910.73 $134,018.53 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 14 — — $18,236.26 $226,736.15 $131,689.41 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 22 8 — — $12,462.09 $155,825.89 $131,227.27 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 16 6 — — $58,268.00 $150,389.15 $127,806.77 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $123,756.60 $123,756.60 $123,756.60 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 13 — — $20,238.15 $255,933.38 $123,424.20 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 38 10 — — $2,985.00 $256,975.23 $121,260.52 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 22 8 — — $11,492.53 $143,702.47 $120,502.37 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 8 3 — — $2,985.00 $176,824.96 $119,453.55 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 14 — — $15,838.84 $198,969.76 $113,246.27 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 14 — — $15,882.06 $190,415.67 $106,098.45 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 16 6 — — $74,320.00 $122,613.36 $104,201.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 11 — — $95,141.47 $176,011.72 $103,704.20 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 14 — — $14,489.34 $181,780.82 $103,551.39 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 14 — — $13,589.87 $175,359.63 $102,770.56 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 13 — — $6,106.71 $246,265.19 $101,920.03 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 16 6 — — $68,944.00 $118,830.66 $100,987.10 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 16 6 — — $58,268.00 $117,961.35 $100,248.32 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 48 14 — — $13,002.12 $156,911.36 $96,791.31 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 48 14 — — $15,019.79 $186,237.82 $96,281.90 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 14 — — $12,879.98 $156,645.86 $92,849.71 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 22 8 — — $8,653.92 $108,208.57 $92,802.84 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 14 — — $11,443.49 $160,421.51 $90,148.58 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $89,875.13 $89,875.13 $89,875.13 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 14 — — $11,960.40 $151,716.61 $88,803.84 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 50 14 — — $11,683.81 $144,677.51 $88,484.27 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 38 10 — — $2,985.00 $179,946.79 $88,349.30 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 14 — — $9,432.73 $183,632.22 $86,998.08 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 36 8 — — $56,824.55 $208,328.88 $84,189.65 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 14 — — $10,704.10 $139,774.10 $83,633.25 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 13 — — $75,844.63 $195,948.30 $83,429.09 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 14 — — $11,736.42 $140,744.45 $82,828.59 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 14 — — $12,913.62 $154,825.93 $82,733.66 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 14 — — $11,177.42 $143,514.51 $81,948.83 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 48 14 — — $11,323.04 $142,828.45 $81,222.82 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 13 — — $13,220.27 $166,027.42 $81,190.47 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 14 — — $11,415.49 $136,864.36 $80,618.46 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 42 13 — — $12,200.16 $216,419.49 $80,210.92 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 48 14 — — $11,606.58 $141,804.07 $80,171.90 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 14 — — $11,049.65 $138,239.88 $79,354.96 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 14 — — $11,361.75 $136,785.54 $79,304.16 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 8 3 — — $2,985.00 $116,256.37 $78,536.62 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 38 10 — — $2,985.00 $179,946.79 $78,532.71 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 38 10 — — $2,985.00 $179,946.79 $78,532.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 56 14 — — $13,811.53 $199,082.53 $78,100.41 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 14 — — $10,651.68 $134,031.93 $77,505.84 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 30 9 — — $61,800.00 $197,860.92 $77,138.76 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 48 14 — — $9,886.73 $127,831.60 $75,825.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 14 — — $12,811.96 $153,607.17 $74,734.16 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 48 14 — — $10,520.52 $129,854.52 $74,291.60 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 48 14 — — $10,344.27 $127,540.26 $74,032.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 14 — — $9,766.85 $124,991.05 $73,927.92 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 14 — — $9,688.69 $126,769.62 $73,812.93 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 22 8 — — $6,873.19 $85,942.36 $73,706.69 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 48 14 — — $11,606.58 $141,804.07 $73,521.46 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 14 — — $11,539.69 $138,353.46 $71,669.66 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 14 — — $9,501.92 $120,595.14 $71,435.68 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 48 14 — — $10,172.15 $130,965.83 $70,367.38 2026-04-01
10 MS_DRG Pancreas Transplant 48 14 — — $9,044.75 $187,316.24 $68,620.03 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 13 — — $11,668.97 $145,528.03 $68,512.57 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 14 — — $8,734.72 $107,896.09 $68,246.10 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 34 10 — — $53,426.66 $173,196.57 $67,523.03 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 60 14 — — $13,087.05 $249,140.52 $67,324.76 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 13 — — $6,925.40 $166,783.96 $66,965.94 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 14 — — $9,031.98 $118,332.57 $66,694.53 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 14 — — $10,678.54 $128,028.88 $66,420.43 2026-04-01
69930 HCPCS Implant Cochlear Device 38 10 — — $9,894.00 $134,703.79 $66,136.14 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 14 — — $9,854.60 $124,436.57 $65,458.55 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 50 14 — — $9,242.80 $114,115.22 $65,451.09 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 48 14 — — $9,101.88 $117,634.77 $65,124.85 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 14 — — $5,903.73 $127,591.83 $65,048.09 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 48 14 — — $9,169.90 $110,529.88 $64,543.23 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 14 — — $8,450.80 $108,241.47 $63,749.02 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 14 — — $8,695.45 $112,193.32 $63,433.49 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $63,030.00 $63,030.00 $63,030.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 38 10 — — $2,985.00 $128,235.57 $62,960.41 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 38 10 — — $2,985.00 $128,235.57 $62,960.41 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 38 10 — — $2,985.00 $128,235.57 $62,960.41 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 38 10 — — $2,985.00 $128,235.57 $62,960.41 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 38 10 — — $2,985.00 $128,235.57 $62,960.41 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 38 10 — — $2,985.00 $128,235.57 $62,960.41 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 48 14 — — $9,088.54 $113,924.91 $62,887.98 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 54 14 — — $1,945.79 $139,677.78 $62,400.76 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 14 — — $8,459.07 $109,937.80 $62,190.05 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 13 — — $21,825.54 $145,340.07 $62,074.80 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 13 — — $56,390.69 $157,515.18 $62,029.76 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 38 10 — — $2,985.00 $126,065.56 $61,894.99 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 38 10 — — $2,985.00 $126,065.56 $61,894.99 2026-04-01
61886 HCPCS Implant Neurostim Arrays 38 10 — — $5,081.00 $126,065.56 $61,894.99 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 38 10 — — $4,435.00 $126,065.56 $61,894.99 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 50 14 — — $8,297.66 $105,069.64 $61,680.62 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 14 — — $9,467.72 $117,073.24 $61,498.07 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 48 14 — — $9,309.69 $111,706.98 $61,442.64 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 48 14 — — $8,856.85 $108,286.11 $60,812.90 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 14 — — $7,735.09 $98,451.10 $60,615.65 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 48 14 — — $8,196.01 $103,201.79 $60,560.19 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 16 6 — — $27,917.00 $70,715.25 $60,096.68 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 16 6 — — $31,323.00 $70,376.92 $59,809.15 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 14 — — $8,855.25 $155,623.42 $59,760.22 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 14 — — $8,039.68 $100,215.57 $59,622.93 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 13 — — $8,381.09 $117,543.14 $58,629.99 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 14 — — $8,084.96 $105,360.98 $58,287.22 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 38 10 — — $2,985.00 $117,182.53 $57,533.64 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 14 — — $7,814.01 $97,748.60 $57,355.30 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 14 — — $7,525.21 $96,409.38 $57,259.04 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 50 14 — — $7,600.18 $96,552.70 $57,230.96 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 56 14 — — $9,543.44 $119,324.06 $57,014.69 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 48 14 — — $8,131.94 $104,087.55 $56,999.65 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 14 — — $7,593.41 $96,606.74 $56,895.36 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 14 — — $8,513.75 $102,074.37 $56,678.75 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 50 14 — — $7,348.58 $95,556.51 $56,416.70 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 48 14 — — $7,322.46 $91,865.45 $56,049.01 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 34 10 — — $2,985.00 $128,235.57 $55,964.81 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $55,958.00 $55,958.00 $55,958.00 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 38 10 — — $2,985.00 $126,065.56 $55,017.77 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 38 10 — — $4,435.00 $126,065.56 $55,017.77 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 14 — — $6,948.54 $183,011.23 $54,290.34 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 13 — — $48,748.67 $128,520.00 $53,623.54 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 14 5 — — $47,554.10 $62,414.47 $53,528.48 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 32 10 — — $2,985.00 $139,959.06 $53,446.04 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 14 — — $7,119.16 $89,313.89 $53,193.09 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 13 — — $8,986.13 $109,303.44 $52,853.03 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 48 14 — — $7,330.73 $91,360.31 $52,642.24 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 68 14 — — $8,487.07 $107,881.99 $52,604.85 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 11 — — $48,245.61 $89,254.38 $52,587.71 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 36 9 — — $19,564.00 $106,783.20 $52,565.27 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 36 9 — — $19,564.00 $106,783.20 $52,565.27 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 36 9 — — $19,564.00 $106,783.20 $52,565.27 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 48 14 — — $7,011.49 $92,321.25 $52,564.69 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 14 — — $7,235.09 $88,618.44 $52,515.22 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 13 — — $47,536.14 $129,344.67 $52,289.75 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 48 14 — — $6,446.47 $84,220.18 $52,263.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 14 — — $6,988.94 $93,592.33 $52,222.40 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 50 14 — — $7,287.14 $89,802.59 $51,202.24 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 40 11 — — $2,985.00 $109,968.26 $50,992.09 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 14 — — $7,624.61 $91,414.12 $50,863.97 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 50 14 — — $6,861.73 $84,201.38 $50,858.62 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 14 — — $7,543.25 $92,718.32 $50,718.24 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 48 14 — — $6,498.33 $81,579.34 $50,437.46 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 13 — — $45,092.70 $120,992.20 $49,601.97 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 14 — — $8,320.96 $105,992.99 $49,545.72 2026-04-01
J9226 HCPCS Supprelin La Implant 34 10 — — $41,173.43 $126,731.81 $49,408.11 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 14 — — $6,729.07 $82,709.45 $49,366.48 2026-04-01
332 MS_DRG Rectal Resection With Mcc 48 14 — — $6,866.43 $82,324.07 $49,299.63 2026-04-01
265 MS_DRG Aicd Lead Procedures 48 14 — — $6,640.57 $83,804.32 $49,266.21 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 48 14 — — $6,833.74 $84,224.88 $49,180.64 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 48 14 — — $6,118.40 $90,711.85 $48,902.25 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 48 14 — — $6,795.03 $93,526.55 $48,792.90 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 48 14 — — $7,304.05 $92,506.86 $48,681.92 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 50 14 — — $6,717.43 $85,143.53 $48,633.79 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 14 — — $6,994.01 $83,853.72 $48,562.93 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 48 14 — — $6,623.85 $82,317.08 $48,522.82 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 14 — — $7,188.30 $87,965.28 $48,477.36 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 60 14 — — $9,745.62 $119,690.58 $48,460.30 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 14 — — $6,494.20 $80,926.18 $48,438.58 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 38 10 — — $12,776.00 $110,852.91 $48,378.63 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 38 10 — — $7,132.00 $110,852.91 $48,378.63 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 38 10 — — $2,985.00 $110,852.91 $48,378.63 2026-04-01
22630 HCPCS Lumbar Spine Fusion 38 10 — — $2,985.00 $110,852.91 $48,378.63 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 38 10 — — $2,985.00 $110,852.91 $48,378.63 2026-04-01
22558 HCPCS Lumbar Spine Fusion 34 10 — — $2,985.00 $110,852.91 $48,378.63 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 48 14 — — $6,041.55 $74,568.43 $48,303.87 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 32 10 — — $2,985.00 $126,065.56 $48,140.54 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 32 10 — — $2,985.00 $126,065.56 $48,140.54 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 32 10 — — $2,985.00 $126,065.56 $48,140.54 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 62 14 — — $6,550.76 $80,468.03 $48,041.47 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 14 — — $6,807.05 $85,719.16 $47,945.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 50 14 — — $7,436.52 $90,805.83 $47,517.36 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 48 14 — — $6,399.50 $81,403.13 $47,303.42 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 50 14 — — $6,330.35 $80,794.61 $47,078.82 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 14 — — $6,344.82 $82,302.99 $46,728.51 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 48 14 — — $6,441.59 $78,860.97 $46,503.89 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 14 — — $7,244.33 $117,510.24 $46,007.84 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 48 14 — — $6,136.81 $82,112.68 $45,554.58 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 14 5 — — $39,480.80 $53,075.21 $45,518.85 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 48 14 — — $6,342.75 $78,019.85 $44,906.11 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 48 14 — — $6,089.46 $73,323.20 $44,900.77 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 50 14 — — $5,712.91 $68,494.13 $44,636.11 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 48 14 — — $6,229.26 $80,042.77 $44,380.66 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 50 14 — — $6,279.99 $90,077.20 $44,189.47 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 54 14 — — $5,872.25 $130,827.49 $44,141.33 2026-04-01
652 MS_DRG Kidney Transplant 48 14 — — $5,645.27 $72,157.84 $44,069.14 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 52 14 — — $6,189.43 $106,924.99 $44,037.04 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 48 14 — — $6,041.92 $74,718.80 $43,952.82 2026-04-01
0617T HCPCS Insj Iris Prosth W/rmvl&insj 8 3 — — $11,241.00 $64,954.51 $43,879.83 2026-04-01
0618T HCPCS Insj Iris Prosth Sec Io Lens 8 3 — — $11,241.00 $64,954.51 $43,879.83 2026-04-01
0616T HCPCS Insertion Of Iris Prosthesis 8 3 — — $11,241.00 $64,954.51 $43,879.83 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 14 — — $8,907.21 $111,702.28 $43,739.21 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 50 14 — — $5,940.46 $72,651.24 $43,499.55 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 48 14 — — $5,895.55 $76,539.66 $43,458.10 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 14 — — $7,370.75 $88,370.59 $43,372.53 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 38 10 — — $2,985.00 $90,873.56 $43,238.12 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 38 10 — — $2,985.00 $90,873.56 $43,238.12 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 50 14 — — $6,093.22 $74,443.91 $43,204.06 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 48 14 — — $5,925.99 $72,449.18 $43,139.89 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 52 14 — — $5,974.47 $72,977.82 $42,999.50 2026-04-01
665 MS_DRG Prostatectomy With Mcc 48 14 — — $5,804.42 $80,667.73 $42,621.12 2026-04-01
245 MS_DRG Aicd Generator Procedures 54 14 — — $7,383.50 $114,808.32 $42,549.75 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 14 — — $5,639.63 $69,277.36 $42,534.21 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 50 14 — — $5,548.87 $71,857.11 $42,460.67 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 56 14 — — $6,505.29 $83,430.75 $42,170.79 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 32 10 — — $2,985.00 $109,968.26 $41,993.48 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 52 14 — — $6,248.80 $77,573.44 $41,936.96 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 38 10 — — $5,081.00 $84,674.18 $41,572.87 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 38 10 — — $3,313.00 $84,674.18 $41,572.87 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 38 10 — — $3,313.00 $84,674.18 $41,572.87 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 38 10 — — $5,081.00 $84,674.18 $41,572.87 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 38 10 — — $2,985.00 $84,674.18 $41,572.87 2026-04-01
53444 HCPCS Insert Tandem Cuff 38 10 — — $4,435.00 $84,674.18 $41,572.87 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 38 10 — — $5,081.00 $84,674.18 $41,572.87 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 38 10 — — $5,081.00 $84,674.18 $41,572.87 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 48 14 — — $5,697.13 $101,655.82 $41,491.04 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 48 14 — — $5,089.46 $65,912.87 $41,332.76 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 52 14 — — $5,488.93 $67,357.82 $41,269.38 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 48 14 — — $5,112.01 $67,148.71 $40,607.93 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 48 13 — — $7,779.06 $100,069.90 $40,389.59 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 50 14 — — $5,553.20 $68,065.02 $40,279.95 2026-04-01
791 MS_DRG Prematurity With Major Problems 56 14 — — $2,851.02 $95,392.05 $40,269.93 2026-04-01
570 MS_DRG Skin Debridement With Mcc 48 14 — — $5,490.81 $70,729.35 $40,213.10 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 52 14 — — $3,898.68 $80,592.55 $40,102.93 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 48 14 — — $5,295.02 $68,513.77 $39,930.99 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 58 14 — — $7,099.05 $99,360.36 $39,818.76 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 48 14 — — $4,906.07 $59,317.83 $39,778.67 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 50 14 — — $5,494.76 $68,906.14 $39,690.32 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 48 14 — — $5,425.42 $65,978.66 $39,666.26 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 34 10 — — $2,985.00 $90,873.56 $39,659.21 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 34 10 — — $2,985.00 $90,873.56 $39,659.21 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 13 — — $35,994.14 $95,934.78 $39,593.55 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 48 14 — — $5,046.43 $62,257.05 $39,420.24 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 38 10 — — $2,985.00 $81,899.86 $38,913.14 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 38 10 — — $2,985.00 $81,899.86 $38,913.14 2026-04-01
64580 HCPCS Implant Neuroelectrodes 38 10 — — $3,313.00 $81,899.86 $38,913.14 2026-04-01
63655 HCPCS Implant Neuroelectrodes 38 10 — — $15,527.00 $81,899.86 $38,913.14 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 38 10 — — $4,435.00 $81,899.86 $38,913.14 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 10 4 — — $2,985.00 $65,649.70 $38,910.81 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 10 4 — — $2,985.00 $65,649.70 $38,910.81 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 10 4 — — $2,985.00 $65,649.70 $38,910.81 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 10 4 — — $2,985.00 $65,649.70 $38,910.81 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 10 4 — — $2,985.00 $65,649.70 $38,910.81 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 48 14 — — $4,890.10 $64,056.77 $38,851.21 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 48 14 — — $4,758.38 $62,113.73 $38,715.69 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 6 2 — — $30,227.58 $50,999.49 $38,677.52 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
800 MS_DRG Splenic Procedures With Cc 50 14 — — $5,294.46 $68,455.03 $38,452.22 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 50 14 — — $5,143.76 $66,300.54 $38,317.18 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 66 14 — — $3,674.28 $97,988.25 $38,231.09 2026-04-01
503 MS_DRG Foot Procedures With Mcc 48 14 — — $5,039.29 $62,179.52 $38,207.55 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 16 6 — — $19,039.00 $44,863.70 $38,126.99 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 13 — — $34,153.20 $92,316.55 $37,568.52 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 14 — — $5,137.75 $63,826.52 $37,441.42 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
93580 HCPCS Transcath Closure Of Asd 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
849 MS_DRG Radiotherapy 48 14 — — $5,057.14 $62,752.80 $37,116.53 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 48 14 — — $4,872.25 $64,171.89 $37,072.40 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 48 14 — — $5,162.36 $61,893.43 $36,954.74 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 38 10 — — $12,978.00 $74,891.78 $36,769.96 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 38 10 — — $2,985.00 $74,891.78 $36,769.96 2026-04-01
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