Price Transparencybeta 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 →

Export CSV
Hospital

PROVIDENCE HOLY FAMILY HOSPITAL

Spokane, WA · CCN 500077 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Stress tte only

This hospital’s price: $1,175 across 9 payers · range $609-$2,232

Source: https://pricetransparency.providence.org/wamt/live/352345508_providence-holy-family-hospital_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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

371,532 of 485,972 rate rows are consumer-grade (76.5%)

114,440 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 112,338
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
template filing: same amount across many unrelated codes — excluded 134
placeholder amount (≤ $0.02) — excluded from medians 114
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 38
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 38
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 · 2026-10-03
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
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,296,000.00 $3,985,651.65 $3,504,052.08 nat. median
$3,324,572
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
$2,466,282
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $511,072.50 $1,890,448.53 $675,598.89 nat. median
$738,272
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $507,195.92 $1,811,387.02 $641,459.34 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $473,853.52 $1,730,638.85 $612,864.31 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $484,690.30 $1,723,006.17 $610,161.38 nat. median
$622,245
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $449,440.00 $1,637,031.59 $579,715.54 nat. median
$608,101
1.0× 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
$359,358
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $449,440.00 $1,506,036.47 $533,326.76 nat. median
$591,650
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
$249,124
1.5× 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
$198,433
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
$190,557
1.5× 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
$126,722
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $16,650.57 $208,198.59 $178,557.21 nat. median
$71,201
outlier · 2.5×
7
MS_DRG 		Lung Transplant 14 $23,048.57 $307,030.31 $174,038.83 nat. median
$117,894
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $21,535.03 $307,805.65 $161,573.60 nat. median
$110,192
1.5× 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
$47,579
outlier · 3.2×
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
$103,967
1.5× 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
$39,629
outlier · 3.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $19,447.65 $250,188.86 $138,744.98 nat. median
$94,964
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 14 $19,193.61 $248,910.73 $134,018.53 nat. median
$93,917
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
$90,581
1.5× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 8 $12,462.09 $155,825.89 $131,227.27 nat. median
$52,841
outlier · 2.5×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $58,268.00 $150,389.15 $127,806.77 nat. median
$38,225
outlier · 3.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $123,756.60 $123,756.60 $123,756.60 nat. median
$75,037
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $20,238.15 $255,933.38 $123,424.20 nat. median
$97,414
1.3× median
38240
HCPCS 		Transplt Allo Hct/donor 10 $2,985.00 $256,975.23 $121,260.52 nat. median
$12,855
outlier · 9.4×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $11,492.53 $143,702.47 $120,502.37 nat. median
$49,639
outlier · 2.4×
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 3 $2,985.00 $176,824.96 $119,453.55 nat. median
$39,035
outlier · 3.1×
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
$77,696
1.5× 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
$74,460
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
$32,619
outlier · 3.2×
209
MS_DRG 		Complex Aortic Arch Procedures 11 $95,141.47 $176,011.72 $103,704.20 nat. median
$92,655
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
$72,473
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
$68,004
1.5× 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
$93,270
1.1× 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
$34,024
outlier · 3.0×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 $58,268.00 $117,961.35 $100,248.32 nat. median
$31,634
outlier · 3.2×
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
$61,329
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $15,019.79 $186,237.82 $96,281.90 nat. median
$66,660
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
$63,896
1.5× 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
$38,944
outlier · 2.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $11,443.49 $160,421.51 $90,148.58 nat. median
$61,711
1.5× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 1 $89,875.13 $89,875.13 $89,875.13 nat. median
$16,222
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
$62,038
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
$58,118
1.5× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 10 $2,985.00 $179,946.79 $88,349.30 nat. median
$43,332
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
$71,758
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $55,502.40 $139,774.10 $86,218.54 nat. median
$59,558
1.4× 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.

Slice
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 OTHER 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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 14 — — $55,502.40 $139,774.10 $86,218.54 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 36 8 — — $56,824.55 $208,328.88 $84,189.65 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 OTHER Implt/rpl Crtd Sns Dev Gen 8 3 — — $2,985.00 $116,256.37 $78,536.62 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 38 10 — — $2,985.00 $179,946.79 $78,532.71 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
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
33249 HCPCS Insj/rplcmt Defib W/lead(s) 38 10 — — $2,985.00 $128,235.57 $62,960.41 2026-04-01
0571T OTHER 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
0408T OTHER Insj/rplc Cardiac Modulj Sys 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
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
61886 HCPCS Implant Neurostim Arrays 38 10 — — $5,081.00 $126,065.56 $61,894.99 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
63685 HCPCS Insrt/redo Spine N Generator 38 10 — — $4,435.00 $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
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 46 14 — — $35,030.63 $91,865.45 $56,049.01 2026-04-01
0915T OTHER 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 OTHER 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
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 50 14 — — $6,976.37 $77,573.44 $48,823.13 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
27702 HCPCS Reconstruct Ankle Joint 38 10 — — $2,985.00 $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
22633 HCPCS Lumbar Spine Fusion Combined 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
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
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 32 10 — — $2,985.00 $126,065.56 $48,140.54 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 32 10 — — $2,985.00 $126,065.56 $48,140.54 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 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
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 38 10 — — $2,985.00 $90,873.56 $44,616.61 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 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
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
0616T OTHER Insertion Of Iris Prosthesis 8 3 — — $11,241.00 $64,954.51 $43,879.83 2026-04-01
0618T OTHER Insj Iris Prosth Sec Io Lens 8 3 — — $11,241.00 $64,954.51 $43,879.83 2026-04-01
0617T OTHER Insj Iris Prosth W/rmvl&insj 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 OTHER Tcat Ins 2chmbr Ldls Pm Ra 38 10 — — $2,985.00 $90,873.56 $43,238.12 2026-04-01
0823T OTHER 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 OTHER Rplcmt Subq Prtl Ascites Pmp 32 10 — — $2,985.00 $109,968.26 $41,993.48 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 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
54416 HCPCS Remv/repl Penis Contain Pros 38 10 — — $5,081.00 $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
54401 HCPCS Insert Self-contd Prosthesis 38 10 — — $5,081.00 $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
53447 HCPCS Remove/replace Ur Sphincter 38 10 — — $3,313.00 $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
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
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 46 14 — — $25,796.70 $67,148.71 $41,274.72 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
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
800 MS_DRG Splenic Procedures With Cc 48 14 — — $24,032.64 $68,455.03 $39,909.43 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 OTHER Rmvl&rplcmt Perm Ccm-d Pg 34 10 — — $2,985.00 $90,873.56 $39,659.21 2026-04-01
0916T OTHER 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
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
64580 HCPCS Implant Neuroelectrodes 38 10 — — $3,313.00 $81,899.86 $38,913.14 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 38 10 — — $2,985.00 $81,899.86 $38,913.14 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 38 10 — — $2,985.00 $81,899.86 $38,913.14 2026-04-01
37231 HCPCS Tib/per Revasc Stent & 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
37227 HCPCS Fem/popl Revasc Stnt & Ather 10 4 — — $2,985.00 $65,649.70 $38,910.81 2026-04-01
37225 HCPCS Fem/popl Revas W/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 OTHER Mrgfus Strtctc Les Abltj 6 2 — — $30,227.58 $50,999.49 $38,677.52 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 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
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 38 10 — — $2,985.00 $78,691.42 $38,635.49 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 38 10 — — $2,985.00 $78,691.42 $38,635.49 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
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
93591 HCPCS Perq Transcath Cls Aortic 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
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
93580 HCPCS Transcath Closure Of Asd 36 9 — — $12,978.00 $74,891.78 $37,280.65 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 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
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 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
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 38 10 — — $2,985.00 $74,891.78 $36,769.96 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 38 10 — — $2,985.00 $74,891.78 $36,769.96 2026-04-01
See an error in this hospital's data? Submit a correction