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

LEGACY SALMON CREEK MEDICAL CENTER

Vancouver, WA · CCN 500150 · Rates published

14,169 distinct procedures filed
17 distinct payers
397,858 rate rows
2026-04-01 last MRF observed
Data quality

313,846 of 397,858 rate rows are consumer-grade (78.9%)

84,012 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 67,595
professional (physician) fee — not the facility price 11,495
template filing: same amount across many unrelated codes — excluded 4,834
placeholder amount (≤ $0.02) — excluded from medians 88
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.legacyhealth.org/-/media/Files/JSON/331065485_legacy-salmon-creek-medical-center_standardcharges.json
Found on page https://www.legacyhealth.org/Patients-and-Visitors/paying-for-your-care/estimate-hospital-costs
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 64d01b1767a23d92… · 54,770,320 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 $3,795,824.67 $4,127,498.67 $3,943,235.33 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,415,956.47 $3,714,438.10 $3,548,614.97 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,345,899.09 $3,638,259.20 $3,475,836.92 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $3,034,112.20 $3,299,228.80 $3,151,941.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,528,763.92 $4,910,221.21 $2,651,519.45 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,401,960.00 $4,664,000.00 $2,518,560.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $793,738.60 $1,733,895.00 $855,388.20 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $609,477.99 $1,302,235.02 $656,816.08 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $582,845.01 $1,244,630.93 $628,114.53 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $579,414.33 $1,161,995.15 $624,417.39 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $574,037.47 $1,187,150.54 $618,622.91 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $549,227.08 $1,131,391.64 $591,885.49 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $503,983.75 $1,101,148.11 $543,128.11 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $396,378.12 $1,187,527.00 $431,013.11 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $257,712.68 $770,657.25 $280,231.27 nat. median
$265,286
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $211,809.20 $493,536.00 $228,260.40 nat. median
$209,753
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $196,668.02 $587,138.75 $213,852.61 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $36,804.17 $583,693.00 $208,809.74 nat. median
$202,986
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $177,719.40 $177,719.40 $177,719.40 nat. median
$76,377
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $123,985.63 $380,913.50 $139,260.91 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 12 $119,826.62 $356,130.50 $130,296.90 nat. median
$122,708
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $111,298.43 $330,492.25 $121,023.54 nat. median
$117,303
1.0× median
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$15,886
outlier · 7.2×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$18,872
outlier · 6.1×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $82,074.08 $120,301.16 $114,887.99 nat. median
$24,752
outlier · 4.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $105,022.36 $311,624.50 $114,199.08 nat. median
$108,660
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $104,903.45 $311,267.00 $111,014.33 nat. median
$98,017
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $18,375.90 $303,083.00 $110,117.56 nat. median
$98,905
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $100,835.57 $299,037.75 $109,646.44 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $95,680.06 $283,538.75 $104,040.45 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $101.37 $273,817.50 $99,626.74 nat. median
$99,019
1.0× median
0312T
HCPCS 		Laps Impltj Nstim Vagus 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$8,204
outlier · 12.0×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 2 $7,920.26 $120,301.16 $98,481.04 nat. median
$9,564
outlier · 10.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $83,267.14 $269,027.00 $97,909.49 nat. median
$93,672
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $83,780.13 $247,764.00 $91,100.72 nat. median
$82,712
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $80,577.61 $238,136.25 $87,618.37 nat. median
$83,442
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $52,296.71 $231,093.50 $84,311.44 nat. median
$81,118
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $18,307.96 $231,822.25 $83,810.76 nat. median
$79,312
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $13,699.23 $559,616.73 $83,798.94 nat. median
$52,278
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 $54,553.76 $161,282.00 $81,069.96 nat. median
$56,697
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $73,344.71 $216,392.00 $79,753.48 nat. median
$77,576
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $71,602.12 $211,153.25 $77,858.61 nat. median
$74,915
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $17,765.92 $176,954.25 $77,775.77 nat. median
$62,134
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $10,249.00 $210,243.00 $76,837.15 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $67,141.07 $209,547.25 $76,587.75 nat. median
$72,138
1.1× median
0426T
HCPCS 		Insj/rplc Nstim Apnea Stm Ld 1 $54,340.97 $79,651.00 $76,066.95 nat. median
$13,244
outlier · 5.7×
0775T
HCPCS 		Arthrd Si Jt Prq Iartic Impl 2 $7,920.26 $90,467.87 $74,058.88 nat. median
$9,524
outlier · 7.8×
0809T
HCPCS 		Arthrd Si Jt Prq Tfx&implt 2 $7,920.26 $90,467.87 $74,058.88 nat. median
$9,875
outlier · 7.5×
38240
HCPCS 		Transplt Allo Hct/donor 10 $13,821.00 $154,662.59 $73,948.65 nat. median
$15,912
outlier · 4.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $61,931.00 $198,511.50 $73,286.09 nat. median
$68,090
1.1× median

Other procedures at this hospital

Browse this hospital's 14,169 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 6 — — $3,795,824.67 $4,127,498.67 $3,943,235.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 6 — — $3,415,956.47 $3,714,438.10 $3,548,614.97 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 6 — — $3,345,899.09 $3,638,259.20 $3,475,836.92 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 12 6 — — $3,034,112.20 $3,299,228.80 $3,151,941.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 7 — — $2,528,763.92 $4,910,221.21 $2,651,519.45 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 7 — — $2,401,960.00 $4,664,000.00 $2,518,560.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 20 8 — — $793,738.60 $1,733,895.00 $855,388.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 8 — — $609,477.99 $1,302,235.02 $656,816.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 20 8 — — $582,845.01 $1,244,630.93 $628,114.53 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 8 — — $579,414.33 $1,161,995.15 $624,417.39 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 20 8 — — $574,037.47 $1,187,150.54 $618,622.91 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 8 — — $549,227.08 $1,131,391.64 $591,885.49 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 20 8 — — $503,983.75 $1,101,148.11 $543,128.11 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 42 12 — — $396,378.12 $1,187,527.00 $431,013.11 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 12 — — $257,712.68 $770,657.25 $280,231.27 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 20 7 — — $211,809.20 $493,536.00 $228,260.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 12 — — $196,668.02 $587,138.75 $213,852.61 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 12 — — $36,804.17 $583,693.00 $208,809.74 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $177,719.40 $177,719.40 $177,719.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 14 — — $123,985.63 $380,913.50 $139,260.91 2026-04-01
7 MS_DRG Lung Transplant 42 12 — — $119,826.62 $356,130.50 $130,296.90 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 12 — — $111,298.43 $330,492.25 $121,023.54 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 6 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 6 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 6 1 — — $82,074.08 $120,301.16 $114,887.99 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 12 — — $105,022.36 $311,624.50 $114,199.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 12 — — $104,903.45 $311,267.00 $111,014.33 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 13 — — $18,375.90 $303,083.00 $110,117.56 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 12 — — $100,835.57 $299,037.75 $109,646.44 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 12 — — $95,680.06 $283,538.75 $104,040.45 2026-04-01
215 MS_DRG Other Heart Assist System Implant 52 12 — — $101.37 $273,817.50 $99,626.74 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 8 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 8 2 — — $7,920.26 $120,301.16 $98,481.04 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 12 — — $83,267.14 $269,027.00 $97,909.49 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 12 — — $83,780.13 $247,764.00 $91,100.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 42 12 — — $80,577.61 $238,136.25 $87,618.37 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 12 — — $52,296.71 $231,093.50 $84,311.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 14 — — $18,307.96 $231,822.25 $83,810.76 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 64 15 — — $13,699.23 $559,616.73 $83,798.94 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 12 — — $54,553.76 $161,282.00 $81,069.96 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 12 — — $73,344.71 $216,392.00 $79,753.48 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $71,602.12 $211,153.25 $77,858.61 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 14 — — $17,765.92 $176,954.25 $77,775.77 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 13 — — $10,249.00 $210,243.00 $76,837.15 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 12 — — $67,141.07 $209,547.25 $76,587.75 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 6 1 — — $54,340.97 $79,651.00 $76,066.95 2026-04-01
0809T HCPCS Arthrd Si Jt Prq Tfx&implt 8 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 8 2 — — $7,920.26 $90,467.87 $74,058.88 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 32 10 — — $13,821.00 $154,662.59 $73,948.65 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 12 — — $61,931.00 $198,511.50 $73,286.09 2026-04-01
10 MS_DRG Pancreas Transplant 42 12 — — $67,004.60 $197,331.75 $72,859.37 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 42 12 — — $66,977.16 $197,249.25 $72,829.53 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 12 — — $66,628.64 $196,201.50 $72,450.56 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 48 12 — — $62,507.30 $196,086.00 $71,762.27 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 20 8 — — $65,242.55 $142,280.12 $70,309.93 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 14 — — $28,628.91 $299,929.36 $69,607.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 12 — — $36,850.07 $189,142.25 $69,273.14 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 12 — — $62,937.65 $185,105.25 $68,437.05 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 42 12 — — $62,484.85 $183,744.00 $67,944.69 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $61,512.47 $180,820.75 $66,887.34 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 14 — — $13,694.57 $183,878.75 $66,779.25 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $61,293.85 $180,163.50 $66,649.62 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 12 — — $57,975.50 $180,820.75 $66,290.13 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 12 — — $51,256.33 $149,987.75 $65,434.38 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 20 8 — — $58,529.29 $113,649.10 $63,075.24 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 12 — — $57,424.47 $168,531.00 $62,442.14 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 12 — — $57,359.53 $168,335.75 $62,371.52 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 9 — — $56,930.49 $128,288.48 $61,905.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 12 — — $56,822.57 $166,721.50 $61,787.64 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 42 12 — — $56,325.86 $165,228.25 $61,247.54 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 12 — — $56,310.31 $165,181.50 $61,230.62 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 42 12 — — $55,606.87 $163,066.75 $60,465.72 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 12 — — $51,442.29 $163,985.25 $60,255.11 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 12 — — $55,047.96 $161,386.50 $59,857.97 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 12 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 12 3 — — $14,884.00 $120,301.16 $59,613.04 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — — $22,520.24 $157,583.25 $58,482.33 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 48 12 — — $34,283.96 $158,595.25 $58,322.95 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 12 — — $52,633.03 $154,126.50 $57,232.03 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 14 — — $8,282.98 $156,736.25 $57,137.12 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 12 — — $49,955.32 $154,605.00 $56,892.57 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 12 — — $53,568.82 $156,939.75 $56,689.33 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 13 — — $51,406.35 $150,438.75 $56,495.54 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 12 — — $51,886.60 $151,882.50 $56,420.38 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 12 — — $32,192.83 $153,070.50 $56,342.49 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 42 12 — — $51,056.92 $149,388.25 $55,518.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 13 — — $9,199.70 $150,224.25 $55,322.19 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 48 12 — — $32.05 $150,972.25 $54,588.69 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $50,146.74 $146,652.00 $54,528.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 12 — — $50,117.47 $146,564.00 $54,496.67 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 8 2 — — $7,920.26 $65,879.63 $53,930.44 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 8 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 8 2 — — $7,920.26 $65,854.39 $53,909.78 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 13 — — $20,610.17 $145,579.50 $53,657.18 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 13 — — $43,862.31 $145,098.25 $53,002.83 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 44 12 — — $48,670.96 $142,901.00 $52,697.01 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 2 — — $18,196.13 $87,146.50 $52,671.32 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 32 10 — — $6,072.60 $120,301.16 $52,518.75 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 16 7 — — $7,920.26 $98,165.89 $52,518.75 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 32 10 — — $9,105.00 $185,915.07 $52,518.75 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $47,470.20 $138,605.50 $51,618.08 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 10 — — $13,746.00 $98,165.89 $51,537.09 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 14 — — $10,080.80 $143,148.50 $50,883.55 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 12 — — $30,919.84 $320,044.57 $50,439.39 2026-04-01
J9226 HCPCS Supprelin La Implant 26 9 — — $46,371.27 $101,727.09 $50,423.13 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 13 — — $17,835.21 $136,053.50 $50,242.40 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $46,198.70 $134,783.00 $50,235.48 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 12 — — $20.62 $137,153.50 $50,180.53 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 42 12 — — $45,535.52 $132,789.25 $49,514.35 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 14 — — $28,413.58 $126,403.75 $49,387.05 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 6 1 — — $35,233.91 $51,644.57 $49,320.72 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 12 — — $45,312.32 $132,118.25 $49,271.64 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 12 — — $44,914.41 $130,922.00 $48,838.97 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 12 — — $44,371.04 $129,288.50 $48,248.12 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 12 — — $35,309.68 $110,563.75 $48,094.74 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 74 15 — — $11,774.25 $135,883.88 $47,896.38 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 60 12 — — $29,649.28 $129,024.50 $47,722.69 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 42 12 — — $43,781.94 $127,517.50 $47,607.55 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 12 — — $22,586.73 $128,639.50 $47,584.69 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 12 — — $42,433.40 $127,008.75 $47,000.10 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 6 1 — — $33,543.34 $49,166.59 $46,954.25 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 42 12 — — $42,793.10 $124,544.75 $46,532.30 2026-04-01
245 MS_DRG Aicd Generator Procedures 44 13 — — $7,371.51 $125,466.00 $46,447.08 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 13 — — $10,158.84 $126,082.00 $46,247.46 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 12 — — $42,350.37 $123,213.75 $46,050.88 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 12 — — $239.55 $125,089.25 $45,894.81 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 12 — — $42,189.38 $122,729.75 $45,875.83 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 12 — — $38,135.32 $125,034.25 $45,875.27 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 52 13 — — $18,114.03 $123,249.50 $45,652.54 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 60 13 — — $36,728.84 $116,622.00 $45,022.21 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 12 — — $36,234.00 $133,202.85 $44,775.18 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 12 — — $38,743.62 $118,054.75 $43,790.37 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 12 — — $39,930.86 $115,940.00 $43,419.97 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 12 — — $39,911.66 $115,882.25 $43,399.08 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 13 — — $33,522.69 $96,783.50 $43,356.46 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 13 — — $26,922.31 $119,003.50 $43,335.32 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 12 — — $39,753.41 $115,406.50 $43,227.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 42 12 — — $39,682.06 $115,192.00 $43,149.42 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 46 14 — — $8,306.62 $117,295.75 $43,126.24 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 12 — — $39,097.23 $116,138.00 $43,103.26 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 52 12 — — $37,298.39 $115,544.00 $42,890.33 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 12 — — $38,715.55 $114,746.50 $42,604.46 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 12 — — $39,103.02 $113,451.25 $42,519.79 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 44 12 — — $37,207.29 $114,207.50 $42,411.25 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 44 12 — — $32,276.48 $109,562.75 $40,746.24 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 28 9 — — $13,746.00 $76,351.49 $40,275.41 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 66 15 — — $2,123.87 $114,664.00 $40,273.54 2026-04-01
69718 HCPCS Revise Temple Bone Implant 8 2 — — $7,920.26 $49,166.59 $40,248.79 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 12 — — $36,987.22 $107,090.50 $40,219.11 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 12 — — $33,264.54 $107,577.25 $40,034.49 2026-04-01
791 MS_DRG Prematurity With Major Problems 56 14 — — $7,824.00 $111,622.50 $39,989.65 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 12 — — $36,772.25 $106,444.25 $39,985.36 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 12 — — $36,719.19 $106,284.75 $39,927.66 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 12 — — $20,751.39 $106,183.00 $39,534.69 2026-04-01
69930 HCPCS Implant Cochlear Device 32 10 — — $12,230.00 $136,783.71 $39,314.26 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 52 12 — — $25,697.42 $73,150.00 $38,916.91 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 16 6 — — $23,771.00 $132,852.42 $38,750.25 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 16 5 — — $15,483.00 $630,040.57 $38,698.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 44 12 — — $30,315.05 $93,335.11 $38,542.65 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 44 13 — — $10,976.32 $103,031.50 $38,404.98 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 42 12 — — $35,263.83 $101,909.50 $38,345.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 12 — — $33,835.10 $105,580.75 $38,256.14 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 46 12 — — $33,894.20 $103,482.50 $38,219.19 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 44 12 — — $22,517.97 $102,487.00 $38,209.79 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 42 12 — — $34,964.71 $101,010.25 $38,019.88 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 12 — — $40.54 $102,786.75 $37,972.03 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 56 12 — — $28,181.69 $88,836.00 $37,828.56 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 30 10 — — $14,884.00 $133,372.50 $37,776.25 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 30 10 — — $14,884.00 $132,459.21 $37,776.25 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 30 10 — — $14,884.00 $93,836.03 $37,776.25 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 12 — — $34,556.74 $99,783.75 $37,576.26 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 12 — — $34,531.12 $99,706.75 $37,548.40 2026-04-01
332 MS_DRG Rectal Resection With Mcc 42 12 — — $34,485.38 $99,569.25 $37,498.66 2026-04-01
265 MS_DRG Aicd Lead Procedures 42 12 — — $34,462.51 $99,500.50 $37,473.80 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 32 10 — — $14,755.00 $133,372.50 $37,426.47 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 32 10 — — $10,243.00 $133,372.50 $37,426.47 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 32 10 — — $10,243.00 $133,372.50 $37,426.47 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 32 10 — — $10,243.00 $133,372.50 $37,426.47 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 50 12 — — $22,185.75 $100,969.00 $37,326.30 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 50 12 — — $19,251.19 $102,775.75 $37,277.80 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 12 — — $34,138.69 $98,527.00 $37,121.68 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 12 — — $29,060.00 $99,324.50 $37,076.12 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 13 — — $3,608.67 $99,176.00 $37,022.88 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 12 — — $33,981.36 $98,054.00 $36,950.60 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 12 — — $33,953.92 $97,971.50 $36,920.77 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 32 10 — — $4,275.00 $120,301.16 $36,793.13 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 32 10 — — $4,275.00 $124,204.26 $36,793.13 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 32 10 — — $9,105.00 $122,232.80 $36,793.13 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 10 — — $8,991.00 $120,301.16 $36,793.13 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 32 10 — — $4,275.00 $79,651.00 $36,793.13 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 16 7 — — $7,920.26 $68,772.21 $36,793.13 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 44 12 — — $18,491.42 $98,298.75 $36,708.43 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 52 13 — — $20,450.00 $98,199.75 $36,672.93 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 13 — — $23,695.18 $97,878.00 $36,557.60 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 24 9 — — $10,243.00 $68,772.21 $36,277.34 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 32 10 — — $9,105.00 $86,110.11 $36,277.34 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 54 13 — — $19,441.39 $73,294.85 $36,274.89 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 22 8 — — $6,072.60 $68,772.21 $36,105.41 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 22 8 — — $6,072.60 $68,772.21 $36,105.41 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 12 — — $33,119.67 $95,463.50 $36,013.62 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 50 12 — — $24,726.60 $96,981.50 $35,909.78 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 42 12 — — $32,965.98 $95,001.50 $35,846.51 2026-04-01
509 MS_DRG Arthroscopy 6 1 — — $24,459.26 $36,991.89 $35,327.25 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 13 — — $1,462.32 $94,281.00 $35,268.18 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 10 3 — — $13,746.00 $51,644.57 $35,233.91 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 12 — — $908.07 $97,798.25 $35,212.65 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 12 — — $33,234.08 $95,903.50 $35,203.85 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 46 14 — — $8,660.80 $93,695.25 $34,742.37 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 12 — — $32,819.63 $94,561.50 $34,731.46 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 52 13 — — $20,973.52 $93,819.00 $34,470.08 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 24 9 — — $16.46 $57,783.89 $34,349.60 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 12 — — $31,581.97 $90,840.75 $34,341.56 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 44 12 — — $26,971.66 $76,980.75 $34,311.68 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 62 14 — — $7,807.33 $163,926.04 $34,243.42 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 42 12 — — $31,475.86 $90,521.75 $34,226.18 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 32 10 — — $12,230.00 $117,833.85 $34,200.56 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 3 — — $32,145.52 $46,512.87 $34,159.71 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 44 12 — — $30,110.95 $90,532.75 $33,924.54 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 42 12 — — $31,120.03 $89,452.00 $33,839.25 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 48 12 — — $16,754.24 $91,866.50 $33,782.79 2026-04-01
652 MS_DRG Kidney Transplant 42 12 — — $30,906.89 $88,811.25 $33,607.49 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 42 12 — — $30,827.31 $88,572.00 $33,520.96 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 46 13 — — $24,594.09 $88,286.00 $33,417.52 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 26 10 — — $10,243.00 $92,958.57 $33,260.31 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 26 10 — — $6,072.60 $92,958.57 $33,260.31 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 46 12 — — $1,363.71 $87,639.75 $33,183.76 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 12 — — $30,175.10 $86,611.25 $32,811.76 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 48 13 — — $17,707.39 $89,058.75 $32,794.42 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 44 13 — — $17,556.08 $87,378.50 $32,793.83 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 52 12 — — $20.96 $88,959.75 $32,759.57 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 42 12 — — $30,107.40 $86,407.75 $32,738.15 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 28 9 — — $7,920.26 $59,990.69 $32,694.92 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 48 12 — — $25,746.35 $88,745.25 $32,684.06 2026-04-01
665 MS_DRG Prostatectomy With Mcc 42 12 — — $29,916.23 $85,833.00 $32,530.27 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 12 — — $25,061.77 $85,654.25 $32,465.61 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 32 10 — — $14,755.00 $60,473.29 $32,353.21 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 46 12 — — $26,536.76 $86,900.00 $32,328.41 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 48 12 — — $29,484.36 $87,554.50 $32,264.90 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 26 10 — — $17,599.00 $84,426.27 $32,039.23 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 26 10 — — $17,599.00 $84,426.27 $32,039.23 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 26 10 — — $17,599.00 $84,426.27 $32,039.23 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 48 13 — — $14,919.44 $86,652.50 $31,947.39 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 32 10 — — $10,615.00 $65,879.63 $31,899.66 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 32 10 — — $10,243.00 $65,879.63 $31,899.66 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 50 13 — — $7,198.80 $85,503.00 $31,832.14 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 13 — — $10,803.84 $87,802.00 $31,758.42 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 44 12 — — $25,748.59 $84,191.25 $31,651.29 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 42 12 — — $28,995.08 $83,063.75 $31,528.63 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 42 12 — — $28,961.23 $82,962.00 $31,491.82 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 46 12 — — $24,852.19 $70,609.00 $31,383.77 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 48 12 — — $21,445.68 $60,368.00 $31,155.71 2026-04-01
5378 OTHER Level 8 Urology And Related Services 4 2 — — $22,435.96 $39,864.48 $31,150.22 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 26 9 — — $14,755.00 $60,473.29 $31,143.74 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 6 1 — — $21,530.84 $32,562.97 $31,097.64 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 42 12 — — $28,591.68 $81,851.00 $31,089.98 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 46 12 — — $21,842.67 $61,561.50 $31,083.39 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 46 14 — — $13,840.60 $83,052.75 $30,961.71 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 42 12 — — $28,296.21 $80,962.75 $30,768.70 2026-04-01
J9266 HCPCS Pegaspargase Injection 26 9 — — $24,657.63 $60,908.69 $30,697.98 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 56 12 — — $24,653.80 $81,017.75 $30,513.69 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 44 12 — — $24,958.30 $70,928.00 $30,258.68 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 44 12 — — $26,695.98 $80,300.00 $30,256.40 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 42 12 — — $27,777.54 $79,403.50 $30,204.71 2026-04-01
570 MS_DRG Skin Debridement With Mcc 50 12 — — $16,695.45 $80,880.25 $30,189.95 2026-04-01
263 MS_DRG Vein Ligation And Stripping 54 14 — — $179.82 $84,078.50 $30,186.97 2026-04-01
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 6 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
0454T HCPCS Insj/rplcmt Subq Electrode 6 1 — — $21,539.32 $31,571.54 $30,150.92 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 42 12 — — $27,726.32 $79,249.50 $30,149.01 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 54 14 — — $700.09 $83,413.00 $29,959.15 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 48 14 — — $16,897.41 $79,365.00 $29,921.23 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 46 13 — — $23,293.86 $79,805.00 $29,807.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 46 12 — — $9,789.57 $79,755.50 $29,790.39 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 50 12 — — $25,225.84 $78,930.50 $29,497.31 2026-04-01
800 MS_DRG Splenic Procedures With Cc 42 12 — — $27,064.04 $77,258.50 $29,428.86 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 66 12 — — $19,254.21 $97,668.15 $29,427.63 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 50 12 — — $15,863.04 $80,088.25 $29,364.80 2026-04-01
503 MS_DRG Foot Procedures With Mcc 44 12 — — $24,677.92 $76,755.25 $28,985.71 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 66 13 — — $14,070.31 $75,589.25 $28,825.10 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 52 13 — — $13,147.07 $78,388.75 $28,505.64 2026-04-01
49654 HCPCS Lap Inc Hernia Repair 8 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
49657 HCPCS Lap Inc Hern Recur Comp 8 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
49655 HCPCS Lap Inc Hern Repair Comp 8 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 8 2 — — $7,920.26 $34,757.92 $28,453.56 2026-04-01
849 MS_DRG Radiotherapy 42 12 — — $26,150.22 $74,511.25 $28,435.19 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 44 12 — — $24,714.35 $75,179.50 $28,420.85 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 46 12 — — $22,991.98 $75,820.25 $28,392.43 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 42 12 — — $26,039.53 $74,178.50 $28,314.83 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 76 15 — — $1,958.16 $74,822.00 $28,292.70 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 48 12 — — $21,516.22 $76,227.25 $28,277.58 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 44 12 — — $14,340.73 $74,420.50 $28,148.77 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 48 12 — — $16,146.72 $75,570.00 $28,046.22 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 42 12 — — $25,490.69 $72,528.50 $27,718.03 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 44 12 — — $24,962.18 $72,894.25 $27,601.65 2026-04-01
19324 HCPCS Enlarge Breast 8 2 — — $7,920.26 $33,611.25 $27,514.87 2026-04-01
0548T HCPCS Tprnl Balo Cntnc Dev Bi 8 2 — — $7,920.26 $33,331.85 $27,286.15 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 46 12 — — $16,906.12 $71,293.75 $27,271.42 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 44 12 — — $21,378.90 $60,167.25 $27,234.15 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 22 9 — — $24,955.27 $54,513.95 $27,135.83 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 30 10 — — $14,884.00 $93,836.03 $26,769.97 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 30 10 — — $10,243.00 $92,734.19 $26,769.97 2026-04-01
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