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 →

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Hospital

SWEDISH ISSAQUAH

Issaquah, WA · CCN 500152 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $1,142 across 12 payers · range $603-$2,691

Source: https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center-issaquah_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.

14,919 distinct procedures filed
16 distinct payers
273,798 rate rows
2026-04-01 last MRF observed
Data quality

244,741 of 273,798 rate rows are consumer-grade (89.4%)

29,057 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 26,307
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
placeholder amount (≤ $0.02) — excluded from medians 63
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center-issaquah_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 1123d09ceab3999e… · 219,853,448 bytes · first seen 2026-05-06

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 8 $3,691,450.00 $4,429,740.00 $3,876,022.50 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,321,376.38 $4,982,064.57 $3,553,872.73 nat. median
$3,324,572
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,479,853.20 $4,786,111.43 $2,845,795.98 nat. median
$2,466,282
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $614,180.81 $1,363,481.39 $825,382.08 nat. median
$738,272
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $542,190.00 $1,306,458.47 $706,193.77 nat. median
$646,415
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $499,938.24 $1,248,219.06 $674,713.00 nat. median
$640,950
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $502,980.50 $1,242,714.00 $671,737.30 nat. median
$622,245
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $494,384.00 $1,186,140.00 $665,171.20 nat. median
$608,101
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $369,311.05 $1,185,759.53 $590,897.68 nat. median
$359,358
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $489,290.60 $1,086,225.13 $587,148.72 nat. median
$591,650
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $239,911.52 $885,664.28 $383,858.43 nat. median
$249,124
1.5× median
0100T
CPT 		Prosth Retina Receive&Gen 3 $7,277.00 $762,502.50 $367,324.17 nat. median
$11,267
outlier · 32.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $182,945.98 $745,939.72 $292,713.57 nat. median
$198,433
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $68,266.00 $673,851.21 $281,908.41 nat. median
$190,557
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $149,394.34 $278,637.86 $199,221.99 nat. median
$71,201
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $118,932.09 $444,275.42 $190,291.34 nat. median
$126,722
1.5× median
7
MS_DRG 		Lung Transplant 14 $111,239.26 $410,907.05 $177,982.82 nat. median
$117,894
1.5× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $129,082.62 $240,754.13 $172,135.68 nat. median
$47,579
outlier · 3.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $103,280.96 $411,944.70 $165,249.54 nat. median
$110,192
1.5× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $119,516.82 $222,912.80 $159,379.39 nat. median
$39,629
outlier · 4.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $97,424.26 $392,126.80 $155,878.82 nat. median
$103,967
1.5× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $111,813.95 $208,546.04 $149,107.37 nat. median
$52,841
outlier · 2.8×
0431T
CPT 		Rmvl/rplc Nstim Apnea Pls Gn 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$17,443
outlier · 8.3×
0427T
CPT 		Insj/rplc Nstim Apnea Pls Gn 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$15,162
outlier · 9.6×
0424T
CPT 		Insj/rplc Nstim Apnea Compl 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$22,810
outlier · 6.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $107,912.77 $201,269.90 $143,905.03 nat. median
$38,225
outlier · 3.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $88,706.23 $334,834.58 $141,929.97 nat. median
$94,964
1.5× median
0312T
CPT 		Laps Impltj Nstim Vagus 2 $17,257.00 $149,379.14 $141,808.26 nat. median
$9,302
outlier · 15.2×
0316T
CPT 		Replc Vagus Nerve Pls Gen 2 $17,257.00 $149,379.14 $141,808.26 nat. median
$11,514
outlier · 12.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $103,114.70 $192,320.94 $137,506.66 nat. median
$49,639
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 14 $85,688.68 $333,124.02 $137,101.89 nat. median
$93,917
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $40.36 $303,447.18 $130,512.59 nat. median
$90,581
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 12 $108,243.35 $240,300.24 $129,892.02 nat. median
$111,503
1.2× median
0266T
CPT 		Implt/rpl Crtd Sns Dev Total 4 $7,277.00 $149,379.14 $125,798.90 nat. median
$42,790
outlier · 2.9×
38240
HCPCS 		Transplt Allo Hct/donor 12 $7,277.00 $309,823.06 $118,853.29 nat. median
$12,855
outlier · 9.2×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $87,982.06 $164,096.80 $117,326.81 nat. median
$32,619
outlier · 3.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $72,426.83 $266,286.66 $115,882.93 nat. median
$77,696
1.5× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $85,267.76 $159,034.32 $113,707.21 nat. median
$34,024
outlier · 3.3×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 $84,643.98 $157,870.89 $112,875.38 nat. median
$31,634
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $67,863.37 $270,767.38 $108,581.39 nat. median
$74,460
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $93,517.24 $342,522.64 $107,544.83 nat. median
$97,414
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $65,954.67 $245,760.02 $105,527.47 nat. median
$71,758
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $65,738.71 $234,688.58 $105,181.94 nat. median
$68,004
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $97,313.29 $204,357.91 $105,098.35 nat. median
$92,655
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,391.12 $329,583.43 $104,250.21 nat. median
$93,270
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 $77,645.81 $144,818.49 $103,543.10 nat. median
$38,944
outlier · 2.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $66,237.22 $243,282.23 $102,667.69 nat. median
$72,473
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $61,921.32 $209,998.75 $99,074.11 nat. median
$61,329
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $61,596.09 $249,247.15 $98,553.74 nat. median
$66,660
1.5× median
0426T
CPT 		Insj/rplc Nstim Apnea Stm Ld 1 $93,890.78 $98,903.42 $96,397.10 nat. median
$12,654
outlier · 7.6×

Other procedures at this hospital

Browse this hospital's 14,919 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 9 8 — — $3,691,450.00 $4,429,740.00 $3,876,022.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 8 — — $3,321,376.38 $4,982,064.57 $3,553,872.73 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 11 — — $2,479,853.20 $4,786,111.43 $2,845,795.98 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 12 — — $614,180.81 $1,363,481.39 $825,382.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 17 11 — — $542,190.00 $1,306,458.47 $706,193.77 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 11 — — $499,938.24 $1,248,219.06 $674,713.00 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 17 11 — — $502,980.50 $1,242,714.00 $671,737.30 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 12 — — $494,384.00 $1,186,140.00 $665,171.20 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 31 14 — — $369,311.05 $1,185,759.53 $590,897.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 17 11 — — $489,290.60 $1,086,225.13 $587,148.72 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 14 — — $239,911.52 $885,664.28 $383,858.43 2026-04-01
0100T CPT Prosth Retina Receive&Gen 4 3 — — $7,277.00 $762,502.50 $367,324.17 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 14 — — $182,945.98 $745,939.72 $292,713.57 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 14 — — $68,266.00 $673,851.21 $281,908.41 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 11 6 — — $149,394.34 $278,637.86 $199,221.99 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 14 — — $118,932.09 $444,275.42 $190,291.34 2026-04-01
7 MS_DRG Lung Transplant 31 14 — — $111,239.26 $410,907.05 $177,982.82 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 6 — — $129,082.62 $240,754.13 $172,135.68 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 14 — — $103,280.96 $411,944.70 $165,249.54 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 6 — — $119,516.82 $222,912.80 $159,379.39 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 14 — — $97,424.26 $392,126.80 $155,878.82 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 11 6 — — $111,813.95 $208,546.04 $149,107.37 2026-04-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0424T CPT Insj/rplc Nstim Apnea Compl 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 11 6 — — $107,912.77 $201,269.90 $143,905.03 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 14 — — $88,706.23 $334,834.58 $141,929.97 2026-04-01
0312T CPT Laps Impltj Nstim Vagus 3 2 — — $17,257.00 $149,379.14 $141,808.26 2026-04-01
0316T CPT Replc Vagus Nerve Pls Gen 3 2 — — $17,257.00 $149,379.14 $141,808.26 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 11 6 — — $103,114.70 $192,320.94 $137,506.66 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 14 — — $85,688.68 $333,124.02 $137,101.89 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $40.36 $303,447.18 $130,512.59 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 12 — — $108,243.35 $240,300.24 $129,892.02 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 7 4 — — $7,277.00 $149,379.14 $125,798.90 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 24 12 — — $7,277.00 $309,823.06 $118,853.29 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 6 — — $87,982.06 $164,096.80 $117,326.81 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $72,426.83 $266,286.66 $115,882.93 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 6 — — $85,267.76 $159,034.32 $113,707.21 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 11 6 — — $84,643.98 $157,870.89 $112,875.38 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 14 — — $67,863.37 $270,767.38 $108,581.39 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 13 — — $93,517.24 $342,522.64 $107,544.83 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 14 — — $65,954.67 $245,760.02 $105,527.47 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $65,738.71 $234,688.58 $105,181.94 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 13 — — $97,313.29 $204,357.91 $105,098.35 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 13 — — $6,391.12 $329,583.43 $104,250.21 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 11 6 — — $77,645.81 $144,818.49 $103,543.10 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $66,237.22 $243,282.23 $102,667.69 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 31 14 — — $61,921.32 $209,998.75 $99,074.11 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 14 — — $61,596.09 $249,247.15 $98,553.74 2026-04-01
0426T CPT Insj/rplc Nstim Apnea Stm Ld 2 1 — — $93,890.78 $98,903.42 $96,397.10 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 14 — — $23,687.38 $346,970.05 $95,510.75 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 14 — — $59,404.84 $209,643.44 $95,047.74 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 14 — — $58,151.73 $214,696.49 $93,042.77 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 23 12 — — $56,824.55 $241,029.35 $90,919.28 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $56,821.78 $187,063.50 $90,914.85 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $56,821.78 $203,046.49 $90,914.85 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $56,617.77 $193,625.86 $90,588.43 2026-04-01
5166 OTHER Cochlear Implant Procedure 7 4 — — $34,424.58 $128,918.54 $89,623.81 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 13 — — $77,601.48 $262,242.96 $85,361.63 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 14 — — $53,006.95 $188,362.14 $84,811.12 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 14 — — $52,946.35 $198,848.71 $84,714.16 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 11 — — $63,499.33 $142,706.70 $84,301.38 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 14 — — $52,445.27 $192,069.39 $83,912.43 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 14 — — $17,634.59 $266,437.59 $83,550.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 14 — — $10,549.73 $203,370.36 $83,432.38 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 7 4 — — $7,277.00 $149,379.14 $82,708.47 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $51,595.92 $180,457.12 $82,553.47 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 11 6 — — $61,668.54 $115,019.01 $82,236.91 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 31 14 — — $51,310.81 $189,780.26 $82,097.30 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 13 — — $74,612.95 $289,640.12 $82,074.25 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 12 — — $55,512.78 $144,048.14 $81,737.62 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 14 — — $50,756.81 $183,063.82 $81,210.90 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 14 — — $51,981.75 $191,151.22 $80,571.71 2026-04-01
10 MS_DRG Pancreas Transplant 31 14 — — $61,946.92 $250,690.43 $80,414.75 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $49,608.69 $179,378.59 $79,373.90 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 22 11 — — $7,277.00 $216,953.45 $79,280.12 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 14 — — $50,789.25 $185,010.21 $78,723.34 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 24 12 — — $7,277.00 $216,953.45 $78,595.74 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 3 2 — — $17,257.00 $81,803.39 $77,657.41 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 14 — — $48,535.69 $171,080.52 $77,657.10 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 3 2 — — $17,257.00 $81,772.05 $77,627.65 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 3 2 — — $17,257.00 $81,772.05 $77,627.65 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 14 — — $25,353.31 $186,934.58 $77,142.92 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 14 — — $47,839.13 $192,962.39 $76,542.61 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 14 — — $47,250.99 $169,659.25 $75,601.58 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 31 14 — — $47,064.90 $189,780.26 $75,303.84 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 14 — — $47,556.58 $173,787.84 $73,712.70 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 14 — — $25,841.81 $170,690.61 $73,456.02 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 14 — — $45,882.63 $197,594.44 $73,412.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 14 — — $47,324.40 $167,278.94 $73,352.82 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 14 — — $15,967.18 $161,395.76 $73,173.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 33 14 — — $45,051.21 $175,275.14 $72,081.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 13 — — $62,313.13 $223,211.52 $71,660.10 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 13 — — $61,560.23 $222,199.03 $70,794.26 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 10 6 — — $50,499.45 $94,187.36 $70,270.58 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 14 — — $43,717.85 $144,400.28 $69,948.56 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 22 11 — — $7,277.00 $216,953.45 $69,310.11 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 14 — — $43,267.14 $159,694.64 $69,227.42 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 14 — — $42,706.31 $158,367.71 $68,330.10 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $42,531.32 $169,637.24 $68,050.11 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 14 — — $10,366.17 $160,185.17 $67,692.04 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 11 6 — — $50,742.22 $94,640.15 $67,666.32 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 14 — — $41,912.44 $152,723.51 $67,059.90 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 14 — — $41,704.16 $157,433.82 $66,726.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 14 — — $12,041.98 $156,682.31 $66,534.82 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 14 — — $41,332.83 $147,925.15 $66,132.53 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 14 — — $40,825.78 $144,862.51 $65,321.25 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 14 — — $40,743.84 $174,143.63 $65,190.14 2026-04-01
69930 HCPCS Implant Cochlear Device 24 12 — — $7,277.00 $169,845.68 $65,090.45 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 14 — — $40,624.33 $150,151.39 $64,998.93 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 31 14 — — $40,276.05 $152,468.81 $64,441.68 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 14 — — $170.18 $157,267.17 $64,275.86 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 14 — — $158.39 $144,387.70 $63,888.53 2026-04-01
J9226 HCPCS Supprelin La Implant 22 12 — — $41,173.43 $116,687.30 $63,818.81 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 13 — — $57,771.01 $194,512.58 $63,548.11 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 13 — — $14,827.20 $210,806.86 $63,502.10 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 14 — — $39,505.23 $140,617.57 $63,208.37 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $63,030.00 $63,030.00 $63,030.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 14 — — $39,353.29 $149,500.50 $62,965.26 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $14,227.22 $166,536.86 $62,391.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 31 14 — — $38,951.23 $144,922.25 $62,321.97 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 14 — — $38,940.13 $131,759.79 $62,304.21 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 14 — — $38,789.90 $138,117.77 $62,063.84 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 24 12 — — $7,277.00 $165,609.94 $61,964.93 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 24 12 — — $7,277.00 $165,609.94 $61,964.93 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 24 12 — — $7,277.00 $165,609.94 $61,964.93 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 24 12 — — $7,277.00 $165,609.94 $61,964.93 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 24 12 — — $7,277.00 $165,609.94 $61,964.93 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 24 12 — — $7,277.00 $154,607.65 $61,964.93 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 14 — — $6,383.42 $141,853.32 $61,259.57 2026-04-01
61886 HCPCS Implant Neurostim Arrays 24 12 — — $7,277.00 $151,991.37 $60,916.35 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 24 12 — — $7,277.00 $151,991.37 $60,916.35 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 14 — — $6,178.69 $169,819.61 $60,201.64 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 13 — — $51,967.24 $194,764.14 $59,762.32 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 14 — — $37,338.74 $141,007.47 $59,741.98 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 11 6 — — $44,785.93 $83,530.99 $59,723.43 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 2 1 — — $57,956.46 $61,050.64 $59,503.55 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 14 — — $38,191.51 $134,121.24 $59,196.84 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 14 — — $36,743.77 $130,819.62 $58,790.03 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 14 — — $36,682.31 $129,027.31 $58,691.70 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 14 — — $36,664.38 $129,219.12 $58,663.01 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 31 14 — — $36,516.70 $139,303.21 $58,426.72 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $36,311.84 $135,765.76 $58,098.94 2026-04-01
69718 HCPCS Revise Temple Bone Implant 3 2 — — $17,257.00 $61,050.64 $57,956.46 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 15 12 — — $48,155.50 $106,905.21 $57,786.60 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 2 — — $25,028.47 $91,069.09 $57,466.73 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 14 — — $35,909.78 $122,946.04 $57,455.65 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 24 12 — — $7,277.00 $146,315.45 $56,623.97 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 14 — — $36,450.12 $129,291.44 $56,497.68 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 14 — — $19,865.80 $131,750.36 $55,568.95 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 22 11 — — $7,277.00 $151,991.37 $55,541.39 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 22 11 — — $7,277.00 $151,991.37 $55,541.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 13 — — $48,207.90 $157,311.19 $55,439.09 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 24 12 — — $7,277.00 $151,991.37 $55,219.04 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 13 — — $49,922.82 $172,001.82 $54,915.10 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $34,086.45 $119,531.22 $54,538.32 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 14 — — $93.57 $127,885.89 $54,216.80 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 14 — — $33,734.75 $122,269.99 $53,975.60 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 10 7 — — $9,192.97 $92,202.66 $53,939.25 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 14 — — $33,653.66 $118,600.48 $53,845.86 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 15 12 — — $44,853.57 $99,574.93 $53,824.28 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 14 — — $16,920.24 $112,714.16 $53,789.28 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 — — $47,891.48 $173,105.51 $53,552.64 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 14 — — $14,281.00 $125,257.17 $53,477.07 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 13 — — $49,408.94 $103,758.77 $53,361.66 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 24 12 — — $7,277.00 $132,583.60 $53,137.95 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 23 12 — — $17,896.00 $128,743.52 $52,518.83 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 23 12 — — $17,896.00 $128,743.52 $52,518.83 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 23 12 — — $17,896.00 $128,743.52 $52,518.83 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 14 — — $33,685.24 $123,556.05 $52,212.12 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 14 — — $31,077.36 $121,090.84 $52,159.10 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 14 — — $32,596.02 $132,112.56 $52,153.63 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 14 — — $32,506.39 $124,087.46 $52,010.22 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 31 14 — — $32,327.13 $109,179.86 $51,723.41 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 31 14 — — $32,048.00 $121,402.14 $51,276.80 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 22 11 — — $7,277.00 $151,991.37 $51,061.35 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 14 — — $33,935.35 $136,048.75 $50,903.02 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 14 — — $7,473.11 $120,185.26 $50,863.87 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 13 — — $46,188.23 $161,927.17 $50,807.05 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 11 6 — — $38,084.48 $71,032.00 $50,786.84 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 14 — — $31,643.38 $110,692.31 $50,629.41 2026-04-01
332 MS_DRG Rectal Resection With Mcc 31 14 — — $31,600.70 $109,063.51 $50,561.12 2026-04-01
265 MS_DRG Aicd Lead Procedures 31 14 — — $31,579.36 $112,157.60 $50,526.98 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 14 — — $6,517.67 $132,976.68 $50,089.24 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 14 — — $31,277.18 $125,169.13 $50,043.49 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 14 — — $31,206.33 $123,804.46 $49,930.13 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 14 — — $31,104.75 $110,167.20 $49,767.60 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 14 — — $31,050.97 $108,305.71 $49,681.55 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 14 — — $28,895.85 $111,657.64 $49,654.54 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 20 11 — — $7,277.00 $154,607.65 $49,207.44 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 14 — — $28,796.47 $99,796.97 $49,084.29 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 14 — — $3,824.48 $103,818.65 $49,013.12 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 33 14 — — $25,918.66 $107,859.21 $48,752.82 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 14 — — $30,326.25 $108,944.03 $48,522.00 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 16 11 — — $35,833.15 $151,991.37 $48,374.76 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 16 11 — — $35,833.15 $151,991.37 $48,374.76 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 16 11 — — $35,833.15 $151,991.37 $48,374.76 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 14 — — $30,182.84 $289,042.89 $48,292.54 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 14 — — $31,130.36 $110,088.59 $48,252.06 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 14 — — $29,959.19 $110,148.33 $47,934.70 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 14 — — $20,925.67 $147,132.76 $47,796.55 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 24 12 — — $7,277.00 $133,650.18 $47,778.57 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 24 12 — — $7,277.00 $133,650.18 $47,778.57 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 24 12 — — $7,277.00 $133,650.18 $47,778.57 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 14 — — $29,491.71 $107,692.56 $47,736.03 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 14 — — $21,164.13 $105,541.79 $47,705.25 2026-04-01
245 MS_DRG Aicd Generator Procedures 35 14 — — $7,376.13 $153,651.11 $47,567.10 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 14 — — $30,462.83 $121,527.92 $47,217.38 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 31 14 — — $29,209.71 $109,893.64 $46,735.54 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 14 — — $27,056.15 $117,726.34 $46,338.31 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 31 14 — — $28,891.31 $98,319.18 $46,226.10 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 13 — — $40,118.13 $146,283.78 $46,135.85 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 14 — — $14,477.26 $114,720.29 $46,103.97 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 31 14 — — $28,795.70 $104,416.09 $46,073.12 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 8 5 — — $7,277.00 $81,772.05 $46,072.92 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 8 5 — — $7,277.00 $81,772.05 $46,072.92 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 8 5 — — $7,277.00 $81,772.05 $46,072.92 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 8 5 — — $7,277.00 $81,772.05 $46,072.92 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 8 5 — — $7,277.00 $50,830.50 $46,072.92 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 14 — — $28,792.29 $98,130.44 $46,067.66 2026-04-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 18 11 — — $7,277.00 $168,742.11 $45,749.61 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 14 — — $28,460.23 $107,123.42 $45,536.37 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 31 14 — — $28,338.16 $102,479.14 $45,341.06 2026-04-01
652 MS_DRG Kidney Transplant 31 14 — — $28,261.34 $96,570.81 $45,218.14 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 14 — — $31,524.73 $112,720.45 $45,167.68 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 14 — — $28,187.07 $99,998.21 $45,099.31 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 10 6 — — $32,192.26 $60,042.32 $44,795.91 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 14 — — $27,948.06 $106,658.05 $44,716.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 14 — — $27,871.23 $102,435.12 $44,593.97 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 14 — — $27,816.60 $126,852.30 $44,506.56 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 31 14 — — $27,668.07 $96,960.72 $44,268.91 2026-04-01
22630 HCPCS Lumbar Spine Fusion 22 11 — — $7,277.00 $133,650.18 $44,236.59 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 22 11 — — $7,277.00 $133,650.18 $44,236.59 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 14 — — $27,578.44 $97,668.21 $44,125.50 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 31 14 — — $27,515.27 $88,213.00 $44,024.43 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 24 12 — — $7,277.00 $116,517.13 $43,911.17 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 14 — — $27,215.41 $160,064.00 $43,876.51 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 14 — — $25,008.56 $101,362.88 $43,773.32 2026-04-01
665 MS_DRG Prostatectomy With Mcc 31 14 — — $27,336.87 $107,959.83 $43,738.99 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 14 — — $27,281.38 $92,715.78 $43,650.21 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 14 — — $27,234.43 $96,168.33 $43,575.09 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 14 — — $31,175.60 $113,949.91 $43,250.64 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 31 14 — — $26,477.27 $89,866.95 $42,363.63 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 31 14 — — $26,445.69 $79,386.67 $42,313.10 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 14 — — $22,352.00 $99,630.31 $41,563.56 2026-04-01
263 MS_DRG Vein Ligation And Stripping 34 14 — — $11,062.54 $133,836.05 $41,528.01 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 13 — — $24,312.09 $133,926.28 $41,396.56 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 29 13 — — $27,591.24 $100,463.58 $41,386.86 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 33 14 — — $16,065.28 $91,093.27 $41,347.49 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 31 14 — — $25,825.10 $83,128.50 $41,320.16 2026-04-01
570 MS_DRG Skin Debridement With Mcc 31 14 — — $25,799.49 $94,659.02 $41,279.18 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 18 11 — — $7,277.00 $151,991.37 $41,208.12 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 18 11 — — $7,277.00 $151,991.37 $41,208.12 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 18 11 — — $7,277.00 $151,991.37 $41,208.12 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 14 — — $22,317.39 $90,146.80 $41,034.46 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 32 14 — — $25,619.38 $91,693.85 $40,991.01 2026-04-01
49654 HCPCS Lap Inc Hernia Repair 3 2 — — $17,257.00 $43,159.25 $40,971.85 2026-04-01
49655 HCPCS Lap Inc Hern Repair Comp 3 2 — — $17,257.00 $43,159.25 $40,971.85 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 3 2 — — $17,257.00 $43,159.25 $40,971.85 2026-04-01
49657 HCPCS Lap Inc Hern Recur Comp 3 2 — — $17,257.00 $43,159.25 $40,971.85 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
53444 HCPCS Insert Tandem Cuff 24 12 — — $7,277.00 $102,087.71 $40,915.56 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 11 6 — — $30,627.75 $57,124.31 $40,843.05 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 14 — — $25,450.36 $88,301.04 $40,720.58 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 13 — — $36,894.00 $128,392.14 $40,583.40 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 11 — — $7,277.00 $133,650.18 $40,484.51 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 31 14 — — $25,293.30 $83,320.31 $40,469.28 2026-04-01
J9266 HCPCS Pegaspargase Injection 22 12 — — $27,014.86 $65,377.89 $40,396.32 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 13 — — $32,873.76 $128,896.19 $40,265.51 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 33 14 — — $5,919.07 $98,086.41 $40,240.88 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 14 — — $5,568.93 $110,972.16 $40,199.45 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 31 14 — — $25,026.11 $91,564.93 $40,041.78 2026-04-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 22 11 — — $7,277.00 $109,562.01 $40,036.65 2026-04-01
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 22 11 — — $7,277.00 $109,562.01 $40,036.65 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 4 — — $23,517.16 $63,383.42 $39,949.28 2026-04-01
19324 HCPCS Enlarge Breast 3 2 — — $17,257.00 $41,735.42 $39,620.18 2026-04-01
509 MS_DRG Arthroscopy 11 6 — — $23,031.08 $55,231.39 $39,489.63 2026-04-01
800 MS_DRG Splenic Procedures With Cc 31 14 — — $24,675.28 $91,615.24 $39,480.45 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 14 — — $25,465.73 $92,218.96 $39,471.88 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 31 14 — — $24,589.06 $88,731.82 $39,342.50 2026-04-01
0548T CPT Tprnl Balo Cntnc Dev Bi 3 2 — — $17,257.00 $41,388.48 $39,290.82 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 32 14 — — $24,148.25 $93,891.78 $39,260.18 2026-04-01
503 MS_DRG Foot Procedures With Mcc 31 14 — — $24,519.06 $83,216.55 $39,230.50 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 31 14 — — $24,228.83 $84,999.42 $38,766.13 2026-04-01
791 MS_DRG Prematurity With Major Problems 36 14 — — $3,228.80 $127,665.78 $38,522.91 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 31 14 — — $24,029.94 $85,420.77 $38,447.90 2026-04-01
0617T CPT Insj Iris Prosth W/rmvl&insj 7 4 — — $17,257.00 $46,351.39 $38,364.47 2026-04-01
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