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

THE MONROE CLINIC

Monroe, WI · CCN 520028 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $17,882 across 3 payers · range $12,471-$25,004

Source: https://hospitalpricedisclosure.com/download.aspx?pi=uwouo8M1Pxif8Aqw5LntXw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-* · 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.

12,798 distinct procedures filed
22 distinct payers
95,545 rate rows
2026-04-01 last MRF observed
Data quality

65,680 of 95,545 rate rows are consumer-grade (68.7%)

29,865 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 26,946
template filing: same amount across many unrelated codes — excluded 2,806
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 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=uwouo8M1Pxif8Aqw5LntXw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint 6e92993d23100032… · 24,759,916 bytes · first seen 2026-05-08

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 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,455,110.60 $2,455,110.60 $2,455,110.60 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $2,375,109.00 $1,572,864.50 nat. median
$809,151
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $578,771.12 $1,736,313.37 $735,310.99 nat. median
$691,418
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $553,169.30 $1,659,507.90 $716,713.84 nat. median
$631,793
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $527,622.46 $1,582,867.39 $686,806.16 nat. median
$610,161
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,442.29 $1,549,326.86 $671,431.76 nat. median
$624,417
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $502,840.73 $1,508,522.18 $636,372.30 nat. median
$588,565
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,468,197.47 $634,466.96 nat. median
$577,541
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $307,125.52 $858,992.26 $307,125.52 nat. median
$370,165
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $215,040.47 $215,040.47 $215,040.47 nat. median
$75,807
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $199,312.11 $557,451.42 $199,312.11 nat. median
$261,939
0.8× median
J1412
HCPCS 		Inj Roctavian Ml 2x10^13vc G 2 $12,553.71 $304,958.12 $158,755.91 nat. median
$13,208
outlier · 12.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $151,849.43 $424,704.15 $151,849.43 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $150,958.26 $422,211.68 $150,958.26 nat. median
$199,832
0.8× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $123,114.30 $123,114.30 $123,114.30 nat. median
$4,125
outlier · 29.8×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $154,704.84 $105,764.70 nat. median
$63,643
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $98,514.19 $275,532.05 $98,514.19 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 10 $92,104.65 $257,605.38 $92,104.65 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $85,473.93 $239,060.07 $85,473.93 nat. median
$114,305
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,235.61 $189,706.82 $82,422.66 nat. median
$69,291
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $80,594.24 $225,412.17 $80,594.24 nat. median
$108,240
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $80,501.78 $225,153.57 $80,501.78 nat. median
$96,134
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $78,385.18 $219,233.71 $78,385.18 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $77,338.98 $216,307.60 $77,338.98 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $73,330.53 $205,096.47 $73,330.53 nat. median
$99,646
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,272.32 $171,051.31 $72,197.45 nat. median
$65,655
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 10 $70,816.36 $198,064.64 $70,816.36 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $8,476.56 $194,599.46 $69,577.41 nat. median
$92,900
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $64,078.25 $179,218.96 $64,078.25 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $61,588.26 $172,254.77 $61,588.26 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $59,955.29 $167,687.57 $59,955.29 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $59,766.82 $167,160.43 $59,766.82 nat. median
$80,459
0.7× median
J9226
HCPCS 		Supprelin La Implant 6 $45,020.65 $135,636.12 $58,840.33 nat. median
$55,200
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $55,964.63 $156,526.17 $55,964.63 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $54,609.75 $152,736.74 $54,609.75 nat. median
$74,472
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $54,374.33 $152,078.32 $54,374.33 nat. median
$73,475
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $54,194.40 $151,575.05 $54,194.40 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $51,340.26 $143,592.39 $51,340.26 nat. median
$66,640
0.8× median
0100T
CPT 		Prosth Retina Receive&Gen 1 $51,258.00 $51,258.00 $51,258.00 nat. median
$11,184
outlier · 4.6×
0424T
CPT 		Insj/rplc Nstim Apnea Compl 1 $51,258.00 $51,258.00 $51,258.00 nat. median
$22,919
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 10 $51,035.15 $142,739.02 $51,035.15 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $51,013.81 $142,679.35 $51,013.81 nat. median
$62,911
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $50,742.84 $141,921.46 $50,742.84 nat. median
$69,153
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $50,712.96 $141,837.92 $50,712.96 nat. median
$68,581
0.7× median
J9600
HCPCS 		Porfimer Sodium Injection 2 $24,228.42 $76,196.24 $50,212.33 nat. median
$29,477
1.7× median

Other procedures at this hospital

Browse this hospital's 12,798 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 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $770,620.00 $2,375,109.00 $1,572,864.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 6 — — $578,771.12 $1,736,313.37 $735,310.99 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 6 — — $553,169.30 $1,659,507.90 $716,713.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 6 — — $527,622.46 $1,582,867.39 $686,806.16 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 6 — — $516,442.29 $1,549,326.86 $671,431.76 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 6 — — $502,840.73 $1,508,522.18 $636,372.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 6 — — $489,304.61 $1,468,197.47 $634,466.96 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 10 — — $307,125.52 $858,992.26 $307,125.52 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $215,040.47 $215,040.47 $215,040.47 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $199,312.11 $557,451.42 $199,312.11 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 2 2 — — $12,553.71 $304,958.12 $158,755.91 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $151,849.43 $424,704.15 $151,849.43 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 10 — — $150,958.26 $422,211.68 $150,958.26 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $123,114.30 $123,114.30 $123,114.30 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $154,704.84 $105,764.70 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 10 — — $98,514.19 $275,532.05 $98,514.19 2026-04-01
7 MS_DRG Lung Transplant 15 10 — — $92,104.65 $257,605.38 $92,104.65 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $85,473.93 $239,060.07 $85,473.93 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 6 — — $63,235.61 $189,706.82 $82,422.66 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $80,594.24 $225,412.17 $80,594.24 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 10 — — $80,501.78 $225,153.57 $80,501.78 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $78,385.18 $219,233.71 $78,385.18 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 10 — — $77,338.98 $216,307.60 $77,338.98 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $73,330.53 $205,096.47 $73,330.53 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 6 — — $55,272.32 $171,051.31 $72,197.45 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 10 — — $70,816.36 $198,064.64 $70,816.36 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $8,476.56 $194,599.46 $69,577.41 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $64,078.25 $179,218.96 $64,078.25 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 10 — — $61,588.26 $172,254.77 $61,588.26 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 10 — — $59,955.29 $167,687.57 $59,955.29 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $59,766.82 $167,160.43 $59,766.82 2026-04-01
J9226 HCPCS Supprelin La Implant 9 6 — — $45,020.65 $135,636.12 $58,840.33 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 10 — — $55,964.63 $156,526.17 $55,964.63 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $54,609.75 $152,736.74 $54,609.75 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 10 — — $54,374.33 $152,078.32 $54,374.33 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $54,194.40 $151,575.05 $54,194.40 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $51,340.26 $143,592.39 $51,340.26 2026-04-01
0100T CPT Prosth Retina Receive&Gen 1 1 — — $51,258.00 $51,258.00 $51,258.00 2026-04-01
0424T CPT Insj/rplc Nstim Apnea Compl 1 1 — — $51,258.00 $51,258.00 $51,258.00 2026-04-01
10 MS_DRG Pancreas Transplant 15 10 — — $51,035.15 $142,739.02 $51,035.15 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 10 — — $51,013.81 $142,679.35 $51,013.81 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $50,742.84 $141,921.46 $50,742.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $50,712.96 $141,837.92 $50,712.96 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $76,196.24 $50,212.33 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $49,158.23 $137,489.53 $49,158.23 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $46,764.97 $130,795.87 $49,006.11 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 10 — — $48,917.13 $136,815.19 $48,917.13 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 10 — — $47,873.06 $133,895.04 $47,873.06 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $47,555.85 $133,007.86 $47,555.85 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 10 — — $47,521.00 $132,910.39 $47,521.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $46,764.97 $130,795.87 $46,764.97 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $46,594.99 $130,320.45 $46,594.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 10 — — $45,764.99 $127,999.05 $46,427.40 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 10 — — $43,586.52 $121,906.13 $43,586.52 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 10 — — $43,536.02 $121,764.90 $43,536.02 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 10 — — $43,118.54 $120,597.24 $43,118.54 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 10 — — $42,732.34 $119,517.10 $42,732.34 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 10 — — $42,720.25 $119,483.29 $42,720.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 10 — — $32,608.10 $91,200.84 $42,547.44 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $42,410.87 $118,617.99 $42,410.87 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $42,271.47 $118,228.10 $42,271.47 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 10 — — $42,173.32 $117,953.59 $42,173.32 2026-04-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $41,823.00 $41,823.00 $41,823.00 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 1 1 — — $41,823.00 $41,823.00 $41,823.00 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 1 1 — — $41,823.00 $41,823.00 $41,823.00 2026-04-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 1 1 — — $41,823.00 $41,823.00 $41,823.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $41,738.77 $116,738.19 $41,738.77 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $41,711.74 $116,662.60 $41,711.74 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 10 — — $41,016.88 $114,719.15 $41,016.88 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 2 2 — — $30,489.02 $51,258.00 $40,873.51 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 2 2 — — $30,489.02 $51,258.00 $40,873.51 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $40,755.15 $113,987.13 $40,755.15 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 10 — — $40,588.72 $113,521.65 $40,588.72 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $40,536.09 $113,374.45 $40,536.09 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $39,984.89 $111,832.82 $39,984.89 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $39,861.14 $111,486.70 $39,861.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $39,588.03 $110,722.85 $39,588.03 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 10 — — $39,280.78 $109,863.52 $39,280.78 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 15 10 — — $39,045.37 $109,205.09 $39,045.37 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $38,907.39 $108,819.19 $38,907.39 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 10 — — $38,851.92 $108,664.03 $38,851.92 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 10 — — $38,790.75 $108,492.96 $38,790.75 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 10 — — $38,635.71 $108,059.31 $38,635.71 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 10 — — $37,526.20 $104,956.16 $38,298.11 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 10 — — $35,471.48 $99,209.36 $38,285.47 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $37,928.04 $106,080.06 $37,928.04 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 10 — — $37,905.28 $106,016.40 $37,905.28 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 10 — — $35,186.99 $98,413.68 $37,768.75 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 10 — — $37,650.66 $105,304.27 $37,650.66 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 10 — — $37,021.94 $103,545.82 $37,021.94 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 15 10 — — $36,957.93 $103,366.79 $36,957.93 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 2 2 — — $21,605.91 $51,258.00 $36,431.96 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 2 2 — — $21,605.91 $51,258.00 $36,431.96 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 — — $10,906.16 $98,238.63 $36,427.40 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $35,847.00 $100,259.66 $35,847.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 9 6 — — $27,070.53 $81,211.60 $35,191.69 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 10 — — $35,004.21 $97,902.46 $35,004.21 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $34,858.41 $97,494.67 $34,858.41 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 10 — — $33,369.11 $93,329.29 $34,771.87 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 10 — — $34,342.77 $96,052.50 $34,342.77 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 10 — — $34,169.23 $95,567.14 $34,169.23 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 10 — — $2,603.63 $91,433.58 $34,053.04 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $25,004.00 $42,783.78 $33,893.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 10 — — $33,859.85 $94,701.83 $33,859.85 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 10 — — $33,437.38 $93,520.25 $33,437.38 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $33,269.54 $93,050.80 $33,269.54 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 2 2 — — $25,388.55 $40,677.00 $33,032.78 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 2 2 — — $25,388.55 $40,677.00 $33,032.78 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 2 2 — — $25,388.55 $40,677.00 $33,032.78 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $32,979.36 $92,239.20 $32,979.36 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 10 — — $32,847.78 $91,871.20 $32,847.78 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 10 — — $25,030.74 $71,164.47 $32,660.42 2026-04-01
245 MS_DRG Aicd Generator Procedures 15 10 — — $32,448.79 $90,755.26 $32,448.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 10 — — $31,610.76 $90,482.74 $32,351.35 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $32,337.12 $90,442.96 $32,337.12 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 10 — — $30,777.42 $86,080.64 $32,326.23 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 15 10 — — $32,210.53 $90,088.88 $32,210.53 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 10 — — $31,242.55 $87,381.58 $31,900.84 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 15 10 — — $31,875.54 $89,151.97 $31,875.54 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 10 — — $31,866.30 $89,126.11 $31,866.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 10 — — $31,741.12 $88,776.01 $31,741.12 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 10 — — $29,847.14 $83,478.77 $31,106.78 2026-04-01
0520T CPT Rmvl&rplcmt Pg Wcs New Eltrd 2 2 — — $10,152.36 $51,258.00 $30,705.18 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 10 — — $30,532.04 $85,394.37 $30,532.04 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 5 5 — — $11,105.87 $30,355.44 $30,349.54 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 10 — — $30,335.75 $84,845.35 $30,335.75 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 10 — — $30,161.50 $84,357.99 $30,161.50 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 10 — — $29,348.74 $84,007.89 $30,036.32 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 10 — — $29,985.11 $83,864.67 $29,985.11 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $29,970.18 $83,822.90 $29,970.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 10 — — $7,423.96 $83,578.23 $29,882.70 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $17,806.11 $41,823.00 $29,814.56 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 2 — — $17,806.11 $41,823.00 $29,814.56 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $17,806.11 $41,823.00 $29,814.56 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 10 — — $29,791.66 $83,323.61 $29,791.66 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $29,676.44 $83,001.36 $29,676.44 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 11 — — $3,715.29 $82,941.68 $29,655.11 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 10 — — $29,537.04 $82,611.48 $29,537.04 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 10 — — $29,341.46 $82,064.45 $29,341.46 2026-04-01
93580 HCPCS Transcath Closure Of Asd 2 2 — — $17,806.11 $40,677.00 $29,241.56 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 2 2 — — $17,806.11 $40,677.00 $29,241.56 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 2 2 — — $17,806.11 $40,677.00 $29,241.56 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 2 2 — — $16,638.43 $41,823.00 $29,230.72 2026-04-01
0308T CPT Insj Ocular Telescope Prosth 2 2 — — $15,988.94 $41,823.00 $28,905.97 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 10 — — $90.00 $80,741.63 $28,868.50 2026-04-01
5376 OTHER Level 6 Urology And Related Services 4 3 — — $8,499.37 $42,274.52 $28,736.70 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 10 — — $28,594.68 $79,975.79 $28,594.68 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 10 — — $28,335.79 $79,251.72 $28,335.79 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $27,822.29 $77,815.51 $27,822.29 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 10 — — $27,696.40 $77,463.43 $27,696.40 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 1 1 — — $27,637.68 $27,637.68 $27,637.68 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 10 — — $27,529.26 $76,995.96 $27,529.26 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 10 — — $27,488.01 $76,880.59 $27,488.01 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 10 — — $27,461.70 $76,806.99 $27,461.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 11 — — $14,817.58 $76,371.36 $27,305.94 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 10 — — $26,583.34 $74,350.33 $27,178.68 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 10 — — $26,763.28 $74,853.60 $26,763.28 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 10 — — $26,646.64 $74,527.37 $26,646.64 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 10 — — $26,580.49 $74,342.37 $26,580.49 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 10 — — $26,505.82 $74,133.51 $26,505.82 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 10 — — $26,356.46 $73,715.77 $26,356.46 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 15 10 — — $26,123.89 $73,065.31 $26,123.89 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 10 — — $26,113.22 $73,035.47 $26,113.22 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 10 — — $25,806.69 $72,178.12 $25,806.69 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 10 — — $25,786.77 $72,122.42 $25,786.77 2026-04-01
332 MS_DRG Rectal Resection With Mcc 15 10 — — $25,751.21 $72,022.96 $25,751.21 2026-04-01
265 MS_DRG Aicd Lead Procedures 15 10 — — $25,733.43 $71,973.23 $25,733.43 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 10 — — $25,687.91 $71,845.93 $25,687.91 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $25,649.51 $71,738.51 $25,649.51 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 10 — — $25,481.66 $71,269.06 $25,481.66 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 10 — — $24,383.53 $68,197.73 $25,458.85 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 10 — — $25,422.63 $71,103.95 $25,422.63 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 10 — — $25,397.02 $71,032.34 $25,397.02 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 10 — — $25,359.33 $70,926.92 $25,359.33 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 10 — — $25,337.99 $70,867.24 $25,337.99 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 10 — — $25,313.81 $70,799.61 $25,313.81 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 — — $25,293.18 $70,741.92 $25,293.18 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 2 2 — — $9,837.00 $40,677.00 $25,257.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 10 — — $24,728.22 $70,151.13 $25,081.95 2026-04-01
0426T CPT Insj/rplc Nstim Apnea Stm Ld 1 1 — — $25,004.00 $25,004.00 $25,004.00 2026-04-01
0775T CPT Arthrd Si Jt Prq Iartic Impl 1 1 — — $25,004.00 $25,004.00 $25,004.00 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 1 1 — — $25,004.00 $25,004.00 $25,004.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 16 10 — — $24,731.17 $69,389.26 $24,809.55 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 10 — — $24,803.15 $69,371.36 $24,803.15 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 10 — — $24,689.36 $69,053.09 $24,689.36 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 10 — — $18,918.50 $52,912.72 $24,685.09 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 10 — — $24,569.87 $68,718.90 $24,569.87 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 17 10 — — $15,210.90 $148,937.42 $24,483.84 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 10 — — $24,456.08 $68,400.63 $24,456.08 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 10 — — $24,264.05 $67,863.55 $24,264.05 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 10 — — $24,232.04 $67,774.03 $24,232.04 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 10 — — $22,643.88 $63,332.15 $24,068.17 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 10 — — $10,332.21 $66,451.22 $23,759.08 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 10 — — $23,493.79 $65,709.24 $23,493.79 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 10 — — $21,040.65 $65,486.45 $23,414.14 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 10 — — $23,411.29 $65,478.50 $23,411.29 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 10 — — $23,134.62 $64,704.70 $23,134.62 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 10 — — $23,032.92 $64,420.24 $23,032.92 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 10 — — $235.13 $64,348.63 $23,007.32 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 10 — — $22,975.31 $64,259.12 $22,975.31 2026-04-01
652 MS_DRG Kidney Transplant 15 10 — — $22,968.91 $64,241.21 $22,968.91 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 10 — — $22,951.84 $64,193.47 $22,951.84 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 15 10 — — $22,907.03 $64,068.15 $22,907.03 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 10 — — $22,833.07 $63,861.28 $22,833.07 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 10 — — $22,707.89 $63,511.18 $22,707.89 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 10 — — $22,665.93 $63,393.81 $22,665.93 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 10 — — $22,598.36 $63,204.84 $22,598.36 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 10 — — $22,508.75 $62,954.20 $22,508.75 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 10 — — $22,474.61 $62,858.72 $22,474.61 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 10 — — $21,631.54 $62,679.69 $22,410.60 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 10 — — $126.71 $62,649.85 $22,399.93 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 10 — — $22,347.30 $62,502.65 $22,347.30 2026-04-01
665 MS_DRG Prostatectomy With Mcc 15 10 — — $22,198.66 $62,086.91 $22,198.66 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 10 — — $6,535.95 $61,957.61 $22,152.43 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 10 — — $22,113.31 $61,848.21 $22,113.31 2026-04-01
0525T CPT Insj/rplcmt Compl Iims 2 2 — — $18,709.51 $25,004.00 $21,856.75 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 10 — — $21,774.06 $60,899.36 $21,774.06 2026-04-01
263 MS_DRG Vein Ligation And Stripping 15 10 — — $21,744.90 $60,817.80 $21,744.90 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 10 — — $16,632.63 $46,519.43 $21,702.46 2026-04-01
61566 HCPCS Removal Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61559 HCPCS Excision Of Skull/sutures 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61570 HCPCS Remove Foreign Body Brain 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61557 HCPCS Incise Skull/sutures 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61567 HCPCS Incision Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61591 HCPCS Infratemporal Approach/skull 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 4 2 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
61548 HCPCS Removal Of Pituitary Gland 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61550 HCPCS Release Of Skull Seams 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61607 HCPCS Resect/excise Cranial Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61540 HCPCS Removal Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61541 HCPCS Incision Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
20805 HCPCS Replant Forearm Complete 5 3 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
61539 HCPCS Removal Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61543 HCPCS Removal Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61590 HCPCS Infratemporal Approach/skull 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
20802 HCPCS Replantation Arm Complete 5 3 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
61545 HCPCS Excision Of Brain Tumor 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61544 HCPCS Remove & Treat Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63197 HCPCS Incise Spine&cord 2 Trx Thrc 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61546 HCPCS Removal Of Pituitary Gland 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
20838 HCPCS Replantation Foot Complete 5 3 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
61534 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61552 HCPCS Release Of Skull Seams 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61556 HCPCS Incise Skull/sutures 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61535 HCPCS Remove Brain Electrodes 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61558 HCPCS Excision Of Skull/sutures 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61564 HCPCS Excision Of Skull Tumor 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61563 HCPCS Excision Of Skull Tumor 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61536 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
22532 HCPCS Lat Thorax Spine Fusion 5 3 — — $12,470.63 $25,004.00 $21,647.00 2026-04-01
61585 HCPCS Orbitocranial Approach/skull 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 4 2 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
61537 HCPCS Removal Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 5 3 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
61575 HCPCS Skull Base/brainstem Surgery 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61533 HCPCS Implant Brain Electrodes 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61571 HCPCS Incise Skull For Brain Wound 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61584 HCPCS Orbitocranial Approach/skull 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 4 2 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
61526 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61524 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61530 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61521 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61522 HCPCS Removal Of Brain Abscess 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61608 HCPCS Resect/excise Cranial Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63250 HCPCS Revise Spinal Cord Vsls Crvl 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61518 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61519 HCPCS Remove Brain Lining Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61538 HCPCS Removal Of Brain Tissue 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61520 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61586 HCPCS Resect Nasopharynx Skull 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 4 2 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
63251 HCPCS Revise Spinal Cord Vsls Thrc 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61510 HCPCS Removal Of Brain Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61501 HCPCS Remove Infected Skull Bone 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61458 HCPCS Incise Skull For Brain Wound 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61460 HCPCS Incise Skull For Surgery 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63170 HCPCS Incise Spinal Cord Tract(s) 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61345 HCPCS Relieve Cranial Pressure 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61450 HCPCS Incise Skull For Surgery 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63172 HCPCS Drainage Of Spinal Cyst 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61512 HCPCS Remove Brain Lining Lesion 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61323 HCPCS Decompressive Lobectomy 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63090 HCPCS Remove Vert Body Dcmprn Lmbr 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63101 HCPCS Remove Vert Body Dcmprn Thrc 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61321 HCPCS Open Skull For Drainage 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61322 HCPCS Decompressive Craniotomy 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61340 HCPCS Subtemporal Decompression 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
63270 HCPCS Excise Intrspinl Lesion Crvl 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61343 HCPCS Incise Skull (press Relief) 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61316 HCPCS Implt Cran Bone Flap To Abdo 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61514 HCPCS Removal Of Brain Abscess 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
61320 HCPCS Open Skull For Drainage 3 1 — — $14,758.00 $21,647.00 $21,647.00 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 5 3 — — $14,758.00 $25,004.00 $21,647.00 2026-04-01
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