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

HOUSTON METHODIST WEST HOSPITAL

Houston, TX · CCN 670077 · Rates published

15,525 distinct procedures filed
25 distinct payers
257,507 rate rows
2026-04-01 last MRF observed
Data quality

207,073 of 257,507 rate rows are consumer-grade (80.4%)

50,434 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 49,377
template filing: same amount across many unrelated codes — excluded 1,011
placeholder amount (≤ $0.02) — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.houstonmethodist.org/-/media/files/patient-resources/760545192_methodist-west-houston-hospital_standardcharges.ashx
Found on page https://www.houstonmethodist.org/for-patients/patient-resources/billing-insurance/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ce636213d0897471… · 64,757,525 bytes · first seen 2026-05-05

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 7 $3,685,266.67 $4,053,793.33 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,648,108.85 $3,415,956.47 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,248,445.72 $3,573,290.29 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $4,801,556.20 $3,063,569.60 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.60 $4,910,221.21 $2,602,417.25 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $4,664,000.00 $2,471,920.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $4,558,217.30 $824,563.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $3,423,431.17 $633,147.04 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.94 $3,271,996.41 $605,479.77 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $3,054,756.15 $601,915.86 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $3,120,886.85 $596,330.19 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $2,974,302.92 $570,556.28 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $2,894,796.03 $523,555.93 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $322,812.19 $1,614,060.95 $345,409.04 nat. median
$370,174
0.9× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $267,482.51 $267,482.51 $267,482.51 nat. median
$21,806
outlier · 12.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $210,177.40 $1,050,887.00 $228,042.48 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $160,592.21 $802,961.05 $171,833.66 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $56,652.00 $798,305.95 $170,837.47 nat. median
$202,976
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $148,898.10 $467,204.56 $157,775.33 nat. median
$76,329
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $134,826.20 $134,826.20 $134,826.20 nat. median
$87,428
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $111,492.17 $445,968.68 $119,296.62 nat. median
$111,989
1.1× median
90288
HCPCS 		Botulism Ig IV 1 $114,456.75 $121,762.50 $114,456.75 nat. median
$55,037
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $85,897.83 $524,359.15 $112,212.86 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 15 $98,175.67 $490,878.35 $105,047.97 nat. median
$122,708
0.9× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $104,476.71 $104,476.71 $104,476.71 nat. median
$29,847
outlier · 3.5×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $624,000.00 $103,247.92 nat. median
$69,774
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $336,117.21 $101,715.94 nat. median
$62,507
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $100,910.44 $100,910.44 $100,910.44 nat. median
$65,393
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $91,248.43 $456,242.15 $97,635.82 nat. median
$117,357
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $93,059.50 $93,059.50 $93,059.50 nat. median
$62,372
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $4,666.38 $419,213.35 $92,226.94 nat. median
$98,894
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $86,150.51 $430,752.55 $92,181.05 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $86,053.92 $430,269.60 $92,077.69 nat. median
$98,047
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $9,936.00 $413,748.40 $91,024.65 nat. median
$102,358
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $55,272.32 $337,256.15 $90,093.89 nat. median
$66,682
1.4× median
J9226
HCPCS 		Supprelin La Implant 9 $45,020.65 $267,429.22 $87,790.27 nat. median
$60,368
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $78,561.97 $392,809.85 $84,061.31 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 17 $34,387.00 $379,676.85 $83,528.91 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $9,936.00 $373,205.10 $82,105.12 nat. median
$93,672
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $68,895.93 $344,479.65 $75,785.52 nat. median
$82,711
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $9,936.00 $295,020.05 $73,755.01 nat. median
$74,915
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 9 $68,801.71 $275,206.84 $73,617.83 nat. median
$70,825
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $66,294.59 $331,472.95 $72,924.05 nat. median
$83,470
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $9,936.00 $489,800.00 $71,047.46 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $64,391.70 $321,958.50 $70,830.87 nat. median
$81,118
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $70,074.20 $70,074.20 $70,074.20 nat. median
$48,483
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $48,674.00 $302,097.35 $66,461.42 nat. median
$77,570
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $7,316.00 $252,750.99 $64,767.44 nat. median
$15,979
outlier · 4.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $9,936.00 $843,344.20 $64,633.87 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $58,570.08 $292,850.40 $64,427.09 nat. median
$72,135
0.9× median

Other procedures at this hospital

Browse this hospital's 15,525 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
             
0266T HCPCS Implt/rpl Crtd Sns Dev Total 2 2 — — $9,275.00 $59,402.23 $34,338.62 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 2 2 — — $9,275.00 $59,402.23 $34,338.62 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 5 3 — — $6,856.00 $27,166.00 $25,663.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 9 — — $7,665.00 $126,127.60 $33,739.13 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 13 9 — — $7,665.00 $89,379.75 $23,909.08 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 9 — — $7,665.00 $89,379.75 $23,909.08 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 9 — — $7,665.00 $89,379.75 $23,909.08 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 9 — — $7,665.00 $126,127.60 $33,739.13 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 9 — — $9,799.00 $176,988.77 $46,459.55 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $2,583.69 $123,993.26 $32,548.23 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 12 9 — — $25,501.02 $137,658.37 $36,479.46 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 15 9 — — $6,159.00 $123,993.26 $31,928.26 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 15 9 — — $6,159.00 $123,993.26 $31,928.26 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
0947T HCPCS Mrgfus Strtctc Bl-br Disrpj 2 1 — — $8,695.27 $49,501.98 $29,098.63 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 13 9 — — $7,316.00 $109,030.67 $28,620.55 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 13 9 — — $7,316.00 $109,030.67 $28,620.55 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 16 — — $210,177.40 $1,050,887.00 $228,042.48 2026-04-01
10 MS_DRG Pancreas Transplant 28 15 — — $55,269.55 $276,347.75 $59,138.42 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 16 — — $33,143.26 $212,387.95 $46,725.35 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 16 — — $33,278.17 $166,390.85 $36,605.99 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 33 16 — — $23,364.69 $116,823.45 $25,701.16 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 15 — — $91,248.43 $456,242.15 $97,635.82 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 16 — — $15,150.35 $168,222.40 $37,008.93 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 16 — — $29,790.40 $148,952.00 $32,769.44 2026-04-01
1471 OTHER Injection, Pertuzumab, 1 Mg 1 1 — — $52,173.37 $52,173.37 $52,173.37 2026-04-01
1490 OTHER Inj Pembrolizumab 1 1 — — $26,659.46 $26,659.46 $26,659.46 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 15 — — $46,011.43 $230,057.15 $49,232.23 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 16 — — $18,131.60 $176,265.65 $37,720.85 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 37 17 — — $11,819.37 $148,621.35 $32,696.70 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 15 — — $42,315.61 $211,578.05 $45,277.70 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 38 16 — — $24,067.60 $120,338.00 $26,474.36 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 15 — — $322,812.19 $1,614,060.95 $345,409.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 15 — — $54,964.17 $274,820.85 $58,811.66 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 16 — — $86,150.51 $430,752.55 $92,181.05 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 17 — — $48,674.00 $302,097.35 $66,461.42 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 19 10 — — $7,316.00 $109,030.67 $27,802.82 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 16 — — $37,252.80 $248,818.60 $54,740.09 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 16 — — $19,577.86 $111,878.65 $24,277.67 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 15 — — $86,053.92 $430,269.60 $92,077.69 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 17 — — $41,286.52 $206,432.60 $45,415.17 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 17 — — $9,936.00 $413,748.40 $91,024.65 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 21 12 — — $3,532.83 $109,030.67 $27,666.53 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 15 — — $44,355.96 $221,779.80 $47,460.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 40 17 — — $34,387.00 $379,676.85 $83,528.91 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 17 — — $9,936.00 $373,205.10 $82,105.12 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 17 — — $9,936.00 $254,042.05 $55,889.25 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 17 — — $9,936.00 $254,042.05 $55,889.25 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 19 — — $9,936.00 $295,020.05 $73,755.01 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 17 — — $25,561.08 $195,055.00 $28,117.19 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 17 — — $9,936.00 $207,881.50 $45,733.93 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 17 — — $9,936.00 $213,927.45 $43,342.42 2026-04-01
22103 HCPCS Remove Extra Spine Segment 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
22558 HCPCS Lumbar Spine Fusion 18 9 — — $3,832.08 $109,030.67 $27,734.67 2026-04-01
22630 HCPCS Lumbar Spine Fusion 18 9 — — $3,944.91 $109,030.67 $27,734.67 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 15 9 — — $7,316.00 $109,030.67 $28,075.40 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 17 — — $9,936.00 $193,563.35 $42,583.94 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 38 17 — — $9,936.00 $163,050.00 $27,889.16 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 17 — — $44,529.83 $222,649.15 $51,859.40 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $104,476.71 $104,476.71 $104,476.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 39 17 — — $9,936.00 $489,800.00 $71,047.46 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 17 — — $9,936.00 $234,994.55 $51,698.80 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 17 — — $9,936.00 $843,344.20 $64,633.87 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 43 17 — — $9,936.00 $212,707.45 $46,795.64 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 53 18 — — $386.77 $285,641.65 $50,113.18 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 47 17 — — $9,936.00 $165,380.30 $35,391.38 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 16 — — $7,754.97 $192,608.55 $41,218.23 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 17 — — $31,018.62 $155,093.10 $34,120.48 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 16 — — $7,754.97 $115,660.65 $25,445.34 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 17 — — $9,936.00 $128,377.55 $28,243.06 2026-04-01
245 MS_DRG Aicd Generator Procedures 35 16 — — $7,754.97 $179,260.05 $39,437.21 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 18 — — $20,118.12 $178,676.80 $39,308.90 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 47 16 — — $7,754.97 $198,761.47 $29,264.72 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 16 — — $7,754.97 $126,494.00 $27,828.68 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 38 17 — — $19,013.59 $125,271.70 $27,559.77 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 16 — — $7,754.97 $157,278.86 $28,733.46 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 3 3 — — $28,484.16 $105,669.65 $28,543.40 2026-04-01
263 MS_DRG Vein Ligation And Stripping 36 17 — — $7,754.97 $123,347.25 $26,766.36 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 42 16 — — $7,754.97 $133,868.50 $29,049.47 2026-04-01
265 MS_DRG Aicd Lead Procedures 36 16 — — $7,754.97 $144,181.75 $31,287.43 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 45 17 — — $750.00 $237,439.10 $50,811.97 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 17 — — $9,936.00 $186,630.90 $39,939.01 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 17 — — $9,936.00 $265,284.05 $58,362.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 17 — — $1,268.77 $166,658.35 $35,664.89 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 36 17 — — $20,697.97 $123,913.00 $24,320.11 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 51 17 — — $9,936.00 $205,782.45 $44,149.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 17 — — $9,936.00 $141,882.10 $31,214.06 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 41 16 — — $225.00 $163,028.65 $35,866.30 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 45 17 — — $9,936.00 $132,051.80 $28,259.09 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 17 — — $9,936.00 $274,664.80 $60,426.26 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 41 16 — — $9,936.00 $232,914.10 $51,241.10 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 16 — — $9,936.00 $181,344.25 $39,351.71 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 18 9 — — $2,386.75 $109,030.67 $27,734.67 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 16 — — $7,754.97 $216,552.60 $46,991.92 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 16 — — $7,754.97 $143,743.35 $30,761.08 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 36 16 — — $41,622.23 $232,977.25 $51,255.00 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 16 — — $4,308.32 $110,299.70 $24,265.93 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 39 16 — — $16,094.17 $136,506.25 $30,031.38 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 16 — — $56,652.00 $798,305.95 $170,837.47 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 16 — — $23,659.59 $176,217.35 $38,767.82 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 35 17 — — $16,329.08 $258,173.30 $56,798.13 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 37 16 — — $9,936.00 $175,563.50 $38,623.97 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 49 16 — — $9,936.00 $149,079.83 $24,385.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 16 — — $9,936.00 $170,529.50 $37,516.49 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 38 16 — — $9,936.00 $126,824.60 $27,901.41 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 37 16 — — $9,936.00 $129,031.40 $28,386.91 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 17 — — $18,541.84 $195,049.40 $41,740.57 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 16 — — $18,861.12 $180,526.95 $39,715.93 2026-04-01
332 MS_DRG Rectal Resection With Mcc 33 16 — — $28,854.92 $144,274.60 $31,740.41 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 9 — — $7,316.00 $126,127.60 $32,320.20 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 15 9 — — $7,316.00 $126,127.60 $33,108.49 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 15 9 — — $7,316.00 $176,988.77 $46,459.55 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 15 9 — — $7,316.00 $123,993.26 $32,548.23 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 15 9 — — $7,316.00 $115,256.24 $30,254.76 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 41 16 — — $100.00 $142,424.50 $30,478.84 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 16 — — $30,118.27 $153,562.45 $33,783.74 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 16 — — $23,514.79 $117,573.95 $25,866.27 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 37 16 — — $32,883.14 $172,959.20 $38,051.02 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 15 — — $27,501.87 $137,509.35 $29,427.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 38 16 — — $25,020.25 $132,066.70 $28,658.47 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 9 — — $7,316.00 $252,750.99 $64,767.44 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 16 — — $85,897.83 $524,359.15 $112,212.86 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 16 — — $30,641.91 $153,209.55 $33,706.10 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 16 — — $29,880.31 $159,127.75 $35,008.11 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 16 — — $41,387.69 $212,997.25 $46,859.40 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 34 16 — — $23,501.41 $117,507.05 $25,851.55 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 16 — — $27,998.63 $142,227.60 $31,290.07 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 16 — — $26,496.56 $132,482.80 $29,146.22 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 16 — — $22,567.93 $142,116.15 $31,265.55 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 16 — — $7,037.93 $136,339.10 $29,585.58 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 16 — — $32,810.06 $164,050.30 $36,091.07 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 16 — — $4,666.38 $419,213.35 $92,226.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 16 — — $42,885.59 $277,941.55 $60,313.32 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 17 — — $10,622.11 $218,625.65 $48,097.64 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 16 — — $68,895.93 $344,479.65 $75,785.52 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 16 — — $41,526.80 $235,191.78 $49,283.60 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 16 — — $51,598.25 $257,991.25 $56,758.08 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 16 — — $32,603.76 $198,653.68 $36,808.68 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 16 — — $39,994.29 $207,762.60 $45,707.77 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 39 17 — — $39.31 $129,774.45 $28,550.38 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $134,826.20 $134,826.20 $134,826.20 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $93,059.50 $93,059.50 $93,059.50 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $70,074.20 $70,074.20 $70,074.20 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 16 — — $64,391.70 $321,958.50 $70,830.87 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 16 — — $37,216.39 $231,298.00 $50,885.56 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $32,955.69 $206,849.60 $36,251.26 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $100,910.44 $100,910.44 $100,910.44 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $55,654.95 $55,654.95 $55,654.95 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 16 — — $42,989.54 $214,947.70 $47,288.49 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 35 16 — — $21,716.66 $108,583.30 $23,888.33 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 17 — — $8,802.57 $221,504.90 $48,731.08 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 16 — — $3,315.00 $125,476.05 $27,228.30 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 17 — — $5,054.70 $203,148.40 $43,473.76 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 18 — — $18,559.39 $214,206.61 $32,105.11 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 41 17 — — $20,462.79 $142,376.12 $24,607.57 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 39 17 — — $100.00 $134,261.34 $30,612.05 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 16 — — $34,730.28 $189,153.50 $41,613.77 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 42 16 — — $20,923.27 $119,212.30 $26,226.71 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 16 — — $33,849.56 $169,247.80 $37,234.52 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 16 — — $27,620.76 $138,103.80 $30,382.84 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 17 — — $12,055.38 $268,490.15 $25,596.58 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 16 — — $12,485.05 $158,709.23 $24,464.70 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 36 16 — — $7,545.79 $129,651.85 $28,134.46 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 16 — — $26,073.11 $146,165.65 $32,156.44 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 16 — — $28,892.08 $144,460.40 $31,781.29 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 16 — — $24,367.78 $121,838.90 $26,804.56 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 15 — — $78,561.97 $392,809.85 $84,061.31 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 34 16 — — $23,687.22 $127,337.30 $28,014.21 2026-04-01
503 MS_DRG Foot Procedures With Mcc 33 16 — — $22,690.77 $113,453.85 $24,959.85 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 9 6 — — $17,463.00 $211,345.55 $60,138.82 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 16 — — $24,395.27 $121,976.35 $26,834.80 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 16 — — $21,738.78 $128,158.35 $28,194.84 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 37 17 — — $25,707.00 $148,606.45 $32,693.42 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 39 17 — — $17,599.05 $116,392.50 $25,606.35 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 21 11 — — $50.00 $40,538.52 $24,084.60 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 9 6 — — $654.50 $199,819.86 $32,113.52 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 13 9 — — $29,918.11 $156,955.48 $30,837.88 2026-04-01
570 MS_DRG Skin Debridement With Mcc 36 16 — — $12,289.49 $119,026.55 $26,185.84 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 16 — — $22,763.30 $253,154.15 $55,693.91 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 16 — — $27,745.58 $138,727.90 $30,520.14 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 16 — — $38,369.39 $191,846.95 $42,206.33 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 37 16 — — $10,192.32 $108,237.80 $23,812.32 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 16 — — $14,268.03 $200,739.80 $28,616.58 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 15 — — $36,406.31 $182,031.55 $38,954.75 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 17 — — $21,879.81 $112,190.70 $24,681.95 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 16 — — $27,838.52 $139,322.35 $30,650.92 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 21 12 — — $2,214.47 $123,993.26 $31,463.29 2026-04-01
61886 HCPCS Implant Neurostim Arrays 21 12 — — $2,537.60 $123,993.26 $31,463.29 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 15 9 — — $7,316.00 $123,993.26 $32,548.23 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 39 16 — — $17,547.00 $117,031.50 $25,746.93 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 39 17 — — $9,738.03 $158,634.40 $30,385.82 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 35 16 — — $13,109.62 $121,961.50 $26,831.53 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 16 — — $18,004.15 $148,216.40 $32,607.61 2026-04-01
63035 HCPCS Spinal Disk Surgery Add-on 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63048 HCPCS Remove Spinal Lamina Add-on 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63052 HCPCS Lam Facetc/frmt Arthrd Lum 1 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63053 HCPCS Lam Factc/frmt Arthrd Lum Ea 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 21 12 — — $2,214.47 $123,993.26 $31,463.29 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 15 9 — — $7,316.00 $176,988.77 $46,459.55 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 15 9 — — $7,316.00 $123,993.26 $32,548.23 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 11 9 — — $30,998.31 $123,993.26 $33,168.20 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 15 — — $24,070.62 $184,424.10 $39,466.76 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 15 — — $29,487.24 $147,436.20 $31,551.35 2026-04-01
652 MS_DRG Kidney Transplant 28 15 — — $25,948.20 $129,741.00 $27,764.57 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 36 16 — — $39,953.23 $202,814.05 $44,619.09 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 35 16 — — $22,567.64 $113,758.50 $25,026.87 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 36 16 — — $200.00 $128,043.20 $28,169.50 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 36 17 — — $6,603.52 $123,499.60 $27,169.91 2026-04-01
665 MS_DRG Prostatectomy With Mcc 33 16 — — $25,143.50 $125,717.50 $27,657.85 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 35 16 — — $12,624.76 $118,242.65 $26,013.38 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 16 — — $15,490.41 $165,855.85 $36,488.29 2026-04-01
69930 HCPCS Implant Cochlear Device 21 12 — — $4,704.68 $132,489.49 $33,619.21 2026-04-01
7 MS_DRG Lung Transplant 28 15 — — $98,175.67 $490,878.35 $105,047.97 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 16 — — $12,589.11 $142,558.25 $31,362.82 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 16 — — $28,573.32 $142,866.60 $31,430.65 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 39 16 — — $6,735.05 $230,569.85 $48,419.67 2026-04-01
791 MS_DRG Prematurity With Major Problems 35 15 — — $2,482.87 $160,558.05 $33,717.19 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 37 17 — — $1,710.00 $164,667.00 $34,580.07 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 33 16 — — $35,603.10 $178,015.50 $39,163.41 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 15 — — $43,595.85 $217,979.25 $46,647.56 2026-04-01
800 MS_DRG Splenic Procedures With Cc 33 16 — — $22,826.74 $114,133.70 $25,109.41 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 16 — — $29,883.58 $157,775.45 $34,710.60 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 16 — — $24,145.14 $227,646.00 $50,082.12 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 37 16 — — $17,406.04 $180,092.25 $39,620.30 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 16 — — $36,709.47 $183,547.35 $40,380.42 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 16 — — $24,537.35 $127,159.00 $27,974.98 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 37 16 — — $30,674.66 $213,717.95 $45,735.64 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 16 — — $37,649.40 $188,247.00 $41,414.34 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 17 — — $3,813.00 $129,941.60 $28,197.33 2026-04-01
849 MS_DRG Radiotherapy 33 16 — — $22,084.46 $110,422.30 $24,292.91 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 16 — — $66,294.59 $331,472.95 $72,924.05 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 16 — — $31,080.27 $193,236.40 $41,932.30 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 16 — — $16,443.20 $178,751.10 $39,325.24 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 16 — — $42,245.21 $266,543.50 $57,839.94 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 16 — — $30,669.40 $153,347.00 $33,736.34 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 33 16 — — $33,134.02 $165,670.10 $36,447.42 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $114,456.75 $121,762.50 $114,456.75 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 34 16 — — $28,447.87 $146,221.35 $32,168.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 41 16 — — $65.00 $177,140.03 $33,527.10 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 16 — — $160,592.21 $802,961.05 $171,833.66 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 16 — — $55,247.26 $276,236.30 $60,771.99 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 32 16 — — $25,883.56 $129,417.80 $28,471.92 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 16 — — $30,887.10 $154,435.50 $33,975.81 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 14 9 — — $13,432.00 $105,027.86 $28,488.81 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 14 9 — — $13,432.00 $105,027.86 $28,488.81 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 14 9 — — $13,432.00 $105,027.86 $28,488.81 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 16 — — $28,912.88 $144,564.40 $31,804.17 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 16 — — $28,102.24 $140,511.20 $30,912.46 2026-04-01
9440 OTHER Instill, Bupivac And Meloxic 3 3 — — $4,533.12 $139,697.50 $31,941.72 2026-04-01
9453 OTHER Injection, Nivolumab 1 1 — — $53,160.67 $53,160.67 $53,160.67 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 16 — — $51,966.05 $259,830.25 $57,162.66 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 16 — — $15,213.91 $149,561.25 $32,903.48 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 16 — — $58,570.08 $292,850.40 $64,427.09 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 16 — — $33,262.56 $166,312.80 $36,588.82 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 33 16 — — $23,827.60 $119,138.00 $26,210.36 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 37 16 — — $21,116.29 $163,421.28 $26,395.36 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 33 16 — — $22,265.01 $111,325.05 $24,491.51 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 16 — — $47,435.07 $237,175.35 $52,178.58 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 16 — — $28,011.66 $143,944.00 $31,667.68 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 41 16 — — $23,395.90 $129,316.41 $29,244.88 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $17,693.63 $184,067.45 $39,390.43 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 17 — — $27,426.08 $137,130.40 $30,168.69 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 16 9 — — $56,824.55 $336,117.21 $101,715.94 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $267,482.51 $267,482.51 $267,482.51 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 16 9 — — $7,316.00 $108,160.57 $28,121.75 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 7 — — $3,685,266.67 $4,053,793.33 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,316,462.59 $3,648,108.85 $3,415,956.47 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $4,664,000.00 $2,471,920.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,945,740.00 $4,801,556.20 $3,063,569.60 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,248,445.72 $3,573,290.29 $3,345,899.09 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,455,110.60 $4,910,221.21 $2,602,417.25 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $24,279.71 $62,150.40 $39,856.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $148,898.10 $467,204.56 $157,775.33 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 9 — — $63,342.28 $624,000.00 $103,247.92 2026-04-01
J9226 HCPCS Supprelin La Implant 19 9 — — $45,020.65 $267,429.22 $87,790.27 2026-04-01
J9266 HCPCS Pegaspargase Injection 19 9 — — $28,424.06 $160,122.18 $55,426.92 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 9 — — $24,228.42 $143,311.10 $43,368.87 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 11 9 — — $29,717.20 $118,868.80 $31,797.40 2026-04-01
L5858 HCPCS Stance Phase Only 11 9 — — $23,006.91 $92,027.64 $24,617.39 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 11 9 — — $29,510.19 $118,040.76 $31,575.90 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 11 9 — — $29,576.84 $118,307.36 $31,647.22 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 11 9 — — $23,134.38 $92,537.52 $24,753.79 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 11 9 — — $23,514.53 $94,058.12 $25,160.55 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 11 9 — — $23,640.73 $94,562.92 $25,295.58 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 11 9 — — $50,007.15 $200,028.60 $53,507.65 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 11 9 — — $49,600.83 $198,403.32 $53,072.89 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 11 9 — — $34,970.13 $139,880.52 $37,418.04 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 11 9 — — $68,801.71 $275,206.84 $73,617.83 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 9 — — $111,492.17 $445,968.68 $119,296.62 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 11 9 — — $23,210.23 $92,840.92 $24,834.95 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 9 — — $533,230.17 $2,974,302.92 $570,556.28 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 9 — — $591,726.20 $3,423,431.17 $633,147.04 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 9 — — $55,272.32 $337,256.15 $90,093.89 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 9 — — $489,304.61 $2,894,796.03 $523,555.93 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 9 — — $562,538.19 $3,054,756.15 $601,915.86 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 9 — — $557,317.93 $3,120,886.85 $596,330.19 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 9 — — $565,868.94 $3,271,996.41 $605,479.77 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $770,620.00 $4,558,217.30 $824,563.40 2026-04-01
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