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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 THE WOODLANDS HOSPITAL

The Woodlands, TX · CCN 670122 · Rates published

15,517 distinct procedures filed
26 distinct payers
238,072 rate rows
2026-04-01 last MRF observed
Data quality

186,507 of 238,072 rate rows are consumer-grade (78.3%)

51,565 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 50,510
template filing: same amount across many unrelated codes — excluded 1,011
placeholder amount (≤ $0.02) — excluded from medians 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.houstonmethodist.org/-/media/files/patient-resources/760545192_houston-methodist-the-woodlands-hospital_standardcharges.ashx
Found on page https://www.houstonmethodist.org/for-patients/patient-resources/billing-insurance/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint a72b0201b1456977… · 63,154,694 bytes · first seen 2026-05-04

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $3,943,235.33 $3,777,398.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $3,548,614.97 $3,399,374.16 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $3,475,836.92 $3,329,656.86 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $4,801,556.20 $3,034,112.20 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.60 $4,910,221.21 $2,577,866.14 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $4,664,000.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $4,558,217.30 $809,151.00 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $3,423,431.17 $621,312.51 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.94 $3,271,996.41 $594,162.39 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $3,054,756.15 $590,665.09 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $557,317.93 $3,120,886.85 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,230.17 $2,974,302.92 $559,891.68 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $2,894,796.03 $513,769.84 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $313,389.16 $626,778.32 $329,058.62 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 $203,376.96 $426,580.74 $217,613.35 nat. median
$265,286
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $154,036.97 $389,922.99 $164,819.56 nat. median
$202,976
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $154,946.30 $359,258.08 $164,243.08 nat. median
$206,474
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 8 $111,492.17 $222,984.34 $117,066.78 nat. median
$111,989
1.0× 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 $43,940.60 $512,126.65 $107,559.95 nat. median
$133,161
0.8× 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 8 $63,342.28 $624,000.00 $103,247.92 nat. median
$69,774
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $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
7
MS_DRG 		Lung Transplant 15 $93,983.07 $187,966.14 $98,682.22 nat. median
$122,708
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
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $87,217.12 $174,434.24 $91,577.98 nat. median
$117,357
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $337,256.15 $90,093.89 nat. median
$66,682
1.4× median
J9226
HCPCS 		Supprelin La Implant 8 $45,020.65 $267,429.22 $87,790.27 nat. median
$60,368
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $82,237.91 $166,882.34 $87,172.18 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $82,143.57 $164,287.14 $86,250.75 nat. median
$98,047
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $6,882.23 $223,581.65 $85,582.67 nat. median
$98,894
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $9,936.00 $171,746.00 $84,440.40 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $74,826.06 $149,652.12 $78,567.36 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 17 $34,387.00 $210,050.75 $78,402.77 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $9,936.00 $278,358.32 $78,096.04 nat. median
$93,672
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 8 $68,801.71 $137,603.42 $72,241.80 nat. median
$70,825
1.0× 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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $60,779.35 $130,770.16 $69,962.04 nat. median
$82,711
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $9,936.00 $370,081.82 $67,295.84 nat. median
$79,312
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $62,844.31 $139,505.01 $67,243.41 nat. median
$83,470
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $60,985.73 $211,005.11 $67,084.30 nat. median
$81,118
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $7,316.00 $126,375.50 $64,293.53 nat. median
$15,979
outlier · 4.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $48,674.00 $195,055.00 $61,960.00 nat. median
$77,570
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $9,936.00 $230,984.90 $61,295.83 nat. median
$74,915
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $55,299.66 $113,037.84 $60,000.13 nat. median
$72,135
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $9,936.00 $300,988.90 $59,367.10 nat. median
$73,807
0.8× median

Other procedures at this hospital

Browse this hospital's 15,517 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 6 6 — — $3,685,266.67 $3,943,235.33 $3,777,398.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,316,462.59 $3,548,614.97 $3,399,374.16 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,248,445.72 $3,475,836.92 $3,329,656.86 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,945,740.00 $4,801,556.20 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 8 — — $2,455,110.60 $4,910,221.21 $2,577,866.14 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 8 — — $2,332,000.00 $4,664,000.00 $2,448,600.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 11 8 — — $770,620.00 $4,558,217.30 $809,151.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 8 — — $591,726.20 $3,423,431.17 $621,312.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 8 — — $565,868.94 $3,271,996.41 $594,162.39 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 8 — — $562,538.19 $3,054,756.15 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 8 — — $557,317.93 $3,120,886.85 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 8 — — $533,230.17 $2,974,302.92 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 8 — — $489,304.61 $2,894,796.03 $513,769.84 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 15 — — $313,389.16 $626,778.32 $329,058.62 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $267,482.51 $267,482.51 $267,482.51 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 16 — — $203,376.96 $426,580.74 $217,613.35 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 16 — — $154,036.97 $389,922.99 $164,819.56 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 16 — — $154,946.30 $359,258.08 $164,243.08 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $148,898.10 $467,204.56 $157,775.33 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
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 8 — — $111,492.17 $222,984.34 $117,066.78 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $114,456.75 $121,762.50 $114,456.75 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 16 — — $43,940.60 $512,126.65 $107,559.95 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
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 15 8 — — $63,342.28 $624,000.00 $103,247.92 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 8 — — $56,824.55 $336,117.21 $101,715.94 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
7 MS_DRG Lung Transplant 27 15 — — $93,983.07 $187,966.14 $98,682.22 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
14 MS_DRG Allogeneic Bone Marrow Transplant 27 15 — — $87,217.12 $174,434.24 $91,577.98 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $55,272.32 $337,256.15 $90,093.89 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $45,020.65 $267,429.22 $87,790.27 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 16 — — $82,237.91 $166,882.34 $87,172.18 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 15 — — $82,143.57 $164,287.14 $86,250.75 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 16 — — $6,882.23 $223,581.65 $85,582.67 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 17 — — $9,936.00 $171,746.00 $84,440.40 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 15 — — $74,826.06 $149,652.12 $78,567.36 2026-04-01
215 MS_DRG Other Heart Assist System Implant 38 17 — — $34,387.00 $210,050.75 $78,402.77 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 17 — — $9,936.00 $278,358.32 $78,096.04 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 9 8 — — $68,801.71 $137,603.42 $72,241.80 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 16 — — $60,779.35 $130,770.16 $69,962.04 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 17 — — $9,936.00 $370,081.82 $67,295.84 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 31 16 — — $62,844.31 $139,505.01 $67,243.41 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $60,985.73 $211,005.11 $67,084.30 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 16 8 — — $7,316.00 $126,375.50 $64,293.53 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 17 — — $48,674.00 $195,055.00 $61,960.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 17 — — $9,936.00 $230,984.90 $61,295.83 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 16 — — $55,299.66 $113,037.84 $60,000.13 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 49 19 — — $9,936.00 $300,988.90 $59,367.10 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 16 — — $52,039.69 $251,180.62 $57,626.05 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 31 16 — — $52,054.21 $104,108.42 $55,698.00 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
J9266 HCPCS Pegaspargase Injection 17 8 — — $28,424.06 $160,122.18 $55,426.92 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 16 — — $9,936.00 $107,049.70 $55,369.53 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 16 — — $38,247.33 $279,327.52 $55,176.87 2026-04-01
10 MS_DRG Pancreas Transplant 27 15 — — $52,075.98 $104,151.96 $54,679.78 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 15 — — $51,777.71 $103,555.42 $54,366.60 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 16 — — $48,849.40 $103,407.78 $53,734.34 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 17 — — $9,936.00 $110,874.00 $53,408.79 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 9 8 — — $50,007.15 $100,014.30 $52,507.51 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 16 — — $47,545.27 $95,090.54 $52,299.80 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 9 8 — — $49,600.83 $99,201.66 $52,080.87 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 16 — — $45,390.21 $97,051.44 $51,922.52 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 16 — — $47,957.04 $255,395.36 $51,884.47 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 16 — — $23,306.80 $187,585.23 $51,368.17 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 17 — — $9,936.00 $171,746.00 $51,059.02 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 17 — — $9,936.00 $171,746.00 $51,059.02 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 11 7 — — $3,879.18 $183,576.83 $50,532.93 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 16 — — $44,423.92 $104,566.61 $48,199.95 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 33 16 — — $43,603.84 $92,925.14 $47,964.22 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 17 — — $9,936.00 $171,746.00 $47,588.72 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 17 — — $9,936.00 $143,487.00 $47,077.76 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $42,378.43 $92,435.69 $46,954.26 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 16 — — $9,936.00 $106,629.85 $46,642.92 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 11 8 — — $9,799.00 $88,494.38 $45,574.61 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 8 — — $7,316.00 $91,801.02 $45,574.61 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 8 — — $7,316.00 $88,494.38 $45,574.61 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 51 17 — — $4,494.13 $167,717.36 $45,571.30 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 16 — — $42,562.43 $92,000.54 $45,541.80 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 15 — — $27,663.44 $99,543.35 $45,290.25 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 15 — — $43,033.42 $86,066.84 $45,185.09 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 17 — — $38,418.53 $195,055.00 $45,141.77 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 17 — — $26,318.38 $158,426.66 $44,497.36 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 35 16 — — $29,877.91 $83,706.78 $43,946.06 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 16 — — $39,700.89 $144,772.07 $43,670.98 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 16 — — $40,081.89 $103,743.48 $43,488.85 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 15 — — $41,416.50 $82,833.00 $43,487.32 2026-04-01
9400 OTHER Inj, Labetalol Hcl, 5mg 1 1 — — $43,479.53 $43,479.53 $43,479.53 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 16 — — $5,005.54 $86,173.20 $43,430.94 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 14 8 — — $24,228.42 $143,311.10 $43,368.87 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 16 — — $7,754.97 $80,790.82 $43,223.09 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 16 — — $280.27 $83,354.09 $42,840.38 2026-04-01
5432 OTHER Level 2 Nerve Procedures 4 4 — — $6,659.80 $181,585.10 $42,707.80 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 15 — — $40,674.08 $81,348.16 $42,707.78 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 34 16 — — $6,128.80 $85,188.79 $42,630.60 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 17 — — $9,936.00 $117,934.00 $42,419.38 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 16 — — $38,781.88 $81,715.51 $42,352.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 16 — — $38,678.34 $161,653.94 $41,965.99 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 17 — — $385.25 $143,487.00 $41,410.67 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 15 — — $39,423.66 $78,847.32 $41,394.84 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 17 — — $9,936.00 $123,219.91 $40,589.01 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 19 — — $353.83 $88,050.00 $40,421.37 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 33 16 — — $17,352.20 $84,421.74 $40,351.49 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $24,279.71 $62,150.40 $39,856.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 16 — — $8,888.32 $78,183.17 $39,271.46 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 17 — — $9,936.00 $143,487.00 $39,138.55 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 16 — — $35,569.32 $86,468.37 $38,592.71 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 17 — — $9,936.00 $163,050.00 $38,494.88 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 16 — — $23,042.78 $144,553.05 $38,165.52 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 16 — — $34,866.09 $75,829.04 $37,829.71 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 39 16 — — $7,754.97 $76,278.81 $37,504.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 36 16 — — $34,268.43 $106,034.69 $37,496.19 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 12 8 — — $16,357.47 $135,531.60 $36,929.76 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 45 18 — — $9,936.00 $171,746.00 $36,842.94 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 16 — — $33,948.05 $72,320.17 $36,833.64 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 9 8 — — $34,970.13 $69,940.26 $36,718.64 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 16 — — $16,162.45 $102,352.00 $36,433.13 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 16 — — $29,267.99 $79,539.48 $36,312.25 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 47 17 — — $20,910.35 $198,536.58 $36,296.28 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 17 — — $24,448.05 $245,705.40 $36,193.46 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 15 — — $34,119.32 $68,238.64 $35,825.29 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 10 8 — — $25,501.02 $68,829.18 $35,791.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 16 — — $32,516.19 $65,032.38 $35,767.81 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 16 — — $32,867.44 $75,384.24 $35,661.17 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 16 — — $13,131.20 $70,866.35 $35,602.24 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 16 — — $9,936.00 $106,629.85 $35,485.33 2026-04-01
245 MS_DRG Aicd Generator Procedures 35 16 — — $7,754.97 $74,005.70 $35,428.30 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 15 — — $33,651.95 $67,303.90 $35,334.55 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 41 16 — — $18,835.87 $256,897.76 $34,802.41 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 36 16 — — $9,936.00 $66,524.56 $34,655.65 2026-04-01
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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 16 — — $12,751.08 $175,456.99 $34,111.31 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 41 16 — — $9,936.00 $77,567.00 $33,603.46 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 37 16 — — $22,391.11 $67,916.30 $33,335.56 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 16 — — $30,596.64 $62,146.43 $33,197.35 2026-04-01
69930 HCPCS Implant Cochlear Device 19 11 — — $4,704.68 $67,540.97 $33,122.37 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 33 16 — — $16,121.60 $64,047.00 $33,121.24 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 11 8 — — $7,665.00 $63,063.80 $33,108.49 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 11 8 — — $7,665.00 $65,856.59 $33,108.49 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 34 16 — — $30,455.85 $169,073.86 $33,044.60 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 17 — — $9,936.00 $104,352.00 $32,983.18 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 16 — — $171.31 $166,629.55 $32,930.98 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 16 — — $30,281.68 $68,939.17 $32,855.62 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 16 — — $29,901.28 $62,238.81 $32,722.10 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 16 — — $517.85 $214,917.22 $32,626.59 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 8 — — $30,998.31 $61,996.63 $32,548.23 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 8 — — $7,316.00 $65,856.59 $32,477.86 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 13 8 — — $7,316.00 $65,405.62 $32,477.86 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 8 — — $7,316.00 $65,856.59 $32,477.86 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 8 — — $7,316.00 $65,856.59 $32,477.86 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 16 — — $29,941.62 $61,596.71 $32,249.19 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 17 — — $9,936.00 $78,266.00 $32,181.33 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 16 — — $28,573.62 $201,907.20 $32,095.64 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 16 8 — — $7,316.00 $65,856.59 $32,083.71 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 8 — — $7,316.00 $61,996.63 $31,928.26 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 11 8 — — $2,583.69 $61,996.63 $31,928.26 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 13 8 — — $7,316.00 $61,996.63 $31,928.26 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 13 8 — — $7,316.00 $61,996.63 $31,928.26 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 13 8 — — $6,159.00 $61,996.63 $31,618.28 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 13 8 — — $6,159.00 $61,996.63 $31,618.28 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 47 17 — — $9,936.00 $69,814.16 $31,436.85 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 16 — — $26,041.89 $57,827.36 $31,371.35 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 16 — — $3,324.24 $65,812.99 $31,224.68 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 9 8 — — $29,717.20 $59,434.40 $31,203.06 2026-04-01
5377 OTHER Level 7 Urology And Related Services 2 2 — — $12,757.20 $49,642.92 $31,200.06 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 36 17 — — $1,648.00 $60,519.82 $31,167.71 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 8 — — $29,576.84 $59,153.68 $31,055.68 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 19 11 — — $2,214.47 $61,996.63 $30,998.31 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 19 11 — — $2,214.47 $61,996.63 $30,998.31 2026-04-01
61886 HCPCS Implant Neurostim Arrays 19 11 — — $2,537.60 $61,996.63 $30,998.31 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 9 8 — — $29,510.19 $59,020.38 $30,985.70 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 8 — — $26,576.34 $193,900.97 $30,546.81 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 17 — — $26,805.10 $126,913.00 $30,376.99 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 16 — — $28,261.25 $65,526.57 $30,239.54 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 16 — — $28,048.62 $59,509.86 $30,012.02 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 36 16 — — $26,956.58 $137,144.00 $29,983.28 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 16 — — $155.09 $80,222.35 $29,813.23 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 16 — — $26,257.79 $118,113.68 $29,776.15 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 8 — — $7,316.00 $58,183.92 $29,678.48 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 16 — — $27,190.08 $54,380.16 $29,501.24 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 33 16 — — $26,656.67 $58,472.50 $29,322.34 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 36 17 — — $26,397.36 $59,006.81 $29,220.74 2026-04-01
0947T HCPCS Mrgfus Strtctc Bl-br Disrpj 2 1 — — $8,695.27 $49,501.98 $29,098.63 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 38 16 — — $10,440.94 $61,794.43 $29,024.27 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 39 17 — — $3,463.00 $55,562.14 $29,021.17 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 16 — — $150.55 $113,304.00 $28,939.64 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 16 — — $7,754.97 $67,757.77 $28,789.87 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 16 — — $26,333.00 $52,666.00 $28,571.31 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 16 — — $24,430.06 $53,779.37 $28,511.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 32 16 — — $26,276.39 $55,193.93 $28,509.89 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 39 16 — — $263.82 $80,193.63 $28,506.48 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 16 — — $16,143.41 $55,335.43 $28,439.81 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 15 — — $26,893.98 $53,787.96 $28,238.68 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 16 — — $26,001.34 $60,286.75 $28,211.45 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 16 — — $25,606.33 $54,487.96 $28,154.57 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 16 — — $25,941.10 $59,631.01 $28,146.10 2026-04-01
265 MS_DRG Aicd Lead Procedures 34 16 — — $7,754.97 $54,021.68 $28,096.33 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 16 — — $25,876.52 $56,633.27 $28,076.03 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 11 8 — — $7,316.00 $54,515.34 $28,075.40 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 11 8 — — $7,316.00 $54,515.34 $28,075.40 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 8 — — $13,432.00 $63,758.04 $27,832.38 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 8 — — $13,432.00 $63,758.04 $27,832.38 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 8 — — $13,432.00 $63,758.04 $27,832.38 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 8 — — $7,316.00 $54,515.34 $27,802.82 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 17 — — $24,964.92 $88,050.00 $27,798.58 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 14 8 — — $7,316.00 $54,080.28 $27,716.14 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 16 — — $25,192.88 $52,472.45 $27,712.17 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 17 9 — — $7,316.00 $54,515.34 $27,666.53 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 16 — — $23,408.99 $53,635.92 $27,664.57 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 16 — — $18,361.41 $58,206.50 $27,638.17 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 16 8 — — $2,386.75 $54,515.34 $27,462.10 2026-04-01
22630 HCPCS Lumbar Spine Fusion 16 8 — — $3,944.91 $54,515.34 $27,462.10 2026-04-01
22558 HCPCS Lumbar Spine Fusion 16 8 — — $3,832.08 $54,515.34 $27,462.10 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 16 — — $128.34 $55,255.91 $27,329.12 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 19 11 — — $3,532.83 $54,515.34 $27,257.67 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 17 — — $9,936.00 $78,266.00 $27,099.47 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 36 16 — — $14,401.82 $60,216.41 $27,080.63 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 16 — — $20,886.99 $52,080.22 $26,825.93 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 16 — — $4,089.47 $53,044.89 $26,622.48 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 41 16 — — $7,754.97 $117,552.00 $26,581.31 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 16 — — $22,823.17 $52,160.06 $26,492.02 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 16 — — $5,512.75 $53,450.75 $26,457.08 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 15 — — $24,954.84 $49,909.68 $26,202.58 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 16 — — $23,972.93 $47,945.86 $26,010.63 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 42 16 — — $7,754.97 $80,316.44 $25,985.34 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 5 3 — — $6,856.00 $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
22103 HCPCS Remove Extra Spine Segment 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
63035 HCPCS Spinal Disk Surgery Add-on 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
63048 HCPCS Remove Spinal Lamina Add-on 5 2 — — $7,316.00 $27,166.00 $25,663.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 35 16 — — $8,811.73 $51,359.75 $25,564.07 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 16 — — $22,375.01 $46,887.76 $25,436.61 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 17 — — $23,059.24 $195,055.00 $25,365.16 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 16 — — $22,967.80 $49,339.20 $25,264.58 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 16 — — $7,754.97 $51,583.49 $25,258.89 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 16 — — $3,098.25 $85,511.05 $25,147.85 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 39 17 — — $9,936.00 $163,050.00 $25,142.45 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 45 16 — — $9,936.00 $95,456.25 $25,083.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 16 — — $23,105.69 $49,339.15 $25,069.67 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 16 — — $23,419.93 $50,118.21 $25,059.33 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 16 — — $23,374.21 $48,163.98 $25,010.40 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 18 — — $268.98 $141,640.50 $25,006.69 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 35 16 — — $9,936.00 $46,597.46 $24,929.64 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 39 18 — — $18,785.86 $95,081.84 $24,928.71 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 16 — — $22,932.97 $47,985.07 $24,882.28 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 9 8 — — $23,640.73 $47,281.46 $24,822.77 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 37 18 — — $14,368.16 $123,913.00 $24,820.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 39 16 — — $12,967.66 $115,613.05 $24,747.16 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 9 8 — — $23,514.53 $47,029.06 $24,690.26 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 17 — — $1,171.94 $48,294.22 $24,650.37 2026-04-01
652 MS_DRG Kidney Transplant 27 15 — — $23,437.35 $46,874.70 $24,609.22 2026-04-01
665 MS_DRG Prostatectomy With Mcc 32 16 — — $22,651.39 $51,998.44 $24,576.76 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 21 12 — — $12,793.82 $108,373.57 $24,569.71 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 16 — — $7,754.97 $45,606.12 $24,399.27 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 9 8 — — $23,210.23 $46,420.46 $24,370.74 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 9 8 — — $23,134.38 $46,268.76 $24,291.10 2026-04-01
L5858 HCPCS Stance Phase Only 9 8 — — $23,006.91 $46,013.82 $24,157.26 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 33 16 — — $21,917.68 $152,159.99 $24,109.45 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 42 16 — — $466.52 $58,194.40 $24,011.03 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 17 — — $12,278.55 $88,050.00 $23,948.81 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 16 — — $21,920.58 $43,841.16 $23,783.83 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 35 16 — — $12,953.95 $47,243.22 $23,773.40 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 32 16 — — $21,893.73 $43,787.46 $23,754.69 2026-04-01
263 MS_DRG Vein Ligation And Stripping 38 17 — — $7,754.97 $78,342.39 $23,741.56 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 16 — — $14,090.11 $45,666.30 $23,734.42 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 11 8 — — $7,665.00 $46,334.30 $23,462.18 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 11 8 — — $7,665.00 $46,334.30 $23,462.18 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 11 8 — — $7,665.00 $46,334.30 $23,462.18 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 16 — — $21,600.53 $46,786.13 $23,436.58 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 3 3 — — $22,366.39 $132,685.17 $23,397.74 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 32 16 — — $21,366.12 $42,732.24 $23,182.24 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 37 16 — — $19,346.30 $110,338.38 $23,038.93 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 13 8 — — $7,316.00 $45,790.23 $23,015.29 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 13 8 — — $7,316.00 $45,790.23 $23,015.29 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 13 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 8 — — $7,316.00 $46,334.30 $23,015.29 2026-04-01
570 MS_DRG Skin Debridement With Mcc 36 16 — — $6,037.52 $45,586.47 $23,001.50 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 32 16 — — $21,191.22 $44,164.45 $22,992.47 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 34 16 — — $20,728.65 $60,206.31 $22,836.57 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 16 8 — — $7,316.00 $46,334.30 $22,735.97 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 36 16 — — $17,547.00 $55,560.13 $22,735.78 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 32 16 — — $20,914.00 $41,828.00 $22,691.69 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 42 16 — — $119.01 $64,633.18 $22,663.47 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 9 8 — — $21,297.95 $42,595.90 $22,362.85 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 36 16 — — $11,417.71 $44,493.22 $22,324.22 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 38 17 — — $14,404.20 $88,050.00 $22,287.90 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 41 16 — — $14,075.88 $44,867.51 $22,192.11 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 16 — — $7,754.97 $44,102.36 $22,134.92 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 16 — — $20,388.57 $44,126.59 $22,121.60 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 16 — — $20,315.27 $42,737.88 $22,042.07 2026-04-01
509 MS_DRG Arthroscopy 5 3 — — $20,178.13 $26,603.46 $22,000.91 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 17 — — $18,377.35 $88,654.86 $21,709.78 2026-04-01
503 MS_DRG Foot Procedures With Mcc 36 16 — — $14,645.83 $40,805.11 $21,673.66 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 5 3 — — $20,277.77 $60,046.60 $21,572.10 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 35 16 — — $555.21 $40,232.84 $21,524.57 2026-04-01
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