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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 CYPRESS HOSPITAL

Cypress, TX · CCN 670342 · Rates published

15,474 distinct procedures filed
18 distinct payers
217,876 rate rows
2026-04-01 last MRF observed
Data quality

178,022 of 217,876 rate rows are consumer-grade (81.7%)

39,854 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 38,799
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-cypress-hospital_standardcharges.ashx
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 32453bbec04d5880… · 54,031,999 bytes · first seen 2026-05-15

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 7 $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 13 $309,186.83 $618,373.66 $324,646.17 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 14 $200,649.82 $426,580.74 $210,682.31 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $152,868.58 $359,258.08 $160,512.01 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $129,259.14 $370,610.77 $159,570.01 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 $154,037.72 $154,037.72 $154,037.72 nat. median
$87,428
1.8× median
5232
OTHER 		Level 2 Icd And Similar Procedures 2 $45,318.51 $204,809.34 $125,063.92 nat. median
$32,531
outlier · 3.8×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $111,492.17 $222,984.34 $117,066.78 nat. median
$111,989
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $115,289.27 $115,289.27 $115,289.27 nat. median
$65,393
1.8× median
90288
HCPCS 		Botulism Ig IV 1 $114,456.75 $121,762.50 $114,456.75 nat. median
$55,037
outlier · 2.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $106,319.64 $106,319.64 $106,319.64 nat. median
$62,372
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $18,158.34 $255,530.10 $104,134.15 nat. median
$133,161
0.8× median
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
7
MS_DRG 		Lung Transplant 13 $92,722.83 $185,445.66 $97,358.97 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $86,047.60 $172,095.20 $90,349.98 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
5674
OTHER 		Level 4 Pathology 3 $235.85 $232,386.38 $89,529.41 nat. median
$807
outlier · 110.9×
J9226
HCPCS 		Supprelin La Implant 8 $45,020.65 $267,429.22 $87,790.27 nat. median
$60,368
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $78,911.28 $158,639.46 $85,618.74 nat. median
$98,894
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $81,135.16 $166,882.34 $85,191.92 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $81,042.08 $162,084.16 $85,094.18 nat. median
$98,047
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $9,936.00 $187,227.08 $83,308.11 nat. median
$102,358
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $80,059.14 $80,059.14 $80,059.14 nat. median
$48,483
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $73,822.70 $147,645.40 $77,513.84 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 15 $34,387.00 $177,563.87 $75,569.16 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $9,936.00 $171,746.00 $74,947.50 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
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $69,356.81 $69,356.81 $69,356.81 nat. median
$20,658
outlier · 3.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $38,949.32 $129,016.64 $69,023.90 nat. median
$82,711
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $62,001.62 $139,505.01 $67,271.76 nat. median
$83,470
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $60,167.95 $146,528.26 $66,184.74 nat. median
$81,118
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $9,936.00 $143,487.00 $65,488.10 nat. median
$79,312
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×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $63,585.28 $63,585.28 $63,585.28 nat. median
$39,075
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $48,674.00 $195,055.00 $61,974.26 nat. median
$77,570
0.8× median

Other procedures at this hospital

Browse this hospital's 15,474 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
             
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 11 8 — — $7,665.00 $63,063.80 $33,108.49 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
0515T HCPCS Insj Wcs Lv Compl Sys 11 8 — — $7,665.00 $46,334.30 $23,462.18 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 11 8 — — $7,665.00 $65,856.59 $33,108.49 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
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 11 8 — — $9,799.00 $88,494.38 $45,574.61 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
0686T HCPCS Histotripsy Mal Hepatcel Tis 10 8 — — $25,501.02 $68,829.18 $35,791.18 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
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 13 8 — — $7,316.00 $65,405.62 $32,477.86 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
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 13 8 — — $7,316.00 $45,790.23 $23,015.29 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 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 14 — — $200,649.82 $426,580.74 $210,682.31 2026-04-01
10 MS_DRG Pancreas Transplant 24 13 — — $51,377.68 $102,755.36 $53,946.56 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 14 — — $26,587.71 $89,631.96 $42,955.87 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 29 14 — — $30,186.36 $69,617.18 $33,205.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 29 14 — — $20,633.55 $46,685.52 $22,696.91 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 13 — — $86,047.60 $172,095.20 $90,349.98 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 29 14 — — $30,539.35 $65,674.71 $33,593.29 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 29 14 — — $26,825.48 $57,808.90 $29,508.03 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 13 — — $42,456.38 $84,912.76 $44,579.20 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 33 14 — — $21,529.97 $118,655.73 $35,298.43 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 14 — — $25,900.57 $70,536.74 $29,036.51 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 13 — — $38,895.01 $77,790.02 $40,839.76 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 29 14 — — $21,310.89 $53,452.73 $23,441.98 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 13 — — $309,186.83 $618,373.66 $324,646.17 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 13 — — $51,083.40 $102,166.80 $53,637.57 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 14 — — $81,135.16 $166,882.34 $85,191.92 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 15 — — $48,674.00 $195,055.00 $61,974.26 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 17 9 — — $7,316.00 $54,515.34 $27,666.53 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 14 — — $46,072.15 $120,081.76 $50,679.37 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 24 13 — — $81,042.08 $162,084.16 $85,094.18 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 15 — — $37,903.36 $195,055.00 $41,693.70 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 15 — — $9,936.00 $187,227.08 $83,308.11 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 18 10 — — $4,256.00 $54,515.34 $27,462.10 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 13 — — $40,861.14 $81,722.28 $42,904.20 2026-04-01
215 MS_DRG Other Heart Assist System Implant 28 15 — — $34,387.00 $177,563.87 $75,569.16 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 15 — — $9,936.00 $171,746.00 $74,947.50 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 15 — — $9,936.00 $171,746.00 $50,374.36 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 15 — — $9,936.00 $171,746.00 $50,374.36 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 15 — — $9,936.00 $143,487.00 $59,649.26 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 15 — — $22,750.04 $195,055.00 $25,025.04 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 15 — — $9,936.00 $143,487.00 $40,855.38 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 15 — — $9,936.00 $143,487.00 $38,613.73 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 16 8 — — $3,832.08 $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
22633 HCPCS Lumbar Spine Fusion Combined 13 8 — — $7,316.00 $54,515.34 $27,802.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 15 — — $9,936.00 $198,922.50 $38,434.12 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 15 — — $9,936.00 $163,050.00 $24,805.30 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 15 — — $41,028.68 $123,913.00 $45,131.55 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 15 — — $9,936.00 $143,487.00 $65,488.10 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 15 — — $9,936.00 $143,487.00 $46,446.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 15 — — $9,936.00 $244,209.37 $60,213.20 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 15 — — $9,936.00 $148,829.72 $41,850.57 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 37 15 — — $6,689.52 $104,352.00 $44,119.84 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 15 — — $9,936.00 $197,620.91 $32,540.89 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 14 — — $35,239.14 $83,556.60 $38,763.05 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 15 — — $28,009.02 $126,913.00 $30,809.92 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 14 — — $20,409.45 $48,832.32 $22,450.40 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 14 — — $9,936.00 $60,060.00 $24,803.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 14 — — $19,946.00 $78,769.33 $35,443.23 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 15 — — $32,554.16 $123,913.00 $35,809.58 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 37 14 — — $19,946.00 $61,214.61 $26,724.39 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 14 — — $19,946.00 $47,083.59 $24,409.56 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 15 — — $22,261.73 $123,913.00 $24,487.90 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 14 — — $19,946.00 $57,628.12 $24,920.19 2026-04-01
263 MS_DRG Vein Ligation And Stripping 29 14 — — $21,890.84 $49,110.45 $24,079.92 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 31 14 — — $21,863.74 $56,772.88 $26,310.39 2026-04-01
265 MS_DRG Aicd Lead Procedures 30 14 — — $19,946.00 $61,433.26 $28,108.16 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 15 — — $9,936.00 $171,746.00 $46,950.59 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 15 — — $9,936.00 $171,746.00 $36,581.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 15 — — $9,936.00 $119,155.25 $52,692.62 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 15 — — $9,936.00 $78,266.00 $32,354.56 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 15 — — $9,936.00 $110,874.00 $39,666.96 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 15 — — $9,936.00 $82,903.90 $27,245.35 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 14 — — $9,936.00 $67,741.55 $32,492.23 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 14 — — $9,936.00 $56,334.83 $25,571.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 14 — — $9,936.00 $160,428.12 $54,627.06 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 14 — — $9,936.00 $107,951.91 $45,587.40 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 14 — — $9,936.00 $83,132.46 $35,052.33 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 16 8 — — $2,386.75 $54,515.34 $27,462.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 14 — — $77.00 $79,707.46 $42,643.49 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 14 — — $25,821.66 $55,636.03 $28,403.83 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 14 — — $43,019.15 $104,751.70 $47,321.06 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 14 — — $24,426.90 $59,592.40 $26,869.59 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 14 — — $129,259.14 $370,610.77 $159,570.01 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 14 — — $32,080.17 $71,558.86 $35,288.19 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 14 — — $47,875.03 $95,750.06 $52,662.53 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 14 — — $9,936.00 $75,822.91 $33,871.41 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 14 — — $9,936.00 $71,965.62 $33,617.62 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 31 14 — — $9,936.00 $51,603.17 $24,140.28 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 14 — — $9,936.00 $45,972.62 $24,595.35 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 14 — — $35,709.55 $97,489.58 $39,280.51 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 14 — — $31,262.40 $78,515.53 $35,214.48 2026-04-01
332 MS_DRG Rectal Resection With Mcc 29 14 — — $25,924.04 $63,058.57 $28,516.44 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
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 8 — — $7,316.00 $65,856.59 $32,477.86 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
33249 HCPCS Insj/rplcmt Defib W/lead(s) 16 8 — — $7,316.00 $65,856.59 $32,083.71 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
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 8 — — $7,316.00 $46,334.30 $23,015.29 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
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 8 — — $7,316.00 $91,801.02 $45,574.61 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
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 8 — — $7,316.00 $58,183.92 $29,678.48 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 14 — — $19,875.28 $62,144.23 $27,740.72 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 14 — — $27,714.03 $73,033.15 $30,485.43 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 15 — — $20,182.71 $50,833.11 $22,024.87 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 14 — — $24,731.22 $74,376.64 $34,125.68 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 13 — — $24,620.22 $49,240.44 $25,851.23 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 30 14 — — $23,571.28 $58,678.05 $25,928.41 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 16 8 — — $7,316.00 $126,375.50 $64,293.53 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 14 — — $18,158.34 $255,530.10 $104,134.15 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 14 — — $26,765.92 $66,933.24 $29,995.92 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 14 — — $8,040.00 $59,246.36 $31,233.45 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 14 — — $39,168.52 $95,696.89 $43,085.37 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 29 14 — — $20,765.30 $50,191.67 $22,841.83 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 14 — — $25,529.53 $64,703.00 $28,082.48 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 29 14 — — $23,651.47 $50,071.73 $26,016.62 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 14 — — $25,508.05 $61,278.55 $28,058.86 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 14 — — $24,394.68 $55,639.51 $26,834.15 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 14 — — $29,735.29 $67,983.17 $32,708.82 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 14 — — $78,911.28 $158,639.46 $85,618.74 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $18,534.00 $161,818.04 $55,302.78 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $129.11 $101,017.10 $43,709.23 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 14 — — $38,949.32 $129,016.64 $69,023.90 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 14 — — $41,292.17 $156,736.00 $45,421.39 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 14 — — $47,839.94 $101,535.98 $51,906.33 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 14 — — $30,363.93 $61,840.52 $32,944.86 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 14 — — $38,159.69 $77,993.11 $41,403.26 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 14 — — $22,760.09 $153,721.59 $25,442.46 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $154,037.72 $154,037.72 $154,037.72 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $106,319.64 $106,319.64 $106,319.64 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $80,059.14 $80,059.14 $80,059.14 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 14 — — $60,167.95 $146,528.26 $66,184.74 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 14 — — $42,695.52 $105,606.94 $46,965.07 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 14 — — $29,875.62 $78,762.37 $32,863.18 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $115,289.27 $115,289.27 $115,289.27 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $63,585.28 $63,585.28 $63,585.28 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 14 — — $39,544.42 $118,525.99 $43,498.86 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 14 — — $40,808.15 $98,452.10 $44,888.96 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 14 — — $18,796.77 $52,173.34 $24,196.71 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 15 — — $37,270.42 $90,158.67 $40,997.46 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 15 — — $25,250.29 $88,050.00 $28,065.07 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 31 15 — — $19,675.55 $88,050.00 $21,643.10 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 15 — — $15,046.38 $88,050.00 $23,889.33 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 14 — — $31,277.07 $85,506.98 $37,512.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 32 14 — — $575.28 $90,234.78 $22,886.93 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 14 — — $30,736.96 $74,795.57 $33,810.66 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 29 14 — — $24,734.77 $58,563.33 $27,208.25 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 33 14 — — $17,913.96 $51,260.73 $22,311.57 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 14 — — $19,846.67 $43,182.85 $21,831.34 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 14 — — $23,105.89 $57,259.60 $25,416.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 14 — — $26,288.48 $60,181.68 $28,917.33 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 14 — — $25,959.84 $62,252.00 $28,555.82 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 29 14 — — $21,600.15 $45,387.01 $23,760.17 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 13 — — $73,822.70 $147,645.40 $77,513.84 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 29 14 — — $22,659.82 $56,369.59 $24,925.80 2026-04-01
503 MS_DRG Foot Procedures With Mcc 29 14 — — $19,984.15 $46,619.47 $21,982.56 2026-04-01
509 MS_DRG Arthroscopy 5 3 — — $22,000.91 $26,603.46 $23,053.33 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 29 14 — — $21,626.64 $47,292.19 $23,789.30 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 8 5 — — $14,109.79 $94,892.10 $26,674.70 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 14 — — $22,818.06 $54,956.35 $25,099.87 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 15 — — $25,707.00 $63,479.24 $29,033.39 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 6 4 — — $12,942.11 $93,910.95 $31,361.54 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 35 15 — — $120.00 $88,050.00 $22,605.55 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 3 3 — — $13,608.32 $23,884.60 $23,713.10 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $45,318.51 $204,809.34 $125,063.92 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $69,356.81 $69,356.81 $69,356.81 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 7 — — $28,614.09 $192,707.70 $30,844.43 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 2 — — $16,844.11 $33,693.54 $25,268.83 2026-04-01
5623 OTHER Level 3 Radiation Therapy 6 4 — — $8,359.68 $81,542.23 $30,382.99 2026-04-01
5626 OTHER Level 6 Radiation Therapy 1 1 — — $30,553.70 $30,553.70 $30,553.70 2026-04-01
5674 OTHER Level 4 Pathology 4 3 — — $235.85 $232,386.38 $89,529.41 2026-04-01
570 MS_DRG Skin Debridement With Mcc 30 14 — — $21,058.14 $50,796.60 $23,163.95 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 14 — — $46,907.72 $108,089.23 $51,598.49 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 29 14 — — $24,855.06 $59,203.02 $27,340.57 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 14 — — $35,092.36 $98,789.33 $38,601.60 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 14 — — $23,187.51 $58,097.46 $25,506.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 13 — — $33,200.70 $66,401.40 $34,860.74 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 15 — — $19,740.71 $76,360.58 $24,675.89 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 14 — — $24,969.62 $68,796.70 $27,466.58 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 18 10 — — $2,989.00 $61,996.63 $31,230.80 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 10 — — $3,416.00 $61,996.63 $31,230.80 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 14 — — $17,547.00 $45,257.33 $22,430.92 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 14 — — $20,442.90 $66,500.40 $28,032.08 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 29 14 — — $21,623.77 $50,779.22 $23,786.15 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 14 — — $26,683.71 $69,784.05 $29,352.08 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 18 10 — — $2,989.00 $61,996.63 $31,230.80 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
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 8 — — $7,316.00 $61,996.63 $31,928.26 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 13 — — $33,661.80 $67,323.60 $35,344.89 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 13 — — $26,533.35 $53,066.70 $27,860.02 2026-04-01
652 MS_DRG Kidney Transplant 24 13 — — $23,123.07 $46,246.14 $24,279.22 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 29 14 — — $37,205.98 $94,104.61 $40,926.58 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 30 14 — — $16,993.86 $47,585.96 $21,746.51 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 14 — — $22,795.86 $54,540.90 $25,075.45 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 29 14 — — $21,920.20 $52,091.64 $24,112.22 2026-04-01
665 MS_DRG Prostatectomy With Mcc 29 14 — — $22,347.65 $53,697.83 $24,582.42 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 29 14 — — $20,907.06 $48,985.29 $22,997.77 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 14 — — $30,083.26 $64,282.33 $33,091.59 2026-04-01
69930 HCPCS Implant Cochlear Device 18 10 — — $5,906.00 $67,540.97 $33,370.79 2026-04-01
7 MS_DRG Lung Transplant 24 13 — — $92,722.83 $185,445.66 $97,358.97 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 14 — — $25,593.25 $67,571.20 $28,152.58 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 29 14 — — $25,652.68 $62,862.14 $28,217.95 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 15 — — $5,143.00 $209,741.74 $44,682.94 2026-04-01
791 MS_DRG Prematurity With Major Problems 27 13 — — $6,455.70 $58,124.50 $30,515.36 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 28 13 — — $1,119.14 $59,708.28 $31,048.31 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 29 14 — — $32,426.71 $86,125.81 $35,669.38 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 13 — — $40,128.67 $80,257.34 $42,135.10 2026-04-01
800 MS_DRG Splenic Procedures With Cc 29 14 — — $20,115.17 $48,980.08 $22,126.69 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 14 — — $28,525.97 $58,933.58 $31,378.57 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 14 — — $41,991.69 $105,109.79 $46,190.86 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 14 — — $32,826.95 $78,256.53 $36,109.64 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 14 — — $33,492.83 $76,290.51 $36,842.11 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 14 — — $22,625.45 $54,822.51 $24,888.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 14 — — $29,481.08 $97,327.42 $42,648.56 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 14 — — $34,398.56 $82,683.98 $37,838.42 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 14 — — $12,348.23 $54,325.35 $25,130.47 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 14 — — $62,001.62 $139,505.01 $67,271.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 14 — — $14,797.74 $192,624.56 $39,555.37 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 14 — — $3,825.00 $76,978.88 $35,669.08 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 14 — — $49,488.17 $188,840.00 $54,436.99 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 14 — — $27,672.50 $59,509.86 $30,024.67 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 29 14 — — $30,047.46 $75,230.15 $33,052.21 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 29 14 — — $26,299.22 $58,472.50 $28,929.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 14 — — $20,421.54 $90,454.93 $30,238.13 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 14 — — $152,868.58 $359,258.08 $160,512.01 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 14 — — $51,356.20 $102,712.40 $55,721.47 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 28 14 — — $23,060.78 $48,163.98 $25,020.94 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 14 — — $27,882.29 $65,526.57 $30,252.28 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 8 — — $13,432.00 $63,758.04 $27,832.38 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
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 29 14 — — $25,979.89 $55,891.56 $28,577.88 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 14 — — $25,198.74 $62,973.39 $27,718.61 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 14 — — $48,194.36 $105,865.95 $53,013.80 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 14 — — $26,942.90 $67,414.75 $29,637.19 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 14 — — $54,558.13 $125,722.55 $60,013.94 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 14 — — $30,171.33 $70,310.76 $33,188.46 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 29 14 — — $21,079.62 $44,020.71 $23,187.58 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 14 — — $43,828.22 $119,466.41 $48,211.04 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 14 — — $25,860.32 $63,220.23 $28,446.35 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 32 14 — — $18,079.47 $65,347.19 $22,420.04 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $3,825.00 $87,730.91 $36,448.48 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 14 — — $24,547.18 $58,697.18 $27,001.90 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 8 — — $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 14 8 — — $7,316.00 $54,080.28 $27,716.14 2026-04-01
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
J3392 HCPCS Inj, Exagamglogene Autotem 9 8 — — $2,332,000.00 $4,664,000.00 $2,448,600.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,945,740.00 $4,801,556.20 $3,034,112.20 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
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 8 — — $2,455,110.60 $4,910,221.21 $2,577,866.14 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 15 8 — — $63,342.28 $624,000.00 $103,247.92 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $45,020.65 $267,429.22 $87,790.27 2026-04-01
J9266 HCPCS Pegaspargase Injection 17 8 — — $28,424.06 $160,122.18 $55,426.92 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 14 8 — — $24,228.42 $143,311.10 $43,368.87 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 9 8 — — $29,717.20 $59,434.40 $31,203.06 2026-04-01
L5858 HCPCS Stance Phase Only 9 8 — — $23,006.91 $46,013.82 $24,157.26 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
L6700 HCPCS Ue Add Ext Power Myoel 9 8 — — $29,510.19 $59,020.38 $30,985.70 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 8 — — $29,576.84 $59,153.68 $31,055.68 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 9 8 — — $23,134.38 $46,268.76 $24,291.10 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 9 8 — — $23,514.53 $47,029.06 $24,690.26 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 9 8 — — $23,640.73 $47,281.46 $24,822.77 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 9 8 — — $50,007.15 $100,014.30 $52,507.51 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 9 8 — — $49,600.83 $99,201.66 $52,080.87 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
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 9 8 — — $68,801.71 $137,603.42 $72,241.80 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 8 — — $111,492.17 $222,984.34 $117,066.78 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 9 8 — — $23,210.23 $46,420.46 $24,370.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 8 — — $533,230.17 $2,974,302.92 $559,891.68 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 8 — — $591,726.20 $3,423,431.17 $621,312.51 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $55,272.32 $337,256.15 $90,093.89 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 8 — — $489,304.61 $2,894,796.03 $513,769.84 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
Q2056 HCPCS Ciltacabtagene Car-pos T 11 8 — — $565,868.94 $3,271,996.41 $594,162.39 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 11 8 — — $770,620.00 $4,558,217.30 $809,151.00 2026-04-01
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