On March 31, 2022, NHS England and NHS Improvement (NHSE/I) released the 2022/23 National Tariff Payment System (NTPS) to come into force on April 01, 2022. The aligned payment and incentive (API) model remains the central part of the 2022/23 NTPS, covering all secondary healthcare services, with few exceptions (e.g., diagnostic imaging, the contract value is lower than £30 million). National DRG (HRG) tariffs only remain for diagnostic imaging; other tariffs are published for benchmark purposes. Four new device categories were included, and two existing categories were updated to cover more devices in the 2022/23 High Cost Device List; In 2022/23, all High Cost devices are excluded from the fixed element and funded on a cost and volume basis.