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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

SHELBY BAPTIST MEDICAL CENTER

Alabaster, AL · CCN 010016 · Rates published

31,115 distinct procedures filed
76 distinct payers
1,781,616 rate rows
2026-04-01 last MRF observed
Data quality

834,032 of 1,781,616 rate rows are consumer-grade (46.8%)

947,584 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 914,660
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19,591
per-diem day rate — not a per-procedure price 11,563
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 868
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 639
placeholder amount (≤ $0.02) — excluded from medians 150
exceeds 10× this hospital's gross charge — excluded from medians 90
percent-of-charges filed in the dollar field — excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=Z81AxPk5TY2LwGfXLtmX5w*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=Z81AxPk5TY2LwGfXLtmX5w*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint fe0a5f93d669cff1… · 28,167,114 bytes · first seen 2026-07-06

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,279,750.00 $4,820,350.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 33 $3,501,003.33 $4,238,056.67 $4,200,000.00 nat. median
$3,685,267
1.1× median
J1413
HCPCS 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 7 $3,150,639.46 $3,813,931.98 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,086,023.43 $3,735,712.57 $3,410,868.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,798,453.00 $4,868,633.01 $3,122,484.40 nat. median
$2,968,000
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 37 $2,332,355.07 $4,934,772.32 $2,705,294.50 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $2,215,400.00 $4,687,320.00 $2,588,520.00 nat. median
$2,332,000
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $732,089.00 $2,465,984.00 $886,213.00 nat. median
$813,967
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 38 $492,900.00 $1,810,780.62 $492,900.00 nat. median
$599,737
0.8× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 38 $466,069.91 $1,893,523.84 $466,069.91 nat. median
$621,313
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 38 $460,226.56 $1,783,417.39 $460,226.56 nat. median
$574,037
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 38 $454,489.31 $1,800,122.19 $454,489.31 nat. median
$579,571
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 38 $449,440.00 $1,565,774.75 $449,440.00 nat. median
$513,770
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 38 $449,440.00 $1,706,336.55 $449,440.00 nat. median
$562,501
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 35 $12.90 $1,305,761.51 $344,658.30 nat. median
$168,055
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 35 $30.00 $847,386.69 $322,848.74 nat. median
$186,516
1.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $264,337.50 $890,400.00 $319,987.50 nat. median
$286,598
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 $26.70 $641,807.60 $244,834.90 nat. median
$145,435
1.7× median
C1889
HCPCS 		Hcs Impella Pump Set 5.5 Abiomed 17 $38,954.00 $340,845.00 $229,048.00 nat. median
$1,642
outlier · 139.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 $26.00 $645,596.42 $222,983.96 nat. median
$131,925
1.7× median
C1825
HCPCS 		Hcs Gen Neuro Carotid Sinus Baro 17 $26,603.00 $232,772.00 $156,423.00 nat. median
$35,000
outlier · 4.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 $26.00 $624,278.24 $150,851.00 nat. median
$97,418
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 $9.60 $618,149.06 $141,647.50 nat. median
$65,418
outlier · 2.2×
209
MS_DRG 		Complex Aortic Arch Procedures 34 $70,359.24 $345,664.83 $141,485.00 nat. median
$2,110
outlier · 67.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 $2,635.04 $333,259.05 $137,765.00 nat. median
$2,736
outlier · 50.4×
7
MS_DRG 		Lung Transplant 35 $18.50 $391,588.15 $137,298.47 nat. median
$70,649
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 35 $12.60 $328,926.41 $135,926.25 nat. median
$74,509
1.8× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 2 $82,553.84 $130,327.56 $130,327.56 nat. median
$92,809
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 35 $25.60 $363,397.26 $129,621.82 nat. median
$72,715
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 35 $14.80 $335,354.87 $128,881.25 nat. median
$69,922
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 $56,181.85 $295,812.31 $122,285.00 nat. median
$69,822
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 35 $5.00 $355,715.22 $115,504.21 nat. median
$73,023
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 $12,705.00 $272,432.28 $112,620.00 nat. median
$2,596
outlier · 43.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 34 $7,623.00 $281,322.21 $108,243.75 nat. median
$2,633
outlier · 41.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 35 $16,997.00 $254,903.32 $105,373.75 nat. median
$60,505
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 $10.00 $237,936.77 $98,360.00 nat. median
$56,428
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 $4,104.66 $231,175.56 $95,565.00 nat. median
$55,935
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 $13,356.00 $254,102.01 $94,467.37 nat. median
$59,651
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 $13,356.00 $232,176.44 $92,458.21 nat. median
$55,923
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 $2,147.64 $262,624.32 $90,232.50 nat. median
$9,905
outlier · 9.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 $12,705.00 $268,663.37 $89,130.00 nat. median
$51,518
1.7× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $6,729.00 $89,169.00 $88,839.00 nat. median
$66,159
1.3× median
J9029
HCPCS 		Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 13 $60,175.17 $202,695.30 $88,305.00 nat. median
$66,211
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 $10.00 $230,410.54 $85,077.86 nat. median
$52,327
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 $12,705.00 $202,186.39 $83,581.25 nat. median
$2,633
outlier · 31.7×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 $12,705.00 $204,754.83 $83,520.00 nat. median
$2,958
outlier · 28.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 35 $11.60 $215,736.03 $82,984.85 nat. median
$45,605
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 $13,356.00 $239,459.35 $82,191.25 nat. median
$47,458
1.7× median
C1722
HCPCS 		Hcs Cvs Defibrillator Single 17 $13,947.00 $122,037.00 $82,009.00 nat. median
$19,800
outlier · 4.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 $12,705.00 $239,459.35 $79,890.52 nat. median
$45,446
1.8× median

Other procedures at this hospital

Browse this hospital's 31,115 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
             
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 78 37 — — $2,332,355.07 $4,934,772.32 $2,705,294.50 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 19 8 — — $2,798,453.00 $4,868,633.01 $3,122,484.40 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 13 7 — — $4,279,750.00 $4,820,350.00 $4,640,150.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 26 11 — — $2,215,400.00 $4,687,320.00 $2,588,520.00 2026-04-01
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 67 33 — — $3,501,003.33 $4,238,056.67 $4,200,000.00 2026-04-01
J1413 HCPCS Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 15 7 — — $3,150,639.46 $3,813,931.98 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 15 7 — — $3,086,023.43 $3,735,712.57 $3,410,868.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 29 12 — — $732,089.00 $2,465,984.00 $886,213.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 81 38 — — $466,069.91 $1,893,523.84 $466,069.91 2026-04-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 81 38 — — $492,900.00 $1,810,780.62 $492,900.00 2026-04-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 81 38 — — $454,489.31 $1,800,122.19 $454,489.31 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 81 38 — — $460,226.56 $1,783,417.39 $460,226.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 81 38 — — $449,440.00 $1,706,336.55 $449,440.00 2026-04-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 81 38 — — $449,440.00 $1,565,774.75 $449,440.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 114 35 — — $12.90 $1,305,761.51 $344,658.30 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 29 12 — — $264,337.50 $890,400.00 $319,987.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 115 35 — — $30.00 $847,386.69 $322,848.74 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 114 35 — — $26.00 $645,596.42 $222,983.96 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 123 35 — — $26.70 $641,807.60 $244,834.90 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 123 35 — — $26.00 $624,278.24 $150,851.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 115 35 — — $9.60 $618,149.06 $141,647.50 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 133 35 — — $8.80 $396,656.00 $35,081.25 2026-04-01
7 MS_DRG Lung Transplant 114 35 — — $18.50 $391,588.15 $137,298.47 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 114 35 — — $25.60 $363,397.26 $129,621.82 2026-04-01
215 MS_DRG Other Heart Assist System Implant 120 35 — — $5.00 $355,715.22 $115,504.21 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 102 34 — — $70,359.24 $345,664.83 $141,485.00 2026-04-01
C1889 HCPCS Hcs Impella Pump Set 5.5 Abiomed 27 17 $389,537.00 $292,152.75 25% off $38,954.00 $340,845.00 $229,048.00 2024-12-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 115 35 — — $14.80 $335,354.87 $128,881.25 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 114 35 — — $7.80 $335,354.87 $57,962.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 107 34 — — $2,635.04 $333,259.05 $137,765.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 116 35 — — $12.60 $328,926.41 $135,926.25 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 108 34 — — $56,181.85 $295,812.31 $122,285.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 133 35 — — $7,623.00 $286,031.38 $29,025.94 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 103 34 — — $7,623.00 $281,322.21 $108,243.75 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 114 35 — — $12,705.00 $274,606.69 $76,605.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 103 34 — — $12,705.00 $272,432.28 $112,620.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 117 35 — — $12,705.00 $268,663.37 $89,130.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 115 34 — — $2,147.64 $262,624.32 $90,232.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 108 34 — — $12,705.00 $256,401.70 $72,088.75 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 25 12 — — $14,642.86 $256,229.02 $33,748.05 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 106 35 — — $16,997.00 $254,903.32 $105,373.75 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 111 35 — — $13,356.00 $254,102.01 $94,467.37 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 126 35 — — $9,605.00 $251,612.67 $63,995.40 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 114 35 — — $16.60 $245,649.61 $74,121.25 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 114 35 — — $16.60 $245,649.61 $63,371.15 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 127 36 — — $9.00 $244,694.09 $53,471.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 111 35 — — $13,356.00 $239,459.35 $82,191.25 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 109 35 — — $12,705.00 $239,459.35 $79,890.52 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 114 35 — — $10.00 $237,936.77 $98,360.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 142 35 — — $13.50 $237,223.10 $55,300.38 2026-04-01
C1825 HCPCS Hcs Gen Neuro Carotid Sinus Baro 27 17 $266,025.00 $199,518.75 25% off $26,603.00 $232,772.00 $156,423.00 2024-12-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 111 35 — — $13,356.00 $232,176.44 $92,458.21 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 115 35 — — $4,104.66 $231,175.56 $95,565.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 114 35 — — $10.00 $230,410.54 $85,077.86 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 115 35 — — $10.00 $230,249.02 $59,554.27 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 108 35 — — $13,356.00 $227,197.94 $75,782.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 114 35 — — $6.00 $220,506.85 $66,172.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 114 35 — — $2.50 $220,506.85 $39,717.50 2026-04-01
10 MS_DRG Pancreas Transplant 114 35 — — $9.50 $216,978.82 $76,519.18 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 114 35 — — $12.60 $216,888.10 $76,202.73 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 114 35 — — $11.60 $215,736.03 $82,984.85 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 48 15 — — $2,707.00 $210,196.21 $64,635.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 112 36 — — $12,705.00 $207,973.94 $69,508.05 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 113 35 — — $9,605.00 $206,190.17 $59,510.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 109 34 — — $12,705.00 $204,754.83 $83,520.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 114 35 — — $8.00 $203,535.00 $75,842.18 2026-04-01
J9029 HCPCS Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 31 13 — — $60,175.17 $202,695.30 $88,305.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 104 34 — — $12,705.00 $202,186.39 $83,581.25 2026-04-01
570 MS_DRG Skin Debridement With Mcc 121 35 — — $7.90 $201,824.00 $32,738.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 109 35 — — $13,356.00 $198,101.23 $53,203.58 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 127 35 — — $14.80 $194,572.46 $63,780.75 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 114 35 — — $12,705.00 $193,888.94 $70,275.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 115 35 — — $13.00 $185,095.87 $72,009.63 2026-04-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 83 38 — — $53,983.32 $181,838.56 $65,476.58 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 115 35 — — $12,705.00 $181,627.57 $70,689.59 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 111 35 — — $9,605.00 $180,312.22 $74,538.75 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 116 35 — — $17.90 $179,719.55 $71,357.70 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 124 35 — — $3.70 $179,669.22 $31,079.76 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 114 35 — — $8.70 $178,347.76 $70,057.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 111 35 — — $13,356.00 $177,454.73 $73,357.50 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 114 35 — — $11.90 $177,339.82 $57,510.23 2026-04-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 83 38 — — $52,508.71 $176,871.44 $53,062.44 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 122 35 — — $7.00 $176,596.00 $40,847.47 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 102 34 — — $35,474.89 $174,283.02 $71,336.25 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 112 35 — — $9,605.00 $173,449.30 $66,660.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 110 35 — — $9,605.00 $173,449.30 $63,002.50 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 114 35 — — $7.50 $173,272.81 $66,804.67 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 127 35 — — $11.00 $172,341.48 $49,874.26 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 12 7 — — $19,218.75 $170,333.23 $73,007.79 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 129 35 — — $6.90 $169,719.00 $34,633.58 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 118 35 — — $6.50 $168,957.02 $60,171.06 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 117 35 — — $2.60 $168,957.02 $39,368.75 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 115 35 — — $6.00 $168,310.76 $61,585.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 114 35 — — $7.00 $167,004.47 $54,158.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 114 35 — — $9.90 $166,003.60 $62,721.78 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 109 35 — — $9,605.00 $165,416.98 $68,381.25 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 118 35 — — $3,835.15 $165,181.12 $64,599.90 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 115 35 — — $11.50 $164,921.08 $61,539.89 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 114 35 — — $6.70 $161,514.66 $52,673.75 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 114 35 — — $4.00 $161,514.66 $34,897.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 105 34 — — $12,705.00 $161,156.44 $66,620.00 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 115 35 — — $5.80 $158,695.91 $32,967.50 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 120 35 — — $4.00 $158,546.32 $28,486.53 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 118 35 — — $9,605.00 $157,916.86 $57,731.25 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 121 35 — — $7.00 $157,400.89 $42,898.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 109 35 — — $9,605.00 $157,128.74 $58,987.66 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 112 35 — — $9,605.00 $154,951.83 $52,157.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 133 35 — — $5,661.00 $151,400.03 $29,965.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 120 35 — — $7,388.22 $150,809.00 $59,262.21 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 163 36 — — $9.90 $149,333.39 $48,951.40 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 114 35 — — $10.90 $149,292.96 $60,053.75 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 122 35 — — $11.00 $148,822.36 $43,487.72 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 115 35 — — $9.00 $148,202.49 $40,455.56 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 36 15 — — $6,729.00 $147,189.80 $49,216.59 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 36 15 — — $8,290.00 $147,189.80 $49,216.59 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 36 15 — — $3,295.00 $147,189.80 $48,296.65 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 116 36 — — $9,605.00 $146,010.23 $49,879.08 2026-04-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 31 13 — — $42,769.62 $144,066.08 $52,223.95 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 114 35 — — $6.00 $142,160.93 $53,294.90 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 139 35 — — $9.00 $141,870.65 $46,505.12 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 115 35 — — $8.70 $141,447.32 $48,181.34 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 110 35 — — $5,661.00 $141,087.13 $36,252.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 113 34 — — $12,705.00 $139,998.84 $50,256.25 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 132 35 — — $9,605.00 $138,988.97 $56,354.54 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 116 35 — — $10.50 $138,635.18 $47,698.48 2026-04-01
245 MS_DRG Aicd Generator Procedures 117 35 — — $4.00 $137,957.85 $49,456.17 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 115 35 — — $6.60 $137,483.11 $52,446.65 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 110 35 — — $9,605.00 $136,944.88 $54,057.74 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 116 35 — — $4.00 $136,139.81 $48,247.64 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 134 35 — — $5.00 $136,042.41 $30,009.07 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 127 35 — — $7.50 $135,520.67 $45,705.29 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 114 35 — — $7.00 $135,481.36 $43,935.79 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 115 35 — — $7.80 $134,949.17 $43,912.60 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 120 35 — — $9.00 $134,389.65 $41,559.69 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 117 34 — — $12,705.00 $132,913.69 $53,010.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 116 35 — — $7,623.00 $132,902.67 $30,121.82 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 119 35 — — $8.00 $132,829.49 $48,711.30 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 126 35 — — $6.90 $131,201.43 $32,757.92 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 129 35 — — $4.60 $130,851.92 $42,893.19 2026-04-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 6 2 — — $82,553.84 $130,327.56 $130,327.56 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 116 35 — — $10.00 $129,808.71 $39,746.26 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 119 35 — — $7.00 $128,974.14 $35,347.88 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 118 35 — — $9,605.00 $127,701.12 $40,407.99 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 114 35 — — $8.50 $127,483.41 $49,357.10 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 126 35 — — $7,623.00 $126,968.95 $43,177.00 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 115 35 — — $9.00 $126,896.79 $40,707.02 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 119 35 — — $7,623.00 $126,660.93 $49,769.15 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 124 35 — — $4.70 $126,080.36 $33,943.72 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 111 35 — — $7,937.26 $125,578.41 $51,912.50 2026-04-01
33270 CPT Hc Ins/rep Subq Defibrillator 30 13 $125,534.00 $94,150.50 25% off $1.00 $125,534.00 $50,547.00 2024-12-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 116 35 — — $7,623.00 $124,746.87 $43,468.86 2026-04-01
791 MS_DRG Prematurity With Major Problems 119 35 — — $13.00 $122,736.04 $39,372.30 2026-04-01
C1722 HCPCS Hcs Cvs Defibrillator Single 27 17 $139,470.00 $104,602.50 25% off $13,947.00 $122,037.00 $82,009.00 2024-12-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 115 35 — — $7.70 $120,471.22 $38,645.77 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 115 35 — — $11,243.44 $118,757.44 $40,380.00 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 127 35 — — $4.00 $118,356.95 $28,697.70 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 115 35 — — $6.00 $117,828.62 $33,380.77 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 114 35 — — $2.50 $117,752.82 $33,435.53 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 116 35 — — $4.90 $117,042.23 $35,894.23 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 117 35 — — $7.00 $116,866.85 $39,808.47 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 36 15 — — $11,250.45 $114,481.32 $37,564.18 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 119 35 — — $7,623.00 $113,945.00 $29,936.25 2026-04-01
C1882 HCPCS Hcs Cvs Aicd Non Single/non Dual 27 17 $130,066.00 $97,549.50 25% off $13,007.00 $113,808.00 $76,479.00 2024-12-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 121 35 — — $6.00 $113,785.59 $43,406.60 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 111 35 — — $3,209.87 $113,289.69 $33,980.86 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 115 35 — — $9,605.00 $113,020.57 $44,577.59 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 118 36 — — $7,623.00 $113,008.48 $42,977.74 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 117 35 — — $8.00 $112,690.98 $42,729.18 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 114 35 — — $5.00 $112,055.98 $45,547.60 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 114 35 — — $6.90 $111,067.20 $36,018.42 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 117 35 — — $7,623.00 $111,021.84 $33,347.65 2026-04-01
33263 CPT Hc Remove&replace Cvd Gen Dual Lead 30 13 $110,524.00 $82,893.00 25% off $1.00 $110,524.00 $47,016.00 2024-12-11
33262 CPT Hc Remove&replace Cvd Gen Sing Lead 30 13 $110,524.00 $82,893.00 25% off $1.00 $110,524.00 $47,016.00 2024-12-11
33264 CPT Hc Remove&replace Cvd Gen Mult Lead 30 13 $110,524.00 $82,893.00 25% off $1.00 $110,524.00 $47,016.00 2024-12-11
69930 HCPCS Implant Cochlear Device 36 15 — — $22,608.00 $110,182.70 $38,175.17 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 115 35 — — $6.00 $109,718.58 $29,947.77 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 109 35 — — $9,605.00 $109,633.92 $35,937.94 2026-04-01
332 MS_DRG Rectal Resection With Mcc 114 35 — — $6.70 $109,482.73 $42,498.12 2026-04-01
265 MS_DRG Aicd Lead Procedures 114 35 — — $4.00 $109,407.13 $42,820.79 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 147 36 — — $8,722.64 $109,331.55 $32,874.44 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 116 35 — — $3.00 $109,050.32 $43,436.56 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 114 35 — — $6.00 $108,336.71 $33,041.07 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 114 35 — — $7.90 $108,085.73 $39,287.15 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 125 35 — — $8.90 $107,976.87 $40,353.38 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 117 35 — — $8.00 $107,816.61 $44,570.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 113 35 — — $7,623.00 $107,725.90 $41,094.95 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 116 35 — — $9.00 $107,623.09 $33,190.31 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 121 35 — — $3.00 $106,637.33 $39,599.07 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 115 35 — — $8.60 $106,419.62 $40,596.64 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 128 35 — — $3,665.03 $105,479.22 $37,067.32 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 117 35 — — $10.00 $105,452.00 $34,567.11 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 102 34 — — $21,374.81 $105,011.41 $42,982.50 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 109 35 — — $9,605.00 $104,968.19 $39,445.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 36 15 — — $6,729.00 $104,891.94 $35,073.24 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 36 15 — — $6,729.00 $104,891.94 $35,073.24 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 36 15 — — $6,729.00 $104,891.94 $35,073.24 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 48 15 — — $9,674.00 $104,891.94 $34,417.67 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 48 15 — — $9,674.00 $104,891.94 $34,417.67 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 48 15 — — $9,674.00 $104,891.94 $34,417.67 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 48 15 — — $9,674.00 $104,891.94 $34,417.67 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 119 35 — — $8.80 $104,460.19 $35,882.63 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 128 35 — — $8.00 $103,667.96 $31,532.85 2026-04-01
800 MS_DRG Splenic Procedures With Cc 111 35 — — $5,661.00 $103,502.78 $35,117.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 114 35 — — $3.00 $103,447.81 $38,865.00 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 114 35 — — $3.60 $103,362.30 $27,982.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 119 35 — — $4.90 $103,159.96 $41,816.52 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 36 15 — — $5,049.00 $103,116.95 $34,479.73 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 36 15 — — $3,770.00 $103,116.95 $33,835.25 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 36 15 — — $3,770.00 $103,116.95 $33,835.25 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 48 15 — — $9,674.00 $103,116.95 $33,190.77 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 48 15 — — $5,049.00 $103,116.95 $33,190.77 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 48 15 — — $5,049.00 $103,116.95 $33,190.77 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 48 15 — — $3,295.00 $103,116.95 $33,190.77 2026-04-01
61886 HCPCS Implant Neurostim Arrays 48 15 — — $8,290.00 $103,116.95 $33,190.77 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 48 15 — — $8,290.00 $103,116.95 $33,190.77 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 44 15 — — $5,049.00 $103,116.95 $32,224.05 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 120 35 — — $7.00 $103,023.89 $39,246.76 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 114 35 — — $7,623.00 $102,174.33 $34,991.25 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 118 35 — — $272.39 $101,898.00 $31,034.03 2026-04-01
652 MS_DRG Kidney Transplant 114 35 — — $4.00 $101,627.68 $40,247.76 2026-04-01
33340 CPT Hc Laa Closure W/implant 25 16 $115,845.00 $86,883.75 25% off $3,653.00 $101,365.00 $42,631.00 2024-12-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 115 35 — — $1.60 $99,902.23 $31,536.25 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 110 35 — — $9,605.00 $99,885.19 $41,291.25 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 118 35 — — $5.00 $99,546.52 $28,414.03 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 127 35 — — $9,605.00 $99,534.42 $31,929.49 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 126 36 — — $135.00 $99,032.00 $36,146.79 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 122 35 — — $5,661.00 $97,925.76 $31,756.73 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 125 35 — — $6.80 $97,816.91 $30,244.75 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 124 35 — — $5.60 $97,740.07 $35,942.90 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 116 35 — — $8.00 $97,581.05 $37,618.72 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 114 35 — — $6.00 $97,390.55 $31,583.17 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 116 35 — — $2.60 $97,076.08 $36,351.26 2026-04-01
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 17 12 $110,694.00 $83,020.50 25% off $11,070.00 $96,858.00 $55,347.00 2024-12-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 121 35 — — $9,605.00 $96,543.89 $38,306.53 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 113 35 — — $149.89 $96,365.48 $34,096.37 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 111 35 — — $5,661.00 $96,271.74 $39,689.98 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 48 15 — — $6,729.00 $95,850.96 $30,852.03 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 115 35 — — $6.00 $95,552.08 $35,319.68 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 126 35 — — $2.00 $95,279.94 $36,353.04 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 115 35 — — $4.70 $95,010.82 $30,478.37 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 129 36 — — $3,425.08 $94,539.58 $29,940.52 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 119 35 — — $4.00 $93,907.43 $37,205.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 115 35 — — $3,052.36 $92,573.64 $30,345.59 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 116 35 — — $2.00 $91,821.61 $33,250.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 119 35 — — $2,560.48 $91,717.90 $31,241.96 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 114 35 — — $4.00 $91,430.71 $28,890.00 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 116 35 — — $5.00 $91,326.88 $28,320.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 114 35 — — $5.90 $91,222.00 $29,260.21 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 36 15 — — $5,049.00 $90,673.57 $30,318.97 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 36 15 — — $5,049.00 $90,673.57 $30,318.97 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 48 15 — — $3,465.00 $90,673.57 $29,185.55 2026-04-01
22558 HCPCS Lumbar Spine Fusion 50 16 — — $3,295.00 $90,673.57 $28,760.52 2026-04-01
22630 HCPCS Lumbar Spine Fusion 50 16 — — $3,295.00 $90,673.57 $28,760.52 2026-04-01
C2624 HCPCS Hcs Cardiomems Pa Sensor Delivery System 27 17 $102,644.00 $76,983.00 25% off $10,265.00 $89,814.00 $60,355.00 2024-12-11
0100T OTHER Prosth Retina Receive&Gen 7 1 — — $6,729.00 $89,169.00 $88,839.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 112 35 — — $9,605.00 $88,294.96 $28,226.90 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 117 35 — — $9,605.00 $87,750.68 $29,300.49 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 123 35 — — $7.00 $87,730.32 $30,845.45 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 36 15 — — $18,446.00 $87,344.69 $30,297.69 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 36 15 — — $18,446.00 $87,344.69 $30,297.69 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 36 15 — — $18,446.00 $87,344.69 $30,297.69 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 112 36 — — $7,623.00 $87,309.20 $34,681.89 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 118 35 — — $9,605.00 $86,789.11 $31,330.59 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 124 35 — — $7.00 $86,193.42 $32,957.65 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 116 35 — — $5.90 $84,788.48 $32,041.69 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 114 35 — — $4.50 $84,788.48 $29,892.18 2026-04-01
333 MS_DRG Rectal Resection With Cc 115 35 — — $3.00 $84,788.48 $29,162.91 2026-04-01
37227 CPT Hc Fem/popl Revasc Stnt & Ather 28 13 $84,508.00 $63,381.00 25% off $1.00 $84,508.00 $37,873.00 2024-12-11
36903 CPT Hc Intro Cath Dialysis Circuit W/trluml Balo Angiop 28 13 $83,845.00 $62,883.75 25% off $1.00 $83,845.00 $37,575.50 2024-12-11
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 28 13 $83,845.00 $62,883.75 25% off $1.00 $83,845.00 $37,575.50 2024-12-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 118 35 — — $5.00 $83,369.19 $31,281.12 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 118 35 — — $1.60 $83,094.02 $33,584.10 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 117 35 — — $5.60 $82,664.64 $31,238.08 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 114 35 — — $7.70 $81,954.46 $33,827.50 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 116 35 — — $7.00 $78,098.71 $29,932.86 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 115 35 — — $5.50 $77,639.09 $31,111.31 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 119 35 — — $9,605.00 $77,197.61 $31,295.33 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 126 35 — — $4,552.00 $76,831.73 $31,282.64 2026-04-01
C1721 HCPCS Hcs Cvs Defibrillator Dual 27 17 $87,542.00 $65,656.50 25% off $8,755.00 $76,600.00 $51,475.00 2024-12-11
36905 CPT Hc Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop 28 13 $75,020.00 $56,265.00 25% off $1.00 $75,020.00 $33,621.00 2024-12-11
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 4 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 121 35 — — $5.00 $74,361.29 $30,740.00 2026-04-01
33249 CPT Hc Nsert Pace-defib W/lead 34 13 $74,330.00 $55,747.50 25% off $275.00 $74,330.00 $29,929.50 2024-12-11
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 104 34 — — $15,056.74 $73,971.57 $30,277.50 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 124 36 — — $9,605.00 $73,820.03 $28,334.04 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 105 34 — — $15,007.63 $73,730.31 $30,178.75 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 26 10 — — $12,975.80 $72,604.39 $32,275.42 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 7 5 — — $6,729.00 $72,520.11 $39,886.06 2026-04-01
93653 CPT Hc Ep & Ablate Supravent Arrhyt 17 12 $80,147.00 $60,110.25 25% off $8,015.00 $70,129.00 $40,074.00 2024-12-11
C1785 HCPCS Hcs Cvs Pacemaker Dual Rate Respon 27 17 $77,112.00 $57,834.00 25% off $7,712.00 $67,473.00 $45,342.00 2024-12-11
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $56,497.80 $56,497.80 $56,497.80 2026-04-01
C2621 HCPCS Hcs Bi-v Ppm 27 17 $63,062.00 $47,296.50 25% off $6,307.00 $55,180.00 $37,081.00 2024-12-11
C1786 HCPCS Hcs Cvs Pacemaker Single Rate Resp 27 17 $61,846.00 $46,384.50 25% off $6,185.00 $54,116.00 $36,366.00 2024-12-11
33225 HCPCS L Ventric Pacing Lead Add-on 7 1 — — $3,465.00 $52,053.00 $51,860.00 2026-04-01
93654 CPT Hc Ep & Ablate Ventric Tachy 17 12 $58,575.00 $43,931.25 25% off $5,858.00 $51,254.00 $29,288.00 2024-12-11
0333 RC Radiology Therapeutic And/of Chemotherapy Administration Radiation Therapy 3 1 — — $24,853.00 $43,985.00 $34,848.00 2024-12-11
37233 HCPCS Tibper Revasc W/ather Add-on 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 7 1 — — $9,224.00 $36,234.00 $36,100.00 2026-04-01
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