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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

FAYETTE MEDICAL CENTER

Fayette, AL · CCN 010045 · Rates published

18,523 distinct procedures filed
12 distinct payers
275,973 rate rows
2026-03-26 last MRF observed
Data quality

212,259 of 275,973 rate rows are consumer-grade (76.9%)

63,714 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 62,410
per-diem day rate — not a per-procedure price 874
percent-of-charges filed in the dollar field — excluded from medians 342
placeholder amount (≤ $0.02) — excluded from medians 49
exceeds 10× this hospital's gross charge — excluded from medians 39
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dch.pt.panaceainc.com/MRFDownload/dch/fayette
Found on page https://www.dchsystem.com/patient-visitor/understanding-the-cost-of-your-care/chargemaster/list-of-charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 563f8381723c44d2… · 213,557,898 bytes · first seen 2026-05-08

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 6 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.66 $3,758,971.99 $3,685,266.66 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 6 $3,335,820.00 $3,402,536.40 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,327,859.72 $3,394,416.91 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,252,508.07 $3,317,558.23 $3,252,508.07 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 6 $3,180,000.00 $3,243,600.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,939,968.88 $4,997,947.10 $2,939,968.88 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,588,981.22 $4,401,268.07 $2,588,981.22 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $3,964,400.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,310,054.00 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $587,649.57 $999,004.27 $587,649.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $566,531.30 $963,103.21 $566,531.30 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,201.24 $955,742.11 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $558,081.72 $948,738.92 $558,081.72 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $532,192.24 $904,726.81 $532,192.24 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,450.20 $832,065.34 $489,450.20 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $274,998.20 $477,037.70 $286,222.62 nat. median
$370,174
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $473,025.00 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 7 $265,000.00 $450,500.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $201,669.02 $342,837.33 $201,669.02 nat. median
$209,753
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $180,249.03 $312,676.89 $187,606.13 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $138,537.62 $240,320.36 $144,192.22 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $137,754.44 $238,961.79 $143,377.08 nat. median
$202,986
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $91,665.25 $159,011.15 $95,406.69 nat. median
$133,176
0.7× median
7
MS_DRG 		Lung Transplant 9 $86,032.40 $149,239.87 $89,543.92 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $80,205.15 $139,131.38 $83,478.83 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $75,916.75 $131,692.32 $79,015.39 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $75,835.50 $131,551.37 $77,383.16 nat. median
$98,017
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $73,055.94 $126,729.70 $76,037.82 nat. median
$102,358
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $73,975.38 $128,324.64 $75,485.08 nat. median
$98,905
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $69,533.21 $120,618.84 $72,371.31 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $67,323.70 $116,786.01 $70,071.60 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $66,234.88 $114,897.24 $68,938.34 nat. median
$93,672
0.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 7 $64,274.79 $109,267.14 $64,274.79 nat. median
$69,774
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $61,402.08 $106,513.81 $62,655.18 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $59,213.81 $102,717.83 $60,422.25 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $57,778.71 $100,228.38 $60,137.03 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $57,613.08 $99,941.06 $59,964.64 nat. median
$81,118
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.54 $96,601.72 $56,824.54 nat. median
$62,507
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $56,613.59 $96,243.10 $56,613.59 nat. median
$15,912
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $54,271.62 $94,144.64 $56,486.78 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $53,080.92 $92,079.14 $55,247.48 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $52,874.03 $91,720.25 $55,032.15 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $52,715.90 $91,445.94 $54,867.56 nat. median
$72,138
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $54,404.10 $92,486.97 $54,404.10 nat. median
$66,682
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $49,939.47 $86,629.69 $51,977.81 nat. median
$68,882
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 $49,920.72 $86,597.17 $51,958.30 nat. median
$64,027
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $49,682.58 $86,184.07 $51,710.44 nat. median
$71,240
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $49,656.33 $86,138.52 $51,683.11 nat. median
$68,887
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $50,207.61 $87,094.83 $51,232.25 nat. median
$68,090
0.8× median

Other procedures at this hospital

Browse this hospital's 18,523 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-03-26
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,685,266.66 $3,758,971.99 $3,685,266.66 2026-03-26
J3389 HCPCS Topi Adm Prad Zami Per Treat 6 6 — — $3,335,820.00 $3,402,536.40 $3,335,820.00 2026-03-26
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,327,859.72 $3,394,416.91 $3,327,859.72 2026-03-26
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,252,508.07 $3,317,558.23 $3,252,508.07 2026-03-26
J3387 HCPCS Inj Elivaldogene Autotemecel 6 6 — — $3,180,000.00 $3,243,600.00 $3,180,000.00 2026-03-26
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,939,968.88 $4,997,947.10 $2,939,968.88 2026-03-26
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 7 — — $2,588,981.22 $4,401,268.07 $2,588,981.22 2026-03-26
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $3,964,400.00 $2,332,000.00 2026-03-26
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,310,054.00 $770,620.00 2026-03-26
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $587,649.57 $999,004.27 $587,649.57 2026-03-26
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $566,531.30 $963,103.21 $566,531.30 2026-03-26
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $562,201.24 $955,742.11 $562,201.24 2026-03-26
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $558,081.72 $948,738.92 $558,081.72 2026-03-26
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $532,192.24 $904,726.81 $532,192.24 2026-03-26
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $489,450.20 $832,065.34 $489,450.20 2026-03-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 9 — — $274,998.20 $477,037.70 $286,222.62 2026-03-26
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 7 — — $278,250.00 $473,025.00 $278,250.00 2026-03-26
J3403 HCPCS Revakinagene, Per Implant 7 7 — — $265,000.00 $450,500.00 $265,000.00 2026-03-26
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 7 7 — — $201,669.02 $342,837.33 $201,669.02 2026-03-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 9 — — $180,249.03 $312,676.89 $187,606.13 2026-03-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 9 — — $138,537.62 $240,320.36 $144,192.22 2026-03-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 9 — — $137,754.44 $238,961.79 $143,377.08 2026-03-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 9 — — $91,665.25 $159,011.15 $95,406.69 2026-03-26
7 MS_DRG Lung Transplant 11 9 — — $86,032.40 $149,239.87 $89,543.92 2026-03-26
14 MS_DRG Allogeneic Bone Marrow Transplant 11 9 — — $80,205.15 $139,131.38 $83,478.83 2026-03-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 9 — — $75,916.75 $131,692.32 $79,015.39 2026-03-26
209 MS_DRG Complex Aortic Arch Procedures 7 7 — — $75,835.50 $131,551.37 $77,383.16 2026-03-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 9 — — $73,055.94 $126,729.70 $76,037.82 2026-03-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $73,975.38 $128,324.64 $75,485.08 2026-03-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 9 — — $69,533.21 $120,618.84 $72,371.31 2026-03-26
215 MS_DRG Other Heart Assist System Implant 11 9 — — $67,323.70 $116,786.01 $70,071.60 2026-03-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $66,234.88 $114,897.24 $68,938.34 2026-03-26
J9029 HCPCS Instill Adstiladrin, Tx Dose 7 7 — — $64,274.79 $109,267.14 $64,274.79 2026-03-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 7 — — $61,402.08 $106,513.81 $62,655.18 2026-03-26
850 MS_DRG Acute Leukemia With Other Procedures 8 7 — — $59,213.81 $102,717.83 $60,422.25 2026-03-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 9 — — $57,778.71 $100,228.38 $60,137.03 2026-03-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $57,613.08 $99,941.06 $59,964.64 2026-03-26
A9543 HCPCS Y90 Ibritumomab, Rx 7 7 — — $56,824.54 $96,601.72 $56,824.54 2026-03-26
38240 HCPCS Transplt Allo Hct/donor 7 7 — — $56,613.59 $96,243.10 $56,613.59 2026-03-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 9 — — $54,271.62 $94,144.64 $56,486.78 2026-03-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $53,080.92 $92,079.14 $55,247.48 2026-03-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 9 — — $52,874.03 $91,720.25 $55,032.15 2026-03-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 9 — — $52,715.90 $91,445.94 $54,867.56 2026-03-26
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 7 — — $54,404.10 $92,486.97 $54,404.10 2026-03-26
10 MS_DRG Pancreas Transplant 11 9 — — $49,939.47 $86,629.69 $51,977.81 2026-03-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 9 — — $49,920.72 $86,597.17 $51,958.30 2026-03-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 9 — — $49,682.58 $86,184.07 $51,710.44 2026-03-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 9 — — $49,656.33 $86,138.52 $51,683.11 2026-03-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $50,207.61 $87,094.83 $51,232.25 2026-03-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 9 — — $48,289.99 $83,768.35 $50,261.01 2026-03-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 9 — — $48,078.09 $83,400.78 $50,040.47 2026-03-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 9 — — $47,160.54 $81,809.10 $49,085.46 2026-03-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $46,186.72 $80,119.83 $48,071.90 2026-03-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $46,186.72 $80,119.83 $48,071.90 2026-03-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $46,037.34 $79,860.70 $47,916.42 2026-03-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $46,881.77 $81,325.52 $47,838.54 2026-03-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 7 — — $46,851.14 $81,272.39 $47,807.29 2026-03-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 9 — — $45,307.92 $78,595.37 $47,157.22 2026-03-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $43,393.42 $75,274.30 $45,164.58 2026-03-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 9 — — $43,349.05 $75,197.32 $45,118.39 2026-03-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 9 — — $42,982.14 $74,560.86 $44,736.52 2026-03-26
28 MS_DRG Spinal Procedures With Mcc 11 9 — — $42,642.75 $73,972.12 $44,383.27 2026-03-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 9 — — $42,632.13 $73,953.69 $44,372.21 2026-03-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $42,360.24 $73,482.04 $44,089.22 2026-03-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 9 — — $42,237.73 $73,269.52 $43,961.71 2026-03-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 9 — — $42,151.47 $73,119.89 $43,871.93 2026-03-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 9 — — $41,769.57 $72,457.42 $43,474.45 2026-03-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 9 — — $41,745.81 $72,416.21 $43,449.73 2026-03-26
J9226 HCPCS Supprelin La Implant 7 7 — — $43,185.33 $73,415.06 $43,185.33 2026-03-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $40,905.14 $70,957.90 $42,574.74 2026-03-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $40,712.63 $70,623.95 $42,374.37 2026-03-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 7 — — $41,135.16 $71,356.91 $41,974.65 2026-03-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 9 — — $40,119.47 $69,594.99 $41,756.99 2026-03-26
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 7 — — $40,758.89 $70,704.19 $41,590.70 2026-03-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $39,879.45 $69,178.64 $41,507.19 2026-03-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 9 — — $39,609.43 $68,710.24 $41,226.15 2026-03-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $40,228.23 $69,783.66 $41,049.21 2026-03-26
834 MS_DRG Acute Leukemia With Mcc 11 9 — — $39,402.55 $68,351.36 $41,010.81 2026-03-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 9 — — $39,281.29 $68,141.02 $40,884.61 2026-03-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 9 — — $39,232.54 $68,056.44 $40,833.86 2026-03-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 9 — — $39,178.78 $67,963.20 $40,777.92 2026-03-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 9 — — $39,042.52 $67,726.83 $40,636.10 2026-03-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $38,420.61 $66,647.99 $39,988.79 2026-03-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 9 — — $38,176.84 $66,225.13 $39,703.50 2026-03-26
64654 HCPCS 1st Opn Implt Bat Modulj Sys 7 7 — — $39,643.64 $67,394.19 $39,643.64 2026-03-26
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 8 — — $542.16 $67,394.19 $39,643.64 2026-03-26
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 8 8 — — $286.51 $67,394.19 $39,643.64 2026-03-26
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 7 7 — — $39,643.64 $67,394.19 $39,643.64 2026-03-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 9 — — $38,067.46 $66,035.40 $39,572.25 2026-03-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $38,400.60 $66,613.29 $39,184.29 2026-03-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 9 — — $37,624.31 $65,266.66 $39,040.50 2026-03-26
653 MS_DRG Major Bladder Procedures With Mcc 11 9 — — $37,568.06 $65,169.08 $38,973.00 2026-03-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $36,591.74 $63,475.47 $37,801.50 2026-03-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 9 — — $36,261.72 $62,902.98 $37,405.50 2026-03-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 9 — — $36,011.71 $62,469.29 $37,105.50 2026-03-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 9 — — $35,956.70 $62,373.87 $37,039.50 2026-03-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 9 — — $35,851.07 $62,190.62 $36,912.75 2026-03-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $35,722.93 $61,968.35 $36,759.00 2026-03-26
471 MS_DRG Cervical Spinal Fusion With Mcc 11 9 — — $35,269.78 $61,182.27 $36,215.25 2026-03-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 9 — — $35,117.27 $60,917.72 $36,032.25 2026-03-26
C1825 HCPCS System Ipg Barostim 18 7 $70,000.00 $35,000.00 50% off $7,560.00 $70,000.00 $35,875.00 2026-03-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 9 — — $34,845.38 $60,446.07 $35,706.00 2026-03-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 9 — — $34,474.11 $59,802.02 $35,260.50 2026-03-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $34,414.10 $59,697.93 $35,188.50 2026-03-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 9 — — $34,326.60 $59,546.14 $35,083.50 2026-03-26
6 MS_DRG Liver Transplant Without Mcc 11 9 — — $34,071.58 $59,103.76 $34,777.50 2026-03-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 9 — — $33,955.95 $58,903.18 $34,648.93 2026-03-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 9 — — $33,818.44 $58,664.64 $34,508.61 2026-03-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 9 — — $33,745.31 $58,537.78 $34,433.99 2026-03-26
245 MS_DRG Aicd Generator Procedures 11 9 — — $33,605.30 $58,294.90 $34,291.12 2026-03-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 9 — — $33,519.67 $58,146.36 $34,203.74 2026-03-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 9 — — $33,507.17 $58,124.68 $34,190.99 2026-03-26
799 MS_DRG Splenic Procedures With Mcc 11 9 — — $33,395.91 $57,931.68 $34,077.46 2026-03-26
Q4130 HCPCS Tissue Strattice 10x16 49 11 $42,560.00 $21,280.00 50% off $112.01 $266,000.00 $34,048.00 2026-03-26
6600000006-6740 CDM Or Level 6 9 7 $61,798.00 $30,899.00 50% off $2,250.00 $61,798.00 $33,988.90 2026-03-26
163 MS_DRG Major Chest Procedures With Mcc 11 9 — — $33,101.52 $57,421.00 $33,777.06 2026-03-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 9 — — $33,093.39 $57,406.91 $33,768.77 2026-03-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 9 — — $32,983.39 $57,216.08 $33,656.52 2026-03-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 9 — — $32,545.23 $56,456.01 $33,209.42 2026-03-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 9 — — $32,136.45 $55,746.91 $32,792.30 2026-03-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 9 — — $31,920.81 $55,372.84 $32,572.26 2026-03-26
140 MS_DRG Major Head And Neck Procedures With Mcc 11 9 — — $31,748.31 $55,073.59 $32,396.23 2026-03-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $31,595.17 $54,807.95 $32,239.97 2026-03-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 9 — — $31,485.17 $54,617.12 $32,127.72 2026-03-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 9 — — $31,440.16 $54,539.06 $32,081.80 2026-03-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 9 — — $31,427.03 $54,516.28 $32,068.40 2026-03-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 9 — — $31,350.16 $54,382.93 $31,989.96 2026-03-26
901 MS_DRG Wound Debridements For Injuries With Mcc 11 9 — — $31,318.91 $54,328.72 $31,958.07 2026-03-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 9 — — $31,270.15 $54,244.14 $31,908.32 2026-03-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $31,168.89 $54,068.48 $31,804.99 2026-03-26
793 MS_DRG Full Term Neonate With Major Problems 11 9 — — $31,150.14 $54,035.96 $31,785.86 2026-03-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 9 — — $31,046.39 $53,855.98 $31,679.99 2026-03-26
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 9 — — $30,874.50 $53,557.80 $31,504.59 2026-03-26
791 MS_DRG Prematurity With Major Problems 11 9 — — $30,442.50 $52,836.78 $31,080.46 2026-03-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $30,153.75 $52,419.35 $30,834.91 2026-03-26
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 7 7 — — $30,834.04 $52,417.87 $30,834.04 2026-03-26
001006010-24081 CDM Kit Impella Cp9 W/smart Assist 9 7 $56,000.00 $28,000.00 50% off $6,720.00 $56,000.00 $30,800.00 2026-03-26
001008312-22766 CDM Impella Rp Flex Kit Sma Assist 9 7 $56,000.00 $28,000.00 50% off $6,720.00 $56,000.00 $30,800.00 2026-03-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 9 — — $29,880.75 $52,024.68 $30,602.75 2026-03-26
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 14 11 $64,000.00 $32,000.00 50% off $4,552.00 $64,000.00 $30,408.15 2026-03-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $29,339.25 $51,241.84 $30,142.26 2026-03-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 9 — — $29,206.50 $51,049.93 $30,029.37 2026-03-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 9 — — $29,030.25 $50,795.13 $29,879.49 2026-03-26
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 10 — — $940.63 $50,732.25 $29,842.50 2026-03-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 9 — — $28,959.00 $50,692.13 $29,818.90 2026-03-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 9 — — $28,794.75 $50,454.67 $29,679.22 2026-03-26
69930 HCPCS Implant Cochlear Device 8 8 — — $29,676.27 $50,449.65 $29,676.27 2026-03-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 9 — — $28,222.50 $49,627.39 $29,192.58 2026-03-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 9 — — $28,099.50 $49,449.57 $29,087.98 2026-03-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 9 — — $28,032.75 $49,353.07 $29,031.22 2026-03-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 9 — — $28,029.75 $49,348.74 $29,028.67 2026-03-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 9 — — $27,951.00 $49,234.89 $28,961.70 2026-03-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 9 — — $27,793.50 $49,007.19 $28,827.76 2026-03-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 9 — — $27,548.25 $48,652.64 $28,619.20 2026-03-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 9 — — $27,537.00 $48,636.39 $28,609.64 2026-03-26
J9266 HCPCS Pegaspargase Injection 7 7 — — $28,424.05 $48,320.89 $28,424.05 2026-03-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 9 — — $27,213.75 $48,169.08 $28,334.75 2026-03-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 9 — — $27,192.75 $48,138.71 $28,316.89 2026-03-26
332 MS_DRG Rectal Resection With Mcc 11 9 — — $27,155.25 $48,084.50 $28,285.00 2026-03-26
265 MS_DRG Aicd Lead Procedures 11 9 — — $27,136.50 $48,057.39 $28,269.05 2026-03-26
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 7 — — $28,251.27 $48,027.16 $28,251.27 2026-03-26
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 8 8 — — $618.24 $48,027.16 $28,251.27 2026-03-26
33270 HCPCS Ins/rep Subq Defibrillator 15 12 $59,237.75 $29,618.88 50% off $383.49 $59,237.75 $28,251.27 2026-03-26
33249 HCPCS Insj/rplcmt Defib W/lead(s) 8 8 — — $383.49 $48,027.16 $28,251.27 2026-03-26
33231 HCPCS Insrt Pulse Gen W/mult Leads 8 8 — — $383.49 $48,027.16 $28,251.27 2026-03-26
0408T HCPCS Insj/rplc Cardiac Modulj Sys 7 7 — — $28,251.27 $48,027.16 $28,251.27 2026-03-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 9 — — $27,088.50 $47,988.01 $28,228.24 2026-03-26
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $27,048.00 $47,929.44 $28,193.79 2026-03-26
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 9 — — $26,871.00 $47,673.56 $28,043.27 2026-03-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 9 — — $26,808.75 $47,583.58 $27,990.34 2026-03-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 9 — — $26,781.75 $47,544.55 $27,967.38 2026-03-26
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 9 — — $26,742.00 $47,487.07 $27,933.57 2026-03-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 9 — — $26,719.50 $47,454.55 $27,914.44 2026-03-26
6603618844-6720 CDM 33263 Remrep Cvd Gen Dual Led 9 7 $50,720.50 $25,360.25 50% off $2,250.00 $50,720.50 $27,896.28 2026-03-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 9 — — $26,694.00 $47,417.68 $27,892.75 2026-03-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 9 — — $26,672.25 $47,386.24 $27,874.26 2026-03-26
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 8 — — $382.95 $47,214.44 $27,773.20 2026-03-26
61886 HCPCS Implant Neurostim Arrays 8 8 — — $383.49 $47,214.44 $27,773.20 2026-03-26
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 7 — — $27,773.20 $47,214.44 $27,773.20 2026-03-26
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 8 8 — — $383.49 $47,214.44 $27,773.20 2026-03-26
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 8 — — $383.49 $47,214.44 $27,773.20 2026-03-26
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 7 7 — — $27,773.20 $47,214.44 $27,773.20 2026-03-26
61885 HCPCS Insrt/redo Neurostim 1 Array 8 8 — — $383.49 $47,214.44 $27,773.20 2026-03-26
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 7 7 — — $27,773.20 $47,214.44 $27,773.20 2026-03-26
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 7 — — $27,773.20 $47,214.44 $27,773.20 2026-03-26
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 8 — — $286.51 $47,214.44 $27,773.20 2026-03-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 9 — — $26,449.50 $47,064.21 $27,684.83 2026-03-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 9 — — $26,395.50 $46,986.15 $27,638.91 2026-03-26
3747053-11095 CDM Pump Set Impella Cp 00480003 9 7 $50,000.00 $25,000.00 50% off $6,000.00 $50,000.00 $27,500.00 2026-03-26
3621528-17183 CDM Pump Set Impella Rp 004334 9 7 $50,000.00 $25,000.00 50% off $6,000.00 $50,000.00 $27,500.00 2026-03-26
C1604 HCPCS System Detour Endologix 9 7 $50,000.00 $25,000.00 50% off $6,000.00 $50,000.00 $27,500.00 2026-03-26
252 MS_DRG Other Vascular Procedures With Mcc 11 9 — — $26,162.25 $46,648.95 $27,440.56 2026-03-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 9 — — $26,155.50 $46,639.19 $27,434.82 2026-03-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 9 — — $26,035.50 $46,465.71 $27,332.77 2026-03-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 9 — — $25,909.50 $46,283.55 $27,225.62 2026-03-26
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 7 7 — — $26,581.10 $46,110.07 $27,123.57 2026-03-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $25,713.00 $45,999.48 $27,058.52 2026-03-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 9 — — $25,587.00 $45,817.33 $26,951.37 2026-03-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 9 — — $25,553.25 $45,768.54 $26,922.67 2026-03-26
264 MS_DRG Other Circulatory System O.r. Procedures 11 9 — — $25,054.50 $45,047.50 $26,498.53 2026-03-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 9 — — $24,774.75 $44,643.09 $26,260.64 2026-03-26
37 MS_DRG Extracranial Procedures With Mcc 11 9 — — $24,690.75 $44,521.64 $26,189.20 2026-03-26
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 9 — — $24,687.75 $44,517.31 $26,186.65 2026-03-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 9 — — $24,396.00 $44,095.54 $25,938.55 2026-03-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 9 — — $24,288.75 $43,940.48 $25,847.34 2026-03-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 9 — — $24,261.75 $43,901.45 $25,824.38 2026-03-26
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 7 — — $25,816.20 $43,887.54 $25,816.20 2026-03-26
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $24,228.00 $43,852.66 $25,795.68 2026-03-26
652 MS_DRG Kidney Transplant 10 9 — — $24,221.25 $43,842.90 $25,789.94 2026-03-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 9 — — $24,203.25 $43,816.89 $25,774.64 2026-03-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 9 — — $24,156.00 $43,748.57 $25,734.45 2026-03-26
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 9 — — $24,078.00 $43,635.80 $25,668.12 2026-03-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 9 — — $23,946.00 $43,444.98 $25,555.87 2026-03-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 9 — — $23,901.75 $43,381.01 $25,518.24 2026-03-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 9 — — $23,878.50 $43,347.40 $25,498.47 2026-03-26
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 9 — — $23,830.50 $43,278.01 $25,457.65 2026-03-26
500 MS_DRG Soft Tissue Procedures With Mcc 11 9 — — $23,736.00 $43,141.39 $25,377.29 2026-03-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 9 — — $23,700.00 $43,089.34 $25,346.67 2026-03-26
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 9 — — $23,632.50 $42,991.76 $25,289.27 2026-03-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 9 — — $23,621.25 $42,975.51 $25,279.71 2026-03-26
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 9 — — $23,565.75 $42,895.27 $25,232.51 2026-03-26
665 MS_DRG Prostatectomy With Mcc 11 9 — — $23,409.00 $42,668.66 $25,099.21 2026-03-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $23,360.25 $42,598.18 $25,057.75 2026-03-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 9 — — $23,319.00 $42,538.54 $25,022.67 2026-03-26
662 MS_DRG Minor Bladder Procedures With Mcc 11 9 — — $22,961.25 $42,021.37 $24,718.45 2026-03-26
263 MS_DRG Vein Ligation And Stripping 11 9 — — $22,930.50 $41,976.91 $24,692.30 2026-03-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 9 — — $22,749.00 $41,714.52 $24,537.95 2026-03-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 9 — — $22,653.75 $41,576.82 $24,456.95 2026-03-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 9 — — $22,650.75 $41,572.48 $24,454.40 2026-03-26
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 9 — — $22,626.00 $41,536.70 $24,433.35 2026-03-26
22630 HCPCS Arthrd Pst Tq 1ntrspc Lum 7 7 — — $24,421.74 $41,516.95 $24,421.74 2026-03-26
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 7 7 — — $24,421.74 $41,516.95 $24,421.74 2026-03-26
22558 HCPCS Arthrd Ant Ntrbd Min Dsc Lum 7 7 — — $24,421.74 $41,516.95 $24,421.74 2026-03-26
22633 HCPCS Arthrd Cmbn 1ntrspc Lumbar 7 7 — — $24,421.74 $41,516.95 $24,421.74 2026-03-26
20696 HCPCS App Mltpln Uni Xtrnl Fix 1st 8 8 — — $440.80 $41,516.95 $24,421.74 2026-03-26
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 7 7 — — $24,421.74 $41,516.95 $24,421.74 2026-03-26
21243 HCPCS Reconstruction Of Jaw Joint 8 8 — — $618.24 $41,516.95 $24,421.74 2026-03-26
27702 HCPCS Reconstruct Ankle Joint 7 7 — — $24,421.74 $41,516.95 $24,421.74 2026-03-26
J9600 HCPCS Porfimer Sodium Injection 7 7 — — $24,228.42 $41,188.31 $24,228.42 2026-03-26
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 7 7 — — $24,226.84 $41,185.63 $24,226.84 2026-03-26
C9760 HCPCS Non-blind Interatrial Shunt 7 7 — — $24,226.84 $41,185.63 $24,226.84 2026-03-26
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 9 — — $22,323.00 $41,098.66 $24,175.68 2026-03-26
472 MS_DRG Cervical Spinal Fusion With Cc 11 9 — — $22,095.75 $40,770.13 $23,982.43 2026-03-26
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 11 9 — — $22,080.75 $40,748.44 $23,969.67 2026-03-26
570 MS_DRG Skin Debridement With Mcc 11 9 — — $22,058.25 $40,715.92 $23,950.54 2026-03-26
668 MS_DRG Transurethral Procedures With Mcc 11 9 — — $21,900.00 $40,487.13 $23,815.96 2026-03-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 9 — — $21,842.25 $40,403.65 $23,766.85 2026-03-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 9 — — $21,765.00 $40,291.97 $23,701.16 2026-03-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 9 — — $21,751.50 $40,272.46 $23,689.68 2026-03-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 9 — — $21,655.50 $40,133.67 $23,608.04 2026-03-26
974 MS_DRG HIV With Major Related Condition With Mcc 11 9 — — $21,645.00 $40,118.49 $23,599.11 2026-03-26
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 11 9 — — $21,613.50 $40,072.96 $23,572.33 2026-03-26
93656 HCPCS Cmp Eval Abl Afib Pulmvein Iso 15 12 $28,314.75 $14,157.38 50% off $977.57 $39,992.75 $23,525.15 2026-03-26
93653 HCPCS Compre Ep Eval Tx Svt 8 8 — — $732.22 $39,992.75 $23,525.15 2026-03-26
93654 HCPCS Compre Ep Eval Tx Vt 8 8 — — $977.18 $39,992.75 $23,525.15 2026-03-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 9 — — $21,526.50 $39,947.18 $23,498.34 2026-03-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 9 — — $21,378.75 $39,733.59 $23,372.70 2026-03-26
800 MS_DRG Splenic Procedures With Cc 11 9 — — $21,070.50 $39,287.95 $23,110.56 2026-03-26
654 MS_DRG Major Bladder Procedures With Cc 11 9 — — $20,994.75 $39,178.44 $23,046.14 2026-03-26
503 MS_DRG Foot Procedures With Mcc 11 9 — — $20,933.25 $39,089.55 $22,993.85 2026-03-26
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 9 — — $20,789.25 $38,881.36 $22,871.39 2026-03-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 9 — — $20,678.25 $38,720.88 $22,776.99 2026-03-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 9 — — $20,615.25 $38,629.81 $22,723.42 2026-03-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 11 9 — — $20,610.00 $38,622.23 $22,718.96 2026-03-26
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 9 — — $20,503.50 $38,468.26 $22,628.39 2026-03-26
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 9 — — $20,406.00 $38,327.32 $22,545.48 2026-03-26
849 MS_DRG Radiotherapy 11 9 — — $20,321.25 $38,204.78 $22,473.40 2026-03-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 9 — — $20,296.50 $38,169.01 $22,452.36 2026-03-26
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 9 — — $20,230.50 $38,073.59 $22,396.23 2026-03-26
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 9 — — $19,950.00 $37,668.09 $22,157.70 2026-03-26
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 9 — — $19,880.25 $37,567.25 $22,098.38 2026-03-26
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 9 — — $19,780.50 $37,423.04 $22,013.55 2026-03-26
253 MS_DRG Other Vascular Procedures With Cc 11 9 — — $19,467.00 $36,969.82 $21,746.95 2026-03-26
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 9 — — $19,443.75 $36,936.21 $21,727.18 2026-03-26
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 9 — — $19,371.00 $36,831.04 $21,665.32 2026-03-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 11 9 — — $19,344.00 $36,792.01 $21,642.36 2026-03-26
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 9 — — $19,344.00 $36,792.01 $21,642.36 2026-03-26
6600000005-6741 CDM Or Level 5 9 7 $39,326.00 $19,663.00 50% off $2,250.00 $39,326.00 $21,629.30 2026-03-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 11 9 — — $19,257.00 $36,666.23 $21,568.37 2026-03-26
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 9 — — $19,147.50 $36,507.93 $21,475.25 2026-03-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 9 — — $19,056.75 $36,376.74 $21,398.08 2026-03-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 9 — — $19,020.75 $36,324.70 $21,367.47 2026-03-26
164 MS_DRG Major Chest Procedures With Cc 11 9 — — $18,930.00 $36,193.49 $21,290.29 2026-03-26
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 9 — — $18,921.75 $36,181.58 $21,283.28 2026-03-26
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 9 — — $18,689.25 $35,845.45 $21,085.56 2026-03-26
545 MS_DRG Connective Tissue Disorders With Mcc 11 9 — — $18,612.75 $35,734.87 $21,020.51 2026-03-26
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 9 — — $18,444.00 $35,490.90 $20,877.00 2026-03-26
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 9 — — $18,438.75 $35,483.32 $20,872.54 2026-03-26
783 MS_DRG Cesarean Section With Sterilization With Mcc 10 8 — — $18,413.25 $35,446.45 $20,850.85 2026-03-26
792 MS_DRG Prematurity Without Major Problems 11 9 — — $18,369.00 $35,382.47 $20,813.22 2026-03-26
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 9 — — $18,331.50 $35,328.26 $20,781.33 2026-03-26
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 11 9 — — $18,309.75 $35,296.83 $20,762.84 2026-03-26
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 7 7 — — $20,228.20 $35,089.73 $20,641.02 2026-03-26
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 7 7 — — $20,178.82 $35,004.07 $20,590.63 2026-03-26
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 11 9 — — $18,039.75 $34,906.49 $20,533.23 2026-03-26
J9359 HCPCS Loncastuximab Tesiri-lpyl 10mg 14 11 $81,283.36 $40,641.68 50% off $221.22 $81,283.36 $20,508.88 2026-03-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 9 — — $17,979.00 $34,818.67 $20,481.57 2026-03-26
397 MS_DRG Appendix Procedures With Mcc 11 9 — — $17,961.75 $34,793.73 $20,466.90 2026-03-26
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 9 — — $17,928.75 $34,746.03 $20,438.84 2026-03-26
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