Price Transparencybeta Hospital negotiated rates

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

CITIZENS BAPTIST MEDICAL CENTER

Talladega, AL · CCN 010101 · Rates published

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You selected 470 (MS_DRG)

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc

This hospital’s price: $14,328 across 10 payers · range $7,914-$33,258

Source: https://hospitalpricedisclosure.com/Download.aspx?pxi=djj9uXI2o8BV*_*ZNUwGkb7g*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-* · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

30,346 distinct procedures filed
32 distinct payers
847,851 rate rows
2026-04-01 last MRF observed
Data quality

304,532 of 847,851 rate rows are consumer-grade (35.9%)

543,319 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 531,124
per-diem day rate — not a per-procedure price 8,316
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,346
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 907
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 519
placeholder amount (≤ $0.02) — excluded from medians 42
exceeds 10× this hospital's gross charge — excluded from medians 35
percent-of-charges filed in the dollar field — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=djj9uXI2o8BV*_*ZNUwGkb7g*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://www.baptisthealthal.com/patient-financial-resources/pricing-info-estimates/hospital-pricing-information
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 38070c6b6615ce5f… · 23,088,581 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
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 22 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,710,000
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 22 $2,705,294.50 $2,705,294.50 $2,705,294.50 nat. median
$2,460,273
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 22 $492,900.00 $492,900.00 $492,900.00 nat. median
$631,793
0.8× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 22 $466,069.91 $466,069.91 $466,069.91 nat. median
$691,418
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 22 $460,226.56 $460,226.56 $460,226.56 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 22 $454,489.31 $454,489.31 $454,489.31 nat. median
$624,417
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 22 $449,440.00 $449,440.00 $449,440.00 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 22 $449,440.00 $449,440.00 $449,440.00 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 $12.90 $744,557.84 $276,105.08 nat. median
$370,165
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $30.00 $483,188.08 $179,912.42 nat. median
$261,939
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $26.00 $368,125.32 $137,565.54 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $26.70 $365,964.90 $136,770.44 nat. median
$199,832
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $26.00 $238,825.84 $89,979.09 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 10 $18.50 $223,287.35 $84,260.41 nat. median
$122,690
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $25.60 $207,212.63 $78,344.39 nat. median
$114,305
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $70,212.75 $195,158.75 $74,647.24 nat. median
$96,134
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $9.60 $195,382.90 $73,990.66 nat. median
$108,240
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $14,328.00 $190,027.53 $72,379.80 nat. median
$96,835
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 10 $12.60 $187,491.23 $71,086.26 nat. median
$100,978
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $14.80 $177,773.64 $67,509.87 nat. median
$99,646
0.7× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 22 $65,476.58 $65,476.58 $65,476.58 nat. median
$63,643
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 10 $5.00 $171,678.59 $65,266.69 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $11.00 $168,675.04 $64,161.29 nat. median
$92,900
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $14,328.00 $155,343.52 $59,551.12 nat. median
$81,124
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $8,596.00 $149,307.10 $57,318.42 nat. median
$81,364
0.7× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $2,735.00 $101,550.50 $55,852.77 nat. median
$13,835
outlier · 4.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $10.00 $145,348.34 $55,576.29 nat. median
$79,040
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $10.60 $144,891.42 $55,408.13 nat. median
$80,459
0.7× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 22 $53,062.44 $53,062.44 $53,062.44 nat. median
$65,655
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $10.00 $135,673.85 $52,015.76 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $8.70 $132,389.25 $50,806.92 nat. median
$74,472
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $11.00 $131,818.54 $50,596.88 nat. median
$73,475
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $10.00 $131,382.32 $50,436.34 nat. median
$71,485
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $14,328.00 $124,463.10 $48,129.29 nat. median
$66,640
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $12.60 $123,671.69 $47,598.58 nat. median
$62,911
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $11.60 $123,014.77 $47,356.81 nat. median
$69,153
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $8.00 $122,942.36 $47,330.16 nat. median
$68,581
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $13.50 $119,173.26 $45,943.00 nat. median
$65,958
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $6.00 $118,588.75 $45,727.89 nat. median
$65,792
0.7× median
10
MS_DRG 		Pancreas Transplant 10 $9.50 $123,723.42 $45,236.73 nat. median
$67,750
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $8.00 $116,057.63 $44,796.35 nat. median
$64,357
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $14,328.00 $115,288.63 $44,735.90 nat. median
$59,832
0.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $14,328.00 $115,204.15 $44,704.65 nat. median
$62,262
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $2.00 $113,371.32 $43,807.70 nat. median
$60,895
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $5.00 $113,371.32 $43,807.70 nat. median
$63,840
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $12.00 $112,959.24 $43,656.04 nat. median
$59,159
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $14.80 $110,947.10 $42,915.51 nat. median
$62,218
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $2.70 $105,665.87 $40,971.84 nat. median
$60,162
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $13.00 $105,543.45 $40,926.79 nat. median
$60,294
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $7.50 $104,531.35 $40,554.30 nat. median
$59,257
0.7× median

Other procedures at this hospital

Browse this hospital's 30,346 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 35 22 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2024-12-11
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 35 22 — — $2,705,294.50 $2,705,294.50 $2,705,294.50 2024-12-11
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 35 22 — — $492,900.00 $492,900.00 $492,900.00 2024-12-11
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 35 22 — — $466,069.91 $466,069.91 $466,069.91 2024-12-11
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 35 22 — — $460,226.56 $460,226.56 $460,226.56 2024-12-11
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 35 22 — — $454,489.31 $454,489.31 $454,489.31 2024-12-11
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 35 22 — — $449,440.00 $449,440.00 $449,440.00 2024-12-11
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 35 22 — — $449,440.00 $449,440.00 $449,440.00 2024-12-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 25 10 — — $12.90 $744,557.84 $276,105.08 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 10 — — $30.00 $483,188.08 $179,912.42 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 10 — — $26.00 $368,125.32 $137,565.54 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 10 — — $26.70 $365,964.90 $136,770.44 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 10 — — $26.00 $238,825.84 $89,979.09 2026-04-01
7 MS_DRG Lung Transplant 25 10 — — $18.50 $223,287.35 $84,260.41 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 10 — — $25.60 $207,212.63 $78,344.39 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 9 — — $70,212.75 $195,158.75 $74,647.24 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 10 — — $9.60 $195,382.90 $73,990.66 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $14,328.00 $190,027.53 $72,379.80 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 25 10 — — $12.60 $187,491.23 $71,086.26 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 10 — — $14.80 $177,773.64 $67,509.87 2026-04-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 35 22 — — $65,476.58 $65,476.58 $65,476.58 2024-12-11
215 MS_DRG Other Heart Assist System Implant 25 10 — — $5.00 $171,678.59 $65,266.69 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 10 — — $11.00 $168,675.04 $64,161.29 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 9 — — $14,328.00 $155,343.52 $59,551.12 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 9 — — $8,596.00 $149,307.10 $57,318.42 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 7 5 — — $2,735.00 $101,550.50 $55,852.77 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 10 — — $10.00 $145,348.34 $55,576.29 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 10 — — $10.60 $144,891.42 $55,408.13 2026-04-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 35 22 — — $53,062.44 $53,062.44 $53,062.44 2024-12-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 10 — — $10.00 $135,673.85 $52,015.76 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 10 — — $8.70 $132,389.25 $50,806.92 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 10 — — $11.00 $131,818.54 $50,596.88 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 10 — — $10.00 $131,382.32 $50,436.34 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $14,328.00 $124,463.10 $48,129.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 10 — — $12.60 $123,671.69 $47,598.58 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 10 — — $11.60 $123,014.77 $47,356.81 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 10 — — $8.00 $122,942.36 $47,330.16 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 10 — — $13.50 $119,173.26 $45,943.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 10 — — $6.00 $118,588.75 $45,727.89 2026-04-01
10 MS_DRG Pancreas Transplant 25 10 — — $9.50 $123,723.42 $45,236.73 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 10 — — $8.00 $116,057.63 $44,796.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 9 — — $14,328.00 $115,288.63 $44,735.90 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 9 — — $14,328.00 $115,204.15 $44,704.65 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 10 — — $5.00 $113,371.32 $43,807.70 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 10 — — $2.00 $113,371.32 $43,807.70 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 10 — — $12.00 $112,959.24 $43,656.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 10 — — $14.80 $110,947.10 $42,915.51 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 10 — — $2.70 $105,665.87 $40,971.84 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 10 — — $13.00 $105,543.45 $40,926.79 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 10 — — $7.50 $104,531.35 $40,554.30 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 25 10 — — $10.00 $103,595.11 $40,209.73 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 25 10 — — $6.00 $103,565.80 $40,198.95 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 10 — — $5.00 $102,815.77 $39,922.91 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 10 — — $17.90 $102,477.83 $39,798.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 10 — — $16.60 $102,239.89 $39,710.97 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 10 — — $8.00 $101,186.40 $39,323.25 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 10 — — $11.90 $101,120.88 $39,299.14 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 7 5 — — $3,329.00 $71,110.69 $39,110.88 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 7 5 — — $6,798.00 $71,110.69 $39,110.88 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 5 — — $8,375.00 $71,110.69 $39,110.88 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 5 — — $6,798.00 $71,110.69 $39,110.88 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 9 — — $14,328.00 $99,436.34 $38,872.57 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 9 — — $36,382.30 $98,398.37 $38,680.13 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 10 — — $7.50 $98,801.83 $38,445.65 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 10 — — $11.00 $98,270.78 $38,250.21 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $14,328.00 $96,934.52 $37,947.21 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 10 — — $8.70 $96,634.51 $37,648.01 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 10 — — $7.00 $95,227.57 $37,130.20 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 10 — — $6.00 $95,972.42 $37,030.29 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 25 10 — — $9.90 $94,656.86 $36,920.16 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 10 — — $9.00 $94,322.36 $36,797.06 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 10 — — $8.00 $94,187.87 $36,747.56 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 10 — — $11.50 $94,039.59 $36,692.99 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 10 — — $16.60 $93,663.72 $36,554.66 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 9 — — $14,328.00 $91,892.96 $36,082.47 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 10 — — $5.70 $91,948.14 $35,923.27 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 10 — — $6.00 $91,275.70 $35,675.79 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 10 — — $6.50 $90,973.96 $35,564.74 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 10 — — $7.00 $89,751.51 $35,114.83 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 10 — — $10.00 $89,596.33 $35,057.72 2026-04-01
0333 RC Radiology Therapeutic And/of Chemotherapy Administration Radiation Therapy 3 1 — — $25,136.00 $43,856.00 $34,807.00 2024-12-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 10 — — $3.00 $86,903.13 $34,066.54 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 10 — — $9.00 $85,992.75 $33,731.49 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 10 — — $6.50 $85,303.07 $33,477.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 10 — — $11.00 $84,859.95 $33,314.58 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 10 — — $9.90 $85,151.34 $33,254.71 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 10 — — $9.00 $84,506.49 $33,184.50 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 25 10 — — $7.00 $83,256.45 $32,724.44 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 10 — — $10.90 $82,835.74 $32,569.60 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 10 — — $1.00 $82,085.71 $32,293.57 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 10 — — $6.00 $81,061.54 $31,916.64 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 10 — — $8.70 $80,654.63 $31,766.88 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 10 — — $9.00 $80,896.02 $31,696.44 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 10 — — $7.80 $79,951.15 $31,507.98 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 10 — — $3.00 $79,632.18 $31,390.59 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 10 — — $9.80 $79,252.85 $31,250.98 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 10 — — $10.50 $79,051.12 $31,176.74 2026-04-01
245 MS_DRG Aicd Generator Procedures 25 10 — — $4.00 $78,664.90 $31,034.60 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 10 — — $9.00 $78,428.69 $30,947.66 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 10 — — $6.60 $78,394.20 $30,934.97 2026-04-01
799 MS_DRG Splenectomy With Mcc 25 10 — — $7.70 $78,087.29 $30,822.02 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 25 10 — — $7.50 $77,275.20 $30,523.14 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 10 — — $7.00 $77,252.78 $30,514.89 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 7 5 — — $11,250.45 $55,308.49 $30,419.67 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 10 — — $7.80 $76,949.32 $30,403.21 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 10 — — $8.00 $75,740.66 $29,958.38 2026-04-01
69930 HCPCS Implant Cochlear Device 7 5 — — $22,842.00 $53,231.73 $29,868.92 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 10 — — $4.60 $74,613.03 $29,543.38 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 10 — — $10.00 $74,018.18 $29,324.45 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 25 10 — — $7.00 $73,542.30 $29,149.31 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 9 — — $14,328.00 $73,119.87 $29,138.82 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 10 — — $1.50 $72,816.41 $28,882.16 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 10 — — $8.50 $72,692.27 $28,836.47 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 10 — — $6.70 $72,656.06 $28,823.15 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 10 — — $8.80 $72,443.99 $28,745.10 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 10 — — $9.00 $72,357.78 $28,713.37 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 10 — — $5.80 $72,223.29 $28,663.87 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 10 — — $3.00 $71,943.97 $28,561.07 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 25 10 — — $4.70 $71,892.24 $28,542.04 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 10 — — $8.00 $71,606.03 $28,436.70 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 5 — — $26,926.00 $50,675.65 $28,434.67 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 5 — — $26,926.00 $50,675.65 $28,434.67 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 5 — — $26,926.00 $50,675.65 $28,434.67 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 5 — — $26,926.00 $50,675.65 $28,434.67 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 10 — — $3.60 $71,131.87 $28,262.20 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 5 — — $6,798.00 $50,675.65 $27,871.61 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 5 — — $6,798.00 $50,675.65 $27,871.61 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 5 — — $6,798.00 $50,675.65 $27,871.61 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 10 — — $13.00 $69,985.28 $27,840.21 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 9 — — $14,328.00 $69,321.46 $27,733.89 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 5 — — $9,847.00 $49,818.11 $27,399.96 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 5 — — $5,100.00 $49,818.11 $27,399.96 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 5 — — $3,810.00 $49,818.11 $27,399.96 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 5 — — $5,100.00 $49,818.11 $27,399.96 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 5 — — $8,375.00 $49,818.11 $27,399.96 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 5 — — $8,375.00 $49,818.11 $27,399.96 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 5 — — $3,329.00 $49,818.11 $27,399.96 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 5 — — $5,100.00 $49,818.11 $27,399.96 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 5 — — $3,810.00 $49,818.11 $27,399.96 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 5 — — $5,100.00 $49,818.11 $27,399.96 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 10 — — $7.70 $68,693.85 $27,091.27 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 5 — — $19,751.09 $46,431.00 $26,926.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 5 — — $19,751.09 $46,431.00 $26,926.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 5 — — $19,751.09 $46,431.00 $26,926.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 5 — — $19,751.09 $46,431.00 $26,926.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 10 — — $4.00 $67,448.98 $26,906.77 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 10 — — $4.90 $66,738.61 $26,645.33 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 10 — — $7.00 $66,638.61 $26,608.53 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 10 — — $7.00 $66,574.81 $26,585.05 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 10 — — $6.90 $66,197.21 $26,446.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 10 — — $6.00 $64,881.65 $25,961.91 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 10 — — $6.00 $64,598.88 $25,857.84 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 10 — — $8.00 $64,445.42 $25,801.36 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 10 — — $5.50 $64,438.53 $25,798.83 2026-04-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 35 22 — — $25,762.46 $25,762.46 $25,762.46 2024-12-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 10 — — $8.00 $64,257.49 $25,732.20 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 10 — — $5.00 $63,895.40 $25,598.94 2026-04-01
93609 HCPCS Map Tachycardia Add-on 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
93623 HCPCS Stimulation Pacing Heart 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
93622 HCPCS Electrophysiology Evaluation 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
93631 HCPCS Heart Pacing Mapping 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
93621 HCPCS Electrophysiology Evaluation 3 1 — — $18,635.00 $32,137.00 $25,506.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 5 — — $6,798.00 $46,307.75 $25,469.26 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 10 — — $2.50 $67,143.80 $25,454.73 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 10 — — $6.90 $63,331.59 $25,391.44 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 10 — — $6.70 $68,900.76 $25,381.92 2026-04-01
77778 CPT Application Of Radiation Source, Complex 5 2 — — $517.69 $43,856.00 $25,136.00 2024-12-11
77790 CPT Supervision, Handling, And Loading Of Radiation Source 5 2 — — $71.96 $43,856.00 $25,136.00 2024-12-11
77417 CPT Therapeutic Radiology Port Films 5 2 — — $30.11 $43,856.00 $25,136.00 2024-12-11
77412 CPT Delivery Of Complex Radiation Treatment 5 2 — — $428.10 $43,856.00 $25,136.00 2024-12-11
77402 CPT Delivery Of Simple Radiation Treatment 5 2 — — $276.83 $43,856.00 $25,136.00 2024-12-11
77386 CPT Intensity Modulated Radiation Therapy Delivery, Complex 5 2 — — $1,019.96 $43,856.00 $25,136.00 2024-12-11
77407 CPT Delivery Of Intermediate Radiation Treatment 5 2 — — $450.13 $43,856.00 $25,136.00 2024-12-11
77338 CPT Design And Construction Of Radiation Treatment Device For High Precision Radiati… 5 2 — — $513.30 $43,856.00 $25,136.00 2024-12-11
77332 CPT Radiation Treatment Devices, Design And Construction, Simple 5 2 — — $99.13 $43,856.00 $25,136.00 2024-12-11
77370 CPT Special Medical Radiation Therapy Consultation 5 2 — — $226.92 $43,856.00 $25,136.00 2024-12-11
77385 CPT Intensity Modulated Radiation Therapy Delivery, Simple 5 2 — — $1,019.96 $43,856.00 $25,136.00 2024-12-11
77321 CPT Special Radiation Therapy Planning For Delivery Of External Radiation 5 2 — — $127.04 $43,856.00 $25,136.00 2024-12-11
77470 CPT Special Radiation Treatment Procedure 5 2 — — $229.11 $43,856.00 $25,136.00 2024-12-11
77331 CPT Special Radiation Therapy Planning 5 2 — — $37.44 $43,856.00 $25,136.00 2024-12-11
77300 CPT Calculation Of Radiation Therapy Dose 5 2 — — $76.38 $43,856.00 $25,136.00 2024-12-11
77306 CPT Simple Radiation Therapy Planning For Delivery Of External Radiation 5 2 — — $181.65 $43,856.00 $25,136.00 2024-12-11
77293 CPT Obtaining Respiratory Data Needed To Develop The Optimal Radiation Treatment 5 2 — — $582.09 $43,856.00 $25,136.00 2024-12-11
77290 CPT Obtaining Data Needed To Develop The Optimal Radiation Treatment, 3 Or More Trea… 5 2 — — $842.23 $43,856.00 $25,136.00 2024-12-11
77295 CPT Management Of Radiation Therapy, 3d 5 2 — — $739.44 $43,856.00 $25,136.00 2024-12-11
77307 CPT Complex Radiation Therapy Planning For Delivery Of External Radiation 5 2 — — $181.65 $43,856.00 $25,136.00 2024-12-11
77301 CPT Management Of Modulation Radiotherapy Planning 5 2 — — $3,585.64 $43,856.00 $25,136.00 2024-12-11
77316 CPT Simple Radiation Therapy Planning For Delivery Of Internal Radiation 5 2 — — $181.65 $43,856.00 $25,136.00 2024-12-11
77280 CPT Obtaining Data Needed To Develop The Optimal Radiation Treatment, 1 Treatment Ar… 5 2 — — $293.00 $43,856.00 $25,136.00 2024-12-11
77317 CPT Intermediate Radiation Therapy Planning For Delivery Of Internal Radiation 5 2 — — $504.94 $43,856.00 $25,136.00 2024-12-11
77318 CPT Complex Radiation Therapy Planning For Delivery Of Internal Radiation 5 2 — — $504.94 $43,856.00 $25,136.00 2024-12-11
77387 CPT Guidance For Localization Of Target Delivery Of Radiation Treatment 5 2 — — $178.42 $43,856.00 $25,136.00 2024-12-11
77336 CPT Continuing Radiation Therapy Consultation Per Week 5 2 — — $108.69 $43,856.00 $25,136.00 2024-12-11
77334 CPT Radiation Treatment Devices, Design And Construction, Complex 5 2 — — $180.64 $43,856.00 $25,136.00 2024-12-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 10 — — $6.00 $62,562.60 $25,108.42 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 10 — — $7.70 $62,514.32 $25,090.65 2026-04-01
332 MS_DRG Rectal Resection With Mcc 25 10 — — $6.70 $62,428.11 $25,058.93 2026-04-01
265 MS_DRG Aicd Lead Procedures 25 10 — — $4.00 $62,385.00 $25,043.06 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 10 — — $9.00 $62,274.66 $25,002.45 2026-04-01
C1767 HCPCS Hcs Interstim Neurostimulator 12 9 $79,288.00 $59,466.00 25% off $5,868.00 $71,360.00 $24,996.00 2024-12-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 10 — — $3.00 $62,181.55 $24,968.18 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 10 — — $6.00 $61,774.64 $24,818.43 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 10 — — $7.90 $61,631.53 $24,765.76 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 10 — — $8.90 $61,569.46 $24,742.91 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 10 — — $8.00 $61,478.08 $24,709.28 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 10 — — $7.60 $61,426.35 $24,690.24 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 10 — — $9.00 $61,367.73 $24,668.67 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 10 — — $4.00 $61,317.72 $24,650.27 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 10 — — $3.00 $60,805.64 $24,461.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 10 — — $8.60 $60,681.49 $24,416.11 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 10 — — $5.00 $60,145.27 $24,218.77 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 10 — — $10.00 $60,129.75 $24,213.05 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 9 — — $22,708.22 $59,288.34 $24,142.42 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 10 — — $8.00 $59,853.88 $24,111.52 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 7 5 — — $5,100.00 $43,806.43 $24,093.54 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 7 5 — — $3,500.00 $43,806.43 $24,093.54 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 7 5 — — $2,735.00 $43,806.43 $24,093.54 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 7 5 — — $2,646.00 $43,806.43 $24,093.54 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 7 5 — — $3,160.00 $43,806.43 $24,093.54 2026-04-01
22558 HCPCS Lumbar Spine Fusion 7 5 — — $3,329.00 $43,806.43 $24,093.54 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 7 5 — — $5,100.00 $43,806.43 $24,093.54 2026-04-01
22630 HCPCS Lumbar Spine Fusion 7 5 — — $3,329.00 $43,806.43 $24,093.54 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 10 — — $8.80 $59,564.21 $24,004.92 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 10 — — $8.00 $59,112.47 $23,838.66 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 10 — — $4.90 $58,822.81 $23,732.06 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 10 — — $7.00 $58,745.22 $23,703.50 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 5 — — $18,635.00 $42,198.18 $23,677.87 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 5 — — $18,635.00 $42,198.18 $23,677.87 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 5 — — $18,635.00 $42,198.18 $23,677.87 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 10 — — $6.90 $57,598.63 $23,281.52 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 10 — — $5.00 $56,762.39 $22,973.75 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 10 — — $1.00 $56,755.49 $22,971.22 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 10 — — $6.00 $56,955.50 $22,814.37 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 10 — — $5.70 $56,084.78 $22,724.37 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 9 — — $14,328.00 $55,698.56 $22,695.14 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 10 — — $8.00 $55,838.22 $22,633.63 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 10 — — $6.80 $55,776.15 $22,610.78 2026-04-01
652 MS_DRG Kidney Transplant 25 10 — — $4.00 $55,683.04 $22,576.52 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 10 — — $8.00 $55,641.66 $22,561.29 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 10 — — $6.00 $55,533.03 $22,521.31 2026-04-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 35 22 — — $22,490.02 $22,490.02 $22,490.02 2024-12-11
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 41 23 — — $18,792.00 $33,411.00 $22,467.00 2026-04-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 42 25 — — $16,277.50 $33,411.00 $22,467.00 2026-04-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 38 23 — — $18,792.00 $33,411.00 $22,467.00 2026-04-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 38 23 — — $18,792.00 $33,411.00 $22,467.00 2026-04-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 42 25 — — $10,250.61 $33,411.00 $22,467.00 2026-04-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 42 25 — — $16,277.50 $33,411.00 $22,467.00 2026-04-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 38 23 — — $18,792.00 $33,411.00 $22,467.00 2026-04-01
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 42 25 — — $10,250.61 $33,411.00 $22,467.00 2026-04-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 38 23 — — $18,792.00 $33,411.00 $22,467.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 10 — — $5.00 $55,050.26 $22,343.63 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 10 — — $7.00 $54,948.53 $22,306.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 10 — — $5.00 $54,895.08 $22,286.52 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 10 — — $2.50 $54,784.73 $22,245.91 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 10 — — $7.80 $54,567.48 $22,165.96 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 10 — — $6.00 $54,484.72 $22,135.50 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 10 — — $2.00 $54,329.54 $22,078.39 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 10 — — $2.60 $54,303.68 $22,068.87 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 10 — — $2.60 $55,353.72 $21,971.49 2026-04-01
665 MS_DRG Prostatectomy With Mcc 25 10 — — $7.90 $53,815.73 $21,889.29 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 10 — — $5.60 $53,703.66 $21,848.04 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 10 — — $3.00 $53,608.83 $21,813.14 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 10 — — $4.70 $54,176.09 $21,801.69 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 25 10 — — $7.00 $52,786.38 $21,510.45 2026-04-01
263 MS_DRG Vein Ligation And Stripping 25 10 — — $4.60 $52,715.69 $21,484.44 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 10 — — $3.50 $52,298.43 $21,330.87 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 10 — — $5.00 $52,079.46 $21,250.28 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 10 — — $5.00 $52,072.56 $21,247.74 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 10 — — $5.90 $52,015.67 $21,014.53 2026-04-01
0D16079 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160Z9 OTHER Bypass Stomach To Duodenum, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160ZL OTHER Bypass Stomach To Transverse Colon, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160ZA OTHER Bypass Stomach To Jejunum, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Percutaneous Endoscopic Appro… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute, Percutaneous Endos… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute, Open Ap… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute, Percutaneous Endoscopic Ap… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute, Percutaneous En… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D1607A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D1647L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Percutaneo… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D1647A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Percutaneous Endosc… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Percutaneous Endoscopic App… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute, Percutaneous End… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D1607L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Open Appro… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D160ZB OTHER Bypass Stomach To Ileum, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D1607B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Open Approach 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D16479 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Percutaneous Endos… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D1647B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Percutaneous Endoscop… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute, Percutaneous Endos… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
0D164KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute, Percuta… 2 1 — — $20,499.00 $21,524.00 $21,011.50 2024-12-11
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