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

WHITFIELD REGIONAL HOSPITAL

Demopolis, AL · CCN 010112 · Rates published

28,550 distinct procedures filed
7 distinct payers
110,771 rate rows
2026-04-01 last MRF observed
Data quality

86,675 of 110,771 rate rows are consumer-grade (78.2%)

24,096 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 20,389
professional (physician) fee — not the facility price 1,779
template filing: same amount across many unrelated codes — excluded 816
per-diem day rate — not a per-procedure price 808
percent-of-charges filed in the dollar field — excluded from medians 170
placeholder amount (≤ $0.02) — excluded from medians 121
exceeds 10× this hospital's gross charge — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://whitfield.pt.panaceainc.com/MRFDownload/whitfield/whitfield
Found on page https://whitfieldregionalhospital.com/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-05-23
Content fingerprint 7a81a3fa5e75da44… · 37,092,452 bytes · first seen 2026-05-23

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 4 $3,829,250.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,132,476.66 $4,422,319.99 $3,685,266.66 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $2,835,447.00 $4,002,984.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $2,828,680.76 $3,993,431.66 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $2,764,631.86 $3,903,009.68 $3,252,508.07 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 5 $2,703,000.00 $3,816,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,498,973.55 $3,527,962.66 $2,939,968.88 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,200,634.04 $3,106,777.46 $2,588,981.22 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $1,982,200.00 $2,798,400.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $655,027.00 $924,744.00 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $499,502.13 $705,179.48 $587,649.57 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $481,551.61 $679,837.56 $566,531.30 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $477,871.05 $674,641.49 $562,201.24 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $474,369.46 $669,698.06 $558,081.72 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $452,363.40 $638,630.69 $532,192.24 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $416,032.67 $587,340.24 $489,450.20 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $246,141.96 $396,771.10 $350,331.90 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $236,512.50 $333,900.00 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $225,250.00 $318,000.00 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $159,736.23 $257,552.20 $227,382.21 nat. median
$265,286
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $171,418.67 $242,002.82 $201,669.02 nat. median
$209,753
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $120,983.64 $195,113.14 $172,239.82 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $78,952.98 $127,392.37 $112,432.95 nat. median
$133,161
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $83,626.96 $133,803.13 $108,715.05 nat. median
$111,989
1.0× median
7
MS_DRG 		Lung Transplant 5 $73,816.14 $119,115.77 $105,123.55 nat. median
$122,708
0.9× median
947
MS_DRG 		Signs And Symptoms With Mcc 5 $7,235.58 $196,263.89 $99,829.54 nat. median
$12,688
outlier · 7.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $68,502.03 $110,553.56 $97,829.38 nat. median
$117,357
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $71,310.77 $114,097.24 $92,704.01 nat. median
$96,983
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $64,591.26 $104,252.43 $91,997.15 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 5 $61,982.37 $91,626.31 $84,199.90 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $58,769.85 $94,872.84 $83,713.67 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 5 $56,754.90 $90,026.46 $80,070.60 nat. median
$99,019
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 2 $64,517.16 $82,774.38 $73,645.77 nat. median
$98,047
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $49,359.15 $84,783.33 $72,783.38 nat. median
$83,470
0.9× median
Q2054
EAPG 		Lisocabtagene Mara Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2055
EAPG 		Idecabtagene Vicleucel Car 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9076
EAPG 		Lisocabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9081
EAPG 		Idecabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9073
EAPG 		Brexucabtagene Autoleucel Ca 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2040
EAPG 		Tisagenlecleucel Car-pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$72,542
1.0× median
Q2042
EAPG 		Tisagenlecleucel Car-pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2053
EAPG 		Brexucabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2041
EAPG 		Axicabtagene Ciloleucel Car+ 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9098
EAPG 		Ciltacabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2056
EAPG 		Ciltacabtagene Car-pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $36,677.79 $100,048.93 $72,052.21 nat. median
$62,134
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $14,737.82 $160,101.13 $68,445.74 nat. median
$206,474
outlier · 0.3×
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 2 $51,601.28 $82,562.05 $67,081.67 nat. median
$70,825
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 5 $54,633.57 $77,129.75 $64,274.79 nat. median
$69,774
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $44,852.16 $72,448.34 $63,909.71 nat. median
$77,570
0.8× median

Other procedures at this hospital

Browse this hospital's 28,550 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 4 4 — — $3,829,250.00 $4,505,000.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,132,476.66 $4,422,319.99 $3,685,266.66 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 5 — — $2,835,447.00 $4,002,984.00 $3,335,820.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $2,828,680.76 $3,993,431.66 $3,327,859.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $2,764,631.86 $3,903,009.68 $3,252,508.07 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 5 5 — — $2,703,000.00 $3,816,000.00 $3,180,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,498,973.55 $3,527,962.66 $2,939,968.88 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,200,634.04 $3,106,777.46 $2,588,981.22 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $1,982,200.00 $2,798,400.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 5 — — $655,027.00 $924,744.00 $770,620.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $499,502.13 $705,179.48 $587,649.57 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $481,551.61 $679,837.56 $566,531.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $477,871.05 $674,641.49 $562,201.24 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $474,369.46 $669,698.06 $558,081.72 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $452,363.40 $638,630.69 $532,192.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $416,032.67 $587,340.24 $489,450.20 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $246,141.96 $396,771.10 $350,331.90 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $236,512.50 $333,900.00 $278,250.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 5 5 — — $225,250.00 $318,000.00 $265,000.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 5 — — $159,736.23 $257,552.20 $227,382.21 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 5 — — $171,418.67 $242,002.82 $201,669.02 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 5 — — $120,983.64 $195,113.14 $172,239.82 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 5 — — $78,952.98 $127,392.37 $112,432.95 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $83,626.96 $133,803.13 $108,715.05 2026-04-01
7 MS_DRG Lung Transplant 6 5 — — $73,816.14 $119,115.77 $105,123.55 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 6 5 — — $7,235.58 $196,263.89 $99,829.54 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 5 — — $68,502.03 $110,553.56 $97,829.38 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $71,310.77 $114,097.24 $92,704.01 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 5 — — $64,591.26 $104,252.43 $91,997.15 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 6 5 — — $61,982.37 $91,626.31 $84,199.90 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 5 — — $58,769.85 $94,872.84 $83,713.67 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 5 — — $56,754.90 $90,026.46 $80,070.60 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $64,517.16 $82,774.38 $73,645.77 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 5 — — $49,359.15 $84,783.33 $72,783.38 2026-04-01
Q2053 EAPG Brexucabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2056 EAPG Ciltacabtagene Car-pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9073 EAPG Brexucabtagene Autoleucel Ca 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2040 EAPG Tisagenlecleucel Car-pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2042 EAPG Tisagenlecleucel Car-pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9098 EAPG Ciltacabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2054 EAPG Lisocabtagene Mara Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9081 EAPG Idecabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2041 EAPG Axicabtagene Ciloleucel Car+ 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9076 EAPG Lisocabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2055 EAPG Idecabtagene Vicleucel Car 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 5 — — $36,677.79 $100,048.93 $72,052.21 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 5 — — $14,737.82 $160,101.13 $68,445.74 2026-04-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 2 — — $51,601.28 $82,562.05 $67,081.67 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 5 — — $54,633.57 $77,129.75 $64,274.79 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 5 — — $44,852.16 $72,448.34 $63,909.71 2026-04-01
C9031 EAPG Lutetium Lu 177 Dotatate, Tx 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
A9607 EAPG Lutetium Lu 177 Vipivotide 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
A9513 EAPG Lutetium Lu 177 Dotatat Ther 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
A9543 EAPG Y90 Ibritumomab, Rx 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $55,761.96 $71,541.62 $60,568.88 2026-04-01
10 MS_DRG Pancreas Transplant 6 5 — — $40,901.49 $66,082.93 $58,954.43 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 5 — — $40,667.22 $65,705.47 $58,617.15 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $37,479.21 $70,698.80 $58,331.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $48,300.86 $68,189.45 $56,824.54 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 5 — — $34,556.82 $70,394.81 $56,309.38 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 5 — — $48,050.43 $61,647.86 $55,860.25 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $46,243.49 $65,284.92 $54,404.10 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 5 — — $46,079.71 $65,053.70 $54,211.42 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 6 5 — — $5,364.27 $104,133.04 $53,945.66 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $37,479.21 $60,568.88 $53,418.49 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 5 — — $40,643.28 $55,345.95 $52,915.10 2026-04-01
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 6 5 — — $4,061.25 $101,399.89 $51,966.42 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 5 — — $43,577.64 $55,909.35 $50,350.79 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $43,766.31 $56,151.41 $49,157.79 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 5 — — $17,952.15 $77,601.47 $49,152.86 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 5 — — $34,247.31 $55,361.56 $48,819.71 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 5 — — $17,289.24 $77,358.09 $48,609.57 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $37,204.09 $59,526.54 $48,365.32 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 5 — — $33,799.29 $54,639.70 $48,182.21 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 5 — — $27,136.56 $63,347.95 $48,131.62 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 5 — — $41,972.74 $65,887.20 $47,312.79 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $32,662.71 $52,808.42 $46,564.93 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 5 — — $31,137.39 $54,078.56 $46,202.46 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 5 — — $31,946.22 $51,653.99 $45,545.40 2026-04-01
69930 EAPG Implant Cochlear Device 1 1 — — $45,017.45 $45,017.45 $45,017.45 2026-04-01
S2235 EAPG Implant Auditory Brain Imp 1 1 — — $45,017.45 $45,017.45 $45,017.45 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 5 — — $30,964.11 $50,071.60 $44,652.35 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 5 — — $31,088.37 $50,271.81 $44,324.75 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 5 — — $18,762.69 $65,666.90 $43,884.54 2026-04-01
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 6 5 — — $4,863.81 $82,925.42 $43,338.92 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 5 — — $34,931.88 $44,816.99 $43,245.99 2026-04-01
J9226 HCPCS Supprelin La Implant 5 5 — — $36,707.53 $51,822.40 $43,185.33 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 5 — — $30,174.66 $48,799.62 $43,024.60 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 6 5 — — $34,237.62 $43,926.27 $42,201.32 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $30,396.96 $46,470.56 $42,037.60 2026-04-01
866 MS_DRG Viral Illness Without Mcc 6 5 — — $4,956.72 $79,710.11 $42,032.11 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 5 — — $39,397.26 $50,545.99 $41,956.64 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 5 — — $26,325.45 $51,301.33 $41,768.69 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 5 — — $24,469.53 $52,525.55 $41,171.88 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 5 — — $20,623.74 $56,464.56 $40,615.26 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $28,729.14 $45,618.29 $40,554.36 2026-04-01
G0448 EAPG Place Perm Pacing Cardiovert 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33230 EAPG Insrt Pulse Gen W/dual Leads 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33262 EAPG Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
C9741 EAPG Impl Pressure Sensor W/angio 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33270 EAPG Ins/rep Subq Defibrillator 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33240 EAPG Insrt Pulse Gen W/singl Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33263 EAPG Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33289 EAPG Tcat Impl Wrls P-art Prs Snr 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0409T EAPG Insj/rplc Car Modulj Pls Gn 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0614T EAPG Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0414T EAPG Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33264 EAPG Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0520T EAPG Rmv&rplcmt Pg Wcs Lv Battery 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33249 EAPG Insj/rplcmt Defib W/lead(s) 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33231 EAPG Insrt Pulse Gen W/mult Leads 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0571T EAPG Insj/rplcmt Icds Ss Eltrd 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
J0219 EAPG Inj Aval Alfa-nqpt 4mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9600 EAPG Porfimer Sodium Injection 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J0221 EAPG Lumizyme Injection 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9269 EAPG Inj. Tagraxofusp-erzs 10 Mcg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9149 EAPG Inj, Teplizumab-mzwv, 5 Mcg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J7175 EAPG Inj, Factor X, (human), 1iu 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J7180 EAPG Factor Xiii Anti-hem Factor 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1303 EAPG Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1412 EAPG Inj Roctavian Ml 2x10^13vc G 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1413 EAPG Inj Delandistrogene Mox Rokl 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J0223 EAPG Inj Givosiran 0.5 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1411 EAPG Inj, Hemgenix, Per Tx Dose 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J0217 EAPG Inj Velmanase Alfa-tycv 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9029 EAPG Inj, Adstiladrin, Per Tx Dos 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9146 EAPG Inj, Elahere, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9085 EAPG Inj Avalglucosid Alfa-ngpt 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1300 EAPG Eculizumab Injection 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J7170 EAPG Inj., Emicizumab-kxwh 0.5 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
Q2043 EAPG Sipuleucel-t Auto Cd54+ 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
Q9995 EAPG Inj. Emicizumab-kxwh, 0.5 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9350 EAPG Inj Mosunetuzumab-axgb, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1747 EAPG Inj, Spesolimab-sbzo, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J2350 EAPG Injection, Ocrelizumab, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9052 EAPG Injection, Ravulizumab-cwv 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9381 EAPG Inj Teplizumab Mzwv 5 Mcg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9226 EAPG Supprelin La Implant 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9210 EAPG Inj., Emapalumab-lzsg, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J2840 EAPG Inj Sebelipase Alfa 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9298 EAPG Inj Nivol Relatlimab 3mg/1mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J2326 EAPG Inj, Nusinersen, 0.1mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 6 5 — — $7,396.89 $70,162.45 $39,132.91 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 5 — — $37,798.24 $50,298.08 $39,085.65 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 5 — — $24,072.24 $48,638.90 $39,032.00 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $29,994.44 $47,991.11 $38,992.78 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 6 5 — — $10,469.19 $66,476.92 $38,957.20 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 5 — — $33,451.02 $42,917.07 $38,651.33 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 2 — — $29,533.83 $47,254.13 $38,393.98 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 5 — — $29,670.78 $39,128.89 $38,011.05 2026-04-01
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 5 5 — — $32,267.29 $45,553.83 $37,961.52 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 5 — — $32,267.29 $45,553.83 $37,961.52 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $32,267.29 $45,553.83 $37,961.52 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 5 5 — — $32,267.29 $45,553.83 $37,961.52 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 5 — — $26,430.90 $42,767.58 $37,697.46 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 5 — — $11,885.64 $61,590.13 $37,495.75 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $11,712.51 $80,598.04 $37,447.79 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 5 — — $23,876.16 $45,382.26 $37,326.74 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $32,529.33 $41,734.56 $37,131.94 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 5 — — $25,916.19 $41,938.27 $36,965.07 2026-04-01
800 MS_DRG Splenic Procedures With Cc 6 5 — — $16,013.58 $54,766.44 $36,834.29 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 5 — — $20,101.62 $49,128.40 $36,722.29 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $10,395.09 $61,545.13 $36,517.75 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 5 — — $25,538.85 $41,330.29 $36,428.14 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 5 — — $27,523.59 $38,502.55 $36,329.88 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $26,743.26 $38,881.85 $36,013.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 5 — — $19,691.22 $47,987.75 $35,905.81 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 6 5 — — $9,829.08 $60,349.38 $35,574.72 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 5 — — $15,667.59 $52,593.52 $35,558.47 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 6 5 — — $16,792.77 $50,904.58 $35,461.14 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 6 5 — — $4,562.85 $66,055.38 $35,128.91 2026-04-01
975 MS_DRG HIV With Major Related Condition With Cc 6 5 — — $7,381.50 $61,999.74 $35,110.29 2026-04-01
33533 EAPG Cabg Arterial Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33503 EAPG Coronary Artery Graft 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33509 EAPG Ndsc Hrv Uxtr Art 1 Sgm Cab 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33510 EAPG Cabg Vein Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33530 EAPG Coronary Artery Bypass/reop 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33534 EAPG Cabg Arterial Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33517 EAPG Cabg Artery-vein Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33519 EAPG Cabg Artery-vein Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33516 EAPG Cabg Vein Six Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33518 EAPG Cabg Artery-vein Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33522 EAPG Cabg Artery-vein Five 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33536 EAPG Cabg Arterial Four Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33535 EAPG Cabg Arterial Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33502 EAPG Coronary Artery Correction 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33508 EAPG Endoscopic Vein Harvest 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
35600 EAPG Open Hrv Uxtr Art 1 Sgm Cab 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33512 EAPG Cabg Vein Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33572 EAPG Open Coronary Endarterectomy 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33523 EAPG Cabg Art-vein Six Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33507 EAPG Repair Art Intramural 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33513 EAPG Cabg Vein Four 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33505 EAPG Repair Artery W/tunnel 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33521 EAPG Cabg Artery-vein Four 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33506 EAPG Repair Artery Translocation 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33504 EAPG Coronary Artery Graft 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33511 EAPG Cabg Vein Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33514 EAPG Cabg Vein Five 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 5 — — $24,031.20 $38,901.13 $34,282.85 2026-04-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 2 2 — — $26,227.60 $41,964.16 $34,095.88 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 5 — — $18,299.28 $45,985.65 $34,041.87 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 5 — — $10,994.73 $54,946.45 $33,702.05 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 5 — — $31,727.34 $40,705.62 $33,302.58 2026-04-01
0424T EAPG Insj/rplc Nstim Apnea Compl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64582 EAPG Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64575 EAPG Opn Impltj Nea Perph Nerve 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61860 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61886 EAPG Implant Neurostim Arrays 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61850 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63685 EAPG Ins/rplc Spi Npg/rcvr Pocket 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61870 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0312T EAPG Laps Impltj Nstim Vagus 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61867 EAPG Implant Neuroelectrode 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63664 EAPG Revise Spine Eltrd Plate 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61863 EAPG Implant Neuroelectrode 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61868 EAPG Implant Neuroelectrde Addl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0817T EAPG Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0816T EAPG Opn Insj/rplcmt Ins Ptn Subq 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
33287 EAPG Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61885 EAPG Insrt/redo Neurostim 1 Array 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64590 EAPG Ins/rpl Prph Sac/gstr Npg/r 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0431T EAPG Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61864 EAPG Implant Neuroelectrde Addl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
33276 EAPG Insj Phrnc Nrv Stim Sys 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64569 EAPG Revise/repl Vagus N Eltrd 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0268T EAPG Implt/rpl Crtd Sns Dev Gen 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0266T EAPG Implt/rpl Crtd Sns Dev Total 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0316T EAPG Replc Vagus Nerve Pls Gen 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0466T EAPG Insj Ch Wal Respir Eltrd/ra 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64580 EAPG Opn Impltj Nea Neuromuscular 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63655 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61889 EAPG Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64553 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0427T EAPG Insj/rplc Nstim Apnea Pls Gn 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64568 EAPG Opn Impltj Crnl Nrv Nea&pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 6 5 — — $25,546.26 $34,508.44 $33,124.29 2026-04-01
6210000381 CDM Aicd Placement 4 3 $97,000.00 $58,200.00 40% off $2,000.00 $54,320.00 $32,980.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 5 — — $30,074.91 $38,585.58 $32,842.47 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 6 5 — — $12,651.72 $50,422.42 $32,570.84 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 5 — — $20,994.22 $55,724.33 $32,538.48 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 5 — — $24,312.21 $34,590.18 $32,372.31 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 6 5 — — $4,602.18 $59,277.61 $31,892.97 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $22,297.83 $36,108.29 $31,816.38 2026-04-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 6 5 — — $1,781.86 $56,399.35 $31,738.56 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 6 5 — — $9,292.14 $53,146.39 $31,736.82 2026-04-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 5 — — $8,578.50 $54,043.66 $31,714.21 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 5 — — $22,062.99 $35,729.91 $31,482.22 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 5 — — $22,008.84 $35,642.66 $31,405.17 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 5 — — $23,671.22 $48,898.37 $31,258.19 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 5 — — $24,172.56 $31,667.84 $30,865.39 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 5 — — $21,449.10 $33,505.55 $30,009.60 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 5 — — $28,150.02 $36,115.98 $29,890.74 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 5 — — $23,515.35 $30,412.39 $29,834.90 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 5 — — $11,931.24 $45,537.47 $29,739.46 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 5 5 — — $25,096.86 $35,430.87 $29,525.72 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 6 5 — — $6,447.27 $51,813.80 $29,265.56 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 5 — — $28,200.18 $36,180.34 $29,106.43 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 5 — — $20,060.58 $33,352.18 $29,044.49 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 6 5 — — $11,031.21 $45,193.99 $28,995.51 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 5 — — $6,939.18 $50,600.59 $28,992.71 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $22,289.97 $35,663.95 $28,976.96 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 5 — — $24,666.18 $31,646.28 $28,933.08 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 2 2 — — $22,184.75 $35,495.60 $28,840.17 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 6 5 — — $8,665.14 $47,905.10 $28,792.58 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 2 2 — — $22,132.64 $35,412.23 $28,772.44 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $18,527.48 $49,224.53 $28,733.88 2026-04-01
33880 EAPG Endovasc Taa Repr Incl Subcl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34704 EAPG Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34718 EAPG Evasc Rpr N/a A-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0234T EAPG Trluml Perip Athrc Renal Art 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34713 EAPG Perq Access & Clsr Fem Art 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34846 EAPG Visc & Infraren Abd 2 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34705 EAPG Evac Rpr A-biiliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34717 EAPG Evasc Rpr A-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34842 EAPG Endovasc Visc Aorta 2 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34712 EAPG Tcat Dlvr Enhncd Fixj Dev 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34848 EAPG Visc & Infraren Abd 4+ Prost 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33886 EAPG Endovasc Prosth Delayed 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34711 EAPG Dlyd Plmt Xtn Prosth Ea Addl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34706 EAPG Evasc Rpr A-biiliac Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34710 EAPG Dlyd Plmt Xtn Prosth 1st Vsl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33881 EAPG Endovasc Taa Repr Without Subcl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34703 EAPG Evasc Rpr A-unilac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33883 EAPG Insert Endovasc Prosth Taa 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34813 EAPG Femoral Endovas Graft Add-on 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34051 EAPG Removal Of Artery Clot 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34701 EAPG Evasc Rpr A-ao Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34845 EAPG Visc & Infraren Abd 1 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34847 EAPG Visc & Infraren Abd 3 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34808 EAPG Endovas Iliac A Device Addon 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33884 EAPG Endovasc Prosth Taa Add-on 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34709 EAPG Plmt Xtn Prosth Evasc Rpr 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34708 EAPG Evasc Rpr Ilio-iliac Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33895 EAPG Evasc St Rpr Thrc/aa X Crsg 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33894 EAPG Evasc St Rpr Thrc/aa Acrs Br 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0339T EAPG Trnscth Renal Symp Denrv Bil 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34820 EAPG Opn Iliac Art Expos 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34702 EAPG Evasc Rpr A-ao Ndgft Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34844 EAPG Endovasc Visc Aorta 4 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
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