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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

ST BERNARDS FIVE RIVERS MEDICAL CENTER

Pocahontas, AR · CCN 040779 · Rates published

16,299 distinct procedures filed
10 distinct payers
382,752 rate rows
2026-07-15 last MRF observed
Data quality

376,423 of 382,752 rate rows are consumer-grade (98.3%)

6,329 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,616
template filing: same amount across many unrelated codes — excluded 1,842
per-diem day rate — not a per-procedure price 1,544
placeholder amount (≤ $0.02) — excluded from medians 255
percent-of-charges filed in the dollar field — excluded from medians 72
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stbernards.info/app/files/public/4589b01b-482d-4b7e-838a-3c633b628526/273970823_five-rivers-medical-center-inc_standardcharges.csv
Found on page https://www.stbernards.info/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 93400c4267e6d525… · 51,734,445 bytes · first seen 2026-05-09

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 5 $4,505,000.00 $4,730,250.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 6 $3,685,266.67 $4,790,846.67 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,316,462.59 $4,643,047.63 $3,482,285.72 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 7 $3,248,445.72 $4,547,824.01 $3,410,868.01 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 8 $2,945,740.00 $4,713,184.00 $3,093,027.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.61 $3,928,176.98 $2,577,866.14 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 8 $2,332,000.00 $3,731,200.00 $2,448,600.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $1,232,992.00 $809,151.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $946,761.92 $621,312.51 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $530,100.00 $1,224,531.00 $594,162.40 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $467,742.00 $1,080,484.02 $590,665.10 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $478,230.00 $1,104,711.30 $585,183.83 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $454,860.00 $1,050,726.60 $559,891.68 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $454,860.00 $1,050,726.60 $513,769.84 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $266,828.38 $426,925.41 $299,753.30 nat. median
$370,165
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $278,250.00 $691,267.50 $299,250.00 nat. median
$302,242
1.0× median
J3403
HCPCS 		Revakinagene Per Implant 8 $257,500.00 $412,000.00 $270,375.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $329,024.00 $215,922.00 nat. median
$209,736
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $173,160.88 $277,057.42 $194,527.83 nat. median
$261,939
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $131,925.66 $211,081.05 $148,204.45 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $131,151.42 $209,842.28 $147,334.67 nat. median
$199,832
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 8 $12,999.99 $174,889.68 $114,771.35 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 8 $85,588.40 $136,941.44 $96,149.46 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 8 $80,019.84 $128,031.75 $89,893.79 nat. median
$122,690
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $74,259.12 $118,814.59 $83,422.23 nat. median
$114,305
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $70,019.68 $112,031.49 $78,659.66 nat. median
$108,240
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $69,939.35 $111,902.96 $78,569.43 nat. median
$96,134
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $68,100.47 $108,960.75 $76,503.63 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 8 $67,191.53 $107,506.45 $75,482.54 nat. median
$100,978
0.7× median
A9543
HCPCS 		Y90 Ibritumomab Rx 8 $56,824.55 $90,919.28 $73,905.52 nat. median
$63,643
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $63,709.02 $101,934.44 $71,570.31 nat. median
$99,646
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 8 $67,452.66 $107,924.26 $70,825.29 nat. median
$70,178
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 8 $61,524.73 $98,439.57 $69,116.49 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $60,448.34 $96,717.35 $67,907.29 nat. median
$92,900
0.7× median
0100T
CPT 		Prosth Retina Receive&gen 1 $2,161.72 $132,440.00 $67,300.86 nat. median
$11,184
outlier · 6.0×
J9029
HCPCS 		Instill Adstiladrin Tx Dose 10 $59,756.87 $158,004.00 $66,509.40 nat. median
$69,291
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $55,670.71 $89,073.13 $62,540.12 nat. median
$81,124
0.8× median
C9150
HCPCS 		Xe129 Xenon- Diagnostic 2 $59,280.00 $61,651.20 $60,465.60 nat. median
$925
outlier · 65.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $53,507.42 $85,611.88 $60,109.90 nat. median
$81,364
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $52,088.72 $83,341.94 $58,516.13 nat. median
$79,040
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 8 $51,924.97 $83,079.95 $58,332.18 nat. median
$80,459
0.7× median
L7180
HCPCS 		Electronic Elbow Sequential 8 $49,026.62 $78,442.59 $56,859.39 nat. median
$46,980
1.2× median
L7181
HCPCS 		Electronic Elbo Simultaneous 8 $48,628.26 $77,805.22 $56,397.38 nat. median
$50,449
1.1× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $16,314.05 $122,237.12 $56,377.77 nat. median
$65,655
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $48,621.65 $77,794.65 $54,621.26 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $47,444.55 $75,911.27 $53,298.90 nat. median
$74,472
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 8 $47,240.02 $75,584.03 $53,069.13 nat. median
$73,475
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $47,083.69 $75,333.90 $52,893.51 nat. median
$71,485
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $44,604.04 $71,366.46 $50,107.90 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 8 $44,338.96 $70,942.33 $49,810.11 nat. median
$67,750
0.7× median

Other procedures at this hospital

Browse this hospital's 16,299 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj Atidarsagene Autotemcel 5 5 — — $4,505,000.00 $4,730,250.00 $4,730,250.00 2026-07-15
J1411 HCPCS Inj Hemgenix Per Tx Dose 6 6 — — $3,685,266.67 $4,790,846.67 $3,869,530.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 9 — — $3,316,462.59 $4,643,047.63 $3,482,285.72 2026-07-15
J3394 HCPCS Inj Lovotibeglogene Autotem 7 7 — — $3,248,445.72 $4,547,824.01 $3,410,868.01 2026-07-15
J3393 HCPCS Inj Betibeglogene Autotemce 8 8 — — $2,945,740.00 $4,713,184.00 $3,093,027.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 8 — — $2,455,110.61 $3,928,176.98 $2,577,866.14 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 8 8 — — $2,332,000.00 $3,731,200.00 $2,448,600.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 11 8 — — $770,620.00 $1,232,992.00 $809,151.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 8 — — $591,726.20 $946,761.92 $621,312.51 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 18 10 — — $530,100.00 $1,224,531.00 $594,162.40 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 10 — — $467,742.00 $1,080,484.02 $590,665.10 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 14 10 — — $478,230.00 $1,104,711.30 $585,183.83 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 10 — — $454,860.00 $1,050,726.60 $559,891.68 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 14 10 — — $454,860.00 $1,050,726.60 $513,769.84 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 8 — — $266,828.38 $426,925.41 $299,753.30 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 10 — — $278,250.00 $691,267.50 $299,250.00 2026-07-15
J3403 HCPCS Revakinagene Per Implant 8 8 — — $257,500.00 $412,000.00 $270,375.00 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 8 — — $205,640.00 $329,024.00 $215,922.00 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 8 — — $173,160.88 $277,057.42 $194,527.83 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 8 — — $131,925.66 $211,081.05 $148,204.45 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 10 8 — — $131,151.42 $209,842.28 $147,334.67 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 10 8 — — $12,999.99 $174,889.68 $114,771.35 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 10 8 — — $85,588.40 $136,941.44 $96,149.46 2026-07-15
7 MS_DRG Lung Transplant 10 8 — — $80,019.84 $128,031.75 $89,893.79 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 10 8 — — $74,259.12 $118,814.59 $83,422.23 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 8 — — $70,019.68 $112,031.49 $78,659.66 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 10 8 — — $69,939.35 $111,902.96 $78,569.43 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $68,100.47 $108,960.75 $76,503.63 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 10 8 — — $67,191.53 $107,506.45 $75,482.54 2026-07-15
A9543 HCPCS Y90 Ibritumomab Rx 12 8 — — $56,824.55 $90,919.28 $73,905.52 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 8 — — $63,709.02 $101,934.44 $71,570.31 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 8 8 — — $67,452.66 $107,924.26 $70,825.29 2026-07-15
215 MS_DRG Other Heart Assist System Implant 10 8 — — $61,524.73 $98,439.57 $69,116.49 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $60,448.34 $96,717.35 $67,907.29 2026-07-15
0100T CPT Prosth Retina Receive&gen 4 1 — — $2,161.72 $132,440.00 $67,300.86 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 19 10 — — $59,756.87 $158,004.00 $66,509.40 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 8 — — $55,670.71 $89,073.13 $62,540.12 2026-07-15
C9150 HCPCS Xe129 Xenon- Diagnostic 2 2 — — $59,280.00 $61,651.20 $60,465.60 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 10 8 — — $53,507.42 $85,611.88 $60,109.90 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 8 — — $52,088.72 $83,341.94 $58,516.13 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $51,924.97 $83,079.95 $58,332.18 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $49,026.62 $78,442.59 $56,859.39 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $48,628.26 $77,805.22 $56,397.38 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 10 $47,001.00 $42,300.90 $16,314.05 $122,237.12 $56,377.77 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 8 — — $48,621.65 $77,794.65 $54,621.26 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $47,444.55 $75,911.27 $53,298.90 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 10 8 — — $47,240.02 $75,584.03 $53,069.13 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 8 — — $47,083.69 $75,333.90 $52,893.51 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $44,604.04 $71,366.46 $50,107.90 2026-07-15
10 MS_DRG Pancreas Transplant 10 8 — — $44,338.96 $70,942.33 $49,810.11 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 8 — — $44,320.42 $70,912.68 $49,789.28 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 8 — — $44,085.00 $70,536.00 $49,524.81 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 8 — — $44,059.05 $70,494.48 $49,495.65 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 8 — — $42,708.31 $68,333.30 $47,978.25 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 8 — — $42,498.84 $67,998.14 $47,742.93 2026-07-15
J9226 HCPCS Supprelin La Implant 18 10 — — $14,834.06 $72,033.04 $46,969.79 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 8 — — $41,591.76 $66,546.81 $46,723.91 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 8 — — $41,316.17 $66,105.87 $46,414.32 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 8 — — $41,285.89 $66,057.43 $46,380.31 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $40,629.06 $65,006.50 $45,642.43 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $40,629.06 $65,006.50 $45,642.43 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $40,481.38 $64,770.21 $45,476.52 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 10 8 — — $38,750.60 $62,000.96 $44,941.60 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 8 — — $39,760.29 $63,616.46 $44,666.46 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 10 8 — — $41,466.16 $66,345.86 $43,734.24 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 10 8 — — $37,867.65 $60,588.24 $42,540.27 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 8 — — $37,823.78 $60,518.04 $42,490.99 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 8 — — $37,461.07 $59,937.71 $42,083.53 2026-07-15
33276 CPT Insj Phrnc Nrv Stim Sys 18 8 — — $417.32 $66,345.86 $41,880.82 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 10 8 — — $37,125.54 $59,400.87 $41,706.60 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 8 — — $37,115.04 $59,384.06 $41,694.80 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $36,846.25 $58,954.00 $41,392.84 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 10 8 — — $36,725.14 $58,760.23 $41,256.79 2026-07-15
16 MS_DRG Autolous Bone Marrow Transplant With Cc/mcc 10 8 — — $36,639.87 $58,623.79 $41,161.00 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 8 — — $36,262.33 $58,019.73 $40,736.88 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 8 — — $36,238.85 $57,982.16 $40,710.49 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 8 — — $35,635.16 $57,016.25 $40,032.31 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $35,407.77 $56,652.43 $39,776.87 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $35,263.18 $56,421.09 $39,614.43 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 8 — — $35,217.46 $56,347.93 $39,563.07 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $34,738.58 $55,581.73 $39,025.10 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 10 8 — — $34,631.06 $55,409.70 $38,904.32 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 8 — — $34,393.79 $55,030.06 $38,637.76 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 10 8 — — $34,126.85 $54,602.97 $38,337.89 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 10 8 — — $33,922.33 $54,275.73 $38,108.12 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 10 8 — — $33,802.46 $54,083.93 $37,973.46 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 10 8 — — $33,754.26 $54,006.81 $37,919.32 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 10 8 — — $33,701.12 $53,921.79 $37,859.62 2026-07-15
17 MS_DRG Autolous Bone Marrow Transplant Without Cc/mcc 10 8 — — $33,566.42 $53,706.26 $37,708.30 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $32,951.60 $52,722.56 $37,017.62 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 8 — — $32,931.83 $52,690.92 $36,995.40 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 8 — — $32,710.62 $52,336.99 $36,746.90 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $32,602.48 $52,163.98 $36,625.43 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 8 — — $32,164.39 $51,463.03 $36,133.27 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 10 8 — — $32,108.78 $51,374.05 $36,070.80 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 8 8 — — $34,284.44 $54,855.10 $35,998.66 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 10 8 — — $32,251.56 $51,602.50 $35,235.88 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $31,143.61 $49,829.78 $34,986.54 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 10 8 — — $30,817.36 $49,307.77 $34,620.03 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 8 — — $30,570.20 $48,912.32 $34,342.36 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 8 — — $30,515.82 $48,825.32 $34,281.28 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 8 — — $30,411.40 $48,658.23 $34,163.97 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $30,284.73 $48,455.56 $34,021.67 2026-07-15
L5856 HCPCS Elec Knee-shin Swing/stance 10 8 — — $29,134.51 $46,615.22 $33,789.21 2026-07-15
L6880 HCPCS Elec Hand Ind Art Digits 10 8 — — $28,996.90 $46,395.04 $33,629.62 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 10 8 — — $29,836.75 $47,738.79 $33,518.41 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 8 — — $29,685.98 $47,497.56 $33,349.04 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 10 8 — — $29,417.19 $47,067.50 $33,047.08 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 8 — — $29,050.15 $46,480.24 $32,634.75 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 8 — — $28,990.83 $46,385.33 $32,568.12 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 8 — — $28,904.33 $46,246.92 $32,470.94 2026-07-15
0408T CPT Insj/rplc Cardiac Modulj Sys 10 8 — — $29,543.46 $47,269.54 $32,277.19 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 10 8 — — $29,543.46 $47,269.54 $32,277.19 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 10 8 — — $28,652.22 $45,843.56 $32,187.73 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 8 — — $28,537.91 $45,660.66 $32,059.31 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 8 — — $28,401.97 $45,443.15 $31,906.60 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 8 — — $28,329.68 $45,327.48 $31,825.38 2026-07-15
245 MS_DRG Aicd Generator Procedures 10 8 — — $28,191.27 $45,106.03 $31,669.89 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 8 — — $28,106.61 $44,970.58 $31,574.79 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 8 — — $28,094.26 $44,950.81 $31,560.91 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 10 8 — — $27,984.27 $44,774.83 $31,437.35 2026-07-15
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 10 8 — — $29,543.46 $47,269.54 $31,159.40 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 10 8 — — $27,693.24 $44,309.18 $31,110.41 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 8 — — $27,685.20 $44,296.32 $31,101.38 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 8 — — $27,576.45 $44,122.32 $30,979.21 2026-07-15
0268T CPT Implt/rpl Crtd Sns Dev Gen 10 8 — — $28,080.19 $44,928.30 $30,678.52 2026-07-15
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 10 8 — — $28,080.19 $44,928.30 $30,678.52 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 8 — — $27,143.30 $43,429.28 $30,492.61 2026-07-15
L6700 HCPCS Ue Add Ext Power Myoel 8 8 — — $28,931.56 $46,290.50 $30,378.14 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 8 — — $26,739.19 $42,782.71 $30,038.64 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 8 — — $26,526.01 $42,441.62 $29,799.15 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 10 8 — — $26,355.47 $42,168.76 $29,607.57 2026-07-15
L8614 HCPCS Cochlear Device 2 1 — — $29,492.27 $29,492.27 $29,492.27 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 8 — — $26,204.09 $41,926.54 $29,437.51 2026-07-15
J9266 HCPCS Pegaspargase Injection 18 10 — — $26,815.15 $62,532.92 $29,418.90 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 8 — — $26,095.33 $41,752.54 $29,315.33 2026-07-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 10 8 — — $26,050.85 $41,681.35 $29,265.35 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 8 — — $26,037.87 $41,660.59 $29,250.78 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 8 — — $25,961.87 $41,538.99 $29,165.40 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 10 8 — — $25,930.97 $41,489.56 $29,130.69 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 8 — — $25,882.78 $41,412.44 $29,076.54 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $25,782.68 $41,252.28 $28,964.10 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 10 8 — — $25,764.14 $41,222.62 $28,943.26 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 8 — — $25,661.57 $41,058.51 $28,828.04 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 10 8 — — $25,491.64 $40,786.63 $28,637.15 2026-07-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 18 8 — — $279.99 $44,928.30 $28,360.99 2026-07-15
791 MS_DRG Prematurity With Major Problems 10 8 — — $25,080.74 $40,129.18 $28,175.54 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 8 — — $24,842.84 $39,748.55 $27,908.29 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 8 — — $24,617.93 $39,388.68 $27,655.62 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $24,171.80 $38,674.88 $27,154.44 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 8 — — $24,062.43 $38,499.89 $27,031.58 2026-07-15
L6975 HCPCS Interscap-thor Myoelectronic 10 8 — — $23,177.19 $37,083.50 $26,880.10 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 8 — — $23,917.22 $38,267.56 $26,868.46 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 8 — — $23,851.11 $38,161.77 $26,812.30 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 10 8 — — $23,858.52 $38,173.63 $26,802.51 2026-07-15
L6970 HCPCS Interscapular-thor Switch CT 10 8 — — $23,053.46 $36,885.54 $26,736.61 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 8 — — $23,723.20 $37,957.12 $26,650.49 2026-07-15
C9760 HCPCS Non-blind Interatrial Shunt 8 8 — — $25,340.61 $40,544.98 $26,607.65 2026-07-15
L6965 HCPCS Shldr Disartic Myoelectronic 10 8 — — $22,680.77 $36,289.23 $26,304.37 2026-07-15
L5858 HCPCS Stance Phase Only 10 8 — — $22,555.79 $36,089.26 $26,159.43 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 10 8 — — $23,251.74 $37,202.78 $26,120.86 2026-07-15
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 10 8 — — $23,150.40 $37,040.64 $26,007.01 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 8 — — $23,095.41 $36,952.65 $25,945.24 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 8 — — $23,092.94 $36,948.70 $25,942.46 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 10 8 — — $23,028.06 $36,844.89 $25,869.57 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 8 — — $22,898.30 $36,637.28 $25,723.80 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 8 — — $22,696.24 $36,313.99 $25,496.82 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 10 8 — — $22,686.97 $36,299.16 $25,486.40 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 8 — — $22,420.66 $35,873.05 $25,187.22 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 8 — — $22,403.36 $35,845.37 $25,167.78 2026-07-15
332 MS_DRG Rectal Resection With Mcc 10 8 — — $22,372.46 $35,795.94 $25,133.08 2026-07-15
265 MS_DRG Aicd Lead Procedures 10 8 — — $22,357.01 $35,771.22 $25,115.72 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 8 — — $22,317.47 $35,707.95 $25,071.30 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 8 — — $22,284.10 $35,654.56 $25,033.82 2026-07-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 10 8 — — $22,138.28 $35,421.24 $24,870.00 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 8 — — $22,086.99 $35,339.18 $24,812.39 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 8 — — $22,064.74 $35,303.59 $24,787.40 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 8 — — $22,032.00 $35,251.19 $24,750.60 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 8 — — $22,013.46 $35,221.53 $24,729.78 2026-07-15
J9600 HCPCS Porfimer Sodium Injection 13 10 — — $2,444.76 $38,765.47 $24,712.99 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 10 8 — — $21,992.45 $35,187.92 $24,706.17 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 8 — — $21,974.53 $35,159.25 $24,686.05 2026-07-15
E0194 HCPCS Air Fluidized Bed 4 1 — — $5,772.47 $43,293.51 $24,532.99 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 8 — — $21,791.01 $34,865.62 $24,479.89 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 8 — — $21,746.52 $34,794.44 $24,429.90 2026-07-15
L5973 HCPCS Ank-foot Sys Dors-plant Flex 10 8 — — $20,880.34 $33,408.54 $24,216.31 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 10 8 — — $21,554.36 $34,486.97 $24,214.03 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 10 8 — — $21,548.79 $34,478.07 $24,207.78 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 8 — — $21,449.93 $34,319.89 $24,096.72 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 8 — — $21,346.12 $34,153.80 $23,980.10 2026-07-15
Q0483 HCPCS Monitor Elec Vad Rep 10 8 — — $2,888.84 $36,408.21 $23,892.89 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 8 — — $21,247.26 $33,995.61 $23,869.03 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 8 — — $21,184.23 $33,894.77 $23,798.23 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 8 — — $21,080.42 $33,728.68 $23,681.61 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 8 — — $21,052.62 $33,684.19 $23,650.38 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 10 8 — — $20,641.71 $33,026.74 $23,188.77 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 8 — — $20,411.23 $32,657.97 $22,929.85 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 10 8 — — $20,342.03 $32,547.24 $22,852.11 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 10 8 — — $20,339.56 $32,543.29 $22,849.32 2026-07-15
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 10 8 — — $20,733.31 $33,173.30 $22,651.81 2026-07-15
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 10 8 — — $20,733.31 $33,173.30 $22,651.81 2026-07-15
0515T CPT Insj Wcs Lv Compl Sys 10 8 — — $20,683.27 $33,093.23 $22,597.14 2026-07-15
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 10 8 — — $20,683.27 $33,093.23 $22,597.14 2026-07-15
0409T CPT Insj/rplc Car Modulj Pls Gn 10 8 — — $20,683.27 $33,093.23 $22,597.14 2026-07-15
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 10 8 — — $20,683.27 $33,093.23 $22,597.14 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 8 — — $20,099.19 $32,158.71 $22,579.31 2026-07-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 10 8 — — $20,010.83 $32,017.33 $22,480.04 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 8 — — $19,988.59 $31,981.74 $22,455.06 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 8 — — $19,960.78 $31,937.25 $22,423.82 2026-07-15
652 MS_DRG Kidney Transplant 10 8 — — $19,955.22 $31,928.35 $22,417.57 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 8 — — $19,940.39 $31,904.62 $22,400.90 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 8 — — $19,901.46 $31,842.34 $22,357.17 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 8 — — $19,837.20 $31,739.52 $22,284.99 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 8 — — $19,728.45 $31,565.52 $22,162.81 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 8 — — $19,691.99 $31,507.19 $22,121.86 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 8 — — $19,672.84 $31,476.54 $22,100.34 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 8 — — $19,633.29 $31,413.27 $22,055.92 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 10 8 — — $19,555.44 $31,288.70 $21,968.46 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 8 — — $19,525.78 $31,241.24 $21,935.13 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 8 — — $19,470.16 $31,152.26 $21,872.66 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 8 — — $19,460.90 $31,137.43 $21,862.24 2026-07-15
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 10 8 — — $20,683.27 $33,093.23 $21,814.58 2026-07-15
0916T CPT Insj Perm Ccm-d Sys Pg Only 10 8 — — $20,683.27 $33,093.23 $21,814.58 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 8 — — $19,415.17 $31,064.27 $21,810.88 2026-07-15
665 MS_DRG Prostatectomy With Mcc 10 8 — — $19,286.03 $30,857.65 $21,665.80 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 8 — — $19,245.87 $30,793.38 $21,620.68 2026-07-15
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 10 8 — — $19,760.14 $31,616.23 $21,588.60 2026-07-15
0680T CPT Insj/rplcmt Pg Only Isdss 10 8 — — $19,760.14 $31,616.23 $21,588.60 2026-07-15
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 10 8 — — $19,760.14 $31,616.23 $21,588.60 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 8 — — $19,211.88 $30,739.01 $21,582.50 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 10 8 — — $18,917.14 $30,267.42 $21,251.40 2026-07-15
263 MS_DRG Vein Ligation And Stripping 10 8 — — $18,891.81 $30,226.89 $21,222.94 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 8 — — $18,742.27 $29,987.64 $21,054.95 2026-07-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 10 8 — — $18,663.80 $29,862.08 $20,966.79 2026-07-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 10 8 — — $18,661.33 $29,858.12 $20,964.01 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 8 — — $18,640.94 $29,825.50 $20,941.11 2026-07-15
Q0489 HCPCS Pwr Pck Base Combo Vad Rep 10 8 — — $2,504.47 $31,563.97 $20,713.85 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 8 — — $18,391.30 $29,426.09 $20,660.67 2026-07-15
Q0481 HCPCS Microprcsr Cu Elec Vad Rep 10 8 — — $17,635.28 $28,216.45 $20,452.79 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 10 8 — — $18,204.08 $29,126.53 $20,450.35 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 8 — — $18,191.72 $29,106.75 $20,436.47 2026-07-15
L5859 HCPCS Knee-shin Pro Flex/ext Cont 10 8 — — $17,609.11 $28,174.58 $20,422.44 2026-07-15
570 MS_DRG Skin Debridement With Mcc 10 8 — — $18,173.18 $29,077.09 $20,415.64 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 10 8 — — $18,042.81 $28,868.49 $20,269.18 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 8 — — $17,995.23 $28,792.36 $20,215.72 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 8 — — $17,931.58 $28,690.53 $20,144.22 2026-07-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 10 8 — — $17,920.46 $28,672.74 $20,131.73 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 8 — — $17,841.37 $28,546.19 $20,042.88 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 10 8 — — $17,832.72 $28,532.35 $20,033.16 2026-07-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 10 8 — — $17,806.77 $28,490.83 $20,004.00 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 8 — — $17,735.09 $28,376.14 $19,923.49 2026-07-15
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $19,876.27 $19,876.27 $19,876.27 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 8 — — $17,613.36 $28,181.38 $19,786.74 2026-07-15
800 MS_DRG Splenic Procedures With Cc 10 8 — — $17,359.40 $27,775.05 $19,501.44 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 10 8 — — $17,297.00 $27,675.19 $19,431.33 2026-07-15
503 MS_DRG Foot Procedures With Mcc 10 8 — — $17,246.33 $27,594.12 $19,374.41 2026-07-15
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $19,295.02 $19,295.02 $19,295.02 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 10 8 — — $17,127.69 $27,404.30 $19,241.14 2026-07-15
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 10 8 — — $17,573.31 $28,117.30 $19,199.42 2026-07-15
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 10 8 — — $17,573.31 $28,117.30 $19,199.42 2026-07-15
0525T CPT Insj/rplcmt Compl Iims 10 8 — — $17,573.31 $28,117.30 $19,199.42 2026-07-15
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 10 8 — — $17,573.31 $28,117.30 $19,199.42 2026-07-15
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 10 8 — — $17,573.31 $28,117.30 $19,199.42 2026-07-15
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 10 8 — — $17,573.31 $28,117.30 $19,199.42 2026-07-15
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 10 8 — — $17,573.31 $28,117.30 $19,199.42 2026-07-15
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 8 — — $17,036.24 $27,257.98 $19,138.40 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 8 — — $16,984.34 $27,174.94 $19,080.10 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 10 8 — — $16,980.01 $27,168.02 $19,075.24 2026-07-15
C2616 HCPCS Brachytx Non-str Yttrium-90 10 8 — — $17,485.10 $27,976.16 $19,056.46 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 8 — — $16,892.27 $27,027.63 $18,976.67 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 8 — — $16,811.94 $26,899.10 $18,886.43 2026-07-15
849 MS_DRG Radiotherapy 10 8 — — $16,742.12 $26,787.39 $18,807.99 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 8 — — $16,721.73 $26,754.76 $18,785.08 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 8 — — $16,667.35 $26,667.76 $18,724.00 2026-07-15
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 10 8 — — $17,573.31 $28,117.30 $18,721.02 2026-07-15
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 10 8 — — $17,573.31 $28,117.30 $18,721.02 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 10 8 — — $16,436.25 $26,298.01 $18,464.39 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 8 — — $16,378.79 $26,206.06 $18,399.83 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 8 — — $16,296.61 $26,074.57 $18,307.50 2026-07-15
L6955 HCPCS Above Elbow Myoelectronic CT 10 8 — — $15,745.30 $25,192.48 $18,260.86 2026-07-15
0238T CPT Trluml Perip Athrc Iliac Art 10 8 — — $16,546.40 $26,474.24 $18,077.47 2026-07-15
0645T CPT Tcat Impltj C Sins Rdctj Dev 10 8 — — $16,546.40 $26,474.24 $18,077.47 2026-07-15
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 10 8 — — $16,546.40 $26,474.24 $18,077.47 2026-07-15
0981T CPT Tcat Impl Wrls Ivc Snr 10 8 — — $16,546.40 $26,474.24 $18,077.47 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 10 8 — — $16,038.32 $25,661.32 $18,017.35 2026-07-15
L6960 HCPCS Shldr Disartic Switch Contro 10 8 — — $15,525.65 $24,841.04 $18,006.11 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 8 — — $16,019.17 $25,630.67 $17,995.83 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 8 — — $15,959.23 $25,534.77 $17,928.50 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 10 8 — — $15,936.99 $25,499.18 $17,903.51 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 8 — — $15,936.99 $25,499.18 $17,903.51 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 10 8 — — $15,865.31 $25,384.50 $17,822.99 2026-07-15
C8003 HCPCS Imp Extar Knee Shck Absrb 8 8 — — $16,945.69 $27,113.11 $17,792.98 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 8 — — $15,775.10 $25,240.16 $17,721.64 2026-07-15
0632T CPT Perq Tcat US Abltj Nrv P-art 10 8 — — $16,546.40 $26,474.24 $17,701.85 2026-07-15
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $17,638.40 $17,638.40 $17,638.40 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 8 — — $15,700.33 $25,120.53 $17,637.65 2026-07-15
0888T CPT Histotripsy Mal Renal Tissue 10 8 — — $16,126.01 $25,801.62 $17,618.19 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 10 8 — — $15,670.67 $25,073.07 $17,604.33 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 10 8 — — $15,595.90 $24,953.45 $17,520.34 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 10 8 — — $15,589.11 $24,942.57 $17,512.70 2026-07-15
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