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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

HI-DESERT MEDICAL CENTER

Joshua Tree, CA · CCN 050279 · Rates published

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This hospital’s price: $202 across 4 payers · range $141-$246

Source: https://mrfs.hyvehealthcare.com/TenetHealth/473550779_HiDesertMedicalCenter_standardcharges.json · observed 2025-01-31

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.

24,348 distinct procedures filed
49 distinct payers
1,360,797 rate rows
2026-09-02 last MRF observed
Data quality

541,489 of 1,360,797 rate rows are consumer-grade (39.8%)

819,308 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 786,785
template filing: same amount across many unrelated codes — excluded 13,510
per-diem day rate — not a per-procedure price 8,826
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,804
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,284
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 819
exceeds 10× this hospital's gross charge — excluded from medians 238
placeholder amount (≤ $0.02) — excluded from medians 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/473550779_hi-desert-medical-center_standardcharges.json
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-10-05
Content fingerprint 24cbf4cb19041f8a… · 22,209,493 bytes · first seen 2026-09-05

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 27 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,703,693
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 1 $2,705,294.50 $2,705,294.50 $2,705,294.50 nat. median
$2,466,282
1.1× median
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 7 $7,959.00 $2,141,693.85 $523,237.47 nat. median
$16,731
outlier · 31.3×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 27 $492,900.00 $492,900.00 $492,900.00 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 27 $460,226.56 $460,226.56 $460,226.56 nat. median
$622,245
0.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 27 $454,489.31 $454,489.31 $454,489.31 nat. median
$640,950
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 27 $449,440.00 $449,440.00 $449,440.00 nat. median
$591,650
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$608,101
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $9.60 $1,204,811.41 $245,449.76 nat. median
$103,967
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $30.00 $729,842.26 $192,931.98 nat. median
$249,124
0.8× median
7
MS_DRG 		Lung Transplant 8 $18.50 $742,188.66 $174,439.07 nat. median
$117,894
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $26.00 $736,533.28 $166,411.33 nat. median
$126,722
1.3× median
6
MS_DRG 		Liver Transplant Without Mcc 8 $7.80 $460,632.61 $136,417.15 nat. median
$44,134
outlier · 3.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 $11.50 $1,326,667.28 $136,184.33 nat. median
$50,083
outlier · 2.7×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 7 $7,959.00 $331,834.85 $124,107.38 nat. median
$15,769
outlier · 7.9×
303
MS_DRG 		Atherosclerosis Without Mcc 7 $7,578.68 $366,775.34 $116,527.87 nat. median
$7,390
outlier · 15.8×
02HA0QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Open Approach 1 $76,666.00 $153,334.00 $115,000.00 nat. median
$22,378
outlier · 5.1×
02HA4QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Endoscopic… 1 $76,666.00 $153,334.00 $115,000.00 nat. median
$22,378
outlier · 5.1×
02HA3QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach 1 $76,666.00 $153,334.00 $115,000.00 nat. median
$22,378
outlier · 5.1×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 7 $7,959.00 $272,666.02 $105,228.12 nat. median
$35,721
outlier · 2.9×
163
MS_DRG 		Major Chest Procedures With Mcc 8 $7.50 $351,715.33 $100,726.91 nat. median
$42,735
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $14.80 $523,928.76 $96,202.69 nat. median
$94,964
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $29,167.00 $273,742.58 $93,043.00 nat. median
$90,581
1.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 8 $8.70 $322,503.74 $92,010.64 nat. median
$50,788
1.8× median
593
MS_DRG 		Skin Ulcers With Cc 7 $4.30 $822,140.40 $91,955.90 nat. median
$11,952
outlier · 7.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $29,167.00 $221,513.68 $88,802.18 nat. median
$72,473
1.2× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 7 $7,959.00 $250,916.17 $84,638.42 nat. median
$10,846
outlier · 7.8×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 7 $3.30 $328,054.10 $82,626.43 nat. median
$10,207
outlier · 8.1×
440
MS_DRG 		Disorders Of Pancreas Except Malignancy Without Cc/mcc 7 $2.40 $380,895.41 $82,624.01 nat. median
$6,865
outlier · 12.0×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 7 $2.20 $315,325.55 $81,707.21 nat. median
$18,660
outlier · 4.4×
602
MS_DRG 		Cellulitis With Mcc 7 $4.80 $600,480.07 $78,770.88 nat. median
$14,036
outlier · 5.6×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 7 $7,959.00 $267,625.01 $76,329.41 nat. median
$17,859
outlier · 4.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $29,167.00 $181,917.32 $73,302.80 nat. median
$62,038
1.2× median
183
MS_DRG 		Major Chest Trauma With Mcc 7 $4.50 $291,102.46 $72,102.64 nat. median
$15,036
outlier · 4.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $29,167.00 $222,031.05 $71,067.52 nat. median
$77,043
0.9× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $6.00 $245,890.92 $69,783.30 nat. median
$51,590
1.4× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $29,167.00 $160,078.39 $65,603.20 nat. median
$59,558
1.1× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 $65,476.58 $65,476.58 $65,476.58 nat. median
$63,643
1.0× median
C9760
HCPCS 		Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure;… 29 $1.06 $71,084.00 $65,389.00 nat. median
$27,848
outlier · 2.3×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $9,652.00 $226,110.21 $63,643.92 nat. median
$50,679
1.3× median
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/mcc 7 $2.50 $272,398.22 $63,294.08 nat. median
$8,200
outlier · 7.7×
607
MS_DRG 		Minor Skin Disorders Without Mcc 7 $3.00 $446,974.18 $62,057.15 nat. median
$9,197
outlier · 6.7×
211U
OTHER 		Onc Pan-tum Dna&rna Gnrj Seq 1 $49,884.50 $72,205.70 $61,045.10 nat. median
$9,300
outlier · 6.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $10.00 $271,400.03 $60,871.52 nat. median
$74,460
0.8× median
0614T
CPT 		Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 2 $946.73 $71,084.00 $59,694.00 nat. median
$23,432
outlier · 2.5×
0571T
CPT 		Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 2 $946.73 $71,084.00 $59,694.00 nat. median
$32,221
1.9× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 4 $26,615.00 $167,497.99 $59,559.06 nat. median
$39,085
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $29,167.00 $93,043.00 $58,439.86 nat. median
$63,896
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $25,343.05 $133,484.69 $58,368.83 nat. median
$78,262
0.7× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 7 $4.80 $215,245.79 $54,792.28 nat. median
$17,437
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 24,348 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
             
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 63 27 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2025-01-31
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 3 1 — — $2,705,294.50 $2,705,294.50 $2,705,294.50 2025-01-31
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 21 7 — — $7,959.00 $2,141,693.85 $523,237.47 2026-09-02
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 63 27 — — $492,900.00 $492,900.00 $492,900.00 2025-01-31
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 63 27 — — $460,226.56 $460,226.56 $460,226.56 2025-01-31
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 63 27 — — $454,489.31 $454,489.31 $454,489.31 2025-01-31
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 1 — — $449,440.00 $449,440.00 $449,440.00 2025-01-31
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 63 27 — — $449,440.00 $449,440.00 $449,440.00 2025-01-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 8 — — $9.60 $1,204,811.41 $245,449.76 2026-09-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 8 — — $30.00 $729,842.26 $192,931.98 2026-09-02
7 MS_DRG Lung Transplant 25 8 — — $18.50 $742,188.66 $174,439.07 2026-09-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 8 — — $26.00 $736,533.28 $166,411.33 2026-09-02
6 MS_DRG Liver Transplant Without Mcc 25 8 — — $7.80 $460,632.61 $136,417.15 2026-09-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 8 — — $11.50 $1,326,667.28 $136,184.33 2026-09-02
299 MS_DRG Peripheral Vascular Disorders With Mcc 21 7 — — $7,959.00 $331,834.85 $124,107.38 2026-09-02
303 MS_DRG Atherosclerosis Without Mcc 21 7 — — $7,578.68 $366,775.34 $116,527.87 2026-09-02
02HA4QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Endoscopic… 2 1 — — $76,666.00 $153,334.00 $115,000.00 2025-01-31
02HA3QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach 2 1 — — $76,666.00 $153,334.00 $115,000.00 2025-01-31
02HA0QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Open Approach 2 1 — — $76,666.00 $153,334.00 $115,000.00 2025-01-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 7 — — $7,959.00 $272,666.02 $105,228.12 2026-09-02
163 MS_DRG Major Chest Procedures With Mcc 25 8 — — $7.50 $351,715.33 $100,726.91 2026-09-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 8 — — $14.80 $523,928.76 $96,202.69 2026-09-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 4 — — $29,167.00 $273,742.58 $93,043.00 2026-09-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 8 — — $8.70 $322,503.74 $92,010.64 2026-09-02
593 MS_DRG Skin Ulcers With Cc 24 7 — — $4.30 $822,140.40 $91,955.90 2026-09-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 4 — — $29,167.00 $221,513.68 $88,802.18 2026-09-02
300 MS_DRG Peripheral Vascular Disorders With Cc 21 7 — — $7,959.00 $250,916.17 $84,638.42 2026-09-02
178 MS_DRG Respiratory Infections And Inflammations With Cc 24 7 — — $3.30 $328,054.10 $82,626.43 2026-09-02
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 24 7 — — $2.40 $380,895.41 $82,624.01 2026-09-02
165 MS_DRG Major Chest Procedures Without Cc/mcc 24 7 — — $2.20 $315,325.55 $81,707.21 2026-09-02
602 MS_DRG Cellulitis With Mcc 24 7 — — $4.80 $600,480.07 $78,770.88 2026-09-02
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 21 7 — — $7,959.00 $267,625.01 $76,329.41 2026-09-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 4 — — $29,167.00 $181,917.32 $73,302.80 2026-09-02
183 MS_DRG Major Chest Trauma With Mcc 24 7 — — $4.50 $291,102.46 $72,102.64 2026-09-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 6 — — $29,167.00 $222,031.05 $71,067.52 2026-09-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 8 — — $6.00 $245,890.92 $69,783.30 2026-09-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 4 — — $29,167.00 $160,078.39 $65,603.20 2026-09-02
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $65,476.58 $65,476.58 $65,476.58 2025-01-31
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 66 29 — — $1.06 $71,084.00 $65,389.00 2026-09-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 7 — — $9,652.00 $226,110.21 $63,643.92 2026-09-02
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 24 7 — — $2.50 $272,398.22 $63,294.08 2026-09-02
607 MS_DRG Minor Skin Disorders Without Mcc 24 7 — — $3.00 $446,974.18 $62,057.15 2026-09-02
211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 2 1 — — $49,884.50 $72,205.70 $61,045.10 2026-09-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 8 — — $10.00 $271,400.03 $60,871.52 2026-09-02
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 5 2 — — $946.73 $71,084.00 $59,694.00 2025-01-31
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 5 2 — — $946.73 $71,084.00 $59,694.00 2025-01-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 4 — — $26,615.00 $167,497.99 $59,559.06 2026-09-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $29,167.00 $93,043.00 $58,439.86 2026-09-02
850 MS_DRG Acute Leukemia With Other Procedures 12 2 — — $25,343.05 $133,484.69 $58,368.83 2026-09-02
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 24 7 — — $4.80 $215,245.79 $54,792.28 2026-09-02
77385 CPT Intensity Modulated Radiation Therapy Delivery, Simple 62 28 — — $36,271.00 $78,694.00 $54,407.50 2026-09-02
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 1 — — $53,062.44 $53,062.44 $53,062.44 2025-01-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 5 — — $10,725.00 $164,090.91 $52,831.00 2026-09-02
304 MS_DRG Hypertension With Mcc 24 7 — — $3.00 $269,594.16 $52,190.62 2026-09-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $29,167.00 $81,024.27 $50,906.50 2026-09-02
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 22 7 — — $7,959.00 $148,384.17 $50,620.90 2026-09-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 8 — — $7.50 $237,247.69 $50,464.99 2026-09-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 6 — — $27,526.29 $211,240.93 $50,455.40 2026-09-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 7 — — $10,725.00 $160,891.82 $50,173.19 2026-09-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 4 — — $26,615.00 $172,502.24 $49,865.47 2026-09-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 24 7 — — $1.60 $193,165.13 $48,328.62 2026-09-02
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 24 7 — — $4.00 $178,603.96 $48,174.10 2026-09-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 6 — — $9,652.00 $154,772.43 $48,083.11 2026-09-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 7 — — $4.90 $177,438.23 $47,977.40 2026-09-02
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 24 7 — — $2.10 $690,344.44 $47,626.12 2026-09-02
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 24 7 — — $4.00 $857,018.62 $47,007.26 2026-09-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 7 — — $7,959.00 $198,484.44 $46,971.78 2026-09-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 7 — — $6.00 $173,610.22 $46,875.97 2026-09-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $30,771.00 $61,544.00 $46,157.50 2026-09-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $30,771.00 $61,544.00 $46,157.50 2026-09-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $30,771.00 $61,544.00 $46,157.50 2026-09-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 3 — — $13,300.08 $180,573.11 $46,157.50 2026-09-02
30 MS_DRG Spinal Procedures Without Cc/mcc 24 7 — — $2.70 $185,587.86 $46,006.83 2026-09-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 2 — — $26,615.00 $53,229.00 $45,957.00 2026-09-02
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $26,615.00 $53,229.00 $45,957.00 2026-09-02
792 MS_DRG Prematurity Without Major Problems 22 8 — — $8.60 $191,931.13 $45,919.98 2026-09-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 7 — — $4.60 $151,230.24 $44,945.46 2026-09-02
91 MS_DRG Other Disorders Of Nervous System With Mcc 24 7 — — $4.50 $266,716.58 $44,109.85 2026-09-02
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 64 28 — — $42,087.42 $43,842.37 $43,842.37 2026-09-02
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 21 7 — — $7,959.00 $189,893.72 $43,477.34 2026-09-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 6 — — $9,652.00 $181,943.63 $42,941.93 2026-09-02
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 20 6 — — $7,959.00 $220,553.66 $42,720.99 2026-09-02
181 MS_DRG Respiratory Neoplasms With Cc 24 7 — — $3.20 $192,997.09 $41,859.49 2026-09-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 7 — — $2.50 $177,306.95 $41,808.15 2026-09-02
316T OTHER Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of… 1 1 — — $41,717.88 $41,717.88 $41,717.88 2026-09-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 3 — — $15,492.00 $134,353.37 $41,537.01 2026-09-02
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 21 7 — — $7,959.00 $188,964.29 $40,729.42 2026-09-02
176 MS_DRG Pulmonary Embolism Without Mcc 24 7 — — $2.50 $168,075.61 $39,408.76 2026-09-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 7 — — $3.10 $162,414.98 $38,898.46 2026-09-02
G0339 HCPCS Image-guided Robotic Linear Accelerator-based Stereotactic Radiosurgery, Complet… 66 29 — — $5,007.03 $78,694.00 $38,879.90 2026-09-02
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 26 8 — — $2.90 $206,045.95 $38,793.58 2026-09-02
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 20 6 — — $7,959.00 $180,862.45 $38,693.40 2026-09-02
950 MS_DRG Aftercare Without Cc/mcc 24 7 — — $2.90 $221,636.32 $38,549.51 2026-09-02
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 24 7 — — $2.20 $155,698.88 $38,506.04 2026-09-02
710 MS_DRG Penis Procedures Without Cc/mcc 21 7 — — $7,959.00 $182,783.80 $38,430.03 2026-09-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 8 — — $9.00 $161,211.44 $38,418.93 2026-09-02
89 MS_DRG Concussion With Cc 24 7 — — $2.50 $227,044.90 $38,347.24 2026-09-02
180 MS_DRG Respiratory Neoplasms With Mcc 24 7 — — $4.90 $155,488.84 $38,248.60 2026-09-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 9 — — $5.70 $232,616.26 $38,177.84 2026-09-02
G0340 HCPCS Image-guided Robotic Linear Accelerator-based Stereotactic Radiosurgery, Deliver… 66 29 — — $3,572.19 $78,694.00 $38,132.57 2026-09-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 6 — — $5.40 $190,823.16 $38,046.92 2026-09-02
711 MS_DRG Testes Procedures With Cc/mcc 21 7 — — $7,959.00 $176,713.59 $37,941.00 2026-09-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $29,107.00 $270,296.30 $37,941.00 2026-09-02
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 7 — — $2.60 $165,717.89 $37,941.00 2026-09-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 7 — — $2.30 $145,196.78 $37,941.00 2026-09-02
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 27 9 — — $7,959.00 $212,893.32 $37,941.00 2026-09-02
444 MS_DRG Disorders Of The Biliary Tract With Mcc 21 7 — — $7,959.00 $153,561.71 $37,941.00 2026-09-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc 7 4 — — $10,725.00 $71,516.66 $37,941.00 2026-09-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 8 — — $8.00 $205,421.08 $37,941.00 2026-09-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 21 7 — — $7,959.00 $181,980.39 $37,941.00 2026-09-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 3 — — $29,167.00 $106,561.80 $37,941.00 2026-09-02
0100T CPT Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 63 27 — — $4,604.47 $71,084.00 $37,844.24 2025-01-31
264 MS_DRG Other Circulatory System O.r. Procedures 25 8 — — $6.90 $177,989.59 $37,842.67 2026-09-02
C9758 HCPCS Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implantatio… 66 29 — — $1.06 $41,106.00 $37,813.00 2026-09-02
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 66 29 — — $1.06 $41,106.00 $37,813.00 2026-09-02
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 24 7 — — $2.30 $156,812.11 $37,773.84 2026-09-02
335U OTHER Rare Ds Whl Gen Seq Feta 2 1 — — $30,825.14 $44,618.08 $37,721.61 2026-09-02
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 24 7 — — $3.20 $172,055.90 $37,668.52 2026-09-02
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 20 6 — — $7,959.00 $157,095.66 $37,661.83 2026-09-02
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 24 7 — — $3.50 $130,063.26 $37,422.78 2026-09-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 8 — — $2.60 $160,272.55 $37,278.63 2026-09-02
121 MS_DRG Acute Major Eye Infections With Cc/mcc 24 7 — — $4.40 $188,423.43 $37,275.67 2026-09-02
177 MS_DRG Respiratory Infections And Inflammations With Mcc 24 7 — — $5.00 $140,680.88 $37,218.84 2026-09-02
313 MS_DRG Chest Pain 24 7 — — $1.70 $162,152.42 $36,927.96 2026-09-02
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 20 6 — — $7,959.00 $248,828.15 $36,881.15 2026-09-02
92 MS_DRG Other Disorders Of Nervous System With Cc 24 7 — — $3.10 $194,084.06 $36,598.63 2026-09-02
793 MS_DRG Full Term Neonate With Major Problems 21 7 — — $4.70 $146,152.47 $36,269.31 2026-09-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 7 — — $9,652.00 $140,311.83 $36,190.49 2026-09-02
242U OTHER Trgt Gen Seq Alys Pnl 55-74 2 1 — — $29,500.00 $42,700.00 $36,100.00 2026-09-02
0211U CPT Next-generation Sequencing Of DNA And RNA In Tumor Tissue Specimen With Interpre… 63 27 — — $7,609.50 $64,258.00 $35,933.75 2025-01-31
263 MS_DRG Vein Ligation And Stripping 24 7 — — $4.60 $133,922.78 $35,586.37 2026-09-02
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 24 7 — — $2.70 $458,306.39 $35,231.18 2026-09-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 9 — — $7,959.00 $152,816.06 $35,225.00 2026-09-02
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 24 7 — — $2.50 $140,208.29 $34,967.04 2026-09-02
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 25 7 — — $2.20 $145,396.32 $34,841.02 2026-09-02
315 MS_DRG Other Circulatory System Diagnoses With Cc 21 7 — — $7,959.00 $152,217.44 $34,796.46 2026-09-02
0266T CPT Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 5 2 — — $8,917.30 $41,106.00 $34,520.00 2025-01-31
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device Pulse … 5 2 — — $4,688.59 $41,106.00 $34,520.00 2025-01-31
36U OTHER Xome Tum & Nml Spec Seq Alys 2 1 — — $28,202.00 $40,821.20 $34,511.60 2026-09-02
312 MS_DRG Syncope And Collapse 24 7 — — $2.40 $215,345.56 $34,190.88 2026-09-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 7 — — $4.00 $148,615.22 $34,169.33 2026-09-02
0793T CPT Percutaneous Transcatheter Thermal Ablation Of Nerves Innervating The Pulmonary … 63 27 — — $31,050.00 $36,977.00 $34,013.50 2025-01-31
C9792 HCPCS Blinded Or Nonblinded Procedure For Symptomatic New York Heart Association (nyha… 66 29 — — $1.06 $36,977.00 $34,013.50 2026-09-02
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 24 7 — — $1.80 $140,271.30 $33,961.65 2026-09-02
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 7 — — $7,959.00 $135,839.41 $33,815.25 2026-09-02
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 7 — — $7,959.00 $147,197.43 $33,640.54 2026-09-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $9,652.00 $133,215.18 $33,564.50 2026-09-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 4 — — $10,725.00 $258,457.06 $33,564.50 2026-09-02
314 MS_DRG Other Circulatory System Diagnoses With Mcc 21 7 — — $7,959.00 $127,595.26 $33,424.07 2026-09-02
305 MS_DRG Hypertension Without Mcc 24 7 — — $2.10 $154,643.42 $32,808.15 2026-09-02
445 MS_DRG Disorders Of The Biliary Tract With Cc 21 7 — — $7,959.00 $119,293.35 $32,750.80 2026-09-02
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 23 8 — — $7,959.00 $108,707.24 $32,564.46 2026-09-02
473U OTHER Oncology (solid Tumor), Next-generation Sequencing (ngs) Of DNA From Formalin-fi… 2 1 — — $26,550.00 $38,430.00 $32,490.00 2026-09-02
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 24 7 — — $3.90 $151,650.32 $32,082.42 2026-09-02
951 MS_DRG Other Factors Influencing Health Status 24 7 — — $1.80 $168,500.94 $31,751.21 2026-09-02
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 27 9 — — $7,959.00 $155,184.28 $31,377.90 2026-09-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 9 — — $6.50 $210,148.70 $31,177.30 2026-09-02
0645T CPT Implantation Of Coronary Sinus Reduction Device In Heart Through Catheter 3 1 — — $31,050.00 $36,977.00 $31,071.00 2025-01-31
0398T CPT Destruction Of Tissue Of Brain Using MRI Guidance 3 1 — — $31,050.00 $36,977.00 $31,071.00 2025-01-31
0632T CPT Destruction Of Nerves To Main Arteries Of Lung, Accessed Through Skin Via Cathet… 5 2 — — $946.73 $36,977.00 $31,050.00 2025-01-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 24 7 — — $4.10 $92,896.33 $31,038.09 2026-09-02
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 24 7 — — $2.90 $223,290.40 $31,013.96 2026-09-02
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 24 7 — — $2.20 $125,221.79 $30,821.54 2026-09-02
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 31 11 — — $8,138.73 $257,888.37 $30,716.03 2026-09-02
81529 CPT Mrna Gene Analysis Of 31 Genes In Skin Melanoma Tissue Specimen 65 28 — — $6,473.70 $61,428.22 $30,570.25 2026-09-02
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 20 6 — — $7,959.00 $199,973.67 $30,292.92 2026-09-02
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 24 7 — — $2.20 $139,740.94 $29,772.39 2026-09-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 3 — — $12,226.85 $83,029.60 $29,252.29 2026-09-02
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 21 7 — — $7,959.00 $123,436.43 $29,188.00 2026-09-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 6 — — $7,959.00 $92,653.06 $29,188.00 2026-09-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 4 — — $9,652.00 $63,872.00 $29,188.00 2026-09-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 8 — — $7.00 $109,108.43 $29,188.00 2026-09-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 4 — — $9,652.00 $93,043.00 $29,188.00 2026-09-02
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 21 7 — — $7,959.00 $113,118.12 $29,188.00 2026-09-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 6 — — $7,959.00 $109,085.43 $29,188.00 2026-09-02
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 21 7 — — $7,959.00 $104,989.49 $29,188.00 2026-09-02
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 21 7 — — $7,959.00 $95,590.11 $29,188.00 2026-09-02
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 20 6 — — $7,959.00 $90,155.28 $29,177.50 2026-09-02
799 MS_DRG Splenectomy With Mcc 8 4 — — $9,652.00 $144,091.53 $29,177.50 2026-09-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 — — $7,959.00 $93,043.00 $29,177.50 2026-09-02
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 24 7 — — $3.90 $137,897.82 $29,177.50 2026-09-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 4 — — $9,652.00 $194,064.11 $29,177.50 2026-09-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 — — $7,959.00 $93,043.00 $29,177.50 2026-09-02
620 MS_DRG O.r. Procedures For Obesity With Cc 18 9 — — $7,959.00 $56,138.00 $29,177.50 2026-09-02
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 6 — — $2.80 $114,966.25 $29,177.50 2026-09-02
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 7 — — $5.40 $154,960.59 $29,177.50 2026-09-02
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 24 7 — — $2.70 $92,765.05 $29,177.50 2026-09-02
653 MS_DRG Major Bladder Procedures With Mcc 8 4 — — $9,652.00 $166,588.68 $29,177.50 2026-09-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $9,652.00 $198,539.40 $29,177.50 2026-09-02
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 9 — — $7,959.00 $56,138.00 $29,177.50 2026-09-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 5 — — $7,959.00 $83,576.02 $29,167.00 2026-09-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 5 — — $7,959.00 $87,597.17 $29,167.00 2026-09-02
347 MS_DRG Anal And Stomal Procedures With Mcc 21 7 — — $7,959.00 $78,891.78 $29,167.00 2026-09-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 6 — — $7,959.00 $42,307.00 $29,167.00 2026-09-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 5 — — $7,959.00 $99,212.21 $29,167.00 2026-09-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 5 — — $7,959.00 $145,945.46 $29,167.00 2026-09-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 6 — — $7,959.00 $151,294.53 $29,167.00 2026-09-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 5 — — $7,959.00 $78,362.04 $29,167.00 2026-09-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 5 — — $7,959.00 $104,224.99 $29,167.00 2026-09-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 5 — — $7,959.00 $86,378.46 $29,167.00 2026-09-02
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 7 — — $7.60 $191,675.57 $29,167.00 2026-09-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 5 — — $7,959.00 $102,166.99 $29,167.00 2026-09-02
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 11 6 — — $7,959.00 $74,435.00 $29,167.00 2026-09-02
800 MS_DRG Splenectomy With Cc 9 5 — — $7,959.00 $75,890.14 $29,167.00 2026-09-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 6 — — $7,959.00 $39,869.54 $29,167.00 2026-09-02
668 MS_DRG Transurethral Procedures With Mcc 9 5 — — $7,959.00 $71,825.88 $29,167.00 2026-09-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 9 5 — — $7,959.00 $97,188.71 $29,167.00 2026-09-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 5 — — $7,959.00 $75,588.34 $29,167.00 2026-09-02
654 MS_DRG Major Bladder Procedures With Cc 9 5 — — $7,959.00 $89,025.69 $29,167.00 2026-09-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 7 — — $7,959.00 $121,614.32 $29,167.00 2026-09-02
662 MS_DRG Minor Bladder Procedures With Mcc 21 7 — — $7,959.00 $87,986.59 $29,167.00 2026-09-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 5 — — $7,959.00 $65,697.88 $29,167.00 2026-09-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 5 — — $7,959.00 $80,672.98 $29,167.00 2026-09-02
503 MS_DRG Foot Procedures With Mcc 9 5 — — $7,959.00 $67,080.41 $29,167.00 2026-09-02
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 21 7 — — $7,959.00 $85,214.04 $29,167.00 2026-09-02
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 25 8 — — $6.00 $151,613.57 $29,167.00 2026-09-02
253 MS_DRG Other Vascular Procedures With Cc 21 7 — — $7,959.00 $75,767.40 $28,937.21 2026-09-02
500 MS_DRG Soft Tissue Procedures With Mcc 21 7 — — $7,959.00 $93,184.81 $28,933.87 2026-09-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 9 5 — — $7,959.00 $76,260.93 $28,760.06 2026-09-02
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 24 7 — — $3.50 $359,371.06 $28,719.31 2026-09-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 5 — — $7,959.00 $93,043.00 $28,630.14 2026-09-02
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 8 — — $7.00 $95,078.97 $28,481.25 2026-09-02
340U OTHER Onc Pan Ca Alys Mrd Plasma 2 1 — — $23,128.00 $33,476.80 $28,302.40 2026-09-02
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 24 7 — — $4.70 $79,569.16 $28,149.39 2026-09-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 8 — — $7,959.00 $84,557.66 $28,027.81 2026-09-02
47U OTHER Onc Prst8 Mrna 17 Gene Alg 2 1 — — $22,850.70 $33,075.42 $27,963.06 2026-09-02
498U OTHER Oncology (colorectal), Next-generation Sequencing For Mutation Detection In 43 G… 2 1 — — $22,850.70 $33,075.42 $27,963.06 2026-09-02
45U OTHER Onc Brst Dux Carc Is 12 Gene 2 1 — — $22,850.70 $33,075.42 $27,963.06 2026-09-02
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 24 7 — — $3.70 $193,306.90 $27,923.71 2026-09-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 8 — — $9.00 $92,276.70 $27,857.42 2026-09-02
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 6 — — $7,959.00 $42,307.00 $27,818.00 2026-09-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 6 — — $7,959.00 $37,941.00 $27,657.98 2026-09-02
252 MS_DRG Other Vascular Procedures With Mcc 21 7 — — $7,959.00 $93,834.40 $27,653.34 2026-09-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 9 5 — — $7,959.00 $70,894.61 $27,638.40 2026-09-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 8 — — $7.00 $79,313.43 $27,553.61 2026-09-02
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 25 8 — — $7,959.00 $72,128.42 $27,543.00 2026-09-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 25 8 — — $5.90 $95,012.50 $27,505.00 2026-09-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 3 — — $12,624.72 $68,725.74 $27,502.81 2026-09-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 9 5 — — $7,959.00 $73,268.78 $27,317.10 2026-09-02
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 21 7 — — $7,959.00 $73,084.11 $27,261.95 2026-09-02
794 MS_DRG Neonate With Other Significant Problems 21 7 — — $3.40 $135,702.89 $26,998.65 2026-09-02
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 24 7 — — $3.90 $69,193.09 $26,773.08 2026-09-02
603 MS_DRG Cellulitis Without Mcc 24 7 — — $3.20 $434,304.44 $26,723.10 2026-09-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 9 5 — — $7,959.00 $69,997.83 $26,691.79 2026-09-02
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 24 7 — — $3.50 $74,979.74 $26,664.46 2026-09-02
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 24 7 — — $2.90 $108,470.94 $26,556.34 2026-09-02
258U OTHER Ai Psor Mrna 50-100 Gen Alg 2 1 — — $21,682.50 $31,384.50 $26,533.50 2026-09-02
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 20 6 — — $7,959.00 $93,035.34 $26,330.29 2026-09-02
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 24 7 — — $2.40 $75,861.92 $26,112.68 2026-09-02
26U OTHER Onc Thyr Dna&mrna 112 Genes 2 1 — — $21,240.00 $30,744.00 $25,992.00 2026-09-02
391U OTHER Onc Sld Tum Dna&rna 437 Gen 2 1 — — $21,240.00 $30,744.00 $25,992.00 2026-09-02
313U OTHER Onc Pncrs Dna&mrna Seq 74 2 1 — — $21,240.00 $30,744.00 $25,992.00 2026-09-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 6 — — $7,959.00 $71,151.73 $25,931.02 2026-09-02
694 MS_DRG Urinary Stones Without Mcc 21 7 — — $7,959.00 $81,664.33 $25,900.88 2026-09-02
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 24 7 — — $2.40 $91,242.24 $25,879.77 2026-09-02
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 3 1 — — $25,762.46 $25,762.46 $25,762.46 2025-01-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 25 8 — — $6.00 $89,141.82 $25,698.34 2026-09-02
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 20 6 — — $7,959.00 $87,410.34 $25,653.55 2026-09-02
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 24 7 — — $3.70 $82,037.15 $25,595.10 2026-09-02
80U OTHER Onc Lng 5 Clin Rsk Factr Alg 2 1 — — $20,768.00 $30,060.80 $25,414.40 2026-09-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 8 — — $7,959.00 $107,044.68 $25,390.48 2026-09-02
55 MS_DRG Nervous System Neoplasms Without Mcc 24 7 — — $3.00 $96,787.35 $25,280.84 2026-09-02
244U OTHER Onc Solid Orgn DNA 257 Genes 2 1 — — $20,650.00 $29,890.00 $25,270.00 2026-09-02
37U OTHER Trgt Gen Seq DNA 324 Genes 2 1 — — $20,650.00 $29,890.00 $25,270.00 2026-09-02
239U OTHER Trgt Gen Seq Alys Pnl 311+ 2 1 — — $20,650.00 $29,890.00 $25,270.00 2026-09-02
81545 CPT Gene Analysis (thyroid Cancer) 67 28 — — $1.00 $27,182.25 $25,045.80 2026-09-02
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 3 — — $5.00 $43,815.83 $24,821.80 2026-09-02
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 9 5 — — $7,959.00 $55,968.37 $24,770.92 2026-09-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 8 — — $7.00 $144,295.61 $24,722.09 2026-09-02
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 21 7 — — $7,959.00 $77,589.51 $24,596.52 2026-09-02
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 9 5 — — $7,959.00 $55,054.34 $24,548.66 2026-09-02
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 21 7 — — $7,959.00 $89,897.98 $24,418.28 2026-09-02
709 MS_DRG Penis Procedures With Cc/mcc 9 5 — — $7,959.00 $61,340.44 $24,413.92 2026-09-02
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 20 6 — — $7,959.00 $74,685.68 $24,318.07 2026-09-02
655 MS_DRG Major Bladder Procedures Without Cc/mcc 9 5 — — $7,959.00 $64,930.44 $24,273.42 2026-09-02
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 9 5 — — $7,959.00 $49,509.82 $24,259.61 2026-09-02
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 24 7 — — $4.00 $82,394.23 $24,123.65 2026-09-02
471 MS_DRG Cervical Spinal Fusion With Mcc 13 6 — — $9,652.00 $56,647.20 $24,071.00 2026-09-02
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 21 7 — — $7,959.00 $76,239.99 $24,037.35 2026-09-02
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 21 7 — — $7,959.00 $73,089.36 $23,960.54 2026-09-02
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 13 6 — — $7,959.00 $37,941.00 $23,898.00 2026-09-02
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 9 5 — — $7,959.00 $56,842.16 $23,894.55 2026-09-02
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 24 7 — — $4.20 $89,813.96 $23,831.57 2026-09-02
245 MS_DRG Aicd Generator Procedures 24 7 — — $4.10 $133,611.84 $23,676.98 2026-09-02
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 24 7 — — $4.60 $75,599.37 $23,587.86 2026-09-02
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 9 5 — — $7,959.00 $42,901.80 $23,561.74 2026-09-02
412 MS_DRG Cholecystectomy With C.d.e. With Cc 9 5 — — $7,959.00 $69,460.33 $23,555.98 2026-09-02
81558 CPT Transplantation Medicine (allograft Rejection, Kidney), Mrna, Gene Expression Pr… 2 1 — — $19,116.00 $27,669.60 $23,392.80 2026-09-02
81554 CPT Mrna Gene Analysis Of 190 Genes Associated With Lung Disease (idiopathic Pulmona… 65 28 — — $4,950.00 $46,970.00 $23,375.00 2026-09-02
0316T CPT Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of… 63 27 — — $2,903.00 $43,457.42 $23,180.21 2025-01-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 20 6 — — $7,959.00 $69,791.71 $23,158.72 2026-09-02
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 24 7 — — $3.20 $83,691.23 $23,096.65 2026-09-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 23 8 — — $7,959.00 $78,713.24 $23,089.62 2026-09-02
254 MS_DRG Other Vascular Procedures Without Cc/mcc 21 7 — — $7,959.00 $71,346.02 $22,927.58 2026-09-02
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 5 — — $7,959.00 $49,693.77 $22,888.05 2026-09-02
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 9 5 — — $7,959.00 $58,253.44 $22,753.31 2026-09-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 7 — — $2.30 $104,123.07 $22,745.30 2026-09-02
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 24 7 — — $1.70 $84,499.90 $22,727.17 2026-09-02
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 20 6 — — $7,959.00 $66,126.47 $22,716.94 2026-09-02
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 9 5 — — $7,959.00 $52,182.92 $22,593.24 2026-09-02
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