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 →

Export CSV
Hospital

GOLETA VALLEY COTTAGE HOSPITAL

Santa Barbara, CA · CCN 050357 · Rates published

13,414 distinct procedures filed
10 distinct payers
275,619 rate rows
2026-07-15 last MRF observed
Data quality

275,000 of 275,619 rate rows are consumer-grade (99.8%)

619 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
percent-of-charges filed in the dollar field — excluded from medians 448
template filing: same amount across many unrelated codes — excluded 88
placeholder amount (≤ $0.02) — excluded from medians 57
per-diem day rate — not a per-procedure price 23
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cottagehealth.org/app/files/public/73845ed9-a256-4683-a051-5f53e1e7dfa6/952413596_GoletaValleyCottageHospital_standardcharges.csv
Found on page https://www.cottagehealth.org/billing/cost-of-care-estimates/
Discovered viaPublic MRF directory
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-14
Content fingerprint 19d32242dddb74a3… · 412,203,404 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj Atidarsagene Autotemcel 2 $4,414,900.00 $4,730,250.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 3 $3,611,561.34 $4,164,351.34 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,250,133.34 $3,747,602.73 $3,482,285.72 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 3 $3,183,476.81 $3,670,743.66 $3,410,868.01 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 3 $2,886,825.20 $3,328,686.20 $3,093,027.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,406,008.40 $2,774,274.99 $2,577,866.14 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 3 $2,285,360.00 $2,635,160.00 $2,448,600.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $755,207.60 $870,800.60 $809,151.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $579,891.68 $668,650.61 $621,312.51 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $554,551.57 $639,431.91 $594,162.40 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $551,287.43 $635,668.15 $590,665.10 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $546,171.57 $629,769.26 $585,183.83 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $522,565.57 $602,550.09 $559,891.68 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $479,518.52 $552,914.21 $513,769.84 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $367,147.55 $423,343.60 $393,372.37 nat. median
$370,165
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $272,685.00 $314,422.50 $292,162.50 nat. median
$302,242
1.0× median
J3403
HCPCS 		Revakinagene Per Implant 3 $252,350.00 $290,975.00 $270,375.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $255,282.85 $274,732.97 $265,007.91 nat. median
$261,939
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $201,527.20 $232,373.20 $215,922.00 nat. median
$209,736
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $181,525.60 $209,310.13 $194,491.72 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 $180,460.28 $208,081.75 $193,350.30 nat. median
$199,832
1.0× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 10 $33,052.00 $148,734.00 $128,076.50 nat. median
$65,655
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 3 $117,766.97 $135,792.53 $126,178.90 nat. median
$132,706
1.0× median
7
MS_DRG 		Lung Transplant 2 $117,969.44 $126,957.59 $122,463.51 nat. median
$122,690
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $109,476.69 $117,817.77 $113,647.23 nat. median
$114,305
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 3 $103,998.51 $119,916.65 $111,426.98 nat. median
$111,503
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $103,226.68 $111,091.57 $107,159.12 nat. median
$108,240
1.0× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 3 $96,234.37 $110,964.12 $103,108.26 nat. median
$96,134
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $93,704.13 $108,046.60 $100,397.28 nat. median
$96,835
1.0× median
212
MS_DRG 		Testes Procedures Age 0-17 3 $92,453.46 $106,604.50 $99,057.28 nat. median
$100,978
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $93,923.18 $101,079.23 $97,501.20 nat. median
$99,646
1.0× median
J9226
HCPCS 		Histrelin Acetate (cpp) 50 Mg Sc Kit 10 $23,900.60 $107,552.70 $92,614.82 nat. median
$55,200
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $84,656.12 $97,613.69 $90,702.98 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $83,175.04 $95,905.91 $89,116.11 nat. median
$92,900
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $76,601.16 $88,325.83 $82,072.67 nat. median
$81,124
1.0× median
38240
CPT 		Transplt Allo Hct/donor 3 $73,643.32 $84,915.25 $78,903.56 nat. median
$13,835
outlier · 5.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $73,624.55 $84,893.61 $78,883.45 nat. median
$81,364
1.0× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 10 $18,859.60 $84,868.20 $77,748.70 nat. median
$24,377
outlier · 3.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $71,672.45 $82,642.72 $76,791.91 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 $71,447.14 $82,382.93 $76,550.51 nat. median
$80,459
1.0× median
A9543
HCPCS 		Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 10 $19,145.20 $86,153.40 $74,187.65 nat. median
$63,643
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $66,901.88 $77,141.97 $71,680.59 nat. median
$77,385
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 3 $66,103.61 $76,221.51 $70,825.29 nat. median
$70,178
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $65,282.22 $75,274.40 $69,945.24 nat. median
$74,472
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 3 $65,000.80 $74,949.90 $69,643.71 nat. median
$73,475
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $64,785.69 $74,701.87 $69,413.24 nat. median
$71,485
1.0× median
10
MS_DRG 		Pancreas Transplant 2 $65,366.82 $70,347.14 $67,856.98 nat. median
$67,750
1.0× median
J9029
HCPCS 		Instill Adstiladrin Tx Dose 3 $62,075.43 $71,576.78 $66,509.39 nat. median
$69,291
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $61,373.77 $70,767.72 $65,757.61 nat. median
$66,640
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $60,983.52 $70,317.73 $65,339.49 nat. median
$62,911
1.0× median

Other procedures at this hospital

Browse this hospital's 13,414 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
             
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 19 10 $165,260.00 $115,682.00 30% off $33,052.00 $148,734.00 $128,076.50 2026-07-15
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 19 10 $119,503.00 $83,652.10 30% off $23,900.60 $107,552.70 $92,614.82 2026-07-15
C9293 HCPCS Glucarpidase 1000 Units IV Solr 16 10 $94,298.00 $66,008.60 30% off $18,859.60 $84,868.20 $77,748.70 2026-07-15
A9543 HCPCS Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 19 10 $95,726.00 $67,008.20 30% off $19,145.20 $86,153.40 $74,187.65 2026-07-15
A9604 HCPCS Samarium Sm 153 Lexidronam 1850 Mbq/ml IV Soln 19 10 $79,818.00 $55,872.60 30% off $4,228.61 $71,836.20 $61,858.95 2026-07-15
48100147 OTHER Hc Peri-device Leak Repair 16 10 $62,505.00 $43,753.50 30% off $12,501.00 $56,254.50 $51,535.37 2026-07-15
48100103 OTHER Hc Perq Closure Pv Leak Intl Device Aortic Valve 16 10 $62,505.00 $43,753.50 30% off $12,501.00 $56,254.50 $51,535.37 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 19 10 $64,458.00 $45,120.60 30% off $212.56 $58,012.20 $49,954.95 2026-07-15
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 19 10 $63,314.00 $44,319.80 30% off $80.44 $56,982.60 $49,068.35 2026-07-15
J1951 HCPCS Leuprolide Acetate (ped)(6mon) 45 Mg Sc Kit 35 10 $59,697.50 $41,788.25 30% off $138.17 $57,650.40 $48,426.34 2026-07-15
75000134 OTHER Hc Histotripsy Malignant Tissue W/img Gdn 16 10 $57,373.00 $40,161.10 30% off $11,474.60 $51,635.70 $47,304.04 2026-07-15
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 19 10 $54,517.00 $38,161.90 30% off $10,903.40 $49,065.30 $42,250.68 2026-07-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 19 10 $54,499.00 $38,149.30 30% off $2,644.09 $49,049.10 $42,236.72 2026-07-15
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr (urogel) 19 10 $52,394.00 $36,675.80 30% off $312.16 $47,154.60 $40,605.35 2026-07-15
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 19 10 $48,613.00 $34,029.10 30% off $9,722.60 $43,751.70 $37,675.08 2026-07-15
0275 RC Accolade MRI Dr Pacemaker 976 10 $48,952.00 $34,266.40 30% off $404.40 $101,770.20 $32,859.00 2026-07-15
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Sc Sosy 19 10 $42,254.00 $29,577.80 30% off $124.90 $38,028.60 $32,746.85 2026-07-15
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 19 10 $38,614.00 $27,029.80 30% off $54.46 $34,752.60 $29,925.85 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 35 10 $58,341.00 $40,838.70 30% off $179.81 $75,276.90 $29,736.90 2026-07-15
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg IV Solr 19 10 $37,754.00 $26,427.80 30% off $231.89 $33,978.60 $29,259.35 2026-07-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 35 10 $47,699.50 $33,389.65 30% off $146.41 $57,232.80 $28,626.30 2026-07-15
J7180 HCPCS Factor Xiii Concentrate Human 1000-1600 Units IV Kit 19 10 $35,857.00 $25,099.90 30% off $10.54 $32,271.30 $27,789.18 2026-07-15
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 19 10 $35,627.00 $24,938.90 30% off $193.87 $32,064.30 $27,610.92 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 19 10 $35,385.00 $24,769.50 30% off $14.64 $31,846.50 $27,423.38 2026-07-15
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Re Susp 19 10 $35,358.00 $24,750.60 30% off $62.56 $31,822.20 $27,402.45 2026-07-15
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml IV Soln 19 10 $34,002.00 $23,801.40 30% off $222.73 $30,601.80 $26,351.55 2026-07-15
J1411 HCPCS Inj Hemgenix Per Tx Dose 3 3 — — $3,611,561.34 $4,164,351.34 $3,869,530.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,250,133.34 $3,747,602.73 $3,482,285.72 2026-07-15
J3394 HCPCS Inj Lovotibeglogene Autotem 3 3 — — $3,183,476.81 $3,670,743.66 $3,410,868.01 2026-07-15
J3393 HCPCS Inj Betibeglogene Autotemce 3 3 — — $2,886,825.20 $3,328,686.20 $3,093,027.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,406,008.40 $2,774,274.99 $2,577,866.14 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 3 3 — — $2,285,360.00 $2,635,160.00 $2,448,600.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $755,207.60 $870,800.60 $809,151.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $579,891.68 $668,650.61 $621,312.51 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $554,551.57 $639,431.91 $594,162.40 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $551,287.43 $635,668.15 $590,665.10 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $546,171.57 $629,769.26 $585,183.83 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $522,565.57 $602,550.09 $559,891.68 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $479,518.52 $552,914.21 $513,769.84 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 3 — — $367,147.55 $423,343.60 $393,372.37 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 3 — — $272,685.00 $314,422.50 $292,162.50 2026-07-15
J3403 HCPCS Revakinagene Per Implant 3 3 — — $252,350.00 $290,975.00 $270,375.00 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 3 — — $201,527.20 $232,373.20 $215,922.00 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $181,525.60 $209,310.13 $194,491.72 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 3 — — $180,460.28 $208,081.75 $193,350.30 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 3 3 — — $117,766.97 $135,792.53 $126,178.90 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 3 3 — — $103,998.51 $119,916.65 $111,426.98 2026-07-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 3 3 — — $96,234.37 $110,964.12 $103,108.26 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $93,704.13 $108,046.60 $100,397.28 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 3 3 — — $92,453.46 $106,604.50 $99,057.28 2026-07-15
215 MS_DRG Other Heart Assist System Implant 3 3 — — $84,656.12 $97,613.69 $90,702.98 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $83,175.04 $95,905.91 $89,116.11 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $76,601.16 $88,325.83 $82,072.67 2026-07-15
38240 CPT Transplt Allo Hct/donor 3 3 — — $73,643.32 $84,915.25 $78,903.56 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $73,624.55 $84,893.61 $78,883.45 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $71,672.45 $82,642.72 $76,791.91 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 3 — — $71,447.14 $82,382.93 $76,550.51 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $66,901.88 $77,141.97 $71,680.59 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 3 — — $66,103.61 $76,221.51 $70,825.29 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $65,282.22 $75,274.40 $69,945.24 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 3 3 — — $65,000.80 $74,949.90 $69,643.71 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $64,785.69 $74,701.87 $69,413.24 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 3 3 — — $62,075.43 $71,576.78 $66,509.39 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $61,373.77 $70,767.72 $65,757.61 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $60,983.52 $70,317.73 $65,339.49 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $60,659.59 $69,944.22 $64,992.42 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $60,623.88 $69,903.05 $64,954.16 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $58,765.31 $67,760.00 $62,962.83 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $58,477.08 $67,427.66 $62,654.02 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $57,228.96 $65,988.50 $61,316.75 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $56,849.77 $65,551.26 $60,910.46 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $56,808.11 $65,503.22 $60,865.83 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 3 3 — — $56,034.08 $64,610.73 $60,036.52 2026-07-15
33276 CPT Insj Phrnc Nrv Stim Sys 3 3 — — $56,034.08 $64,610.73 $60,036.52 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $55,904.32 $64,461.11 $59,897.49 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $55,904.32 $64,461.11 $59,897.49 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $55,701.12 $64,226.81 $59,679.77 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $54,708.92 $63,082.73 $58,616.70 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 3 3 — — $52,104.70 $60,079.91 $55,826.47 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $52,044.34 $60,010.31 $55,761.79 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $51,545.26 $59,434.84 $55,227.07 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $51,083.59 $58,902.51 $54,732.42 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $51,069.14 $58,885.85 $54,716.94 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 3 — — $50,699.30 $58,459.39 $54,320.67 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 3 3 — — $50,532.65 $58,267.24 $54,142.13 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $49,895.84 $57,532.96 $53,459.83 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $49,863.53 $57,495.71 $53,425.21 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $49,032.87 $56,537.90 $52,535.22 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $48,719.99 $56,177.13 $52,199.99 2026-07-15
213 MS_DRG Splenectomy Age 0-17 3 3 — — $48,521.04 $55,947.73 $51,986.83 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $48,458.12 $55,875.18 $51,919.42 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $47,799.21 $55,115.41 $51,213.43 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $47,324.78 $54,568.37 $50,705.13 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 3 3 — — $46,957.49 $54,144.86 $50,311.60 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 3 3 — — $46,676.07 $53,820.36 $50,010.07 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 3 3 — — $46,511.13 $53,630.18 $49,833.35 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 3 3 — — $46,444.81 $53,553.71 $49,762.30 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 3 3 — — $46,371.69 $53,469.40 $49,683.95 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $46,267.04 $53,348.74 $49,571.83 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $45,340.38 $52,280.23 $48,578.98 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $45,313.17 $52,248.86 $48,549.83 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $45,008.79 $51,897.89 $48,223.71 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $44,860.00 $51,726.33 $48,064.29 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $44,257.20 $51,031.26 $47,418.43 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $44,180.68 $50,943.03 $47,336.44 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 3 3 — — $43,582.20 $50,252.95 $46,695.22 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $42,852.64 $49,411.72 $45,913.55 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $42,617.37 $49,140.43 $45,661.47 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 3 3 — — $42,403.73 $48,894.09 $45,432.57 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $42,063.64 $48,501.95 $45,068.19 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $41,988.82 $48,415.68 $44,988.02 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $41,845.13 $48,250.00 $44,834.07 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $41,670.84 $48,049.03 $44,647.33 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $41,054.43 $47,338.27 $43,986.89 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $40,846.98 $47,099.07 $43,764.62 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 3 3 — — $40,477.14 $46,672.62 $43,368.36 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $39,972.11 $46,090.29 $42,827.26 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
0408T CPT Insj/rplc Cardiac Modulj Sys 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $39,890.49 $45,996.17 $42,739.81 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $39,771.46 $45,858.92 $42,612.27 2026-07-15
69930 CPT Implant Cochlear Device 3 3 — — $39,606.72 $45,668.97 $42,435.77 2026-07-15
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $39,267.28 $45,277.57 $42,072.08 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $39,080.23 $45,061.90 $41,871.67 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $38,980.75 $44,947.20 $41,765.09 2026-07-15
245 MS_DRG Aicd Generator Procedures 3 3 — — $38,790.30 $44,727.60 $41,561.04 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $38,673.83 $44,593.29 $41,436.24 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $38,656.82 $44,573.68 $41,418.02 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $38,505.48 $44,399.18 $41,255.87 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 3 — — $38,371.91 $44,245.16 $41,112.76 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $38,105.03 $43,937.43 $40,826.82 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $38,093.98 $43,924.69 $40,814.98 2026-07-15
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
61886 CPT Implant Neurostim Arrays 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
0268T CPT Implt/rpl Crtd Sns Dev Gen 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $37,944.34 $43,752.15 $40,654.65 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $37,348.34 $43,064.92 $40,016.08 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $36,792.29 $42,423.77 $39,420.32 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $36,498.97 $42,085.55 $39,106.04 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $36,264.31 $41,814.97 $38,854.62 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $36,056.01 $41,574.78 $38,631.44 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $35,906.37 $41,402.24 $38,471.11 2026-07-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 3 3 — — $35,845.15 $41,331.66 $38,405.52 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $35,827.30 $41,311.07 $38,386.39 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $35,722.72 $41,190.49 $38,274.34 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $35,680.21 $41,141.47 $38,228.80 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $35,613.89 $41,065.00 $38,157.74 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 3 — — $35,476.16 $40,906.18 $38,010.17 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $35,450.65 $40,876.77 $37,982.84 2026-07-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 3 3 — — $35,398.61 $40,816.76 $37,927.08 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $35,309.52 $40,714.03 $37,831.62 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 3 3 — — $35,075.71 $40,444.44 $37,581.11 2026-07-15
791 MS_DRG Prematurity With Major Problems 3 3 — — $34,510.31 $39,792.50 $36,975.33 2026-07-15
C9760 HCPCS Non-blind Interatrial Shunt 3 3 — — $34,243.30 $39,484.62 $36,689.25 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $34,182.98 $39,415.07 $36,624.62 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $33,873.50 $39,058.22 $36,293.04 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 3 3 — — $33,598.75 $38,741.42 $35,998.66 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $33,259.64 $38,350.40 $35,635.33 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $33,109.15 $38,176.88 $35,474.09 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $32,909.35 $37,946.50 $35,260.02 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $32,860.04 $37,889.64 $35,207.19 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $32,828.58 $37,853.37 $35,173.48 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $32,642.39 $37,638.67 $34,973.98 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $31,993.67 $36,890.66 $34,278.93 2026-07-15
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 3 3 — — $31,854.23 $36,729.88 $34,129.54 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $31,778.56 $36,642.63 $34,048.46 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $31,775.16 $36,638.71 $34,044.82 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $31,685.89 $36,535.77 $33,949.17 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $31,507.35 $36,329.90 $33,757.87 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $31,229.32 $36,009.32 $33,459.99 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 3 3 — — $31,216.57 $35,994.62 $33,446.33 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $30,850.13 $35,572.09 $33,053.71 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $30,826.32 $35,544.64 $33,028.20 2026-07-15
332 MS_DRG Rectal Resection With Mcc 3 3 — — $30,783.81 $35,495.62 $32,982.65 2026-07-15
265 MS_DRG Aicd Lead Procedures 3 3 — — $30,762.56 $35,471.11 $32,959.88 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $30,708.14 $35,408.37 $32,901.58 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $30,662.23 $35,355.43 $32,852.39 2026-07-15
93654 CPT Compre Ep Eval Tx Vt 3 3 — — $30,547.33 $35,222.94 $32,729.28 2026-07-15
93653 CPT Compre Ep Eval Tx Svt 3 3 — — $30,547.33 $35,222.94 $32,729.28 2026-07-15
93656 CPT Compre Ep Eval Abltj Atr Fib 3 3 — — $30,547.33 $35,222.94 $32,729.28 2026-07-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 3 3 — — $30,461.58 $35,124.06 $32,637.41 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $30,391.01 $35,042.70 $32,561.80 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $30,360.40 $35,007.40 $32,529.00 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $30,315.34 $34,955.44 $32,480.72 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $30,289.83 $34,926.03 $32,453.39 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 3 3 — — $30,260.93 $34,892.70 $32,422.42 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $30,236.27 $34,864.27 $32,396.00 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $29,983.76 $34,573.11 $32,125.45 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $29,922.54 $34,502.52 $32,059.86 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $29,658.12 $34,197.63 $31,776.56 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 3 3 — — $29,650.47 $34,188.81 $31,768.36 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $29,514.44 $34,031.95 $31,622.61 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $29,371.60 $33,867.25 $31,469.57 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 3 3 — — $29,235.57 $33,710.40 $31,323.82 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $29,148.84 $33,610.40 $31,230.90 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $29,006.01 $33,445.70 $31,077.86 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $28,967.75 $33,401.59 $31,036.87 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $28,402.35 $32,749.65 $30,431.09 2026-07-15
L6700 HCPCS Ue Add Ext Power Myoel 3 3 — — $28,352.93 $32,692.66 $30,378.14 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $28,085.22 $32,383.98 $30,091.31 2026-07-15
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 3 3 — — $28,017.36 $32,305.73 $30,018.60 2026-07-15
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 3 3 — — $28,017.36 $32,305.73 $30,018.60 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $27,990.00 $32,274.18 $29,989.28 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 3 3 — — $27,986.60 $32,270.26 $29,985.64 2026-07-15
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0409T CPT Insj/rplc Car Modulj Pls Gn 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0916T CPT Insj Perm Ccm-d Sys Pg Only 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0515T CPT Insj Wcs Lv Compl Sys 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33230 CPT Insrt Pulse Gen W/dual Leads 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
L5856 HCPCS Elec Knee-shin Swing/stance 3 3 — — $27,719.81 $31,962.64 $29,699.80 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $27,655.86 $31,888.90 $29,631.28 2026-07-15
L6880 HCPCS Elec Hand Ind Art Digits 3 3 — — $27,588.92 $31,811.71 $29,559.56 2026-07-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $27,534.28 $31,748.71 $29,501.02 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $27,503.67 $31,713.42 $29,468.22 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $27,465.41 $31,669.30 $29,427.23 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $27,437.36 $31,636.95 $29,397.17 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 3 — — $27,383.79 $31,575.19 $29,339.78 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 3 — — $27,295.37 $31,473.23 $29,245.04 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $27,145.73 $31,300.69 $29,084.71 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $27,095.57 $31,242.85 $29,030.97 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $27,069.21 $31,212.46 $29,002.73 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $27,014.80 $31,149.72 $28,944.43 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $26,907.67 $31,026.19 $28,829.65 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $26,866.86 $30,979.13 $28,785.92 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $26,790.34 $30,890.90 $28,703.94 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $26,777.59 $30,876.20 $28,690.27 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $26,714.67 $30,803.65 $28,622.86 2026-07-15
63655 CPT Implant Neuroelectrodes 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
0680T CPT Insj/rplcmt Pg Only Isdss 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
64580 CPT Opn Impltj Nea Neuromuscular 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
665 MS_DRG Prostatectomy With Mcc 3 3 — — $26,536.98 $30,598.76 $28,432.47 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $26,481.71 $30,535.04 $28,373.26 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $26,434.95 $30,481.12 $28,323.16 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 — — $26,029.40 $30,013.49 $27,888.64 2026-07-15
263 MS_DRG Vein Ligation And Stripping 3 3 — — $25,994.54 $29,973.29 $27,851.29 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $25,788.79 $29,736.05 $27,630.84 2026-07-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 3 3 — — $25,680.81 $29,611.54 $27,515.15 2026-07-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $25,677.41 $29,607.62 $27,511.51 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 — — $25,649.35 $29,575.27 $27,481.45 2026-07-15
173 MS_DRG Urethral Procedures Age 0-17 3 3 — — $25,305.86 $29,179.21 $27,113.42 2026-07-15
54405 CPT Insert Multi-comp Penis Pros 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54411 CPT Remov/replc Penis Pros Comp 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54416 CPT Remv/repl Penis Contain Pros 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
53444 CPT Insert Tandem Cuff 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
53445 CPT Insert Uro/ves Nck Sphincter 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
53447 CPT Remove/replace Ur Sphincter 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54401 CPT Insert Self-contd Prosthesis 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54410 CPT Remove/replace Penis Prosth 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $25,048.25 $28,882.16 $26,837.41 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 — — $25,031.24 $28,862.55 $26,819.19 2026-07-15
570 MS_DRG Skin Debridement With Mcc 3 3 — — $25,005.74 $28,833.14 $26,791.86 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 3 3 — — $24,826.34 $28,626.29 $26,599.65 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $24,760.87 $28,550.80 $26,529.51 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $24,673.30 $28,449.83 $26,435.68 2026-07-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 3 3 — — $24,658.00 $28,432.18 $26,419.28 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $24,549.17 $28,306.69 $26,365.31 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $24,537.27 $28,292.97 $26,289.93 2026-07-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 3 3 — — $24,501.56 $28,251.79 $26,251.67 2026-07-15
J3391 HCPCS Inj Atidarsagene Autotemcel 2 2 — — $4,414,900.00 $4,730,250.00 $4,572,575.00 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $255,282.85 $274,732.97 $265,007.91 2026-07-15
7 MS_DRG Lung Transplant 2 2 — — $117,969.44 $126,957.59 $122,463.51 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $109,476.69 $117,817.77 $113,647.23 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $103,226.68 $111,091.57 $107,159.12 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $93,923.18 $101,079.23 $97,501.20 2026-07-15
10 MS_DRG Pancreas Transplant 2 2 — — $65,366.82 $70,347.14 $67,856.98 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $54,016.42 $58,131.95 $56,074.18 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 2 2 — — $51,054.93 $54,944.83 $52,999.88 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $49,485.37 $53,255.68 $51,370.53 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $42,240.61 $45,458.94 $43,849.78 2026-07-15
652 MS_DRG Kidney Transplant 2 2 — — $29,419.03 $31,660.48 $30,539.75 2026-07-15
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JB OTHER Bypass Stomach To Ileum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute Open Approa… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16074 OTHER Bypass Stomach To Cutaneous With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16079 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160J4 OTHER Bypass Stomach To Cutaneous With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
See an error in this hospital's data? Submit a correction