Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL

Grand Junction, CO · CCN 060023 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC TTE COMP W/DPLR & COLOR W/CONTRAST

This hospital’s price: $2,555 across 18 payers · range $551-$3,054

Source: https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/840425720_st-marys-medical-center_standardcharges.ashx · observed 2026-07-15

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.

19,607 distinct procedures filed
18 distinct payers
840,361 rate rows
2026-07-15 last MRF observed
Data quality

830,943 of 840,361 rate rows are consumer-grade (98.9%)

9,418 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
template filing: same amount across many unrelated codes — excluded 5,844
placeholder amount (≤ $0.02) — excluded from medians 2,803
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 323
per-diem day rate — not a per-procedure price 272
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 173
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://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/840425720_st-marys-medical-center_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-hospital/about/hospital-pricing
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-18
Content fingerprint ad841ec16d643012… · 5,992,339 bytes · first seen 2026-05-17

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,455,110.61 $2,528,763.93 $2,455,110.61 nat. median
$2,466,282
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $147,682.75 $708,067.98 $671,281.07 nat. median
$198,433
outlier · 3.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 6 $146,816.04 $703,912.53 $667,341.51 nat. median
$190,557
outlier · 3.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 $298,698.15 $1,432,114.38 $590,654.34 nat. median
$359,358
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 6 $95,811.01 $459,367.83 $435,501.87 nat. median
$126,722
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $193,843.08 $929,384.62 $383,310.90 nat. median
$249,124
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $78,292.85 $375,376.68 $355,874.39 nat. median
$92,655
outlier · 3.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $76,234.33 $365,507.08 $346,517.55 nat. median
$93,270
outlier · 3.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 6 $75,216.83 $360,628.65 $341,892.58 nat. median
$97,414
outlier · 3.5×
215
MS_DRG 		Other Heart Assist System Implant 6 $68,873.20 $330,213.95 $313,058.04 nat. median
$93,917
outlier · 3.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $67,668.24 $324,436.78 $307,581.01 nat. median
$90,581
outlier · 3.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $62,319.97 $298,794.37 $283,270.83 nat. median
$78,037
outlier · 3.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $59,898.31 $287,183.66 $272,263.34 nat. median
$78,262
outlier · 3.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $58,310.15 $279,569.20 $265,044.49 nat. median
$77,043
outlier · 3.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $58,126.85 $278,690.36 $264,211.30 nat. median
$77,696
outlier · 3.4×
J3403
HCPCS 		Revakinagene Per Implant 2 $257,500.00 $265,225.00 $257,500.00 nat. median
$265,000
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $54,428.99 $260,960.88 $247,402.94 nat. median
$74,460
outlier · 3.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $53,111.28 $254,643.14 $241,413.43 nat. median
$72,473
outlier · 3.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 6 $52,882.33 $253,545.41 $240,372.73 nat. median
$71,758
outlier · 3.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $52,707.33 $252,706.36 $239,577.28 nat. median
$68,004
outlier · 3.5×
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 18 $50.00 $324,146.99 $229,476.02 nat. median
$65,720
outlier · 3.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $49,931.51 $239,397.65 $226,960.00 nat. median
$63,648
outlier · 3.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $49,614.02 $237,875.42 $225,516.86 nat. median
$61,329
outlier · 3.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $49,321.43 $236,472.59 $224,186.91 nat. median
$66,649
outlier · 3.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $47,809.36 $229,222.94 $217,313.90 nat. median
$62,721
outlier · 3.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $47,574.87 $228,098.68 $216,248.05 nat. median
$63,896
outlier · 3.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $46,559.44 $223,230.20 $211,632.52 nat. median
$61,711
outlier · 3.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $46,250.94 $221,751.09 $210,230.25 nat. median
$57,560
outlier · 3.7×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $46,217.05 $221,588.58 $210,076.19 nat. median
$60,543
outlier · 3.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $45,481.76 $218,063.25 $206,734.01 nat. median
$59,558
outlier · 3.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $45,481.76 $218,063.25 $206,734.01 nat. median
$62,038
outlier · 3.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $45,316.45 $217,270.63 $205,982.57 nat. median
$58,118
outlier · 3.5×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $205,640.00 $211,809.20 $205,640.00 nat. median
$209,753
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $44,509.23 $213,400.39 $202,313.40 nat. median
$59,384
outlier · 3.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 6 $42,390.53 $203,242.26 $192,683.02 nat. median
$58,331
outlier · 3.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $42,341.42 $203,006.79 $192,459.79 nat. median
$58,216
outlier · 3.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $41,935.39 $201,060.07 $190,614.21 nat. median
$57,804
outlier · 3.3×
28
MS_DRG 		Spinal Procedures With Mcc 6 $41,559.79 $199,259.26 $188,906.96 nat. median
$54,505
outlier · 3.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $41,548.03 $199,202.88 $188,853.51 nat. median
$56,686
outlier · 3.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $41,247.14 $197,760.25 $187,485.83 nat. median
$55,188
outlier · 3.4×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 6 $41,111.56 $197,110.23 $186,869.58 nat. median
$50,905
outlier · 3.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $40,593.48 $194,626.25 $184,514.65 nat. median
$55,491
outlier · 3.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $40,567.19 $194,500.23 $184,395.18 nat. median
$53,879
outlier · 3.4×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $39,891.39 $191,260.10 $181,323.39 nat. median
$51,243
outlier · 3.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $39,636.85 $190,039.67 $180,166.36 nat. median
$53,532
outlier · 3.4×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 6 $39,474.99 $189,263.63 $179,430.64 nat. median
$48,456
outlier · 3.7×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $39,423.80 $189,018.22 $179,197.98 nat. median
$49,960
outlier · 3.6×
7
MS_DRG 		Lung Transplant 5 $89,577.35 $429,480.43 $177,132.84 nat. median
$117,894
1.5× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $38,887.73 $186,448.01 $176,761.30 nat. median
$50,590
outlier · 3.5×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 6 $38,501.76 $184,597.46 $175,006.89 nat. median
$48,086
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 19,607 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 2 — — $2,455,110.61 $2,528,763.93 $2,455,110.61 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 6 — — $147,682.75 $708,067.98 $671,281.07 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 30 6 — — $146,816.04 $703,912.53 $667,341.51 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 5 — — $298,698.15 $1,432,114.38 $590,654.34 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 30 6 — — $95,811.01 $459,367.83 $435,501.87 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 5 — — $193,843.08 $929,384.62 $383,310.90 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 30 6 — — $78,292.85 $375,376.68 $355,874.39 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $76,234.33 $365,507.08 $346,517.55 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 30 6 — — $75,216.83 $360,628.65 $341,892.58 2026-07-15
215 MS_DRG Other Heart Assist System Implant 30 6 — — $68,873.20 $330,213.95 $313,058.04 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $67,668.24 $324,436.78 $307,581.01 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 6 — — $62,319.97 $298,794.37 $283,270.83 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 30 6 — — $59,898.31 $287,183.66 $272,263.34 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 6 — — $58,310.15 $279,569.20 $265,044.49 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $58,126.85 $278,690.36 $264,211.30 2026-07-15
J3403 HCPCS Revakinagene Per Implant 5 2 — — $257,500.00 $265,225.00 $257,500.00 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 6 — — $54,428.99 $260,960.88 $247,402.94 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $53,111.28 $254,643.14 $241,413.43 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 30 6 — — $52,882.33 $253,545.41 $240,372.73 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 6 — — $52,707.33 $252,706.36 $239,577.28 2026-07-15
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 81 18 $334,172.15 — $50.00 $324,146.99 $229,476.02 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $49,931.51 $239,397.65 $226,960.00 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 6 — — $49,614.02 $237,875.42 $225,516.86 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 6 — — $49,321.43 $236,472.59 $224,186.91 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 6 — — $47,809.36 $229,222.94 $217,313.90 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 6 — — $47,574.87 $228,098.68 $216,248.05 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 6 — — $46,559.44 $223,230.20 $211,632.52 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 6 — — $46,250.94 $221,751.09 $210,230.25 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 6 — — $46,217.05 $221,588.58 $210,076.19 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $45,481.76 $218,063.25 $206,734.01 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 6 — — $45,481.76 $218,063.25 $206,734.01 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 6 — — $45,316.45 $217,270.63 $205,982.57 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 2 — — $205,640.00 $211,809.20 $205,640.00 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 6 — — $44,509.23 $213,400.39 $202,313.40 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 30 6 — — $42,390.53 $203,242.26 $192,683.02 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 6 — — $42,341.42 $203,006.79 $192,459.79 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 6 — — $41,935.39 $201,060.07 $190,614.21 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 30 6 — — $41,559.79 $199,259.26 $188,906.96 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 6 — — $41,548.03 $199,202.88 $188,853.51 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $41,247.14 $197,760.25 $187,485.83 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 30 6 — — $41,111.56 $197,110.23 $186,869.58 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 6 — — $40,593.48 $194,626.25 $184,514.65 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 6 — — $40,567.19 $194,500.23 $184,395.18 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 6 — — $39,891.39 $191,260.10 $181,323.39 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 6 — — $39,636.85 $190,039.67 $180,166.36 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 6 — — $39,474.99 $189,263.63 $179,430.64 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 6 — — $39,423.80 $189,018.22 $179,197.98 2026-07-15
7 MS_DRG Lung Transplant 17 5 — — $89,577.35 $429,480.43 $177,132.84 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 6 — — $38,887.73 $186,448.01 $176,761.30 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 6 — — $38,501.76 $184,597.46 $175,006.89 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 30 6 — — $38,202.94 $183,164.77 $173,648.64 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 30 6 — — $37,973.98 $182,067.04 $172,607.95 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 30 6 — — $37,839.79 $181,423.66 $171,997.99 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 30 6 — — $37,785.84 $181,164.98 $171,752.75 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 30 6 — — $37,726.35 $180,879.77 $171,482.36 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $36,887.31 $176,856.98 $167,668.56 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 6 — — $36,865.18 $176,750.85 $167,567.95 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 6 — — $36,617.55 $175,563.58 $166,442.37 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 6 — — $36,496.50 $174,983.21 $165,892.15 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 17 5 — — $83,128.57 $398,561.64 $164,380.84 2026-07-15
J0224 HCPCS Lumasiran 94.5 Mg/0.5 Ml Subcutaneous Solution 81 18 $238,412.74 — $50.00 $231,260.36 $163,718.03 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 6 — — $36,006.08 $172,631.89 $163,662.98 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 30 6 — — $35,943.83 $172,333.41 $163,380.01 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 6 — — $34,863.38 $167,153.19 $158,468.93 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 30 6 — — $34,498.16 $165,402.13 $156,808.84 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 6 — — $34,221.48 $164,075.57 $155,551.20 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 6 — — $34,160.61 $163,783.73 $155,274.52 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 5 — — $78,382.77 $375,807.82 $154,996.36 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 6 — — $34,043.71 $163,223.26 $154,743.17 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 6 — — $33,901.91 $162,543.40 $154,098.63 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 30 6 — — $33,400.42 $160,139.01 $151,819.16 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 6 — — $33,231.65 $159,329.81 $151,052.00 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 30 6 — — $32,930.75 $157,887.17 $149,684.31 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 6 — — $32,453.48 $155,598.86 $147,514.88 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 6 — — $32,356.64 $155,134.56 $147,074.71 2026-07-15
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 81 18 $214,114.32 — $50.00 $207,690.89 $147,032.30 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 11 3 — — $110,139.19 $151,099.89 $145,589.90 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 6 — — $31,946.46 $153,167.93 $145,210.26 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 6 — — $31,794.28 $152,438.33 $144,518.56 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 6 — — $31,713.35 $152,050.31 $144,150.70 2026-07-15
245 MS_DRG Aicd Generator Procedures 30 6 — — $31,558.41 $151,307.43 $143,446.42 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 6 — — $31,463.64 $150,853.09 $143,015.68 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 6 — — $31,449.81 $150,786.76 $142,952.79 2026-07-15
J9347 HCPCS Inv Tremelimumab 20 Mg/ml Intravenous Solution 81 18 $207,625.35 — $50.00 $201,396.59 $142,576.33 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 30 6 — — $31,326.69 $150,196.44 $142,393.14 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 5 — — $71,318.38 $341,937.42 $141,027.02 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 30 6 — — $31,000.89 $148,634.42 $140,912.27 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 6 — — $30,991.90 $148,591.30 $140,871.40 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 6 — — $30,870.16 $148,007.62 $140,318.04 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 6 — — $30,385.27 $145,682.82 $138,114.02 2026-07-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 1 — — $132,533.39 $137,549.25 $137,549.25 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 6 — — $29,932.90 $143,513.89 $136,057.78 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 6 — — $29,694.26 $142,369.74 $134,973.07 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 30 6 — — $29,503.35 $141,454.41 $134,105.30 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 6 — — $29,333.88 $140,641.89 $133,334.99 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 6 — — $29,212.14 $140,058.20 $132,781.63 2026-07-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 30 6 — — $29,162.34 $139,819.42 $132,555.26 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 6 — — $29,147.81 $139,749.78 $132,489.23 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 6 — — $29,062.73 $139,341.86 $132,102.51 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 30 6 — — $29,028.15 $139,176.04 $131,945.30 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 6 — — $28,974.19 $138,917.36 $131,700.06 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 6 — — $28,862.14 $138,380.11 $131,190.72 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 30 6 — — $28,841.39 $138,280.61 $131,096.39 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 6 — — $28,726.56 $137,730.09 $130,574.47 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 30 6 — — $28,536.34 $136,818.08 $129,709.85 2026-07-15
791 MS_DRG Prematurity With Major Problems 30 6 — — $28,076.36 $134,612.68 $127,619.02 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 6 — — $27,810.05 $133,335.86 $126,408.54 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 6 — — $27,558.27 $132,128.69 $125,264.09 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 6 — — $27,058.86 $129,734.25 $122,994.05 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 6 — — $26,936.43 $129,147.25 $122,437.54 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 6 — — $26,773.88 $128,367.89 $121,698.68 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 6 — — $26,733.76 $128,175.54 $121,516.32 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 30 6 — — $26,708.16 $128,052.84 $121,399.99 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 6 — — $26,556.68 $127,326.55 $120,711.43 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 30 6 — — $26,028.91 $124,796.13 $118,312.48 2026-07-15
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 30 6 — — $25,915.47 $124,252.24 $117,796.85 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 6 — — $25,853.91 $123,957.08 $117,517.03 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 6 — — $25,851.14 $123,943.82 $117,504.45 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 30 6 — — $25,778.51 $123,595.60 $117,174.32 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 6 — — $25,407.06 $121,814.69 $115,485.94 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 30 6 — — $25,396.69 $121,764.94 $115,438.78 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 6 — — $25,098.56 $120,335.57 $114,083.67 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 6 — — $25,079.20 $120,242.71 $113,995.63 2026-07-15
332 MS_DRG Rectal Resection With Mcc 30 6 — — $25,044.61 $120,076.89 $113,838.43 2026-07-15
265 MS_DRG Aicd Lead Procedures 30 6 — — $25,027.32 $119,993.98 $113,759.83 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 6 — — $24,983.05 $119,781.74 $113,558.60 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 6 — — $24,945.70 $119,602.65 $113,388.82 2026-07-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 30 6 — — $24,782.45 $118,819.98 $112,646.81 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 6 — — $24,725.04 $118,544.72 $112,385.85 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 6 — — $24,700.14 $118,425.33 $112,272.67 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 6 — — $24,663.48 $118,249.56 $112,106.03 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 6 — — $24,642.73 $118,150.07 $112,011.71 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 30 6 — — $24,619.21 $118,037.31 $111,904.81 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 6 — — $24,599.15 $117,941.13 $111,813.63 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 6 — — $24,393.71 $116,956.16 $110,879.83 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 6 — — $24,343.91 $116,717.38 $110,653.46 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 30 6 — — $24,128.79 $115,685.98 $109,675.64 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 30 6 — — $24,122.57 $115,656.13 $109,647.34 2026-07-15
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 138 18 $248,371.20 — $50.00 $361,380.10 $109,531.70 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 6 — — $24,011.89 $115,125.51 $109,144.29 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 6 — — $23,895.69 $114,568.35 $108,616.08 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 6 — — $23,785.01 $114,037.73 $108,113.02 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 6 — — $23,714.46 $113,699.46 $107,792.32 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 6 — — $23,598.25 $113,142.30 $107,264.12 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 6 — — $23,567.13 $112,993.06 $107,122.63 2026-07-15
187000714 NDC Ribavirin 6 Gram Solution For Inhalation 57 16 $127,726.70 — $44,423.35 $123,894.90 $106,907.25 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 30 6 — — $23,107.14 $110,787.66 $105,031.80 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 6 — — $22,849.13 $109,550.64 $103,859.06 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 30 6 — — $22,771.66 $109,179.20 $103,506.92 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 30 6 — — $22,768.90 $109,165.94 $103,494.34 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 6 — — $22,499.82 $107,875.86 $102,271.28 2026-07-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 30 6 — — $22,400.91 $107,401.61 $101,821.68 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 6 — — $22,376.01 $107,282.22 $101,708.49 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 6 — — $22,344.88 $107,132.99 $101,567.01 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 6 — — $22,322.05 $107,023.54 $101,463.25 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 30 6 — — $22,278.48 $106,814.61 $101,265.17 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 6 — — $22,206.54 $106,469.71 $100,938.19 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 6 — — $22,084.80 $105,886.02 $100,384.82 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 6 — — $22,043.99 $105,690.35 $100,199.32 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 6 — — $22,022.55 $105,587.54 $100,101.86 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 6 — — $21,978.28 $105,375.29 $99,900.63 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 30 6 — — $21,891.12 $104,957.43 $99,504.48 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 6 — — $21,857.92 $104,798.24 $99,353.56 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 6 — — $21,795.67 $104,499.76 $99,070.59 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 6 — — $21,785.29 $104,450.02 $99,023.43 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 6 — — $21,734.10 $104,204.60 $98,790.77 2026-07-15
10 MS_DRG Pancreas Transplant 17 5 — — $49,634.77 $237,974.91 $98,149.22 2026-07-15
665 MS_DRG Prostatectomy With Mcc 30 6 — — $21,589.54 $103,511.48 $98,133.65 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 6 — — $21,544.58 $103,295.91 $97,929.28 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 6 — — $21,506.53 $103,113.51 $97,756.36 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 5 — — $49,350.48 $236,611.87 $97,587.06 2026-07-15
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 81 18 $141,522.48 — $50.00 $137,276.81 $97,183.49 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 30 6 — — $21,176.59 $101,531.59 $96,256.62 2026-07-15
263 MS_DRG Vein Ligation And Stripping 30 6 — — $21,148.23 $101,395.61 $96,127.71 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 3 — — $67,452.66 $99,532.20 $95,902.67 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 6 — — $20,980.84 $100,593.04 $95,366.84 2026-07-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 30 6 — — $20,892.99 $100,171.86 $94,967.54 2026-07-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 30 6 — — $20,890.22 $100,158.60 $94,954.96 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 6 — — $20,867.40 $100,049.16 $94,851.21 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 6 — — $20,587.95 $98,709.33 $93,580.99 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 30 6 — — $20,378.36 $97,704.46 $92,628.33 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 30 6 — — $20,364.53 $97,638.13 $92,565.45 2026-07-15
570 MS_DRG Skin Debridement With Mcc 30 6 — — $20,343.77 $97,538.64 $92,471.13 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 30 6 — — $20,197.82 $96,838.88 $91,807.72 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 6 — — $20,144.56 $96,583.52 $91,565.62 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 6 — — $20,073.32 $96,241.93 $91,241.78 2026-07-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 30 6 — — $20,060.87 $96,182.23 $91,185.19 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 30 6 — — $19,962.64 $95,711.30 $90,738.73 2026-07-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 30 6 — — $19,933.59 $95,572.02 $90,606.67 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 6 — — $19,853.35 $95,187.31 $90,241.96 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 6 — — $19,717.09 $94,533.98 $89,622.57 2026-07-15
800 MS_DRG Splenic Procedures With Cc 30 6 — — $19,432.80 $93,170.94 $88,330.35 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 30 6 — — $19,362.93 $92,835.99 $88,012.79 2026-07-15
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 81 18 $127,925.00 — $50.00 $124,087.25 $87,846.10 2026-07-15
503 MS_DRG Foot Procedures With Mcc 30 6 — — $19,306.21 $92,564.04 $87,754.98 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 30 6 — — $19,173.41 $91,927.29 $87,151.31 2026-07-15
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 6 — — $19,071.03 $91,436.46 $86,685.98 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 6 — — $19,012.93 $91,157.89 $86,421.88 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 30 6 — — $19,008.09 $91,134.67 $86,399.87 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 6 — — $18,909.87 $90,663.74 $85,953.41 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 6 — — $18,819.94 $90,232.61 $85,544.67 2026-07-15
849 MS_DRG Radiotherapy 30 6 — — $18,741.78 $89,857.86 $85,189.39 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 6 — — $18,718.96 $89,748.42 $85,085.63 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 6 — — $18,658.09 $89,456.57 $84,808.95 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 30 6 — — $18,399.39 $88,216.24 $83,633.06 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 6 — — $18,335.06 $87,907.81 $83,340.66 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 30 6 — — $18,243.06 $87,466.73 $82,922.49 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 30 6 — — $17,953.93 $86,080.48 $81,608.26 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 30 6 — — $17,932.49 $85,977.67 $81,510.79 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 30 6 — — $17,865.39 $85,655.98 $81,205.81 2026-07-15
16 MS_DRG Autolous Bone Marrow Transplant With Cc/mcc 17 5 — — $41,016.11 $196,652.57 $81,106.44 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 30 6 — — $17,840.49 $85,536.59 $81,092.63 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 30 6 — — $17,840.49 $85,536.59 $81,092.63 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 30 6 — — $17,760.25 $85,151.89 $80,727.91 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 30 6 — — $17,659.26 $84,667.69 $80,268.87 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 81 18 $116,827.12 — $50.00 $113,322.31 $80,225.18 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 6 — — $17,575.57 $84,266.41 $79,888.44 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 30 6 — — $17,542.36 $84,107.22 $79,737.52 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 30 6 — — $17,458.67 $83,705.94 $79,357.08 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 30 6 — — $17,451.06 $83,669.46 $79,322.50 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 30 6 — — $17,236.63 $82,641.37 $78,347.83 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 30 6 — — $17,166.08 $82,303.10 $78,027.13 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 6 — — $17,010.44 $81,556.91 $77,319.71 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 6 — — $17,005.60 $81,533.69 $77,297.70 2026-07-15
792 MS_DRG Prematurity Without Major Problems 30 6 — — $16,941.27 $81,225.27 $77,005.30 2026-07-15
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 30 6 — — $16,906.69 $81,059.45 $76,848.09 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 30 6 — — $16,886.63 $80,963.27 $76,756.91 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 17 5 — — $38,767.37 $185,870.95 $76,659.72 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 30 6 — — $16,754.51 $80,329.84 $76,156.39 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 30 6 — — $16,699.87 $80,067.85 $75,908.01 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 81 18 $110,149.31 — $50.00 $106,844.83 $75,639.53 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 30 6 — — $16,637.61 $79,769.37 $75,625.04 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 6 — — $16,581.58 $79,500.74 $75,370.37 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 30 6 — — $16,565.67 $79,424.46 $75,298.05 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 30 6 — — $16,535.24 $79,278.54 $75,159.71 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 6 — — $16,506.88 $79,142.57 $75,030.80 2026-07-15
17 MS_DRG Autolous Bone Marrow Transplant Without Cc/mcc 17 5 — — $37,575.56 $180,156.80 $74,303.00 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 30 6 — — $16,262.71 $77,971.88 $73,920.94 2026-07-15
333 MS_DRG Rectal Resection With Cc 30 6 — — $16,201.14 $77,676.72 $73,641.11 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 6 — — $16,176.24 $77,557.33 $73,527.92 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 6 — — $16,164.48 $77,500.95 $73,474.47 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 30 6 — — $16,096.70 $77,175.94 $73,166.35 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 6 — — $16,085.63 $77,122.88 $73,116.05 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 30 6 — — $16,069.03 $77,043.29 $73,040.59 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 6 — — $15,986.72 $76,648.64 $72,666.44 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 82 18 $105,619.80 — $50.00 $172,414.88 $72,529.12 2026-07-15
93656 CPT Hc Tx Atrial Fib Ablate Pulm Vein Isol 69 18 $101,060.10 — $24,654.47 $98,028.30 $72,278.18 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 30 6 — — $15,878.81 $76,131.28 $72,175.96 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 30 6 — — $15,873.97 $76,108.06 $72,153.95 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 30 6 — — $15,809.64 $75,799.64 $71,861.55 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 6 — — $15,781.97 $75,666.98 $71,735.79 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 6 — — $15,741.16 $75,471.31 $71,550.28 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 30 6 — — $15,714.88 $75,345.29 $71,430.81 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 30 6 — — $15,671.30 $75,136.36 $71,232.73 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 30 6 — — $15,484.54 $74,240.93 $70,383.82 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 30 6 — — $15,475.54 $74,197.82 $70,342.95 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $70,000.00 $70,000.00 $70,000.00 2026-07-15
407 MS_DRG Pancreas- Liver And Shunt Procedures Without Cc/mcc 30 6 — — $15,353.11 $73,610.81 $69,786.44 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc 30 6 — — $15,306.08 $73,385.30 $69,572.64 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 11 3 — — $48,901.12 $72,157.81 $69,526.50 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 30 6 — — $15,290.86 $73,312.34 $69,503.47 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 6 — — $15,272.18 $73,222.80 $69,418.58 2026-07-15
41 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 6 — — $15,208.55 $72,917.69 $69,129.33 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 30 6 — — $15,184.34 $72,801.61 $69,019.28 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 30 6 — — $15,160.82 $72,688.86 $68,912.38 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 30 6 — — $15,133.84 $72,559.52 $68,789.76 2026-07-15
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 228 16 $95,394.45 — $12,047.36 $123,855.37 $68,700.97 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 30 6 — — $15,096.49 $72,380.43 $68,619.98 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 30 6 — — $15,086.81 $72,334.00 $68,575.97 2026-07-15
629 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc 30 6 — — $15,070.90 $72,257.72 $68,503.65 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 6 — — $15,060.52 $72,207.98 $68,456.49 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 30 6 — — $15,010.03 $71,965.88 $68,226.97 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 30 6 — — $14,812.89 $71,020.71 $67,330.90 2026-07-15
584 MS_DRG Breast Biopsy- Local Excision And Other Breast Procedures With Cc/mcc 30 6 — — $14,807.36 $70,994.17 $67,305.75 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 30 6 — — $14,793.52 $70,927.85 $67,242.87 2026-07-15
93653 CPT Hc Ep & Ablate Supravent Arryth 69 18 $93,858.10 — $24,654.47 $91,042.36 $67,127.31 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 30 6 — — $14,740.26 $70,672.48 $67,000.77 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 6 — — $14,739.57 $70,669.17 $66,997.63 2026-07-15
734 MS_DRG Pelvic Evisceration- Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 30 6 — — $14,733.34 $70,639.32 $66,969.33 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 30 6 — — $14,710.52 $70,529.88 $66,865.57 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 30 6 — — $14,669.02 $70,330.89 $66,676.93 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 30 6 — — $14,648.26 $70,231.40 $66,582.61 2026-07-15
146 MS_DRG Ear- Nose- Mouth And Throat Malignancy With Mcc 30 6 — — $14,646.19 $70,221.45 $66,573.17 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 30 6 — — $14,640.66 $70,194.92 $66,548.02 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 30 6 — — $14,586.01 $69,932.93 $66,299.64 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 30 6 — — $14,543.12 $69,727.31 $66,104.70 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 30 6 — — $14,487.79 $69,462.00 $65,853.17 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 30 6 — — $14,478.80 $69,418.88 $65,812.30 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 30 6 — — $14,464.27 $69,349.24 $65,746.28 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 30 6 — — $14,438.68 $69,226.53 $65,629.94 2026-07-15
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 62 18 $78,387.80 — $22.84 $166,250.00 $65,610.59 2026-07-15
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 30 6 — — $14,427.61 $69,173.47 $65,579.64 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 30 6 — — $14,423.46 $69,153.57 $65,560.77 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 30 6 — — $14,413.78 $69,107.14 $65,516.76 2026-07-15
511 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Cc 30 6 — — $14,383.34 $68,961.22 $65,378.42 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 6 — — $14,374.35 $68,918.11 $65,337.54 2026-07-15
886 MS_DRG Behavioral And Developmental Disorders 30 6 — — $14,354.98 $68,825.25 $65,249.51 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 30 6 — — $14,295.49 $68,540.04 $64,979.11 2026-07-15
26497 CPT Hc Valve Implant Lvl 59 69 18 $90,743.80 — $3,260.77 $88,021.49 $64,899.97 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 30 6 — — $14,253.30 $68,337.74 $64,787.32 2026-07-15
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