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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

BETHESDA HOSPITAL EAST

Boynton Beach, FL · CCN 100002 · Rates published

5,351 distinct procedures filed
22 distinct payers
1,311,466 rate rows
2026-03-30 last MRF observed
Data quality

1,277,982 of 1,311,466 rate rows are consumer-grade (97.4%)

33,484 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 29,006
exceeds 10× this hospital's gross charge — excluded from medians 1,739
per-diem day rate — not a per-procedure price 1,704
template filing: same amount across many unrelated codes — excluded 765
placeholder amount (≤ $0.02) — excluded from medians 270
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://baptisthealth.net/-/media/Documents/Patient-Resources/Patient-Pricing/Apr-2026/592447554_bethesda-hospital_standardcharges.zip
Found on page https://baptisthealth.net/locations/hospitals/bethesda-hospital-west-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint bbdef6ceda7f5af8… · 21,900,778 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2056
HCPCS 		Ciltacabtagene Autoleuce upto100M 22 $24,307.81 $3,550,766.00 $1,001,316.01 nat. median
$675,122
1.5× median
Q2054
HCPCS 		Lisocabtagene Maraleucel Upto 110m 22 $24,307.81 $3,397,561.00 $958,112.20 nat. median
$674,188
1.4× median
Q2055
HCPCS 		Idecabtagene Car Pos T upto460M 22 $24,307.81 $3,378,135.00 $952,634.07 nat. median
$625,184
1.5× median
Q2058
HCPCS 		Obecabtagene Auto Up To 400mil 17 $278,250.00 $3,150,000.00 $945,000.00 nat. median
$324,450
outlier · 2.9×
Q2041
HCPCS 		Axicabtagene Ciloleucel upto200M 22 $24,307.81 $3,219,991.00 $908,037.46 nat. median
$634,511
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $24,307.81 $2,954,120.00 $833,061.84 nat. median
$620,080
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $31,553.17 $304,635.75 $139,609.91 nat. median
$133,176
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $23,163.91 $381,709.26 $132,545.21 nat. median
$202,986
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 4 $50,811.48 $391,876.59 $121,644.61 nat. median
$99,019
1.2× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $71,148.78 $229,667.51 $115,653.15 nat. median
$52,879
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $50,894.26 $210,831.66 $113,875.54 nat. median
$74,915
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $55,811.72 $274,755.88 $112,461.11 nat. median
$66,526
1.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $110,487.71 $110,487.71 $110,487.71 nat. median
$59,899
1.8× median
J9029
HCPCS 		Nadofaragene Fir-vncg Per Dose 22 $15,211.53 $383,652.00 $108,189.86 nat. median
$69,774
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $63,552.36 $184,658.53 $105,691.30 nat. median
$62,134
1.7× median
593
APR_DRG 		Neonate Birth Weight 750-999g Without Major Procedure 5 $104,677.40 $104,677.40 $104,677.40 nat. median
$13,186
outlier · 7.9×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 2 $41,569.72 $228,065.00 $102,947.47 nat. median
$35,058
outlier · 2.9×
C1831
HCPCS 		Cage Fusion Level 1 Aprevo1 12 $26,449.49 $255,600.00 $99,811.80 nat. median
$11,688
outlier · 8.5×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 $34,499.46 $159,354.88 $96,650.19 nat. median
$53,268
1.8× median
C1825
HCPCS 		Ipg Barostim 100065202 12 $32,044.57 $178,920.00 $94,827.60 nat. median
$52,021
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $89,426.85 $89,426.85 $89,426.85 nat. median
$79,312
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $45,203.22 $130,886.77 $88,560.85 nat. median
$54,211
1.6× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 3 $35,891.12 $199,383.22 $85,722.90 nat. median
$49,191
1.7× median
591
APR_DRG 		Neonate Birth Weight 500-749g Without Major Procedure 5 $84,421.01 $84,421.01 $84,421.01 nat. median
$6,529
outlier · 12.9×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $47,819.73 $166,231.93 $81,619.94 nat. median
$59,793
1.4× median
C1827
HCPCS 		Vivistim Generatr Nerve Vivipg 12 $30,010.00 $150,804.00 $80,227.73 nat. median
$28,413
outlier · 2.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $57,069.00 $233,312.42 $77,425.59 nat. median
$73,807
1.0× median
Q2043
HCPCS 		Sipuleucel-t Cd54 Infusion 22 $15,211.53 $266,862.00 $77,389.98 nat. median
$66,682
1.2× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $75,976.58 $75,976.58 $75,976.58 nat. median
$48,732
1.6× median
37
MS_DRG 		Extracranial Procedures With Mcc 1 $74,155.30 $74,155.30 $74,155.30 nat. median
$32,921
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $52,204.81 $285,243.36 $73,926.47 nat. median
$68,887
1.1× median
C1824
HCPCS 		Generator Ccm Dynamic10b4113xx 12 $19,985.57 $200,109.00 $70,443.36 nat. median
$37,950
1.9× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 $69,936.61 $69,936.61 $69,936.61 nat. median
$37,237
1.9× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $25,661.05 $105,269.20 $69,041.64 nat. median
$30,264
outlier · 2.3×
C2624
HCPCS 		Cordella Pulm Sensor 10030305 12 $22,888.98 $121,410.00 $64,347.30 nat. median
$32,760
2.0× median
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 $63,611.69 $63,611.69 $63,611.69 nat. median
$32,663
1.9× median
589
APR_DRG 		Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 5 $62,431.64 $62,431.64 $62,431.64 nat. median
$79,557
0.8× median
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 $62,213.83 $62,213.83 $62,213.83 nat. median
$26,342
outlier · 2.4×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 $36,748.25 $195,470.82 $61,767.13 nat. median
$48,170
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $55,644.36 $62,729.65 $59,187.01 nat. median
$68,090
0.9× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 2 $38,819.49 $79,438.56 $59,129.02 nat. median
$50,673
1.2× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 3 $27,231.81 $58,750.29 $56,846.04 nat. median
$45,125
1.3× median
245
MS_DRG 		Aicd Generator Procedures 2 $36,265.41 $76,171.96 $56,218.69 nat. median
$45,271
1.2× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 6 $33,760.98 $140,594.45 $55,930.42 nat. median
$44,810
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $53,958.76 $56,803.21 $55,380.99 nat. median
$60,691
0.9× median
C1822
HCPCS 		Neuro Stim Ipg Prospera 478614 12 $18,311.18 $112,464.00 $54,822.18 nat. median
$31,540
1.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $35,946.58 $164,181.17 $53,990.68 nat. median
$57,424
0.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 9 $39,966.25 $101,908.84 $52,808.75 nat. median
$51,307
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $51,721.95 $51,721.95 $51,721.95 nat. median
$65,950
0.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $32,265.45 $82,107.67 $51,072.33 nat. median
$41,169
1.2× median

Other procedures at this hospital

Browse this hospital's 5,351 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
             
Q2056 HCPCS Ciltacabtagene Autoleuce upto100M 102 22 $3,550,766.00 $2,307,997.90 35% off $24,307.81 $3,550,766.00 $1,001,316.01 2026-03-30
Q2054 HCPCS Lisocabtagene Maraleucel Upto 110m 153 22 $3,397,561.00 $2,208,414.65 35% off $24,307.81 $3,397,561.00 $958,112.20 2026-03-30
Q2055 HCPCS Idecabtagene Car Pos T upto460M 102 22 $3,378,135.00 $2,195,787.75 35% off $24,307.81 $3,378,135.00 $952,634.07 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel upto200M 51 22 $3,219,991.00 $2,092,994.15 35% off $24,307.81 $3,219,991.00 $908,037.46 2026-03-30
Q2058 HCPCS Obecabtagene Auto Up To 400mil 41 17 $3,150,000.00 $2,047,500.00 35% off $278,250.00 $3,150,000.00 $945,000.00 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 102 22 $2,954,120.00 $1,920,178.00 35% off $24,307.81 $2,954,120.00 $833,061.84 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 4 — — $24,732.12 $492,084.66 $45,398.45 2026-03-30
215 MS_DRG Other Heart Assist System Implant 6 4 — — $50,811.48 $391,876.59 $121,644.61 2026-03-30
J9029 HCPCS Nadofaragene Fir-vncg Per Dose 102 22 $383,652.00 $249,373.80 35% off $15,211.53 $383,652.00 $108,189.86 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 6 — — $23,163.91 $381,709.26 $132,545.21 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 5 — — $31,553.17 $304,635.75 $139,609.91 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 5 — — $52,204.81 $285,243.36 $73,926.47 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 6 — — $55,811.72 $274,755.88 $112,461.11 2026-03-30
Q2043 HCPCS Sipuleucel-t Cd54 Infusion 54 22 $266,862.00 $173,460.30 35% off $15,211.53 $266,862.00 $77,389.98 2026-03-30
C1831 HCPCS Cage Fusion Level 1 Aprevo1 150 12 $194,256.00 $126,266.40 35% off $26,449.49 $255,600.00 $99,811.80 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 5 — — $57,069.00 $233,312.42 $77,425.59 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $71,148.78 $229,667.51 $115,653.15 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 2 — — $41,569.72 $228,065.00 $102,947.47 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 5 — — $28,488.76 $224,238.00 $46,232.85 2026-03-30
C1826 HCPCS Gen, Neuro, Clo Loop, Rechg 150 12 $102,240.00 $66,456.00 35% off $1,653.69 $219,816.00 $38,789.85 2026-03-30
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 11 6 — — $15,652.80 $212,332.00 $21,528.17 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $50,894.26 $210,831.66 $113,875.54 2026-03-30
33276 CPT Ins Phrenic Nrv System 54 22 $200,342.00 $130,222.30 35% off $1,836.00 $200,342.00 $45,996.81 2026-03-30
C1824 HCPCS Generator Ccm Dynamic10b4113xx 90 12 $132,912.00 $86,392.80 35% off $19,985.57 $200,109.00 $70,443.36 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $35,891.12 $199,383.22 $85,722.90 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 8 — — $36,748.25 $195,470.82 $61,767.13 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 2 — — $63,552.36 $184,658.53 $105,691.30 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 7 — — $27,030.85 $181,184.00 $42,746.78 2026-03-30
C1767 HCPCS Generator, Neuro Non-recharg 1,110 12 $91,684.00 $59,594.60 35% off $1,782.44 $180,306.00 $45,287.70 2026-03-30
C1825 HCPCS Ipg Barostim 100065202 60 12 $169,974.00 $110,483.10 35% off $32,044.57 $178,920.00 $94,827.60 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 5 — — $27,634.79 $169,785.23 $48,071.79 2026-03-30
J9266 HCPCS Pegaspargase 750unit/ml 5ml Vl 100 22 $168,740.00 $109,681.00 35% off $10,581.38 $168,740.00 $47,584.68 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $47,819.73 $166,231.93 $81,619.94 2026-03-30
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 9 5 — — $15,088.24 $164,689.06 $25,095.30 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $35,946.58 $164,181.17 $53,990.68 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 6 — — $34,499.46 $159,354.88 $96,650.19 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $43,875.20 $159,163.37 $49,639.45 2026-03-30
27279 CPT Arthrodesis Sacroiliac Jnt Bil 70 22 $158,101.00 $102,765.65 35% off $3,651.00 $158,101.00 $20,324.32 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 5 — — $23,280.67 $157,665.78 $41,019.09 2026-03-30
C1827 HCPCS Vivistim Generatr Nerve Vivipg 30 12 $150,804.00 $98,022.60 35% off $30,010.00 $150,804.00 $80,227.73 2026-03-30
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 9 6 — — $14,638.56 $150,131.98 $23,790.94 2026-03-30
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 27 8 — — $15,951.56 $148,832.00 $21,765.28 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 5 — — $23,095.19 $148,613.12 $37,809.46 2026-03-30
0620T CPT Evasc Ven Art Tibl/pero Vn 51 22 $148,402.00 $96,461.30 35% off $6,960.73 $148,402.00 $45,996.81 2026-03-30
C1820 HCPCS Generator Neuro Rechg Bat Sy 721 12 $60,833.00 $39,541.45 35% off $264.23 $148,248.00 $28,333.31 2026-03-30
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 6 4 — — $12,532.15 $145,460.00 $20,340.07 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 6 — — $33,760.98 $140,594.45 $55,930.42 2026-03-30
33889 CPT Opn Subcl Crtd Art Trp Nck Uni Bil 53 17 $139,568.00 $90,719.20 35% off $3,651.00 $139,568.00 $26,866.84 2026-03-30
35661 CPT Bypass Femoro-femoral 56 17 $69,784.00 $45,359.60 35% off $3,117.86 $139,568.00 $25,226.92 2026-03-30
35506 CPT Bypass W Vein Carotid-sublavan 56 17 $69,784.00 $45,359.60 35% off $2,970.89 $139,568.00 $25,226.92 2026-03-30
35671 CPT Bypass Popliteal-tibial Or Per 56 17 $69,784.00 $45,359.60 35% off $3,117.86 $139,568.00 $25,226.92 2026-03-30
35533 CPT Bypass W Vein Axilofemoral-fem 56 17 $69,784.00 $45,359.60 35% off $2,570.65 $139,568.00 $25,226.92 2026-03-30
35665 CPT Bypass Ilio-femoral 56 17 $69,784.00 $45,359.60 35% off $3,117.86 $139,568.00 $25,226.92 2026-03-30
35663 CPT Bypass Ilio-iliac Bil 56 17 $139,568.00 $90,719.20 35% off $3,651.00 $139,568.00 $25,226.92 2026-03-30
35656 CPT Bypass Femoro-popliteal Bil 56 17 $139,568.00 $90,719.20 35% off $3,117.86 $139,568.00 $25,226.92 2026-03-30
35606 CPT Bypass Carotid-sublavian 56 17 $69,784.00 $45,359.60 35% off $2,970.89 $139,568.00 $25,226.92 2026-03-30
35666 CPT Bypass Femoro-tibial Or Per 56 17 $69,784.00 $45,359.60 35% off $3,117.86 $139,568.00 $25,226.92 2026-03-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 5 — — $17,939.61 $138,428.74 $31,270.62 2026-03-30
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 5 5 — — $16,393.36 $137,119.15 $21,879.28 2026-03-30
0915T CPT Ins Perm Ccm-d System 44 17 $135,941.00 $88,361.65 35% off $1,324.00 $135,941.00 $34,089.88 2026-03-30
L8614 HCPCS Cochlear Device 420 12 $73,897.00 $48,033.05 35% off $1,208.13 $133,423.00 $41,354.10 2026-03-30
0571T CPT Ins Or Rep Icd W Sstern Lead 51 22 $132,907.00 $86,389.55 35% off $14,203.25 $132,907.00 $36,712.18 2026-03-30
33287 CPT Rmv Repl Phrenic Nrv Pulgen 54 22 $131,854.00 $85,705.10 35% off $3,651.00 $131,854.00 $32,224.05 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $45,203.22 $130,886.77 $88,560.85 2026-03-30
C1604 HCPCS Stent Graft Casepricedetour 44 17 $127,800.00 $83,070.00 35% off $25,432.20 $127,800.00 $48,052.80 2026-03-30
254 MS_DRG Other Vascular Procedures Without Cc/mcc 12 7 — — $13,236.05 $125,303.46 $22,542.31 2026-03-30
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 35 10 — — $9,278.85 $124,805.00 $20,466.67 2026-03-30
37231 CPT Tibper Stnt Athr Wwo Pta Intl Bil 53 17 $124,260.00 $80,769.00 35% off $3,651.00 $124,260.00 $23,920.05 2026-03-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 8 5 — — $16,895.44 $123,864.63 $27,294.52 2026-03-30
C2624 HCPCS Cordella Pulm Sensor 10030305 120 12 $118,215.00 $76,839.75 35% off $22,888.98 $121,410.00 $64,347.30 2026-03-30
0408T CPT Ins/rplc Cardiac Modul Sys 54 22 $116,889.00 $75,977.85 35% off $1,324.00 $116,889.00 $32,778.73 2026-03-30
0414T CPT Rmvl & Rpl Car Modul Pls Gn 54 22 $115,797.00 $75,268.05 35% off $1,324.00 $115,797.00 $23,228.50 2026-03-30
0409T CPT Ins/rplc Cardc Modul Pls Gn 54 22 $115,797.00 $75,268.05 35% off $1,324.00 $115,797.00 $23,228.50 2026-03-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 7 — — $17,670.36 $113,612.97 $29,562.80 2026-03-30
33991 CPT Vad Insrt Perc Av Acce Trnsptl 40 17 $113,303.00 $73,646.95 35% off $3,651.00 $113,303.00 $20,497.12 2026-03-30
C1822 HCPCS Neuro Stim Ipg Prospera 478614 90 12 $96,412.00 $62,667.80 35% off $18,311.18 $112,464.00 $54,822.18 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $110,487.71 $110,487.71 $110,487.71 2026-03-30
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 3 — — $10,117.64 $107,113.32 $29,827.21 2026-03-30
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 7 — — $16,789.24 $106,681.00 $23,642.67 2026-03-30
C1722 HCPCS Aicd, Single Chamber 811 12 $58,788.00 $38,212.20 35% off $0.28 $106,074.00 $31,002.51 2026-03-30
J7310 HCPCS Ganciclovir 4.5mg Implant 36 17 $105,717.00 $68,716.05 35% off $10,581.38 $105,717.00 $33,300.85 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $25,661.05 $105,269.20 $69,041.64 2026-03-30
33277 CPT Ins Phrenic Nrv Tranven Lead 40 17 $104,813.00 $68,128.45 35% off $1,267.00 $104,813.00 $30,395.77 2026-03-30
593 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 6 5 — — $104,677.40 $104,677.40 $104,677.40 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 5 — — $31,255.59 $104,372.37 $46,168.96 2026-03-30
33990 CPT Vad Insrtn Perc Art Acces Only 40 17 $103,002.00 $66,951.30 35% off $3,651.00 $103,002.00 $20,497.12 2026-03-30
33975 CPT Vad Non-transeptl Insert Perc 40 17 $102,090.00 $66,358.50 35% off $3,651.00 $102,090.00 $20,497.12 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 9 — — $39,966.25 $101,908.84 $52,808.75 2026-03-30
0515T CPT Insj Wcs Lv Compl Sys 51 22 $99,987.00 $64,991.55 35% off $5,016.76 $99,987.00 $28,996.23 2026-03-30
C1816 HCPCS Neuro Stim Ipg Rec Kit Q4sp1us 240 12 $92,016.00 $59,810.40 35% off $1,550.41 $99,684.00 $31,374.90 2026-03-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 7 — — $23,146.92 $99,682.81 $35,991.10 2026-03-30
J9600 HCPCS Porfimer Sodium 75mg Vial IV 50 22 $99,421.00 $64,623.65 35% off $12,328.20 $99,421.00 $27,586.28 2026-03-30
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 4 3 — — $18,263.07 $99,037.80 $22,300.78 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 7 — — $19,603.45 $97,732.83 $25,998.50 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $18,335.88 $97,176.94 $36,363.17 2026-03-30
0614T CPT Rmv &repl Impl Defib Sstern 51 22 $95,225.00 $61,896.25 35% off $14,203.25 $95,225.00 $27,615.25 2026-03-30
0923T CPT Rmv-replace Ccm-d Pulse Gen 44 17 $95,172.00 $61,861.80 35% off $1,324.00 $95,172.00 $24,157.64 2026-03-30
0916T CPT Ins Perm Ccm-d Pulse Gen 44 17 $95,172.00 $61,861.80 35% off $1,324.00 $95,172.00 $24,157.64 2026-03-30
0484T CPT Rep Mitral Transcath Transthor 37 16 $94,856.00 $61,656.40 35% off $4,367.00 $94,856.00 $27,508.24 2026-03-30
J9999 HCPCS Dinutuximab 17.5 Mg/5 Ml 78 12 $94,813.00 $61,628.45 35% off $11,756.81 $94,813.00 $28,254.28 2026-03-30
253 MS_DRG Other Vascular Procedures With Cc 13 5 — — $19,036.81 $94,617.12 $28,390.67 2026-03-30
C1882 HCPCS Aicd, Other Than Sing/dual 703 12 $80,934.00 $52,607.10 35% off $0.28 $94,521.00 $35,436.17 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 5 — — $12,179.08 $94,388.72 $44,457.99 2026-03-30
0483T CPT Rep Mitral Transcath Percu 37 16 $92,020.00 $59,813.00 35% off $4,367.00 $92,020.00 $26,685.80 2026-03-30
0646T CPT Ttvi/rplcmt W/prstc Vlv Perq 37 16 $92,020.00 $59,813.00 35% off $4,367.00 $92,020.00 $26,685.80 2026-03-30
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 6 — — $15,378.25 $90,067.15 $25,728.68 2026-03-30
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 10 5 — — $15,844.51 $89,703.98 $25,898.55 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $89,426.85 $89,426.85 $89,426.85 2026-03-30
37221 CPT Iliac Revasc W/stent 180 17 $66,456.00 $43,196.40 35% off $3,651.00 $88,608.00 $22,723.50 2026-03-30
C9767 HCPCS Ivl W Stent & Atherec Incl Pta 51 22 $88,124.00 $57,280.60 35% off $6,960.73 $88,124.00 $21,440.54 2026-03-30
37226 CPT Fem/popl Revasc W/stent 90 17 $43,233.00 $28,101.45 35% off $3,651.00 $86,466.00 $22,490.39 2026-03-30
591 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 6 5 — — $84,421.01 $84,421.01 $84,421.01 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $36,280.84 $83,192.28 $39,723.39 2026-03-30
50542 CPT Laparo Ablate Renal Mass 124 22 $83,170.00 $54,060.50 35% off $3,651.00 $83,170.00 $20,559.25 2026-03-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 4 — — $20,320.52 $82,862.61 $26,379.81 2026-03-30
0825T CPT Rmv Rpl Tcat Sgl Cbr Pacer Lless 54 22 $82,739.00 $53,780.35 35% off $1,324.00 $82,739.00 $20,114.58 2026-03-30
0823T CPT Ins Tcat Sgl Cbr Pacer Leadless 108 22 $82,739.00 $53,780.35 35% off $1,324.00 $82,739.00 $20,114.58 2026-03-30
0803T CPT Rep Pm Leadls Dl Cham Pm Rv 54 22 $82,652.00 $53,723.80 35% off $1,324.00 $82,652.00 $20,114.58 2026-03-30
0802T CPT Rep Pm Leadls Dl Cham Pm Ra 54 22 $82,652.00 $53,723.80 35% off $1,324.00 $82,652.00 $20,114.58 2026-03-30
0801T CPT Rep Pm Leadls Dl Cham Pm Bth 54 22 $82,652.00 $53,723.80 35% off $1,324.00 $82,652.00 $20,114.58 2026-03-30
0797T CPT Ins Pm Leadls Rt Vnt Dl Sys 54 22 $82,652.00 $53,723.80 35% off $1,324.00 $82,652.00 $20,114.58 2026-03-30
0796T CPT Ins Pm Leadls Dl Cham Rt Atr 54 22 $82,652.00 $53,723.80 35% off $1,324.00 $82,652.00 $20,114.58 2026-03-30
0795T CPT Ins Pm Leadls Dl Cham Comp Sys 108 22 $82,652.00 $53,723.80 35% off $1,324.00 $82,652.00 $20,114.58 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $32,265.45 $82,107.67 $51,072.33 2026-03-30
C9774 HCPCS Revas Lithotr-ather Tib/per 51 22 $80,736.00 $52,478.40 35% off $6,960.73 $80,736.00 $21,440.54 2026-03-30
C9773 HCPCS Revasc Lithotr-stnt Tib/per 51 22 $80,736.00 $52,478.40 35% off $6,960.73 $80,736.00 $21,440.54 2026-03-30
C9775 HCPCS Revas Lith-sten-ath Tib/per 51 22 $80,736.00 $52,478.40 35% off $6,960.73 $80,736.00 $21,440.54 2026-03-30
C1721 HCPCS Aicd, Dual Chamber 673 12 $63,900.00 $41,535.00 35% off $0.28 $80,652.00 $31,069.72 2026-03-30
C1735 HCPCS Cath Elect Symplicity Rdn016 44 17 $80,156.00 $52,101.40 35% off $1,617.00 $80,156.00 $24,447.58 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $38,819.49 $79,438.56 $59,129.02 2026-03-30
A9543 HCPCS Y90 Zevalin Tx Up To 40mCi 54 22 $79,083.00 $51,403.95 35% off $1,601.00 $79,083.00 $28,311.72 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 8 5 — — $23,927.88 $76,776.78 $28,186.87 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 6 — — $21,157.60 $76,294.55 $34,029.05 2026-03-30
245 MS_DRG Aicd Generator Procedures 2 2 — — $36,265.41 $76,171.96 $56,218.69 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $75,976.58 $75,976.58 $75,976.58 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 5 — — $20,925.90 $75,781.55 $38,763.88 2026-03-30
C9797 HCPCS Embolize Vasc Press-gen Cath 41 17 $74,380.00 $48,347.00 35% off $11,252.00 $74,380.00 $21,570.20 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $74,155.30 $74,155.30 $74,155.30 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 — — $26,546.88 $73,285.12 $48,810.39 2026-03-30
791 MS_DRG Prematurity With Major Problems 5 3 — — $13,497.36 $72,902.17 $39,201.50 2026-03-30
37236 CPT Open/perq Place Stent 1st 248 22 $54,564.00 $35,466.60 35% off $6,960.73 $72,752.00 $20,896.24 2026-03-30
37238 CPT Open/perq Place Stent Same 124 22 $72,752.00 $47,288.80 35% off $6,960.73 $72,752.00 $20,896.24 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 4 — — $11,584.61 $72,608.55 $30,619.50 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 9 4 — — $26,923.61 $72,335.60 $34,948.92 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 5 — — $22,953.98 $72,196.25 $37,268.68 2026-03-30
33289 CPT Transcath Pulm Art Press Sen 108 22 $71,214.00 $46,289.10 35% off $1,617.00 $71,214.00 $28,685.40 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 9 6 — — $22,602.38 $71,175.47 $42,479.92 2026-03-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $69,936.61 $69,936.61 $69,936.61 2026-03-30
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $17,068.23 $69,798.03 $43,433.13 2026-03-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 6 — — $19,813.19 $69,277.78 $25,338.21 2026-03-30
977 MS_DRG HIV With Or Without Other Related Condition 2 2 — — $10,780.88 $66,441.41 $38,611.15 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 5 — — $32,637.02 $66,247.73 $46,322.12 2026-03-30
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 15 8 — — $6,421.23 $65,590.20 $21,124.78 2026-03-30
374 MS_DRG Digestive Malignancy With Mcc 4 4 — — $12,198.49 $65,402.32 $34,727.00 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 4 — — $22,638.40 $65,179.95 $31,398.24 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 4 — — $28,433.35 $64,057.47 $30,299.94 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $63,611.69 $63,611.69 $63,611.69 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 3 — — $25,600.59 $63,213.83 $38,573.95 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $37,473.30 $62,950.57 $49,578.89 2026-03-30
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 4 4 — — $15,809.36 $62,869.94 $22,971.42 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $55,644.36 $62,729.65 $59,187.01 2026-03-30
589 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 6 5 — — $62,431.64 $62,431.64 $62,431.64 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $62,213.83 $62,213.83 $62,213.83 2026-03-30
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 8 4 — — $16,648.61 $60,562.00 $27,869.93 2026-03-30
C1772 HCPCS Infusion Pump, Programmable 120 12 $55,823.00 $36,284.95 35% off $10,071.19 $59,810.00 $30,429.26 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $27,231.81 $58,750.29 $56,846.04 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 4 — — $32,739.41 $57,910.96 $45,392.10 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $29,702.35 $57,003.16 $41,980.51 2026-03-30
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 14 5 — — $12,693.23 $56,994.38 $20,775.35 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $53,958.76 $56,803.21 $55,380.99 2026-03-30
919 MS_DRG Complications Of Treatment With Mcc 9 6 — — $14,766.12 $56,013.00 $22,897.82 2026-03-30
C2622 HCPCS Prosthesis, Penile, Non-inf 60 12 $48,832.00 $31,740.80 35% off $8,485.16 $55,025.00 $27,715.35 2026-03-30
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 10 5 — — $13,817.55 $54,348.09 $21,222.72 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $25,873.27 $54,193.39 $30,270.42 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 3 — — $22,851.57 $52,028.60 $25,026.95 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $51,721.95 $51,721.95 $51,721.95 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 7 4 — — $20,740.87 $51,402.72 $22,499.76 2026-03-30
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 16 7 — — $14,048.25 $51,203.19 $22,184.24 2026-03-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 6 — — $18,850.29 $50,762.71 $28,857.84 2026-03-30
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 1 1 — — $50,477.19 $50,477.19 $50,477.19 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $50,115.56 $50,115.56 $50,115.56 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $43,503.72 $48,611.02 $46,057.37 2026-03-30
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 6 — — $8,432.84 $47,640.46 $20,457.34 2026-03-30
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 3 2 — — $21,437.00 $46,451.05 $25,720.31 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 6 — — $20,442.10 $45,699.78 $29,610.86 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 2 — — $23,294.79 $45,105.64 $34,333.85 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $45,087.74 $45,087.74 $45,087.74 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 2 — — $35,320.17 $44,311.35 $37,276.36 2026-03-30
608 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 6 5 — — $43,730.43 $43,730.43 $43,730.43 2026-03-30
375 MS_DRG Digestive Malignancy With Cc 4 4 — — $10,486.95 $43,550.85 $20,698.50 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 5 3 — — $20,986.31 $43,511.14 $32,703.78 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $40,510.56 $42,986.78 $41,748.67 2026-03-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 8 5 — — $18,083.41 $42,848.95 $23,897.10 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $26,970.53 $42,705.07 $34,837.80 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $19,926.57 $42,351.39 $29,754.72 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $42,231.45 $42,231.45 $42,231.45 2026-03-30
314 MS_DRG Other Circulatory System Diagnoses With Mcc 7 5 — — $13,434.85 $42,160.76 $21,750.72 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $21,133.80 $41,843.90 $30,615.60 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 4 — — $25,121.11 $41,612.98 $32,609.13 2026-03-30
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 — — $20,002.41 $39,178.86 $25,964.67 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $34,575.24 $39,134.89 $38,772.19 2026-03-30
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 — — $18,060.94 $38,990.10 $26,273.67 2026-03-30
501 MS_DRG Soft Tissue Procedures With Cc 4 3 — — $14,776.10 $38,530.98 $23,234.11 2026-03-30
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 2 — — $8,772.20 $37,707.56 $32,992.06 2026-03-30
50543 CPT Laparo Partial Nephrectomy 54 22 — — $3,651.00 $37,042.75 $37,042.75 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $22,839.07 $36,846.87 $30,422.84 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $17,971.34 $36,793.77 $27,382.56 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $20,439.99 $36,056.53 $28,248.26 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 3 — — $25,396.72 $36,019.65 $28,110.09 2026-03-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 2 — — $18,236.08 $35,655.67 $26,945.88 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 4 — — $21,204.32 $35,586.93 $22,745.84 2026-03-30
50947 CPT Laparo New Ureter/bladder 108 22 — — $9,345.00 $35,203.78 $34,098.36 2026-03-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 3 — — $18,071.20 $35,021.98 $27,622.90 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $32,500.39 $34,683.35 $32,659.49 2026-03-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $34,102.40 $34,102.40 $34,102.40 2026-03-30
58575 CPT Laps Tot Hyst Resj Mal 40 17 — — $33,751.00 $33,751.00 $33,751.00 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $33,571.45 $33,571.45 $33,571.45 2026-03-30
58146 CPT Myomectomy Abdom Complex 40 17 — — $3,651.00 $33,245.17 $33,245.17 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 54 22 — — $11,489.00 $32,873.35 $32,873.35 2026-03-30
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $9,542.70 $32,706.94 $22,273.72 2026-03-30
58572 CPT Tlh Uterus Over 250 G 54 22 — — $12,179.00 $32,564.38 $32,564.38 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 54 22 — — $3,651.00 $31,812.33 $25,571.50 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $23,768.60 $31,710.46 $24,331.49 2026-03-30
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 5 — — $17,336.57 $31,359.88 $26,458.38 2026-03-30
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $17,485.63 $30,734.50 $24,110.07 2026-03-30
58546 CPT Laparo-myomectomy Complex 54 22 — — $9,345.00 $30,330.42 $30,330.42 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $16,635.43 $30,248.60 $23,442.01 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $29,541.19 $29,541.19 $29,541.19 2026-03-30
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 4 4 — — $11,842.22 $28,908.10 $19,954.24 2026-03-30
60500 CPT Explore Parathyroid Glands 162 22 — — $6,429.23 $28,845.82 $28,845.82 2026-03-30
849 MS_DRG Radiotherapy 1 1 — — $28,364.41 $28,364.41 $28,364.41 2026-03-30
19318 CPT Breast Reduction 162 22 — — $12,544.00 $28,286.75 $27,526.50 2026-03-30
55866 CPT Laps Surg Prst8ect Rpbic Rad 108 22 — — $10,909.99 $28,256.20 $28,256.20 2026-03-30
55867 CPT Laps Surg Prst8ect Smpl Stot 54 22 — — $11,489.00 $28,160.79 $28,160.79 2026-03-30
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $28,045.76 $28,045.76 $28,045.76 2026-03-30
58553 CPT Laparo-vag Hyst Complex 54 22 — — $14,835.17 $27,972.50 $27,972.50 2026-03-30
58545 CPT Laparoscopic Myomectomy 108 22 — — $4,934.00 $27,884.56 $27,884.56 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $27,477.46 $27,477.46 $27,477.46 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $27,413.69 $27,413.69 $27,413.69 2026-03-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $17,035.36 $27,317.69 $22,176.53 2026-03-30
24545 CPT Optx Hum Fx Wo Ntrcndylr Xtn 54 22 — — $13,432.07 $27,207.50 $27,207.50 2026-03-30
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 2 — — $15,888.76 $27,195.45 $21,542.10 2026-03-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $20,165.57 $27,059.34 $23,612.46 2026-03-30
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 270 22 — — $11,838.77 $26,519.30 $26,519.30 2026-03-30
607 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 6 5 — — $11,914.53 $26,422.90 $26,422.90 2026-03-30
60240 CPT Removal Of Thyroid 162 22 — — $2,862.61 $26,247.69 $26,247.69 2026-03-30
19307 CPT Mast Mod Rad 108 22 — — $4,934.00 $26,190.60 $25,087.56 2026-03-30
C9602 HCPCS Perc D-e Cor Stent Ather S 216 22 — — $26,167.42 $26,167.42 $26,167.42 2026-03-30
C9606 HCPCS Perc D-e Cor Revasc W Ami S 80 17 — — $26,167.42 $26,167.42 $26,167.42 2026-03-30
24366 CPT Reconstruct Head Of Radius 54 22 — — $12,544.00 $26,060.50 $26,060.50 2026-03-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $25,939.24 $25,939.24 $25,939.24 2026-03-30
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $25,845.93 $25,845.93 $25,845.93 2026-03-30
42420 CPT Excise Parotid Gland/lesion 54 22 — — $25,648.58 $25,648.58 $25,648.58 2026-03-30
60210 CPT Partial Thyroid Excision 54 22 — — $15,025.70 $25,626.32 $25,626.32 2026-03-30
50544 CPT Laparoscopy Pyeloplasty 54 22 — — $14,209.00 $25,196.44 $25,196.44 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $25,192.35 $25,192.35 $25,192.35 2026-03-30
C9600 HCPCS Perc Drug-el Cor Stent Sing 324 22 — — $11,167.83 $24,211.02 $24,211.02 2026-03-30
47370 CPT Laparo Ablate Liver Tumor Rf 54 22 — — $9,337.20 $24,139.22 $24,139.22 2026-03-30
58554 CPT Laparo-vag Hyst W/t/o Compl 54 22 — — $3,338.00 $23,816.62 $23,816.62 2026-03-30
58573 CPT Tlh W/t/o Uterus Over 250 G 108 22 — — $4,934.00 $23,745.64 $23,745.64 2026-03-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $23,727.80 $23,727.80 $23,727.80 2026-03-30
38571 CPT Laparoscopy Lymphadenectomy 162 22 — — $4,934.00 $23,556.07 $22,958.70 2026-03-30
27702 CPT Reconstruct Ankle Joint 57 22 — — $7,576.44 $23,526.45 $20,951.96 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $23,494.04 $23,494.04 $23,494.04 2026-03-30
23473 CPT Revis Reconst Shoulder Joint 54 22 — — $13,943.45 $23,105.50 $23,105.50 2026-03-30
58291 CPT Vag Hyst Incl T/o Complex 54 22 — — $15,747.20 $23,105.50 $23,105.50 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 54 22 — — $21,100.84 $22,885.73 $22,885.73 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 54 22 — — $22,885.73 $22,885.73 $22,885.73 2026-03-30
24587 CPT Optx Partclr Fx&/dslc Elbw W 54 22 — — $13,151.44 $22,881.00 $22,881.00 2026-03-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $22,608.48 $22,608.48 $22,608.48 2026-03-30
27726 CPT Repair Fibula Nonunion 54 22 — — $15,326.65 $22,604.57 $22,604.57 2026-03-30
54405 CPT Insert Multi-comp Penis Pros 54 22 — — $21,012.83 $22,516.00 $22,516.00 2026-03-30
58180 CPT Partial Hysterectomy 1 1 — — $22,288.43 $22,288.43 $22,288.43 2026-03-30
27870 CPT Fusion Of Ankle Joint Open 54 22 — — $22,245.08 $22,245.08 $22,245.08 2026-03-30
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $22,154.92 $22,154.92 $22,154.92 2026-03-30
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $22,099.59 $22,099.59 $22,099.59 2026-03-30
63042 CPT Laminotomy Single Lumbar 108 22 — — $9,345.00 $22,083.04 $21,288.86 2026-03-30
43281 CPT Lap Paraesophag Hern Repair 54 22 — — $10,868.60 $22,064.25 $22,064.25 2026-03-30
19371 CPT Peri-implt Capslc Brst Compl 164 22 — — $11,645.53 $21,998.20 $21,475.72 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $21,674.30 $21,674.30 $21,674.30 2026-03-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $21,578.77 $21,578.77 $21,578.77 2026-03-30
602 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 6 5 — — $21,531.21 $21,531.21 $21,531.21 2026-03-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $21,501.73 $21,501.73 $21,501.73 2026-03-30
27535 CPT Treat Knee Fracture 54 22 — — $11,229.29 $21,424.07 $21,424.07 2026-03-30
671 MS_DRG Urethral Procedures With Cc/mcc 1 1 — — $21,380.45 $21,380.45 $21,380.45 2026-03-30
27487 CPT Revise/replace Knee Joint 54 22 — — $21,337.50 $21,337.50 $21,337.50 2026-03-30
58571 CPT Tlh W/t/o 250 G Or Less 162 22 — — $3,756.73 $21,258.78 $21,258.78 2026-03-30
58570 CPT Tlh Uterus 250 G Or Less 54 22 — — $4,934.00 $20,969.69 $20,969.69 2026-03-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 54 22 — — $20,951.96 $20,951.96 $20,951.96 2026-03-30
58720 CPT Removal Of Ovary/tube(s) 40 17 — — $13,457.00 $20,896.25 $20,896.25 2026-03-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 54 22 — — $4,037.12 $20,821.54 $20,821.54 2026-03-30
58140 CPT Myomectomy Abdom Method 40 17 — — $3,651.00 $20,770.25 $20,770.25 2026-03-30
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $20,752.71 $20,752.71 $20,752.71 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $20,655.63 $20,655.63 $20,655.63 2026-03-30
22856 CPT Tot Disc Arthrp 1ntrspc Crv 54 22 — — $3,651.00 $20,618.56 $20,618.56 2026-03-30
711 MS_DRG Testes Procedures With Cc/mcc 1 1 — — $20,288.66 $20,288.66 $20,288.66 2026-03-30
0266T CPT Implt/rpl Crtd Sns Dev Total 34 16 — — $20,053.04 $20,053.04 $20,053.04 2026-03-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $20,033.82 $20,033.82 $20,033.82 2026-03-30
52649 CPT Prostate Laser Enucleation 108 22 — — $14,209.00 $20,029.58 $20,029.58 2026-03-30
60220 CPT Partial Removal Of Thyroid 108 22 — — $4,789.50 $19,936.38 $19,936.38 2026-03-30
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