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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

NAPLES COMMUNITY HOSPITAL

Naples, FL · CCN 100018 · Rates published

8,896 distinct procedures filed
31 distinct payers
139,233 rate rows
2026-07-01 last MRF observed
Data quality

102,228 of 139,233 rate rows are consumer-grade (73.4%)

37,005 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 30,434
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,530
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nchmd.org/wp-content/uploads/590694358_1720085317_naples-community-hospital-inc._standardcharges.json
Found on page https://nchmd.org/patients-and-visitors/compare-hospital-pricing/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-16
Content fingerprint dad608c94b3ad85a… · 37,315,052 bytes · first seen 2026-08-17

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $343,445.45 $973,556.23 $574,657.26 nat. median
$168,055
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $96,032.53 $631,798.83 $319,429.27 nat. median
$186,516
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $170,102.69 $481,347.02 $284,309.40 nat. median
$131,925
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $87,327.76 $1,206,959.92 $283,470.47 nat. median
$145,435
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $63,877.30 $254,618.96 $254,618.96 nat. median
$60,505
outlier · 4.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $61,365.62 $313,245.99 $198,764.73 nat. median
$97,418
outlier · 2.0×
7
MS_DRG 		Lung Transplant 18 $103,406.50 $291,962.26 $172,593.76 nat. median
$70,649
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $96,004.28 $270,943.56 $160,195.10 nat. median
$72,715
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $82,447.97 $232,450.22 $137,488.38 nat. median
$69,922
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 19 $1,100.00 $282,928.27 $123,443.41 nat. median
$73,023
1.7× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 $25,161.74 $174,497.34 $120,408.70 nat. median
$24,752
outlier · 4.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $72,119.16 $203,121.43 $120,187.70 nat. median
$2,596
outlier · 46.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 $47,340.09 $160,754.87 $109,713.96 nat. median
$51,518
outlier · 2.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 $40,119.97 $181,086.50 $103,104.51 nat. median
$38,173
outlier · 2.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $54,617.03 $171,790.65 $99,744.03 nat. median
$52,327
1.9× median
10
MS_DRG 		Pancreas Transplant 18 $57,558.47 $161,776.16 $95,798.65 nat. median
$23,080
outlier · 4.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 $57,534.66 $161,708.52 $95,758.76 nat. median
$37,013
outlier · 2.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $57,232.15 $160,849.56 $95,252.07 nat. median
$45,605
outlier · 2.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $40,167.63 $148,240.14 $93,797.29 nat. median
$45,446
outlier · 2.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $27,150.58 $211,086.74 $92,231.67 nat. median
$55,935
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $88,090.74 $248,472.95 $90,434.04 nat. median
$2,736
outlier · 33.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $54,028.47 $151,752.65 $89,885.92 nat. median
$47,340
1.9× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $86,531.00 $86,531.00 $86,531.00 nat. median
$66,159
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $90,453.61 $255,182.35 $84,739.93 nat. median
$2,110
outlier · 40.2×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 $18,925.58 $163,070.96 $84,453.47 nat. median
$27,156
outlier · 3.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $58,847.72 $177,402.10 $84,193.31 nat. median
$56,428
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 $29,269.17 $147,701.31 $83,608.97 nat. median
$43,299
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $48,248.96 $173,107.27 $82,840.11 nat. median
$55,923
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $57,899.09 $162,743.34 $82,449.53 nat. median
$9,905
outlier · 8.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $80,321.91 $245,156.58 $82,120.41 nat. median
$74,509
1.1× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 18 $49,186.81 $138,004.71 $81,776.18 nat. median
$41,943
1.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 18 $48,720.75 $136,681.32 $80,995.54 nat. median
$43,803
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $79,488.55 $255,475.43 $79,488.55 nat. median
$65,418
1.2× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 18 $47,665.56 $133,685.09 $79,228.10 nat. median
$38,932
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $1,740.00 $220,553.23 $79,096.47 nat. median
$69,822
1.1× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 18 $45,084.35 $126,355.71 $74,904.59 nat. median
$32,772
outlier · 2.3×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 18 $44,779.46 $125,489.98 $74,393.91 nat. median
$35,985
outlier · 2.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 $44,436.47 $124,516.04 $73,819.39 nat. median
$38,844
1.9× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 19 $29,004.51 $87,134.17 $72,739.64 nat. median
$2,958
outlier · 24.6×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 18 $43,716.33 $122,471.20 $72,613.17 nat. median
$29,295
outlier · 2.5×
0856
OTHER 		Porfimer Sodium Injection 1 $71,718.64 $71,718.64 $71,718.64 nat. median
$62,518
1.1× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 $28,381.09 $122,962.68 $71,048.01 nat. median
$37,371
1.9× median
0870T
OTHER 		Imp Subq Prtl Ascts Pmp Sys 7 $45,996.81 $103,492.82 $67,116.90 nat. median
$34,094
2.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 $53,674.35 $150,747.14 $66,823.90 nat. median
$2,633
outlier · 25.4×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 $39,499.54 $110,497.55 $65,550.07 nat. median
$33,583
2.0× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 $37,869.67 $108,312.94 $63,161.74 nat. median
$32,992
1.9× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 18 $37,913.18 $105,993.06 $62,892.93 nat. median
$29,718
outlier · 2.1×
799
MS_DRG 		Splenic Procedures With Mcc 19 $36,014.04 $102,104.05 $62,808.14 nat. median
$32,381
1.9× median
6
MS_DRG 		Liver Transplant Without Mcc 18 $37,401.86 $104,541.17 $62,036.47 nat. median
$31,278
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $3,424.76 $189,454.65 $61,558.69 nat. median
$59,651
1.0× median

Other procedures at this hospital

Browse this hospital's 8,896 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 59 18 — — $343,445.45 $973,556.23 $574,657.26 2026-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 71 19 — — $96,032.53 $631,798.83 $319,429.27 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 59 18 — — $170,102.69 $481,347.02 $284,309.40 2026-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 72 20 — — $87,327.76 $1,206,959.92 $283,470.47 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 61 19 — — $63,877.30 $254,618.96 $254,618.96 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 62 19 — — $61,365.62 $313,245.99 $198,764.73 2026-07-01
7 MS_DRG Lung Transplant 59 18 — — $103,406.50 $291,962.26 $172,593.76 2026-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 59 18 — — $96,004.28 $270,943.56 $160,195.10 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 59 18 — — $82,447.97 $232,450.22 $137,488.38 2026-07-01
215 MS_DRG Other Heart Assist System Implant 70 19 — — $1,100.00 $282,928.27 $123,443.41 2026-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 63 19 — — $25,161.74 $174,497.34 $120,408.70 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 59 18 — — $72,119.16 $203,121.43 $120,187.70 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 63 19 — — $47,340.09 $160,754.87 $109,713.96 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 64 19 — — $40,119.97 $181,086.50 $103,104.51 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 19 — — $54,617.03 $171,790.65 $99,744.03 2026-07-01
10 MS_DRG Pancreas Transplant 59 18 — — $57,558.47 $161,776.16 $95,798.65 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 59 18 — — $57,534.66 $161,708.52 $95,758.76 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 59 18 — — $57,232.15 $160,849.56 $95,252.07 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 19 — — $40,167.63 $148,240.14 $93,797.29 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 71 19 — — $27,150.58 $211,086.74 $92,231.67 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 18 — — $88,090.74 $248,472.95 $90,434.04 2026-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 59 18 — — $54,028.47 $151,752.65 $89,885.92 2026-07-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $86,531.00 $86,531.00 $86,531.00 2026-07-01
209 MS_DRG Complex Aortic Arch Procedures 59 18 — — $90,453.61 $255,182.35 $84,739.93 2026-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 64 20 — — $18,925.58 $163,070.96 $84,453.47 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 63 19 — — $58,847.72 $177,402.10 $84,193.31 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 61 19 — — $29,269.17 $147,701.31 $83,608.97 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 20 — — $48,248.96 $173,107.27 $82,840.11 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 18 — — $57,899.09 $162,743.34 $82,449.53 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 19 — — $80,321.91 $245,156.58 $82,120.41 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 59 18 — — $49,186.81 $138,004.71 $81,776.18 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 59 18 — — $48,720.75 $136,681.32 $80,995.54 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 19 — — $79,488.55 $255,475.43 $79,488.55 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 59 18 — — $47,665.56 $133,685.09 $79,228.10 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 19 — — $1,740.00 $220,553.23 $79,096.47 2026-07-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 59 18 — — $45,084.35 $126,355.71 $74,904.59 2026-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 59 18 — — $44,779.46 $125,489.98 $74,393.91 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 59 18 — — $44,436.47 $124,516.04 $73,819.39 2026-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 61 19 — — $29,004.51 $87,134.17 $72,739.64 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 59 18 — — $43,716.33 $122,471.20 $72,613.17 2026-07-01
0856 OTHER Porfimer Sodium Injection 1 1 — — $71,718.64 $71,718.64 $71,718.64 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 60 19 — — $28,381.09 $122,962.68 $71,048.01 2026-07-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 9 7 — — $45,996.81 $103,492.82 $67,116.90 2026-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 59 18 — — $53,674.35 $150,747.14 $66,823.90 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 59 18 — — $39,499.54 $110,497.55 $65,550.07 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 60 19 — — $37,869.67 $108,312.94 $63,161.74 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 59 18 — — $37,913.18 $105,993.06 $62,892.93 2026-07-01
799 MS_DRG Splenic Procedures With Mcc 60 19 — — $36,014.04 $102,104.05 $62,808.14 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 59 18 — — $37,401.86 $104,541.17 $62,036.47 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 61 19 — — $3,424.76 $189,454.65 $61,558.69 2026-07-01
245 MS_DRG Aicd Generator Procedures 61 19 — — $1,595.72 $102,859.31 $61,359.65 2026-07-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 41 19 — — $28,037.71 $102,284.88 $61,089.95 2026-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 75 20 — — $2,183.48 $133,243.11 $59,220.30 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 73 19 — — $29,920.14 $123,156.57 $58,876.57 2026-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 49 19 — — $27,639.37 $129,176.80 $58,816.20 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 20 — — $2,141.87 $120,227.98 $58,554.77 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 19 — — $29,231.60 $129,189.61 $58,049.10 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 60 19 — — $7,032.20 $101,012.87 $57,750.05 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 19 — — $29,568.56 $132,307.59 $57,245.69 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 59 18 — — $34,450.66 $96,161.19 $57,093.23 2026-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 67 19 — — $14,703.91 $206,276.31 $56,942.26 2026-07-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 9 7 — — $35,775.41 $86,531.00 $56,475.29 2026-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 59 18 — — $33,905.20 $94,612.35 $56,179.59 2026-07-01
38240 HCPCS Transplt Allo Hct/donor 12 8 — — $8,320.05 $147,794.21 $55,619.64 2026-07-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $34,339.00 $103,492.82 $55,518.68 2026-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 73 19 — — $2,584.50 $139,363.41 $55,504.78 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 60 19 — — $31,166.02 $95,002.38 $55,357.85 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 59 18 — — $46,374.56 $130,019.27 $55,332.12 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 66 19 — — $1,895.31 $110,959.73 $54,630.33 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 19 — — $31,068.75 $94,071.27 $53,854.50 2026-07-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 10 7 $80,191.00 $32,076.40 60% off $32,778.73 $86,531.00 $53,355.41 2026-07-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 10 7 $63,138.00 $25,255.20 60% off $32,778.73 $86,531.00 $53,355.41 2026-07-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 7 — — $32,778.73 $86,531.00 $53,355.41 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 19 — — $44,197.30 $148,240.14 $53,224.56 2026-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 61 19 — — $1,544.17 $95,049.72 $53,111.58 2026-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 18 — — $45,222.50 $126,747.99 $52,308.91 2026-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 60 19 — — $27,693.12 $89,821.53 $52,284.37 2026-07-01
64568 HCPCS Inc For Vagus N Elect Impl 12 8 — — $1,196.40 $103,492.82 $50,695.83 2026-07-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 12 8 — — $1,196.40 $103,492.82 $50,695.83 2026-07-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 8 — — $1,196.40 $103,492.82 $50,695.83 2026-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 66 19 — — $2,504.88 $135,418.80 $50,478.62 2026-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 59 18 — — $30,332.32 $84,467.10 $50,195.04 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 60 19 — — $1,075.37 $87,794.74 $50,029.53 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 68 20 — — $18,118.34 $118,954.18 $49,798.65 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 59 18 — — $30,008.37 $83,547.26 $49,652.44 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 68 19 — — $18,152.86 $105,188.21 $48,915.34 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 61 19 — — $18,233.62 $105,461.00 $48,852.76 2026-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 66 20 — — $9,346.14 $102,550.44 $48,815.07 2026-07-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 9 7 — — $32,224.05 $72,504.11 $48,797.26 2026-07-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 7 — — $32,224.05 $72,504.11 $48,797.26 2026-07-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 9 7 — — $32,224.05 $72,504.11 $48,797.26 2026-07-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 9 7 — — $28,335.49 $86,531.00 $48,729.50 2026-07-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 9 7 — — $28,335.49 $86,531.00 $48,729.50 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 64 19 — — $1,760.82 $103,364.32 $48,601.25 2026-07-01
332 MS_DRG Rectal Resection With Mcc 59 18 — — $29,332.70 $81,628.68 $48,520.69 2026-07-01
C9760 HCPCS Non-blind Interatrial Shunt 9 7 — — $28,109.36 $86,531.00 $48,494.08 2026-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 60 18 — — $29,748.75 $82,810.04 $48,423.24 2026-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 59 18 — — $29,031.79 $80,774.23 $48,016.66 2026-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 59 18 — — $28,965.89 $80,587.10 $47,906.28 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 69 19 — — $31,224.98 $105,776.63 $47,839.34 2026-07-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 60 19 — — $25,100.49 $81,741.41 $47,608.58 2026-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 19 — — $21,145.13 $81,306.29 $47,197.79 2026-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 64 19 — — $5,798.56 $65,064.87 $46,963.40 2026-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 60 19 — — $26,444.36 $80,386.45 $46,898.60 2026-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 50 19 — — $12,306.90 $107,177.69 $46,869.55 2026-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 60 18 — — $23,612.12 $65,385.01 $46,652.07 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 19 — — $18,883.88 $103,628.09 $46,559.69 2026-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 61 19 — — $25,823.88 $80,318.82 $46,521.38 2026-07-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 59 18 — — $27,886.88 $77,523.24 $46,098.95 2026-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 59 18 — — $32,507.01 $90,642.17 $44,537.28 2026-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 59 18 — — $26,812.63 $74,472.90 $44,299.59 2026-07-01
69930 HCPCS Implant Cochlear Device 12 8 — — $8,320.05 $86,531.00 $43,845.14 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 67 20 — — $16,141.88 $385,408.21 $43,782.96 2026-07-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 10 7 $39,704.00 $15,881.60 60% off $23,228.50 $86,531.00 $43,412.56 2026-07-01
0515T OTHER Insj Wcs Lv Compl Sys 10 7 $54,702.00 $21,880.80 60% off $23,228.50 $86,531.00 $43,412.56 2026-07-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 9 7 — — $23,228.50 $86,531.00 $43,412.56 2026-07-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 10 7 $51,147.00 $20,458.80 60% off $23,228.50 $86,531.00 $43,412.56 2026-07-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 10 7 $51,147.00 $20,458.80 60% off $23,228.50 $86,531.00 $43,412.56 2026-07-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 9 7 — — $23,228.50 $86,531.00 $43,412.56 2026-07-01
652 MS_DRG Kidney Transplant 59 18 — — $26,226.68 $72,809.08 $43,318.13 2026-07-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 59 18 — — $26,157.60 $72,612.94 $43,202.42 2026-07-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 7 6 — — $32,224.05 $72,504.11 $43,134.19 2026-07-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 7 6 — — $32,224.05 $72,504.11 $43,134.19 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 67 20 — — $14,465.31 $104,124.08 $42,870.12 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 76 21 — — $8,856.91 $111,340.74 $42,826.48 2026-07-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 59 18 — — $45,896.59 $128,662.06 $42,821.63 2026-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 63 19 — — $26,808.19 $84,020.71 $42,800.26 2026-07-01
834 MS_DRG Acute Leukemia With Mcc 64 19 — — $31,703.04 $123,769.80 $42,714.40 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 63 19 — — $30,192.41 $128,495.23 $42,662.49 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 65 19 — — $21,000.35 $134,438.09 $42,618.36 2026-07-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 8 $28,510.00 $11,404.00 60% off $8,320.05 $86,531.00 $42,554.14 2026-07-01
33270 HCPCS Ins/rep Subq Defibrillator 13 8 $45,504.00 $18,201.60 60% off $8,320.05 $86,531.00 $42,554.14 2026-07-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 8 $31,620.00 $12,648.00 60% off $8,320.05 $86,531.00 $42,554.14 2026-07-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 8 $47,709.00 $19,083.60 60% off $8,320.05 $86,531.00 $42,554.14 2026-07-01
61886 HCPCS Implant Neurostim Arrays 12 8 — — $8,320.05 $86,531.00 $42,121.02 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 69 19 — — $15,956.52 $101,042.18 $42,025.82 2026-07-01
665 MS_DRG Prostatectomy With Mcc 59 18 — — $25,366.80 $70,367.45 $41,877.84 2026-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 60 19 — — $10,624.38 $72,378.47 $41,712.46 2026-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 65 19 — — $1,377.39 $140,481.93 $41,257.55 2026-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 59 18 — — $42,900.92 $120,155.83 $41,215.85 2026-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 59 18 — — $29,262.04 $81,428.03 $41,190.54 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 62 19 — — $39,292.30 $135,457.12 $40,851.57 2026-07-01
654 MS_DRG Major Bladder Procedures With Cc 60 19 — — $21,547.56 $63,110.22 $40,727.46 2026-07-01
2039 OTHER Gen, Neuro, Imp Led, Ex Cntr 39 19 — — $40,302.97 $41,075.36 $40,689.17 2026-07-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 59 18 — — $24,564.10 $68,088.15 $40,533.31 2026-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 77 19 — — $3,697.30 $132,369.25 $40,364.24 2026-07-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 8 $49,258.00 $19,703.20 60% off $8,320.05 $86,531.00 $40,348.04 2026-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 60 19 — — $21,961.78 $69,021.52 $40,287.14 2026-07-01
263 MS_DRG Vein Ligation And Stripping 60 19 — — $18,824.57 $68,929.08 $40,104.17 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 71 19 — — $33,499.10 $194,105.41 $40,060.68 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 69 20 — — $1,694.18 $94,725.07 $40,001.10 2026-07-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 59 18 — — $24,217.13 $67,102.94 $39,952.15 2026-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 72 20 — — $11,322.86 $119,971.18 $39,710.72 2026-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 59 18 — — $26,233.82 $72,829.37 $39,661.95 2026-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 69 19 — — $6,767.64 $75,313.83 $39,535.26 2026-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 59 18 — — $23,960.68 $66,374.73 $39,522.59 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 61 19 — — $48,697.85 $155,062.26 $39,288.09 2026-07-01
63685 HCPCS Insrt/redo Spine N Generator 12 8 — — $8,320.05 $72,504.11 $39,135.52 2026-07-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 8 — — $8,320.05 $72,504.11 $39,135.52 2026-07-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 8 — — $8,320.05 $72,504.11 $39,135.52 2026-07-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 8 — — $8,320.05 $72,504.11 $39,135.52 2026-07-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 12 8 — — $8,320.05 $72,504.11 $39,135.52 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 19 — — $8,194.97 $194,355.94 $38,806.03 2026-07-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 59 18 — — $23,510.49 $65,096.43 $38,768.53 2026-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 62 19 — — $12,049.92 $72,754.97 $38,752.69 2026-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 67 19 — — $5,392.96 $137,167.71 $38,718.54 2026-07-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 59 18 — — $23,466.03 $64,970.18 $38,694.06 2026-07-01
93653 HCPCS Hc Ep Comp Eval W Svt Ablation 13 8 $53,408.00 $21,363.20 60% off $22,951.72 $63,315.00 $38,618.20 2026-07-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 8 $53,408.00 $21,363.20 60% off $22,951.72 $63,315.00 $38,618.20 2026-07-01
93654 HCPCS Hc Ep & Ablate Ventric Tachy 13 8 $50,969.00 $20,387.60 60% off $22,951.72 $63,315.00 $38,618.20 2026-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 64 19 — — $1,226.46 $151,108.37 $38,600.89 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 19 — — $10,181.54 $102,505.35 $38,111.65 2026-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 64 19 — — $12,588.00 $112,440.93 $37,918.93 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 19 — — $27,247.55 $88,193.79 $37,596.85 2026-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 66 20 — — $5,319.39 $132,244.25 $37,460.34 2026-07-01
5232 OTHER Level 2 Icd And Similar Procedures 50 19 — — $28,942.26 $72,411.23 $37,369.54 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 67 19 — — $2,640.00 $183,101.02 $37,368.37 2026-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 70 20 — — $1,392.84 $80,176.78 $37,219.62 2026-07-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 62 20 — — $2,461.27 $48,262.08 $36,627.75 2026-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 19 — — $13,063.92 $78,262.71 $36,521.50 2026-07-01
849 MS_DRG Radiotherapy 59 18 — — $22,098.01 $61,085.68 $36,402.64 2026-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 59 18 — — $22,071.81 $61,011.28 $36,358.75 2026-07-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 59 18 — — $22,001.94 $60,812.88 $36,241.72 2026-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 68 19 — — $19,495.96 $59,969.70 $35,803.23 2026-07-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 59 18 — — $21,525.56 $59,460.18 $35,443.78 2026-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 63 19 — — $10,944.26 $65,425.59 $35,396.34 2026-07-01
22633 HCPCS Lumbar Spine Fusion Combined 12 8 — — $8,320.05 $63,754.85 $35,215.37 2026-07-01
93590 HCPCS Perq Transcath Cls Mitral 10 7 $29,072.00 $11,628.80 60% off $19,143.34 $68,618.00 $35,178.79 2026-07-01
93591 HCPCS Perq Transcath Cls Aortic 10 7 $27,460.00 $10,984.00 60% off $19,143.34 $68,618.00 $35,178.79 2026-07-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 8 $44,276.00 $17,710.40 60% off $8,320.05 $86,531.00 $35,097.00 2026-07-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 8 $32,162.00 $12,864.80 60% off $8,320.05 $86,531.00 $35,097.00 2026-07-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 8 $15,608.00 $6,243.20 60% off $8,320.05 $86,531.00 $35,097.00 2026-07-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 8 $20,282.00 $8,112.80 60% off $8,320.05 $86,531.00 $35,097.00 2026-07-01
850 MS_DRG Acute Leukemia With Other Procedures 59 18 — — $69,339.46 $195,228.43 $34,990.14 2026-07-01
33968 HCPCS Remove Aortic Assist Device 6 2 $4,328.00 $1,731.20 60% off $10,442.14 $68,618.00 $34,956.94 2026-07-01
33967 HCPCS Insert I-aort Percut Device 6 2 $9,114.00 $3,645.60 60% off $10,442.14 $68,618.00 $34,956.94 2026-07-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 60 18 — — $16,854.61 $46,196.96 $34,913.93 2026-07-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 61 18 — — $18,739.50 $58,447.91 $34,766.86 2026-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 67 19 — — $15,413.70 $55,220.20 $34,612.30 2026-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 59 18 — — $20,971.36 $57,886.54 $34,515.51 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 70 19 — — $10,587.02 $95,212.04 $34,445.61 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 59 18 — — $34,256.13 $95,608.84 $34,374.74 2026-07-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 2 1 — — $34,339.00 $34,339.00 $34,339.00 2026-07-01
1014T OTHER Lap Rv/rmv Eso Sph Nstm Eltr 2 1 — — $34,339.00 $34,339.00 $34,339.00 2026-07-01
711 MS_DRG Testes Procedures With Cc/Mcc 60 18 — — $17,130.12 $46,979.27 $34,276.91 2026-07-01
935 MS_DRG Non-extensive Burns 59 18 — — $16,941.15 $46,442.70 $34,193.94 2026-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 70 19 — — $3,440.00 $67,233.07 $34,013.64 2026-07-01
93580 HCPCS Transcath Closure Of Asd 10 7 $35,201.00 $14,080.40 60% off $19,143.34 $63,315.00 $34,000.35 2026-07-01
93581 HCPCS Transcath Closure Of Vsd 10 7 $35,201.00 $14,080.40 60% off $19,143.34 $63,315.00 $34,000.35 2026-07-01
93582 HCPCS Perq Transcath Closure Pda 9 7 — — $19,143.34 $63,315.00 $34,000.35 2026-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 70 19 — — $10,355.06 $61,953.66 $33,966.36 2026-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 75 19 — — $6,838.86 $91,455.74 $33,897.40 2026-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 19 — — $10,584.81 $80,242.16 $33,809.13 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 69 19 — — $1,547.32 $125,547.27 $33,751.73 2026-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 62 19 — — $19,092.20 $61,633.52 $33,628.56 2026-07-01
252 MS_DRG Other Vascular Procedures With Mcc 70 20 — — $23,243.72 $95,311.03 $33,592.10 2026-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 69 19 — — $2,506.00 $50,750.16 $33,456.08 2026-07-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 12 8 — — $8,320.05 $72,504.11 $33,422.35 2026-07-01
0308T OTHER Insj Ocular Telescope Prosth 9 7 — — $17,189.70 $68,618.00 $33,144.83 2026-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 65 20 — — $5,980.27 $58,148.06 $32,919.92 2026-07-01
115 MS_DRG Extraocular Procedures Except Orbit 60 18 — — $12,772.00 $34,604.32 $32,886.08 2026-07-01
33820 HCPCS Revise Major Vessel 5 2 — — $10,442.14 $63,315.00 $32,835.74 2026-07-01
33824 HCPCS Revise Major Vessel 5 2 — — $10,442.14 $63,315.00 $32,835.74 2026-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 48 19 — — $15,845.45 $55,935.55 $32,828.23 2026-07-01
C9758 HCPCS Interatrial Shunt Ide 9 7 — — $17,887.96 $63,315.00 $32,693.35 2026-07-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 9 7 — — $17,887.96 $63,315.00 $32,693.35 2026-07-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 45 19 — — $7.94 $68,824.76 $32,680.48 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 65 19 — — $2,450.00 $108,863.04 $32,662.12 2026-07-01
5213 OTHER Level 3 Electrophysiologic Procedures 59 21 — — $10,917.63 $67,368.99 $32,644.62 2026-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 65 19 — — $15,896.71 $82,776.22 $32,589.83 2026-07-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 59 18 — — $19,816.93 $54,608.50 $32,581.84 2026-07-01
886 MS_DRG Behavioral And Developmental Disorders 60 18 — — $17,062.63 $46,787.64 $32,003.03 2026-07-01
113 MS_DRG Orbital Procedures With Cc/Mcc 59 18 — — $19,252.41 $53,005.55 $31,636.28 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 60 19 — — $36,019.55 $100,616.08 $31,621.34 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 61 19 — — $26,595.41 $93,629.39 $31,560.60 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 61 19 — — $31,526.76 $117,152.84 $31,526.76 2026-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 65 20 — — $19,142.94 $70,220.91 $31,520.35 2026-07-01
333 MS_DRG Rectal Resection With Cc 59 18 — — $19,181.75 $52,804.90 $31,517.92 2026-07-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 65 19 — — $12,878.98 $81,875.95 $31,416.89 2026-07-01
709 MS_DRG Penis Procedures With Cc/Mcc 59 18 — — $19,061.86 $52,464.47 $31,317.10 2026-07-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 60 18 — — $4,401.00 $54,227.49 $31,192.24 2026-07-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 60 18 — — $18,359.19 $55,280.09 $31,187.64 2026-07-01
164 MS_DRG Major Chest Procedures With Cc 69 19 — — $16,942.94 $56,903.58 $30,875.61 2026-07-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 10 7 $54,702.00 $21,880.80 60% off $10,914.80 $86,531.00 $30,592.63 2026-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 68 20 — — $1,247.02 $71,242.20 $30,414.20 2026-07-01
22630 HCPCS Lumbar Spine Fusion 12 8 — — $8,320.05 $63,754.85 $30,386.04 2026-07-01
22558 HCPCS Lumbar Spine Fusion 12 8 — — $8,320.05 $63,754.85 $30,386.04 2026-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 65 19 — — $17,766.48 $84,836.84 $30,324.07 2026-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 59 18 — — $18,348.87 $50,439.93 $30,122.85 2026-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 72 19 — — $10,264.21 $109,092.70 $30,116.58 2026-07-01
54401 HCPCS Insert Self-contd Prosthesis 12 8 — — $8,320.05 $63,315.00 $29,990.32 2026-07-01
54405 HCPCS Insert Multi-comp Penis Pros 12 8 — — $8,320.05 $63,315.00 $29,990.32 2026-07-01
53447 HCPCS Remove/replace Ur Sphincter 12 8 — — $8,320.05 $63,315.00 $29,990.32 2026-07-01
54410 HCPCS Remove/replace Penis Prosth 12 8 — — $8,320.05 $63,315.00 $29,990.32 2026-07-01
54416 HCPCS Remv/repl Penis Contain Pros 12 8 — — $8,320.05 $63,315.00 $29,990.32 2026-07-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 8 — — $8,320.05 $63,315.00 $29,990.32 2026-07-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 59 18 — — $18,208.33 $50,040.88 $29,887.46 2026-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 70 19 — — $23,791.05 $199,974.20 $29,879.75 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 63 19 — — $23,974.46 $145,070.31 $29,823.81 2026-07-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 8 — — $8,320.05 $68,618.00 $29,792.91 2026-07-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 59 18 — — $18,136.88 $49,837.98 $29,767.77 2026-07-01
347 MS_DRG Anal And Stomal Procedures With Mcc 61 19 — — $6,039.76 $51,754.30 $29,688.39 2026-07-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 13 8 $20,039.00 $8,015.60 60% off $8,320.05 $68,618.00 $29,680.04 2026-07-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 60 18 — — $12,472.67 $33,754.37 $29,564.79 2026-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 59 18 — — $17,902.65 $49,172.90 $29,375.44 2026-07-01
7043 OTHER Infliximab Not Biosimil 10mg 1 1 — — $29,319.26 $29,319.26 $29,319.26 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 66 19 — — $1,007.78 $80,505.94 $29,281.49 2026-07-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 64 19 — — $1,163.62 $71,848.66 $29,243.00 2026-07-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 59 18 — — $17,814.52 $48,922.65 $29,227.83 2026-07-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 13 8 $47,858.00 $19,143.20 60% off $8,320.05 $68,618.00 $28,921.67 2026-07-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 13 8 $47,858.00 $19,143.20 60% off $8,320.05 $68,618.00 $28,921.67 2026-07-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 13 8 $18,451.00 $7,380.40 60% off $8,320.05 $68,618.00 $28,921.67 2026-07-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 13 8 $47,858.00 $19,143.20 60% off $8,320.05 $68,618.00 $28,921.67 2026-07-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 13 8 $47,858.00 $19,143.20 60% off $8,320.05 $68,618.00 $28,921.67 2026-07-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 60 19 — — $16,100.78 $49,087.23 $28,773.90 2026-07-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 9 7 — — $20,259.13 $45,583.05 $28,722.90 2026-07-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 9 7 — — $20,259.13 $45,583.05 $28,722.90 2026-07-01
0680T OTHER Insj/rplcmt Pg Only Isdss 9 7 — — $20,259.13 $45,583.05 $28,722.90 2026-07-01
883 MS_DRG Disorders Of Personality And Impulse Control 60 19 — — $10,897.52 $44,330.23 $28,696.18 2026-07-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 59 18 — — $17,496.93 $48,020.85 $28,695.87 2026-07-01
62362 HCPCS Implant Spine Infusion Pump 12 8 — — $8,320.05 $68,618.00 $28,670.70 2026-07-01
62361 HCPCS Implant Spine Infusion Pump 12 8 — — $8,320.05 $68,618.00 $28,670.70 2026-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 63 18 — — $12,273.83 $51,438.67 $28,596.03 2026-07-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 9 7 — — $20,114.58 $45,257.81 $28,572.40 2026-07-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 9 7 — — $20,114.58 $45,257.81 $28,572.40 2026-07-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 9 7 — — $20,114.58 $45,257.81 $28,572.40 2026-07-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 9 7 — — $20,114.58 $45,257.81 $28,572.40 2026-07-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 9 7 — — $20,114.58 $45,257.81 $28,572.40 2026-07-01
0525T OTHER Insj/rplcmt Compl Iims 9 7 — — $20,114.58 $45,257.81 $28,572.40 2026-07-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 10 7 $49,197.00 $19,678.80 60% off $20,114.58 $45,257.81 $28,572.40 2026-07-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 10 7 $46,462.00 $18,584.80 60% off $20,114.58 $45,257.81 $28,572.40 2026-07-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 10 7 $46,462.00 $18,584.80 60% off $20,114.58 $45,257.81 $28,572.40 2026-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 59 18 — — $17,396.89 $47,736.78 $28,528.30 2026-07-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 40 19 — — $2,049.84 $40,568.76 $28,412.66 2026-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 62 19 — — $14,109.17 $47,191.19 $28,372.31 2026-07-01
2616 OTHER Brachytx, Non-str,yttrium-90 38 19 — — $28,358.21 $54,608.24 $28,296.67 2026-07-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 36 18 — — — — $28,248.62 2026-07-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 60 18 — — $17,158.70 $47,060.43 $28,082.00 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 59 18 — — $31,317.64 $87,264.93 $28,031.89 2026-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 67 20 — — $1,263.07 $76,914.52 $28,023.80 2026-07-01
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