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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

TAMPA GENERAL HOSPITAL BROOKSVILLE

Brooksville, FL · CCN 100071 · Rates published

11,613 distinct procedures filed
21 distinct payers
140,749 rate rows
2026-04-01 last MRF observed
Data quality

106,930 of 140,749 rate rows are consumer-grade (76.0%)

33,819 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 33,819
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.tghnorth.org/-/media/files/tgh-north-files/933040761_tampa-general-hospital-brooksville_standardcharges_excel.csv?rev=3e4c475cf0c946f28c90b4c5e6173db8&hash=09854218AE8DB2F1ECDAB2A90969CC06
Found on page https://www.tghnorth.org/patients-visitors/billing-insurance/pricing-information#chargemaster
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19

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 $87,741.77 $828,850.66 $328,709.36 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $203,184.22 $537,890.74 $223,309.55 nat. median
$265,286
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $46,198.91 $407,396.49 $219,854.16 nat. median
$202,976
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $83,061.02 $292,486.79 $171,688.10 nat. median
$108,660
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $154,597.99 $409,801.50 $167,780.91 nat. median
$206,474
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $40,491.50 $265,863.77 $131,207.97 nat. median
$133,161
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 19 $7,733.23 $191,114.66 $127,055.29 nat. median
$99,019
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $75,711.32 $197,899.74 $120,463.76 nat. median
$100,136
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $79,767.22 $208,717.48 $118,154.58 nat. median
$102,358
1.2× median
7
MS_DRG 		Lung Transplant 18 $94,707.68 $248,566.14 $103,181.54 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $87,741.77 $230,671.57 $95,190.38 nat. median
$117,357
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 $45,615.22 $129,934.40 $92,452.89 nat. median
$60,726
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $82,967.46 $217,253.05 $89,080.85 nat. median
$98,047
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $80,825.81 $211,540.91 $86,781.40 nat. median
$98,894
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $13,171.51 $187,771.06 $86,016.87 nat. median
$93,672
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 18 $44,185.29 $116,232.91 $85,873.92 nat. median
$56,918
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $48,831.29 $126,206.31 $85,606.73 nat. median
$61,920
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $48,831.29 $126,206.31 $85,606.73 nat. median
$64,508
1.3× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 18 $40,605.79 $116,232.91 $82,304.77 nat. median
$53,807
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $62,177.76 $161,803.50 $81,612.41 nat. median
$79,312
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 18 $45,141.69 $116,365.54 $81,151.16 nat. median
$59,898
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $58,139.85 $151,033.75 $79,208.89 nat. median
$77,570
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $52,826.01 $136,860.90 $77,182.73 nat. median
$68,886
1.1× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 $6,538.00 $104,336.23 $74,997.26 nat. median
$54,045
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $66,349.51 $172,930.26 $71,238.42 nat. median
$82,711
0.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 $35,773.40 $97,562.07 $70,546.89 nat. median
$47,651
1.5× median
6
MS_DRG 		Liver Transplant Without Mcc 18 $34,882.49 $158,678.34 $70,255.19 nat. median
$46,260
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $63,830.05 $166,210.44 $68,533.32 nat. median
$83,470
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $62,482.11 $82,771.05 $68,422.15 nat. median
$48,483
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $62,482.11 $82,771.05 $68,422.15 nat. median
$87,428
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $62,482.11 $82,771.05 $68,422.15 nat. median
$62,372
1.1× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $9,422.00 $349,451.19 $67,985.33 nat. median
$15,979
outlier · 4.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $43,472.07 $146,741.97 $67,956.96 nat. median
$73,807
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $55,346.10 $161,294.86 $65,902.01 nat. median
$81,118
0.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 18 $41,845.73 $107,574.69 $64,064.80 nat. median
$53,167
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $52,856.24 $136,941.51 $64,064.80 nat. median
$71,271
0.9× median
10
MS_DRG 		Pancreas Transplant 18 $53,152.02 $137,730.39 $63,420.86 nat. median
$68,884
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $56,768.93 $147,377.29 $62,524.91 nat. median
$74,915
0.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $37,784.08 $96,741.60 $62,305.21 nat. median
$48,732
1.3× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $39,889.75 $102,357.76 $62,305.21 nat. median
$52,879
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $56,348.66 $146,256.36 $61,390.38 nat. median
$72,135
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 $3,306.75 $175,993.69 $60,581.94 nat. median
$52,303
1.2× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 18 $17,862.41 $94,960.40 $60,348.51 nat. median
$50,672
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $49,952.49 $129,196.73 $58,100.41 nat. median
$64,732
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 $53,130.42 $137,672.80 $57,870.44 nat. median
$64,023
0.9× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 18 $31,837.68 $80,881.60 $57,690.23 nat. median
$41,228
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $53,460.74 $138,553.81 $57,399.95 nat. median
$68,090
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 18 $45,564.12 $117,492.23 $57,005.61 nat. median
$60,185
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 18 $43,745.59 $112,641.91 $55,925.06 nat. median
$57,424
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $44,425.65 $114,455.74 $55,660.68 nat. median
$58,020
1.0× median

Other procedures at this hospital

Browse this hospital's 11,613 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 28 18 — — $87,741.77 $828,850.66 $328,709.36 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 18 — — $203,184.22 $537,890.74 $223,309.55 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 19 — — $46,198.91 $407,396.49 $219,854.16 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 18 — — $83,061.02 $292,486.79 $171,688.10 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 18 — — $154,597.99 $409,801.50 $167,780.91 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 18 — — $40,491.50 $265,863.77 $131,207.97 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 19 — — $7,733.23 $191,114.66 $127,055.29 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 18 — — $75,711.32 $197,899.74 $120,463.76 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 18 — — $79,767.22 $208,717.48 $118,154.58 2026-04-01
7 MS_DRG Lung Transplant 28 18 — — $94,707.68 $248,566.14 $103,181.54 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 18 — — $87,741.77 $230,671.57 $95,190.38 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 18 — — $45,615.22 $129,934.40 $92,452.89 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 16 — — $82,967.46 $217,253.05 $89,080.85 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $80,825.81 $211,540.91 $86,781.40 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 18 — — $13,171.51 $187,771.06 $86,016.87 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 18 — — $44,185.29 $116,232.91 $85,873.92 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $48,831.29 $126,206.31 $85,606.73 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — — $48,831.29 $126,206.31 $85,606.73 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 18 — — $40,605.79 $116,232.91 $82,304.77 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 18 — — $62,177.76 $161,803.50 $81,612.41 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 18 — — $45,141.69 $116,365.54 $81,151.16 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 18 — — $58,139.85 $151,033.75 $79,208.89 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 18 — — $52,826.01 $136,860.90 $77,182.73 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 18 — — $6,538.00 $104,336.23 $74,997.26 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 16 — — $66,349.51 $172,930.26 $71,238.42 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 18 — — $35,773.40 $97,562.07 $70,546.89 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 18 — — $34,882.49 $158,678.34 $70,255.19 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 16 — — $63,830.05 $166,210.44 $68,533.32 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 2 — — $62,482.11 $82,771.05 $68,422.15 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 2 — — $62,482.11 $82,771.05 $68,422.15 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 2 — — $62,482.11 $82,771.05 $68,422.15 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 8 — — $9,422.00 $349,451.19 $67,985.33 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 18 — — $43,472.07 $146,741.97 $67,956.96 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $55,346.10 $161,294.86 $65,902.01 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 18 — — $52,856.24 $136,941.51 $64,064.80 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 18 — — $41,845.73 $107,574.69 $64,064.80 2026-04-01
10 MS_DRG Pancreas Transplant 28 18 — — $53,152.02 $137,730.39 $63,420.86 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $56,768.93 $147,377.29 $62,524.91 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $39,889.75 $102,357.76 $62,305.21 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — — $37,784.08 $96,741.60 $62,305.21 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 18 — — $56,348.66 $146,256.36 $61,390.38 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 19 — — $3,306.75 $175,993.69 $60,581.94 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 18 — — $17,862.41 $94,960.40 $60,348.51 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 18 — — $49,952.49 $129,196.73 $58,100.41 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 18 — — $53,130.42 $137,672.80 $57,870.44 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 18 — — $31,837.68 $80,881.60 $57,690.23 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $53,460.74 $138,553.81 $57,399.95 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 18 — — $45,564.12 $117,492.23 $57,005.61 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 18 — — $43,745.59 $112,641.91 $55,925.06 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $44,425.65 $114,455.74 $55,660.68 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — — $31,540.48 $80,088.88 $55,346.10 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 18 — — $44,738.69 $115,290.68 $54,745.79 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 18 — — $34,749.36 $88,647.49 $54,745.79 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 18 — — $45,351.10 $132,014.41 $54,230.54 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 19 — — $10,482.58 $159,245.02 $53,950.40 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 18 — — $36,086.44 $92,213.73 $53,627.94 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 16 — — $49,631.53 $128,340.68 $53,288.59 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 16 — — $45,999.79 $128,246.63 $53,250.73 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 18 — — $40,824.57 $104,851.06 $51,776.21 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 18 — — $22,437.76 $125,747.57 $51,220.31 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 18 — — $40,880.69 $105,000.78 $50,680.30 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 18 — — $21,238.32 $178,922.52 $50,336.29 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 18 — — $35,971.48 $106,837.64 $48,930.59 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — — $29,664.37 $75,085.01 $48,903.16 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — — $42,750.32 $109,987.38 $48,903.16 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 9 8 — — $33,205.00 $244,703.03 $48,296.65 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 18 — — $24,378.61 $104,336.23 $48,140.79 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 8 — — $9,268.00 $244,703.03 $47,606.70 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 8 — — $10,426.00 $244,703.03 $47,606.70 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 10 8 — — $13,564.00 $244,703.03 $47,606.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 18 — — $23,784.90 $95,728.16 $47,470.53 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 18 — — $33,326.12 $115,323.31 $47,106.24 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 18 — — $36,919.22 $112,568.97 $46,479.39 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 16 — — $43,015.15 $110,693.72 $46,184.69 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 16 — — $42,581.93 $109,538.24 $45,719.54 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 20 — — $12,122.09 $163,770.95 $45,351.10 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 38 18 — — $18,626.96 $121,919.59 $45,351.10 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 18 — — $9,801.23 $83,060.12 $45,287.46 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $41,970.95 $107,908.67 $45,063.55 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 19 — — $4,578.89 $109,396.20 $44,767.03 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 28 18 — — $22,699.68 $76,423.16 $44,606.06 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 18 — — $40,762.68 $104,686.00 $44,409.86 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 18 — — $41,020.31 $105,373.14 $44,042.86 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 18 — — $22,383.76 $66,757.56 $43,940.93 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 18 — — $32,797.08 $106,008.46 $43,430.01 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 16 — — $39,866.72 $102,296.34 $42,804.27 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 19 — — $16,666.12 $229,663.18 $42,614.28 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 29 18 — — $21,451.84 $80,921.90 $42,325.55 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 19 — — $4,187.91 $244,734.70 $42,275.04 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 18 — — $31,399.43 $79,712.68 $41,670.64 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 28 18 — — $22,251.35 $55,752.44 $41,456.40 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 28 18 — — $36,494.90 $99,739.70 $41,365.52 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 8 6 — — $15,523.00 $190,325.19 $41,141.72 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 18 — — $6,686.09 $79,944.63 $41,041.13 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 18 — — $27,081.29 $99,912.45 $41,024.13 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 20 — — $17,094.47 $348,719.12 $40,828.59 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 28 18 — — $20,492.54 $75,089.43 $39,959.25 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 18 — — $31,657.06 $80,399.83 $39,657.65 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 18 — — $29,139.63 $94,467.11 $38,875.06 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 19 — — $290.00 $188,404.35 $38,759.20 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 18 — — $18,319.99 $94,073.63 $38,719.77 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 2 — — $35,259.02 $46,708.18 $38,611.01 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 18 — — $35,345.94 $90,238.67 $38,508.47 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 18 — — $27,172.25 $68,438.13 $38,488.25 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 18 — — $25,360.01 $92,682.07 $38,170.57 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 18 — — $34,232.65 $87,269.36 $37,497.93 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 28 18 — — $34,104.55 $86,927.71 $37,437.01 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 18 — — $32,657.46 $89,785.69 $37,397.76 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 18 — — $23,887.82 $59,677.98 $37,159.78 2026-04-01
800 MS_DRG Splenic Procedures With Cc 28 18 — — $21,730.33 $53,923.62 $36,969.39 2026-04-01
245 MS_DRG Aicd Generator Procedures 28 18 — — $33,822.44 $87,570.71 $36,921.46 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 18 — — $28,181.19 $71,129.13 $36,505.97 2026-04-01
652 MS_DRG Kidney Transplant 28 18 — — $24,753.54 $61,987.02 $36,505.97 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 30 18 — — $21,657.64 $53,729.76 $36,486.29 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 18 — — $15,629.77 $88,000.65 $36,322.98 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 18 — — $29,424.33 $85,660.90 $35,753.57 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 28 18 — — $19,668.55 $48,424.54 $35,683.34 2026-04-01
69930 HCPCS Implant Cochlear Device 10 8 — — $21,407.00 $183,178.74 $35,637.22 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 18 — — $16,201.66 $85,213.00 $35,565.92 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 35 18 — — $16,612.66 $86,023.67 $35,542.74 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 18 — — $24,574.63 $85,998.72 $35,532.89 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 18 — — $24,538.86 $69,221.24 $35,110.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 18 — — $8,376.96 $59,783.55 $35,109.49 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 18 — — $23,998.08 $65,395.88 $34,896.67 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 8 — — $32,778.73 $174,382.85 $34,896.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 37 19 — — $7,271.17 $56,720.59 $34,837.43 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 8 — — $10,426.00 $174,382.85 $34,656.83 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 10 8 — — $21,407.00 $174,382.85 $34,656.83 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 8 — — $10,426.00 $174,382.85 $34,656.83 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 8 — — $21,407.00 $174,382.85 $34,656.83 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 8 — — $10,426.00 $174,382.85 $34,656.83 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 10 8 — — $23,168.00 $174,382.85 $34,656.83 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 29 18 — — $18,899.14 $62,884.96 $34,626.98 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 18 — — $28,108.30 $72,227.02 $34,604.54 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 16 — — $23,623.82 $81,397.92 $34,391.47 2026-04-01
61886 HCPCS Implant Neurostim Arrays 10 8 — — $10,426.00 $171,431.93 $34,365.62 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 18 — — $21,201.88 $82,397.92 $34,111.79 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 10 8 — — $23,168.00 $149,541.80 $34,050.50 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 10 8 — — $23,168.00 $159,352.22 $34,050.50 2026-04-01
265 MS_DRG Aicd Lead Procedures 28 18 — — $27,550.79 $69,447.73 $34,014.68 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 41 19 — — $6,940.95 $92,390.16 $33,961.13 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 28 18 — — $17,622.61 $48,907.47 $33,917.03 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 28 18 — — $19,251.53 $81,868.17 $33,902.72 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 18 — — $25,284.64 $63,403.54 $33,856.71 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 9 8 — — $3,523.00 $171,431.93 $33,835.25 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 9 8 — — $3,523.00 $171,431.93 $33,835.25 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 8 — — $24,264.00 $171,431.93 $33,835.25 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 18 — — $9,375.55 $88,797.28 $33,822.44 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 31 18 — — $25,700.19 $66,954.43 $33,767.90 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 32 18 — — $17,753.24 $49,819.95 $33,767.90 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 18 — — $22,932.13 $57,129.02 $33,732.75 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 18 — — $28,407.88 $71,733.74 $33,598.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 18 — — $24,941.14 $116,478.24 $33,583.80 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 18 — — $26,064.01 $65,482.25 $33,515.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 19 — — $4,018.12 $80,645.51 $33,420.18 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 29 18 — — $22,695.18 $80,549.54 $33,382.30 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 10 8 — — $9,268.00 $171,431.93 $33,351.89 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 10 8 — — $10,426.00 $171,431.93 $33,351.89 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 8 — — $10,426.00 $171,431.93 $33,351.89 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 8 — — $10,426.00 $171,431.93 $33,351.89 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 8 — — $9,268.00 $171,431.93 $33,351.89 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 10 8 — — $9,268.00 $171,431.93 $33,351.89 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 9 8 — — $23,228.50 $123,575.62 $33,205.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 3 3 — — $21,407.00 $34,896.00 $33,205.00 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 9 8 — — $23,228.50 $123,575.62 $33,205.00 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 28 18 — — $17,257.76 $54,889.77 $33,148.88 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 18 — — $17,181.48 $50,697.83 $32,988.28 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 18 — — $20,655.18 $51,056.04 $32,983.50 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 18 — — $28,330.07 $71,741.41 $32,864.71 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 29 18 — — $28,844.86 $79,184.85 $32,843.71 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 16 — — $30,445.90 $77,169.48 $32,689.29 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 18 — — $18,145.08 $44,361.17 $32,657.46 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 34 18 — — $17,496.21 $48,445.66 $32,501.69 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 35 20 — — $6,375.98 $60,480.29 $32,381.49 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 18 — — $27,210.39 $68,539.85 $32,342.85 2026-04-01
791 MS_DRG Prematurity With Major Problems 38 21 — — $909.16 $103,294.00 $32,339.96 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 29 18 — — $17,388.67 $43,485.93 $32,096.76 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 33 18 — — $14,964.96 $56,002.42 $32,036.71 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 18 — — $19,886.37 $76,470.82 $31,772.58 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 28 18 — — $16,643.18 $44,597.04 $31,725.74 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 28 18 — — $16,534.52 $70,640.27 $31,626.20 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 18 — — $28,671.68 $74,111.87 $31,458.15 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 42 19 — — $8,843.97 $69,207.22 $31,357.23 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 18 — — $26,744.23 $74,182.89 $31,178.31 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 10 8 — — $21,407.00 $123,575.62 $31,120.31 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 10 8 — — $23,168.00 $123,575.62 $31,120.31 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 10 8 — — $10,426.00 $123,575.62 $31,120.31 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 10 8 — — $23,168.00 $123,575.62 $31,120.31 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 10 8 — — $15,523.00 $123,575.62 $31,120.31 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 10 8 — — $18,385.00 $123,575.62 $31,120.31 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 10 8 — — $10,426.00 $123,575.62 $31,120.31 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 10 8 — — $10,426.00 $123,575.62 $31,120.31 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 18 — — $16,355.46 $74,745.27 $31,091.57 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 18 — — $14,373.64 $74,294.22 $30,913.56 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 18 — — $20,987.66 $84,434.65 $30,716.49 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 19 — — $5,471.09 $73,691.52 $30,675.70 2026-04-01
332 MS_DRG Rectal Resection With Mcc 28 18 — — $27,568.77 $69,495.72 $30,463.93 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 28 18 — — $20,073.72 $49,505.16 $30,457.11 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 18 — — $27,504.73 $69,324.89 $30,457.11 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 18 — — $26,839.78 $67,551.36 $30,457.11 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 29 18 — — $15,366.10 $49,505.16 $30,457.11 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 18 — — $26,639.54 $71,532.20 $30,419.96 2026-04-01
333 MS_DRG Rectal Resection With Cc 28 18 — — $18,368.16 $44,956.19 $30,406.46 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 33 19 — — $3,098.61 $61,968.43 $30,338.63 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 28 18 — — $18,027.78 $44,048.31 $30,284.97 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 34 18 — — $10,179.72 $44,635.65 $30,230.40 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 18 — — $24,736.27 $61,940.96 $30,151.05 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 29 18 — — $16,744.65 $48,345.37 $29,985.87 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 18 — — $14,963.59 $71,912.24 $29,973.48 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 30 19 — — $14,287.76 $40,136.57 $29,802.62 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 9 8 — — $24,264.00 $150,744.80 $29,752.26 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 9 8 — — $24,264.00 $150,744.80 $29,752.26 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 18 — — $27,150.67 $68,380.54 $29,579.94 2026-04-01
835 MS_DRG Acute Leukemia With Cc 31 18 — — $15,373.50 $56,823.18 $29,549.53 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 18 — — $21,087.35 $70,501.48 $29,416.70 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 18 — — $16,906.31 $70,472.69 $29,405.34 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 10 8 — — $7,709.00 $150,744.80 $29,327.23 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 10 8 — — $9,422.00 $150,744.80 $29,327.23 2026-04-01
22558 HCPCS Lumbar Spine Fusion 10 8 — — $13,564.00 $150,744.80 $29,327.23 2026-04-01
22630 HCPCS Lumbar Spine Fusion 10 8 — — $13,564.00 $150,744.80 $29,327.23 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 10 8 — — $16,349.00 $150,744.80 $29,327.23 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 10 8 — — $11,571.00 $150,744.80 $29,327.23 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 18 — — $22,026.10 $54,712.50 $29,305.26 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 18 — — $26,593.70 $68,608.95 $29,210.58 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 18 — — $13,049.24 $69,645.43 $29,078.85 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 18 — — $19,836.20 $69,591.69 $29,057.64 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 18 — — $24,616.09 $61,620.42 $29,007.97 2026-04-01
29930 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29929 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29931 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29926 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29932 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29927 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29956 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29934 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29955 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29958 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29933 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29957 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29919 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29941 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29920 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29913 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29923 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29925 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29924 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29912 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29917 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29911 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29918 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29921 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29928 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29978 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29909 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29903 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29922 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29908 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29910 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29890 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29947 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29939 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29896 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29935 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29942 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29869 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29872 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29976 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29937 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29878 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29953 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29982 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29979 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29959 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29975 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29949 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29977 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29865 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29857 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29854 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29852 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29853 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29841 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29858 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29971 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29842 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29972 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29829 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29831 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29832 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29859 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29839 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29833 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29818 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29945 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29816 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29817 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29973 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29970 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29864 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
29810 HCPCS Description Not Available 1 1 — — $28,961.00 $28,961.00 $28,961.00 2026-04-01
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