Price Transparencybeta Hospital negotiated rates

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

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Hospital

ORLANDO HEALTH ST CLOUD HOSPITAL

Saint Cloud, FL · CCN 100302 · Rates published

12,634 distinct procedures filed
37 distinct payers
260,399 rate rows
2026-04-01 last MRF observed
Data quality

188,081 of 260,399 rate rows are consumer-grade (72.2%)

72,318 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 55,576
template filing: same amount across many unrelated codes — excluded 11,337
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,334
placeholder amount (≤ $0.02) — excluded from medians 50
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.doctorscenterhospital.com/-/media/files/Doctors-Center-Hospital/660686840_doctors-center-hospital-san-juan_standardcharges.json
Found on page https://www.doctorscenterhospital.com/patient-financial-resources/pricing-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-01

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,432,920.00 $14,416,000.00 $6,951,770.77 nat. median
$4,505,000
1.5× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $6,121,500.00 $6,121,500.00 $6,121,500.00 nat. median
$3,508,750
1.7× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,626,302.40 $11,792,853.33 $5,713,297.26 nat. median
$3,685,267
1.6× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,263,399.19 $10,612,680.28 $5,143,595.98 nat. median
$3,325,455
1.5× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,196,470.58 $10,395,026.29 $5,039,367.35 nat. median
$3,248,446
1.6× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,898,608.16 $9,426,368.00 $4,568,059.08 nat. median
$2,968,000
1.5× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,415,828.84 $7,856,353.94 $3,805,416.59 nat. median
$2,455,111
1.5× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,294,688.00 $7,462,400.00 $3,615,317.54 nat. median
$2,332,000
1.6× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $758,290.08 $2,465,984.00 $1,194,698.11 nat. median
$813,967
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $582,258.58 $1,893,523.84 $913,955.73 nat. median
$621,313
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $556,815.04 $1,810,780.62 $874,100.41 nat. median
$599,737
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $553,537.57 $1,800,122.19 $866,801.25 nat. median
$579,571
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $548,400.85 $1,783,417.39 $859,938.15 nat. median
$574,037
1.5× median
Q2041
HCPCS 		Ndc Description Not Available 9 $524,698.49 $1,706,336.55 $826,631.82 nat. median
$562,501
1.5× median
Q2053
HCPCS 		Ndc Description Not Available 9 $481,475.73 $1,565,774.75 $758,678.14 nat. median
$513,770
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 28 $110,095.49 $1,305,761.51 $492,054.92 nat. median
$168,055
outlier · 2.9×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $273,798.00 $890,400.00 $429,374.08 nat. median
$286,598
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $207,073.94 $847,386.69 $363,424.48 nat. median
$186,516
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $102,855.28 $418,838.63 $345,834.41 nat. median
$97,418
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $158,000.54 $645,596.42 $271,467.89 nat. median
$131,925
outlier · 2.1×
570
MS_DRG 		Skin Debridement With Mcc 28 $22,625.48 $88,932.98 $201,824.00 nat. median
$20,813
outlier · 9.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 $84,327.20 $618,149.06 $183,472.47 nat. median
$65,418
outlier · 2.8×
824
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Cc 28 $17,658.14 $91,326.88 $168,436.17 nat. median
$16,009
outlier · 10.5×
7
MS_DRG 		Lung Transplant 28 $96,228.23 $391,588.15 $165,854.30 nat. median
$70,649
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 28 $84,231.59 $345,664.83 $156,263.87 nat. median
$2,110
outlier · 74.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $89,372.49 $363,397.26 $154,390.28 nat. median
$72,715
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 28 $80,961.45 $328,926.41 $149,819.78 nat. median
$74,509
outlier · 2.0×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 25 $149,749.00 $149,749.00 $149,749.00 nat. median
$2,106
outlier · 71.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $157,079.14 $641,807.60 $145,339.67 nat. median
$145,435
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $72,936.49 $295,812.31 $129,544.20 nat. median
$69,822
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 $67,250.70 $272,432.28 $122,381.25 nat. median
$2,596
outlier · 47.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 28 $64,676.21 $281,322.21 $121,452.34 nat. median
$2,633
outlier · 46.1×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $82,553.84 $130,327.56 $114,402.99 nat. median
$92,809
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 28 $62,987.83 $254,903.32 $113,588.99 nat. median
$60,505
1.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 25 $112,127.00 $112,127.00 $112,127.00 nat. median
$2,106
outlier · 53.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 $58,861.73 $237,936.77 $107,557.77 nat. median
$56,428
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $62,792.96 $254,102.01 $107,136.86 nat. median
$59,651
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 $57,217.47 $231,175.56 $102,413.95 nat. median
$55,935
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $57,460.88 $232,176.44 $100,496.92 nat. median
$55,923
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $54,080.43 $218,276.03 $99,511.23 nat. median
$9,905
outlier · 10.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 $57,031.43 $230,410.54 $98,498.80 nat. median
$52,327
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 $53,431.85 $215,609.04 $98,367.41 nat. median
$51,518
1.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 10 $62,328.81 $202,695.30 $97,514.16 nat. median
$66,211
1.5× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $27,256.77 $107,976.87 $96,243.00 nat. median
$25,494
outlier · 3.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 $53,462.73 $215,736.03 $94,871.76 nat. median
$45,605
outlier · 2.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $49,349.87 $239,459.35 $94,573.19 nat. median
$47,458
2.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $49,349.87 $239,459.35 $94,363.89 nat. median
$45,446
outlier · 2.1×
10
MS_DRG 		Pancreas Transplant 28 $53,023.00 $216,978.82 $94,232.32 nat. median
$23,080
outlier · 4.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 $46,063.56 $274,606.69 $93,806.78 nat. median
$44,036
outlier · 2.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 $50,131.56 $204,754.83 $92,570.14 nat. median
$2,958
outlier · 31.3×

Other procedures at this hospital

Browse this hospital's 12,634 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 13 9 — — $4,432,920.00 $14,416,000.00 $6,951,770.77 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $6,121,500.00 $6,121,500.00 $6,121,500.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 9 — — $3,626,302.40 $11,792,853.33 $5,713,297.26 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 9 — — $3,263,399.19 $10,612,680.28 $5,143,595.98 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 13 9 — — $3,196,470.58 $10,395,026.29 $5,039,367.35 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 13 9 — — $2,898,608.16 $9,426,368.00 $4,568,059.08 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 9 — — $2,415,828.84 $7,856,353.94 $3,805,416.59 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 13 9 — — $2,294,688.00 $7,462,400.00 $3,615,317.54 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $758,290.08 $2,465,984.00 $1,194,698.11 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 9 — — $582,258.58 $1,893,523.84 $913,955.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 9 — — $556,815.04 $1,810,780.62 $874,100.41 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 9 $1,923,076.33 $769,230.53 60% off $553,537.57 $1,800,122.19 $866,801.25 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 9 $1,829,020.00 $731,608.00 60% off $548,400.85 $1,783,417.39 $859,938.15 2026-04-01
Q2041 HCPCS Ndc Description Not Available 14 9 $2,014,320.00 $805,728.00 60% off $524,698.49 $1,706,336.55 $826,631.82 2026-04-01
Q2053 HCPCS Ndc Description Not Available 14 9 $1,696,000.00 $678,400.00 60% off $481,475.73 $1,565,774.75 $758,678.14 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 93 28 — — $110,095.49 $1,305,761.51 $492,054.92 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 9 — — $273,798.00 $890,400.00 $429,374.08 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 93 28 — — $207,073.94 $847,386.69 $363,424.48 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 93 28 — — $102,855.28 $418,838.63 $345,834.41 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 93 28 — — $158,000.54 $645,596.42 $271,467.89 2026-04-01
570 MS_DRG Skin Debridement With Mcc 93 28 — — $22,625.48 $88,932.98 $201,824.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 93 28 — — $84,327.20 $618,149.06 $183,472.47 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 93 28 — — $17,658.14 $91,326.88 $168,436.17 2026-04-01
7 MS_DRG Lung Transplant 93 28 — — $96,228.23 $391,588.15 $165,854.30 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 93 28 — — $84,231.59 $345,664.83 $156,263.87 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 93 28 — — $89,372.49 $363,397.26 $154,390.28 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 93 28 — — $80,961.45 $328,926.41 $149,819.78 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 51 25 — — $149,749.00 $149,749.00 $149,749.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 93 28 — — $157,079.14 $641,807.60 $145,339.67 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 28 — — $72,936.49 $295,812.31 $129,544.20 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 93 28 — — $67,250.70 $272,432.28 $122,381.25 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 93 28 — — $64,676.21 $281,322.21 $121,452.34 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $82,553.84 $130,327.56 $114,402.99 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 93 28 — — $62,987.83 $254,903.32 $113,588.99 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 51 25 — — $112,127.00 $112,127.00 $112,127.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 93 28 — — $58,861.73 $237,936.77 $107,557.77 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 28 — — $62,792.96 $254,102.01 $107,136.86 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 93 28 — — $57,217.47 $231,175.56 $102,413.95 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 28 — — $57,460.88 $232,176.44 $100,496.92 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 93 28 — — $54,080.43 $218,276.03 $99,511.23 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 93 28 — — $57,031.43 $230,410.54 $98,498.80 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 93 28 — — $53,431.85 $215,609.04 $98,367.41 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 10 — — $62,328.81 $202,695.30 $97,514.16 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 93 28 — — $27,256.77 $107,976.87 $96,243.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 93 28 — — $53,462.73 $215,736.03 $94,871.76 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 28 — — $49,349.87 $239,459.35 $94,573.19 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 28 — — $49,349.87 $239,459.35 $94,363.89 2026-04-01
10 MS_DRG Pancreas Transplant 93 28 — — $53,023.00 $216,978.82 $94,232.32 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 93 28 — — $46,063.56 $274,606.69 $93,806.78 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 93 28 — — $50,131.56 $204,754.83 $92,570.14 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 93 28 — — $53,742.90 $216,888.10 $92,181.61 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 93 28 — — $50,167.59 $202,186.39 $90,973.19 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $88,839.00 $89,169.00 $89,004.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 10 — — $55,915.36 $181,838.56 $88,966.29 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 93 28 — — $50,495.56 $203,535.00 $88,673.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 93 28 — — $44,602.40 $245,649.61 $88,459.36 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 93 28 — — $45,579.69 $227,197.94 $87,866.77 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 52 26 — — $85,000.00 $90,480.00 $87,740.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 51 25 — — $87,629.00 $87,629.00 $87,629.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 93 28 — — $51,575.07 $207,973.94 $87,232.06 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 10 — — $54,387.97 $176,871.44 $85,451.88 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 93 28 — — $35,096.42 $335,354.87 $82,580.91 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 93 28 — — $40,944.72 $245,649.61 $82,348.93 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 93 28 — — $46,011.35 $185,095.87 $82,068.41 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 93 28 — — $44,703.88 $179,719.55 $81,016.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 28 — — $44,848.00 $180,312.22 $80,423.19 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 93 28 — — $45,167.89 $181,627.57 $80,374.07 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 93 28 — — $39,926.25 $220,506.85 $79,564.54 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 93 28 — — $42,964.02 $174,283.02 $79,093.51 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 93 28 — — $44,153.09 $177,454.73 $79,079.70 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 93 28 — — $43,406.71 $174,385.57 $78,977.71 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 93 28 — — $42,211.75 $178,347.76 $78,322.06 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 64 33 — — — — $78,151.42 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 93 28 — — $42,339.70 $169,998.04 $77,551.33 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 93 28 — — $28,154.16 $198,101.23 $76,932.74 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 93 28 — — $43,136.09 $173,272.81 $75,662.52 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 28 — — $40,213.05 $173,449.30 $74,884.09 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 93 28 — — $41,816.52 $181,678.98 $74,643.15 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 93 28 — — $44,125.15 $177,339.82 $74,187.31 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 93 28 — — $41,929.37 $168,310.76 $73,641.07 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 93 28 — — $41,225.63 $165,416.98 $73,402.27 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 93 28 — — $40,189.51 $161,156.44 $73,334.05 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 9 — — $45,260.86 $147,189.80 $73,326.02 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 9 — — $45,260.86 $147,189.80 $73,326.02 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 93 28 — — $36,006.79 $206,190.17 $72,326.93 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 93 28 — — $34,798.60 $138,988.97 $71,927.12 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 93 28 — — $41,368.29 $166,003.60 $71,700.56 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 28 — — $38,061.39 $173,449.30 $71,616.29 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 93 28 — — $37,378.97 $168,957.02 $71,009.85 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 93 28 — — $41,105.04 $164,921.08 $70,907.83 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 93 28 — — $16,195.51 $78,631.82 $69,344.11 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 93 28 — — $41,152.70 $167,004.47 $69,243.14 2026-04-01
J9226 HCPCS Supprelin La Implant 14 10 — — $44,300.32 $144,066.08 $68,667.95 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 93 28 — — $22,220.29 $87,266.87 $68,598.86 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 93 28 — — $29,391.51 $116,754.97 $67,839.25 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 93 28 — — $36,326.67 $149,292.96 $67,308.87 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 93 28 — — $39,210.02 $157,128.74 $66,958.32 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 20 9 $48,109.00 $19,243.60 60% off $12,145.00 $210,196.21 $65,851.27 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 93 28 — — $34,960.38 $152,404.88 $65,243.26 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 13 9 — — $36,100.00 $147,189.80 $65,197.25 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 93 28 — — $76,816.97 $335,354.87 $63,310.81 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 3 1 $206,142.00 $82,456.80 60% off $61,909.00 $62,139.00 $62,024.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 3 1 $206,142.00 $82,456.80 60% off $61,909.00 $62,139.00 $62,024.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 93 28 — — $36,563.45 $148,822.36 $61,826.24 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 93 28 — — $31,985.12 $161,514.66 $61,523.27 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 93 28 — — $34,447.10 $137,543.59 $61,360.88 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 93 28 — — $35,570.00 $142,160.93 $61,277.72 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 28 — — $31,681.42 $154,951.83 $60,947.25 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 93 28 — — $29,418.72 $116,866.85 $60,932.07 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 93 28 — — $35,396.45 $141,447.32 $60,187.47 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 93 28 — — $18,625.86 $107,900.39 $59,979.90 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 94 29 — — $31,820.91 $146,010.23 $59,969.13 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 93 28 — — $34,301.50 $136,944.88 $59,818.02 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 93 28 — — $34,432.39 $137,483.11 $59,725.72 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 93 28 — — $27,149.41 $126,968.95 $59,530.94 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 93 28 — — $37,314.26 $149,333.39 $59,223.63 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 93 28 — — $34,712.57 $138,635.18 $59,054.03 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 93 28 — — $22,987.32 $148,202.49 $58,613.39 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 93 28 — — $32,182.93 $128,233.31 $58,432.40 2026-04-01
69930 HCPCS Implant Cochlear Device 13 9 — — $33,881.18 $110,182.70 $58,332.81 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 93 28 — — $19,878.92 $77,639.09 $58,331.32 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 93 28 — — $18,809.70 $73,971.57 $57,699.74 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 93 28 — — $32,000.57 $127,483.41 $57,334.36 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 93 28 — — $33,300.68 $132,829.49 $57,019.90 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 93 28 — — $33,816.16 $134,949.17 $56,821.67 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 93 28 — — $31,537.29 $125,578.41 $56,817.49 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $56,497.80 $56,497.80 $56,497.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 93 28 — — $39,797.57 $159,544.76 $56,491.16 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 93 28 — — $31,800.55 $126,660.93 $56,468.90 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 93 28 — — $24,363.13 $220,506.85 $56,332.95 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 13 9 — — $32,254.27 $104,891.94 $56,189.29 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 13 9 — — $32,254.27 $104,891.94 $56,189.29 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 9 $148,269.00 $59,307.60 60% off $32,254.27 $104,891.94 $56,189.29 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 93 28 — — $19,964.22 $84,788.48 $55,823.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 93 28 — — $30,835.44 $135,481.36 $55,726.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 93 28 — — $30,562.94 $121,571.88 $55,564.43 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 93 28 — — $19,558.30 $98,017.97 $54,460.92 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 93 28 — — $11,516.24 $48,574.32 $53,882.53 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 93 28 — — $29,230.47 $116,092.75 $53,159.01 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 93 28 — — $31,335.07 $124,746.87 $53,095.99 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 93 28 — — $31,295.33 $127,701.12 $53,089.02 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 93 28 — — $41,168.28 $165,181.12 $52,943.29 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 93 28 — — $26,603.42 $129,808.71 $52,756.21 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 93 28 — — $28,477.17 $126,896.79 $52,315.01 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 3 1 $65,623.00 $26,249.20 60% off $51,860.00 $52,053.00 $51,956.50 2026-04-01
791 MS_DRG Prematurity With Major Problems 93 28 — — $30,846.05 $122,736.04 $51,666.49 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 52 26 — — $48,000.00 $55,082.00 $51,541.00 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $31,708.46 $103,116.95 $51,319.39 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 93 28 — — $29,495.49 $127,047.98 $51,284.70 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 93 28 — — $24,157.97 $168,957.02 $51,254.18 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 13 9 — — $28,126.13 $114,481.32 $50,708.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 93 28 — — $28,248.76 $112,055.98 $50,491.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 93 28 — — $35,499.39 $141,870.65 $50,458.13 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $27,659.61 $89,949.96 $50,135.63 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 94 29 — — $25,000.00 $113,008.48 $49,245.20 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 93 28 — — $24,952.77 $120,471.22 $48,958.80 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 93 28 — — $28,403.19 $112,690.98 $48,776.18 2026-04-01
265 MS_DRG Aicd Lead Procedures 93 28 — — $27,604.59 $109,407.13 $48,760.63 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 93 28 — — $37,673.12 $150,809.00 $48,391.61 2026-04-01
332 MS_DRG Rectal Resection With Mcc 93 28 — — $27,622.98 $109,482.73 $48,362.25 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 93 28 — — $26,283.89 $105,011.41 $47,901.68 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 93 28 — — $24,423.08 $117,042.23 $47,870.19 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 93 28 — — $22,647.54 $161,514.66 $47,673.77 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 93 28 — — $11,044.04 $54,730.78 $47,466.68 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 93 28 — — $18,098.61 $93,266.11 $47,361.46 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 93 28 — — $6,995.43 $126,080.36 $47,338.63 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 93 28 — — $20,522.29 $117,752.82 $47,070.68 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 93 28 — — $26,878.06 $106,419.62 $46,875.78 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 93 28 — — $27,195.73 $107,725.90 $46,764.67 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 93 28 — — $27,283.24 $108,085.73 $46,712.53 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 93 28 — — $27,217.79 $107,816.61 $46,591.07 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 93 28 — — $26,085.34 $103,159.96 $46,439.34 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 13 9 — — $27,882.12 $90,673.57 $46,278.02 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 13 9 — — $27,882.12 $90,673.57 $46,278.02 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 93 28 — — $18,740.24 $75,041.64 $46,261.36 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 93 28 — — $26,931.00 $106,637.33 $46,098.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 93 28 — — $26,459.71 $111,067.20 $46,018.36 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 93 28 — — $22,104.11 $86,789.11 $45,962.55 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 93 28 — — $25,288.95 $99,885.19 $45,503.78 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 93 28 — — $22,324.72 $141,087.13 $45,378.57 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 13 9 — — $23,317.00 $103,116.95 $45,371.08 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 13 9 — — $23,317.00 $103,116.95 $45,371.08 2026-04-01
652 MS_DRG Kidney Transplant 93 28 — — $24,746.25 $101,627.68 $45,328.90 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 93 28 — — $18,775.83 $113,289.69 $45,093.75 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 93 28 — — $26,784.09 $107,623.09 $45,016.65 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 93 28 — — $21,213.48 $111,021.84 $44,890.87 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 93 28 — — $26,642.74 $105,452.00 $44,877.56 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 93 28 — — $48,315.95 $194,572.46 $44,850.39 2026-04-01
5594 OTHER Level 4 Nuclear Medicine And Related Services 64 33 — — — — $44,798.49 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 93 28 — — $24,889.81 $109,633.92 $44,751.78 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 93 28 — — $26,401.55 $104,460.19 $44,735.08 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 93 28 — — $24,752.87 $97,680.84 $44,579.27 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 93 28 — — $24,476.38 $96,543.89 $44,421.24 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 19 9 — — $12,145.00 $104,891.94 $44,276.62 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 9 $206,142.00 $82,456.80 60% off $12,145.00 $104,891.94 $44,276.62 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 9 $206,142.00 $82,456.80 60% off $12,145.00 $104,891.94 $44,276.62 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 9 $206,142.00 $82,456.80 60% off $12,145.00 $104,891.94 $44,276.62 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 93 28 — — $20,392.20 $158,695.91 $44,132.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 93 28 — — $23,861.62 $103,447.81 $44,123.73 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 93 28 — — $26,525.09 $104,968.19 $44,110.21 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 93 28 — — $20,964.38 $108,336.71 $43,991.59 2026-04-01
J9266 HCPCS Pegaspargase Injection 15 10 $139,577.55 $55,831.02 60% off $27,969.27 $90,956.99 $43,862.38 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 14 9 $148,269.00 $59,307.60 60% off $22,856.84 $89,169.00 $43,807.78 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 13 9 — — $22,856.84 $89,169.00 $43,807.78 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 14 9 $148,269.00 $59,307.60 60% off $22,856.84 $89,169.00 $43,807.78 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 13 9 — — $22,856.84 $89,169.00 $43,807.78 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 13 9 — — $22,856.84 $89,169.00 $43,807.78 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 13 9 — — $22,856.84 $89,169.00 $43,807.78 2026-04-01
61886 HCPCS Implant Neurostim Arrays 19 9 — — $12,145.00 $103,116.95 $43,784.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 93 28 — — $23,902.06 $97,740.07 $43,672.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 93 28 — — $24,728.60 $97,581.05 $43,568.78 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 93 28 — — $16,373.76 $109,718.58 $43,453.64 2026-04-01
93654 HCPCS Hb Ep Ephys Eval W/Ablation Ventricular Tachycardia 14 9 $114,802.00 $45,920.80 60% off $26,858.49 $87,344.69 $43,380.51 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 14 9 $124,080.00 $49,632.00 60% off $26,858.49 $87,344.69 $43,380.51 2026-04-01
93653 HCPCS Hb Ep Ephys Eval W/Ablation Supravent Arrhythmia 14 9 $123,763.00 $49,505.20 60% off $26,858.49 $87,344.69 $43,380.51 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 93 28 — — $22,189.41 $117,828.62 $42,840.60 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 93 28 — — $24,410.20 $96,271.74 $42,492.91 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 93 28 — — $21,005.49 $87,790.46 $41,948.14 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 93 28 — — $22,885.07 $93,907.43 $41,859.54 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 20 9 $134,790.00 $53,916.00 60% off $12,145.00 $95,850.96 $41,770.42 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 93 28 — — $24,235.18 $95,552.08 $41,428.84 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 93 28 — — $24,432.99 $96,365.48 $41,299.72 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 93 28 — — $22,827.18 $99,546.52 $41,173.36 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 93 28 — — $23,080.39 $99,534.42 $41,045.70 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 20 9 $86,190.00 $34,476.00 60% off $12,145.00 $103,116.95 $40,944.58 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 20 9 $122,462.00 $48,984.80 60% off $12,145.00 $103,116.95 $40,944.58 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 19 9 — — $12,145.00 $103,116.95 $40,944.58 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 19 9 — — $12,145.00 $103,116.95 $40,944.58 2026-04-01
800 MS_DRG Splenic Procedures With Cc 93 28 — — $21,657.01 $103,502.78 $40,918.52 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 93 28 — — $24,682.27 $97,390.55 $40,797.31 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 93 28 — — $21,582.74 $102,174.33 $40,762.95 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 93 28 — — $26,208.88 $103,667.96 $39,924.37 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 64 33 — — — — $39,888.45 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 93 28 — — $12,515.03 $47,469.82 $39,441.61 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 94 29 — — $22,662.25 $89,084.17 $39,368.93 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 93 28 — — $23,302.74 $91,717.90 $39,352.52 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 93 28 — — $21,959.25 $86,193.42 $39,257.90 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 93 28 — — $19,625.79 $95,010.82 $38,904.64 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 17 8 — — $12,145.00 $103,116.95 $38,464.65 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 93 28 — — $20,558.39 $91,821.61 $38,385.56 2026-04-01
665 MS_DRG Prostatectomy With Mcc 93 28 — — $17,776.68 $94,378.85 $38,306.64 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 94 29 — — $22,230.59 $87,309.20 $38,250.60 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 19 9 — — $12,145.00 $103,116.95 $38,222.79 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 93 28 — — $13,984.28 $53,400.31 $38,111.49 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 93 28 — — $20,898.12 $81,954.46 $37,788.48 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 93 28 — — $21,205.51 $83,094.02 $37,660.97 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 93 28 — — $13,549.69 $81,954.46 $37,650.02 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 93 28 — — $16,347.72 $149,292.96 $37,504.67 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 64 33 — — — — $37,442.62 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 93 28 — — $19,550.21 $99,902.23 $37,402.99 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 14 10 — — $23,840.77 $77,530.94 $37,342.45 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 93 28 — — $18,611.58 $91,222.00 $37,154.23 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 93 28 — — $22,208.53 $208,999.01 $37,116.17 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 93 28 — — $21,272.42 $83,369.19 $37,065.66 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 93 28 — — $19,964.22 $84,788.48 $36,507.44 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 19 9 — — $12,145.00 $90,673.57 $36,435.49 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 3 1 $56,521.00 $22,608.40 60% off $36,100.00 $36,234.00 $36,167.00 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 3 1 $54,803.00 $21,921.20 60% off $36,100.00 $36,234.00 $36,167.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 93 28 — — $11,609.81 $43,636.46 $36,158.53 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 93 28 — — $13,102.57 $91,321.78 $36,136.99 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 93 28 — — $18,638.96 $87,750.68 $36,109.01 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 93 28 — — $21,101.08 $82,664.64 $35,943.78 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 93 28 — — $15,691.05 $119,306.71 $35,859.93 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 20 9 $148,269.00 $59,307.60 60% off $12,145.00 $89,169.00 $35,805.06 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 20 9 $148,269.00 $59,307.60 60% off $12,145.00 $89,169.00 $35,805.06 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 20 9 $148,269.00 $59,307.60 60% off $12,145.00 $89,169.00 $35,805.06 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 20 9 $148,269.00 $59,307.60 60% off $12,145.00 $89,169.00 $35,805.06 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 93 28 — — $20,490.00 $80,151.87 $35,689.03 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 93 28 — — $10,534.88 $91,333.88 $35,532.93 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 93 28 — — $15,556.64 $88,294.96 $35,519.95 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 93 28 — — $21,381.26 $83,816.71 $35,366.78 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 93 28 — — $17,086.76 $116,005.45 $35,363.40 2026-04-01
33968 HCPCS Remove Aortic Assist Device 9 2 $29,430.00 $11,772.00 60% off $17,590.00 $62,139.00 $35,152.50 2026-04-01
33967 HCPCS Insert I-aort Percut Device 9 2 $7,689.00 $3,075.60 60% off $17,590.00 $62,139.00 $35,152.50 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 93 28 — — $16,745.55 $119,306.71 $35,093.26 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 93 28 — — $16,570.54 $64,035.01 $34,945.73 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 93 28 — — $19,771.55 $77,197.61 $34,884.04 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 93 28 — — $20,833.42 $81,563.98 $34,804.28 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 93 28 — — $17,459.58 $103,362.30 $34,707.43 2026-04-01
835 MS_DRG Acute Leukemia With Cc 93 28 — — $16,335.95 $120,091.56 $34,633.58 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 93 28 — — $15,568.96 $75,350.07 $34,622.51 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 93 28 — — $17,008.81 $107,146.08 $34,373.79 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 93 28 — — $17,993.45 $91,430.71 $34,363.02 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 14 9 $94,493.00 $37,797.20 60% off $18,837.05 $62,139.00 $34,360.76 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 14 9 $98,793.00 $39,517.20 60% off $18,837.05 $62,139.00 $34,360.76 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 10 — — $12,145.00 $90,673.57 $34,284.77 2026-04-01
22630 HCPCS Lumbar Spine Fusion 20 10 — — $12,145.00 $90,673.57 $34,284.77 2026-04-01
333 MS_DRG Rectal Resection With Cc 93 28 — — $18,221.42 $84,788.48 $34,114.32 2026-04-01
503 MS_DRG Foot Procedures With Mcc 93 28 — — $15,280.17 $84,397.28 $34,087.11 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 93 28 — — $18,751.62 $73,730.31 $33,816.31 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 93 28 — — $17,873.59 $84,788.48 $33,397.10 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 93 28 — — $16,562.45 $102,174.33 $33,252.86 2026-04-01
849 MS_DRG Radiotherapy 93 28 — — $15,842.70 $81,929.86 $33,129.46 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 93 28 — — $14,751.26 $65,038.91 $33,045.19 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 19 9 — — $12,145.00 $90,673.57 $33,028.75 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 93 28 — — $16,667.60 $94,692.28 $32,854.33 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 14 9 $98,793.00 $39,517.20 60% off $18,837.05 $61,258.70 $32,811.92 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 14 9 $98,793.00 $39,517.20 60% off $18,837.05 $61,258.70 $32,811.92 2026-04-01
93580 HCPCS Transcath Closure Of Asd 14 9 $98,793.00 $39,517.20 60% off $18,837.05 $61,258.70 $32,811.92 2026-04-01
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