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

WELLSTAR NORTH FULTON MEDICAL CENTER

Roswell, GA · CCN 110198 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $977 across 6 payers · range $555-$2,115

Source: https://www.wellstar.org/wellstar-north-fulton-hospital_standard-charges · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

46,778 distinct procedures filed
28 distinct payers
247,330 rate rows
2026-08-01 last MRF observed
Data quality

140,146 of 247,330 rate rows are consumer-grade (56.7%)

107,184 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 107,095
placeholder amount (≤ $0.02) — excluded from medians 48
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 31
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellstar.org/wellstar-north-fulton-hospital_standard-charges
Found on page https://www.wellstar.org/financial-policy-and-privacy-info/hospital-pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 7619fd88489c3e1d… · 54,818,024 bytes · first seen 2026-05-05

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $0.03 $3,943,235.33 $3,685,266.67 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.03 $3,548,614.97 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $0.03 $4,812,016.79 $2,541,039.48 nat. median
$2,466,282
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $0.03 $1,159,783.35 $621,312.51 nat. median
$738,272
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $0.03 $1,152,532.70 $590,665.09 nat. median
$640,950
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $0.03 $1,109,103.13 $585,674.35 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $0.03 $1,178,375.50 $585,183.83 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $0.03 $1,120,267.47 $559,891.68 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $0.03 $1,120,791.00 $513,769.84 nat. median
$591,650
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $316,744.95 $1,512,329.86 $338,917.10 nat. median
$359,358
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $91,897.00 $978,097.00 $318,432.50 nat. median
$190,557
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $81,648.50 $355,377.59 $241,171.86 nat. median
$71,201
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $205,554.73 $1,129,585.31 $219,943.56 nat. median
$249,124
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $115,100.50 $265,981.76 $180,504.68 nat. median
$52,841
outlier · 3.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $156,605.48 $951,379.17 $167,567.86 nat. median
$198,433
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $49,215.00 $245,288.10 $162,974.93 nat. median
$49,639
outlier · 3.3×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 $738.00 $492,076.00 $158,139.99 nat. median
$53,532
outlier · 3.0×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 10 $97,230.64 $154,659.50 $154,659.50 nat. median
$31,618
outlier · 4.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $921.00 $854,443.00 $144,498.50 nat. median
$126,722
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 $122,421.45 $184,702.98 $128,895.50 nat. median
$38,944
outlier · 3.3×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $240,299.05 $126,093.45 nat. median
$63,643
2.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $117,940.04 $117,940.04 $117,940.04 nat. median
$75,037
1.6× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $226,806.00 $114,360.00 nat. median
$68,423
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $944.00 $360,549.00 $109,547.95 nat. median
$68,004
1.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $196,075.84 $105,852.57 nat. median
$65,720
1.6× median
7
MS_DRG 		Lung Transplant 15 $94,989.45 $524,075.06 $101,638.71 nat. median
$117,894
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $88,151.05 $525,398.49 $94,321.62 nat. median
$110,192
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $92,831.73 $92,831.73 $92,831.73 nat. median
$51,570
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $50,697.91 $330,303.00 $89,685.66 nat. median
$62,721
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $83,118.52 $441,934.05 $88,936.82 nat. median
$103,967
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $83,023.16 $162,725.39 $87,174.32 nat. median
$92,655
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $57,717.49 $529,016.00 $86,514.89 nat. median
$74,460
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $80,840.28 $420,354.09 $86,499.10 nat. median
$93,270
0.9× median
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $163,593.70 $86,268.99 nat. median
$55,159
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $79,761.30 $436,856.88 $85,344.59 nat. median
$97,414
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $32,962.00 $259,380.64 $85,193.10 nat. median
$59,384
1.4× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 17 $300.00 $322,669.00 $84,064.00 nat. median
$42,662
2.0× median
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 5 $17,614.00 $83,136.00 $83,136.00 nat. median
$8,950
outlier · 9.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $75,627.31 $427,051.45 $80,921.22 nat. median
$94,964
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 16 $62,915.25 $424,869.80 $78,146.80 nat. median
$93,917
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $36,995.00 $387,019.64 $76,779.60 nat. median
$90,581
0.8× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 $39,990.00 $216,385.14 $76,210.88 nat. median
$50,083
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 $3,348.00 $627,504.00 $75,728.54 nat. median
$45,474
1.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 $38,829.91 $224,892.00 $71,835.33 nat. median
$51,590
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 17 $38,701.55 $205,845.81 $71,597.87 nat. median
$49,396
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $66,085.23 $334,467.36 $70,711.20 nat. median
$78,037
0.9× median
64568
HCPCS 		Inc For Vagus N Elect Impl 7 $4,714.00 $170,498.62 $70,119.00 nat. median
$27,679
outlier · 2.5×
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 7 $5,809.00 $170,498.62 $70,119.00 nat. median
$43,332
1.6× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $6,760.00 $243,482.66 $68,361.77 nat. median
$12,855
outlier · 5.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $63,517.25 $369,409.98 $67,963.46 nat. median
$78,262
0.9× median

Other procedures at this hospital

Browse this hospital's 46,778 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 4 — — $0.03 $3,943,235.33 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $0.03 $3,548,614.97 $3,316,462.59 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 6 — — $0.03 $4,812,016.79 $2,541,039.48 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $0.03 $1,159,783.35 $621,312.51 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $0.03 $1,152,532.70 $590,665.09 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $0.03 $1,109,103.13 $585,674.35 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $0.03 $1,178,375.50 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $0.03 $1,120,267.47 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $0.03 $1,120,791.00 $513,769.84 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 15 — — $316,744.95 $1,512,329.86 $338,917.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 17 — — $91,897.00 $978,097.00 $318,432.50 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 7 — — $81,648.50 $355,377.59 $241,171.86 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 15 — — $205,554.73 $1,129,585.31 $219,943.56 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 5 — — $115,100.50 $265,981.76 $180,504.68 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 15 — — $156,605.48 $951,379.17 $167,567.86 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 7 — — $49,215.00 $245,288.10 $162,974.93 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 18 — — $738.00 $492,076.00 $158,139.99 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 20 10 — — $97,230.64 $154,659.50 $154,659.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 16 — — $921.00 $854,443.00 $144,498.50 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 13 8 — — $122,421.45 $184,702.98 $128,895.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 7 — — $56,824.55 $240,299.05 $126,093.45 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $117,940.04 $117,940.04 $117,940.04 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 6 — — $63,342.28 $226,806.00 $114,360.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 39 17 — — $944.00 $360,549.00 $109,547.95 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $55,272.32 $196,075.84 $105,852.57 2026-04-01
7 MS_DRG Lung Transplant 24 15 — — $94,989.45 $524,075.06 $101,638.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 15 — — $88,151.05 $525,398.49 $94,321.62 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $92,831.73 $92,831.73 $92,831.73 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 17 — — $50,697.91 $330,303.00 $89,685.66 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 15 — — $83,118.52 $441,934.05 $88,936.82 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 15 — — $83,023.16 $162,725.39 $87,174.32 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 15 — — $57,717.49 $529,016.00 $86,514.89 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 — — $80,840.28 $420,354.09 $86,499.10 2026-04-01
J9226 HCPCS Supprelin La Implant 13 7 — — $45,020.65 $163,593.70 $86,268.99 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 15 — — $79,761.30 $436,856.88 $85,344.59 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 17 — — $32,962.00 $259,380.64 $85,193.10 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 47 17 — — $300.00 $322,669.00 $84,064.00 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 5 5 — — $17,614.00 $83,136.00 $83,136.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 15 — — $75,627.31 $427,051.45 $80,921.22 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 16 — — $62,915.25 $424,869.80 $78,146.80 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $387,019.64 $76,779.60 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 17 — — $39,990.00 $216,385.14 $76,210.88 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 17 — — $3,348.00 $627,504.00 $75,728.54 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 17 — — $38,829.91 $224,892.00 $71,835.33 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 17 — — $38,701.55 $205,845.81 $71,597.87 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 15 — — $66,085.23 $334,467.36 $70,711.20 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 7 — — $4,714.00 $170,498.62 $70,119.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $5,809.00 $170,498.62 $70,119.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 7 — — $6,760.00 $243,482.66 $68,361.77 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 15 — — $63,517.25 $369,409.98 $67,963.46 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $36,995.00 $339,817.23 $66,161.46 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 16 — — $670.00 $339,624.73 $65,953.48 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 47 18 — — $18,505.42 $123,790.00 $65,591.28 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 17 — — $33,154.00 $379,707.00 $65,286.19 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 15 8 — — $30,320.00 $129,012.00 $64,158.00 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 14 11 — — $31,893.00 $118,604.00 $63,381.50 2026-04-01
5723 OTHER Level 3 Diagnostic Tests And Related Services 1 1 — — $63,082.00 $63,082.00 $63,082.00 2025-08-01
5166 OTHER Cochlear Implant Procedure 15 9 — — $31,617.00 $120,614.00 $63,012.75 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 16 — — $33,364.62 $449,898.00 $61,724.55 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 17 — — $36,995.00 $310,284.65 $60,262.58 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 16 — — $36,995.00 $313,444.84 $60,002.80 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 16 — — $32,221.10 $171,059.60 $58,159.09 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 17 — — $30,415.00 $405,225.00 $57,181.41 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 50 17 — — $17,039.89 $100,420.42 $57,005.86 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 15 — — $52,663.00 $284,686.26 $56,654.66 2026-04-01
10 MS_DRG Pancreas Transplant 24 15 — — $52,633.61 $319,733.15 $56,317.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 15 — — $52,611.61 $267,834.56 $56,294.42 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $9,000.00 $121,502.52 $56,112.48 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 7 — — $9,000.00 $121,502.52 $56,112.48 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 7 — — $5,809.00 $121,502.52 $56,112.48 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 7 — — $5,809.00 $121,502.52 $56,112.48 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 7 — — $9,000.00 $121,502.52 $56,112.48 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 7 — — $9,000.00 $121,502.52 $56,112.48 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 7 — — $5,809.00 $121,502.52 $56,112.48 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $56,095.00 $56,095.00 $56,095.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $56,095.00 $56,095.00 $56,095.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 15 — — $52,332.14 $317,892.38 $55,995.39 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 16 — — $52,301.34 $360,313.00 $55,962.43 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 17 — — $543.00 $192,235.50 $55,818.31 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 17 — — $7,974.00 $219,653.00 $55,195.93 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 6 — — $31,342.58 $119,446.44 $55,162.94 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 7 — — $4,714.00 $119,446.44 $55,162.94 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 7 — — $5,809.00 $119,446.44 $55,162.94 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 23 8 — — $818.00 $89,561.00 $55,005.75 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 15 — — $30,462.17 $163,106.98 $54,984.21 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 17 — — $30,260.46 $156,806.64 $54,620.13 2026-04-01
509 MS_DRG Arthroscopy 7 4 — — $46,689.53 $70,442.68 $54,159.92 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 15 — — $50,449.25 $267,381.39 $53,980.70 2026-04-01
5378 OTHER Level 8 Urology And Related Services 3 3 — — $335.00 $53,885.25 $53,885.25 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 16 — — $9,992.00 $273,826.10 $52,828.55 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 15 — — $49,045.34 $248,083.34 $52,478.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 15 — — $38,324.00 $268,865.24 $52,440.06 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 17 — — $477.00 $314,522.00 $52,395.37 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 29 15 — — $31,285.89 $261,511.00 $51,796.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $238,582.71 $51,605.77 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $258,967.57 $51,605.77 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 7 — — $28,424.06 $94,617.96 $51,596.43 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 15 — — $48,054.38 $246,952.41 $51,418.19 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 7 — — $9,000.00 $111,029.81 $51,275.96 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 16 — — $27,436.00 $384,259.00 $50,500.93 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 38 17 — — $26,085.39 $138,134.22 $50,350.18 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 17 — — $26,931.11 $142,409.30 $49,822.55 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 10 6 — — $6,389.00 $132,610.46 $49,237.46 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 52 17 — — $227.00 $135,891.00 $49,118.88 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 15 — — $32,371.00 $184,835.33 $48,949.04 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 58 19 — — $2,845.00 $109,930.00 $48,897.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 16 — — $25,659.00 $176,124.00 $48,246.92 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 28 11 — — $7,006.00 $94,226.00 $48,177.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 7 — — $5,063.00 $104,194.34 $48,119.19 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 15 — — $44,951.69 $240,239.00 $48,098.31 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 15 — — $1,635.00 $253,613.69 $48,042.58 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 11 7 — — $6,389.00 $170,498.62 $47,870.30 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 17 — — $25,867.54 $160,596.00 $47,854.95 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 16 — — $26,492.48 $143,764.82 $47,818.93 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 15 — — $33,876.60 $216,454.00 $47,771.33 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 7 4 — — $41,099.54 $62,008.80 $47,675.53 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 16 — — $25,814.73 $146,315.43 $47,651.12 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $36,995.00 $244,967.26 $47,581.88 2026-04-01
5626 OTHER Level 6 Radiation Therapy 28 13 — — $12,149.00 $177,491.00 $47,564.25 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 17 — — $19,957.01 $114,164.06 $47,546.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 15 — — $774.00 $248,404.18 $47,142.37 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 26 16 — — $33,219.39 $190,674.47 $47,005.44 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 15 — — $340.00 $230,156.86 $46,800.97 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 16 — — $33,085.29 $243,796.23 $46,715.01 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 16 — — $6,287.00 $238,418.28 $46,647.13 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 15 — — $43,494.23 $242,047.69 $46,538.83 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 16 — — $30,659.00 $168,047.79 $46,503.10 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 16 — — $124.00 $134,609.08 $46,294.44 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 41 17 — — $22,111.00 $125,156.56 $46,197.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 16 — — $36,995.00 $235,963.92 $46,059.28 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 16 — — $41,899.00 $233,481.48 $46,029.46 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 17 — — $8,279.00 $145,982.00 $45,390.76 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 7 — — $24,228.42 $92,334.41 $45,342.71 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 15 — — $39,657.00 $219,372.89 $45,262.67 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 15 — — $38,181.50 $204,301.81 $45,125.22 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 16 — — $23,574.00 $184,526.00 $44,914.07 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 16 — — $37,965.00 $216,589.67 $44,732.12 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 29 16 — — $24,147.49 $233,296.00 $44,672.86 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 15 — — $566.00 $369,571.00 $44,403.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 16 — — $40,126.00 $217,700.55 $44,286.66 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 15 — — $41,237.25 $275,439.00 $44,123.86 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 48 18 — — $12,344.04 $139,099.00 $44,072.12 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 15 — — $41,109.63 $218,197.84 $43,987.30 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 15 — — $41,859.99 $82,045.58 $43,952.99 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 15 — — $31,106.18 $405,698.00 $43,789.50 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $40,827.96 $200,636.30 $43,685.92 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 15 — — $40,511.09 $246,106.22 $43,346.87 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 16 — — $33,837.50 $221,650.80 $43,087.08 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 16 — — $36,995.00 $213,349.27 $42,873.61 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 15 — — $39,845.81 $242,047.69 $42,635.02 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 16 — — $616.00 $141,443.50 $42,193.41 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $36,995.00 $212,402.82 $41,854.10 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 15 — — $38,992.00 $206,523.57 $41,828.99 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 16 — — $22,846.26 $118,250.65 $41,723.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 51 17 — — $15,363.11 $103,621.00 $41,562.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 16 — — $28,391.50 $208,913.00 $40,962.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 49 18 — — $15,040.00 $129,838.00 $40,871.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 15 — — $38,115.49 $223,547.72 $40,783.57 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 56 19 — — $9,503.20 $82,741.00 $40,230.07 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 15 — — $26,614.97 $127,282.08 $39,922.00 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 7 — — $5,809.00 $86,102.21 $39,763.85 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 11 7 — — $9,000.00 $86,102.21 $39,763.85 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 11 7 — — $9,000.00 $86,102.21 $39,763.85 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 11 7 — — $8,245.00 $86,102.21 $39,763.85 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 7 — — $5,809.00 $86,102.21 $39,763.85 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 7 — — $5,809.00 $86,102.21 $39,763.85 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 7 — — $5,809.00 $86,102.21 $39,763.85 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 11 7 — — $6,389.00 $86,102.21 $39,763.85 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 7 — — $5,809.00 $86,102.21 $39,763.85 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $36,969.76 $184,169.60 $39,557.64 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 4 — — $20,630.00 $101,997.00 $39,474.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 17 — — $411.00 $458,373.00 $39,321.85 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 15 — — $33,927.00 $232,645.00 $39,143.25 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 16 — — $34,106.00 $199,834.22 $38,829.32 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 15 — — $35,292.00 $201,983.80 $38,627.61 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 20 10 — — $1,216.00 $64,772.00 $38,577.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 17 — — $13,477.00 $185,224.00 $38,485.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 15 — — $35,950.20 $216,357.07 $38,466.71 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 39 14 — — $250.00 $96,669.00 $38,167.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 35 17 — — $21,243.00 $147,022.00 $38,032.86 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 29 16 — — $14,636.00 $194,785.13 $37,897.71 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 7 4 — — $32,638.81 $49,243.70 $37,861.07 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 15 — — $35,239.44 $200,792.71 $37,706.20 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 32 14 — — $18.00 $104,345.00 $37,532.00 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 54 17 — — $252.00 $465,400.00 $37,422.38 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 15 — — $34,920.37 $188,665.26 $37,364.80 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 38 17 — — $18,513.49 $121,027.00 $37,163.22 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 35 17 — — $17,279.00 $116,887.12 $37,053.03 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $36,995.00 $36,995.00 $36,995.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 15 — — $34,484.67 $184,759.13 $36,898.60 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 15 — — $34,311.57 $191,504.62 $36,713.38 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 5 4 — — $18,370.00 $36,639.00 $36,639.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 15 — — $34,012.30 $194,460.29 $36,393.16 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 15 — — $15,365.00 $204,989.00 $36,377.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 29 16 — — $20,532.81 $113,169.48 $36,137.75 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 48 17 — — $6,765.00 $96,289.70 $36,068.69 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 15 — — $33,629.41 $187,654.64 $35,983.47 2026-04-01
69930 HCPCS Implant Cochlear Device 13 8 — — $3,721.00 $127,631.12 $35,834.54 2026-04-01
245 MS_DRG Aicd Generator Procedures 24 15 — — $33,465.11 $195,968.20 $35,807.67 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 17 — — $375.00 $117,945.86 $35,468.26 2026-04-01
5627 OTHER Level 7 Radiation Therapy 19 12 — — $7,991.00 $62,986.00 $35,432.00 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 36 17 — — $13,679.00 $433,876.00 $35,413.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 15 — — $32,735.28 $176,156.82 $35,026.75 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 9 6 — — $19,704.96 $75,095.51 $34,680.72 2026-04-01
1446 OTHER Visualization Adjunct 4 3 — — $34,641.67 $34,641.67 $34,641.67 2025-08-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 11 7 — — $6,389.00 $74,559.69 $34,433.27 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 11 7 — — $9,000.00 $101,176.51 $34,203.00 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 7 — — $8,245.00 $105,032.54 $34,203.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 11 7 — — $9,000.00 $101,176.51 $34,203.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 11 7 — — $9,000.00 $101,176.51 $34,203.00 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 16 — — $18,918.38 $98,392.00 $34,147.68 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 17 — — $17,504.19 $95,307.16 $33,715.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 15 — — $31,488.33 $179,842.38 $33,692.51 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 8 — — $1,694.00 $119,446.44 $33,536.56 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 8 — — $1,694.00 $119,446.44 $33,536.56 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 8 — — $1,937.00 $119,446.44 $33,536.56 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 7 — — $5,809.00 $119,446.44 $33,536.56 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $5,809.00 $119,446.44 $33,536.56 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $4,714.00 $119,446.44 $33,536.56 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $4,714.00 $119,446.44 $33,536.56 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 37 17 — — $7,316.00 $202,967.00 $33,361.14 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 15 — — $30,977.09 $166,848.68 $33,145.49 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 15 — — $30,781.97 $177,668.74 $32,936.71 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 16 — — $30,724.76 $164,899.63 $32,875.49 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 11 7 — — $9,842.00 $70,959.56 $32,770.65 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 11 7 — — $9,842.00 $70,959.56 $32,770.65 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 11 7 — — $9,842.00 $70,959.56 $32,770.65 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 11 7 — — $9,842.00 $70,959.56 $32,770.65 2026-04-01
93580 HCPCS Transcath Closure Of Asd 11 7 — — $9,842.00 $70,959.56 $32,770.65 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 11 7 — — $9,000.00 $70,959.56 $32,770.65 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 9 6 — — $18,619.69 $70,959.56 $32,770.65 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 15 — — $30,605.94 $173,157.04 $32,748.36 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $32,325.76 $32,325.76 $32,325.76 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 16 — — $2,697.00 $167,257.74 $32,113.13 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 8 — — $2,323.00 $86,102.21 $31,969.24 2026-04-01
791 MS_DRG Prematurity With Major Problems 30 15 — — $5,601.00 $200,948.00 $31,856.77 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 32 16 — — $15,958.00 $102,241.00 $31,734.12 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $31,678.60 $41,317.00 $31,678.60 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 31 16 — — $23,754.33 $146,683.00 $31,568.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 16 — — $380.00 $157,576.64 $31,554.60 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 64 19 — — $7,430.00 $82,941.00 $31,421.50 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 10 7 — — $17,398.65 $66,306.18 $31,404.56 2026-04-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 5 5 — — $3,644.00 $31,357.31 $31,357.31 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 15 — — $29,223.29 $143,756.80 $31,268.92 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 — — $6,389.00 $56,095.00 $31,242.00 2026-04-01
37231 HCPCS Hc Pta 1St Tib/Peroneal With Stent Plus Atherectomy 2 2 — — $6,389.00 $56,095.00 $31,242.00 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 42 18 — — $10,616.00 $93,045.29 $31,014.94 2026-04-01
9400 OTHER Inj, Labetalol Hcl, 5mg 2 2 — — $30,990.60 $30,990.60 $30,990.60 2025-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 32 17 — — $17,057.49 $90,310.20 $30,788.77 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 11 7 — — $5,063.00 $66,306.18 $30,621.62 2026-04-01
33967 HCPCS Hc Ip Only- Iabp Insertion 2 2 — — $5,063.00 $56,095.00 $30,579.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 15 — — $28,563.88 $173,517.98 $30,563.35 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 15 — — $27,336.00 $158,262.42 $30,376.00 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 51 18 — — $9,811.00 $65,830.72 $30,349.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 15 — — $13,542.00 $157,584.66 $30,333.39 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 46 17 — — $8,726.43 $69,093.94 $30,084.05 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 18 — — $425.00 $135,126.00 $30,007.00 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 26 16 — — $21,168.75 $233,599.50 $29,953.78 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 37 18 — — $3,238.00 $138,542.00 $29,938.00 2026-04-01
33968 HCPCS Hc Ip Only - Rem Iabp Assist Device Percutaneous 2 2 — — $3,391.00 $56,095.00 $29,743.00 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 27 15 — — $16,833.04 $86,989.59 $29,626.15 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 15 — — $21,272.91 $211,346.00 $29,511.50 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 7 — — $8,245.00 $105,032.54 $29,489.62 2026-04-01
22558 HCPCS Lumbar Spine Fusion 11 7 — — $8,245.00 $105,032.54 $29,489.62 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 7 — — $8,245.00 $105,032.54 $29,489.62 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 29 16 — — $16,735.49 $101,667.65 $29,454.46 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 16 — — $25,960.00 $142,555.00 $29,404.92 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 17 — — $487.00 $154,440.50 $29,335.07 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 12 7 — — $5,809.00 $105,032.54 $29,214.01 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 17 — — $16,127.42 $90,578.89 $29,109.99 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 15 — — $27,181.97 $139,249.11 $29,084.71 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 35 17 — — $276.00 $87,382.61 $29,059.54 2026-04-01
100 MS_DRG Seizures With Mcc 48 18 — — $14,206.39 $247,416.00 $29,001.50 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 13 8 — — $2,664.00 $105,032.54 $28,938.41 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 27 15 — — $12,828.00 $154,837.53 $28,828.06 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 6 6 — — $8,035.00 $38,736.00 $28,770.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 35 17 — — $15,401.00 $84,715.69 $28,614.45 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 15 — — $26,594.43 $141,178.11 $28,456.04 2026-04-01
332 MS_DRG Rectal Resection With Mcc 25 15 — — $16,487.00 $139,100.72 $28,416.80 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 15 — — $26,539.42 $143,046.96 $28,397.18 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 15 — — $3,178.00 $128,501.24 $28,304.57 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 37 16 — — $7,845.00 $86,359.95 $28,295.56 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 41 17 — — $12,493.00 $73,735.21 $28,255.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 15 — — $26,106.66 $150,149.38 $28,220.07 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 33 16 — — $272.00 $174,920.00 $28,157.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 15 — — $26,279.76 $159,641.99 $28,119.34 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 15 — — $26,218.88 $157,901.48 $28,054.20 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 38 18 — — $6,813.00 $75,616.09 $28,034.32 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 16 — — $26,192.48 $145,332.89 $28,025.95 2026-04-01
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