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Hospital

CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE

Atlanta, GA · CCN 113301 · Rates published

5,868 distinct procedures filed
23 distinct payers
379,800 rate rows
2026-05-14 last MRF observed
Data quality

379,683 of 379,800 rate rows are consumer-grade (100.0%)

117 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
percent-of-charges filed in the dollar field — excluded from medians 112
placeholder amount (≤ $0.02) — excluded from medians 4
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.choa.org/-/media/Files/Childrens/billing/standard-charges/2026/01-0723254_childrens-healthcare-of-atl-at-meridian-mark_standardcharges.csv
Found on page https://www.choa.org/patients/bills-and-insurance
Discovered viaCMS hospital list
Last fetch success · 2026-05-19
Content fingerprint 44a24d7f4bbc8865… · 85,953,784 bytes · first seen 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
J1413
HCPCS 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 23 $1,958,256.79 $3,580,800.00 $2,518,181.95 nat. median
$3,325,455
0.8× median
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 3 $111,581.49 $475,254.49 $456,457.27 nat. median
$167,999
outlier · 2.7×
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 1 $379,725.56 $379,725.56 $379,725.56 nat. median
$123,597
outlier · 3.1×
583
APR_DRG 		Neonate With Ecmo,moderate 3 $293,859.46 $503,150.95 $302,733.15 nat. median
$11,771
outlier · 25.7×
2
APR_DRG 		Heart And/or Lung Transplant,extreme 1 $299,151.97 $299,151.97 $299,151.97 nat. median
$136,483
outlier · 2.2×
1
APR_DRG 		Liver Transplant And/or Intestinal Transplant,major 1 $197,635.81 $197,635.81 $197,635.81 nat. median
$73,184
outlier · 2.7×
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure,major 3 $194,842.89 $204,148.31 $197,304.82 nat. median
$13,182
outlier · 15.0×
C1899
HCPCS 		Implant Heartware Hvad Et 23 $113,664.95 $271,888.00 $190,321.60 nat. median
$4,054
outlier · 46.9×
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 1 $186,437.64 $186,437.64 $186,437.64 nat. median
$72,907
outlier · 2.6×
7
APR_DRG 		Allogeneic Bone Marrow Transplant,extreme 1 $131,585.37 $239,566.59 $185,575.98 nat. median
$93,823
2.0× median
PX-81021006
CDM 		Organ Acquisition, Heart, With Transportation 23 $95,370.32 $228,127.00 $159,688.90 nat. median
$158,548
1.0× median
910
APR_DRG 		Craniotomy For Multiple Significant Trauma,extreme 3 $153,667.71 $161,006.66 $155,609.38 nat. median
$39,934
outlier · 3.9×
PX-81021005
CDM 		Organ Acquisition, Heart, Without Transportation 23 $86,769.19 $207,553.00 $145,287.10 nat. median
$144,249
1.0× median
J9226
HCPCS 		Supprelin La 50 Mg (65 Mcg/day) Implant Kit 23 $48,315.76 $208,834.00 $143,145.27 nat. median
$60,368
outlier · 2.4×
303
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back,minor 3 $112,406.61 $160,473.00 $130,084.27 nat. median
$27,905
outlier · 4.7×
8
APR_DRG 		Autologous Bone Marrow Transplant,extreme 3 $128,220.03 $134,343.78 $129,030.20 nat. median
$47,149
outlier · 2.7×
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 3 $97,089.12 $131,150.60 $125,172.54 nat. median
$60,050
outlier · 2.1×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 23 $75,441.07 $180,456.00 $123,693.57 nat. median
$21,216
outlier · 5.8×
607
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $112,981.98 $112,981.98 $112,981.98 nat. median
$73,068
1.5× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 3 $76,757.59 $180,810.73 $112,591.42 nat. median
$58,634
1.9× median
J7330
HCPCS 		1 Membrane Implant Autologus Chondrocytes 23 $66,828.24 $159,854.00 $111,897.80 nat. median
$76,329
1.5× median
609
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure,major 1 $111,088.68 $111,088.68 $111,088.68 nat. median
$95,296
1.2× median
631
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 3 $48,930.38 $178,519.79 $110,824.89 nat. median
$69,934
1.6× median
440
APR_DRG 		Kidney Transplant,major 1 $109,376.73 $109,376.73 $109,376.73 nat. median
$58,854
1.9× median
J0567
HCPCS 		Cerliponase Alfa 300 Mg/10 Ml(150 Mg/5ml X2) Intraventricular Kit 23 $34,755.00 $147,531.00 $100,247.31 nat. median
$180
outlier · 558.4×
J0802
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 23 $61,051.52 $146,036.00 $100,100.38 nat. median
$5,034
outlier · 19.9×
911
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 1 $91,032.81 $91,032.81 $91,032.81 nat. median
$12,069
outlier · 7.5×
160
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly,major 3 $47,163.36 $179,384.36 $90,873.92 nat. median
$71,750
1.3× median
621
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly,extreme 3 $29,808.24 $92,569.40 $88,349.94 nat. median
$24,444
outlier · 3.6×
PX-81021009
CDM 		Organ Acquisition, Liver, Cadaveric Donor With Transportation 23 $51,678.24 $123,615.00 $86,530.50 nat. median
$85,912
1.0× median
SUP-64403
CDM 		Electrode Cochlear Arr Flex28 23 $50,981.76 $121,949.00 $85,364.30 nat. median
$50,982
1.7× median
612
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $84,926.24 $84,926.24 $84,926.24 nat. median
$53,038
1.6× median
361
APR_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses,extreme 3 $31,100.20 $88,076.90 $84,062.21 nat. median
$23,876
outlier · 3.5×
J9118
HCPCS 		Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 23 $34,436.66 $122,476.00 $83,951.18 nat. median
$201
outlier · 416.9×
169
APR_DRG 		Major Abdominal Vascular Procedures,major 1 $79,641.55 $79,641.55 $79,641.55 nat. median
$39,932
2.0× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 23 $31,800.84 $113,406.00 $77,734.14 nat. median
$34,109
outlier · 2.3×
J9348
HCPCS 		Naxitamab-gqgk 4 Mg/ml Intravenous Solution 23 $30,703.45 $110,346.00 $75,636.67 nat. median
$887
outlier · 85.3×
304
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 3 $64,935.14 $98,058.55 $75,147.21 nat. median
$37,088
outlier · 2.0×
PX-81021000
CDM 		Organ Acquisition, Kidney, Cadaveric Donor 23 $44,434.13 $106,287.00 $74,400.90 nat. median
$73,869
1.0× median
611
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 1 $35,357.16 $112,618.98 $73,988.07 nat. median
$43,288
1.7× median
PX-81011001
CDM 		Organ Acquisition, Liver, Living Donor 23 $42,031.97 $100,541.00 $70,378.70 nat. median
$69,876
1.0× median
PX-81021007
CDM 		Organ Acquisition, Liver, Cadaveric Donor Without Transportation 23 $42,031.97 $100,541.00 $70,378.70 nat. median
$69,876
1.0× median
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 23 $28,362.62 $101,565.00 $69,617.73 nat. median
$6,079
outlier · 11.5×
950
APR_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 3 $18,242.21 $166,564.94 $68,694.46 nat. median
$29,203
outlier · 2.4×
232
APR_DRG 		Gastric Fundoplication,extreme 1 $67,243.60 $67,243.60 $67,243.60 nat. median
$17,595
outlier · 3.8×
L7180
HCPCS 		Electric Elbow Utah Myoelectric Control L7180 21 $28,198.45 $130,152.00 $62,824.41 nat. median
$49,027
1.3× median
167
APR_DRG 		Other Cardiothoracic And Thoracic Circulatory Procedures,extreme 3 $49,398.82 $118,039.96 $62,584.05 nat. median
$45,388
1.4× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 23 $19,910.16 $88,190.00 $60,449.83 nat. median
$683
outlier · 88.5×
912
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 3 $45,508.30 $122,753.90 $60,128.44 nat. median
$21,208
outlier · 2.8×
405
APR_DRG 		Other Procedures For Endocrine Nutritional And Metabolic Disorders,extreme 3 $58,943.68 $61,758.80 $59,688.49 nat. median
$28,939
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 5,868 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
             
J1413 HCPCS Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 31 23 $2,962,567.00 $2,962,567.00 $1,958,256.79 $3,580,800.00 $2,518,181.95 2026-04-23
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 8 3 $1,295,595.00 $1,295,595.00 $111,581.49 $475,254.49 $456,457.27 2026-04-23
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 2 1 $2,489,760.00 $2,489,760.00 $379,725.56 $379,725.56 $379,725.56 2026-04-23
583 APR_DRG Neonate With Ecmo,moderate 8 3 $180,283.00 $180,283.00 $293,859.46 $503,150.95 $302,733.15 2026-04-23
2 APR_DRG Heart And/or Lung Transplant,extreme 2 1 $2,361,376.00 $2,361,376.00 $299,151.97 $299,151.97 $299,151.97 2026-04-23
1 APR_DRG Liver Transplant And/or Intestinal Transplant,major 2 1 $815,961.00 $815,961.00 $197,635.81 $197,635.81 $197,635.81 2026-04-23
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,major 6 3 $118,034.00 $118,034.00 $194,842.89 $204,148.31 $197,304.82 2026-04-23
C1899 HCPCS Implant Heartware Hvad Et 50 23 $271,888.00 $271,888.00 $113,664.95 $271,888.00 $190,321.60 2026-05-14
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 2 1 $677,033.00 $677,033.00 $186,437.64 $186,437.64 $186,437.64 2026-04-23
7 APR_DRG Allogeneic Bone Marrow Transplant,extreme 4 1 $1,168,501.00 $1,168,501.00 $131,585.37 $239,566.59 $185,575.98 2026-04-23
PX-81021006 CDM Organ Acquisition, Heart, With Transportation 50 23 $228,127.00 $228,127.00 $95,370.32 $228,127.00 $159,688.90 2026-05-14
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 6 3 $449,729.00 $449,729.00 $153,667.71 $161,006.66 $155,609.38 2026-04-23
PX-81021005 CDM Organ Acquisition, Heart, Without Transportation 50 23 $207,553.00 $207,553.00 $86,769.19 $207,553.00 $145,287.10 2026-05-14
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 28 23 $208,834.00 $208,834.00 $48,315.76 $208,834.00 $143,145.27 2026-04-23
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,minor 8 3 $317,507.00 $317,507.00 $112,406.61 $160,473.00 $130,084.27 2026-04-23
8 APR_DRG Autologous Bone Marrow Transplant,extreme 8 3 $435,917.00 $435,917.00 $128,220.03 $134,343.78 $129,030.20 2026-04-23
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 10 3 $305,701.00 $305,701.00 $97,089.12 $131,150.60 $125,172.54 2026-04-23
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 28 23 $180,456.00 $180,456.00 $75,441.07 $180,456.00 $123,693.57 2026-04-23
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 $1,846,642.00 $1,846,642.00 $112,981.98 $112,981.98 $112,981.98 2026-04-23
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 14 3 $363,804.00 $363,804.00 $76,757.59 $180,810.73 $112,591.42 2026-04-23
J7330 HCPCS 1 Membrane Implant Autologus Chondrocytes 50 23 $159,854.00 $159,854.00 $66,828.24 $159,854.00 $111,897.80 2026-05-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,major 2 1 $256,899.00 $256,899.00 $111,088.68 $111,088.68 $111,088.68 2026-04-23
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 12 3 $243,517.50 $243,517.50 $48,930.38 $178,519.79 $110,824.89 2026-04-23
440 APR_DRG Kidney Transplant,major 2 1 $412,334.00 $412,334.00 $109,376.73 $109,376.73 $109,376.73 2026-04-23
J0567 HCPCS Cerliponase Alfa 300 Mg/10 Ml(150 Mg/5ml X2) Intraventricular Kit 31 23 $147,531.00 $147,531.00 $34,755.00 $147,531.00 $100,247.31 2026-04-23
J0802 HCPCS Corticotropin 80 Unit/ml Injection Gel 28 23 $146,036.00 $146,036.00 $61,051.52 $146,036.00 $100,100.38 2026-04-23
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 2 1 $225,513.00 $225,513.00 $91,032.81 $91,032.81 $91,032.81 2026-04-23
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,major 16 3 $335,356.00 $335,356.00 $47,163.36 $179,384.36 $90,873.92 2026-04-23
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly,extreme 10 3 $32,708.00 $32,708.00 $29,808.24 $92,569.40 $88,349.94 2026-04-23
PX-81021009 CDM Organ Acquisition, Liver, Cadaveric Donor With Transportation 50 23 $123,615.00 $123,615.00 $51,678.24 $123,615.00 $86,530.50 2026-05-14
SUP-64403 CDM Electrode Cochlear Arr Flex28 50 23 $121,949.00 $121,949.00 $50,981.76 $121,949.00 $85,364.30 2026-05-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 $177,804.00 $177,804.00 $84,926.24 $84,926.24 $84,926.24 2026-04-23
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,extreme 10 3 $687,334.00 $687,334.00 $31,100.20 $88,076.90 $84,062.21 2026-04-23
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 28 23 $122,476.00 $122,476.00 $34,436.66 $122,476.00 $83,951.18 2026-04-23
169 APR_DRG Major Abdominal Vascular Procedures,major 2 1 $192,771.00 $192,771.00 $79,641.55 $79,641.55 $79,641.55 2026-04-23
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 28 23 $113,406.00 $113,406.00 $31,800.84 $113,406.00 $77,734.14 2026-04-23
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 28 23 $110,346.00 $110,346.00 $30,703.45 $110,346.00 $75,636.67 2026-04-23
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 8 3 $186,462.00 $186,462.00 $64,935.14 $98,058.55 $75,147.21 2026-04-23
PX-81021000 CDM Organ Acquisition, Kidney, Cadaveric Donor 50 23 $106,287.00 $106,287.00 $44,434.13 $106,287.00 $74,400.90 2026-05-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 4 1 $218,456.00 $218,456.00 $35,357.16 $112,618.98 $73,988.07 2026-04-23
PX-81011001 CDM Organ Acquisition, Liver, Living Donor 50 23 $100,541.00 $100,541.00 $42,031.97 $100,541.00 $70,378.70 2026-05-14
PX-81021007 CDM Organ Acquisition, Liver, Cadaveric Donor Without Transportation 50 23 $100,541.00 $100,541.00 $42,031.97 $100,541.00 $70,378.70 2026-05-14
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 28 23 $101,565.00 $101,565.00 $28,362.62 $101,565.00 $69,617.73 2026-04-23
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 14 3 $119,899.00 $119,899.00 $18,242.21 $166,564.94 $68,694.46 2026-04-23
232 APR_DRG Gastric Fundoplication,extreme 2 1 $368,632.00 $368,632.00 $67,243.60 $67,243.60 $67,243.60 2026-04-23
L7180 HCPCS Electric Elbow Utah Myoelectric Control L7180 46 21 $130,152.00 $130,152.00 $28,198.45 $130,152.00 $62,824.41 2026-04-23
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,extreme 20 3 $256,305.00 $256,305.00 $49,398.82 $118,039.96 $62,584.05 2026-04-23
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 28 23 $88,190.00 $88,190.00 $19,910.16 $88,190.00 $60,449.83 2026-04-23
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 10 3 $168,513.00 $168,513.00 $45,508.30 $122,753.90 $60,128.44 2026-04-23
405 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders,extreme 6 3 $851,168.00 $851,168.00 $58,943.68 $61,758.80 $59,688.49 2026-04-23
PX-81011000 CDM Organ Acquisition, Kidney, Living Donor 50 23 $85,206.00 $85,206.00 $35,621.05 $85,206.00 $59,644.20 2026-05-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,moderate 2 1 $101,160.00 $101,160.00 $58,267.74 $58,267.74 $58,267.74 2026-04-23
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,moderate 10 3 $350,419.00 $350,419.00 $55,393.53 $379,333.62 $58,039.11 2026-04-23
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 12 3 $156,100.50 $156,100.50 $43,318.23 $73,065.64 $57,561.12 2026-04-23
325 APR_DRG Non-elective Or Complex Knee Joint Replacement,extreme 12 3 $328,405.00 $328,405.00 $46,380.39 $67,593.11 $56,553.81 2026-04-23
33477 CPT Transcatheter Valve Implantation 53 23 $81,742.00 $81,742.00 $764.00 $81,742.00 $56,401.98 2026-05-14
L6880 HCPCS Electric Hand Independently Articulating Fingers L6880 28 23 $81,991.00 $81,991.00 $24,597.30 $81,991.00 $56,200.73 2026-04-23
441 APR_DRG Major Bladder Procedures,major 8 3 $135,151.00 $135,151.00 $32,140.95 $58,383.90 $56,074.70 2026-04-23
711 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure,major 10 3 $106,336.00 $106,336.00 $25,807.43 $136,169.88 $55,392.56 2026-04-23
589 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 3 $102,989.00 $102,989.00 $53,245.67 $80,635.18 $54,853.52 2026-04-23
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 28 23 $79,901.00 $79,901.00 $21,422.56 $79,901.00 $54,768.14 2026-04-23
C1767 HCPCS Gen Sentiva Mod 1000 300 23 $79,764.00 $79,764.00 $15,272.08 $110,257.00 $53,715.24 2026-05-14
120 APR_DRG Major Respiratory And Chest Procedures,major 10 3 $389,577.00 $389,577.00 $26,747.66 $54,759.33 $52,263.30 2026-04-23
850 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 4 1 $360,984.50 $360,984.50 $39,743.77 $63,768.03 $51,755.90 2026-04-23
444 APR_DRG Renal Dialysis Access Device Procedures,major 2 1 $88,249.00 $88,249.00 $51,344.15 $51,344.15 $51,344.15 2026-04-23
J1246 HCPCS Dinutuximab 3.5 Mg/ml Intravenous Solution 28 23 $74,674.00 $74,674.00 $31,218.06 $74,674.00 $51,185.29 2026-04-23
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System,extreme 8 3 $308,672.00 $308,672.00 $28,157.99 $52,084.20 $50,024.17 2026-04-23
681 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms,major 8 3 $350,800.00 $350,800.00 $21,847.16 $51,769.98 $49,722.38 2026-04-23
37187 CPT Removal Of Blood Clot And Injections (Accessed Through The Skin) To Dissolve Blo… 53 23 $71,578.00 $71,578.00 $764.00 $71,578.00 $49,388.82 2026-05-14
175 APR_DRG Percutaneous Cardiac Intervention Without Ami,major 16 3 $145,614.00 $145,614.00 $37,239.18 $60,109.28 $47,487.18 2026-04-23
131 APR_DRG Cystic Fibrosis - Pulmonary Disease,moderate 8 3 $53,974.00 $53,974.00 $15,991.21 $49,313.96 $47,363.50 2026-04-23
C2616 HCPCS Nm Isotope Yttrium, Mci 50 23 $66,224.00 $66,224.00 $27,685.47 $66,224.00 $46,356.80 2026-05-14
695 APR_DRG Chemotherapy For Acute Leukemia,extreme 14 3 $157,893.00 $157,893.00 $16,314.45 $87,339.75 $46,246.49 2026-04-23
38210 CPT Prep Stem Cells For Transplant W/Removal Of T Cells 100 23 $64,507.50 $64,507.50 $25,425.45 $68,197.00 $45,674.94 2026-05-14
92 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,extreme 20 3 $156,523.00 $156,523.00 $37,940.32 $84,578.01 $45,179.17 2026-04-23
C1722 HCPCS Defibrillator Icd Vr Df-4 262 23 $64,101.00 $64,101.00 $17,902.92 $109,360.00 $45,128.02 2026-05-14
260 APR_DRG Major Pancreas Liver And Shunt Procedures,moderate 10 3 $239,959.00 $239,959.00 $43,053.95 $92,546.89 $45,110.20 2026-04-23
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,mode… 8 3 $245,384.00 $245,384.00 $34,536.90 $46,258.39 $44,428.74 2026-04-23
L5961 HCPCS Addition, Endo, Polycentric Hip Joint 44 20 $61,659.00 $61,659.00 $40,756.60 $61,659.00 $43,216.79 2026-05-14
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,major 4 1 $166,217.00 $166,217.00 $36,840.44 $49,024.40 $42,932.42 2026-04-23
21 APR_DRG Open Craniotomy Except Trauma,minor 10 3 $143,747.00 $143,747.00 $36,091.50 $97,115.88 $42,758.56 2026-04-23
L5856 HCPCS Microprocessor Swing&Stance With Sensor L5856 28 23 $62,369.00 $62,369.00 $16,244.68 $62,369.00 $42,750.83 2026-04-23
PX-36001596 CDM Or Time Level I, First 15 Min 50 23 $60,705.00 $60,705.00 $25,378.21 $60,705.00 $42,493.50 2026-05-14
121 APR_DRG Other Respiratory And Chest Procedures,extreme 16 3 $202,727.50 $202,727.50 $23,596.29 $83,030.68 $42,365.83 2026-04-23
680 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms,major 20 3 $199,779.00 $199,779.00 $39,083.96 $96,554.08 $40,950.60 2026-04-23
176 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices,major 6 3 $478,832.00 $478,832.00 $40,426.20 $42,356.95 $40,937.04 2026-04-23
L6975 HCPCS Interscapular External Power Myoelectric L6975 24 21 $56,822.00 $56,822.00 $14,194.54 $56,822.00 $39,775.40 2026-04-23
227 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical,major 8 3 $63,189.00 $63,189.00 $18,172.18 $40,964.18 $39,343.98 2026-04-23
89 APR_DRG Major Cranial Or Facial Bone Procedures,minor 14 3 $150,093.00 $150,093.00 $36,738.31 $101,923.16 $39,030.50 2026-04-23
401 APR_DRG Adrenal Procedures,minor 6 3 $96,437.00 $96,437.00 $38,339.93 $40,170.99 $38,824.37 2026-04-23
93591 CPT Perq Transcath Cls Aortic 50 23 $55,089.00 $55,089.00 $23,030.40 $55,089.00 $38,562.30 2026-05-14
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 28 23 $55,660.00 $55,660.00 $15,017.09 $55,660.00 $38,152.15 2026-04-23
720 APR_DRG Septicemia And Disseminated Infections,extreme 12 3 $105,199.00 $105,199.00 $9,371.41 $53,424.30 $37,334.86 2026-04-23
230 APR_DRG Major Small Bowel Procedures,minor 16 3 $107,794.00 $107,794.00 $29,817.96 $89,510.53 $36,882.32 2026-04-23
20 APR_DRG Open Craniotomy For Trauma,moderate 2 1 $165,787.00 $165,787.00 $34,225.61 $39,359.45 $36,792.53 2026-04-23
C1721 HCPCS Pacemaker Evera Xt Dr 184 23 $52,901.00 $52,901.00 $20,933.84 $53,950.00 $36,734.56 2026-05-14
308 APR_DRG Hip And Femur Fracture Repair,major 6 1 $62,435.00 $62,435.00 $24,275.52 $52,571.30 $36,568.10 2026-04-23
23 APR_DRG Spinal Procedures,major 6 1 $70,935.00 $70,935.00 $18,617.99 $56,129.55 $36,096.37 2026-04-23
518 APR_DRG Other Female Reproductive System And Related Procedures,major 2 1 $106,815.00 $106,815.00 $35,900.22 $35,900.22 $35,900.22 2026-04-23
182 APR_DRG Other Peripheral Vascular And Related Procedures,minor 14 3 $149,253.00 $149,253.00 $34,734.67 $58,253.15 $35,723.46 2026-04-23
442 APR_DRG Kidney And Urinary Tract Procedures For Malignancy,major 2 1 $125,773.00 $125,773.00 $35,454.42 $35,454.42 $35,454.42 2026-04-23
231 APR_DRG Major Large Bowel Procedures,moderate 8 3 $106,607.00 $106,607.00 $26,728.20 $36,780.80 $35,326.05 2026-04-23
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 24 3 $98,509.50 $98,509.50 $14,751.72 $59,307.87 $35,183.65 2026-04-23
91 APR_DRG Other Major Head And Neck Procedures,minor 14 3 $86,243.00 $86,243.00 $20,597.32 $53,067.62 $35,086.98 2026-04-23
29 APR_DRG Other Percutaneous Intracranial Procedures,major 6 1 $298,662.00 $298,662.00 $29,647.72 $46,011.09 $35,081.06 2026-04-23
220 APR_DRG Major Stomach Esophageal And Duodenal Procedures,major 14 3 $79,112.00 $79,112.00 $24,666.20 $68,223.25 $35,078.33 2026-04-23
651 APR_DRG Other Procedures Of Blood And Blood-forming Organs,major 8 3 $44,235.00 $44,235.00 $18,204.62 $36,323.91 $34,887.22 2026-04-23
L6955 HCPCS Above Elbow External Power Myoelectric Control L6955 28 23 $50,774.00 $50,774.00 $7,992.16 $50,774.00 $34,803.04 2026-04-23
93653 CPT Comp Electrophysiologic (Ep) Evaluation With Ablation 50 23 $49,493.00 $49,493.00 $20,690.94 $49,493.00 $34,645.10 2026-05-14
93654 CPT Comp Electrophysiologic (Ep) Evaluation With Ablation 50 23 $49,493.00 $49,493.00 $20,690.94 $49,493.00 $34,645.10 2026-05-14
37278 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
37272 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
37269 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Initial Vessel 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
37275 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
37279 CPT Intravascular Shockwave Treatment Artery In Thigh/back Of Knee 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
37276 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
37277 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
37268 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Each A… 53 23 $49,861.00 $49,861.00 $764.00 $49,861.00 $34,404.09 2026-05-14
L5858 HCPCS Microprocessor Stance Only L5858 24 21 $48,951.00 $48,951.00 $16,223.49 $48,951.00 $34,265.70 2026-04-23
Q0481 HCPCS Kit Heartware Controller 50 23 $48,647.00 $48,647.00 $20,337.27 $48,647.00 $34,052.90 2026-05-14
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock,minor 8 3 $129,985.00 $129,985.00 $32,974.18 $37,738.48 $33,969.91 2026-04-23
261 APR_DRG Major Biliary Tract Procedures,major 4 1 $163,919.50 $163,919.50 $33,732.85 $33,932.24 $33,832.54 2026-04-23
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment,extrem… 18 3 $136,768.00 $136,768.00 $15,025.54 $66,045.78 $33,400.68 2026-04-23
222 APR_DRG Other Stomach Esophageal And Duodenal Procedures,minor 14 3 $99,440.00 $99,440.00 $10,592.07 $57,037.35 $32,967.70 2026-04-23
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 28 23 $47,867.00 $47,867.00 $12,823.19 $47,867.00 $32,810.43 2026-04-23
J0391 HCPCS Artesunate 110 Mg/11 Ml Solution For Injection 28 23 $47,824.00 $47,824.00 $12,036.05 $47,824.00 $32,780.96 2026-04-23
721 APR_DRG Post-operative Post-traumatic Other Device Infections,major 10 3 $48,955.00 $48,955.00 $16,635.42 $58,329.34 $32,550.35 2026-04-23
L6965 HCPCS Shoulder Disarticulation External Power Myoelectric L6965 24 21 $46,489.00 $46,489.00 $12,455.38 $46,489.00 $32,542.30 2026-04-23
45 APR_DRG Cva And Precerebral Occlusion With Infarction,major 2 1 $98,052.00 $98,052.00 $32,520.29 $32,520.29 $32,520.29 2026-04-23
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 28 23 $47,314.00 $47,314.00 $10,022.21 $47,314.00 $32,431.38 2026-04-23
326 APR_DRG Elective Knee Joint Replacement,major 2 1 $337,562.00 $337,562.00 $32,328.97 $32,328.97 $32,328.97 2026-04-23
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 6 1 $88,731.00 $88,731.00 $14,714.45 $54,362.58 $32,093.94 2026-04-23
364 APR_DRG Other Skin Subcutaneous Tissue And Related Procedures,major 14 3 $58,023.00 $58,023.00 $12,539.23 $48,011.23 $31,617.35 2026-04-23
93580 CPT Percutaneous Repair, Atrial Septal Defect 50 23 $45,135.00 $45,135.00 $18,869.05 $45,135.00 $31,594.50 2026-05-14
690 APR_DRG Acute Leukemia,major 18 3 $248,872.00 $248,872.00 $8,272.54 $104,985.37 $31,570.35 2026-04-23
L6970 HCPCS Interscapular External Power Switch L6970 22 20 $44,861.00 $44,861.00 $29,653.12 $44,861.00 $31,443.08 2026-04-23
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 28 23 $45,532.00 $45,532.00 $12,091.60 $45,532.00 $31,209.91 2026-04-23
37295 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Complex Lesion In… 53 23 $45,130.00 $45,130.00 $764.00 $45,130.00 $31,139.70 2026-05-14
37294 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Complex Lesion In… 53 23 $45,130.00 $45,130.00 $764.00 $45,130.00 $31,139.70 2026-05-14
37293 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Straightforward L… 53 23 $45,130.00 $45,130.00 $764.00 $45,130.00 $31,139.70 2026-05-14
37292 CPT Stent Placement In Artery In Lower Leg With Removal Of Plaque, Straightforward L… 53 23 $45,130.00 $45,130.00 $764.00 $45,130.00 $31,139.70 2026-05-14
263 APR_DRG Cholecystectomy,major 12 3 $115,326.00 $115,326.00 $16,896.40 $46,954.25 $30,999.81 2026-04-23
44 APR_DRG Intracranial Hemorrhage,extreme 16 3 $99,071.00 $99,071.00 $11,775.45 $58,725.30 $30,729.77 2026-04-23
206 APR_DRG Malfunction Reaction Complication Of Cardiac Or Vascular Device Or Procedure,ext… 10 3 $164,793.00 $164,793.00 $18,849.80 $31,688.73 $30,244.30 2026-04-23
26 APR_DRG Other Nervous System And Related Procedures,major 16 3 $115,506.00 $115,506.00 $12,888.50 $71,323.84 $30,115.85 2026-04-23
233 APR_DRG Appendectomy With Complex Principal Diagnosis,extreme 18 3 $105,607.00 $105,607.00 $25,189.81 $49,774.25 $29,872.98 2026-04-23
324 APR_DRG Elective Hip Joint Replacement,minor 8 3 $95,693.00 $95,693.00 $21,107.02 $30,990.66 $29,764.89 2026-04-23
33249 CPT Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 53 23 $42,952.00 $42,952.00 $764.00 $42,952.00 $29,636.88 2026-05-14
L7170 HCPCS Electric Elbow Boston Switch L7170 46 21 $61,300.00 $61,300.00 $6,424.13 $61,300.00 $29,355.48 2026-04-23
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions,extreme 8 1 $118,406.00 $118,406.00 $17,724.77 $58,225.59 $29,333.25 2026-04-23
313 APR_DRG Knee And Lower Leg Procedures Except Foot,minor 12 3 $72,135.00 $72,135.00 $24,880.15 $34,199.10 $29,177.08 2026-04-23
625 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,moderate 2 1 $42,110.00 $42,110.00 $29,031.74 $29,031.74 $29,031.74 2026-04-23
446 APR_DRG Urethral And Transurethral Procedures,major 6 3 $94,475.00 $94,475.00 $28,624.82 $29,991.94 $28,986.53 2026-04-23
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 28 23 $42,118.00 $42,118.00 $7,172.63 $42,118.00 $28,869.78 2026-04-23
58 APR_DRG Other Disorders Of Nervous System,extreme 20 3 $73,908.00 $73,908.00 $13,811.52 $48,502.08 $28,645.83 2026-04-23
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,moderate 10 3 $83,609.00 $83,609.00 $26,877.34 $104,312.61 $28,160.96 2026-04-23
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 28 23 $40,872.00 $40,872.00 $10,455.75 $40,872.00 $28,015.71 2026-04-23
310 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,minor 14 3 $93,344.00 $93,344.00 $23,098.60 $54,628.44 $27,838.61 2026-04-23
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures,major 14 3 $102,838.00 $102,838.00 $24,389.00 $35,445.79 $27,760.12 2026-04-23
136 APR_DRG Respiratory Malignancy,extreme 12 3 $91,514.50 $91,514.50 $17,475.13 $38,603.28 $27,576.70 2026-04-23
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 28 23 $40,155.00 $40,155.00 $8,226.54 $40,155.00 $27,524.25 2026-04-23
98 APR_DRG Other Ear Nose Mouth Throat Craniofacial And Neck Procedures,extreme 6 1 $74,306.00 $74,306.00 $20,947.45 $52,759.34 $27,399.33 2026-04-23
C1772 HCPCS Balcofen Pump 2.0ml 150 23 $37,945.00 $37,945.00 $15,290.05 $40,483.00 $27,123.61 2026-05-14
L8614 HCPCS Impl Coch Nucleus Slm Modiolar 946 23 $37,297.00 $37,297.00 $994.98 $72,034.00 $27,104.00 2026-05-14
L6960 HCPCS Shoulder Disarticulation External Power Switch L6960 24 21 $38,283.00 $38,283.00 $11,678.34 $38,283.00 $26,798.10 2026-04-23
634 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 16 3 $49,960.00 $49,960.00 $12,085.08 $165,272.95 $26,791.03 2026-04-23
893 APR_DRG HIV With Multiple Significant HIV Related Conditions,major 6 3 $74,122.00 $74,122.00 $26,392.64 $27,653.12 $26,726.12 2026-04-23
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 28 23 $38,899.00 $38,899.00 $16,262.04 $38,899.00 $26,663.32 2026-04-23
93460 CPT Cath Insertion For Coronary Angiography 50 23 $37,838.00 $37,838.00 $15,818.48 $37,838.00 $26,486.60 2026-05-14
PX-36001594 CDM Or Time Level P, First 15 Min 50 23 $37,610.00 $37,610.00 $15,723.16 $37,610.00 $26,327.00 2026-05-14
J9015 HCPCS Aldesleukin 22 Million Unit Intravenous Solution 3 3 $26,565.00 $26,565.00 $23,908.50 $26,565.00 $26,033.70 2026-04-23
223 APR_DRG Other Small And Large Bowel Procedures,moderate 10 3 $89,656.00 $89,656.00 $13,506.01 $30,077.30 $25,948.03 2026-04-23
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment,extreme 6 1 $64,102.00 $64,102.00 $17,247.31 $75,444.60 $25,812.30 2026-04-23
L7191 HCPCS Electric Elbow Child Variety Village L7191 24 21 $36,832.00 $36,832.00 $7,978.68 $36,832.00 $25,782.40 2026-04-23
514 APR_DRG Female Reproductive System Reconstructive Procedures,moderate 2 1 $89,504.00 $89,504.00 $25,692.34 $25,692.34 $25,692.34 2026-04-23
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 28 23 $37,454.00 $37,454.00 $9,745.87 $37,454.00 $25,672.85 2026-04-23
Q4130 HCPCS Mesh Firm Strattice 20x25cm 302 23 $41,510.00 $41,510.00 $4,373.30 $81,992.00 $25,447.65 2026-05-14
279 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders,extreme 12 3 $163,818.50 $163,818.50 $5,340.39 $31,092.56 $25,446.85 2026-04-23
445 APR_DRG Other Bladder Procedures,extreme 14 3 $73,577.00 $73,577.00 $19,919.69 $47,156.88 $25,426.48 2026-04-23
PX-48014890 CDM Hybrid or/Cath, First 15 Min 50 23 $36,190.00 $36,190.00 $15,129.52 $36,190.00 $25,333.00 2026-05-14
L7186 HCPCS Electric Elbow Child Variety Village L7186 24 21 $35,250.00 $35,250.00 $7,635.53 $35,250.00 $24,675.00 2026-04-23
469 APR_DRG Acute Kidney Injury,extreme 6 1 $85,913.00 $85,913.00 $9,886.79 $60,273.00 $24,551.11 2026-04-23
252 APR_DRG Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure,ma… 10 3 $46,507.00 $46,507.00 $9,992.98 $31,388.78 $24,209.62 2026-04-23
724 APR_DRG Other Infectious And Parasitic Diseases,extreme 20 3 $33,001.00 $33,001.00 $10,321.35 $33,490.83 $23,885.67 2026-04-23
229 APR_DRG Other Digestive System And Abdominal Procedures,minor 4 1 $80,427.50 $80,427.50 $23,340.17 $24,419.80 $23,879.99 2026-04-23
813 APR_DRG Other Complications Of Treatment,major 8 3 $35,482.00 $35,482.00 $11,633.87 $24,696.04 $23,719.27 2026-04-23
L7190 HCPCS Electric Elbow Variety Village Myoelectric L7190 24 21 $33,782.00 $33,782.00 $6,663.29 $33,782.00 $23,647.40 2026-04-23
L6945 HCPCS Elbow Disarticulation-outside Hinges Myoelectric Control L6945 24 21 $33,724.00 $33,724.00 $9,253.97 $33,724.00 $23,606.80 2026-04-23
691 APR_DRG Lymphoma Myeloma And Non-acute Leukemia,major 16 3 $160,278.00 $160,278.00 $6,736.72 $54,816.48 $23,569.47 2026-04-23
37291 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Complex Lesion I… 53 23 $33,848.00 $33,848.00 $764.00 $33,848.00 $23,355.12 2026-05-14
37289 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Straightforward … 53 23 $33,848.00 $33,848.00 $764.00 $33,848.00 $23,355.12 2026-05-14
37288 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Straightforward … 53 23 $33,848.00 $33,848.00 $764.00 $33,848.00 $23,355.12 2026-05-14
37290 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Complex Lesion I… 53 23 $33,848.00 $33,848.00 $764.00 $33,848.00 $23,355.12 2026-05-14
860 APR_DRG Rehabilitation,minor 16 3 $101,821.00 $101,821.00 $17,846.36 $35,528.99 $23,339.18 2026-04-23
37236 CPT Open/Perq Placement Intravascular Stent Initial 53 23 $33,468.00 $33,468.00 $764.00 $33,468.00 $23,092.92 2026-05-14
L8699 HCPCS Bar Darter Pre Bent 150 23 $33,851.00 $33,851.00 $2,359.94 $35,249.00 $23,001.75 2026-05-14
226 APR_DRG Anal And Perineal Procedures,major 12 3 $107,557.00 $107,557.00 $18,742.81 $27,129.98 $22,765.64 2026-04-23
L8619 HCPCS Naida Ci Sky M90 Patient Kit 56 23 $32,530.50 $32,530.50 $11,178.87 $38,321.00 $22,729.00 2026-04-23
37274 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 53 23 $32,849.00 $32,849.00 $764.00 $32,849.00 $22,665.81 2026-05-14
37273 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 53 23 $32,849.00 $32,849.00 $764.00 $32,849.00 $22,665.81 2026-05-14
37271 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 53 23 $32,849.00 $32,849.00 $764.00 $32,849.00 $22,665.81 2026-05-14
L6940 HCPCS Elbow Disarticulation-outside Hinges Switch L6940 24 21 $32,360.00 $32,360.00 $7,573.54 $32,360.00 $22,652.00 2026-04-23
317 APR_DRG Tendon Muscle And Other Soft Tissue Procedures,minor 12 3 $59,620.00 $59,620.00 $18,520.72 $54,698.14 $22,617.69 2026-04-23
43 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies,mod… 12 3 $71,007.00 $71,007.00 $15,439.07 $50,415.28 $22,540.28 2026-04-23
443 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy,minor 14 3 $60,863.00 $60,863.00 $18,572.58 $48,803.93 $22,518.52 2026-04-23
37267 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Initia… 53 23 $32,584.00 $32,584.00 $764.00 $32,584.00 $22,482.96 2026-05-14
37270 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Each Additiona… 53 23 $32,584.00 $32,584.00 $764.00 $32,584.00 $22,482.96 2026-05-14
33895 CPT Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch 53 23 $32,464.00 $32,464.00 $764.00 $32,464.00 $22,400.16 2026-05-14
264 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures,minor 4 1 $100,275.50 $100,275.50 $20,098.03 $24,696.97 $22,397.50 2026-04-23
650 APR_DRG Splenic Procedures,minor 8 3 $59,033.00 $59,033.00 $21,841.44 $24,126.36 $22,252.90 2026-04-23
93453 CPT Cath Insertion Into Right And Left Heart For Diagnosis 50 23 $31,718.00 $31,718.00 $13,259.96 $31,718.00 $22,202.60 2026-05-14
180 APR_DRG Other Circulatory System Procedures,moderate 8 3 $209,245.00 $209,245.00 $19,681.41 $23,082.48 $22,169.51 2026-04-23
447 APR_DRG Other Kidney Urinary Tract And Related Non-percutaneous Procedures,moderate 8 3 $149,180.00 $149,180.00 $21,412.69 $29,176.02 $22,059.32 2026-04-23
662 APR_DRG Sickle Cell Anemia Crisis,major 16 3 $48,580.50 $48,580.50 $13,510.00 $51,594.46 $22,008.10 2026-04-23
37285 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Each Additiona… 53 23 $31,838.00 $31,838.00 $764.00 $31,838.00 $21,968.22 2026-05-14
37286 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Initial Vessel 53 23 $31,838.00 $31,838.00 $764.00 $31,838.00 $21,968.22 2026-05-14
37287 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Each Additional Vessel 53 23 $31,838.00 $31,838.00 $764.00 $31,838.00 $21,968.22 2026-05-14
37284 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Initial Vessel 53 23 $31,838.00 $31,838.00 $764.00 $31,838.00 $21,968.22 2026-05-14
314 APR_DRG Foot And Toe Procedures,major 14 3 $87,130.00 $87,130.00 $19,005.42 $36,322.21 $21,845.54 2026-04-23
661 APR_DRG Coagulation And Platelet Disorders,moderate 10 3 $44,234.00 $44,234.00 $8,400.55 $22,780.15 $21,741.79 2026-04-23
346 APR_DRG Connective Tissue Disorders,moderate 10 3 $52,128.00 $52,128.00 $14,981.93 $25,210.88 $21,647.16 2026-04-23
Q5151 HCPCS Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution 4 4 $22,057.00 $22,057.00 $19,851.30 $22,057.00 $21,573.95 2026-04-23
142 APR_DRG Interstitial And Alveolar Lung Diseases,extreme 8 3 $33,238.00 $33,238.00 $11,543.64 $22,358.92 $21,474.58 2026-04-23
37258 CPT Insertion Of Stent Of Artery In Abdomen/pelvis, Straightforward Lesion In Initia… 53 23 $30,941.00 $30,941.00 $764.00 $30,941.00 $21,349.29 2026-05-14
37262 CPT Intravascular Shockwave Treatment Artery In Abdomen/pelvis 53 23 $30,941.00 $30,941.00 $764.00 $30,941.00 $21,349.29 2026-05-14
37260 CPT Insertion Of Stent Artery Of Abdomen/pelvis, Complex Lesion In Initial Vessel 53 23 $30,941.00 $30,941.00 $764.00 $30,941.00 $21,349.29 2026-05-14
L6925 HCPCS Wrist-disarticulation-external Power Myoelectric L6925 24 21 $30,378.00 $30,378.00 $7,755.02 $30,378.00 $21,264.60 2026-04-23
L6930 HCPCS Below Elbow External Power Switch Control L6930 24 21 $30,378.00 $30,378.00 $5,796.53 $30,378.00 $21,264.60 2026-04-23
511 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,minor 2 1 $71,250.00 $71,250.00 $21,242.50 $21,242.50 $21,242.50 2026-04-23
636 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,extreme 20 3 $67,342.00 $67,342.00 $5,284.52 $40,724.69 $21,187.47 2026-04-23
309 APR_DRG Other Significant Hip And Femur Surgery,minor 10 3 $56,980.00 $56,980.00 $20,296.75 $35,561.41 $21,168.53 2026-04-23
L5331 HCPCS Hip Disarticulation-endoskeletal-system L5331 24 21 $30,240.00 $30,240.00 $4,385.55 $30,240.00 $21,168.00 2026-04-23
L6950 HCPCS Above Elbow External Power Internal Elbow Switch L6950 24 21 $30,233.00 $30,233.00 $8,608.94 $30,233.00 $21,163.10 2026-04-23
33235 CPT Removal Of Electrodes From Right Heart 53 23 $30,667.00 $30,667.00 $764.00 $30,667.00 $21,160.23 2026-05-14
SUP-14452 CDM Processor Single Rondo 50 23 $30,209.00 $30,209.00 $12,629.11 $30,209.00 $21,146.30 2026-05-14
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 28 23 $30,570.00 $30,570.00 $7,545.19 $30,570.00 $20,954.21 2026-04-23
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 28 23 $30,532.00 $30,532.00 $7,556.93 $30,532.00 $20,928.16 2026-04-23
224 APR_DRG Peritoneal Adhesiolysis,minor 4 1 $51,813.00 $51,813.00 $18,485.29 $23,226.69 $20,855.99 2026-04-23
194 APR_DRG Heart Failure,extreme 6 1 $62,287.00 $62,287.00 $14,066.02 $39,951.27 $20,722.14 2026-04-23
L5341 HCPCS Hemipelvectomy-endoskeletal-system L5341 29 23 $30,240.00 $30,240.00 $3,539.10 $30,240.00 $20,590.42 2026-04-23
L7185 HCPCS Electric Elbow Variety Village Switch L7185 24 21 $29,287.00 $29,287.00 $6,343.93 $29,287.00 $20,500.90 2026-04-23
92986 CPT Cath Repair Of Aortic Valve 50 23 $29,247.00 $29,247.00 $12,226.94 $29,247.00 $20,472.90 2026-05-14
404 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures,minor 8 3 $76,288.00 $76,288.00 $19,783.54 $22,985.13 $20,380.94 2026-04-23
93458 CPT Cath Insertion For Coronary Angiography 50 23 $28,810.00 $28,810.00 $12,044.25 $28,810.00 $20,167.00 2026-05-14
193 APR_DRG Acute And Subacute Endocarditis,extreme 18 3 $154,337.00 $154,337.00 $14,926.79 $31,794.03 $20,077.83 2026-04-23
696 APR_DRG Other Chemotherapy,major 16 3 $43,142.00 $43,142.00 $10,143.03 $59,226.62 $20,068.40 2026-04-23
815 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses,major 16 3 $69,368.00 $69,368.00 $6,704.75 $32,120.70 $19,981.06 2026-04-23
PX-36001592 CDM Or Time Level E, First 15 Min 50 23 $28,242.00 $28,242.00 $11,806.79 $28,242.00 $19,769.40 2026-05-14
J1930 HCPCS Lanreotide 60 Mg/0.2 Ml Subcutaneous Syringe 28 23 $28,756.00 $28,756.00 $2,375.66 $28,756.00 $19,710.80 2026-04-23
51 APR_DRG Viral Meningitis,major 10 3 $39,318.00 $39,318.00 $7,214.38 $20,544.94 $19,608.46 2026-04-23
55 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage,moderate 12 3 $28,607.00 $28,607.00 $9,872.32 $39,443.88 $19,587.68 2026-04-23
L5973 HCPCS Endo Microproc Ankle 22 20 $27,827.00 $27,827.00 $18,393.65 $27,827.00 $19,503.94 2026-04-23
33741 CPT Tas Congen Card Anomalies 53 23 $28,195.00 $28,195.00 $764.00 $28,195.00 $19,454.55 2026-05-14
33745 CPT Tis Cgen Crd Anm 1st Shnt 53 23 $28,064.00 $28,064.00 $764.00 $28,064.00 $19,364.16 2026-05-14
133 APR_DRG Respiratory Failure,major 14 3 $27,824.00 $27,824.00 $6,388.57 $33,405.90 $19,260.88 2026-04-23
517 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses,major 2 1 $121,357.00 $121,357.00 $19,224.27 $19,224.27 $19,224.27 2026-04-23
42 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis,major 10 3 $52,241.00 $52,241.00 $7,760.48 $20,125.41 $19,208.06 2026-04-23
L6920 HCPCS Wrist-disarticulation-external Power L6920 24 21 $27,433.00 $27,433.00 $5,760.81 $27,433.00 $19,203.10 2026-04-23
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 28 23 $27,979.00 $27,979.00 $6,682.59 $27,979.00 $19,178.21 2026-04-23
403 APR_DRG Procedures For Obesity,minor 12 3 $50,966.00 $50,966.00 $17,699.07 $20,686.25 $19,153.81 2026-04-23
351 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses,extreme 8 1 $45,957.50 $45,957.50 $5,781.05 $25,763.67 $19,107.83 2026-04-23
J0600 HCPCS Edetate Calcium Disodium 200 Mg/ml Injection Solution 28 23 $27,730.00 $27,730.00 $11,592.75 $27,730.00 $19,007.53 2026-04-23
228 APR_DRG Inguinal Femoral And Umbilical Hernia Procedures,minor 14 3 $36,579.00 $36,579.00 $11,211.30 $53,318.61 $18,872.50 2026-04-23
281 APR_DRG Malignancy Of Hepatobiliary System And Pancreas,major 4 1 $123,136.00 $123,136.00 $15,896.20 $21,829.31 $18,862.76 2026-04-23
242 APR_DRG Major Esophageal Disorders,major 4 1 $50,690.50 $50,690.50 $12,955.59 $24,455.46 $18,705.53 2026-04-23
C1875 HCPCS Hchg Stent Cp Cov Mtd 26mmx5.5cm 200 23 $26,096.50 $26,096.50 $9,297.19 $29,436.00 $18,686.00 2026-05-14
C1786 HCPCS Micra Transcatheter Pacing System 334 23 $27,625.00 $27,625.00 $4,050.56 $41,448.00 $18,508.75 2026-05-14
PX-41001004 CDM Ecmo Initiation And Management, Each Day 50 23 $26,305.00 $26,305.00 $10,997.02 $26,305.00 $18,413.50 2026-05-14
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Kit 28 23 $26,584.00 $26,584.00 $6,409.38 $26,584.00 $18,222.00 2026-04-23
61624 CPT Occlusion Or Embolization Of Abnormal Artery, Accessed Through The Skin 53 23 $26,395.00 $26,395.00 $764.00 $26,395.00 $18,212.55 2026-05-14
J0491 HCPCS Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 28 23 $26,112.00 $26,112.00 $6,155.64 $26,112.00 $17,898.47 2026-04-23
PX-48011066 CDM Cath Lab Time, First 15 Min 50 23 $25,489.00 $25,489.00 $10,655.88 $25,489.00 $17,842.30 2026-05-14
282 APR_DRG Disorders Of Pancreas Except Malignancy,extreme 8 1 $89,916.50 $89,916.50 $8,950.73 $37,333.24 $17,737.74 2026-04-23
93596 CPT R&l Hrt Cath Chd Nml Nt Cnj 50 23 $25,332.00 $25,332.00 $10,590.25 $25,332.00 $17,732.40 2026-05-14
93597 CPT R&l Hrt Cath Chd Abnl Nt Cnj 50 23 $25,332.00 $25,332.00 $10,590.25 $25,332.00 $17,732.40 2026-05-14
53 APR_DRG Seizure,major 16 3 $32,791.50 $32,791.50 $8,001.59 $58,190.11 $17,631.49 2026-04-23
344 APR_DRG Osteomyelitis Septic Arthritis And Other Musculoskeletal Infections,major 14 3 $29,233.00 $29,233.00 $10,703.92 $31,311.66 $17,583.75 2026-04-23
692 APR_DRG Radiotherapy,moderate 8 3 $68,772.00 $68,772.00 $17,050.41 $23,696.80 $17,565.28 2026-04-23
J9021 HCPCS Asparaginase Erwinia Chrysanthemi-rywn 10 Mg/0.5 Ml IM Solution 28 23 $25,579.00 $25,579.00 $6,285.42 $25,579.00 $17,533.12 2026-04-23
L6935 HCPCS Below Elbow External Power Myoelectric Control L6935 28 23 $25,514.00 $25,514.00 $6,105.04 $25,514.00 $17,488.57 2026-04-23
461 APR_DRG Kidney And Urinary Tract Malignancy,extreme 4 1 $33,840.00 $33,840.00 $11,657.10 $23,144.02 $17,400.56 2026-04-23
C1816 HCPCS Receiver I-110a Std Mark IV 28 23 $25,346.00 $25,346.00 $10,596.10 $25,346.00 $17,373.42 2026-04-23
L5321 HCPCS Above-knee-endoskeletal-system L5321 28 23 $25,327.00 $25,327.00 $2,668.10 $25,327.00 $17,360.39 2026-04-23
930 APR_DRG Multiple Significant Trauma Without O.r. Procedure,major 12 3 $42,892.00 $42,892.00 $16,701.88 $17,798.70 $17,256.07 2026-04-23
196 APR_DRG Cardiac Arrest And Shock,major 10 3 $33,345.00 $33,345.00 $7,797.34 $25,115.24 $17,241.23 2026-04-23
92990 CPT Cath Repair Of Pulmonary Valve 50 23 $24,630.00 $24,630.00 $10,296.77 $24,630.00 $17,241.00 2026-05-14
660 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 12 3 $29,044.50 $29,044.50 $12,266.64 $44,769.09 $17,162.58 2026-04-23
33208 CPT Pacemaker Insertion 53 23 $24,683.00 $24,683.00 $764.00 $24,683.00 $17,031.27 2026-05-14
25575 CPT Open Treatment Of Broken Forearm Bones 53 23 $24,641.00 $24,641.00 $512.28 $24,641.00 $17,002.29 2026-05-14
201 APR_DRG Cardiac Arrhythmia And Conduction Disorders,major 16 3 $50,474.00 $50,474.00 $9,846.38 $32,316.00 $16,953.95 2026-04-23
140 APR_DRG Chronic Obstructive Pulmonary Disease,major 8 3 $66,468.00 $66,468.00 $13,180.92 $17,548.80 $16,854.72 2026-04-23
J1950 HCPCS Leuprolide 15 Mg Intramuscular Kit 84 23 $24,501.00 $24,501.00 $5,920.25 $53,466.00 $16,853.80 2026-04-23
33207 CPT Pacemaker Insertion, Ventricular 53 23 $24,367.00 $24,367.00 $764.00 $24,367.00 $16,813.23 2026-05-14
33214 CPT Pacemaker Conversion To Two Chamber System 53 23 $24,313.00 $24,313.00 $764.00 $24,313.00 $16,775.97 2026-05-14
633 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly,minor 16 3 $46,905.00 $46,905.00 $5,949.32 $169,453.69 $16,642.64 2026-04-23
37246 CPT Balloon Dilation Of Artery W/Imaging 53 23 $23,714.00 $23,714.00 $764.00 $23,714.00 $16,362.66 2026-05-14
36254 CPT Insertion Of Catheters Into Main And Accessory Arteries Of Both Kidneys For Imag… 53 23 $23,710.00 $23,710.00 $764.00 $23,710.00 $16,359.90 2026-05-14
844 APR_DRG Partial Thickness Burns Without Skin Graft,major 6 3 $39,534.00 $39,534.00 $16,025.90 $16,791.27 $16,228.39 2026-04-23
465 APR_DRG Urinary Stones And Acquired Upper Urinary Tract Obstruction,major 8 3 $30,328.00 $30,328.00 $12,067.25 $16,886.39 $16,218.50 2026-04-23
137 APR_DRG Major Respiratory Infections And Inflammations,extreme 6 1 $30,418.00 $30,418.00 $7,658.36 $31,238.02 $16,200.97 2026-04-23
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