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

ST LUKE'S REGIONAL MEDICAL CENTER

Boise, ID · CCN 130006 · Rates published

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You selected 93306 (CPT)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,774 across 30 payers · range $590-$2,456

Source: https://assets.slhs.org/download/assets/820161600_St-Lukes-Regional-Medical-Center-LTD_standardcharges.csv/58d75b022a1e11f1b53a0a82e5b91713 · observed 2026-07-15

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.

8,178 distinct procedures filed
30 distinct payers
1,202,987 rate rows
2026-07-15 last MRF observed
Data quality

1,189,285 of 1,202,987 rate rows are consumer-grade (98.9%)

13,702 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-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,541
placeholder amount (≤ $0.02) — excluded from medians 4,285
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,153
exceeds 10× this hospital's gross charge — excluded from medians 599
percent-of-charges filed in the dollar field — excluded from medians 480
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 437
per-diem day rate — not a per-procedure price 182
exceeds 3× this hospital's gross charge for a DRG stay — excluded 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stlukesonline.file.core.windows.net/stlukesonline-files/820161600-1770586794_St-Lukes-Regional-Medical-Center-LTD_standardcharges.csv?sv=2022-11-02&ss=f&srt=o&sp=rl&se=2026-07-12T19:20:00Z&st=2024-07-12T19:20:00Z&sip=0.0.0.0-255.255.255.255&spr=https&sig=FGacPqS12iM%2B02qiSmRIfavnfLx8l7R64K%2B5yDAzofo%3D
Found on page https://stlukesonline.org/en/patients-visitors/billing-and-insurance/price-estimates/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-01

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 30 $531,350.40 $1,079,678.28 $779,690.29 nat. median
$640,950
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 30 $532,192.24 $1,062,228.60 $767,087.75 nat. median
$608,239
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $226,945.39 $844,977.14 $238,292.66 nat. median
$249,036
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $172,183.00 $481,804.25 $189,401.30 nat. median
$190,559
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $112,788.27 $353,391.30 $167,440.50 nat. median
$126,695
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $92,388.59 $258,512.37 $134,127.78 nat. median
$92,678
1.4× median
38240
CPT 		Transplantation Of Donor Stem Cells Per Donor 30 $67,918.83 $165,570.42 $132,363.60 nat. median
$12,842
outlier · 10.3×
215
MS_DRG 		Other Heart Assist System Implant 21 $81,419.52 $452,974.82 $125,548.38 nat. median
$93,901
1.3× median
J7330
HCPCS 		Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet 20 $43,088.81 $135,020.52 $120,007.84 nat. median
$75,000
1.6× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 30 $320.77 $150,725.40 $115,316.32 nat. median
$479
outlier · 240.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $80,016.37 $241,374.01 $114,365.54 nat. median
$90,551
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $70,968.38 $281,469.60 $109,161.02 nat. median
$78,268
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $69,118.98 $216,497.45 $100,415.72 nat. median
$77,028
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $64,599.42 $280,497.96 $95,524.04 nat. median
$74,370
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $89,991.47 $320,075.85 $94,491.04 nat. median
$93,276
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $62,798.35 $197,363.91 $92,624.34 nat. median
$71,748
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $88,806.62 $248,488.80 $89,384.46 nat. median
$97,323
0.9× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 $31,434.35 $103,749.50 $85,621.69 nat. median
$35,249
outlier · 2.4×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 17 $40,459.16 $133,235.08 $85,200.23 nat. median
$46,239
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $59,362.17 $217,023.00 $84,167.00 nat. median
$63,648
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $58,651.73 $214,978.87 $83,743.95 nat. median
$66,649
1.3× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 30 $495.55 $123,379.20 $83,062.64 nat. median
$818
outlier · 101.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $56,890.94 $175,981.52 $82,434.53 nat. median
$59,371
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $56,890.94 $175,981.52 $82,434.53 nat. median
$62,655
1.3× median
64568
CPT 		Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 30 $39,162.42 $113,400.90 $81,900.65 nat. median
$27,694
outlier · 3.0×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 30 $47,560.13 $114,301.00 $81,900.65 nat. median
$43,278
1.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $55,036.72 $204,862.11 $79,450.70 nat. median
$60,596
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 $56,617.89 $199,469.15 $79,011.06 nat. median
$63,873
1.2× median
265
MS_DRG 		Aicd Lead Procedures 13 $30,553.82 $89,215.67 $77,408.24 nat. median
$33,659
outlier · 2.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $54,180.49 $186,171.62 $76,526.12 nat. median
$62,031
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $73,788.38 $254,847.03 $74,526.26 nat. median
$78,049
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 $49,599.71 $189,752.66 $73,403.64 nat. median
$56,687
1.3× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 $55,076.19 $189,025.45 $73,308.84 nat. median
$57,556
1.3× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 $53,987.98 $154,016.58 $72,974.67 nat. median
$58,135
1.3× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 $45,704.41 $154,439.03 $72,719.90 nat. median
$53,342
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $68,905.53 $259,130.84 $72,350.81 nat. median
$77,632
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 20 $49,613.41 $152,048.30 $72,042.08 nat. median
$54,460
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 $50,580.79 $254,180.93 $70,990.98 nat. median
$58,280
1.2× median
J9226
HCPCS 		Hc Histerlin, Implant, 50 Mg 30 $39,141.66 $112,603.54 $69,096.54 nat. median
$55,159
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $62,594.57 $176,445.96 $68,854.03 nat. median
$67,976
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $49,249.33 $199,609.70 $68,011.89 nat. median
$55,167
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 $47,374.17 $150,706.43 $67,605.44 nat. median
$53,523
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $63,064.97 $193,568.98 $66,218.22 nat. median
$72,398
0.9× median
653
MS_DRG 		Major Bladder Procedures With Mcc 20 $43,073.68 $176,675.12 $66,059.01 nat. median
$49,999
1.3× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 $43,858.22 $209,860.91 $65,498.51 nat. median
$51,514
1.3× median
834
MS_DRG 		Acute Leukemia With Mcc 20 $45,437.78 $204,929.33 $65,498.51 nat. median
$50,371
1.3× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution For Desensitization Only 9 $40,222.73 $68,887.89 $65,443.50 nat. median
$33,233
2.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 20 $45,281.51 $146,599.83 $64,330.10 nat. median
$50,787
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 20 $47,126.07 $167,493.34 $64,001.85 nat. median
$49,929
1.3× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 $45,149.42 $134,951.46 $63,941.42 nat. median
$50,018
1.3× median

Other procedures at this hospital

Browse this hospital's 8,178 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
             
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 158 30 $1,199,583.03 $1,199,583.03 $531,350.40 $1,079,678.28 $779,690.29 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 158 30 $1,180,194.50 $1,180,194.50 $532,192.24 $1,062,228.60 $767,087.75 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 16 $453,029.80 $453,029.80 $226,945.39 $844,977.14 $238,292.66 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 17 $967,670.54 $967,670.54 $172,183.00 $481,804.25 $189,401.30 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 21 $609,375.73 $609,375.73 $112,788.27 $353,391.30 $167,440.50 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 28 16 $454,772.14 $454,772.14 $92,388.59 $258,512.37 $134,127.78 2026-07-15
38240 CPT Transplantation Of Donor Stem Cells Per Donor 68 30 $165,599.00 $165,599.00 $67,918.83 $165,570.42 $132,363.60 2026-07-15
215 MS_DRG Other Heart Assist System Implant 37 21 $380,290.23 $380,290.23 $81,419.52 $452,974.82 $125,548.38 2026-07-15
J7330 HCPCS Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet 92 20 $150,016.30 $150,016.30 $43,088.81 $135,020.52 $120,007.84 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 126 30 $144,176.90 $144,176.90 $320.77 $150,725.40 $115,316.32 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 21 $343,044.65 $343,044.65 $80,016.37 $241,374.01 $114,365.54 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 34 20 $201,227.62 $201,227.62 $70,968.38 $281,469.60 $109,161.02 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 21 $362,969.73 $362,969.73 $69,118.98 $216,497.45 $100,415.72 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 20 $231,174.46 $231,174.46 $64,599.42 $280,497.96 $95,524.04 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 16 $575,810.19 $575,810.19 $89,991.47 $320,075.85 $94,491.04 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 21 $368,825.11 $368,825.11 $62,798.35 $197,363.91 $92,624.34 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 10 $933,591.71 $933,591.71 $88,806.62 $248,488.80 $89,384.46 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 14 $100,271.09 $100,271.09 $31,434.35 $103,749.50 $85,621.69 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 17 $212,135.47 $212,135.47 $40,459.16 $133,235.08 $85,200.23 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 20 $258,559.03 $258,559.03 $59,362.17 $217,023.00 $84,167.00 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 20 $221,036.35 $221,036.35 $58,651.73 $214,978.87 $83,743.95 2026-07-15
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 132 30 $103,834.80 $103,834.80 $495.55 $123,379.20 $83,062.64 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 21 $320,867.92 $320,867.92 $56,890.94 $175,981.52 $82,434.53 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 21 $302,266.11 $302,266.11 $56,890.94 $175,981.52 $82,434.53 2026-07-15
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 81 30 $126,001.00 $126,001.00 $39,162.42 $113,400.90 $81,900.65 2026-07-15
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 79 30 $126,001.00 $126,001.00 $47,560.13 $114,301.00 $81,900.65 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 20 $249,714.57 $249,714.57 $55,036.72 $204,862.11 $79,450.70 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 20 $237,943.83 $237,943.83 $56,617.89 $199,469.15 $79,011.06 2026-07-15
265 MS_DRG Aicd Lead Procedures 24 13 $42,602.54 $42,602.54 $30,553.82 $89,215.67 $77,408.24 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 21 $280,974.98 $280,974.98 $54,180.49 $186,171.62 $76,526.12 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 12 $571,844.81 $571,844.81 $73,788.38 $254,847.03 $74,526.26 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 20 $149,935.95 $149,935.95 $49,599.71 $189,752.66 $73,403.64 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 20 $164,481.02 $164,481.02 $55,076.19 $189,025.45 $73,308.84 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 20 $138,175.71 $138,175.71 $53,987.98 $154,016.58 $72,974.67 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 20 $182,489.50 $182,489.50 $45,704.41 $154,439.03 $72,719.90 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 16 $502,714.70 $502,714.70 $68,905.53 $259,130.84 $72,350.81 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 35 20 $257,530.54 $257,530.54 $49,613.41 $152,048.30 $72,042.08 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 20 $177,192.38 $177,192.38 $50,580.79 $254,180.93 $70,990.98 2026-07-15
J9226 HCPCS Hc Histerlin, Implant, 50 Mg 180 30 $107,890.49 $107,890.49 $39,141.66 $112,603.54 $69,096.54 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 17 $332,096.48 $332,096.48 $62,594.57 $176,445.96 $68,854.03 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 20 $270,465.29 $270,465.29 $49,249.33 $199,609.70 $68,011.89 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 20 $193,968.44 $193,968.44 $47,374.17 $150,706.43 $67,605.44 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 16 $396,932.84 $396,932.84 $63,064.97 $193,568.98 $66,218.22 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 35 20 $231,211.90 $231,211.90 $43,073.68 $176,675.12 $66,059.01 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 35 20 $207,521.88 $207,521.88 $45,437.78 $204,929.33 $65,498.51 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 20 $190,272.90 $190,272.90 $43,858.22 $209,860.91 $65,498.51 2026-07-15
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution For Desensitization Only 11 9 $0.01 — $40,222.73 $68,887.89 $65,443.50 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 20 $188,697.09 $188,697.09 $45,281.51 $146,599.83 $64,330.10 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 20 $147,855.68 $147,855.68 $47,126.07 $167,493.34 $64,001.85 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 20 $161,529.06 $161,529.06 $45,149.42 $134,951.46 $63,941.42 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 20 $160,125.79 $160,125.79 $44,146.58 $157,361.31 $61,028.69 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 20 $162,120.80 $162,120.80 $43,717.26 $134,894.21 $60,826.05 2026-07-15
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 118 26 $92,978.95 $92,978.95 $448.69 $83,706.26 $60,454.52 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 20 $213,171.90 $213,171.90 $43,146.18 $137,518.89 $60,371.01 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 15 $32,449.16 $32,449.16 $58,992.45 $79,144.97 $60,172.30 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 15 $201,003.84 $201,003.84 $47,185.69 $123,839.73 $59,765.51 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 20 $197,351.00 $197,351.00 $40,861.02 $145,857.35 $59,687.27 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 19 $58,306.73 $58,306.73 $39,915.38 $125,230.07 $59,335.32 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 20 $155,122.85 $155,122.85 $40,997.14 $146,621.22 $59,265.41 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 20 $148,258.11 $148,258.11 $41,068.02 $180,980.32 $59,052.11 2026-07-15
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 132 30 $72,636.30 $72,636.30 $357.02 $83,265.15 $58,061.44 2026-07-15
245 MS_DRG Aicd Generator Procedures 35 20 $74,226.58 $74,226.58 $37,966.93 $125,461.89 $57,908.58 2026-07-15
J0567 HCPCS Cerliponase Alfa 300 Mg/10 Ml(150 Mg/5ml X2) Intraventricular Kit 114 26 $77,135.60 $77,135.60 $121.20 $69,427.89 $57,851.71 2026-07-15
J9029 HCPCS Hc Nadofaragene Firadenovec-vncg, Instill, 75 Ml 174 30 $32,852.75 $32,852.75 $15,900.00 $161,923.29 $57,600.00 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 19 $99,491.57 $99,491.57 $43,237.10 $91,253.99 $57,318.84 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 20 $224,924.37 $224,924.37 $38,896.45 $154,024.70 $56,589.68 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 35 20 $156,580.05 $156,580.05 $37,697.09 $129,058.21 $56,344.38 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 20 $142,415.70 $142,415.70 $39,009.23 $123,604.14 $56,333.72 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 16 $355,609.79 $355,609.79 $54,180.49 $158,907.39 $56,076.81 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 12 $392,903.82 $392,903.82 $55,435.43 $164,902.28 $55,989.78 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 20 $107,942.29 $107,942.29 $39,565.01 $177,582.60 $55,750.70 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 20 $168,293.20 $168,293.20 $38,147.34 $140,589.67 $55,452.08 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 20 $125,275.96 $125,275.96 $38,418.80 $146,126.23 $55,125.02 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 30 20 $204,465.49 $204,465.49 $37,317.70 $164,422.57 $54,619.02 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 20 $211,474.89 $211,474.89 $41,815.51 $139,061.92 $54,422.31 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 20 $208,865.68 $208,865.68 $38,241.60 $143,269.34 $54,414.02 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 20 $128,449.70 $128,449.70 $37,856.57 $137,521.94 $53,462.46 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 20 $149,527.03 $149,527.03 $35,796.14 $135,138.65 $53,143.70 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 16 $330,086.30 $330,086.30 $50,523.59 $178,248.70 $53,049.77 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 35 20 $152,484.11 $152,484.11 $35,020.46 $190,547.09 $52,501.43 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 16 $334,575.95 $334,575.95 $48,980.29 $247,165.51 $51,429.30 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 16 $298,781.99 $298,781.99 $48,488.14 $164,984.78 $50,912.55 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 16 $281,480.42 $281,480.42 $48,457.53 $184,747.75 $50,880.41 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 12 $392,419.42 $392,419.42 $50,050.77 $166,610.30 $50,551.28 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 20 $189,217.51 $189,217.51 $36,600.83 $106,685.16 $50,548.55 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 20 $171,929.04 $171,929.04 $36,074.04 $126,497.70 $50,473.89 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 33 19 $40,380.74 $40,380.74 $35,573.83 $105,772.29 $50,116.02 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 14 $317,077.04 $317,077.04 $49,091.46 $168,817.50 $50,073.29 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 16 $305,110.38 $305,110.38 $47,670.59 $167,151.13 $50,054.12 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 132 30 $62,473.51 $62,473.51 $221.22 $70,530.30 $49,931.21 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 20 $124,007.49 $124,007.49 $37,307.24 $104,806.91 $49,658.61 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 20 $144,046.79 $144,046.79 $35,060.74 $104,781.90 $49,646.76 2026-07-15
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 79 30 $62,005.00 $62,005.00 $28,222.91 $71,960.82 $49,604.00 2026-07-15
93656 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 79 30 $62,005.00 $62,005.00 $28,222.91 $90,516.76 $49,604.00 2026-07-15
93653 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 79 30 $62,005.00 $62,005.00 $28,222.91 $90,516.76 $49,604.00 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 20 $137,666.94 $137,666.94 $35,234.72 $126,888.80 $49,304.30 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 16 $280,499.17 $280,499.17 $46,501.82 $168,177.78 $48,826.91 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 16 $114,687.01 $114,687.01 $35,159.81 $100,119.57 $48,701.13 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 20 $122,599.09 $122,599.09 $35,176.73 $102,633.54 $48,628.85 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 20 $191,084.12 $191,084.12 $34,669.28 $156,481.32 $48,198.69 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 20 $130,517.64 $130,517.64 $32,142.47 $99,632.34 $47,206.85 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 20 $103,308.86 $103,308.86 $30,076.40 $99,562.31 $47,173.67 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 16 $321,918.97 $321,918.97 $45,218.70 $138,542.48 $46,801.35 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 16 $97,645.63 $97,645.63 $32,348.67 $85,272.32 $46,565.76 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 16 $310,320.02 $310,320.02 $44,172.36 $145,548.74 $46,380.98 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 20 $89,550.55 $89,550.55 $34,447.77 $97,796.60 $46,337.06 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 20 $155,044.27 $155,044.27 $32,395.40 $112,375.18 $46,081.10 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 20 $118,243.88 $118,243.88 $29,307.97 $106,407.79 $45,800.25 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 35 20 $103,208.89 $103,208.89 $30,803.77 $96,566.11 $45,754.04 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 20 $123,224.15 $123,224.15 $31,324.10 $129,666.25 $45,626.06 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 16 $109,996.54 $109,996.54 $31,527.89 $123,646.92 $45,295.44 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 20 $150,720.60 $150,720.60 $32,727.25 $107,052.50 $45,050.15 2026-07-15
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 106 24 $56,101.19 $56,101.19 $36,427.10 $62,135.34 $44,928.55 2026-07-15
C1831 HCPCS Hc Aprevo Kit Implant Level 1 Patient Specific 216 20 $54,600.00 $54,600.00 $16,224.00 $70,200.00 $44,538.00 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 20 $129,199.58 $129,199.58 $29,886.31 $168,416.10 $44,342.70 2026-07-15
C1826 HCPCS Hc Stimulator Spinal Cord Inceptiv 36 20 $54,011.00 $54,011.00 $35,107.15 $48,609.90 $43,208.80 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 13 $220,271.57 $220,271.57 $42,265.93 $94,340.22 $43,111.25 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 20 $156,669.11 $156,669.11 $29,980.54 $135,022.55 $42,937.29 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 20 $117,450.07 $117,450.07 $33,308.81 $137,854.99 $42,479.88 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 20 $81,730.90 $81,730.90 $30,310.00 $89,650.85 $42,477.51 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 20 $119,873.82 $119,873.82 $31,320.87 $89,635.84 $42,470.40 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 20 $155,503.85 $155,503.85 $30,791.68 $89,385.60 $42,081.72 2026-07-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 132 30 $52,507.19 $52,507.19 $2,816.77 $60,102.61 $41,958.15 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 20 $136,472.35 $136,472.35 $26,810.99 $144,277.65 $41,835.24 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 20 $63,117.91 $63,117.91 $30,421.96 $88,050.21 $41,719.11 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 20 $136,465.84 $136,465.84 $29,913.71 $101,277.60 $41,520.03 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 20 $123,628.14 $123,628.14 $28,832.75 $87,602.53 $41,507.00 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 20 $118,924.22 $118,924.22 $29,937.87 $105,313.92 $41,490.41 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 35 20 $116,550.78 $116,550.78 $28,125.51 $88,071.73 $41,416.94 2026-07-15
332 MS_DRG Rectal Resection With Mcc 35 20 $119,938.43 $119,938.43 $30,381.68 $117,450.36 $41,104.10 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 20 $116,638.39 $116,638.39 $29,179.10 $88,218.40 $41,059.07 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 $565,987.19 $565,987.19 $40,695.91 $113,858.65 $40,956.35 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 21 15 $237,455.93 $237,455.93 $40,111.93 $121,481.07 $40,914.17 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 20 $143,480.45 $143,480.45 $29,862.96 $89,733.92 $40,816.14 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 20 $108,060.38 $108,060.38 $29,043.76 $93,437.19 $40,752.15 2026-07-15
665 MS_DRG Prostatectomy With Mcc 35 20 $90,874.99 $90,874.99 $26,358.29 $93,476.91 $40,688.16 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 20 $107,378.78 $107,378.78 $27,418.31 $91,964.44 $40,363.47 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 20 $117,849.62 $117,849.62 $26,935.01 $91,551.95 $40,195.20 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 20 $157,036.95 $157,036.95 $28,697.41 $83,951.07 $39,776.90 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 20 $134,090.30 $134,090.30 $31,395.80 $90,455.02 $39,127.52 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 16 $285,839.01 $285,839.01 $37,165.47 $125,296.89 $39,023.74 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 20 $143,111.12 $143,111.12 $25,649.46 $81,750.19 $38,734.10 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 20 $99,504.39 $99,504.39 $27,303.14 $86,763.98 $38,623.89 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 15 $216,760.11 $216,760.11 $37,840.45 $111,852.22 $38,597.26 2026-07-15
C1736 HCPCS Hc Ultrasound Paradise Rdn Price Per Procedure 49 26 $48,128.00 $48,128.00 $31,283.20 $43,315.20 $38,502.40 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 20 $138,430.61 $138,430.61 $27,211.30 $83,228.76 $38,148.71 2026-07-15
S2102 HCPCS Hc Process Auto Islet Transcon 50 24 $47,580.00 $47,580.00 $30,927.00 $42,822.00 $38,064.00 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 35 20 $133,529.95 $133,529.95 $26,598.33 $90,705.57 $37,861.94 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 35 20 $121,918.04 $121,918.04 $26,709.48 $95,817.42 $37,549.10 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 20 $68,759.72 $68,759.72 $27,731.64 $78,056.21 $36,983.85 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 35 20 $104,172.55 $104,172.55 $25,877.42 $95,349.93 $36,967.26 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 20 $129,212.61 $129,212.61 $26,586.24 $122,198.61 $36,809.66 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 20 $106,099.10 $106,099.10 $26,887.50 $98,075.44 $36,644.94 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 20 $85,516.49 $85,516.49 $26,670.82 $101,616.76 $36,543.03 2026-07-15
90288 HCPCS Botulism Immune Globulin, Human 100 Mg Intravenous Solution 52 24 $45,300.00 $45,300.00 $27.17 $40,770.00 $36,240.00 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 136 30 $46,713.73 $46,713.73 $59.32 $46,091.25 $36,202.44 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 15 $254,690.88 $254,690.88 $35,376.48 $124,771.34 $36,084.01 2026-07-15
570 MS_DRG Skin Debridement With Mcc 35 20 $101,507.99 $101,507.99 $24,907.63 $125,568.83 $35,670.87 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 15 $231,533.20 $231,533.20 $34,827.14 $158,354.34 $35,523.68 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 35 20 $93,682.48 $93,682.48 $24,463.80 $88,285.62 $35,386.47 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 35 20 $67,306.58 $67,306.58 $20,992.97 $45,672.00 $35,360.00 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 12 $278,816.81 $278,816.81 $34,957.64 $112,087.96 $35,307.22 2026-07-15
C1823 HCPCS Hc Generator Pulse Imp Remede 30 16 $42,900.00 $42,900.00 $27,885.00 $38,610.00 $35,178.00 2026-07-15
77372 CPT Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 82 30 $53,956.00 $53,956.00 $7,952.83 $48,560.40 $35,071.40 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 20 $116,868.89 $116,868.89 $26,305.94 $80,848.53 $34,940.91 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 20 $123,066.14 $123,066.14 $24,675.63 $79,928.82 $34,850.85 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 21 15 $15,361.23 $15,361.23 $25,009.27 $38,283.28 $34,802.98 2026-07-15
791 MS_DRG Prematurity With Major Problems 21 15 $115,024.25 $115,024.25 $33,912.12 $112,545.00 $34,590.36 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 35 20 $92,461.43 $92,461.43 $24,737.66 $72,936.66 $34,558.16 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 20 $115,137.13 $115,137.13 $24,177.84 $86,443.15 $34,509.57 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 15 $190,555.34 $190,555.34 $33,602.01 $119,537.27 $34,274.05 2026-07-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 132 30 $42,471.90 $42,471.90 $136.77 $46,395.72 $33,932.32 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 35 20 $109,724.29 $109,724.29 $27,076.78 $80,796.59 $33,915.89 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 35 20 $122,187.43 $122,187.43 $23,133.14 $87,836.46 $33,734.58 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 29 20 $132,741.17 $132,741.17 $26,526.63 $70,165.56 $33,245.18 2026-07-15
69930 CPT Insertion Of Cochlear Device 207 30 $21,891.00 $21,891.00 $13,486.50 $203,210.90 $32,367.60 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 35 20 $71,570.12 $71,570.12 $24,475.07 $96,205.47 $32,309.03 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 29 16 $70,327.51 $70,327.51 $23,237.85 $74,273.09 $32,192.90 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 20 $125,763.17 $125,763.17 $23,425.52 $73,267.83 $32,035.29 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 35 20 $46,020.32 $46,020.32 $22,021.57 $85,165.95 $31,929.83 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 20 $101,777.52 $101,777.52 $23,357.88 $67,121.84 $31,803.03 2026-07-15
849 MS_DRG Radiotherapy 28 19 $118,325.87 $118,325.87 $23,042.11 $66,804.21 $31,652.54 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 35 20 $99,998.46 $99,998.46 $22,568.51 $66,596.63 $31,554.18 2026-07-15
67027 CPT Implantation Of Eye Drug Delivery System 81 30 $41,585.00 $41,585.00 $15,066.00 $47,822.18 $31,444.09 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 35 20 $104,263.05 $104,263.05 $24,429.98 $66,276.50 $31,402.50 2026-07-15
503 MS_DRG Foot Procedures With Mcc 35 20 $69,792.59 $69,792.59 $23,699.40 $66,191.47 $31,362.21 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 29 20 $122,048.64 $122,048.64 $23,352.23 $77,178.87 $31,086.11 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 15 $12,885.53 $12,885.53 $30,444.52 $37,611.90 $31,053.41 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 20 $116,536.27 $116,536.27 $22,944.65 $77,609.70 $31,005.53 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 15 $165,575.26 $165,575.26 $30,266.50 $97,794.33 $30,871.83 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 35 20 $108,110.73 $108,110.73 $21,899.14 $79,977.71 $30,674.91 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 20 $78,782.98 $78,782.98 $21,684.07 $97,941.00 $30,623.96 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 15 $198,901.70 $198,901.70 $30,009.54 $106,756.11 $30,609.73 2026-07-15
37184 CPT Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 161 30 $23,450.00 $23,450.00 $15,242.50 $106,258.49 $30,485.00 2026-07-15
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 19 13 $99,803.82 $99,803.82 $29,746.62 $50,332.63 $30,341.55 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 35 20 $48,347.97 $48,347.97 $22,099.72 $82,180.73 $30,262.53 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 15 $182,497.51 $182,497.51 $29,623.72 $93,406.64 $30,216.19 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 35 20 $51,869.72 $51,869.72 $19,595.45 $63,800.52 $30,040.94 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 35 20 $62,018.50 $62,018.50 $21,207.24 $81,780.46 $29,943.77 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 21 15 $178,156.21 $178,156.21 $29,315.24 $86,272.04 $29,901.54 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 33 19 $69,614.57 $69,614.57 $14,720.04 $62,627.54 $29,673.59 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 35 20 $108,095.77 $108,095.77 $21,781.54 $65,393.81 $29,651.07 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 21 15 $162,129.20 $162,129.20 $28,914.90 $40,747.41 $29,493.20 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 35 20 $87,921.93 $87,921.93 $20,508.07 $68,644.86 $29,361.93 2026-07-15
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 35 20 $84,261.33 $84,261.33 $21,539.08 $63,881.34 $29,243.43 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 15 $212,555.76 $212,555.76 $28,661.18 $120,832.80 $29,234.40 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 35 20 $101,908.29 $101,908.29 $21,020.36 $67,086.56 $29,012.36 2026-07-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 33 19 $37,198.60 $37,198.60 $18,315.36 $38,655.46 $28,861.05 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 35 20 $104,536.28 $104,536.28 $21,289.40 $61,751.66 $28,661.60 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 35 20 $87,417.52 $87,417.52 $18,696.54 $60,301.61 $28,571.54 2026-07-15
19357 CPT Reconstruction Of Breast Using Tissue Expander 161 30 $21,907.00 $21,907.00 $14,239.55 $106,784.46 $28,479.10 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 33 19 $82,261.07 $82,261.07 $22,677.07 $59,953.97 $28,406.82 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 35 20 $74,219.14 $74,219.14 $21,992.57 $59,953.97 $28,406.82 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 15 $168,670.04 $168,670.04 $27,825.07 $91,924.72 $28,381.57 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 21 15 $162,889.94 $162,889.94 $27,734.86 $83,055.71 $28,289.56 2026-07-15
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 132 30 $35,288.50 $35,288.50 $34.12 $42,578.68 $28,225.60 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 30 20 $111,938.99 $111,938.99 $19,708.22 $64,012.73 $28,046.58 2026-07-15
92941 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 59 26 $35,025.00 $35,025.00 $532.20 $36,216.00 $28,020.00 2026-07-15
947 MS_DRG Signs And Symptoms With Mcc 21 12 $40,895.56 $40,895.56 $8,832.53 $32,167.86 $27,910.54 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 15 $65,168.73 $65,168.73 $27,274.13 $124,441.35 $27,819.61 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 15 $180,953.45 $180,953.45 $27,237.89 $94,292.73 $27,782.65 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 35 20 $82,644.57 $82,644.57 $21,025.99 $64,342.72 $27,712.41 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 35 20 $55,696.32 $55,696.32 $19,627.66 $58,028.20 $27,494.37 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 35 20 $40,621.13 $40,621.13 $20,591.84 $71,733.97 $27,430.38 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 35 20 $91,176.46 $91,176.46 $18,797.22 $66,447.96 $27,404.31 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 20 $106,416.61 $106,416.61 $20,054.58 $73,243.39 $27,354.54 2026-07-15
Q4226 HCPCS Hc Graft Skin 10x10cm Autologous 60 16 $39,000.00 $39,000.00 $10,140.00 $56,160.00 $27,300.00 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 35 20 $69,857.97 $69,857.97 $18,272.84 $57,375.44 $27,185.09 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 35 20 $53,930.83 $53,930.83 $19,001.82 $70,582.05 $27,140.06 2026-07-15
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 207 30 $20,834.00 $20,834.00 $12,834.75 $112,929.94 $27,084.20 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 35 20 $50,158.76 $50,158.76 $18,840.72 $66,139.35 $27,057.11 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 11 $207,651.98 $207,651.98 $26,862.53 $102,560.91 $27,031.71 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 35 20 $61,444.89 $61,444.89 $20,472.63 $77,456.93 $26,956.38 2026-07-15
61886 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele… 161 30 $15,811.00 $15,811.00 $10,277.15 $188,168.80 $26,878.70 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 35 20 $40,928.18 $40,928.18 $19,517.33 $56,672.66 $26,852.10 2026-07-15
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 79 30 $33,500.00 $33,500.00 $13,026.00 $53,129.25 $26,800.00 2026-07-15
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing 79 30 $33,500.00 $33,500.00 $18,485.00 $33,332.16 $26,800.00 2026-07-15
92933 CPT Percutaneous Transluminal Coronary Atherectomy, With Intracoronary Stent, With C… 79 30 $33,500.00 $33,500.00 $19,793.98 $66,829.24 $26,800.00 2026-07-15
92930 CPT Insertion Of 2 Stents For 2 Or More Lesions In 2 Or More Coronary Segments Or, W… 63 30 $33,500.00 $33,500.00 $19,793.98 $30,150.00 $26,800.00 2026-07-15
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 73 26 $33,500.00 $33,500.00 $18,716.00 $46,328.00 $26,800.00 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 15 $173,592.27 $173,592.27 $26,261.64 $84,423.47 $26,786.87 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 35 20 $76,439.93 $76,439.93 $18,381.60 $78,013.03 $26,695.68 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 35 20 $79,656.18 $79,656.18 $18,767.41 $56,249.99 $26,651.84 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 35 20 $91,939.65 $91,939.65 $19,961.95 $56,453.42 $26,628.14 2026-07-15
784 MS_DRG Cesarean Section With Sterilization With Cc 33 19 $62,901.52 $62,901.52 $9,756.48 $28,030.00 $26,624.00 2026-07-15
C1882 HCPCS Hc Crt-d 5.37x8.08x0.99cm Inogen 690 16 $31,699.00 $31,699.00 $12,201.15 $40,887.90 $26,514.05 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 35 20 $77,945.28 $77,945.28 $19,249.09 $66,374.63 $26,453.94 2026-07-15
263 MS_DRG Vein Ligation And Stripping 19 13 $145,914.99 $145,914.99 $25,844.40 $67,079.32 $26,361.29 2026-07-15
58200 CPT Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 63 30 $32,839.00 $32,839.00 $1,142.74 $29,555.10 $26,271.20 2026-07-15
43775 CPT Partial Removal Of Stomach For Weight Loss Using An Endoscope 64 30 $32,839.00 $32,839.00 $894.58 $29,555.10 $26,271.20 2026-07-15
32656 CPT Hc Thoracoscopy W/Parietal Pleurectomy 63 30 $32,839.00 $32,839.00 $703.08 $29,555.10 $26,271.20 2026-07-15
32661 CPT Hc Thoracoscopy W/Exc Pericardial Cyst Tumor/Mass 63 30 $32,839.00 $32,839.00 $695.90 $29,555.10 $26,271.20 2026-07-15
50405 CPT Revision Of Kidney/ureter 63 30 $32,839.00 $32,839.00 $1,163.02 $29,555.10 $26,271.20 2026-07-15
58150 CPT Removal Of Uterus And Cervix Through Abdomen 65 30 $32,839.00 $32,839.00 $852.76 $79,209.78 $26,271.20 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 35 20 $77,229.06 $77,229.06 $19,041.28 $55,354.63 $26,227.61 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 35 20 $66,327.51 $66,327.51 $19,466.58 $71,761.47 $26,062.89 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 13 $166,351.46 $166,351.46 $25,547.18 $71,481.08 $26,058.12 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 15 $120,891.90 $120,891.90 $25,517.37 $63,147.75 $26,027.72 2026-07-15
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 19 13 $64,000.65 $64,000.65 $25,356.53 $28,478.89 $25,863.66 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 33 19 $84,905.41 $84,905.41 $18,466.98 $54,494.29 $25,819.97 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 35 20 $48,011.28 $48,011.28 $19,702.59 $54,254.19 $25,706.21 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 9 $179,606.53 $179,606.53 $25,543.96 $28,098.36 $25,704.44 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 15 $102,206.42 $102,206.42 $20,664.34 $52,390.31 $25,670.11 2026-07-15
950 MS_DRG Aftercare Without Cc/mcc 19 13 $59,875.73 $59,875.73 $13,925.44 $28,087.85 $25,534.41 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 35 20 $69,768.44 $69,768.44 $18,013.49 $53,859.04 $25,518.98 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 35 20 $94,864.60 $94,864.60 $18,785.96 $67,624.33 $25,459.73 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 20 15 $174,449.50 $174,449.50 $24,947.89 $72,458.97 $25,446.85 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 29 16 $59,585.13 $59,585.13 $19,023.57 $47,395.13 $25,427.73 2026-07-15
835 MS_DRG Acute Leukemia With Cc 35 20 $81,260.64 $81,260.64 $18,018.33 $95,261.32 $25,310.42 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 30 20 $94,494.37 $94,494.37 $18,382.41 $53,411.36 $25,306.86 2026-07-15
69716 CPT Implantation Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magn… 161 30 $19,343.00 $19,343.00 $12,572.95 $79,753.26 $25,145.90 2026-07-15
28735 CPT Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity 207 30 $19,343.00 $19,343.00 $11,916.75 $79,753.26 $25,145.90 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 35 20 $82,422.82 $82,422.82 $18,061.01 $55,179.27 $25,132.67 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 35 20 $45,528.87 $45,528.87 $18,299.44 $57,046.19 $25,063.94 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 35 20 $83,850.52 $83,850.52 $20,040.89 $66,784.06 $25,020.09 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 35 20 $57,613.96 $57,613.96 $18,444.42 $62,738.58 $25,020.09 2026-07-15
58575 CPT Hc Laps Tot Hyst Resj Mal 67 30 $32,839.00 $32,839.00 $1,616.22 $29,555.10 $24,957.64 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 15 $145,472.03 $145,472.03 $24,336.53 $93,657.19 $24,823.26 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 35 20 $51,328.67 $51,328.67 $18,347.78 $58,051.44 $24,772.43 2026-07-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 35 20 $66,433.37 $66,433.37 $14,504.00 $31,937.00 $24,752.00 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 9 $263,258.22 $263,258.22 $24,592.67 $27,051.94 $24,746.88 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 11 $188,571.68 $188,571.68 $24,578.18 $78,019.14 $24,732.29 2026-07-15
35151 CPT Repair Of Aneurysm Or Lower Leg Artery With Graft 63 30 $30,732.00 $30,732.00 $1,006.82 $27,658.80 $24,585.60 2026-07-15
592 MS_DRG Skin Ulcers With Mcc 33 19 $34,303.71 $34,303.71 $16,806.06 $51,428.06 $24,367.16 2026-07-15
800 MS_DRG Splenic Procedures With Cc 21 15 $151,626.45 $151,626.45 $23,846.81 $72,874.14 $24,323.75 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 35 20 $34,020.77 $34,020.77 $18,031.21 $58,250.05 $24,034.17 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 15 $148,538.24 $148,538.24 $23,544.74 $66,594.62 $24,015.63 2026-07-15
539 MS_DRG Osteomyelitis With Mcc 30 20 $88,996.17 $88,996.17 $17,083.15 $115,779.01 $23,965.44 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 15 11 $183,388.26 $183,388.26 $23,765.45 $79,464.39 $23,914.20 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 35 20 $78,127.10 $78,127.10 $17,288.55 $51,436.29 $23,902.64 2026-07-15
548 MS_DRG Septic Arthritis With Mcc 33 19 $85,104.04 $85,104.04 $21,291.92 $50,385.15 $23,873.01 2026-07-15
44207 CPT Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 67 30 $31,159.00 $31,159.00 $1,505.59 $28,043.10 $23,680.84 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 33 19 $71,196.50 $71,196.50 $17,311.92 $49,972.48 $23,677.49 2026-07-15
50593 CPT Destruction Of Growth Of Kidney By Freezing 161 30 $26,271.00 $26,271.00 $11,477.79 $62,377.35 $23,643.90 2026-07-15
58673 CPT Repair Of Uterine Tube Using An Endoscope 161 30 $26,271.00 $26,271.00 $11,477.79 $62,377.35 $23,643.90 2026-07-15
50948 CPT Repositioning Of Ureter Using An Endoscope 161 30 $26,271.00 $26,271.00 $11,477.79 $62,377.35 $23,643.90 2026-07-15
949 MS_DRG Aftercare With Cc/mcc 19 13 $71,236.20 $71,236.20 $23,163.38 $26,985.79 $23,626.65 2026-07-15
33419 CPT Repair Of Mitral Valve Through The Skin, Additional Prosthesis 44 20 $29,508.00 $29,508.00 $19,180.20 $26,557.20 $23,606.40 2026-07-15
33361 CPT Replacement Of Aortic Valve Through The Skin And Femoral Artery 63 30 $29,508.00 $29,508.00 $972.86 $26,557.20 $23,606.40 2026-07-15
0646T CPT Hc Ttvi/Rplcmt Prostc Vlv Perq W/r Hrt Cath&Angrph 50 24 $29,508.00 $29,508.00 $19,180.20 $26,557.20 $23,606.40 2026-07-15
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