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

OSF SAINT ANTHONY'S HEALTH CENTER

Alton, IL · CCN 140052 · Rates published

Your selected procedure

You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $1,031 across 11 payers · range $341-$4,932

Source: https://osf-p-001.sitecorecontenthub.cloud/api/public/content/362167864_osf-saint-anthony-medical-center_standardcharges.json · observed 2026-03-31

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.

16,966 distinct procedures filed
27 distinct payers
220,944 rate rows
2026-03-31 last MRF observed
Data quality

174,819 of 220,944 rate rows are consumer-grade (79.1%)

46,125 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 41,657
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
placeholder amount (≤ $0.02) — excluded from medians 12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1710396932_osf-healthcare-system_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-21
Content fingerprint 48b3312b3a11a70b… · 25,121,794 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,691,450.00 $3,876,022.50 $3,746,821.75 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,321,376.38 $3,487,445.20 $3,371,197.03 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,245,381.39 $3,407,650.46 $3,294,062.11 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,938,320.00 $4,864,551.99 $2,997,086.40 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,587,087.26 $3,998,166.53 $2,638,829.00 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,847,800.00 $2,378,640.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $2,697,170.00 $797,591.70 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $614,180.81 $2,149,632.83 $635,677.14 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $588,494.81 $2,059,731.83 $609,092.12 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,260.84 $1,967,912.93 $581,939.97 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $559,781.08 $1,959,233.78 $579,373.42 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $531,849.12 $1,861,471.91 $550,463.83 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,290.60 $1,712,517.10 $506,415.77 nat. median
$513,770
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$377,029
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $323,871.00 $774,883.39 $418,081.73 nat. median
$168,055
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $210,179.25 $502,868.15 $271,415.18 nat. median
$186,516
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $119,821.41 $383,118.92 $176,833.92 nat. median
$131,925
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $34,943.75 $1,141,849.28 $175,799.37 nat. median
$145,435
1.2× median
7
MS_DRG 		Lung Transplant 15 $97,126.50 $232,381.76 $125,572.95 nat. median
$70,649
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 11 $66,460.50 $159,011.27 $116,846.42 nat. median
$2,106
outlier · 55.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $90,134.25 $215,652.32 $116,552.69 nat. median
$72,715
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $78,725.89 $388,156.16 $112,565.29 nat. median
$108,243
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $40,943.15 $248,553.12 $110,539.40 nat. median
$97,418
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $84,988.50 $203,340.77 $109,914.49 nat. median
$65,418
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $84,891.00 $203,107.49 $109,788.71 nat. median
$2,110
outlier · 52.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $82,659.00 $197,767.28 $106,909.35 nat. median
$2,736
outlier · 39.1×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $57,424.50 $137,392.02 $106,556.90 nat. median
$2,024
outlier · 52.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $81,555.75 $195,127.68 $105,486.11 nat. median
$74,509
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $77,328.75 $185,014.29 $100,033.12 nat. median
$69,922
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $53,169.00 $127,210.45 $98,660.40 nat. median
$2,024
outlier · 48.7×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 11 $38,307.98 $119,011.72 $90,855.88 nat. median
$2,106
outlier · 43.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 $48,006.75 $114,859.41 $89,081.33 nat. median
$2,024
outlier · 44.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $57,149.25 $407,473.26 $88,131.76 nat. median
$52,327
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $45,872.25 $130,977.40 $85,120.55 nat. median
$2,106
outlier · 40.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $63,224.25 $151,268.32 $81,837.80 nat. median
$60,505
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 15 $74,677.50 $218,673.78 $81,580.54 nat. median
$73,023
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $71,371.27 $175,545.11 $80,162.80 nat. median
$69,822
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $59,016.00 $163,178.22 $76,409.00 nat. median
$56,428
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $60,856.80 $161,670.60 $74,940.61 nat. median
$2,596
outlier · 28.9×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $39,140.25 $93,645.71 $72,628.65 nat. median
$2,024
outlier · 35.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $19,338.90 $155,388.32 $72,049.99 nat. median
$2,633
outlier · 27.4×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $37,932.75 $90,756.68 $70,388.01 nat. median
$2,024
outlier · 34.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $54,139.50 $129,532.44 $70,118.13 nat. median
$9,905
outlier · 7.1×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 $37,655.25 $90,092.75 $69,873.08 nat. median
$2,024
outlier · 34.5×
10
MS_DRG 		Pancreas Transplant 15 $53,817.75 $128,762.63 $69,703.07 nat. median
$23,080
outlier · 3.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $53,509.50 $128,025.12 $69,305.42 nat. median
$45,605
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $56,532.40 $150,792.79 $68,936.41 nat. median
$59,651
1.2× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $246.80 $235,921.02 $67,406.01 nat. median
$28,331
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $49,485.00 $176,910.64 $66,821.76 nat. median
$49,569
1.3× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $64,282.30 $224,988.05 $66,532.18 nat. median
$66,211
1.0× median

Other procedures at this hospital

Browse this hospital's 16,966 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,691,450.00 $3,876,022.50 $3,746,821.75 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,321,376.38 $3,487,445.20 $3,371,197.03 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,245,381.39 $3,407,650.46 $3,294,062.11 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,938,320.00 $4,864,551.99 $2,997,086.40 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,587,087.26 $3,998,166.53 $2,638,829.00 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $3,847,800.00 $2,378,640.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 6 6 — — $770,620.00 $2,697,170.00 $797,591.70 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 6 — — $614,180.81 $2,149,632.83 $635,677.14 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 6 6 — — $588,494.81 $2,059,731.83 $609,092.12 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 6 — — $562,260.84 $1,967,912.93 $581,939.97 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 6 6 — — $559,781.08 $1,959,233.78 $579,373.42 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 6 — — $531,849.12 $1,861,471.91 $550,463.83 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 6 6 — — $489,290.60 $1,712,517.10 $506,415.77 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 15 — — $323,871.00 $774,883.39 $418,081.73 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 15 — — $210,179.25 $502,868.15 $271,415.18 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 15 — — $119,821.41 $383,118.92 $176,833.92 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 15 — — $34,943.75 $1,141,849.28 $175,799.37 2026-03-31
7 MS_DRG Lung Transplant 20 15 — — $97,126.50 $232,381.76 $125,572.95 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 11 — — $66,460.50 $159,011.27 $116,846.42 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 20 15 — — $90,134.25 $215,652.32 $116,552.69 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 6 — — $78,725.89 $388,156.16 $112,565.29 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 15 — — $40,943.15 $248,553.12 $110,539.40 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 15 — — $84,988.50 $203,340.77 $109,914.49 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 20 15 — — $84,891.00 $203,107.49 $109,788.71 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 15 — — $82,659.00 $197,767.28 $106,909.35 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 10 — — $57,424.50 $137,392.02 $106,556.90 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 15 — — $81,555.75 $195,127.68 $105,486.11 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 15 — — $77,328.75 $185,014.29 $100,033.12 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 10 — — $53,169.00 $127,210.45 $98,660.40 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 13 11 — — $38,307.98 $119,011.72 $90,855.88 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 11 10 — — $48,006.75 $114,859.41 $89,081.33 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 15 — — $57,149.25 $407,473.26 $88,131.76 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 10 — — $45,872.25 $130,977.40 $85,120.55 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 15 — — $63,224.25 $151,268.32 $81,837.80 2026-03-31
215 MS_DRG Other Heart Assist System Implant 24 15 — — $74,677.50 $218,673.78 $81,580.54 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 15 — — $71,371.27 $175,545.11 $80,162.80 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 15 — — $59,016.00 $163,178.22 $76,409.00 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 15 — — $60,856.80 $161,670.60 $74,940.61 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 10 — — $39,140.25 $93,645.71 $72,628.65 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 21 15 — — $19,338.90 $155,388.32 $72,049.99 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 10 — — $37,932.75 $90,756.68 $70,388.01 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 15 — — $54,139.50 $129,532.44 $70,118.13 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 11 10 — — $37,655.25 $90,092.75 $69,873.08 2026-03-31
10 MS_DRG Pancreas Transplant 20 15 — — $53,817.75 $128,762.63 $69,703.07 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 15 — — $53,509.50 $128,025.12 $69,305.42 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 15 — — $56,532.40 $150,792.79 $68,936.41 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 9 8 — — $246.80 $235,921.02 $67,406.01 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 15 — — $49,485.00 $176,910.64 $66,821.76 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 6 — — $64,282.30 $224,988.05 $66,532.18 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 15 — — $50,483.25 $120,784.61 $65,401.44 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 15 — — $43,675.28 $212,129.60 $65,106.25 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 15 — — $50,148.75 $119,984.29 $64,969.92 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 15 — — $50,112.00 $119,896.37 $64,922.51 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 15 — — $47,919.22 $117,988.89 $63,894.03 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 15 — — $44,507.03 $137,187.46 $63,675.37 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 15 — — $49,135.50 $117,560.02 $63,662.79 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 15 — — $51,680.98 $273,750.75 $63,035.11 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 14 10 — — $29,198.92 $82,644.08 $60,729.44 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 25 15 — — $1,676.00 $216,215.65 $59,774.15 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 15 — — $45,909.75 $109,842.20 $59,501.46 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 15 — — $52,402.95 $206,931.07 $59,424.90 2026-03-31
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $59,102.45 $59,102.45 $59,102.45 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 15 — — $45,469.50 $108,788.87 $58,933.51 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 7 7 — — $51,382.74 $198,885.92 $57,961.04 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 15 — — $44,472.75 $106,404.08 $57,647.67 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 7 — — $41,905.82 $196,942.17 $57,394.58 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 22 15 — — $45,062.25 $107,814.50 $57,021.51 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 15 — — $43,253.25 $103,486.34 $56,074.47 2026-03-31
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $55,981.35 $55,981.35 $55,981.35 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 15 — — $37,801.50 $244,013.35 $55,915.98 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 15 — — $42,801.75 $102,406.10 $55,492.02 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 15 — — $24,322.12 $124,027.14 $55,424.96 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 15 — — $44,190.94 $117,988.89 $54,841.68 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 15 — — $42,165.00 $100,882.63 $54,670.59 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 15 — — $42,034.50 $100,570.40 $54,502.24 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 15 — — $41,422.50 $99,106.15 $53,712.74 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 23 15 — — $12,295.60 $125,962.90 $53,569.60 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 20 15 — — $41,174.25 $98,512.19 $53,392.49 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 15 — — $40,905.75 $97,869.79 $53,046.12 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 15 — — $43,401.25 $208,527.30 $52,913.94 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 15 — — $40,742.25 $97,478.60 $52,835.19 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 15 — — $39,972.00 $95,635.73 $51,841.54 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 15 — — $39,703.50 $94,993.32 $51,495.17 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 15 — — $31,604.25 $111,529.65 $50,726.93 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 20 15 — — $38,973.00 $93,245.55 $50,552.79 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 15 — — $43,293.36 $105,239.50 $50,322.40 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 6 6 — — $35,014.84 $172,683.63 $50,078.25 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 15 — — $43,491.96 $107,003.42 $49,787.02 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 15 — — $41,356.66 $109,969.60 $49,690.35 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 15 — — $4,974.86 $106,651.71 $49,625.19 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 15 — — $40,543.62 $107,783.99 $49,429.81 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 6 6 — — $31,771.52 $167,719.96 $48,638.79 2026-03-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 10 — — $2.57 $65,638.31 $48,233.07 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 15 — — $30,064.97 $230,716.60 $48,179.46 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 15 — — $42,394.67 $254,068.65 $47,864.89 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 15 — — $36,759.00 $87,948.41 $47,696.65 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 7 7 — — $9,598.00 $165,203.59 $47,673.03 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 7 — — $11,772.00 $165,203.59 $47,673.03 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 9 8 — — $710.77 $165,203.59 $47,201.02 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 15 — — $36,032.25 $86,209.61 $46,759.12 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 15 — — $41,746.50 $99,881.34 $46,509.99 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 15 — — $22,137.22 $102,273.31 $46,023.57 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 15 — — $35,260.50 $84,363.14 $45,763.53 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 15 — — $41,028.75 $98,164.07 $45,719.85 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 15 — — $35,083.50 $83,939.66 $45,535.19 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 20 15 — — $34,777.50 $83,207.53 $45,140.44 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 15 — — $34,638.75 $82,875.56 $44,961.44 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 15 — — $34,187.98 $259,180.75 $44,582.92 2026-03-31
245 MS_DRG Aicd Generator Procedures 20 15 — — $34,218.00 $81,868.89 $44,418.67 2026-03-31
5432 OTHER Level 2 Nerve Procedures 1 1 — — $44,016.90 $44,016.90 $44,016.90 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 15 — — $33,603.75 $80,399.26 $43,626.26 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 15 — — $1,375.00 $606,555.81 $43,486.18 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 15 — — $33,471.75 $80,083.44 $43,455.98 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 15 — — $25,619.52 $93,407.05 $42,287.28 2026-03-31
J9226 HCPCS Supprelin La Implant 7 7 — — $31,333.15 $144,106.99 $41,996.90 2026-03-31
1519 OTHER New Technology - Level 19 ($1701-$1800) 2 2 — — $525.93 $83,435.60 $41,980.77 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 11 10 — — $22,573.50 $54,008.63 $41,887.39 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 15 — — $29,206.50 $69,878.54 $41,802.90 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 15 — — $1,100.00 $89,495.20 $41,731.11 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 11 10 — — $22,465.50 $53,750.24 $41,686.98 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 20 15 — — $31,989.75 $76,537.65 $41,544.15 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 15 — — $37,105.50 $151,936.25 $41,400.84 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 15 — — $12,036.29 $179,966.80 $41,328.18 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 15 — — $31,806.00 $76,098.02 $41,307.10 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 15 — — $31,620.00 $75,653.00 $41,067.15 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 15 — — $21,418.72 $190,122.61 $40,732.73 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 15 — — $31,294.50 $74,874.22 $40,647.24 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 15 — — $31,147.50 $74,522.51 $40,457.61 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 15 — — $27,192.75 $65,060.50 $40,223.52 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 15 — — $10,454.05 $88,316.26 $40,011.83 2026-03-31
791 MS_DRG Prematurity With Major Problems 20 15 — — $30,442.50 $72,835.75 $39,548.14 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 15 — — $30,153.75 $72,144.90 $39,175.63 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 15 — — $26,395.50 $146,289.75 $39,044.22 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 15 — — $35,188.50 $84,190.88 $38,729.17 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 15 — — $31,572.45 $243,101.90 $38,721.30 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 15 — — $34,386.00 $82,270.84 $38,407.02 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 21 15 — — $17,825.93 $81,267.76 $37,945.47 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 15 — — $28,986.75 $69,352.77 $37,670.16 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 15 — — $28,959.00 $69,286.38 $37,634.36 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 15 — — $9,080.09 $100,844.65 $37,564.54 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 21 15 — — $33,613.50 $80,422.58 $37,556.59 2026-03-31
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 7 7 — — $5,243.00 $128,492.09 $37,079.14 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 15 — — $8,766.00 $82,480.79 $37,036.81 2026-03-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 11 10 — — $19,923.75 $47,668.93 $36,970.51 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 15 — — $22,973.57 $288,209.25 $36,641.30 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 15 — — $28,099.50 $67,229.96 $36,525.57 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 15 — — $27,793.50 $66,497.84 $36,130.82 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 15 — — $27,548.25 $65,911.06 $35,814.44 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 15 — — $14,218.02 $164,270.85 $35,769.71 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 15 — — $23,840.80 $325,081.45 $35,731.56 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 15 — — $2,048.60 $77,032.91 $35,482.68 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 15 — — $27,213.75 $65,110.75 $35,382.93 2026-03-31
69930 HCPCS Implant Cochlear Device 9 8 — — $1,319.07 $123,667.39 $35,333.54 2026-03-31
332 MS_DRG Rectal Resection With Mcc 20 15 — — $27,155.25 $64,970.78 $35,307.46 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 15 — — $16,151.29 $77,651.99 $35,245.15 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 15 — — $26,871.00 $64,290.69 $34,940.76 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 15 — — $26,808.75 $64,141.76 $34,860.46 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 15 — — $26,742.00 $63,982.05 $34,774.35 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 15 — — $5,771.66 $93,710.14 $34,739.63 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 22 15 — — $24.49 $75,304.88 $34,698.93 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 15 — — $28,639.19 $75,782.20 $34,240.73 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 7 — — $11,772.00 $117,729.12 $33,973.26 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 7 — — $11,772.00 $117,729.12 $33,973.26 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 15 — — $22,928.26 $220,307.85 $33,966.17 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 15 — — $26,035.50 $62,291.70 $33,862.93 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 24 15 — — $888.82 $74,820.39 $33,812.93 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 8 8 — — $5,538.00 $117,729.12 $33,805.07 2026-03-31
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 5 5 — — $33,067.68 $115,736.90 $33,729.04 2026-03-31
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 5 — — $33,067.68 $115,736.90 $33,729.04 2026-03-31
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 5 5 — — $33,067.68 $115,736.90 $33,729.04 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 9 8 — — $635.50 $117,729.12 $33,636.89 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 8 — — $452.97 $117,729.12 $33,636.89 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 8 — — $448.93 $117,729.12 $33,636.89 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 8 — — $1,030.41 $117,729.12 $33,636.89 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 15 — — $29,187.18 $74,029.04 $33,625.78 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 15 — — $25,789.50 $61,703.13 $33,545.58 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 15 — — $22,653.75 $100,761.35 $33,509.43 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 15 — — $26,822.80 $71,491.73 $33,447.30 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 7 — — $9,598.00 $115,736.90 $33,398.36 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 7 — — $10,776.00 $115,736.90 $33,398.36 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 7 — — $10,776.00 $115,736.90 $33,398.36 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 7 — — $5,243.00 $115,736.90 $33,398.36 2026-03-31
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 7 — — $5,243.00 $115,736.90 $33,398.36 2026-03-31
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 7 — — $5,243.00 $115,736.90 $33,398.36 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 15 — — $25,553.25 $61,137.89 $33,240.82 2026-03-31
63685 HCPCS Insrt/redo Spine N Generator 9 8 — — $396.58 $115,736.90 $33,067.68 2026-03-31
61886 HCPCS Implant Neurostim Arrays 9 8 — — $952.51 $115,736.90 $33,067.68 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 9 8 — — $574.60 $115,736.90 $33,067.68 2026-03-31
5232 OTHER Level 2 Icd And Similar Procedures 7 6 — — $28,012.12 $198,820.34 $32,886.89 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 21 15 — — $22,080.75 $52,829.70 $32,661.85 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 15 — — $29,030.25 $114,864.46 $32,511.00 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 15 — — $24,774.75 $59,275.27 $32,236.53 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 15 — — $28,388.49 $70,196.15 $31,912.57 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 15 — — $429.26 $68,893.40 $31,791.01 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 15 — — $24,396.00 $58,369.09 $31,747.92 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 15 — — $24,228.00 $57,967.14 $31,531.20 2026-03-31
652 MS_DRG Kidney Transplant 20 15 — — $24,221.25 $57,950.99 $31,522.49 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 11 10 — — $16,942.50 $40,536.08 $31,438.50 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 15 — — $26,823.92 $67,063.08 $31,409.58 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 15 — — $23,560.84 $70,450.02 $31,167.40 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 15 — — $23,830.50 $57,016.09 $31,018.41 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 15 — — $6,413.25 $67,070.26 $30,964.12 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 8 8 — — $370.02 $107,581.66 $30,891.31 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 15 — — $23,700.00 $56,703.86 $30,850.06 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $30,813.16 $30,813.16 $30,813.16 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 15 — — $28,222.50 $67,524.25 $30,718.30 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 15 — — $23,565.75 $56,382.66 $30,676.87 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 15 — — $9,504.84 $66,874.67 $30,427.95 2026-03-31
265 MS_DRG Aicd Lead Procedures 21 15 — — $25,586.63 $64,925.92 $30,426.23 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 15 — — $22,929.59 $383,984.20 $30,358.56 2026-03-31
L5856 HCPCS Elec Knee-shin Swing/stance 6 6 — — $21,008.90 $103,459.23 $30,003.18 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 15 — — $17,037.91 $63,928.22 $29,967.16 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 15 — — $1,553.95 $240,060.00 $29,939.47 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 15 — — $6,610.20 $63,867.21 $29,939.09 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 15 — — $13,498.95 $99,249.10 $29,915.15 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 20 15 — — $22,961.25 $54,936.35 $29,897.04 2026-03-31
L6880 HCPCS Elec Hand Ind Art Digits 6 6 — — $20,884.52 $102,970.74 $29,861.51 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 15 — — $20,156.25 $54,428.53 $29,623.23 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 15 — — $26,781.75 $181,697.40 $29,606.61 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 15 — — $22,650.75 $54,193.46 $29,496.49 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 15 — — $22,626.00 $54,134.24 $29,464.56 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 15 — — $10,286.14 $64,714.18 $29,462.26 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 7 7 — — $11,772.00 $100,958.46 $29,422.18 2026-03-31
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 7 7 — — $10,776.00 $101,770.63 $29,368.10 2026-03-31
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 7 7 — — $10,776.00 $101,770.63 $29,368.10 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 15 — — $26,155.50 $62,578.81 $29,346.27 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 15 — — $21,148.53 $145,734.10 $29,246.06 2026-03-31
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 7 7 — — $5,243.00 $100,958.46 $29,133.73 2026-03-31
22630 HCPCS Lumbar Spine Fusion 9 8 — — $1,775.55 $101,770.63 $29,077.32 2026-03-31
22633 HCPCS Lumbar Spine Fusion Combined 9 8 — — $2,086.08 $101,770.63 $29,077.32 2026-03-31
22558 HCPCS Lumbar Spine Fusion 9 8 — — $1,718.13 $101,770.63 $29,077.32 2026-03-31
21243 HCPCS Reconstruction Of Jaw Joint 9 8 — — $1,856.62 $101,770.63 $29,077.32 2026-03-31
20696 HCPCS Comp Multiplane Ext Fixation 9 8 — — $1,313.11 $101,770.63 $29,077.32 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 9 8 — — $1,055.23 $101,770.63 $29,077.32 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 15 — — $22,323.00 $53,409.30 $29,073.67 2026-03-31
J9266 HCPCS Pegaspargase Injection 7 7 — — $14,810.03 $99,484.21 $28,992.54 2026-03-31
570 MS_DRG Skin Debridement With Mcc 20 15 — — $22,058.25 $52,775.86 $28,732.14 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 15 — — $25,721.03 $61,990.24 $28,660.10 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 21 15 — — $19,344.00 $85,880.64 $28,613.64 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 20 15 — — $21,900.00 $52,397.24 $28,527.99 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 21 15 — — $19,257.00 $102,348.45 $28,484.95 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 15 — — $5,941.66 $61,520.10 $28,446.86 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 15 — — $21,751.50 $52,041.94 $28,336.42 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 15 — — $25,115.74 $61,218.64 $28,310.13 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 27 15 — — $16,336.76 $62,594.96 $28,235.47 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 15 — — $21,655.50 $51,812.26 $28,212.58 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 20 15 — — $21,645.00 $51,787.13 $28,199.03 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 15 — — $21,613.50 $51,711.77 $28,158.39 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 9 8 — — $1,268.02 $98,034.35 $28,009.82 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 9 8 — — $1,271.85 $98,034.35 $28,009.82 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 9 8 — — $947.57 $98,034.35 $28,009.82 2026-03-31
800 MS_DRG Splenic Procedures With Cc 20 15 — — $21,070.50 $50,412.60 $27,457.90 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 20 15 — — $20,994.75 $50,231.37 $27,360.18 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 22 15 — — $8,805.42 $59,074.30 $27,337.57 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 15 — — $11,218.22 $58,047.89 $27,261.49 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 24 15 — — $2,225.00 $59,944.59 $27,196.39 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 15 — — $21,507.74 $57,608.25 $27,059.20 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 15 — — $23,878.50 $57,130.93 $26,839.58 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 15 — — $24,203.25 $57,907.92 $26,808.56 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 15 — — $23,375.93 $185,038.82 $26,806.11 2026-03-31
665 MS_DRG Prostatectomy With Mcc 21 15 — — $23,409.00 $56,007.62 $26,728.80 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 15 — — $20,395.59 $49,056.02 $26,726.46 2026-03-31
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 11 10 — — $14,321.25 $34,264.56 $26,574.51 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 21 15 — — $17,961.75 $70,280.70 $26,569.02 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 15 — — $23,274.97 $56,515.45 $26,556.38 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 15 — — $7,366.14 $209,376.00 $26,511.46 2026-03-31
849 MS_DRG Radiotherapy 20 15 — — $20,321.25 $48,619.97 $26,491.35 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 15 — — $23,156.82 $105,162.94 $26,481.38 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 15 — — $20,230.50 $48,402.85 $26,374.28 2026-03-31
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $26,338.35 $26,338.35 $26,338.35 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 22 15 — — $8,697.80 $56,789.99 $26,301.52 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 15 — — $19,950.00 $47,731.73 $26,012.42 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 21 15 — — $17,526.75 $54,035.47 $25,925.57 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 15 — — $19,880.25 $47,564.85 $25,922.44 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 15 — — $4,513.97 $159,302.45 $25,893.78 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 15 — — $23,632.50 $84,007.90 $25,809.66 2026-03-31
263 MS_DRG Vein Ligation And Stripping 21 15 — — $13,466.52 $54,862.78 $25,795.95 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 15 — — $19,780.50 $47,326.19 $25,793.76 2026-03-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 21 15 — — $17,211.75 $63,073.00 $25,459.62 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 15 — — $19,443.75 $46,520.49 $25,359.34 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 27 15 — — $17,142.00 $78,969.90 $25,356.45 2026-03-31
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 11 10 — — $13,625.25 $32,599.34 $25,283.01 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 15 — — $19,371.00 $46,346.43 $25,265.49 2026-03-31
5213 OTHER Level 3 Electrophysiologic Procedures 12 7 — — $21,319.28 $115,262.65 $25,065.18 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 22 15 — — $17,296.81 $258,665.95 $24,696.58 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 22 15 — — $18,578.38 $45,271.57 $24,685.93 2026-03-31
509 MS_DRG Arthroscopy 11 10 — — $13,173.75 $31,519.09 $24,445.21 2026-03-31
0515T OTHER Insj Wcs Lv Compl Sys 7 7 — — $11,772.00 $83,428.21 $24,313.36 2026-03-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 7 7 — — $11,772.00 $83,428.21 $24,313.36 2026-03-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 7 — — $11,772.00 $83,428.21 $24,313.36 2026-03-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 7 7 — — $11,772.00 $83,428.21 $24,313.36 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 8 8 — — $5,538.00 $83,428.21 $24,194.18 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 8 8 — — $5,538.00 $83,428.21 $24,194.18 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 25 15 — — $21,027.48 $231,194.25 $24,166.23 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 9 8 — — $433.98 $83,428.21 $24,075.00 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 9 8 — — $427.35 $83,428.21 $24,075.00 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 9 8 — — $409.05 $83,428.21 $24,075.00 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 9 8 — — $416.52 $83,428.21 $24,075.00 2026-03-31
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 7 7 — — $9,598.00 $83,428.21 $24,075.00 2026-03-31
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