Price Transparency 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

UNITYPOINT HEALTH - MARSHALLTOWN

Marshalltown, IA · CCN 160001 · Rates published

12,677 distinct procedures filed
13 distinct payers
970,434 rate rows
2026-01-28 last MRF observed
Data quality

349,328 of 970,434 rate rows are consumer-grade (36.0%)

621,106 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
professional (physician) fee — not the facility price 620,358
placeholder amount (≤ $0.02) — excluded from medians 454
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 230
exceeds 10× this hospital's gross charge — excluded from medians 48
per-diem day rate — not a per-procedure price 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7948/815034179_unitypoint-health-marshalltown_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/UnityPointHealth-Marshalltown/7948
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 05de9f1e47aae27d… · 129,284,446 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,465,050.00 $4,596,375.00 $4,530,712.50 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,500,000.00 $3,895,500.00 $3,784,200.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $3,869,530.00 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,200,000.00 $3,490,800.50 $3,391,063.34 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,100,000.00 $3,424,422.75 $3,326,582.10 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,800,000.00 $3,098,221.00 $3,009,700.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,391,705.69 $2,574,721.38 $2,501,157.91 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,200,000.00 $2,448,600.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $809,151.00 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $578,771.12 $607,240.81 $589,891.07 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $553,169.30 $581,047.77 $564,446.41 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,442.28 $568,717.44 $552,468.37 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $527,622.46 $568,323.47 $552,085.66 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $502,840.73 $559,730.30 $543,738.01 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,399.16 $514,206.00 $499,514.40 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $273,633.89 $497,122.45 $355,589.28 nat. median
$370,174
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $275,782.50 $283,893.75 $279,838.12 nat. median
$324,450
0.9× median
C9301
HCPCS 		Status Indicators (SIs) G & K Codes 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $204,381.58 $371,702.45 $265,595.40 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $172,126.23 $313,286.10 $223,679.34 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 10 $155,501.90 $283,178.47 $202,075.89 nat. median
$202,986
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 10 $102,523.46 $187,231.38 $133,230.00 nat. median
$133,176
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $119,999.99 $195,364.82 $132,128.25 nat. median
$111,989
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $95,063.12 $173,720.27 $123,535.23 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 10 $94,823.68 $173,286.65 $123,224.08 nat. median
$122,708
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 6 $114,097.20 $117,453.00 $115,775.10 nat. median
$96,983
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $79,955.97 $146,360.31 $103,903.38 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $79,043.20 $144,707.24 $102,717.23 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $77,269.17 $141,494.38 $100,411.88 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 10 $76,873.01 $140,776.88 $99,897.05 nat. median
$99,019
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $76,006.67 $139,207.93 $98,771.25 nat. median
$98,905
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $70,025.78 $128,376.18 $90,999.02 nat. median
$93,672
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $66,839.06 $122,604.85 $86,857.86 nat. median
$83,442
1.0× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 7 $82,562.05 $160,979.82 $84,990.35 nat. median
$70,825
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $61,484.33 $112,907.11 $79,899.34 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $61,450.23 $112,845.33 $79,855.03 nat. median
$81,118
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $60,517.14 $111,155.46 $78,642.46 nat. median
$82,712
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $58,489.17 $107,482.67 $76,007.11 nat. median
$77,576
1.0× median
10
MS_DRG 		Pancreas Transplant 10 $57,849.94 $106,325.00 $75,176.43 nat. median
$68,882
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $57,518.35 $105,724.48 $74,745.51 nat. median
$71,240
1.0× median
250
EAPG 		Cochlear Device Implantation 2 $74,039.76 $81,588.91 $74,039.76 nat. median
$27,849
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $56,713.69 $104,267.18 $73,699.86 nat. median
$73,807
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $56,141.21 $103,230.39 $72,955.92 nat. median
$74,915
1.0× median
3060
EAPG 		Ventricular Assist Device Procedures 2 $71,533.62 $78,827.24 $71,533.62 nat. median
$24,294
outlier · 2.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $54,158.22 $99,639.09 $70,379.01 nat. median
$72,138
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $51,535.27 $94,888.76 $66,970.48 nat. median
$68,090
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $51,276.24 $94,419.64 $66,633.87 nat. median
$68,887
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 7 $63,235.61 $69,201.23 $65,651.14 nat. median
$69,774
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $50,474.49 $92,967.63 $65,591.96 nat. median
$66,526
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $49,544.30 $91,282.99 $64,383.19 nat. median
$64,732
1.0× median

Other procedures at this hospital

Browse this hospital's 12,677 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 6 — — $4,465,050.00 $4,596,375.00 $4,530,712.50 2026-01-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 6 — — $3,685,266.67 $3,869,530.00 $3,758,972.00 2026-01-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 18 7 — — $3,500,000.00 $3,895,500.00 $3,784,200.00 2026-01-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 7 — — $3,200,000.00 $3,490,800.50 $3,391,063.34 2026-01-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 20 7 — — $3,100,000.00 $3,424,422.75 $3,326,582.10 2026-01-28
J3393 HCPCS Inj, Betibeglogene Autotemce 20 7 — — $2,800,000.00 $3,098,221.00 $3,009,700.40 2026-01-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 7 — — $2,391,705.69 $2,574,721.38 $2,501,157.91 2026-01-28
J3392 HCPCS Inj, Exagamglogene Autotem 20 7 — — $2,200,000.00 $2,448,600.00 $2,378,640.00 2026-01-28
Q2057 HCPCS Afamitresgene Autoleucel 16 6 — — $770,620.00 $809,151.00 $786,032.40 2026-01-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 6 — — $578,771.12 $607,240.81 $589,891.07 2026-01-28
Q2056 HCPCS Ciltacabtagene Car-pos T 16 6 — — $553,169.30 $581,047.77 $564,446.41 2026-01-28
Q2055 HCPCS Idecabtagene Vicleucel Car 16 6 — — $527,622.46 $568,323.47 $552,085.66 2026-01-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 6 — — $516,442.28 $568,717.44 $552,468.37 2026-01-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 6 — — $502,840.73 $559,730.30 $543,738.01 2026-01-28
Q2053 HCPCS Brexucabtagene Car Pos T 16 6 — — $489,399.16 $514,206.00 $499,514.40 2026-01-28
C9301 HCPCS Status Indicators (SIs) G & K Codes 4 1 — — $278,250.00 $278,250.00 $278,250.00 2026-01-28
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 6 — — $275,782.50 $283,893.75 $279,838.12 2026-01-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 10 — — $273,633.89 $497,122.45 $355,589.28 2026-01-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 — — $204,381.58 $371,702.45 $265,595.40 2026-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $172,126.23 $313,286.10 $223,679.34 2026-01-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 20 10 — — $155,501.90 $283,178.47 $202,075.89 2026-01-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 18 7 — — $119,999.99 $195,364.82 $132,128.25 2026-01-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 6 — — $114,097.20 $117,453.00 $115,775.10 2026-01-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 20 10 — — $102,523.46 $187,231.38 $133,230.00 2026-01-28
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $95,063.12 $173,720.27 $123,535.23 2026-01-28
7 MS_DRG Lung Transplant 20 10 — — $94,823.68 $173,286.65 $123,224.08 2026-01-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 7 — — $82,562.05 $160,979.82 $84,990.35 2026-01-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $79,955.97 $146,360.31 $103,903.38 2026-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $79,043.20 $144,707.24 $102,717.23 2026-01-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $77,269.17 $141,494.38 $100,411.88 2026-01-28
215 MS_DRG Other Heart Assist System Implant 20 10 — — $76,873.01 $140,776.88 $99,897.05 2026-01-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $76,006.67 $139,207.93 $98,771.25 2026-01-28
250 EAPG Cochlear Device Implantation 6 2 — — $74,039.76 $81,588.91 $74,039.76 2026-01-28
3060 EAPG Ventricular Assist Device Procedures 6 2 — — $71,533.62 $78,827.24 $71,533.62 2026-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $70,025.78 $128,376.18 $90,999.02 2026-01-28
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $66,839.06 $122,604.85 $86,857.86 2026-01-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 20 7 — — $63,235.61 $69,201.23 $65,651.14 2026-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $61,484.33 $112,907.11 $79,899.34 2026-01-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $61,450.23 $112,845.33 $79,855.03 2026-01-28
224 EAPG Level Ii Neurostimulator And Related Device Implantation 6 2 — — $61,336.17 $67,590.05 $61,336.17 2026-01-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $60,517.14 $111,155.46 $78,642.46 2026-01-28
L7181 HCPCS Electronic Elbo Simultaneous 18 7 — — $58,766.80 $86,892.56 $60,495.24 2026-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $58,489.17 $107,482.67 $76,007.11 2026-01-28
10 MS_DRG Pancreas Transplant 20 10 — — $57,849.94 $106,325.00 $75,176.43 2026-01-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $57,518.35 $105,724.48 $74,745.51 2026-01-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 6 — — $57,017.10 $58,743.27 $57,064.89 2026-01-28
A9543 HCPCS Y90 Ibritumomab, Rx 16 6 — — $56,824.55 $59,665.78 $57,961.04 2026-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $56,713.69 $104,267.18 $73,699.86 2026-01-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $56,141.21 $103,230.39 $72,955.92 2026-01-28
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 18 9 — — $55,619.81 $103,939.65 $57,255.69 2026-01-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $54,158.22 $99,639.09 $70,379.01 2026-01-28
L7180 HCPCS Electronic Elbow Sequential 18 7 — — $53,323.46 $78,844.03 $54,891.80 2026-01-28
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 6 2 — — $52,960.19 $58,360.05 $52,960.19 2026-01-28
90288 CPT Botulism Ig IV 2 1 — — $51,570.00 $51,570.00 $51,570.00 2026-01-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $51,535.27 $94,888.76 $66,970.48 2026-01-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $51,276.24 $94,419.64 $66,633.87 2026-01-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 10 — — $50,474.49 $92,967.63 $65,591.96 2026-01-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $49,544.30 $91,282.99 $64,383.19 2026-01-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $48,647.49 $89,658.82 $63,217.77 2026-01-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 10 — — $48,460.30 $89,319.81 $62,974.51 2026-01-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $48,378.31 $89,171.30 $62,867.97 2026-01-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 10 — — $46,924.26 $86,537.96 $60,978.43 2026-01-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $46,856.78 $86,415.73 $60,890.74 2026-01-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $45,887.41 $84,660.17 $59,631.04 2026-01-28
J9226 HCPCS Supprelin La 50 Mg Implant 20 7 — — $45,212.04 $49,477.33 $47,155.01 2026-01-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $44,944.89 $82,953.20 $58,406.22 2026-01-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $44,886.85 $82,848.09 $58,330.80 2026-01-28
182 EAPG Insertion Of Penile Prosthesis 6 2 — — $44,802.23 $49,370.30 $44,802.23 2026-01-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $44,682.24 $82,477.53 $58,064.91 2026-01-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $44,526.24 $82,195.02 $57,862.18 2026-01-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $44,323.08 $81,827.05 $57,598.18 2026-01-28
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $44,111.21 $81,443.37 $57,322.85 2026-01-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 10 — — $43,794.86 $80,870.44 $56,911.74 2026-01-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 10 — — $43,794.86 $80,870.44 $56,911.74 2026-01-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $43,467.63 $80,277.78 $56,486.51 2026-01-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $43,166.51 $79,732.44 $56,095.20 2026-01-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $42,694.17 $78,877.03 $55,481.39 2026-01-28
33276 CPT Pr Insertion Phrenic Nerve Stimulator System 14 7 — — $42,320.27 $79,086.08 $43,564.98 2026-01-28
0266T CPT Professional Services 14 7 — — $42,320.27 $79,086.08 $43,564.98 2026-01-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $42,245.04 $78,063.59 $54,897.74 2026-01-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 7 — — $41,964.16 $81,821.88 $43,198.40 2026-01-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $41,643.54 $76,974.22 $54,116.08 2026-01-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $41,394.67 $76,523.56 $53,792.68 2026-01-28
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $40,447.79 $74,808.71 $52,562.22 2026-01-28
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $40,104.60 $74,187.15 $52,116.21 2026-01-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $40,104.60 $74,187.15 $52,116.21 2026-01-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $39,936.26 $73,882.30 $51,897.47 2026-01-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $39,692.47 $73,440.76 $51,580.67 2026-01-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 10 — — $39,479.15 $73,054.43 $51,303.46 2026-01-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $39,389.18 $72,891.49 $51,186.54 2026-01-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $39,188.20 $72,527.48 $50,925.35 2026-01-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $39,151.19 $72,460.48 $50,877.28 2026-01-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $39,146.84 $72,452.60 $50,871.62 2026-01-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $38,601.93 $71,465.76 $50,163.50 2026-01-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $38,431.43 $71,156.92 $49,941.93 2026-01-28
104 EAPG Major Open Coronary Artery Procedures Including Cabg 6 2 — — $37,588.28 $41,420.81 $37,588.28 2026-01-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $37,367.74 $69,230.54 $48,559.65 2026-01-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 10 — — $37,243.66 $69,005.80 $48,398.40 2026-01-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 — — $36,965.04 $68,501.22 $48,036.34 2026-01-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 10 — — $36,851.85 $68,296.22 $47,889.26 2026-01-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 10 — — $36,546.39 $67,743.02 $47,492.30 2026-01-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $36,330.89 $67,352.73 $47,212.27 2026-01-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $36,302.59 $67,301.50 $47,175.49 2026-01-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 — — $36,288.08 $67,275.21 $47,156.63 2026-01-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $36,157.48 $67,038.70 $46,986.91 2026-01-28
245 MS_DRG Aicd Generator Procedures 20 10 — — $35,457.30 $65,770.63 $46,077.03 2026-01-28
L6700 HCPCS Ue Add Ext Power Myoel 16 6 — — $35,412.23 $41,661.44 $36,453.76 2026-01-28
L5856 HCPCS Elec Knee-shin Swing/stance 18 7 — — $35,259.72 $52,135.01 $36,296.77 2026-01-28
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 — — $35,243.26 $65,382.93 $45,798.88 2026-01-28
6 MS_DRG Liver Transplant Without Mcc 20 10 — — $35,184.49 $65,276.54 $45,722.51 2026-01-28
L6880 HCPCS Elec Hand Ind Art Digits 18 7 — — $35,051.25 $51,826.77 $36,082.17 2026-01-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $34,649.74 $64,308.08 $45,027.60 2026-01-28
55 EAPG Level Ii Hip And Femur Procedures 6 2 — — $34,558.88 $38,082.53 $34,558.88 2026-01-28
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $34,499.55 $64,036.09 $44,832.43 2026-01-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $34,493.01 $64,024.21 $44,823.93 2026-01-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $34,136.03 $63,377.71 $44,360.02 2026-01-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 10 — — $33,953.19 $63,046.58 $44,122.43 2026-01-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $33,752.93 $62,683.90 $43,862.18 2026-01-28
163 MS_DRG Major Chest Procedures With Mcc 20 10 — — $33,443.11 $62,122.79 $43,459.57 2026-01-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 10 — — $33,429.32 $62,097.83 $43,441.65 2026-01-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $33,322.67 $61,904.66 $43,303.06 2026-01-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 10 — — $33,317.59 $61,895.46 $43,296.46 2026-01-28
122 EAPG Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures 6 2 — — $33,275.97 $36,668.81 $33,275.97 2026-01-28
3030 EAPG Spinal Implantation Of Drug Infusion Device 6 2 — — $33,202.53 $36,587.89 $33,202.53 2026-01-28
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 14 7 — — $32,915.87 $61,511.61 $33,883.98 2026-01-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $32,734.95 $60,840.27 $42,539.30 2026-01-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $32,539.77 $60,486.78 $42,285.69 2026-01-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $32,449.80 $60,323.87 $42,168.75 2026-01-28
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $32,146.51 $59,774.58 $41,774.64 2026-01-28
82 EAPG Comprehensive Cardiac Electrophysiologic Procedures With Ablation 6 2 — — $31,984.65 $35,245.83 $31,984.65 2026-01-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $31,872.97 $59,279.20 $41,419.16 2026-01-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $31,394.82 $58,413.23 $40,797.79 2026-01-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $31,330.24 $58,296.26 $40,713.90 2026-01-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 10 — — $30,950.77 $57,609.03 $40,220.75 2026-01-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $30,905.06 $57,526.23 $40,161.34 2026-01-28
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $30,685.93 $57,129.40 $39,876.60 2026-01-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $30,405.86 $56,622.17 $39,512.63 2026-01-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 10 — — $30,398.61 $56,609.03 $39,503.22 2026-01-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 10 — — $30,188.92 $56,229.26 $39,230.72 2026-01-28
33231 CPT Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 18 9 — — $30,151.99 $56,346.60 $31,038.82 2026-01-28
0408T CPT Pr Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 14 7 — — $30,151.99 $56,346.60 $31,038.82 2026-01-28
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 14 7 — — $30,151.99 $56,346.60 $31,038.82 2026-01-28
0571T CPT Insj/rplcmt Icds Ss Eltrd 14 7 — — $30,151.99 $56,346.60 $31,038.82 2026-01-28
3051 EAPG Heart And/or Lung Transplant 6 2 — — $30,139.47 $33,212.51 $30,139.47 2026-01-28
69930 CPT Pr Implant Cochlear Device 18 9 — — $29,913.35 $55,900.64 $30,793.15 2026-01-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $29,836.29 $55,590.64 $38,772.47 2026-01-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $29,819.60 $55,560.41 $38,750.81 2026-01-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $29,775.34 $55,480.25 $38,693.29 2026-01-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $29,628.77 $55,214.78 $38,502.81 2026-01-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $29,511.96 $55,003.22 $38,351.01 2026-01-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 10 — — $28,904.65 $53,903.38 $37,561.82 2026-01-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $28,884.34 $53,866.59 $37,535.42 2026-01-28
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 14 7 — — $28,658.58 $53,555.78 $29,501.48 2026-01-28
64582 CPT Pr Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 18 9 — — $28,658.58 $53,555.78 $29,501.48 2026-01-28
33287 CPT Pr Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 14 7 — — $28,658.58 $53,555.78 $29,501.48 2026-01-28
61886 CPT Pr Imp Stim,cranial,subq,>1 Array 18 9 — — $28,658.58 $53,555.78 $29,501.48 2026-01-28
64568 CPT Pr Open Implantation Cranial Nerve Nea & Pulse Gen 18 9 — — $28,658.58 $53,555.78 $29,501.48 2026-01-28
0268T CPT Professional Services 14 7 — — $28,658.58 $53,555.78 $29,501.48 2026-01-28
63685 CPT Pr Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj 18 9 — — $28,658.58 $53,555.78 $29,501.48 2026-01-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 10 — — $28,628.93 $53,404.05 $37,203.51 2026-01-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $28,570.16 $53,297.61 $37,127.13 2026-01-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 — — $28,512.12 $53,192.45 $37,051.71 2026-01-28
33264 CPT Hc Remove & Replace Cvd Gen Mult Leads 58 13 $81,174.97 $64,939.98 $28,411.24 $64,777.63 $46,594.43 2026-01-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $28,385.87 $52,963.83 $36,887.65 2026-01-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $28,372.08 $52,938.87 $36,869.74 2026-01-28
L8614 HCPCS Cochlear Device 12 6 — — $28,368.89 $29,203.27 $28,786.08 2026-01-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $28,215.36 $52,655.03 $36,666.07 2026-01-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 10 — — $28,043.40 $52,343.60 $36,442.60 2026-01-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 10 — — $28,015.10 $52,292.37 $36,405.83 2026-01-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 10 — — $27,936.74 $52,150.43 $36,304.01 2026-01-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 10 — — $27,734.30 $51,783.83 $36,040.93 2026-01-28
47 EAPG Level Ii Arthroplasty 6 2 — — $27,605.03 $30,419.66 $27,605.03 2026-01-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $27,584.11 $51,511.79 $35,845.76 2026-01-28
105 EAPG Major Open Cardiac And Cardiac Valve Procedures 6 2 — — $27,535.41 $30,342.94 $27,535.41 2026-01-28
Q0483 HCPCS Monitor Elec Vad, Rep 18 7 — — $27,506.24 $40,670.72 $28,315.25 2026-01-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $27,369.34 $51,122.84 $35,566.66 2026-01-28
L5858 HCPCS Stance Phase Only 18 7 — — $27,258.44 $40,304.30 $28,060.16 2026-01-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $27,150.94 $50,727.30 $35,282.84 2026-01-28
J9266 HCPCS Pegaspargase Injection 20 7 — — $27,070.53 $29,845.26 $29,308.45 2026-01-28
337 EAPG Class Iii Brachytherapy Sources 6 2 — — $27,003.74 $29,757.06 $27,003.74 2026-01-28
33289 CPT Pr Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 14 7 — — $26,735.14 $49,961.34 $27,521.47 2026-01-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 10 — — $26,473.98 $49,501.32 $34,403.13 2026-01-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $26,290.41 $49,168.82 $34,164.57 2026-01-28
L6975 HCPCS Interscap-thor Myoelectronic 18 7 — — $26,085.36 $38,569.79 $26,852.57 2026-01-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $26,010.34 $48,661.63 $33,800.63 2026-01-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 — — $26,008.89 $48,658.99 $33,798.75 2026-01-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 10 — — $26,006.93 $79,673.33 $56,865.13 2026-01-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 10 — — $26,004.54 $48,651.14 $33,793.10 2026-01-28
265 MS_DRG Aicd Lead Procedures 20 10 — — $25,882.64 $48,430.36 $33,634.68 2026-01-28
C9760 HCPCS Non-blind Interatrial Shunt 14 7 — — $25,862.57 $48,330.73 $26,623.23 2026-01-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $25,766.55 $48,220.09 $33,483.82 2026-01-28
265 EAPG Percutaneous Intracranial And Extracranial Vascular Procedures 6 2 — — $25,697.88 $28,318.06 $25,697.88 2026-01-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $25,615.63 $47,946.76 $33,287.70 2026-01-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $25,609.10 $47,934.98 $33,279.21 2026-01-28
L5973 HCPCS Ank-foot Sys Dors-plant Flex 18 7 — — $25,594.72 $37,844.34 $26,347.50 2026-01-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $25,544.52 $47,818.00 $33,195.28 2026-01-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $25,422.63 $47,597.24 $33,036.90 2026-01-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $25,414.65 $47,582.75 $33,026.51 2026-01-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $25,404.49 $47,564.42 $33,013.33 2026-01-28
264 MS_DRG Other Circulatory System O.r. Procedures 20 10 — — $25,359.50 $47,482.91 $32,954.85 2026-01-28
33270 CPT Hc Ins/repl Subq Defibrillator 58 13 $72,415.08 $57,932.07 $25,345.28 $57,787.23 $41,566.25 2026-01-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 10 — — $25,195.52 $47,185.92 $32,741.77 2026-01-28
332 MS_DRG Rectal Resection With Mcc 20 10 — — $25,167.95 $47,136.02 $32,705.94 2026-01-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $25,140.38 $47,086.08 $32,670.12 2026-01-28
C1822 HCPCS Hc Generator Neuro Rechg Bat Sys Hf 50 13 $71,600.00 $57,280.00 20% off $25,060.00 $57,136.80 $41,098.40 2026-01-28
57 EAPG Level Iii Spine Procedures 6 2 — — $25,017.80 $27,568.63 $25,017.80 2026-01-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 10 — — $24,991.64 $46,816.69 $32,476.81 2026-01-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 10 — — $24,952.46 $46,745.71 $32,425.90 2026-01-28
665 MS_DRG Prostatectomy With Mcc 20 10 — — $24,913.27 $46,674.77 $32,374.99 2026-01-28
252 MS_DRG Other Vascular Procedures With Mcc 20 10 — — $24,890.06 $46,632.71 $32,344.82 2026-01-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 10 — — $24,852.33 $46,564.38 $32,295.78 2026-01-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $24,714.47 $46,314.72 $32,116.64 2026-01-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $24,611.44 $46,128.15 $31,982.75 2026-01-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $24,355.31 $45,664.26 $31,649.90 2026-01-28
J9600 HCPCS Porfimer Sodium Injection 20 7 — — $24,228.42 $27,054.68 $25,076.42 2026-01-28
37 MS_DRG Extracranial Procedures With Mcc 20 10 — — $24,095.55 $45,193.80 $31,312.35 2026-01-28
22558 CPT Pr Lumbar Spine Fusion,anter Apprch 4 1 — — $24,087.80 $24,087.80 $24,087.80 2026-01-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $23,957.69 $44,944.17 $31,133.21 2026-01-28
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 18 7 — — $23,846.42 $35,259.30 $24,547.78 2026-01-28
L6970 HCPCS Interscapular-thor Switch CT 18 7 — — $23,807.40 $35,201.60 $24,507.62 2026-01-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 10 — — $23,716.80 $44,507.89 $30,820.17 2026-01-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $23,649.33 $44,385.69 $30,732.47 2026-01-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 10 — — $23,639.17 $44,367.28 $30,719.29 2026-01-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $23,358.37 $43,858.74 $30,354.38 2026-01-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $23,250.26 $43,662.94 $30,213.88 2026-01-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $23,182.78 $43,540.77 $30,126.21 2026-01-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 10 — — $23,138.52 $43,460.59 $30,068.68 2026-01-28
L6965 HCPCS Shldr Disartic Myoelectronic 18 7 — — $23,134.39 $34,206.48 $23,814.81 2026-01-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 10 — — $23,076.12 $43,347.56 $29,987.60 2026-01-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $23,029.69 $43,263.50 $29,927.25 2026-01-28
500 MS_DRG Soft Tissue Procedures With Mcc 20 10 — — $22,991.23 $43,193.85 $29,877.28 2026-01-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $22,645.13 $42,567.02 $29,427.51 2026-01-28
662 MS_DRG Minor Bladder Procedures With Mcc 20 10 — — $22,634.98 $42,548.63 $29,414.32 2026-01-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $22,538.47 $42,373.85 $29,288.93 2026-01-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 10 — — $22,437.62 $42,191.23 $29,157.86 2026-01-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $22,391.18 $42,107.11 $29,097.51 2026-01-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 10 — — $22,375.22 $42,078.19 $29,076.76 2026-01-28
652 MS_DRG Kidney Transplant 20 10 — — $22,285.25 $41,915.25 $28,959.85 2026-01-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $22,264.93 $41,878.47 $28,933.46 2026-01-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $22,192.38 $41,747.02 $28,839.16 2026-01-28
570 MS_DRG Skin Debridement With Mcc 20 10 — — $21,841.20 $41,111.03 $28,382.79 2026-01-28
974 MS_DRG HIV With Major Related Condition With Mcc 20 10 — — $21,667.06 $40,795.70 $28,156.51 2026-01-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $21,394.25 $40,301.63 $27,801.99 2026-01-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 10 — — $21,339.10 $40,201.73 $27,730.32 2026-01-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 10 — — $21,281.06 $40,096.64 $27,654.90 2026-01-28
668 MS_DRG Transurethral Procedures With Mcc 20 10 — — $21,159.89 $39,877.17 $27,497.43 2026-01-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 10 — — $21,148.28 $39,856.11 $27,482.35 2026-01-28
800 MS_DRG Splenic Procedures With Cc 20 10 — — $21,141.75 $39,844.29 $27,473.85 2026-01-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 10 — — $21,130.14 $39,823.27 $27,458.76 2026-01-28
472 MS_DRG Cervical Spinal Fusion With Cc 20 10 — — $21,021.30 $39,626.16 $27,317.35 2026-01-28
33262 CPT Hc Remove & Replace Cvd Gen Sgl Lead 58 13 $59,448.59 $47,558.88 $20,807.01 $47,439.97 $34,123.49 2026-01-28
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 10 — — $20,802.90 $39,230.65 $27,033.53 2026-01-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 10 — — $20,778.96 $39,187.28 $27,002.43 2026-01-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $20,766.62 $39,164.95 $26,986.40 2026-01-28
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $20,737.60 $39,112.38 $26,948.66 2026-01-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 10 — — $20,655.61 $38,963.91 $26,842.12 2026-01-28
654 MS_DRG Major Bladder Procedures With Cc 20 10 — — $20,476.40 $38,639.31 $26,609.22 2026-01-28
33263 CPT Hc Remove & Replace Cvd Gen Dual Leads 60 13 $58,282.45 $46,625.96 20% off $20,398.86 $46,509.40 $33,454.13 2026-01-28
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $20,376.99 $38,459.30 $26,480.05 2026-01-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 10 — — $20,355.95 $38,421.18 $26,452.71 2026-01-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $19,854.58 $37,513.16 $25,801.18 2026-01-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 10 — — $19,819.03 $37,448.79 $25,754.98 2026-01-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 10 — — $19,782.75 $37,383.06 $25,707.83 2026-01-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 10 — — $19,711.64 $37,254.30 $25,615.43 2026-01-28
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 10 — — $19,615.14 $37,079.52 $25,490.02 2026-01-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 10 — — $19,550.56 $36,962.58 $25,406.11 2026-01-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 10 — — $19,472.93 $36,821.99 $25,305.22 2026-01-28
263 MS_DRG Vein Ligation And Stripping 20 10 — — $19,460.59 $36,799.64 $25,289.18 2026-01-28
849 MS_DRG Radiotherapy 20 10 — — $19,380.78 $36,655.07 $25,185.47 2026-01-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 10 — — $19,320.56 $36,546.00 $25,107.21 2026-01-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 10 — — $19,251.63 $36,421.20 $25,017.64 2026-01-28
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 20 10 — — $19,227.68 $36,377.82 $24,986.51 2026-01-28
503 MS_DRG Foot Procedures With Mcc 20 10 — — $19,203.02 $36,333.14 $24,954.46 2026-01-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 20 10 — — $19,183.42 $36,297.67 $24,929.00 2026-01-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 20 10 — — $19,033.96 $36,026.97 $24,734.75 2026-01-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 10 — — $18,984.62 $35,937.62 $24,670.67 2026-01-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 20 10 — — $18,782.18 $35,570.98 $24,407.58 2026-01-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 10 — — $18,750.98 $35,514.49 $24,367.03 2026-01-28
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 10 — — $18,529.68 $35,113.71 $24,079.46 2026-01-28
253 MS_DRG Other Vascular Procedures With Cc 20 10 — — $18,523.88 $35,103.20 $24,071.92 2026-01-28
C1882 HCPCS Hc Aicd, Other Than Sing/dual 50 13 $52,915.21 $42,332.17 $18,520.32 $42,226.34 $30,373.33 2026-01-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 10 — — $18,489.05 $35,040.15 $24,026.67 2026-01-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 10 — — $18,394.00 $34,868.01 $23,903.15 2026-01-28
545 MS_DRG Connective Tissue Disorders With Mcc 20 10 — — $18,334.50 $34,760.23 $23,825.83 2026-01-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 10 — — $18,319.99 $34,733.95 $23,806.96 2026-01-28
164 MS_DRG Major Chest Procedures With Cc 20 10 — — $18,262.67 $34,630.15 $23,732.48 2026-01-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 10 — — $18,169.07 $34,460.65 $23,610.85 2026-01-28
C2622 HCPCS Hc Prosthesis, Penile, Non-inf 50 13 $51,054.38 $40,843.51 $17,869.03 $40,741.40 $29,305.22 2026-01-28
C1772 HCPCS Hc Infusion Pump, Programmable 50 13 $50,438.62 $40,350.90 $17,653.52 $40,250.02 $28,951.77 2026-01-28
C2616 HCPCS Hc Brachytx Non-strand Yttrium-90 62 13 $48,075.46 $38,460.37 $16,826.41 $38,364.22 $27,595.31 2026-01-28
37231 CPT Hc Tib/per Revasc Stent & Ather 60 13 $46,510.33 $37,208.27 $16,278.62 $37,115.24 $26,696.93 2026-01-28
93654 CPT Hc Ep & Ablate Ventric Tachy 60 13 $45,563.10 $36,450.48 $15,947.09 $43,114.27 $26,153.22 2026-01-28
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 62 13 $45,367.29 $36,293.84 $15,878.55 $36,203.10 $26,040.83 2026-01-28
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 60 13 $44,850.61 $35,880.49 $15,697.71 $43,114.27 $25,744.25 2026-01-28
37227 CPT Hc Fem/popl Revasc Stnt & Ather 60 13 $43,999.17 $35,199.34 $15,399.71 $35,111.34 $25,255.53 2026-01-28
791 MS_DRG Prematurity With Major Problems 24 10 — — $15,299.67 $54,904.69 $37,725.50 2026-01-28
33230 CPT Hc Insert Pulse Gen W/dual Leads 58 13 $43,215.45 $34,572.36 $15,125.41 $39,448.04 $24,805.67 2026-01-28
33249 CPT Hc Insert Pace-defib W/lead Sgl 80 13 $41,998.91 $33,599.13 $14,699.62 $66,072.76 $31,199.00 2026-01-28
33274 CPT Hc Tcath Ins/repl Perm Ldls Pm 58 13 $41,696.55 $33,357.24 20% off $14,593.79 $33,516.60 $23,933.82 2026-01-28
793 MS_DRG Full Term Neonate With Major Problems 24 10 — — $5,862.58 $56,358.08 $38,753.23 2026-01-28
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