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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

GENESIS MEDICAL CENTER-DAVENPORT

Davenport, IA · CCN 160033 · Rates published

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You selected 93306 (HCPCS)

Echo Pediatric w Doppler/Color

This hospital’s price: $630 across 2 payers · range $525-$735

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/genesishealth-west · 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.

22,960 distinct procedures filed
2 distinct payers
90,386 rate rows
2026-03-31 last MRF observed
Data quality

26,549 of 90,386 rate rows are consumer-grade (29.4%)

63,837 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 63,821
placeholder amount (≤ $0.02) — excluded from medians 12
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/genesishealth-west
Found on page https://www.mercyone.org/for-patients/billing-and-financial-information/price-estimator
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-18
Content fingerprint 8c6b07a4bf7f557f… · 1,466,616 bytes · first seen 2026-05-13

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 1 $4,190,230.55 $4,377,500.00 $4,283,865.28 nat. median
$4,505,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,182,346.71 $4,654,400.66 $3,989,486.28 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,121,834.23 $4,565,897.00 $3,913,626.00 nat. median
$3,286,000
1.2× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,551,286.20 $3,710,000.00 $3,630,643.10 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,527,610.96 $3,685,266.67 $3,606,438.81 nat. median
$3,703,693
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,824,456.29 $4,130,961.34 $3,540,824.00 nat. median
$2,994,107
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,347,214.09 $3,432,961.84 $2,942,538.72 nat. median
$2,466,282
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,232,237.04 $3,264,800.00 $2,798,400.00 nat. median
$2,401,960
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $737,652.88 $1,078,868.00 $924,744.00 nat. median
$809,217
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $553,583.85 $809,654.41 $693,989.49 nat. median
$738,272
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $529,705.28 $774,730.36 $664,054.59 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $518,464.49 $758,289.92 $649,962.79 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $518,105.33 $757,764.63 $649,512.54 nat. median
$622,245
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $510,271.47 $746,307.07 $639,691.77 nat. median
$608,101
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $468,769.78 $685,608.00 $587,664.00 nat. median
$591,650
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $258,808.36 $378,525.00 $324,450.00 nat. median
$319,951
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $268,690.45 $376,166.63 $322,428.54 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $200,769.02 $281,076.63 $240,922.83 nat. median
$249,124
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $169,133.56 $236,786.98 $202,960.27 nat. median
$198,433
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $152,828.71 $213,960.19 $183,394.45 nat. median
$190,557
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $100,868.41 $141,215.77 $121,042.09 nat. median
$126,722
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $93,551.44 $130,972.02 $112,261.73 nat. median
$110,192
1.0× median
7
MS_DRG 		Lung Transplant 2 $93,316.60 $130,643.24 $111,979.92 nat. median
$117,894
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $78,734.61 $110,228.45 $94,481.53 nat. median
$103,967
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 2 $77,839.38 $108,975.13 $93,407.26 nat. median
$97,414
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $76,099.45 $106,539.23 $91,319.34 nat. median
$94,964
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 2 $75,710.90 $105,995.26 $90,853.08 nat. median
$93,917
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $68,995.26 $96,593.36 $82,794.31 nat. median
$90,581
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 2 $60,717.47 $88,803.47 $76,117.26 nat. median
$68,423
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $60,617.96 $84,865.14 $72,741.55 nat. median
$77,043
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $60,584.51 $84,818.31 $72,701.41 nat. median
$77,696
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $57,680.36 $80,752.50 $69,216.43 nat. median
$74,460
0.9× median
10
MS_DRG 		Pancreas Transplant 2 $57,053.41 $79,874.77 $68,464.09 nat. median
$64,903
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $56,728.20 $79,419.48 $68,073.84 nat. median
$66,660
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 2 $56,612.22 $79,257.11 $67,934.67 nat. median
$12,855
outlier · 5.3×
Q2043
HCPCS 		Sipuleucel-t - Su 2 $53,552.60 $78,324.36 $67,135.17 nat. median
$65,720
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $55,939.00 $78,314.60 $67,126.80 nat. median
$71,758
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $55,377.52 $77,528.53 $66,453.02 nat. median
$72,473
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $53,432.64 $74,805.70 $64,119.17 nat. median
$68,004
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $50,606.05 $70,848.47 $60,727.26 nat. median
$66,649
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $49,819.70 $69,747.58 $59,783.64 nat. median
$62,721
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $48,907.39 $68,470.35 $58,688.87 nat. median
$61,711
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $47,844.22 $66,981.91 $57,413.07 nat. median
$61,329
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $47,763.81 $66,869.33 $57,316.57 nat. median
$63,896
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $46,337.70 $64,872.78 $55,605.24 nat. median
$59,384
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $46,271.52 $64,780.13 $55,525.82 nat. median
$62,038
0.9× median
J9226
HCPCS 		Supprelin La Implant 2 $43,611.32 $63,784.55 $54,672.47 nat. median
$55,159
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $45,320.78 $63,449.09 $54,384.93 nat. median
$58,216
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 2 $44,396.38 $62,154.93 $53,275.65 nat. median
$56,686
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $44,138.77 $61,794.28 $52,966.52 nat. median
$58,118
0.9× median

Other procedures at this hospital

Browse this hospital's 22,960 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 1 — — $4,190,230.55 $4,377,500.00 $4,283,865.28 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 2 — — $3,182,346.71 $4,654,400.66 $3,989,486.28 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 2 — — $3,121,834.23 $4,565,897.00 $3,913,626.00 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,551,286.20 $3,710,000.00 $3,630,643.10 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,527,610.96 $3,685,266.67 $3,606,438.81 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 4 2 — — $2,824,456.29 $4,130,961.34 $3,540,824.00 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 2 — — $2,347,214.09 $3,432,961.84 $2,942,538.72 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 4 2 — — $2,232,237.04 $3,264,800.00 $2,798,400.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 4 2 — — $737,652.88 $1,078,868.00 $924,744.00 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 2 — — $553,583.85 $809,654.41 $693,989.49 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 4 2 — — $529,705.28 $774,730.36 $664,054.59 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 2 — — $518,464.49 $758,289.92 $649,962.79 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 4 2 — — $518,105.33 $757,764.63 $649,512.54 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 2 — — $510,271.47 $746,307.07 $639,691.77 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 4 2 — — $468,769.78 $685,608.00 $587,664.00 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 2 — — $258,808.36 $378,525.00 $324,450.00 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $268,690.45 $376,166.63 $322,428.54 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $200,769.02 $281,076.63 $240,922.83 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 2 — — $169,133.56 $236,786.98 $202,960.27 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 2 — — $152,828.71 $213,960.19 $183,394.45 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 — — $100,868.41 $141,215.77 $121,042.09 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 4 2 — — $93,551.44 $130,972.02 $112,261.73 2026-03-31
7 MS_DRG Lung Transplant 4 2 — — $93,316.60 $130,643.24 $111,979.92 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $78,734.61 $110,228.45 $94,481.53 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 4 2 — — $77,839.38 $108,975.13 $93,407.26 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 2 — — $76,099.45 $106,539.23 $91,319.34 2026-03-31
215 MS_DRG Other Heart Assist System Implant 4 2 — — $75,710.90 $105,995.26 $90,853.08 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $68,995.26 $96,593.36 $82,794.31 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 4 2 — — $60,717.47 $88,803.47 $76,117.26 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 2 — — $60,617.96 $84,865.14 $72,741.55 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $60,584.51 $84,818.31 $72,701.41 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $57,680.36 $80,752.50 $69,216.43 2026-03-31
10 MS_DRG Pancreas Transplant 4 2 — — $57,053.41 $79,874.77 $68,464.09 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 2 — — $56,728.20 $79,419.48 $68,073.84 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 4 2 — — $56,612.22 $79,257.11 $67,934.67 2026-03-31
Q2043 HCPCS Sipuleucel-t - Su 4 2 $164,833.80 $98,900.28 40% off $53,552.60 $78,324.36 $67,135.17 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 2 — — $55,939.00 $78,314.60 $67,126.80 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $55,377.52 $77,528.53 $66,453.02 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 2 — — $53,432.64 $74,805.70 $64,119.17 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 2 — — $50,606.05 $70,848.47 $60,727.26 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 2 — — $49,819.70 $69,747.58 $59,783.64 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $48,907.39 $68,470.35 $58,688.87 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 2 — — $47,844.22 $66,981.91 $57,413.07 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 2 — — $47,763.81 $66,869.33 $57,316.57 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 2 — — $46,337.70 $64,872.78 $55,605.24 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $46,271.52 $64,780.13 $55,525.82 2026-03-31
J9226 HCPCS Supprelin La Implant 4 2 — — $43,611.32 $63,784.55 $54,672.47 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 2 — — $45,320.78 $63,449.09 $54,384.93 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 4 2 — — $44,396.38 $62,154.93 $53,275.65 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $44,138.77 $61,794.28 $52,966.52 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 2 — — $43,985.77 $61,580.08 $52,782.93 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 2 — — $43,786.51 $61,301.11 $52,543.81 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 4 2 — — $43,578.72 $61,010.21 $52,294.46 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 2 — — $43,268.45 $60,575.83 $51,922.14 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 2 — — $43,268.45 $60,575.83 $51,922.14 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 2 — — $43,075.38 $60,305.53 $51,690.46 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 2 — — $42,947.50 $60,126.50 $51,537.00 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $42,652.18 $59,713.05 $51,182.62 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 2 — — $42,620.15 $59,668.21 $51,144.18 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 2 — — $42,188.90 $59,064.46 $50,626.68 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 2 — — $41,748.41 $58,447.77 $50,098.09 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $41,158.47 $57,621.86 $49,390.17 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $40,914.38 $57,280.13 $49,097.25 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 4 2 — — $39,985.70 $55,979.98 $47,982.84 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 2 — — $39,649.10 $55,508.74 $47,578.92 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 2 — — $39,649.10 $55,508.74 $47,578.92 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 2 — — $39,035.68 $54,649.95 $46,842.82 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 2 — — $38,947.43 $54,526.40 $46,736.92 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $38,750.31 $54,250.43 $46,500.37 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 2 — — $38,714.02 $54,199.63 $46,456.82 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $38,709.75 $54,193.65 $46,451.70 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 2 — — $38,175.32 $53,445.45 $45,810.38 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $38,008.08 $53,211.31 $45,609.69 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 2 — — $36,843.15 $51,580.41 $44,211.78 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 2 — — $36,569.88 $51,197.83 $43,883.85 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 2 — — $36,458.87 $51,042.42 $43,750.65 2026-03-31
A9543 HCPCS Nm Zevalin, Therapeutic 4 2 $48,935.00 $29,361.00 40% off $31,031.65 $56,824.55 $43,488.72 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 2 — — $36,159.27 $50,622.98 $43,391.12 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 2 — — $35,947.92 $50,327.09 $43,137.50 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $35,920.16 $50,288.22 $43,104.19 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 2 — — $35,905.93 $50,268.30 $43,087.12 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 2 — — $35,777.84 $50,088.98 $42,933.41 2026-03-31
245 MS_DRG Aicd Generator Procedures 4 2 — — $35,091.12 $49,127.57 $42,109.35 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 4 2 — — $34,881.19 $48,833.67 $41,857.43 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 4 2 — — $34,823.54 $48,752.96 $41,788.25 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $34,299.07 $48,018.70 $41,158.88 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 4 2 — — $34,151.77 $47,812.48 $40,982.12 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 2 — — $34,145.36 $47,803.50 $40,974.43 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 2 — — $33,795.24 $47,313.34 $40,554.29 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 2 — — $33,615.91 $47,062.27 $40,339.09 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 2 — — $33,503.18 $46,904.45 $40,203.82 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 2 — — $33,419.50 $46,787.30 $40,103.40 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 4 2 — — $33,115.63 $46,361.88 $39,738.75 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 2 — — $33,102.11 $46,342.95 $39,722.53 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $32,997.50 $46,196.50 $39,597.00 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 2 — — $32,992.52 $46,189.53 $39,591.02 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 2 — — $32,421.08 $45,389.51 $38,905.29 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 2 — — $32,229.66 $45,121.52 $38,675.59 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 2 — — $32,141.41 $44,997.97 $38,569.69 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 4 2 — — $31,843.95 $44,581.53 $38,212.74 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 2 — — $31,575.67 $44,205.94 $37,890.81 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 2 — — $31,106.71 $43,549.39 $37,328.05 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $31,043.37 $43,460.72 $37,252.04 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 2 — — $30,689.99 $42,965.98 $36,827.99 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 2 — — $30,689.99 $42,965.98 $36,827.99 2026-03-31
33264 HCPCS Ghs Remove/replace Icd Generator Only Bi-v 4 2 $33,730.50 $20,238.30 40% off $30,689.99 $42,965.98 $36,827.99 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 4 2 — — $30,689.99 $42,965.98 $36,827.99 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 2 — — $30,671.19 $42,939.67 $36,805.43 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 2 — — $30,626.36 $42,876.90 $36,751.63 2026-03-31
69930 HCPCS Implant Cochlear Device 4 2 — — $30,447.08 $42,625.91 $36,536.50 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 4 2 — — $30,411.44 $42,576.02 $36,493.73 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 2 — — $30,136.76 $42,191.46 $36,164.11 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 2 — — $30,129.64 $42,181.50 $36,155.57 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 4 2 — — $29,993.72 $41,991.21 $35,992.46 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 2 — — $29,923.98 $41,893.57 $35,908.78 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 2 — — $29,578.13 $41,409.38 $35,493.75 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 2 — — $29,561.76 $41,386.46 $35,474.11 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 2 — — $29,518.35 $41,325.69 $35,422.02 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 2 — — $29,260.03 $40,964.04 $35,112.04 2026-03-31
791 MS_DRG Prematurity With Major Problems 4 2 — — $29,206.66 $40,889.32 $35,047.99 2026-03-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 4 2 — — $29,169.93 $40,837.90 $35,003.92 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 2 — — $29,169.93 $40,837.90 $35,003.92 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 2 — — $29,169.93 $40,837.90 $35,003.92 2026-03-31
61886 HCPCS Implant Neurostim Arrays 4 2 — — $29,169.93 $40,837.90 $35,003.92 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 4 2 — — $29,169.93 $40,837.90 $35,003.92 2026-03-31
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 2 — — $29,169.93 $40,837.90 $35,003.92 2026-03-31
33270 HCPCS Ghs Insert Subq Defib W Electrodes 4 2 $30,582.00 $18,349.20 40% off $30,689.99 $42,731.00 $34,541.12 2026-03-31
33231 HCPCS Ghs Insert W No Existing Device Icd Generator Only Bi-v 4 2 $62,402.50 $37,441.50 40% off $30,689.99 $42,731.00 $34,541.12 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 2 — — $28,664.40 $40,130.16 $34,397.28 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 2 — — $28,644.47 $40,102.26 $34,373.37 2026-03-31
J9266 HCPCS Pegaspargase 750 I-units/ml Inj 5 Ml 4 2 $39,824.08 $23,894.45 40% off $27,208.08 $39,793.68 $34,108.87 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 2 — — $28,393.98 $39,751.57 $34,072.78 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 2 — — $28,336.33 $39,670.86 $34,003.60 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 2 — — $28,279.40 $39,591.16 $33,935.28 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 2 — — $28,142.06 $39,398.88 $33,770.47 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 2 — — $27,988.35 $39,183.69 $33,586.02 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $27,819.69 $38,947.57 $33,383.63 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 2 — — $27,791.94 $38,908.72 $33,350.33 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 2 — — $27,715.08 $38,801.11 $33,258.10 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 2 — — $27,516.54 $38,523.16 $33,019.85 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $27,369.23 $38,316.92 $32,843.07 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 2 — — $27,158.59 $38,022.03 $32,590.31 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $26,944.39 $37,722.15 $32,333.27 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 4 2 — — $26,324.03 $36,853.64 $31,588.83 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 — — $26,280.44 $36,792.62 $31,536.53 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 2 — — $26,100.40 $36,540.56 $31,320.48 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 2 — — $25,825.71 $36,155.99 $30,990.85 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 2 — — $25,824.28 $36,153.99 $30,989.13 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 2 — — $25,820.01 $36,148.01 $30,984.01 2026-03-31
265 MS_DRG Aicd Lead Procedures 4 2 — — $25,700.46 $35,980.64 $30,840.55 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 2 — — $25,586.60 $35,821.24 $30,703.92 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 2 — — $25,438.58 $35,614.01 $30,526.30 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 2 — — $25,432.18 $35,605.05 $30,518.62 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 2 — — $25,368.84 $35,516.38 $30,442.61 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 2 — — $25,249.29 $35,349.01 $30,299.15 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 2 — — $25,241.46 $35,338.04 $30,289.75 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 2 — — $25,231.50 $35,324.10 $30,277.80 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 — — $25,187.38 $35,262.33 $30,224.86 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 2 — — $25,026.55 $35,037.17 $30,031.86 2026-03-31
332 MS_DRG Rectal Resection With Mcc 4 2 — — $24,999.51 $34,999.31 $29,999.41 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 2 — — $24,972.46 $34,961.44 $29,966.95 2026-03-31
33289 HCPCS Ghs Right Heart Cath W Pressure Sensor 4 2 $53,121.00 $31,872.60 40% off $27,212.17 $36,375.30 $29,947.08 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 2 — — $24,826.58 $34,757.21 $29,791.90 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 2 — — $24,788.15 $34,703.41 $29,745.78 2026-03-31
665 MS_DRG Prostatectomy With Mcc 4 2 — — $24,749.72 $34,649.61 $29,699.67 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 4 2 — — $24,726.95 $34,617.73 $29,672.34 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 2 — — $24,689.95 $34,565.93 $29,627.94 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 2 — — $24,554.74 $34,376.64 $29,465.69 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 2 — — $24,453.69 $34,235.17 $29,344.43 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $23,191.93 $33,919.79 $29,074.10 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 2 — — $24,202.48 $33,883.47 $29,042.97 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 4 2 — — $23,947.72 $33,526.81 $28,737.26 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 2 — — $23,812.51 $33,337.51 $28,575.01 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 2 — — $23,576.25 $33,006.75 $28,291.50 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 2 — — $23,510.07 $32,914.10 $28,212.08 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 2 — — $23,500.10 $32,900.14 $28,200.12 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 2 — — $23,224.70 $32,514.58 $27,869.64 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $23,118.67 $32,366.14 $27,742.40 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 2 — — $23,052.49 $32,273.49 $27,662.99 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 2 — — $23,009.08 $32,212.71 $27,610.90 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 2 — — $22,947.88 $32,127.03 $27,537.46 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 2 — — $22,902.34 $32,063.28 $27,482.81 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 4 2 — — $22,864.62 $32,010.47 $27,437.54 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 2 — — $22,525.17 $31,535.24 $27,030.21 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 4 2 — — $22,515.21 $31,521.29 $27,018.25 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 2 — — $22,420.56 $31,388.78 $26,904.67 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 2 — — $22,321.65 $31,250.31 $26,785.98 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 2 — — $22,260.45 $31,164.63 $26,712.54 2026-03-31
652 MS_DRG Kidney Transplant 4 2 — — $22,172.20 $31,041.08 $26,606.64 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 2 — — $22,152.28 $31,013.19 $26,582.74 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 2 — — $22,081.12 $30,913.57 $26,497.35 2026-03-31
33249 HCPCS Ghs Insert Single Chamber Icd Gen And Lead 4 2 $30,865.50 $18,519.30 40% off $18,619.25 $30,689.99 $26,097.94 2026-03-31
570 MS_DRG Skin Debridement With Mcc 4 2 — — $21,736.69 $30,431.37 $26,084.03 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 4 2 — — $21,565.90 $30,192.26 $25,879.08 2026-03-31
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 4 2 — — $21,537.93 $30,153.10 $25,845.51 2026-03-31
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 4 2 — — $21,537.93 $30,153.10 $25,845.51 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $21,485.94 $30,080.32 $25,783.13 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 2 — — $21,485.94 $30,080.32 $25,783.13 2026-03-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 4 2 — — $21,485.94 $30,080.32 $25,783.13 2026-03-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 4 2 — — $21,485.94 $30,080.32 $25,783.13 2026-03-31
0515T OTHER Insj Wcs Lv Compl Sys 4 2 — — $21,485.94 $30,080.32 $25,783.13 2026-03-31
33262 HCPCS Ghs Remove/replace Icd Generator Only Single 4 2 $52,524.00 $31,514.40 40% off $21,485.94 $30,080.32 $25,783.13 2026-03-31
33263 HCPCS Ghs Remove/replace Icd Generator Only Dual 4 2 $67,161.00 $40,296.60 40% off $21,485.94 $30,080.32 $25,783.13 2026-03-31
33230 HCPCS Ghs Insert W No Existing Device Icd Generator Only Dual Lead 4 2 $56,885.50 $34,131.30 40% off $21,485.94 $30,080.32 $25,783.13 2026-03-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 4 2 — — $21,485.94 $30,080.32 $25,783.13 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $21,298.32 $29,817.65 $25,557.99 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 2 — — $21,244.24 $29,741.94 $25,493.09 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 2 — — $21,187.31 $29,662.23 $25,424.77 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 4 2 — — $21,068.47 $29,495.86 $25,282.17 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 2 — — $21,057.08 $29,479.91 $25,268.50 2026-03-31
800 MS_DRG Splenic Procedures With Cc 4 2 — — $21,050.68 $29,470.95 $25,260.82 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 2 — — $21,039.29 $29,455.01 $25,247.15 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 4 2 — — $20,932.55 $29,305.57 $25,119.06 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 2 — — $20,718.35 $29,005.69 $24,862.02 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 2 — — $20,694.86 $28,972.80 $24,833.83 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 2 — — $20,682.76 $28,955.86 $24,819.31 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 2 — — $20,654.30 $28,916.02 $24,785.16 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 2 — — $20,573.89 $28,803.45 $24,688.67 2026-03-31
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
64580 HCPCS Opn Impltj Nea Neuromuscular 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
64590 HCPCS Ins/rpl Prph Sac/gstr Npg/r 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
63655 HCPCS Implant Neuroelectrodes 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
0680T OTHER Insj/rplcmt Pg Only Isdss 4 2 — — $20,527.00 $28,737.80 $24,632.40 2026-03-31
93656 HCPCS Ghs Ablation Arrhythmia Atrial Fib, Initial 4 2 $41,440.00 $24,864.00 40% off $23,482.81 $28,376.40 $24,489.21 2026-03-31
93653 HCPCS Ghs Ablation Arrhythmia Focus Svt Initial 4 2 $41,440.00 $24,864.00 40% off $23,482.81 $28,376.40 $24,489.21 2026-03-31
93654 HCPCS Ghs Ablation For Vtach Initial 4 2 $41,440.00 $24,864.00 40% off $23,482.81 $28,376.40 $24,489.21 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 4 2 — — $20,398.11 $28,557.35 $24,477.73 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 2 — — $20,300.62 $28,420.87 $24,360.74 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 2 — — $20,279.98 $28,391.97 $24,335.97 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 2 — — $19,788.25 $27,703.55 $23,745.90 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 2 — — $19,753.38 $27,654.73 $23,704.06 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 2 — — $19,717.80 $27,604.92 $23,661.36 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 2 — — $19,648.06 $27,507.28 $23,577.67 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $19,553.41 $27,374.77 $23,464.09 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 2 — — $19,490.07 $27,286.10 $23,388.08 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 2 — — $19,413.93 $27,179.50 $23,296.72 2026-03-31
263 MS_DRG Vein Ligation And Stripping 4 2 — — $19,401.83 $27,162.56 $23,282.19 2026-03-31
849 MS_DRG Radiotherapy 4 2 — — $19,323.55 $27,052.97 $23,188.26 2026-03-31
54410 HCPCS Remove/replace Penis Prosth 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
54411 HCPCS Remov/replc Penis Pros Comp 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
54416 HCPCS Remv/repl Penis Contain Pros 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
54405 HCPCS Insert Multi-comp Penis Pros 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
54401 HCPCS Insert Self-contd Prosthesis 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
53447 HCPCS Remove/replace Ur Sphincter 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
53444 HCPCS Insert Tandem Cuff 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
53445 HCPCS Insert Uro/ves Nck Sphincter 4 2 — — $19,267.46 $26,974.44 $23,120.95 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 2 — — $19,264.49 $26,970.29 $23,117.39 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 2 — — $19,196.88 $26,875.63 $23,036.26 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 2 — — $19,173.40 $26,842.76 $23,008.08 2026-03-31
503 MS_DRG Foot Procedures With Mcc 4 2 — — $19,149.20 $26,808.88 $22,979.04 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 2 — — $19,129.99 $26,781.99 $22,955.99 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 2 — — $18,983.39 $26,576.75 $22,780.07 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 2 — — $18,935.00 $26,509.00 $22,722.00 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 2 — — $18,736.46 $26,231.04 $22,483.75 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 2 — — $18,705.86 $26,188.20 $22,447.03 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 2 — — $18,488.81 $25,884.33 $22,186.57 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 4 2 — — $18,483.12 $25,876.37 $22,179.74 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 2 — — $18,448.96 $25,828.54 $22,138.75 2026-03-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 2 — — $18,355.74 $25,698.04 $22,026.89 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 4 2 — — $18,297.38 $25,616.33 $21,956.86 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 2 — — $18,283.15 $25,596.41 $21,939.78 2026-03-31
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0525T OTHER Insj/rplcmt Compl Iims 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 4 2 — — $18,255.30 $25,557.41 $21,906.35 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 4 2 — — $18,226.93 $25,517.70 $21,872.32 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 2 — — $18,135.13 $25,389.18 $21,762.15 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 2 — — $18,121.61 $25,370.25 $21,745.93 2026-03-31
33240 HCPCS Ghs Insert Single Chamber Icd Gen 4 2 $36,354.00 $21,812.40 40% off $21,485.94 $25,329.85 $21,708.14 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 4 2 — — $17,947.97 $25,127.16 $21,537.57 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 2 — — $17,876.81 $25,027.53 $21,452.17 2026-03-31
792 MS_DRG Prematurity Without Major Problems 4 2 — — $17,748.01 $24,847.21 $21,297.61 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 2 — — $17,738.04 $24,833.26 $21,285.65 2026-03-31
C8003 HCPCS Imp Extar Knee Shck Absrb 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
23616 HCPCS Optx Prx Hmrl Fx Fix Rpr Rpl 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
20696 HCPCS App Mltpln Uni Xtrnl Fix 1st 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
24361 HCPCS Reconstruct Elbow Joint 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 2 2 $2,229.00 $1,337.40 40% off $17,603.32 $24,644.65 $21,123.99 2026-03-31
21243 HCPCS Reconstruction Of Jaw Joint 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
22856 HCPCS Tot Disc Arthrp 1ntrspc Crv 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
22867 HCPCS Insj Stablj Dev W/dcmprn 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
23472 HCPCS Reconstruct Shoulder Joint 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
25446 HCPCS Arthrp W/prostc Dst Rds&crps 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
25442 HCPCS Arthrp W/prostc Dstl Ulna 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
24371 HCPCS Revise Reconst Elbow Joint 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
27278 HCPCS Arthrd Si Jt Plmt Iartic Dev 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
28705 HCPCS Arthrodesis Pantalar 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
24363 HCPCS Replace Elbow Joint 4 2 — — $17,603.32 $24,644.65 $21,123.99 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 2 — — $17,594.29 $24,632.01 $21,113.15 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 2 — — $17,527.40 $24,538.36 $21,032.88 2026-03-31
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 2 — — $17,473.32 $24,462.65 $20,967.99 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 2 — — $17,401.44 $24,362.02 $20,881.73 2026-03-31
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