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

The University Of Iowa Hospitals And Clinics

Iowa City, IA · CCN 169802 · Rates published

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You selected 29806 (CPT)

ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY

This hospital’s price: $7,058 across 7 payers · range $6,722-$14,813

Source: https://www.healthcare.uiowa.edu/marcom/uihc/billing/426004813_university-of-iowa-health-care-medical-center_standardcharges.csv · observed 2026-02-27

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.

10,961 distinct procedures filed
29 distinct payers
1,458,937 rate rows
2026-02-27 last MRF observed
Data quality

1,010,005 of 1,458,937 rate rows are consumer-grade (69.2%)

448,932 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 445,692
placeholder amount (≤ $0.02) — excluded from medians 1,469
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 739
per-diem day rate — not a per-procedure price 463
exceeds 10× this hospital's gross charge — excluded from medians 406
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 129
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 34
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.healthcare.uiowa.edu/marcom/uihc/billing/426004813_university-of-iowa-health-care-medical-center_standardcharges.csv
Found on page https://uihc.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-11
Content fingerprint c6e56772fea05d73… · 1,594,469,803 bytes · first seen 2026-07-31

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
00238
EAPG 		Level Ii Intravitreal, Retinal And Other Posterior Chamber Eye Procedures 1 $4,961,450.80 $4,961,450.80 $4,961,450.80 nat. median
$3,120
outlier · 1590.0×
00153
EAPG 		Level Ii Ercp And Related Endoscopic Procedures 1 $4,830,754.80 $4,830,754.80 $4,830,754.80 nat. median
$3,042
outlier · 1588.2×
00263
EAPG 		Thyroid And Parathyroid Procedures 1 $4,744,649.20 $4,744,649.20 $4,744,649.20 nat. median
$4,636
outlier · 1023.5×
00264
EAPG 		Major Craniotomy And Craniectomy Surgical Procedures 1 $4,736,192.40 $4,736,192.40 $4,736,192.40 nat. median
$3,109
outlier · 1523.1×
00184
EAPG 		Level Ii Prostate Procedures 1 $4,643,936.40 $4,643,936.40 $4,643,936.40 nat. median
$3,539
outlier · 1312.3×
00280
EAPG 		Level Iii Vascular Radiological Procedures 1 $4,583,201.20 $4,583,201.20 $4,583,201.20 nat. median
$3,074
outlier · 1490.7×
00021
EAPG 		Level I Mastectomy And Reconstructive Breast Procedures 1 $4,127,687.20 $4,994,501.51 $4,561,094.36 nat. median
$3,309
outlier · 1378.3×
00046
EAPG 		Level I Arthroplasty 1 $4,557,446.40 $4,557,446.40 $4,557,446.40 nat. median
$2,745
outlier · 1660.5×
00174
EAPG 		Level Ii Bladder And Ureteral Procedures 1 $4,038,506.40 $4,886,592.74 $4,462,549.57 nat. median
$3,063
outlier · 1456.8×
03035
EAPG 		Abdominal Hernia Repair 1 $4,437,129.20 $4,437,129.20 $4,437,129.20 nat. median
$3,646
outlier · 1217.1×
00107
EAPG 		Cholecystectomy And Related Biliary Procedures 1 $4,426,366.00 $4,426,366.00 $4,426,366.00 nat. median
$3,270
outlier · 1353.8×
00091
EAPG 		Level Ii Peripheral Vascular Repair, Ligation Or Reconstruction 1 $4,400,611.20 $4,400,611.20 $4,400,611.20 nat. median
$3,027
outlier · 1453.6×
00255
EAPG 		Level IV Ear, Nose, Mouth And Throat Procedures 1 $4,359,864.80 $4,359,864.80 $4,359,864.80 nat. median
$3,683
outlier · 1183.7×
00166
EAPG 		Level I Urethral Procedures 1 $3,931,643.20 $4,757,288.27 $4,344,465.73 nat. median
$2,173
outlier · 1999.0×
00225
EAPG 		Other Intracranial Neurosurgery Procedures 1 $4,314,121.20 $4,314,121.20 $4,314,121.20 nat. median
$2,002
outlier · 2155.0×
00077
EAPG 		Level I Peripheral Endovascular And Transcatheter Procedures 1 $3,903,582.00 $4,723,334.22 $4,313,458.11 nat. median
$2,745
outlier · 1571.4×
00079
EAPG 		Level Ii Peripheral Endovascular And Transcatheter Procedures 1 $4,293,748.00 $4,293,748.00 $4,293,748.00 nat. median
$5,021
outlier · 855.1×
00128
EAPG 		Level Ii Small And Large Intestine Surgical Procedures 1 $4,267,993.20 $4,267,993.20 $4,267,993.20 nat. median
$3,725
outlier · 1145.8×
00204
EAPG 		Level I Hysterectomy And Myomectomy Procedures 1 $3,822,089.20 $4,624,727.93 $4,223,408.56 nat. median
$3,253
outlier · 1298.2×
00028
EAPG 		Level I Spine Procedures 1 $4,221,480.80 $4,221,480.80 $4,221,480.80 nat. median
$4,097
outlier · 1030.4×
03033
EAPG 		Inguinal, Femoral And Umbilical Hernia Repair 1 $4,217,636.80 $4,217,636.80 $4,217,636.80 nat. median
$2,656
outlier · 1587.9×
00027
EAPG 		Level I Hip And Femur Procedures 1 $3,728,295.60 $4,511,237.68 $4,119,766.64 nat. median
$3,286
outlier · 1253.7×
00208
EAPG 		Level Ii Other Uterine And Adnexa Gynecological Procedures 1 $3,720,223.20 $4,501,470.07 $4,110,846.64 nat. median
$3,030
outlier · 1356.7×
00254
EAPG 		Level Iii Ear, Nose, Mouth And Throat Procedures 1 $3,661,410.00 $4,430,306.10 $4,045,858.05 nat. median
$2,920
outlier · 1385.4×
00026
EAPG 		Level I Knee And Lower Leg Procedures 1 $3,548,780.80 $4,294,024.77 $3,921,402.78 nat. median
$2,660
outlier · 1474.3×
00108
EAPG 		Other Intra-abdominal And Intraperitoneal Surgical Procedures 1 $3,534,942.40 $4,277,280.30 $3,906,111.35 nat. median
$2,339
outlier · 1670.1×
00179
EAPG 		Ectopic Pregnancy Procedures 1 $3,451,143.20 $4,175,883.27 $3,813,513.24 nat. median
$3,841
outlier · 992.9×
00248
EAPG 		Level Ii Corneal And Other Anterior Surface Eye Procedures 1 $3,381,182.40 $4,091,230.70 $3,736,206.55 nat. median
$3,030
outlier · 1233.1×
00241
EAPG 		Ocular Reconstructive Procedures W Or Without Ocular Device 1 $3,350,430.40 $4,054,020.78 $3,702,225.59 nat. median
$2,287
outlier · 1618.8×
00218
EAPG 		Level Ii Peripheral Nerve Procedures 1 $3,296,614.40 $3,988,903.42 $3,642,758.91 nat. median
$3,883
outlier · 938.2×
00171
EAPG 		Level Ii Kidney And Ureteral Procedures 1 $3,177,066.00 $3,844,249.86 $3,510,657.93 nat. median
$2,275
outlier · 1542.9×
00336
EAPG 		Class Ii Brachytherapy Sources 1 $3,163,227.60 $3,827,505.40 $3,495,366.50 nat. median
$2,795
outlier · 1250.5×
00202
EAPG 		Cesarean Delivery Procedures 1 $3,111,718.00 $3,765,178.78 $3,438,448.39 nat. median
$1,275
outlier · 2696.7×
00485
EAPG 		Corneal Tissue Processing 1 $3,109,796.00 $3,762,853.16 $3,436,324.58 nat. median
$1,848
outlier · 1859.8×
00127
EAPG 		Level I Small And Large Intestine Surgical Procedures 1 $3,095,957.60 $3,746,108.70 $3,421,033.15 nat. median
$1,833
outlier · 1865.9×
J1413
HCPCS 		Delandistrogene Moxeparvc-rokl 1.33 X 10exp13 Vg/ml IV Susp 11 $2,000,000.00 $4,720,000.00 $3,416,560.54 nat. median
$3,324,572
1.0× median
00034
EAPG 		Level Ii Hand Procedures 1 $3,063,668.00 $3,707,038.28 $3,385,353.14 nat. median
$2,089
outlier · 1620.7×
00187
EAPG 		Level Ii Penile Procedures 1 $3,011,774.00 $3,644,246.54 $3,328,010.27 nat. median
$2,855
outlier · 1165.7×
00369
EAPG 		Level Iii Oral Surgery Procedures 1 $2,975,640.40 $3,600,524.88 $3,288,082.64 nat. median
$837
outlier · 3930.1×
00103
EAPG 		Level Ii Varicose Vein And Related Procedures 1 $2,952,192.00 $3,572,152.32 $3,262,172.16 nat. median
$2,338
outlier · 1395.1×
00207
EAPG 		Level I Other Uterine And Adnexa Gynecological Procedures 1 $2,902,220.00 $3,511,686.20 $3,206,953.10 nat. median
$1,853
outlier · 1730.3×
00155
EAPG 		Level Iii Blood Product Exchange Services 1 $2,900,682.40 $3,509,825.70 $3,205,254.05 nat. median
$2,092
outlier · 1532.0×
00227
EAPG 		Level I Craniofacial Bone Procedures 1 $2,883,000.00 $3,488,430.00 $3,185,715.00 nat. median
$2,313
outlier · 1377.1×
00262
EAPG 		Cleft Lip And Palate Repair 1 $2,877,234.00 $3,481,453.14 $3,179,343.57 nat. median
$3,605
outlier · 881.9×
00059
EAPG 		Arteriovenous Fistula Creation Or Revision For Hemodialysis 1 $2,844,175.60 $3,441,452.48 $3,142,814.04 nat. median
$3,404
outlier · 923.3×
00195
EAPG 		Vaginal Delivery Procedures 1 $2,813,423.60 $3,404,242.56 $3,108,833.08 nat. median
$1,800
outlier · 1727.5×
00138
EAPG 		Level I Ercp And Related Endoscopic Procedures 1 $2,715,401.60 $3,285,635.94 $3,000,518.77 nat. median
$2,112
outlier · 1420.9×
63630063
CDM 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Kit 15 $1,494,816.06 $4,902,996.67 $2,989,632.12 nat. median
$2,989,632
1.0× median
00368
EAPG 		Level Ii Oral Surgery Procedures 1 $2,705,407.20 $3,273,542.71 $2,989,474.96 nat. median
$718
outlier · 4163.9×
00072
EAPG 		Tracheostomy And Related Tracheal Procedures 1 $2,648,131.60 $3,204,239.24 $2,926,185.42 nat. median
$2,101
outlier · 1393.1×

Other procedures at this hospital

Browse this hospital's 10,961 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
             
00238 EAPG Level Ii Intravitreal, Retinal And Other Posterior Chamber Eye Procedures 1 1 — — $4,961,450.80 $4,961,450.80 $4,961,450.80 2026-02-27
00153 EAPG Level Ii Ercp And Related Endoscopic Procedures 1 1 — — $4,830,754.80 $4,830,754.80 $4,830,754.80 2026-02-27
00263 EAPG Thyroid And Parathyroid Procedures 1 1 — — $4,744,649.20 $4,744,649.20 $4,744,649.20 2026-02-27
00264 EAPG Major Craniotomy And Craniectomy Surgical Procedures 1 1 — — $4,736,192.40 $4,736,192.40 $4,736,192.40 2026-02-27
00184 EAPG Level Ii Prostate Procedures 1 1 — — $4,643,936.40 $4,643,936.40 $4,643,936.40 2026-02-27
00280 EAPG Level Iii Vascular Radiological Procedures 1 1 — — $4,583,201.20 $4,583,201.20 $4,583,201.20 2026-02-27
00021 EAPG Level I Mastectomy And Reconstructive Breast Procedures 2 1 — — $4,127,687.20 $4,994,501.51 $4,561,094.36 2026-02-27
00046 EAPG Level I Arthroplasty 1 1 — — $4,557,446.40 $4,557,446.40 $4,557,446.40 2026-02-27
00174 EAPG Level Ii Bladder And Ureteral Procedures 2 1 — — $4,038,506.40 $4,886,592.74 $4,462,549.57 2026-02-27
03035 EAPG Abdominal Hernia Repair 1 1 — — $4,437,129.20 $4,437,129.20 $4,437,129.20 2026-02-27
00107 EAPG Cholecystectomy And Related Biliary Procedures 1 1 — — $4,426,366.00 $4,426,366.00 $4,426,366.00 2026-02-27
00091 EAPG Level Ii Peripheral Vascular Repair, Ligation Or Reconstruction 1 1 — — $4,400,611.20 $4,400,611.20 $4,400,611.20 2026-02-27
00255 EAPG Level IV Ear, Nose, Mouth And Throat Procedures 1 1 — — $4,359,864.80 $4,359,864.80 $4,359,864.80 2026-02-27
00166 EAPG Level I Urethral Procedures 2 1 — — $3,931,643.20 $4,757,288.27 $4,344,465.73 2026-02-27
00225 EAPG Other Intracranial Neurosurgery Procedures 1 1 — — $4,314,121.20 $4,314,121.20 $4,314,121.20 2026-02-27
00077 EAPG Level I Peripheral Endovascular And Transcatheter Procedures 2 1 — — $3,903,582.00 $4,723,334.22 $4,313,458.11 2026-02-27
00079 EAPG Level Ii Peripheral Endovascular And Transcatheter Procedures 1 1 — — $4,293,748.00 $4,293,748.00 $4,293,748.00 2026-02-27
00128 EAPG Level Ii Small And Large Intestine Surgical Procedures 1 1 — — $4,267,993.20 $4,267,993.20 $4,267,993.20 2026-02-27
00204 EAPG Level I Hysterectomy And Myomectomy Procedures 2 1 — — $3,822,089.20 $4,624,727.93 $4,223,408.56 2026-02-27
00028 EAPG Level I Spine Procedures 1 1 — — $4,221,480.80 $4,221,480.80 $4,221,480.80 2026-02-27
03033 EAPG Inguinal, Femoral And Umbilical Hernia Repair 1 1 — — $4,217,636.80 $4,217,636.80 $4,217,636.80 2026-02-27
00027 EAPG Level I Hip And Femur Procedures 2 1 — — $3,728,295.60 $4,511,237.68 $4,119,766.64 2026-02-27
00208 EAPG Level Ii Other Uterine And Adnexa Gynecological Procedures 2 1 — — $3,720,223.20 $4,501,470.07 $4,110,846.64 2026-02-27
00254 EAPG Level Iii Ear, Nose, Mouth And Throat Procedures 2 1 — — $3,661,410.00 $4,430,306.10 $4,045,858.05 2026-02-27
00026 EAPG Level I Knee And Lower Leg Procedures 2 1 — — $3,548,780.80 $4,294,024.77 $3,921,402.78 2026-02-27
00108 EAPG Other Intra-abdominal And Intraperitoneal Surgical Procedures 2 1 — — $3,534,942.40 $4,277,280.30 $3,906,111.35 2026-02-27
00179 EAPG Ectopic Pregnancy Procedures 2 1 — — $3,451,143.20 $4,175,883.27 $3,813,513.24 2026-02-27
00248 EAPG Level Ii Corneal And Other Anterior Surface Eye Procedures 2 1 — — $3,381,182.40 $4,091,230.70 $3,736,206.55 2026-02-27
00241 EAPG Ocular Reconstructive Procedures W Or Without Ocular Device 2 1 — — $3,350,430.40 $4,054,020.78 $3,702,225.59 2026-02-27
00218 EAPG Level Ii Peripheral Nerve Procedures 2 1 — — $3,296,614.40 $3,988,903.42 $3,642,758.91 2026-02-27
00171 EAPG Level Ii Kidney And Ureteral Procedures 2 1 — — $3,177,066.00 $3,844,249.86 $3,510,657.93 2026-02-27
00336 EAPG Class Ii Brachytherapy Sources 2 1 — — $3,163,227.60 $3,827,505.40 $3,495,366.50 2026-02-27
00202 EAPG Cesarean Delivery Procedures 2 1 — — $3,111,718.00 $3,765,178.78 $3,438,448.39 2026-02-27
00485 EAPG Corneal Tissue Processing 2 1 — — $3,109,796.00 $3,762,853.16 $3,436,324.58 2026-02-27
00127 EAPG Level I Small And Large Intestine Surgical Procedures 2 1 — — $3,095,957.60 $3,746,108.70 $3,421,033.15 2026-02-27
J1413 HCPCS Delandistrogene Moxeparvc-rokl 1.33 X 10exp13 Vg/ml IV Susp 20 11 — — $2,000,000.00 $4,720,000.00 $3,416,560.54 2026-02-27
00034 EAPG Level Ii Hand Procedures 2 1 — — $3,063,668.00 $3,707,038.28 $3,385,353.14 2026-02-27
00187 EAPG Level Ii Penile Procedures 2 1 — — $3,011,774.00 $3,644,246.54 $3,328,010.27 2026-02-27
00369 EAPG Level Iii Oral Surgery Procedures 2 1 — — $2,975,640.40 $3,600,524.88 $3,288,082.64 2026-02-27
00103 EAPG Level Ii Varicose Vein And Related Procedures 2 1 — — $2,952,192.00 $3,572,152.32 $3,262,172.16 2026-02-27
00207 EAPG Level I Other Uterine And Adnexa Gynecological Procedures 2 1 — — $2,902,220.00 $3,511,686.20 $3,206,953.10 2026-02-27
00155 EAPG Level Iii Blood Product Exchange Services 2 1 — — $2,900,682.40 $3,509,825.70 $3,205,254.05 2026-02-27
00227 EAPG Level I Craniofacial Bone Procedures 2 1 — — $2,883,000.00 $3,488,430.00 $3,185,715.00 2026-02-27
00262 EAPG Cleft Lip And Palate Repair 2 1 — — $2,877,234.00 $3,481,453.14 $3,179,343.57 2026-02-27
00059 EAPG Arteriovenous Fistula Creation Or Revision For Hemodialysis 2 1 — — $2,844,175.60 $3,441,452.48 $3,142,814.04 2026-02-27
00195 EAPG Vaginal Delivery Procedures 2 1 — — $2,813,423.60 $3,404,242.56 $3,108,833.08 2026-02-27
00138 EAPG Level I Ercp And Related Endoscopic Procedures 2 1 — — $2,715,401.60 $3,285,635.94 $3,000,518.77 2026-02-27
63630063 CDM Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Kit 36 15 — $4,185,484.96 $1,494,816.06 $4,902,996.67 $2,989,632.12 2026-02-27
00368 EAPG Level Ii Oral Surgery Procedures 2 1 — — $2,705,407.20 $3,273,542.71 $2,989,474.96 2026-02-27
00072 EAPG Tracheostomy And Related Tracheal Procedures 2 1 — — $2,648,131.60 $3,204,239.24 $2,926,185.42 2026-02-27
00035 EAPG Level I Foot Procedures 2 1 — — $2,587,780.80 $3,131,214.77 $2,859,497.79 2026-02-27
00011 EAPG Level Iii Skin Excisions, Biopsies, And Repairs 2 1 — — $2,583,552.40 $3,126,098.40 $2,854,825.40 2026-02-27
00037 EAPG Level I Arthroscopy 2 1 — — $2,577,402.00 $3,118,656.42 $2,848,029.21 2026-02-27
00084 EAPG Cardiac Catheterization Procedures 2 1 — — $2,522,048.40 $3,051,678.56 $2,786,863.48 2026-02-27
Q2057 HCPCS Afamitresgene Autoleucel 2.68x10exp9 To 10x10exp9 Cell IV Susp 49 25 — $3,562,300.00 $725,122.60 $4,681,880.00 $2,703,501.30 2026-02-27
00115 EAPG Deep Lymph Structure Procedures 2 1 — — $2,442,093.20 $2,954,932.77 $2,698,512.99 2026-02-27
00071 EAPG Level Ii Lower Airway Endoscopy 2 1 — — $2,429,023.60 $2,939,118.56 $2,684,071.08 2026-02-27
00083 EAPG Level Ii Central Venous Access Procedures 2 1 — — $2,412,878.80 $2,919,583.35 $2,666,231.08 2026-02-27
00142 EAPG Level Ii Anal And Rectal Procedures 2 1 — — $2,318,316.40 $2,805,162.84 $2,561,739.62 2026-02-27
00239 EAPG Extraocular Muscle Procedures 2 1 — — $2,256,428.00 $2,730,277.88 $2,493,352.94 2026-02-27
00233 EAPG Cataract And Other Introcular Lens Procedures 2 1 — — $2,241,052.00 $2,711,672.92 $2,476,362.46 2026-02-27
00135 EAPG Level Ii Upper Gi Endoscopy 2 1 — — $2,204,534.00 $2,667,486.14 $2,436,010.07 2026-02-27
00054 EAPG Fixation Device Insertion Or Replacement Procedures 2 1 — — $2,186,851.60 $2,646,090.44 $2,416,471.02 2026-02-27
00023 EAPG Level I Forearm And Wrist Procedures 2 1 — — $2,168,784.80 $2,624,229.61 $2,396,507.21 2026-02-27
00078 EAPG Level I Peripheral Vascular Repair, Ligation Or Reconstruction 2 1 — — $2,149,180.40 $2,600,508.28 $2,374,844.34 2026-02-27
89130001 CDM Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1 X 10exp8 Cell IV Susp 41 24 $3,887,173.08 $2,721,021.16 30% off $971,793.27 $3,576,199.23 $2,293,432.12 2026-02-27
00178 EAPG Antepartum Procedures 2 1 — — $2,074,606.80 $2,510,274.23 $2,292,440.52 2026-02-27
00253 EAPG Level Ii Ear, Nose, Mouth And Throat Procedures 2 1 — — $2,061,537.20 $2,494,460.01 $2,277,998.60 2026-02-27
00069 EAPG Level I Thoracic And Chest Procedures 2 1 — — $2,055,386.80 $2,487,018.03 $2,271,202.42 2026-02-27
Q2042 HCPCS Tisagenlecleucel 0.2x10exp6 To 2.5x10exp8 Cell IV Susp 81 25 $4,154,733.38 $2,908,313.37 30% off $591,726.20 $3,822,354.71 $2,224,617.44 2026-02-27
00188 EAPG Level I Perineal And Vaginal Gynecological Procedures 2 1 — — $1,948,139.20 $2,357,248.43 $2,152,693.81 2026-02-27
00063 EAPG Level Ii Endoscopy Of The Upper Airway 2 1 — — $1,889,326.00 $2,286,084.46 $2,087,705.23 2026-02-27
00367 EAPG Level I Oral Surgery Procedures 2 1 — — $1,888,941.60 $2,285,619.34 $2,087,280.47 2026-02-27
00256 EAPG Tonsil And Adenoid Procedures 2 1 — — $1,864,724.40 $2,256,316.52 $2,060,520.46 2026-02-27
00141 EAPG Level I Anal And Rectal Procedures 2 1 — — $1,860,111.60 $2,250,735.04 $2,055,423.32 2026-02-27
00290 EAPG PET Scans 2 1 — — $1,844,351.20 $2,231,664.95 $2,038,008.08 2026-02-27
00051 EAPG Musculoskeletal Excisions, Biopsies, And Drainage Procedures 2 1 — — $1,835,125.60 $2,220,501.98 $2,027,813.79 2026-02-27
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X To 70 X 10exp6 Cell/ml IV Susp 49 25 $3,719,452.80 $2,603,616.96 30% off $562,538.19 $3,421,896.58 $1,992,217.39 2026-02-27
00137 EAPG Level Ii Lower Gi Endoscopy 2 1 — — $1,802,451.60 $2,180,966.44 $1,991,709.02 2026-02-27
00018 EAPG Complex Wound Repair And Treatment 2 1 — — $1,800,145.20 $2,178,175.69 $1,989,160.44 2026-02-27
00205 EAPG Obstetrical Procedures 2 1 — — $1,777,081.20 $2,150,268.25 $1,963,674.73 2026-02-27
00217 EAPG Level I Peripheral Nerve Procedures 2 1 — — $1,754,401.60 $2,122,825.94 $1,938,613.77 2026-02-27
Q2058 HCPCS Obecabtagene Autoleucel IV Susp 47 25 $3,675,000.00 $2,572,500.00 30% off $278,250.00 $3,381,000.00 $1,929,375.00 2026-02-27
00194 EAPG Abortion And Miscarriage Treatment And Procedures 2 1 — — $1,737,103.60 $2,101,895.36 $1,919,499.48 2026-02-27
00382 EAPG Level Ii Dental Implants 2 1 — — $1,713,270.80 $2,073,057.67 $1,893,164.23 2026-02-27
Q2041 HCPCS Axicabtagene Ciloleucel IV Susp 49 25 $3,525,060.00 $2,467,542.00 30% off $533,230.17 $3,243,055.20 $1,888,142.69 2026-02-27
00183 EAPG Level I Penile Procedures 2 1 — — $1,700,585.60 $2,057,708.58 $1,879,147.09 2026-02-27
00062 EAPG Level I Endoscopy Of The Upper Airway 2 1 — — $1,697,510.40 $2,053,987.58 $1,875,748.99 2026-02-27
00056 EAPG Skin And Connective Tissue Grafting And Flap Procedures 2 1 — — $1,690,206.80 $2,045,150.23 $1,867,678.52 2026-02-27
00067 EAPG Ventilation Assistance And Management 2 1 — — $1,669,833.60 $2,020,498.66 $1,845,166.13 2026-02-27
00151 EAPG Level I Hepatobiliary And Pancreas Procedures 2 1 — — $1,652,535.60 $1,999,568.08 $1,826,051.84 2026-02-27
Q2053 HCPCS Brexucabtagene Autoleucel 2x10exp6 To 2x10exp8 Cell IV Susp 49 25 $3,234,000.00 $2,263,800.00 30% off $489,304.61 $2,975,280.00 $1,732,292.30 2026-02-27
00033 EAPG Level I Hand Procedures 2 1 — — $1,563,354.80 $1,891,659.31 $1,727,507.06 2026-02-27
00381 EAPG Level I Dental Implants 2 1 — — $1,557,588.80 $1,884,682.45 $1,721,135.62 2026-02-27
00114 EAPG Level Ii Blood Product Exchange Services 2 1 — — $1,548,747.60 $1,873,984.60 $1,711,366.10 2026-02-27
00478 EAPG Level Iii Radiation Treatment Preparation And Planning 2 1 — — $1,540,290.80 $1,863,751.87 $1,702,021.33 2026-02-27
00176 EAPG Level I Prostate Procedures 2 1 — — $1,503,388.40 $1,819,099.96 $1,661,244.18 2026-02-27
00259 EAPG Level Ii Eyelid, Lacrimal And Conjunctival Procedures 2 1 — — $1,490,703.20 $1,803,750.87 $1,647,227.04 2026-02-27
00252 EAPG Level I Ear, Nose, Mouth And Throat Procedures 2 1 — — $1,466,486.00 $1,774,448.06 $1,620,467.03 2026-02-27
00020 EAPG Breast Biopsies, Excisions, And Other Related Procedures 2 1 — — $1,452,263.20 $1,757,238.47 $1,604,750.83 2026-02-27
00075 EAPG Level I Central Venous Access Procedures 2 1 — — $1,449,188.00 $1,753,517.48 $1,601,352.74 2026-02-27
00010 EAPG Level Ii Skin Excisions, Biopsies, And Repairs 2 1 — — $1,407,288.40 $1,702,818.96 $1,555,053.68 2026-02-27
00222 EAPG Sleep Studies Attended 2 1 — — $1,398,831.60 $1,692,586.24 $1,545,708.92 2026-02-27
00136 EAPG Level I Lower Gi Endoscopy 2 1 — — $1,370,001.60 $1,657,701.94 $1,513,851.77 2026-02-27
00234 EAPG Level I Anterior Chamber Eye Procedures 2 1 — — $1,364,620.00 $1,651,190.20 $1,507,905.10 2026-02-27
00173 EAPG Level I Bladder And Ureteral Procedures 2 1 — — $1,363,082.40 $1,649,329.70 $1,506,206.05 2026-02-27
00279 EAPG Level Ii Vascular Radiological Procedures 2 1 — — $1,331,177.20 $1,610,724.41 $1,470,950.80 2026-02-27
00180 EAPG Testicular And Epididymal Procedures 2 1 — — $1,321,567.20 $1,599,096.31 $1,460,331.75 2026-02-27
00258 EAPG Level I Eyelid, Lacrimal And Conjunctival Procedures 2 1 — — $1,298,118.80 $1,570,723.75 $1,434,421.27 2026-02-27
02016 EAPG Level Ii Allergy Tests 2 1 — — $1,293,890.40 $1,565,607.38 $1,429,748.89 2026-02-27
00348 EAPG Level Iii Radiation Therapy 2 1 — — $1,265,444.80 $1,531,188.21 $1,398,316.50 2026-02-27
00044 EAPG Bone Or Joint Manipulation Under Anesthesia 2 1 — — $1,242,765.20 $1,503,745.89 $1,373,255.54 2026-02-27
00363 EAPG Level Iii Dental Restorations 2 1 — — $1,220,854.40 $1,477,233.82 $1,349,044.11 2026-02-27
00591 EAPG Acute Myocardial Infarction 2 1 — — $1,220,854.40 $1,477,233.82 $1,349,044.11 2026-02-27
00192 EAPG Level Ii Fetal Procedures 2 1 — — $1,199,328.00 $1,451,186.88 $1,325,257.44 2026-02-27
00134 EAPG Level I Upper Gi Endoscopy 2 1 — — $1,188,564.80 $1,438,163.41 $1,313,364.10 2026-02-27
00041 EAPG Closed Treatment Fx And Dislocation 2 1 — — $1,151,278.00 $1,393,046.38 $1,272,162.19 2026-02-27
00092 EAPG Resuscitation 2 1 — — $1,140,514.80 $1,380,022.91 $1,260,268.85 2026-02-27
00064 EAPG Level I Lower Airway Endoscopy 2 1 — — $1,130,904.80 $1,368,394.81 $1,249,649.81 2026-02-27
00220 EAPG Level Ii Nervous System Injections Including Cranial Tap 2 1 — — $1,128,982.80 $1,366,069.19 $1,247,526.00 2026-02-27
00090 EAPG Level I Varicose Vein And Related Procedures 2 1 — — $1,126,292.00 $1,362,813.32 $1,244,552.66 2026-02-27
00170 EAPG Level I Kidney And Ureteral Procedures 2 1 — — $1,068,247.60 $1,292,579.60 $1,180,413.60 2026-02-27
00332 EAPG Level Ii Diagnostic Nuclear Medicine 2 1 — — $1,056,331.20 $1,278,160.75 $1,167,245.98 2026-02-27
00004 EAPG Level Ii Skin Incision And Drainage, Debridement, Destruction, Other Related Px 2 1 — — $959,078.00 $1,160,484.38 $1,059,781.19 2026-02-27
00124 EAPG Bone Marrow Biopsies 2 1 — — $938,320.40 $1,135,367.68 $1,036,844.04 2026-02-27
00074 EAPG Revision, Replacement Or Removal Of Cardiac Device Component 2 1 — — $923,713.20 $1,117,692.97 $1,020,703.08 2026-02-27
00076 EAPG Revision, Repair Or Removal Of Central Venous Access Device 2 1 — — $901,802.40 $1,091,180.90 $996,491.65 2026-02-27
04001 EAPG Emerging Technology Procedures 2 1 — — $873,741.20 $1,057,226.85 $965,484.03 2026-02-27
00598 EAPG Angina Pectoris And Coronary Atherosclerosis 2 1 — — $861,056.00 $1,041,877.76 $951,466.88 2026-02-27
00168 EAPG Dialysis Procedures 2 1 — — $845,295.60 $1,022,807.68 $934,051.64 2026-02-27
00068 EAPG Thoracentesis, Related Biopsy And Pleural Drainage Procedures 2 1 — — $835,301.20 $1,010,714.45 $923,007.82 2026-02-27
00423 EAPG Vascular Access By Needle Or Catheter 2 1 — — $830,688.40 $1,005,132.96 $917,910.68 2026-02-27
00355 EAPG Level Iii Prosthodontics, Fixed 2 1 — — $809,546.40 $979,551.14 $894,548.77 2026-02-27
00805 EAPG Septicemia And Disseminated Infections 2 1 — — $805,702.40 $974,899.90 $890,301.15 2026-02-27
00450 EAPG Observation 2 1 — — $779,563.20 $943,271.47 $861,417.33 2026-02-27
00366 EAPG Level Iii Endodontics 2 1 — — $775,719.20 $938,620.23 $857,169.71 2026-02-27
00284 EAPG Myelography And Discography Imaging Procedures 2 1 — — $761,880.80 $921,875.77 $841,878.29 2026-02-27
00362 EAPG Level Ii Dental Restorations 2 1 — — $760,727.60 $920,480.40 $840,604.00 2026-02-27
00587 EAPG Respiratory Failure 2 1 — — $748,426.80 $905,596.43 $827,011.61 2026-02-27
00574 EAPG Chronic Obstructive Pulmonary Disease 2 1 — — $735,741.60 $890,247.34 $812,994.47 2026-02-27
00130 EAPG Minor Gastrointestinal Procedures Including Tube Insertion Or Placement 2 1 — — $730,744.40 $884,200.72 $807,472.56 2026-02-27
00594 EAPG Heart Failure 2 1 — — $728,438.00 $881,409.98 $804,923.99 2026-02-27
00053 EAPG Spine Injections And Other Related Procedures 2 1 — — $721,518.80 $873,037.75 $797,278.28 2026-02-27
00150 EAPG Abdominal Paracentesis And Related Peritoneal Drainage Procedures 2 1 — — $718,059.20 $868,851.63 $793,455.42 2026-02-27
00365 EAPG Level Ii Endodontics 2 1 — — $705,374.00 $853,502.54 $779,438.27 2026-02-27
00595 EAPG Cardiac Arrest Or Other Causes Of Mortality 2 1 — — $693,457.60 $839,083.70 $766,270.65 2026-02-27
00093 EAPG Cardioversion 2 1 — — $681,925.60 $825,129.98 $753,527.79 2026-02-27
00357 EAPG Level Ii Prosthodontics, Removable 2 1 — — $678,081.60 $820,478.74 $749,280.17 2026-02-27
00602 EAPG Atrial Fibrillation 2 1 — — $673,084.40 $814,432.12 $743,758.26 2026-02-27
00354 EAPG Level Ii Prosthodontics, Fixed 2 1 — — $654,248.80 $791,641.05 $722,944.93 2026-02-27
00081 EAPG Echocardiography 2 1 — — $651,942.40 $788,850.30 $720,396.35 2026-02-27
00582 EAPG Interstitial And Alveolar Lung Diagnoses 2 1 — — $648,482.80 $784,664.19 $716,573.49 2026-02-27
00604 EAPG Chest Pain 2 1 — — $641,563.60 $776,291.96 $708,927.78 2026-02-27
00364 EAPG Level I Endodontics 2 1 — — $641,179.20 $775,826.83 $708,503.01 2026-02-27
00538 EAPG Head Trauma With Loc/coma More Then 1 Hr 2 1 — — $637,719.60 $771,640.72 $704,680.16 2026-02-27
00116 EAPG Level I Allergy Tests 2 1 — — $600,432.80 $726,523.69 $663,478.24 2026-02-27
00832 EAPG Intentional Self-harm And Attempted Suicide 2 1 — — $596,588.80 $721,872.45 $659,230.62 2026-02-27
00579 EAPG Status Asthmaticus 2 1 — — $591,207.20 $715,360.71 $653,283.95 2026-02-27
00601 EAPG Cardiac Arrhythmia And Conduction Diagnoses 2 1 — — $582,750.40 $705,127.98 $643,939.19 2026-02-27
00237 EAPG Level I Intravitreal, Retinal And Other Posterior Chamber Eye Procedures 2 1 — — $579,675.20 $701,406.99 $640,541.09 2026-02-27
00002 EAPG Superficial Needle Biopsy And Aspiration 2 1 — — $578,906.40 $700,476.74 $639,691.57 2026-02-27
00017 EAPG Intermediate Wound Repair And Treatment 2 1 — — $573,909.20 $694,430.13 $634,169.67 2026-02-27
00277 EAPG Level I Vascular Radiological Procedures 2 1 — — $569,296.40 $688,848.64 $629,072.52 2026-02-27
00361 EAPG Level I Dental Restorations 2 1 — — $552,382.80 $668,383.19 $610,382.99 2026-02-27
00347 EAPG Level Ii Radiation Therapy 2 1 — — $548,923.20 $664,197.07 $606,560.14 2026-02-27
00592 EAPG Other Cardiovascular System Diagnoses 2 1 — — $543,541.60 $657,685.34 $600,613.47 2026-02-27
00247 EAPG Level I Corneal And Other Anterior Surface Eye Procedures 2 1 — — $542,004.00 $655,824.84 $598,914.42 2026-02-27
00050 EAPG Level Ii Joint, Tendon, Or Ligament Injection Procedures 2 1 — — $538,160.00 $651,173.60 $594,666.80 2026-02-27
00340 EAPG Therapeutic Nuclear Medicine 2 1 — — $530,472.00 $641,871.12 $586,171.56 2026-02-27
00581 EAPG Pulmonary Infection Diagnoses Including Pneumonia 2 1 — — $523,168.40 $633,033.76 $578,101.08 2026-02-27
00358 EAPG Level Iii Prosthodontics, Removable 2 1 — — $522,015.20 $631,638.39 $576,826.80 2026-02-27
02030 EAPG Minor Musculoskeletal Procedures 2 1 — — $521,630.80 $631,173.27 $576,402.04 2026-02-27
00575 EAPG Asthma 2 1 — — $521,630.80 $631,173.27 $576,402.04 2026-02-27
00210 EAPG Extended EEG Studies 2 1 — — $520,477.60 $629,777.90 $575,127.75 2026-02-27
J3398 HCPCS Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Sret Susp 51 23 $1,142,187.50 $799,531.25 30% off $2,869.60 $1,050,812.50 $571,093.75 2026-02-27
00694 EAPG Electrolyte Disorders 2 1 — — $513,942.80 $621,870.79 $567,906.80 2026-02-27
00295 EAPG Magnetic Resonance Imaging With Contrast 2 1 — — $510,483.20 $617,684.67 $564,083.94 2026-02-27
00633 EAPG Alcoholic Liver Disease 2 1 — — $510,483.20 $617,684.67 $564,083.94 2026-02-27
00760 EAPG Labor And Delivery Related Diagnoses 2 1 — — $503,948.40 $609,777.56 $556,862.98 2026-02-27
5834 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 2 1 — — $525,306.63 $577,855.00 $551,580.81 2026-02-27
00599 EAPG Hypertension 2 1 — — $489,725.60 $592,567.98 $541,146.79 2026-02-27
00623 EAPG Esophagitis And Other Esophageal Diagnoses 2 1 — — $488,572.40 $591,172.60 $539,872.50 2026-02-27
00331 EAPG Level I Diagnostic Nuclear Medicine 2 1 — — $482,422.00 $583,730.62 $533,076.31 2026-02-27
00584 EAPG Acute Bronchitis 2 1 — — $480,884.40 $581,870.12 $531,377.26 2026-02-27
00763 EAPG Abortion Related Diagnoses 2 1 — — $472,043.20 $571,172.27 $521,607.73 2026-02-27
00696 EAPG Thyroid And Parathyroid Diagnoses 2 1 — — $472,043.20 $571,172.27 $521,607.73 2026-02-27
00785 EAPG Anemia, Blood And Blood-forming Organ Disorders 2 1 — — $466,661.60 $564,660.54 $515,661.07 2026-02-27
00605 EAPG Syncope And Collapse 2 1 — — $464,355.20 $561,869.79 $513,112.49 2026-02-27
00379 EAPG Level Ii Orthodontics 2 1 — — $462,048.80 $559,079.05 $510,563.93 2026-02-27
00711 EAPG Diabetes With Other Manifestations And Complications 2 1 — — $455,898.40 $551,637.06 $503,767.73 2026-02-27
00561 EAPG Vertigo And Other Labyrinth Disorders 2 1 — — $455,514.00 $551,171.94 $503,342.97 2026-02-27
00724 EAPG Urinary Stones And Acquired Upper Urinary Tract Obstruction 2 1 — — $453,976.40 $549,311.44 $501,643.92 2026-02-27
00019 EAPG Mohs Micrographic Surgery 2 1 — — $453,976.40 $549,311.44 $501,643.92 2026-02-27
00576 EAPG Other Respiratory System Diagnoses 2 1 — — $450,132.40 $544,660.20 $497,396.30 2026-02-27
00621 EAPG Peptic Ulcer And Gastritis 2 1 — — $449,748.00 $544,195.08 $496,971.54 2026-02-27
04011 EAPG Level Ii Opioid Treatment Program Services 2 1 — — $448,979.20 $543,264.83 $496,122.02 2026-02-27
00632 EAPG Irritable Bowel Syndrome 2 1 — — $448,979.20 $543,264.83 $496,122.02 2026-02-27
00762 EAPG Preterm Labor Diagnoses 2 1 — — $442,444.40 $535,357.72 $488,901.06 2026-02-27
00638 EAPG Cholecystitis 2 1 — — $442,060.00 $534,892.60 $488,476.30 2026-02-27
00729 EAPG Acute Kidney Injury 2 1 — — $440,522.40 $533,032.10 $486,777.25 2026-02-27
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 2 1 — — $457,474.64 $503,237.53 $480,356.09 2026-02-27
00531 EAPG Migraine 2 1 — — $431,681.20 $522,334.25 $477,007.72 2026-02-27
00649 EAPG Other Pathological Fractures Without Musculoskeletal Malignancy 2 1 — — $430,528.00 $520,938.88 $475,733.44 2026-02-27
00300 EAPG Level Ii Computed Tomography 2 1 — — $428,990.40 $519,078.38 $474,034.39 2026-02-27
00230 EAPG Minor Ophthalmological Procedures And Diagnostic Services 2 1 — — $427,837.20 $517,683.01 $472,760.10 2026-02-27
00654 EAPG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 2 1 — — $423,993.20 $513,031.77 $468,512.48 2026-02-27
00647 EAPG Fractures, Dislocations, Other Injuries - Upper Extremity Including Shoulder 2 1 — — $423,224.40 $512,101.52 $467,662.96 2026-02-27
00635 EAPG Pancreas Diagnoses Except Malignancy 2 1 — — $420,149.20 $508,380.53 $464,264.86 2026-02-27
00371 EAPG Level I Orthodontics 2 1 — — $418,611.60 $506,520.04 $462,565.82 2026-02-27
00692 EAPG Other Endocrine System Diagnoses 2 1 — — $413,230.00 $500,008.30 $456,619.15 2026-02-27
5894 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $433,234.78 $476,572.86 $454,903.82 2026-02-27
00580 EAPG Major Chest And Respiratory Trauma 2 1 — — $410,154.80 $496,287.31 $453,221.05 2026-02-27
00743 EAPG Prostatitis 2 1 — — $406,695.20 $492,101.19 $449,398.20 2026-02-27
00720 EAPG Chronic Kidney Disease 2 1 — — $405,926.40 $491,170.94 $448,548.67 2026-02-27
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $422,028.53 $464,245.61 $443,137.07 2026-02-27
00770 EAPG Normal Neonate 2 1 — — $400,544.80 $484,659.21 $442,602.01 2026-02-27
00630 EAPG Constipation 2 1 — — $400,544.80 $484,659.21 $442,602.01 2026-02-27
A9590 HCPCS Iobenguane Iodine-131 337.5 Mci/22.5 Ml IV Soln 45 22 $756,921.41 $529,844.99 30% off $189,230.35 $696,367.70 $441,285.18 2026-02-27
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 2 1 — — $420,213.03 $462,248.50 $441,230.77 2026-02-27
00626 EAPG Inflammatory Bowel Disease 2 1 — — $398,238.40 $481,868.46 $440,053.43 2026-02-27
00572 EAPG Bronchiolitis And Rsv Pneumonia 2 1 — — $397,469.60 $480,938.22 $439,203.91 2026-02-27
00628 EAPG Abdominal Pain 2 1 — — $395,547.60 $478,612.60 $437,080.10 2026-02-27
00209 EAPG Other Gynecological Procedures 2 1 — — $392,856.80 $475,356.73 $434,106.77 2026-02-27
00297 EAPG Magnetocephalography 2 1 — — $392,472.40 $474,891.60 $433,682.00 2026-02-27
00826 EAPG Acute Anxiety And Delirium States 2 1 — — $391,319.20 $473,496.23 $432,407.71 2026-02-27
00767 EAPG Complications Of Treatment Affecting Pregnancy 2 1 — — $389,781.60 $471,635.74 $430,708.67 2026-02-27
00618 EAPG Intestinal Obstruction Diagnoses 2 1 — — $387,475.20 $468,844.99 $428,160.09 2026-02-27
00650 EAPG Fractures, Dislocations, Other Injuries - Lower Extremity Including Femur 2 1 — — $386,322.00 $467,449.62 $426,885.81 2026-02-27
00727 EAPG Acute Lower Urinary Tract Infections 2 1 — — $385,937.60 $466,984.50 $426,461.05 2026-02-27
00783 EAPG Sickle Cell Anemia Crisis 2 1 — — $384,784.40 $465,589.12 $425,186.76 2026-02-27
00821 EAPG Major Depressive Diagnoses And Other Or Unspecified Psychoses 2 1 — — $382,093.60 $462,333.26 $422,213.43 2026-02-27
00529 EAPG Seizure 2 1 — — $380,171.60 $460,007.64 $420,089.62 2026-02-27
5893 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $393,849.15 $433,247.34 $413,548.24 2026-02-27
00808 EAPG Viral Illness 2 1 — — $374,021.20 $452,565.65 $413,293.43 2026-02-27
00009 EAPG Level I Skin Excisions, Biopsies, And Repairs 2 1 — — $373,636.80 $452,100.53 $412,868.67 2026-02-27
00049 EAPG Level I Joint, Tendon, Or Ligament Injection Procedures 2 1 — — $372,099.20 $450,240.03 $411,169.61 2026-02-27
00526 EAPG Transient Ischemia 2 1 — — $370,946.00 $448,844.66 $409,895.33 2026-02-27
00293 EAPG Magnetic Resonance Imaging Without Contrast 2 1 — — $370,561.60 $448,379.54 $409,470.57 2026-02-27
00883 EAPG Alteration In Consciousness 2 1 — — $370,177.20 $447,914.41 $409,045.80 2026-02-27
00764 EAPG False Labor 2 1 — — $369,408.40 $446,984.16 $408,196.28 2026-02-27
00657 EAPG Fractures, Dislocations, Sprains And Other Injuries Of The Lower Back 2 1 — — $367,102.00 $444,193.42 $405,647.71 2026-02-27
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $187,068.00 $864,957.40 $405,580.59 2026-02-27
00483 EAPG Radiation Therapy Management 2 1 — — $365,948.80 $442,798.05 $404,373.42 2026-02-27
00765 EAPG Other Antepartum Complication Diagnoses 2 1 — — $365,180.00 $441,867.80 $403,523.90 2026-02-27
00768 EAPG Antepartum Encounters For Non-routine And Abnormal Findings 2 1 — — $364,795.60 $441,402.68 $403,099.14 2026-02-27
04010 EAPG Level I Opioid Treatment Program Services 2 1 — — $364,411.20 $440,937.55 $402,674.38 2026-02-27
00203 EAPG Global Antepartum And Postpartum Visits 2 1 — — $364,026.80 $440,472.43 $402,249.61 2026-02-27
00841 EAPG Cocaine Abuse And Dependence 2 1 — — $362,104.80 $438,146.81 $400,125.80 2026-02-27
00641 EAPG Hepatic Coma And Major Acute Liver Diagnoses 2 1 — — $362,104.80 $438,146.81 $400,125.80 2026-02-27
00110 EAPG Pharmacotherapy By Extended Infusion 2 1 — — $361,336.00 $437,216.56 $399,276.28 2026-02-27
02045 EAPG Advanced Molecular Pathology And Genetic Tests 2 1 — — $359,798.40 $435,356.06 $397,577.23 2026-02-27
00656 EAPG Fractures, Dislocations, Other Injuries Of The Neck, Upper Back And Chest 2 1 — — $355,954.40 $430,704.82 $393,329.61 2026-02-27
00356 EAPG Level I Prosthodontics, Removable 2 1 — — $354,416.80 $428,844.33 $391,630.57 2026-02-27
00781 EAPG Coagulation And Platelet Disorders And Congenital Factor Deficiencies 2 1 — — $354,416.80 $428,844.33 $391,630.57 2026-02-27
00853 EAPG Other Injury, Poisoning And Toxic Effect Diagnoses 2 1 — — $353,263.60 $427,448.96 $390,356.28 2026-02-27
00851 EAPG Poisoning Or Toxic Effects Of Medicinal Agents 2 1 — — $352,494.80 $426,518.71 $389,506.76 2026-02-27
00761 EAPG Postpartum And Post Abortion Diagnoses 2 1 — — $352,110.40 $426,053.58 $389,081.99 2026-02-27
00477 EAPG Level Ii Radiation Treatment Preparation And Planning 2 1 — — $350,957.20 $424,658.21 $387,807.71 2026-02-27
00629 EAPG Malfunction, Reaction And Complication Of Gi Device Or Procedure 2 1 — — $350,957.20 $424,658.21 $387,807.71 2026-02-27
00214 EAPG Level I Nervous System Injections Including Cranial Tap 2 1 — — $348,266.40 $421,402.34 $384,834.37 2026-02-27
00860 EAPG Extensive 3rd Degree Or Full Thickness Burns 2 1 — — $347,113.20 $420,006.97 $383,560.08 2026-02-27
00726 EAPG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 2 1 — — $345,575.60 $418,146.48 $381,861.04 2026-02-27
00660 EAPG Other Musculoskeletal System And Connective Tissue Diagnoses 2 1 — — $343,653.60 $415,820.86 $379,737.23 2026-02-27
00302 EAPG Computed Tomographic Angiography 2 1 — — $342,500.40 $414,425.48 $378,462.94 2026-02-27
00741 EAPG Other Male Reproductive System Diagnoses 2 1 — — $342,116.00 $413,960.36 $378,038.18 2026-02-27
00610 EAPG Contusions To External Organs Other Than Head Trauma 2 1 — — $341,347.20 $413,030.11 $377,188.66 2026-02-27
00548 EAPG Peripheral And Other Vascular Related Injuries 2 1 — — $340,962.80 $412,564.99 $376,763.90 2026-02-27
00570 EAPG Cystic Fibrosis - Pulmonary Disease 2 1 — — $340,578.40 $412,099.86 $376,339.13 2026-02-27
5892 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $358,044.68 $393,861.22 $375,952.95 2026-02-27
00651 EAPG Fractures, Dislocations, Sprains And Other Injuries Of The Pelvis And Hip 2 1 — — $339,809.60 $411,169.62 $375,489.61 2026-02-27
00658 EAPG Sciatica And Low Back Pain 2 1 — — $338,656.40 $409,774.24 $374,215.32 2026-02-27
00616 EAPG Diverticulitis And Diverticulosis 2 1 — — $338,272.00 $409,309.12 $373,790.56 2026-02-27
00562 EAPG Infections Of Upper Respiratory Tract And Otitis Media 2 1 — — $334,428.00 $404,657.88 $369,542.94 2026-02-27
00627 EAPG Non-bacterial Gastroenteritis, Nausea And Vomiting 2 1 — — $332,506.00 $402,332.26 $367,419.13 2026-02-27
00583 EAPG Malfunction, Reaction, Or Complication Of Pulmonary Device Or Procedure 2 1 — — $331,737.20 $401,402.01 $366,569.60 2026-02-27
00659 EAPG Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure 2 1 — — $330,584.00 $400,006.64 $365,295.32 2026-02-27
00617 EAPG Gastrointestinal Hemorrhage And Related Postprocedural Hemorrhage Diagnoses 2 1 — — $330,199.60 $399,541.52 $364,870.56 2026-02-27
00495 EAPG Minor Chemotherapy Drugs 2 1 — — $329,815.20 $399,076.39 $364,445.80 2026-02-27
00752 EAPG Other Female Reproductive System And Menstrual Diagnoses 2 1 — — $329,046.40 $398,146.14 $363,596.27 2026-02-27
00869 EAPG Aftercare, Musculoskeletal System And Connective Tissue Injuries 2 1 — — $329,046.40 $398,146.14 $363,596.27 2026-02-27
00800 EAPG Acute Leukemia 2 1 — — $328,662.00 $397,681.02 $363,171.51 2026-02-27
00652 EAPG Other Injuries And Disorders Of The Musculoskeletal System And Connective Tissue 2 1 — — $328,662.00 $397,681.02 $363,171.51 2026-02-27
02044 EAPG Level IV Complex Laboratory, Molecular Pathology And Genetic Tests 2 1 — — $327,124.40 $395,820.52 $361,472.46 2026-02-27
00607 EAPG Cardiomyopathy Diagnoses 2 1 — — $327,124.40 $395,820.52 $361,472.46 2026-02-27
00674 EAPG Open Wounds, Punctures And Other Open Traumatic Injuries 2 1 — — $326,740.00 $395,355.40 $361,047.70 2026-02-27
00530 EAPG Headaches Other Than Migraine 2 1 — — $325,586.80 $393,960.03 $359,773.42 2026-02-27
00350 EAPG Adjunctive Dental Services 2 1 — — $325,202.40 $393,494.90 $359,348.65 2026-02-27
00854 EAPG Toxic Effects Of Non-medicinal Substances 2 1 — — $324,818.00 $393,029.78 $358,923.89 2026-02-27
00780 EAPG Other Hematological Diagnoses 2 1 — — $323,664.80 $391,634.41 $357,649.60 2026-02-27
00715 EAPG Diabetes With Vascular Complications Including Foot And Other Skin Ulcers 2 1 — — $322,896.00 $390,704.16 $356,800.08 2026-02-27
00016 EAPG Simple Wound Repair And Treatment 2 1 — — $322,511.60 $390,239.04 $356,375.32 2026-02-27
00213 EAPG Nerve And Muscle Tests 2 1 — — $320,974.00 $388,378.54 $354,676.27 2026-02-27
00539 EAPG Intracranial Hemorrhage 2 1 — — $320,974.00 $388,378.54 $354,676.27 2026-02-27
00226 EAPG Sleep Studies Unattended 2 1 — — $320,205.20 $387,448.29 $353,826.74 2026-02-27
00161 EAPG Urinary Studies And Procedures 2 1 — — $320,205.20 $387,448.29 $353,826.74 2026-02-27
00321 EAPG Crisis Intervention 2 1 — — $319,436.40 $386,518.04 $352,977.22 2026-02-27
00551 EAPG Cataracts 2 1 — — $318,667.60 $385,587.80 $352,127.70 2026-02-27
00524 EAPG Other Central Nervous System Diagnoses 2 1 — — $317,514.40 $384,192.42 $350,853.41 2026-02-27
00637 EAPG Gallbladder And Biliary Tract Diagnoses 2 1 — — $317,514.40 $384,192.42 $350,853.41 2026-02-27
00589 EAPG Malfunction, Reaction, Or Complication Of Cardiovascular Device Or Proc 2 1 — — $316,361.20 $382,797.05 $349,579.12 2026-02-27
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