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

HOSPITAL DISTRICT #1 OF RICE COUNTY

Lyons, KS · CCN 171330 · Rates published

Your selected procedure

You selected 70551 (CPT)

MRI BRAIN W/O CONTRAST

This hospital’s price: $1,372 across 12 payers · range $191-$2,209

Source: https://ricecommunityhealth.com/486091484_Rice%20County%20District%20Hospital_standardcharges.json · observed 2026-08-14

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.

20,178 distinct procedures filed
20 distinct payers
649,049 rate rows
2026-08-14 last MRF observed
Data quality

447,764 of 649,049 rate rows are consumer-grade (69.0%)

201,285 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 184,180
per-diem day rate — not a per-procedure price 9,152
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,670
exceeds 10× this hospital's gross charge — excluded from medians 166
placeholder amount (≤ $0.02) — excluded from medians 106
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
template filing: same amount across many unrelated codes — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHDN1LYONSKS&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-09
Content fingerprint 1f087aeac1acf2bc… · 2,208,470 bytes · first seen 2026-07-17

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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $4,000,000.00 $4,974,693.88 $4,487,346.94 nat. median
$3,325,455
1.3× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 11 $3,100,000.00 $4,872,668.57 $3,986,334.29 nat. median
$3,248,446
1.2× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 11 $2,800,000.00 $4,418,610.00 $3,609,305.00 nat. median
$2,968,000
1.2× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 11 $3,508,750.00 $3,508,750.00 $3,508,750.00 nat. median
$3,508,750
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,508,750.00 $3,508,750.00 $3,508,750.00 nat. median
$3,685,267
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,397,684.95 $3,682,665.91 $3,040,175.43 nat. median
$2,455,111
1.2× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 11 $2,205,500.00 $3,498,000.00 $2,851,750.00 nat. median
$2,332,000
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 11 $867,292.82 $1,155,930.00 $1,011,611.41 nat. median
$813,967
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $887,589.30 $887,589.30 $887,589.30 nat. median
$621,313
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $556,698.72 $848,803.42 $702,751.07 nat. median
$599,737
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $522,678.78 $843,807.28 $683,243.03 nat. median
$579,571
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $529,633.21 $835,976.90 $682,805.06 nat. median
$574,037
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $504,838.95 $799,845.26 $652,342.10 nat. median
$562,501
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $463,155.00 $733,956.91 $598,555.95 nat. median
$513,770
1.2× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 11 $417,375.00 $417,375.00 $417,375.00 nat. median
$286,598
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $137,191.76 $426,668.40 $137,191.76 nat. median
$168,055
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $89,031.93 $309,859.01 $89,031.93 nat. median
$186,516
outlier · 0.5×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 11 $78,133.38 $95,013.42 $86,573.40 nat. median
$66,211
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 11 $85,236.82 $85,236.82 $85,236.82 nat. median
$65,477
1.3× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 11 $70,157.26 $82,908.49 $76,532.88 nat. median
$63,499
1.2× median
90288
CPT 		Botulism Ig IV 11 $68,817.00 $68,817.00 $68,817.00 nat. median
$43,548
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $67,830.54 $125,771.83 $67,830.54 nat. median
$131,925
0.5× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 11 $67,500.75 $67,500.75 $67,500.75 nat. median
$44,163
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $67,432.46 $171,304.75 $67,432.46 nat. median
$145,435
outlier · 0.5×
J9226
HCPCS 		Supprelin La Implant 11 $55,801.62 $67,530.98 $61,666.30 nat. median
$57,036
1.1× median
408T
OTHER 		Insj/rplc Cardiac Modulj Sys 11 $48,103.10 $48,103.10 $48,103.10 nat. median
$33,530
1.4× median
915T
OTHER 		Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 11 $48,103.10 $48,103.10 $48,103.10 nat. median
$48,103
1.0× median
61886
CPT 		Implant Neurostim Arrays 11 $47,289.09 $47,289.09 $47,289.09 nat. median
$23,007
outlier · 2.1×
33287
CPT 		Rmv&rplcmt Phrnc Nrv Stim Pg 11 $47,289.09 $47,289.09 $47,289.09 nat. median
$27,599
1.7× median
908T
OTHER 		Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including… 11 $47,289.09 $47,289.09 $47,289.09 nat. median
$47,289
1.0× median
909T
OTHER 		Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 11 $47,289.09 $47,289.09 $47,289.09 nat. median
$47,289
1.0× median
674T
OTHER 		Laps Insj Nw/rpcmt Prm Isdss 11 $47,289.09 $47,289.09 $47,289.09 nat. median
$35,986
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $44,005.90 $108,978.40 $44,005.90 nat. median
$97,418
outlier · 0.5×
63685
CPT 		Ins/rplc Spi Npg/rcvr Pocket 11 $38,091.99 $47,289.09 $42,690.54 nat. median
$21,812
2.0× median
956T
OTHER 		Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp… 11 $41,582.60 $41,582.60 $41,582.60 nat. median
$41,583
1.0× median
960T
OTHER 		Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 11 $41,582.60 $41,582.60 $41,582.60 nat. median
$41,583
1.0× median
C9760
HCPCS 		Non-blind Interatrial Shunt 11 $41,250.75 $41,250.75 $41,250.75 nat. median
$28,845
1.4× median
7
MS_DRG 		Lung Transplant 4 $41,142.79 $102,636.91 $41,142.79 nat. median
$70,649
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $38,180.87 $134,006.71 $38,180.87 nat. median
$72,715
0.5× median
J9266
HCPCS 		Pegaspargase Injection 11 $33,309.21 $42,636.09 $37,972.65 nat. median
$31,084
1.2× median
620T
OTHER 		Evasc Ven Artlz Tibl/prnl Vn 11 $5,479.25 $67,500.75 $36,490.00 nat. median
$14,567
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $36,001.13 $113,177.82 $36,001.13 nat. median
$65,418
0.6× median
61891
CPT 		Rev/rplcmt Sk-mnt Crnl Nstm 11 $22,957.87 $47,289.09 $35,123.48 nat. median
$20,209
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $35,014.35 $93,424.14 $35,014.35 nat. median
$2,736
outlier · 12.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $34,547.02 $114,104.49 $34,547.02 nat. median
$74,509
outlier · 0.5×
409T
OTHER 		Insj/rplc Car Modulj Pls Gn 11 $34,088.04 $34,088.04 $34,088.04 nat. median
$34,088
1.0× median
923T
OTHER 		Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 11 $34,088.04 $34,088.04 $34,088.04 nat. median
$34,088
1.0× median
614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 11 $34,088.04 $34,088.04 $34,088.04 nat. median
$34,088
1.0× median
414T
OTHER 		Rmvl & Rpl Car Modulj Pls Gn 11 $34,088.04 $34,088.04 $34,088.04 nat. median
$34,088
1.0× median
515T
OTHER 		Insj Wcs Lv Compl Sys 11 $34,088.04 $34,088.04 $34,088.04 nat. median
$34,088
1.0× median

Other procedures at this hospital

Browse this hospital's 20,178 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 11 — — $4,000,000.00 $4,974,693.88 $4,487,346.94 2026-08-14
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 13 11 — — $3,100,000.00 $4,872,668.57 $3,986,334.29 2026-08-14
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 13 11 — — $2,800,000.00 $4,418,610.00 $3,609,305.00 2026-08-14
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,508,750.00 $3,508,750.00 $3,508,750.00 2026-08-14
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 13 11 — — $3,508,750.00 $3,508,750.00 $3,508,750.00 2026-08-14
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 11 — — $2,397,684.95 $3,682,665.91 $3,040,175.43 2026-08-14
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 13 11 — — $2,205,500.00 $3,498,000.00 $2,851,750.00 2026-08-14
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 13 11 — — $867,292.82 $1,155,930.00 $1,011,611.41 2026-08-14
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 11 — — $887,589.30 $887,589.30 $887,589.30 2026-08-14
Q2056 HCPCS Ciltacabtagene Car-pos T 13 11 — — $556,698.72 $848,803.42 $702,751.07 2026-08-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 11 — — $522,678.78 $843,807.28 $683,243.03 2026-08-14
Q2055 HCPCS Idecabtagene Vicleucel Car 13 11 — — $529,633.21 $835,976.90 $682,805.06 2026-08-14
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 11 — — $504,838.95 $799,845.26 $652,342.10 2026-08-14
Q2053 HCPCS Brexucabtagene Car Pos T 13 11 — — $463,155.00 $733,956.91 $598,555.95 2026-08-14
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 13 11 — — $417,375.00 $417,375.00 $417,375.00 2026-08-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $137,191.76 $426,668.40 $137,191.76 2026-08-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $89,031.93 $309,859.01 $89,031.93 2026-08-14
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 11 — — $78,133.38 $95,013.42 $86,573.40 2026-08-14
A9543 HCPCS Y90 Ibritumomab, Rx 13 11 — — $85,236.82 $85,236.82 $85,236.82 2026-08-14
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 11 — — $70,157.26 $82,908.49 $76,532.88 2026-08-14
90288 CPT Botulism Ig IV 13 11 — — $68,817.00 $68,817.00 $68,817.00 2026-08-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $67,830.54 $125,771.83 $67,830.54 2026-08-14
33276 CPT Insj Phrnc Nrv Stim Sys 13 11 — — $67,500.75 $67,500.75 $67,500.75 2026-08-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $67,432.46 $171,304.75 $67,432.46 2026-08-14
J9226 HCPCS Supprelin La Implant 13 11 — — $55,801.62 $67,530.98 $61,666.30 2026-08-14
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 13 11 — — $48,103.10 $48,103.10 $48,103.10 2026-08-14
408T OTHER Insj/rplc Cardiac Modulj Sys 13 11 — — $48,103.10 $48,103.10 $48,103.10 2026-08-14
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 13 11 — — $47,289.09 $47,289.09 $47,289.09 2026-08-14
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 13 11 — — $47,289.09 $47,289.09 $47,289.09 2026-08-14
908T OTHER Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 13 11 — — $47,289.09 $47,289.09 $47,289.09 2026-08-14
61886 CPT Implant Neurostim Arrays 13 11 — — $47,289.09 $47,289.09 $47,289.09 2026-08-14
909T OTHER Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 13 11 — — $47,289.09 $47,289.09 $47,289.09 2026-08-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $44,005.90 $108,978.40 $44,005.90 2026-08-14
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 13 11 — — $38,091.99 $47,289.09 $42,690.54 2026-08-14
960T OTHER Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 13 11 — — $41,582.60 $41,582.60 $41,582.60 2026-08-14
956T OTHER Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 13 11 — — $41,582.60 $41,582.60 $41,582.60 2026-08-14
C9760 HCPCS Non-blind Interatrial Shunt 13 11 — — $41,250.75 $41,250.75 $41,250.75 2026-08-14
7 MS_DRG Lung Transplant 4 4 — — $41,142.79 $102,636.91 $41,142.79 2026-08-14
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $38,180.87 $134,006.71 $38,180.87 2026-08-14
J9266 HCPCS Pegaspargase Injection 13 11 — — $33,309.21 $42,636.09 $37,972.65 2026-08-14
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 13 11 — — $5,479.25 $67,500.75 $36,490.00 2026-08-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $36,001.13 $113,177.82 $36,001.13 2026-08-14
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 13 11 — — $22,957.87 $47,289.09 $35,123.48 2026-08-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $35,014.35 $93,424.14 $35,014.35 2026-08-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $34,547.02 $114,104.49 $34,547.02 2026-08-14
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 13 11 — — $34,088.04 $34,088.04 $34,088.04 2026-08-14
409T OTHER Insj/rplc Car Modulj Pls Gn 13 11 — — $34,088.04 $34,088.04 $34,088.04 2026-08-14
515T OTHER Insj Wcs Lv Compl Sys 13 11 — — $34,088.04 $34,088.04 $34,088.04 2026-08-14
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 13 11 — — $34,088.04 $34,088.04 $34,088.04 2026-08-14
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 13 11 — — $34,088.04 $34,088.04 $34,088.04 2026-08-14
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 13 11 — — $34,088.04 $34,088.04 $34,088.04 2026-08-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $32,756.46 $117,445.52 $32,756.46 2026-08-14
J9600 HCPCS Porfimer Sodium Injection 13 11 — — $28,309.46 $36,342.63 $32,326.04 2026-08-14
54405 CPT Insert Multi-comp Penis Pros 13 11 — — $31,762.56 $31,762.56 $31,762.56 2026-08-14
54417 CPT Remv/replc Penis Pros Compl 13 11 — — $31,762.56 $31,762.56 $31,762.56 2026-08-14
54411 CPT Remov/replc Penis Pros Comp 13 11 — — $31,762.56 $31,762.56 $31,762.56 2026-08-14
54416 CPT Remv/repl Penis Contain Pros 13 11 — — $31,762.56 $31,762.56 $31,762.56 2026-08-14
54410 CPT Remove/replace Penis Prosth 13 11 — — $31,762.56 $31,762.56 $31,762.56 2026-08-14
215 MS_DRG Other Heart Assist System Implant 4 4 — — $31,633.39 $105,058.71 $31,633.39 2026-08-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $31,079.96 $89,103.90 $31,079.96 2026-08-14
63655 CPT Implant Neuroelectrodes 13 11 — — $29,730.47 $31,845.80 $30,788.13 2026-08-14
64580 CPT Opn Impltj Nea Neuromuscular 13 11 — — $29,730.47 $29,730.47 $29,730.47 2026-08-14
680T OTHER Insj/rplcmt Pg Only Isdss 13 11 — — $29,730.47 $29,730.47 $29,730.47 2026-08-14
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 13 11 — — $29,730.47 $29,730.47 $29,730.47 2026-08-14
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 13 11 — — $29,730.47 $29,730.47 $29,730.47 2026-08-14
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 13 11 — — $29,518.34 $29,518.34 $29,518.34 2026-08-14
525T OTHER Insj/rplcmt Compl Iims 13 11 — — $29,518.34 $29,518.34 $29,518.34 2026-08-14
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 13 11 — — $29,518.34 $29,518.34 $29,518.34 2026-08-14
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 13 11 — — $29,518.34 $29,518.34 $29,518.34 2026-08-14
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 13 11 — — $29,518.34 $29,518.34 $29,518.34 2026-08-14
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 13 11 — — $29,518.34 $29,518.34 $29,518.34 2026-08-14
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 13 11 — — $29,518.34 $29,518.34 $29,518.34 2026-08-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $28,623.50 $87,385.57 $28,623.50 2026-08-14
54401 CPT Insert Self-contd Prosthesis 13 11 — — $25,160.70 $31,762.56 $28,461.63 2026-08-14
C9775 HCPCS Revasc Lith-sten-ath Tib/per 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
C9797 HCPCS Vasc Emb/occ W/prs Cath 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
632T OTHER Perq Tcat US Abltj Nrv P-art 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
C9773 HCPCS Revasc Lithotr-stent Tib/per 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
981T OTHER Transcatheter Implantation Of Wireless Inferior Vena Cava Sensor For Long-term H… 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
238T OTHER Trluml Perip Athrc Iliac Art 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
C9774 HCPCS Revasc Lithotr-ather Tib/per 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
645T OTHER Tcat Impltj C Sins Rdctj Dev 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
793T OTHER Prq Tcat Thrm Ablt Nrv P-art 13 11 — — $28,093.04 $28,093.04 $28,093.04 2026-08-14
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $27,511.23 $96,514.95 $27,511.23 2026-08-14
22837 CPT Ant Thrc Vrt Body Tethrg 8+ 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
657T OTHER Vrt Bdy Tethering Ant 8+ Seg 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
22819 CPT Kyphectomy 3 Or More 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
656T OTHER Vrt Bdy Tethering Ant <7 Seg 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
22838 CPT Rev Rplc/rmv Thrc Vrt Tethrg 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
22836 CPT Ant Thrc Vrt Body Tethrg <7 13 11 — — $26,870.39 $26,870.39 $26,870.39 2026-08-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $26,781.79 $73,800.53 $26,781.79 2026-08-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $26,697.60 $76,329.38 $26,697.60 2026-08-14
C2616 HCPCS Brachytx, Non-str,yttrium-90 13 11 — — $26,656.52 $26,656.52 $26,656.52 2026-08-14
686T OTHER Histotripsy Mal Hepatcel Tis 13 11 — — $26,250.75 $26,250.75 $26,250.75 2026-08-14
C9758 HCPCS Blind Interatrial Shunt Ide 13 11 — — $26,250.75 $26,250.75 $26,250.75 2026-08-14
C8005 HCPCS Bronchoscopy, Rigid Or Flexible, Non-thermal Transbronchial Ablation Of Lesion(s… 13 11 — — $26,250.75 $26,250.75 $26,250.75 2026-08-14
C9782 HCPCS Blind Myocar Trpl Bon Marrow 13 11 — — $26,250.75 $26,250.75 $26,250.75 2026-08-14
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 13 11 — — $26,250.75 $26,250.75 $26,250.75 2026-08-14
53444 CPT Insert Tandem Cuff 13 11 — — $19,757.53 $31,762.56 $25,760.04 2026-08-14
53445 CPT Insert Uro/ves Nck Sphincter 13 11 — — $19,460.80 $31,762.56 $25,611.68 2026-08-14
308T OTHER Insj Ocular Telescope Prosth 13 11 — — $25,226.04 $25,226.04 $25,226.04 2026-08-14
66683 CPT Implantation Of Iris Prosthesis, Including Suture Fixation And Repair Or Removal… 13 11 — — $25,226.04 $25,226.04 $25,226.04 2026-08-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $24,999.18 $73,451.02 $24,999.18 2026-08-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $24,393.96 $71,515.30 $24,393.96 2026-08-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $24,288.80 $71,933.06 $24,288.80 2026-08-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $24,208.42 $62,708.57 $24,208.42 2026-08-14
L5856 HCPCS Dme Pos 15 11 — — $22,524.38 $24,260.77 $23,392.58 2026-08-14
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 15 11 — — $17,177.60 $29,518.34 $23,347.97 2026-08-14
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 15 11 — — $17,177.60 $29,518.34 $23,347.97 2026-08-14
C7534 HCPCS Fem/pop Revasc W/arthr & US 13 11 — — $23,023.96 $23,023.96 $23,023.96 2026-08-14
61889 CPT Ins Sk-mnt Crnl Nstm Pg/rcvr 13 11 — — $22,957.87 $22,957.87 $22,957.87 2026-08-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $22,933.49 $65,776.85 $22,933.49 2026-08-14
10 MS_DRG Pancreas Transplant 4 4 — — $22,797.20 $51,103.86 $22,797.20 2026-08-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $22,787.67 $43,531.05 $22,787.67 2026-08-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $22,666.62 $84,330.66 $22,666.62 2026-08-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $22,653.28 $67,711.20 $22,653.28 2026-08-14
37225 CPT Fem/popl Revas W/ather 13 11 — — $22,445.90 $22,445.90 $22,445.90 2026-08-14
C9606 HCPCS Perc D-e Cor Revasc W Ami S 13 11 — — $22,153.34 $22,153.34 $22,153.34 2026-08-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $21,958.79 $57,733.71 $21,958.79 2026-08-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $21,851.09 $61,802.83 $21,851.09 2026-08-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $21,384.70 $57,787.82 $21,384.70 2026-08-14
67027 CPT Implant Eye Drug System 13 11 — — $21,382.76 $21,382.76 $21,382.76 2026-08-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $21,243.01 $64,816.20 $21,243.01 2026-08-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $21,227.44 $70,245.84 $21,227.44 2026-08-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $20,889.73 $44,617.01 $20,889.73 2026-08-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $20,889.73 $57,544.37 $20,889.73 2026-08-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $20,813.80 $29,986.45 $20,813.80 2026-08-14
37227 CPT Fem/popl Revasc Stnt & Ather 13 11 — — $20,775.47 $20,775.47 $20,775.47 2026-08-14
37229 CPT Tib/per Revasc W/ather 13 11 — — $20,775.47 $20,775.47 $20,775.47 2026-08-14
37231 CPT Tib/per Revasc Stent & Ather 13 11 — — $20,775.47 $20,775.47 $20,775.47 2026-08-14
37230 CPT Tib/per Revasc W/stent 13 11 — — $20,775.47 $20,775.47 $20,775.47 2026-08-14
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 13 11 — — $13,340.64 $28,093.04 $20,716.84 2026-08-14
C9602 HCPCS Perc D-e Cor Stent Ather S 13 11 — — $13,340.64 $28,093.04 $20,716.84 2026-08-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $20,443.04 $62,055.73 $20,443.04 2026-08-14
54400 CPT Insert Semi-rigid Prosthesis 13 11 — — $20,218.83 $20,218.83 $20,218.83 2026-08-14
53451 CPT Tprnl Balo Cntnc Dev Bi 13 11 — — $20,218.83 $20,218.83 $20,218.83 2026-08-14
55882 CPT Ablation Of Prostate Tissue, Transurethral, Using Thermal Ultrasound, Including … 13 11 — — $20,218.83 $20,218.83 $20,218.83 2026-08-14
627T OTHER Perq Njx Algc Fluor Lmbr 1st 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
29907 CPT Subtalar Arthro W/fusion 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
219T OTHER Plmt Post Facet Implt Cerv 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
C9781 HCPCS Arthro/shoul Surg; W/spacer 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
629T OTHER Perq Njx Algc CT Lmbr 1st 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
C9757 HCPCS Spine Device Implant Surgery 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
220T OTHER Plmt Post Facet Implt Thor 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
24931 CPT Amputate Upper Arm & Implant 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
C9734 HCPCS U/s Trtmt, Not Leiomyomata 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
202T OTHER Post Vert Arthrplst 1 Lumbar 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
737T OTHER Xenograft Impltj Artclr Surf 13 11 — — $19,675.14 $19,675.14 $19,675.14 2026-08-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $19,469.93 $62,554.34 $19,469.93 2026-08-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $19,447.37 $57,008.32 $19,447.37 2026-08-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $19,260.88 $52,678.49 $19,260.88 2026-08-14
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 13 11 — — $17,691.35 $20,521.30 $19,106.33 2026-08-14
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $19,088.37 $52,211.37 $19,088.37 2026-08-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $19,082.97 $59,614.86 $19,082.97 2026-08-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $18,944.77 $53,732.20 $18,944.77 2026-08-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $18,882.50 $50,857.49 $18,882.50 2026-08-14
C9601 HCPCS Perc Drug-el Cor Stent Bran 13 11 — — $18,879.93 $18,879.93 $18,879.93 2026-08-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $18,838.66 $66,892.80 $18,838.66 2026-08-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $18,644.54 $58,842.14 $18,644.54 2026-08-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $18,632.47 $61,170.85 $18,632.47 2026-08-14
C9600 HCPCS Perc Drug-el Cor Stent Sing 13 11 — — $17,691.35 $19,048.46 $18,369.90 2026-08-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $18,322.08 $57,315.08 $18,322.08 2026-08-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $18,205.16 $50,341.00 $18,205.16 2026-08-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $18,107.31 $47,664.15 $18,107.31 2026-08-14
27415 CPT Osteochondral Knee Allograft 13 11 — — $16,083.53 $19,675.14 $17,879.33 2026-08-14
29867 CPT Allgrft Implnt Knee W/scope 13 11 — — $16,083.53 $19,675.14 $17,879.33 2026-08-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $17,861.09 $50,337.20 $17,861.09 2026-08-14
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 13 11 — — $17,859.83 $17,859.83 $17,859.83 2026-08-14
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 13 11 — — $17,859.83 $17,859.83 $17,859.83 2026-08-14
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 13 11 — — $17,859.83 $17,859.83 $17,859.83 2026-08-14
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 13 11 — — $17,859.83 $17,859.83 $17,859.83 2026-08-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $17,805.81 $61,498.50 $17,805.81 2026-08-14
L8614 HCPCS Dme Pos 15 11 — — $17,790.79 $17,790.79 $17,790.79 2026-08-14
C8004 HCPCS Simulation Angiogram With Use Of A Pressure-generating Catheter (e.g., One-way V… 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
237T OTHER Trluml Perip Athrc Brchiocph 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
234T OTHER Trluml Perip Athrc Renal Art 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
913T OTHER Percutaneous Transcatheter Therapeutic Drug Delivery By Intracoronary Drug-deliv… 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
236T OTHER Trluml Perip Athrc Abd Aorta 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
C9783 HCPCS Blind Cor Sinus Reducer Impl 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
505T OTHER Ev Fempop Artl Revsc 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
C9772 HCPCS Revasc Lithotrip Tibi/perone 13 11 — — $17,691.35 $17,691.35 $17,691.35 2026-08-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $17,683.82 $47,577.63 $17,683.82 2026-08-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $17,546.57 $54,502.23 $17,546.57 2026-08-14
L5858 HCPCS Dme Pos 15 11 — — $17,442.27 $17,520.31 $17,481.29 2026-08-14
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $17,441.41 $54,899.59 $17,441.41 2026-08-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $17,379.78 $50,924.12 $17,379.78 2026-08-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $17,355.00 $57,056.45 $17,355.00 2026-08-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $17,327.68 $48,519.59 $17,327.68 2026-08-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $17,258.42 $54,158.74 $17,258.42 2026-08-14
33288 CPT Rmv&rplcmt Phrnc Nrv Stim Ld 13 11 — — $17,076.06 $17,076.06 $17,076.06 2026-08-14
675T OTHER Laps Insj Nw/rpcmt Isdss 1ld 13 11 — — $17,076.06 $17,076.06 $17,076.06 2026-08-14
43647 CPT Lap Impl Electrode Antrum 13 11 — — $17,076.06 $17,076.06 $17,076.06 2026-08-14
61715 CPT Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS), Ster… 13 11 — — $17,076.06 $17,076.06 $17,076.06 2026-08-14
64575 CPT Opn Impltj Nea Perph Nerve 13 11 — — $17,076.06 $17,076.06 $17,076.06 2026-08-14
L5973 HCPCS Dme Pos 15 11 — — $16,498.37 $17,520.31 $17,009.34 2026-08-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $16,942.31 $48,661.44 $16,942.31 2026-08-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $16,932.14 $45,257.61 $16,932.14 2026-08-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $16,818.40 $55,662.15 $16,818.40 2026-08-14
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 15 11 — — $5,528.29 $28,093.04 $16,810.67 2026-08-14
C9767 HCPCS Revasc Lithotrip-stent-ather 13 11 — — $5,479.25 $28,093.04 $16,786.15 2026-08-14
C9766 HCPCS Revasc Intra Lithotrip-ather 13 11 — — $5,479.25 $28,093.04 $16,786.15 2026-08-14
C9765 HCPCS Revasc Intra Lithotrip-stent 13 11 — — $5,479.25 $28,093.04 $16,786.15 2026-08-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $16,762.81 $46,037.26 $16,762.81 2026-08-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $16,537.56 $47,445.80 $16,537.56 2026-08-14
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $16,508.96 $48,453.18 $16,508.96 2026-08-14
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 15 11 — — $4,644.50 $28,093.04 $16,368.77 2026-08-14
679T OTHER Laps Rmvl Lead Isdss 13 11 — — $16,290.11 $16,290.11 $16,290.11 2026-08-14
601T OTHER Ire Abltj 1+tumors Open 13 11 — — $16,290.11 $16,290.11 $16,290.11 2026-08-14
677T OTHER Laps Repos Lead Isdss 1st Ld 13 11 — — $16,290.11 $16,290.11 $16,290.11 2026-08-14
C9785 HCPCS Endo Outlet Restrict W/tube 13 11 — — $16,290.11 $16,290.11 $16,290.11 2026-08-14
C9901 HCPCS Endoscopic Defect Closure Within The Entire Gastrointestinal Tract, Including Up… 13 11 — — $16,290.11 $16,290.11 $16,290.11 2026-08-14
43648 CPT Lap Revise/remv Eltrd Antrum 13 11 — — $16,290.11 $16,290.11 $16,290.11 2026-08-14
600T OTHER Ire Abltj 1+tum Organ Perq 13 11 — — $16,290.11 $16,290.11 $16,290.11 2026-08-14
36906 CPT Thrmbc/nfs Dialysis Circuit 15 11 — — $4,425.18 $28,093.04 $16,259.11 2026-08-14
37242 CPT Vasc Embolize/occlude Artery 15 11 — — $4,005.95 $28,093.04 $16,049.50 2026-08-14
519T OTHER Rmv&rplcmt Pg Wcs Lv Both 13 11 — — $16,017.57 $16,017.57 $16,017.57 2026-08-14
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 13 11 — — $16,017.57 $16,017.57 $16,017.57 2026-08-14
517T OTHER Insj Wcs Lv Both Compnt Pg 13 11 — — $16,017.57 $16,017.57 $16,017.57 2026-08-14
516T OTHER Insj Wcs Lv Eltrd Only 13 11 — — $16,017.57 $16,017.57 $16,017.57 2026-08-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $16,012.72 $44,355.97 $16,012.72 2026-08-14
L6975 HCPCS Dme Pos 15 11 — — $15,960.53 $15,960.53 $15,960.53 2026-08-14
C9764 HCPCS Revasc Intravasc Lithotripsy 13 11 — — $14,175.71 $17,691.35 $15,933.53 2026-08-14
53440 CPT Male Sling Procedure 13 11 — — $11,596.53 $20,218.83 $15,907.68 2026-08-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $15,844.97 $47,184.86 $15,844.97 2026-08-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $15,717.89 $55,447.55 $15,717.89 2026-08-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $15,689.93 $44,091.75 $15,689.93 2026-08-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $15,636.24 $43,599.02 $15,636.24 2026-08-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $15,571.11 $33,504.03 $15,571.11 2026-08-14
23491 CPT Reinforce Shoulder Bones 13 11 — — $11,147.77 $19,675.14 $15,411.45 2026-08-14
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $15,340.78 $44,552.40 $15,340.78 2026-08-14
24498 CPT Reinforce Humerus 13 11 — — $10,886.00 $19,675.14 $15,280.57 2026-08-14
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 13 11 — — $11,697.30 $18,830.57 $15,263.93 2026-08-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $15,263.26 $50,093.07 $15,263.26 2026-08-14
37184 CPT Prim Art M-thrmbc 1st Vsl 15 11 — — $2,340.10 $28,093.04 $15,216.57 2026-08-14
20808 CPT Replantation Hand Complete 15 11 — — $3,527.37 $26,870.39 $15,198.88 2026-08-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $15,125.06 $52,498.09 $15,125.06 2026-08-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $14,936.35 $50,408.60 $14,936.35 2026-08-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $14,905.85 $41,374.77 $14,905.85 2026-08-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $14,861.37 $47,000.71 $14,861.37 2026-08-14
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $14,731.75 $53,910.95 $14,731.75 2026-08-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 4 — — $14,672.97 $48,798.47 $14,672.97 2026-08-14
20805 CPT Replant Forearm Complete 15 11 — — $2,451.37 $26,870.39 $14,660.88 2026-08-14
58673 CPT Laparoscopy Salpingostomy 13 11 — — $13,014.03 $16,290.11 $14,652.07 2026-08-14
C9792 HCPCS Blind/nonblind Trans Atrial 13 11 — — $14,625.75 $14,625.75 $14,625.75 2026-08-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $14,603.08 $43,367.50 $14,603.08 2026-08-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $14,565.91 $42,981.07 $14,565.91 2026-08-14
22804 CPT Arthrd Pst Dfrm 13+ Vrt Sgm 15 11 — — $2,164.66 $26,870.39 $14,517.52 2026-08-14
C9740 HCPCS Cysto Impl 4 Or More 13 11 — — $14,507.25 $14,507.25 $14,507.25 2026-08-14
53865 CPT Cystourethroscopy With Insertion Of Temporary Device For Ischemic Remodeling (ie… 13 11 — — $14,507.25 $14,507.25 $14,507.25 2026-08-14
53452 CPT Tprnl Balo Cntnc Dev Uni 13 11 — — $14,507.25 $14,507.25 $14,507.25 2026-08-14
54316 CPT Reconstruction Of Urethra 13 11 — — $14,507.25 $14,507.25 $14,507.25 2026-08-14
950T OTHER Ablation Of Benign Prostate Tissue, Transrectal, With High Intensity-focused Ult… 13 11 — — $14,507.25 $14,507.25 $14,507.25 2026-08-14
245 MS_DRG Aicd Generator Procedures 4 4 — — $14,494.74 $50,922.12 $14,494.74 2026-08-14
C1874 HCPCS Stent, Coated/cov W/del Sys 13 11 — — $14,475.32 $14,475.32 $14,475.32 2026-08-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $14,451.22 $41,394.48 $14,451.22 2026-08-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 4 — — $14,444.87 $39,916.71 $14,444.87 2026-08-14
24365 CPT Reconstruct Head Of Radius 13 11 — — $9,195.41 $19,675.14 $14,435.27 2026-08-14
20982 CPT Ablate Bone Tumor(s) Perq 15 11 — — $1,990.05 $26,870.39 $14,430.22 2026-08-14
62360 CPT Insert Spine Infusion Device 2 2 — — $1,157.46 $27,621.36 $14,389.41 2026-08-14
62361 CPT Implant Spine Infusion Pump 2 2 — — $1,157.46 $27,621.36 $14,389.41 2026-08-14
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $14,388.32 $45,685.79 $14,388.32 2026-08-14
20802 CPT Replantation Arm Complete 15 11 — — $1,885.83 $26,870.39 $14,378.11 2026-08-14
22818 CPT Kyphectomy 1-2 Segments 15 11 — — $1,874.29 $26,870.39 $14,372.34 2026-08-14
20838 CPT Replantation Foot Complete 15 11 — — $1,867.13 $26,870.39 $14,368.76 2026-08-14
22812 CPT Arthrd Ant Dfrm 8+ Vrt Sgm 15 11 — — $1,856.75 $26,870.39 $14,363.57 2026-08-14
22802 CPT Arthrd Pst Dfrm 7-12 Vrt Sgm 15 11 — — $1,855.73 $26,870.39 $14,363.06 2026-08-14
22810 CPT Arthrd Ant Dfrm 4-7 Vrt Sgm 15 11 — — $1,769.71 $26,870.39 $14,320.05 2026-08-14
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $14,238.68 $44,437.91 $14,238.68 2026-08-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 4 — — $14,234.55 $32,923.68 $14,234.55 2026-08-14
22862 CPT Rev Rplcm Rthrp 1ntrspc Lmbr 15 11 — — $1,589.26 $26,870.39 $14,229.83 2026-08-14
22808 CPT Arthrd Ant Dfrm 2-3 Vrt Sgm 15 11 — — $1,559.46 $26,870.39 $14,214.92 2026-08-14
27487 CPT Revise/replace Knee Joint 15 11 — — $1,518.38 $26,870.39 $14,194.39 2026-08-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $14,178.63 $36,672.56 $14,178.63 2026-08-14
L6970 HCPCS Dme Pos 15 11 — — $14,156.30 $14,156.30 $14,156.30 2026-08-14
22556 CPT Arthrd Ant Ntrbd Min Dsc Thc 15 11 — — $1,396.37 $26,870.39 $14,133.38 2026-08-14
22857 CPT Tot Disc Arthrp 1ntrspc Lmbr 15 11 — — $1,344.41 $26,870.39 $14,107.40 2026-08-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $13,955.93 $38,233.91 $13,955.93 2026-08-14
C1876 HCPCS Stent, Non-coa/non-cov W/del 13 11 — — $13,938.00 $13,938.00 $13,938.00 2026-08-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $13,748.15 $44,160.03 $13,748.15 2026-08-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $13,638.54 $36,547.34 $13,638.54 2026-08-14
L5859 HCPCS Dme Pos 15 11 — — $13,617.04 $13,617.04 $13,617.04 2026-08-14
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $13,550.86 $36,534.48 $13,550.86 2026-08-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $13,473.02 $42,783.30 $13,473.02 2026-08-14
L6965 HCPCS Dme Pos 15 11 — — $13,468.82 $13,468.82 $13,468.82 2026-08-14
442T OTHER Abltj Perc Plex/trncl Nrv 13 11 — — $13,448.90 $13,448.90 $13,448.90 2026-08-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $13,417.11 $38,298.71 $13,417.11 2026-08-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $13,394.23 $36,184.33 $13,394.23 2026-08-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $13,387.56 $37,327.73 $13,387.56 2026-08-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $13,348.48 $31,397.38 $13,348.48 2026-08-14
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $13,332.60 $38,274.23 $13,332.60 2026-08-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 4 — — $13,307.82 $42,720.71 $13,307.82 2026-08-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $13,256.35 $40,945.95 $13,256.35 2026-08-14
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $13,246.82 $37,071.94 $13,246.82 2026-08-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $13,194.08 $32,974.88 $13,194.08 2026-08-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $13,106.71 $26,880.43 $13,106.71 2026-08-14
47564 CPT Lap Cholecystectomy 15 11 $22,123.85 $16,592.89 25% off $734.93 $21,017.65 $13,053.07 2026-08-14
58552 CPT Lap Assisted Vaginal Hysterectomy 15 11 $22,123.85 $16,592.89 25% off $857.62 $21,017.65 $13,053.07 2026-08-14
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