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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

KING'S DAUGHTERS' MEDICAL CENTER

Ashland, KY · CCN 180009 · Rates published

14,474 distinct procedures filed
9 distinct payers
148,198 rate rows
2026-09-25 last MRF observed
Data quality

147,914 of 148,198 rate rows are consumer-grade (99.8%)

284 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
placeholder amount (≤ $0.02) — excluded from medians 155
per-diem day rate — not a per-procedure price 50
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 35
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 20
exceeds 10× this hospital's gross charge — excluded from medians 13
percent-of-charges filed in the dollar field — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7804/610444716_ashland-hospital-corporation_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/KingsDaughterMedicalCenterKentucky/7804
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-26
Content fingerprint 07e83e459b7668e8… · 80,026,781 bytes · first seen 2026-09-26

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 		Outpatient Services 2 $3,378,750.00 $4,955,500.00 $4,167,125.00 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Outpatient Services 3 $2,768,587.50 $4,614,312.50 $4,060,595.00 nat. median
$3,685,267
1.1× median
J1413
HCPCS 		Outpatient Services 3 $2,487,672.84 $4,146,121.41 $3,648,586.84 nat. median
$3,325,455
1.1× median
J3389
HCPCS 		Outpatient Services 3 $2,464,337.03 $4,107,228.38 $3,614,360.97 nat. median
$3,335,820
1.1× median
J3394
HCPCS 		Outpatient Services 3 $2,426,477.99 $4,044,129.98 $3,558,834.38 nat. median
$3,248,446
1.1× median
J3387
HCPCS 		Outpatient Services 3 $2,385,000.00 $3,975,000.00 $3,498,000.00 nat. median
$3,180,000
1.1× median
J3393
HCPCS 		Outpatient Services 3 $2,197,695.26 $3,662,825.43 $3,223,286.38 nat. median
$2,968,000
1.1× median
C9309
HCPCS 		Outpatient Services 4 $1,998,171.44 $4,928,822.89 $3,130,468.60 nat. median
$2,664,229
1.2× median
J3405
HCPCS 		Outpatient Services 4 $1,998,171.44 $4,928,822.89 $3,130,468.60 nat. median
$2,830,743
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,010,028.04 $4,958,069.16 $3,015,042.05 nat. median
$2,455,111
1.2× median
J3392
HCPCS 		Outpatient Services 4 $1,725,680.00 $4,256,677.33 $2,703,565.33 nat. median
$2,332,000
1.2× median
Q2057
HCPCS 		Outpatient Services 4 $610,475.53 $1,505,839.64 $956,411.67 nat. median
$813,967
1.2× median
Q2056
HCPCS 		Outpatient Services 4 $440,983.32 $1,087,758.85 $690,873.86 nat. median
$599,737
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $434,677.96 $1,072,205.64 $680,995.48 nat. median
$579,571
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $421,875.67 $1,040,626.65 $660,938.55 nat. median
$562,501
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $458,769.88 $1,131,632.37 $636,592.12 nat. median
$621,313
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $425,983.34 $1,050,758.89 $613,106.14 nat. median
$574,037
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $382,577.94 $943,692.25 $542,883.46 nat. median
$513,770
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $225,518.45 $646,489.70 $536,589.47 nat. median
$168,055
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $146,494.27 $419,545.81 $348,224.98 nat. median
$186,516
1.9× median
Q2058
HCPCS 		Outpatient Services 4 $208,687.50 $514,762.50 $326,943.75 nat. median
$286,598
1.1× median
J3403
HCPCS 		Outpatient Services 4 $196,184.74 $483,922.35 $307,356.09 nat. median
$264,195
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $111,705.47 $319,638.34 $265,301.31 nat. median
$131,925
outlier · 2.0×
J3402
HCPCS 		Outpatient Services 4 $152,744.82 $376,770.56 $239,300.22 nat. median
$207,733
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $111,052.29 $295,433.56 $185,087.15 nat. median
$145,435
1.3× median
7
MS_DRG 		Lung Transplant 6 $67,914.26 $193,877.44 $160,919.19 nat. median
$70,649
outlier · 2.3×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $99,096.22 $244,437.34 $155,250.74 nat. median
$108,243
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $63,054.13 $179,919.98 $149,334.43 nat. median
$72,715
outlier · 2.1×
J3404
HCPCS 		Outpatient Services 4 $91,425.00 $225,515.00 $143,232.50 nat. median
$128,604
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $59,477.45 $169,648.38 $140,808.95 nat. median
$65,418
outlier · 2.2×
209
MS_DRG 		Inpatient Ms-DRG 6 $59,409.68 $169,453.75 $140,647.41 nat. median
$2,110
outlier · 66.6×
426
MS_DRG 		Inpatient Ms-DRG 6 $57,858.28 $164,998.39 $136,949.43 nat. median
$2,736
outlier · 50.1×
212
MS_DRG 		Inpatient Ms-DRG 6 $57,091.44 $162,796.15 $135,121.57 nat. median
$74,509
1.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 4 $85,572.93 $211,079.89 $134,064.26 nat. median
$95,583
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $54,153.36 $154,358.50 $128,118.27 nat. median
$69,922
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 6 $52,310.54 $149,066.25 $123,725.68 nat. median
$73,023
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $51,402.43 $146,458.30 $121,561.07 nat. median
$69,822
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $72,612.26 $192,797.64 $121,020.44 nat. median
$97,418
1.2× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 $105,154.00 $126,691.00 $115,922.50 nat. median
$2,024
outlier · 57.3×
429
MS_DRG 		Inpatient Ms-DRG 6 $47,371.70 $134,882.72 $111,953.29 nat. median
$2,596
outlier · 43.1×
850
MS_DRG 		Inpatient Ms-DRG 6 $45,546.61 $129,641.37 $107,602.95 nat. median
$2,633
outlier · 40.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $44,349.68 $126,204.03 $104,749.94 nat. median
$60,505
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $44,211.55 $125,807.30 $104,420.65 nat. median
$59,651
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $41,424.65 $117,803.80 $97,777.71 nat. median
$56,428
1.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 4 $61,921.54 $152,739.79 $97,010.41 nat. median
$68,802
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $40,431.56 $114,951.83 $95,410.56 nat. median
$55,923
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $40,259.00 $114,456.29 $94,999.26 nat. median
$55,935
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $40,127.12 $114,077.52 $94,684.88 nat. median
$52,327
1.8× median
427
MS_DRG 		Inpatient Ms-DRG 6 $38,035.12 $108,069.66 $89,698.32 nat. median
$9,905
outlier · 9.1×
10
MS_DRG 		Pancreas Transplant 6 $37,811.48 $107,427.40 $89,165.25 nat. median
$23,080
outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 14,474 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
             
0408T CPT Hchg Insert New Ccm Generator & Lead (s) 17 9 $72,613.08 $29,045.24 60% off $22,402.09 $65,351.77 $49,620.14 2026-09-25
0409T CPT Hchg Insert New Ccm Generator Only 17 9 $50,836.13 $20,334.46 60% off $15,875.14 $45,752.52 $34,738.87 2026-09-25
0414T CPT Hchg Remove/replace Ccm Generator Only 17 9 $50,836.13 $20,334.46 60% off $15,875.14 $45,752.52 $34,738.87 2026-09-25
0571T CPT Insj/rplcmt Icds Ss Eltrd 4 4 — — $22,402.09 $55,258.49 $35,096.61 2026-09-25
0620T CPT Hchg Endovascular Venous Arterilization Tibial/peroneal Vein /w Stent Graft (tad… 17 9 $62,464.63 $24,985.86 60% off $29,152.24 $77,541.58 $42,685.21 2026-09-25
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
0870T CPT Outpatient Services 4 4 — — $31,435.77 $77,541.58 $49,249.38 2026-09-25
0871T CPT Outpatient Services 4 4 — — $24,450.12 $60,310.31 $38,305.19 2026-09-25
0908T CPT Outpatient Services 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
0909T CPT Outpatient Services 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
0915T CPT Outpatient Services 4 4 — — $22,402.09 $55,258.49 $35,096.61 2026-09-25
0956T CPT Outpatient Services 4 4 — — $19,365.43 $47,768.06 $30,339.18 2026-09-25
0960T CPT Outpatient Services 4 4 — — $19,365.43 $47,768.06 $30,339.18 2026-09-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 6 — — $146,494.27 $419,545.81 $348,224.98 2026-09-25
10 MS_DRG Pancreas Transplant 7 6 — — $37,811.48 $107,427.40 $89,165.25 2026-09-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 6 — — $28,836.69 $81,653.33 $67,772.65 2026-09-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 6 — — $22,382.40 $63,117.74 $52,388.02 2026-09-25
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 7 6 — — $15,427.14 $43,143.43 $35,809.25 2026-09-25
14 MS_DRG Allogeneic Bone Marrow Transplant 7 6 — — $63,054.13 $179,919.98 $149,334.43 2026-09-25
140 MS_DRG Major Head And Neck Procedures With Mcc 7 6 — — $22,639.40 $63,855.81 $53,000.62 2026-09-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 6 — — $19,935.41 $56,090.35 $46,555.25 2026-09-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 7 6 — — $31,316.01 $88,773.54 $73,682.45 2026-09-25
163 MS_DRG Major Chest Procedures With Mcc 7 6 — — $23,768.03 $67,097.03 $55,690.85 2026-09-25
164 MS_DRG Major Chest Procedures With Cc 7 6 — — $13,561.92 $37,786.80 $31,363.22 2026-09-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 6 — — $19,889.01 $55,957.11 $46,444.66 2026-09-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 6 — — $28,723.04 $81,326.96 $67,501.76 2026-09-25
173 MS_DRG Inpatient Ms-DRG 7 6 — — $15,920.31 $44,559.68 $36,984.75 2026-09-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $225,518.45 $646,489.70 $536,589.47 2026-09-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 6 — — $37,597.22 $106,812.10 $88,654.54 2026-09-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 6 — — $59,477.45 $169,648.38 $140,808.95 2026-09-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 6 — — $41,424.65 $117,803.80 $97,777.71 2026-09-25
20696 CPT Comp Multiplane Ext Fixation 4 4 — — $19,365.43 $47,768.06 $30,339.18 2026-09-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 6 — — $33,948.60 $96,333.89 $79,957.58 2026-09-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 6 — — $14,733.29 $41,150.79 $34,155.35 2026-09-25
209 MS_DRG Inpatient Ms-DRG 7 6 — — $59,409.68 $169,453.75 $140,647.41 2026-09-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 6 — — $28,001.04 $79,253.48 $65,780.76 2026-09-25
212 MS_DRG Inpatient Ms-DRG 7 6 — — $57,091.44 $162,796.15 $135,121.57 2026-09-25
213 MS_DRG Inpatient Ms-DRG 7 6 — — $30,154.55 $85,438.00 $70,913.94 2026-09-25
215 MS_DRG Other Heart Assist System Implant 7 6 — — $52,310.54 $149,066.25 $123,725.68 2026-09-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $51,402.43 $146,458.30 $121,561.07 2026-09-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $34,681.56 $98,438.82 $81,704.68 2026-09-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $34,681.56 $98,438.82 $81,704.68 2026-09-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $40,431.56 $114,951.83 $95,410.56 2026-09-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 6 — — $16,968.12 $47,568.86 $39,482.37 2026-09-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $28,204.34 $79,837.35 $66,265.37 2026-09-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $26,679.00 $75,456.83 $62,629.53 2026-09-25
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 4 4 — — $19,365.43 $47,768.06 $30,339.18 2026-09-25
22630 CPT Arthrd Pst Tq 1ntrspc Lum 4 4 — — $19,365.43 $47,768.06 $30,339.18 2026-09-25
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 4 4 — — $19,365.43 $47,768.06 $30,339.18 2026-09-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 6 — — $26,195.23 $74,067.53 $61,476.39 2026-09-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 6 — — $16,822.68 $47,151.16 $39,135.69 2026-09-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 6 — — $30,276.53 $85,788.32 $71,204.71 2026-09-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 6 — — $44,349.68 $126,204.03 $104,749.94 2026-09-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 6 — — $32,008.83 $90,763.18 $75,333.87 2026-09-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 6 — — $40,259.00 $114,456.29 $94,999.26 2026-09-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 6 — — $28,881.51 $108,018.00 $71,241.06 2026-09-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 6 — — $30,997.49 $87,858.81 $72,923.22 2026-09-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 6 — — $22,240.60 $62,710.52 $52,050.03 2026-09-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 6 — — $26,061.26 $73,682.77 $61,157.04 2026-09-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 6 — — $20,797.12 $58,565.05 $48,609.27 2026-09-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 6 — — $15,263.97 $42,674.84 $35,420.31 2026-09-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 6 — — $17,048.40 $47,799.41 $39,673.73 2026-09-25
245 MS_DRG Aicd Generator Procedures 7 6 — — $24,188.21 $68,303.69 $56,692.38 2026-09-25
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $105,154.00 $126,691.00 $115,922.50 2026-09-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 6 — — $24,106.37 $68,068.65 $56,497.29 2026-09-25
252 MS_DRG Other Vascular Procedures With Mcc 7 6 — — $18,588.88 $52,223.34 $43,345.62 2026-09-25
253 MS_DRG Other Vascular Procedures With Cc 7 6 — — $13,935.17 $38,858.73 $32,252.93 2026-09-25
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 6 — — $14,465.85 $40,382.78 $33,517.89 2026-09-25
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 6 — — $16,784.11 $47,040.38 $39,043.73 2026-09-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 6 — — $16,612.59 $46,547.83 $38,634.92 2026-09-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 6 — — $17,361.20 $48,697.67 $40,419.29 2026-09-25
263 MS_DRG Vein Ligation And Stripping 7 6 — — $16,342.57 $45,772.34 $37,991.25 2026-09-25
264 MS_DRG Other Circulatory System O.r. Procedures 7 6 — — $17,818.91 $50,012.12 $41,510.30 2026-09-25
265 MS_DRG Aicd Lead Procedures 7 6 — — $19,266.05 $54,168.07 $44,959.75 2026-09-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 6 — — $32,351.86 $91,748.28 $76,151.50 2026-09-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 6 — — $25,222.47 $71,273.94 $59,157.70 2026-09-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 6 — — $36,259.03 $102,969.04 $85,464.79 2026-09-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 6 — — $22,419.94 $63,225.53 $52,477.48 2026-09-25
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 7 6 — — $13,556.18 $37,770.34 $31,349.56 2026-09-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 6 — — $27,909.80 $78,991.49 $65,563.30 2026-09-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 6 — — $18,943.35 $53,241.37 $44,190.58 2026-09-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 7 6 — — $13,713.08 $38,220.96 $31,723.58 2026-09-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 6 — — $21,910.62 $61,762.86 $51,263.46 2026-09-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 6 — — $17,563.98 $49,280.04 $40,902.66 2026-09-25
275 MS_DRG Inpatient Ms-DRG 7 6 — — $37,575.33 $106,749.22 $88,602.35 2026-09-25
276 MS_DRG Inpatient Ms-DRG 7 6 — — $31,716.89 $89,924.81 $74,638.01 2026-09-25
277 MS_DRG Inpatient Ms-DRG 7 6 — — $24,480.66 $69,143.56 $57,389.48 2026-09-25
27702 CPT Reconstruct Ankle Joint 4 4 — — $19,365.43 $47,768.06 $30,339.18 2026-09-25
278 MS_DRG Inpatient Ms-DRG 7 6 — — $29,421.07 $83,331.58 $69,165.60 2026-09-25
279 MS_DRG Inpatient Ms-DRG 7 6 — — $19,204.52 $53,991.41 $44,813.13 2026-09-25
28 MS_DRG Spinal Procedures With Mcc 7 6 — — $31,725.76 $89,950.26 $74,659.14 2026-09-25
288 MS_DRG Acute And Subacute Endocarditis With Mcc 7 6 — — $14,511.73 $40,514.52 $33,627.24 2026-09-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 6 — — $18,189.01 $51,075.06 $42,392.54 2026-09-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 5 — — $111,052.29 $295,433.56 $185,087.15 2026-09-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 6 — — $23,761.25 $67,077.57 $55,674.69 2026-09-25
317 MS_DRG Inpatient Ms-DRG 7 6 — — $35,261.24 $100,103.59 $83,086.45 2026-09-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 6 — — $23,669.51 $66,814.08 $55,456.00 2026-09-25
321 MS_DRG Inpatient Ms-DRG 7 6 — — $14,587.85 $40,733.10 $33,808.66 2026-09-25
323 MS_DRG Inpatient Ms-DRG 7 6 — — $22,963.14 $64,785.51 $53,772.27 2026-09-25
324 MS_DRG Inpatient Ms-DRG 7 6 — — $16,830.50 $47,173.62 $39,154.33 2026-09-25
325 MS_DRG Inpatient Ms-DRG 7 6 — — $17,140.15 $48,062.90 $39,892.43 2026-09-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 6 — — $26,403.74 $74,666.37 $61,973.43 2026-09-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 7 6 — — $13,145.91 $36,592.12 $30,371.63 2026-09-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 6 — — $24,365.97 $68,814.20 $57,116.11 2026-09-25
332 MS_DRG Rectal Resection With Mcc 7 6 — — $19,279.07 $54,205.50 $44,990.82 2026-09-25
33249 CPT Hchg Insert/replace Icd System /w Lead (s) 17 9 $55,664.96 $22,265.99 60% off $22,402.09 $55,258.49 $38,038.65 2026-09-25
33276 CPT Outpatient Services 4 4 — — $31,435.77 $77,541.58 $49,249.38 2026-09-25
33287 CPT Outpatient Services 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
33289 CPT Hchg Implant Pressure Sensor, Pulmonary Artery 17 9 $75,064.90 $30,025.96 60% off $20,471.18 $67,558.41 $50,495.58 2026-09-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 6 — — $19,019.47 $53,459.94 $44,372.00 2026-09-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 6 — — $20,582.34 $57,948.25 $48,097.32 2026-09-25
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 6 — — $13,868.44 $38,667.10 $32,093.87 2026-09-25
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 7 6 — — $13,394.57 $37,306.23 $30,964.35 2026-09-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 6 — — $15,532.45 $43,445.84 $36,060.25 2026-09-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 6 — — $23,304.07 $65,764.61 $54,584.93 2026-09-25
359 MS_DRG Inpatient Ms-DRG 7 6 — — $18,329.78 $51,479.28 $42,728.04 2026-09-25
37 MS_DRG Extracranial Procedures With Mcc 7 6 — — $17,566.07 $49,286.03 $40,907.63 2026-09-25
37273 CPT Hchg Fem Pop Atherectomy W/wo Pta Initial Complex 17 9 $47,971.77 $19,188.71 60% off $13,083.21 $43,174.59 $32,271.91 2026-09-25
37277 CPT Hchg Fem Pop & Atherectomy Initial Complex 17 9 $47,971.77 $19,188.71 60% off $13,083.21 $43,174.59 $32,271.91 2026-09-25
37286 CPT Hchg Tibial/peroneal Stent Initial Complex 17 9 $47,971.77 $19,188.71 60% off $13,083.21 $43,174.59 $32,271.91 2026-09-25
37290 CPT Hchg Tibial/peroneal Atherectomy W/wo Pta Initial Complex 17 9 $47,971.77 $19,188.71 60% off $13,083.21 $43,174.59 $32,271.91 2026-09-25
37294 CPT Hchg Tibial/peroneal Stent & Atherectomy Initial Complex 17 9 $47,971.77 $19,188.71 60% off $13,083.21 $43,174.59 $32,271.91 2026-09-25
38240 CPT Transplt Allo Hct/donor 4 4 — — $44,892.25 $110,734.21 $70,331.18 2026-09-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 5 5 — — $72,612.26 $192,797.64 $121,020.44 2026-09-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 6 — — $20,532.80 $57,806.03 $47,979.27 2026-09-25
402 MS_DRG Inpatient Ms-DRG 7 6 — — $21,363.26 $60,190.91 $49,958.73 2026-09-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 6 — — $28,922.18 $81,898.86 $67,976.43 2026-09-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 6 — — $15,523.06 $43,418.89 $36,037.89 2026-09-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 6 — — $18,991.84 $53,380.60 $44,306.15 2026-09-25
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 6 — — $17,624.45 $49,453.70 $41,046.81 2026-09-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 6 — — $18,976.19 $53,335.68 $44,268.87 2026-09-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 6 — — $18,165.56 $51,007.69 $42,336.62 2026-09-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 6 — — $22,053.98 $62,174.56 $51,605.18 2026-09-25
426 MS_DRG Inpatient Ms-DRG 7 6 — — $57,858.28 $164,998.39 $136,949.43 2026-09-25
427 MS_DRG Inpatient Ms-DRG 7 6 — — $38,035.12 $108,069.66 $89,698.32 2026-09-25
428 MS_DRG Inpatient Ms-DRG 7 6 — — $29,711.96 $84,166.96 $69,858.97 2026-09-25
429 MS_DRG Inpatient Ms-DRG 7 6 — — $47,371.70 $134,882.72 $111,953.29 2026-09-25
430 MS_DRG Inpatient Ms-DRG 7 6 — — $30,468.37 $86,339.25 $71,661.98 2026-09-25
447 MS_DRG Inpatient Ms-DRG 7 6 — — $35,235.71 $100,030.23 $83,025.56 2026-09-25
448 MS_DRG Inpatient Ms-DRG 7 6 — — $22,511.69 $63,489.02 $52,696.18 2026-09-25
450 MS_DRG Inpatient Ms-DRG 7 6 — — $28,187.66 $79,789.44 $66,225.61 2026-09-25
451 MS_DRG Inpatient Ms-DRG 7 6 — — $17,244.42 $48,362.32 $40,140.95 2026-09-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $44,211.55 $125,807.30 $104,420.65 2026-09-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $31,490.12 $89,273.57 $74,097.48 2026-09-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $22,156.15 $62,467.99 $51,848.73 2026-09-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 6 — — $29,195.87 $82,684.83 $68,628.80 2026-09-25
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 6 — — $14,270.89 $39,822.86 $33,053.16 2026-09-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 6 — — $30,115.97 $85,327.21 $70,821.99 2026-09-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 6 — — $16,641.26 $46,630.17 $38,703.26 2026-09-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 6 — — $27,540.19 $77,930.04 $64,682.30 2026-09-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 6 — — $18,788.53 $52,796.73 $43,821.53 2026-09-25
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 7 6 — — $14,729.64 $41,140.31 $34,146.65 2026-09-25
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 6 — — $16,216.40 $45,410.04 $37,690.54 2026-09-25
471 MS_DRG Cervical Spinal Fusion With Mcc 7 6 — — $25,576.45 $72,290.47 $60,001.43 2026-09-25
472 MS_DRG Cervical Spinal Fusion With Cc 7 6 — — $15,762.35 $44,106.06 $36,608.24 2026-09-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 6 — — $22,783.30 $64,269.01 $53,343.58 2026-09-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 6 — — $18,413.18 $51,718.82 $42,926.86 2026-09-25
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 7 6 — — $13,224.11 $36,816.68 $30,558.02 2026-09-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 6 — — $15,586.15 $43,600.04 $36,188.24 2026-09-25
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 6 — — $14,854.23 $41,498.11 $34,443.63 2026-09-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 6 — — $17,227.21 $48,312.91 $40,099.94 2026-09-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 6 — — $19,544.42 $54,967.52 $45,623.30 2026-09-25
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 6 — — $13,625.00 $37,967.95 $31,513.58 2026-09-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 6 — — $19,305.14 $54,280.35 $45,052.95 2026-09-25
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 6 — — $16,130.90 $45,164.51 $37,486.76 2026-09-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 6 — — $54,153.36 $154,358.50 $128,118.27 2026-09-25
500 MS_DRG Soft Tissue Procedures With Mcc 7 6 — — $16,902.45 $47,380.22 $39,325.80 2026-09-25
503 MS_DRG Foot Procedures With Mcc 7 6 — — $14,954.32 $41,785.56 $34,682.21 2026-09-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 6 — — $16,150.20 $45,219.91 $37,532.73 2026-09-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 6 — — $17,017.65 $47,711.08 $39,600.42 2026-09-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 6 — — $19,886.91 $55,951.12 $46,439.69 2026-09-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 6 — — $15,366.67 $42,969.76 $35,665.11 2026-09-25
545 MS_DRG Connective Tissue Disorders With Mcc 7 6 — — $13,341.39 $37,153.53 $30,837.60 2026-09-25
570 MS_DRG Skin Debridement With Mcc 7 6 — — $15,736.28 $44,031.21 $36,546.11 2026-09-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 6 — — $34,556.96 $98,081.01 $81,407.70 2026-09-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 6 — — $18,500.77 $51,970.33 $43,135.62 2026-09-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 6 — — $25,954.40 $73,375.87 $60,902.31 2026-09-25
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 6 — — $14,222.41 $39,683.63 $32,937.60 2026-09-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 6 — — $17,286.64 $48,483.58 $40,241.60 2026-09-25
6 MS_DRG Liver Transplant Without Mcc 7 6 — — $24,577.11 $69,420.53 $57,619.36 2026-09-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 6 — — $14,777.07 $41,276.54 $34,259.72 2026-09-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 6 — — $18,584.17 $52,209.87 $43,334.43 2026-09-25
61891 CPT Outpatient Services 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 6 — — $15,456.33 $43,227.27 $35,878.83 2026-09-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 6 — — $18,958.46 $53,284.78 $44,226.62 2026-09-25
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 6 — — $16,148.11 $45,213.92 $37,527.76 2026-09-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 6 — — $19,832.18 $55,793.92 $46,309.22 2026-09-25
64568 CPT Opn Impltj Crnl Nrv Nea&pg 6 5 — — $1,689.00 $77,541.58 $38,770.79 2026-09-25
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
64654 CPT Outpatient Services 4 4 — — $31,435.77 $77,541.58 $49,249.38 2026-09-25
64656 CPT Outpatient Services 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 6 — — $24,912.83 $70,384.66 $58,419.60 2026-09-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 6 — — $19,722.71 $55,479.53 $46,048.27 2026-09-25
652 MS_DRG Kidney Transplant 7 6 — — $17,239.72 $48,348.84 $40,129.77 2026-09-25
653 MS_DRG Major Bladder Procedures With Mcc 7 6 — — $27,493.28 $77,795.30 $64,570.47 2026-09-25
654 MS_DRG Major Bladder Procedures With Cc 7 6 — — $14,997.07 $41,908.32 $34,784.10 2026-09-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 6 — — $17,001.48 $47,664.67 $39,561.90 2026-09-25
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 6 — — $13,650.02 $38,039.81 $31,573.22 2026-09-25
662 MS_DRG Minor Bladder Procedures With Mcc 7 6 — — $16,363.93 $45,833.72 $38,042.20 2026-09-25
665 MS_DRG Prostatectomy With Mcc 7 6 — — $16,675.15 $46,727.49 $38,784.03 2026-09-25
668 MS_DRG Transurethral Procedures With Mcc 7 6 — — $15,626.28 $43,715.32 $36,283.92 2026-09-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 6 — — $22,307.34 $62,902.15 $52,209.08 2026-09-25
7 MS_DRG Lung Transplant 7 6 — — $67,914.26 $193,877.44 $160,919.19 2026-09-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 6 — — $19,038.23 $53,513.84 $44,416.74 2026-09-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 6 — — $19,081.49 $53,638.10 $44,519.87 2026-09-25
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 7 6 — — $13,789.21 $38,439.54 $31,905.00 2026-09-25
783 MS_DRG Cesarean Section With Sterilization With Mcc 7 6 — — $7,620.00 $36,755.30 $30,507.07 2026-09-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 6 — — $31,387.95 $88,980.14 $73,853.93 2026-09-25
791 MS_DRG Prematurity With Major Problems 7 6 — — $21,563.96 $60,767.29 $50,437.13 2026-09-25
792 MS_DRG Prematurity Without Major Problems 7 6 — — $13,171.98 $36,666.97 $30,433.76 2026-09-25
793 MS_DRG Full Term Neonate With Major Problems 7 6 — — $22,140.50 $62,423.08 $51,811.45 2026-09-25
799 MS_DRG Splenectomy With Mcc 7 6 — — $24,013.58 $67,802.16 $56,276.11 2026-09-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 6 — — $29,621.26 $83,906.47 $69,642.76 2026-09-25
800 MS_DRG Splenectomy With Cc 7 6 — — $15,049.73 $42,059.53 $34,909.60 2026-09-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 6 — — $21,173.50 $59,645.96 $49,506.43 2026-09-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 6 — — $30,977.69 $87,801.92 $72,876.00 2026-09-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 6 — — $24,304.97 $68,639.04 $56,970.72 2026-09-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 6 — — $24,789.80 $70,031.34 $58,126.34 2026-09-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 6 — — $16,877.42 $47,308.36 $39,266.16 2026-09-25
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 7 6 — — $29,023.31 $82,189.29 $68,217.50 2026-09-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 6 — — $25,449.24 $71,925.18 $59,698.23 2026-09-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 6 — — $17,267.88 $48,429.69 $40,196.87 2026-09-25
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 7 6 — — $13,919.00 $38,812.32 $32,214.41 2026-09-25
849 MS_DRG Radiotherapy 7 6 — — $14,528.93 $40,563.92 $33,668.25 2026-09-25
850 MS_DRG Inpatient Ms-DRG 7 6 — — $45,546.61 $129,641.37 $107,602.95 2026-09-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 6 — — $26,149.37 $73,935.78 $61,367.04 2026-09-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 6 — — $24,116.78 $68,098.59 $56,522.15 2026-09-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 6 — — $36,435.75 $103,476.56 $85,886.03 2026-09-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 5 — — $20,552.09 $57,861.42 $41,139.37 2026-09-25
901 MS_DRG Wound Debridements For Injuries With Mcc 7 6 — — $22,281.26 $62,827.30 $52,146.95 2026-09-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 7 6 — — $19,552.24 $54,989.98 $45,641.94 2026-09-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 6 — — $20,418.64 $57,478.16 $47,707.14 2026-09-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 6 — — $111,705.47 $319,638.34 $265,301.31 2026-09-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 6 — — $37,795.85 $107,382.49 $89,127.97 2026-09-25
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 7 6 — — $17,194.37 $48,218.60 $40,021.66 2026-09-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 6 — — $20,704.84 $58,300.07 $48,389.33 2026-09-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 6 — — $19,319.74 $54,322.27 $45,087.74 2026-09-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 6 — — $18,750.98 $52,688.94 $43,732.06 2026-09-25
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 7 6 — — $13,849.68 $38,613.20 $32,049.14 2026-09-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $35,493.75 $100,771.30 $83,640.65 2026-09-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 6 — — $20,020.88 $56,335.87 $46,759.04 2026-09-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 6 — — $40,127.12 $114,077.52 $94,684.88 2026-09-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 6 — — $22,371.45 $63,086.30 $52,361.92 2026-09-25
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 7 6 — — $15,751.92 $44,076.12 $36,583.39 2026-09-25
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 7 6 — — $13,849.68 $38,613.20 $32,049.14 2026-09-25
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 6 — — $14,655.62 $40,927.72 $33,970.20 2026-09-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 6 — — $32,314.83 $91,641.98 $76,063.27 2026-09-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 6 — — $19,232.67 $54,072.26 $44,880.23 2026-09-25
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 7 6 — — $14,153.08 $39,484.52 $32,772.33 2026-09-25
974 MS_DRG HIV With Major Related Condition With Mcc 7 6 — — $15,449.03 $43,206.31 $35,861.44 2026-09-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 6 — — $24,862.77 $70,240.94 $58,300.31 2026-09-25
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 6 — — $13,220.45 $36,806.20 $30,549.32 2026-09-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 6 — — $18,276.60 $51,326.58 $42,601.30 2026-09-25
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $42,618.41 $105,125.42 $63,927.62 2026-09-25
C1605 HCPCS Hchg Dr-leadless Ppm Dual Chamber System 14 9 $56,870.00 $22,748.00 60% off $17,061.00 $51,183.00 $38,862.11 2026-09-25
C1722 HCPCS Hchg Sq - Icd Pulse Generator 23 9 $51,587.55 $20,635.02 60% off $14,159.82 $46,428.80 $32,035.87 2026-09-25
C1882 HCPCS Hchg Bi-v Icd 14 9 $84,171.96 $33,668.79 60% off $25,251.59 $75,754.76 $57,518.90 2026-09-25
C8007 HCPCS Outpatient Services 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
C8011 HCPCS Outpatient Services 4 4 — — $22,023.00 $54,323.41 $34,502.70 2026-09-25
C9309 HCPCS Outpatient Services 4 4 — — $1,998,171.44 $4,928,822.89 $3,130,468.60 2026-09-25
J1411 HCPCS Outpatient Services 3 3 — — $2,768,587.50 $4,614,312.50 $4,060,595.00 2026-09-25
J1413 HCPCS Outpatient Services 3 3 — — $2,487,672.84 $4,146,121.41 $3,648,586.84 2026-09-25
J2789 HCPCS Outpatient Services 4 4 — — $30,320.63 $74,790.88 $47,502.32 2026-09-25
J3387 HCPCS Outpatient Services 3 3 — — $2,385,000.00 $3,975,000.00 $3,498,000.00 2026-09-25
J3389 HCPCS Outpatient Services 3 3 — — $2,464,337.03 $4,107,228.38 $3,614,360.97 2026-09-25
J3391 HCPCS Outpatient Services 2 2 — — $3,378,750.00 $4,955,500.00 $4,167,125.00 2026-09-25
J3392 HCPCS Outpatient Services 4 4 — — $1,725,680.00 $4,256,677.33 $2,703,565.33 2026-09-25
J3393 HCPCS Outpatient Services 3 3 — — $2,197,695.26 $3,662,825.43 $3,223,286.38 2026-09-25
J3394 HCPCS Outpatient Services 3 3 — — $2,426,477.99 $4,044,129.98 $3,558,834.38 2026-09-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $2,010,028.04 $4,958,069.16 $3,015,042.05 2026-09-25
J3402 HCPCS Outpatient Services 4 4 — — $152,744.82 $376,770.56 $239,300.22 2026-09-25
J3403 HCPCS Outpatient Services 4 4 — — $196,184.74 $483,922.35 $307,356.09 2026-09-25
J3404 HCPCS Outpatient Services 4 4 — — $91,425.00 $225,515.00 $143,232.50 2026-09-25
J3405 HCPCS Outpatient Services 4 4 — — $1,998,171.44 $4,928,822.89 $3,130,468.60 2026-09-25
J9029 HCPCS Outpatient Services 4 4 — — $48,248.71 $119,013.49 $75,589.65 2026-09-25
J9183 HCPCS Outpatient Services 4 4 — — $54,738.18 $135,020.85 $85,756.49 2026-09-25
J9226 HCPCS Supprelin La Implant 6 5 — — $28,118.98 $69,360.15 $47,014.60 2026-09-25
J9266 HCPCS Pegaspargase Injection 6 5 — — $22,247.97 $54,878.34 $31,751.07 2026-09-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $85,572.93 $211,079.89 $134,064.26 2026-09-25
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $26,444.78 $65,230.46 $41,430.16 2026-09-25
L5858 HCPCS Stance Phase Only 4 4 — — $20,443.83 $50,428.11 $32,028.67 2026-09-25
L6700 HCPCS Outpatient Services 4 4 — — $26,559.17 $65,512.63 $41,609.37 2026-09-25
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $26,288.44 $64,844.81 $41,185.22 2026-09-25
L6975 HCPCS Interscap-thor Myoelectronic 4 4 — — $19,564.01 $48,257.90 $30,650.29 2026-09-25
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $39,992.60 $98,648.40 $62,655.07 2026-09-25
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $44,075.11 $108,718.60 $69,051.00 2026-09-25
L8614 HCPCS Cochlear Device 4 4 — — $21,276.68 $52,482.47 $33,333.46 2026-09-25
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 4 — — $31,473.12 $77,633.70 $49,307.89 2026-09-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $61,921.54 $152,739.79 $97,010.41 2026-09-25
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $99,096.22 $244,437.34 $155,250.74 2026-09-25
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $20,629.68 $50,886.54 $32,319.83 2026-09-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $421,875.67 $1,040,626.65 $660,938.55 2026-09-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $458,769.88 $1,131,632.37 $636,592.12 2026-09-25
Q2043 HCPCS Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml Susp 250 Ml Bag 17 9 $77,781.25 $31,112.50 60% off $36,300.51 $103,474.99 $53,151.82 2026-09-25
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $382,577.94 $943,692.25 $542,883.46 2026-09-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 4 — — $434,677.96 $1,072,205.64 $680,995.48 2026-09-25
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $425,983.34 $1,050,758.89 $613,106.14 2026-09-25
Q2056 HCPCS Outpatient Services 4 4 — — $440,983.32 $1,087,758.85 $690,873.86 2026-09-25
Q2057 HCPCS Outpatient Services 4 4 — — $610,475.53 $1,505,839.64 $956,411.67 2026-09-25
Q2058 HCPCS Outpatient Services 4 4 — — $208,687.50 $514,762.50 $326,943.75 2026-09-25
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