Hospital

THE MEDICAL CENTER (BOWLING GREEN)

Bowling Green, KY · CCN 180013 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $5,479 across 18 payers · range $4,831-$10,680

Source: https://medcenterhealth.org/charges/mcbg/ · observed 2026-04-01

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.

16,798 distinct procedures filed

20 distinct payers

471,261 rate rows

2026-04-01 last MRF observed

Data quality

470,266 of 471,261 rate rows are consumer-grade (99.8%)

995 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 — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	717
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	270
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	8

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://medcenterhealth.org/download/16252/
Found on page	https://medcenterhealth.org/estimates-and-charges/
Discovered via	Discovered by HANK
Last fetch	— · 2026-07-17
Content fingerprint	4ecd9ee4e21d4c48… · 25,516,242 bytes · first seen 2026-05-04

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
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$3,710,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	7	$3,710,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,321,781.51	$3,321,781.51	$3,321,781.51	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	7	$3,193,000.00	$3,193,000.00	$3,193,000.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	7	$2,968,000.00	$2,968,000.00	$2,968,000.00	nat. median $2,997,086 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	7	$2,403,458.75	$2,403,458.75	$2,403,458.75	nat. median $2,460,273 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	7	$2,332,000.00	$2,332,000.00	$2,332,000.00	nat. median $2,405,851 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$565,623.84	$565,623.84	$565,623.84	nat. median $691,418 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$551,318.34	$551,318.34	$551,318.34	nat. median $631,793 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$528,312.43	$528,312.43	$528,312.43	nat. median $610,161 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$516,485.97	$516,485.97	$516,485.97	nat. median $624,417 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$489,517.15	$489,517.15	$489,517.15	nat. median $588,565 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$488,051.51	$488,051.51	$488,051.51	nat. median $577,541 0.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	$309,442.26	$862,490.06	$331,117.40	nat. median $370,165 0.9× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$200,815.58	$552,379.09	$214,992.04	nat. median $261,939 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	$152,096.99	$349,332.44	$157,503.65	nat. median $199,832 0.8× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	$132,068.39	$420,839.71	$141,499.11	nat. median $205,166 0.7× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	18	$99,257.31	$268,838.86	$102,840.17	nat. median $132,706 0.8× median
7 MS_DRG	Lung Transplant	18	$92,799.43	$255,261.39	$99,519.36	nat. median $122,690 0.8× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	18	$86,118.69	$236,884.83	$92,377.43	nat. median $114,305 0.8× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	$81,202.19	$223,361.11	$87,121.54	nat. median $108,240 0.8× median
209 MS_DRG	Complex Aortic Arch Procedures	18	$81,109.03	$226,070.39	$87,021.95	nat. median $96,134 0.9× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	$78,976.47	$220,126.43	$84,742.17	nat. median $96,835 0.9× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	18	$77,922.37	$217,188.40	$83,615.31	nat. median $100,978 0.8× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	18	$73,883.68	$203,230.27	$79,297.83	nat. median $99,646 0.8× median
215 MS_DRG	Other Heart Assist System Implant	18	$71,350.55	$198,871.16	$76,589.83	nat. median $98,002 0.8× median
3559241 LOCAL	Cath-impella 5.5 0550-0008	13	$870.85	$137,542.65	$76,267.27	nat. median $107,371 0.7× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	$70,102.26	$195,391.86	$75,255.36	nat. median $92,900 0.8× median
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	18	$64,561.61	$179,948.74	$69,332.23	nat. median $81,124 0.9× median
850 MS_DRG	Acute Leukemia With Other Procedures	18	$62,052.84	$172,956.19	$66,650.28	nat. median $81,364 0.8× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	18	$60,407.55	$168,370.39	$64,891.42	nat. median $79,040 0.8× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	$60,217.66	$167,841.11	$64,688.41	nat. median $80,459 0.8× median
J9029 HCPCS	Instill Adstiladrin, Tx Dose	7	$63,402.04	$63,402.04	$63,402.04	nat. median $69,291 0.9× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	18	$56,386.78	$157,163.54	$60,593.09	nat. median $77,385 0.8× median
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	$55,021.69	$153,358.69	$59,133.75	nat. median $74,472 0.8× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	18	$54,784.50	$152,697.58	$58,880.19	nat. median $73,475 0.8× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	18	$54,603.20	$152,192.26	$58,686.38	nat. median $71,485 0.8× median
A9543 HCPCS	Y90 Ibritumomab, Rx	7	$56,824.55	$56,824.55	$56,824.55	nat. median $63,643 0.9× median
38240 CPT	Transplt Allo Hct/donor	7	$55,824.45	$55,824.45	$55,824.45	nat. median $13,835 outlier · 4.0×
427 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	$51,727.54	$144,177.10	$55,612.20	nat. median $66,640 0.8× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	7	$55,536.50	$55,536.50	$55,536.50	nat. median $65,655 0.8× median
928 MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	18	$51,398.62	$141,381.09	$55,260.59	nat. median $62,911 0.9× median
275 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	18	$51,095.51	$142,415.48	$54,936.54	nat. median $68,581 0.8× median
3602882 LOCAL	Valve-evolut Fx+ Evfxplus-34	13	$3,136.96	$97,808.39	$54,234.66	nat. median $76,353 0.7× median
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	18	$49,529.05	$138,049.38	$53,261.95	nat. median $65,958 0.8× median
268 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	18	$49,286.13	$137,372.30	$53,002.26	nat. median $65,792 0.8× median
955 MS_DRG	Craniotomy For Multiple Significant Trauma	18	$48,234.18	$134,440.26	$51,877.69	nat. median $64,357 0.8× median
317 MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	18	$47,914.58	$133,549.46	$51,536.03	nat. median $59,832 0.9× median
447 MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	18	$47,879.47	$133,451.60	$51,498.49	nat. median $62,262 0.8× median
19 MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	18	$47,489.64	$140,630.10	$51,081.76	nat. median $69,153 0.7× median

Other procedures at this hospital

Browse this hospital's 16,798 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J1414	HCPCS	Inj, Beqvez, Per Tx Dose	7	7	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2026-04-01
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	7	7	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2026-04-01
J1413	HCPCS	Inj Delandistrogene Mox Rokl	7	7	—	—	$3,321,781.51	$3,321,781.51	$3,321,781.51	2026-04-01
J3394	HCPCS	Inj, Lovotibeglogene Autotem	7	7	—	—	$3,193,000.00	$3,193,000.00	$3,193,000.00	2026-04-01
J3393	HCPCS	Inj, Betibeglogene Autotemce	7	7	—	—	$2,968,000.00	$2,968,000.00	$2,968,000.00	2026-04-01
J3399	HCPCS	Inj Onase Abepar-xioi Treat	7	7	—	—	$2,403,458.75	$2,403,458.75	$2,403,458.75	2026-04-01
J3392	HCPCS	Inj, Exagamglogene Autotem	7	7	—	—	$2,332,000.00	$2,332,000.00	$2,332,000.00	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	7	7	—	—	$565,623.84	$565,623.84	$565,623.84	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	7	7	—	—	$551,318.34	$551,318.34	$551,318.34	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	7	7	—	—	$528,312.43	$528,312.43	$528,312.43	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	7	7	—	—	$516,485.97	$516,485.97	$516,485.97	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	7	7	—	—	$489,517.15	$489,517.15	$489,517.15	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	7	7	—	—	$488,051.51	$488,051.51	$488,051.51	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	21	18	—	—	$309,442.26	$862,490.06	$331,117.40	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	18	—	—	$200,815.58	$552,379.09	$214,992.04	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	21	18	—	—	$152,096.99	$349,332.44	$157,503.65	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	21	18	—	—	$132,068.39	$420,839.71	$141,499.11	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	21	18	—	—	$99,257.31	$268,838.86	$102,840.17	2026-04-01
7	MS_DRG	Lung Transplant	21	18	—	—	$92,799.43	$255,261.39	$99,519.36	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	21	18	—	—	$86,118.69	$236,884.83	$92,377.43	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	21	18	—	—	$81,202.19	$223,361.11	$87,121.54	2026-04-01
209	MS_DRG	Complex Aortic Arch Procedures	21	18	—	—	$81,109.03	$226,070.39	$87,021.95	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	21	18	—	—	$78,976.47	$220,126.43	$84,742.17	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	21	18	—	—	$77,922.37	$217,188.40	$83,615.31	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	21	18	—	—	$73,883.68	$203,230.27	$79,297.83	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	21	18	—	—	$71,350.55	$198,871.16	$76,589.83	2026-04-01
3559241	LOCAL	Cath-impella 5.5 0550-0008	24	13	$189,531.00	—	$870.85	$137,542.65	$76,267.27	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	18	—	—	$70,102.26	$195,391.86	$75,255.36	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	21	18	—	—	$64,561.61	$179,948.74	$69,332.23	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	21	18	—	—	$62,052.84	$172,956.19	$66,650.28	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	21	18	—	—	$60,407.55	$168,370.39	$64,891.42	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	18	—	—	$60,217.66	$167,841.11	$64,688.41	2026-04-01
J9029	HCPCS	Instill Adstiladrin, Tx Dose	7	7	—	—	$63,402.04	$63,402.04	$63,402.04	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	21	18	—	—	$56,386.78	$157,163.54	$60,593.09	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	18	—	—	$55,021.69	$153,358.69	$59,133.75	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	21	18	—	—	$54,784.50	$152,697.58	$58,880.19	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	21	18	—	—	$54,603.20	$152,192.26	$58,686.38	2026-04-01
A9543	HCPCS	Y90 Ibritumomab, Rx	7	7	—	—	$56,824.55	$56,824.55	$56,824.55	2026-04-01
38240	CPT	Transplt Allo Hct/donor	7	7	—	—	$55,824.45	$55,824.45	$55,824.45	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	21	18	—	—	$51,727.54	$144,177.10	$55,612.20	2026-04-01
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	7	7	—	—	$55,536.50	$55,536.50	$55,536.50	2026-04-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	21	18	—	—	$51,398.62	$141,381.09	$55,260.59	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	21	18	—	—	$51,095.51	$142,415.48	$54,936.54	2026-04-01
3602882	LOCAL	Valve-evolut Fx+ Evfxplus-34	24	13	$134,778.00	—	$3,136.96	$97,808.39	$54,234.66	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	21	18	—	—	$49,529.05	$138,049.38	$53,261.95	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	21	18	—	—	$49,286.13	$137,372.30	$53,002.26	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	21	18	—	—	$48,234.18	$134,440.26	$51,877.69	2026-04-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	21	18	—	—	$47,914.58	$133,549.46	$51,536.03	2026-04-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	21	18	—	—	$47,879.47	$133,451.60	$51,498.49	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	21	18	—	—	$47,489.64	$140,630.10	$51,081.76	2026-04-01
3574664	LOCAL	Valve-evolutr Evolutr-23-US	24	13	$126,354.00	—	$164.05	$91,695.10	$50,844.85	2026-04-01
3598802	LOCAL	Valve-evolut Fx Evolutfx	24	13	$126,354.00	—	$5,295.18	$91,695.10	$50,844.85	2026-04-01
3058904	LOCAL	Valve-evolutpro-23-US	24	13	$126,354.00	—	$10,956.84	$91,695.10	$50,844.85	2026-04-01
3086401	LOCAL	Valve-evolutpro 26 US	24	13	$126,354.00	—	$22,195.62	$91,695.10	$50,844.85	2026-04-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	18	—	—	$47,117.73	$131,328.47	$50,684.18	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	18	—	—	$47,117.73	$131,328.47	$50,684.18	2026-04-01
3825114	LOCAL	Valve-evolutr Evolutr-34-US	20	13	$126,353.00	—	$870.85	$75,811.80	$50,541.20	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	21	18	—	—	$46,946.47	$130,851.11	$50,501.09	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	21	18	—	—	$46,110.21	$128,520.26	$49,607.11	2026-04-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	21	18	—	—	$43,915.31	$122,402.53	$47,260.68	2026-04-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	21	18	—	—	$43,864.43	$122,260.72	$47,206.29	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	21	18	—	—	$43,443.79	$121,088.31	$46,756.62	2026-04-01
28	MS_DRG	Spinal Procedures With Mcc	21	18	—	—	$43,054.69	$120,003.78	$46,340.65	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	21	18	—	—	$43,042.50	$119,969.82	$46,327.63	2026-04-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	18	—	—	$42,730.79	$119,101.00	$45,994.40	2026-04-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	21	18	—	—	$42,491.45	$116,880.32	$45,738.53	2026-04-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	21	18	—	—	$42,053.61	$117,213.55	$45,270.48	2026-04-01
J9226	HCPCS	Supprelin La Implant	7	7	—	—	$45,261.80	$45,261.80	$45,261.80	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	21	18	—	—	$42,026.38	$117,137.65	$45,241.37	2026-04-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	21	18	—	—	$41,326.28	$115,186.29	$44,492.93	2026-04-01
3601417	LOCAL	Cath-steerable Guide Mitraclip	24	13	$110,000.00	—	$39.48	$79,827.00	$44,264.00	2026-04-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	21	18	—	—	$42,590.34	$45,844.25	$44,217.29	2026-04-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	21	18	—	—	$41,062.57	$114,451.28	$44,211.02	2026-04-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	21	18	—	—	$40,894.89	$113,983.91	$44,031.77	2026-04-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	21	18	—	—	$40,841.87	$113,836.11	$43,975.08	2026-04-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	21	18	—	—	$40,286.51	$112,288.21	$43,381.39	2026-04-01
3550613	LOCAL	Stent-thoracic Tgmr312610	24	13	$84,847.00	—	$3,513.44	$62,124.97	$43,294.46	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	21	18	—	—	$40,161.83	$110,472.27	$43,248.09	2026-04-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	21	18	—	—	$39,886.66	$111,173.71	$42,953.93	2026-04-01
33276	CPT	Insj Phrnc Nrv Stim Sys	7	7	—	—	$42,475.97	$42,475.97	$42,475.97	2026-04-01
0266T	CPT	Implt/rpl Crtd Sns Dev Total	7	7	—	—	$42,475.97	$42,475.97	$42,475.97	2026-04-01
3059056	LOCAL	Set-impella Rp Pump 004334	24	13	$105,295.00	—	$4,206.90	$76,412.58	$42,370.71	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	21	18	—	—	$39,339.90	$109,649.77	$42,369.43	2026-04-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	21	18	—	—	$39,200.88	$109,262.30	$42,220.81	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	21	18	—	—	$39,144.99	$109,106.51	$42,161.06	2026-04-01
3827720	LOCAL	Cath-impella Cp 0048-0003	20	13	$105,294.00	—	$22,111.74	$63,176.40	$42,117.60	2026-04-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	21	18	—	—	$39,083.36	$108,934.74	$42,095.18	2026-04-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	21	18	—	—	$38,413.35	$108,863.85	$41,378.92	2026-04-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	18	—	—	$38,214.14	$106,512.01	$41,165.96	2026-04-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	21	18	—	—	$38,191.21	$106,448.10	$41,141.44	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	21	18	—	—	$37,934.67	$105,733.07	$40,867.20	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	21	18	—	—	$37,809.27	$105,383.54	$40,733.14	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	21	18	—	—	$37,301.21	$103,967.45	$40,190.00	2026-04-01
653	MS_DRG	Major Bladder Procedures With Mcc	21	18	—	—	$37,236.72	$103,787.70	$40,121.06	2026-04-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	18	—	—	$36,117.41	$100,667.91	$38,924.48	2026-04-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	21	18	—	—	$35,739.05	$99,613.34	$38,520.01	2026-04-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	21	18	—	—	$35,452.42	$98,814.42	$38,213.59	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	21	18	—	—	$35,389.36	$98,638.66	$38,146.17	2026-04-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	21	18	—	—	$35,268.25	$98,301.11	$38,016.71	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	21	18	—	—	$35,121.35	$97,891.67	$37,859.67	2026-04-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	21	18	—	—	$34,670.62	$107,076.07	$37,377.82	2026-04-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	21	18	—	—	$34,601.83	$96,443.63	$37,304.28	2026-04-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	21	18	—	—	$34,426.98	$95,956.28	$37,117.36	2026-04-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	21	18	—	—	$34,115.27	$95,087.46	$36,784.13	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	21	18	—	—	$33,689.61	$93,901.06	$36,329.09	2026-04-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	21	18	—	—	$33,620.82	$93,709.32	$36,255.55	2026-04-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	21	18	—	—	$33,520.50	$93,429.70	$36,148.30	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	21	18	—	—	$33,228.13	$91,399.91	$35,835.75	2026-04-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	21	18	—	—	$33,095.56	$92,245.30	$35,694.03	2026-04-01
3600543	LOCAL	Graft-tag Stent 40x40x10/22fr	24	13	$86,629.00	—	$18,192.09	$62,866.67	$35,608.85	2026-04-01
3600541	LOCAL	Graft-tag Stent 45x45x10/24fr	24	13	$86,629.00	—	$18,192.09	$62,866.67	$35,608.85	2026-04-01
3600540	LOCAL	Graft-tag Stent 34x34x15/22fr	24	13	$86,629.00	—	$18,192.09	$62,866.67	$35,608.85	2026-04-01
3600542	LOCAL	Graft-tag Stent 45x45x20/24fr	24	13	$86,629.00	—	$18,192.09	$62,866.67	$35,608.85	2026-04-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	21	18	—	—	$32,937.91	$91,805.89	$35,525.50	2026-04-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	21	18	—	—	$32,854.07	$91,572.21	$35,435.87	2026-04-01
245	MS_DRG	Aicd Generator Procedures	21	18	—	—	$32,693.56	$91,124.82	$35,264.28	2026-04-01
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	21	18	—	—	$32,595.39	$90,851.19	$35,159.33	2026-04-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	21	18	—	—	$32,581.05	$90,811.24	$35,144.01	2026-04-01
799	MS_DRG	Splenic Procedures With Mcc	21	18	—	—	$32,453.50	$90,455.72	$35,007.65	2026-04-01
3600538	LOCAL	Graft-tag Stent 21x21x10/18fr	24	13	$84,847.00	—	$17,817.87	$61,573.47	$34,876.36	2026-04-01
3600539	LOCAL	Graft-tag Stent 34x34x10/22fr	24	13	$84,847.00	—	$17,817.87	$61,573.47	$34,876.36	2026-04-01
3599528	LOCAL	Stent-thoracic Tag Tgm343420	24	13	$86,629.00	—	$9,651.67	$62,866.67	$34,859.51	2026-04-01
3600544	LOCAL	Graft-tag Stent 40x40x20/22fr	24	13	$86,629.00	—	$993.19	$62,866.67	$34,859.51	2026-04-01
163	MS_DRG	Major Chest Procedures With Mcc	21	18	—	—	$32,115.99	$89,514.99	$34,646.84	2026-04-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	21	18	—	—	$32,106.67	$89,489.03	$34,636.88	2026-04-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	21	18	—	—	$31,980.55	$89,137.50	$34,502.05	2026-04-01
3550896	LOCAL	Stent-thoracic Tgmr312610	24	13	$84,847.00	—	$5,711.15	$61,573.47	$34,142.43	2026-04-01
3559465	LOCAL	Stent-thoracic Tgm262610	24	13	$84,847.00	—	$6,285.60	$61,573.47	$34,142.43	2026-04-01
3599631	LOCAL	Stent,thoracic Tgmr373715	24	13	$84,847.00	—	$92.87	$61,573.47	$34,142.43	2026-04-01
3598209	LOCAL	Stent-thoracic Tgmr	24	13	$84,847.00	—	$3,212.59	$61,573.47	$34,142.43	2026-04-01
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	21	18	—	—	$31,478.23	$87,737.39	$33,965.05	2026-04-01
3827727	LOCAL	Cath-impella 2.5 005042	20	13	$84,235.00	—	$2,614.78	$50,541.00	$33,694.00	2026-04-01
3559555	LOCAL	Stent-thoracic Vnmc3731c207tu	24	13	$83,464.00	—	$605.04	$60,569.82	$33,585.92	2026-04-01
3549222	LOCAL	Stent-valiant Thoracic	24	13	$83,464.00	—	$9,787.36	$60,569.82	$33,585.92	2026-04-01
3549969	LOCAL	Stent-valiant Thoracic	24	13	$83,464.00	—	$3,136.96	$60,569.82	$33,585.92	2026-04-01
3549225	LOCAL	Stent-valiant Thoracic	24	13	$83,464.00	—	$375.92	$60,569.82	$33,585.92	2026-04-01
3550428	LOCAL	Stent-thoracic Vnmc3428c207tu	24	13	$83,464.00	—	$610.04	$60,569.82	$33,585.92	2026-04-01
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	21	18	—	—	$31,009.58	$86,431.16	$33,464.05	2026-04-01
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	21	18	—	—	$30,762.36	$85,742.09	$33,199.76	2026-04-01
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	7	7	—	—	$33,036.97	$33,036.97	$33,036.97	2026-04-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	21	18	—	—	$30,564.58	$85,190.84	$32,988.33	2026-04-01
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	21	18	—	—	$30,389.01	$84,701.50	$32,800.65	2026-04-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	21	18	—	—	$30,262.89	$84,349.97	$32,665.82	2026-04-01
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	21	18	—	—	$30,211.30	$84,206.17	$32,610.67	2026-04-01
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	21	18	—	—	$30,196.25	$84,164.22	$32,594.58	2026-04-01
3549979	LOCAL	Stent-thoracic Vnmf3131c174tu	24	13	$79,183.00	—	$16,628.43	$57,463.10	$32,548.17	2026-04-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	21	18	—	—	$30,108.11	$83,918.56	$32,500.35	2026-04-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	21	18	—	—	$30,072.28	$83,818.69	$32,462.05	2026-04-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	21	18	—	—	$30,016.39	$83,662.90	$32,402.30	2026-04-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	18	—	—	$29,900.30	$83,339.34	$32,278.20	2026-04-01
C2624	HCPCS	System-cardiomems Patient	24	13	$80,025.00	—	$4,252.50	$58,074.14	$32,202.06	2026-04-01
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	21	18	—	—	$29,759.85	$82,947.87	$32,128.05	2026-04-01
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	21	18	—	—	$29,562.79	$82,398.61	$31,917.39	2026-04-01
3599512	LOCAL	Kit-dual N8 Processor Dualn8	24	13	$62,546.00	—	$501.05	$45,796.18	$31,915.04	2026-04-01
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	21	18	—	—	$28,810.37	$80,301.45	$31,113.03	2026-04-01
793	MS_DRG	Full Term Neonate With Major Problems	21	18	—	—	$16,666.59	$32,255.22	$31,067.01	2026-04-01
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	21	18	—	—	$28,549.54	$79,574.43	$30,834.19	2026-04-01
3058820	LOCAL	Set-beq-hls Advanced 7.0 7050	24	13	$60,044.00	—	$99.54	$43,964.22	$30,638.35	2026-04-01
C1882	HCPCS	Defibrillator-amplia Crt-d	471	13	$75,813.00	—	$41.71	$75,718.81	$30,325.20	2026-04-01
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	21	18	—	—	$28,032.16	$78,132.38	$30,281.10	2026-04-01
33270	CPT	Ins/rep Subq Defibrillator	7	7	—	—	$30,262.93	$30,262.93	$30,262.93	2026-04-01
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	7	7	—	—	$30,262.93	$30,262.93	$30,262.93	2026-04-01
33231	CPT	Insrt Pulse Gen W/mult Leads	7	7	—	—	$30,262.93	$30,262.93	$30,262.93	2026-04-01
33249	CPT	Insj/rplcmt Defib W/lead(s)	7	7	—	—	$30,262.93	$30,262.93	$30,262.93	2026-04-01
0408T	CPT	Insj/rplc Cardiac Modulj Sys	7	7	—	—	$30,262.93	$30,262.93	$30,262.93	2026-04-01
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	7	7	—	—	$30,262.93	$30,262.93	$30,262.93	2026-04-01
0571T	CPT	Insj/rplcmt Icds Ss Eltrd	7	7	—	—	$30,262.93	$30,262.93	$30,262.93	2026-04-01
C1767	HCPCS	Controller-proclaim Elite 3662	298	13	$75,619.00	—	$82.86	$113,664.94	$30,258.71	2026-04-01
791	MS_DRG	Prematurity With Major Problems	21	18	—	—	$29,086.26	$31,407.96	$30,247.11	2026-04-01
69930	CPT	Implant Cochlear Device	7	7	—	—	$30,023.40	$30,023.40	$30,023.40	2026-04-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	21	18	—	—	$27,736.93	$77,309.49	$29,965.48	2026-04-01
3058819	LOCAL	Set-beq-hls Advanced 5.0 5050	24	13	$58,043.00	—	$12,189.03	$42,499.08	$29,939.74	2026-04-01
3549224	LOCAL	Stent-valiant Thoracic	24	13	$72,761.00	—	$15,279.81	$52,802.66	$29,908.41	2026-04-01
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	21	18	—	—	$27,668.85	$77,119.75	$29,892.71	2026-04-01
3598150	LOCAL	Stent-valiant Vamf4036c150tu	24	13	$74,003.00	—	$201.86	$53,703.98	$29,778.81	2026-04-01
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	21	18	—	—	$27,511.92	$76,682.34	$29,724.94	2026-04-01
3549076	LOCAL	Stent-thoracic Tgu313115	24	13	$73,703.00	—	$9,787.36	$53,486.27	$29,658.08	2026-04-01
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	21	18	—	—	$27,349.97	$76,758.58	$29,551.81	2026-04-01
3549115	LOCAL	Stent-valiant Thoracic	24	13	$72,761.00	—	$4,281.41	$52,802.66	$29,279.03	2026-04-01
3549980	LOCAL	Stent-thoracic Vnmf3131c97tu	24	13	$72,761.00	—	$150.15	$52,802.66	$29,279.03	2026-04-01
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	21	18	—	—	$26,965.16	$75,158.40	$29,140.44	2026-04-01
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	21	18	—	—	$26,847.64	$74,830.84	$29,014.81	2026-04-01
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	21	18	—	—	$26,783.87	$74,653.08	$28,946.63	2026-04-01
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	21	18	—	—	$26,781.00	$74,645.09	$28,943.57	2026-04-01
3526984	LOCAL	Stent-thoracic Endoprosthesis	24	13	$71,904.00	—	$1,941.90	$52,180.73	$28,934.17	2026-04-01
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	21	18	—	—	$26,705.76	$74,435.38	$28,863.13	2026-04-01
3602607	LOCAL	Occlude- Amplatzer Amulet 31mm	24	13	$71,601.00	—	$231.89	$51,960.85	$28,812.24	2026-04-01
3602605	LOCAL	Occluder-amplatzer Amulet 22mm	24	13	$71,601.00	—	$2,723.22	$51,960.85	$28,812.24	2026-04-01
3602603	LOCAL	Occluder-amplatzer Amulet 16mm	24	13	$71,601.00	—	$2,723.22	$51,960.85	$28,812.24	2026-04-01
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	21	18	—	—	$27,695.36	$29,921.05	$28,808.21	2026-04-01
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	7	7	—	—	$28,764.02	$28,764.02	$28,764.02	2026-04-01
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	7	7	—	—	$28,764.02	$28,764.02	$28,764.02	2026-04-01
0268T	CPT	Implt/rpl Crtd Sns Dev Gen	7	7	—	—	$28,764.02	$28,764.02	$28,764.02	2026-04-01
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	7	7	—	—	$28,764.02	$28,764.02	$28,764.02	2026-04-01
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	7	7	—	—	$28,764.02	$28,764.02	$28,764.02	2026-04-01
61886	CPT	Implant Neurostim Arrays	7	7	—	—	$28,764.02	$28,764.02	$28,764.02	2026-04-01
63685	CPT	Ins/rplc Spi Npg/rcvr Pocket	7	7	—	—	$28,764.02	$28,764.02	$28,764.02	2026-04-01
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	21	18	—	—	$26,555.27	$74,015.94	$28,702.26	2026-04-01
3599130	LOCAL	Stent-valiant Vamc3632c150tu	24	13	$71,002.00	—	$933.14	$51,526.15	$28,571.21	2026-04-01
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	21	18	—	—	$26,320.95	$73,362.83	$28,451.76	2026-04-01
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	21	18	—	—	$26,310.20	$73,332.87	$28,440.27	2026-04-01
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	21	18	—	—	$26,001.35	$72,472.03	$28,110.10	2026-04-01
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	21	18	—	—	$25,981.29	$72,416.11	$28,088.65	2026-04-01
332	MS_DRG	Rectal Resection With Mcc	21	18	—	—	$25,945.46	$72,316.24	$28,050.35	2026-04-01
265	MS_DRG	Aicd Lead Procedures	21	18	—	—	$25,927.54	$72,266.31	$28,031.20	2026-04-01
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	21	18	—	—	$25,881.68	$72,138.48	$27,982.17	2026-04-01
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	21	18	—	—	$25,842.99	$72,030.63	$27,940.80	2026-04-01
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	21	18	—	—	$25,614.40	$71,393.49	$27,696.43	2026-04-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	21	18	—	—	$25,588.60	$71,321.59	$27,668.85	2026-04-01
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	21	18	—	—	$25,550.62	$71,215.73	$27,628.25	2026-04-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	21	18	—	—	$25,529.12	$71,155.81	$27,605.27	2026-04-01
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	21	18	—	—	$25,504.76	$71,087.90	$27,579.22	2026-04-01
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	21	18	—	—	$25,483.98	$71,029.98	$27,557.01	2026-04-01
3599189	LOCAL	Stent-valiant Vamf2828c100tu	24	13	$68,001.00	—	$2,070.36	$49,348.33	$27,363.60	2026-04-01
3603240	LOCAL	Graft-system Vamf3030c100tu	24	13	$68,001.00	—	$563.33	$49,348.33	$27,363.60	2026-04-01
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	21	18	—	—	$25,271.15	$70,436.78	$27,329.49	2026-04-01
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	21	18	—	—	$25,269.00	$70,620.57	$27,327.19	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	21	18	—	—	$25,219.56	$70,292.98	$27,274.33	2026-04-01
J9266	HCPCS	Pegaspargase Injection	7	7	—	—	$27,070.53	$27,070.53	$27,070.53	2026-04-01
252	MS_DRG	Other Vascular Procedures With Mcc	21	18	—	—	$24,996.70	$69,671.82	$27,036.09	2026-04-01
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	21	18	—	—	$24,990.25	$69,653.84	$27,029.20	2026-04-01
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	21	18	—	—	$24,875.60	$69,334.27	$26,906.63	2026-04-01
3550856	LOCAL	Implant-custom Med Pk623984	24	13	$52,648.00	—	$667.88	$38,548.87	$26,864.43	2026-04-01
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	21	18	—	—	$24,755.21	$68,998.73	$26,777.93	2026-04-01
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	21	18	—	—	$24,640.55	$68,679.16	$26,655.36	2026-04-01
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	21	18	—	—	$24,567.46	$68,475.43	$26,577.23	2026-04-01
C9293	HCPCS	Glucarpidase 1,000 Unit Vial	24	13	$71,134.45	—	$40.51	$51,622.27	$26,556.80	2026-04-01
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	21	18	—	—	$24,447.08	$68,139.89	$26,448.53	2026-04-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	21	18	—	—	$24,414.83	$68,050.01	$26,414.06	2026-04-01
L8614	HCPCS	Implant-cochlear Ci-1601-04	240	13	$65,494.00	—	$44.49	$71,482.90	$26,197.60	2026-04-01
C9760	HCPCS	Non-blind Interatrial Shunt	7	7	—	—	$25,957.72	$25,957.72	$25,957.72	2026-04-01
264	MS_DRG	Other Circulatory System O.r. Procedures	21	18	—	—	$23,938.30	$66,721.80	$25,904.63	2026-04-01
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	21	18	—	—	$23,671.01	$65,976.81	$25,618.89	2026-04-01
37	MS_DRG	Extracranial Procedures With Mcc	21	18	—	—	$23,590.75	$65,753.11	$25,533.09	2026-04-01
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	21	18	—	—	$23,587.89	$65,745.12	$25,530.03	2026-04-01
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	21	18	—	—	$23,309.14	$64,968.17	$25,232.03	2026-04-01
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	21	18	—	—	$23,206.66	$64,682.56	$25,122.49	2026-04-01
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	21	18	—	—	$23,180.87	$64,610.66	$25,094.91	2026-04-01
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	21	18	—	—	$23,148.62	$64,520.78	$25,060.44	2026-04-01
3527114	LOCAL	Device-watchman M635wu	24	13	$62,261.00	—	$3,136.96	$45,182.81	$25,053.83	2026-04-01
652	MS_DRG	Kidney Transplant	21	18	—	—	$23,142.17	$63,656.67	$25,053.54	2026-04-01
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	21	18	—	—	$23,124.97	$64,454.87	$25,035.16	2026-04-01
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	21	18	—	—	$23,079.83	$63,485.19	$24,986.90	2026-04-01
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	21	18	—	—	$23,005.30	$64,121.32	$24,907.23	2026-04-01
3603762	LOCAL	Graft-aaa Prox Body G32542	24	13	$61,695.00	—	$870.85	$44,772.06	$24,826.07	2026-04-01
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	21	18	—	—	$22,879.18	$63,769.79	$24,772.40	2026-04-01
3559595	LOCAL	Stent-thoracic Tgm282810	24	13	$61,483.00	—	$1,882.40	$44,618.21	$24,740.76	2026-04-01
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	21	18	—	—	$22,836.91	$63,651.95	$24,727.20	2026-04-01
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	21	18	—	—	$22,814.69	$63,590.04	$24,703.46	2026-04-01
500	MS_DRG	Soft Tissue Procedures With Mcc	21	18	—	—	$22,678.54	$63,210.55	$24,557.91	2026-04-01
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	21	18	—	—	$22,644.14	$63,114.68	$24,521.14	2026-04-01
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	21	18	—	—	$22,579.65	$62,934.92	$24,452.19	2026-04-01
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	21	18	—	—	$22,568.90	$62,904.96	$24,440.70	2026-04-01
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	21	18	—	—	$22,515.87	$62,757.16	$24,384.01	2026-04-01
J9600	HCPCS	Porfimer Sodium Injection	7	7	—	—	$24,228.42	$24,228.42	$24,228.42	2026-04-01
665	MS_DRG	Prostatectomy With Mcc	21	18	—	—	$22,366.11	$62,339.73	$24,223.91	2026-04-01
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	21	18	—	—	$22,319.53	$62,209.90	$24,174.11	2026-04-01
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	21	18	—	—	$22,280.12	$62,100.05	$24,131.98	2026-04-01
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	21	18	—	—	$22,035.76	$62,629.73	$23,870.76	2026-04-01
10	MS_DRG	Pancreas Transplant	21	18	—	—	$21,998.50	$141,440.22	$23,830.92	2026-04-01
662	MS_DRG	Minor Bladder Procedures With Mcc	21	18	—	—	$21,938.31	$61,147.34	$23,766.57	2026-04-01
263	MS_DRG	Vein Ligation And Stripping	21	18	—	—	$21,908.93	$61,065.45	$23,735.17	2026-04-01
3598105	LOCAL	Implant-custom Xl Pk624561	24	13	$58,966.00	—	$1,866.27	$42,791.63	$23,727.92	2026-04-01
3598270	LOCAL	Excluder-aaa Conform Cxt261412	24	13	$58,545.00	—	$6,399.60	$42,486.11	$23,558.51	2026-04-01
C1826	HCPCS	Controller-proclaim 5 Ipg	168	13	$58,545.00	—	$207.43	$57,016.07	$23,461.94	2026-04-01
510	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	21	18	—	—	$21,644.51	$60,328.45	$23,452.49	2026-04-01
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	21	18	—	—	$21,641.64	$60,320.46	$23,449.43	2026-04-01
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	21	18	—	—	$21,617.99	$60,254.55	$23,424.15	2026-04-01
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	21	18	—	—	$21,328.49	$59,447.64	$23,114.66	2026-04-01
3598466	LOCAL	Excluder-aaa Conform Cxt321414	24	13	$57,378.00	—	$784.10	$41,639.21	$23,088.90	2026-04-01
3599877	LOCAL	Excluder-aaa Conform Cxt231412	24	13	$57,378.00	—	$433.20	$41,639.21	$23,088.90	2026-04-01
3598058	LOCAL	Excluder-aaa Conform Xct281412	24	13	$57,378.00	—	$2,823.32	$41,639.21	$23,088.90	2026-04-01
3598064	LOCAL	Excluder-aaa Conform Cxt201412	24	13	$57,378.00	—	$88.98	$41,639.21	$23,088.90	2026-04-01
472	MS_DRG	Cervical Spinal Fusion With Cc	21	18	—	—	$21,111.36	$58,842.46	$22,882.55	2026-04-01
3526120	LOCAL	Graft-afx2 Bifurcated Endo	24	13	$56,856.00	—	$3,519.00	$41,260.40	$22,878.86	2026-04-01
3058975	LOCAL	Stent-aaa Mainbody Bea28-110/	24	13	$56,856.00	—	$132.91	$41,260.40	$22,878.86	2026-04-01
3527010	LOCAL	Stent-aaa Mainbody	24	13	$56,856.00	—	$99.54	$41,260.40	$22,878.86	2026-04-01
3603387	LOCAL	Stent-aaa 28x70/20x30mm	24	13	$56,856.00	—	$3,136.96	$41,260.40	$22,878.86	2026-04-01
3602031	LOCAL	Graft-afx2 Bifurcated 22x60	24	13	$56,856.00	—	$121.79	$41,260.40	$22,878.86	2026-04-01
3059046	LOCAL	Stent-aaa Mainbody	24	13	$56,856.00	—	$314.75	$41,260.40	$22,878.86	2026-04-01
959	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	21	18	—	—	$21,097.03	$58,802.51	$22,867.23	2026-04-01
570	MS_DRG	Skin Debridement With Mcc	21	18	—	—	$21,075.54	$58,742.59	$22,844.24	2026-04-01
C1721	HCPCS	Defibrillator-cobalt Ddpa2d4	236	13	$56,860.00	—	$154.60	$53,369.40	$22,731.00	2026-04-01
668	MS_DRG	Transurethral Procedures With Mcc	21	18	—	—	$20,924.34	$58,321.16	$22,682.61	2026-04-01
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	21	18	—	—	$21,735.51	$23,549.78	$22,642.65	2026-04-01
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	21	18	—	—	$20,869.16	$58,167.37	$22,623.62	2026-04-01
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	21	18	—	—	$20,795.35	$57,961.65	$22,544.72	2026-04-01
406	MS_DRG	Pancreas, Liver And Shunt Procedures With Cc	21	18	—	—	$20,782.45	$57,925.69	$22,530.93	2026-04-01
619	MS_DRG	O.r. Procedures For Obesity With Mcc	21	18	—	—	$20,690.73	$57,670.04	$22,432.87	2026-04-01
974	MS_DRG	HIV With Major Related Condition With Mcc	21	18	—	—	$20,680.70	$57,642.08	$22,422.15	2026-04-01
13	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	21	18	—	—	$20,650.60	$57,558.19	$22,389.97	2026-04-01
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	21	18	—	—	$20,567.48	$57,326.50	$22,301.11	2026-04-01
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	21	18	—	—	$20,426.31	$56,933.04	$22,150.20	2026-04-01
800	MS_DRG	Splenic Procedures With Cc	21	18	—	—	$20,131.79	$56,112.15	$21,835.35	2026-04-01
654	MS_DRG	Major Bladder Procedures With Cc	21	18	—	—	$20,059.42	$55,910.42	$21,757.98	2026-04-01
503	MS_DRG	Foot Procedures With Mcc	21	18	—	—	$20,000.65	$55,746.64	$21,695.16	2026-04-01
C1722	HCPCS	Defibrillator-acticor 448101	309	13	$54,333.00	—	$62.28	$61,130.07	$21,562.65	2026-04-01
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	21	18	—	—	$19,863.07	$55,363.16	$21,548.08	2026-04-01
61	MS_DRG	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	21	18	—	—	$19,757.02	$55,067.56	$21,434.70	2026-04-01
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	21	18	—	—	$19,696.82	$54,899.79	$21,370.36	2026-04-01

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