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

ST ELIZABETH EDGEWOOD

Edgewood, KY · CCN 180035 · Rates published

14,830 distinct procedures filed
275 distinct payers
199,714 rate rows
2026-04-01 last MRF observed
Data quality

144,321 of 199,714 rate rows are consumer-grade (72.3%)

55,393 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 54,700
template filing: same amount across many unrelated codes — excluded 392
placeholder amount (≤ $0.02) — excluded from medians 213
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 59
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 29
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stelizabeth.com/610445850_st-elizabeth-edgewood_standardcharges.json
Found on page https://www.stelizabeth.com/billing/patient-pricing/patient-pricing-machine-readable/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint c979784d2585df90… · 1,990,802 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $0.01 $11,127,350.00 $6,104,275.00 nat. median
$4,505,000
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $9,102,608.67 $5,481,834.17 nat. median
$3,685,267
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $0.01 $8,191,662.59 $4,385,808.46 nat. median
$3,325,455
1.3× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $0.01 $8,023,660.92 $4,299,590.17 nat. median
$3,248,446
1.3× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,508,750
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $0.01 $7,275,977.80 $3,895,214.19 nat. median
$2,968,000
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $5,760,040.00 $3,468,850.00 nat. median
$2,332,000
1.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $0.01 $1,903,431.40 $1,048,043.20 nat. median
$813,967
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,461,563.72 $873,153.43 nat. median
$621,313
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,397,696.29 $834,965.43 nat. median
$599,737
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $547,428.83 $1,389,469.32 $826,502.82 nat. median
$579,571
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,376,575.30 $820,526.12 nat. median
$574,037
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,011.17 $1,317,078.52 $784,852.67 nat. median
$562,501
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $1,208,582.38 $723,165.31 nat. median
$513,770
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 29 $299,559.08 $1,127,762.00 $576,532.98 nat. median
$168,055
outlier · 3.4×
J3403
HCPCS 		Revakinagene, Per Implant 7 $257,500.00 $636,025.00 $412,662.50 nat. median
$264,195
1.6× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $0.01 $687,277.50 $394,636.67 nat. median
$286,598
1.4× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $294,945.00 $294,945.00 $294,945.00 nat. median
$377,029
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $0.01 $507,930.80 $286,525.07 nat. median
$207,733
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $148,108.42 $557,589.66 $285,302.22 nat. median
$131,925
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 30 $183,986.35 $731,872.17 $262,176.47 nat. median
$186,516
1.4× median
7
MS_DRG 		Lung Transplant 29 $89,835.54 $338,207.42 $173,246.88 nat. median
$70,649
outlier · 2.5×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,502.61 $275,411.45 $172,669.76 nat. median
$108,243
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 29 $83,368.17 $313,859.48 $160,810.50 nat. median
$72,715
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $78,246.85 $554,317.32 $156,791.86 nat. median
$145,435
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 29 $78,518.52 $295,601.78 $151,484.91 nat. median
$2,110
outlier · 71.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 $78,608.70 $295,941.29 $150,335.80 nat. median
$65,418
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 $76,454.06 $287,829.66 $147,515.08 nat. median
$2,736
outlier · 53.9×
9394
OTHER 		Inj. Inebilizumab-cdon, 1 Mg 1 $137,690.36 $138,432.88 $138,061.62 nat. median
$509
outlier · 271.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 29 $71,523.94 $269,269.02 $138,034.74 nat. median
$69,922
2.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 30 $53,255.96 $220,155.27 $133,715.80 nat. median
$60,505
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 30 $56,492.06 $260,037.01 $128,541.87 nat. median
$73,023
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 $62,499.60 $235,294.71 $120,681.45 nat. median
$2,596
outlier · 46.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 29 $60,070.95 $226,151.50 $116,011.32 nat. median
$2,633
outlier · 44.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $376,402.09 $113,936.55 nat. median
$65,477
1.7× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 29 $113,711.58 $113,711.58 $113,711.58 nat. median
$2,024
outlier · 56.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 $58,294.39 $219,463.19 $112,595.09 nat. median
$59,651
1.9× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 29 $32,449.90 $123,662.70 $111,470.93 nat. median
$32,899
outlier · 3.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 $59,168.72 $361,743.16 $109,654.62 nat. median
$97,418
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $169,940.22 $106,544.36 nat. median
$68,802
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 $54,585.87 $205,501.58 $105,463.82 nat. median
$56,428
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 $5,200.00 $255,487.60 $104,187.69 nat. median
$69,822
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 $50,075.43 $188,520.96 $96,790.51 nat. median
$9,905
outlier · 9.8×
10
MS_DRG 		Pancreas Transplant 29 $49,777.83 $187,400.58 $96,218.25 nat. median
$23,080
outlier · 4.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 $49,492.72 $186,327.21 $95,669.99 nat. median
$45,605
outlier · 2.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 29 $42,056.26 $158,330.86 $94,624.63 nat. median
$43,803
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 $40,331.08 $200,526.48 $94,603.81 nat. median
$55,923
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 29 $41,003.12 $187,322.23 $93,274.27 nat. median
$37,013
outlier · 2.5×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $63,342.28 $156,455.44 $92,900.64 nat. median
$66,211
1.4× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 $40,684.12 $153,165.12 $92,541.47 nat. median
$40,726
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 14,830 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 6 — — $0.01 $11,127,350.00 $6,104,275.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 6 — — $3,685,266.67 $9,102,608.67 $5,481,834.17 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 6 — — $0.01 $8,191,662.59 $4,385,808.46 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 6 — — $0.01 $8,023,660.92 $4,299,590.17 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,932,600.00 $3,932,600.00 $3,932,600.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 6 — — $0.01 $7,275,977.80 $3,895,214.19 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 8 6 — — $2,332,000.00 $5,760,040.00 $3,468,850.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 10 7 — — $0.01 $1,903,431.40 $1,048,043.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 7 — — $591,726.20 $1,461,563.72 $873,153.43 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 7 — — $565,868.94 $1,397,696.29 $834,965.43 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 7 — — $547,428.83 $1,389,469.32 $826,502.82 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 7 — — $557,317.93 $1,376,575.30 $820,526.12 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 7 — — $533,011.17 $1,317,078.52 $784,852.67 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 7 — — $489,304.61 $1,208,582.38 $723,165.31 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 59 29 — — $299,559.08 $1,127,762.00 $576,532.98 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 8 7 — — $257,500.00 $636,025.00 $412,662.50 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 7 — — $0.01 $687,277.50 $394,636.67 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $294,945.00 $294,945.00 $294,945.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 7 — — $0.01 $507,930.80 $286,525.07 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 59 29 — — $148,108.42 $557,589.66 $285,302.22 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 30 — — $183,986.35 $731,872.17 $262,176.47 2026-04-01
7 MS_DRG Lung Transplant 59 29 — — $89,835.54 $338,207.42 $173,246.88 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $111,502.61 $275,411.45 $172,669.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 59 29 — — $83,368.17 $313,859.48 $160,810.50 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 75 29 — — $78,246.85 $554,317.32 $156,791.86 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 59 29 — — $78,518.52 $295,601.78 $151,484.91 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 60 29 — — $78,608.70 $295,941.29 $150,335.80 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 29 — — $76,454.06 $287,829.66 $147,515.08 2026-04-01
9394 OTHER Inj. Inebilizumab-cdon, 1 Mg 2 1 — — $137,690.36 $138,432.88 $138,061.62 2024-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 59 29 — — $71,523.94 $269,269.02 $138,034.74 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 30 — — $53,255.96 $220,155.27 $133,715.80 2026-04-01
215 MS_DRG Other Heart Assist System Implant 65 30 — — $56,492.06 $260,037.01 $128,541.87 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 59 29 — — $62,499.60 $235,294.71 $120,681.45 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 59 29 — — $60,070.95 $226,151.50 $116,011.32 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 8 $133,845.81 $53,538.32 60% off $56,824.55 $376,402.09 $113,936.55 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 42 29 — — $113,711.58 $113,711.58 $113,711.58 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 29 — — $58,294.39 $219,463.19 $112,595.09 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 60 29 — — $32,449.90 $123,662.70 $111,470.93 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 71 30 — — $59,168.72 $361,743.16 $109,654.62 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $169,940.22 $106,544.36 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 59 29 — — $54,585.87 $205,501.58 $105,463.82 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 31 — — $5,200.00 $255,487.60 $104,187.69 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 29 — — $50,075.43 $188,520.96 $96,790.51 2026-04-01
10 MS_DRG Pancreas Transplant 59 29 — — $49,777.83 $187,400.58 $96,218.25 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 59 29 — — $49,492.72 $186,327.21 $95,669.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 59 29 — — $42,056.26 $158,330.86 $94,624.63 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 86 36 — — $40,331.08 $200,526.48 $94,603.81 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 60 29 — — $41,003.12 $187,322.23 $93,274.27 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 8 — — $63,342.28 $156,455.44 $92,900.64 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 60 29 — — $40,684.12 $153,165.12 $92,541.47 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 59 29 — — $46,384.25 $174,624.63 $89,692.59 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 59 29 — — $46,350.26 $174,496.67 $89,627.23 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 29 — — $40,738.42 $171,720.53 $88,666.25 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 59 29 — — $45,447.06 $171,096.36 $87,890.43 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 60 29 — — $43,395.81 $175,789.41 $87,819.54 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 76 33 — — $44,473.88 $199,662.04 $87,795.59 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 4 — — $37,624.46 $142,334.20 $86,025.76 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 8 6 — — $10,056.00 $154,035.63 $85,758.33 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 61 29 — — $40,073.79 $156,868.37 $85,674.39 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 48 31 — — $43,966.84 $187,824.05 $85,522.01 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 3 — — $43,439.52 $159,343.52 $83,572.45 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 8 — — $55,272.32 $136,522.64 $81,515.15 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 59 29 — — $41,134.33 $154,860.05 $79,597.30 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 59 29 — — $40,006.37 $150,613.58 $77,428.31 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 76 33 — — $24,477.57 $153,264.36 $77,009.79 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,605.45 $122,525.46 $76,817.58 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 59 29 — — $39,588.77 $149,041.40 $76,625.27 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 60 29 — — $33,327.43 $125,469.10 $75,905.73 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 29 — — $38,999.81 $146,824.15 $75,492.75 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 59 29 — — $38,879.11 $146,369.73 $75,260.64 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 59 29 — — $38,313.05 $144,238.67 $74,172.15 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 59 29 — — $37,683.87 $141,869.95 $72,962.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 29 — — $46,175.60 $186,217.53 $72,948.05 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 29 — — $70,320.26 $283,988.00 $71,707.18 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 49 29 — — $40,821.59 $161,204.98 $71,685.13 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 59 29 — — $36,971.44 $139,187.83 $71,592.30 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 59 29 — — $36,723.09 $138,252.88 $71,114.75 2026-04-01
800 MS_DRG Splenic Procedures With Cc 59 29 — — $19,488.81 $73,370.29 $69,188.18 2026-04-01
90288 HCPCS Botulism Ig IV 2 2 — — $55,036.65 $82,798.50 $68,917.57 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 61 29 — — $31,416.98 $125,245.19 $68,388.35 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 80 36 — — $17,253.88 $142,663.87 $66,446.03 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 64 30 — — $22,263.76 $109,598.41 $66,018.01 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 49 30 — — $31,857.00 $119,997.84 $65,950.45 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 59 29 — — $33,999.62 $127,999.74 $65,877.68 2026-04-01
J9226 HCPCS Supprelin La Implant 11 8 — — $45,020.65 $111,201.01 $65,131.58 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 29 — — $25,260.94 $148,848.14 $63,517.48 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 59 29 — — $32,613.61 $122,781.76 $63,212.46 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 6 — — $28,000.00 $107,863.38 $62,672.02 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 59 29 — — $32,166.87 $121,099.89 $62,353.39 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 89 35 — — $8,539.57 $180,508.57 $62,184.49 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $39,992.59 $98,781.70 $61,931.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 65 30 — — $25,626.53 $126,106.33 $61,169.15 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 37 — — $1,600.00 $172,206.52 $61,069.50 2026-04-01
9416 OTHER Inj, Evinacumab-dgnb, 5 Mg 1 1 — — $60,959.11 $60,959.11 $60,959.11 2024-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 59 29 — — $18,452.42 $69,468.56 $60,027.36 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 62 30 — — $29,683.02 $143,374.23 $59,737.54 2026-04-01
0620T OTHER Hb Endovasc Venous Arterialization, Tibial Or Peroneal Vein 9 6 $140,541.00 $140,541.00 $1,679.00 $107,863.38 $59,381.89 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 69 31 — — $1,600.00 $142,867.58 $59,311.08 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 54 33 — — $27,829.32 $149,065.87 $58,872.40 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 75 30 — — $20,157.89 $130,250.94 $58,522.29 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 60 29 — — $11,958.50 $117,012.74 $57,723.29 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 79 34 — — $13,735.40 $117,046.69 $57,718.56 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 66 31 — — $19,353.99 $135,944.23 $57,199.02 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 4 4 — — $4,545.80 $77,732.95 $57,071.87 2024-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 59 29 — — $29,418.43 $110,752.73 $57,068.31 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 59 29 — — $29,231.82 $110,050.21 $56,709.48 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 29 — — $28,945.33 $108,971.62 $56,158.56 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 6 — — $3,386.00 $107,863.38 $56,084.68 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 84 33 — — $29,358.32 $137,795.85 $55,240.15 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 63 29 — — $10,137.15 $149,652.51 $55,226.24 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 64 29 — — $29,637.79 $156,912.76 $55,193.47 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 47 30 — — $30,020.48 $126,140.10 $54,349.55 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 6 — — $34,970.13 $86,376.22 $54,153.74 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 59 29 — — $27,890.21 $104,999.38 $54,129.63 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 60 29 — — $21,096.77 $104,048.76 $53,846.14 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 65 31 — — $21,772.58 $119,736.64 $53,279.27 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 59 29 — — $27,014.07 $101,700.93 $52,444.85 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 60 30 — — $15,529.17 $58,463.28 $52,214.40 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 69 31 — — $16,666.35 $128,535.12 $51,350.73 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 49 30 — — $11,572.34 $220,172.94 $51,071.72 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 60 29 — — $24,853.88 $93,850.32 $50,688.81 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 61 29 — — $14,682.85 $55,277.13 $50,268.37 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 62 30 — — $10,231.15 $50,380.38 $50,054.30 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 59 29 — — $25,707.13 $96,780.67 $49,931.71 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 63 30 — — $2,065.00 $110,105.06 $49,600.69 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 78 35 — — $1,475.00 $109,394.70 $49,392.19 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 61 30 — — $34,515.30 $135,709.18 $49,340.42 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 30 — — $1,600.00 $120,616.75 $49,234.05 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 67 29 — — $39,179.11 $161,921.77 $49,135.55 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 61 29 — — $25,154.64 $108,459.75 $48,799.97 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 60 30 — — $40,275.56 $159,863.87 $48,778.44 2026-04-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 2 2 — — $28,334.16 $68,905.02 $48,619.59 2024-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 59 29 — — $24,796.31 $93,351.64 $48,180.24 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 82 33 — — $12,547.13 $118,741.62 $48,138.92 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 29 — — $45,503.65 $199,001.31 $47,556.43 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 106 41 — — $1,280.00 $128,976.48 $47,398.46 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $30,593.52 $75,565.99 $47,376.25 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 69 31 — — $28,299.99 $129,206.30 $47,343.49 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 29 — — $23,307.15 $93,119.21 $47,292.04 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 63 29 — — $23,052.54 $101,087.20 $47,290.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 74 32 — — $1,556.00 $124,333.05 $46,965.92 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 59 29 — — $45,612.86 $171,720.53 $46,897.11 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 59 29 — — $23,853.57 $89,802.48 $46,367.40 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 6 — — $29,719.96 $73,408.30 $46,023.48 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 6 — — $29,579.67 $73,061.78 $45,806.23 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 6 — — $29,510.19 $72,890.17 $45,698.64 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 6 $128,740.07 $128,740.07 $28,000.00 $76,866.74 $45,667.79 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 6 $128,740.07 $128,740.07 $28,000.00 $76,866.74 $45,667.79 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 6 $128,740.07 $128,740.07 $28,000.00 $76,866.74 $45,667.79 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 6 $128,740.07 $128,740.07 $28,000.00 $76,866.74 $45,667.79 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 6 $128,740.07 $128,740.07 $28,000.00 $76,866.74 $45,667.79 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 8 6 — — $28,000.00 $76,866.74 $45,667.79 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 6 $128,740.07 $128,740.07 $28,000.00 $76,866.74 $45,667.79 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 64 33 — — $21,876.37 $116,220.26 $45,312.43 2026-04-01
9109 OTHER Inj, Elahere, 1 Mg 4 3 — — $13,108.14 $78,615.35 $45,307.56 2024-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 67 29 — — $17,297.17 $114,722.36 $45,135.19 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 32 — — $1,600.00 $120,042.19 $45,067.18 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 4 3 — — $23,376.49 $87,305.32 $45,017.03 2024-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 69 30 — — $35,379.99 $179,623.24 $44,998.23 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 63 30 — — $18,980.17 $83,148.12 $44,975.25 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 59 29 — — $22,914.99 $86,268.98 $44,562.58 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 6 — — $23,587.00 $75,565.99 $44,402.59 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 6 — — $23,587.00 $75,565.99 $44,402.59 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 8 6 — — $23,587.00 $75,565.99 $44,402.59 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 61 29 — — $8,338.43 $50,077.43 $44,075.67 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 59 29 — — $22,409.28 $84,365.13 $43,590.13 2026-04-01
652 MS_DRG Kidney Transplant 59 29 — — $22,403.04 $84,341.62 $43,578.13 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 59 29 — — $22,342.69 $84,114.41 $43,462.08 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 68 32 — — $12,568.88 $155,220.45 $43,408.96 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 64 31 — — $17,200.00 $91,076.94 $43,225.93 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 69 29 — — $12,394.85 $93,257.62 $43,016.93 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 59 29 — — $22,041.62 $82,980.98 $42,883.14 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 29 — — $41,366.02 $155,732.32 $42,466.93 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 8 6 — — $7,222.00 $75,565.99 $42,356.97 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 8 6 — — $7,222.00 $75,565.99 $42,356.97 2026-04-01
9455 OTHER Injection, Siltuximab 1 1 — — $42,211.06 $42,211.06 $42,211.06 2024-07-01
665 MS_DRG Prostatectomy With Mcc 59 29 — — $21,651.76 $81,513.26 $42,133.47 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 10 6 $114,151.13 $114,151.13 $28,000.00 $70,241.34 $42,033.21 2026-04-01
69930 HCPCS Implant Cochlear Device 10 7 — — $14,259.00 $80,743.90 $42,001.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 71 32 — — $22,798.22 $118,793.85 $41,754.57 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 8 $66,727.35 $26,690.94 60% off $28,424.06 $70,207.43 $41,702.67 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 6 — — $1,679.00 $75,565.99 $41,664.09 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 77 37 — — $4,729.52 $135,171.93 $41,660.36 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 75 31 — — $1,600.00 $110,293.09 $41,656.66 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 63 29 — — $9,639.80 $97,603.33 $41,494.38 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 61 29 — — $11,071.01 $42,009.34 $40,987.81 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 52 29 — — $36,894.79 $43,331.38 $40,918.39 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 60 29 — — $9,458.11 $44,835.95 $40,880.19 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 63 30 — — $2,464.10 $62,545.21 $40,834.62 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 64 31 — — $7,571.51 $57,329.84 $40,352.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 30 — — $23,903.15 $94,325.77 $40,220.88 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 61 29 — — $19,080.11 $94,761.91 $40,134.52 2026-04-01
263 MS_DRG Vein Ligation And Stripping 60 29 — — $18,726.34 $79,847.06 $40,095.25 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 67 30 — — $8,244.18 $65,888.06 $39,876.26 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 71 30 — — $9,430.11 $107,741.56 $39,731.97 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 8 6 — — $26,687.04 $65,916.98 $39,660.93 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 64 29 — — $22,751.67 $97,329.11 $39,571.37 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 8 6 — — $23,587.00 $66,447.25 $39,400.21 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 8 6 — — $23,587.00 $66,447.25 $39,400.21 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 30 — — $1,850.00 $89,097.35 $39,363.61 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 63 29 — — $23,458.02 $102,163.18 $39,203.73 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 59 29 — — $19,991.05 $75,261.09 $38,940.00 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 59 29 — — $15,053.29 $56,671.72 $38,843.86 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 8 6 — — $18,435.00 $66,447.25 $38,756.21 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 67 29 — — $16,260.65 $81,199.87 $38,681.48 2026-04-01
C2616 HCPCS Hb Drug Yttrium90 Zevain Kit 10 7 $114,975.00 $94,500.00 $17,771.01 $115,464.47 $38,512.78 2026-04-01
245 MS_DRG Aicd Generator Procedures 59 29 — — $31,649.37 $119,151.64 $38,326.65 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 61 35 — — $1,850.00 $89,731.94 $38,116.82 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 60 29 — — $7,490.82 $39,158.33 $38,057.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 10 7 — — $9,962.00 $75,565.99 $38,008.07 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 59 29 — — $10,386.08 $39,100.88 $37,996.18 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 8 6 — — $12,226.00 $66,447.25 $37,980.08 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 59 29 — — $11,306.62 $42,566.47 $37,921.33 2026-04-01
9284 OTHER Ipilimumab Injection 11 6 — — $14,241.49 $89,616.29 $37,913.05 2024-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 88 38 — — $20,005.18 $92,876.33 $37,832.86 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 65 29 — — $20,812.56 $85,976.48 $37,763.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 73 30 — — $18,517.43 $168,048.63 $37,696.34 2026-04-01
93654 HCPCS Hb Ep Study Inc Ins Repos Multi Elec W Induc Arry Rt Atr 10 6 $98,507.01 $98,507.01 $18,435.00 $64,007.79 $37,417.96 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 10 6 $98,507.01 $98,507.01 $18,435.00 $64,007.79 $37,417.96 2026-04-01
93653 HCPCS Hb Ep Study Incl Ins And Repos Multi Elect W Induc Arr 10 6 $98,507.01 $98,507.01 $18,435.00 $64,007.79 $37,417.96 2026-04-01
22630 HCPCS Lumbar Spine Fusion 8 6 — — $1,679.00 $66,447.25 $36,661.71 2026-04-01
22558 HCPCS Lumbar Spine Fusion 8 6 — — $1,679.00 $66,447.25 $36,661.71 2026-04-01
849 MS_DRG Radiotherapy 59 29 — — $18,795.80 $70,761.30 $36,641.62 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 7 $122,363.66 $122,363.66 $5,134.00 $75,565.99 $36,605.78 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 10 7 — — $5,134.00 $75,565.99 $36,605.78 2026-04-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/Mcc 59 29 — — $10,237.62 $38,541.99 $36,441.27 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 75 32 — — $19,705.10 $109,728.99 $36,396.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 59 29 — — $38,612.73 $145,366.88 $36,236.14 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 69 30 — — $8,291.82 $82,252.34 $36,126.44 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 6 — — $23,212.40 $57,334.63 $35,946.06 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 59 29 — — $18,387.91 $69,225.68 $35,857.26 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 43 30 — — $17,616.85 $53,967.75 $35,792.30 2026-04-01
L5858 HCPCS Stance Phase Only 7 6 — — $23,009.05 $56,832.35 $35,631.16 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 74 31 — — $10,804.43 $91,100.44 $35,625.85 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 64 29 — — $23,599.80 $142,439.28 $35,051.76 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 9 7 — — $8,533.00 $66,447.25 $35,040.07 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 75 32 — — $19,154.36 $92,100.69 $34,995.14 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 65 29 — — $18,241.33 $82,526.56 $34,980.32 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 71 29 — — $14,965.65 $66,674.15 $34,877.39 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 59 29 — — $22,270.54 $83,842.81 $34,407.02 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 59 29 — — $13,114.40 $49,372.30 $34,393.61 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 62 29 — — $16,729.59 $78,883.38 $34,392.90 2026-04-01
9205 OTHER Inj Lon Tesirin-lpyl 0.075mg 3 2 — — $25,317.48 $51,384.51 $34,246.74 2024-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 66 30 — — $22,178.10 $100,839.10 $34,246.49 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 67 30 — — $4,301.78 $84,482.65 $34,028.47 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 65 29 — — $17,315.67 $71,766.77 $33,973.80 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 11 8 — — $3,543.32 $59,844.20 $33,907.60 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 65 29 — — $14,708.66 $77,731.66 $33,639.49 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 77 31 — — $19,291.41 $85,966.04 $33,523.22 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 10 6 $90,130.43 $90,130.43 $22,053.14 $54,471.27 $33,382.01 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 10 6 $90,130.43 $90,130.43 $22,053.14 $54,471.27 $33,382.01 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 8 6 — — $22,053.14 $54,471.27 $33,382.01 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 10 6 $90,130.43 $90,130.43 $22,053.14 $54,471.27 $33,382.01 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 8 6 — — $22,053.14 $54,471.27 $33,382.01 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 10 6 $90,130.43 $90,130.43 $22,053.14 $54,471.27 $33,382.01 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 9 6 $90,130.43 $90,130.43 $22,053.14 $54,471.27 $33,382.01 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 9 6 $90,130.43 $90,130.43 $22,053.14 $54,471.27 $33,382.01 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 9 6 $90,130.43 $90,130.43 $22,053.14 $54,471.27 $33,382.01 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 8 6 — — $22,053.14 $54,471.27 $33,382.01 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 60 29 — — $20,776.91 $90,659.08 $33,259.58 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 10 7 — — $10,056.00 $66,447.25 $33,201.87 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 7 6 — — $21,299.94 $52,610.85 $32,984.48 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 59 29 — — $16,802.80 $63,258.18 $32,809.20 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 59 29 — — $16,748.00 $63,051.86 $32,703.82 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 59 29 — — $16,685.57 $62,816.81 $32,583.76 2026-04-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 59 29 — — $9,457.21 $35,603.94 $32,354.29 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 91 45 — — $30.00 $84,874.64 $32,284.24 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 74 30 — — $1,875.00 $122,531.05 $32,193.40 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 59 29 — — $21,858.49 $82,291.52 $32,112.25 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 63 29 — — $21,302.19 $93,040.86 $31,956.06 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 47 30 — — $38,088.96 $158,970.03 $31,877.25 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 75 33 — — $1,556.00 $76,940.35 $31,803.41 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 63 29 — — $12,651.01 $47,627.75 $31,763.35 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 59 29 — — $16,143.09 $60,774.54 $31,540.61 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 69 30 — — $16,892.31 $95,887.51 $31,473.36 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 72 35 — — $2,010.00 $72,314.47 $31,367.48 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 6 — — $20,131.45 $49,724.68 $31,174.99 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 6 — — $20,123.89 $49,706.01 $31,163.28 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 59 29 — — $11,858.80 $44,645.30 $31,092.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 70 30 — — $1,600.00 $83,383.16 $30,866.60 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 31 — — $32,806.46 $131,629.86 $30,732.68 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 59 29 — — $14,480.29 $54,514.54 $30,574.76 2026-04-01
265 MS_DRG Aicd Lead Procedures 60 29 — — $25,099.45 $94,492.91 $30,506.23 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 62 29 — — $9,565.22 $42,775.40 $30,425.09 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 59 29 — — $15,520.15 $58,429.33 $30,342.74 2026-04-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 2 2 — — $29,099.07 $31,373.49 $30,236.28 2024-07-01
9236 OTHER Eculizumab Injection 8 6 — — $5,505.80 $54,680.42 $30,136.92 2024-07-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 60 29 — — $11,819.26 $44,496.44 $30,073.22 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 60 29 — — $27,261.64 $116,553.10 $29,992.84 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 59 29 — — $15,334.93 $57,732.03 $29,986.56 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 59 29 — — $30,019.17 $113,014.38 $29,961.63 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 74 31 — — $3,793.35 $87,243.11 $29,936.64 2026-04-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc 62 29 — — $7,167.21 $35,413.30 $29,813.83 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 7 6 — — $19,234.03 $47,508.04 $29,785.26 2026-04-01
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $29,642.94 $29,642.94 $29,642.94 2024-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 59 29 — — $29,588.39 $111,392.57 $29,518.50 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 63 29 — — $22,362.91 $112,113.38 $29,394.79 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 63 30 — — $12,252.00 $52,239.83 $29,322.44 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 61 29 — — $7,915.02 $35,240.93 $29,225.35 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 73 32 — — $17,550.41 $71,056.41 $29,117.17 2026-04-01
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