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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

ST ELIZABETH EDGEWOOD

Edgewood, KY · CCN 180035 · Rates published

14,870 distinct procedures filed
275 distinct payers
199,714 rate rows
2026-04-01 last MRF observed
Data quality

135,563 of 199,714 rate rows are consumer-grade (67.9%)

64,151 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 63,546
template filing: same amount across many unrelated codes — excluded 392
placeholder amount (≤ $0.02) — excluded from medians 213
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stelizabeth.com/docs/default-source/patient-pricing/2025/610445850_st-elizabeth-edgewood_standardcharges.json
Found on page https://www.stelizabeth.com/care/billing/patient-pricing/patient-pricing-machine-readable/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint d1489d8f8ba94428… · 1,330,266 bytes · first seen 2026-05-05

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 4 $4,505,000.00 $4,865,400.00 $4,662,675.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.67 $3,980,088.00 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $3,581,779.60 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $3,508,321.37 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $3,181,399.20 $3,093,027.00 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $4,664,000.00 $2,460,260.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,903,431.40 $832,269.60 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,461,563.72 $668,427.32 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,397,696.29 $639,218.38 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $547,428.83 $1,389,469.32 $635,455.87 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,376,575.30 $629,558.96 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,011.17 $1,317,078.52 $602,348.87 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $1,208,582.38 $552,729.56 nat. median
$620,080
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $687,277.50 $418,005.00 nat. median
$324,450
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 7 $257,500.00 $636,025.00 $394,050.00 nat. median
$265,000
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $299,559.08 $1,127,762.00 $343,187.07 nat. median
$370,174
0.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $294,945.00 $294,945.00 $294,945.00 nat. median
$459,112
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $57,178.15 $554,317.32 $288,726.22 nat. median
$202,986
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $205,640.00 $507,930.80 $285,839.60 nat. median
$209,753
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $34,564.73 $731,872.17 $209,298.22 nat. median
$265,286
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 $35,651.66 $361,743.16 $194,708.05 nat. median
$133,176
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $148,108.42 $557,589.66 $169,949.79 nat. median
$206,368
0.8× median
9394
OTHER 		Inj. Inebilizumab-cdon, 1 Mg 2 $138,061.62 $138,061.62 $138,061.62 nat. median
$505
outlier · 273.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,502.61 $275,411.45 $120,422.82 nat. median
$111,989
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 $50,589.04 $200,526.48 $117,908.35 nat. median
$74,915
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 $37,623.45 $199,662.04 $116,482.01 nat. median
$73,807
1.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $115,895.45 $115,895.45 $115,895.45 nat. median
$63,570
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 11 $1,676.00 $115,872.64 $115,872.64 nat. median
$87,411
1.3× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $113,711.58 $113,711.58 $113,711.58 nat. median
$44,728
outlier · 2.5×
7
MS_DRG 		Lung Transplant 15 $89,835.54 $338,207.42 $103,294.19 nat. median
$122,708
0.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $101,013.29 $101,013.29 $101,013.29 nat. median
$54,196
1.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 8 $1,676.00 $98,529.49 $98,529.49 nat. median
$65,381
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $83,368.17 $313,859.48 $95,896.46 nat. median
$117,303
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $78,608.70 $295,941.29 $91,726.31 nat. median
$108,660
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $96.78 $168,048.63 $91,136.18 nat. median
$62,134
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $78,518.52 $295,601.78 $90,349.18 nat. median
$98,017
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 17 $25,577.86 $144,652.00 $88,447.60 nat. median
$62,270
1.4× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $376,402.09 $88,149.33 nat. median
$62,507
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $76,454.06 $287,829.66 $87,987.74 nat. median
$98,905
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 43 $9,507.40 $180,508.57 $87,388.57 nat. median
$66,526
1.3× median
28
MS_DRG 		Spinal Procedures With Mcc 18 $39,161.47 $156,912.76 $85,495.84 nat. median
$57,823
1.5× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 31 $28,652.27 $153,264.36 $84,526.34 nat. median
$57,424
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $55,880.68 $220,155.27 $84,474.28 nat. median
$79,312
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $70,320.26 $283,988.00 $83,152.05 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $71,523.94 $269,269.02 $82,348.41 nat. median
$100,136
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $37,624.46 $142,334.20 $82,072.20 nat. median
$76,377
1.1× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $78,080.29 $78,080.29 $78,080.29 nat. median
$48,649
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $35,091.93 $255,487.60 $75,959.44 nat. median
$93,672
0.8× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 7 $75,927.42 $75,927.42 $75,927.42 nat. median
$39,020
1.9× median

Other procedures at this hospital

Browse this hospital's 14,870 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 4 4 — — $4,505,000.00 $4,865,400.00 $4,662,675.00 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 4 — — $3,685,266.67 $3,980,088.00 $3,869,530.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 4 — — $3,316,462.59 $3,581,779.60 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $3,248,445.72 $3,508,321.37 $3,410,868.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 4 — — $2,945,740.00 $3,181,399.20 $3,093,027.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 5 — — $2,332,000.00 $4,664,000.00 $2,460,260.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $770,620.00 $1,903,431.40 $832,269.60 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 7 — — $591,726.20 $1,461,563.72 $668,427.32 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 7 — — $565,868.94 $1,397,696.29 $639,218.38 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 7 — — $547,428.83 $1,389,469.32 $635,455.87 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 7 — — $557,317.93 $1,376,575.30 $629,558.96 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 7 — — $533,011.17 $1,317,078.52 $602,348.87 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 7 — — $489,304.61 $1,208,582.38 $552,729.56 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 7 — — $278,250.00 $687,277.50 $418,005.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 8 7 — — $257,500.00 $636,025.00 $394,050.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 15 — — $299,559.08 $1,127,762.00 $343,187.07 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $294,945.00 $294,945.00 $294,945.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 47 30 — — $57,178.15 $554,317.32 $288,726.22 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 8 7 — — $205,640.00 $507,930.80 $285,839.60 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 21 — — $34,564.73 $731,872.17 $209,298.22 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 39 29 — — $35,651.66 $361,743.16 $194,708.05 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 15 — — $148,108.42 $557,589.66 $169,949.79 2026-04-01
9394 OTHER Inj. Inebilizumab-cdon, 1 Mg 2 2 — — $138,061.62 $138,061.62 $138,061.62 2024-07-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $111,502.61 $275,411.45 $120,422.82 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 38 — — $50,589.04 $200,526.48 $117,908.35 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 31 — — $37,623.45 $199,662.04 $116,482.01 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 7 — — $115,895.45 $115,895.45 $115,895.45 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 13 11 — — $1,676.00 $115,872.64 $115,872.64 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $113,711.58 $113,711.58 $113,711.58 2026-04-01
7 MS_DRG Lung Transplant 18 15 — — $89,835.54 $338,207.42 $103,294.19 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 7 — — $101,013.29 $101,013.29 $101,013.29 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 8 — — $1,676.00 $98,529.49 $98,529.49 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 15 — — $83,368.17 $313,859.48 $95,896.46 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 16 — — $78,608.70 $295,941.29 $91,726.31 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 28 — — $96.78 $168,048.63 $91,136.18 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 15 — — $78,518.52 $295,601.78 $90,349.18 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 22 17 — — $25,577.86 $144,652.00 $88,447.60 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 8 — — $56,824.55 $376,402.09 $88,149.33 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 15 — — $76,454.06 $287,829.66 $87,987.74 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 61 43 — — $9,507.40 $180,508.57 $87,388.57 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 18 — — $39,161.47 $156,912.76 $85,495.84 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 31 — — $28,652.27 $153,264.36 $84,526.34 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 18 — — $55,880.68 $220,155.27 $84,474.28 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 17 — — $70,320.26 $283,988.00 $83,152.05 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 15 — — $71,523.94 $269,269.02 $82,348.41 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 4 — — $37,624.46 $142,334.20 $82,072.20 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 5 — — $78,080.29 $78,080.29 $78,080.29 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 16 — — $35,091.93 $255,487.60 $75,959.44 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 7 — — $75,927.42 $75,927.42 $75,927.42 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 59 36 — — $700.00 $137,795.85 $75,879.57 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 8 — — $63,342.28 $156,455.44 $74,696.09 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 23 — — $62,116.06 $265,501.45 $74,688.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 24 — — $12,447.23 $129,206.30 $74,598.06 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $169,940.22 $74,305.85 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 20 — — $31,556.43 $135,944.23 $74,010.77 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 21 — — $7,415.87 $148,848.14 $72,444.99 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 29 — — $32,720.47 $130,250.94 $72,119.51 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 15 — — $62,499.60 $235,294.71 $72,025.89 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 34 — — $34,251.93 $142,663.87 $70,968.57 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 15 — — $60,070.95 $226,151.50 $69,247.88 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 35 25 — — $62.81 $99,366.66 $69,048.32 2026-04-01
90288 HCPCS Botulism Ig IV 2 2 — — $55,036.65 $82,798.50 $68,917.57 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 15 — — $58,294.39 $219,463.19 $67,215.75 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 8 6 — — $10,056.00 $154,035.63 $66,416.18 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 8 — — $55,272.32 $136,522.64 $65,179.62 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 52 35 — — $29,366.47 $117,046.69 $64,938.19 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 27 — — $1,655.00 $118,793.85 $63,753.70 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 15 — — $54,585.87 $205,501.58 $62,973.74 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 19 — — $30,437.43 $119,736.64 $61,890.54 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 22 — — $31,222.72 $126,106.33 $61,080.96 2026-04-01
9416 OTHER Inj, Evinacumab-dgnb, 5 Mg 1 1 — — $60,959.11 $60,959.11 $60,959.11 2024-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 32 — — $8,765.17 $118,741.62 $60,873.08 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 17 — — $45,503.65 $199,001.31 $59,280.47 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 15 — — $50,075.43 $188,520.96 $57,814.47 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 20 — — $337.27 $114,722.36 $57,494.45 2026-04-01
10 MS_DRG Pancreas Transplant 18 15 — — $49,777.83 $187,400.58 $57,474.07 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 15 — — $49,492.72 $186,327.21 $57,147.93 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 16 — — $41,003.12 $187,322.23 $56,641.10 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 4 3 — — $55,340.90 $55,340.90 $55,340.90 2024-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 15 — — $32,449.90 $123,662.70 $54,447.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 19 — — $29,783.66 $186,217.53 $53,628.74 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 15 — — $46,384.25 $174,624.63 $53,592.30 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,605.45 $122,525.46 $53,573.89 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 15 — — $46,350.26 $174,496.67 $53,553.43 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 26 — — $20,907.47 $92,100.69 $53,496.79 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 16 — — $43,395.81 $175,789.41 $53,186.40 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 25 — — $32,091.45 $128,535.12 $53,092.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 22 16 — — $30,101.70 $118,276.75 $52,738.78 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 39 26 — — $958.15 $107,741.56 $52,560.03 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 15 — — $45,447.06 $171,096.36 $52,520.29 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 17 — — $24,734.57 $93,119.21 $52,221.73 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — — $41,367.89 $171,720.53 $51,967.55 2026-04-01
9284 OTHER Ipilimumab Injection 11 11 — — $51,928.89 $51,928.89 $51,928.89 2024-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 31 — — $1,645.00 $109,728.99 $51,917.74 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 61 40 — — $22,642.21 $92,876.33 $51,895.29 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 21 — — $41,792.49 $179,623.24 $51,747.46 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 15 — — $45,612.86 $171,720.53 $51,225.15 2026-04-01
J9226 HCPCS Supprelin La Implant 11 8 — — $45,020.65 $111,201.01 $50,873.33 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 23 — — $753.07 $160,049.29 $49,856.28 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 36 22 — — $10,056.82 $95,887.51 $49,671.96 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 49 31 — — $60.94 $85,966.04 $49,395.74 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 25 — — $20,764.76 $84,576.67 $49,044.19 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 15 — — $40,408.25 $158,330.86 $48,641.71 2026-04-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 2 2 — — $48,619.59 $48,619.59 $48,619.59 2024-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 22 — — $16,294.18 $93,257.62 $48,235.11 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 3 — — $43,439.52 $159,343.52 $47,934.31 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 16 — — $38,273.65 $153,165.12 $47,735.18 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 19 — — $35,659.33 $159,863.87 $47,724.18 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 15 — — $41,134.33 $154,860.05 $47,587.17 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 15 — — $41,366.02 $155,732.32 $47,178.22 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 21 — — $2,080.00 $82,526.56 $46,891.27 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 18 — — $40,353.56 $156,868.37 $46,839.69 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 49 35 — — $5,963.68 $97,613.77 $46,776.80 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 8 6 — — $1,679.00 $107,863.38 $46,507.90 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 6 — — $28,000.00 $107,863.38 $46,507.90 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 15 — — $40,006.37 $150,613.58 $46,296.96 2026-04-01
9109 OTHER Inj, Elahere, 1 Mg 4 4 — — $45,861.75 $45,861.75 $45,861.75 2024-07-01
64568 HCPCS Inc For Vagus N Elect Impl 9 6 — — $3,386.00 $107,863.38 $45,852.85 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 15 — — $39,588.77 $149,041.40 $45,819.27 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 22 — — $17,273.54 $89,536.09 $45,568.73 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 43 29 — — $22,550.19 $91,100.44 $45,507.51 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 26 — — $11,308.06 $81,343.51 $45,398.57 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 20 — — $19,007.61 $81,199.87 $45,215.07 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 15 — — $38,999.81 $146,824.15 $45,145.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 15 — — $38,879.11 $146,369.73 $45,007.53 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 15 — — $38,313.05 $144,238.67 $44,360.04 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 15 — — $36,236.14 $145,366.88 $44,073.21 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 25 — — $20,419.67 $82,252.34 $43,789.43 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 15 — — $37,683.87 $141,869.95 $43,640.35 2026-04-01
570 MS_DRG Skin Debridement With Mcc 27 20 — — $19,091.74 $76,809.77 $43,546.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 23 — — $9,902.68 $149,652.51 $43,197.13 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $39,992.59 $98,781.70 $43,192.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 15 — — $36,971.44 $139,187.83 $42,825.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 15 — — $36,723.09 $138,252.88 $42,541.37 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 18 — — $36,047.43 $135,709.18 $42,356.79 2026-04-01
9455 OTHER Injection, Siltuximab 1 1 — — $42,211.06 $42,211.06 $42,211.06 2024-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 18 — — $7,301.25 $142,867.58 $42,086.69 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 31 19 — — $17,803.11 $71,766.77 $41,954.32 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 52 32 — — $9,319.22 $71,056.41 $41,549.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 19 — — $34,324.02 $143,374.23 $41,406.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 33 — — $14,953.62 $155,220.45 $41,230.06 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 4 4 — — $41,139.38 $41,139.38 $41,139.38 2024-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 20 — — $28,452.76 $142,439.28 $41,139.27 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 17 — — $30,732.68 $131,629.86 $41,099.90 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 19 — — $21,744.03 $139,271.40 $41,040.22 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 36 24 — — $341.03 $83,229.08 $40,873.86 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 18 — — $22,502.13 $97,603.33 $40,578.95 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 11 9 — — $40,113.08 $40,113.08 $40,113.08 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 15 — — $33,999.62 $127,999.74 $39,426.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 16 — — $32,915.49 $125,469.10 $39,201.69 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 39 26 — — $16,448.54 $66,674.15 $38,776.59 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 18 14 — — $3,604.48 $80,258.44 $38,703.08 2026-04-01
9205 OTHER Inj Lon Tesirin-lpyl 0.075mg 3 2 — — $38,351.00 $38,351.00 $38,351.00 2024-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 15 — — $32,613.61 $122,781.76 $37,840.72 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 48 32 — — $796.63 $71,785.05 $37,834.89 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 6 — — $34,970.13 $86,376.22 $37,767.74 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 32 22 — — $15,652.65 $63,756.99 $37,587.42 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 41 27 — — $16,083.03 $66,358.14 $37,426.43 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 15 — — $32,166.87 $121,099.89 $37,329.71 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 24 — — $20,573.28 $128,976.48 $37,298.48 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 27 — — $18,275.94 $74,443.66 $37,121.13 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 29 20 — — $16,720.66 $72,004.42 $36,880.09 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 16 — — $31,649.37 $119,151.64 $36,737.77 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 39 26 — — $1,412.03 $63,832.73 $36,650.93 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 22 — — $9,167.80 $84,482.65 $36,645.50 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 15 — — $32,002.41 $120,616.75 $36,431.92 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 16 — — $26,053.36 $108,459.75 $36,415.33 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 17 — — $767.01 $124,333.05 $35,973.76 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 50 33 — — $311.78 $67,786.69 $35,837.47 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 2 — — $35,792.30 $35,792.30 $35,792.30 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 20 — — $25,086.08 $99,490.83 $35,733.74 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 30 — — $14,655.00 $66,232.79 $35,711.71 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 40 32 — — $184.26 $55,212.67 $35,668.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 16 — — $11,958.50 $117,012.74 $35,579.62 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 17 — — $16,040.59 $122,531.05 $35,459.67 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 20 — — $17,048.37 $71,395.92 $35,370.99 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 16 — — $27,261.64 $116,553.10 $34,935.62 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 22 — — $19,550.88 $77,731.66 $34,781.97 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 24 — — $1,565.00 $120,042.19 $34,749.62 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 15 — — $29,418.43 $110,752.73 $34,185.90 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 28 21 — — $17,501.36 $65,888.06 $34,129.28 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 20 — — $1,676.00 $70,675.12 $33,973.27 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 15 — — $29,231.82 $110,050.21 $33,972.46 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 15 — — $29,518.50 $111,392.57 $33,896.08 2026-04-01
69930 HCPCS Implant Cochlear Device 10 7 — — $14,259.00 $80,743.90 $33,833.99 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 15 — — $28,945.33 $108,971.62 $33,644.74 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 22 — — $18,686.94 $75,788.63 $33,592.21 2026-04-01
J9266 HCPCS Pegaspargase Injection 11 8 — — $28,424.06 $70,207.43 $33,518.94 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 37 27 — — $13,720.32 $59,690.73 $33,402.65 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 8 6 — — $28,000.00 $76,866.74 $33,142.94 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 8 6 — — $28,000.00 $76,866.74 $33,142.94 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 8 6 — — $28,000.00 $76,866.74 $33,142.94 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 8 6 — — $28,000.00 $76,866.74 $33,142.94 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 8 6 — — $28,000.00 $76,866.74 $33,142.94 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 8 6 — — $28,000.00 $76,866.74 $33,142.94 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 8 6 — — $28,000.00 $76,866.74 $33,142.94 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 38 26 — — $165.37 $51,927.72 $33,042.97 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $30,593.52 $75,565.99 $33,041.00 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 28 20 — — $14,650.78 $57,241.05 $32,919.43 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 16 14 — — $3,453.69 $117,666.06 $32,794.65 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 29 19 — — $6,825.11 $57,421.25 $32,783.25 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 16 — — $28,225.93 $113,014.38 $32,744.66 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 26 — — $1,021.02 $64,206.19 $32,598.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 6 — — $23,587.00 $75,565.99 $32,582.10 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 8 6 — — $7,222.00 $75,565.99 $32,582.10 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 8 6 — — $7,222.00 $75,565.99 $32,582.10 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 8 6 — — $23,587.00 $75,565.99 $32,582.10 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 6 — — $23,587.00 $75,565.99 $32,582.10 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 6 — — $1,679.00 $75,565.99 $32,582.10 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 23 15 — — $14,682.85 $55,277.13 $32,545.68 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 20 — — $24,233.97 $112,113.38 $32,487.62 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 15 — — $27,890.21 $104,999.38 $32,437.85 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 19 — — $13,328.70 $110,105.06 $32,233.81 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 6 — — $29,719.96 $73,408.30 $32,097.56 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 18 — — $27,031.43 $109,394.70 $32,029.13 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 19 — — $18,764.95 $110,293.09 $31,968.31 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 6 — — $29,579.67 $73,061.78 $31,946.04 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 40 27 — — $1,249.00 $58,312.21 $31,908.15 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 6 — — $29,510.19 $72,890.17 $31,871.01 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 21 — — $28,569.96 $109,598.41 $31,770.12 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 16 — — $21,096.77 $104,048.76 $31,696.20 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 10 7 — — $5,134.00 $75,565.99 $31,664.29 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 10 7 — — $5,134.00 $75,565.99 $31,664.29 2026-04-01
61886 HCPCS Implant Neurostim Arrays 10 7 — — $9,962.00 $75,565.99 $31,664.29 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 15 — — $27,014.07 $101,700.93 $31,435.65 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 41 28 — — $10,438.65 $55,927.41 $31,431.58 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 16 — — $18,452.42 $70,778.82 $31,295.11 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 31 22 — — $12,981.52 $54,611.17 $31,000.24 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 8 6 — — $28,000.00 $70,241.34 $30,286.25 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 40 27 — — $14,707.44 $61,074.88 $30,248.80 2026-04-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 2 2 — — $30,236.28 $30,236.28 $30,236.28 2024-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 33 23 — — $12,873.87 $52,106.64 $30,156.25 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 35 23 — — $12,775.64 $59,432.18 $30,104.97 2026-04-01
9236 OTHER Eculizumab Injection 8 7 — — $30,093.11 $30,093.11 $30,093.11 2024-07-01
265 MS_DRG Aicd Lead Procedures 20 16 — — $25,099.45 $94,492.91 $30,081.88 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 15 — — $25,707.13 $96,780.67 $29,940.73 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 17 — — $16,871.33 $100,935.73 $29,884.72 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 15 — — $11,742.11 $97,846.21 $29,838.21 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 33 24 — — $11,268.05 $53,814.63 $29,797.97 2026-04-01
5166 OTHER Cochlear Implant Procedure 9 6 — — $11,756.70 $42,397.32 $29,750.91 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 17 — — $26,187.38 $100,267.16 $29,690.18 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 15 — — $23,236.64 $95,926.68 $29,681.25 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 19 — — $23,458.31 $102,163.18 $29,648.93 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 44 29 — — $11,729.92 $52,237.22 $29,643.19 2026-04-01
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $29,642.94 $29,642.94 $29,642.94 2024-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 18 — — $22,386.48 $94,325.77 $29,606.04 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 32 23 — — $13,494.01 $59,332.94 $29,466.21 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 15 — — $24,853.88 $93,850.32 $29,372.68 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 19 — — $24,704.74 $101,087.20 $29,341.96 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 37 27 — — $12,915.15 $57,661.52 $29,329.81 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 21 — — $23,590.88 $100,839.10 $29,271.18 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 24 — — $24,108.66 $96,455.98 $29,128.72 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 15 — — $24,796.31 $93,351.64 $28,898.87 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 45 30 — — $13,383.45 $56,901.54 $28,870.95 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 26 19 — — $13,034.42 $54,305.61 $28,748.04 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 8 6 — — $12,226.00 $66,447.25 $28,650.33 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 8 6 — — $23,587.00 $66,447.25 $28,650.33 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 8 6 — — $23,587.00 $66,447.25 $28,650.33 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 8 6 — — $18,435.00 $66,447.25 $28,650.33 2026-04-01
22630 HCPCS Lumbar Spine Fusion 8 6 — — $1,679.00 $66,447.25 $28,650.33 2026-04-01
22558 HCPCS Lumbar Spine Fusion 8 6 — — $1,679.00 $66,447.25 $28,650.33 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 50 31 — — $3,039.46 $45,891.04 $28,578.35 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 24 17 — — $12,565.33 $52,239.83 $28,556.48 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 24 — — $200.00 $98,274.51 $28,539.53 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 70 46 — — $7,308.65 $52,182.38 $28,471.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 15 — — $22,658.89 $94,558.20 $28,441.09 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 8 6 — — $26,687.04 $65,916.98 $28,421.69 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 9 7 — — $8,533.00 $66,447.25 $28,246.81 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 18 — — $11,809.95 $47,627.75 $28,181.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 35 32 — — $2,179.36 $106,004.84 $28,157.28 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 17 — — $19,784.15 $94,761.91 $28,088.18 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 36 24 — — $11,805.21 $52,401.75 $27,891.80 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 18 — — $22,564.67 $84,950.12 $27,870.54 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 10 7 — — $10,056.00 $66,447.25 $27,843.28 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 15 — — $23,853.57 $89,802.48 $27,820.51 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 17 — — $13,207.93 $94,688.78 $27,791.72 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 8 6 — — $18,435.00 $64,007.79 $27,598.50 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 8 6 — — $18,435.00 $64,007.79 $27,598.50 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 8 6 — — $18,435.00 $64,007.79 $27,598.50 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 41 36 — — $1,307.30 $108,893.27 $27,415.33 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 17 — — $20,250.90 $94,184.74 $27,372.77 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 8 7 — — $17,771.01 $115,464.47 $27,367.35 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 19 — — $21,865.17 $93,040.86 $27,316.90 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 14 12 — — $1,370.74 $56,820.63 $27,177.83 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 23 — — $256.38 $92,952.07 $27,021.10 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 19 — — $12,311.72 $56,862.37 $27,015.18 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 27 24 — — $6,907.38 $67,586.74 $26,956.87 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 22 — — $15,827.46 $59,586.27 $26,953.38 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 21 16 — — $13,301.70 $50,077.43 $26,927.15 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 23 18 — — $11,192.41 $45,256.42 $26,828.06 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 15 — — $22,914.99 $86,268.98 $26,746.92 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 19 — — $17,381.40 $91,912.65 $26,724.56 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 17 — — $11,710.96 $90,659.08 $26,630.60 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 20 16 — — $15,529.17 $58,463.28 $26,459.99 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 17 — — $20,750.27 $89,097.35 $26,439.82 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 18 — — $20,423.33 $88,979.82 $26,405.62 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 36 25 — — $10,728.05 $47,813.17 $26,372.76 2026-04-01
813 MS_DRG Coagulation Disorders 35 23 — — $9,681.34 $55,035.86 $26,345.38 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 31 22 — — $10,368.38 $46,530.88 $26,324.31 2026-04-01
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