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

TRISTAR GREENVIEW REGIONAL HOSPITAL

Bowling Green, KY · CCN 180124 · 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: $4,828 across 16 payers · range $3,738-$14,747

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-0724492_TRISTAR-GREENVIEW-REGIONAL-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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.

28,447 distinct procedures filed
28 distinct payers
775,766 rate rows
2026-07-31 last MRF observed
Data quality

742,248 of 775,766 rate rows are consumer-grade (95.7%)

33,518 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 20,753
per-diem day rate — not a per-procedure price 8,329
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,171
placeholder amount (≤ $0.02) — excluded from medians 142
percent-of-charges filed in the dollar field — excluded from medians 76
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 42
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/ea90461dcc04484494a1727a4979f0e4?download=true
Found on page https://www.tristarhealth.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-04
Content fingerprint 0ca23ef5ec9f9be0… · 285,483,294 bytes · first seen 2026-05-06

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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,897,200.00 $4,874,074.33 nat. median
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 9 $4,560.53 $4,640,150.00 $4,505,000.00 nat. median
$16,015
outlier · 281.3×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,414,900.00 $4,414,900.00 $4,414,900.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $4,078,382.75 nat. median
$2,460,273
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 10 $3,672,900.00 $4,864,552.44 $3,685,267.00 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,599,442.00 $3,611,561.66 $3,605,501.83 nat. median
$3,574,709
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 8 $3,605,000.00 $4,758,600.00 $3,605,000.00 nat. median
$3,646,097
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,532,900.00 $3,532,900.00 $3,532,900.00 nat. median
$3,496,850
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 9 $9,083.45 $4,403,282.40 $3,335,820.00 nat. median
$29,683
outlier · 112.4×
714
OTHER 		Inj Delandistrogene Mox R 10 $5,054.11 $4,392,775.20 $3,327,860.00 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 10 $8,336.74 $4,337,520.00 $3,286,000.00 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,269,103.60 $3,269,103.60 $3,269,103.60 nat. median
$14,170
outlier · 230.7×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,258,945.90 $3,261,302.80 $3,260,124.35 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,187,457.84 $3,220,280.00 $3,203,868.92 nat. median
$3,187,420
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 9 $6,082.13 $4,197,600.00 $3,180,000.00 nat. median
$24,604
outlier · 129.2×
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,116,400.00 $3,116,400.00 $3,116,400.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 10 $7,404.68 $3,917,760.00 $2,968,000.00 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,881,169.62 $2,908,640.00 $2,894,904.81 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 10 $2,388,614.00 $3,417,454.92 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,340,841.72 $2,537,201.38 $2,439,021.55 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 9 $12,165.22 $3,078,240.00 $2,332,000.00 nat. median
$58,186
outlier · 40.1×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,285,360.00 $2,285,360.00 $2,285,360.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$809,151
1.6× median
2067
OTHER 		Afamitresgene Autoleucel 9 $770,620.00 $1,017,218.40 $770,620.00 nat. median
$786,032
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $507,876.18 $934,776.65 $715,446.15 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $497,346.08 $969,621.79 $689,894.58 nat. median
$631,793
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $474,996.20 $920,834.85 $673,884.77 nat. median
$610,161
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $464,579.78 $927,632.05 $662,578.51 nat. median
$624,417
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $450,193.38 $878,117.20 $649,930.04 nat. median
$588,565
1.1× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $440,451.20 $807,592.83 $610,593.51 nat. median
$577,541
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 10 $527,123.40 $775,697.47 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 10 $529,192.90 $747,821.32 $566,531.30 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 10 $516,726.10 $742,105.58 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 10 $526,587.60 $736,667.98 $558,081.80 nat. median
$560,872
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $516,580.93 $575,896.61 $546,238.77 nat. median
$570,020
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $518,609.04 $555,200.67 $536,904.85 nat. median
$549,535
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 10 $489,456.00 $702,493.70 $532,192.20 nat. median
$533,230
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $516,055.85 $546,920.16 $531,488.01 nat. median
$541,339
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $506,391.58 $550,957.18 $528,674.38 nat. median
$545,335
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $479,666.88 $521,548.36 $500,607.62 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 10 $460,530.40 $646,074.26 $489,450.20 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $451,319.79 $479,661.20 $465,490.49 nat. median
$474,767
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$302,242
1.5× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $205,030.64 $621,357.31 $301,682.78 nat. median
$370,165
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 9 $2,805.20 $367,290.00 $278,250.00 nat. median
$20,175
outlier · 13.8×
00831
OTHER 		Obecbtge Autol Up To 400 1 $272,685.00 $272,685.00 $272,685.00 nat. median
$272,685
1.0× median
897
OTHER 		Revakinagene, Per Implant 9 $265,000.00 $349,800.00 $265,000.00 nat. median
$19,528
outlier · 13.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $152,207.52 $792,578.00 $264,419.23 nat. median
$261,939
1.0× median

Other procedures at this hospital

Browse this hospital's 28,447 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,850,948.67 $4,897,200.00 $4,874,074.33 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 13 9 — — $4,560.53 $4,640,150.00 $4,505,000.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,414,900.00 $4,414,900.00 $4,414,900.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 2 1 — — $3,884,946.48 $4,271,819.03 $4,078,382.75 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 25 10 — — $3,672,900.00 $4,864,552.44 $3,685,267.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 1 — — $3,599,442.00 $3,611,561.66 $3,605,501.83 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 12 8 — — $3,605,000.00 $4,758,600.00 $3,605,000.00 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,532,900.00 $3,532,900.00 $3,532,900.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 15 9 — — $9,083.45 $4,403,282.40 $3,335,820.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 27 10 — — $5,054.11 $4,392,775.20 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 27 10 — — $8,336.74 $4,337,520.00 $3,286,000.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,269,103.60 $3,269,103.60 $3,269,103.60 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 1 — — $3,258,945.90 $3,261,302.80 $3,260,124.35 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 1 — — $3,187,457.84 $3,220,280.00 $3,203,868.92 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 15 9 — — $6,082.13 $4,197,600.00 $3,180,000.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,116,400.00 $3,116,400.00 $3,116,400.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 27 10 — — $7,404.68 $3,917,760.00 $2,968,000.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 1 — — $2,881,169.62 $2,908,640.00 $2,894,904.81 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 25 10 — — $2,388,614.00 $3,417,454.92 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 1 — — $2,340,841.72 $2,537,201.38 $2,439,021.55 2026-03-01
824 OTHER Inj, Exagamglogene Autote 15 9 — — $12,165.22 $3,078,240.00 $2,332,000.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,285,360.00 $2,285,360.00 $2,285,360.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 13 9 — — $770,620.00 $1,017,218.40 $770,620.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 2 — — $507,876.18 $934,776.65 $715,446.15 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 2 — — $497,346.08 $969,621.79 $689,894.58 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 2 — — $474,996.20 $920,834.85 $673,884.77 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 2 — — $464,579.78 $927,632.05 $662,578.51 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 2 — — $450,193.38 $878,117.20 $649,930.04 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 2 — — $440,451.20 $807,592.83 $610,593.51 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 25 10 — — $527,123.40 $775,697.47 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 25 10 — — $529,192.90 $747,821.32 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 25 10 — — $516,726.10 $742,105.58 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 25 10 — — $526,587.60 $736,667.98 $558,081.80 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $516,580.93 $575,896.61 $546,238.77 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $518,609.04 $555,200.67 $536,904.85 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 25 10 — — $489,456.00 $702,493.70 $532,192.20 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $516,055.85 $546,920.16 $531,488.01 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $506,391.58 $550,957.18 $528,674.38 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $479,666.88 $521,548.36 $500,607.62 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 25 10 — — $460,530.40 $646,074.26 $489,450.20 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $451,319.79 $479,661.20 $465,490.49 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 23 — — $205,030.64 $621,357.31 $301,682.78 2026-03-01
831 OTHER Obecbtge Autol Up To 400 15 9 — — $2,805.20 $367,290.00 $278,250.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $272,685.00 $272,685.00 $272,685.00 2026-03-01
897 OTHER Revakinagene, Per Implant 13 9 — — $265,000.00 $349,800.00 $265,000.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 23 — — $152,207.52 $792,578.00 $264,419.23 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $259,700.00 $259,700.00 $259,700.00 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 15 9 — — $5,289.74 $266,203.08 $201,669.00 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $197,635.62 $197,635.62 $197,635.62 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $171,313.45 $178,042.80 $174,678.12 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $141,358.82 $202,547.86 $171,953.34 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 15 — — $12,867.00 $316,367.26 $149,427.97 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 55 23 — — $12,867.00 $305,409.40 $145,795.40 2026-03-01
1907 OTHER New Technology - Level 52 25 10 — — $140,532.30 $187,048.62 $141,703.50 2026-03-01
1908 OTHER New Technology - Level 52 25 10 — — $140,532.30 $187,048.62 $141,703.50 2026-03-01
01907 OTHER New Technology - Level 52 2 1 — — $137,721.65 $141,066.30 $139,393.97 2026-03-01
01908 OTHER New Technology - Level 52 2 1 — — $137,721.65 $141,066.30 $139,393.97 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $138,148.31 $129,132.51 2026-03-01
1906 OTHER New Technology - Level 51 25 10 — — $126,709.50 $168,650.46 $127,765.50 2026-03-01
1905 OTHER New Technology - Level 51 25 10 — — $126,709.50 $168,650.46 $127,765.50 2026-03-01
01906 OTHER New Technology - Level 51 2 1 — — $124,175.31 $127,190.97 $125,683.14 2026-03-01
01905 OTHER New Technology - Level 51 2 1 — — $124,175.31 $127,190.97 $125,683.14 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $114,745.80 $125,488.15 $120,116.98 2026-03-01
1904 OTHER New Technology - Level 50 25 10 — — $112,886.70 $150,252.30 $113,827.50 2026-03-01
1903 OTHER New Technology - Level 50 25 10 — — $112,886.70 $150,252.30 $113,827.50 2026-03-01
01904 OTHER New Technology - Level 50 2 1 — — $110,628.97 $113,315.64 $111,972.30 2026-03-01
01903 OTHER New Technology - Level 50 2 1 — — $110,628.97 $113,315.64 $111,972.30 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 27 10 — — $97,999.90 $147,183.96 $111,503.00 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 63 23 — — $60,111.18 $792,578.00 $103,534.95 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $93,760.51 $108,036.36 $100,898.43 2026-03-01
1902 OTHER New Technology - Level 49 25 10 — — $99,063.86 $131,854.09 $99,889.46 2026-03-01
1901 OTHER New Technology - Level 49 25 10 — — $99,063.86 $131,854.09 $99,889.46 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $97,082.58 $99,440.31 $98,261.45 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $97,082.58 $99,440.31 $98,261.45 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 70 26 — — $12,867.00 $199,307.79 $96,686.55 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 27 10 — — $89,211.26 $125,506.92 $95,081.00 2026-03-01
7 MS_DRG Lung Transplant 56 23 — — $70,559.78 $186,340.43 $91,278.55 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 56 23 — — $65,509.92 $174,713.60 $90,603.11 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $80,680.50 $97,996.27 $89,338.39 2026-03-01
1585 OTHER New Technology - Level 48 25 10 — — $87,544.86 $116,522.29 $88,274.46 2026-03-01
1599 OTHER New Technology - Level 48 25 10 — — $87,544.86 $116,522.29 $88,274.46 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $85,793.96 $87,877.55 $86,835.76 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $85,793.96 $87,877.55 $86,835.76 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 27 — — $52,676.39 $153,043.00 $84,644.25 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $73,005.99 $87,824.93 $80,415.46 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 34 22 — — $61,723.19 $162,866.21 $79,082.84 2026-03-01
1598 OTHER New Technology - Level 47 25 10 — — $78,329.66 $104,256.85 $78,982.46 2026-03-01
1584 OTHER New Technology - Level 47 25 10 — — $78,329.66 $104,256.85 $78,982.46 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 74 27 — — $46,075.26 $305,277.00 $77,823.66 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $76,763.07 $78,627.33 $77,695.20 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $76,763.07 $78,627.33 $77,695.20 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $77,046.96 $76,916.17 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 74 27 — — $12,867.00 $156,467.42 $76,367.34 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 27 — — $57,189.50 $284,328.00 $75,890.41 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 23 — — $56,261.67 $148,357.78 $73,709.61 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 4 2 — — $54,344.53 $91,596.09 $72,821.77 2026-03-01
215 MS_DRG Other Heart Assist System Implant 70 26 — — $54,346.90 $626,616.00 $72,251.09 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 27 — — $42,004.17 $156,753.00 $71,075.79 2026-03-01
007 OTHER Lung Transplant 2 1 — — $64,682.08 $75,316.88 $69,999.48 2026-03-01
1583 OTHER New Technology - Level 46 25 10 — — $69,114.46 $91,991.41 $69,690.46 2026-03-01
1597 OTHER New Technology - Level 46 25 10 — — $69,114.46 $91,991.41 $69,690.46 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $64,290.00 $74,966.06 $69,628.03 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 27 10 — — $64,554.27 $90,818.24 $68,801.70 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $67,732.17 $69,377.11 $68,554.64 2026-03-01
01583 OTHER New Technology - Level 46 2 1 — — $67,732.17 $69,377.11 $68,554.64 2026-03-01
J9999 HCPCS Carmustine Wafers 8/box 22 18 $135,433.37 $135,433.37 $9,480.34 $121,890.03 $67,039.51 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $64,564.73 $66,752.98 $65,658.85 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 25 10 — — $56,824.55 $86,429.09 $65,476.58 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 74 27 — — $38,646.78 $358,543.00 $65,182.62 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 27 10 — — $11,136.73 $84,842.72 $64,274.79 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 72 27 — — $45,561.41 $226,384.00 $63,364.63 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 70 26 — — $12,867.00 $124,601.55 $62,865.30 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $62,087.67 $62,989.29 $62,538.48 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 3 — — $61,970.89 $106,053.40 $62,235.29 2026-03-01
1596 OTHER New Technology - Level 45 25 10 — — $59,899.26 $79,725.97 $60,398.46 2026-03-01
1582 OTHER New Technology - Level 45 25 10 — — $59,899.26 $79,725.97 $60,398.46 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,688.06 $64,167.05 $59,927.56 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 27 — — $35,339.60 $153,043.00 $59,794.66 2026-03-01
5244 OTHER Level 4 Blood Product Exc 25 10 — — $47,980.02 $78,822.03 $59,713.66 2026-03-01
01582 OTHER New Technology - Level 45 2 1 — — $58,701.27 $60,126.89 $59,414.08 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $58,701.27 $60,126.89 $59,414.08 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $53,072.20 $63,612.83 $58,342.51 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 74 27 — — $29,388.00 $120,916.52 $58,193.76 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 74 27 — — $32,949.30 $233,162.00 $56,936.78 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 27 — — $32,579.72 $153,043.00 $56,913.62 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 74 27 — — $41,824.89 $110,006.78 $56,718.91 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 74 27 — — $33,252.62 $305,277.00 $56,151.49 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 74 27 — — $32,803.96 $227,804.00 $55,589.40 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 70 26 — — $43,036.03 $113,224.16 $55,408.89 2026-03-01
10 MS_DRG Pancreas Transplant 56 23 — — $39,281.80 $106,322.59 $55,275.08 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 25 10 — — $54,404.11 $72,620.10 $55,015.23 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 59 25 — — $39,059.18 $105,710.47 $54,146.68 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $52,462.29 $55,071.24 $53,766.76 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $53,316.03 $53,914.93 $53,615.48 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $47,020.42 $59,445.17 $53,232.79 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $53,073.67 $53,073.67 $53,073.67 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $52,951.07 $52,951.07 $52,951.07 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 70 26 — — $12,867.00 $109,642.74 $52,322.11 2026-03-01
123412 CDM Set Vntrc 17.4x13.8in 52 22 $142,175.00 $142,175.00 $9,952.25 $143,302.50 $51,784.04 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $47,670.35 $55,327.54 $51,498.94 2026-03-01
1581 OTHER New Technology - Level 44 25 10 — — $50,684.06 $67,460.53 $51,106.46 2026-03-01
1595 OTHER New Technology - Level 44 25 10 — — $50,684.06 $67,460.53 $51,106.46 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 27 — — $38,821.62 $192,785.00 $50,874.50 2026-03-01
369709 CDM Kit Lo Prfl Comp Shth 7f 24 18 $159,225.00 $159,225.00 $11,145.75 $143,302.50 $50,665.40 2026-03-01
01581 OTHER New Technology - Level 44 2 1 — — $49,670.38 $50,876.67 $50,273.52 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $49,670.38 $50,876.67 $50,273.52 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 27 10 — — $46,543.14 $65,479.13 $49,605.40 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $39,329.34 $59,616.13 $49,472.74 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 70 26 — — $12,867.00 $103,207.98 $49,081.95 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 74 27 — — $30,329.84 $81,839.03 $49,078.99 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 27 — — $29,035.26 $156,753.00 $48,881.06 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 74 27 — — $32,201.81 $84,443.29 $48,174.94 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 26 — — $9,738.00 $99,453.89 $47,911.83 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $35,769.68 $59,753.85 $47,761.76 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 74 27 — — $36,478.73 $98,966.10 $47,085.94 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 70 26 — — $33,866.00 $96,212.05 $46,934.77 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 72 27 — — $29,388.00 $181,983.00 $46,900.77 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 70 26 — — $12,867.00 $96,853.80 $46,851.46 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $42,792.49 $49,658.61 $46,225.55 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 74 27 — — $29,163.40 $78,602.79 $46,176.68 2026-03-01
1142 OTHER Supprelin La Implant 25 10 — — $43,185.34 $59,862.28 $45,350.21 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 70 26 — — $12,867.00 $94,268.09 $44,875.30 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $41,992.13 $47,405.27 $44,698.70 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 74 27 — — $26,569.11 $88,823.00 $44,685.43 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 70 26 — — $9,738.00 $92,588.90 $44,605.63 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 3 — — $43,687.22 $72,861.11 $44,307.76 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 27 — — $25,212.80 $156,753.00 $43,870.50 2026-03-01
326035 CDM Revsc Fem/pop W Stnt/ath 27 21 $119,670.05 $119,670.05 $8,376.90 $107,703.04 $43,751.37 2024-10-01
326057 CDM Revsc Tib/per St/ath Ini 27 21 $119,670.05 $119,670.05 $8,376.90 $107,703.04 $43,751.37 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 74 27 — — $25,821.46 $171,045.00 $43,531.65 2026-03-01
64565 CPT HPercutaneous Implantation Of Neurostimulator Electrode Array; Neuromuscular 3 2 — — $9,752.00 $44,783.00 $43,420.00 2026-03-01
01142 OTHER Supprelin La Implant 2 1 — — $42,321.63 $44,443.21 $43,382.42 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 70 26 — — $12,867.00 $88,079.39 $43,268.43 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $43,168.16 $43,168.16 $43,168.16 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $40,990.60 $44,981.03 $42,985.82 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 74 27 — — $25,430.55 $233,162.00 $42,808.78 2026-03-01
215 OTHER Other Heart Assist System Implant 2 1 — — $35,994.69 $49,246.59 $42,620.64 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 56 23 — — $32,532.76 $85,322.45 $42,218.15 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $42,028.21 $42,150.68 $42,089.44 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 56 23 — — $29,838.56 $80,489.43 $41,930.71 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 70 26 — — $28,799.00 $86,453.43 $41,814.52 2026-03-01
1580 OTHER New Technology - Level 43 25 10 — — $41,468.86 $55,195.09 $41,814.46 2026-03-01
1594 OTHER New Technology - Level 43 25 10 — — $41,468.86 $55,195.09 $41,814.46 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 68 26 — — $32,557.46 $85,521.02 $41,746.15 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 74 27 — — $24,559.62 $102,489.00 $41,467.85 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $41,061.81 $41,480.86 $41,271.33 2026-03-01
01580 OTHER New Technology - Level 43 2 1 — — $40,639.48 $41,626.45 $41,132.96 2026-03-01
01594 OTHER New Technology - Level 43 2 1 — — $40,639.48 $41,626.45 $41,132.96 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 74 27 — — $29,388.00 $108,090.00 $40,892.09 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $40,817.69 $40,817.69 $40,817.69 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 72 27 — — $29,978.93 $148,482.00 $40,751.98 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 70 26 — — $12,867.00 $84,388.61 $40,628.79 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 70 26 — — $31,252.71 $131,334.00 $40,366.61 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 34 22 — — $31,325.94 $85,675.00 $40,136.37 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $22,689.11 $57,580.37 $40,134.74 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 70 26 — — $29,602.11 $82,010.11 $40,085.01 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $35,775.92 $44,391.42 $40,083.67 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 27 10 — — $37,523.71 $52,790.23 $39,992.60 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 27 — — $30,169.50 $149,395.00 $39,740.08 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 23 — — $29,819.84 $80,644.59 $39,618.73 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $38,803.31 $39,976.89 $39,390.10 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 27 10 — — $36,947.47 $51,979.49 $39,378.40 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 2 1 — — $39,376.13 $39,376.13 $39,376.13 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 70 26 — — $27,442.21 $147,412.00 $39,159.92 2026-03-01
834 OTHER Acute Leukemia With Mcc 2 1 — — $36,723.35 $40,248.57 $38,485.96 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 74 27 — — $28,147.51 $84,036.00 $38,214.11 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 70 26 — — $12,867.00 $74,771.00 $38,180.19 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 70 26 — — $9,738.00 $78,994.17 $38,150.56 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 70 26 — — $12,867.00 $78,715.02 $37,931.60 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 70 26 — — $29,088.36 $87,789.00 $37,861.88 2026-03-01
677424 CDM Ins/repl Leadless Ppm 51 21 $104,212.68 $104,212.68 $7,294.89 $105,046.38 $37,816.70 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 70 26 — — $12,867.00 $78,479.04 $37,761.43 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $31,586.70 $43,212.44 $37,399.57 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $24,764.62 $49,498.34 $37,131.48 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 72 27 — — $28,239.27 $139,787.00 $36,968.87 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 70 26 — — $12,867.00 $71,946.39 $36,963.27 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $36,321.76 $36,368.84 $36,345.30 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 1 — — $36,058.91 $36,240.06 $36,149.49 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 1 — — $35,713.42 $36,325.09 $36,019.25 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 74 27 — — $21,380.04 $78,285.00 $35,810.76 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 74 27 — — $22,603.86 $60,706.00 $35,700.06 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $32,788.78 $38,593.00 $35,690.89 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 70 26 — — $27,212.06 $118,556.00 $35,035.53 2026-03-01
L8701 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand With S… 27 10 — — $32,811.28 $46,160.53 $34,970.10 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 70 26 — — $12,867.00 $71,763.70 $34,894.42 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 74 27 — — $22,867.74 $85,675.00 $34,542.04 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 70 26 — — $12,867.00 $70,818.34 $34,530.80 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 26 — — $12,867.00 $71,061.52 $34,463.93 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $30,039.16 $38,733.63 $34,386.39 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 70 26 — — $9,738.00 $69,129.07 $34,329.23 2026-03-01
C2624 HCPCS System Mntr 2x15mm 4.5cm 21 18 $68,543.00 $68,543.00 $4,798.01 $61,688.70 $34,271.50 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $32,534.53 $35,954.55 $34,244.54 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $27,735.62 $40,362.88 $34,049.25 2026-03-01
010 OTHER Pancreas Transplant 2 1 — — $25,382.67 $42,270.22 $33,826.44 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 56 23 — — $25,530.76 $66,721.79 $33,756.42 2026-03-01
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $33,618.22 $33,618.22 $33,618.22 2026-03-01
326648 CDM Repl Pacemaker Gen Multi 51 21 $92,553.21 $92,553.21 $6,478.72 $93,293.64 $33,585.71 2026-03-01
245 MS_DRG Aicd Generator Procedures 70 26 — — $25,126.69 $102,035.00 $33,512.75 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 74 27 — — $21,508.17 $59,361.82 $33,502.91 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 23 — — $25,292.62 $67,648.44 $33,319.96 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 77 27 — — $12,470.00 $53,170.00 $33,176.94 2026-03-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — — $31,398.76 $34,799.03 $33,098.89 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — — $29,521.82 $36,292.95 $32,907.38 2026-03-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $32,828.01 $32,828.01 $32,828.01 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 70 26 — — $12,867.00 $67,308.86 $32,795.42 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 70 26 — — $12,867.00 $67,510.31 $32,772.83 2026-03-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 2 1 — — $32,193.00 $33,203.00 $32,698.00 2026-03-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 2 1 — — $32,193.00 $33,203.00 $32,698.00 2026-03-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 2 1 — — $32,193.00 $33,203.00 $32,698.00 2026-03-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 2 1 — — $32,193.00 $33,203.00 $32,698.00 2026-03-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 2 1 — — $32,193.00 $33,203.00 $32,698.00 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 70 26 — — $12,867.00 $65,166.34 $32,616.86 2026-03-01
1593 OTHER New Technology - Level 42 25 10 — — $32,253.66 $42,929.65 $32,522.46 2026-03-01
1579 OTHER New Technology - Level 42 25 10 — — $32,253.66 $42,929.65 $32,522.46 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $29,075.75 $35,768.62 $32,422.19 2026-03-01
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $32,000.65 $32,572.16 $32,286.40 2026-03-01
C1820 HCPCS Device Neurostimulator 264 18 $68,392.00 $68,392.00 $388.71 $73,809.90 $32,267.60 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 74 27 — — $18,980.14 $85,675.00 $32,189.97 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 70 26 — — $12,867.00 $65,970.69 $32,148.51 2026-03-01
01593 OTHER New Technology - Level 42 2 1 — — $31,608.59 $32,376.23 $31,992.41 2026-03-01
01579 OTHER New Technology - Level 42 2 1 — — $31,608.59 $32,376.23 $31,992.41 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 70 26 — — $12,867.00 $66,139.04 $31,955.63 2026-03-01
006 OTHER Liver Transplant Without Mcc 2 1 — — $28,974.60 $34,627.72 $31,801.16 2026-03-01
C1767 HCPCS Generator Nrstm Eon Mini 328 22 $51,505.00 $51,505.00 $344.44 $75,895.20 $31,660.95 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 70 26 — — $12,867.00 $64,488.62 $31,628.67 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 70 26 — — $23,030.09 $74,610.00 $31,625.17 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 70 26 — — $12,867.00 $65,451.24 $31,605.42 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 70 26 — — $24,127.96 $92,241.00 $31,503.03 2026-03-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $29,360.30 $33,384.19 $31,372.25 2026-03-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 1 — — $28,980.26 $33,760.97 $31,370.61 2026-03-01
5166 OTHER Cochlear Implant Procedur 25 10 — — $29,443.85 $41,317.70 $31,301.29 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 74 27 — — $17,708.15 $102,035.00 $31,261.17 2026-03-01
332458 CDM Transcth Stnt Plc Ia 51 21 $85,285.22 $85,285.22 $5,969.97 $85,967.51 $30,948.30 2026-03-01
332183 CDM Transcth Stnt Plc In Vn 51 21 $85,285.22 $85,285.22 $5,969.97 $85,967.51 $30,948.30 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 70 26 — — $12,867.00 $61,770.54 $30,783.68 2026-03-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $25,315.43 $36,181.15 $30,748.29 2026-03-01
228 OTHER Other Cardiothoracic Procedures With Mcc 2 1 — — $30,335.31 $30,505.66 $30,420.49 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 70 26 — — $12,867.00 $60,384.88 $30,415.82 2026-03-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 2 1 — — $27,745.59 $33,015.34 $30,380.46 2026-03-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 2 1 — — $28,115.40 $32,520.84 $30,318.12 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 70 26 — — $12,867.00 $63,208.00 $30,260.04 2026-03-01
05166 OTHER Cochlear Implant Procedur 2 1 — — $28,854.97 $31,160.55 $30,007.76 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 70 26 — — $12,867.00 $62,266.96 $29,975.07 2026-03-01
5232 OTHER Level 2 Icd And Similar P 25 10 — — $28,885.95 $39,333.70 $29,798.26 2026-03-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $28,751.18 $30,730.36 $29,740.77 2026-03-01
L5856 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 27 10 — — $27,885.21 $39,230.40 $29,720.00 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 70 26 — — $9,738.00 $57,700.87 $29,713.37 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 70 26 — — $12,867.00 $61,373.40 $29,659.28 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 74 27 — — $23,015.30 $108,090.00 $29,652.28 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 72 27 — — $22,448.58 $110,836.00 $29,601.75 2026-03-01
L6880 HCPCS Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 27 10 — — $27,753.60 $39,045.20 $29,579.70 2026-03-01
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 14 9 — — $28,920.00 $38,953.46 $29,510.20 2026-03-01
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $28,871.64 $29,967.42 $29,419.53 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 68 26 — — $22,923.13 $59,996.37 $29,418.67 2026-03-01
5465 OTHER Level 5 Neurostimulator A 25 10 — — $27,264.36 $38,668.11 $29,294.02 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 70 26 — — $12,867.00 $60,456.82 $29,255.14 2026-03-01
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