Price Transparency 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

FRANKFORT REGIONAL MEDICAL CENTER

Frankfort, KY · CCN 180127 · Rates published

22,744 distinct procedures filed
25 distinct payers
365,307 rate rows
2026-03-01 last MRF observed
Data quality

348,285 of 365,307 rate rows are consumer-grade (95.3%)

17,022 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 6,160
template filing: same amount across many unrelated codes — excluded 5,378
per-diem day rate — not a per-procedure price 5,282
placeholder amount (≤ $0.02) — excluded from medians 200
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://core.secure.ehc.com/src/util/json-detail-price-list/61-0859329_frankfort-regional-medical-center_standardcharges.json
Found on page https://frankfortregional.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 360f6834f07a1d7c… · 207,133,252 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$3,006,423
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 10 $5,139.55 $4,640,150.00 $4,505,000.00 nat. median
$9,966
outlier · 452.1×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,469,189
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
$2,448,600
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 10 $3,685,267.00 $4,238,057.05 $3,685,267.00 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,574,708.99 $3,574,708.99 $3,574,708.99 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 10 $9,305.88 $3,836,193.00 $3,335,820.00 nat. median
$22,747
outlier · 146.6×
714
OTHER 		Inj Delandistrogene Mox R 10 $6,044.80 $3,827,039.00 $3,327,860.00 nat. median
$13,041
outlier · 255.2×
748
OTHER 		Inj, Lovotibeglogene Auto 10 $11,506.21 $3,740,384.20 $3,252,508.00 nat. median
$17,963
outlier · 181.1×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$12,675
outlier · 255.3×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,228,024.20 $3,228,024.20 $3,228,024.20 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 10 $8,222.84 $3,657,000.00 $3,180,000.00 nat. median
$20,756
outlier · 153.2×
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,154,932.76 $3,154,932.76 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$21
outlier · 149086.5×
746
OTHER 		Inj, Betibeglogene Autote 10 $10,643.36 $3,380,964.35 $2,939,969.00 nat. median
$21,896
outlier · 134.3×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,851,769.93 $2,851,769.93 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 10 $2,588,981.00 $2,977,328.15 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,511,311.57 $2,511,311.57 $2,511,311.57 nat. median
$2,457,321
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 10 $12,463.11 $2,681,800.00 $2,332,000.00 nat. median
$25,250
outlier · 92.4×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,332,000
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
$824,563
1.5× median
2067
OTHER 		Afamitresgene Autoleucel 10 $770,620.00 $886,213.00 $770,620.00 nat. median
$786,032
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $536,573.93 $969,621.79 $753,097.86 nat. median
$675,122
1.1× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $561,407.87 $934,776.65 $748,092.26 nat. median
$754,974
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $511,793.34 $920,834.85 $716,314.09 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $500,948.74 $927,632.05 $714,290.40 nat. median
$674,188
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $487,755.77 $878,117.20 $682,936.48 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $474,717.03 $807,592.83 $641,154.93 nat. median
$620,080
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 10 $587,649.60 $675,797.04 $587,649.60 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $570,020.11 $570,020.11 $570,020.11 nat. median
$554,552
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 10 $566,531.30 $651,510.99 $566,531.30 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 10 $562,201.20 $646,531.38 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 10 $558,081.80 $641,794.07 $558,081.80 nat. median
$558,082
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $549,535.36 $549,535.36 $549,535.36 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $545,335.16 $545,335.16 $545,335.16 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $541,339.35 $541,339.35 $541,339.35 nat. median
$530,178
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 10 $532,192.20 $612,021.03 $532,192.20 nat. median
$532,192
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $516,226.43 $516,226.43 $516,226.43 nat. median
$505,583
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 10 $489,450.20 $562,867.73 $489,450.20 nat. median
$489,450
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $474,766.69 $474,766.69 $474,766.69 nat. median
$464,978
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
$324,450
1.4× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $246,613.04 $707,550.18 $308,266.30 nat. median
$370,174
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 10 $3,519.34 $319,987.50 $278,250.00 nat. median
$12,362
outlier · 22.5×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$278,250
1.0× median
897
OTHER 		Revakinagene, Per Implant 10 $265,000.00 $304,750.00 $265,000.00 nat. median
$9,577
outlier · 27.7×
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 nat. median
$265,000
1.0× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $207,507.64 $207,507.64 $207,507.64 nat. median
$424,868
outlier · 0.5×
886
OTHER 		Inj. Remestemcel-l-rknd/ 10 $7,700.89 $231,919.35 $201,669.00 nat. median
$17,985
outlier · 11.2×

Other procedures at this hospital

Browse this hospital's 22,744 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
             
333459 CDM Insrt Rpl Perm Defib Sys 21 18 $221,724.30 $221,724.30 $17,737.94 $221,724.30 $61,284.60 2026-03-01
85360 CDM Cath Rh W Wirls Sens Plc 21 18 $209,000.00 $209,000.00 $16,720.00 $209,000.00 $57,767.60 2026-03-01
371977 CDM Set Vntrc 17.4x13.8in 24 19 $177,200.00 $177,200.00 $14,176.00 $177,200.00 $49,004.66 2026-03-01
C2624 HCPCS System Mntr 2x15mm 4.5cm 24 19 $148,848.00 $148,848.00 $11,907.84 $148,848.00 $41,163.91 2026-03-01
326651 CDM Rv/ins Icd Gen Mlt Lead 21 18 $129,620.77 $129,620.77 $10,369.66 $129,620.77 $35,827.18 2026-03-01
324034 CDM Insrt/repl Spinal Nstim 21 18 $124,930.99 $124,930.99 $9,994.48 $124,930.99 $34,530.93 2026-03-01
85876 CDM Sq Plmt Neurocver/perif 21 18 $124,930.99 $124,930.99 $9,994.48 $124,930.99 $34,530.93 2026-03-01
567558 CDM Kit Ipg And Chrg Sys 24 19 $122,623.00 $122,623.00 $9,809.84 $122,623.00 $33,911.39 2026-03-01
326057 CDM St Tibper W/ath/plsty In 21 18 $118,632.37 $118,632.37 $9,490.59 $118,632.37 $32,789.99 2026-03-01
326035 CDM Stnt Fempop W/ath/plsty 21 18 $118,632.37 $118,632.37 $9,490.59 $118,632.37 $32,789.99 2026-03-01
C1767 HCPCS Generator Nrstm 5 Ipg 16 13 $115,400.00 $115,400.00 $9,232.00 $115,400.00 $29,196.20 2026-03-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 13 10 — — $5,139.55 $4,640,150.00 $4,505,000.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 1 — — $4,271,819.03 $4,271,819.03 $4,271,819.03 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 13 10 — — $3,685,267.00 $4,238,057.05 $3,685,267.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,574,708.99 $3,574,708.99 $3,574,708.99 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 14 10 — — $9,305.88 $3,836,193.00 $3,335,820.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 14 10 — — $6,044.80 $3,827,039.00 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 14 10 — — $11,506.21 $3,740,384.20 $3,252,508.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,228,024.20 $3,228,024.20 $3,228,024.20 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 14 10 — — $8,222.84 $3,657,000.00 $3,180,000.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,154,932.76 $3,154,932.76 $3,154,932.76 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 14 10 — — $10,643.36 $3,380,964.35 $2,939,969.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,851,769.93 $2,851,769.93 $2,851,769.93 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 13 10 — — $2,588,981.00 $2,977,328.15 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,511,311.57 $2,511,311.57 $2,511,311.57 2026-03-01
824 OTHER Inj, Exagamglogene Autote 14 10 — — $12,463.11 $2,681,800.00 $2,332,000.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 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 10 — — $770,620.00 $886,213.00 $770,620.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 2 — — $536,573.93 $969,621.79 $753,097.86 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 2 — — $561,407.87 $934,776.65 $748,092.26 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 2 — — $511,793.34 $920,834.85 $716,314.09 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 2 — — $500,948.74 $927,632.05 $714,290.40 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 2 — — $487,755.77 $878,117.20 $682,936.48 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 2 — — $474,717.03 $807,592.83 $641,154.93 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 13 10 — — $587,649.60 $675,797.04 $587,649.60 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $570,020.11 $570,020.11 $570,020.11 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 13 10 — — $566,531.30 $651,510.99 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 13 10 — — $562,201.20 $646,531.38 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 13 10 — — $558,081.80 $641,794.07 $558,081.80 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $549,535.36 $549,535.36 $549,535.36 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $545,335.16 $545,335.16 $545,335.16 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $541,339.35 $541,339.35 $541,339.35 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 13 10 — — $532,192.20 $612,021.03 $532,192.20 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $516,226.43 $516,226.43 $516,226.43 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 13 10 — — $489,450.20 $562,867.73 $489,450.20 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $474,766.69 $474,766.69 $474,766.69 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 16 12 — — $246,613.04 $707,550.18 $308,266.30 2026-03-01
831 OTHER Obecbtge Autol Up To 400 14 10 — — $3,519.34 $319,987.50 $278,250.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
897 OTHER Revakinagene, Per Implant 13 10 — — $265,000.00 $304,750.00 $265,000.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $207,507.64 $207,507.64 $207,507.64 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 14 10 — — $7,700.89 $231,919.35 $201,669.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 14 — — $4,375.00 $459,171.60 $200,322.90 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $182,402.49 $182,402.49 $182,402.49 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 17 — — $4,375.00 $349,827.94 $152,803.00 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 17 — — $4,375.00 $347,774.90 $151,910.80 2026-03-01
1907 OTHER New Technology - Level 52 13 10 — — $144,494.20 $166,168.33 $144,494.20 2026-03-01
1908 OTHER New Technology - Level 52 13 10 — — $144,494.20 $166,168.33 $144,494.20 2026-03-01
01908 OTHER New Technology - Level 52 1 1 — — $138,978.98 $138,978.98 $138,978.98 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $138,978.98 $138,978.98 $138,978.98 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $138,148.31 $138,148.31 $138,148.31 2026-03-01
1906 OTHER New Technology - Level 51 13 10 — — $130,281.70 $149,823.95 $130,281.70 2026-03-01
1905 OTHER New Technology - Level 51 13 10 — — $130,281.70 $149,823.95 $130,281.70 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $128,560.99 $128,560.99 $128,560.99 2026-03-01
01906 OTHER New Technology - Level 51 1 1 — — $125,308.96 $125,308.96 $125,308.96 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $125,308.96 $125,308.96 $125,308.96 2026-03-01
1904 OTHER New Technology - Level 50 13 10 — — $116,069.20 $133,479.58 $116,069.20 2026-03-01
1903 OTHER New Technology - Level 50 13 10 — — $116,069.20 $133,479.58 $116,069.20 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $111,638.95 $111,638.95 $111,638.95 2026-03-01
01904 OTHER New Technology - Level 50 1 1 — — $111,638.95 $111,638.95 $111,638.95 2026-03-01
1901 OTHER New Technology - Level 49 13 10 — — $101,856.70 $117,135.20 $101,856.70 2026-03-01
1902 OTHER New Technology - Level 49 13 10 — — $101,856.70 $117,135.20 $101,856.70 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $100,395.97 $100,395.97 $100,395.97 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 17 — — $4,375.00 $226,955.19 $99,403.46 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $97,968.93 $97,968.93 $97,968.93 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $97,968.93 $97,968.93 $97,968.93 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $93,760.51 $93,760.51 $93,760.51 2026-03-01
7 MS_DRG Lung Transplant 17 13 — — $4,375.00 $212,189.03 $92,986.20 2026-03-01
1585 OTHER New Technology - Level 48 13 10 — — $90,012.98 $103,514.93 $90,012.98 2026-03-01
1599 OTHER New Technology - Level 48 13 10 — — $90,012.98 $103,514.93 $90,012.98 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $89,975.49 $89,975.49 $89,975.49 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $86,577.22 $86,577.22 $86,577.22 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $86,577.22 $86,577.22 $86,577.22 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $69,077.98 $196,913.29 $86,347.48 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 14 — — $4,375.00 $312,213.00 $81,461.91 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 24 17 — — $4,375.00 $185,458.54 $81,369.34 2026-03-01
1598 OTHER New Technology - Level 47 13 10 — — $80,537.98 $92,618.68 $80,537.98 2026-03-01
1584 OTHER New Technology - Level 47 13 10 — — $80,537.98 $92,618.68 $80,537.98 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 18 — — $4,375.00 $180,582.36 $79,250.19 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 18 — — $4,375.00 $178,172.13 $78,202.72 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $77,463.88 $77,463.88 $77,463.88 2026-03-01
01598 OTHER New Technology - Level 47 1 1 — — $77,463.88 $77,463.88 $77,463.88 2026-03-01
007 OTHER Lung Transplant 1 1 — — $77,161.15 $77,161.15 $77,161.15 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $77,046.96 $77,046.96 $77,046.96 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 13 — — $4,375.00 $168,937.54 $74,189.44 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 2 — — $55,306.59 $89,766.78 $72,536.68 2026-03-01
215 MS_DRG Other Heart Assist System Implant 24 17 — — $4,375.00 $163,145.45 $71,672.24 2026-03-01
1597 OTHER New Technology - Level 46 13 10 — — $71,062.98 $81,722.43 $71,062.98 2026-03-01
1583 OTHER New Technology - Level 46 13 10 — — $71,062.98 $81,722.43 $71,062.98 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 18 — — $4,375.00 $160,291.18 $70,431.80 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $68,387.55 $68,387.55 $68,387.55 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $68,350.54 $68,350.54 $68,350.54 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $68,350.54 $68,350.54 $68,350.54 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $65,864.26 $65,864.26 $65,864.26 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $65,170.51 $65,170.51 $65,170.51 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 18 — — $4,375.00 $147,622.30 $64,926.00 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 14 10 — — $11,409.43 $73,916.01 $64,274.79 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 24 17 — — $4,375.00 $141,885.91 $62,433.01 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $62,346.55 $62,346.55 $62,346.55 2026-03-01
1582 OTHER New Technology - Level 45 13 10 — — $61,587.97 $70,826.17 $61,587.97 2026-03-01
1596 OTHER New Technology - Level 45 13 10 — — $61,587.97 $70,826.17 $61,587.97 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 3 3 — — $61,338.53 $106,053.40 $61,338.53 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $61,075.94 $61,075.94 $61,075.94 2026-03-01
5244 OTHER Level 4 Blood Product Exc 13 10 — — $60,889.68 $70,023.13 $60,889.68 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 18 — — $4,375.00 $165,049.00 $60,798.07 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $29,388.00 $137,689.71 $60,306.32 2026-03-01
01596 OTHER New Technology - Level 45 1 1 — — $59,237.19 $59,237.19 $59,237.19 2026-03-01
01582 OTHER New Technology - Level 45 1 1 — — $59,237.19 $59,237.19 $59,237.19 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $58,990.34 $58,990.34 $58,990.34 2026-03-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $58,565.55 $58,565.55 $58,565.55 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 13 10 — — $56,824.55 $65,348.23 $56,824.55 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 17 — — $30,000.00 $128,930.29 $56,802.60 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $56,682.35 $56,682.35 $56,682.35 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 18 — — $4,375.00 $152,888.00 $55,446.09 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 18 — — $4,375.00 $125,266.60 $55,210.39 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $55,119.81 $55,119.81 $55,119.81 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 17 — — $4,375.00 $124,852.06 $55,030.23 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 13 10 — — $54,404.11 $62,564.73 $54,404.11 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $54,373.28 $54,373.28 $54,373.28 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $53,746.94 $53,746.94 $53,746.94 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $52,771.99 $52,771.99 $52,771.99 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 18 — — $4,375.00 $118,276.76 $52,172.66 2026-03-01
1581 OTHER New Technology - Level 44 13 10 — — $52,112.97 $59,929.92 $52,112.97 2026-03-01
1595 OTHER New Technology - Level 44 13 10 — — $52,112.97 $59,929.92 $52,112.97 2026-03-01
10 MS_DRG Pancreas Transplant 17 13 — — $4,375.00 $117,573.84 $51,867.17 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 17 — — $4,375.00 $117,524.69 $51,845.81 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 15 — — $4,375.00 $116,900.42 $51,574.51 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 18 — — $4,375.00 $118,606.00 $51,544.60 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $50,874.60 $50,874.60 $50,874.60 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $50,710.41 $50,710.41 $50,710.41 2026-03-01
01581 OTHER New Technology - Level 44 1 1 — — $50,123.85 $50,123.85 $50,123.85 2026-03-01
01595 OTHER New Technology - Level 44 1 1 — — $50,123.85 $50,123.85 $50,123.85 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 16 — — $7,557.00 $113,249.84 $49,988.00 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 18 — — $4,375.00 $112,694.39 $49,746.60 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 17 — — $4,375.00 $110,289.07 $48,701.27 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 17 — — $4,375.00 $109,558.30 $48,383.68 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 18 — — $4,375.00 $109,478.02 $48,348.79 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $47,663.54 $47,663.54 $47,663.54 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 18 — — $4,375.00 $107,736.29 $47,591.85 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 18 — — $4,375.00 $107,736.29 $47,591.85 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 17 — — $4,375.00 $107,344.69 $47,421.66 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 16 — — $7,557.00 $105,432.56 $46,590.66 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $46,082.48 $46,082.48 $46,082.48 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $45,478.43 $45,478.43 $45,478.43 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 18 — — $4,375.00 $156,656.00 $44,409.57 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 17 — — $4,375.00 $100,297.50 $44,359.01 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $44,225.21 $44,225.21 $44,225.21 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 18 — — $4,375.00 $165,049.00 $43,941.02 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 3 3 — — $43,855.64 $71,255.81 $43,855.64 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 24 17 — — $13,300.00 $98,446.00 $43,554.36 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 18 — — $4,375.00 $98,418.14 $43,542.25 2026-03-01
010 OTHER Pancreas Transplant 1 1 — — $43,305.28 $43,305.28 $43,305.28 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $29,388.00 $97,705.39 $43,232.50 2026-03-01
1142 OTHER Supprelin La Implant 13 10 — — $43,185.34 $49,663.14 $43,185.34 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 16 — — $34,474.34 $51,857.04 $43,092.93 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $43,057.36 $43,057.36 $43,057.36 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $43,020.38 $43,020.38 $43,020.38 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 12 — — $34,395.73 $97,158.13 $42,994.66 2026-03-01
1580 OTHER New Technology - Level 43 13 10 — — $42,637.97 $49,033.67 $42,637.97 2026-03-01
1594 OTHER New Technology - Level 43 13 10 — — $42,637.97 $49,033.67 $42,637.97 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 18 — — $4,375.00 $96,157.01 $42,559.58 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 17 — — $4,375.00 $96,094.75 $42,532.52 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $42,067.29 $42,067.29 $42,067.29 2026-03-01
01142 OTHER Supprelin La Implant 1 1 — — $41,889.78 $41,889.78 $41,889.78 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 18 — — $4,375.00 $94,493.93 $41,836.82 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $41,817.19 $41,817.19 $41,817.19 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 17 — — $18,000.00 $93,890.97 $41,574.78 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 17 — — $4,375.00 $93,507.56 $41,408.15 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 24 17 — — $4,375.00 $93,386.31 $41,355.46 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $41,351.25 $41,351.25 $41,351.25 2026-03-01
01594 OTHER New Technology - Level 43 1 1 — — $41,010.50 $41,010.50 $41,010.50 2026-03-01
01580 OTHER New Technology - Level 43 1 1 — — $41,010.50 $41,010.50 $41,010.50 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 18 — — $4,375.00 $92,116.47 $40,803.59 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 13 — — $4,375.00 $91,831.37 $40,679.70 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 24 17 — — $4,375.00 $91,202.19 $40,406.25 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 18 — — $15,050.00 $90,494.35 $40,098.64 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 1 1 — — $39,976.89 $39,976.89 $39,976.89 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 23 16 — — $7,557.00 $89,952.01 $39,862.94 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 17 — — $4,375.00 $89,634.14 $39,724.80 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $39,682.10 $39,682.10 $39,682.10 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 18 — — $4,375.00 $89,506.34 $39,669.25 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 17 — — $4,375.00 $89,365.43 $39,608.02 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $39,538.02 $39,538.02 $39,538.02 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 12 — — $31,562.22 $89,008.24 $39,452.78 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 1 1 — — $39,376.13 $39,376.13 $39,376.13 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 18 — — $4,375.00 $152,888.00 $38,744.26 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 26 18 — — $4,375.00 $87,325.50 $38,721.48 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 17 — — $30,000.00 $86,738.91 $38,466.55 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 18 — — $4,375.00 $89,246.00 $38,341.94 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 19 — — $16,500.00 $85,290.48 $37,837.07 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 24 17 — — $4,375.00 $85,143.01 $37,772.98 2026-03-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $37,622.58 $37,622.58 $37,622.58 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $37,259.40 $37,259.40 $37,259.40 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $37,181.65 $37,181.65 $37,181.65 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $36,941.88 $36,941.88 $36,941.88 2026-03-01
215 OTHER Other Heart Assist System Implant 1 1 — — $36,876.09 $36,876.09 $36,876.09 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 18 — — $4,375.00 $152,888.00 $36,660.72 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $36,645.56 $36,645.56 $36,645.56 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $36,644.49 $36,644.49 $36,644.49 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $36,587.93 $36,587.93 $36,587.93 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 17 — — $4,375.00 $81,718.55 $36,284.74 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 17 — — $28,799.93 $81,063.15 $35,999.91 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 17 — — $4,375.00 $80,918.96 $35,937.25 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 17 — — $4,375.00 $80,642.05 $35,816.90 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 17 — — $4,375.00 $80,306.16 $35,670.93 2026-03-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $35,651.15 $35,651.15 $35,651.15 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 26 18 — — $4,375.00 $79,118.25 $35,154.67 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 16 — — $7,557.00 $78,718.46 $34,980.92 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 18 — — $4,375.00 $117,627.00 $34,671.17 2026-03-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $34,587.69 $34,587.69 $34,587.69 2026-03-01
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $34,441.43 $34,441.43 $34,441.43 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 13 — — $4,375.00 $77,032.44 $34,248.19 2026-03-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $34,201.66 $34,201.66 $34,201.66 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 17 — — $4,375.00 $76,875.14 $34,179.83 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 24 17 — — $4,375.00 $76,645.75 $34,080.14 2026-03-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $33,823.79 $33,823.79 $33,823.79 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 17 13 — — $4,375.00 $75,977.24 $33,789.61 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 18 — — $4,375.00 $101,852.00 $33,657.88 2026-03-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $33,631.87 $33,631.87 $33,631.87 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 17 — — $4,375.00 $75,313.65 $33,501.22 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 17 — — $4,375.00 $75,121.95 $33,417.91 2026-03-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $33,331.21 $33,331.21 $33,331.21 2026-03-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 1 1 — — $33,259.00 $33,259.00 $33,259.00 2026-03-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 1 1 — — $33,259.00 $33,259.00 $33,259.00 2026-03-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 1 1 — — $33,259.00 $33,259.00 $33,259.00 2026-03-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 1 1 — — $33,259.00 $33,259.00 $33,259.00 2026-03-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 1 1 — — $33,259.00 $33,259.00 $33,259.00 2026-03-01
245 MS_DRG Aicd Generator Procedures 24 17 — — $6,350.00 $74,754.92 $33,258.40 2026-03-01
1593 OTHER New Technology - Level 42 13 10 — — $33,162.97 $38,137.42 $33,162.97 2026-03-01
1579 OTHER New Technology - Level 42 13 10 — — $33,162.97 $38,137.42 $33,162.97 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 17 — — $4,375.00 $74,530.45 $33,160.85 2026-03-01
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $33,149.07 $33,149.07 $33,149.07 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 18 — — $24,500.00 $74,497.68 $33,146.61 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 24 17 — — $4,375.00 $74,206.03 $33,019.86 2026-03-01
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $32,784.25 $32,784.25 $32,784.25 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 24 17 — — $4,375.00 $73,434.29 $32,684.46 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 17 — — $15,500.00 $73,412.99 $32,675.21 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 17 — — $4,375.00 $73,124.62 $32,549.88 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $32,360.17 $32,360.17 $32,360.17 2026-03-01
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $32,173.68 $32,173.68 $32,173.68 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 17 — — $4,375.00 $71,976.03 $32,050.71 2026-03-01
5166 OTHER Cochlear Implant Procedur 13 10 — — $31,917.75 $36,705.41 $31,917.75 2026-03-01
01593 OTHER New Technology - Level 42 1 1 — — $31,897.16 $31,897.16 $31,897.16 2026-03-01
01579 OTHER New Technology - Level 42 1 1 — — $31,897.16 $31,897.16 $31,897.16 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 17 — — $4,375.00 $70,904.45 $31,585.02 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $31,500.00 $31,500.00 $31,500.00 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $31,500.00 $31,500.00 $31,500.00 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $31,500.00 $31,500.00 $31,500.00 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 17 — — $4,375.00 $70,339.17 $31,339.35 2026-03-01
277 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $31,329.32 $31,329.32 $31,329.32 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 17 — — $4,375.00 $69,886.94 $31,142.81 2026-03-01
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $31,078.13 $31,078.13 $31,078.13 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 18 — — $4,375.00 $69,485.51 $30,968.35 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 18 — — $4,375.00 $89,246.00 $30,843.03 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 17 — — $4,375.00 $69,079.16 $30,791.76 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 17 — — $4,375.00 $76,035.00 $30,776.80 2026-03-01
05166 OTHER Cochlear Implant Procedur 1 1 — — $30,699.46 $30,699.46 $30,699.46 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 17 — — $4,375.00 $68,843.22 $30,689.22 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 17 — — $4,375.00 $68,761.29 $30,653.62 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 18 — — $4,375.00 $82,271.00 $30,598.07 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $30,500.00 $30,500.00 $30,500.00 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $30,500.00 $30,500.00 $30,500.00 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $24,386.18 $68,368.05 $30,482.72 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 20 16 — — $24,369.08 $36,379.76 $30,461.35 2026-03-01
5232 OTHER Level 2 Icd And Similar P 13 10 — — $30,385.12 $34,942.89 $30,385.12 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 17 — — $4,375.00 $68,046.90 $30,343.15 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 18 — — $4,375.00 $75,769.00 $30,147.33 2026-03-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $30,100.00 $30,100.00 $30,100.00 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $30,000.00 $30,000.00 $30,000.00 2026-03-01
5465 OTHER Level 5 Neurostimulator A 13 10 — — $29,870.94 $34,351.58 $29,870.94 2026-03-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $29,684.10 $29,684.10 $29,684.10 2026-03-01
791 MS_DRG Prematurity With Major Problems 20 16 — — $23,739.03 $35,414.78 $29,673.79 2026-03-01
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $29,578.63 $29,578.63 $29,578.63 2026-03-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $29,455.20 $29,455.20 $29,455.20 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 18 — — $4,375.00 $69,795.00 $29,399.64 2026-03-01
05232 OTHER Level 2 Icd And Similar P 1 1 — — $29,225.33 $29,225.33 $29,225.33 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 17 — — $4,375.00 $65,279.48 $29,140.45 2026-03-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $28,803.86 $28,803.86 $28,803.86 2026-03-01
05465 OTHER Level 5 Neurostimulator A 1 1 — — $28,730.78 $28,730.78 $28,730.78 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 17 — — $18,000.00 $64,096.48 $28,626.32 2026-03-01
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