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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

Norton Children's Hospital

Louisville, KY · CCN 189801 · Rates published

14,786 distinct procedures filed
27 distinct payers
2,081,298 rate rows
2026-02-13 last MRF observed
Data quality

2,078,503 of 2,081,298 rate rows are consumer-grade (99.9%)

2,795 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 979
percent-of-charges filed in the dollar field — excluded from medians 850
placeholder amount (≤ $0.02) — excluded from medians 718
per-diem day rate — not a per-procedure price 192
exceeds 10× this hospital's gross charge — excluded from medians 56
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11468/610703799-1982609442_norton-hospitals-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/nortonchildrenshospital/11468
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint e53546a926e99ab8… · 1,282,100,586 bytes · first seen 2026-05-18

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 5 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 43 X 10 Ml IV Kit 26 $0.17 $4,610,000.00 $2,520,250.00 nat. median
$3,325,455
0.8× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cd8+ Cells/ml IV Susp 26 $526,036.83 $2,939,430.04 $1,617,961.76 nat. median
$674,188
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 26 $395,670.00 $2,210,956.00 $1,216,985.00 nat. median
$634,511
1.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 26 $395,670.00 $2,210,956.00 $1,216,985.00 nat. median
$620,080
2.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $591,726.20 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.95 $565,868.95 $565,868.95 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $557,317.93 $557,317.93 nat. median
$625,184
0.9× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml It Soln 26 $1,078.51 $679,833.70 $374,203.47 nat. median
$2,677
outlier · 139.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $272,526.65 $609,093.39 $335,393.26 nat. median
$370,174
0.9× median
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Sc Sol Presyrg 26 $4,598.84 $554,609.77 $305,275.98 nat. median
$8,223
outlier · 37.1×
J7330
HCPCS 		Hb Tissue Vericel 81073 26 $79,891.68 $547,712.26 $301,479.36 nat. median
$76,377
outlier · 3.9×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $278,250.00 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $209,254.59 $395,277.11 $217,883.64 nat. median
$265,286
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $159,572.11 $301,148.80 $166,152.40 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 19 $158,639.31 $299,381.45 $165,181.14 nat. median
$202,986
0.8× median
C2642
HCPCS 		Hb Therapy Gammatile 4pk Gt04 26 $87.40 $740,974.52 $160,732.00 nat. median
$1,503
outlier · 107.0×
A9607
HCPCS 		Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 26 $255.84 $316,040.23 $121,342.99 nat. median
$415
outlier · 292.1×
C1735
HCPCS 		Hb Cath Symplicity Rdn016 26 $34,320.00 $191,776.00 $113,048.00 nat. median
$26,064
outlier · 4.3×
J0223
HCPCS 		Givosiran Sodium 189 Mg/ml Sc Soln 26 $105.79 $203,970.15 $112,272.07 nat. median
$167
outlier · 671.8×
J1823
HCPCS 		Inebilizumab-cdon 100 Mg/10ml IV Soln 26 $445.88 $202,913.76 $111,690.60 nat. median
$798
outlier · 139.9×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $109,316.28 $109,316.28 $109,316.28 nat. median
$111,989
1.0× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 26 $316.99 $283,482.41 $108,842.49 nat. median
$468
outlier · 232.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 19 $103,742.46 $195,374.00 $108,020.50 nat. median
$133,176
0.8× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 26 $12,661.44 $290,906.31 $106,013.58 nat. median
$66,682
1.6× median
C1826
HCPCS 		Hb Evoke G4 Closed-loop Stimulator System W 60cm Leads Permsys602evk 26 $30,909.60 $271,830.49 $104,513.09 nat. median
$30,935
outlier · 3.4×
J2351
HCPCS 		Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln 26 $47.23 $262,627.28 $102,829.12 nat. median
$78
outlier · 1319.2×
C2624
HCPCS 		Hb Guidewire Cardiomems Cm2010 26 $30,207.84 $174,158.42 $102,662.80 nat. median
$32,760
outlier · 3.1×
7
MS_DRG 		Lung Transplant 19 $97,033.14 $182,662.57 $101,034.51 nat. median
$122,708
0.8× median
J0567
HCPCS 		Cerliponase Alfa 2 X 150 Mg/5ml Ve Kit 26 $120.36 $163,435.42 $96,341.81 nat. median
$180
outlier · 536.6×
C1604
HCPCS 		Hb Devices Endocross 26 $29,849.60 $172,008.32 $94,679.20 nat. median
$28,350
outlier · 3.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $90,092.31 $169,512.48 $93,807.46 nat. median
$117,303
0.8× median
C1822
HCPCS 		Hb Kit Senza Nipg2500, Chgr, Ptrc 26 $23,102.40 $269,685.00 $93,637.81 nat. median
$31,540
outlier · 3.0×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $93,216.70 $93,216.70 $93,216.70 nat. median
$96,983
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $84,984.40 $159,835.04 $88,488.91 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 19 $71,432.95 $159,651.67 $88,388.14 nat. median
$98,017
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $69,554.79 $155,454.03 $86,081.20 nat. median
$98,905
0.9× median
C9150
HCPCS 		Drugs 2 $85,924.80 $85,924.80 $85,924.80 nat. median
$775
outlier · 110.9×
J9226
HCPCS 		Histrelin Acetate (cpp) 50 Mg Sc Kit 26 $2,362.07 $233,187.95 $84,979.55 nat. median
$60,368
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $68,626.45 $153,379.18 $84,940.89 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $77,380.96 $145,429.60 $80,571.93 nat. median
$100,136
0.8× median
0266T
CPT 		Hb Barostim-imp/repl Carotid Sinus Barorreflx Activation Device-total Sys 26 $13,394.20 $145,216.84 $79,932.26 nat. median
$42,941
1.9× median

Other procedures at this hospital

Browse this hospital's 14,786 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
             
834 MS_DRG Acute Leukemia With Mcc 26 19 — — $34,646.76 $77,435.04 $43,203.37 2026-02-13
850 MS_DRG Acute Leukemia With Other Procedures 26 19 — — $54,650.10 $122,142.25 $67,773.63 2026-02-13
Q2057 HCPCS Afamitresgene Autoleucel 8 5 — — $770,620.00 $770,620.00 $770,620.00 2026-02-13
245 MS_DRG Aicd Generator Procedures 26 19 — — $28,793.31 $64,352.65 $36,013.52 2026-02-13
265 MS_DRG Aicd Lead Procedures 26 19 — — $22,834.46 $51,034.71 $28,694.21 2026-02-13
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 72 26 $148,426.70 $29,685.34 80% off $2,162.53 $136,849.42 $75,326.55 2026-02-13
14 MS_DRG Allogeneic Bone Marrow Transplant 26 19 — — $90,092.31 $169,512.48 $93,807.46 2026-02-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 19 — — $31,060.85 $69,420.58 $38,798.77 2026-02-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 19 — — $27,092.49 $60,551.35 $33,924.39 2026-02-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 19 — — $22,008.98 $49,189.78 $27,680.27 2026-02-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 19 — — $43,406.43 $97,012.78 $53,962.93 2026-02-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 19 — — $26,652.62 $59,568.24 $33,384.07 2026-02-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 19 — — $44,766.59 $83,638.42 $46,612.63 2026-02-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 19 — — $41,063.50 $76,622.59 $42,756.85 2026-02-13
J9038 HCPCS Axatilimab-csfr 22 Mg/0.44ml IV Soln 70 26 $58,212.00 $11,642.40 80% off $55.65 $53,671.46 $30,590.40 2026-02-13
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 72 26 $2,398,000.00 $479,600.00 80% off $395,670.00 $2,210,956.00 $1,216,985.00 2026-02-13
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 19 — — $14,467.00 $52,714.62 $29,617.45 2026-02-13
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 19 — — $22,210.93 $49,641.14 $27,928.33 2026-02-13
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg IV Solr 67 26 $60,902.62 $12,180.53 80% off $43.62 $56,152.22 $33,100.57 2026-02-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 8 5 — — $93,216.70 $93,216.70 $93,216.70 2026-02-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 19 — — $24,960.00 $77,901.92 $43,459.96 2026-02-13
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 19 — — $22,502.50 $50,292.79 $28,286.46 2026-02-13
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 19 — — $21,801.98 $48,727.13 $27,426.02 2026-02-13
90288 CPT Botulism Immune Globulin Human 100 Mg IV Solr 67 26 $102,600.00 $20,520.00 80% off $16,929.00 $94,597.20 $55,763.10 2026-02-13
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 72 26 $2,398,000.00 $479,600.00 80% off $395,670.00 $2,210,956.00 $1,216,985.00 2026-02-13
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 104 26 $146,342.11 $29,268.43 80% off $82.08 $134,927.43 $52,463.65 2026-02-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 19 — — $44,999.95 $100,574.29 $55,920.29 2026-02-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 19 — — $37,907.65 $84,723.09 $47,208.73 2026-02-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 19 — — $29,147.35 $65,143.94 $36,448.39 2026-02-13
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 19 — — $19,829.79 $44,319.32 $25,003.55 2026-02-13
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 19 — — $20,528.42 $45,880.74 $25,861.67 2026-02-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $62,453.40 $137,986.39 $76,481.30 2026-02-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $41,976.72 $92,744.61 $51,617.23 2026-02-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $41,976.72 $92,744.61 $51,617.23 2026-02-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 19 — — $49,018.27 $108,302.42 $60,167.52 2026-02-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 19 — — $34,044.60 $75,219.14 $41,985.55 2026-02-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 19 — — $32,176.64 $71,092.02 $39,717.33 2026-02-13
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 19 — — $15,601.00 $54,596.22 $30,651.55 2026-02-13
J0567 HCPCS Cerliponase Alfa 2 X 150 Mg/5ml Ve Kit 70 26 $177,261.84 $35,452.37 80% off $120.36 $163,435.42 $96,341.81 2026-02-13
472 MS_DRG Cervical Spinal Fusion With Cc 26 19 — — $18,810.85 $41,554.74 $23,484.20 2026-02-13
471 MS_DRG Cervical Spinal Fusion With Mcc 26 19 — — $24,647.00 $68,108.81 $38,077.85 2026-02-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 19 — — $30,319.94 $67,764.65 $37,888.68 2026-02-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 19 — — $272,526.65 $609,093.39 $335,393.26 2026-02-13
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 19 — — $22,483.57 $50,250.47 $28,263.20 2026-02-13
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 19 — — $20,847.13 $46,593.05 $26,253.14 2026-02-13
Q2056 HCPCS Ciltacabtagene Car-pos T 8 5 — — $565,868.95 $565,868.95 $565,868.95 2026-02-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 19 — — $56,859.59 $127,080.41 $70,487.55 2026-02-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 19 — — $36,396.17 $81,344.95 $45,352.18 2026-02-13
209 MS_DRG Complex Aortic Arch Procedures 26 19 — — $71,432.95 $159,651.67 $88,388.14 2026-02-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 19 — — $68,626.45 $153,379.18 $84,940.89 2026-02-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 19 — — $42,198.50 $94,313.08 $52,479.22 2026-02-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 19 — — $48,806.96 $107,835.55 $59,910.93 2026-02-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 19 — — $34,873.88 $77,051.38 $42,992.51 2026-02-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 19 — — $53,816.48 $118,903.74 $65,993.79 2026-02-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 19 — — $38,703.64 $85,512.97 $47,642.85 2026-02-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 19 — — $37,465.14 $82,776.60 $46,138.99 2026-02-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 19 — — $26,741.30 $59,083.02 $33,117.43 2026-02-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 19 — — $27,310.22 $61,037.98 $34,191.80 2026-02-13
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 19 — — $19,885.96 $44,444.86 $25,072.54 2026-02-13
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 19 — — $20,260.83 $45,282.69 $25,533.01 2026-02-13
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 19 — — $19,622.16 $43,855.27 $24,748.50 2026-02-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 19 — — $28,694.22 $64,131.20 $35,891.82 2026-02-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 19 — — $42,479.97 $94,942.17 $52,824.96 2026-02-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 19 — — $36,163.92 $80,825.88 $45,066.90 2026-02-13
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 19 — — $24,688.00 $75,274.00 $30,970.93 2026-02-13
J1413 HCPCS Delandistrogene Moxeparvo-rokl 43 X 10 Ml IV Kit 104 26 $5,000,000.00 $1,000,000.00 80% off $0.17 $4,610,000.00 $2,520,250.00 2026-02-13
J1246 HCPCS Dinutuximab 17.5 Mg/5ml IV Soln 67 26 $95,998.22 $19,199.65 80% off $15,839.71 $88,510.36 $52,175.04 2026-02-13
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 106 26 $81,381.25 $16,276.25 80% off $215.75 $75,033.51 $24,332.99 2026-02-13
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 5 — — $109,316.28 $109,316.28 $109,316.28 2026-02-13
C9150 HCPCS Drugs 2 2 — — $85,924.80 $85,924.80 $85,924.80 2026-02-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 26 19 — — $158,639.31 $299,381.45 $165,181.14 2026-02-13
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 107 26 $111,010.37 $22,202.08 80% off $33.89 $102,351.56 $38,853.63 2026-02-13
L6880 HCPCS Elec Hand Ind Art Digits 8 5 — — $28,999.68 $28,999.68 $28,999.68 2026-02-13
L5856 HCPCS Elec Knee-shin Swing/stance 8 5 — — $29,137.22 $29,137.22 $29,137.22 2026-02-13
L7181 HCPCS Electronic Elbo Simultaneous 8 5 — — $48,632.79 $48,632.79 $48,632.79 2026-02-13
L7180 HCPCS Electronic Elbow Sequential 8 5 — — $39,208.42 $39,208.42 $39,208.42 2026-02-13
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 19 — — $36,016.25 $80,495.82 $44,885.49 2026-02-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 19 — — $38,676.33 $103,799.00 $48,152.91 2026-02-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 19 — — $30,045.41 $77,938.00 $37,551.49 2026-02-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 8 5 — — $34,284.44 $34,284.44 $34,284.44 2026-02-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 8 5 — — $67,452.66 $67,452.66 $67,452.66 2026-02-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 19 — — $159,572.11 $301,148.80 $166,152.40 2026-02-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 19 — — $29,612.61 $54,927.69 $30,833.74 2026-02-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 19 — — $29,609.95 $66,177.84 $37,016.60 2026-02-13
37 MS_DRG Extracranial Procedures With Mcc 26 19 — — $15,601.00 $46,435.07 $26,166.32 2026-02-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 16 — — $36,609.44 $68,255.15 $46,719.60 2026-02-13
793 MS_DRG Full Term Neonate With Major Problems 23 16 — — $26,423.72 $47,883.69 $32,968.58 2026-02-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 19 — — $54,020.52 $101,170.93 $56,248.17 2026-02-13
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 26 19 — — $24,599.22 $45,429.38 $25,613.62 2026-02-13
J0223 HCPCS Givosiran Sodium 189 Mg/ml Sc Soln 72 26 $221,225.76 $44,245.16 80% off $105.79 $203,970.15 $112,272.07 2026-02-13
C9293 HCPCS Glucarpidase 1000 Units IV Solr 102 26 $207,516.96 $41,503.40 80% off $635.85 $191,330.64 $75,432.42 2026-02-13
0268T CPT Hb Barostim-imp/repl Carotid Sinus Baroeflex Activation Dvic-plse Gen Only 74 26 $56,000.00 $11,200.00 80% off $9,240.00 $51,632.00 $28,566.55 2026-02-13
0266T CPT Hb Barostim-imp/repl Carotid Sinus Barorreflx Activation Device-total Sys 74 26 $157,502.00 $31,500.40 80% off $13,394.20 $145,216.84 $79,932.26 2026-02-13
C9610 HCPCS Hb Cath Dcb Agent 35/15 H749396081535 66 26 $48,511.00 $9,702.20 80% off $8,004.32 $44,727.14 $26,365.73 2026-02-13
C1882 HCPCS Hb Cath Micro 15x150 Mc212150s 2,603 26 $175,666.00 $35,133.20 80% off $1,187.67 $297,636.35 $77,365.60 2026-02-13
C1735 HCPCS Hb Cath Symplicity Rdn016 66 26 $208,000.00 $41,600.00 80% off $34,320.00 $191,776.00 $113,048.00 2026-02-13
C1832 HCPCS Hb Device Autologous Cell Harvesting Avrl0101 65 26 $57,312.00 $11,462.40 80% off $9,169.92 $52,841.66 $29,085.84 2026-02-13
C1604 HCPCS Hb Devices Endocross 65 26 $186,560.00 $37,312.00 80% off $29,849.60 $172,008.32 $94,679.20 2026-02-13
C2616 HCPCS Hb DRG Sirsphere Yttrium 90 194 26 $120,105.00 $24,021.00 80% off $15,543.83 $125,659.38 $62,976.04 2026-02-13
79403 CPT Hb DRG Zevalin Per 40unit Dose 109 26 $197,011.00 $39,402.20 80% off $90.10 $181,644.14 $63,437.54 2026-02-13
93653 CPT Hb Ep & Ablate Supravent Arrhyt 72 26 $51,108.00 $10,221.60 80% off $3,643.82 $47,121.58 $25,937.31 2026-02-13
93654 CPT Hb Ep & Ablate Ventric Tachy 72 26 $51,108.00 $10,221.60 80% off $3,643.82 $47,121.58 $25,937.31 2026-02-13
0620T CPT Hb Ev Venous Arterialization Tibl/prnl Vn 73 26 $82,502.00 $16,500.40 80% off $2,297.92 $76,066.84 $41,869.76 2026-02-13
C1826 HCPCS Hb Evoke G4 Closed-loop Stimulator System W 60cm Leads Permsys602evk 108 26 $193,185.00 $38,637.00 80% off $30,909.60 $271,830.49 $104,513.09 2026-02-13
C1884 HCPCS Hb Filter Spider Fx Spd2us060320 1,379 26 $100,087.00 $20,017.40 80% off $1,475.93 $117,103.22 $27,242.06 2026-02-13
C1767 HCPCS Hb Generator Aspire Hc 105 1,871 26 $137,900.00 $27,580.00 80% off $537.28 $432,822.76 $49,360.47 2026-02-13
C1602 HCPCS Hb Graft Cerament G 10ml A045010 108 26 $55,498.00 $11,099.60 80% off $4,921.60 $51,169.16 $24,527.77 2026-02-13
C2624 HCPCS Hb Guidewire Cardiomems Cm2010 109 26 $188,892.00 $37,778.40 80% off $30,207.84 $174,158.42 $102,662.80 2026-02-13
C1721 HCPCS Hb Icd Epic Ii Dr V255 2,645 26 $137,665.00 $27,533.00 80% off $697.12 $218,561.94 $63,643.95 2026-02-13
C1722 HCPCS Hb Icd Maximo Ii Vr D284vrc 2,086 26 $126,171.00 $25,234.20 80% off $12,214.40 $192,397.43 $57,290.68 2026-02-13
63685 CPT Hb Ins/repl Of Spinal Neurostimulator Pls Gen ,pocket Create And Connect 73 26 $60,948.00 $12,189.60 80% off $1,565.20 $56,194.06 $30,931.11 2026-02-13
0571T CPT Hb Insj/rplcmt Icds W/substernal Electrode 72 26 $42,766.00 $8,553.20 80% off $3,643.82 $39,430.25 $23,243.32 2026-02-13
Q0481 HCPCS Hb Kit Controller 1403us 71 26 $60,904.00 $12,180.80 80% off $10,049.16 $56,153.49 $30,908.78 2026-02-13
L8619 HCPCS Hb Kit Processor Sonnet 2 S2200 107 26 $121,647.00 $24,329.40 80% off $9,856.83 $112,158.53 $66,115.15 2026-02-13
C1822 HCPCS Hb Kit Senza Nipg2500, Chgr, Ptrc 151 26 $184,508.00 $36,901.60 80% off $23,102.40 $269,685.00 $93,637.81 2026-02-13
C9767 HCPCS Hb Lwr Ext Art Rvsc Lith/stnt/ath 74 26 $47,935.00 $9,587.00 80% off $2,555.06 $44,196.07 $24,327.01 2026-02-13
C9360 HCPCS Hb Mesh Mp Surgimend 606206004 108 26 $50,351.00 $10,070.20 80% off $8,056.16 $47,150.16 $25,553.13 2026-02-13
A2026 HCPCS Hb Mesh Retrata 2000mg Minimatrix Rmini-2000 151 26 $40,268.00 $8,053.60 80% off $1,779.04 $101,281.70 $25,529.91 2026-02-13
Q4130 HCPCS Hb Mesh Stratice P 16x20 1620002p 753 26 $71,177.00 $14,235.40 80% off $1,588.64 $173,533.31 $23,935.30 2026-02-13
C2621 HCPCS Hb Pacemaker Crt-p Syncra C2tr01 839 26 $66,182.00 $13,236.40 80% off $7,921.12 $211,119.56 $34,562.32 2026-02-13
C2619 HCPCS Hb Pacemaker Entity Dc 5226r 65 26 $47,818.00 $9,563.60 80% off $7,650.88 $44,088.20 $24,267.63 2026-02-13
93590 CPT Hb Perc Trnscth Cls Vlv Lk 1stdev 72 26 $49,650.00 $9,930.00 80% off $4,177.88 $45,777.30 $25,197.38 2026-02-13
93591 CPT Hb Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 72 26 $54,000.00 $10,800.00 80% off $4,177.88 $49,788.00 $27,405.00 2026-02-13
Q4182 HCPCS Hb Polymer Resorbable 16.5x20 P201631620g 64 26 $49,301.00 $9,860.20 80% off $64.99 $45,455.52 $25,020.26 2026-02-13
L8614 HCPCS Hb Processor Baha Chestnut 91303 1,723 26 $122,010.00 $24,402.00 80% off $1,750.56 $294,328.22 $38,043.20 2026-02-13
92990 CPT Hb Pulmonary Valvuloplasty 71 26 $59,394.00 $11,878.80 80% off $9,800.01 $54,761.27 $32,280.64 2026-02-13
C1772 HCPCS Hb Pump Infusion Prometra 11827 323 26 $80,302.00 $16,060.40 80% off $7,451.52 $102,208.31 $36,135.90 2026-02-13
C1816 HCPCS Hb Receiver Neuro Q4sp2us 151 26 $120,145.00 $24,029.00 80% off $10,109.12 $130,554.28 $52,441.06 2026-02-13
33289 CPT Hb Right Heart Cath W Pa Sensor 72 26 $57,797.00 $11,559.40 80% off $3,643.82 $53,288.83 $29,331.98 2026-02-13
C1820 HCPCS Hb Stimulator Neuro Q4sp1us 1,226 26 $130,326.00 $26,065.20 80% off $801.76 $195,435.42 $52,685.39 2026-02-13
C1982 HCPCS Hb Sys Lv Infusion Trinav 025x120cm Tvm-25120-50 66 26 $66,542.00 $13,308.40 80% off $10,979.43 $61,351.72 $36,165.57 2026-02-13
0823T CPT Hb Tcat Ins Single Chmbr Ldls Pm Ra 72 26 $54,352.00 $10,870.40 80% off $8,968.08 $50,112.54 $27,583.64 2026-02-13
0825T CPT Hb Tcat Rmv&rpl Single Chmb Ldls Pm Ra 72 26 $61,761.00 $12,352.20 80% off $10,190.57 $56,943.64 $31,343.71 2026-02-13
C2642 HCPCS Hb Therapy Gammatile 4pk Gt04 472 26 $325,000.00 $65,000.00 80% off $87.40 $740,974.52 $160,732.00 2026-02-13
C9775 HCPCS Hb Tib/per Revsc W Litho/stnt/ath 74 26 $48,135.00 $9,627.00 80% off $2,297.92 $44,380.47 $24,428.51 2026-02-13
J7330 HCPCS Hb Tissue Vericel 81073 106 26 $594,048.00 $118,809.60 80% off $79,891.68 $547,712.26 $301,479.36 2026-02-13
0643T CPT Hb Transcatheter Left Ventr Restoration Device Implantation 67 26 $63,577.00 $12,715.40 80% off $10,490.21 $58,617.99 $34,554.10 2026-02-13
93656 CPT Hb Tx Atrial Fib Pulm Vein Isol 72 26 $51,108.00 $10,221.60 80% off $3,643.82 $47,121.58 $25,937.31 2026-02-13
Q0479 HCPCS Hb Unit Power Mobile Lvad 107754 71 26 $68,654.00 $13,730.80 80% off $11,327.91 $63,298.99 $34,841.90 2026-02-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 19 — — $209,254.59 $395,277.11 $217,883.64 2026-02-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 19 — — $84,984.40 $159,835.04 $88,488.91 2026-02-13
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 19 — — $21,502.21 $48,057.15 $27,057.80 2026-02-13
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 104 26 $252,915.35 $50,583.07 80% off $2,362.07 $233,187.95 $84,979.55 2026-02-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 19 — — $38,631.52 $86,340.94 $48,097.88 2026-02-13
Q2055 HCPCS Idecabtagene Vicleucel Car 8 5 — — $557,317.93 $557,317.93 $557,317.93 2026-02-13
69930 CPT Implant Cochlear Device 16 12 — — $3,643.82 $29,817.29 $29,414.62 2026-02-13
61886 CPT Implant Neurostim Arrays 17 12 — — $1,808.58 $28,566.55 $23,912.75 2026-02-13
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml IV Soln 72 26 $220,080.00 $44,016.00 80% off $445.88 $202,913.76 $111,690.60 2026-02-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 19 — — $31,167.50 $69,658.95 $38,929.76 2026-02-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 5 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2026-02-13
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 5 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-02-13
J3393 HCPCS Inj, Betibeglogene Autotemce 8 5 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-02-13
J3392 HCPCS Inj, Exagamglogene Autotem 8 5 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-02-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 5 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-02-13
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 5 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-02-13
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 8 5 — — $205,640.00 $205,640.00 $205,640.00 2026-02-13
33270 CPT Ins/rep Subq Defibrillator 12 8 — — $1,808.58 $30,055.17 $30,055.17 2026-02-13
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 8 5 — — $30,055.17 $30,055.17 $30,055.17 2026-02-13
33276 CPT Insj Phrnc Nrv Stim Sys 8 5 — — $42,184.37 $42,184.37 $42,184.37 2026-02-13
0408T CPT Insj/rplc Cardiac Modulj Sys 12 8 — — $3,643.82 $30,055.17 $30,055.17 2026-02-13
33249 CPT Insj/rplcmt Defib W/lead(s) 12 8 — — $3,643.82 $30,055.17 $30,055.17 2026-02-13
33231 CPT Insrt Pulse Gen W/mult Leads 12 8 — — $1,808.58 $30,055.17 $30,055.17 2026-02-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 7 — — $63,342.28 $99,144.00 $63,342.28 2026-02-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 19 — — $33,409.17 $74,669.05 $41,683.22 2026-02-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 19 — — $49,660.00 $110,989.42 $61,644.25 2026-02-13
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 19 — — $20,052.57 $44,817.23 $25,277.20 2026-02-13
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 5 — — $38,606.32 $38,606.32 $38,606.32 2026-02-13
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 19 — — $20,092.96 $44,907.50 $25,326.81 2026-02-13
652 MS_DRG Kidney Transplant 26 19 — — $24,663.98 $45,552.10 $25,681.05 2026-02-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 19 — — $29,670.54 $66,313.25 $37,091.03 2026-02-13
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 19 — — $23,387.30 $52,270.31 $29,373.27 2026-02-13
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 19 — — $20,366.23 $45,518.25 $25,662.46 2026-02-13
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 10 7 — — $1,808.58 $28,566.55 $28,566.55 2026-02-13
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 19 — — $23,748.29 $53,077.12 $29,816.68 2026-02-13
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cd8+ Cells/ml IV Susp 72 26 $3,188,102.00 $637,620.40 80% off $526,036.83 $2,939,430.04 $1,617,961.76 2026-02-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 19 — — $77,380.96 $145,429.60 $80,571.93 2026-02-13
6 MS_DRG Liver Transplant Without Mcc 26 19 — — $35,142.61 $65,404.89 $36,591.78 2026-02-13
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 19 — — $22,881.79 $51,140.50 $28,752.34 2026-02-13
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 19 — — $19,039.02 $42,551.96 $24,032.26 2026-02-13
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 19 — — $23,171.47 $51,787.92 $29,108.15 2026-02-13
7 MS_DRG Lung Transplant 26 19 — — $97,033.14 $182,662.57 $101,034.51 2026-02-13
A9513 HCPCS Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 104 26 $307,464.65 $61,492.94 80% off $316.99 $283,482.41 $108,842.49 2026-02-13
A9607 HCPCS Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 104 26 $342,776.82 $68,555.37 80% off $255.84 $316,040.23 $121,342.99 2026-02-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 19 — — $37,012.75 $82,723.00 $46,109.52 2026-02-13
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 19 — — $20,415.45 $45,628.26 $25,722.92 2026-02-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 19 — — $28,934.67 $64,668.60 $36,187.16 2026-02-13
653 MS_DRG Major Bladder Procedures With Mcc 26 19 — — $32,794.48 $73,295.22 $40,928.17 2026-02-13
163 MS_DRG Major Chest Procedures With Mcc 26 19 — — $28,284.64 $63,215.79 $35,388.71 2026-02-13
140 MS_DRG Major Head And Neck Procedures With Mcc 26 19 — — $26,918.31 $60,162.06 $33,710.45 2026-02-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 19 — — $17,851.00 $42,783.29 $24,159.38 2026-02-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 19 — — $29,008.51 $64,833.63 $36,277.85 2026-02-13
662 MS_DRG Minor Bladder Procedures With Mcc 26 19 — — $19,321.13 $43,182.46 $24,378.75 2026-02-13
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr 72 26 $125,722.80 $25,144.56 80% off $279.65 $115,916.42 $63,804.32 2026-02-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $69,554.79 $155,454.03 $86,081.20 2026-02-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $45,556.58 $101,818.35 $56,603.98 2026-02-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $35,480.44 $79,298.31 $44,227.37 2026-02-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 19 — — $42,167.58 $94,243.97 $52,441.24 2026-02-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 19 — — $26,763.69 $59,816.48 $33,520.51 2026-02-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 19 — — $29,521.60 $65,980.37 $36,908.08 2026-02-13
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 19 — — $19,942.76 $44,571.80 $25,142.31 2026-02-13
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 19 — — $22,794.07 $50,944.44 $28,644.59 2026-02-13
C9760 HCPCS Non-blind Interatrial Shunt 8 5 — — $25,779.52 $25,779.52 $25,779.52 2026-02-13
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 19 — — $21,636.63 $48,357.58 $27,222.92 2026-02-13
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 72 26 $737,346.75 $147,469.35 80% off $1,078.51 $679,833.70 $374,203.47 2026-02-13
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 19 — — $22,899.46 $51,179.99 $28,774.04 2026-02-13
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 19 — — $29,394.44 $54,514.41 $30,606.59 2026-02-13
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 5 — — $278,250.00 $278,250.00 $278,250.00 2026-02-13
J2351 HCPCS Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln 106 26 $284,845.21 $56,969.05 80% off $47.23 $262,627.28 $102,829.12 2026-02-13
64568 CPT Opn Impltj Crnl Nrv Nea&pg 14 10 — — $1,487.00 $28,566.55 $28,566.55 2026-02-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 12 8 — — $1,565.20 $28,566.55 $28,566.55 2026-02-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 19 — — $31,584.20 $69,783.08 $38,997.98 2026-02-13
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 19 — — $20,106.41 $53,407.00 $25,060.93 2026-02-13
264 MS_DRG Other Circulatory System O.r. Procedures 26 19 — — $21,082.53 $47,119.16 $26,542.31 2026-02-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 19 — — $27,722.96 $61,960.44 $34,698.80 2026-02-13
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 19 — — $23,644.79 $52,845.79 $29,689.56 2026-02-13
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 19 — — $23,519.83 $52,566.51 $29,536.06 2026-02-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 19 — — $28,165.36 $62,949.20 $35,242.20 2026-02-13
215 MS_DRG Other Heart Assist System Implant 26 19 — — $62,838.63 $140,443.49 $77,831.66 2026-02-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 19 — — $26,209.58 $58,578.07 $32,839.91 2026-02-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 19 — — $26,516.30 $59,263.57 $33,216.64 2026-02-13
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 19 — — $22,443.81 $50,161.61 $28,214.37 2026-02-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 19 — — $33,298.73 $74,422.21 $41,547.57 2026-02-13
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 19 — — $20,112.53 $44,951.22 $25,350.83 2026-02-13
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 19 — — $24,229.82 $54,153.33 $30,408.13 2026-02-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 19 — — $26,593.92 $59,437.06 $33,311.99 2026-02-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 19 — — $48,089.19 $107,478.69 $59,714.80 2026-02-13
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 19 — — $18,580.22 $41,526.53 $23,468.69 2026-02-13
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 19 — — $25,143.66 $56,195.73 $31,530.62 2026-02-13
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 19 — — $23,588.62 $52,720.26 $29,620.56 2026-02-13
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 19 — — $20,438.17 $45,679.04 $25,750.83 2026-02-13
252 MS_DRG Other Vascular Procedures With Mcc 26 19 — — $22,014.66 $49,202.47 $27,687.24 2026-02-13
10 MS_DRG Pancreas Transplant 26 19 — — $54,042.85 $101,213.25 $56,271.42 2026-02-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 19 — — $34,524.33 $77,161.40 $43,052.96 2026-02-13
J0222 HCPCS Patisiran Sodium 10 Mg/5ml IV Soln 72 26 $49,316.40 $9,863.28 80% off $97.05 $45,469.72 $25,028.08 2026-02-13
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 92 26 $135,148.36 $27,029.68 80% off $0.03 $124,606.78 $64,702.27 2026-02-13
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 72 26 $154,944.68 $30,988.94 80% off $3,077.72 $142,858.99 $78,634.43 2026-02-13
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 19 — — $26,036.03 $58,190.18 $32,626.73 2026-02-13
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 19 — — $20,773.92 $46,429.43 $26,163.24 2026-02-13
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 19 — — $21,701.00 $48,501.45 $27,301.99 2026-02-13
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 19 — — $24,368.03 $54,462.23 $30,577.89 2026-02-13
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 19 — — $22,535.95 $50,367.54 $28,327.54 2026-02-13
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 19 — — $20,149.76 $45,034.44 $25,396.57 2026-02-13
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 106 26 $93,801.50 $18,760.30 80% off $113.78 $86,484.98 $28,046.64 2026-02-13
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 74 26 $117,547.92 $23,509.59 80% off $19,395.41 $108,379.18 $59,655.57 2026-02-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 19 — — $28,706.85 $64,159.41 $35,907.31 2026-02-13
791 MS_DRG Prematurity With Major Problems 23 16 — — $25,788.65 $46,613.56 $32,111.21 2026-02-13
665 MS_DRG Prostatectomy With Mcc 26 19 — — $19,697.89 $44,024.53 $24,841.53 2026-02-13
332 MS_DRG Rectal Resection With Mcc 26 19 — — $22,850.24 $51,069.97 $28,713.59 2026-02-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 19 — — $40,609.39 $90,761.44 $50,527.31 2026-02-13
J3403 HCPCS Revakinagene, Per Implant 8 5 — — $257,500.00 $257,500.00 $257,500.00 2026-02-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 19 — — $22,256.37 $49,742.69 $27,984.13 2026-02-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 19 — — $32,851.28 $73,422.17 $40,997.95 2026-02-13
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 141 26 $71,571.63 $14,314.33 80% off $14.94 $142,399.30 $36,322.61 2026-02-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 8 5 — — $28,566.55 $28,566.55 $28,566.55 2026-02-13
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 12 8 — — $1,808.58 $30,055.17 $30,055.17 2026-02-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 19 — — $43,620.37 $97,490.94 $54,225.72 2026-02-13
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 19 — — $19,062.38 $42,604.15 $24,060.93 2026-02-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 19 — — $42,346.27 $79,052.88 $44,092.51 2026-02-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 19 — — $45,026.46 $100,633.53 $55,952.83 2026-02-13
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 19 — — $25,373.38 $56,709.15 $31,812.78 2026-02-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 19 — — $33,635.11 $75,174.01 $41,960.74 2026-02-13
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 19 — — $20,387.05 $45,564.79 $25,688.05 2026-02-13
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 108 26 $315,516.60 $63,103.32 80% off $12,661.44 $290,906.31 $106,013.58 2026-02-13
J9331 HCPCS Sirolimus Protein-bound Part 100 Mg IV Susr 72 26 $55,051.88 $11,010.38 80% off $84.57 $50,757.83 $27,938.83 2026-02-13
570 MS_DRG Skin Debridement With Mcc 26 19 — — $18,561.28 $41,484.22 $23,445.45 2026-02-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 19 — — $30,931.47 $69,131.43 $38,639.83 2026-02-13
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 19 — — $21,908.01 $48,964.10 $27,556.22 2026-02-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 19 — — $41,345.89 $92,407.50 $51,431.95 2026-02-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 19 — — $22,462.11 $50,202.52 $28,236.86 2026-02-13
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 19 — — $23,180.93 $51,809.08 $29,119.78 2026-02-13
500 MS_DRG Soft Tissue Procedures With Mcc 26 19 — — $19,973.05 $44,639.50 $25,179.51 2026-02-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $53,655.71 $118,529.96 $65,788.38 2026-02-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $38,074.39 $84,109.53 $46,871.53 2026-02-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $26,642.05 $58,854.52 $32,991.83 2026-02-13
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 19 — — $21,783.07 $48,120.62 $27,092.69 2026-02-13
28 MS_DRG Spinal Procedures With Mcc 26 19 — — $31,029.00 $84,747.07 $47,221.91 2026-02-13
460 MS_DRG Spine Ortho 2 2 — — $46,432.00 $75,843.00 $61,137.50 2026-02-13
799 MS_DRG Splenic Procedures With Mcc 26 19 — — $28,581.89 $63,880.13 $35,753.83 2026-02-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 19 — — $31,475.48 $70,347.28 $39,308.06 2026-02-13
J9381 HCPCS Teplizumab-mzwv 2 Mg/2ml IV Soln 202 26 $99,435.58 $19,887.12 80% off $37.66 $98,788.43 $41,265.90 2026-02-13
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 106 26 $90,815.51 $18,163.11 80% off $310.07 $83,731.90 $25,882.42 2026-02-13
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 19 — — $19,059.85 $42,598.51 $24,057.84 2026-02-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 5 — — $591,726.20 $591,726.20 $591,726.20 2026-02-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 19 — — $26,607.18 $59,466.68 $33,328.27 2026-02-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 19 — — $34,420.83 $76,930.08 $42,925.83 2026-02-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 26 19 — — $103,742.46 $195,374.00 $108,020.50 2026-02-13
38240 CPT Transplt Allo Hct/donor 10 7 — — $2,555.06 $55,441.20 $55,441.20 2026-02-13
668 MS_DRG Transurethral Procedures With Mcc 26 19 — — $18,428.12 $41,186.60 $23,281.85 2026-02-13
L6700 HCPCS Ue Add Ext Power Myoel 8 5 — — $28,931.56 $28,931.56 $28,931.56 2026-02-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 19 — — $35,128.29 $78,511.25 $43,794.80 2026-02-13
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 19 — — $22,759.99 $50,868.27 $28,602.75 2026-02-13
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 19 — — $18,784.06 $41,982.12 $23,719.07 2026-02-13
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 19 — — $22,611.05 $50,535.39 $28,419.80 2026-02-13
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 19 — — $22,558.67 $50,418.32 $28,355.46 2026-02-13
263 MS_DRG Vein Ligation And Stripping 26 19 — — $19,295.25 $43,124.63 $24,346.97 2026-02-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 19 — — $28,276.44 $63,197.45 $35,378.62 2026-02-13
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sol Presyrg 72 26 $601,529.04 $120,305.81 80% off $4,598.84 $554,609.77 $305,275.98 2026-02-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 19 — — $35,969.54 $80,391.45 $44,828.14 2026-02-13
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 19 — — $19,656.87 $43,932.84 $24,791.17 2026-02-13
901 MS_DRG Wound Debridements For Injuries With Mcc 26 19 — — $26,484.74 $59,193.04 $33,177.86 2026-02-13
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