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

NATCHITOCHES REGIONAL MEDICAL CENTER

Natchitoches, LA · CCN 190007 · Rates published

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You selected 93306 (CPT)

ECHO COMPLETE

This hospital’s price: $569 across 17 payers · range $150-$1,537

Source: https://mrfs.hyvehealthcare.com/NatchitochesRegionalMedical/726013916_natchitoches-parish-hospital-service-district_standardcharges.json · observed 2026-03-18

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.

21,905 distinct procedures filed
19 distinct payers
1,045,916 rate rows
2026-03-18 last MRF observed
Data quality

820,575 of 1,045,916 rate rows are consumer-grade (78.5%)

225,341 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 191,822
per-diem day rate — not a per-procedure price 24,200
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,704
placeholder amount (≤ $0.02) — excluded from medians 1,272
percent-of-charges filed in the dollar field — excluded from medians 136
exceeds 10× this hospital's gross charge — excluded from medians 125
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 74
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/NatchitochesRegionalMedical/203171304_llc-i%2C-llc_standardcharges.json
Found on page https://www.nrmchospital.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-10-26
Content fingerprint 7038cc849cf3b6ea… · 31,048,960 bytes · first seen 2026-10-26

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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 14 $3,611,511.82 $3,611,511.82 $3,611,511.82 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 17 $3,523,540.52 $3,611,511.82 $3,611,511.82 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $3,130,347.59 $3,233,599.24 $3,233,599.24 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 14 $3,108,236.45 $3,108,236.45 $3,108,236.45 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 14 $2,889,209.45 $2,889,209.45 $2,889,209.45 nat. median
$2,994,107
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 14 $2,270,093.14 $2,270,093.14 $2,270,093.14 nat. median
$2,401,965
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $99,274.01 $2,339,654.90 $2,187,049.89 nat. median
$2,467,386
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 17 $481,704.95 $536,682.67 $536,682.67 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 17 $460,330.43 $514,287.49 $514,287.49 nat. median
$622,450
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 17 $450,038.29 $502,774.98 $502,774.98 nat. median
$640,950
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $3.14 $550,608.40 $485,386.70 nat. median
$739,258
0.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 17 $426,851.77 $475,095.36 $475,095.36 nat. median
$591,721
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $0.95 $979,034.30 $453,058.78 nat. median
$608,239
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $18,087.23 $434,715.45 $324,560.23 nat. median
$359,454
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $172,658.93 $324,695.99 $238,721.05 nat. median
$249,036
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $35,739.30 $278,084.29 $218,053.80 nat. median
$198,418
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $132,165.42 $247,042.05 $187,817.98 nat. median
$190,559
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $93,661.16 $162,876.51 $129,497.44 nat. median
$126,695
1.0× median
7
MS_DRG 		Lung Transplant 10 $78,155.46 $150,644.06 $108,059.01 nat. median
$117,974
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 17 $58,694.02 $154,270.18 $104,235.45 nat. median
$68,423
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $78,013.38 $129,175.26 $101,290.21 nat. median
$104,013
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $18,087.23 $151,024.45 $100,963.08 nat. median
$110,307
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $40,227.06 $120,749.94 $96,287.15 nat. median
$93,276
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $47,764.66 $125,573.99 $94,882.86 nat. median
$97,323
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $65,945.10 $122,755.63 $91,176.77 nat. median
$95,038
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 17 $50,741.51 $134,710.33 $90,764.12 nat. median
$65,720
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 11 $47,764.66 $122,126.26 $89,985.75 nat. median
$93,901
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $47,764.66 $111,248.23 $85,497.38 nat. median
$90,551
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $47,764.66 $106,185.57 $84,673.39 nat. median
$78,268
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 9 $56,460.48 $93,487.77 $78,063.17 nat. median
$70,732
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $40,227.06 $96,142.10 $76,664.62 nat. median
$78,049
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $26,601.09 $97,624.47 $74,257.53 nat. median
$77,632
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $47,764.66 $92,920.30 $74,095.53 nat. median
$74,370
1.0× median
J9226
HCPCS 		Supprelin La Implant 17 $42,335.61 $108,292.73 $73,737.10 nat. median
$55,159
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $47,764.66 $97,678.65 $71,489.64 nat. median
$77,028
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $50,930.65 $91,377.99 $70,417.54 nat. median
$66,715
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $47,764.66 $90,099.64 $68,709.41 nat. median
$71,748
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $47,764.66 $89,190.16 $67,930.66 nat. median
$72,398
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $40,227.06 $81,872.82 $65,286.17 nat. median
$63,648
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $44,376.91 $80,187.58 $63,942.34 nat. median
$62,655
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $46,081.93 $86,039.83 $63,713.62 nat. median
$67,976
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 17 $55,316.05 $101,569.00 $62,611.86 nat. median
$63,528
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $44,828.65 $81,461.31 $61,980.82 nat. median
$66,649
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $40,227.06 $77,285.08 $61,627.86 nat. median
$60,596
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $35,739.30 $76,987.68 $60,958.06 nat. median
$61,308
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $43,674.77 $76,857.43 $60,385.45 nat. median
$63,873
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $44,014.37 $74,547.41 $60,099.60 nat. median
$59,371
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $43,788.82 $72,900.21 $58,131.32 nat. median
$58,251
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $18,087.23 $71,310.63 $56,863.78 nat. median
$57,556
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 $18,306.00 $71,935.18 $56,406.95 nat. median
$53,342
1.1× median

Other procedures at this hospital

Browse this hospital's 21,905 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 30 14 — — $3,611,511.82 $3,611,511.82 $3,611,511.82 2026-03-18
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 54 17 — $3,523,540.52 $3,523,540.52 $3,611,511.82 $3,611,511.82 2026-03-18
J1413 HCPCS Inj Delandistrogene Mox Rokl 54 17 — $3,130,347.59 $3,130,347.59 $3,233,599.24 $3,233,599.24 2026-03-18
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 30 14 — — $3,108,236.45 $3,108,236.45 $3,108,236.45 2026-03-18
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 30 14 — — $2,889,209.45 $2,889,209.45 $2,889,209.45 2026-03-18
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 30 14 — — $2,270,093.14 $2,270,093.14 $2,270,093.14 2026-03-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 32 10 — $2,187,049.89 $99,274.01 $2,339,654.90 $2,187,049.89 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T 56 17 — $481,704.95 $481,704.95 $536,682.67 $536,682.67 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel Car 56 17 — $460,330.43 $460,330.43 $514,287.49 $514,287.49 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 56 17 — $450,038.29 $450,038.29 $502,774.98 $502,774.98 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 34 10 — $485,386.70 $3.14 $550,608.40 $485,386.70 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T 56 17 — $426,851.77 $426,851.77 $475,095.36 $475,095.36 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 9 — $426,851.77 $0.95 $979,034.30 $453,058.78 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 10 — $324,560.23 $18,087.23 $434,715.45 $324,560.23 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 10 — $238,721.05 $172,658.93 $324,695.99 $238,721.05 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 11 — $232,203.01 $35,739.30 $278,084.29 $218,053.80 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 11 — $187,817.98 $132,165.42 $247,042.05 $187,817.98 2026-03-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 11 — $129,497.44 $93,661.16 $162,876.51 $129,497.44 2026-03-18
7 MS_DRG Lung Transplant 29 10 — $108,059.01 $78,155.46 $150,644.06 $108,059.01 2026-03-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 17 — $58,694.02 $58,694.02 $154,270.18 $104,235.45 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 10 — $107,862.56 $78,013.38 $129,175.26 $101,290.21 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 35 10 — $100,963.08 $18,087.23 $151,024.45 $100,963.08 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 9 — — $40,227.06 $120,749.94 $96,287.15 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 11 — $94,882.86 $47,764.66 $125,573.99 $94,882.86 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 10 — $91,176.77 $65,945.10 $122,755.63 $91,176.77 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 56 17 — $50,741.51 $50,741.51 $134,710.33 $90,764.12 2026-03-18
215 MS_DRG Other Heart Assist System Implant 37 11 — $89,985.75 $47,764.66 $122,126.26 $89,985.75 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 11 — $85,497.38 $47,764.66 $111,248.23 $85,497.38 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 21 9 — — $47,764.66 $106,185.57 $84,673.39 2026-03-18
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 9 — $78,063.17 $56,460.48 $93,487.77 $78,063.17 2024-11-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 9 — — $40,227.06 $96,142.10 $76,664.62 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 11 — $74,257.53 $26,601.09 $97,624.47 $74,257.53 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 11 — $74,460.15 $47,764.66 $92,920.30 $74,095.53 2026-03-18
J9226 HCPCS Supprelin La Implant 56 17 — $42,335.61 $42,335.61 $108,292.73 $73,737.10 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 11 — $71,489.64 $47,764.66 $97,678.65 $71,489.64 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 10 — $70,417.54 $50,930.65 $91,377.99 $70,417.54 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 11 — $68,709.41 $47,764.66 $90,099.64 $68,709.41 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 11 — $67,930.66 $47,764.66 $89,190.16 $67,930.66 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 9 — — $40,227.06 $81,872.82 $65,286.17 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 37 11 — $61,356.24 $44,376.91 $80,187.58 $63,942.34 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 11 — $63,713.62 $46,081.93 $86,039.83 $63,713.62 2026-03-18
A9543 HCPCS Y90 Ibritumomab, Rx 56 17 — $62,185.82 $55,316.05 $101,569.00 $62,611.86 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 11 — $61,980.82 $44,828.65 $81,461.31 $61,980.82 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 9 — — $40,227.06 $77,285.08 $61,627.86 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 37 11 — $60,958.06 $35,739.30 $76,987.68 $60,958.06 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 11 — $60,385.45 $43,674.77 $76,857.43 $60,385.45 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 11 — $60,854.99 $44,014.37 $74,547.41 $60,099.60 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 11 — $60,543.14 $43,788.82 $72,900.21 $58,131.32 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 9 — — $18,087.23 $71,310.63 $56,863.78 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 37 11 — $60,066.55 $18,306.00 $71,935.18 $56,406.95 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 11 — $56,074.15 $40,556.56 $74,440.21 $56,074.15 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 11 — $55,024.08 $39,797.07 $69,055.95 $55,024.08 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 11 — $54,777.42 $39,618.67 $70,985.57 $54,777.42 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 37 11 — $54,707.82 $35,739.30 $71,402.85 $54,707.82 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 37 11 — $54,415.35 $18,087.23 $69,575.82 $54,415.35 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 35 10 — $54,415.35 $25,787.54 $69,575.82 $54,415.35 2026-03-18
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 9 — $53,880.63 $38,970.05 $64,526.97 $53,880.63 2024-11-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 11 — $53,650.70 $38,803.76 $78,709.81 $53,650.70 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 11 — $53,267.50 $38,526.59 $67,113.65 $53,267.50 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 37 11 — $53,086.02 $38,395.34 $70,078.40 $53,086.02 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 9 — $52,856.98 $35,201.98 $68,525.71 $52,856.98 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 11 — $53,519.44 $26,601.09 $66,158.06 $52,755.07 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 11 — $52,403.30 $37,901.55 $70,414.98 $52,403.30 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 37 11 — $51,804.26 $37,468.29 $67,827.17 $51,804.26 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 11 — $54,101.74 $39,129.98 $64,791.77 $50,805.50 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implnt 32 13 — — $40,934.37 $92,361.98 $50,799.53 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 9 — — $33,188.93 $63,445.76 $50,592.25 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 9 — — $26,601.09 $63,058.45 $50,283.41 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 11 — $50,184.22 $36,296.57 $68,577.58 $50,184.22 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 11 — $49,938.44 $36,118.80 $65,762.69 $49,938.44 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 11 — $49,893.51 $36,086.31 $62,257.33 $49,644.59 2026-03-18
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 37 11 — $45,423.65 $32,853.40 $88,566.88 $49,597.71 2026-03-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 37 11 — $50,064.42 $35,739.30 $62,191.62 $49,592.19 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 37 11 — $49,323.55 $25,787.54 $63,713.19 $49,323.55 2026-03-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 11 — $48,497.23 $35,076.42 $62,576.62 $48,497.23 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 11 — $46,201.52 $33,416.01 $61,055.06 $47,764.66 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 11 — $45,790.12 $33,118.46 $61,325.95 $47,764.66 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 37 11 — $47,690.30 $34,492.79 $64,258.41 $47,690.30 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 9 — — $33,188.93 $59,365.20 $47,338.38 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 11 — $44,548.00 $32,220.08 $59,168.09 $47,181.20 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 11 — $45,690.57 $33,046.46 $58,725.45 $46,828.24 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 10 — $46,352.16 $33,524.96 $62,719.56 $46,352.16 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 11 — $42,344.78 $30,626.56 $58,060.35 $46,297.87 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 11 — $44,040.58 $31,853.08 $57,649.99 $45,970.65 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 11 — $44,387.67 $32,104.11 $57,442.50 $45,805.20 2026-03-18
245 MS_DRG Aicd Generator Procedures 37 11 — $39,918.69 $28,871.85 $56,330.14 $44,918.19 2026-03-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 37 11 — $44,742.69 $32,360.89 $58,545.63 $44,742.69 2026-03-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 37 11 — $38,662.47 $27,963.27 $55,047.19 $43,895.15 2026-03-18
266T OTHER Implt/rpl Crtd Sns Dev Total 19 10 — — $280.64 $43,805.89 $43,805.89 2026-03-18
799 MS_DRG Splenic Procedures With Mcc 37 11 — $43,646.80 $31,568.27 $54,808.58 $43,704.88 2026-03-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 11 — $41,759.84 $30,203.49 $88,555.52 $43,696.61 2026-03-18
471 MS_DRG Cervical Spinal Fusion With Mcc 37 11 — $43,333.19 $26,601.09 $55,990.10 $43,333.19 2026-03-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 37 11 — $42,991.39 $31,094.23 $54,231.08 $43,244.38 2026-03-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 37 11 — $39,658.81 $28,683.89 $53,940.60 $43,012.75 2026-03-18
0266T CPT Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 18 10 — $42,738.84 $280.64 $43,013.55 $42,738.84 2024-11-14
33276 CPT Insj Phrnc Nrv Stim Sys 35 11 — $42,738.84 $468.30 $168,679.33 $42,738.84 2026-03-18
J9266 HCPCS Pegaspargase Injection 56 17 — $24,485.72 $24,485.72 $62,629.48 $42,645.53 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 29 10 — $42,609.94 $30,818.34 $55,896.73 $42,609.94 2026-03-18
10 MS_DRG Pancreas Transplant 29 10 — $42,404.69 $30,669.89 $91,904.77 $42,404.69 2026-03-18
163 MS_DRG Major Chest Procedures With Mcc 37 11 — $41,523.75 $30,032.74 $89,713.41 $42,366.57 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 11 — $40,951.14 $29,618.59 $52,938.90 $42,213.98 2026-03-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 11 — $39,790.07 $28,778.83 $52,930.83 $42,207.55 2026-03-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 37 11 — $42,129.83 $30,471.10 $53,622.45 $42,129.83 2026-03-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 37 11 — $41,902.55 $25,787.54 $57,717.99 $41,902.55 2026-03-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 11 — $39,011.32 $28,215.58 $52,005.21 $41,469.45 2026-03-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 37 11 — $37,904.87 $27,415.32 $51,695.14 $41,222.20 2026-03-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 11 — $38,902.09 $28,136.58 $51,552.20 $41,108.22 2026-03-18
901 MS_DRG Wound Debridements For Injuries With Mcc 37 11 — $38,125.10 $27,574.61 $51,070.37 $40,724.00 2026-03-18
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 9 — $40,572.34 $29,344.62 $48,589.08 $40,572.34 2024-11-14
38240 CPT Transplantation Of Donor Stem Cells, Per Donor 48 17 — $49,449.40 $1,550.00 $57,572.30 $40,067.78 2026-03-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 10 — $39,620.05 $28,655.86 $53,108.35 $39,851.78 2026-03-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 11 — $39,915.16 $26,601.09 $49,773.59 $39,689.93 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 11 — $39,293.22 $28,419.47 $57,673.04 $39,293.22 2026-03-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 37 11 — $37,692.57 $27,261.77 $52,816.22 $39,209.20 2026-03-18
140 MS_DRG Major Head And Neck Procedures With Mcc 37 11 — $33,282.60 $24,072.19 $88,566.88 $38,873.71 2026-03-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 37 11 — $36,264.57 $26,228.95 $48,305.05 $38,518.90 2026-03-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 37 11 — $32,576.98 $23,561.83 $48,293.52 $38,509.71 2026-03-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 37 11 — $38,425.50 $27,791.88 $50,635.81 $38,425.50 2026-03-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 37 11 — $36,634.56 $26,496.55 $47,960.39 $38,244.07 2026-03-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 11 — $35,600.34 $25,748.54 $47,764.66 $37,797.35 2026-03-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 37 11 — $35,632.06 $25,771.47 $47,579.25 $37,776.21 2026-03-18
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 37 11 — $35,280.57 $25,517.25 $59,684.07 $37,720.14 2026-03-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 9 — — $34,301.40 $47,070.50 $37,534.47 2026-03-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 37 11 — $34,452.49 $24,918.33 $47,764.66 $37,386.48 2026-03-18
793 MS_DRG Full Term Neonate With Major Problems 33 9 — $37,081.20 $26,819.59 $48,073.35 $37,081.20 2026-03-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 37 11 — $32,766.38 $23,698.82 $47,579.25 $36,617.13 2026-03-18
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 37 11 — $31,857.25 $23,041.28 $47,764.66 $36,591.40 2026-03-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 37 11 — $36,470.71 $24,168.02 $49,098.10 $36,470.71 2026-03-18
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 37 11 — $34,243.70 $24,767.32 $47,764.66 $36,193.39 2026-03-18
791 MS_DRG Prematurity With Major Problems 33 9 — $36,098.07 $26,108.53 $46,798.47 $36,098.07 2026-03-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 9 — — $26,601.09 $45,095.93 $35,959.92 2026-03-18
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 37 11 — $34,330.04 $24,829.76 $47,764.66 $35,942.46 2026-03-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 37 11 — $34,368.80 $24,857.80 $47,764.66 $35,743.92 2026-03-18
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 37 11 — $35,365.14 $25,578.42 $45,482.08 $35,739.30 2026-03-18
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 11 — $34,864.76 $25,216.52 $44,551.86 $35,526.07 2026-03-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 37 11 — $35,746.58 $25,854.30 $88,566.88 $35,390.96 2026-03-18
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 37 11 — $34,164.42 $24,709.98 $47,579.25 $35,134.51 2026-03-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 11 — $33,376.86 $24,140.37 $47,764.66 $34,944.24 2026-03-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 37 11 — $33,920.40 $24,533.49 $55,586.06 $34,672.16 2026-03-18
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 37 11 — $33,701.05 $24,374.84 $49,478.79 $34,395.49 2026-03-18
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 37 11 — $28,685.01 $20,746.90 $44,506.90 $34,352.91 2026-03-18
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 37 11 — $31,913.63 $23,082.06 $42,058.56 $33,537.90 2026-03-18
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 37 11 — $32,038.72 $23,172.54 $41,319.68 $32,948.71 2026-03-18
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 37 11 — $32,169.98 $23,267.47 $47,764.66 $32,943.20 2026-03-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 10 — $32,872.09 $23,775.28 $36,119.86 $32,940.36 2026-03-18
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 37 11 — $30,498.85 $22,058.80 $47,764.66 $32,641.71 2026-03-18
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 37 11 — $30,627.47 $22,151.82 $47,764.66 $32,450.52 2026-03-18
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 36 11 — $31,548.04 $22,817.64 $47,764.66 $32,360.44 2026-03-18
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 9 — $32,223.72 $23,306.34 $38,590.85 $32,223.72 2024-11-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 37 11 — $31,054.72 $22,460.84 $40,388.30 $32,206.02 2026-03-18
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 11 — $29,746.53 $21,514.67 $80,711.42 $32,195.91 2026-03-18
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 37 11 — $32,790.16 $23,716.03 $40,359.49 $32,183.04 2026-03-18
264 MS_DRG Other Circulatory System O.r. Procedures 37 11 — $28,771.34 $20,809.34 $48,078.73 $32,126.05 2026-03-18
332 MS_DRG Rectal Resection With Mcc 37 11 — $31,956.80 $23,113.28 $39,983.70 $31,883.39 2026-03-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 37 11 — $30,002.88 $21,700.08 $39,939.90 $31,848.46 2026-03-18
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 11 — $30,446.88 $22,021.20 $47,764.66 $31,660.03 2026-03-18
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 37 11 — $29,678.70 $21,465.61 $47,764.66 $31,610.39 2026-03-18
665 MS_DRG Prostatectomy With Mcc 37 11 — $27,212.96 $19,682.22 $45,297.53 $31,560.76 2026-03-18
252 MS_DRG Other Vascular Procedures With Mcc 37 11 — $29,544.80 $21,368.76 $47,764.66 $31,531.34 2026-03-18
335 MS_DRG Peritoneal Adhesiolysis With Mcc 37 11 — $31,493.43 $22,778.14 $41,766.93 $31,493.43 2026-03-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 37 11 — $29,204.76 $21,122.82 $39,263.27 $31,308.90 2026-03-18
571T OTHER Insj/rplcmt Icds Ss Eltrd 14 8 — — $4,700.00 $115,519.47 $31,210.45 2026-03-18
408T OTHER Insj/rplc Cardiac Modulj Sys 18 9 — — $936.79 $34,831.47 $31,210.45 2026-03-18
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 31 14 — — $31,210.45 $31,210.45 $31,210.45 2026-03-18
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 11 — $30,437.18 $22,014.20 $47,764.66 $31,178.38 2026-03-18
265 MS_DRG Aicd Lead Procedures 37 11 — $31,133.12 $22,517.54 $41,119.11 $31,133.12 2026-03-18
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 37 11 — $30,200.21 $21,842.80 $45,369.43 $30,853.91 2026-03-18
C1882 HCPCS Cardiac Resynch Defibrillator 185 13 $56,044.00 $22,417.60 60% off $12,623.04 $71,074.40 $30,824.20 2026-03-18
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 11 — $30,712.04 $18,087.23 $39,482.28 $30,712.04 2026-03-18
37 MS_DRG Extracranial Procedures With Mcc 37 11 — $29,736.84 $21,507.66 $47,764.66 $30,524.85 2026-03-18
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 10 — $30,466.26 $22,035.22 $40,027.51 $30,466.26 2026-03-18
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 37 11 — $29,296.37 $21,189.09 $38,061.00 $30,350.21 2026-03-18
69930 CPT Implantation Of Cochlear Device 44 12 — $30,345.57 $1,044.75 $53,675.96 $30,345.57 2026-03-18
268T OTHER Implt/rpl Crtd Sns Dev Gen 32 15 — — $3,200.00 $56,933.44 $30,066.72 2026-03-18
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 36 11 — $29,333.37 $12,731.00 $47,764.66 $30,045.04 2026-03-18
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 11 — $29,442.61 $21,294.85 $51,329.13 $29,959.56 2026-03-18
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 37 11 — $27,640.22 $19,991.24 $37,554.97 $29,946.69 2026-03-18
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 37 11 — $29,866.34 $18,087.23 $41,321.99 $29,866.34 2026-03-18
33264 CPT Removal And Replacement Of Defibrillator Pulse Generator, Multiple Wires (leads) 30 10 — $29,770.57 $1,550.00 $89,648.24 $29,866.25 2026-03-18
33231 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Multiple Leads 30 10 — $29,770.57 $1,550.00 $89,648.24 $29,866.25 2026-03-18
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 30 10 — $29,770.57 $1,550.00 $115,519.47 $29,866.25 2026-03-18
33249 CPT Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 46 15 — $29,770.57 $1,550.00 $51,863.49 $29,770.57 2026-03-18
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 16 9 — $29,770.57 $1,550.00 $110,733.74 $29,770.57 2024-11-14
0408T CPT Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 20 10 — $29,770.57 $936.79 $33,388.47 $29,770.57 2024-11-14
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 37 11 — $29,018.00 $20,987.75 $47,764.66 $29,590.97 2026-03-18
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 11 — $28,195.21 $20,392.65 $36,937.12 $29,454.01 2026-03-18
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 37 11 — $28,326.46 $20,487.58 $36,660.47 $29,233.41 2026-03-18
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 37 11 — $28,324.70 $20,486.31 $44,854.81 $29,174.58 2026-03-18
500 MS_DRG Soft Tissue Procedures With Mcc 37 11 — $28,566.96 $20,661.52 $46,606.78 $29,125.87 2026-03-18
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 37 11 — $28,549.34 $20,648.78 $47,764.66 $28,687.42 2026-03-18
662 MS_DRG Minor Bladder Procedures With Mcc 37 11 — $26,398.98 $19,093.50 $35,959.63 $28,674.55 2026-03-18
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 37 11 — $28,010.21 $20,258.85 $47,764.66 $28,552.30 2026-03-18
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 37 11 — $27,850.76 $20,143.52 $45,369.43 $28,424.54 2026-03-18
C9790 HCPCS Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 25 13 — $11,872.24 $11,872.24 $44,915.55 $28,393.90 2024-11-14
515T OTHER Insj Wcs Lv Compl Sys 31 14 — — $21,850.32 $34,936.98 $28,393.65 2026-03-18
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 9 — — $25,922.40 $35,572.32 $28,365.71 2026-03-18
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 37 11 — $27,782.93 $20,094.46 $47,764.66 $28,345.49 2026-03-18
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 37 11 — $27,088.75 $19,592.39 $59,684.07 $28,205.77 2026-03-18
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 37 11 — $28,196.97 $20,393.92 $40,684.55 $28,196.97 2026-03-18
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 37 11 — $26,014.89 $18,815.70 $47,764.66 $28,113.86 2026-03-18
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 50 17 — $28,099.32 $468.30 $46,991.90 $28,099.32 2026-03-18
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device Pulse … 15 9 — $28,099.32 $1,550.00 $54,574.80 $28,099.32 2024-11-14
64568 CPT Implantation Of Cranial Nerve Neurostimulator Electrodes And Generator 44 12 — $28,099.32 $535.50 $85,479.81 $28,099.32 2026-03-18
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 48 15 — $28,099.32 $535.50 $47,749.83 $28,099.32 2026-03-18
61886 CPT Implant Neurostim Arrays 44 12 — $28,099.32 $535.50 $42,586.40 $28,099.32 2026-03-18
570 MS_DRG Skin Debridement With Mcc 37 11 — $25,742.68 $18,618.82 $44,548.31 $27,668.97 2026-03-18
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 37 11 — $27,530.98 $19,912.24 $36,759.60 $27,530.98 2026-03-18
974 MS_DRG HIV With Major Related Condition With Mcc 37 11 — $25,692.47 $18,582.50 $43,121.77 $27,448.37 2026-03-18
63685 CPT Insertion Of Spinal Neurostimulator Pulse Generator Or Receiver 48 15 — $28,099.32 $468.30 $29,664.62 $27,170.65 2026-03-18
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 11 — $26,440.38 $19,123.44 $36,087.43 $27,102.76 2026-03-18
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 37 11 — $25,761.18 $18,632.20 $47,764.66 $26,959.37 2026-03-18
668 MS_DRG Transurethral Procedures With Mcc 37 11 — $24,824.75 $17,954.91 $35,739.30 $26,805.87 2026-03-18
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 37 11 — $24,747.23 $17,898.84 $47,764.66 $26,768.18 2026-03-18
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 37 11 — $26,709.95 $19,318.41 $49,876.18 $26,709.95 2026-03-18
472 MS_DRG Cervical Spinal Fusion With Cc 37 11 — $26,035.15 $18,830.35 $33,396.02 $26,601.09 2026-03-18
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 37 11 — $26,376.96 $19,077.57 $33,597.75 $26,601.09 2026-03-18
652 MS_DRG Kidney Transplant 29 10 — $26,466.81 $19,142.56 $35,404.03 $26,466.81 2026-03-18
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 37 11 — $25,733.87 $18,612.45 $35,739.30 $26,353.64 2026-03-18
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 37 11 — $25,074.05 $14,796.00 $33,011.02 $26,323.30 2026-03-18
33289 CPT Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 44 12 — $26,300.68 $468.30 $46,601.88 $26,300.68 2026-03-18
C9760 HCPCS Non-blind Interatrial Shunt 29 10 — $26,118.36 $1,550.00 $103,082.54 $26,286.25 2026-03-18
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 37 11 — $23,966.72 $17,334.32 $32,945.32 $26,270.91 2026-03-18
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 37 11 — $26,151.44 $18,087.23 $36,829.92 $26,151.44 2026-03-18
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 11 — $25,977.89 $11,470.00 $33,900.91 $25,977.89 2026-03-18
654 MS_DRG Major Bladder Procedures With Cc 37 11 — $24,115.60 $17,442.00 $39,598.92 $25,940.01 2026-03-18
800 MS_DRG Splenic Procedures With Cc 37 11 — $24,822.11 $17,953.00 $33,587.37 $25,787.54 2026-03-18
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 37 11 — $25,436.12 $18,397.09 $32,372.43 $25,787.54 2026-03-18
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 37 11 — $23,861.01 $17,257.87 $47,764.66 $25,787.43 2026-03-18
0816T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 25 13 — $19,795.31 $19,795.31 $31,733.22 $25,764.26 2024-11-14
0817T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 25 13 — $19,795.31 $19,795.31 $31,733.22 $25,764.26 2024-11-14
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 37 11 — $25,324.24 $18,316.17 $32,815.06 $25,324.24 2026-03-18
686T OTHER Histotripsy Mal Hepatcel Tis 31 14 — — $3,500.00 $46,856.72 $25,178.36 2026-03-18
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 37 11 — $25,375.33 $18,353.13 $36,238.78 $25,152.28 2026-03-18
288 MS_DRG Acute And Subacute Endocarditis With Mcc 37 11 — $22,842.64 $16,521.32 $38,558.34 $25,107.24 2026-03-18
619 MS_DRG O.r. Procedures For Obesity With Mcc 37 11 — $22,803.00 $16,492.65 $49,478.79 $25,061.28 2026-03-18
963 MS_DRG Other Multiple Significant Trauma With Mcc 37 11 — $24,087.41 $17,421.61 $47,764.66 $24,971.20 2026-03-18
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 11 — $24,690.85 $17,858.06 $49,221.48 $24,848.95 2026-03-18
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 37 11 — $24,141.14 $17,460.48 $47,764.66 $24,767.14 2026-03-18
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 37 11 — $23,818.72 $17,227.28 $44,680.75 $24,668.79 2026-03-18
263 MS_DRG Vein Ligation And Stripping 37 11 — $24,888.18 $18,000.78 $48,078.73 $24,653.17 2026-03-18
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 33 13 — — $23,383.78 $25,745.02 $24,564.40 2026-03-18
849 MS_DRG Radiotherapy 37 11 — $23,709.48 $17,148.28 $30,789.77 $24,552.06 2026-03-18
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 37 11 — $23,336.85 $16,878.76 $35,739.30 $24,475.76 2026-03-18
0620T CPT Insertion Of Stent To Shunt Arterial Blood To Deep Vein Of Lower Leg Via Cathete… 25 13 — $26,118.36 $1,550.00 $26,286.25 $24,457.44 2024-11-14
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 37 11 — $21,181.20 $15,319.65 $47,764.66 $24,388.44 2026-03-18
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 37 11 — $23,659.27 $17,111.96 $35,739.30 $24,358.11 2026-03-18
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 37 11 — $23,294.56 $16,848.18 $32,991.43 $24,168.02 2026-03-18
503 MS_DRG Foot Procedures With Mcc 37 11 — $23,625.80 $17,087.75 $30,507.36 $24,168.02 2026-03-18
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 37 11 — $24,202.81 $17,505.08 $47,764.66 $24,050.19 2026-03-18
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 32 15 — — $4,750.00 $29,487.35 $24,026.12 2026-03-18
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 32 15 — — $4,750.00 $29,487.35 $24,026.12 2026-03-18
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 37 11 — $22,174.90 $16,038.36 $47,764.66 $23,793.74 2026-03-18
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 37 11 — $22,806.53 $16,495.20 $35,739.30 $23,754.21 2026-03-18
J9600 HCPCS Porfimer Sodium Injection 56 17 — $21,680.85 $21,680.85 $51,960.00 $23,585.24 2026-03-18
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 37 11 — $23,517.44 $17,009.38 $30,238.78 $23,517.44 2026-03-18
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 37 11 — $21,530.05 $15,571.96 $29,437.65 $23,473.86 2026-03-18
253 MS_DRG Other Vascular Procedures With Cc 37 11 — $22,473.53 $16,254.35 $47,764.66 $23,466.51 2026-03-18
C1721 HCPCS Aicd Dual Chamber Gallant Dr 185 13 $42,565.00 $17,283.20 59% off $9,490.90 $45,043.20 $23,453.10 2026-03-18
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 37 11 — $21,884.19 $15,828.10 $47,764.66 $23,422.39 2026-03-18
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 37 11 — $19,865.08 $14,367.75 $47,764.66 $23,301.98 2026-03-18
545 MS_DRG Connective Tissue Disorders With Mcc 37 11 — $21,963.47 $15,885.44 $35,739.30 $23,226.61 2026-03-18
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 37 11 — $23,001.21 $16,636.01 $47,764.66 $23,208.22 2026-03-18
164 MS_DRG Major Chest Procedures With Cc 37 11 — $22,467.37 $16,249.89 $89,713.41 $23,135.61 2026-03-18
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 37 11 — $23,363.28 $16,897.88 $35,739.30 $23,073.27 2026-03-18
56 MS_DRG Degenerative Nervous System Disorders With Mcc 37 11 — $21,089.58 $15,253.39 $34,361.95 $23,017.04 2026-03-18
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 37 11 — $21,490.41 $15,543.29 $47,764.66 $22,999.57 2026-03-18
0795T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
0796T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
0823T CPT Transcatheter Insertion Of Permanent Single-chamber Leadless Pacemaker, Right At… 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
0797T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
0803T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
0801T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
0802T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
0825T CPT Transcatheter Removal And Replacement Of Permanent Single-chamber Leadless Pacem… 25 13 — $17,632.28 $17,632.28 $28,265.75 $22,949.01 2024-11-14
397 MS_DRG Appendix Procedures With Mcc 37 11 — $19,791.09 $14,314.23 $33,809.49 $22,775.29 2026-03-18
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 37 11 — $21,432.27 $15,501.24 $47,764.66 $22,683.38 2026-03-18
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 31 14 — — $10,187.51 $34,936.98 $22,562.24 2026-03-18
792 MS_DRG Prematurity Without Major Problems 33 9 — $21,781.12 $15,753.55 $28,237.69 $22,517.00 2026-03-18
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 37 11 — $21,900.04 $15,839.57 $47,965.21 $22,504.14 2026-03-18
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 37 11 — $22,000.47 $15,912.20 $27,988.71 $22,318.46 2026-03-18
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 37 11 — $22,308.80 $16,135.21 $30,476.24 $22,308.80 2026-03-18
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 37 11 — $21,142.44 $15,291.62 $33,809.49 $22,232.06 2026-03-18
347 MS_DRG Anal And Stomal Procedures With Mcc 37 11 — $22,455.91 $16,241.61 $33,809.49 $22,177.17 2026-03-18
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 37 11 — $21,157.42 $15,302.45 $47,764.66 $22,069.37 2026-03-18
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 37 11 — $21,003.25 $15,190.95 $27,632.52 $22,034.44 2026-03-18
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 37 11 — $19,201.74 $13,887.97 $27,632.52 $22,034.44 2026-03-18
33240 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Single Lead 46 15 — $21,329.91 $1,550.00 $63,913.97 $21,850.32 2026-03-18
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 31 14 — — $21,850.32 $21,850.32 $21,850.32 2026-03-18
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 31 14 — — $21,850.32 $21,850.32 $21,850.32 2026-03-18
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 37 11 — $20,418.31 $14,767.88 $36,238.78 $21,844.17 2026-03-18
113 MS_DRG Orbital Procedures With Cc/mcc 37 11 — $22,087.68 $15,975.28 $35,739.30 $21,813.51 2026-03-18
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 37 11 — $21,676.29 $15,677.73 $27,289.02 $21,760.52 2026-03-18
330 MS_DRG Major Small And Large Bowel Procedures With Cc 37 11 — $20,896.66 $15,113.85 $27,246.37 $21,726.52 2026-03-18
23474 CPT Revision Of Total Shoulder Repair, Total Shoulder 32 13 — — $1,073.67 $39,590.73 $21,695.37 2026-03-18
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 37 11 — $20,413.03 $14,764.06 $47,764.66 $21,691.59 2026-03-18
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 37 11 — $20,998.85 $15,187.76 $33,188.93 $21,495.80 2026-03-18
93656 CPT Compre Ep Eval Abltj Atr Fib 48 17 — $21,491.88 $1,550.00 $33,635.22 $21,491.88 2026-03-18
93653 CPT Compre Ep Eval Tx Svt 48 17 — $21,491.88 $1,550.00 $33,635.22 $21,491.88 2026-03-18
93654 CPT Compre Ep Eval Tx Vt 48 17 — $21,491.88 $1,550.00 $33,635.22 $21,491.88 2026-03-18
33230 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Dual Leads 30 10 — $21,329.91 $1,550.00 $89,648.24 $21,398.46 2026-03-18
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