Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NATCHITOCHES REGIONAL MEDICAL CENTER

Natchitoches, LA · CCN 190007 · Rates published

15,255 distinct procedures filed
15 distinct payers
554,193 rate rows
2026-03-18 last MRF observed
Data quality

430,096 of 554,193 rate rows are consumer-grade (77.6%)

124,097 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 114,762
per-diem day rate — not a per-procedure price 8,645
placeholder amount (≤ $0.02) — excluded from medians 642
exceeds 10× this hospital's gross charge — excluded from medians 48
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 · 2026-06-22

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,611,511.82 $3,611,511.82 $3,611,511.82 nat. median
$3,710,000
1.0× median
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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,233,599.24 $3,233,599.24 $3,233,599.24 nat. median
$3,325,455
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
$3,006,423
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
$2,448,600
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $99,274.01 $2,339,654.90 $1,779,559.68 nat. median
$2,469,189
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $536,682.67 $536,682.67 $536,682.67 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $514,287.49 $514,287.49 $514,287.49 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $502,774.98 $502,774.98 $502,774.98 nat. median
$674,188
0.7× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $3.14 $550,608.40 $498,087.36 nat. median
$754,974
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $0.95 $979,034.30 $478,378.59 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $475,095.36 $475,095.36 $475,095.36 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $1,200.00 $434,715.45 $198,138.49 nat. median
$370,174
0.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $1,200.00 $324,695.99 $143,922.01 nat. median
$265,286
0.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $1,200.00 $273,452.72 $130,789.83 nat. median
$206,368
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $1,200.00 $247,042.05 $118,287.69 nat. median
$202,986
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $1,200.00 $162,876.51 $78,445.87 nat. median
$133,176
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $1,200.00 $151,024.45 $69,641.63 nat. median
$117,303
0.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 14 $61,718.93 $154,270.18 $68,910.95 nat. median
$69,774
1.0× median
7
MS_DRG 		Lung Transplant 13 $1,200.00 $150,644.06 $67,583.89 nat. median
$122,708
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $1,200.00 $125,573.99 $60,787.80 nat. median
$102,358
0.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 14 $54,062.19 $134,710.33 $60,318.25 nat. median
$66,682
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 14 $55,316.05 $69,907.68 $59,419.72 nat. median
$62,507
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 14 $1,200.00 $122,126.26 $59,155.74 nat. median
$99,019
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $1,200.00 $120,749.94 $58,504.22 nat. median
$98,905
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $1,200.00 $127,024.08 $57,224.31 nat. median
$108,660
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $1,200.00 $122,755.63 $55,352.19 nat. median
$100,136
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $1,200.00 $111,248.23 $54,006.36 nat. median
$93,672
0.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $1,200.00 $106,185.57 $51,609.82 nat. median
$83,442
0.6× median
J9226
HCPCS 		Supprelin La Implant 14 $44,060.25 $108,292.73 $51,573.69 nat. median
$60,368
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $1,200.00 $97,678.65 $47,582.86 nat. median
$79,312
0.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $1,200.00 $97,624.47 $47,557.21 nat. median
$81,118
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $1,200.00 $96,142.10 $46,855.50 nat. median
$82,712
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $1,200.00 $92,920.30 $45,330.38 nat. median
$77,576
0.6× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 11 $40,934.37 $60,664.68 $44,581.83 nat. median
$76,377
0.6× median
38240
CPT 		Transplt Allo Hct/donor 14 $3,100.00 $57,572.30 $44,145.55 nat. median
$15,912
outlier · 2.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $1,200.00 $90,099.64 $43,995.15 nat. median
$73,807
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $1,200.00 $89,190.16 $43,564.63 nat. median
$74,915
0.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $1,200.00 $91,377.99 $42,841.17 nat. median
$71,240
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $1,200.00 $86,039.83 $42,073.34 nat. median
$72,138
0.6× median
10
MS_DRG 		Pancreas Transplant 13 $1,200.00 $91,904.77 $41,821.19 nat. median
$68,882
0.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $1,200.00 $81,872.82 $40,100.79 nat. median
$68,090
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $1,200.00 $81,461.31 $39,905.99 nat. median
$68,887
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $1,200.00 $80,187.58 $39,102.85 nat. median
$66,526
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $1,200.00 $78,709.81 $38,603.50 nat. median
$64,732
0.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $1,200.00 $77,285.08 $37,929.07 nat. median
$63,738
0.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $1,200.00 $76,987.68 $37,788.29 nat. median
$64,027
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $1,200.00 $76,857.43 $37,726.63 nat. median
$65,950
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $1,200.00 $74,440.21 $36,582.38 nat. median
$64,510
0.6× median

Other procedures at this hospital

Browse this hospital's 15,255 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
             
C1882 HCPCS Unify Assura Icd U Pr 118 11 $88,843.00 $35,537.20 60% off $12,623.04 $71,074.40 $28,411.96 2026-03-18
C1721 HCPCS Tiered-therapy Cardiverter/def 118 11 $56,304.00 $22,521.60 60% off $9,490.90 $45,043.20 $20,361.67 2026-03-18
C1722 HCPCS Generator Hv, Cd1357-40c 54 11 $38,739.00 $15,495.60 60% off $8,976.38 $30,991.20 $17,437.99 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T 32 14 — — $536,682.67 $536,682.67 $536,682.67 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel Car 32 14 — — $514,287.49 $514,287.49 $514,287.49 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 32 14 — — $502,774.98 $502,774.98 $502,774.98 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 32 14 — — $3.14 $550,608.40 $498,087.36 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 32 14 — — $0.95 $979,034.30 $478,378.59 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T 32 14 — — $475,095.36 $475,095.36 $475,095.36 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 14 — — $1,200.00 $273,452.72 $130,789.83 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 14 — — $1,200.00 $247,042.05 $118,287.69 2026-03-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 14 — — $1,200.00 $162,876.51 $78,445.87 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 14 — — $1,200.00 $125,573.99 $60,787.80 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 32 14 — — $54,062.19 $134,710.33 $60,318.25 2026-03-18
A9543 HCPCS Y90 Ibritumomab, Rx 32 14 — — $55,316.05 $69,907.68 $59,419.72 2026-03-18
215 MS_DRG Other Heart Assist System Implant 32 14 — — $1,200.00 $122,126.26 $59,155.74 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $1,200.00 $120,749.94 $58,504.22 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $1,200.00 $111,248.23 $54,006.36 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 32 14 — — $1,200.00 $106,185.57 $51,609.82 2026-03-18
J9226 HCPCS Supprelin La Implant 32 14 — — $44,060.25 $108,292.73 $51,573.69 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 14 — — $1,200.00 $97,678.65 $47,582.86 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $1,200.00 $97,624.47 $47,557.21 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 14 — — $1,200.00 $96,142.10 $46,855.50 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 14 — — $1,200.00 $92,920.30 $45,330.38 2026-03-18
38240 CPT Transplt Allo Hct/donor 32 14 — — $3,100.00 $57,572.30 $44,145.55 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 14 — — $1,200.00 $90,099.64 $43,995.15 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $1,200.00 $89,190.16 $43,564.63 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 14 — — $1,200.00 $86,039.83 $42,073.34 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $1,200.00 $81,872.82 $40,100.79 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 14 — — $1,200.00 $81,461.31 $39,905.99 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 14 — — $1,200.00 $80,187.58 $39,102.85 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 14 — — $1,200.00 $78,709.81 $38,603.50 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 14 — — $1,200.00 $77,285.08 $37,929.07 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 14 — — $1,200.00 $76,987.68 $37,788.29 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 14 — — $1,200.00 $76,857.43 $37,726.63 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $1,200.00 $74,440.21 $36,582.38 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 14 — — $1,200.00 $74,547.41 $36,432.94 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 14 — — $1,200.00 $72,900.21 $35,853.38 2026-03-18
571T OTHER Insj/rplcmt Icds Ss Eltrd 32 14 — — $4,700.00 $115,519.47 $35,338.92 2026-03-18
33270 CPT Ins/rep Subq Defibrillator 32 14 — — $3,200.00 $115,519.47 $35,231.78 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 14 — — $1,200.00 $71,402.85 $35,144.57 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 14 — — $1,200.00 $71,310.63 $35,100.92 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $1,200.00 $70,985.57 $34,947.04 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 14 — — $1,200.00 $70,414.98 $34,676.94 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 32 14 — — $1,200.00 $70,078.40 $34,517.61 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 14 — — $1,200.00 $69,575.82 $34,079.51 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 14 — — $1,200.00 $69,055.95 $34,033.61 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $1,200.00 $68,577.58 $33,807.16 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 14 — — $1,200.00 $70,737.74 $33,530.34 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 14 — — $1,200.00 $67,827.17 $33,451.93 2026-03-18
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 32 14 — — $3,200.00 $89,648.24 $33,383.83 2026-03-18
33231 CPT Insrt Pulse Gen W/mult Leads 32 14 — — $3,200.00 $89,648.24 $33,383.83 2026-03-18
33276 CPT Insj Phrnc Nrv Stim Sys 32 14 — — $468.30 $168,679.33 $33,373.21 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 14 — — $1,200.00 $67,113.65 $33,114.17 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $1,200.00 $66,158.06 $32,661.82 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $1,200.00 $65,762.69 $32,474.66 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 32 14 — — $1,200.00 $64,258.41 $31,762.57 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 14 — — $1,200.00 $63,713.19 $31,504.48 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $1,200.00 $63,445.76 $31,377.88 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 32 14 — — $1,200.00 $63,713.19 $31,304.29 2026-03-18
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 32 14 — — $31,210.45 $31,210.45 $31,210.45 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 14 — — $1,200.00 $63,058.45 $31,194.54 2026-03-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 14 — — $1,200.00 $62,576.62 $30,966.46 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 14 — — $1,200.00 $62,257.33 $30,815.31 2026-03-18
33249 CPT Insj/rplcmt Defib W/lead(s) 32 14 — — $4,700.00 $51,863.49 $30,792.06 2026-03-18
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 14 — — $1,200.00 $62,198.54 $30,787.48 2026-03-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $1,200.00 $62,191.62 $30,784.21 2026-03-18
J9266 HCPCS Pegaspargase Injection 32 14 — — $26,351.90 $62,629.48 $30,756.86 2026-03-18
C9760 HCPCS Non-blind Interatrial Shunt 32 14 — — $3,200.00 $103,082.54 $30,537.71 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 14 — — $1,200.00 $61,325.95 $30,374.42 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $1,200.00 $61,055.06 $30,246.19 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 14 — — $1,400.00 $68,525.71 $30,212.97 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 14 — — $1,200.00 $59,365.20 $29,446.25 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 14 — — $1,200.00 $59,168.09 $29,352.95 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 14 — — $1,200.00 $58,725.45 $29,143.41 2026-03-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 14 — — $1,200.00 $58,545.63 $29,058.29 2026-03-18
266T OTHER Implt/rpl Crtd Sns Dev Total 32 14 — — $280.64 $43,805.89 $29,052.28 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 14 — — $1,200.00 $58,060.35 $28,828.57 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $1,200.00 $57,673.04 $28,645.23 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 14 — — $1,200.00 $57,649.99 $28,634.32 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 14 — — $1,200.00 $57,442.50 $28,536.10 2026-03-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 14 — — $1,200.00 $57,717.99 $28,466.32 2026-03-18
245 MS_DRG Aicd Generator Procedures 32 14 — — $1,200.00 $56,330.14 $28,009.53 2026-03-18
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 32 14 — — $3,500.00 $34,071.35 $27,960.67 2026-03-18
471 MS_DRG Cervical Spinal Fusion With Mcc 32 14 — — $1,200.00 $55,990.10 $27,848.57 2026-03-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 14 — — $1,200.00 $55,047.19 $27,402.22 2026-03-18
268T OTHER Implt/rpl Crtd Sns Dev Gen 32 14 — — $3,200.00 $56,933.44 $27,381.81 2026-03-18
799 MS_DRG Splenic Procedures With Mcc 32 14 — — $1,200.00 $54,808.58 $27,289.26 2026-03-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 14 — — $1,200.00 $54,798.21 $27,284.35 2026-03-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 14 — — $1,200.00 $54,231.08 $27,015.89 2026-03-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 14 — — $1,200.00 $53,940.60 $26,878.39 2026-03-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 14 — — $1,200.00 $53,622.45 $26,727.78 2026-03-18
163 MS_DRG Major Chest Procedures With Mcc 32 14 — — $1,200.00 $53,130.25 $26,494.79 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $1,200.00 $52,938.90 $26,404.20 2026-03-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 14 — — $1,200.00 $52,930.83 $26,400.39 2026-03-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 14 — — $1,200.00 $52,005.21 $25,962.22 2026-03-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 14 — — $1,200.00 $51,695.14 $25,815.44 2026-03-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 14 — — $1,200.00 $51,552.20 $25,747.78 2026-03-18
901 MS_DRG Wound Debridements For Injuries With Mcc 32 14 — — $1,200.00 $51,070.37 $25,519.69 2026-03-18
33230 CPT Insrt Pulse Gen W/dual Leads 32 14 — — $3,200.00 $89,648.24 $25,360.86 2026-03-18
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 32 14 — — $3,200.00 $89,648.24 $25,360.86 2026-03-18
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 32 14 — — $3,200.00 $89,648.24 $25,360.86 2026-03-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 14 — — $1,200.00 $50,635.81 $25,313.98 2026-03-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $1,200.00 $49,773.59 $24,905.83 2026-03-18
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 14 — — $1,200.00 $49,876.18 $24,754.21 2026-03-18
J9600 HCPCS Porfimer Sodium Injection 32 14 — — $22,326.97 $47,740.28 $24,695.62 2026-03-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 14 — — $1,200.00 $49,170.72 $24,620.45 2026-03-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 14 — — $1,200.00 $49,098.10 $24,586.07 2026-03-18
140 MS_DRG Major Head And Neck Procedures With Mcc 32 14 — — $1,200.00 $48,749.99 $24,421.28 2026-03-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 14 — — $1,200.00 $48,305.05 $24,210.66 2026-03-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 14 — — $1,200.00 $48,293.52 $24,205.20 2026-03-18
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 32 14 — — $1,900.00 $29,664.62 $24,198.36 2026-03-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 14 — — $1,200.00 $47,960.39 $24,047.51 2026-03-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 14 — — $1,200.00 $47,400.18 $23,782.31 2026-03-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 14 — — $1,200.00 $47,373.66 $23,769.76 2026-03-18
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 14 — — $1,200.00 $47,303.35 $23,736.48 2026-03-18
33240 CPT Insrt Pulse Gen W/singl Lead 32 14 — — $4,700.00 $63,913.97 $23,629.84 2026-03-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $1,200.00 $47,070.50 $23,626.26 2026-03-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 14 — — $1,200.00 $46,884.92 $23,538.41 2026-03-18
408T OTHER Insj/rplc Cardiac Modulj Sys 32 14 — — $936.79 $34,831.47 $23,172.45 2026-03-18
J9028 HCPCS Injection, Nogapendekin Alfa Inbakicept-pmln, For Intravesical Use, 1 Microgram 32 14 $71,600.00 $28,640.00 60% off $92.35 $57,280.00 $23,161.86 2026-03-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 14 — — $1,200.00 $45,920.11 $23,081.69 2026-03-18
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 14 — — $1,200.00 $45,887.83 $23,066.41 2026-03-18
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 14 — — $1,200.00 $45,482.08 $22,874.34 2026-03-18
515T OTHER Insj Wcs Lv Compl Sys 32 14 — — $21,850.32 $34,936.98 $22,856.99 2026-03-18
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 14 — — $1,200.00 $45,388.72 $22,830.14 2026-03-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 14 — — $1,200.00 $45,095.93 $22,691.54 2026-03-18
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 14 — — $1,200.00 $45,074.03 $22,681.18 2026-03-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 14 — — $1,200.00 $44,825.04 $22,563.31 2026-03-18
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 14 — — $1,200.00 $44,551.86 $22,433.99 2026-03-18
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 14 — — $1,200.00 $44,506.90 $22,412.71 2026-03-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 14 — — $1,200.00 $44,382.41 $22,353.78 2026-03-18
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 14 — — $1,200.00 $44,060.80 $22,201.54 2026-03-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $1,200.00 $43,822.20 $22,088.59 2026-03-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 14 — — $1,200.00 $43,481.00 $21,927.08 2026-03-18
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 32 14 — — $21,850.32 $21,850.32 $21,850.32 2026-03-18
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 32 14 — — $21,850.32 $21,850.32 $21,850.32 2026-03-18
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 14 — — $1,200.00 $43,134.03 $21,762.83 2026-03-18
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 32 14 — — $4,300.00 $36,594.69 $21,649.90 2026-03-18
793 MS_DRG Full Term Neonate With Major Problems 32 14 — — $1,262.00 $48,073.35 $21,568.06 2026-03-18
409T OTHER Insj/rplc Car Modulj Pls Gn 32 14 — — $4,700.00 $34,831.47 $21,552.52 2026-03-18
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 32 14 — — $4,700.00 $34,831.47 $21,552.52 2026-03-18
93654 CPT Compre Ep Eval Tx Vt 32 14 — — $4,700.00 $33,635.22 $21,408.24 2026-03-18
93656 CPT Compre Ep Eval Abltj Atr Fib 32 14 — — $4,700.00 $33,635.22 $21,408.24 2026-03-18
93653 CPT Compre Ep Eval Tx Svt 32 14 — — $4,700.00 $33,635.22 $21,408.24 2026-03-18
64568 CPT Opn Impltj Crnl Nrv Nea&pg 32 14 — — $535.50 $85,479.81 $21,324.50 2026-03-18
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 14 — — $1,200.00 $41,766.93 $21,115.68 2026-03-18
791 MS_DRG Prematurity With Major Problems 32 14 — — $1,400.00 $46,798.47 $21,100.67 2026-03-18
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 14 — — $1,200.00 $42,058.56 $21,053.55 2026-03-18
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 14 — — $1,200.00 $41,321.99 $20,905.06 2026-03-18
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 14 — — $1,200.00 $41,312.77 $20,900.69 2026-03-18
69930 CPT Implant Cochlear Device 32 14 — — $1,044.75 $53,675.96 $20,822.44 2026-03-18
265 MS_DRG Aicd Lead Procedures 32 14 — — $1,200.00 $41,119.11 $20,809.02 2026-03-18
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 14 — — $1,200.00 $40,934.68 $20,721.72 2026-03-18
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 14 — — $1,200.00 $41,319.68 $20,703.78 2026-03-18
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 14 — — $1,200.00 $40,694.92 $20,608.22 2026-03-18
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 14 — — $1,200.00 $40,684.55 $20,603.31 2026-03-18
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 14 — — $1,200.00 $40,581.96 $20,554.74 2026-03-18
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 14 — — $1,200.00 $40,388.30 $20,463.07 2026-03-18
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 14 — — $1,200.00 $40,375.62 $20,457.07 2026-03-18
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 14 — — $1,200.00 $40,359.49 $20,449.43 2026-03-18
264 MS_DRG Other Circulatory System O.r. Procedures 32 14 — — $1,200.00 $40,288.02 $20,415.60 2026-03-18
332 MS_DRG Rectal Resection With Mcc 32 14 — — $1,200.00 $39,983.70 $20,271.55 2026-03-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 14 — — $1,200.00 $39,939.90 $20,250.81 2026-03-18
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 14 — — $1,200.00 $39,703.60 $20,138.95 2026-03-18
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 14 — — $1,200.00 $39,641.35 $20,109.49 2026-03-18
665 MS_DRG Prostatectomy With Mcc 32 14 — — $1,200.00 $39,579.11 $20,080.02 2026-03-18
252 MS_DRG Other Vascular Procedures With Mcc 32 14 — — $1,200.00 $39,542.22 $20,062.56 2026-03-18
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 14 — — $1,200.00 $39,482.28 $20,034.19 2026-03-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 14 — — $1,200.00 $39,263.27 $19,930.51 2026-03-18
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 14 — — $1,200.00 $39,099.58 $19,853.03 2026-03-18
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 14 — — $1,200.00 $38,692.68 $19,660.41 2026-03-18
37 MS_DRG Extracranial Procedures With Mcc 32 14 — — $1,200.00 $38,280.01 $19,465.06 2026-03-18
686T OTHER Histotripsy Mal Hepatcel Tis 32 14 — — $3,500.00 $46,856.72 $19,440.00 2026-03-18
C2616 HCPCS Brachytx, Non-str,yttrium-90 32 14 — — $16,747.84 $58,409.92 $19,391.32 2026-03-18
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 14 — — $1,200.00 $38,061.00 $19,361.39 2026-03-18
61886 CPT Implant Neurostim Arrays 32 14 — — $535.50 $42,586.40 $19,310.53 2026-03-18
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 14 — — $1,200.00 $37,571.10 $19,129.48 2026-03-18
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 14 — — $1,200.00 $37,554.97 $19,121.85 2026-03-18
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 32 14 — — $3,500.00 $39,376.13 $19,112.22 2026-03-18
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 14 — — $1,200.00 $37,108.87 $18,910.68 2026-03-18
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $1,200.00 $36,937.12 $18,829.37 2026-03-18
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 32 14 — — $535.50 $47,749.83 $18,786.28 2026-03-18
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 14 — — $1,200.00 $36,829.92 $18,778.63 2026-03-18
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 32 14 — — $468.30 $46,991.90 $18,758.90 2026-03-18
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 14 — — $1,200.00 $36,660.47 $18,698.41 2026-03-18
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 14 — — $1,200.00 $36,586.70 $18,663.49 2026-03-18
500 MS_DRG Soft Tissue Procedures With Mcc 32 14 — — $1,200.00 $36,525.60 $18,634.57 2026-03-18
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 14 — — $1,200.00 $37,678.30 $18,598.50 2026-03-18
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 14 — — $1,200.00 $36,759.60 $18,545.16 2026-03-18
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 32 14 — — $2,600.00 $33,104.68 $18,481.62 2026-03-18
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 32 14 — — $2,600.00 $33,104.68 $18,481.62 2026-03-18
C9782 HCPCS Blind Myocar Trpl Bon Marrow 32 14 — — $3,200.00 $65,598.66 $18,451.86 2026-03-18
33289 CPT Tcat Impl Wrls P-art Prs Snr 32 14 — — $468.30 $46,601.88 $18,413.01 2026-03-18
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 14 — — $1,200.00 $35,975.77 $18,374.29 2026-03-18
662 MS_DRG Minor Bladder Procedures With Mcc 32 14 — — $1,200.00 $35,959.63 $18,366.65 2026-03-18
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 14 — — $1,200.00 $35,806.32 $18,294.08 2026-03-18
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 14 — — $1,200.00 $35,646.09 $18,218.23 2026-03-18
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $1,200.00 $35,572.32 $18,183.31 2026-03-18
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 14 — — $1,200.00 $35,546.96 $18,171.31 2026-03-18
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 14 — — $1,200.00 $35,371.75 $18,088.37 2026-03-18
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 14 — — $1,200.00 $35,256.48 $18,033.80 2026-03-18
37227 CPT Fem/popl Revasc Stnt & Ather 32 14 — — $3,500.00 $52,097.75 $17,959.88 2026-03-18
37231 CPT Tib/per Revasc Stent & Ather 32 14 — — $3,500.00 $52,097.75 $17,959.88 2026-03-18
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 32 14 — — $468.30 $29,664.62 $17,830.65 2026-03-18
570 MS_DRG Skin Debridement With Mcc 32 14 — — $1,200.00 $34,698.58 $17,769.70 2026-03-18
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 32 14 — — $4,750.00 $29,487.35 $17,451.06 2026-03-18
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 32 14 — — $4,750.00 $29,487.35 $17,451.06 2026-03-18
974 MS_DRG HIV With Major Related Condition With Mcc 32 14 — — $1,200.00 $34,421.93 $17,438.56 2026-03-18
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 14 — — $1,200.00 $33,988.51 $17,433.57 2026-03-18
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 14 — — $1,200.00 $33,808.69 $17,348.45 2026-03-18
63655 CPT Implant Neuroelectrodes 32 14 — — $4,300.00 $20,875.11 $17,314.69 2026-03-18
C9758 HCPCS Blind Interatrial Shunt Ide 32 14 — — $3,200.00 $46,856.72 $17,280.49 2026-03-18
668 MS_DRG Transurethral Procedures With Mcc 32 14 — — $1,200.00 $33,616.19 $17,257.33 2026-03-18
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 14 — — $1,200.00 $33,597.75 $17,248.60 2026-03-18
800 MS_DRG Splenic Procedures With Cc 32 14 — — $1,200.00 $33,587.37 $17,243.69 2026-03-18
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 14 — — $1,200.00 $33,568.93 $17,234.95 2026-03-18
64580 CPT Opn Impltj Nea Neuromuscular 32 14 — — $2,100.00 $20,875.11 $17,177.19 2026-03-18
680T OTHER Insj/rplcmt Pg Only Isdss 32 14 — — $1,900.00 $20,875.11 $17,166.75 2026-03-18
472 MS_DRG Cervical Spinal Fusion With Cc 32 14 — — $1,200.00 $33,396.02 $17,153.11 2026-03-18
54405 CPT Insert Multi-comp Penis Pros 32 14 — — $3,200.00 $19,594.21 $17,078.64 2026-03-18
54401 CPT Insert Self-contd Prosthesis 32 14 — — $3,200.00 $19,594.21 $17,078.64 2026-03-18
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 14 — — $1,200.00 $33,049.06 $16,988.87 2026-03-18
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 14 — — $1,200.00 $32,991.43 $16,961.58 2026-03-18
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 14 — — $1,200.00 $32,945.32 $16,939.75 2026-03-18
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 32 14 — — $1,200.00 $32,815.06 $16,878.09 2026-03-18
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 14 — — $1,200.00 $33,900.91 $16,869.27 2026-03-18
654 MS_DRG Major Bladder Procedures With Cc 32 14 — — $1,200.00 $32,530.35 $16,743.32 2026-03-18
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 14 — — $1,200.00 $32,372.43 $16,668.56 2026-03-18
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 32 14 — — $4,700.00 $29,487.35 $16,654.12 2026-03-18
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 14 — — $1,200.00 $32,339.00 $16,652.74 2026-03-18
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 32 14 — — $4,300.00 $29,487.35 $16,629.12 2026-03-18
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 32 14 — — $3,800.00 $29,487.35 $16,597.87 2026-03-18
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 32 14 — — $3,800.00 $29,487.35 $16,597.87 2026-03-18
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 14 — — $1,200.00 $33,011.02 $16,596.08 2026-03-18
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 32 14 — — $3,500.00 $29,487.35 $16,579.12 2026-03-18
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 32 14 — — $3,500.00 $29,487.35 $16,579.12 2026-03-18
22856 CPT Tot Disc Arthrp 1ntrspc Crv 32 14 — — $3,614.00 $38,323.52 $16,542.12 2026-03-18
525T OTHER Insj/rplcmt Compl Iims 32 14 — — $4,750.00 $18,564.88 $16,531.33 2026-03-18
33229 CPT Remv&replc Pm Gen Mult Leads 32 14 — — $3,200.00 $27,121.76 $16,412.52 2026-03-18
33221 CPT Insert Pulse Gen Mult Leads 32 14 — — $3,200.00 $27,121.76 $16,412.52 2026-03-18
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 14 — — $1,200.00 $31,542.48 $16,275.69 2026-03-18
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 14 — — $1,200.00 $31,428.37 $16,221.67 2026-03-18
93590 CPT Perq Transcath Cls Mitral 32 14 — — $4,000.00 $23,478.47 $16,202.43 2026-03-18
93591 CPT Perq Transcath Cls Aortic 32 14 — — $4,000.00 $23,478.47 $16,202.43 2026-03-18
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 14 — — $1,200.00 $31,486.00 $16,048.77 2026-03-18
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 32 14 — — $1,200.00 $31,059.50 $16,047.06 2026-03-18
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 32 14 — — $4,750.00 $17,901.86 $16,023.02 2026-03-18
54411 CPT Remov/replc Penis Pros Comp 32 14 — — $1,200.00 $19,594.21 $16,011.10 2026-03-18
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 32 14 — — $4,300.00 $19,130.68 $15,992.31 2026-03-18
263 MS_DRG Vein Ligation And Stripping 32 14 — — $1,200.00 $30,916.57 $15,979.40 2026-03-18
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 14 — — $1,200.00 $31,315.40 $15,968.01 2026-03-18
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 14 — — $1,200.00 $31,162.09 $15,895.44 2026-03-18
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 14 — — $1,200.00 $30,694.10 $15,874.08 2026-03-18
C9602 HCPCS Perc D-e Cor Stent Ather S 32 14 — — $4,750.00 $29,099.40 $15,847.49 2026-03-18
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 32 14 — — $4,750.00 $29,099.40 $15,847.49 2026-03-18
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 14 — — $1,200.00 $30,584.59 $15,822.24 2026-03-18
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 32 14 — — $1,200.00 $30,546.55 $15,804.24 2026-03-18
37230 CPT Tib/per Revasc W/stent 32 14 — — $3,500.00 $30,081.75 $15,802.63 2026-03-18
37229 CPT Tib/per Revasc W/ather 32 14 — — $3,500.00 $30,081.75 $15,802.63 2026-03-18
37225 CPT Fem/popl Revas W/ather 32 14 — — $3,500.00 $30,081.75 $15,802.63 2026-03-18
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 14 — — $1,200.00 $30,936.16 $15,788.49 2026-03-18
503 MS_DRG Foot Procedures With Mcc 32 14 — — $1,200.00 $30,507.36 $15,785.69 2026-03-18
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 32 14 — — $1,200.00 $30,476.24 $15,770.95 2026-03-18
849 MS_DRG Radiotherapy 32 14 — — $1,200.00 $30,789.77 $15,719.19 2026-03-18
C9767 HCPCS Revasc Lithotrip-stent-ather 32 14 — — $3,800.00 $25,514.45 $15,696.11 2026-03-18
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 32 14 — — $1,200.00 $30,238.78 $15,658.55 2026-03-18
793T OTHER Prq Tcat Thrm Ablt Nrv P-art 32 14 — — $4,700.00 $26,536.22 $15,656.04 2026-03-18
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 14 — — $1,200.00 $30,160.40 $15,621.44 2026-03-18
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 31 14 — — $3,611,511.82 $3,611,511.82 $3,611,511.82 2026-03-18
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 31 14 — — $3,611,511.82 $3,611,511.82 $3,611,511.82 2026-03-18
J1413 HCPCS Inj Delandistrogene Mox Rokl 31 14 — — $3,233,599.24 $3,233,599.24 $3,233,599.24 2026-03-18
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 31 14 — — $3,108,236.45 $3,108,236.45 $3,108,236.45 2026-03-18
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 31 14 — — $2,889,209.45 $2,889,209.45 $2,889,209.45 2026-03-18
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 31 14 — — $2,270,093.14 $2,270,093.14 $2,270,093.14 2026-03-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 31 14 — — $99,274.01 $2,339,654.90 $1,779,559.68 2026-03-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 31 14 — — $61,718.93 $154,270.18 $68,910.95 2026-03-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 14 — — $600.00 $36,119.86 $19,704.82 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 13 — — $1,200.00 $434,715.45 $198,138.49 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 30 13 — — $1,200.00 $151,024.45 $69,641.63 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 13 — — $1,200.00 $91,377.99 $42,841.17 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 13 — — $1,200.00 $69,575.82 $32,749.75 2026-03-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 13 — — $1,200.00 $53,108.35 $25,507.07 2026-03-18
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 13 — — $1,200.00 $40,027.51 $19,582.15 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 13 — — $1,200.00 $324,695.99 $143,922.01 2026-03-18
7 MS_DRG Lung Transplant 29 13 — — $1,200.00 $150,644.06 $67,583.89 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 13 — — $1,200.00 $127,024.08 $57,224.31 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 13 — — $1,200.00 $122,755.63 $55,352.19 2026-03-18
10 MS_DRG Pancreas Transplant 29 13 — — $1,200.00 $91,904.77 $41,821.19 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 13 — — $1,200.00 $62,719.56 $29,020.73 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 29 13 — — $1,200.00 $55,896.73 $26,028.28 2026-03-18
652 MS_DRG Kidney Transplant 29 13 — — $1,200.00 $35,404.03 $17,040.31 2026-03-18
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 21 11 — — $23,383.78 $25,745.02 $23,856.03 2026-03-18
S2067 HCPCS Breast ""stacked"" Diep/gap 21 11 — — $3,200.00 $27,945.79 $22,112.76 2026-03-18
J1632 HCPCS Inj., Brexanolone, 1 Mg 21 11 $32,892.00 $13,156.80 60% off $80.46 $32,892.00 $17,293.21 2026-03-18
C1767 HCPCS Generator, Neuro Non-recharg 21 11 — — $0.02 $21,718.16 $16,770.53 2026-03-18
S2068 HCPCS Breast Diep Or Siea Flap 21 11 — — $3,200.00 $20,812.15 $16,604.25 2026-03-18
Q0488 HCPCS Pwr Pack Base Elec Vad, Rep 21 11 — — $15,038.21 $19,661.13 $15,962.79 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implnt 20 11 — — $40,934.37 $60,664.68 $44,581.83 2026-03-18
J7310 HCPCS Ganciclovir Long Act Implant 20 11 — — $17,280.00 $17,280.00 $17,280.00 2026-03-18
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