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

OPELOUSAS GENERAL HEALTH SYSTEM

Opelousas, LA · CCN 190017 · Rates published

20,354 distinct procedures filed
17 distinct payers
722,321 rate rows
2026-05-08 last MRF observed
Data quality

578,107 of 722,321 rate rows are consumer-grade (80.0%)

144,214 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 98,392
placeholder amount (≤ $0.02) — excluded from medians 39,085
per-diem day rate — not a per-procedure price 6,538
template filing: same amount across many unrelated codes — excluded 189
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/OpelousasGeneralHealthSystem/720708111_opelousas-general-main-campus_standardcharges.csv
Found on page https://www.opelousasgeneral.com/patient-resources/healthcare-price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint ed808141ed2a91ea… · 109,941,996 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 11 $4,062,455.54 $4,490,082.44 $4,276,268.99 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $3,323,247.94 $3,673,063.52 $3,498,155.73 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $2,990,672.99 $3,339,578.18 $3,148,076.83 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 11 $2,929,337.69 $3,237,689.03 $3,083,513.36 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 11 $2,656,367.99 $2,935,985.67 $2,796,176.83 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,213,935.12 $2,446,980.92 $2,330,458.02 nat. median
$2,468,984
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 11 $2,102,918.16 $2,324,277.96 $2,213,598.06 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 11 $694,918.86 $768,068.22 $731,493.54 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $518,240.68 $589,766.79 $561,682.66 nat. median
$753,246
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $507,495.55 $563,995.17 $537,138.26 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $474,060.62 $560,675.44 $533,976.61 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $484,690.30 $555,472.46 $529,021.39 nat. median
$625,184
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $441,238.23 $487,684.36 $464,461.29 nat. median
$619,808
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $0.95 $531,464.46 $459,381.45 nat. median
$634,303
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $147,029.46 $432,216.65 $302,750.55 nat. median
$370,174
0.8× median
100T
CPT 		Prosth Retina Receive&gen 10 $7,747.00 $276,239.41 $270,764.64 —
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 11 $250,916.38 $277,328.63 $264,122.51 nat. median
$324,450
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $109,818.68 $280,491.22 $196,472.93 nat. median
$265,286
0.7× median
Q0480
HCPCS 		Dme Pos 10 $158,105.25 $164,630.86 $161,368.05 nat. median
$111,989
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $92,487.17 $213,697.15 $149,686.35 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $83,554.56 $212,443.03 $148,807.88 nat. median
$202,976
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 7 $71,087.76 $130,662.80 $100,875.28 nat. median
$76,329
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $55,088.09 $138,638.66 $97,110.86 nat. median
$133,161
0.7× median
7
MS_DRG 		Lung Transplant 10 $50,950.83 $129,618.55 $90,792.63 nat. median
$122,708
0.7× median
90288
CPT 		Botulism Ig IV 7 $89,422.38 $89,422.38 $89,422.38 nat. median
$55,037
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $51,079.48 $120,287.16 $84,256.37 nat. median
$117,357
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $42,962.08 $113,419.99 $81,402.99 nat. median
$108,660
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $40,840.04 $110,311.19 $77,268.60 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $42,471.63 $108,838.87 $76,237.29 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $41,518.41 $103,197.79 $73,425.61 nat. median
$100,136
0.7× median
L7180
HCPCS 		Dme Pos 7 $70,914.34 $73,841.25 $72,377.79 nat. median
$49,027
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 12 $51,242.44 $126,982.97 $72,149.02 nat. median
$62,507
1.2× median
L7181
HCPCS 		Dme Pos 7 $70,338.15 $73,241.28 $71,789.71 nat. median
$50,598
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 10 $41,305.54 $99,659.61 $71,526.99 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $37,626.37 $97,916.05 $68,586.29 nat. median
$93,672
0.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 12 $57,119.91 $111,812.40 $66,532.29 nat. median
$69,774
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $32,517.18 $90,177.09 $63,165.46 nat. median
$82,711
0.8× median
38240
CPT 		Transplt Allo Hct/donor 12 $2,786.00 $67,811.35 $62,881.00 nat. median
$15,979
outlier · 3.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $35,914.08 $86,672.94 $61,599.46 nat. median
$83,470
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $33,018.54 $84,109.63 $60,366.57 nat. median
$81,118
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $33,036.87 $84,374.87 $59,101.24 nat. median
$79,312
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 12 $49,842.70 $101,479.98 $59,086.19 nat. median
$66,682
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $31,427.50 $78,758.82 $56,526.22 nat. median
$77,570
0.7× median
33231
CPT 		Insertion Icd With Exisitng Multi Lead 12 $2,786.00 $97,845.30 $56,362.26 nat. median
$30,121
1.9× median
33264
CPT 		Revasc Open/perq Tib/peron Stent Lt 12 $2,786.00 $100,291.10 $56,362.26 nat. median
$31,873
1.8× median
33270
CPT 		Insert/Replace Permanent Sq Defib 12 $2,786.00 $126,081.90 $56,362.26 nat. median
$32,221
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $30,165.89 $76,852.10 $53,831.85 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $30,473.50 $76,520.81 $53,599.78 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $29,100.39 $76,267.58 $53,422.40 nat. median
$72,135
0.7× median
268T
CPT 		Implt/rpl Crtd Sns Dev Gen 10 $11,548.00 $52,745.69 $51,700.32 —

Other procedures at this hospital

Browse this hospital's 20,354 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 32 11 — — $4,062,455.54 $4,490,082.44 $4,276,268.99 2026-03-05
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 36 12 — — $3,323,247.94 $3,673,063.52 $3,498,155.73 2026-03-05
J1413 HCPCS Inj Delandistrogene Mox Rokl 36 12 — — $2,990,672.99 $3,339,578.18 $3,148,076.83 2026-03-05
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 32 11 — — $2,929,337.69 $3,237,689.03 $3,083,513.36 2026-03-05
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 32 11 — — $2,656,367.99 $2,935,985.67 $2,796,176.83 2026-03-05
J3399 HCPCS Inj Onase Abepar-xioi Treat 36 12 — — $2,213,935.12 $2,446,980.92 $2,330,458.02 2026-03-05
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 32 11 — — $2,102,918.16 $2,324,277.96 $2,213,598.06 2026-03-05
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 32 11 — — $694,918.86 $768,068.22 $731,493.54 2026-03-05
Q2042 HCPCS Tisagenlecleucel Car-pos T 36 12 — — $518,240.68 $589,766.79 $561,682.66 2026-03-05
Q2056 HCPCS Ciltacabtagene Car-pos T 36 12 — — $507,495.55 $563,995.17 $537,138.26 2026-03-05
Q2054 HCPCS Lisocabtagene Mara Car Pos T 36 12 — — $474,060.62 $560,675.44 $533,976.61 2026-03-05
Q2055 HCPCS Idecabtagene Vicleucel Car 36 12 — — $484,690.30 $555,472.46 $529,021.39 2026-03-05
Q2053 HCPCS Brexucabtagene Car Pos T 36 12 — — $441,238.23 $487,684.36 $464,461.29 2026-03-05
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 9 — — $0.95 $531,464.46 $459,381.45 2026-03-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 10 $245,049.10 $122,524.55 50% off $147,029.46 $432,216.65 $302,750.55 2026-03-05
100T CPT Prosth Retina Receive&gen 28 10 — — $7,747.00 $276,239.41 $270,764.64 2026-03-05
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 32 11 — — $250,916.38 $277,328.63 $264,122.51 2026-03-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 10 $183,031.13 $91,515.57 50% off $109,818.68 $280,491.22 $196,472.93 2026-03-05
Q0480 HCPCS Dme Pos 28 10 — — $158,105.25 $164,630.86 $161,368.05 2026-03-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 10 $154,145.30 $77,072.65 50% off $92,487.17 $213,697.15 $149,686.35 2026-03-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 10 $139,257.61 $69,628.80 50% off $83,554.56 $212,443.03 $148,807.88 2026-03-05
J7330 HCPCS Cultured Chondrocytes Implnt 22 7 — — $71,087.76 $130,662.80 $100,875.28 2026-03-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 10 $91,813.49 $45,906.75 50% off $55,088.09 $138,638.66 $97,110.86 2026-03-05
7 MS_DRG Lung Transplant 28 10 $84,918.06 $42,459.03 50% off $50,950.83 $129,618.55 $90,792.63 2026-03-05
90288 CPT Botulism Ig IV 22 7 — — $89,422.38 $89,422.38 $89,422.38 2026-03-05
14 MS_DRG Allogeneic Bone Marrow Transplant 28 10 $85,132.48 $42,566.24 50% off $51,079.48 $120,287.16 $84,256.37 2026-03-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 10 $71,603.48 $35,801.74 50% off $42,962.08 $113,419.99 $81,402.99 2026-03-05
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 10 $68,066.74 $34,033.37 50% off $40,840.04 $110,311.19 $77,268.60 2026-03-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 10 $70,786.06 $35,393.03 50% off $42,471.63 $108,838.87 $76,237.29 2026-03-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 10 $69,197.35 $34,598.68 50% off $41,518.41 $103,197.79 $73,425.61 2026-03-05
L7180 HCPCS Dme Pos 22 7 — — $70,914.34 $73,841.25 $72,377.79 2026-03-05
A9543 HCPCS Y90 Ibritumomab, Rx 36 12 — — $51,242.44 $126,982.97 $72,149.02 2026-03-05
L7181 HCPCS Dme Pos 22 7 — — $70,338.15 $73,241.28 $71,789.71 2026-03-05
215 MS_DRG Other Heart Assist System Implant 28 10 $68,842.57 $34,421.29 50% off $41,305.54 $99,659.61 $71,526.99 2026-03-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 10 $62,710.63 $31,355.31 50% off $37,626.37 $97,916.05 $68,586.29 2026-03-05
J9029 HCPCS Instill Adstiladrin, Tx Dose 36 12 — — $57,119.91 $111,812.40 $66,532.29 2026-03-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 10 $54,195.30 $27,097.65 50% off $32,517.18 $90,177.09 $63,165.46 2026-03-05
38240 CPT Transplt Allo Hct/donor 36 12 — — $2,786.00 $67,811.35 $62,881.00 2026-03-05
850 MS_DRG Acute Leukemia With Other Procedures 28 10 $59,856.81 $29,928.40 50% off $35,914.08 $86,672.94 $61,599.46 2026-03-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 10 $55,030.91 $27,515.46 50% off $33,018.54 $84,109.63 $60,366.57 2026-03-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 10 $55,061.45 $27,530.73 50% off $33,036.87 $84,374.87 $59,101.24 2026-03-05
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 36 12 — — $49,842.70 $101,479.98 $59,086.19 2026-03-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 10 $52,379.17 $26,189.59 50% off $31,427.50 $78,758.82 $56,526.22 2026-03-05
33270 CPT Insert/Replace Permanent Sq Defib 36 12 $180,117.00 $90,058.50 50% off $2,786.00 $126,081.90 $56,362.26 2026-03-05
33264 CPT Revasc Open/perq Tib/peron Stent Lt 36 12 $143,273.00 $71,636.50 50% off $2,786.00 $100,291.10 $56,362.26 2026-03-05
33231 CPT Insertion Icd With Exisitng Multi Lead 36 12 $139,779.00 $69,889.50 50% off $2,786.00 $97,845.30 $56,362.26 2026-03-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 10 $50,276.50 $25,138.25 50% off $30,165.89 $76,852.10 $53,831.85 2026-03-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 10 $50,789.17 $25,394.58 50% off $30,473.50 $76,520.81 $53,599.78 2026-03-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 10 $48,500.65 $24,250.33 50% off $29,100.39 $76,267.58 $53,422.40 2026-03-05
268T CPT Implt/rpl Crtd Sns Dev Gen 28 10 — — $11,548.00 $52,745.69 $51,700.32 2026-03-05
266T CPT Implt/rpl Crtd Sns Dev Total 28 10 — — $11,548.00 $52,745.69 $51,700.32 2026-03-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 10 $46,151.71 $23,075.86 50% off $27,691.02 $72,250.97 $50,608.93 2026-03-05
10 MS_DRG Pancreas Transplant 28 10 $51,806.72 $25,903.36 50% off $26,052.00 $71,821.58 $50,308.16 2026-03-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 10 $43,397.96 $21,698.98 50% off $26,038.77 $71,791.55 $50,287.13 2026-03-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 10 $51,509.77 $25,754.89 50% off $30,905.86 $71,410.21 $50,020.01 2026-03-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 10 $45,919.74 $22,959.87 50% off $27,551.84 $71,368.17 $49,990.57 2026-03-05
33249 CPT Insert Or Replace Icd With Tv Lead 36 12 $95,167.00 $47,583.50 50% off $2,786.00 $66,616.90 $49,962.68 2026-03-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 10 $45,201.74 $22,600.87 50% off $27,121.04 $69,180.21 $48,457.98 2026-03-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 10 $43,324.53 $21,662.27 50% off $25,994.71 $68,840.90 $48,220.32 2026-03-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 10 $44,368.72 $22,184.36 50% off $26,621.23 $67,371.58 $47,191.10 2026-03-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 10 $40,197.80 $20,098.90 50% off $24,118.68 $66,925.18 $46,878.43 2026-03-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 10 $43,565.60 $21,782.80 50% off $26,139.35 $66,876.13 $46,844.07 2026-03-05
64568 CPT Opn Impltj Crnl Nrv Nea&pg 36 12 — — $2,786.00 $52,745.69 $46,662.81 2026-03-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 10 $41,961.95 $20,980.97 50% off $25,177.16 $65,812.18 $46,098.82 2026-03-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 10 $38,657.18 $19,328.59 50% off $23,194.30 $65,812.18 $46,098.82 2026-03-05
J9226 HCPCS Supprelin La Implant 36 12 — — $40,598.09 $82,657.91 $45,990.43 2026-03-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 10 $40,014.57 $20,007.28 50% off $23,834.00 $65,572.96 $45,931.24 2026-03-05
69930 CPT Implant Cochlear Device 36 12 — — $6,130.00 $59,972.41 $45,174.78 2026-03-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 10 $42,022.38 $21,011.19 50% off $25,213.42 $64,404.91 $45,113.07 2026-03-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 10 $38,926.84 $19,463.42 50% off $23,356.10 $61,339.16 $44,023.90 2026-03-05
571T CPT Insj/rplcmt Icds Ss Eltrd 36 12 — — $16,022.00 $58,476.77 $43,697.62 2026-03-05
L5856 HCPCS Dme Pos 22 7 — — $42,141.48 $43,880.82 $43,011.15 2026-03-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 10 $41,093.85 $20,546.92 50% off $24,656.30 $61,268.09 $42,915.86 2026-03-05
L6880 HCPCS Dme Pos 22 7 — — $41,942.45 $43,673.58 $42,808.01 2026-03-05
33276 CPT Insj Phrnc Nrv Stim Sys 36 12 — — $2,786.00 $44,851.49 $42,715.71 2026-03-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 10 $37,293.30 $18,646.65 50% off $22,375.98 $59,684.67 $42,671.29 2026-03-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 10 $39,692.93 $19,846.46 50% off $23,815.75 $60,680.56 $42,504.32 2026-03-05
28 MS_DRG Spinal Procedures With Mcc 28 10 $39,503.19 $19,751.60 50% off $23,701.91 $60,137.07 $42,123.62 2026-03-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 10 $40,249.79 $20,124.89 50% off $24,149.87 $60,120.06 $42,111.71 2026-03-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 10 $39,219.89 $19,609.94 50% off $23,531.93 $59,350.37 $41,572.57 2026-03-05
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 36 12 — — $2,786.00 $54,456.99 $41,443.06 2026-03-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 10 $38,234.18 $19,117.09 50% off $22,940.50 $58,738.82 $41,144.20 2026-03-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 10 $37,831.97 $18,915.98 50% off $22,699.17 $58,700.78 $41,117.56 2026-03-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 9 $38,627.94 $19,313.97 50% off $23,176.76 $59,488.49 $41,053.52 2026-03-05
61886 CPT Implant Neurostim Arrays 36 12 — — $4,235.00 $52,745.69 $40,587.41 2026-03-05
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 36 12 — — $3,176.00 $52,745.69 $40,587.41 2026-03-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 10 $35,546.05 $17,773.03 50% off $21,327.63 $57,722.90 $40,432.60 2026-03-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 10 $37,070.43 $18,535.21 50% off $22,242.25 $57,354.57 $40,174.60 2026-03-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 10 $35,094.46 $17,547.23 50% off $21,056.67 $57,046.30 $39,958.66 2026-03-05
33263 CPT Remove Or Replace Icd Dual Lead 36 12 $143,273.00 $71,636.50 50% off $2,786.00 $100,291.10 $39,654.43 2026-03-05
33262 CPT Remove Or Repl Icd Sgl Lead System 36 12 $143,273.00 $71,636.50 50% off $2,786.00 $100,291.10 $39,654.43 2026-03-05
33240 CPT Insertion Of Single Or Dual Chamber Icd Pulse Gene 36 12 $99,655.00 $49,827.50 50% off $2,786.00 $69,758.50 $39,654.43 2026-03-05
409T CPT Ins/rpl Of Permanent Cardiac Contractility Modulation System, Pulse Generator On… 36 12 $79,000.00 $39,500.00 50% off $16,022.00 $55,300.00 $39,654.43 2026-03-05
408T CPT Ins/rpl Of Permanent Cardiac Contractility Modulation System, Pulse Generator Wi… 36 12 $79,000.00 $39,500.00 50% off $16,022.00 $55,300.00 $39,654.43 2026-03-05
414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 36 12 $79,000.00 $39,500.00 50% off $16,022.00 $55,300.00 $39,654.43 2026-03-05
33230 CPT Insert Icd Gen Only/w Existing Dual Leads 36 12 $139,779.00 $69,889.50 50% off $2,786.00 $97,845.30 $39,654.43 2026-03-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 10 $35,764.38 $17,882.19 50% off $21,458.62 $56,270.60 $39,415.31 2026-03-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 10 $35,355.02 $17,677.51 50% off $21,213.00 $56,096.44 $39,293.33 2026-03-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 10 $32,510.29 $16,255.15 50% off $19,506.17 $55,712.10 $39,024.10 2026-03-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 10 $39,874.87 $19,937.43 50% off $23,924.91 $55,279.71 $38,721.24 2026-03-05
834 MS_DRG Acute Leukemia With Mcc 28 10 $35,915.12 $17,957.56 50% off $21,549.07 $54,948.41 $38,489.18 2026-03-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 10 $35,274.44 $17,637.22 50% off $21,164.66 $54,754.23 $38,353.17 2026-03-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 10 $34,569.44 $17,284.72 50% off $20,741.66 $54,676.16 $38,298.47 2026-03-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 10 $35,061.32 $17,530.66 50% off $21,036.79 $54,590.09 $38,238.18 2026-03-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 10 $39,219.89 $19,609.94 50% off $23,531.93 $54,371.89 $38,085.35 2026-03-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 10 $35,915.12 $17,957.56 50% off $21,549.07 $52,985.64 $38,028.49 2026-03-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 10 $34,416.74 $17,208.37 50% off $20,650.04 $53,376.00 $37,387.76 2026-03-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 10 $33,464.17 $16,732.08 50% off $20,078.49 $53,343.97 $37,365.32 2026-03-05
653 MS_DRG Major Bladder Procedures With Mcc 28 10 $36,222.47 $18,111.23 50% off $21,733.48 $52,010.77 $37,328.80 2026-03-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 10 $33,353.05 $16,676.53 50% off $20,011.83 $52,810.49 $36,991.65 2026-03-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 10 $33,103.54 $16,551.77 50% off $19,862.12 $52,100.85 $36,494.57 2026-03-05
620T CPT Evasc Ven Artlz Tibl/prnl Vn 36 12 — — $7,387.00 $44,851.49 $36,290.33 2026-03-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 10 $33,002.17 $16,501.09 50% off $19,801.30 $49,918.89 $35,827.43 2026-03-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 10 $32,380.34 $16,190.17 50% off $19,428.20 $49,518.53 $35,540.08 2026-03-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 10 $32,497.30 $16,248.65 50% off $19,498.37 $49,430.45 $35,435.38 2026-03-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 10 $29,841.66 $14,920.83 50% off $17,904.99 $50,447.36 $35,336.37 2026-03-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 10 $32,535.63 $16,267.82 50% off $19,521.38 $48,086.24 $34,512.12 2026-03-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 10 $32,728.62 $16,364.31 50% off $19,637.17 $49,261.30 $34,505.57 2026-03-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 10 $35,057.42 $17,528.71 50% off $21,034.45 $49,056.11 $34,361.85 2026-03-05
L8614 HCPCS Dme Pos 22 7 — — $33,602.13 $34,989.02 $34,295.57 2026-03-05
61867 CPT Implant Neuroelectrode 28 10 — — $2,289.00 $34,922.74 $34,230.61 2026-03-05
L6975 HCPCS Dme Pos 22 7 — — $33,524.54 $34,908.23 $34,216.39 2026-03-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 10 $30,570.06 $15,285.03 50% off $18,342.03 $47,650.85 $34,199.63 2026-03-05
L6970 HCPCS Dme Pos 22 7 — — $33,345.56 $34,721.86 $34,033.71 2026-03-05
471 MS_DRG Cervical Spinal Fusion With Mcc 28 10 $31,561.62 $15,780.81 50% off $18,936.97 $48,330.46 $33,853.56 2026-03-05
Q0483 HCPCS Dme Pos 28 10 — — $32,914.07 $34,272.56 $33,593.32 2026-03-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 10 $30,889.75 $15,444.87 50% off $18,533.84 $46,960.23 $33,500.44 2026-03-05
L6965 HCPCS Dme Pos 22 7 — — $32,806.49 $34,160.54 $33,483.51 2026-03-05
L5858 HCPCS Dme Pos 22 7 — — $32,625.73 $33,972.32 $33,299.03 2026-03-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 10 $29,837.11 $14,918.56 50% off $17,902.26 $46,006.37 $33,019.36 2026-03-05
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 10 $29,937.18 $14,968.59 50% off $17,962.30 $47,056.31 $32,961.07 2026-03-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 10 $31,030.10 $15,515.05 50% off $18,618.06 $46,820.10 $32,918.64 2026-03-05
6 MS_DRG Liver Transplant Without Mcc 28 10 $31,508.99 $15,754.49 50% off $18,905.39 $46,411.73 $32,509.57 2026-03-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 10 $30,226.98 $15,113.49 50% off $18,136.18 $46,226.57 $32,379.87 2026-03-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 10 $29,315.34 $14,657.67 50% off $17,589.20 $45,527.94 $32,273.90 2026-03-05
163 MS_DRG Major Chest Procedures With Mcc 28 10 $29,949.52 $14,974.76 50% off $17,969.71 $44,858.34 $32,195.40 2026-03-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 10 $30,406.31 $15,203.16 50% off $18,243.78 $45,889.26 $32,143.60 2026-03-05
245 MS_DRG Aicd Generator Procedures 28 10 $31,753.30 $15,876.65 50% off $19,051.98 $45,665.06 $31,986.56 2026-03-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 10 $29,059.98 $14,529.99 50% off $17,435.98 $45,507.92 $31,876.49 2026-03-05
61885 CPT Insrt/redo Neurostim 1 Array 36 12 — — $3,176.00 $34,922.74 $31,675.94 2026-03-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 10 $27,229.55 $13,614.78 50% off $16,337.73 $44,845.32 $31,412.36 2026-03-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 10 $28,543.40 $14,271.70 50% off $17,126.04 $44,669.17 $31,288.97 2026-03-05
799 MS_DRG Splenic Procedures With Mcc 20 9 $30,895.60 $15,447.80 50% off $18,537.35 $34,441.00 $31,282.46 2026-03-05
37227 CPT Revasc F/p Art Uni W St And Ath Same 28 10 $83,263.00 $41,631.50 50% off $2,786.00 $58,284.10 $31,089.43 2026-03-05
37231 CPT Revasc Tp Art Uni Init W St Ath Same 28 10 $83,263.00 $41,631.50 50% off $2,786.00 $58,284.10 $31,089.43 2026-03-05
L5973 HCPCS Dme Pos 22 7 — — $30,202.29 $31,448.86 $30,825.58 2026-03-05
614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 36 12 — — $16,022.00 $41,142.13 $30,817.54 2026-03-05
515T CPT Insj Wcs Lv Compl Sys 36 12 — — $16,022.00 $41,142.13 $30,817.54 2026-03-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 10 $27,717.54 $13,858.77 50% off $16,630.52 $43,967.54 $30,797.50 2026-03-05
C2624 HCPCS Cardiomems Patient System 20 9 $58,500.00 $29,250.00 50% off $11,700.00 $38,025.00 $30,712.50 2026-03-05
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 36 12 — — $28,918.48 $31,962.54 $30,440.51 2026-03-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 10 $27,676.60 $13,838.30 50% off $16,605.96 $43,312.95 $30,339.00 2026-03-05
93656 CPT Perq Stent/angio Single Vessel --lc 36 12 $52,445.00 $26,222.50 50% off $10,040.00 $37,016.45 $30,155.88 2026-03-05
93653 CPT Perq Bm Stent Initial Ramus 36 12 $52,445.00 $26,222.50 50% off $10,040.00 $37,016.45 $30,155.88 2026-03-05
93654 CPT Perq Stent Add On --lc 36 12 $52,445.00 $26,222.50 50% off $10,040.00 $37,016.45 $30,155.88 2026-03-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 10 $29,140.55 $14,570.27 50% off $17,484.32 $42,967.64 $30,097.12 2026-03-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 10 $28,057.37 $14,028.69 50% off $16,834.42 $41,763.55 $29,974.24 2026-03-05
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 36 12 — — $2,786.00 $31,421.67 $29,925.40 2026-03-05
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 36 12 — — $2,786.00 $31,421.67 $29,925.40 2026-03-05
908T CPT Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 36 12 — — $28,429.13 $31,421.67 $29,925.40 2026-03-05
674T CPT Laps Insj Nw/rpcmt Prm Isdss 36 12 — — $2,289.00 $31,421.67 $29,925.40 2026-03-05
909T CPT Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 36 12 — — $28,429.13 $31,421.67 $29,925.40 2026-03-05
140 MS_DRG Major Head And Neck Procedures With Mcc 28 10 $27,480.37 $13,740.18 50% off $16,488.22 $42,691.39 $29,903.61 2026-03-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 10 $26,533.64 $13,266.82 50% off $15,920.18 $42,446.17 $29,731.85 2026-03-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 10 $27,035.27 $13,517.64 50% off $16,221.16 $42,270.01 $29,608.47 2026-03-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 10 $26,664.90 $13,332.45 50% off $15,998.93 $42,197.94 $29,557.97 2026-03-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 10 $26,704.54 $13,352.27 50% off $16,022.72 $42,176.93 $29,543.26 2026-03-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 10 $27,223.06 $13,611.53 50% off $16,333.83 $42,053.81 $29,457.03 2026-03-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 10 $26,719.48 $13,359.74 50% off $16,031.68 $41,925.70 $29,367.28 2026-03-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 10 $26,429.03 $13,214.51 50% off $15,857.41 $41,567.38 $29,255.29 2026-03-05
Q0489 HCPCS Dme Pos 28 10 — — $28,534.73 $29,712.47 $29,123.60 2026-03-05
J9266 HCPCS Pegaspargase Injection 36 12 — — $25,631.85 $52,186.57 $29,053.76 2026-03-05
901 MS_DRG Wound Debridements For Injuries With Mcc 20 9 $28,788.37 $14,394.18 50% off $17,273.02 $30,819.83 $28,987.16 2026-03-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 10 $25,408.23 $12,704.12 50% off $15,244.93 $41,292.13 $28,923.49 2026-03-05
793 MS_DRG Full Term Neonate With Major Problems 26 9 $27,098.95 $13,549.47 50% off $16,259.36 $41,733.53 $28,800.66 2026-03-05
33418 CPT Repair Tcat Mitral Valve 28 10 — — $2,289.00 $28,873.66 $28,301.42 2026-03-05
33477 CPT Implant Tcat Pulm Vlv Perq 28 10 — — $2,289.00 $28,873.66 $28,301.42 2026-03-05
92933 CPT Percutaneous Transluminal Coronary Atherectomy 36 12 $59,438.00 $29,719.00 50% off $6,034.00 $41,606.60 $28,217.74 2026-03-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 10 $25,420.58 $12,710.29 50% off $15,252.34 $40,241.18 $28,187.35 2026-03-05
37225 CPT Fem Pop Atherectomy Pta 28 10 $93,809.00 $46,904.50 50% off $2,786.00 $65,666.30 $28,142.70 2026-03-05
791 MS_DRG Prematurity With Major Problems 26 9 $26,380.30 $13,190.15 50% off $15,828.17 $40,626.53 $28,036.72 2026-03-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 10 $23,293.21 $11,646.60 50% off $13,975.92 $39,876.86 $27,932.15 2026-03-05
37229 CPT Revasc Tp Art Uni Init Vsl W Ath Same 28 10 $48,079.00 $24,039.50 50% off $2,786.00 $33,655.30 $27,829.60 2026-03-05
37230 CPT Revasc Tp Art Uni Init W St Same Vsl 28 10 $48,079.00 $24,039.50 50% off $2,786.00 $33,655.30 $27,829.60 2026-03-05
33289 CPT Right Heart Cath Implant Wireless Pressure Sensor 36 12 $41,979.00 $20,989.50 50% off $2,786.00 $51,663.90 $27,816.75 2026-03-05
C9767 HCPCS Revasculation, Endovascular, With Intravascular Lithotripsy, With Stent Placemen… 36 12 $50,160.00 $25,080.00 50% off $7,387.00 $35,112.00 $27,658.58 2026-03-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 10 $24,702.57 $12,351.29 50% off $14,821.54 $39,154.21 $27,425.96 2026-03-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 10 $28,115.20 $14,057.60 50% off $15,877.00 $38,977.05 $27,301.86 2026-03-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 10 $25,267.88 $12,633.94 50% off $15,160.72 $38,741.84 $27,137.11 2026-03-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 10 $24,510.24 $12,255.12 50% off $14,706.14 $38,646.75 $27,070.51 2026-03-05
21243 CPT Reconstruction Of Jaw Joint 36 12 — — $5,316.00 $28,884.73 $26,941.62 2026-03-05
20696 CPT App Mltpln Uni Xtrnl Fix 1st 36 12 — — $3,501.00 $28,884.73 $26,941.62 2026-03-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 10 $25,885.17 $12,942.58 50% off $15,531.09 $38,427.55 $26,916.97 2026-03-05
33229 CPT Remv And Replc Pm Gen Multi Leads 36 12 $50,994.00 $25,497.00 50% off $2,786.00 $35,695.80 $26,771.85 2026-03-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 9 $25,533.64 $12,766.82 50% off $15,320.18 $28,383.83 $26,696.01 2026-03-05
238T CPT Iliac Athrectomy With Or Without Pta 36 12 $46,083.00 $23,041.50 50% off $7,387.00 $32,258.10 $26,497.72 2026-03-05
33274 CPT Transcatheter Insertion Or Replacement Perm Leadless Pacemak Charge 36 12 $50,335.00 $25,167.50 50% off $2,786.00 $35,234.50 $26,425.88 2026-03-05
63655 CPT Implant Neuroelectrodes 36 12 — — $7,387.00 $34,922.74 $26,398.01 2026-03-05
64580 CPT Opn Impltj Nea Neuromuscular 36 12 — — $1,337.00 $34,922.74 $26,398.01 2026-03-05
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 36 12 — — $3,176.00 $34,922.74 $26,398.01 2026-03-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 10 $24,837.08 $12,418.54 50% off $14,902.24 $37,663.87 $26,382.04 2026-03-05
960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 36 12 — — $24,998.51 $27,629.93 $26,314.22 2026-03-05
956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 36 12 — — $24,998.51 $27,629.93 $26,314.22 2026-03-05
308T CPT Insj Ocular Telescope Prosth 36 12 — — $7,747.00 $37,451.82 $26,308.58 2026-03-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 10 $21,454.99 $10,727.49 50% off $12,872.99 $37,499.72 $26,267.07 2026-03-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 10 $25,018.36 $12,509.18 50% off $15,011.01 $37,410.64 $26,204.66 2026-03-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 10 $23,288.01 $11,644.00 50% off $13,972.80 $37,406.64 $26,201.86 2026-03-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 10 $25,638.25 $12,819.13 50% off $15,382.95 $37,301.54 $26,128.24 2026-03-05
Q0481 HCPCS Dme Pos 28 10 — — $25,508.47 $26,561.30 $26,034.88 2026-03-05
332 MS_DRG Rectal Resection With Mcc 28 10 $22,538.81 $11,269.41 50% off $13,523.28 $36,239.59 $26,009.62 2026-03-05
L5859 HCPCS Dme Pos 22 7 — — $25,470.61 $26,521.88 $25,996.24 2026-03-05
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 10 $22,563.51 $11,281.75 50% off $13,538.10 $37,091.35 $25,981.01 2026-03-05
93580 CPT Patent Foramen Ovale Arterial Septal Defect Closure 36 12 $44,958.00 $22,479.00 50% off $10,040.00 $31,470.60 $25,850.85 2026-03-05
93582 CPT Percutaneous Transcatheter Closure Of Patent Ductus Arteriousus 36 12 $44,958.00 $22,479.00 50% off $10,040.00 $31,470.60 $25,850.85 2026-03-05
55845 CPT Extensive Prostate Surgery 28 10 — — $2,289.00 $26,292.07 $25,770.99 2026-03-05
55815 CPT Extensive Prostate Surgery 28 10 — — $2,289.00 $26,292.07 $25,770.99 2026-03-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 10 $25,088.54 $12,544.27 50% off $15,053.12 $36,764.06 $25,751.76 2026-03-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 10 $23,074.88 $11,537.44 50% off $13,844.92 $36,749.04 $25,741.24 2026-03-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 10 $25,585.62 $12,792.81 50% off $15,351.37 $35,777.17 $25,677.74 2026-03-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 10 $23,544.02 $11,772.01 50% off $14,126.41 $35,741.14 $25,651.88 2026-03-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 10 $22,750.64 $11,375.32 50% off $13,650.38 $35,688.09 $25,516.26 2026-03-05
54405 CPT Insert Multi-comp Penis Pros 36 12 — — $4,235.00 $31,833.47 $25,464.20 2026-03-05
54410 CPT Remove/replace Penis Prosth 36 12 — — $4,235.00 $31,833.47 $25,464.20 2026-03-05
54411 CPT Remov/replc Penis Pros Comp 36 12 — — $404.00 $31,833.47 $25,464.20 2026-03-05
54416 CPT Remv/repl Penis Contain Pros 36 12 — — $4,235.00 $31,833.47 $25,464.20 2026-03-05
54401 CPT Insert Self-contd Prosthesis 36 12 — — $4,235.00 $31,833.47 $25,464.20 2026-03-05
53445 CPT Insert Uro/ves Nck Sphincter 36 12 — — $1,337.00 $31,833.47 $25,464.20 2026-03-05
53447 CPT Remove/replace Ur Sphincter 36 12 — — $1,337.00 $31,833.47 $25,464.20 2026-03-05
53444 CPT Insert Tandem Cuff 36 12 — — $3,176.00 $31,833.47 $25,464.20 2026-03-05
54417 CPT Remv/replc Penis Pros Compl 36 12 — — $1,327.00 $31,833.47 $25,464.20 2026-03-05
33221 CPT Insert Pulse Gen Mult Leads 36 12 — — $2,786.00 $33,172.57 $25,459.16 2026-03-05
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 10 $20,623.92 $10,311.96 50% off $12,374.35 $36,317.66 $25,439.08 2026-03-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 10 $22,876.05 $11,438.02 50% off $13,725.62 $36,289.63 $25,419.44 2026-03-05
520T CPT Rmv&rplcmt Pg Wcs Lv Battery 36 12 — — $9,629.40 $41,142.13 $25,385.76 2026-03-05
265 MS_DRG Aicd Lead Procedures 28 10 $23,178.85 $11,589.42 50% off $13,907.30 $36,214.56 $25,366.86 2026-03-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 10 $23,291.91 $11,645.95 50% off $13,975.14 $36,150.51 $25,321.99 2026-03-05
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 10 $20,821.45 $10,410.73 50% off $12,492.87 $36,096.46 $25,284.12 2026-03-05
37233 CPT Revas Tp Art Uni Ea Addl Vsl W Ath Sm 20 9 $48,079.00 $24,039.50 50% off $2,786.00 $33,655.30 $25,241.47 2026-03-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 10 $25,866.97 $12,933.49 50% off $15,520.18 $35,860.25 $25,118.67 2026-03-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 10 $25,113.88 $12,556.94 50% off $15,068.32 $34,905.39 $25,052.06 2026-03-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 10 $22,766.89 $11,383.44 50% off $13,660.13 $35,658.06 $24,977.06 2026-03-05
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 10 $24,314.66 $12,157.33 50% off $14,588.79 $35,624.03 $24,953.22 2026-03-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 10 $22,380.92 $11,190.46 50% off $13,428.55 $35,595.01 $24,932.88 2026-03-05
37275 CPT Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37273 CPT Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37277 CPT Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37271 CPT Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37284 CPT Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37286 CPT Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
92930 CPT Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 36 12 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37288 CPT Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37294 CPT Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37292 CPT Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
37290 CPT Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 34 11 $49,798.00 $24,899.00 50% off $16,888.89 $34,858.60 $24,899.00 2026-03-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 10 $22,256.16 $11,128.08 50% off $13,353.69 $35,297.74 $24,724.66 2026-03-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 10 $23,708.41 $11,854.21 50% off $14,225.04 $35,225.67 $24,674.19 2026-03-05
J9600 HCPCS Porfimer Sodium Injection 36 12 — — $21,848.37 $43,677.45 $24,668.51 2026-03-05
C9760 HCPCS Non-blind Interatrial Shunt 36 12 — — $16,022.00 $27,409.44 $24,577.65 2026-03-05
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 10 $22,933.88 $11,466.94 50% off $13,760.32 $34,101.66 $24,475.21 2026-03-05
252 MS_DRG Other Vascular Procedures With Mcc 28 10 $22,289.95 $11,144.98 50% off $13,373.97 $34,914.39 $24,456.14 2026-03-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 10 $22,514.12 $11,257.06 50% off $13,508.47 $34,745.24 $24,337.66 2026-03-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 10 $22,345.83 $11,172.92 50% off $13,407.49 $34,577.09 $24,219.88 2026-03-05
J7310 HCPCS Ganciclovir Long Act Implant 26 9 — — $17,280.00 $31,138.56 $24,209.28 2026-03-05
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 36 12 — — $2,786.00 $27,629.93 $24,166.21 2026-03-05
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 36 12 — — $2,786.00 $27,629.93 $24,166.21 2026-03-05
22630 CPT Arthrd Pst Tq 1ntrspc Lum 36 12 — — $2,786.00 $27,629.93 $24,166.21 2026-03-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 10 $22,759.74 $11,379.87 50% off $13,655.84 $34,314.86 $24,036.19 2026-03-05
33902 CPT Perq P-art Revsc 1 Abnor Uni 36 12 — — $2,786.00 $31,115.50 $24,002.19 2026-03-05
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 36 12 — — $2,786.00 $31,115.50 $24,002.19 2026-03-05
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 36 12 — — $2,786.00 $31,115.50 $24,002.19 2026-03-05
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 10 $21,811.06 $10,905.53 50% off $13,086.63 $34,146.70 $23,918.40 2026-03-05
C9782 HCPCS Blind Myocar Trpl Bon Marrow 36 12 — — $11,548.00 $31,700.41 $23,740.88 2026-03-05
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 10 $17,780.50 $8,890.25 50% off $10,668.29 $33,062.73 $23,729.54 2026-03-05
36906 CPT Thrombectomy Dialysis Circuit With Transcatheter Placement 36 12 $44,958.00 $22,479.00 50% off $2,786.00 $31,470.60 $23,602.95 2026-03-05
C2616 HCPCS Brachytx, Non-str,yttrium-90 26 9 — — $16,025.29 $30,959.67 $23,492.48 2026-03-05
264 MS_DRG Other Circulatory System O.r. Procedures 28 10 $22,710.36 $11,355.18 50% off $13,626.21 $33,436.07 $23,420.64 2026-03-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 10 $22,132.70 $11,066.35 50% off $13,279.62 $32,557.28 $23,366.77 2026-03-05
C1820 HCPCS Eon Mini Rechargeable Ipg, 16-channel, 3788 100 9 $43,944.00 $21,972.00 50% off $7,894.80 $33,735.00 $23,322.33 2026-03-05
62360 CPT Insert Spine Infusion Device 36 12 — — $3,176.00 $29,917.88 $23,261.61 2026-03-05
62362 CPT Implant Spine Infusion Pump 36 12 — — $3,176.00 $29,917.88 $23,261.61 2026-03-05
62361 CPT Implant Spine Infusion Pump 36 12 — — $3,176.00 $29,917.88 $23,261.61 2026-03-05
L6955 HCPCS Dme Pos 22 7 — — $22,774.74 $23,714.74 $23,244.74 2026-03-05
37 MS_DRG Extracranial Procedures With Mcc 28 10 $21,578.44 $10,789.22 50% off $12,947.06 $32,950.63 $23,080.60 2026-03-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 10 $20,279.54 $10,139.77 50% off $12,167.72 $32,946.63 $23,077.80 2026-03-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 10 $22,040.44 $11,020.22 50% off $13,224.26 $31,956.74 $22,935.76 2026-03-05
L6960 HCPCS Dme Pos 22 7 — — $22,457.00 $23,383.89 $22,920.44 2026-03-05
93581 CPT Transcath Closure Of Vsd 36 12 — — $10,040.00 $28,873.66 $22,881.28 2026-03-05
93590 CPT Perq Transcath Cls Mitral 36 12 — — $11,548.00 $28,873.66 $22,881.28 2026-03-05
93591 CPT Perq Transcath Cls Aortic 36 12 — — $11,548.00 $28,873.66 $22,881.28 2026-03-05
C9774 HCPCS Revasc Lithotr-ather Tib/per 36 12 — — $7,387.00 $28,873.66 $22,881.28 2026-03-05
C9775 HCPCS Revasc Lith-sten-ath Tib/per 36 12 — — $7,387.00 $28,873.66 $22,881.28 2026-03-05
C9773 HCPCS Revasc Lithotr-stent Tib/per 36 12 — — $7,387.00 $28,873.66 $22,881.28 2026-03-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 10 $21,169.73 $10,584.87 50% off $12,701.84 $31,866.65 $22,871.10 2026-03-05
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 10 $22,939.73 $11,469.86 50% off $13,763.83 $31,802.60 $22,825.13 2026-03-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 10 $21,178.83 $10,589.42 50% off $12,707.29 $32,414.15 $22,704.82 2026-03-05
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 10 $20,721.39 $10,360.69 50% off $12,432.83 $32,378.11 $22,679.58 2026-03-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 10 $20,052.12 $10,026.06 50% off $12,031.27 $32,333.07 $22,648.03 2026-03-05
652 MS_DRG Kidney Transplant 28 10 $19,957.25 $9,978.63 50% off $11,974.35 $32,324.07 $22,641.72 2026-03-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 10 $20,918.27 $10,459.14 50% off $12,550.96 $32,300.04 $22,624.90 2026-03-05
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 10 $20,184.02 $10,092.01 50% off $12,110.41 $31,523.35 $22,624.71 2026-03-05
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