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

SAVOY MEDICAL CENTER

Mamou, LA · CCN 190025 · Rates published

20,152 distinct procedures filed
10 distinct payers
321,348 rate rows
2026-03-15 last MRF observed
Data quality

248,304 of 321,348 rate rows are consumer-grade (77.3%)

73,044 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 65,167
per-diem day rate — not a per-procedure price 5,613
template filing: same amount across many unrelated codes — excluded 2,202
placeholder amount (≤ $0.02) — excluded from medians 44
exceeds 10× this hospital's gross charge — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://savoymedical.com/pricing/80-0202027_SavoyMedicalCenter_standardcharges.csv
Found on page https://savoymedical.com/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint c267dcd55f159e5f… · 610,354 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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 7 $3,611,511.82 $3,719,857.17 $3,611,511.82 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,611,511.82 $3,829,884.08 $3,611,511.82 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,233,599.24 $3,402,506.17 $3,233,599.24 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,108,236.45 $3,201,483.54 $3,108,236.45 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,889,209.45 $2,975,885.73 $2,889,209.45 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,339,654.90 $2,409,844.55 $2,339,654.90 nat. median
$2,468,984
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 7 $2,270,093.14 $2,338,195.93 $2,270,093.14 nat. median
$2,448,600
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $527,587.17 $1,514,173.10 $550,608.40 nat. median
$753,246
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $6,875.00 $1,475,877.34 $536,682.67 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $98.13 $1,414,290.60 $514,287.49 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $91,323.63 $1,382,631.20 $502,774.98 nat. median
$673,137
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $32,480.00 $1,310,435.75 $476,522.09 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $71,000.00 $1,306,512.24 $475,095.36 nat. median
$619,808
0.8× median
100T
CPT 		Prosth Retina Receive&gen 6 $7,420.00 $411,515.93 $411,515.93 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $2,311.00 $576,689.74 $240,287.39 nat. median
$370,174
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $2,311.00 $430,738.90 $179,474.54 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $2,311.00 $362,760.00 $151,150.00 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $2,311.00 $327,723.84 $136,551.60 nat. median
$202,976
0.7× median
Q0480
HCPCS 		Dme Pos 6 $99,999.96 $102,680.21 $99,999.96 nat. median
$111,989
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $2,311.00 $216,070.56 $90,029.40 nat. median
$133,161
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $2,311.00 $200,347.73 $83,478.22 nat. median
$117,357
0.7× median
7
MS_DRG 		Lung Transplant 6 $2,311.00 $199,843.10 $83,267.96 nat. median
$122,708
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $2,311.00 $168,509.04 $70,212.10 nat. median
$108,660
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $2,311.00 $166,585.37 $69,410.57 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $2,311.00 $162,846.55 $67,852.73 nat. median
$100,136
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 10 $55,316.05 $152,119.14 $67,592.37 nat. median
$62,507
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 7 $2,311.00 $162,011.64 $67,504.85 nat. median
$99,019
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $2,311.00 $160,185.82 $66,744.09 nat. median
$98,894
0.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $61,718.93 $169,727.06 $63,796.99 nat. median
$69,774
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $2,311.00 $147,580.94 $61,492.06 nat. median
$93,672
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $2,311.00 $140,864.86 $58,693.69 nat. median
$83,470
0.7× median
38240
CPT 		Transplt Allo Hct/donor 10 $145.39 $158,323.83 $57,572.30 nat. median
$15,979
outlier · 3.6×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $47,948.60 $148,671.02 $54,062.19 nat. median
$66,682
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $2,311.00 $129,579.65 $53,991.52 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $2,311.00 $129,507.77 $53,961.57 nat. median
$81,118
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $2,311.00 $127,541.28 $53,142.20 nat. median
$82,711
0.6× median
27280
CPT 		Arthr Si Jt Opn B1grf Instrm 6 $1,136.19 $51,635.80 $51,635.80 nat. median
$5,922
outlier · 8.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $2,311.00 $123,267.26 $51,361.36 nat. median
$77,570
0.7× median
10
MS_DRG 		Pancreas Transplant 6 $2,311.00 $121,920.07 $50,800.03 nat. median
$68,884
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $2,311.00 $121,221.24 $50,508.85 nat. median
$71,271
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $2,311.00 $119,525.40 $49,802.25 nat. median
$73,807
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $2,311.00 $118,318.90 $49,299.54 nat. median
$74,915
0.7× median
L7180
HCPCS 		Dme Pos 5 $46,054.76 $47,877.56 $47,877.56 nat. median
$49,027
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $2,311.00 $114,139.70 $47,558.21 nat. median
$72,135
0.7× median
L7181
HCPCS 		Dme Pos 5 $45,680.56 $47,488.54 $47,488.54 nat. median
$50,598
0.9× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 10 $4,328.00 $151,170.18 $45,787.35 nat. median
$43,787
1.0× median
266T
CPT 		Implt/rpl Crtd Sns Dev Total 10 $4,328.00 $120,466.20 $45,787.35 —
34707
CPT 		Evasc Rpr Ilio-iliac Ndgft 6 $4,328.00 $45,557.52 $45,557.52 nat. median
$4,889
outlier · 9.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $2,311.00 $108,611.78 $45,254.91 nat. median
$68,090
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $2,311.00 $108,065.86 $45,027.44 nat. median
$68,886
0.7× median

Other procedures at this hospital

Browse this hospital's 20,152 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 7 — — $3,611,511.82 $3,829,884.08 $3,611,511.82 2026-03-15
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 9 7 — — $3,611,511.82 $3,719,857.17 $3,611,511.82 2026-03-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 7 — — $3,233,599.24 $3,402,506.17 $3,233,599.24 2026-03-15
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 9 7 — — $3,108,236.45 $3,201,483.54 $3,108,236.45 2026-03-15
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 9 7 — — $2,889,209.45 $2,975,885.73 $2,889,209.45 2026-03-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $2,339,654.90 $2,409,844.55 $2,339,654.90 2026-03-15
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 9 7 — — $2,270,093.14 $2,338,195.93 $2,270,093.14 2026-03-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 10 — — $527,587.17 $1,514,173.10 $550,608.40 2026-03-15
Q2056 HCPCS Ciltacabtagene Car-pos T 20 10 — — $6,875.00 $1,475,877.34 $536,682.67 2026-03-15
Q2055 HCPCS Idecabtagene Vicleucel Car 20 10 — — $98.13 $1,414,290.60 $514,287.49 2026-03-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 10 — — $91,323.63 $1,382,631.20 $502,774.98 2026-03-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 10 — — $32,480.00 $1,310,435.75 $476,522.09 2026-03-15
Q2053 HCPCS Brexucabtagene Car Pos T 20 10 — — $71,000.00 $1,306,512.24 $475,095.36 2026-03-15
100T CPT Prosth Retina Receive&gen 11 6 — — $7,420.00 $411,515.93 $411,515.93 2026-03-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 7 — — $2,311.00 $576,689.74 $240,287.39 2026-03-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 6 — — $2,311.00 $430,738.90 $179,474.54 2026-03-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 7 — — $2,311.00 $362,760.00 $151,150.00 2026-03-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 7 — — $2,311.00 $327,723.84 $136,551.60 2026-03-15
Q0480 HCPCS Dme Pos 13 6 — — $99,999.96 $102,680.21 $99,999.96 2026-03-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 7 — — $2,311.00 $216,070.56 $90,029.40 2026-03-15
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 — — $2,311.00 $200,347.73 $83,478.22 2026-03-15
7 MS_DRG Lung Transplant 8 6 — — $2,311.00 $199,843.10 $83,267.96 2026-03-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 6 — — $2,311.00 $168,509.04 $70,212.10 2026-03-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 7 — — $2,311.00 $166,585.37 $69,410.57 2026-03-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 6 — — $2,311.00 $162,846.55 $67,852.73 2026-03-15
A9543 HCPCS Y90 Ibritumomab, Rx 19 10 — — $55,316.05 $152,119.14 $67,592.37 2026-03-15
215 MS_DRG Other Heart Assist System Implant 13 7 — — $2,311.00 $162,011.64 $67,504.85 2026-03-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 7 — — $2,311.00 $160,185.82 $66,744.09 2026-03-15
J9029 HCPCS Instill Adstiladrin, Tx Dose 19 10 — — $61,718.93 $169,727.06 $63,796.99 2026-03-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 — — $2,311.00 $147,580.94 $61,492.06 2026-03-15
850 MS_DRG Acute Leukemia With Other Procedures 13 7 — — $2,311.00 $140,864.86 $58,693.69 2026-03-15
38240 CPT Transplt Allo Hct/donor 20 10 — — $145.39 $158,323.83 $57,572.30 2026-03-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 10 — — $47,948.60 $148,671.02 $54,062.19 2026-03-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 7 — — $2,311.00 $129,579.65 $53,991.52 2026-03-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 — — $2,311.00 $129,507.77 $53,961.57 2026-03-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 7 — — $2,311.00 $127,541.28 $53,142.20 2026-03-15
27280 CPT Arthr Si Jt Opn B1grf Instrm 11 6 — — $1,136.19 $51,635.80 $51,635.80 2026-03-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 7 — — $2,311.00 $123,267.26 $51,361.36 2026-03-15
10 MS_DRG Pancreas Transplant 8 6 — — $2,311.00 $121,920.07 $50,800.03 2026-03-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 7 — — $2,311.00 $121,221.24 $50,508.85 2026-03-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 7 — — $2,311.00 $119,525.40 $49,802.25 2026-03-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 — — $2,311.00 $118,318.90 $49,299.54 2026-03-15
L7180 HCPCS Dme Pos 12 5 — — $46,054.76 $47,877.56 $47,877.56 2026-03-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 7 — — $2,311.00 $114,139.70 $47,558.21 2026-03-15
L7181 HCPCS Dme Pos 12 5 — — $45,680.56 $47,488.54 $47,488.54 2026-03-15
33276 CPT Insj Phrnc Nrv Stim Sys 20 10 — — $4,328.00 $151,170.18 $45,787.35 2026-03-15
266T CPT Implt/rpl Crtd Sns Dev Total 20 10 — — $4,328.00 $120,466.20 $45,787.35 2026-03-15
34707 CPT Evasc Rpr Ilio-iliac Ndgft 11 6 — — $4,328.00 $45,557.52 $45,557.52 2026-03-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 7 — — $2,311.00 $108,611.78 $45,254.91 2026-03-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 7 — — $2,311.00 $108,065.86 $45,027.44 2026-03-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 7 — — $2,311.00 $106,376.14 $44,323.39 2026-03-15
J9226 HCPCS Supprelin La Implant 20 10 — — $43,324.60 $121,165.69 $44,060.25 2026-03-15
55881 CPT Ablation Of Prostate Tissue, Transurethral, Using Thermal Ultrasound, Including … 11 6 — — $4,328.00 $43,645.44 $43,645.44 2026-03-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 7 — — $2,311.00 $104,415.74 $43,506.56 2026-03-15
J7330 HCPCS Cultured Chondrocytes Implnt 11 6 — — $33,406.63 $43,088.81 $43,088.81 2026-03-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 7 — — $2,311.00 $102,525.72 $42,719.05 2026-03-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 7 — — $2,311.00 $102,131.18 $42,554.66 2026-03-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 7 — — $2,311.00 $101,958.38 $42,482.66 2026-03-15
27284 CPT Arthrodesis Hip Joint 11 6 — — $1,745.38 $41,615.51 $41,615.51 2026-03-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 7 — — $2,311.00 $98,893.94 $41,205.81 2026-03-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 — — $2,311.00 $98,751.74 $41,146.56 2026-03-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 7 — — $2,311.00 $96,708.79 $40,295.33 2026-03-15
23474 CPT Revis Reconst Shoulder Joint 11 6 — — $4,328.00 $39,978.06 $39,978.06 2026-03-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 7 — — $2,311.00 $94,722.41 $39,467.67 2026-03-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 7 — — $2,311.00 $94,600.06 $39,416.69 2026-03-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 7 — — $2,311.00 $94,168.85 $39,237.02 2026-03-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 7 — — $2,311.00 $93,840.07 $39,100.03 2026-03-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 7 — — $2,311.00 $93,411.91 $38,921.63 2026-03-15
28 MS_DRG Spinal Procedures With Mcc 13 7 — — $2,311.00 $92,965.39 $38,735.58 2026-03-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 7 — — $2,311.00 $92,298.67 $38,457.78 2026-03-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 7 — — $2,311.00 $92,298.67 $38,457.78 2026-03-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 7 — — $2,311.00 $91,609.03 $38,170.43 2026-03-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 — — $2,311.00 $90,974.42 $37,906.01 2026-03-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 7 — — $37,877.34 $39,013.66 $37,877.34 2026-03-15
L2006 HCPCS Dme Pos 12 5 — — $37,842.37 $37,842.37 $37,842.37 2026-03-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 7 — — $2,311.00 $89,978.93 $37,491.22 2026-03-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 7 — — $2,311.00 $89,032.39 $37,096.83 2026-03-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 — — $2,311.00 $87,764.71 $36,568.63 2026-03-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 — — $2,311.00 $87,240.22 $36,350.09 2026-03-15
653 MS_DRG Major Bladder Procedures With Mcc 13 7 — — $2,311.00 $85,244.66 $35,518.61 2026-03-15
61624 CPT Transcath Occlusion Cns 11 6 — — $1,291.88 $35,307.79 $35,307.79 2026-03-15
C7515 HCPCS Cath/angio Dial Cir W/embol 11 6 — — $7,420.00 $35,307.79 $35,307.79 2026-03-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 7 — — $2,311.00 $84,521.35 $35,217.23 2026-03-15
834 MS_DRG Acute Leukemia With Mcc 13 7 — — $2,311.00 $84,521.35 $35,217.23 2026-03-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 7 — — $2,311.00 $84,166.58 $35,069.41 2026-03-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 7 — — $2,311.00 $83,652.79 $34,855.33 2026-03-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 6 — — $2,311.00 $83,203.22 $34,668.01 2026-03-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 7 — — $2,311.00 $83,013.60 $34,589.00 2026-03-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 7 — — $2,311.00 $82,590.02 $34,412.51 2026-03-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 7 — — $2,311.00 $82,512.05 $34,380.02 2026-03-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 7 — — $2,311.00 $82,502.86 $34,376.19 2026-03-15
620T CPT Evasc Ven Artlz Tibl/prnl Vn 20 10 — — $4,328.00 $93,696.21 $34,071.35 2026-03-15
27120 CPT Reconstruction Of Hip Socket 11 6 — — $1,433.44 $34,005.93 $34,005.93 2026-03-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 7 — — $2,311.00 $81,354.46 $33,897.69 2026-03-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 — — $2,311.00 $80,995.10 $33,747.96 2026-03-15
92941 CPT Prq Card Revasc Mi 1 Vsl 11 6 — — $33,189.31 $33,189.31 $33,189.31 2026-03-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 7 — — $2,311.00 $78,753.36 $32,813.90 2026-03-15
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 11 6 — — $4,328.00 $32,746.42 $32,746.42 2026-03-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 7 — — $2,311.00 $78,491.88 $32,704.95 2026-03-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 7 — — $2,311.00 $77,904.67 $32,460.28 2026-03-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 7 — — $2,311.00 $77,666.14 $32,360.89 2026-03-15
33967 CPT Insert I-aort Percut Device 13 6 — — $323.71 $53,547.14 $32,333.44 2026-03-15
408T CPT Insj/rplc Cardiac Modulj Sys 20 10 — — $4,328.00 $85,828.74 $32,252.82 2026-03-15
571T CPT Insj/rplcmt Icds Ss Eltrd 20 10 — — $4,328.00 $101,930.87 $32,252.82 2026-03-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 20 10 — — $4,328.00 $104,011.08 $32,252.82 2026-03-15
33270 CPT Ins/rep Subq Defibrillator 20 10 — — $4,328.00 $101,930.87 $32,252.82 2026-03-15
33231 CPT Insrt Pulse Gen W/mult Leads 20 10 — — $4,328.00 $104,011.08 $32,252.82 2026-03-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 7 — — $2,311.00 $77,022.36 $32,092.65 2026-03-15
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 11 6 — — $4,328.00 $32,091.49 $32,091.49 2026-03-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 7 — — $2,311.00 $76,568.18 $31,903.41 2026-03-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 7 — — $2,311.00 $76,508.54 $31,878.56 2026-03-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 7 — — $2,311.00 $76,477.97 $31,865.82 2026-03-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 7 — — $2,311.00 $76,202.71 $31,751.13 2026-03-15
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 18 10 — — $4,328.00 $107,704.47 $31,678.60 2026-03-15
33249 CPT Insj/rplcmt Defib W/lead(s) 20 10 — — $1,091.28 $101,930.87 $31,210.45 2026-03-15
245 MS_DRG Aicd Generator Procedures 13 7 — — $2,311.00 $74,727.07 $31,136.28 2026-03-15
69930 CPT Implant Cochlear Device 20 10 — — $1,358.78 $109,513.11 $30,963.43 2026-03-15
471 MS_DRG Cervical Spinal Fusion With Mcc 13 7 — — $2,311.00 $74,275.97 $30,948.32 2026-03-15
6 MS_DRG Liver Transplant Without Mcc 8 6 — — $2,311.00 $74,152.10 $30,896.71 2026-03-15
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 11 6 — — $4,328.00 $30,781.64 $30,781.64 2026-03-15
C9606 HCPCS Perc D-e Cor Revasc W Ami S 11 6 — — $10,611.51 $50,588.27 $30,599.89 2026-03-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 20 10 — — $4,328.00 $93,696.89 $30,542.34 2026-03-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 20 10 — — $4,328.00 $99,389.22 $30,542.34 2026-03-15
268T CPT Implt/rpl Crtd Sns Dev Gen 20 10 — — $4,328.00 $81,577.71 $30,542.34 2026-03-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 20 10 — — $4,328.00 $100,992.25 $30,542.34 2026-03-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 7 — — $2,311.00 $73,025.11 $30,427.13 2026-03-15
799 MS_DRG Splenic Procedures With Mcc 13 7 — — $2,311.00 $72,708.58 $30,295.24 2026-03-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $2,311.00 $72,694.82 $30,289.51 2026-03-15
674T CPT Laps Insj Nw/rpcmt Prm Isdss 18 10 — — $4,328.00 $81,577.71 $30,109.59 2026-03-15
37215 CPT Transcath Stent Cca W/eps 11 6 — — $1,317.25 $30,011.62 $30,011.62 2026-03-15
553T CPT Perq Tcat Iliac Anast Implt 11 6 — — $4,328.00 $30,011.62 $30,011.62 2026-03-15
C7534 HCPCS Fem/pop Revasc W/arthr & US 11 6 — — $4,328.00 $30,011.62 $30,011.62 2026-03-15
C7535 HCPCS Fem/pop Revasc W/stent & US 11 6 — — $4,328.00 $30,011.62 $30,011.62 2026-03-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 7 — — $2,311.00 $71,942.47 $29,976.03 2026-03-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 7 — — $2,311.00 $71,557.13 $29,815.47 2026-03-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 20 10 — — $440.19 $81,577.71 $29,664.62 2026-03-15
61886 CPT Implant Neurostim Arrays 20 10 — — $844.44 $91,822.94 $29,664.62 2026-03-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 7 — — $2,311.00 $71,135.09 $29,639.62 2026-03-15
163 MS_DRG Major Chest Procedures With Mcc 13 7 — — $2,311.00 $70,482.12 $29,367.55 2026-03-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 7 — — $2,311.00 $70,453.08 $29,355.45 2026-03-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 — — $2,311.00 $70,228.30 $29,261.79 2026-03-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 7 — — $2,311.00 $70,217.59 $29,257.33 2026-03-15
22849 CPT Reinsert Spinal Fixation 11 6 — — $1,449.28 $28,905.03 $28,905.03 2026-03-15
22600 CPT Arthrd Pst Tq 1ntrspc Crv 11 6 — — $1,375.89 $28,905.03 $28,905.03 2026-03-15
22852 CPT Remove Spine Fixation Device 11 6 — — $750.94 $28,905.03 $28,905.03 2026-03-15
22855 CPT Removal Anterior Instrmj 11 6 — — $1,228.16 $28,905.03 $28,905.03 2026-03-15
22830 CPT Exploration Of Spinal Fusion 11 6 — — $889.16 $28,905.03 $28,905.03 2026-03-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 7 — — $2,311.00 $68,989.66 $28,745.69 2026-03-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 7 — — $2,311.00 $68,578.32 $28,574.30 2026-03-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 20 10 — — $4,328.00 $98,564.31 $28,545.59 2026-03-15
786T CPT Insj/rplcmt Prq Ra Sac Nstim 13 6 — — $4,328.00 $43,600.19 $28,499.27 2026-03-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 7 — — $2,311.00 $68,388.70 $28,495.29 2026-03-15
L5856 HCPCS Dme Pos 12 5 — — $27,368.44 $28,451.67 $28,451.67 2026-03-15
L6880 HCPCS Dme Pos 12 5 — — $28,317.29 $28,317.29 $28,317.29 2026-03-15
38100 CPT Removal Of Spleen Total 11 6 — — $1,229.29 $28,262.16 $28,262.16 2026-03-15
901 MS_DRG Wound Debridements For Injuries With Mcc 13 7 — — $2,311.00 $67,749.50 $28,228.96 2026-03-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 7 — — $2,311.00 $67,173.02 $27,988.76 2026-03-15
C9760 HCPCS Non-blind Interatrial Shunt 20 10 — — $4,328.00 $92,382.43 $27,981.36 2026-03-15
S2067 HCPCS Breast ""stacked"" Diep/gap 11 6 — — $27,945.79 $27,945.79 $27,945.79 2026-03-15
888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 18 10 — — $17,035.92 $58,789.43 $27,729.84 2026-03-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 7 — — $2,311.00 $66,165.31 $27,568.88 2026-03-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 — — $2,311.00 $66,029.21 $27,512.17 2026-03-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 7 — — $2,311.00 $65,229.46 $27,178.94 2026-03-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 7 — — $2,311.00 $65,133.12 $27,138.80 2026-03-15
C2616 HCPCS Brachytx, Non-str,yttrium-90 18 9 — — $17,020.93 $56,159.40 $27,060.86 2026-03-15
140 MS_DRG Major Head And Neck Procedures With Mcc 13 7 — — $2,311.00 $64,671.31 $26,946.38 2026-03-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 7 — — $2,311.00 $64,081.06 $26,700.44 2026-03-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 7 — — $2,311.00 $64,065.77 $26,694.07 2026-03-15
793 MS_DRG Full Term Neonate With Major Problems 9 7 — — $26,572.37 $27,369.54 $26,572.37 2026-03-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 7 — — $2,311.00 $63,623.83 $26,509.93 2026-03-15
J9266 HCPCS Pegaspargase Injection 20 10 — — $23,577.01 $72,467.73 $26,351.90 2026-03-15
49189 CPT Excision Or Destruction, Open, Intra-abdominal (ie, Peritoneal, Mesenteric, Retr… 11 6 — — $4,328.00 $26,244.80 $26,244.80 2026-03-15
49188 CPT Excision Or Destruction, Open, Intra-abdominal (ie, Peritoneal, Mesenteric, Retr… 11 6 — — $4,328.00 $26,244.80 $26,244.80 2026-03-15
49190 CPT Excision Or Destruction, Open, Intra-abdominal (ie, Peritoneal, Mesenteric, Retr… 11 6 — — $4,328.00 $26,244.80 $26,244.80 2026-03-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 7 — — $2,311.00 $62,880.67 $26,200.28 2026-03-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 7 — — $2,311.00 $62,845.49 $26,185.62 2026-03-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 7 — — $2,311.00 $62,752.22 $26,146.76 2026-03-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 7 — — $2,311.00 $62,443.32 $26,018.05 2026-03-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 7 — — $2,311.00 $62,197.13 $25,915.47 2026-03-15
C1882 HCPCS Aicd, Other Than Sing/dual 6 5 — — $25,888.24 $25,888.24 $25,888.24 2026-03-15
791 MS_DRG Prematurity With Major Problems 9 7 — — $25,867.68 $26,643.71 $25,867.68 2026-03-15
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 6 5 — — $25,745.02 $25,745.02 $25,745.02 2026-03-15
50545 CPT Laparo Radical Nephrectomy 11 6 — — $1,670.85 $25,515.29 $25,515.29 2026-03-15
55845 CPT Extensive Prostate Surgery 11 6 — — $2,038.26 $25,515.29 $25,515.29 2026-03-15
50546 CPT Laparoscopic Nephrectomy 11 6 — — $1,480.36 $25,515.29 $25,515.29 2026-03-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 7 — — $2,311.00 $60,917.21 $25,382.17 2026-03-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 7 — — $2,311.00 $60,874.39 $25,364.33 2026-03-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 7 — — $2,311.00 $60,336.14 $25,140.06 2026-03-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 7 — — $2,311.00 $60,212.28 $25,088.45 2026-03-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 7 — — $2,311.00 $30,309.00 $25,037.48 2026-03-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 7 — — $2,311.00 $59,823.86 $24,926.61 2026-03-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 7 — — $2,311.00 $59,794.82 $24,914.51 2026-03-15
G0340 HCPCS Robt Lin-radsurg Fractx 2-5 11 6 — — $4,328.00 $24,907.13 $24,907.13 2026-03-15
G0339 HCPCS Robot Lin-radsurg Com, First 11 6 — — $4,328.00 $24,907.13 $24,907.13 2026-03-15
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 11 6 — — $4,328.00 $24,887.27 $24,887.27 2026-03-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 7 — — $2,311.00 $59,464.51 $24,776.88 2026-03-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 7 — — $2,311.00 $59,102.11 $24,625.88 2026-03-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 7 — — $2,311.00 $59,042.47 $24,601.03 2026-03-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 7 — — $2,311.00 $58,877.33 $24,532.22 2026-03-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 7 — — $2,311.00 $58,450.68 $24,354.45 2026-03-15
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 13 6 — — $1,668.11 $28,905.03 $24,306.62 2026-03-15
93656 CPT Compre Ep Eval Abltj Atr Fib 20 10 — — $23,360.42 $65,672.89 $24,239.26 2026-03-15
93654 CPT Compre Ep Eval Tx Vt 20 10 — — $23,360.42 $65,672.89 $24,239.26 2026-03-15
93653 CPT Compre Ep Eval Tx Svt 20 10 — — $23,360.42 $65,672.89 $24,239.26 2026-03-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 — — $2,311.00 $58,134.14 $24,222.56 2026-03-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 7 — — $2,311.00 $57,681.50 $24,033.96 2026-03-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 7 — — $2,311.00 $57,221.23 $23,842.18 2026-03-15
J9600 HCPCS Porfimer Sodium Injection 20 10 — — $22,191.25 $64,859.41 $23,585.24 2026-03-15
27486 CPT Revise/replace Knee Joint 13 6 — — $1,573.85 $37,468.36 $23,312.48 2026-03-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 7 — — $2,311.00 $55,794.53 $23,247.72 2026-03-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 7 — — $2,311.00 $55,407.65 $23,086.52 2026-03-15
414T CPT Rmvl & Rpl Car Modulj Pls Gn 20 10 — — $4,328.00 $74,275.87 $22,845.10 2026-03-15
409T CPT Insj/rplc Car Modulj Pls Gn 20 10 — — $4,328.00 $74,275.87 $22,845.10 2026-03-15
515T CPT Insj Wcs Lv Compl Sys 20 10 — — $4,328.00 $73,892.71 $22,845.10 2026-03-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 20 10 — — $4,328.00 $74,275.87 $22,845.10 2026-03-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 20 10 — — $4,328.00 $74,275.87 $22,845.10 2026-03-15
33230 CPT Insrt Pulse Gen W/dual Leads 20 10 — — $4,328.00 $74,275.87 $22,845.10 2026-03-15
614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 20 10 — — $4,328.00 $77,398.81 $22,845.10 2026-03-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 7 — — $2,311.00 $54,817.39 $22,840.58 2026-03-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 7 — — $2,311.00 $54,814.34 $22,839.31 2026-03-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 7 — — $2,311.00 $54,805.15 $22,835.48 2026-03-15
265 MS_DRG Aicd Lead Procedures 13 7 — — $2,311.00 $54,548.26 $22,728.44 2026-03-15
L8614 HCPCS Dme Pos 12 5 — — $21,822.64 $22,686.36 $22,686.36 2026-03-15
L6975 HCPCS Dme Pos 12 5 — — $21,772.25 $22,633.97 $22,633.97 2026-03-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 7 — — $2,311.00 $54,303.60 $22,626.50 2026-03-15
L6970 HCPCS Dme Pos 12 5 — — $21,656.01 $22,513.14 $22,513.14 2026-03-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 7 — — $2,311.00 $53,985.53 $22,493.97 2026-03-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 7 — — $2,311.00 $53,971.78 $22,488.24 2026-03-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 7 — — $2,311.00 $53,835.67 $22,431.53 2026-03-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 7 — — $2,311.00 $53,578.78 $22,324.49 2026-03-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $2,311.00 $53,561.95 $22,317.48 2026-03-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 7 — — $2,311.00 $53,540.54 $22,308.56 2026-03-15
264 MS_DRG Other Circulatory System O.r. Procedures 13 7 — — $2,311.00 $53,445.74 $22,269.06 2026-03-15
Q0483 HCPCS Dme Pos 13 6 — — $21,375.79 $22,221.81 $22,221.81 2026-03-15
916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 18 10 — — $4,328.00 $75,403.49 $22,178.08 2026-03-15
923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 18 10 — — $4,328.00 $75,403.49 $22,178.08 2026-03-15
L6965 HCPCS Dme Pos 12 5 — — $21,305.91 $22,149.18 $22,149.18 2026-03-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 7 — — $2,311.00 $53,100.14 $22,125.06 2026-03-15
332 MS_DRG Rectal Resection With Mcc 13 7 — — $2,311.00 $53,042.04 $22,100.85 2026-03-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 7 — — $2,311.00 $52,983.94 $22,076.64 2026-03-15
L5858 HCPCS Dme Pos 12 5 — — $21,188.51 $22,027.14 $22,027.14 2026-03-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 7 — — $2,311.00 $52,670.45 $21,946.02 2026-03-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 7 — — $2,311.00 $52,587.86 $21,911.61 2026-03-15
665 MS_DRG Prostatectomy With Mcc 13 7 — — $2,311.00 $52,505.30 $21,877.21 2026-03-15
252 MS_DRG Other Vascular Procedures With Mcc 13 7 — — $2,311.00 $52,456.37 $21,856.82 2026-03-15
33240 CPT Insrt Pulse Gen W/singl Lead 20 10 — — $560.65 $74,275.87 $21,850.32 2026-03-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 7 — — $2,311.00 $52,376.86 $21,823.69 2026-03-15
C1820 HCPCS Generator Neuro Rechg Bat Sy 6 5 — — $21,721.59 $21,721.59 $21,721.59 2026-03-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 7 — — $2,311.00 $52,086.31 $21,702.63 2026-03-15
43325 CPT Revise Esophagus & Stomach 11 6 — — $1,463.93 $21,688.01 $21,688.01 2026-03-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 7 — — $2,311.00 $51,869.16 $21,612.15 2026-03-15
816T CPT Opn Insj/rplcmt Ins Ptn Subq 20 10 — — $4,328.00 $70,017.35 $21,508.85 2026-03-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 20 10 — — $4,328.00 $70,017.35 $21,508.85 2026-03-15
817T CPT Opn Insj/rplcmt Ins Ptn Subf 20 10 — — $4,328.00 $70,017.35 $21,508.85 2026-03-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 7 — — $2,311.00 $51,329.38 $21,387.24 2026-03-15
C1721 HCPCS Aicd, Dual Chamber 6 5 — — $21,358.44 $21,358.44 $21,358.44 2026-03-15
680T CPT Insj/rplcmt Pg Only Isdss 18 10 — — $4,328.00 $57,406.55 $21,188.24 2026-03-15
37 MS_DRG Extracranial Procedures With Mcc 13 7 — — $2,311.00 $50,781.94 $21,159.14 2026-03-15
C1722 HCPCS Aicd, Single Chamber 6 5 — — $21,056.15 $21,056.15 $21,056.15 2026-03-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 7 — — $2,311.00 $50,491.39 $21,038.08 2026-03-15
27137 CPT Revise Hip Joint Replacement 13 6 — — $1,668.90 $34,005.93 $20,987.26 2026-03-15
27134 CPT Revise Hip Joint Replacement 13 6 — — $2,194.71 $34,005.93 $20,987.26 2026-03-15
27132 CPT Total Hip Arthroplasty 13 6 — — $1,886.00 $34,005.93 $20,987.26 2026-03-15
27138 CPT Revise Hip Joint Replacement 13 6 — — $1,737.85 $34,005.93 $20,987.26 2026-03-15
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 20 10 — — $332.08 $58,004.23 $20,875.11 2026-03-15
64580 CPT Opn Impltj Nea Neuromuscular 20 10 — — $321.06 $61,706.61 $20,875.11 2026-03-15
63655 CPT Implant Neuroelectrodes 20 10 — — $913.46 $57,406.55 $20,875.11 2026-03-15
61885 CPT Insrt/redo Neurostim 1 Array 20 10 — — $668.14 $61,706.61 $20,875.11 2026-03-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 7 — — $2,311.00 $49,983.72 $20,826.55 2026-03-15
S2068 HCPCS Breast Diep Or Siea Flap 11 6 — — $20,812.15 $20,812.15 $20,812.15 2026-03-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 7 — — $2,311.00 $49,841.50 $20,767.29 2026-03-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 7 — — $2,311.00 $49,820.09 $20,758.37 2026-03-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 7 — — $2,311.00 $49,228.30 $20,511.79 2026-03-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 7 — — $2,311.00 $49,000.46 $20,416.86 2026-03-15
L5973 HCPCS Dme Pos 12 5 — — $20,390.96 $20,390.96 $20,390.96 2026-03-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 7 — — $2,311.00 $48,858.24 $20,357.60 2026-03-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 7 — — $2,311.00 $48,764.98 $20,318.74 2026-03-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 7 — — $2,311.00 $48,633.46 $20,263.94 2026-03-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 7 — — $2,311.00 $48,535.58 $20,223.16 2026-03-15
500 MS_DRG Soft Tissue Procedures With Mcc 13 7 — — $2,311.00 $48,454.56 $20,189.40 2026-03-15
27248 CPT Treat Thigh Fracture 11 6 — — $831.94 $20,095.16 $20,095.16 2026-03-15
27236 CPT Treat Thigh Fracture 11 6 — — $1,318.73 $20,095.16 $20,095.16 2026-03-15
27244 CPT Treat Thigh Fracture 11 6 — — $1,356.73 $20,095.16 $20,095.16 2026-03-15
27514 CPT Treatment Of Thigh Fracture 11 6 — — $1,150.96 $20,095.16 $20,095.16 2026-03-15
27886 CPT Amputation Follow-up Surgery 11 6 — — $741.20 $20,095.16 $20,095.16 2026-03-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 7 — — $2,311.00 $47,725.15 $19,885.48 2026-03-15
662 MS_DRG Minor Bladder Procedures With Mcc 13 7 — — $2,311.00 $47,703.72 $19,876.55 2026-03-15
33858 CPT As-aort Grf F/aortic Dsj 11 6 — — $4,328.00 $19,793.50 $19,793.50 2026-03-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 7 — — $2,311.00 $47,500.34 $19,791.81 2026-03-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 7 — — $2,311.00 $47,287.80 $19,703.25 2026-03-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 7 — — $2,311.00 $47,189.93 $19,662.47 2026-03-15
Q0488 HCPCS Pwr Pack Base Elec Vad, Rep 11 6 — — $19,661.13 $19,661.13 $19,661.13 2026-03-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 7 — — $2,311.00 $47,156.28 $19,648.45 2026-03-15
33440 CPT Rplcmt A-valve Tlcj Autol Pv 11 6 — — $4,328.00 $19,630.37 $19,630.37 2026-03-15
54411 CPT Remov/replc Penis Pros Comp 20 10 — — $1,260.28 $53,884.08 $19,594.21 2026-03-15
54416 CPT Remv/repl Penis Contain Pros 20 10 — — $864.95 $53,884.08 $19,594.21 2026-03-15
53444 CPT Insert Tandem Cuff 20 10 — — $982.00 $53,884.08 $19,594.21 2026-03-15
53445 CPT Insert Uro/ves Nck Sphincter 20 10 — — $1,082.18 $53,884.08 $19,594.21 2026-03-15
54405 CPT Insert Multi-comp Penis Pros 20 10 — — $1,000.85 $53,884.08 $19,594.21 2026-03-15
54401 CPT Insert Self-contd Prosthesis 20 10 — — $798.68 $53,884.08 $19,594.21 2026-03-15
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