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

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Hospital

RAPIDES REGIONAL MEDICAL CENTER

Alexandria, LA · CCN 190026 · Rates published

27,390 distinct procedures filed
32 distinct payers
686,077 rate rows
2026-03-01 last MRF observed
Data quality

649,446 of 686,077 rate rows are consumer-grade (94.7%)

36,631 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 23,045
placeholder amount (≤ $0.02) — excluded from medians 9,621
per-diem day rate — not a per-procedure price 3,444
template filing: same amount across many unrelated codes — excluded 515
exceeds 10× this hospital's gross charge — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-1267229_RAPIDES-REGIONAL-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.rapidesregional.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint e2457638915cb42b… · 327,565,061 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$3,006,423
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 11 $5,071.12 $4,730,250.00 $4,505,000.00 nat. median
$9,966
outlier · 452.1×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,469,189
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 12 $3,611,561.66 $4,422,320.40 $3,685,267.00 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,574,708.99 $3,574,708.99 $3,574,708.99 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 13 $9,181.98 $4,002,984.00 $3,335,820.00 nat. median
$22,747
outlier · 146.6×
714
OTHER 		Inj Delandistrogene Mox R 13 $5,964.32 $3,993,432.00 $3,327,860.00 nat. median
$13,041
outlier · 255.2×
748
OTHER 		Inj, Lovotibeglogene Auto 13 $11,353.02 $3,903,009.60 $3,252,508.00 nat. median
$17,963
outlier · 181.1×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$12,675
outlier · 255.3×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,228,024.20 $3,228,024.20 $3,228,024.20 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 13 $8,113.36 $3,816,000.00 $3,180,000.00 nat. median
$20,756
outlier · 153.2×
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,154,932.76 $3,154,932.76 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$21
outlier · 149086.5×
746
OTHER 		Inj, Betibeglogene Autote 13 $10,501.67 $3,527,962.80 $2,939,969.00 nat. median
$21,896
outlier · 134.3×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,851,769.93 $2,851,769.93 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 13 $2,537,201.38 $4,660,165.80 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,511,311.57 $2,511,311.57 $2,511,311.57 nat. median
$2,457,321
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 14 $12,297.17 $4,197,600.00 $2,332,000.00 nat. median
$25,250
outlier · 92.4×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$824,563
1.5× median
2067
OTHER 		Afamitresgene Autoleucel 13 $755,207.60 $2,026,730.60 $770,620.00 nat. median
$786,032
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $536,573.93 $969,621.79 $753,097.86 nat. median
$675,122
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $511,793.34 $920,834.85 $716,314.09 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $500,948.74 $927,632.05 $714,290.40 nat. median
$674,188
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 13 $575,896.61 $1,545,518.45 $587,649.60 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $570,020.11 $570,020.11 $570,020.11 nat. median
$554,552
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 13 $555,200.67 $1,489,977.32 $566,531.30 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 13 $550,957.18 $1,478,589.16 $562,201.20 nat. median
$562,201
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $561,407.87 $934,776.65 $561,407.87 nat. median
$754,974
0.7× median
9422
OTHER 		Idecabtagene Vicleucel Ca 13 $546,920.16 $1,467,755.13 $558,081.80 nat. median
$558,082
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $549,535.36 $549,535.36 $549,535.36 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $545,335.16 $545,335.16 $545,335.16 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $541,339.35 $541,339.35 $541,339.35 nat. median
$530,178
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 13 $521,548.36 $1,399,665.49 $532,192.20 nat. median
$532,192
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $516,226.43 $516,226.43 $516,226.43 nat. median
$505,583
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 13 $479,661.20 $1,287,254.03 $489,450.20 nat. median
$489,450
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $487,755.77 $878,117.20 $487,755.77 nat. median
$634,511
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $474,766.69 $474,766.69 $474,766.69 nat. median
$464,978
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $474,717.03 $807,592.83 $474,717.03 nat. median
$620,080
0.8× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$324,450
1.4× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $292,348.55 $762,694.61 $317,229.28 nat. median
$370,174
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 14 $3,472.48 $731,797.50 $278,250.00 nat. median
$12,362
outlier · 22.5×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$278,250
1.0× median
897
OTHER 		Revakinagene, Per Implant 13 $259,700.00 $696,950.00 $265,000.00 nat. median
$9,577
outlier · 27.7×
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $189,862.80 $494,958.12 $206,021.33 nat. median
$265,286
0.8× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $204,744.88 $204,744.88 $204,744.88 nat. median
$424,868
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 27,390 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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 26 11 — — $5,071.12 $4,730,250.00 $4,505,000.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 1 — — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 27 12 — — $3,611,561.66 $4,422,320.40 $3,685,267.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,574,708.99 $3,574,708.99 $3,574,708.99 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 28 13 — — $9,181.98 $4,002,984.00 $3,335,820.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 28 13 — — $5,964.32 $3,993,432.00 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 28 13 — — $11,353.02 $3,903,009.60 $3,252,508.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,228,024.20 $3,228,024.20 $3,228,024.20 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 28 13 — — $8,113.36 $3,816,000.00 $3,180,000.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,154,932.76 $3,154,932.76 $3,154,932.76 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 28 13 — — $10,501.67 $3,527,962.80 $2,939,969.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,851,769.93 $2,851,769.93 $2,851,769.93 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 28 13 — — $2,537,201.38 $4,660,165.80 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,511,311.57 $2,511,311.57 $2,511,311.57 2026-03-01
824 OTHER Inj, Exagamglogene Autote 29 14 — — $12,297.17 $4,197,600.00 $2,332,000.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 30 13 — — $755,207.60 $2,026,730.60 $770,620.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 2 — — $536,573.93 $969,621.79 $753,097.86 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 2 — — $511,793.34 $920,834.85 $716,314.09 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 2 — — $500,948.74 $927,632.05 $714,290.40 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 30 13 — — $575,896.61 $1,545,518.45 $587,649.60 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $570,020.11 $570,020.11 $570,020.11 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 30 13 — — $555,200.67 $1,489,977.32 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 30 13 — — $550,957.18 $1,478,589.16 $562,201.20 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 3 — — $561,407.87 $934,776.65 $561,407.87 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 30 13 — — $546,920.16 $1,467,755.13 $558,081.80 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $549,535.36 $549,535.36 $549,535.36 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $545,335.16 $545,335.16 $545,335.16 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $541,339.35 $541,339.35 $541,339.35 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 30 13 — — $521,548.36 $1,399,665.49 $532,192.20 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $516,226.43 $516,226.43 $516,226.43 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 30 13 — — $479,661.20 $1,287,254.03 $489,450.20 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 3 — — $487,755.77 $878,117.20 $487,755.77 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $474,766.69 $474,766.69 $474,766.69 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 3 — — $474,717.03 $807,592.83 $474,717.03 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 14 — — $292,348.55 $762,694.61 $317,229.28 2026-03-01
831 OTHER Obecbtge Autol Up To 400 31 14 — — $3,472.48 $731,797.50 $278,250.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
897 OTHER Revakinagene, Per Implant 30 13 — — $259,700.00 $696,950.00 $265,000.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 14 — — $189,862.80 $494,958.12 $206,021.33 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $204,744.88 $204,744.88 $204,744.88 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 31 14 — — $7,598.36 $530,389.47 $201,669.00 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $179,973.99 $179,973.99 $179,973.99 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 15 — — $13,010.00 $377,262.27 $157,064.29 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 15 — — $143,898.49 $384,788.00 $156,145.17 2026-03-01
1907 OTHER New Technology - Level 52 30 13 — — $138,044.47 $370,466.27 $140,861.70 2026-03-01
1908 OTHER New Technology - Level 52 30 13 — — $138,044.47 $370,466.27 $140,861.70 2026-03-01
01908 OTHER New Technology - Level 52 1 1 — — $140,709.65 $140,709.65 $140,709.65 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $140,709.65 $140,709.65 $140,709.65 2026-03-01
C9767 HCPCS Rvsc Lw Ext Ivl St/at Bi 37 16 $312,040.24 $312,040.24 $5,150.00 $303,303.11 $135,300.65 2026-03-01
1905 OTHER New Technology - Level 51 30 13 — — $124,466.37 $334,027.09 $127,006.50 2026-03-01
1906 OTHER New Technology - Level 51 30 13 — — $124,466.37 $334,027.09 $127,006.50 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $126,869.40 $126,869.40 $126,869.40 2026-03-01
01906 OTHER New Technology - Level 51 1 1 — — $126,869.40 $126,869.40 $126,869.40 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $126,849.32 $126,849.32 $126,849.32 2026-03-01
38240 CPT Hematopoietic Progenitor Cell (hpc); Allogeneic Transplantation Per Donor 16 10 — — $5,150.00 $169,766.54 $125,274.71 2026-03-01
1904 OTHER New Technology - Level 50 30 13 — — $110,888.27 $297,587.92 $113,151.30 2026-03-01
1903 OTHER New Technology - Level 50 30 13 — — $110,888.27 $297,587.92 $113,151.30 2026-03-01
01904 OTHER New Technology - Level 50 1 1 — — $113,029.15 $113,029.15 $113,029.15 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $113,029.15 $113,029.15 $113,029.15 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 33 14 — — $108,147.24 $293,223.96 $111,492.00 2026-03-01
6069 CDM Intvasc Lithotrip Ath/st 22 18 $249,632.19 $249,632.19 $37,444.83 $202,202.07 $111,086.33 2026-03-01
102715 CDM Rev Lo Ex W Lith/ath/snt 22 18 $229,345.94 $229,345.94 $34,401.89 $185,770.21 $102,058.95 2026-03-01
102716 CDM Reva Lo Ext W Lith /athr 22 18 $229,345.94 $229,345.94 $34,401.89 $185,770.21 $102,058.95 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 15 — — $94,045.97 $245,119.80 $102,049.88 2026-03-01
1901 OTHER New Technology - Level 49 30 13 — — $97,310.14 $261,148.64 $99,296.06 2026-03-01
1902 OTHER New Technology - Level 49 30 13 — — $97,310.14 $261,148.64 $99,296.06 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $99,188.90 $99,188.90 $99,188.90 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $99,188.90 $99,188.90 $99,188.90 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $99,059.31 $99,059.31 $99,059.31 2026-03-01
108527 CDM Valve Tavr 29mm 18 16 $172,720.00 $172,720.00 $25,908.00 $139,903.20 $95,945.96 2026-03-01
108524 CDM Valve Tavr 20mm 18 16 $172,720.00 $172,720.00 $25,908.00 $139,903.20 $95,945.96 2026-03-01
108526 CDM Valve Tavr 26mm 18 16 $172,720.00 $172,720.00 $25,908.00 $139,903.20 $95,945.96 2026-03-01
108525 CDM Valve Tavr 23mm 18 16 $172,720.00 $172,720.00 $25,908.00 $139,903.20 $95,945.96 2026-03-01
7 MS_DRG Lung Transplant 31 14 — — $87,953.13 $229,239.54 $95,438.50 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 31 14 — — $92,228.57 $250,063.03 $95,081.00 2026-03-01
717805 CDM Kit Aor Vlv 14fr 29mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
674752 CDM Valve Heart Trnscth 20mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
717803 CDM Kit Aor Vlv 14fr 23mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
673928 CDM Valve Aor With Intro 23mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
673929 CDM Valve Aor With Intro 25mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
673927 CDM Valve Aor With Intro 27mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
717804 CDM Kit Aor Vlv 14fr 26mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
674754 CDM Valve Heart Trnscth 26mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
674753 CDM Valve Heart Trnscth 23mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
717802 CDM Kit Aor Vlv 14fr 20mm 18 16 $165,100.00 $165,100.00 $24,765.00 $133,731.00 $91,713.05 2026-03-01
674330 CDM Pump Heart 21fr 85mm 23 19 $181,630.00 $181,630.00 $27,244.50 $147,120.30 $88,998.70 2026-03-01
108227 CDM Kit Cath Rt Heart 23 19 $181,630.00 $181,630.00 $27,244.50 $147,120.30 $88,998.70 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $88,777.55 $88,777.55 $88,777.55 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 14 — — $81,650.07 $212,811.36 $88,599.02 2026-03-01
1599 OTHER New Technology - Level 48 30 13 — — $85,995.06 $230,782.66 $87,750.06 2026-03-01
1585 OTHER New Technology - Level 48 30 13 — — $85,995.06 $230,782.66 $87,750.06 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $87,655.39 $87,655.39 $87,655.39 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $87,655.39 $87,655.39 $87,655.39 2026-03-01
706322 CDM Ep Micra Pace 22 18 $192,519.43 $192,519.43 $28,877.91 $155,940.74 $85,671.15 2026-03-01
800344 CDM Valve Tavr 26mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
244560 CDM Valve Tavr Sz 29mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
673735 CDM Valve Tavor Aor 26mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
673700 CDM Valve Tavr 23mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
674660 CDM Valve Tavor Aor 29mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
674661 CDM Valve Tavor Aor 34mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
105574 CDM Valve Aor Tavr 23mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
244981 CDM Valve Tavr Sz 26mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
800346 CDM Valve Tavr 34mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
800343 CDM Valve Tavr 23mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
244847 CDM Valve Tavr Sz 23mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
244392 CDM Valve Tavr Size 34mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
800345 CDM Valve Tavr 29mm 18 16 $152,400.00 $152,400.00 $22,860.00 $123,444.00 $84,658.20 2026-03-01
C9765 HCPCS Rvsc Low Ext Ivl/stnt Bi 37 16 $193,958.97 $193,958.97 $5,203.00 $188,528.12 $84,100.61 2026-03-01
C9766 HCPCS Revsc Low Ext Ivl/ath Bi 37 16 $193,958.97 $193,958.97 $5,150.00 $188,528.12 $84,100.61 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 14 — — $77,011.52 $461,984.00 $83,565.69 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 37 15 — — $76,923.63 $200,492.44 $83,470.32 2026-03-01
113156 CDM Valve Tavr 26mm 18 16 $148,050.00 $148,050.00 $22,207.50 $119,920.50 $82,241.77 2026-03-01
277097 CDM Valve Tavr 34mm 18 16 $147,320.00 $147,320.00 $22,098.00 $119,329.20 $81,836.26 2026-03-01
277095 CDM Valve Tavr 23mm 18 16 $147,320.00 $147,320.00 $22,098.00 $119,329.20 $81,836.26 2026-03-01
277096 CDM Valve Tavr 29mm 18 16 $147,320.00 $147,320.00 $22,098.00 $119,329.20 $81,836.26 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 15 — — $74,911.63 $195,248.39 $81,287.08 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 15 — — $13,010.00 $192,656.31 $80,207.93 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 3 — — $55,306.59 $89,766.78 $78,883.82 2026-03-01
1598 OTHER New Technology - Level 47 30 13 — — $76,943.00 $206,489.90 $78,513.27 2026-03-01
1584 OTHER New Technology - Level 47 30 13 — — $76,943.00 $206,489.90 $78,513.27 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $78,428.54 $78,428.54 $78,428.54 2026-03-01
01598 OTHER New Technology - Level 47 1 1 — — $78,428.54 $78,428.54 $78,428.54 2026-03-01
33231 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Multi… 15 9 — — $3,813.00 $130,000.00 $77,189.73 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $77,046.96 $77,046.96 $77,046.96 2026-03-01
007 OTHER Lung Transplant 1 1 — — $76,133.83 $76,133.83 $76,133.83 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 14 — — $70,106.75 $182,725.04 $76,073.28 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 4 3 — — $75,866.44 $138,148.31 $75,866.44 2026-03-01
800293 CDM Implant Peek Xl 18 16 $135,128.00 $135,128.00 $20,269.20 $109,453.68 $75,063.60 2026-03-01
215 MS_DRG Other Heart Assist System Implant 37 15 — — $67,716.82 $176,495.97 $73,479.95 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 4 — — $61,338.53 $106,053.40 $72,969.26 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 15 — — $66,539.09 $205,329.00 $72,202.00 2026-03-01
1597 OTHER New Technology - Level 46 30 13 — — $67,890.93 $182,197.09 $69,276.46 2026-03-01
1583 OTHER New Technology - Level 46 30 13 — — $67,890.93 $182,197.09 $69,276.46 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $69,201.72 $69,201.72 $69,201.72 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $69,201.72 $69,201.72 $69,201.72 2026-03-01
6073 CDM Intravasc Lithotrip Sten 22 18 $155,167.17 $155,167.17 $23,275.08 $125,685.41 $69,049.39 2026-03-01
6070 CDM Intravasc Lithotrip Ath 22 18 $155,167.17 $155,167.17 $23,275.08 $125,685.41 $69,049.39 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 31 14 — — $66,737.65 $180,948.47 $68,801.70 2026-03-01
C2616 HCPCS Brachytx Ns Yttrium 90 17 14 $128,928.13 $128,928.13 $17,775.00 $104,431.79 $68,331.91 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $67,477.03 $67,477.03 $67,477.03 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 15 — — $61,311.68 $159,801.72 $66,529.69 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $64,987.35 $64,987.35 $64,987.35 2026-03-01
C9293 HCPCS Glucarpidase 1000 U Inj 20 17 $126,343.01 $126,343.01 $592.17 $102,337.84 $64,434.93 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $64,302.82 $64,302.82 $64,302.82 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 31 14 — — $11,257.53 $169,042.70 $64,274.79 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 37 15 — — $13,010.00 $153,632.54 $63,961.30 2026-03-01
102718 CDM Revas Low Ext W Litho 22 18 $143,435.59 $143,435.59 $21,515.34 $116,182.83 $63,828.84 2026-03-01
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Pulse… 2 1 — — $62,835.33 $62,835.33 $62,835.33 2026-03-01
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 2 1 — — $62,835.33 $62,835.33 $62,835.33 2026-03-01
272155 CDM Tmvr Perc Initial Device 22 18 $140,400.00 $140,400.00 $21,060.00 $113,724.00 $62,478.00 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $62,346.55 $62,346.55 $62,346.55 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 15 — — $57,392.46 $149,586.73 $62,276.93 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 15 — — $57,213.30 $149,119.76 $62,082.51 2026-03-01
64565 CPT HPercutaneous Implantation Of Neurostimulator Electrode Array; Neuromuscular 1 1 — — $62,000.00 $62,000.00 $62,000.00 2026-03-01
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 20 16 $110,301.78 $110,301.78 $24,707.60 $96,078.44 $61,934.44 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $60,262.77 $60,262.77 $60,262.77 2026-03-01
1596 OTHER New Technology - Level 45 30 13 — — $58,838.87 $157,904.31 $60,039.66 2026-03-01
1582 OTHER New Technology - Level 45 30 13 — — $58,838.87 $157,904.31 $60,039.66 2026-03-01
01582 OTHER New Technology - Level 45 1 1 — — $59,974.89 $59,974.89 $59,974.89 2026-03-01
01596 OTHER New Technology - Level 45 1 1 — — $59,974.89 $59,974.89 $59,974.89 2026-03-01
5244 OTHER Level 4 Blood Product Exc 30 13 — — $58,171.75 $156,113.99 $59,358.93 2026-03-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $59,294.89 $59,294.89 $59,294.89 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $58,204.94 $58,204.94 $58,204.94 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 15 — — $53,599.00 $174,527.00 $58,160.61 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 30 13 — — $55,688.06 $149,448.57 $56,824.55 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 15 — — $52,311.08 $136,342.70 $56,763.08 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 15 — — $52,087.29 $135,759.42 $56,520.25 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 15 — — $51,916.25 $141,184.00 $56,334.65 2026-03-01
107826 CDM Cardiomems Hf System 22 18 $125,971.20 $125,971.20 $18,895.68 $102,036.67 $56,057.18 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $55,927.68 $55,927.68 $55,927.68 2026-03-01
33270 CPT Ins/repl Sq Icd With Elec 31 21 $79,406.73 $79,406.73 $3,813.00 $130,000.00 $55,584.71 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $55,119.81 $55,119.81 $55,119.81 2026-03-01
33240 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Singl… 15 9 — — $6,144.00 $130,000.00 $54,523.15 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 30 13 — — $53,316.03 $143,082.81 $54,404.11 2026-03-01
706309 CDM Set Vntrc 17.4x13.8in 23 19 $110,750.00 $110,750.00 $16,612.50 $89,707.50 $54,267.50 2026-03-01
103572 CDM Kit Cath Rt Heart 23 19 $110,750.00 $110,750.00 $16,612.50 $89,707.50 $54,267.50 2026-03-01
113072 CDM Cath Vasc Assist Strl 23 19 $110,750.00 $110,750.00 $16,612.50 $89,707.50 $54,267.50 2026-03-01
112670 CDM Kit Lo Prfl Comp Shth 7f 23 19 $110,750.00 $110,750.00 $16,612.50 $89,707.50 $54,267.50 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $53,649.35 $53,649.35 $53,649.35 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 15 — — $49,203.15 $128,242.26 $53,390.66 2026-03-01
10 MS_DRG Pancreas Transplant 31 14 — — $48,913.12 $127,486.31 $53,075.93 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 15 — — $13,010.00 $127,433.44 $53,053.92 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $53,031.35 $53,031.35 $53,031.35 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 14 — — $48,635.24 $126,762.07 $52,774.41 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $52,771.99 $52,771.99 $52,771.99 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 15 — — $48,606.85 $129,963.00 $52,743.61 2026-03-01
33274 CPT Ins/repl Ldls Ppm Vent 32 21 $192,519.43 $192,519.43 $481.27 $155,940.74 $51,440.91 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 37 15 — — $7,974.00 $122,836.09 $51,139.92 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 15 — — $46,899.76 $122,238.73 $50,891.23 2026-03-01
1581 OTHER New Technology - Level 44 30 13 — — $49,786.80 $133,611.52 $50,802.86 2026-03-01
1595 OTHER New Technology - Level 44 30 13 — — $49,786.80 $133,611.52 $50,802.86 2026-03-01
103593 CDM Occluder Cardiac Lt 18mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
103591 CDM Occluder Cardiac Lt 22mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
105629 CDM Occluder Cardiac Lt 31mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
103589 CDM Occluder Cardiac Lt 28mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
103590 CDM Occluder Cardiac Lt 25mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
105628 CDM Occluder Cardiac Lt 34mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
103592 CDM Occluder Cardiac Lt 20mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
105630 CDM Occluder Cardiac Lt 16mm 18 16 $91,440.00 $91,440.00 $13,716.00 $74,066.40 $50,794.92 2026-03-01
01595 OTHER New Technology - Level 44 1 1 — — $50,748.04 $50,748.04 $50,748.04 2026-03-01
01581 OTHER New Technology - Level 44 1 1 — — $50,748.04 $50,748.04 $50,748.04 2026-03-01
674116 CDM Kit Pmp Rt Hrt 22f 170cm 23 19 $102,500.00 $102,500.00 $15,375.00 $83,025.00 $50,225.00 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $50,197.26 $50,197.26 $50,197.26 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $50,035.25 $50,035.25 $50,035.25 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 33 14 — — $48,506.98 $131,518.94 $50,007.20 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 15 — — $45,907.28 $119,651.95 $49,814.28 2026-03-01
100154 CDM Stent Eprsth 31x31x20cm 18 16 $89,408.00 $89,408.00 $13,411.20 $72,420.48 $49,666.15 2026-03-01
674180 CDM Stent 31mmx31mmx10cm 18 16 $89,408.00 $89,408.00 $13,411.20 $72,420.48 $49,666.15 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 33 14 — — $48,112.78 $130,450.10 $49,600.80 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 37 15 — — $45,605.74 $118,866.04 $49,487.08 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 15 — — $45,572.62 $118,779.70 $49,451.14 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 15 — — $44,853.95 $205,329.00 $48,671.31 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 15 — — $44,853.95 $205,329.00 $48,671.31 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 15 — — $13,010.00 $116,485.42 $48,495.97 2026-03-01
275571 CDM Device Clsr 31mm 18 16 $86,360.00 $86,360.00 $12,954.00 $69,951.60 $47,972.98 2026-03-01
276185 CDM Device Clsr 35mm 18 16 $86,360.00 $86,360.00 $12,954.00 $69,951.60 $47,972.98 2026-03-01
276184 CDM Device Clsr 24mm 18 16 $86,360.00 $86,360.00 $12,954.00 $69,951.60 $47,972.98 2026-03-01
276183 CDM Device Clsr 20mm 18 16 $86,360.00 $86,360.00 $12,954.00 $69,951.60 $47,972.98 2026-03-01
275569 CDM Device Clsr 27mm 18 16 $86,360.00 $86,360.00 $12,954.00 $69,951.60 $47,972.98 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 5 4 — — $43,855.64 $71,255.81 $47,669.44 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 15 — — $7,974.00 $114,429.04 $47,639.84 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $47,028.95 $47,028.95 $47,028.95 2026-03-01
63655 CPT Laminectomy For Implantation Of Neurostimulator Electrodes, Plate/paddle, Epidur… 17 11 — — $5,604.00 $62,000.00 $46,981.43 2026-03-01
33221 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads 16 10 — — $3,813.00 $59,000.00 $45,752.16 2026-03-01
C2624 HCPCS System Mntr 2x15mm 4.5cm 23 19 $93,030.00 $93,030.00 $13,954.50 $75,354.30 $45,584.70 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $45,468.93 $45,468.93 $45,468.93 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 15 — — $41,832.57 $199,454.00 $45,392.78 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 15 — — $13,010.00 $108,906.59 $45,340.70 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 15 — — $41,387.71 $112,192.00 $44,910.07 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $44,872.93 $44,872.93 $44,872.93 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 37 15 — — $36,959.00 $106,915.40 $44,511.72 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 37 15 — — $41,009.11 $112,929.00 $44,499.24 2026-03-01
105474 CDM Coil Embol Neuro 4x2mm 18 16 $79,605.00 $79,605.00 $11,940.75 $64,480.05 $44,220.57 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 15 — — $40,715.01 $133,461.00 $44,180.12 2026-03-01
93653 CPT Ep Repos Ele Svt Sgl 28 20 $106,007.82 $106,007.82 $6,144.00 $85,866.33 $44,097.27 2026-03-01
93654 CPT Ep Repos Ele Vt 3d Map 28 20 $106,007.82 $106,007.82 $6,144.00 $85,866.33 $44,097.27 2026-03-01
93656 CPT Com Ep Repo Cth Tx Afib 28 20 $106,007.82 $106,007.82 $6,144.00 $85,866.33 $44,097.27 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 13 — — $40,582.51 $89,622.04 $44,036.34 2026-03-01
37231 CPT Revsc Tb/pr St/at Ini Bi 43 20 $112,223.34 $112,223.34 $5,203.00 $109,081.09 $43,991.55 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 33 14 — — $40,489.20 $105,530.37 $43,935.09 2026-03-01
100425 CDM Stent Eprsth 34mm 10cm 18 16 $78,740.00 $78,740.00 $11,811.00 $63,779.40 $43,740.07 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $43,636.40 $43,636.40 $43,636.40 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 37 15 — — $40,076.12 $104,453.72 $43,486.85 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 15 — — $13,010.00 $104,386.76 $43,458.98 2026-03-01
961030 CDM Set Pump Asst 2.5in 23 19 $88,600.00 $88,600.00 $13,290.00 $71,766.00 $43,414.00 2026-03-01
1142 OTHER Supprelin La Implant 30 13 — — $42,321.63 $113,577.44 $43,185.34 2026-03-01
273230 CDM Tips Insertion 22 18 $96,918.65 $96,918.65 $14,537.80 $78,504.11 $43,128.80 2026-03-01
273231 CDM Tips Revision 22 18 $96,918.65 $96,918.65 $14,537.80 $78,504.11 $43,128.80 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 37 15 — — $39,389.90 $102,665.17 $42,742.23 2026-03-01
C1820 HCPCS Nrstm Impl 1.9inx.6in 108 16 $76,962.00 $76,962.00 $8,153.40 $107,807.76 $42,730.42 2026-03-01
010 OTHER Pancreas Transplant 1 1 — — $42,728.71 $42,728.71 $42,728.71 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $42,484.09 $42,484.09 $42,484.09 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 15 — — $39,141.11 $106,768.00 $42,472.27 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $42,447.62 $42,447.62 $42,447.62 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 37 15 — — $38,982.91 $101,604.39 $42,300.60 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 37 15 — — $38,932.87 $101,473.98 $42,246.31 2026-03-01
33418 CPT Tmvr Perc Initial Device 34 23 $140,400.00 $140,400.00 $11,388.00 $113,724.00 $42,120.00 2026-03-01
C9764 HCPCS Revsc Low Ext Ivl Ang Bi 37 16 $96,979.48 $96,979.48 $5,203.00 $94,264.06 $42,050.30 2026-03-01
673327 CDM Stent Eprsth 15cm 28mm 18 16 $75,692.00 $75,692.00 $11,353.80 $61,310.52 $42,046.90 2026-03-01
01142 OTHER Supprelin La Implant 1 1 — — $41,889.78 $41,889.78 $41,889.78 2026-03-01
90288 CPT Botulism Ig Human IV 26 22 $59,824.03 $59,824.03 $8,973.60 $55,036.65 $41,876.82 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 15 — — $38,408.92 $100,108.35 $41,677.76 2026-03-01
61867 CPT Twist Drill, Burr Hole, Craniotomy, Or Craniectomy With Stereotactic Implantatio… 14 9 — — $11,388.00 $41,603.06 $41,603.06 2026-03-01
1580 OTHER New Technology - Level 43 30 13 — — $40,734.74 $109,318.74 $41,566.06 2026-03-01
1594 OTHER New Technology - Level 43 30 13 — — $40,734.74 $109,318.74 $41,566.06 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 14 — — $38,291.29 $99,801.75 $41,550.12 2026-03-01
01594 OTHER New Technology - Level 43 1 1 — — $41,521.22 $41,521.22 $41,521.22 2026-03-01
01580 OTHER New Technology - Level 43 1 1 — — $41,521.22 $41,521.22 $41,521.22 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $41,507.20 $41,507.20 $41,507.20 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 37 15 — — $36,959.00 $99,125.09 $41,268.40 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $41,260.43 $41,260.43 $41,260.43 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 37 15 — — $37,739.60 $98,363.85 $40,951.48 2026-03-01
20696 CPT Application Of Multiplane (pins Or Wires In More Than 1 Plane), Unilateral, Exte… 17 11 — — $3,813.00 $47,322.79 $40,866.42 2026-03-01
22856 CPT Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 16 10 — — $5,604.00 $47,322.79 $40,866.42 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $40,800.69 $40,800.69 $40,800.69 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 37 15 — — $7,974.00 $97,780.60 $40,708.66 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 15 — — $13,010.00 $97,438.75 $40,566.34 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 15 — — $37,331.93 $97,301.31 $40,509.12 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 37 15 — — $13,010.00 $97,149.75 $40,446.02 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 14 — — $37,126.40 $96,765.62 $40,286.09 2026-03-01
273178 CDM Stnt/athrctmy Tib/per In 22 18 $89,778.67 $89,778.67 $13,466.80 $72,720.72 $39,951.51 2026-03-01
462028 CDM Stnt/athrctmy Tib/per In 22 18 $89,778.67 $89,778.67 $13,466.80 $72,720.72 $39,951.51 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 15 — — $36,453.71 $95,012.32 $39,556.15 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 37 15 — — $36,432.07 $94,955.92 $39,532.67 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 31 14 — — $38,339.83 $103,952.33 $39,525.60 2026-03-01
101469 CDM Valve Aortic 29mm 18 16 $71,120.00 $71,120.00 $10,668.00 $57,607.20 $39,507.16 2026-03-01
101474 CDM Valve Aortic 25mm 18 16 $71,120.00 $71,120.00 $10,668.00 $57,607.20 $39,507.16 2026-03-01
101472 CDM Valve Aortic 21mm 18 16 $71,120.00 $71,120.00 $10,668.00 $57,607.20 $39,507.16 2026-03-01
101468 CDM Valve Aortic 27mm 18 16 $71,120.00 $71,120.00 $10,668.00 $57,607.20 $39,507.16 2026-03-01
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