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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

CHRISTUS OCHSNER ST PATRICK HOSPITAL

Lake Charles, LA · CCN 190027 · Rates published

17,866 distinct procedures filed
34 distinct payers
750,491 rate rows
2026-01-13 last MRF observed
Data quality

563,763 of 750,491 rate rows are consumer-grade (75.1%)

186,728 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 168,435
per-diem day rate — not a per-procedure price 13,365
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,646
template filing: same amount across many unrelated codes — excluded 167
placeholder amount (≤ $0.02) — excluded from medians 77
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/720411322_ochsnerstpatrickhospital_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 280b5ca00ca851bd… · 160,635,083 bytes · first seen 2026-05-08

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 34 $3,359,624.63 $4,799,463.76 $4,079,544.19 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 34 $3,359,624.63 $4,799,463.76 $4,079,544.19 nat. median
$3,703,693
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 34 $3,008,069.81 $4,297,242.59 $3,652,656.20 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 34 $2,891,450.53 $4,130,643.61 $3,511,047.07 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 34 $2,687,699.71 $3,839,571.01 $3,263,635.36 nat. median
$2,994,107
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 34 $2,176,474.18 $3,109,248.83 $2,642,861.50 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 34 $2,111,764.05 $3,016,805.79 $2,564,284.92 nat. median
$2,401,960
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 34 $499,251.40 $713,216.28 $606,233.84 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 34 $478,418.18 $683,454.55 $580,936.36 nat. median
$622,245
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 34 $467,708.63 $668,155.18 $567,931.91 nat. median
$640,950
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 34 $441,959.54 $631,370.77 $536,665.16 nat. median
$591,650
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $3.14 $731,722.67 $522,659.05 nat. median
$738,272
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $0.95 $633,266.80 $452,333.43 nat. median
$608,101
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $224,971.47 $572,706.58 $236,449.60 nat. median
$359,358
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $168,034.82 $427,763.80 $184,323.91 nat. median
$249,124
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $141,515.69 $360,254.44 $148,735.88 nat. median
$198,433
0.7× median
Q0480
HCPCS 		Dme Pos 34 $49,999.98 $242,987.07 $146,493.52 nat. median
$111,503
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $127,847.80 $325,460.28 $134,370.65 nat. median
$190,557
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $100,673.00 $117,773.17 $109,223.08 nat. median
$71,201
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 34 $51,458.00 $152,209.98 $101,833.99 nat. median
$63,643
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $84,290.93 $214,578.18 $88,591.48 nat. median
$126,722
0.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 33 $46,608.35 $130,503.38 $88,555.87 nat. median
$97,020
0.9× median
7
MS_DRG 		Lung Transplant 17 $77,960.45 $198,462.80 $85,517.84 nat. median
$117,894
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $78,157.31 $198,963.93 $82,942.45 nat. median
$110,192
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 34 $50,291.59 $112,828.07 $81,559.83 nat. median
$65,720
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $71,635.00 $83,802.82 $77,718.91 nat. median
$49,639
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 23 $63,202.08 $192,325.00 $74,247.52 nat. median
$93,917
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $65,736.78 $167,345.16 $72,109.23 nat. median
$103,967
0.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 34 $57,414.30 $82,020.43 $69,717.37 nat. median
$68,423
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $63,527.79 $161,721.79 $69,686.10 nat. median
$94,964
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $69,173.00 $88,596.00 $69,173.00 nat. median
$47,579
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $64,986.34 $165,434.77 $68,301.97 nat. median
$97,414
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $57,572.55 $158,459.00 $67,634.15 nat. median
$90,581
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 27 $41,233.32 $93,204.50 $67,218.91 nat. median
$75,037
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $62,489.82 $159,079.42 $66,315.73 nat. median
$93,270
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 34 $33,726.33 $94,433.72 $64,080.03 nat. median
$70,178
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $63,616.00 $81,479.00 $63,616.00 nat. median
$39,629
1.6× median
J9226
HCPCS 		Supprelin La Implant 34 $40,987.24 $80,920.24 $60,953.74 nat. median
$55,159
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $50,550.10 $128,684.65 $58,944.95 nat. median
$77,043
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $54,952.55 $139,891.91 $57,756.25 nat. median
$78,262
0.7× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 $52,744.00 $61,703.02 $57,223.51 nat. median
$38,944
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $50,522.06 $133,293.00 $55,419.60 nat. median
$77,696
0.7× median
38240
CPT 		Transplt Allo Hct/donor 17 $3,060.00 $76,509.83 $54,649.88 nat. median
$12,855
outlier · 4.3×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $47,669.00 $71,424.54 $54,361.50 nat. median
$52,841
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 $46,627.85 $118,699.85 $54,225.69 nat. median
$71,758
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $46,157.19 $126,102.00 $54,223.79 nat. median
$72,473
0.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $53,693.00 $68,770.00 $53,693.00 nat. median
$38,225
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $49,754.91 $126,660.35 $52,293.43 nat. median
$78,037
0.7× median
10
MS_DRG 		Pancreas Transplant 17 $47,562.04 $121,077.98 $52,172.64 nat. median
$64,903
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $48,087.58 $122,415.86 $50,541.03 nat. median
$74,460
0.7× median

Other procedures at this hospital

Browse this hospital's 17,866 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 17 — — $168,034.82 $427,763.80 $184,323.91 2026-01-13
10 MS_DRG Pancreas Transplant 20 17 — — $47,562.04 $121,077.98 $52,172.64 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 18 — — $32,188.63 $81,942.14 $33,830.91 2026-01-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 18 — — $24,480.16 $62,318.79 $25,729.15 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 22 17 — — $78,157.31 $198,963.93 $82,942.45 2026-01-13
140 MS_DRG Major Head And Neck Procedures With Mcc 25 18 — — $25,228.82 $64,224.63 $26,516.00 2026-01-13
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 18 — — $19,697.11 $50,142.65 $20,702.06 2026-01-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 17 — — $36,006.48 $91,661.18 $38,210.96 2026-01-13
163 MS_DRG Major Chest Procedures With Mcc 25 18 — — $27,495.66 $69,995.31 $28,898.50 2026-01-13
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 18 — — $22,968.53 $58,470.66 $24,140.40 2026-01-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 17 — — $36,006.48 $91,661.18 $38,210.96 2026-01-13
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 18 — — $18,305.39 $46,599.76 $19,239.34 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 18 — — $224,971.47 $572,706.58 $236,449.60 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 18 — — $47,289.42 $120,383.98 $49,702.15 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 17 — — $65,736.78 $167,345.16 $72,109.23 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 18 — — $48,087.58 $122,415.86 $50,541.03 2026-01-13
20696 CPT App Mltpln Uni Xtrnl Fix 1st 47 34 — — $2,125.00 $34,881.41 $18,503.21 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 18 — — $38,579.36 $98,210.90 $40,547.69 2026-01-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 18 — — $32,972.48 $83,937.58 $34,654.75 2026-01-13
211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 47 34 — — $3,675.00 $49,461.75 $26,568.38 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 18 — — $64,986.34 $165,434.77 $68,301.97 2026-01-13
212U OTHER Rare Ds Gen DNA Alys Proband 47 34 — — $5,365.70 $32,029.92 $18,697.81 2026-01-13
214U OTHER Rare Ds Xom DNA Alys Proband 47 34 — — $5,120.11 $30,563.91 $17,842.01 2026-01-13
215 MS_DRG Other Heart Assist System Implant 32 23 — — $63,202.08 $192,325.00 $74,247.52 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 23 — — $57,572.55 $158,459.00 $67,634.15 2026-01-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 23 — — $38,523.88 $109,729.00 $45,256.46 2026-01-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 23 — — $35,489.88 $92,377.00 $41,601.79 2026-01-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — — $46,157.19 $126,102.00 $54,223.79 2026-01-13
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 18 — — $21,060.20 $53,612.65 $22,134.70 2026-01-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — — $31,596.87 $82,885.00 $37,118.85 2026-01-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — — $27,396.64 $70,695.00 $32,184.58 2026-01-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $69,173.00 $88,596.00 $69,173.00 2026-01-13
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $50,292.00 $64,413.00 $50,292.00 2026-01-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $63,616.00 $81,479.00 $63,616.00 2026-01-13
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $47,204.00 $60,459.00 $47,204.00 2026-01-13
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 3 — — $53,693.00 $68,770.00 $53,693.00 2026-01-13
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 — — $39,969.00 $51,192.00 $39,969.00 2026-01-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 23 — — $29,727.31 $122,228.00 $34,922.57 2026-01-13
22856 CPT Tot Disc Arthrp 1ntrspc Crv 47 34 — — $3,485.00 $32,788.53 $18,136.76 2026-01-13
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 23 — — $18,530.28 $78,827.00 $21,768.71 2026-01-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 18 — — $34,033.14 $86,637.65 $35,769.52 2026-01-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 23 — — $50,550.10 $128,684.65 $58,944.95 2026-01-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 23 — — $36,440.76 $92,766.72 $42,567.45 2026-01-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 23 — — $46,627.85 $118,699.85 $54,225.69 2026-01-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 23 — — $31,737.06 $80,792.56 $36,241.12 2026-01-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 23 — — $35,101.53 $89,357.46 $41,236.01 2026-01-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 23 — — $24,530.27 $62,446.35 $28,144.49 2026-01-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 23 — — $30,047.06 $76,490.36 $33,726.30 2026-01-13
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 18 — — $22,678.61 $57,732.62 $23,835.68 2026-01-13
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 23 — — $17,372.40 $44,224.67 $19,499.63 2026-01-13
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 23 — — $20,234.60 $58,129.00 $23,770.88 2026-01-13
245 MS_DRG Aicd Generator Procedures 32 23 — — $29,151.66 $74,210.94 $32,297.12 2026-01-13
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 3 — — $25,174.00 $32,243.00 $25,174.00 2026-01-13
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 3 — — $22,437.00 $28,737.00 $22,437.00 2026-01-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 18 — — $26,679.00 $67,916.35 $28,040.17 2026-01-13
252 MS_DRG Other Vascular Procedures With Mcc 32 23 — — $20,463.66 $52,094.05 $23,304.71 2026-01-13
253 MS_DRG Other Vascular Procedures With Cc 32 23 — — $15,229.63 $38,769.86 $17,564.74 2026-01-13
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 23 — — $15,608.44 $39,734.17 $17,519.68 2026-01-13
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 23 — — $16,735.89 $44,466.00 $19,660.72 2026-01-13
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 18 — — $18,245.74 $46,447.90 $19,176.64 2026-01-13
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 23 — — $20,319.30 $53,534.00 $23,792.69 2026-01-13
264 MS_DRG Other Circulatory System O.r. Procedures 32 23 — — $19,502.00 $53,076.59 $22,126.14 2026-01-13
265 MS_DRG Aicd Lead Procedures 30 21 — — $21,279.73 $54,171.50 $23,342.56 2026-01-13
265U OTHER Rar Do Whl Gn&mtcdrl DNA Als 47 34 — — $5,366.28 $32,033.43 $18,699.85 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 18 — — $35,737.44 $90,976.29 $37,560.78 2026-01-13
266T OTHER Implt/rpl Crtd Sns Dev Total 47 34 — — $3,443.00 $58,215.16 $30,829.08 2026-01-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 18 — — $28,065.36 $71,445.57 $29,497.26 2026-01-13
267U OTHER Rare Do Id Opt Gen Mapg&seq 47 34 — — $6,604.54 $39,425.09 $23,014.81 2026-01-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 19 — — $39,774.82 $101,254.17 $43,630.54 2026-01-13
268T OTHER Implt/rpl Crtd Sns Dev Gen 47 34 — — $3,443.00 $41,684.52 $22,563.76 2026-01-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 19 — — $24,820.19 $63,184.39 $27,226.22 2026-01-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 18 — — $30,620.34 $77,949.74 $32,807.50 2026-01-13
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 18 — — $20,547.18 $52,306.66 $22,014.84 2026-01-13
27280 CPT Arthr Si Jt Opn B1grf Instrm 37 27 — — $2,458.00 $34,881.41 $18,669.71 2026-01-13
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 18 — — $23,326.45 $59,381.82 $24,992.63 2026-01-13
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 18 — — $13,722.00 $47,395.51 $19,567.87 2026-01-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 18 — — $42,157.40 $107,319.46 $45,168.64 2026-01-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 18 — — $36,952.00 $94,068.16 $39,591.43 2026-01-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 18 — — $27,750.39 $70,643.75 $29,732.56 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 18 — — $29,846.63 $75,980.11 $31,369.41 2026-01-13
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 18 — — $19,115.49 $48,662.02 $20,090.77 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 30 23 — — $36,266.58 $92,323.29 $40,707.38 2026-01-13
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 23 — — $20,024.02 $50,974.85 $22,354.00 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 18 — — $127,847.80 $325,460.28 $134,370.65 2026-01-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 18 — — $24,998.56 $63,638.45 $26,273.99 2026-01-13
315U OTHER Onc Cutan Sq Cll Ca Mrna 40 47 34 — — $8,330.00 $49,725.05 $29,027.53 2026-01-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 18 — — $36,904.27 $93,946.67 $38,787.14 2026-01-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 18 — — $26,204.75 $66,709.06 $27,541.73 2026-01-13
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 27 18 — — $16,982.26 $43,231.50 $18,195.28 2026-01-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 18 — — $25,408.97 $64,683.25 $27,223.90 2026-01-13
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 27 18 — — $19,060.01 $48,520.79 $20,421.44 2026-01-13
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 18 — — $17,073.53 $43,463.85 $17,944.63 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 18 — — $30,298.20 $77,129.69 $31,844.03 2026-01-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 18 — — $27,392.46 $69,732.59 $28,790.03 2026-01-13
332 MS_DRG Rectal Resection With Mcc 25 18 — — $20,692.14 $52,675.68 $21,747.86 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 29 19 — — $483.29 $58,215.16 $41,582.26 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 29 19 — — $483.29 $39,422.35 $28,158.82 2026-01-13
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 18 — — $21,614.99 $55,024.95 $22,717.79 2026-01-13
335U OTHER Rare Ds Whl Gen Seq Feta 47 34 — — $5,120.11 $30,563.91 $17,842.01 2026-01-13
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $22,437.00 $26,396.00 $24,416.50 2026-01-13
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 21 — — $23,197.60 $59,053.80 $25,446.35 2026-01-13
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 3 3 — — $17,278.00 $22,130.00 $17,278.00 2026-01-13
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 18 — — $17,496.48 $44,540.54 $18,389.16 2026-01-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 18 — — $25,446.55 $64,778.92 $26,744.85 2026-01-13
37 MS_DRG Extracranial Procedures With Mcc 30 21 — — $19,810.46 $50,431.19 $22,236.23 2026-01-13
38240 CPT Transplt Allo Hct/donor 26 17 — — $3,060.00 $76,509.83 $54,649.88 2026-01-13
398T OTHER Mrgfus Strtctc Les Abltj 37 27 — — $2,458.00 $39,713.88 $21,085.94 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 18 — — $84,290.93 $214,578.18 $88,591.48 2026-01-13
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 18 — — $22,502.03 $57,283.11 $23,650.10 2026-01-13
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 18 — — $23,337.79 $59,410.67 $24,528.49 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 18 — — $32,384.30 $82,440.24 $34,036.56 2026-01-13
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 18 — — $16,753.20 $42,648.36 $17,607.95 2026-01-13
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 18 — — $20,886.61 $53,170.74 $21,952.26 2026-01-13
408T OTHER Insj/rplc Cardiac Modulj Sys 47 34 — — $5,221.00 $50,175.40 $27,698.20 2026-01-13
409T OTHER Insj/rplc Car Modulj Pls Gn 47 34 — — $3,886.00 $50,175.40 $27,030.70 2026-01-13
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 18 — — $20,901.53 $53,208.71 $21,967.93 2026-01-13
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 18 — — $21,054.84 $53,598.99 $22,129.07 2026-01-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 18 — — $24,263.61 $61,767.54 $25,501.55 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $62,489.82 $159,079.42 $66,315.73 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $42,370.36 $109,750.00 $44,964.46 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $32,834.09 $83,585.26 $34,844.34 2026-01-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 18 — — $49,754.91 $126,660.35 $52,293.43 2026-01-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 18 — — $32,633.65 $83,075.01 $34,298.63 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 18 — — $39,996.13 $101,817.57 $42,853.00 2026-01-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 18 — — $24,359.66 $62,012.03 $26,099.64 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 19 — — $30,722.34 $93,541.00 $33,700.53 2026-01-13
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 19 — — $18,409.18 $55,896.00 $20,193.74 2026-01-13
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $100,673.00 $117,773.17 $109,223.08 2026-01-13
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $71,635.00 $83,802.82 $77,718.91 2026-01-13
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $52,744.00 $61,703.02 $57,223.51 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $50,522.06 $133,293.00 $55,419.60 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $34,237.74 $88,631.00 $37,556.71 2026-01-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $25,758.55 $73,408.00 $28,255.54 2026-01-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 4 — — $47,669.00 $71,424.54 $54,361.50 2026-01-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $28,485.00 $42,679.95 $32,484.00 2026-01-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 21 — — $36,607.79 $93,191.93 $40,156.50 2026-01-13
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 21 — — $17,083.67 $49,352.00 $18,739.74 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 18 — — $32,219.06 $82,019.59 $33,862.89 2026-01-13
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 18 — — $17,589.54 $44,777.44 $18,486.97 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 21 — — $30,391.26 $77,366.60 $33,337.35 2026-01-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 21 — — $20,432.65 $52,015.09 $22,413.36 2026-01-13
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 21 — — $15,649.00 $39,837.43 $17,166.00 2026-01-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 21 — — $19,499.06 $51,647.00 $21,389.28 2026-01-13
471 MS_DRG Cervical Spinal Fusion With Mcc 30 23 — — $28,975.68 $73,762.96 $32,523.72 2026-01-13
472 MS_DRG Cervical Spinal Fusion With Cc 30 23 — — $17,282.92 $43,996.88 $19,399.19 2026-01-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 18 — — $26,752.97 $68,104.65 $28,117.92 2026-01-13
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 18 — — $20,514.97 $52,224.65 $21,561.65 2026-01-13
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 18 — — $17,544.21 $44,662.03 $18,439.32 2026-01-13
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 18 — — $19,204.37 $48,888.29 $20,184.19 2026-01-13
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 18 — — $21,184.29 $53,928.52 $22,265.12 2026-01-13
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 18 — — $21,001.74 $53,463.83 $22,073.26 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 17 — — $63,527.79 $161,721.79 $69,686.10 2026-01-13
500 MS_DRG Soft Tissue Procedures With Mcc 25 18 — — $18,902.52 $48,119.88 $19,866.94 2026-01-13
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 18 — — $17,049.68 $43,403.11 $17,919.56 2026-01-13
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 18 — — $18,447.36 $46,961.19 $19,388.56 2026-01-13
515T OTHER Insj Wcs Lv Compl Sys 47 34 — — $5,221.00 $49,916.57 $27,568.78 2026-01-13
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 21 — — $10,115.00 $54,426.62 $22,361.68 2026-01-13
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 47 34 — — $5,221.00 $49,916.57 $27,568.78 2026-01-13
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 18 — — $17,387.32 $44,262.63 $18,274.42 2026-01-13
53444 CPT Insert Tandem Cuff 32 20 — — $483.29 $35,623.06 $18,599.59 2026-01-13
53445 CPT Insert Uro/ves Nck Sphincter 32 20 — — $360.84 $35,623.06 $18,599.59 2026-01-13
53447 CPT Remove/replace Ur Sphincter 32 20 — — $360.84 $34,910.59 $18,599.59 2026-01-13
54400 CPT Insert Semi-rigid Prosthesis 47 34 — — $1,989.00 $35,623.06 $18,806.03 2026-01-13
54401 CPT Insert Self-contd Prosthesis 47 34 — — $1,989.00 $34,910.59 $18,449.79 2026-01-13
54405 CPT Insert Multi-comp Penis Pros 47 34 — — $1,989.00 $34,910.59 $18,449.79 2026-01-13
54410 CPT Remove/replace Penis Prosth 32 20 — — $552.64 $35,623.06 $18,599.59 2026-01-13
54411 CPT Remov/replc Penis Pros Comp 26 17 — — $1,596.00 $35,623.06 $18,599.59 2026-01-13
54416 CPT Remv/repl Penis Contain Pros 32 20 — — $552.64 $35,623.06 $18,599.59 2026-01-13
54417 CPT Remv/replc Penis Pros Compl 47 34 — — $2,614.00 $35,623.06 $19,118.53 2026-01-13
570 MS_DRG Skin Debridement With Mcc 25 18 — — $17,957.01 $45,712.90 $18,873.18 2026-01-13
571T OTHER Insj/rplcmt Icds Ss Eltrd 25 16 — — $2,458.00 $68,857.12 $29,626.18 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 18 — — $36,736.04 $93,518.43 $38,610.33 2026-01-13
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 18 — — $20,669.47 $52,617.97 $21,724.04 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 18 — — $32,185.05 $81,933.03 $33,827.15 2026-01-13
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 18 — — $19,443.58 $49,497.25 $20,435.60 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 20 17 — — $28,927.36 $73,639.95 $31,731.54 2026-01-13
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 47 34 — — $3,485.00 $52,285.04 $27,885.02 2026-01-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 18 — — $23,056.22 $58,693.89 $24,232.56 2026-01-13
61885 CPT Insrt/redo Neurostim 1 Array 32 20 — — $483.29 $41,684.52 $19,815.47 2026-01-13
61886 CPT Implant Neurostim Arrays 32 20 — — $552.64 $62,028.93 $28,158.82 2026-01-13
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 29 19 — — $552.64 $27,741.66 $19,815.47 2026-01-13
619 MS_DRG O.r. Procedures For Obesity With Mcc 29 21 — — $16,264.63 $51,882.00 $17,426.39 2026-01-13
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 47 34 — — $2,614.00 $45,278.60 $23,946.30 2026-01-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 18 — — $22,322.48 $56,826.01 $23,461.38 2026-01-13
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 18 — — $17,103.36 $43,539.78 $17,975.98 2026-01-13
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 18 — — $23,537.63 $59,919.40 $24,738.53 2026-01-13
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 32 20 — — $483.29 $53,800.61 $28,158.82 2026-01-13
64568 CPT Opn Impltj Crnl Nrv Nea&pg 32 20 — — $552.64 $63,294.84 $28,158.82 2026-01-13
64580 CPT Opn Impltj Nea Neuromuscular 26 17 — — $1,299.00 $41,684.52 $19,815.47 2026-01-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 29 19 — — $552.64 $39,422.35 $28,158.82 2026-01-13
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 32 20 — — $483.29 $39,183.46 $19,815.47 2026-01-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 18 — — $27,484.33 $69,966.46 $28,886.59 2026-01-13
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 18 — — $20,714.81 $52,733.39 $21,771.69 2026-01-13
652 MS_DRG Kidney Transplant 20 17 — — $18,322.09 $46,642.28 $20,098.21 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 25 18 — — $33,254.64 $84,655.88 $34,951.31 2026-01-13
654 MS_DRG Major Bladder Procedures With Cc 25 18 — — $16,834.92 $42,856.41 $17,693.84 2026-01-13
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 18 — — $19,435.23 $49,475.99 $20,426.83 2026-01-13
662 MS_DRG Minor Bladder Procedures With Mcc 25 18 — — $18,609.62 $47,374.25 $19,559.09 2026-01-13
665 MS_DRG Prostatectomy With Mcc 25 18 — — $20,482.75 $52,142.65 $21,527.79 2026-01-13
668 MS_DRG Transurethral Procedures With Mcc 25 18 — — $17,396.86 $44,286.93 $18,284.46 2026-01-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 18 — — $24,992.59 $63,623.27 $26,267.72 2026-01-13
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 22 15 — — $762.00 $39,422.35 $28,158.82 2026-01-13
680T OTHER Insj/rplcmt Pg Only Isdss 22 15 — — $762.00 $27,741.66 $19,815.47 2026-01-13
69930 CPT Implant Cochlear Device 32 20 — — $1,078.18 $73,979.13 $29,391.70 2026-01-13
7 MS_DRG Lung Transplant 20 17 — — $77,960.45 $198,462.80 $85,517.84 2026-01-13
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 18 — — $23,489.31 $59,796.39 $24,687.74 2026-01-13
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 18 — — $23,747.61 $60,453.95 $24,959.23 2026-01-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 16 — — $35,463.03 $90,277.73 $36,910.51 2026-01-13
791 MS_DRG Prematurity With Major Problems 21 16 — — $24,218.88 $61,653.64 $25,207.40 2026-01-13
793 MS_DRG Full Term Neonate With Major Problems 21 16 — — $24,878.65 $63,333.21 $25,894.11 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 25 18 — — $28,364.23 $72,206.39 $29,811.38 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 17 — — $32,458.27 $82,628.54 $35,604.73 2026-01-13
800 MS_DRG Splenic Procedures With Cc 25 18 — — $17,381.95 $44,248.97 $18,268.78 2026-01-13
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 18 — — $21,384.72 $54,438.77 $22,475.77 2026-01-13
81416 CPT Exome Sequence Analysis 47 34 — — $11,760.00 $70,200.00 $40,980.00 2026-01-13
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 47 34 — — $7,049.14 $42,079.05 $24,564.10 2026-01-13
81554 CPT Pulm Ds Ipf Mrna 190 Gen Alg 47 34 — — $5,336.10 $32,175.00 $18,755.55 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 18 — — $34,732.28 $88,417.45 $36,504.33 2026-01-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 18 — — $27,915.03 $71,062.89 $29,339.26 2026-01-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 18 — — $28,487.71 $72,520.74 $29,941.16 2026-01-13
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 18 — — $18,396.06 $46,830.59 $19,334.63 2026-01-13
834 MS_DRG Acute Leukemia With Mcc 25 18 — — $32,972.48 $83,937.58 $34,654.75 2026-01-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 18 — — $29,869.89 $76,039.34 $31,393.86 2026-01-13
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 18 — — $19,023.62 $48,428.15 $19,994.22 2026-01-13
850 MS_DRG Acute Leukemia With Other Procedures 25 18 — — $54,952.55 $139,891.91 $57,756.25 2026-01-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 18 — — $29,834.69 $75,949.74 $31,356.87 2026-01-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 18 — — $26,913.45 $68,513.16 $28,286.58 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 18 — — $41,498.22 $105,641.41 $43,615.47 2026-01-13
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 17 — — $23,441.59 $57,776.91 $24,637.59 2026-01-13
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 47 34 — — $2,614.00 $39,376.13 $20,995.06 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 25 18 — — $26,429.65 $67,281.57 $27,778.10 2026-01-13
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 18 — — $23,032.96 $58,634.66 $24,208.11 2026-01-13
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 18 — — $23,764.31 $60,496.47 $24,976.78 2026-01-13
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 47 34 — — $23,090.00 $41,476.65 $32,283.33 2026-01-13
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 47 34 — — $20,326.36 $29,037.65 $24,682.01 2026-01-13
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 47 34 — — $20,326.36 $29,037.65 $24,682.01 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 18 — — $141,515.69 $360,254.44 $148,735.88 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 18 — — $39,842.22 $101,425.78 $41,874.99 2026-01-13
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 18 — — $18,972.32 $48,297.55 $19,940.30 2026-01-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 18 — — $25,811.63 $65,708.30 $27,128.55 2026-01-13
93581 CPT Transcath Closure Of Vsd 47 34 — — $2,458.00 $36,355.07 $19,406.53 2026-01-13
93582 CPT Perq Transcath Closure Pda 47 34 — — $2,458.00 $35,627.96 $19,042.98 2026-01-13
93590 CPT Perq Transcath Cls Mitral 47 34 — — $5,221.00 $36,355.07 $20,788.03 2026-01-13
93591 CPT Perq Transcath Cls Aortic 47 34 — — $5,221.00 $36,355.07 $20,788.03 2026-01-13
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 18 — — $18,934.14 $48,200.36 $19,900.17 2026-01-13
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 18 — — $21,765.91 $55,409.16 $22,876.41 2026-01-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 18 — — $40,733.46 $103,694.56 $42,811.69 2026-01-13
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 18 — — $22,802.10 $58,046.97 $23,965.47 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 18 — — $44,526.85 $113,351.34 $46,798.63 2026-01-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 18 — — $24,516.55 $62,411.42 $25,767.40 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 18 — — $37,726.90 $96,040.82 $39,651.75 2026-01-13
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 18 — — $21,383.53 $54,435.74 $22,474.53 2026-01-13
974 MS_DRG HIV With Major Related Condition With Mcc 25 18 — — $17,813.84 $45,348.43 $18,722.71 2026-01-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 18 — — $28,358.86 $72,192.73 $29,805.74 2026-01-13
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 18 — — $20,894.96 $53,192.00 $21,961.03 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 47 34 — — $51,458.00 $152,209.98 $101,833.99 2026-01-13
A9604 HCPCS Sm 153 Lexidronam 47 34 — — $3,907.41 $38,279.11 $21,093.26 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 36 27 — — $49,328.79 $49,328.79 $49,328.79 2026-01-13
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 47 34 — — $14,263.00 $23,790.40 $19,026.70 2026-01-13
C9760 HCPCS Non-blind Interatrial Shunt 47 34 — — $9,350.00 $62,406.88 $35,878.44 2026-01-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 47 34 — — $3,359,624.63 $4,799,463.76 $4,079,544.19 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 47 34 — — $3,008,069.81 $4,297,242.59 $3,652,656.20 2026-01-13
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 47 34 — — $3,359,624.63 $4,799,463.76 $4,079,544.19 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 47 34 — — $2,111,764.05 $3,016,805.79 $2,564,284.92 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 47 34 — — $2,687,699.71 $3,839,571.01 $3,263,635.36 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 47 34 — — $2,891,450.53 $4,130,643.61 $3,511,047.07 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 46 34 — — $2,176,474.18 $3,109,248.83 $2,642,861.50 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 37 27 — — $4,477.63 $47,318.40 $25,898.01 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 37 27 — — $41,233.32 $93,204.50 $67,218.91 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 47 34 — — $57,414.30 $82,020.43 $69,717.37 2026-01-13
J9226 HCPCS Supprelin La Implant 47 34 — — $40,987.24 $80,920.24 $60,953.74 2026-01-13
J9266 HCPCS Pegaspargase Injection 47 34 — — $23,717.16 $38,802.15 $31,259.65 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 47 34 — — $21,940.27 $58,701.07 $40,320.67 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 44 33 — — $46,608.35 $130,503.38 $88,555.87 2026-01-13
L2006 HCPCS Dme Pos 47 34 — — $19,375.30 $54,250.84 $36,813.07 2026-01-13
L5856 HCPCS Dme Pos 47 34 — — $14,567.26 $40,788.31 $27,677.78 2026-01-13
L5858 HCPCS Dme Pos 47 34 — — $11,277.90 $31,578.11 $21,428.01 2026-01-13
L5973 HCPCS Dme Pos 47 34 — — $10,440.17 $29,232.48 $19,836.33 2026-01-13
L6880 HCPCS Dme Pos 47 34 — — $14,498.45 $40,595.66 $27,547.06 2026-01-13
L6965 HCPCS Dme Pos 47 34 — — $11,340.39 $31,753.08 $21,546.74 2026-01-13
L6970 HCPCS Dme Pos 47 34 — — $11,526.73 $32,274.84 $21,900.78 2026-01-13
L6975 HCPCS Dme Pos 47 34 — — $11,588.60 $32,448.07 $22,018.33 2026-01-13
L7180 HCPCS Dme Pos 47 34 — — $24,513.31 $68,637.27 $46,575.29 2026-01-13
L7181 HCPCS Dme Pos 47 34 — — $24,314.13 $68,079.56 $46,196.85 2026-01-13
L8614 HCPCS Dme Pos 47 34 — — $11,615.42 $32,523.16 $22,069.29 2026-01-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 47 34 — — $17,142.22 $47,998.22 $32,570.22 2026-01-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 47 34 — — $33,726.33 $94,433.72 $64,080.03 2026-01-13
Q0479 HCPCS Dme Pos 47 34 — — $7,266.43 $32,584.77 $19,925.60 2026-01-13
Q0480 HCPCS Dme Pos 47 34 — — $49,999.98 $242,987.07 $146,493.52 2026-01-13
Q0481 HCPCS Dme Pos 47 34 — — $8,817.64 $39,203.18 $24,010.41 2026-01-13
Q0483 HCPCS Dme Pos 47 34 — — $11,377.57 $50,584.60 $30,981.08 2026-01-13
Q0489 HCPCS Dme Pos 47 34 — — $9,863.74 $43,854.14 $26,858.94 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 15 — — $0.95 $633,266.80 $452,333.43 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 21 15 — — $3.14 $731,722.67 $522,659.05 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 47 34 — — $50,291.59 $112,828.07 $81,559.83 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 47 34 — — $441,959.54 $631,370.77 $536,665.16 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 47 34 — — $467,708.63 $668,155.18 $567,931.91 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 47 34 — — $478,418.18 $683,454.55 $580,936.36 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 47 34 — — $499,251.40 $713,216.28 $606,233.84 2026-01-13
S3865 HCPCS Comp Genet Test Hyp Cardiomy 37 27 — — $16,595.20 $19,498.28 $18,046.74 2026-01-13
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