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

CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM

Shreveport, LA · CCN 190041 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,162 across 17 payers · range $4,020-$29,417

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/720408982_highlandmedicalcentershreveport_standardcharges.json · observed 2026-01-12

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,606 distinct procedures filed
33 distinct payers
330,834 rate rows
2026-01-12 last MRF observed
Data quality

237,057 of 330,834 rate rows are consumer-grade (71.7%)

93,777 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 82,896
per-diem day rate — not a per-procedure price 8,123
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,664
placeholder amount (≤ $0.02) — excluded from medians 48
template filing: same amount across many unrelated codes — excluded 24
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
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/720408982_highlandmedicalcentershreveport_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-16
Content fingerprint bd2ffbf97eb2c1ed… · 165,966,661 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $3.14 $748,494.56 $534,638.97 nat. median
$691,418
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $86,293.12 $222,406.20 $91,576.37 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 17 $79,812.28 $205,702.91 $89,585.21 nat. median
$122,690
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 21 $64,703.35 $192,325.00 $75,090.08 nat. median
$98,002
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $63,974.16 $164,882.80 $68,543.75 nat. median
$96,835
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 33 $51,444.33 $83,306.75 $67,375.54 nat. median
$65,655
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $51,722.13 $133,305.21 $56,736.00 nat. median
$80,459
0.7× median
38240
CPT 		Transplt Allo Hct/donor 17 $3,584.00 $88,468.58 $55,902.51 nat. median
$13,835
outlier · 4.0×
10
MS_DRG 		Pancreas Transplant 17 $48,691.79 $125,495.02 $54,654.05 nat. median
$67,750
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $48,412.70 $124,775.70 $51,376.74 nat. median
$69,153
0.7× median
J9226
HCPCS 		Supprelin La Implant 33 $41,604.48 $59,895.30 $50,749.89 nat. median
$55,200
0.9× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 27 $49,328.79 $49,328.79 $49,328.79 nat. median
$4,125
outlier · 12.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $45,584.50 $117,486.51 $48,375.39 nat. median
$71,485
0.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $47,669.00 $71,424.54 $47,669.00 nat. median
$62,767
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $43,376.80 $111,796.50 $46,475.14 nat. median
$66,640
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $42,483.94 $109,495.31 $45,085.00 nat. median
$65,958
0.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 $40,946.17 $105,531.98 $44,915.44 nat. median
$62,262
0.7× median
C9760
HCPCS 		Non-blind Interatrial Shunt 33 $6,970.00 $79,916.45 $43,443.22 nat. median
$27,848
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $39,495.74 $101,793.73 $41,913.85 nat. median
$62,218
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 21 $37,128.03 $95,691.33 $41,535.00 nat. median
$56,970
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 $37,608.66 $96,930.07 $39,911.23 nat. median
$59,159
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $35,051.00 $90,338.16 $38,448.81 nat. median
$57,394
0.7× median
100T
OTHER 		Prosth Retina Receive&gen 5 $4,607.00 $355,986.45 $38,402.00 nat. median
$6,568
outlier · 5.8×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 $35,557.28 $91,643.00 $37,734.26 nat. median
$56,397
0.7× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 17 $33,229.26 $85,642.91 $37,298.15 nat. median
$53,073
0.7× median
653
MS_DRG 		Major Bladder Procedures With Mcc 18 $34,044.56 $87,744.20 $36,128.93 nat. median
$51,176
0.7× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $33,614.01 $86,634.53 $36,015.01 nat. median
$53,080
0.7× median
614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 33 $4,095.00 $66,954.70 $35,524.85 nat. median
$23,907
1.5× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 21 $30,433.44 $122,228.00 $35,318.87 nat. median
$50,071
0.7× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 18 $31,452.10 $93,541.00 $35,303.38 nat. median
$50,178
0.7× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 18 $33,153.54 $85,447.74 $35,183.35 nat. median
$52,517
0.7× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 18 $32,984.37 $85,011.74 $35,003.82 nat. median
$51,984
0.7× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 $32,953.23 $84,931.47 $34,970.77 nat. median
$52,447
0.7× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 $32,949.56 $84,922.02 $34,966.88 nat. median
$48,311
0.7× median
414T
OTHER 		Rmvl & Rpl Car Modulj Pls Gn 33 $4,607.00 $64,253.17 $34,430.08 nat. median
$23,560
1.5× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 18 $31,347.67 $80,793.42 $34,386.48 nat. median
$50,808
0.7× median
520T
OTHER 		Rmv&rplcmt Pg Wcs Lv Battery 33 $4,705.00 $63,921.71 $34,313.36 nat. median
$15,205
outlier · 2.3×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 19 $31,113.16 $80,189.00 $34,129.23 nat. median
$48,652
0.7× median
6
MS_DRG 		Liver Transplant Without Mcc 17 $29,614.48 $76,326.41 $33,240.75 nat. median
$46,106
0.7× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 18 $31,017.89 $79,943.46 $32,916.95 nat. median
$48,124
0.7× median
J9600
HCPCS 		Porfimer Sodium Injection 33 $22,443.17 $43,342.01 $32,892.59 nat. median
$29,477
1.1× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 18 $30,555.58 $78,751.94 $32,426.32 nat. median
$49,784
0.7× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 18 $29,164.39 $75,166.37 $30,949.97 nat. median
$45,588
0.7× median
799
MS_DRG 		Splenic Procedures With Mcc 18 $29,037.97 $74,840.55 $30,815.81 nat. median
$44,811
0.7× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 $28,578.10 $73,655.33 $30,327.78 nat. median
$44,650
0.7× median
163
MS_DRG 		Major Chest Procedures With Mcc 18 $28,148.78 $72,548.81 $29,872.17 nat. median
$44,914
0.7× median
J9266
HCPCS 		Pegaspargase Injection 33 $23,717.16 $35,822.65 $29,769.90 nat. median
$32,688
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 18 $28,043.13 $72,276.51 $29,760.06 nat. median
$44,514
0.7× median
923T
OTHER 		Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 33 $20,792.26 $38,402.00 $29,597.13 nat. median
$23,856
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 $27,552.73 $71,012.58 $29,239.63 nat. median
$43,549
0.7× median

Other procedures at this hospital

Browse this hospital's 7,606 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 22 15 — — $3.14 $748,494.56 $534,638.97 2026-01-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 18 — — $86,293.12 $222,406.20 $91,576.37 2026-01-12
7 MS_DRG Lung Transplant 21 17 — — $79,812.28 $205,702.91 $89,585.21 2026-01-12
215 MS_DRG Other Heart Assist System Implant 32 21 — — $64,703.35 $192,325.00 $75,090.08 2026-01-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 18 — — $63,974.16 $164,882.80 $68,543.75 2026-01-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 49 33 — — $51,444.33 $83,306.75 $67,375.54 2026-01-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 19 — — $51,722.13 $133,305.21 $56,736.00 2026-01-12
38240 CPT Transplt Allo Hct/donor 27 17 — — $3,584.00 $88,468.58 $55,902.51 2026-01-12
10 MS_DRG Pancreas Transplant 21 17 — — $48,691.79 $125,495.02 $54,654.05 2026-01-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 18 — — $48,412.70 $124,775.70 $51,376.74 2026-01-12
J9226 HCPCS Supprelin La Implant 49 33 — — $41,604.48 $59,895.30 $50,749.89 2026-01-12
A9699 HCPCS Radiopharm Rx Agent Noc 38 27 — — $49,328.79 $49,328.79 $49,328.79 2026-01-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 18 — — $45,584.50 $117,486.51 $48,375.39 2026-01-12
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $47,669.00 $71,424.54 $47,669.00 2026-01-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 18 — — $43,376.80 $111,796.50 $46,475.14 2026-01-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 18 — — $42,483.94 $109,495.31 $45,085.00 2026-01-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 18 — — $40,946.17 $105,531.98 $44,915.44 2026-01-12
C9760 HCPCS Non-blind Interatrial Shunt 49 33 — — $6,970.00 $79,916.45 $43,443.22 2026-01-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 18 — — $39,495.74 $101,793.73 $41,913.85 2026-01-12
28 MS_DRG Spinal Procedures With Mcc 30 21 — — $37,128.03 $95,691.33 $41,535.00 2026-01-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 18 — — $37,608.66 $96,930.07 $39,911.23 2026-01-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 19 — — $35,051.00 $90,338.16 $38,448.81 2026-01-12
100T OTHER Prosth Retina Receive&gen 9 5 — — $4,607.00 $355,986.45 $38,402.00 2026-01-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 18 — — $35,557.28 $91,643.00 $37,734.26 2026-01-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 17 — — $33,229.26 $85,642.91 $37,298.15 2026-01-12
653 MS_DRG Major Bladder Procedures With Mcc 26 18 — — $34,044.56 $87,744.20 $36,128.93 2026-01-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 18 — — $33,614.01 $86,634.53 $36,015.01 2026-01-12
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 49 33 — — $4,095.00 $66,954.70 $35,524.85 2026-01-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 21 — — $30,433.44 $122,228.00 $35,318.87 2026-01-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 18 — — $31,452.10 $93,541.00 $35,303.38 2026-01-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 18 — — $33,153.54 $85,447.74 $35,183.35 2026-01-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 18 — — $32,984.37 $85,011.74 $35,003.82 2026-01-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 18 — — $32,953.23 $84,931.47 $34,970.77 2026-01-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 18 — — $32,949.56 $84,922.02 $34,966.88 2026-01-12
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 49 33 — — $4,607.00 $64,253.17 $34,430.08 2026-01-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 18 — — $31,347.67 $80,793.42 $34,386.48 2026-01-12
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 49 33 — — $4,705.00 $63,921.71 $34,313.36 2026-01-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 19 — — $31,113.16 $80,189.00 $34,129.23 2026-01-12
6 MS_DRG Liver Transplant Without Mcc 21 17 — — $29,614.48 $76,326.41 $33,240.75 2026-01-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 18 — — $31,017.89 $79,943.46 $32,916.95 2026-01-12
J9600 HCPCS Porfimer Sodium Injection 49 33 — — $22,443.17 $43,342.01 $32,892.59 2026-01-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 18 — — $30,555.58 $78,751.94 $32,426.32 2026-01-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 18 — — $29,164.39 $75,166.37 $30,949.97 2026-01-12
799 MS_DRG Splenic Procedures With Mcc 26 18 — — $29,037.97 $74,840.55 $30,815.81 2026-01-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 18 — — $28,578.10 $73,655.33 $30,327.78 2026-01-12
163 MS_DRG Major Chest Procedures With Mcc 26 18 — — $28,148.78 $72,548.81 $29,872.17 2026-01-12
J9266 HCPCS Pegaspargase Injection 49 33 — — $23,717.16 $35,822.65 $29,769.90 2026-01-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 18 — — $28,043.13 $72,276.51 $29,760.06 2026-01-12
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 49 33 — — $20,792.26 $38,402.00 $29,597.13 2026-01-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 18 — — $27,552.73 $71,012.58 $29,239.63 2026-01-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 19 — — $26,370.40 $73,408.00 $28,926.72 2026-01-12
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 31 20 — — $552.64 $40,325.95 $28,804.25 2026-01-12
64568 CPT Opn Impltj Crnl Nrv Nea&pg 35 21 — — $552.64 $81,053.54 $28,804.25 2026-01-12
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 31 20 — — $483.29 $40,325.95 $28,804.25 2026-01-12
901 MS_DRG Wound Debridements For Injuries With Mcc 26 18 — — $27,057.45 $69,736.07 $28,714.03 2026-01-12
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $28,485.00 $42,679.95 $28,485.00 2026-01-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 18 — — $26,827.21 $69,142.67 $28,469.69 2026-01-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 18 — — $26,051.00 $67,142.12 $27,645.96 2026-01-12
140 MS_DRG Major Head And Neck Procedures With Mcc 26 18 — — $25,828.09 $66,567.61 $27,409.40 2026-01-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 18 — — $24,938.29 $64,274.29 $27,355.77 2026-01-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 18 — — $25,592.36 $65,960.04 $27,159.24 2026-01-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 18 — — $25,586.24 $65,944.30 $27,152.75 2026-01-12
398T OTHER Mrgfus Strtctc Les Abltj 39 27 — — $3,045.00 $50,856.45 $26,950.72 2026-01-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 18 — — $25,098.90 $64,688.25 $26,635.57 2026-01-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 18 — — $25,061.65 $64,592.24 $26,596.03 2026-01-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 18 — — $24,839.96 $64,020.88 $26,360.78 2026-01-12
93591 CPT Perq Transcath Cls Aortic 49 33 — — $6,131.00 $46,555.25 $26,343.12 2026-01-12
93590 CPT Perq Transcath Cls Mitral 49 33 — — $6,131.00 $46,555.25 $26,343.12 2026-01-12
791 MS_DRG Prematurity With Major Problems 23 17 — — $24,794.16 $63,902.83 $26,059.16 2026-01-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 18 — — $24,328.79 $62,703.44 $25,818.32 2026-01-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 18 — — $24,311.69 $62,659.37 $25,800.17 2026-01-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 18 — — $24,096.73 $62,105.32 $25,572.04 2026-01-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 18 — — $24,047.26 $61,977.82 $25,519.54 2026-01-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 18 — — $23,880.53 $61,548.12 $25,380.64 2026-01-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 18 — — $23,892.15 $61,578.03 $25,354.93 2026-01-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 17 — — $23,998.41 $53,544.73 $25,222.82 2026-01-12
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 2 — — $25,174.00 $25,174.00 $25,174.00 2026-01-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 18 — — $23,580.06 $60,773.71 $25,023.74 2026-01-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 18 — — $23,514.11 $60,603.72 $24,953.75 2026-01-12
93581 CPT Transcath Closure Of Vsd 49 33 — — $3,045.00 $46,555.25 $24,800.12 2026-01-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 18 — — $23,036.54 $59,372.85 $24,446.93 2026-01-12
93582 CPT Perq Transcath Closure Pda 49 33 — — $3,045.00 $45,624.14 $24,334.57 2026-01-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 18 — — $22,852.72 $58,899.08 $24,251.86 2026-01-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 21 — — $20,715.23 $58,129.00 $24,040.61 2026-01-12
252 MS_DRG Other Vascular Procedures With Mcc 32 21 — — $20,949.74 $53,994.50 $23,577.51 2026-01-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 18 — — $22,128.41 $57,032.32 $23,483.21 2026-01-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 18 — — $21,892.68 $56,424.75 $23,233.04 2026-01-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 18 — — $21,891.46 $56,421.60 $23,231.75 2026-01-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 18 — — $21,035.25 $54,214.86 $23,074.38 2026-01-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 18 — — $21,687.48 $55,895.89 $23,015.28 2026-01-12
22856 CPT Tot Disc Arthrp 1ntrspc Crv 49 33 — — $4,020.00 $41,988.04 $23,004.02 2026-01-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 19 — — $20,917.99 $53,912.65 $22,945.76 2026-01-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 18 — — $21,500.60 $55,414.24 $22,816.97 2026-01-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 18 — — $21,391.29 $55,132.50 $22,700.97 2026-01-12
332 MS_DRG Rectal Resection With Mcc 26 18 — — $21,183.65 $54,597.34 $22,480.61 2026-01-12
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 18 — — $21,160.44 $54,537.53 $22,455.98 2026-01-12
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 2 — — $22,437.00 $22,437.00 $22,437.00 2026-01-12
264 MS_DRG Other Circulatory System O.r. Procedures 32 21 — — $16,071.00 $55,012.87 $22,433.89 2026-01-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 21 — — $20,499.65 $52,834.46 $22,354.00 2026-01-12
665 MS_DRG Prostatectomy With Mcc 26 18 — — $20,969.29 $54,044.86 $22,253.12 2026-01-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 21 — — $18,970.44 $78,827.00 $22,015.74 2026-01-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 19 — — $19,962.23 $51,647.00 $21,897.34 2026-01-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 18 — — $20,164.99 $51,971.91 $21,399.58 2026-01-12
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 18 — — $18,846.47 $55,896.00 $21,154.20 2026-01-12
315U OTHER Onc Cutan Sq Cll Ca Mrna 40 49 33 — — $8,330.00 $33,945.63 $21,137.81 2026-01-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 18 — — $19,905.44 $51,302.96 $21,124.14 2026-01-12
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 18 — — $19,569.54 $50,437.26 $20,767.68 2026-01-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 18 — — $19,475.50 $50,194.86 $20,667.88 2026-01-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 18 — — $19,383.89 $49,958.76 $20,570.65 2026-01-12
500 MS_DRG Soft Tissue Procedures With Mcc 26 18 — — $19,351.52 $49,875.34 $20,536.31 2026-01-12
64580 CPT Opn Impltj Nea Neuromuscular 27 17 — — $1,638.00 $53,379.99 $20,269.67 2026-01-12
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 31 20 — — $552.64 $28,377.54 $20,269.67 2026-01-12
662 MS_DRG Minor Bladder Procedures With Mcc 26 18 — — $19,051.66 $49,102.50 $20,218.08 2026-01-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 18 — — $18,885.55 $48,674.38 $20,041.81 2026-01-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 18 — — $12,838.00 $49,124.54 $20,032.68 2026-01-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 18 — — $18,833.03 $48,539.01 $19,986.08 2026-01-12
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 18 — — $18,740.21 $48,299.76 $19,887.57 2026-01-12
570 MS_DRG Skin Debridement With Mcc 26 18 — — $18,383.55 $47,380.55 $19,509.07 2026-01-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 18 — — $18,007.35 $46,410.96 $19,109.85 2026-01-12
C9757 HCPCS Spine Device Implant Surgery 49 33 — — $3,584.00 $34,583.46 $19,083.73 2026-01-12
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 18 — — $17,385.65 $44,808.63 $19,070.99 2026-01-12
54411 CPT Remov/replc Penis Pros Comp 27 17 — — $721.00 $45,617.86 $19,025.92 2026-01-12
53447 CPT Remove/replace Ur Sphincter 35 21 — — $360.84 $44,705.50 $19,025.92 2026-01-12
54410 CPT Remove/replace Penis Prosth 35 21 — — $552.64 $45,617.86 $19,025.92 2026-01-12
54416 CPT Remv/repl Penis Contain Pros 35 21 — — $552.64 $45,617.86 $19,025.92 2026-01-12
668 MS_DRG Transurethral Procedures With Mcc 26 18 — — $17,810.10 $45,902.56 $18,900.51 2026-01-12
800 MS_DRG Splenic Procedures With Cc 26 18 — — $17,794.83 $45,863.21 $18,884.31 2026-01-12
211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 49 33 — — $3,675.00 $33,765.89 $18,720.44 2026-01-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 30 19 — — $16,650.96 $51,882.00 $18,689.86 2026-01-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 18 — — $17,509.62 $45,128.15 $18,581.64 2026-01-12
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 18 — — $17,454.66 $44,986.49 $18,523.31 2026-01-12
654 MS_DRG Major Bladder Procedures With Cc 26 18 — — $17,234.81 $44,419.85 $18,290.00 2026-01-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 18 — — $17,151.14 $44,204.22 $18,201.21 2026-01-12
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 21 — — $15,979.19 $41,183.71 $17,935.83 2026-01-12
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 49 33 — — $7,049.14 $28,725.96 $17,887.55 2026-01-12
253 MS_DRG Other Vascular Procedures With Cc 32 21 — — $15,591.39 $40,184.22 $17,767.77 2026-01-12
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 18 — — $16,591.12 $42,760.86 $17,606.90 2026-01-12
92997 CPT Pul Art Balloon Repr Percut 49 33 — — $4,607.00 $30,543.40 $17,575.20 2026-01-12
92990 CPT Revision Of Pulmonary Valve 49 33 — — $4,607.00 $30,543.40 $17,575.20 2026-01-12
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 19 — — $16,020.72 $41,290.74 $17,573.74 2026-01-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 18 — — $16,455.54 $42,411.43 $17,463.03 2026-01-12
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 18 — — $16,390.20 $42,243.01 $17,393.67 2026-01-12
263 MS_DRG Vein Ligation And Stripping 30 21 — — $12,332.00 $42,216.25 $17,382.67 2026-01-12
25446 CPT Wrist Replacement 35 21 — — $1,078.18 $44,668.13 $17,382.64 2026-01-12
24363 CPT Replace Elbow Joint 35 21 — — $1,078.18 $44,668.13 $17,382.64 2026-01-12
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 35 21 — — $682.67 $44,668.13 $17,382.64 2026-01-12
24361 CPT Reconstruct Elbow Joint 35 21 — — $776.94 $44,668.13 $17,382.64 2026-01-12
25442 CPT Reconstruct Wrist Joint 35 21 — — $776.94 $44,668.13 $17,382.64 2026-01-12
24371 CPT Revise Reconst Elbow Joint 35 21 — — $776.94 $44,668.13 $17,382.64 2026-01-12
21243 CPT Reconstruction Of Jaw Joint 35 21 — — $776.94 $44,668.13 $17,382.64 2026-01-12
849 MS_DRG Radiotherapy 26 18 — — $16,312.64 $42,043.11 $17,311.38 2026-01-12
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 26 18 — — $16,261.94 $41,912.47 $17,257.57 2026-01-12
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 18 — — $16,183.78 $41,711.00 $17,174.62 2026-01-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 18 — — $16,146.52 $41,614.99 $17,135.08 2026-01-12
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 19 — — $15,562.08 $40,108.67 $17,070.65 2026-01-12
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 26 18 — — $15,808.80 $40,744.56 $16,776.68 2026-01-12
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 28 18 — — $15,281.15 $40,566.00 $16,762.49 2026-01-12
267U OTHER Rare Do Id Opt Gen Mapg&seq 49 33 — — $6,604.54 $26,914.18 $16,759.36 2026-01-12
27130 CPT Total Hip Arthroplasty 49 33 — — $4,020.00 $29,417.21 $16,718.60 2026-01-12
27447 CPT Total Knee Arthroplasty 49 33 — — $4,020.00 $29,417.21 $16,718.60 2026-01-12
27446 CPT Revision Of Knee Joint 49 33 — — $3,584.00 $29,417.21 $16,500.60 2026-01-12
27440 CPT Revision Of Knee Joint 49 33 — — $3,584.00 $29,417.21 $16,500.60 2026-01-12
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 35 21 — — $776.94 $25,152.30 $16,445.27 2026-01-12
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 18 — — $15,482.07 $39,902.47 $16,429.95 2026-01-12
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 32 21 — — $14,123.25 $46,960.00 $16,390.43 2026-01-12
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 18 — — $15,419.78 $39,741.93 $16,363.84 2026-01-12
29907 CPT Subtalar Arthro W/fusion 49 33 — — $3,236.00 $29,417.21 $16,326.60 2026-01-12
164 MS_DRG Major Chest Procedures With Cc 26 18 — — $15,371.54 $39,617.58 $16,312.65 2026-01-12
23472 CPT Reconstruct Shoulder Joint 49 33 — — $3,045.00 $29,417.21 $16,231.10 2026-01-12
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 32 21 — — $13,758.04 $40,637.00 $15,966.60 2026-01-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 18 — — $14,828.62 $38,218.29 $15,736.49 2026-01-12
792 MS_DRG Prematurity Without Major Problems 23 17 — — $14,960.52 $38,558.28 $15,723.82 2026-01-12
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 26 18 — — $14,724.79 $37,950.71 $15,626.31 2026-01-12
23470 CPT Reconstruct Shoulder Joint 49 33 — — $3,584.00 $27,652.16 $15,618.08 2026-01-12
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 18 — — $14,663.11 $37,791.74 $15,560.85 2026-01-12
24346 CPT Reconstruct Elbow Med Ligmnt 49 33 — — $3,072.00 $27,652.16 $15,362.08 2026-01-12
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 49 33 — — $2,293.00 $28,377.54 $15,335.27 2026-01-12
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 49 33 — — $2,293.00 $28,377.54 $15,335.27 2026-01-12
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 18 — — $14,435.32 $37,204.64 $15,319.12 2026-01-12
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 2 — — $15,301.00 $15,301.00 $15,301.00 2026-01-12
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 18 — — $14,412.12 $37,144.83 $15,294.49 2026-01-12
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 26 18 — — $14,169.66 $36,519.95 $15,037.19 2026-01-12
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 18 — — $14,136.69 $36,434.95 $15,002.20 2026-01-12
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 49 33 — — $4,705.00 $25,237.02 $14,971.01 2026-01-12
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 18 — — $14,097.59 $36,334.22 $14,960.72 2026-01-12
632T OTHER Perq Tcat US Abltj Nrv P-art 49 33 — — $6,131.00 $23,762.27 $14,946.64 2026-01-12
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 18 — — $13,987.06 $36,049.32 $14,843.42 2026-01-12
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 26 18 — — $13,944.31 $35,939.14 $14,798.05 2026-01-12
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 26 18 — — $13,838.66 $35,666.84 $14,685.92 2026-01-12
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 26 18 — — $13,791.63 $35,545.64 $14,636.01 2026-01-12
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 26 18 — — $13,791.02 $35,544.07 $14,635.36 2026-01-12
113 MS_DRG Orbital Procedures With Cc/mcc 26 18 — — $13,781.25 $35,518.88 $14,625.00 2026-01-12
357 MS_DRG Other Digestive System O.r. Procedures With Cc 26 18 — — $13,753.15 $35,446.48 $14,595.18 2026-01-12
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 26 18 — — $13,735.44 $35,400.83 $14,576.39 2026-01-12
709 MS_DRG Penis Procedures With Cc/mcc 26 18 — — $13,723.23 $35,369.35 $14,563.43 2026-01-12
553T OTHER Perq Tcat Iliac Anast Implt 39 27 — — $3,045.00 $25,961.88 $14,503.44 2026-01-12
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 26 18 — — $13,633.46 $35,137.98 $14,468.16 2026-01-12
30 MS_DRG Spinal Procedures Without Cc/mcc 30 21 — — $12,308.00 $35,027.80 $14,422.79 2026-01-12
645T OTHER Tcat Impltj C Sins Rdctj Dev 49 33 — — $5,019.00 $23,762.27 $14,390.64 2026-01-12
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 18 — — $13,431.93 $34,618.56 $14,254.29 2026-01-12
935 MS_DRG Non-extensive Burns 26 18 — — $13,413.60 $34,571.34 $14,234.84 2026-01-12
793T OTHER Prq Tcat Thrm Ablt Nrv P-art 49 33 — — $4,705.00 $23,762.27 $14,233.64 2026-01-12
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 26 18 — — $13,306.72 $34,295.89 $14,121.42 2026-01-12
27415 CPT Osteochondral Knee Allograft 49 33 — — $3,236.00 $25,004.62 $14,120.31 2026-01-12
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 18 — — $13,248.10 $34,144.78 $14,059.20 2026-01-12
22852 CPT Remove Spine Fixation Device 39 27 — — $3,045.00 $25,004.62 $14,024.81 2026-01-12
22855 CPT Removal Anterior Instrmj 39 27 — — $3,045.00 $25,004.62 $14,024.81 2026-01-12
22850 CPT Remove Spine Fixation Device 39 27 — — $3,045.00 $25,004.62 $14,024.81 2026-01-12
22849 CPT Reinsert Spinal Fixation 39 27 — — $3,045.00 $25,004.62 $14,024.81 2026-01-12
314 MS_DRG Other Circulatory System Diagnoses With Mcc 26 18 — — $13,151.61 $33,896.09 $13,956.81 2026-01-12
141 MS_DRG Major Head And Neck Procedures With Cc 26 18 — — $13,121.07 $33,817.39 $13,924.41 2026-01-12
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 18 — — $13,095.43 $33,751.28 $13,897.18 2026-01-12
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 26 18 — — $13,043.52 $33,617.49 $13,842.10 2026-01-12
32 MS_DRG Ventricular Shunt Procedures With Cc 26 18 — — $13,042.29 $33,614.34 $13,840.79 2026-01-12
333 MS_DRG Rectal Resection With Cc 26 18 — — $12,979.38 $33,452.22 $13,774.04 2026-01-12
C9751 HCPCS Microwave Bronch, 3d, Ebus 49 33 — — $3,474.15 $23,975.95 $13,725.05 2026-01-12
595 MS_DRG Major Skin Disorders With Mcc 26 18 — — $12,917.10 $33,291.67 $13,707.94 2026-01-12
27702 CPT Reconstruct Ankle Joint 49 33 — — $3,045.00 $24,335.70 $13,690.35 2026-01-12
336 MS_DRG Peritoneal Adhesiolysis With Cc 26 18 — — $12,899.99 $33,247.60 $13,689.79 2026-01-12
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 18 — — $12,894.50 $33,233.44 $13,683.95 2026-01-12
81554 CPT Pulm Ds Ipf Mrna 190 Gen Alg 49 33 — — $5,336.10 $21,964.80 $13,650.45 2026-01-12
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 26 18 — — $12,841.98 $33,098.07 $13,628.22 2026-01-12
265U OTHER Rar Do Whl Gn&mtcdrl DNA Als 49 33 — — $5,366.28 $21,868.14 $13,617.21 2026-01-12
212U OTHER Rare Ds Gen DNA Alys Proband 49 33 — — $5,365.70 $21,865.77 $13,615.74 2026-01-12
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 26 18 — — $12,766.86 $32,904.47 $13,548.51 2026-01-12
63620 CPT Srs Spinal Lesion 39 27 — — $3,045.00 $24,024.00 $13,534.50 2026-01-12
63621 CPT Srs Spinal Lesion Addl 39 27 — — $3,045.00 $24,024.00 $13,534.50 2026-01-12
61799 CPT Srs Cran Les Complex Addl 39 27 — — $3,045.00 $24,024.00 $13,534.50 2026-01-12
61798 CPT Srs Cranial Lesion Complex 39 27 — — $3,045.00 $24,024.00 $13,534.50 2026-01-12
61797 CPT Srs Cran Les Simple Addl 39 27 — — $3,045.00 $24,024.00 $13,534.50 2026-01-12
61796 CPT Srs Cranial Lesion Simple 39 27 — — $3,045.00 $24,024.00 $13,534.50 2026-01-12
65770 CPT Revise Cornea With Implant 35 21 — — $1,078.18 $26,697.65 $13,506.54 2026-01-12
655 MS_DRG Major Bladder Procedures Without Cc/mcc 26 18 — — $12,686.25 $32,696.70 $13,462.95 2026-01-12
592 MS_DRG Skin Ulcers With Mcc 26 18 — — $12,558.00 $32,366.16 $13,326.86 2026-01-12
C9797 HCPCS Vasc Emb/occ W/prs Cath 49 33 — — $2,559.00 $23,762.27 $13,160.64 2026-01-12
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 2 — — $13,116.00 $13,116.00 $13,116.00 2026-01-12
539 MS_DRG Osteomyelitis With Mcc 26 18 — — $12,350.97 $31,832.58 $13,107.15 2026-01-12
908 MS_DRG Other O.r. Procedures For Injuries With Cc 26 18 — — $12,318.60 $31,749.15 $13,072.80 2026-01-12
548 MS_DRG Septic Arthritis With Mcc 26 18 — — $12,303.33 $31,709.80 $13,056.59 2026-01-12
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 26 18 — — $12,290.51 $31,676.75 $13,042.99 2026-01-12
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 26 18 — — $12,285.62 $31,664.16 $13,037.81 2026-01-12
335U OTHER Rare Ds Whl Gen Seq Feta 49 33 — — $5,120.11 $20,864.97 $12,992.54 2026-01-12
214U OTHER Rare Ds Xom DNA Alys Proband 49 33 — — $5,120.11 $20,864.97 $12,992.54 2026-01-12
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 26 18 — — $12,204.40 $31,454.82 $12,951.60 2026-01-12
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 26 18 — — $12,194.02 $31,428.06 $12,940.60 2026-01-12
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 26 18 — — $12,139.66 $31,287.97 $12,882.91 2026-01-12
100 MS_DRG Seizures With Mcc 26 18 — — $12,124.39 $31,248.62 $12,866.70 2026-01-12
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 32 21 — — $11,021.46 $31,488.00 $12,790.72 2026-01-12
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 18 — — $12,049.28 $31,055.02 $12,786.99 2026-01-12
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 18 — — $11,982.71 $30,883.45 $12,716.35 2026-01-12
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 26 18 — — $11,977.22 $30,869.29 $12,710.51 2026-01-12
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 26 18 — — $11,935.08 $30,760.68 $12,665.80 2026-01-12
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 28 19 — — $11,514.91 $31,518.00 $12,631.15 2026-01-12
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 49 33 — — $1,450.94 $23,762.27 $12,606.60 2026-01-12
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 49 33 — — $1,450.94 $23,762.27 $12,606.60 2026-01-12
33902 CPT Perq P-art Revsc 1 Abnor Uni 49 33 — — $1,450.94 $23,762.27 $12,606.60 2026-01-12
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 26 18 — — $11,851.41 $30,545.04 $12,577.01 2026-01-12
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 26 18 — — $11,836.75 $30,507.27 $12,561.45 2026-01-12
242U OTHER Trgt Gen Seq Alys Pnl 55-74 49 33 — — $4,900.00 $19,968.00 $12,434.00 2026-01-12
326U OTHER Trgt Gen Seq Alys Pnl 83+ 49 33 — — $4,900.00 $19,968.00 $12,434.00 2026-01-12
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 18 — — $11,681.63 $30,107.47 $12,396.83 2026-01-12
711 MS_DRG Testes Procedures With Cc/mcc 26 18 — — $11,668.19 $30,072.84 $12,382.58 2026-01-12
902 MS_DRG Wound Debridements For Injuries With Cc 26 18 — — $11,588.80 $29,868.22 $12,298.33 2026-01-12
58543 CPT Lsh Uterus Above 250 G 49 33 — — $2,491.00 $22,072.29 $12,281.65 2026-01-12
54417 CPT Remv/replc Penis Pros Compl 27 17 — — $1,352.00 $45,617.86 $12,280.70 2026-01-12
53440 CPT Male Sling Procedure 35 21 — — $483.29 $22,074.73 $12,280.70 2026-01-12
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 26 18 — — $11,562.55 $29,800.54 $12,270.47 2026-01-12
205 MS_DRG Other Respiratory System Diagnoses With Mcc 26 18 — — $11,528.96 $29,713.97 $12,234.81 2026-01-12
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 26 18 — — $11,514.29 $29,676.20 $12,219.25 2026-01-12
254 MS_DRG Other Vascular Procedures Without Cc/mcc 32 21 — — $10,683.73 $27,535.56 $12,165.98 2026-01-12
23615 CPT Optx Prox Humrl Fx W/int Fix 35 21 — — $682.67 $28,828.86 $12,161.98 2026-01-12
25491 CPT Reinforce Ulna 35 21 — — $552.64 $29,417.21 $12,161.98 2026-01-12
24587 CPT Treat Elbow Fracture 35 21 — — $776.94 $29,417.21 $12,161.98 2026-01-12
27828 CPT Treat Lower Leg Fracture 35 21 — — $682.67 $27,652.16 $12,161.98 2026-01-12
27443 CPT Revision Of Knee Joint 35 21 — — $776.94 $29,417.21 $12,161.98 2026-01-12
27442 CPT Revision Of Knee Joint 35 21 — — $776.94 $28,828.86 $12,161.98 2026-01-12
25365 CPT Revise Radius & Ulna 35 21 — — $552.64 $29,417.21 $12,161.98 2026-01-12
23680 CPT Optx Sho Dislc Neck Fx Fixj 35 21 — — $552.64 $22,357.08 $12,161.98 2026-01-12
24575 CPT Treat Humerus Fracture 35 21 — — $552.64 $28,828.86 $12,161.98 2026-01-12
27438 CPT Revise Kneecap With Implant 35 21 — — $776.94 $29,417.21 $12,161.98 2026-01-12
27429 CPT Reconstruction Knee 35 21 — — $682.67 $27,652.16 $12,161.98 2026-01-12
27441 CPT Revision Of Knee Joint 35 21 — — $776.94 $29,417.21 $12,161.98 2026-01-12
24370 CPT Revise Reconst Elbow Joint 35 21 — — $776.94 $29,417.21 $12,161.98 2026-01-12
25444 CPT Reconstruct Wrist Joint 35 21 — — $776.94 $29,417.21 $12,161.98 2026-01-12
24366 CPT Reconstruct Head Of Radius 35 21 — — $776.94 $25,004.62 $12,161.98 2026-01-12
23485 CPT Revision Of Collar Bone 35 21 — — $1,078.18 $28,828.86 $12,161.98 2026-01-12
27428 CPT Reconstruction Knee 35 21 — — $682.67 $25,004.62 $12,161.98 2026-01-12
24435 CPT Repair Humerus With Graft 35 21 — — $682.67 $29,417.21 $12,161.98 2026-01-12
23491 CPT Reinforce Shoulder Bones 35 21 — — $552.64 $29,417.21 $12,161.98 2026-01-12
27827 CPT Treat Lower Leg Fracture 35 21 — — $552.64 $27,652.16 $12,161.98 2026-01-12
24579 CPT Treat Humerus Fracture 35 21 — — $552.64 $28,828.86 $12,161.98 2026-01-12
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 31 20 — — $360.84 $17,026.77 $12,161.98 2026-01-12
24545 CPT Treat Humerus Fracture 35 21 — — $682.67 $29,417.21 $12,161.98 2026-01-12
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