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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 CENTRAL LOUISIANA SURGICAL HOSPITAL

Alexandria, LA · CCN 190298 · Rates published

15,295 distinct procedures filed
14 distinct payers
328,602 rate rows
2026-01-08 last MRF observed
Data quality

258,012 of 328,602 rate rows are consumer-grade (78.5%)

70,590 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 63,466
per-diem day rate — not a per-procedure price 4,682
placeholder amount (≤ $0.02) — excluded from medians 1,639
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 779
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
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/264732898_centrallouisianasurgicalhospital_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 52e2d0aa7f4b9f8f… · 70,531,337 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 14 $3,529,026.20 $9,775,402.57 $6,180,207.13 nat. median
$3,508,750
1.8× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,529,026.20 $9,775,402.57 $6,180,207.13 nat. median
$3,685,267
1.7× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,159,745.01 $8,752,493.68 $5,533,503.45 nat. median
$3,325,455
1.7× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 14 $3,037,245.46 $8,413,169.92 $5,318,976.11 nat. median
$3,248,446
1.6× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 14 $2,823,220.96 $7,820,322.06 $4,944,165.71 nat. median
$2,968,000
1.7× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $2,286,218.03 $6,332,823.94 $4,003,739.33 nat. median
$2,455,111
1.6× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 14 $2,218,245.04 $6,144,538.76 $3,884,701.62 nat. median
$2,332,000
1.7× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $538,032.71 $1,490,350.61 $997,797.67 nat. median
$621,313
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $524,425.03 $1,452,657.33 $972,561.83 nat. median
$599,737
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $502,541.35 $1,392,039.54 $931,977.89 nat. median
$574,037
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $491,291.78 $1,360,878.23 $911,115.23 nat. median
$579,571
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $464,244.36 $1,285,956.88 $860,951.15 nat. median
$513,770
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $0.95 $1,289,818.65 $706,533.28 nat. median
$562,501
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $1,173.72 $591,400.83 $230,384.90 nat. median
$168,055
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $1,173.72 $441,726.83 $172,545.96 nat. median
$186,516
0.9× median
Q0480
HCPCS 		Dme Pos 14 $49,999.98 $276,999.89 $168,874.93 nat. median
$108,243
1.6× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 14 $46,608.35 $258,210.26 $157,419.70 nat. median
$95,583
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $1,173.72 $372,013.83 $148,884.13 nat. median
$131,925
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $1,173.72 $336,083.93 $134,592.60 nat. median
$145,435
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 14 $33,726.33 $186,843.87 $113,910.68 nat. median
$68,802
1.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 14 $60,309.29 $167,056.73 $104,156.97 nat. median
$66,211
1.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 14 $52,827.43 $146,331.98 $91,560.73 nat. median
$63,499
1.4× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 14 $54,052.65 $149,725.84 $90,157.57 nat. median
$65,477
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $1,173.72 $221,582.43 $89,048.33 nat. median
$97,418
0.9× median
L7180
HCPCS 		Dme Pos 14 $24,513.31 $135,803.74 $82,793.71 nat. median
$42,745
1.9× median
L7181
HCPCS 		Dme Pos 14 $24,314.13 $134,700.28 $82,120.97 nat. median
$48,410
1.7× median
7
MS_DRG 		Lung Transplant 13 $1,173.72 $204,941.00 $80,569.12 nat. median
$70,649
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $1,173.72 $205,458.50 $80,469.86 nat. median
$72,715
1.1× median
J9226
HCPCS 		Supprelin La Implant 14 $43,053.93 $119,259.39 $73,892.88 nat. median
$57,036
1.3× median
38240
CPT 		Transplt Allo Hct/donor 14 $6,861.00 $155,832.91 $71,567.87 nat. median
$28,331
outlier · 2.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 12 $71,087.76 $71,087.76 $71,087.76 nat. median
$92,809
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $1,173.72 $170,834.88 $68,862.92 nat. median
$74,509
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $1,173.72 $172,807.63 $68,087.27 nat. median
$65,418
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 14 $1,173.72 $166,144.48 $66,997.26 nat. median
$73,023
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $1,173.72 $164,272.08 $66,252.49 nat. median
$2,736
outlier · 24.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $1,173.72 $167,000.70 $65,831.63 nat. median
$69,922
0.9× median
L2006
HCPCS 		Dme Pos 14 $19,375.30 $107,339.16 $65,440.08 nat. median
$38,763
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $1,173.72 $151,345.65 $61,110.86 nat. median
$69,822
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $1,173.72 $144,458.25 $58,371.32 nat. median
$2,633
outlier · 22.2×
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 14 $17,142.22 $94,967.90 $57,897.85 nat. median
$34,970
1.7× median
266T
OTHER 		Implt/rpl Crtd Sns Dev Total 14 $7,075.00 $118,570.90 $54,999.97 nat. median
$7,159
outlier · 7.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $1,173.72 $132,885.15 $53,767.99 nat. median
$60,505
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $1,173.72 $132,811.45 $53,738.67 nat. median
$59,651
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $1,173.72 $130,794.78 $52,936.52 nat. median
$2,596
outlier · 20.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $1,173.72 $126,411.75 $51,193.12 nat. median
$56,428
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $1,173.72 $122,574.45 $49,666.79 nat. median
$55,935
0.9× median
10
MS_DRG 		Pancreas Transplant 13 $1,173.72 $125,030.20 $49,528.65 nat. median
$23,080
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $1,173.72 $124,313.55 $49,250.27 nat. median
$45,605
1.1× median
L5856
HCPCS 		Dme Pos 14 $14,567.26 $80,702.59 $49,200.90 nat. median
$29,004
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $1,173.72 $121,337.15 $49,174.64 nat. median
$55,923
0.9× median

Other procedures at this hospital

Browse this hospital's 15,295 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 14 — — $3,529,026.20 $9,775,402.57 $6,180,207.13 2026-01-08
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 20 14 — — $3,529,026.20 $9,775,402.57 $6,180,207.13 2026-01-08
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 14 — — $3,159,745.01 $8,752,493.68 $5,533,503.45 2026-01-08
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 20 14 — — $3,037,245.46 $8,413,169.92 $5,318,976.11 2026-01-08
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 20 14 — — $2,823,220.96 $7,820,322.06 $4,944,165.71 2026-01-08
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 14 — — $2,286,218.03 $6,332,823.94 $4,003,739.33 2026-01-08
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 20 14 — — $2,218,245.04 $6,144,538.76 $3,884,701.62 2026-01-08
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 14 — — $538,032.71 $1,490,350.61 $997,797.67 2026-01-08
Q2056 HCPCS Ciltacabtagene Car-pos T 20 14 — — $524,425.03 $1,452,657.33 $972,561.83 2026-01-08
Q2055 HCPCS Idecabtagene Vicleucel Car 20 14 — — $502,541.35 $1,392,039.54 $931,977.89 2026-01-08
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 14 — — $491,291.78 $1,360,878.23 $911,115.23 2026-01-08
Q2053 HCPCS Brexucabtagene Car Pos T 20 14 — — $464,244.36 $1,285,956.88 $860,951.15 2026-01-08
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 14 — — $0.95 $1,289,818.65 $706,533.28 2026-01-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 13 — — $1,173.72 $591,400.83 $230,384.90 2026-01-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 13 — — $1,173.72 $441,726.83 $172,545.96 2026-01-08
Q0480 HCPCS Dme Pos 20 14 — — $49,999.98 $276,999.89 $168,874.93 2026-01-08
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 18 14 — — $46,608.35 $258,210.26 $157,419.70 2026-01-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 14 — — $1,173.72 $372,013.83 $148,884.13 2026-01-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 14 — — $1,173.72 $336,083.93 $134,592.60 2026-01-08
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 20 14 — — $33,726.33 $186,843.87 $113,910.68 2026-01-08
J9029 HCPCS Instill Adstiladrin, Tx Dose 20 14 — — $60,309.29 $167,056.73 $104,156.97 2026-01-08
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 14 — — $52,827.43 $146,331.98 $91,560.73 2026-01-08
A9543 HCPCS Y90 Ibritumomab, Rx 20 14 — — $54,052.65 $149,725.84 $90,157.57 2026-01-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 14 — — $1,173.72 $221,582.43 $89,048.33 2026-01-08
L7180 HCPCS Dme Pos 20 14 — — $24,513.31 $135,803.74 $82,793.71 2026-01-08
L7181 HCPCS Dme Pos 20 14 — — $24,314.13 $134,700.28 $82,120.97 2026-01-08
7 MS_DRG Lung Transplant 19 13 — — $1,173.72 $204,941.00 $80,569.12 2026-01-08
14 MS_DRG Allogeneic Bone Marrow Transplant 19 13 — — $1,173.72 $205,458.50 $80,469.86 2026-01-08
J9226 HCPCS Supprelin La Implant 20 14 — — $43,053.93 $119,259.39 $73,892.88 2026-01-08
38240 CPT Transplt Allo Hct/donor 20 14 — — $6,861.00 $155,832.91 $71,567.87 2026-01-08
J7330 HCPCS Cultured Chondrocytes Implnt 14 12 — — $71,087.76 $71,087.76 $71,087.76 2026-01-08
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 14 — — $1,173.72 $170,834.88 $68,862.92 2026-01-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 13 — — $1,173.72 $172,807.63 $68,087.27 2026-01-08
215 MS_DRG Other Heart Assist System Implant 20 14 — — $1,173.72 $166,144.48 $66,997.26 2026-01-08
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 14 — — $1,173.72 $164,272.08 $66,252.49 2026-01-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 13 — — $1,173.72 $167,000.70 $65,831.63 2026-01-08
L2006 HCPCS Dme Pos 20 14 — — $19,375.30 $107,339.16 $65,440.08 2026-01-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 14 — — $1,173.72 $151,345.65 $61,110.86 2026-01-08
850 MS_DRG Acute Leukemia With Other Procedures 20 14 — — $1,173.72 $144,458.25 $58,371.32 2026-01-08
L8701 HCPCS Ewh S/d Uprt Micro Sensor 20 14 — — $17,142.22 $94,967.90 $57,897.85 2026-01-08
266T OTHER Implt/rpl Crtd Sns Dev Total 20 14 — — $7,075.00 $118,570.90 $54,999.97 2026-01-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 14 — — $1,173.72 $132,885.15 $53,767.99 2026-01-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 14 — — $1,173.72 $132,811.45 $53,738.67 2026-01-08
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 14 — — $1,173.72 $130,794.78 $52,936.52 2026-01-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 14 — — $1,173.72 $126,411.75 $51,193.12 2026-01-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 14 — — $1,173.72 $122,574.45 $49,666.79 2026-01-08
10 MS_DRG Pancreas Transplant 19 13 — — $1,173.72 $125,030.20 $49,528.65 2026-01-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 13 — — $1,173.72 $124,313.55 $49,250.27 2026-01-08
L5856 HCPCS Dme Pos 20 14 — — $14,567.26 $80,702.59 $49,200.90 2026-01-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 14 — — $1,173.72 $121,337.15 $49,174.64 2026-01-08
L6880 HCPCS Dme Pos 20 14 — — $14,498.45 $80,321.41 $48,968.51 2026-01-08
33276 CPT Insj Phrnc Nrv Stim Sys 20 14 — — $483.29 $118,570.90 $47,966.75 2026-01-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 14 — — $1,173.72 $117,051.35 $47,469.91 2026-01-08
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 20 14 — — $7,075.00 $84,478.41 $46,199.54 2026-01-08
33231 CPT Insrt Pulse Gen W/mult Leads 20 14 — — $7,075.00 $84,478.41 $46,185.80 2026-01-08
33249 CPT Insj/rplcmt Defib W/lead(s) 20 14 — — $7,075.00 $84,478.41 $46,184.39 2026-01-08
33270 CPT Ins/rep Subq Defibrillator 20 14 — — $7,075.00 $84,478.41 $46,172.41 2026-01-08
571T OTHER Insj/rplcmt Icds Ss Eltrd 20 14 — — $7,075.00 $84,478.41 $46,041.66 2026-01-08
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 20 14 — — $7,075.00 $84,478.41 $45,720.77 2026-01-08
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 14 — — $1,173.72 $111,382.40 $45,215.03 2026-01-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 14 — — $1,173.72 $110,822.58 $44,992.35 2026-01-08
J9266 HCPCS Pegaspargase Injection 20 14 — — $25,750.03 $71,327.58 $44,485.72 2026-01-08
408T OTHER Insj/rplc Cardiac Modulj Sys 20 14 — — $7,075.00 $84,478.41 $44,291.31 2026-01-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 14 — — $1,173.72 $109,089.75 $44,018.62 2026-01-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 14 — — $1,173.72 $107,079.35 $43,503.44 2026-01-08
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 20 14 — — $7,075.00 $92,222.11 $42,900.69 2026-01-08
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 14 — — $1,173.72 $105,141.10 $42,732.48 2026-01-08
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 14 — — $1,173.72 $104,736.50 $42,571.55 2026-01-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 14 — — $1,173.72 $104,559.30 $42,501.06 2026-01-08
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 20 14 — — $2,125.00 $80,294.24 $41,530.91 2026-01-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 14 — — $1,173.72 $101,270.85 $41,193.04 2026-01-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 14 — — $1,173.72 $101,416.70 $40,966.58 2026-01-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 14 — — $1,173.72 $99,175.78 $40,359.70 2026-01-08
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $39,874.68 $39,874.68 $39,874.68 2026-01-08
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 14 — — $1,173.72 $97,138.73 $39,549.44 2026-01-08
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 14 — — $1,173.72 $97,013.28 $39,499.54 2026-01-08
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 14 — — $1,173.72 $96,571.05 $39,323.64 2026-01-08
L8614 HCPCS Dme Pos 20 14 — — $11,615.42 $64,349.40 $39,231.07 2026-01-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 14 — — $1,173.72 $96,233.90 $39,189.54 2026-01-08
L6975 HCPCS Dme Pos 20 14 — — $11,588.60 $64,200.82 $39,140.48 2026-01-08
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 14 — — $1,173.72 $95,794.80 $39,014.88 2026-01-08
L6970 HCPCS Dme Pos 20 14 — — $11,526.73 $63,858.08 $38,931.53 2026-01-08
268T OTHER Implt/rpl Crtd Sns Dev Gen 20 14 — — $7,075.00 $80,294.24 $38,867.12 2026-01-08
28 MS_DRG Spinal Procedures With Mcc 20 14 — — $1,173.72 $95,336.90 $38,832.74 2026-01-08
Q0483 HCPCS Dme Pos 20 14 — — $11,377.57 $63,031.71 $38,427.73 2026-01-08
L6965 HCPCS Dme Pos 20 14 — — $11,340.39 $62,825.73 $38,302.15 2026-01-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 14 — — $1,173.72 $93,945.93 $38,279.47 2026-01-08
L5858 HCPCS Dme Pos 20 14 — — $11,277.90 $62,479.54 $38,091.09 2026-01-08
C9760 HCPCS Non-blind Interatrial Shunt 20 14 — — $7,075.00 $72,460.51 $38,059.17 2026-01-08
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 14 — — $1,173.72 $93,295.15 $38,020.61 2026-01-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 14 — — $1,173.72 $92,274.25 $37,614.54 2026-01-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 13 — — $1,173.72 $94,653.18 $37,428.75 2026-01-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 13 — — $1,173.72 $94,653.18 $37,428.75 2026-01-08
J9600 HCPCS Porfimer Sodium Injection 20 14 — — $23,046.56 $63,838.97 $37,326.00 2026-01-08
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 14 — — $1,173.72 $91,303.55 $37,228.44 2026-01-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 14 — — $1,173.72 $90,003.55 $36,711.34 2026-01-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 14 — — $1,173.72 $89,465.68 $36,497.40 2026-01-08
653 MS_DRG Major Bladder Procedures With Mcc 20 14 — — $1,173.72 $87,419.20 $35,683.39 2026-01-08
69930 CPT Implant Cochlear Device 20 14 — — $1,078.18 $83,809.76 $35,436.16 2026-01-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 14 — — $1,173.72 $86,677.45 $35,388.35 2026-01-08
L5973 HCPCS Dme Pos 20 14 — — $10,440.17 $57,838.54 $35,261.67 2026-01-08
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 14 — — $1,173.72 $86,313.65 $35,243.64 2026-01-08
834 MS_DRG Acute Leukemia With Mcc 20 14 — — $1,173.72 $86,677.45 $35,103.88 2026-01-08
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 14 — — $1,173.72 $85,786.75 $35,034.06 2026-01-08
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 14 — — $1,173.72 $85,131.25 $34,773.33 2026-01-08
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 14 — — $1,173.72 $84,696.85 $34,600.55 2026-01-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 14 — — $1,173.72 $84,616.88 $34,568.74 2026-01-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 14 — — $1,173.72 $84,607.48 $34,565.00 2026-01-08
93656 CPT Compre Ep Eval Abltj Atr Fib 20 14 — — $14,378.25 $64,639.64 $34,295.04 2026-01-08
93653 CPT Compre Ep Eval Tx Svt 20 14 — — $14,378.25 $64,639.64 $34,295.04 2026-01-08
93654 CPT Compre Ep Eval Tx Vt 20 14 — — $14,378.25 $64,639.64 $34,295.04 2026-01-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 13 — — $1,173.72 $85,325.70 $34,105.87 2026-01-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 14 — — $1,173.72 $83,429.78 $34,096.55 2026-01-08
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 14 — — $1,173.72 $83,061.25 $33,949.97 2026-01-08
33240 CPT Insrt Pulse Gen W/singl Lead 20 14 — — $7,075.00 $59,142.99 $33,789.78 2026-01-08
33230 CPT Insrt Pulse Gen W/dual Leads 20 14 — — $7,075.00 $59,142.99 $33,775.85 2026-01-08
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 20 14 — — $7,075.00 $59,142.99 $33,708.83 2026-01-08
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 20 14 — — $7,075.00 $59,142.99 $33,640.77 2026-01-08
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 20 14 — — $7,075.00 $59,142.99 $33,528.68 2026-01-08
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 20 14 — — $7,075.00 $59,142.99 $33,528.68 2026-01-08
Q0489 HCPCS Dme Pos 20 14 — — $9,863.74 $54,645.12 $33,314.78 2026-01-08
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 14 — — $1,173.72 $80,762.33 $33,035.54 2026-01-08
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 14 — — $1,173.72 $80,494.18 $32,928.88 2026-01-08
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 14 — — $1,173.72 $79,892.00 $32,689.36 2026-01-08
64568 CPT Opn Impltj Crnl Nrv Nea&pg 20 14 — — $552.64 $80,294.24 $32,679.30 2026-01-08
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 20 14 — — $7,075.00 $59,142.99 $32,623.02 2026-01-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 14 — — $1,173.72 $79,647.35 $32,592.05 2026-01-08
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 20 14 — — $7,075.00 $59,142.99 $32,554.18 2026-01-08
409T OTHER Insj/rplc Car Modulj Pls Gn 20 14 — — $7,075.00 $59,142.99 $32,554.18 2026-01-08
61886 CPT Implant Neurostim Arrays 20 14 — — $552.64 $80,294.24 $32,544.25 2026-01-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 14 — — $1,173.72 $78,987.15 $32,329.45 2026-01-08
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 14 — — $1,173.72 $78,460.25 $32,119.87 2026-01-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 14 — — $1,173.72 $78,428.88 $32,107.39 2026-01-08
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 20 14 — — $552.64 $80,294.24 $32,005.04 2026-01-08
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 14 — — $1,173.72 $78,146.63 $31,995.12 2026-01-08
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 20 14 — — $483.29 $80,294.24 $31,867.78 2026-01-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 14 — — $1,173.72 $78,521.40 $31,859.72 2026-01-08
515T OTHER Insj Wcs Lv Compl Sys 20 14 — — $7,075.00 $59,142.99 $31,759.62 2026-01-08
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 14 — — $1,173.72 $93,224.58 $31,486.63 2026-01-08
245 MS_DRG Aicd Generator Procedures 20 14 — — $1,173.72 $76,633.33 $31,393.19 2026-01-08
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 20 14 — — $483.29 $80,294.24 $31,343.01 2026-01-08
471 MS_DRG Cervical Spinal Fusion With Mcc 20 14 — — $1,173.72 $76,170.73 $31,209.18 2026-01-08
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 14 — — $1,173.72 $74,887.95 $30,698.95 2026-01-08
799 MS_DRG Splenic Procedures With Mcc 20 14 — — $1,173.72 $74,563.35 $30,569.83 2026-01-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 14 — — $1,173.72 $74,549.23 $30,564.22 2026-01-08
6 MS_DRG Liver Transplant Without Mcc 19 13 — — $1,173.72 $76,043.70 $30,500.38 2026-01-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 14 — — $1,173.72 $73,777.70 $30,257.33 2026-01-08
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 14 — — $1,173.72 $73,382.53 $30,100.14 2026-01-08
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 14 — — $1,173.72 $72,949.70 $29,927.98 2026-01-08
Q0481 HCPCS Dme Pos 20 14 — — $8,817.64 $48,849.73 $29,781.58 2026-01-08
L5859 HCPCS Dme Pos 20 14 — — $8,804.56 $48,777.23 $29,737.38 2026-01-08
163 MS_DRG Major Chest Procedures With Mcc 20 14 — — $1,173.72 $72,280.10 $29,661.64 2026-01-08
63655 CPT Implant Neuroelectrodes 20 14 — — $9,690.00 $56,503.37 $29,633.69 2026-01-08
33289 CPT Tcat Impl Wrls P-art Prs Snr 20 14 — — $483.29 $74,905.23 $29,610.44 2026-01-08
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 14 — — $1,173.72 $72,019.78 $29,558.10 2026-01-08
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 14 — — $1,173.72 $72,008.80 $29,553.73 2026-01-08
680T OTHER Insj/rplcmt Pg Only Isdss 20 14 — — $2,125.00 $56,503.37 $29,498.06 2026-01-08
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 14 — — $1,173.72 $70,749.55 $29,052.85 2026-01-08
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 20 14 — — $7,075.00 $56,503.37 $29,027.31 2026-01-08
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 20 14 — — $7,075.00 $56,503.37 $29,027.31 2026-01-08
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 13 — — $1,173.72 $72,250.30 $29,026.88 2026-01-08
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 14 — — $1,173.72 $70,327.73 $28,885.06 2026-01-08
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 14 — — $1,173.72 $70,133.28 $28,807.72 2026-01-08
901 MS_DRG Wound Debridements For Injuries With Mcc 20 14 — — $1,173.72 $69,477.78 $28,546.99 2026-01-08
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 14 — — $1,173.72 $68,886.58 $28,311.83 2026-01-08
C2616 HCPCS Brachytx, Non-str,yttrium-90 20 14 — — $16,632.18 $46,071.14 $28,086.94 2026-01-08
54405 CPT Insert Multi-comp Penis Pros 20 14 — — $5,202.00 $53,036.33 $27,903.17 2026-01-08
54401 CPT Insert Self-contd Prosthesis 20 14 — — $5,202.00 $53,036.33 $27,882.21 2026-01-08
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 14 — — $1,173.72 $67,713.58 $27,845.26 2026-01-08
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 14 — — $1,173.72 $67,853.15 $27,616.30 2026-01-08
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 14 — — $1,173.72 $66,893.43 $27,519.03 2026-01-08
64580 CPT Opn Impltj Nea Neuromuscular 20 14 — — $2,601.00 $56,503.37 $27,512.03 2026-01-08
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 14 — — $1,173.72 $66,794.63 $27,479.74 2026-01-08
140 MS_DRG Major Head And Neck Procedures With Mcc 20 14 — — $1,173.72 $66,321.05 $27,291.36 2026-01-08
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 20 14 — — $13,520.00 $46,111.72 $27,239.84 2026-01-08
E0766 HCPCS Dme Pos 20 14 — — $8,031.73 $44,495.78 $27,127.17 2026-01-08
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 14 — — $1,173.72 $65,715.73 $27,050.59 2026-01-08
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 14 — — $1,173.72 $65,700.05 $27,044.35 2026-01-08
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 14 — — $1,173.72 $65,246.85 $26,864.09 2026-01-08
L6955 HCPCS Dme Pos 20 14 — — $7,872.65 $43,614.48 $26,589.88 2026-01-08
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 14 — — $1,173.72 $64,484.73 $26,560.94 2026-01-08
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 14 — — $1,173.72 $64,448.65 $26,546.60 2026-01-08
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 14 — — $1,173.72 $64,353.00 $26,508.55 2026-01-08
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 14 — — $1,173.72 $64,036.23 $26,382.55 2026-01-08
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 14 — — $1,173.72 $63,783.75 $26,282.12 2026-01-08
L6960 HCPCS Dme Pos 20 14 — — $7,762.83 $43,006.05 $26,218.94 2026-01-08
93591 CPT Perq Transcath Cls Aortic 20 14 — — $11,490.26 $47,313.79 $26,136.85 2026-01-08
93590 CPT Perq Transcath Cls Mitral 20 14 — — $11,490.26 $47,313.79 $26,136.85 2026-01-08
645T OTHER Tcat Impltj C Sins Rdctj Dev 20 14 — — $7,075.00 $47,313.79 $26,119.99 2026-01-08
632T OTHER Perq Tcat US Abltj Nrv P-art 20 14 — — $7,075.00 $47,313.79 $26,119.99 2026-01-08
33229 CPT Remv&replc Pm Gen Mult Leads 20 14 — — $7,075.00 $50,250.21 $26,070.68 2026-01-08
33221 CPT Insert Pulse Gen Mult Leads 20 14 — — $7,075.00 $50,250.21 $26,069.10 2026-01-08
93580 CPT Transcath Closure Of Asd 20 14 — — $11,490.26 $47,313.79 $25,803.58 2026-01-08
93581 CPT Transcath Closure Of Vsd 20 14 — — $11,490.26 $47,313.79 $25,803.58 2026-01-08
93582 CPT Perq Transcath Closure Pda 20 14 — — $11,490.26 $47,313.79 $25,803.58 2026-01-08
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 14 — — $1,173.72 $62,471.20 $25,760.04 2026-01-08
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 14 — — $1,173.72 $62,427.28 $25,742.57 2026-01-08
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 20 14 — — $7,075.00 $48,455.55 $25,734.66 2026-01-08
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 20 14 — — $7,075.00 $50,250.21 $25,540.86 2026-01-08
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 20 14 — — $7,075.00 $50,250.21 $25,540.86 2026-01-08
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 14 — — $1,173.72 $61,875.28 $25,523.01 2026-01-08
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 14 — — $1,173.72 $61,748.25 $25,472.48 2026-01-08
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 20 14 — — $7,075.00 $50,250.21 $25,319.81 2026-01-08
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 20 14 — — $7,075.00 $50,250.21 $25,319.81 2026-01-08
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 20 14 — — $7,075.00 $50,250.21 $25,319.81 2026-01-08
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 20 14 — — $7,075.00 $50,250.21 $25,319.81 2026-01-08
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 20 14 — — $7,075.00 $50,250.21 $25,319.81 2026-01-08
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 20 14 — — $7,075.00 $50,250.21 $25,319.81 2026-01-08
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 14 — — $1,173.72 $61,349.95 $25,314.05 2026-01-08
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 14 — — $1,173.72 $61,320.15 $25,302.20 2026-01-08
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 20 14 — — $11,490.26 $47,313.79 $25,191.40 2026-01-08
C9602 HCPCS Perc D-e Cor Stent Ather S 20 14 — — $11,490.26 $47,313.79 $25,191.40 2026-01-08
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 14 — — $1,173.72 $60,981.43 $25,167.47 2026-01-08
37227 CPT Fem/popl Revasc Stnt & Ather 20 14 — — $7,075.00 $47,313.79 $25,117.08 2026-01-08
54411 CPT Remov/replc Penis Pros Comp 20 14 — — $748.00 $53,036.33 $25,041.09 2026-01-08
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 14 — — $1,173.72 $60,609.78 $25,019.64 2026-01-08
37231 CPT Tib/per Revasc Stent & Ather 20 14 — — $7,075.00 $47,313.79 $24,996.51 2026-01-08
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 14 — — $1,173.72 $60,548.60 $24,995.31 2026-01-08
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 14 — — $1,173.72 $60,379.25 $24,927.94 2026-01-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 14 — — $1,173.72 $59,941.73 $24,753.92 2026-01-08
C9797 HCPCS Vasc Emb/occ W/prs Cath 20 14 — — $7,075.00 $47,313.79 $24,717.83 2026-01-08
92933 CPT Prq Card Stent/ath/angio 20 14 — — $8,922.00 $47,313.79 $24,654.94 2026-01-08
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 14 — — $1,173.72 $59,617.13 $24,624.80 2026-01-08
L7191 HCPCS Dme Pos 20 14 — — $7,288.66 $40,379.18 $24,617.45 2026-01-08
Q0479 HCPCS Dme Pos 20 14 — — $7,266.43 $40,255.99 $24,542.35 2026-01-08
525T OTHER Insj/rplcmt Compl Iims 20 14 — — $7,075.00 $50,250.21 $24,529.78 2026-01-08
22856 CPT Tot Disc Arthrp 1ntrspc Crv 20 14 — — $7,075.00 $48,455.55 $24,476.20 2026-01-08
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 14 — — $1,173.72 $59,152.95 $24,440.17 2026-01-08
C9782 HCPCS Blind Myocar Trpl Bon Marrow 20 14 — — $7,075.00 $46,111.72 $24,309.37 2026-01-08
C9775 HCPCS Revasc Lith-sten-ath Tib/per 20 14 — — $7,075.00 $47,313.79 $24,302.93 2026-01-08
C9774 HCPCS Revasc Lithotr-ather Tib/per 20 14 — — $7,075.00 $47,313.79 $24,294.15 2026-01-08
C9773 HCPCS Revasc Lithotr-stent Tib/per 20 14 — — $7,075.00 $47,313.79 $24,258.53 2026-01-08
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 14 — — $1,173.72 $58,680.93 $24,252.42 2026-01-08
23472 CPT Reconstruct Shoulder Joint 20 14 — — $7,075.00 $48,455.55 $24,181.96 2026-01-08
793T OTHER Prq Tcat Thrm Ablt Nrv P-art 20 14 — — $7,075.00 $47,313.79 $24,142.52 2026-01-08
37229 CPT Tib/per Revasc W/ather 20 14 — — $7,075.00 $47,313.79 $24,114.53 2026-01-08
20696 CPT App Mltpln Uni Xtrnl Fix 1st 20 14 — — $5,256.00 $48,455.55 $24,091.56 2026-01-08
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 20 14 — — $7,075.00 $48,455.55 $24,075.85 2026-01-08
37230 CPT Tib/per Revasc W/stent 20 14 — — $7,075.00 $47,313.79 $24,070.52 2026-01-08
C9767 HCPCS Revasc Lithotrip-stent-ather 20 14 — — $7,075.00 $47,313.79 $23,972.73 2026-01-08
686T OTHER Histotripsy Mal Hepatcel Tis 20 14 — — $7,075.00 $46,111.72 $23,887.66 2026-01-08
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 14 — — $1,173.72 $56,203.23 $23,848.35 2026-01-08
27702 CPT Reconstruct Ankle Joint 20 14 — — $7,075.00 $48,455.55 $23,754.18 2026-01-08
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 14 — — $737.63 $61,622.80 $23,715.71 2026-01-08
C9758 HCPCS Blind Interatrial Shunt Ide 20 14 — — $7,075.00 $46,111.72 $23,685.76 2026-01-08
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 20 14 — — $7,075.00 $48,455.55 $23,625.17 2026-01-08
22630 CPT Arthrd Pst Tq 1ntrspc Lum 20 14 — — $7,075.00 $48,455.55 $23,514.69 2026-01-08
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 14 — — $1,173.72 $56,821.08 $23,512.64 2026-01-08
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 14 — — $1,173.72 $57,217.83 $23,385.98 2026-01-08
37225 CPT Fem/popl Revas W/ather 20 14 — — $7,075.00 $47,313.79 $23,304.44 2026-01-08
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 14 — — $1,173.72 $56,215.75 $23,271.87 2026-01-08
265 MS_DRG Aicd Lead Procedures 20 14 — — $1,173.72 $55,939.75 $23,162.09 2026-01-08
L7186 HCPCS Dme Pos 20 14 — — $6,856.89 $37,987.17 $23,159.15 2026-01-08
37242 CPT Vasc Embolize/occlude Artery 20 14 — — $7,075.00 $47,313.79 $23,154.93 2026-01-08
C9765 HCPCS Revasc Intra Lithotrip-stent 20 14 — — $7,075.00 $47,313.79 $23,099.56 2026-01-08
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 14 — — $1,173.72 $55,688.85 $23,062.29 2026-01-08
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 14 — — $1,173.72 $56,212.63 $22,986.15 2026-01-08
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 14 — — $1,173.72 $55,362.68 $22,932.55 2026-01-08
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 14 — — $1,173.72 $55,348.55 $22,926.93 2026-01-08
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 14 — — $1,173.72 $55,209.00 $22,871.42 2026-01-08
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 20 14 — — $483.29 $56,503.37 $22,810.87 2026-01-08
61885 CPT Insrt/redo Neurostim 1 Array 20 14 — — $483.29 $56,503.37 $22,809.44 2026-01-08
C9766 HCPCS Revasc Intra Lithotrip-ather 20 14 — — $6,135.49 $47,313.79 $22,789.24 2026-01-08
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 14 — — $1,173.72 $54,945.55 $22,766.63 2026-01-08
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 14 — — $1,173.72 $54,928.30 $22,759.77 2026-01-08
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 14 — — $1,173.72 $54,906.33 $22,751.03 2026-01-08
66683 CPT Implantation Of Iris Prosthesis, Including Suture Fixation And Repair Or Removal… 20 14 — — $6,861.00 $43,255.35 $22,723.06 2026-01-08
264 MS_DRG Other Circulatory System O.r. Procedures 20 14 — — $1,173.72 $54,809.10 $22,712.36 2026-01-08
332 MS_DRG Rectal Resection With Mcc 20 14 — — $1,173.72 $54,395.13 $22,547.69 2026-01-08
L6945 HCPCS Dme Pos 20 14 — — $6,675.24 $36,980.80 $22,545.61 2026-01-08
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 14 — — $1,173.72 $54,335.53 $22,523.99 2026-01-08
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 14 — — $1,173.72 $54,014.05 $22,396.11 2026-01-08
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 14 — — $1,173.72 $53,929.38 $22,362.43 2026-01-08
665 MS_DRG Prostatectomy With Mcc 20 14 — — $1,173.72 $53,844.68 $22,328.75 2026-01-08
793 MS_DRG Full Term Neonate With Major Problems 20 14 — — $1,173.72 $65,400.53 $22,312.42 2026-01-08
252 MS_DRG Other Vascular Procedures With Mcc 20 14 — — $1,173.72 $53,794.50 $22,308.79 2026-01-08
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 14 — — $1,173.72 $53,712.95 $22,276.35 2026-01-08
37184 CPT Prim Art M-thrmbc 1st Vsl 20 14 — — $4,192.10 $47,313.79 $22,207.67 2026-01-08
238T OTHER Trluml Perip Athrc Iliac Art 20 14 — — $590.00 $47,313.79 $22,160.11 2026-01-08
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 14 — — $1,173.72 $53,415.00 $22,157.84 2026-01-08
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 13 — — $1,173.72 $54,454.70 $22,114.38 2026-01-08
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 14 — — $1,173.72 $53,192.33 $22,069.27 2026-01-08
791 MS_DRG Prematurity With Major Problems 20 14 — — $1,173.72 $63,666.13 $21,856.79 2026-01-08
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 14 — — $1,173.72 $52,638.78 $21,849.08 2026-01-08
308T OTHER Insj Ocular Telescope Prosth 20 14 — — $4,004.24 $43,255.35 $21,824.23 2026-01-08
37 MS_DRG Extracranial Procedures With Mcc 20 14 — — $1,173.72 $52,077.35 $21,625.77 2026-01-08
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 14 — — $1,173.72 $51,779.40 $21,507.26 2026-01-08
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 20 14 — — $552.64 $56,503.37 $21,318.09 2026-01-08
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 14 — — $1,173.72 $51,258.78 $21,300.17 2026-01-08
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 14 — — $1,173.72 $51,112.93 $21,242.16 2026-01-08
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 14 — — $1,173.72 $51,090.98 $21,233.43 2026-01-08
L6950 HCPCS Dme Pos 20 14 — — $6,273.73 $34,756.46 $21,189.52 2026-01-08
54410 CPT Remove/replace Penis Prosth 20 14 — — $552.64 $53,036.33 $21,028.27 2026-01-08
54416 CPT Remv/repl Penis Contain Pros 20 14 — — $552.64 $53,036.33 $21,025.04 2026-01-08
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 14 — — $1,173.72 $50,484.10 $20,992.04 2026-01-08
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 14 — — $1,173.72 $50,250.45 $20,899.10 2026-01-08
53445 CPT Insert Uro/ves Nck Sphincter 20 14 — — $360.84 $53,036.33 $20,845.15 2026-01-08
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 14 — — $1,173.72 $50,104.60 $20,841.09 2026-01-08
53447 CPT Remove/replace Ur Sphincter 20 14 — — $360.84 $53,036.33 $20,798.40 2026-01-08
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 14 — — $1,173.72 $49,874.08 $20,749.39 2026-01-08
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