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 →

Export CSV
Hospital

CHRISTUS COUSHATTA HEALTH CARE CENTER

Coushatta, LA · CCN 191312 · Rates published

17,781 distinct procedures filed
33 distinct payers
847,219 rate rows
2026-01-12 last MRF observed
Data quality

535,461 of 847,219 rate rows are consumer-grade (63.2%)

311,758 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 275,706
per-diem day rate — not a per-procedure price 22,907
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,063
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 41
placeholder amount (≤ $0.02) — excluded from medians 41
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/720408984_coushattahealthcarecenter_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 c32bd5dc079441cf… · 208,288,992 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 33 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,705,478
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 33 $3,526,789.47 $3,526,789.47 $3,526,789.47 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 33 $3,483,160.00 $3,483,160.00 $3,483,160.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 33 $3,146,080.00 $3,146,080.00 $3,146,080.00 nat. median
$2,994,107
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 33 $538,148.22 $538,148.22 $538,148.22 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 33 $533,661.80 $533,661.80 $533,661.80 nat. median
$623,527
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 33 $526,173.62 $526,173.62 $526,173.62 nat. median
$640,950
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 33 $476,406.40 $476,406.40 $476,406.40 nat. median
$592,235
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $276,057.70 $276,057.70 $276,057.70 nat. median
$359,244
0.8× median
100T
OTHER 		Prosth Retina Receive&gen 33 $42,674.00 $386,648.33 $214,661.17 nat. median
$6,525
outlier · 32.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $173,650.90 $252,718.99 $213,184.95 nat. median
$198,115
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $206,191.96 $206,191.96 $206,191.96 nat. median
$248,541
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $156,879.31 $228,310.83 $192,595.07 nat. median
$190,359
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $103,431.60 $150,526.89 $126,979.25 nat. median
$126,461
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $76,679.93 $154,240.00 $111,594.44 nat. median
$93,226
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 5 $77,553.94 $192,325.00 $98,012.00 nat. median
$93,787
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $79,743.35 $116,052.72 $97,898.04 nat. median
$97,137
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $95,905.18 $95,905.18 $95,905.18 nat. median
$110,084
0.9× median
7
MS_DRG 		Lung Transplant 1 $95,663.62 $95,663.62 $95,663.62 nat. median
$117,977
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $61,994.54 $133,293.00 $90,222.39 nat. median
$77,487
1.2× median
38240
CPT 		Transplt Allo Hct/donor 3 $4,020.00 $96,088.57 $85,142.63 nat. median
$12,874
outlier · 6.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $67,431.11 $98,134.37 $82,782.74 nat. median
$78,164
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $70,646.05 $158,459.00 $80,754.00 nat. median
$90,512
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $80,664.20 $80,664.20 $80,664.20 nat. median
$103,938
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $77,953.61 $77,953.61 $77,953.61 nat. median
$94,943
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $51,991.76 $109,750.00 $75,665.06 nat. median
$63,564
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $61,053.19 $88,852.41 $74,952.80 nat. median
$77,936
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $59,007.25 $85,874.90 $72,441.07 nat. median
$74,298
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $48,806.83 $79,653.00 $71,029.94 nat. median
$63,829
1.1× median
571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 33 $42,674.00 $95,771.26 $69,222.63 nat. median
$32,422
outlier · 2.1×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $69,173.00 $69,173.00 $69,173.00 nat. median
$47,543
1.5× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 33 $67,309.29 $67,309.29 $67,309.29 nat. median
$68,400
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $54,637.94 $79,516.12 $67,077.03 nat. median
$67,908
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $44,920.64 $71,300.00 $65,374.27 nat. median
$53,342
1.2× median
C9760
HCPCS 		Non-blind Interatrial Shunt 33 $42,674.00 $86,799.83 $64,736.92 nat. median
$27,851
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $56,638.50 $126,102.00 $64,263.00 nat. median
$72,247
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $63,616.00 $63,616.00 $63,616.00 nat. median
$39,601
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $51,730.44 $75,284.75 $63,507.60 nat. median
$66,584
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $50,921.58 $74,107.59 $62,514.58 nat. median
$62,577
1.0× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 5 $36,477.76 $122,228.00 $62,290.00 nat. median
$47,347
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $61,150.00 $119,994.00 $62,028.95 nat. median
$76,979
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $49,983.16 $72,741.88 $61,362.52 nat. median
$61,660
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $42,012.41 $88,631.00 $61,141.83 nat. median
$55,110
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $49,078.40 $71,425.17 $60,251.79 nat. median
$60,517
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $48,889.55 $71,150.32 $60,019.94 nat. median
$61,263
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 33 $41,233.32 $77,165.88 $59,199.60 nat. median
$75,037
0.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $40,290.01 $80,809.00 $58,635.18 nat. median
$50,496
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 33 $58,319.34 $58,843.55 $58,581.44 nat. median
$65,720
0.9× median
10
MS_DRG 		Pancreas Transplant 1 $58,362.36 $58,362.36 $58,362.36 nat. median
$64,851
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $47,339.90 $68,895.08 $58,117.49 nat. median
$59,324
1.0× median

Other procedures at this hospital

Browse this hospital's 17,781 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 48 33 — — $3,932,600.00 $3,932,600.00 $3,932,600.00 2026-01-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 48 33 — — $3,526,789.47 $3,526,789.47 $3,526,789.47 2026-01-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 48 33 — — $3,483,160.00 $3,483,160.00 $3,483,160.00 2026-01-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 48 33 — — $3,146,080.00 $3,146,080.00 $3,146,080.00 2026-01-12
Q2056 HCPCS Ciltacabtagene Car-pos T 48 33 — — $538,148.22 $538,148.22 $538,148.22 2026-01-12
Q2055 HCPCS Idecabtagene Vicleucel Car 48 33 — — $533,661.80 $533,661.80 $533,661.80 2026-01-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 48 33 — — $526,173.62 $526,173.62 $526,173.62 2026-01-12
Q2053 HCPCS Brexucabtagene Car Pos T 48 33 — — $476,406.40 $476,406.40 $476,406.40 2026-01-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $276,057.70 $276,057.70 $276,057.70 2026-01-12
100T OTHER Prosth Retina Receive&gen 48 33 — — $42,674.00 $386,648.33 $214,661.17 2026-01-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $173,650.90 $252,718.99 $213,184.95 2026-01-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $206,191.96 $206,191.96 $206,191.96 2026-01-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $156,879.31 $228,310.83 $192,595.07 2026-01-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $103,431.60 $150,526.89 $126,979.25 2026-01-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $76,679.93 $154,240.00 $111,594.44 2026-01-12
215 MS_DRG Other Heart Assist System Implant 5 5 — — $77,553.94 $192,325.00 $98,012.00 2026-01-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $79,743.35 $116,052.72 $97,898.04 2026-01-12
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $95,905.18 $95,905.18 $95,905.18 2026-01-12
7 MS_DRG Lung Transplant 1 1 — — $95,663.62 $95,663.62 $95,663.62 2026-01-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $61,994.54 $133,293.00 $90,222.39 2026-01-12
38240 CPT Transplt Allo Hct/donor 6 3 — — $4,020.00 $96,088.57 $85,142.63 2026-01-12
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $67,431.11 $98,134.37 $82,782.74 2026-01-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $70,646.05 $158,459.00 $80,754.00 2026-01-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $80,664.20 $80,664.20 $80,664.20 2026-01-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $77,953.61 $77,953.61 $77,953.61 2026-01-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $51,991.76 $109,750.00 $75,665.06 2026-01-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $61,053.19 $88,852.41 $74,952.80 2026-01-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $59,007.25 $85,874.90 $72,441.07 2026-01-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $48,806.83 $79,653.00 $71,029.94 2026-01-12
571T OTHER Insj/rplcmt Icds Ss Eltrd 48 33 — — $42,674.00 $95,771.26 $69,222.63 2026-01-12
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $69,173.00 $69,173.00 $69,173.00 2026-01-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 48 33 — — $67,309.29 $67,309.29 $67,309.29 2026-01-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $54,637.94 $79,516.12 $67,077.03 2026-01-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $44,920.64 $71,300.00 $65,374.27 2026-01-12
C9760 HCPCS Non-blind Interatrial Shunt 48 33 — — $42,674.00 $86,799.83 $64,736.92 2026-01-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $56,638.50 $126,102.00 $64,263.00 2026-01-12
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $63,616.00 $63,616.00 $63,616.00 2026-01-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $51,730.44 $75,284.75 $63,507.60 2026-01-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $50,921.58 $74,107.59 $62,514.58 2026-01-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 — — $36,477.76 $122,228.00 $62,290.00 2026-01-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $61,150.00 $119,994.00 $62,028.95 2026-01-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $49,983.16 $72,741.88 $61,362.52 2026-01-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $42,012.41 $88,631.00 $61,141.83 2026-01-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $49,078.40 $71,425.17 $60,251.79 2026-01-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $48,889.55 $71,150.32 $60,019.94 2026-01-12
J7330 HCPCS Cultured Chondrocytes Implnt 48 33 — — $41,233.32 $77,165.88 $59,199.60 2026-01-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $40,290.01 $80,809.00 $58,635.18 2026-01-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 48 33 — — $58,319.34 $58,843.55 $58,581.44 2026-01-12
10 MS_DRG Pancreas Transplant 1 1 — — $58,362.36 $58,362.36 $58,362.36 2026-01-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $47,339.90 $68,895.08 $58,117.49 2026-01-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $58,027.84 $58,027.84 $58,027.84 2026-01-12
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 48 33 — — $42,674.00 $72,721.66 $57,697.83 2026-01-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $56,114.00 $110,112.00 $57,216.05 2026-01-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $46,293.88 $67,372.77 $56,833.32 2026-01-12
408T OTHER Insj/rplc Cardiac Modulj Sys 48 33 — — $42,674.00 $69,787.43 $56,230.71 2026-01-12
409T OTHER Insj/rplc Car Modulj Pls Gn 48 33 — — $42,674.00 $69,787.43 $56,230.71 2026-01-12
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 48 33 — — $42,674.00 $69,787.43 $56,230.71 2026-01-12
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 48 33 — — $42,674.00 $69,427.43 $56,050.71 2026-01-12
515T OTHER Insj Wcs Lv Compl Sys 48 33 — — $42,674.00 $69,427.43 $56,050.71 2026-01-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $47,271.83 $109,729.00 $55,919.00 2026-01-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $45,343.01 $65,988.94 $55,665.98 2026-01-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $45,284.45 $65,903.72 $55,594.08 2026-01-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $45,078.02 $65,603.30 $55,340.66 2026-01-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $37,698.73 $93,541.00 $54,864.02 2026-01-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $37,292.47 $71,318.00 $54,272.77 2026-01-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $43,852.66 $63,819.99 $53,836.32 2026-01-12
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $53,693.00 $53,693.00 $53,693.00 2026-01-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $42,619.24 $62,024.96 $52,322.10 2026-01-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $41,761.33 $60,776.43 $51,268.88 2026-01-12
398T OTHER Mrgfus Strtctc Les Abltj 48 33 — — $46,432.33 $55,236.83 $50,834.58 2026-01-12
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $50,292.00 $50,292.00 $50,292.00 2026-01-12
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $40,806.07 $59,386.21 $50,096.14 2026-01-12
Q0480 HCPCS Dme Pos 48 33 — — $49,999.98 $49,999.98 $49,999.98 2026-01-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $40,459.84 $58,882.33 $49,671.08 2026-01-12
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $40,459.84 $58,882.33 $49,671.08 2026-01-12
A9699 HCPCS Radiopharm Rx Agent Noc 48 33 — — $49,328.79 $49,328.79 $49,328.79 2026-01-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $40,044.06 $58,277.24 $49,160.65 2026-01-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $39,738.08 $57,831.94 $48,785.01 2026-01-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $39,535.32 $57,536.85 $48,536.08 2026-01-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $39,497.99 $57,482.52 $48,490.25 2026-01-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $39,493.60 $57,476.13 $48,484.86 2026-01-12
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $47,669.00 $47,669.00 $47,669.00 2026-01-12
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $47,204.00 $47,204.00 $47,204.00 2026-01-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 44 32 — — $46,608.35 $46,608.35 $46,608.35 2026-01-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $37,573.56 $54,681.85 $46,127.71 2026-01-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $31,607.76 $73,408.00 $45,999.65 2026-01-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $37,178.28 $54,106.59 $45,642.43 2026-01-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $43,072.34 $89,025.00 $45,369.00 2026-01-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $36,652.70 $53,341.70 $44,997.20 2026-01-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $36,624.16 $53,300.15 $44,962.15 2026-01-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $36,609.52 $53,278.85 $44,944.18 2026-01-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $44,232.00 $86,796.00 $44,715.68 2026-01-12
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $41,535.00 $81,503.00 $44,501.94 2026-01-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $30,456.32 $45,326.00 $44,323.94 2026-01-12
J9226 HCPCS Supprelin La Implant 48 33 — — $41,604.48 $46,807.75 $44,206.11 2026-01-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $44,182.79 $44,182.79 $44,182.79 2026-01-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $44,182.79 $44,182.79 $44,182.79 2026-01-12
54411 CPT Remov/replc Penis Pros Comp 6 3 — — $774.00 $49,547.03 $43,902.88 2026-01-12
54417 CPT Remv/replc Penis Pros Compl 6 3 — — $1,442.00 $49,547.03 $43,902.88 2026-01-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $43,368.00 $85,100.00 $43,548.88 2026-01-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $43,515.94 $43,515.94 $43,515.94 2026-01-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $34,956.66 $50,873.40 $42,915.03 2026-01-12
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $34,805.14 $50,652.88 $42,729.01 2026-01-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $34,798.55 $50,643.30 $42,720.93 2026-01-12
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 48 33 — — $42,674.00 $42,674.00 $42,674.00 2026-01-12
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 48 33 — — $42,674.00 $42,674.00 $42,674.00 2026-01-12
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 48 33 — — $42,674.00 $42,674.00 $42,674.00 2026-01-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $34,438.40 $50,119.17 $42,278.79 2026-01-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $38,771.84 $82,885.00 $42,239.00 2026-01-12
268T OTHER Implt/rpl Crtd Sns Dev Gen 48 33 — — $26,347.00 $57,977.73 $42,162.36 2026-01-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $34,253.94 $49,850.71 $42,052.32 2026-01-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $34,051.91 $49,556.69 $41,804.30 2026-01-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $28,465.28 $50,581.00 $41,426.32 2026-01-12
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $33,739.34 $49,101.81 $41,420.57 2026-01-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $33,612.71 $48,917.51 $41,265.11 2026-01-12
308T OTHER Insj Ocular Telescope Prosth 48 33 — — $26,347.00 $55,428.70 $40,887.85 2026-01-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $33,024.91 $48,062.07 $40,543.49 2026-01-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $32,828.00 $47,775.51 $40,301.76 2026-01-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $32,737.24 $47,643.41 $40,190.33 2026-01-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 5 — — $22,738.12 $78,827.00 $40,170.00 2026-01-12
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 2 — — $39,969.00 $39,969.00 $39,969.00 2026-01-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $39,828.85 $39,828.85 $39,828.85 2026-01-12
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $32,431.26 $47,198.12 $39,814.69 2026-01-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $32,155.30 $46,796.50 $39,475.90 2026-01-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $36,859.00 $72,328.00 $38,943.86 2026-01-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $31,672.91 $46,094.47 $38,883.69 2026-01-12
93590 CPT Perq Transcath Cls Mitral 48 33 — — $26,347.00 $50,565.16 $38,456.08 2026-01-12
93591 CPT Perq Transcath Cls Aortic 48 33 — — $26,347.00 $50,565.16 $38,456.08 2026-01-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $31,224.92 $45,442.50 $38,333.71 2026-01-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $31,178.81 $45,375.39 $38,277.10 2026-01-12
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $30,957.74 $45,053.67 $38,005.71 2026-01-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $30,675.19 $44,642.46 $37,658.82 2026-01-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $30,667.87 $44,631.81 $37,649.84 2026-01-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $30,083.74 $43,781.70 $36,932.72 2026-01-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $30,039.08 $43,716.72 $36,877.90 2026-01-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 — — $36,034.00 $70,711.00 $36,870.11 2026-01-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $29,891.22 $43,501.53 $36,696.38 2026-01-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $29,773.37 $43,330.01 $36,551.69 2026-01-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $25,072.46 $48,083.00 $36,488.66 2026-01-12
93581 CPT Transcath Closure Of Vsd 48 33 — — $22,267.00 $50,565.16 $36,416.08 2026-01-12
93582 CPT Perq Transcath Closure Pda 48 33 — — $22,267.00 $49,553.85 $35,910.43 2026-01-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $29,160.68 $42,438.36 $35,799.52 2026-01-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $29,140.19 $42,408.53 $35,774.36 2026-01-12
245 MS_DRG Aicd Generator Procedures 5 5 — — $31,873.00 $62,546.00 $35,771.38 2026-01-12
471 MS_DRG Cervical Spinal Fusion With Mcc 5 5 — — $35,297.00 $69,262.00 $35,555.44 2026-01-12
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $35,496.14 $35,496.14 $35,496.14 2026-01-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $28,882.52 $42,033.54 $35,458.03 2026-01-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $28,823.23 $41,947.25 $35,385.24 2026-01-12
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $24,308.99 $47,510.00 $35,377.55 2026-01-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $28,764.67 $41,862.03 $35,313.35 2026-01-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $28,637.30 $41,676.67 $35,156.99 2026-01-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 — — $28,623.40 $41,656.43 $35,139.92 2026-01-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $33,617.83 $68,866.00 $35,095.00 2026-01-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $23,926.88 $51,647.00 $34,821.46 2026-01-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $28,291.80 $41,173.85 $34,732.82 2026-01-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $28,263.25 $41,132.30 $34,697.78 2026-01-12
265 MS_DRG Aicd Lead Procedures 3 3 — — $26,111.90 $38,001.38 $34,687.00 2026-01-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $28,184.20 $41,017.25 $34,600.72 2026-01-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $27,979.97 $40,720.03 $34,350.00 2026-01-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $27,828.44 $40,499.51 $34,163.97 2026-01-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $27,611.77 $40,184.18 $33,897.97 2026-01-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 48 33 — — $33,726.33 $33,726.33 $33,726.33 2026-01-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $33,725.44 $33,725.44 $33,725.44 2026-01-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $27,391.44 $39,863.53 $33,627.49 2026-01-12
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 48 33 — — $15,247.00 $50,702.80 $32,974.90 2026-01-12
C9758 HCPCS Blind Interatrial Shunt Ide 48 33 — — $26,347.00 $39,455.33 $32,901.17 2026-01-12
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $22,589.52 $55,896.00 $32,875.16 2026-01-12
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $26,708.48 $38,869.60 $32,789.04 2026-01-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $26,523.29 $38,600.08 $32,561.69 2026-01-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $26,240.74 $38,188.87 $32,214.81 2026-01-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $26,239.27 $38,186.74 $32,213.00 2026-01-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 — — $25,994.78 $37,830.93 $31,912.85 2026-01-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $25,842.53 $37,609.35 $31,725.94 2026-01-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $25,835.94 $37,599.76 $31,717.85 2026-01-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $25,770.79 $37,504.95 $31,637.87 2026-01-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $25,647.82 $37,325.98 $31,486.90 2026-01-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $25,639.76 $37,314.26 $31,477.01 2026-01-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $25,629.52 $37,299.35 $31,464.43 2026-01-12
332 MS_DRG Rectal Resection With Mcc 2 2 — — $25,390.88 $36,952.06 $31,171.47 2026-01-12
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $25,363.07 $36,911.58 $31,137.33 2026-01-12
64575 CPT Opn Impltj Nea Perph Nerve 48 33 — — $4,020.00 $57,977.73 $30,998.87 2026-01-12
64580 CPT Opn Impltj Nea Neuromuscular 48 33 — — $4,020.00 $57,977.73 $30,998.87 2026-01-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $25,213.01 $36,693.19 $30,953.10 2026-01-12
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $25,173.48 $36,635.67 $30,904.57 2026-01-12
665 MS_DRG Prostatectomy With Mcc 2 2 — — $25,133.95 $36,578.14 $30,856.04 2026-01-12
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $30,528.06 $30,528.06 $30,528.06 2026-01-12
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $20,963.02 $49,352.00 $30,508.06 2026-01-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 5 — — $28,755.00 $56,428.00 $30,100.57 2026-01-12
791 MS_DRG Prematurity With Major Problems 1 1 — — $29,718.47 $29,718.47 $29,718.47 2026-01-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $24,169.91 $35,175.14 $29,672.53 2026-01-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 5 — — $24,829.44 $58,129.00 $29,623.00 2026-01-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $23,858.81 $34,722.39 $29,290.60 2026-01-12
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $23,848.56 $34,707.47 $29,278.01 2026-01-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $19,957.98 $51,882.00 $29,045.40 2026-01-12
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $23,565.28 $34,295.20 $28,930.24 2026-01-12
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $23,456.21 $34,136.47 $28,796.34 2026-01-12
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $23,388.13 $34,037.40 $28,712.76 2026-01-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $23,343.48 $33,972.42 $28,657.95 2026-01-12
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 — — $23,280.53 $33,880.80 $28,580.67 2026-01-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $23,233.68 $33,812.62 $28,523.15 2026-01-12
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $28,485.00 $28,485.00 $28,485.00 2026-01-12
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $23,194.88 $33,756.16 $28,475.52 2026-01-12
686T OTHER Histotripsy Mal Hepatcel Tis 48 33 — — $28,126.13 $28,126.13 $28,126.13 2026-01-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $22,845.72 $33,248.01 $28,046.87 2026-01-12
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $22,835.47 $33,233.10 $28,034.28 2026-01-12
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 — — $19,202.56 $38,460.00 $27,946.01 2026-01-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $22,636.37 $32,943.34 $27,789.85 2026-01-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $22,573.42 $32,851.72 $27,712.57 2026-01-12
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $22,462.15 $32,689.80 $27,575.97 2026-01-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 — — $22,388.95 $32,583.27 $27,486.11 2026-01-12
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 5 — — $24,933.38 $53,534.00 $27,280.00 2026-01-12
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 — — $18,652.82 $35,334.00 $27,145.97 2026-01-12
570 MS_DRG Skin Debridement With Mcc 2 2 — — $22,034.66 $32,067.66 $27,051.16 2026-01-12
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $26,234.88 $38,180.35 $27,003.00 2026-01-12
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $21,858.98 $31,811.99 $26,835.49 2026-01-12
54400 CPT Insert Semi-rigid Prosthesis 48 33 — — $4,020.00 $49,547.03 $26,783.51 2026-01-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $21,583.75 $31,411.44 $26,497.60 2026-01-12
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $21,528.12 $31,330.47 $26,429.29 2026-01-12
397 MS_DRG Appendix Procedures With Mcc 3 3 — — $18,137.50 $33,903.00 $26,396.00 2026-01-12
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $21,469.56 $31,245.25 $26,357.40 2026-01-12
C9782 HCPCS Blind Myocar Trpl Bon Marrow 48 33 — — $26,347.00 $26,347.00 $26,347.00 2026-01-12
266T OTHER Implt/rpl Crtd Sns Dev Total 48 33 — — $26,347.00 $26,347.00 $26,347.00 2026-01-12
54401 CPT Insert Self-contd Prosthesis 48 33 — — $4,020.00 $48,556.08 $26,288.04 2026-01-12
54405 CPT Insert Multi-comp Penis Pros 48 33 — — $4,020.00 $48,556.08 $26,288.04 2026-01-12
20696 CPT App Mltpln Uni Xtrnl Fix 1st 48 33 — — $4,020.00 $48,515.49 $26,267.74 2026-01-12
27280 CPT Arthr Si Jt Opn B1grf Instrm 48 33 — — $4,020.00 $48,515.49 $26,267.74 2026-01-12
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $21,347.32 $31,067.34 $26,207.33 2026-01-12
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $21,335.60 $31,050.30 $26,192.95 2026-01-12
800 MS_DRG Splenic Procedures With Cc 2 2 — — $21,329.02 $31,040.71 $26,184.86 2026-01-12
J9266 HCPCS Pegaspargase Injection 48 33 — — $23,717.16 $28,635.75 $26,176.46 2026-01-12
553T OTHER Perq Tcat Iliac Anast Implt 48 33 — — $23,703.40 $28,198.04 $25,950.72 2026-01-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 — — $20,987.17 $30,543.22 $25,765.19 2026-01-12
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $20,950.57 $30,489.95 $25,720.26 2026-01-12
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 2 — — $20,921.29 $30,447.34 $25,684.32 2026-01-12
264 MS_DRG Other Circulatory System O.r. Procedures 5 5 — — $20,262.00 $39,760.00 $25,584.13 2026-01-12
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 2 — — $20,838.58 $30,326.96 $25,582.77 2026-01-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $25,418.70 $25,418.70 $25,418.70 2026-01-12
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $20,657.77 $30,063.83 $25,360.80 2026-01-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $20,557.49 $29,917.89 $25,237.69 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
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $23,640.00 $46,390.00 $25,110.53 2026-01-12
81416 CPT Exome Sequence Analysis 48 33 — — $12,000.00 $37,875.60 $24,937.80 2026-01-12
22856 CPT Tot Disc Arthrp 1ntrspc Crv 48 33 — — $4,020.00 $45,604.56 $24,812.28 2026-01-12
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $20,030.45 $29,150.87 $24,590.66 2026-01-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 5 — — $22,354.00 $43,866.00 $24,571.04 2026-01-12
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $19,994.58 $29,098.67 $24,546.62 2026-01-12
L7180 HCPCS Dme Pos 48 33 — — $24,513.31 $24,513.31 $24,513.31 2026-01-12
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $19,886.24 $28,941.01 $24,413.62 2026-01-12
L7181 HCPCS Dme Pos 48 33 — — $24,314.13 $24,314.13 $24,314.13 2026-01-12
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $19,788.89 $28,799.32 $24,294.10 2026-01-12
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 — — $16,651.54 $31,753.00 $24,233.44 2026-01-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $19,723.74 $28,704.51 $24,214.12 2026-01-12
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $19,645.42 $28,590.52 $24,117.97 2026-01-12
849 MS_DRG Radiotherapy 2 2 — — $19,552.45 $28,455.23 $24,003.84 2026-01-12
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 5 5 — — $16,928.23 $46,960.00 $23,931.00 2026-01-12
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $19,491.70 $28,366.81 $23,929.26 2026-01-12
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $19,422.16 $28,265.60 $23,843.88 2026-01-12
J9600 HCPCS Porfimer Sodium Injection 48 33 — — $22,723.20 $24,928.19 $23,825.69 2026-01-12
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 — — $19,398.00 $28,230.45 $23,814.22 2026-01-12
503 MS_DRG Foot Procedures With Mcc 2 2 — — $19,373.11 $28,194.23 $23,783.67 2026-01-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 2 — — $19,353.35 $28,165.47 $23,759.41 2026-01-12
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $18,948.55 $27,576.36 $23,262.46 2026-01-12
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $18,917.08 $27,530.55 $23,223.82 2026-01-12
525T OTHER Insj/rplcmt Compl Iims 48 33 — — $15,247.00 $31,182.16 $23,214.58 2026-01-12
627T OTHER Perq Njx Algc Fluor Lmbr 1st 48 33 — — $7,450.00 $38,869.08 $23,159.54 2026-01-12
629T OTHER Perq Njx Algc CT Lmbr 1st 48 33 — — $7,450.00 $38,869.08 $23,159.54 2026-01-12
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $18,693.82 $27,205.63 $22,949.72 2026-01-12
505T OTHER Ev Fempop Artl Revsc 48 33 — — $15,247.00 $30,518.39 $22,882.69 2026-01-12
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 — — $18,556.93 $27,006.42 $22,781.67 2026-01-12
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $18,496.91 $26,919.07 $22,707.99 2026-01-12
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 2 — — $18,482.27 $26,897.76 $22,690.01 2026-01-12
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 5 — — $20,536.26 $44,466.00 $22,660.00 2026-01-12
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $18,424.44 $26,813.60 $22,619.02 2026-01-12
C9757 HCPCS Spine Device Implant Surgery 48 33 — — $7,450.00 $37,562.21 $22,506.10 2026-01-12
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $18,330.01 $26,676.18 $22,503.10 2026-01-12
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $18,316.10 $26,655.94 $22,486.02 2026-01-12
652 MS_DRG Kidney Transplant 1 1 — — $22,482.65 $22,482.65 $22,482.65 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
77425 CPT Io Rad Tx Deliver By Elctrns 5 2 — — $1,031.00 $23,879.59 $22,245.40 2026-01-12
77424 CPT Io Rad Tx Delivery By X-ray 5 2 — — $1,031.00 $23,879.59 $22,245.40 2026-01-12
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 2 2 — — $18,064.30 $26,289.47 $22,176.89 2026-01-12
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $17,921.56 $26,081.74 $22,001.65 2026-01-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $17,773.69 $25,866.55 $21,820.12 2026-01-12
G0339 HCPCS Robot Lin-radsurg Com, First 5 2 — — $1,031.00 $23,402.01 $21,800.50 2026-01-12
G0340 HCPCS Robt Lin-radsurg Fractx 2-5 5 2 — — $1,031.00 $23,402.01 $21,800.50 2026-01-12
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $17,704.88 $25,766.41 $21,735.65 2026-01-12
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 2 2 — — $17,649.25 $25,685.45 $21,667.35 2026-01-12
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $17,575.32 $25,577.85 $21,576.58 2026-01-12
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 2 — — $17,547.50 $25,537.37 $21,542.43 2026-01-12
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $17,547.50 $25,537.37 $21,542.43 2026-01-12
63655 CPT Implant Neuroelectrodes 48 33 — — $4,020.00 $38,845.09 $21,432.54 2026-01-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 5 — — $21,317.30 $41,873.00 $21,339.00 2026-01-12
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $17,324.98 $25,213.52 $21,269.25 2026-01-12
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $17,302.28 $25,180.50 $21,241.39 2026-01-12
472 MS_DRG Cervical Spinal Fusion With Cc 5 5 — — $20,867.00 $40,948.00 $21,207.50 2026-01-12
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $17,274.47 $25,140.01 $21,207.24 2026-01-12
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $17,118.55 $24,913.11 $21,015.83 2026-01-12
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 3 3 — — $14,434.31 $27,003.00 $21,006.65 2026-01-12
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $16,983.86 $24,717.09 $20,850.47 2026-01-12
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 3 3 — — $14,313.53 $26,569.00 $20,830.88 2026-01-12
See an error in this hospital's data? Submit a correction