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

NORTHERN LIGHT MERCY HOSPITAL

Portland, ME · CCN 200008 · Rates published

14,720 distinct procedures filed
8 distinct payers
448,495 rate rows
2026-04-15 last MRF observed
Data quality

165,221 of 448,495 rate rows are consumer-grade (36.8%)

283,274 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
professional (physician) fee — not the facility price 273,678
template filing: same amount across many unrelated codes — excluded 5,218
placeholder amount (≤ $0.02) — excluded from medians 3,461
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 759
percent-of-charges filed in the dollar field — excluded from medians 88
per-diem day rate — not a per-procedure price 35
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 25
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://northernlighthealth.org/NLH/media/Price-Transparency/010211534_Mercy-hospital_standardcharges.csv
Found on page https://northernlighthealth.org/Resources/Price-Transparency/Standard-Charges/Machine-Readable-Files
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 05ed570a561b4a92… · 176,883,452 bytes · first seen 2026-05-15

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
J3391
HCPCS 		Inj Atidarsagene Autotemcel 6 $4,505,000.00 $4,595,100.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 7 $3,685,266.67 $4,192,300.00 $3,758,972.00 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 2 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,753,613.11 $3,382,791.84 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 7 $3,248,445.72 $3,608,090.00 $3,313,414.63 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 7 $2,945,740.00 $3,353,840.00 $3,004,654.80 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.61 $2,715,908.39 $2,504,212.82 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 6 $2,332,000.00 $2,378,640.00 $2,378,640.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $3,020,830.40 $786,032.40 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $2,319,566.70 $603,560.72 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.95 $2,218,206.28 $577,186.33 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $2,205,149.70 $573,788.95 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $2,184,686.29 $568,464.29 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $2,090,262.27 $543,894.77 nat. median
$562,501
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $291,885.29 $1,306,495.61 $541,439.76 nat. median
$168,055
outlier · 3.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $1,918,074.07 $499,090.70 nat. median
$513,770
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $189,421.81 $847,863.09 $351,372.62 nat. median
$186,516
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $1,090,740.00 $283,815.00 nat. median
$286,598
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $144,314.33 $645,959.38 $267,699.40 nat. median
$131,925
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $143,467.39 $642,168.43 $266,128.35 nat. median
$145,435
1.8× median
J3403
HCPCS 		Revakinagene Per Implant 6 $249,194.60 $1,009,400.00 $262,650.00 nat. median
$264,195
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 6 $205,640.00 $806,108.80 $209,752.80 nat. median
$207,733
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 8 $93,625.70 $419,074.11 $173,673.28 nat. median
$97,418
1.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $168,513.00 $168,513.00 $168,513.00 nat. median
$92,809
1.8× median
7
MS_DRG 		Lung Transplant 8 $87,534.22 $391,808.30 $162,373.75 nat. median
$70,649
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $81,232.53 $363,601.56 $150,684.27 nat. median
$72,715
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $76,594.98 $342,843.61 $142,081.73 nat. median
$65,418
outlier · 2.2×
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 $76,507.11 $342,450.29 $141,918.73 nat. median
$2,110
outlier · 67.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $74,495.54 $333,446.41 $138,187.33 nat. median
$2,736
outlier · 50.5×
212
MS_DRG 		Testes Procedures Age 0-17 8 $73,501.25 $328,995.90 $136,342.95 nat. median
$74,509
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $69,691.71 $311,944.18 $129,276.35 nat. median
$69,922
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $67,302.30 $301,249.04 $124,844.06 nat. median
$73,023
1.7× median
38240
CPT 		Transplt Allo Hct/donor 8 $57,758.40 $320,355.11 $123,985.16 nat. median
$28,331
outlier · 4.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $66,124.83 $295,978.61 $122,659.88 nat. median
$69,822
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $60,898.54 $272,585.45 $112,965.25 nat. median
$2,596
outlier · 43.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $58,532.12 $261,993.17 $108,575.58 nat. median
$2,633
outlier · 41.2×
Q0480
HCPCS 		Driver Pneumatic Vad Rep 7 $99,999.91 $132,651.16 $108,243.35 nat. median
$108,243
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $56,980.18 $255,046.62 $105,696.79 nat. median
$60,505
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 8 $56,801.06 $254,244.87 $105,364.52 nat. median
$59,651
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $53,187.54 $238,070.54 $98,661.53 nat. median
$56,428
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $51,899.90 $232,306.97 $96,272.98 nat. median
$55,923
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 8 $51,676.16 $231,305.53 $95,857.96 nat. median
$55,935
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $51,505.15 $230,540.07 $95,540.74 nat. median
$52,327
1.8× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 8 $43,947.49 $243,753.34 $94,338.43 nat. median
$44,163
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $48,792.65 $218,398.74 $90,509.12 nat. median
$9,905
outlier · 9.1×
10
MS_DRG 		Pancreas Transplant 8 $48,502.67 $217,100.80 $89,971.23 nat. median
$23,080
outlier · 3.9×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 $48,482.40 $217,010.04 $89,933.61 nat. median
$37,013
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $48,224.87 $215,857.32 $89,455.89 nat. median
$45,605
2.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $48,196.48 $215,730.25 $89,403.24 nat. median
$51,518
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $46,718.90 $209,116.51 $86,662.36 nat. median
$48,611
1.8× median

Other procedures at this hospital

Browse this hospital's 14,720 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
             
J3391 HCPCS Inj Atidarsagene Autotemcel 6 6 — — $4,505,000.00 $4,595,100.00 $4,595,100.00 2026-04-15
J1411 HCPCS Inj Hemgenix Per Tx Dose 7 7 — — $3,685,266.67 $4,192,300.00 $3,758,972.00 2026-04-15
J1414 HCPCS Inj Beqvez Per Tx Dose 2 2 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-04-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,316,462.59 $3,753,613.11 $3,382,791.84 2026-04-15
J3394 HCPCS Inj Lovotibeglogene Autotem 7 7 — — $3,248,445.72 $3,608,090.00 $3,313,414.63 2026-04-15
J3393 HCPCS Inj Betibeglogene Autotemce 7 7 — — $2,945,740.00 $3,353,840.00 $3,004,654.80 2026-04-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,455,110.61 $2,715,908.39 $2,504,212.82 2026-04-15
J3392 HCPCS Inj Exagamglogene Autotem 6 6 — — $2,332,000.00 $2,378,640.00 $2,378,640.00 2026-04-15
Q2057 HCPCS Afamitresgene Autoleucel 6 6 — — $770,620.00 $3,020,830.40 $786,032.40 2026-04-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $591,726.20 $2,319,566.70 $603,560.72 2026-04-15
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $565,868.95 $2,218,206.28 $577,186.33 2026-04-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $562,538.19 $2,205,149.70 $573,788.95 2026-04-15
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $557,317.93 $2,184,686.29 $568,464.29 2026-04-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $533,230.17 $2,090,262.27 $543,894.77 2026-04-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 8 — — $291,885.29 $1,306,495.61 $541,439.76 2026-04-15
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $489,304.61 $1,918,074.07 $499,090.70 2026-04-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 8 — — $189,421.81 $847,863.09 $351,372.62 2026-04-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 6 — — $278,250.00 $1,090,740.00 $283,815.00 2026-04-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 8 — — $144,314.33 $645,959.38 $267,699.40 2026-04-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 10 8 — — $143,467.39 $642,168.43 $266,128.35 2026-04-15
J3403 HCPCS Revakinagene Per Implant 9 6 — — $249,194.60 $1,009,400.00 $262,650.00 2026-04-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 6 — — $205,640.00 $806,108.80 $209,752.80 2026-04-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 10 8 — — $93,625.70 $419,074.11 $173,673.28 2026-04-15
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $168,513.00 $168,513.00 $168,513.00 2026-04-15
7 MS_DRG Lung Transplant 10 8 — — $87,534.22 $391,808.30 $162,373.75 2026-04-15
14 MS_DRG Allogeneic Bone Marrow Transplant 10 8 — — $81,232.53 $363,601.56 $150,684.27 2026-04-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 8 — — $76,594.98 $342,843.61 $142,081.73 2026-04-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 10 8 — — $76,507.11 $342,450.29 $141,918.73 2026-04-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $74,495.54 $333,446.41 $138,187.33 2026-04-15
212 MS_DRG Testes Procedures Age 0-17 10 8 — — $73,501.25 $328,995.90 $136,342.95 2026-04-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 8 — — $69,691.71 $311,944.18 $129,276.35 2026-04-15
215 MS_DRG Other Heart Assist System Implant 10 8 — — $67,302.30 $301,249.04 $124,844.06 2026-04-15
38240 CPT Transplt Allo Hct/donor 10 8 — — $57,758.40 $320,355.11 $123,985.16 2026-04-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $66,124.83 $295,978.61 $122,659.88 2026-04-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 8 — — $60,898.54 $272,585.45 $112,965.25 2026-04-15
850 MS_DRG Acute Leukemia With Other Procedures 10 8 — — $58,532.12 $261,993.17 $108,575.58 2026-04-15
Q0480 HCPCS Driver Pneumatic Vad Rep 9 7 — — $99,999.91 $132,651.16 $108,243.35 2026-04-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 8 — — $56,980.18 $255,046.62 $105,696.79 2026-04-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $56,801.06 $254,244.87 $105,364.52 2026-04-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 8 — — $53,187.54 $238,070.54 $98,661.53 2026-04-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $51,899.90 $232,306.97 $96,272.98 2026-04-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 10 8 — — $51,676.16 $231,305.53 $95,857.96 2026-04-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 8 — — $51,505.15 $230,540.07 $95,540.74 2026-04-15
33276 CPT Insj Phrnc Nrv Stim Sys 10 8 — — $43,947.49 $243,753.34 $94,338.43 2026-04-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $48,792.65 $218,398.74 $90,509.12 2026-04-15
10 MS_DRG Pancreas Transplant 10 8 — — $48,502.67 $217,100.80 $89,971.23 2026-04-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 8 — — $48,482.40 $217,010.04 $89,933.61 2026-04-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 8 — — $48,224.87 $215,857.32 $89,455.89 2026-04-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 8 — — $48,196.48 $215,730.25 $89,403.24 2026-04-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 8 — — $46,718.90 $209,116.51 $86,662.36 2026-04-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 8 — — $46,489.76 $208,090.86 $86,237.31 2026-04-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 8 — — $45,497.49 $203,649.43 $84,396.68 2026-04-15
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 8 — — $45,196.03 $202,300.06 $83,837.48 2026-04-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 8 — — $45,162.91 $202,151.81 $83,776.04 2026-04-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $44,444.39 $198,935.70 $82,443.21 2026-04-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $44,444.39 $198,935.70 $82,443.21 2026-04-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $44,282.85 $198,212.61 $82,143.55 2026-04-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 8 — — $43,494.04 $194,681.85 $80,680.33 2026-04-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 10 8 — — $41,423.66 $185,414.74 $76,839.84 2026-04-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 8 — — $41,375.67 $185,199.93 $76,750.82 2026-04-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 8 — — $40,978.90 $183,423.96 $76,014.82 2026-04-15
28 MS_DRG Spinal Procedures With Mcc 10 8 — — $40,611.87 $181,781.12 $75,333.99 2026-04-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 8 — — $40,600.38 $181,729.68 $75,312.68 2026-04-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $40,306.35 $180,413.59 $74,767.26 2026-04-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 10 8 — — $40,173.87 $179,820.59 $74,521.51 2026-04-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 8 — — $40,080.59 $179,403.07 $74,348.48 2026-04-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 8 — — $39,667.60 $177,554.49 $73,582.39 2026-04-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 8 — — $39,641.91 $177,439.52 $73,534.74 2026-04-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 8 — — $38,981.53 $174,483.61 $72,309.74 2026-04-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $38,732.79 $173,370.23 $71,848.33 2026-04-15
213 MS_DRG Splenic Procedures Age 0-17 10 8 — — $38,574.62 $172,662.26 $71,554.93 2026-04-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 8 — — $38,524.60 $172,438.37 $71,462.15 2026-04-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $38,000.76 $170,093.61 $70,490.43 2026-04-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 10 8 — — $37,883.15 $169,567.17 $70,272.27 2026-04-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 8 — — $37,623.59 $168,405.38 $69,790.79 2026-04-15
C1882 HCPCS Icd Biventricular Mm 10 6 $99,361.00 $25,833.86 74% off $53,058.77 $75,713.08 $69,771.29 2026-04-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 10 8 — — $37,331.59 $167,098.37 $69,249.14 2026-04-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 10 8 — — $37,107.85 $166,096.92 $68,834.12 2026-04-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 7 — — $65,277.04 $84,315.83 $68,801.71 2026-04-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 10 8 — — $36,976.72 $165,509.98 $68,590.88 2026-04-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 10 8 — — $36,924.00 $165,273.99 $68,493.08 2026-04-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 10 8 — — $36,865.87 $165,013.80 $68,385.25 2026-04-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 8 — — $36,718.52 $164,354.24 $68,111.92 2026-04-15
33270 CPT Ins/rep Subq Defibrillator 10 8 — — $31,311.34 $173,667.34 $67,213.45 2026-04-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $36,045.97 $161,343.86 $66,864.36 2026-04-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 8 — — $36,024.34 $161,247.05 $66,824.23 2026-04-15
69930 CPT Implant Cochlear Device 10 8 — — $31,063.52 $172,292.81 $66,681.48 2026-04-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 8 — — $35,782.36 $160,163.92 $66,375.36 2026-04-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $35,664.07 $159,634.46 $66,155.93 2026-04-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 8 — — $35,184.83 $157,489.38 $65,266.97 2026-04-15
653 MS_DRG Major Bladder Procedures With Mcc 10 8 — — $35,124.00 $157,217.08 $65,154.12 2026-04-15
J9029 HCPCS Instill Adstiladrin Tx Dose 11 8 — — $61,299.24 $248,301.74 $64,609.13 2026-04-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 10 8 — — $29,760.50 $165,065.68 $63,884.40 2026-04-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 10 8 — — $29,760.50 $165,065.68 $63,884.40 2026-04-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 10 8 — — $29,760.50 $165,065.68 $63,884.40 2026-04-15
61886 CPT Implant Neurostim Arrays 10 8 — — $29,760.50 $165,065.68 $63,884.40 2026-04-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 10 8 — — $29,760.50 $165,065.68 $63,884.40 2026-04-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $34,068.20 $152,491.25 $63,195.64 2026-04-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 10 8 — — $33,711.31 $150,893.79 $62,533.61 2026-04-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 8 — — $33,440.94 $149,683.59 $62,032.09 2026-04-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 8 — — $33,381.45 $149,417.34 $61,921.75 2026-04-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 8 — — $33,267.22 $148,906.03 $61,709.85 2026-04-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $33,128.66 $148,285.81 $61,452.82 2026-04-15
471 MS_DRG Cervical Spinal Fusion With Mcc 10 8 — — $32,638.61 $146,092.32 $60,543.79 2026-04-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 8 — — $32,473.68 $145,354.10 $60,237.85 2026-04-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 10 8 — — $32,179.65 $144,038.00 $59,692.43 2026-04-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 10 8 — — $27,763.10 $153,987.16 $59,596.75 2026-04-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 8 — — $31,778.15 $142,240.86 $58,947.65 2026-04-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 8 — — $31,713.26 $141,950.41 $58,827.29 2026-04-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 8 — — $31,618.63 $141,526.84 $58,651.75 2026-04-15
6 MS_DRG Liver Transplant Without Mcc 10 8 — — $31,342.85 $140,292.44 $58,140.19 2026-04-15
A9543 HCPCS Y90 Ibritumomab Rx 9 7 — — $54,991.73 $222,752.24 $57,961.04 2026-04-15
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $31,217.80 $139,732.72 $57,908.23 2026-04-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 8 — — $31,069.10 $139,067.11 $57,632.38 2026-04-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 8 — — $30,990.02 $138,713.12 $57,485.69 2026-04-15
245 MS_DRG Aicd Generator Procedures 10 8 — — $30,838.61 $138,035.41 $57,204.83 2026-04-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 8 — — $30,746.01 $137,620.92 $57,033.06 2026-04-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 8 — — $30,732.49 $137,560.41 $57,007.98 2026-04-15
799 MS_DRG Splenic Procedures With Mcc 10 8 — — $30,612.17 $137,021.87 $56,784.79 2026-04-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 7 — — $53,489.57 $216,667.49 $56,377.77 2026-04-15
163 MS_DRG Major Chest Procedures With Mcc 10 8 — — $30,293.81 $135,596.86 $56,194.24 2026-04-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 8 — — $30,285.02 $135,557.53 $56,177.94 2026-04-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 8 — — $30,166.06 $135,025.04 $55,957.27 2026-04-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 8 — — $29,692.23 $132,904.16 $55,078.33 2026-04-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 8 — — $29,250.17 $130,925.49 $54,258.32 2026-04-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 8 — — $29,016.98 $129,881.69 $53,825.76 2026-04-15
140 MS_DRG Major Head And Neck Procedures With Mcc 10 8 — — $28,830.42 $129,046.65 $53,479.69 2026-04-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 8 — — $28,664.82 $128,305.40 $53,172.50 2026-04-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 8 — — $28,545.85 $127,772.92 $52,951.83 2026-04-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 10 8 — — $28,497.19 $127,555.08 $52,861.55 2026-04-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 8 — — $28,482.99 $127,491.54 $52,835.23 2026-04-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 8 — — $28,399.85 $127,119.41 $52,681.01 2026-04-15
901 MS_DRG Wound Debridements For Injuries With Mcc 10 8 — — $28,366.06 $126,968.13 $52,618.32 2026-04-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 8 — — $28,313.34 $126,732.14 $52,520.51 2026-04-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $28,203.83 $126,242.01 $52,317.40 2026-04-15
793 MS_DRG Full Term Neonate With Major Problems 10 8 — — $28,183.56 $126,151.25 $52,279.78 2026-04-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 8 — — $28,071.35 $125,649.02 $52,071.64 2026-04-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 10 8 — — $27,885.47 $124,817.00 $51,726.84 2026-04-15
93654 CPT Compre Ep Eval Tx Vt 10 8 — — $23,958.24 $132,883.64 $51,429.18 2026-04-15
93653 CPT Compre Ep Eval Tx Svt 10 8 — — $23,958.24 $132,883.64 $51,429.18 2026-04-15
93656 CPT Compre Ep Eval Abltj Atr Fib 10 8 — — $23,958.24 $132,883.64 $51,429.18 2026-04-15
791 MS_DRG Prematurity With Major Problems 10 8 — — $27,435.98 $122,805.05 $50,893.04 2026-04-15
92933 CPT Prq Trlml C Athrc St Angiop1 60 8 $71,827.00 $18,675.02 74% off $17,536.53 $97,265.82 $50,436.92 2026-04-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 8 — — $27,175.75 $121,640.23 $50,410.32 2026-04-15
C9607 HCPCS Cl Pci Cto Des Lad 59 8 $71,827.00 $18,675.02 74% off $17,536.53 $97,265.82 $50,350.73 2026-04-15
C9602 HCPCS Cl Ptcra With Des Stent Lad 59 8 $71,827.00 $18,675.02 74% off $17,536.53 $97,265.82 $50,350.73 2026-04-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 8 — — $26,929.71 $120,538.95 $49,953.92 2026-04-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $26,441.69 $118,354.53 $49,048.65 2026-04-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 8 — — $26,322.05 $117,819.02 $48,826.73 2026-04-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 8 — — $26,163.20 $117,108.03 $48,532.07 2026-04-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 8 — — $26,124.00 $116,932.55 $48,459.35 2026-04-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 10 8 — — $26,098.99 $116,820.61 $48,412.96 2026-04-15
L7181 HCPCS Electronic Elbo Simultaneous 9 7 — — $45,688.52 $59,014.09 $48,155.50 2026-04-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 8 — — $25,950.96 $116,158.02 $48,138.37 2026-04-15
J7310 HCPCS Ganciclovir Long Act Implant 2 2 — — $48,000.00 $48,000.00 $48,000.00 2026-04-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 10 8 — — $25,435.23 $113,849.57 $47,181.70 2026-04-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 10 8 — — $21,920.95 $121,583.85 $47,055.88 2026-04-15
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 10 8 — — $25,324.37 $113,353.38 $46,976.07 2026-04-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 8 — — $25,264.22 $113,084.11 $46,864.47 2026-04-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 8 — — $25,261.51 $113,072.01 $46,859.46 2026-04-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 8 — — $20,502.29 $91,769.47 $46,750.00 2026-04-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 8 — — $19,400.53 $86,837.90 $46,750.00 2026-04-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 10 8 — — $25,190.54 $112,754.33 $46,727.81 2026-04-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 8 — — $25,048.60 $112,118.98 $46,464.51 2026-04-15
L7180 HCPCS Electronic Elbow Sequential 9 7 — — $43,720.78 $56,472.44 $46,081.51 2026-04-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 8 — — $24,827.57 $111,129.64 $46,054.51 2026-04-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 10 8 — — $24,817.43 $111,084.26 $46,035.69 2026-04-15
J9226 HCPCS Supprelin La Implant 11 8 — — $43,568.55 $176,480.95 $45,921.06 2026-04-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 8 — — $24,526.10 $109,780.27 $45,495.29 2026-04-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 8 — — $24,507.18 $109,695.55 $45,460.18 2026-04-15
332 MS_DRG Rectal Resection With Mcc 10 8 — — $24,473.38 $109,544.28 $45,397.49 2026-04-15
265 MS_DRG Aicd Lead Procedures 10 8 — — $24,456.48 $109,468.64 $45,366.15 2026-04-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 8 — — $24,413.22 $109,275.01 $45,285.90 2026-04-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 8 — — $24,376.72 $109,111.63 $45,218.20 2026-04-15
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 10 8 — — $20,942.59 $116,157.39 $44,955.71 2026-04-15
64580 CPT Opn Impltj Nea Neuromuscular 10 8 — — $20,942.59 $116,157.39 $44,955.71 2026-04-15
63655 CPT Implant Neuroelectrodes 10 8 — — $20,942.59 $116,157.39 $44,955.71 2026-04-15
61885 CPT Insrt/redo Neurostim 1 Array 10 8 — — $20,942.59 $116,157.39 $44,955.71 2026-04-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 10 8 — — $20,942.59 $116,157.39 $44,955.71 2026-04-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 10 8 — — $24,217.20 $108,397.61 $44,922.29 2026-04-15
0266T CPT Implt/rpl Crtd Sns Dev Total 9 7 — — $43,947.49 $243,753.34 $44,826.44 2026-04-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 8 — — $24,161.10 $108,146.50 $44,818.22 2026-04-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 8 — — $24,136.77 $108,037.58 $44,773.08 2026-04-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 8 — — $24,100.94 $107,877.23 $44,706.63 2026-04-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 8 — — $24,080.66 $107,786.46 $44,669.02 2026-04-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 10 8 — — $24,057.68 $107,683.60 $44,626.39 2026-04-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 8 — — $24,038.08 $107,595.86 $44,590.02 2026-04-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 8 — — $23,837.33 $106,697.28 $44,217.64 2026-04-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 8 — — $23,788.66 $106,479.45 $44,127.37 2026-04-15
C1813 HCPCS Penile Prosth Inflate Ee 50 6 $64,299.00 $16,717.74 74% off $22,892.58 $60,230.00 $43,951.70 2026-04-15
252 MS_DRG Other Vascular Procedures With Mcc 10 8 — — $23,578.45 $105,538.52 $43,737.42 2026-04-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 10 8 — — $23,572.37 $105,511.29 $43,726.13 2026-04-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 8 — — $23,464.22 $105,027.21 $43,525.53 2026-04-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 8 — — $23,350.66 $104,518.92 $43,314.88 2026-04-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 8 — — $23,242.51 $104,034.84 $43,114.26 2026-04-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 8 — — $23,173.57 $103,726.24 $42,986.38 2026-04-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 8 — — $23,060.01 $103,217.96 $42,775.73 2026-04-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 8 — — $23,029.59 $103,081.81 $42,719.31 2026-04-15
54416 CPT Remv/repl Penis Contain Pros 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
54411 CPT Remov/replc Penis Pros Comp 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
54405 CPT Insert Multi-comp Penis Pros 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
54401 CPT Insert Self-contd Prosthesis 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
54410 CPT Remove/replace Penis Prosth 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
53444 CPT Insert Tandem Cuff 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
53445 CPT Insert Uro/ves Nck Sphincter 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
53447 CPT Remove/replace Ur Sphincter 10 8 — — $19,657.56 $109,030.01 $42,197.25 2026-04-15
509 MS_DRG Arthroscopy 1 1 — — $42,160.80 $42,160.80 $42,160.80 2026-04-15
264 MS_DRG Other Circulatory System O.r. Procedures 10 8 — — $22,580.10 $101,069.85 $41,885.51 2026-04-15
C1767 HCPCS Neurostimulator Generator Dd 60 6 $61,620.00 $16,021.20 74% off $966.01 $72,479.92 $41,794.35 2026-04-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 8 — — $22,327.98 $99,941.34 $41,417.83 2026-04-15
37 MS_DRG Extracranial Procedures With Mcc 10 8 — — $22,252.28 $99,602.49 $41,277.40 2026-04-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 10 8 — — $22,249.57 $99,590.38 $41,272.38 2026-04-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 8 — — $21,986.64 $98,413.46 $40,784.65 2026-04-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 9 7 — — $38,538.94 $49,779.25 $40,619.87 2026-04-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 10 8 — — $21,889.98 $97,980.82 $40,605.35 2026-04-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 8 — — $21,865.64 $97,871.90 $40,560.21 2026-04-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 8 — — $21,835.23 $97,735.75 $40,503.79 2026-04-15
652 MS_DRG Kidney Transplant 10 8 — — $21,829.14 $97,708.52 $40,492.51 2026-04-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 8 — — $21,812.92 $97,635.91 $40,462.41 2026-04-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 8 — — $21,770.34 $97,445.30 $40,383.42 2026-04-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 8 — — $21,700.04 $97,130.65 $40,253.02 2026-04-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 8 — — $21,581.08 $96,598.16 $40,032.35 2026-04-15
33230 CPT Insrt Pulse Gen W/dual Leads 20 8 $56,963.00 $14,810.38 74% off $21,920.95 $121,583.85 $39,999.41 2026-04-15
33274 CPT Tcat Insj/rpl Perm Ldls Pm 10 8 — — $18,624.90 $103,302.40 $39,980.53 2026-04-15
33229 CPT Remv&replc Pm Gen Mult Leads 10 8 — — $18,624.90 $103,302.40 $39,980.53 2026-04-15
33221 CPT Insert Pulse Gen Mult Leads 10 8 — — $18,624.90 $103,302.40 $39,980.53 2026-04-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 8 — — $21,541.20 $96,419.66 $39,958.37 2026-04-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 8 — — $21,520.24 $96,325.87 $39,919.51 2026-04-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 8 — — $21,476.98 $96,132.24 $39,839.26 2026-04-15
500 MS_DRG Soft Tissue Procedures With Mcc 10 8 — — $21,391.82 $95,751.02 $39,681.28 2026-04-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 8 — — $21,359.37 $95,605.80 $39,621.09 2026-04-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 8 — — $21,298.54 $95,333.51 $39,508.24 2026-04-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 8 — — $21,288.40 $95,288.12 $39,489.44 2026-04-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 8 — — $21,238.38 $95,064.24 $39,396.65 2026-04-15
665 MS_DRG Prostatectomy With Mcc 10 8 — — $21,097.11 $94,431.91 $39,134.60 2026-04-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 8 — — $21,053.18 $94,235.25 $39,053.10 2026-04-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 8 — — $21,016.00 $94,068.85 $38,984.15 2026-04-15
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
21243 CPT Reconstruction Of Jaw Joint 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
23472 CPT Reconstruct Shoulder Joint 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
27278 CPT Arthrd Si Jt Plmt Iartic Dev 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
20696 CPT App Mltpln Uni Xtrnl Fix 1st 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
25446 CPT Arthrp W/prostc Dst Rds&crps 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
25442 CPT Arthrp W/prostc Dstl Ulna 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
22867 CPT Insj Stablj Dev W/dcmprn 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
22856 CPT Tot Disc Arthrp 1ntrspc Crv 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
24371 CPT Revise Reconst Elbow Joint 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
24361 CPT Reconstruct Elbow Joint 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
28705 CPT Arthrodesis Pantalar 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
24363 CPT Replace Elbow Joint 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
27702 CPT Reconstruct Ankle Joint 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
22630 CPT Arthrd Pst Tq 1ntrspc Lum 10 8 — — $17,959.72 $99,613.00 $38,552.63 2026-04-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 11 8 — — $14,314.16 $64,071.01 $38,504.36 2026-04-15
662 MS_DRG Minor Bladder Procedures With Mcc 10 8 — — $20,693.58 $92,625.68 $38,386.07 2026-04-15
C1820 HCPCS Neurostim Gen Recharge Bat S 60 6 $56,266.50 $14,629.29 74% off $5,722.34 $84,730.59 $38,352.32 2026-04-15
263 MS_DRG Vein Ligation And Stripping 10 8 — — $20,665.87 $92,501.64 $38,334.66 2026-04-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 10 8 — — $20,416.45 $91,385.23 $37,871.99 2026-04-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 10 8 — — $20,413.75 $91,373.13 $37,866.98 2026-04-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 8 — — $20,391.44 $91,273.28 $37,825.60 2026-04-15
93591 CPT Perq Transcath Cls Aortic 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
93582 CPT Perq Transcath Closure Pda 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
93590 CPT Perq Transcath Cls Mitral 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
93581 CPT Transcath Closure Of Vsd 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
93580 CPT Transcath Closure Of Asd 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
37230 CPT Tib/per Revasc W/stent 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
37227 CPT Fem/popl Revasc Stnt & Ather 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
37229 CPT Tib/per Revasc W/ather 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
37231 CPT Tib/per Revasc Stent & Ather 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
36906 CPT Thrmbc/nfs Dialysis Circuit 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
37184 CPT Prim Art M-thrmbc 1st Vsl 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
33902 CPT Perq P-art Revsc 1 Abnor Uni 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
37225 CPT Fem/popl Revas W/ather 10 8 — — $17,536.53 $97,265.82 $37,644.22 2026-04-15
L8614 HCPCS Cochlear Device Dd 10 6 $53,587.00 $13,932.62 74% off $28,615.46 $40,833.29 $37,628.79 2026-04-15
173 MS_DRG Urethral Procedures Age 0-17 10 8 — — $20,118.37 $90,050.98 $37,319.05 2026-04-15
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $37,111.20 $37,111.20 $37,111.20 2026-04-15
62361 CPT Implant Spine Infusion Pump 10 8 — — $17,260.54 $95,735.04 $37,051.77 2026-04-15
62362 CPT Implant Spine Infusion Pump 10 8 — — $17,260.54 $95,735.04 $37,051.77 2026-04-15
62360 CPT Insert Spine Infusion Device 10 8 — — $17,260.54 $95,735.04 $37,051.77 2026-04-15
472 MS_DRG Cervical Spinal Fusion With Cc 10 8 — — $19,913.56 $89,134.26 $36,939.15 2026-04-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 8 — — $19,900.04 $89,073.75 $36,914.07 2026-04-15
570 MS_DRG Skin Debridement With Mcc 10 8 — — $19,879.76 $88,982.98 $36,876.46 2026-04-15
668 MS_DRG Transurethral Procedures With Mcc 10 8 — — $19,737.14 $88,344.60 $36,611.89 2026-04-15
C1722 HCPCS Single Chamber Icd 10 6 $52,023.00 $13,525.98 74% off $27,780.28 $39,641.53 $36,530.55 2026-04-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 8 — — $19,685.10 $88,111.64 $36,515.35 2026-04-15
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 10 8 — — $16,991.23 $94,241.32 $36,473.67 2026-04-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 8 — — $19,615.47 $87,800.01 $36,386.20 2026-04-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 10 8 — — $19,603.31 $87,745.55 $36,363.64 2026-04-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 8 — — $19,516.79 $87,358.29 $36,203.14 2026-04-15
974 MS_DRG HIV With Major Related Condition With Mcc 10 8 — — $19,507.33 $87,315.93 $36,185.59 2026-04-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 10 8 — — $19,478.94 $87,188.86 $36,132.93 2026-04-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 8 — — $19,267.37 $86,241.88 $35,740.48 2026-04-15
800 MS_DRG Splenic Procedures With Cc 10 8 — — $18,989.56 $84,998.40 $35,225.15 2026-04-15
654 MS_DRG Major Bladder Procedures With Cc 10 8 — — $18,921.29 $84,692.82 $35,098.52 2026-04-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 11 8 — — $13,038.00 $58,358.87 $35,071.57 2026-04-15
503 MS_DRG Foot Procedures With Mcc 10 8 — — $18,865.87 $84,444.73 $34,995.71 2026-04-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 7 — — $33,178.63 $42,855.55 $34,970.13 2026-04-15
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