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 A R GOULD HOSPITAL

Presque Isle, ME · CCN 200018 · Rates published

Your selected procedure

You selected 59510 (CPT)

Cesarean delivery

This facility filed a payer-negotiated range for this code ($70 to $70), not a single rate. The comparison board shows the midpoint estimate.

14,865 distinct procedures filed
8 distinct payers
955,824 rate rows
2026-03-30 last MRF observed
Data quality

349,908 of 955,824 rate rows are consumer-grade (36.6%)

605,916 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 586,438
template filing: same amount across many unrelated codes — excluded 10,618
placeholder amount (≤ $0.02) — excluded from medians 6,940
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,518
percent-of-charges filed in the dollar field — excluded from medians 260
per-diem day rate — not a per-procedure price 70
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 50
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://northernlighthealth.org/NLH/media/Price-Transparency/010372148_AR-Gould-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 · 2026-09-21
Content fingerprint da606d06a857dadf… · 207,985,197 bytes · first seen 2026-05-14

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 $2,504,212.82 $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 $786,032.40 $3,020,830.40 $786,032.40 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $603,560.72 $2,319,566.70 $603,560.72 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $577,186.33 $2,218,206.29 $577,186.33 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $573,788.95 $2,205,149.70 $573,788.95 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $568,464.29 $2,184,686.29 $568,464.29 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $543,894.77 $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 $286,013.82 $1,306,495.61 $535,585.18 nat. median
$168,055
outlier · 3.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $499,090.70 $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 $185,611.46 $847,863.09 $347,573.23 nat. median
$186,516
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $283,815.00 $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 $141,411.35 $645,959.38 $264,804.77 nat. median
$131,925
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $140,581.45 $642,168.43 $263,250.71 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 $209,752.80 $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 $91,742.36 $419,074.11 $171,795.35 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 $85,773.41 $391,808.30 $160,618.00 nat. median
$70,649
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $79,598.49 $363,601.56 $149,054.93 nat. median
$72,715
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $75,054.22 $342,843.61 $140,545.40 nat. median
$65,418
outlier · 2.1×
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 $74,968.12 $342,450.29 $140,384.17 nat. median
$2,110
outlier · 66.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $72,997.02 $333,446.41 $136,693.11 nat. median
$2,736
outlier · 50.0×
212
MS_DRG 		Testes Procedures Age 0-17 8 $72,022.72 $328,995.90 $134,868.66 nat. median
$74,509
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $68,289.82 $311,944.18 $127,878.49 nat. median
$69,922
1.8× median
38240
CPT 		Transplt Allo Hct/donor 8 $58,385.12 $320,355.11 $125,950.29 nat. median
$28,331
outlier · 4.4×
215
MS_DRG 		Other Heart Assist System Implant 8 $65,948.47 $301,249.04 $123,494.12 nat. median
$73,023
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $64,794.69 $295,978.61 $121,333.56 nat. median
$69,822
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $59,673.53 $272,585.45 $111,743.76 nat. median
$2,596
outlier · 43.1×
Q0480
HCPCS 		Driver Pneumatic Vad Rep 7 $99,999.91 $132,651.16 $108,243.35 nat. median
$108,243
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $57,354.70 $261,993.17 $107,401.55 nat. median
$2,633
outlier · 40.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $55,833.99 $255,046.62 $104,553.89 nat. median
$60,505
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 8 $55,658.47 $254,244.87 $104,225.21 nat. median
$59,651
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $52,117.64 $238,070.54 $97,594.70 nat. median
$56,428
1.7× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 8 $44,424.35 $243,753.34 $95,833.66 nat. median
$44,163
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $50,855.89 $232,306.97 $95,231.98 nat. median
$55,923
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 8 $50,636.66 $231,305.53 $94,821.45 nat. median
$55,935
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $50,469.09 $230,540.07 $94,507.66 nat. median
$52,327
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $47,811.15 $218,398.74 $89,530.44 nat. median
$9,905
outlier · 9.0×
10
MS_DRG 		Pancreas Transplant 8 $47,527.01 $217,100.80 $88,998.36 nat. median
$23,080
outlier · 3.9×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 $47,507.14 $217,010.04 $88,961.15 nat. median
$37,013
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $47,254.79 $215,857.32 $88,488.61 nat. median
$45,605
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $47,226.97 $215,730.25 $88,436.52 nat. median
$51,518
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $45,779.11 $209,116.51 $85,725.28 nat. median
$48,611
1.8× median

Other procedures at this hospital

Browse this hospital's 14,865 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 12 6 — — $4,505,000.00 $4,595,100.00 $4,595,100.00 2026-03-30
J1411 HCPCS Inj Hemgenix Per Tx Dose 14 7 — — $3,685,266.67 $4,192,300.00 $3,758,972.00 2026-03-30
J1414 HCPCS Inj Beqvez Per Tx Dose 4 2 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 7 — — $3,316,462.59 $3,753,613.11 $3,382,791.84 2026-03-30
J3394 HCPCS Inj Lovotibeglogene Autotem 14 7 — — $3,248,445.72 $3,608,090.00 $3,313,414.63 2026-03-30
J3393 HCPCS Inj Betibeglogene Autotemce 14 7 — — $2,945,740.00 $3,353,840.00 $3,004,654.80 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 6 — — $2,504,212.82 $2,715,908.39 $2,504,212.82 2026-03-30
J3392 HCPCS Inj Exagamglogene Autotem 12 6 — — $2,332,000.00 $2,378,640.00 $2,378,640.00 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel 12 6 — — $786,032.40 $3,020,830.40 $786,032.40 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 7 — — $603,560.72 $2,319,566.70 $603,560.72 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 14 7 — — $577,186.33 $2,218,206.29 $577,186.33 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 7 — — $573,788.95 $2,205,149.70 $573,788.95 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 14 7 — — $568,464.29 $2,184,686.29 $568,464.29 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 7 — — $543,894.77 $2,090,262.27 $543,894.77 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 20 8 — — $286,013.82 $1,306,495.61 $535,585.18 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 14 7 — — $499,090.70 $1,918,074.07 $499,090.70 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 8 — — $185,611.46 $847,863.09 $347,573.23 2026-03-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 6 — — $283,815.00 $1,090,740.00 $283,815.00 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 8 — — $141,411.35 $645,959.38 $264,804.77 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 20 8 — — $140,581.45 $642,168.43 $263,250.71 2026-03-30
J3403 HCPCS Revakinagene Per Implant 18 6 — — $249,194.60 $1,009,400.00 $262,650.00 2026-03-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 12 6 — — $209,752.80 $806,108.80 $209,752.80 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 20 8 — — $91,742.36 $419,074.11 $171,795.35 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $168,513.00 $168,513.00 $168,513.00 2026-03-30
7 MS_DRG Lung Transplant 20 8 — — $85,773.41 $391,808.30 $160,618.00 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 20 8 — — $79,598.49 $363,601.56 $149,054.93 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 8 — — $75,054.22 $342,843.61 $140,545.40 2026-03-30
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 20 8 — — $74,968.12 $342,450.29 $140,384.17 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $72,997.02 $333,446.41 $136,693.11 2026-03-30
212 MS_DRG Testes Procedures Age 0-17 20 8 — — $72,022.72 $328,995.90 $134,868.66 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 8 — — $68,289.82 $311,944.18 $127,878.49 2026-03-30
38240 CPT Transplt Allo Hct/donor 20 8 — — $58,385.12 $320,355.11 $125,950.29 2026-03-30
215 MS_DRG Other Heart Assist System Implant 20 8 — — $65,948.47 $301,249.04 $123,494.12 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $64,794.69 $295,978.61 $121,333.56 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 8 — — $59,673.53 $272,585.45 $111,743.76 2026-03-30
Q0480 HCPCS Driver Pneumatic Vad Rep 18 7 — — $99,999.91 $132,651.16 $108,243.35 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 20 8 — — $57,354.70 $261,993.17 $107,401.55 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 8 — — $55,833.99 $255,046.62 $104,553.89 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 20 8 — — $55,658.47 $254,244.87 $104,225.21 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 8 — — $52,117.64 $238,070.54 $97,594.70 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 20 8 — — $44,424.35 $243,753.34 $95,833.66 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $50,855.89 $232,306.97 $95,231.98 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 20 8 — — $50,636.66 $231,305.53 $94,821.45 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 8 — — $50,469.09 $230,540.07 $94,507.66 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $47,811.15 $218,398.74 $89,530.44 2026-03-30
10 MS_DRG Pancreas Transplant 20 8 — — $47,527.01 $217,100.80 $88,998.36 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 8 — — $47,507.14 $217,010.04 $88,961.15 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 8 — — $47,254.79 $215,857.32 $88,488.61 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 8 — — $47,226.97 $215,730.25 $88,436.52 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 8 — — $45,779.11 $209,116.51 $85,725.28 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 8 — — $45,554.58 $208,090.86 $85,304.83 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 8 — — $44,582.28 $203,649.43 $83,484.10 2026-03-30
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 8 — — $44,286.88 $202,300.06 $82,930.94 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 8 — — $44,254.42 $202,151.81 $82,870.17 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $43,550.36 $198,935.70 $81,551.76 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $43,550.36 $198,935.70 $81,551.76 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 8 — — $43,392.07 $198,212.61 $81,255.33 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 8 — — $42,619.12 $194,681.85 $79,807.93 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 20 8 — — $40,590.40 $185,414.74 $76,008.97 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 8 — — $40,543.37 $185,199.93 $75,920.91 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 8 — — $40,154.58 $183,423.96 $75,192.87 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 20 8 — — $39,794.94 $181,781.12 $74,519.40 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 8 — — $39,783.68 $181,729.68 $74,498.32 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 20 8 — — $39,495.56 $180,413.59 $73,958.79 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 20 8 — — $39,365.75 $179,820.59 $73,715.71 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 8 — — $39,274.34 $179,403.07 $73,544.54 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 8 — — $38,869.66 $177,554.49 $72,786.74 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 8 — — $38,844.49 $177,439.52 $72,739.61 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 8 — — $38,197.39 $174,483.61 $71,527.86 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 8 — — $37,953.65 $173,370.23 $71,071.43 2026-03-30
213 MS_DRG Splenic Procedures Age 0-17 20 8 — — $37,798.67 $172,662.26 $70,781.21 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 8 — — $37,749.65 $172,438.37 $70,689.43 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $37,236.35 $170,093.61 $69,728.23 2026-03-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 20 8 — — $37,121.10 $169,567.17 $69,512.41 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 8 — — $36,866.76 $168,405.38 $69,036.15 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 7 — — $65,277.04 $84,315.83 $68,801.71 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 20 8 — — $36,580.64 $167,098.37 $68,500.35 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 20 8 — — $31,651.09 $173,667.34 $68,278.77 2026-03-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 20 8 — — $36,361.41 $166,096.92 $68,089.82 2026-03-30
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 20 8 — — $36,232.91 $165,509.98 $67,849.21 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 20 8 — — $36,181.25 $165,273.99 $67,752.46 2026-03-30
69930 CPT Implant Cochlear Device 20 8 — — $31,400.58 $172,292.81 $67,738.36 2026-03-30
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 20 8 — — $36,124.29 $165,013.80 $67,645.80 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 8 — — $35,979.90 $164,354.24 $67,375.42 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $35,320.88 $161,343.86 $66,141.35 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 8 — — $35,299.69 $161,247.05 $66,101.66 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 8 — — $35,062.57 $160,163.92 $65,657.64 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 8 — — $34,946.66 $159,634.46 $65,440.59 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
61886 CPT Implant Neurostim Arrays 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
J9029 HCPCS Instill Adstiladrin Tx Dose 22 8 — — $61,299.24 $248,301.74 $64,609.13 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 8 — — $34,477.07 $157,489.38 $64,561.24 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 20 8 — — $34,417.46 $157,217.08 $64,449.62 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $33,382.89 $152,491.25 $62,512.31 2026-03-30
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 20 8 — — $33,033.18 $150,893.79 $61,857.44 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 8 — — $32,768.25 $149,683.59 $61,361.33 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 8 — — $32,709.96 $149,417.34 $61,252.18 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 8 — — $32,598.03 $148,906.03 $61,042.58 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 8 — — $32,462.25 $148,285.81 $60,788.32 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 20 8 — — $28,064.35 $153,987.16 $60,541.34 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 20 8 — — $31,982.06 $146,092.32 $59,889.12 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 8 — — $31,820.45 $145,354.10 $59,586.50 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 20 8 — — $31,532.34 $144,038.00 $59,046.98 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 8 — — $31,138.91 $142,240.86 $58,310.26 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 8 — — $31,075.33 $141,950.41 $58,191.19 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 8 — — $30,982.60 $141,526.84 $58,017.55 2026-03-30
A9543 HCPCS Y90 Ibritumomab Rx 18 7 — — $54,991.73 $222,752.24 $57,961.04 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 20 8 — — $30,712.37 $140,292.44 $57,511.52 2026-03-30
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 8 — — $30,589.84 $139,732.72 $57,282.07 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 8 — — $30,444.12 $139,067.11 $57,009.21 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 8 — — $30,366.63 $138,713.12 $56,864.10 2026-03-30
245 MS_DRG Aicd Generator Procedures 20 8 — — $30,218.27 $138,035.41 $56,586.27 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 8 — — $30,127.53 $137,620.92 $56,416.36 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 8 — — $30,114.28 $137,560.41 $56,391.55 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 7 — — $53,489.57 $216,667.49 $56,377.77 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 20 8 — — $29,996.39 $137,021.87 $56,170.78 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 20 8 — — $29,684.43 $135,596.86 $55,586.62 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 8 — — $29,675.82 $135,557.53 $55,570.49 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 8 — — $29,559.25 $135,025.04 $55,352.21 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 8 — — $29,094.95 $132,904.16 $54,482.77 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 8 — — $28,661.79 $130,925.49 $53,671.63 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 8 — — $28,433.28 $129,881.69 $53,243.74 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 20 8 — — $28,250.48 $129,046.65 $52,901.42 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 8 — — $28,088.21 $128,305.40 $52,597.55 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 8 — — $27,971.64 $127,772.92 $52,379.26 2026-03-30
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 20 8 — — $27,923.95 $127,555.08 $52,289.96 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 8 — — $27,910.04 $127,491.54 $52,263.92 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 20 8 — — $24,218.21 $132,883.64 $52,244.31 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 20 8 — — $24,218.21 $132,883.64 $52,244.31 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 20 8 — — $24,218.21 $132,883.64 $52,244.31 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 8 — — $27,828.57 $127,119.41 $52,111.37 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 20 8 — — $27,795.46 $126,968.13 $52,049.35 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 8 — — $27,743.79 $126,732.14 $51,952.61 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 20 8 — — $27,636.50 $126,242.01 $51,751.69 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 20 8 — — $27,616.63 $126,151.25 $51,714.48 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 8 — — $27,506.68 $125,649.02 $51,508.60 2026-03-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 20 8 — — $27,324.54 $124,817.00 $51,167.52 2026-03-30
791 MS_DRG Prematurity With Major Problems 20 8 — — $26,884.09 $122,805.05 $50,342.74 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 8 — — $26,629.09 $121,640.23 $49,865.23 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 8 — — $26,388.00 $120,538.95 $49,413.77 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 8 — — $25,909.79 $118,354.53 $48,518.29 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 8 — — $25,792.56 $117,819.02 $48,298.76 2026-03-30
L7181 HCPCS Electronic Elbo Simultaneous 18 7 — — $45,688.52 $59,014.09 $48,155.50 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 8 — — $25,636.91 $117,108.03 $48,007.29 2026-03-30
J7310 HCPCS Ganciclovir Long Act Implant 4 2 — — $48,000.00 $48,000.00 $48,000.00 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 8 — — $25,598.50 $116,932.55 $47,935.36 2026-03-30
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 20 8 — — $25,573.99 $116,820.61 $47,889.47 2026-03-30
33230 CPT Insrt Pulse Gen W/dual Leads 20 8 — — $22,158.81 $121,583.85 $47,801.71 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 8 — — $25,428.94 $116,158.02 $47,617.85 2026-03-30
0266T CPT Implt/rpl Crtd Sns Dev Total 18 7 — — $44,424.35 $243,753.34 $47,578.48 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 8 — — $19,010.27 $86,837.90 $46,750.00 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 8 — — $20,089.88 $91,769.47 $46,750.00 2026-03-30
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 20 8 — — $24,923.58 $113,849.57 $46,671.52 2026-03-30
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 20 8 — — $24,814.96 $113,353.38 $46,468.12 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 8 — — $24,756.01 $113,084.11 $46,357.73 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 8 — — $24,753.36 $113,072.01 $46,352.77 2026-03-30
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 20 8 — — $24,683.82 $112,754.33 $46,222.54 2026-03-30
L7180 HCPCS Electronic Elbow Sequential 18 7 — — $43,720.78 $56,472.44 $46,081.51 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 8 — — $24,544.73 $112,118.98 $45,962.09 2026-03-30
J9226 HCPCS Supprelin La Implant 22 8 — — $43,568.55 $176,480.95 $45,921.06 2026-03-30
64580 CPT Opn Impltj Nea Neuromuscular 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
63655 CPT Implant Neuroelectrodes 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 8 — — $24,328.14 $111,129.64 $45,556.51 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 20 8 — — $24,318.21 $111,084.26 $45,537.91 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 8 — — $24,032.74 $109,780.27 $45,003.35 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 8 — — $24,014.20 $109,695.55 $44,968.62 2026-03-30
332 MS_DRG Rectal Resection With Mcc 20 8 — — $23,981.08 $109,544.28 $44,906.61 2026-03-30
265 MS_DRG Aicd Lead Procedures 20 8 — — $23,964.52 $109,468.64 $44,875.60 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 8 — — $23,922.13 $109,275.01 $44,796.23 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 8 — — $23,886.37 $109,111.63 $44,729.26 2026-03-30
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 20 8 — — $23,730.06 $108,397.61 $44,436.55 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 8 — — $23,675.08 $108,146.50 $44,333.60 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 8 — — $23,651.24 $108,037.58 $44,288.96 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 8 — — $23,616.14 $107,877.23 $44,223.22 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 8 — — $23,596.27 $107,786.46 $44,186.01 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 20 8 — — $23,573.75 $107,683.60 $44,143.85 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 8 — — $23,554.54 $107,595.86 $44,107.88 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 8 — — $23,357.83 $106,697.28 $43,739.51 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 8 — — $23,310.14 $106,479.45 $43,650.21 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 20 8 — — $23,104.15 $105,538.52 $43,264.49 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 20 8 — — $23,098.19 $105,511.29 $43,253.32 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 8 — — $22,992.22 $105,027.21 $43,054.89 2026-03-30
54416 CPT Remv/repl Penis Contain Pros 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54410 CPT Remove/replace Penis Prosth 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54411 CPT Remov/replc Penis Pros Comp 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54401 CPT Insert Self-contd Prosthesis 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54405 CPT Insert Multi-comp Penis Pros 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
53447 CPT Remove/replace Ur Sphincter 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
53444 CPT Insert Tandem Cuff 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
53445 CPT Insert Uro/ves Nck Sphincter 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 8 — — $22,880.95 $104,518.92 $42,846.52 2026-03-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 8 — — $22,774.97 $104,034.84 $42,648.07 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 8 — — $22,707.42 $103,726.24 $42,521.57 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 8 — — $22,596.14 $103,217.96 $42,313.19 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 8 — — $22,566.34 $103,081.81 $42,257.38 2026-03-30
509 MS_DRG Arthroscopy 2 1 — — $42,160.80 $42,160.80 $42,160.80 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 20 8 — — $22,125.89 $101,069.85 $41,432.60 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 8 — — $21,878.84 $99,941.34 $40,969.99 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 20 8 — — $21,804.66 $99,602.49 $40,831.07 2026-03-30
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 20 8 — — $21,802.01 $99,590.38 $40,826.11 2026-03-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 18 7 — — $38,538.94 $49,779.25 $40,619.87 2026-03-30
33274 CPT Tcat Insj/rpl Perm Ldls Pm 20 8 — — $18,826.99 $103,302.40 $40,614.20 2026-03-30
33221 CPT Insert Pulse Gen Mult Leads 20 8 — — $18,826.99 $103,302.40 $40,614.20 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 8 — — $21,544.36 $98,413.46 $40,343.65 2026-03-30
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 20 8 — — $21,449.65 $97,980.82 $40,166.29 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 8 — — $21,425.80 $97,871.90 $40,121.63 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 8 — — $21,396.00 $97,735.75 $40,065.82 2026-03-30
652 MS_DRG Kidney Transplant 20 8 — — $21,390.04 $97,708.52 $40,054.66 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 8 — — $21,374.14 $97,635.91 $40,024.89 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 8 — — $21,332.41 $97,445.30 $39,946.76 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 8 — — $21,263.53 $97,130.65 $39,817.76 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 8 — — $21,146.96 $96,598.16 $39,599.48 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 8 — — $21,107.88 $96,419.66 $39,526.30 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 8 — — $21,087.35 $96,325.87 $39,487.85 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 8 — — $21,044.96 $96,132.24 $39,408.47 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 20 8 — — $20,961.51 $95,751.02 $39,252.21 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 8 — — $20,929.71 $95,605.80 $39,192.67 2026-03-30
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
27278 CPT Arthrd Si Jt Plmt Iartic Dev 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
20696 CPT App Mltpln Uni Xtrnl Fix 1st 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
22856 CPT Tot Disc Arthrp 1ntrspc Crv 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
22867 CPT Insj Stablj Dev W/dcmprn 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
25446 CPT Arthrp W/prostc Dst Rds&crps 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
25442 CPT Arthrp W/prostc Dstl Ulna 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
24371 CPT Revise Reconst Elbow Joint 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
21243 CPT Reconstruction Of Jaw Joint 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
24363 CPT Replace Elbow Joint 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
24361 CPT Reconstruct Elbow Joint 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
23472 CPT Reconstruct Shoulder Joint 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
28705 CPT Arthrodesis Pantalar 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
27702 CPT Reconstruct Ankle Joint 20 8 — — $18,154.59 $99,613.00 $39,163.68 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 8 — — $20,870.10 $95,333.51 $39,081.04 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 8 — — $20,860.17 $95,288.12 $39,062.44 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 8 — — $20,811.16 $95,064.24 $38,970.66 2026-03-30
665 MS_DRG Prostatectomy With Mcc 20 8 — — $20,672.73 $94,431.91 $38,711.44 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 8 — — $20,629.68 $94,235.25 $38,630.82 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 8 — — $20,593.25 $94,068.85 $38,562.61 2026-03-30
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 8 — — $14,026.22 $64,071.01 $38,504.36 2026-03-30
93591 CPT Perq Transcath Cls Aortic 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
93582 CPT Perq Transcath Closure Pda 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
93581 CPT Transcath Closure Of Vsd 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
93590 CPT Perq Transcath Cls Mitral 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
93580 CPT Transcath Closure Of Asd 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
92933 CPT Prq Trlml C Athrc St Angiop1 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
37242 CPT Vasc Embolize/occlude Artery 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
37231 CPT Tib/per Revasc Stent & Ather 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
37229 CPT Tib/per Revasc W/ather 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
37184 CPT Prim Art M-thrmbc 1st Vsl 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
33902 CPT Perq P-art Revsc 1 Abnor Uni 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
36906 CPT Thrmbc/nfs Dialysis Circuit 20 8 — — $17,726.82 $97,265.82 $38,240.87 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 20 8 — — $20,277.32 $92,625.68 $37,971.00 2026-03-30
263 MS_DRG Vein Ligation And Stripping 20 8 — — $20,250.16 $92,501.64 $37,920.15 2026-03-30
62361 CPT Implant Spine Infusion Pump 20 8 — — $17,447.83 $95,735.04 $37,639.03 2026-03-30
62360 CPT Insert Spine Infusion Device 20 8 — — $17,447.83 $95,735.04 $37,639.03 2026-03-30
62362 CPT Implant Spine Infusion Pump 20 8 — — $17,447.83 $95,735.04 $37,639.03 2026-03-30
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 20 8 — — $20,005.76 $91,385.23 $37,462.49 2026-03-30
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 20 8 — — $20,003.11 $91,373.13 $37,457.53 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 8 — — $19,981.25 $91,273.28 $37,416.60 2026-03-30
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 1 — — $37,111.20 $37,111.20 $37,111.20 2026-03-30
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 20 8 — — $17,175.60 $94,241.32 $37,051.76 2026-03-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 18 7 — — $34,552.38 $189,586.53 $37,005.60 2026-03-30
173 MS_DRG Urethral Procedures Age 0-17 20 8 — — $19,713.67 $90,050.98 $36,915.52 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 20 8 — — $19,512.98 $89,134.26 $36,539.72 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 20 8 — — $19,499.74 $89,073.75 $36,514.91 2026-03-30
570 MS_DRG Skin Debridement With Mcc 20 8 — — $19,479.87 $88,982.98 $36,477.71 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 20 8 — — $19,340.12 $88,344.60 $36,216.01 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 8 — — $19,289.12 $88,111.64 $36,120.51 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 8 — — $19,220.90 $87,800.01 $35,992.76 2026-03-30
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 20 8 — — $19,208.97 $87,745.55 $35,970.43 2026-03-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 8 — — $19,124.20 $87,358.29 $35,811.68 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 20 8 — — $19,114.92 $87,315.93 $35,794.32 2026-03-30
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 20 8 — — $19,087.10 $87,188.86 $35,742.22 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 8 — — $18,879.79 $86,241.88 $35,354.01 2026-03-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 22 8 — — $12,775.74 $58,358.87 $35,071.57 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 7 — — $33,178.63 $42,855.55 $34,970.13 2026-03-30
800 MS_DRG Splenic Procedures With Cc 20 8 — — $18,607.58 $84,998.40 $34,844.27 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 20 8 — — $18,540.68 $84,692.82 $34,719.00 2026-03-30
28300267 CDM Prostate Cryoablation 20 6 $49,488.00 $10,392.48 79% off $25,040.93 $40,035.79 $34,626.76 2026-03-30
503 MS_DRG Foot Procedures With Mcc 20 8 — — $18,486.37 $84,444.73 $34,617.29 2026-03-30
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 20 8 — — $18,359.20 $83,863.83 $34,379.17 2026-03-30
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 8 — — $18,261.18 $83,416.06 $34,195.60 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 8 — — $18,205.54 $83,161.92 $34,091.42 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 20 8 — — $18,200.90 $83,140.74 $34,082.74 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 8 — — $18,106.85 $82,711.12 $33,906.62 2026-03-30
0571T CPT Insj/rplcmt Icds Ss Eltrd 18 7 — — $31,651.09 $173,667.34 $33,898.32 2026-03-30
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 18 7 — — $31,651.09 $173,667.34 $33,898.32 2026-03-30
0408T CPT Insj/rplc Cardiac Modulj Sys 18 7 — — $31,651.09 $173,667.34 $33,898.32 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 8 — — $18,020.75 $82,317.80 $33,745.38 2026-03-30
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