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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MAINEHEALTH MID COAST HOSPITAL

Brunswick, ME · CCN 200021 · Rates published

14,204 distinct procedures filed
10 distinct payers
289,101 rate rows
2026-10-30 last MRF observed
Data quality

156,529 of 289,101 rate rows are consumer-grade (54.1%)

132,572 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 132,423
placeholder amount (≤ $0.02) — excluded from medians 57
exceeds 10× this hospital's gross charge — excluded from medians 41
percent-of-charges filed in the dollar field — excluded from medians 25
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11
per-diem day rate — not a per-procedure price 8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8025/010238552-1932164795_mainehealth_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MidCoastHospital/8025
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-31
Content fingerprint e5d0a991dde260d5… · 133,259,582 bytes · first seen 2026-10-31

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 		Apc 6 $4,505,000.00 $4,640,150.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Apc 6 $3,691,450.00 $3,802,193.50 $3,691,450.00 nat. median
$3,691,450
1.0× median
J1413
HCPCS 		Apc 6 $3,301,546.67 $3,400,593.07 $3,301,546.67 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Apc 6 $3,285,782.70 $3,384,356.18 $3,285,782.70 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Apc 6 $3,235,299.49 $3,332,358.47 $3,235,299.49 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Apc 6 $3,180,000.00 $3,275,400.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Apc 6 $2,925,123.30 $3,012,877.00 $2,925,123.30 nat. median
$2,983,626
1.0× median
J3405
HCPCS 		Apc 6 $2,729,937.92 $2,811,836.06 $2,729,937.92 nat. median
$2,664,229
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,679,817.05 $2,760,211.56 $2,679,817.05 nat. median
$2,467,989
1.1× median
C9309
HCPCS 		Apc 6 $2,664,228.59 $2,744,155.45 $2,664,228.59 nat. median
$2,664,229
1.0× median
J3392
HCPCS 		Apc 6 $2,318,674.29 $2,388,234.51 $2,318,674.29 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Apc 6 $813,967.38 $1,080,297.50 $813,967.38 nat. median
$813,967
1.0× median
J3406
HCPCS 		Apc 6 $735,534.00 $757,600.02 $735,534.00 nat. median
$0
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $626,315.83 $831,246.37 $626,315.83 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Apc 6 $594,112.26 $788,505.78 $594,112.26 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $589,846.77 $782,844.63 $589,846.77 nat. median
$637,620
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $577,943.26 $767,046.29 $577,943.26 nat. median
$607,251
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $575,850.47 $764,268.74 $575,850.47 nat. median
$621,967
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $532,352.74 $706,538.56 $532,352.74 nat. median
$589,091
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $345,046.14 $852,155.91 $345,046.14 nat. median
$360,195
1.0× median
Q2058
HCPCS 		Apc 6 $293,725.70 $389,832.75 $293,725.70 nat. median
$319,951
0.9× median
J3403
HCPCS 		Apc 6 $259,948.92 $267,747.39 $259,948.92 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $215,031.50 $530,298.42 $215,031.50 nat. median
$247,805
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $213,135.23 $525,604.11 $213,135.23 nat. median
$197,664
1.1× median
J3402
HCPCS 		Apc 6 $202,159.94 $208,224.74 $202,159.94 nat. median
$209,753
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 $163,043.03 $401,598.46 $163,043.03 nat. median
$190,274
0.9× median
J3404
HCPCS 		Apc 6 $119,675.51 $123,265.78 $119,675.51 nat. median
$127,995
0.9× median
7
MS_DRG 		Lung Transplant 6 $114,249.32 $280,807.29 $114,249.32 nat. median
$117,943
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $108,243.35 $143,660.57 $108,243.35 nat. median
$111,503
1.0× median
523
MS_DRG 		DRG 6 $105,613.56 $259,429.02 $105,613.56 nat. median
$17,812
outlier · 5.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 6 $104,385.22 $256,388.20 $104,385.22 nat. median
$126,240
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 6 $95,081.03 $126,191.54 $95,081.03 nat. median
$97,404
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $90,744.57 $222,620.12 $90,744.57 nat. median
$109,875
0.8× median
209
MS_DRG 		DRG 6 $88,663.02 $217,467.14 $88,663.02 nat. median
$92,760
1.0× median
212
MS_DRG 		DRG 6 $88,046.94 $215,942.01 $88,046.94 nat. median
$97,029
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $84,756.11 $207,795.39 $84,756.11 nat. median
$103,911
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $80,714.23 $197,789.55 $80,714.23 nat. median
$94,844
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 6 $78,080.66 $191,269.99 $78,080.66 nat. median
$93,531
0.8× median
426
MS_DRG 		DRG 6 $76,447.44 $187,226.88 $76,447.44 nat. median
$93,094
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $76,173.71 $186,549.25 $76,173.71 nat. median
$90,525
0.8× median
524
MS_DRG 		DRG 6 $75,817.63 $185,667.77 $75,817.63 nat. median
$67,253
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $74,750.12 $86,900.52 $74,750.12 nat. median
$63,915
1.2× median
J9183
HCPCS 		Apc 6 $73,054.05 $75,245.67 $73,054.05 nat. median
$80,283
0.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 6 $68,801.71 $91,313.63 $68,801.71 nat. median
$70,178
1.0× median
429
MS_DRG 		DRG 6 $68,191.37 $166,788.61 $68,191.37 nat. median
$77,933
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $67,752.95 $165,703.27 $67,752.95 nat. median
$76,979
0.9× median
J9029
HCPCS 		Apc 6 $65,200.56 $84,276.31 $65,200.56 nat. median
$68,131
1.0× median
850
MS_DRG 		DRG 6 $64,950.87 $158,766.57 $64,950.87 nat. median
$78,028
0.8× median
38240
CPT 		Transplt Allo Hct/donor 6 $64,321.36 $228,801.05 $64,321.36 nat. median
$12,901
outlier · 5.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $61,891.06 $151,191.87 $61,891.06 nat. median
$71,672
0.9× median

Other procedures at this hospital

Browse this hospital's 14,204 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
             
Q2058 HCPCS Apc 7 6 — — $293,725.70 $389,832.75 $293,725.70 2026-10-30
Q2057 HCPCS Apc 7 6 — — $813,967.38 $1,080,297.50 $813,967.38 2026-10-30
Q2056 HCPCS Apc 7 6 — — $594,112.26 $788,505.78 $594,112.26 2026-10-30
Q2055 HCPCS Idecabtagene Vicleucel Car 7 6 — — $575,850.47 $764,268.74 $575,850.47 2026-10-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 6 — — $589,846.77 $782,844.63 $589,846.77 2026-10-30
Q2053 HCPCS Brexucabtagene Car Pos T 7 6 — — $532,352.74 $706,538.56 $532,352.74 2026-10-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 6 — — $55,663.13 $73,876.11 $55,663.13 2026-10-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 6 — — $626,315.83 $831,246.37 $626,315.83 2026-10-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 6 — — $577,943.26 $767,046.29 $577,943.26 2026-10-30
Q0483 HCPCS Monitor Elec Vad, Rep 7 6 — — $22,533.92 $29,907.02 $22,533.92 2026-10-30
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $108,243.35 $143,660.57 $108,243.35 2026-10-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 7 6 — — $68,801.71 $91,313.63 $68,801.71 2026-10-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 7 6 — — $34,970.13 $46,412.36 $34,970.13 2026-10-30
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $48,155.50 $63,911.98 $48,155.50 2026-10-30
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $46,081.51 $61,159.38 $46,081.51 2026-10-30
L6975 HCPCS Interscap-thor Myoelectronic 7 6 — — $23,078.64 $30,629.97 $23,078.64 2026-10-30
L6880 HCPCS Elec Hand Ind Art Digits 7 6 — — $28,715.00 $38,110.55 $28,715.00 2026-10-30
L6700 HCPCS Apc 7 6 — — $29,510.19 $39,165.92 $29,510.19 2026-10-30
L5858 HCPCS Stance Phase Only 7 6 — — $22,336.47 $29,644.96 $22,336.47 2026-10-30
L5856 HCPCS Elec Knee-shin Swing/stance 7 6 — — $29,180.00 $38,727.70 $29,180.00 2026-10-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 7 6 — — $40,619.86 $53,910.68 $40,619.86 2026-10-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 6 — — $95,081.03 $126,191.54 $95,081.03 2026-10-30
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $31,211.97 $31,211.97 $31,211.97 2026-10-30
J9266 HCPCS Pegaspargase Injection 7 6 — — $29,845.27 $35,854.12 $29,845.27 2026-10-30
J9226 HCPCS Supprelin La Implant 7 6 — — $37,837.55 $58,606.83 $37,837.55 2026-10-30
J9183 HCPCS Apc 6 6 — — $73,054.05 $75,245.67 $73,054.05 2026-10-30
J9029 HCPCS Apc 7 6 — — $65,200.56 $84,276.31 $65,200.56 2026-10-30
J3406 HCPCS Apc 6 6 — — $735,534.00 $757,600.02 $735,534.00 2026-10-30
J3405 HCPCS Apc 6 6 — — $2,729,937.92 $2,811,836.06 $2,729,937.92 2026-10-30
J3404 HCPCS Apc 6 6 — — $119,675.51 $123,265.78 $119,675.51 2026-10-30
J3403 HCPCS Apc 6 6 — — $259,948.92 $267,747.39 $259,948.92 2026-10-30
J3402 HCPCS Apc 6 6 — — $202,159.94 $208,224.74 $202,159.94 2026-10-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,679,817.05 $2,760,211.56 $2,679,817.05 2026-10-30
J3394 HCPCS Apc 6 6 — — $3,235,299.49 $3,332,358.47 $3,235,299.49 2026-10-30
J3393 HCPCS Apc 6 6 — — $2,925,123.30 $3,012,877.00 $2,925,123.30 2026-10-30
J3392 HCPCS Apc 6 6 — — $2,318,674.29 $2,388,234.51 $2,318,674.29 2026-10-30
J3391 HCPCS Apc 6 6 — — $4,505,000.00 $4,640,150.00 $4,505,000.00 2026-10-30
J3389 HCPCS Apc 6 6 — — $3,285,782.70 $3,384,356.18 $3,285,782.70 2026-10-30
J3387 HCPCS Apc 6 6 — — $3,180,000.00 $3,275,400.00 $3,180,000.00 2026-10-30
J2789 HCPCS Apc 6 6 — — $41,359.62 $42,600.41 $41,359.62 2026-10-30
J1413 HCPCS Apc 6 6 — — $3,301,546.67 $3,400,593.07 $3,301,546.67 2026-10-30
J1411 HCPCS Apc 6 6 — — $3,691,450.00 $3,802,193.50 $3,691,450.00 2026-10-30
C9760 HCPCS Non-blind Interatrial Shunt 6 6 — — $27,525.25 $28,351.01 $27,525.25 2026-10-30
C9309 HCPCS Apc 6 6 — — $2,664,228.59 $2,744,155.45 $2,664,228.59 2026-10-30
C8011 HCPCS Apc 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
C8007 HCPCS Apc 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
A9543 HCPCS Y90 Ibritumomab, Rx 7 6 — — $74,750.12 $86,900.52 $74,750.12 2026-10-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 6 — — $26,371.25 $63,260.87 $26,371.25 2026-10-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 6 — — $36,967.34 $89,492.00 $36,967.34 2026-10-30
974 MS_DRG HIV With Major Related Condition With Mcc 7 6 — — $24,076.97 $57,581.26 $24,076.97 2026-10-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 7 6 — — $24,811.22 $59,398.96 $24,811.22 2026-10-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 6 — — $29,963.26 $72,153.07 $29,963.26 2026-10-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 6 — — $55,543.48 $135,478.11 $55,543.48 2026-10-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 6 — — $31,886.97 $76,915.33 $31,886.97 2026-10-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 6 — — $58,379.12 $142,497.87 $58,379.12 2026-10-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 6 — — $30,044.08 $72,353.14 $30,044.08 2026-10-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $50,595.03 $123,227.98 $50,595.03 2026-10-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 6 — — $26,835.59 $64,410.38 $26,835.59 2026-10-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 6 — — $25,717.05 $61,641.36 $25,717.05 2026-10-30
93656 CPT Compre Ep Eval Abltj Atr Fib 7 6 — — $26,728.02 $95,075.71 $26,728.02 2026-10-30
93654 CPT Compre Ep Eval Tx Vt 7 6 — — $26,728.02 $95,075.71 $26,728.02 2026-10-30
93653 CPT Compre Ep Eval Tx Svt 7 6 — — $26,728.02 $95,075.71 $26,728.02 2026-10-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 6 — — $27,540.13 $66,154.47 $27,540.13 2026-10-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 7 6 — — $23,838.31 $56,990.47 $23,838.31 2026-10-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 6 — — $59,128.61 $144,353.32 $59,128.61 2026-10-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 6 — — $213,135.23 $525,604.11 $213,135.23 2026-10-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 6 — — $30,522.92 $73,538.52 $30,522.92 2026-10-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 7 6 — — $29,113.10 $70,048.46 $29,113.10 2026-10-30
901 MS_DRG Wound Debridements For Injuries With Mcc 7 6 — — $34,885.79 $84,339.02 $34,885.79 2026-10-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 6 — — $28,949.93 $69,644.53 $28,949.93 2026-10-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 6 — — $53,738.70 $131,010.31 $53,738.70 2026-10-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 6 — — $34,995.57 $84,610.82 $34,995.57 2026-10-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 6 — — $38,411.46 $93,067.00 $38,411.46 2026-10-30
850 MS_DRG DRG 7 6 — — $64,950.87 $158,766.57 $64,950.87 2026-10-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 6 — — $25,775.75 $61,786.70 $25,775.75 2026-10-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 6 — — $36,747.75 $88,948.39 $36,747.75 2026-10-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 7 6 — — $42,813.98 $103,965.65 $42,813.98 2026-10-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 6 — — $24,667.88 $59,044.11 $24,667.88 2026-10-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 6 — — $37,096.19 $89,810.99 $37,096.19 2026-10-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 6 — — $35,935.72 $86,938.16 $35,935.72 2026-10-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 6 — — $48,457.05 $117,935.32 $48,457.05 2026-10-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 6 — — $29,042.19 $69,872.92 $29,042.19 2026-10-30
800 MS_DRG Splenectomy With Cc 7 6 — — $24,836.40 $59,461.25 $24,836.40 2026-10-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 6 — — $42,864.32 $104,090.23 $42,864.32 2026-10-30
799 MS_DRG Splenectomy With Mcc 7 6 — — $37,726.00 $91,370.10 $37,726.00 2026-10-30
793 MS_DRG Full Term Neonate With Major Problems 7 6 — — $32,989.51 $79,644.71 $32,989.51 2026-10-30
791 MS_DRG Prematurity With Major Problems 7 6 — — $32,135.55 $77,530.66 $32,135.55 2026-10-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 6 — — $46,676.68 $113,527.92 $46,676.68 2026-10-30
731 MS_DRG DRG 7 6 — — $27,867.99 $66,966.11 $27,867.99 2026-10-30
7 MS_DRG Lung Transplant 7 6 — — $114,249.32 $280,807.29 $114,249.32 2026-10-30
69930 CPT Implant Cochlear Device 7 6 — — $33,716.60 $119,935.17 $33,716.60 2026-10-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 6 — — $33,241.13 $80,267.60 $33,241.13 2026-10-30
668 MS_DRG Transurethral Procedures With Mcc 7 6 — — $22,723.57 $54,230.88 $22,723.57 2026-10-30
665 MS_DRG Prostatectomy With Mcc 7 6 — — $25,619.45 $61,399.76 $25,619.45 2026-10-30
662 MS_DRG Minor Bladder Procedures With Mcc 7 6 — — $24,070.87 $57,566.16 $24,070.87 2026-10-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 6 — — $25,815.41 $61,884.85 $25,815.41 2026-10-30
654 MS_DRG Major Bladder Procedures With Cc 7 6 — — $22,324.80 $53,243.70 $22,324.80 2026-10-30
653 MS_DRG Major Bladder Procedures With Mcc 7 6 — — $40,583.75 $98,444.60 $40,583.75 2026-10-30
652 MS_DRG Kidney Transplant 7 6 — — $25,069.71 $60,038.84 $25,069.71 2026-10-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 6 — — $29,558.39 $71,150.78 $29,558.39 2026-10-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 6 — — $36,608.21 $88,602.97 $36,608.21 2026-10-30
64656 CPT Apc 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
64654 CPT Apc 6 6 — — $45,041.00 $46,392.23 $45,041.00 2026-10-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 6 6 — — $45,041.00 $46,392.23 $45,041.00 2026-10-30
63685 CPT Insrt/redo Spine N Generator 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 6 — — $29,066.59 $69,933.32 $29,066.59 2026-10-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 6 — — $24,485.65 $58,592.99 $24,485.65 2026-10-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 6 — — $29,700.20 $71,501.86 $29,700.20 2026-10-30
61891 CPT Apc 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
61886 CPT Implant Neurostim Arrays 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
61885 CPT Insrt/redo Neurostim 1 Array 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 6 — — $24,799.02 $59,368.76 $24,799.02 2026-10-30
6 MS_DRG Liver Transplant Without Mcc 7 6 — — $35,718.41 $86,400.21 $35,718.41 2026-10-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 6 — — $25,583.61 $61,311.04 $25,583.61 2026-10-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 6 — — $22,357.58 $53,324.86 $22,357.58 2026-10-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 6 — — $38,789.66 $94,003.22 $38,789.66 2026-10-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 6 — — $28,017.43 $67,336.07 $28,017.43 2026-10-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 6 — — $49,291.19 $120,000.29 $49,291.19 2026-10-30
570 MS_DRG Skin Debridement With Mcc 7 6 — — $22,623.69 $53,983.62 $22,623.69 2026-10-30
525 MS_DRG DRG 7 6 — — $56,463.78 $137,756.37 $56,463.78 2026-10-30
524 MS_DRG DRG 7 6 — — $75,817.63 $185,667.77 $75,817.63 2026-10-30
523 MS_DRG DRG 7 6 — — $105,613.56 $259,429.02 $105,613.56 2026-10-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 6 — — $22,558.88 $53,823.17 $22,558.88 2026-10-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 6 — — $29,290.00 $70,486.37 $29,290.00 2026-10-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 6 — — $25,119.26 $60,161.53 $25,119.26 2026-10-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 6 — — $24,677.80 $59,068.65 $24,677.80 2026-10-30
503 MS_DRG Foot Procedures With Mcc 7 6 — — $21,969.49 $52,364.11 $21,969.49 2026-10-30
500 MS_DRG Soft Tissue Procedures With Mcc 7 6 — — $26,457.41 $63,474.16 $26,457.41 2026-10-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 6 — — $80,714.23 $197,789.55 $80,714.23 2026-10-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 6 — — $25,125.36 $60,176.63 $25,125.36 2026-10-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 6 — — $26,264.51 $62,996.61 $26,264.51 2026-10-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 6 — — $28,962.89 $69,676.61 $28,962.89 2026-10-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 6 — — $22,902.76 $54,674.45 $22,902.76 2026-10-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 6 — — $23,084.22 $55,123.69 $23,084.22 2026-10-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 6 — — $26,771.54 $64,251.83 $26,771.54 2026-10-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 6 — — $32,950.63 $79,548.44 $32,950.63 2026-10-30
472 MS_DRG Cervical Spinal Fusion With Cc 7 6 — — $23,547.04 $56,269.43 $23,547.04 2026-10-30
471 MS_DRG Cervical Spinal Fusion With Mcc 7 6 — — $38,460.26 $93,187.80 $38,460.26 2026-10-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 6 — — $24,518.43 $58,674.15 $24,518.43 2026-10-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 6 — — $25,036.16 $59,955.79 $25,036.16 2026-10-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 6 — — $39,928.78 $96,823.20 $39,928.78 2026-10-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 6 — — $22,577.94 $53,870.36 $22,577.94 2026-10-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 6 — — $38,717.21 $93,823.90 $38,717.21 2026-10-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $31,611.73 $76,233.93 $31,611.73 2026-10-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $41,737.37 $101,300.44 $41,737.37 2026-10-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $58,950.96 $143,913.52 $58,950.96 2026-10-30
451 MS_DRG DRG 7 6 — — $25,673.59 $61,533.77 $25,673.59 2026-10-30
450 MS_DRG DRG 7 6 — — $40,724.80 $98,793.79 $40,724.80 2026-10-30
449 MS_DRG DRG 7 6 — — $25,974.76 $62,279.35 $25,974.76 2026-10-30
448 MS_DRG DRG 7 6 — — $33,989.11 $82,119.27 $33,989.11 2026-10-30
447 MS_DRG DRG 7 6 — — $53,936.17 $131,499.18 $53,936.17 2026-10-30
430 MS_DRG DRG 7 6 — — $45,769.33 $111,281.75 $45,769.33 2026-10-30
429 MS_DRG DRG 7 6 — — $68,191.37 $166,788.61 $68,191.37 2026-10-30
428 MS_DRG DRG 7 6 — — $45,972.14 $111,783.83 $45,972.14 2026-10-30
427 MS_DRG DRG 7 6 — — $51,940.02 $126,557.60 $51,940.02 2026-10-30
426 MS_DRG DRG 7 6 — — $76,447.44 $187,226.88 $76,447.44 2026-10-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 6 — — $32,573.20 $78,614.11 $32,573.20 2026-10-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 6 — — $24,197.43 $57,879.50 $24,197.43 2026-10-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 6 — — $28,572.51 $68,710.19 $28,572.51 2026-10-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 6 — — $23,485.29 $56,116.53 $23,485.29 2026-10-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 6 — — $26,156.99 $62,730.47 $26,156.99 2026-10-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 6 — — $23,303.81 $55,667.30 $23,303.81 2026-10-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 6 — — $41,867.76 $101,623.21 $41,867.76 2026-10-30
404 MS_DRG DRG 7 6 — — $25,607.25 $61,369.56 $25,607.25 2026-10-30
403 MS_DRG DRG 7 6 — — $38,987.12 $94,492.09 $38,987.12 2026-10-30
402 MS_DRG DRG 7 6 — — $32,053.20 $77,326.81 $32,053.20 2026-10-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 6 — — $29,161.14 $70,167.37 $29,161.14 2026-10-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 7 6 — — $104,385.22 $256,388.20 $104,385.22 2026-10-30
38240 CPT Transplt Allo Hct/donor 7 6 — — $64,321.36 $228,801.05 $64,321.36 2026-10-30
37241 CPT Hc Vasc Embolize/occlude Venous 21 10 $32,579.45 $32,579.45 $11,804.84 $41,991.65 $26,667.91 2026-10-30
37238 CPT Hc Open/perq Place Stent Same 21 10 $34,608.15 $34,608.15 $11,804.84 $41,991.65 $28,328.50 2026-10-30
37236 CPT Hc Open/perq Place Stent 1st 21 10 $33,600.00 $33,600.00 $11,804.84 $41,991.65 $27,503.28 2026-10-30
37 MS_DRG Extracranial Procedures With Mcc 7 6 — — $26,920.23 $64,619.90 $26,920.23 2026-10-30
361 MS_DRG DRG 7 6 — — $29,467.66 $70,926.17 $29,467.66 2026-10-30
359 MS_DRG DRG 7 6 — — $26,564.91 $63,740.30 $26,564.91 2026-10-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 6 — — $33,889.24 $81,872.00 $33,889.24 2026-10-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 6 — — $21,802.50 $51,950.74 $21,802.50 2026-10-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 6 — — $22,320.22 $53,232.37 $22,320.22 2026-10-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 6 — — $30,493.18 $73,464.91 $30,493.18 2026-10-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 6 — — $27,527.92 $66,124.27 $27,527.92 2026-10-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 7 6 — — $29,330.99 $104,334.91 $29,330.99 2026-10-30
33287 CPT Apc 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
33285 CPT Hc Insj Subq Car Rhythm Mntr 21 10 $28,058.75 $28,058.75 $8,462.24 $30,101.48 $22,967.49 2026-10-30
33276 CPT Apc 6 6 — — $45,041.00 $46,392.23 $45,041.00 2026-10-30
33270 CPT Ins/rep Subq Defibrillator 7 6 — — $32,097.59 $114,176.11 $32,097.59 2026-10-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 7 6 — — $32,097.59 $114,176.11 $32,097.59 2026-10-30
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
33249 CPT Insj/rplcmt Defib W/lead(s) 7 6 — — $32,097.59 $114,176.11 $32,097.59 2026-10-30
33240 CPT Insrt Pulse Gen W/singl Lead 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
33231 CPT Insrt Pulse Gen W/mult Leads 7 6 — — $32,097.59 $114,176.11 $32,097.59 2026-10-30
33230 CPT Insrt Pulse Gen W/dual Leads 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
33229 CPT Hc Remv&replc Pm Gen Mult Leads 21 10 $52,964.20 $52,964.20 $19,696.60 $70,063.86 $43,353.85 2026-10-30
33228 CPT Hc Remv&replc Pm Gen Dual Lead 22 10 $39,875.80 $39,875.80 $10,687.99 $38,018.83 $32,640.34 2026-10-30
33227 CPT Hc Remove & Replace Pm Gen Singl 21 10 $37,883.15 $37,883.15 $8,462.24 $35,651.83 $31,009.25 2026-10-30
33213 CPT Hc Insert Pulse Gen Dual Leads 21 10 $39,875.80 $39,875.80 $10,687.99 $38,018.83 $32,640.34 2026-10-30
33208 CPT Hc Insrt Heart Pm Atrial & Vent 21 10 $45,071.60 $45,071.60 $10,687.99 $42,416.88 $36,893.36 2026-10-30
33207 CPT Hc Insert Heart Pm Ventricular 21 10 $41,289.75 $41,289.75 $10,687.99 $38,857.78 $33,797.72 2026-10-30
33206 CPT Hc Insert Heart Pm Atrial 21 10 $41,289.75 $41,289.75 $10,687.99 $38,857.78 $33,797.72 2026-10-30
332 MS_DRG Rectal Resection With Mcc 7 6 — — $29,704.78 $71,513.19 $29,704.78 2026-10-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 6 — — $35,491.19 $85,837.72 $35,491.19 2026-10-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 6 — — $38,510.59 $93,312.38 $38,510.59 2026-10-30
325 MS_DRG DRG 7 6 — — $26,259.92 $62,985.29 $26,259.92 2026-10-30
324 MS_DRG DRG 7 6 — — $25,143.67 $60,221.93 $25,143.67 2026-10-30
323 MS_DRG DRG 7 6 — — $34,626.55 $83,697.25 $34,626.55 2026-10-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 6 — — $33,291.45 $80,392.17 $33,291.45 2026-10-30
317 MS_DRG DRG 7 6 — — $54,848.87 $133,758.56 $54,848.87 2026-10-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 6 — — $33,389.81 $80,635.67 $33,389.81 2026-10-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 7 6 — — $163,043.03 $401,598.46 $163,043.03 2026-10-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 6 — — $27,623.99 $66,362.10 $27,623.99 2026-10-30
28 MS_DRG Spinal Procedures With Mcc 7 6 — — $47,716.69 $116,102.52 $47,716.69 2026-10-30
279 MS_DRG DRG 7 6 — — $32,317.02 $77,979.90 $32,317.02 2026-10-30
278 MS_DRG DRG 7 6 — — $49,208.08 $119,794.55 $49,208.08 2026-10-30
27702 CPT Reconstruct Ankle Joint 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
277 MS_DRG DRG 7 6 — — $36,568.56 $88,504.82 $36,568.56 2026-10-30
276 MS_DRG DRG 7 6 — — $48,116.22 $117,091.59 $48,116.22 2026-10-30
275 MS_DRG DRG 7 6 — — $55,370.40 $135,049.64 $55,370.40 2026-10-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 6 — — $26,194.35 $62,822.96 $26,194.35 2026-10-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 6 — — $33,575.86 $81,096.23 $33,575.86 2026-10-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 6 — — $28,246.93 $67,904.22 $28,246.93 2026-10-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 6 — — $40,982.53 $99,431.78 $40,982.53 2026-10-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 6 — — $33,299.08 $80,411.05 $33,299.08 2026-10-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 6 — — $55,477.14 $135,313.90 $55,477.14 2026-10-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 6 — — $36,826.28 $89,142.80 $36,826.28 2026-10-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 6 — — $46,038.47 $111,948.05 $46,038.47 2026-10-30
265 MS_DRG Aicd Lead Procedures 7 6 — — $25,646.13 $61,465.82 $25,646.13 2026-10-30
263 MS_DRG Vein Ligation And Stripping 7 6 — — $25,533.28 $61,186.46 $25,533.28 2026-10-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 6 — — $25,149.77 $60,237.03 $25,149.77 2026-10-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 6 — — $22,388.85 $53,402.25 $22,388.85 2026-10-30
252 MS_DRG Other Vascular Procedures With Mcc 7 6 — — $27,365.51 $65,722.22 $27,365.51 2026-10-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 6 — — $35,980.69 $87,049.52 $35,980.69 2026-10-30
245 MS_DRG Aicd Generator Procedures 7 6 — — $36,258.24 $87,736.59 $36,258.24 2026-10-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 6 — — $24,633.57 $58,959.17 $24,633.57 2026-10-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 6 — — $23,268.75 $55,580.47 $23,268.75 2026-10-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 6 — — $31,093.25 $74,950.40 $31,093.25 2026-10-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 6 — — $38,955.10 $94,412.81 $38,955.10 2026-10-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 6 — — $33,861.02 $81,802.17 $33,861.02 2026-10-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 6 — — $45,411.73 $110,396.49 $45,411.73 2026-10-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 6 — — $42,757.56 $103,825.97 $42,757.56 2026-10-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 6 — — $61,891.06 $151,191.87 $61,891.06 2026-10-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 6 — — $48,220.68 $117,350.19 $48,220.68 2026-10-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 6 — — $67,752.95 $165,703.27 $67,752.95 2026-10-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 6 — — $44,616.46 $108,427.79 $44,616.46 2026-10-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 6 — — $27,050.62 $64,942.67 $27,050.62 2026-10-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 6 — — $38,685.96 $93,746.51 $38,685.96 2026-10-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $36,735.55 $88,918.19 $36,735.55 2026-10-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $42,803.31 $103,939.22 $42,803.31 2026-10-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 6 — — $26,385.73 $63,296.73 $26,385.73 2026-10-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $59,095.84 $144,272.16 $59,095.84 2026-10-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $52,711.65 $128,467.79 $52,711.65 2026-10-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $52,711.65 $128,467.79 $52,711.65 2026-10-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $76,173.71 $186,549.25 $76,173.71 2026-10-30
215 MS_DRG Other Heart Assist System Implant 7 6 — — $78,080.66 $191,269.99 $78,080.66 2026-10-30
213 MS_DRG DRG 7 6 — — $45,408.68 $110,388.94 $45,408.68 2026-10-30
21243 CPT Reconstruction Of Jaw Joint 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
212 MS_DRG DRG 7 6 — — $88,046.94 $215,942.01 $88,046.94 2026-10-30
210 MS_DRG DRG 7 6 — — $25,704.08 $61,609.27 $25,704.08 2026-10-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 6 — — $42,544.07 $103,297.46 $42,544.07 2026-10-30
209 MS_DRG DRG 7 6 — — $88,663.02 $217,467.14 $88,663.02 2026-10-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 6 — — $21,789.56 $51,918.65 $21,789.56 2026-10-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 6 — — $49,597.69 $120,759.08 $49,597.69 2026-10-30
20696 CPT Comp Multiplane Ext Fixation 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 6 — — $61,531.94 $150,302.84 $61,531.94 2026-10-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 6 — — $84,756.11 $207,795.39 $84,756.11 2026-10-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 6 — — $58,378.34 $142,495.98 $58,378.34 2026-10-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 6 — — $345,046.14 $852,155.91 $345,046.14 2026-10-30
173 MS_DRG DRG 7 6 — — $23,352.61 $55,788.10 $23,352.61 2026-10-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 6 — — $38,095.04 $92,283.67 $38,095.04 2026-10-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 6 — — $30,352.12 $73,115.71 $30,352.12 2026-10-30
163 MS_DRG Major Chest Procedures With Mcc 7 6 — — $35,045.90 $84,735.40 $35,045.90 2026-10-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 7 6 — — $46,688.88 $113,558.12 $46,688.88 2026-10-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 6 — — $30,185.15 $72,702.34 $30,185.15 2026-10-30
140 MS_DRG Major Head And Neck Procedures With Mcc 7 6 — — $33,692.52 $81,385.02 $33,692.52 2026-10-30
14 MS_DRG Allogeneic Bone Marrow Transplant 7 6 — — $90,744.57 $222,620.12 $90,744.57 2026-10-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 7 6 — — $21,637.81 $51,543.03 $21,637.81 2026-10-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 6 — — $34,220.90 $82,693.08 $34,220.90 2026-10-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 6 — — $43,632.88 $105,992.87 $43,632.88 2026-10-30
10 MS_DRG Pancreas Transplant 7 6 — — $58,199.93 $142,054.30 $58,199.93 2026-10-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 6 — — $215,031.50 $530,298.42 $215,031.50 2026-10-30
0960T CPT Apc 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
0956T CPT Apc 7 6 — — $27,746.68 $98,699.23 $27,746.68 2026-10-30
0923T CPT Apc 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
0916T CPT Apc 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
0915T CPT Apc 7 6 — — $32,097.59 $114,176.11 $32,097.59 2026-10-30
0909T CPT Apc 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
0908T CPT Apc 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
0871T CPT Apc 6 6 — — $35,032.00 $36,082.96 $35,032.00 2026-10-30
0870T CPT Apc 6 6 — — $45,041.00 $46,392.23 $45,041.00 2026-10-30
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $31,554.43 $112,244.03 $31,554.43 2026-10-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 6 6 — — $45,041.00 $46,392.23 $45,041.00 2026-10-30
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
0571T CPT Insj/rplcmt Icds Ss Eltrd 7 6 — — $32,097.59 $114,176.11 $32,097.59 2026-10-30
0515T CPT Insj Wcs Lv Compl Sys 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
0409T CPT Insj/rplc Car Modulj Pls Gn 7 6 — — $22,745.81 $80,910.38 $22,745.81 2026-10-30
0408T CPT Insj/rplc Cardiac Modulj Sys 7 6 — — $32,097.59 $114,176.11 $32,097.59 2026-10-30
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