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 MAINE COAST HOSPITAL

Ellsworth, ME · CCN 200050 · 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.

15,364 distinct procedures filed
8 distinct payers
440,332 rate rows
2026-03-30 last MRF observed
Data quality

176,984 of 440,332 rate rows are consumer-grade (40.2%)

263,348 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 255,470
template filing: same amount across many unrelated codes — excluded 5,193
placeholder amount (≤ $0.02) — excluded from medians 1,816
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 50
per-diem day rate — not a per-procedure price 35
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://northernlighthealth.org/NLH/media/Price-Transparency/010198331_Maine-Coast-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 a4111b452a200b7e… · 155,556,537 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 $3,020,830.00 $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 $280,405.71 $1,306,495.61 $535,585.18 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 $181,972.02 $847,863.09 $347,573.23 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 $138,638.58 $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 $137,824.95 $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 $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 $89,943.49 $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 $84,091.58 $391,808.30 $160,618.00 nat. median
$70,649
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $78,037.73 $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 $73,582.57 $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 $73,498.15 $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 $71,565.70 $333,446.41 $136,693.11 nat. median
$2,736
outlier · 50.0×
212
MS_DRG 		Testes Procedures Age 0-17 8 $70,610.51 $328,995.90 $134,868.66 nat. median
$74,509
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $66,950.80 $311,944.18 $127,878.49 nat. median
$69,922
1.8× median
38240
CPT 		Transplt Allo Hct/donor 8 $61,688.22 $320,355.11 $126,971.83 nat. median
$28,331
outlier · 4.5×
215
MS_DRG 		Other Heart Assist System Implant 8 $64,655.36 $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 $63,524.20 $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 $58,503.46 $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 $56,230.10 $261,993.17 $107,401.55 nat. median
$2,633
outlier · 40.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $54,739.20 $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 $54,567.13 $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 $51,095.72 $238,070.54 $97,594.70 nat. median
$56,428
1.7× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 8 $46,937.63 $243,753.34 $96,610.93 nat. median
$44,163
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $49,858.72 $232,306.97 $95,231.98 nat. median
$55,923
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 8 $49,643.79 $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 $49,479.50 $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 $46,873.68 $218,398.74 $89,530.44 nat. median
$9,905
outlier · 9.0×
10
MS_DRG 		Pancreas Transplant 8 $46,595.11 $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 $46,575.63 $217,010.04 $88,961.15 nat. median
$37,013
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $46,328.23 $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 $46,300.95 $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 $44,881.48 $209,116.51 $85,725.28 nat. median
$48,611
1.8× median

Other procedures at this hospital

Browse this hospital's 15,364 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 2026-03-30
J1411 HCPCS Inj Hemgenix Per Tx Dose 7 7 — — $3,685,266.67 $4,192,300.00 $3,758,972.00 2026-03-30
J1414 HCPCS Inj Beqvez Per Tx Dose 2 2 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,316,462.59 $3,753,613.11 $3,382,791.84 2026-03-30
J3394 HCPCS Inj Lovotibeglogene Autotem 7 7 — — $3,248,445.72 $3,608,090.00 $3,313,414.63 2026-03-30
J3393 HCPCS Inj Betibeglogene Autotemce 7 7 — — $2,945,740.00 $3,353,840.00 $3,004,654.80 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,455,110.61 $2,715,908.39 $2,504,212.82 2026-03-30
J3392 HCPCS Inj Exagamglogene Autotem 6 6 — — $2,332,000.00 $2,378,640.00 $2,378,640.00 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel 6 6 — — $770,620.00 $3,020,830.00 $786,032.40 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $591,726.20 $2,319,566.70 $603,560.72 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $565,868.95 $2,218,206.28 $577,186.33 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $562,538.19 $2,205,149.70 $573,788.95 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $557,317.93 $2,184,686.29 $568,464.29 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $533,230.17 $2,090,262.27 $543,894.77 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 8 — — $280,405.71 $1,306,495.61 $535,585.18 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $489,304.61 $1,918,074.07 $499,090.70 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 8 — — $181,972.02 $847,863.09 $347,573.23 2026-03-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 6 — — $278,250.00 $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 10 8 — — $138,638.58 $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… 10 8 — — $137,824.95 $642,168.43 $263,250.71 2026-03-30
J3403 HCPCS Revakinagene Per Implant 9 6 — — $249,194.60 $1,009,400.00 $262,650.00 2026-03-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 6 — — $205,640.00 $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… 10 8 — — $89,943.49 $419,074.11 $171,795.35 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $168,513.00 $168,513.00 $168,513.00 2026-03-30
7 MS_DRG Lung Transplant 10 8 — — $84,091.58 $391,808.30 $160,618.00 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 10 8 — — $78,037.73 $363,601.56 $149,054.93 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 8 — — $73,582.57 $342,843.61 $140,545.40 2026-03-30
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 10 8 — — $73,498.15 $342,450.29 $140,384.17 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $71,565.70 $333,446.41 $136,693.11 2026-03-30
212 MS_DRG Testes Procedures Age 0-17 10 8 — — $70,610.51 $328,995.90 $134,868.66 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 8 — — $66,950.80 $311,944.18 $127,878.49 2026-03-30
38240 CPT Transplt Allo Hct/donor 10 8 — — $61,688.22 $320,355.11 $126,971.83 2026-03-30
215 MS_DRG Other Heart Assist System Implant 10 8 — — $64,655.36 $301,249.04 $123,494.12 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $63,524.20 $295,978.61 $121,333.56 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 8 — — $58,503.46 $272,585.45 $111,743.76 2026-03-30
Q0480 HCPCS Driver Pneumatic Vad Rep 9 7 — — $99,999.91 $132,651.16 $108,243.35 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 10 8 — — $56,230.10 $261,993.17 $107,401.55 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 8 — — $54,739.20 $255,046.62 $104,553.89 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $54,567.13 $254,244.87 $104,225.21 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 8 — — $51,095.72 $238,070.54 $97,594.70 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 10 8 — — $46,937.63 $243,753.34 $96,610.93 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $49,858.72 $232,306.97 $95,231.98 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 10 8 — — $49,643.79 $231,305.53 $94,821.45 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 8 — — $49,479.50 $230,540.07 $94,507.66 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $46,873.68 $218,398.74 $89,530.44 2026-03-30
10 MS_DRG Pancreas Transplant 10 8 — — $46,595.11 $217,100.80 $88,998.36 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 8 — — $46,575.63 $217,010.04 $88,961.15 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 8 — — $46,328.23 $215,857.32 $88,488.61 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 8 — — $46,300.95 $215,730.25 $88,436.52 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 8 — — $44,881.48 $209,116.51 $85,725.28 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 8 — — $44,661.36 $208,090.86 $85,304.83 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 8 — — $43,708.12 $203,649.43 $83,484.10 2026-03-30
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 8 — — $43,418.51 $202,300.06 $82,930.94 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 8 — — $43,386.69 $202,151.81 $82,870.17 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $42,696.44 $198,935.70 $81,551.76 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $42,696.44 $198,935.70 $81,551.76 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $42,541.24 $198,212.61 $81,255.33 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 8 — — $41,783.46 $194,681.85 $79,807.93 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 10 8 — — $39,794.51 $185,414.74 $76,008.97 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 8 — — $39,748.41 $185,199.93 $75,920.91 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 8 — — $39,367.24 $183,423.96 $75,192.87 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 10 8 — — $39,014.65 $181,781.12 $74,519.40 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 8 — — $39,003.61 $181,729.68 $74,498.32 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $38,721.14 $180,413.59 $73,958.79 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 10 8 — — $38,593.87 $179,820.59 $73,715.71 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 8 — — $38,504.26 $179,403.07 $73,544.54 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 8 — — $38,107.51 $177,554.49 $72,786.74 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 8 — — $38,082.83 $177,439.52 $72,739.61 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 8 — — $37,448.42 $174,483.61 $71,527.86 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $37,209.46 $173,370.23 $71,071.43 2026-03-30
213 MS_DRG Splenic Procedures Age 0-17 10 8 — — $37,057.52 $172,662.26 $70,781.21 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 8 — — $37,009.47 $172,438.37 $70,689.43 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 8 — — $36,506.22 $170,093.61 $69,728.23 2026-03-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 10 8 — — $36,393.24 $169,567.17 $69,512.41 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 8 — — $36,143.89 $168,405.38 $69,036.15 2026-03-30
33249 CPT Insj/rplcmt Defib W/lead(s) 10 8 — — $33,441.73 $173,667.34 $68,832.55 2026-03-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 10 8 — — $33,441.73 $173,667.34 $68,832.55 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 10 8 — — $33,441.73 $173,667.34 $68,832.55 2026-03-30
33231 CPT Insrt Pulse Gen W/mult Leads 10 8 — — $33,441.73 $173,667.34 $68,832.55 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 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 10 8 — — $35,863.37 $167,098.37 $68,500.35 2026-03-30
69930 CPT Implant Cochlear Device 10 8 — — $33,177.05 $172,292.81 $68,287.76 2026-03-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 10 8 — — $35,648.44 $166,096.92 $68,089.82 2026-03-30
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 10 8 — — $35,522.46 $165,509.98 $67,849.21 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 10 8 — — $35,471.81 $165,273.99 $67,752.46 2026-03-30
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 10 8 — — $35,415.97 $165,013.80 $67,645.80 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 8 — — $35,274.41 $164,354.24 $67,375.42 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $34,628.31 $161,343.86 $66,141.35 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 8 — — $34,607.53 $161,247.05 $66,101.66 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 8 — — $34,375.07 $160,163.92 $65,657.64 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $34,261.43 $159,634.46 $65,440.59 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 10 8 — — $31,785.38 $165,065.68 $65,423.31 2026-03-30
61886 CPT Implant Neurostim Arrays 10 8 — — $31,785.38 $165,065.68 $65,423.31 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 10 8 — — $31,785.38 $165,065.68 $65,423.31 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 10 8 — — $31,785.38 $165,065.68 $65,423.31 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 10 8 — — $31,785.38 $165,065.68 $65,423.31 2026-03-30
J9029 HCPCS Instill Adstiladrin Tx Dose 11 8 — — $61,299.24 $248,301.74 $64,609.13 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 8 — — $33,801.05 $157,489.38 $64,561.24 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 10 8 — — $33,742.61 $157,217.08 $64,449.62 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $32,728.33 $152,491.25 $62,512.31 2026-03-30
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 10 8 — — $32,385.47 $150,893.79 $61,857.44 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 8 — — $32,125.74 $149,683.59 $61,361.33 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 8 — — $32,068.59 $149,417.34 $61,252.18 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 8 — — $31,958.85 $148,906.03 $61,042.58 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 10 8 — — $29,652.08 $153,987.16 $61,032.37 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $31,825.74 $148,285.81 $60,788.32 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 10 8 — — $31,354.96 $146,092.32 $59,889.12 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 8 — — $31,196.52 $145,354.10 $59,586.50 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 10 8 — — $30,914.06 $144,038.00 $59,046.98 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 8 — — $30,528.34 $142,240.86 $58,310.26 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 8 — — $30,466.01 $141,950.41 $58,191.19 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 8 — — $30,375.10 $141,526.84 $58,017.55 2026-03-30
A9543 HCPCS Y90 Ibritumomab Rx 9 7 — — $54,991.73 $222,752.24 $57,961.04 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 10 8 — — $30,110.17 $140,292.44 $57,511.52 2026-03-30
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $29,990.04 $139,732.72 $57,282.07 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 8 — — $29,847.18 $139,067.11 $57,009.21 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 8 — — $29,771.21 $138,713.12 $56,864.10 2026-03-30
245 MS_DRG Aicd Generator Procedures 10 8 — — $29,625.75 $138,035.41 $56,586.27 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 8 — — $29,536.79 $137,620.92 $56,416.36 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 8 — — $29,523.81 $137,560.41 $56,391.55 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 7 — — $53,489.57 $216,667.49 $56,377.77 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 10 8 — — $29,408.22 $137,021.87 $56,170.78 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 10 8 — — $29,102.38 $135,596.86 $55,586.62 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 8 — — $29,093.94 $135,557.53 $55,570.49 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 8 — — $28,979.65 $135,025.04 $55,352.21 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 8 — — $28,524.46 $132,904.16 $54,482.77 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 8 — — $28,099.79 $130,925.49 $53,671.63 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 8 — — $27,875.77 $129,881.69 $53,243.74 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 10 8 — — $27,696.55 $129,046.65 $52,901.42 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 10 8 — — $25,588.34 $132,883.64 $52,668.05 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 10 8 — — $25,588.34 $132,883.64 $52,668.05 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 10 8 — — $25,588.34 $132,883.64 $52,668.05 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 8 — — $27,537.46 $128,305.40 $52,597.55 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 8 — — $27,423.17 $127,772.92 $52,379.26 2026-03-30
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 10 8 — — $27,376.42 $127,555.08 $52,289.96 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 8 — — $27,362.78 $127,491.54 $52,263.92 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 8 — — $27,282.91 $127,119.41 $52,111.37 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 10 8 — — $27,250.45 $126,968.13 $52,049.35 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 8 — — $27,199.80 $126,732.14 $51,952.61 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 8 — — $27,094.60 $126,242.01 $51,751.69 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 10 8 — — $27,075.12 $126,151.25 $51,714.48 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 8 — — $26,967.33 $125,649.02 $51,508.60 2026-03-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 10 8 — — $26,788.76 $124,817.00 $51,167.52 2026-03-30
791 MS_DRG Prematurity With Major Problems 10 8 — — $26,356.95 $122,805.05 $50,342.74 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 8 — — $26,106.95 $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 10 8 — — $25,870.59 $120,538.95 $49,413.77 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $25,401.76 $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 10 8 — — $25,286.83 $117,819.02 $48,298.76 2026-03-30
33240 CPT Insrt Pulse Gen W/singl Lead 10 8 — — $23,412.43 $121,583.85 $48,189.41 2026-03-30
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 10 8 — — $23,412.43 $121,583.85 $48,189.41 2026-03-30
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 10 8 — — $23,412.43 $121,583.85 $48,189.41 2026-03-30
33230 CPT Insrt Pulse Gen W/dual Leads 10 8 — — $23,412.43 $121,583.85 $48,189.41 2026-03-30
L7181 HCPCS Electronic Elbo Simultaneous 9 7 — — $45,688.52 $59,014.09 $48,155.50 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 8 — — $25,134.23 $117,108.03 $48,007.29 2026-03-30
J7310 HCPCS Ganciclovir Long Act Implant 2 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 10 8 — — $25,096.57 $116,932.55 $47,935.36 2026-03-30
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 10 8 — — $25,072.54 $116,820.61 $47,889.47 2026-03-30
0266T CPT Implt/rpl Crtd Sns Dev Total 9 7 — — $46,937.63 $243,753.34 $47,876.38 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 8 — — $24,930.33 $116,158.02 $47,617.85 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 8 — — $18,637.52 $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… 11 8 — — $19,695.96 $91,769.47 $46,750.00 2026-03-30
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 10 8 — — $24,434.88 $113,849.57 $46,671.52 2026-03-30
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 10 8 — — $24,328.39 $113,353.38 $46,468.12 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 8 — — $24,270.60 $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… 10 8 — — $24,268.00 $113,072.01 $46,352.77 2026-03-30
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 10 8 — — $24,199.82 $112,754.33 $46,222.54 2026-03-30
L7180 HCPCS Electronic Elbow Sequential 9 7 — — $43,720.78 $56,472.44 $46,081.51 2026-03-30
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 10 8 — — $22,367.50 $116,157.39 $46,038.65 2026-03-30
63655 CPT Implant Neuroelectrodes 10 8 — — $22,367.50 $116,157.39 $46,038.65 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 10 8 — — $22,367.50 $116,157.39 $46,038.65 2026-03-30
64580 CPT Opn Impltj Nea Neuromuscular 10 8 — — $22,367.50 $116,157.39 $46,038.65 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 10 8 — — $22,367.50 $116,157.39 $46,038.65 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 8 — — $24,063.46 $112,118.98 $45,962.09 2026-03-30
J9226 HCPCS Supprelin La Implant 11 8 — — $43,568.55 $176,480.95 $45,921.06 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 8 — — $23,851.12 $111,129.64 $45,556.51 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 10 8 — — $23,841.38 $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 10 8 — — $23,561.51 $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… 10 8 — — $23,543.33 $109,695.55 $44,968.62 2026-03-30
332 MS_DRG Rectal Resection With Mcc 10 8 — — $23,510.86 $109,544.28 $44,906.61 2026-03-30
265 MS_DRG Aicd Lead Procedures 10 8 — — $23,494.63 $109,468.64 $44,875.60 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 8 — — $23,453.07 $109,275.01 $44,796.23 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 8 — — $23,418.01 $109,111.63 $44,729.26 2026-03-30
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 10 8 — — $23,264.76 $108,397.61 $44,436.55 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 8 — — $23,210.87 $108,146.50 $44,333.60 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 8 — — $23,187.49 $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… 10 8 — — $23,153.07 $107,877.23 $44,223.22 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 8 — — $23,133.59 $107,786.46 $44,186.01 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 10 8 — — $23,111.52 $107,683.60 $44,143.85 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 8 — — $23,092.69 $107,595.86 $44,107.88 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 8 — — $22,899.83 $106,697.28 $43,739.51 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 8 — — $22,853.08 $106,479.45 $43,650.21 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 10 8 — — $22,651.13 $105,538.52 $43,264.49 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 10 8 — — $22,645.29 $105,511.29 $43,253.32 2026-03-30
54416 CPT Remv/repl Penis Contain Pros 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
54411 CPT Remov/replc Penis Pros Comp 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
54405 CPT Insert Multi-comp Penis Pros 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
54401 CPT Insert Self-contd Prosthesis 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
54410 CPT Remove/replace Penis Prosth 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
53444 CPT Insert Tandem Cuff 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
53445 CPT Insert Uro/ves Nck Sphincter 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
53447 CPT Remove/replace Ur Sphincter 10 8 — — $20,995.04 $109,030.01 $43,213.73 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 8 — — $22,541.39 $105,027.21 $43,054.89 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 8 — — $22,432.30 $104,518.92 $42,846.52 2026-03-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 8 — — $22,328.41 $104,034.84 $42,648.07 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 8 — — $22,262.17 $103,726.24 $42,521.57 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 8 — — $22,153.08 $103,217.96 $42,313.19 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 8 — — $22,123.86 $103,081.81 $42,257.38 2026-03-30
509 MS_DRG Arthroscopy 1 1 — — $42,160.80 $42,160.80 $42,160.80 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 10 8 — — $21,692.05 $101,069.85 $41,432.60 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 8 — — $21,449.84 $99,941.34 $40,969.99 2026-03-30
33274 CPT Tcat Insj/rpl Perm Ldls Pm 10 8 — — $19,892.12 $103,302.40 $40,943.61 2026-03-30
33229 CPT Remv&replc Pm Gen Mult Leads 10 8 — — $19,892.12 $103,302.40 $40,943.61 2026-03-30
33221 CPT Insert Pulse Gen Mult Leads 10 8 — — $19,892.12 $103,302.40 $40,943.61 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 10 8 — — $21,377.11 $99,602.49 $40,831.07 2026-03-30
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 10 8 — — $21,374.52 $99,590.38 $40,826.11 2026-03-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 9 7 — — $38,538.94 $49,779.25 $40,619.87 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 8 — — $21,121.92 $98,413.46 $40,343.65 2026-03-30
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 10 8 — — $21,029.06 $97,980.82 $40,166.29 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 8 — — $21,005.69 $97,871.90 $40,121.63 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 8 — — $20,976.47 $97,735.75 $40,065.82 2026-03-30
652 MS_DRG Kidney Transplant 10 8 — — $20,970.62 $97,708.52 $40,054.66 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 8 — — $20,955.04 $97,635.91 $40,024.89 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 8 — — $20,914.13 $97,445.30 $39,946.76 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 8 — — $20,846.60 $97,130.65 $39,817.76 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 8 — — $20,732.31 $96,598.16 $39,599.48 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 8 — — $20,694.00 $96,419.66 $39,526.30 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 8 — — $20,673.87 $96,325.87 $39,487.85 2026-03-30
22856 CPT Tot Disc Arthrp 1ntrspc Crv 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
27278 CPT Arthrd Si Jt Plmt Iartic Dev 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
22867 CPT Insj Stablj Dev W/dcmprn 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
25442 CPT Arthrp W/prostc Dstl Ulna 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
21243 CPT Reconstruction Of Jaw Joint 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
25446 CPT Arthrp W/prostc Dst Rds&crps 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
24363 CPT Replace Elbow Joint 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
24371 CPT Revise Reconst Elbow Joint 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
24361 CPT Reconstruct Elbow Joint 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
23472 CPT Reconstruct Shoulder Joint 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
28705 CPT Arthrodesis Pantalar 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
20696 CPT App Mltpln Uni Xtrnl Fix 1st 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
27702 CPT Reconstruct Ankle Joint 10 8 — — $19,181.68 $99,613.00 $39,481.32 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 8 — — $20,632.31 $96,132.24 $39,408.47 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 10 8 — — $20,550.50 $95,751.02 $39,252.21 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 8 — — $20,519.33 $95,605.80 $39,192.67 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 8 — — $20,460.89 $95,333.51 $39,081.04 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 8 — — $20,451.15 $95,288.12 $39,062.44 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 8 — — $20,403.10 $95,064.24 $38,970.66 2026-03-30
665 MS_DRG Prostatectomy With Mcc 10 8 — — $20,267.38 $94,431.91 $38,711.44 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 8 — — $20,225.17 $94,235.25 $38,630.82 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 8 — — $20,189.46 $94,068.85 $38,562.61 2026-03-30
92933 CPT Prq Trlml C Athrc St Angiop1 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
93591 CPT Perq Transcath Cls Aortic 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
93582 CPT Perq Transcath Closure Pda 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
93581 CPT Transcath Closure Of Vsd 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
93580 CPT Transcath Closure Of Asd 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
93590 CPT Perq Transcath Cls Mitral 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
37242 CPT Vasc Embolize/occlude Artery 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
37230 CPT Tib/per Revasc W/stent 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
37231 CPT Tib/per Revasc Stent & Ather 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
37227 CPT Fem/popl Revasc Stnt & Ather 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
37229 CPT Tib/per Revasc W/ather 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
37184 CPT Prim Art M-thrmbc 1st Vsl 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
36906 CPT Thrmbc/nfs Dialysis Circuit 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
33902 CPT Perq P-art Revsc 1 Abnor Uni 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
37225 CPT Fem/popl Revas W/ather 10 8 — — $18,729.70 $97,265.82 $38,551.03 2026-03-30
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 11 8 — — $13,751.20 $64,071.01 $38,504.36 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 10 8 — — $19,879.72 $92,625.68 $37,971.00 2026-03-30
62361 CPT Implant Spine Infusion Pump 10 8 — — $18,434.93 $95,735.04 $37,944.31 2026-03-30
62362 CPT Implant Spine Infusion Pump 10 8 — — $18,434.93 $95,735.04 $37,944.31 2026-03-30
62360 CPT Insert Spine Infusion Device 10 8 — — $18,434.93 $95,735.04 $37,944.31 2026-03-30
263 MS_DRG Vein Ligation And Stripping 10 8 — — $19,853.10 $92,501.64 $37,920.15 2026-03-30
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 10 8 — — $19,613.49 $91,385.23 $37,462.49 2026-03-30
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 10 8 — — $19,610.89 $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… 10 8 — — $19,589.46 $91,273.28 $37,416.60 2026-03-30
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 10 8 — — $18,147.30 $94,241.32 $37,352.27 2026-03-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $36,507.16 $189,586.53 $37,237.31 2026-03-30
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $37,111.20 $37,111.20 $37,111.20 2026-03-30
173 MS_DRG Urethral Procedures Age 0-17 10 8 — — $19,327.13 $90,050.98 $36,915.52 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 10 8 — — $19,130.38 $89,134.26 $36,539.72 2026-03-30
J3357 HCPCS Ustekinumab Sub Cu Inj 1 Mg 31 8 $78,708.96 $19,677.24 75% off $144.58 $84,375.98 $36,520.98 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 8 — — $19,117.39 $89,073.75 $36,514.91 2026-03-30
570 MS_DRG Skin Debridement With Mcc 10 8 — — $19,097.91 $88,982.98 $36,477.71 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 10 8 — — $18,960.90 $88,344.60 $36,216.01 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 8 — — $18,910.90 $88,111.64 $36,120.51 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 8 — — $18,844.02 $87,800.01 $35,992.76 2026-03-30
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 10 8 — — $18,832.33 $87,745.55 $35,970.43 2026-03-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 8 — — $18,749.21 $87,358.29 $35,811.68 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 10 8 — — $18,740.12 $87,315.93 $35,794.32 2026-03-30
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 10 8 — — $18,712.85 $87,188.86 $35,742.22 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 8 — — $18,509.60 $86,241.88 $35,354.01 2026-03-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 11 8 — — $12,525.23 $58,358.87 $35,071.57 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 7 — — $33,178.63 $42,855.55 $34,970.13 2026-03-30
800 MS_DRG Splenic Procedures With Cc 10 8 — — $18,242.72 $84,998.40 $34,844.27 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 10 8 — — $18,177.14 $84,692.82 $34,719.00 2026-03-30
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