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

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,465 across 7 payers · range $4,378-$20,398

Source: https://northernlighthealth.org/NLH/media/Price-Transparency/010198331_Maine-Coast-Hospital_standardcharges.csv · observed 2026-03-30

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,366 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 success · 2026-07-31
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
$3,710,000
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
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,753,613.11 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 7 $3,248,445.72 $3,608,090.00 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 7 $2,945,740.00 $3,353,840.00 $3,004,654.80 nat. median
$2,997,086
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
$2,460,273
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 6 $2,332,000.00 $2,378,640.00 $2,378,640.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $3,020,830.00 $786,032.40 nat. median
$809,151
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $280,405.71 $1,306,495.61 $785,156.53 nat. median
$370,165
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $2,319,566.70 $603,560.72 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.95 $2,218,206.28 $577,186.33 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $2,205,149.70 $573,788.95 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $2,184,686.29 $568,464.29 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $2,090,262.27 $543,894.77 nat. median
$588,565
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $181,972.02 $847,863.09 $509,535.00 nat. median
$261,939
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $1,918,074.07 $499,090.70 nat. median
$577,541
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $138,638.58 $645,959.38 $388,198.18 nat. median
$205,166
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $137,824.95 $642,168.43 $385,919.96 nat. median
$199,832
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $1,090,740.00 $283,815.00 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene Per Implant 6 $249,194.60 $1,009,400.00 $262,650.00 nat. median
$265,000
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 $251,848.35 nat. median
$132,706
1.9× median
7
MS_DRG 		Lung Transplant 8 $84,091.58 $391,808.30 $235,462.59 nat. median
$122,690
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $78,037.73 $363,601.56 $218,511.37 nat. median
$114,305
1.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 6 $205,640.00 $806,108.80 $209,752.80 nat. median
$209,736
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $73,582.57 $342,843.61 $206,036.59 nat. median
$108,240
1.9× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 $73,498.15 $342,450.29 $205,800.22 nat. median
$96,134
outlier · 2.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $71,565.70 $333,446.41 $200,389.21 nat. median
$96,835
outlier · 2.1×
212
MS_DRG 		Testes Procedures Age 0-17 8 $70,610.51 $328,995.90 $197,714.61 nat. median
$100,978
2.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $66,950.80 $311,944.18 $187,467.15 nat. median
$99,646
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 8 $64,655.36 $301,249.04 $181,039.76 nat. median
$98,002
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $63,524.20 $295,978.61 $177,872.42 nat. median
$92,900
1.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $168,513.00 $168,513.00 $168,513.00 nat. median
$75,807
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $58,503.46 $272,585.45 $163,813.98 nat. median
$81,124
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $56,230.10 $261,993.17 $157,448.40 nat. median
$81,364
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $54,739.20 $255,046.62 $153,273.78 nat. median
$79,040
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 8 $54,567.13 $254,244.87 $152,791.95 nat. median
$80,459
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $51,095.72 $238,070.54 $143,071.77 nat. median
$77,385
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $49,858.72 $232,306.97 $139,608.07 nat. median
$74,472
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 8 $49,643.79 $231,305.53 $139,006.24 nat. median
$73,475
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $49,479.50 $230,540.07 $138,546.23 nat. median
$71,485
1.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $46,873.68 $218,398.74 $131,249.73 nat. median
$66,640
2.0× median
10
MS_DRG 		Pancreas Transplant 8 $46,595.11 $217,100.80 $130,469.72 nat. median
$67,750
1.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 $46,575.63 $217,010.04 $130,415.17 nat. median
$62,911
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $46,328.23 $215,857.32 $129,722.43 nat. median
$69,153
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $46,300.95 $215,730.25 $129,646.07 nat. median
$68,581
1.9× median
38240
CPT 		Transplt Allo Hct/donor 8 $61,688.22 $320,355.11 $126,971.83 nat. median
$13,835
outlier · 9.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $44,881.48 $209,116.51 $125,671.45 nat. median
$65,958
1.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $44,661.36 $208,090.86 $125,055.07 nat. median
$65,792
1.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $43,708.12 $203,649.43 $122,385.93 nat. median
$64,357
1.9× median

Other procedures at this hospital

Browse this hospital's 15,366 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 8 — — $280,405.71 $1,306,495.61 $785,156.53 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 8 — — $181,972.02 $847,863.09 $509,535.00 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $489,304.61 $1,918,074.07 $499,090.70 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 8 — — $138,638.58 $645,959.38 $388,198.18 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 11 8 — — $137,824.95 $642,168.43 $385,919.96 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
J3403 HCPCS Revakinagene Per Implant 9 6 — — $249,194.60 $1,009,400.00 $262,650.00 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 11 8 — — $89,943.49 $419,074.11 $251,848.35 2026-03-30
7 MS_DRG Lung Transplant 11 8 — — $84,091.58 $391,808.30 $235,462.59 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 11 8 — — $78,037.73 $363,601.56 $218,511.37 2026-03-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 6 — — $205,640.00 $806,108.80 $209,752.80 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 8 — — $73,582.57 $342,843.61 $206,036.59 2026-03-30
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 11 8 — — $73,498.15 $342,450.29 $205,800.22 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $71,565.70 $333,446.41 $200,389.21 2026-03-30
212 MS_DRG Testes Procedures Age 0-17 11 8 — — $70,610.51 $328,995.90 $197,714.61 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 8 — — $66,950.80 $311,944.18 $187,467.15 2026-03-30
215 MS_DRG Other Heart Assist System Implant 11 8 — — $64,655.36 $301,249.04 $181,039.76 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $63,524.20 $295,978.61 $177,872.42 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $168,513.00 $168,513.00 $168,513.00 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 8 — — $58,503.46 $272,585.45 $163,813.98 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 11 8 — — $56,230.10 $261,993.17 $157,448.40 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 8 — — $54,739.20 $255,046.62 $153,273.78 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 8 — — $54,567.13 $254,244.87 $152,791.95 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 8 — — $51,095.72 $238,070.54 $143,071.77 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $49,858.72 $232,306.97 $139,608.07 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 11 8 — — $49,643.79 $231,305.53 $139,006.24 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 8 — — $49,479.50 $230,540.07 $138,546.23 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $46,873.68 $218,398.74 $131,249.73 2026-03-30
10 MS_DRG Pancreas Transplant 11 8 — — $46,595.11 $217,100.80 $130,469.72 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 8 — — $46,575.63 $217,010.04 $130,415.17 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 8 — — $46,328.23 $215,857.32 $129,722.43 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 8 — — $46,300.95 $215,730.25 $129,646.07 2026-03-30
38240 CPT Transplt Allo Hct/donor 10 8 — — $61,688.22 $320,355.11 $126,971.83 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 8 — — $44,881.48 $209,116.51 $125,671.45 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 8 — — $44,661.36 $208,090.86 $125,055.07 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 8 — — $43,708.12 $203,649.43 $122,385.93 2026-03-30
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 8 — — $43,418.51 $202,300.06 $121,575.00 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 8 — — $43,386.69 $202,151.81 $121,485.91 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $42,696.44 $198,935.70 $119,553.15 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $42,696.44 $198,935.70 $119,553.15 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $42,541.24 $198,212.61 $119,118.60 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 8 — — $41,783.46 $194,681.85 $116,996.74 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 11 8 — — $39,794.51 $185,414.74 $111,427.54 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 8 — — $39,748.41 $185,199.93 $111,298.45 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 8 — — $39,367.24 $183,423.96 $110,231.16 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 11 8 — — $39,014.65 $181,781.12 $109,243.86 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 8 — — $39,003.61 $181,729.68 $109,212.96 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 8 — — $38,721.14 $180,413.59 $108,422.03 2026-03-30
Q0480 HCPCS Driver Pneumatic Vad Rep 9 7 — — $99,999.91 $132,651.16 $108,243.35 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 11 8 — — $38,593.87 $179,820.59 $108,065.66 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 8 — — $38,504.26 $179,403.07 $107,814.75 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 8 — — $38,107.51 $177,554.49 $106,703.82 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 8 — — $38,082.83 $177,439.52 $106,634.72 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 8 — — $37,448.42 $174,483.61 $104,858.33 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 8 — — $37,209.46 $173,370.23 $104,189.22 2026-03-30
213 MS_DRG Splenic Procedures Age 0-17 11 8 — — $37,057.52 $172,662.26 $103,763.76 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 8 — — $37,009.47 $172,438.37 $103,629.21 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $36,506.22 $170,093.61 $102,220.10 2026-03-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 11 8 — — $36,393.24 $169,567.17 $101,903.73 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 8 — — $36,143.89 $168,405.38 $101,205.53 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 11 8 — — $35,863.37 $167,098.37 $100,420.06 2026-03-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 11 8 — — $35,648.44 $166,096.92 $99,818.23 2026-03-30
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 11 8 — — $35,522.46 $165,509.98 $99,465.50 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 11 8 — — $35,471.81 $165,273.99 $99,323.68 2026-03-30
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 11 8 — — $35,415.97 $165,013.80 $99,167.31 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 8 — — $35,274.41 $164,354.24 $98,770.94 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $34,628.31 $161,343.86 $96,961.82 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 8 — — $34,607.53 $161,247.05 $96,903.63 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 10 8 — — $46,937.63 $243,753.34 $96,610.93 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 8 — — $34,375.07 $160,163.92 $96,252.71 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 8 — — $34,261.43 $159,634.46 $95,934.52 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 8 — — $33,801.05 $157,489.38 $94,645.41 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 11 8 — — $33,742.61 $157,217.08 $94,481.77 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $32,728.33 $152,491.25 $91,641.72 2026-03-30
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 11 8 — — $32,385.47 $150,893.79 $90,681.70 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 8 — — $32,125.74 $149,683.59 $89,954.41 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 8 — — $32,068.59 $149,417.34 $89,794.41 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 8 — — $31,958.85 $148,906.03 $89,487.13 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $31,825.74 $148,285.81 $89,114.40 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 11 8 — — $31,354.96 $146,092.32 $87,796.19 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 8 — — $31,196.52 $145,354.10 $87,352.55 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 11 8 — — $30,914.06 $144,038.00 $86,561.62 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 8 — — $30,528.34 $142,240.86 $85,481.60 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 8 — — $30,466.01 $141,950.41 $85,307.05 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 8 — — $30,375.10 $141,526.84 $85,052.50 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 11 8 — — $30,110.17 $140,292.44 $84,310.67 2026-03-30
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 8 — — $29,990.04 $139,732.72 $83,974.30 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 8 — — $29,847.18 $139,067.11 $83,574.29 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 8 — — $29,771.21 $138,713.12 $83,361.56 2026-03-30
245 MS_DRG Aicd Generator Procedures 11 8 — — $29,625.75 $138,035.41 $82,954.28 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 8 — — $29,536.79 $137,620.92 $82,705.19 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 8 — — $29,523.81 $137,560.41 $82,668.82 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 11 8 — — $29,408.22 $137,021.87 $82,345.18 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 11 8 — — $29,102.38 $135,596.86 $81,488.80 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 8 — — $29,093.94 $135,557.53 $81,465.16 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 8 — — $28,979.65 $135,025.04 $81,145.16 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 8 — — $28,524.46 $132,904.16 $79,870.59 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 8 — — $28,099.79 $130,925.49 $78,681.47 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 8 — — $27,875.77 $129,881.69 $78,054.19 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 11 8 — — $27,696.55 $129,046.65 $77,552.36 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 8 — — $27,537.46 $128,305.40 $77,106.90 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 8 — — $27,423.17 $127,772.92 $76,786.89 2026-03-30
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 11 8 — — $27,376.42 $127,555.08 $76,655.98 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 8 — — $27,362.78 $127,491.54 $76,617.80 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 8 — — $27,282.91 $127,119.41 $76,394.16 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 11 8 — — $27,250.45 $126,968.13 $76,303.25 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 8 — — $27,199.80 $126,732.14 $76,161.43 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 8 — — $27,094.60 $126,242.01 $75,866.88 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 11 8 — — $27,075.12 $126,151.25 $75,812.33 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 8 — — $26,967.33 $125,649.02 $75,510.51 2026-03-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 11 8 — — $26,788.76 $124,817.00 $75,010.50 2026-03-30
791 MS_DRG Prematurity With Major Problems 11 8 — — $26,356.95 $122,805.05 $73,801.38 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 8 — — $26,106.95 $121,640.23 $73,101.37 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 8 — — $25,870.59 $120,538.95 $72,439.54 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 8 — — $25,401.76 $118,354.53 $71,126.79 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 8 — — $25,286.83 $117,819.02 $70,804.96 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 8 — — $25,134.23 $117,108.03 $70,377.68 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 8 — — $25,096.57 $116,932.55 $70,272.23 2026-03-30
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 11 8 — — $25,072.54 $116,820.61 $70,204.95 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 8 — — $24,930.33 $116,158.02 $69,806.76 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 10 8 — — $33,441.73 $173,667.34 $68,832.55 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
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
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 11 8 — — $24,434.88 $113,849.57 $68,419.46 2026-03-30
69930 CPT Implant Cochlear Device 10 8 — — $33,177.05 $172,292.81 $68,287.76 2026-03-30
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 11 8 — — $24,328.39 $113,353.38 $68,121.28 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 8 — — $24,270.60 $113,084.11 $67,959.45 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 8 — — $24,268.00 $113,072.01 $67,952.18 2026-03-30
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 11 8 — — $24,199.82 $112,754.33 $67,761.27 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 8 — — $24,063.46 $112,118.98 $67,379.44 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 8 — — $23,851.12 $111,129.64 $66,784.89 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 11 8 — — $23,841.38 $111,084.26 $66,757.61 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 8 — — $23,561.51 $109,780.27 $65,973.96 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 8 — — $23,543.33 $109,695.55 $65,923.05 2026-03-30
332 MS_DRG Rectal Resection With Mcc 11 8 — — $23,510.86 $109,544.28 $65,832.14 2026-03-30
265 MS_DRG Aicd Lead Procedures 11 8 — — $23,494.63 $109,468.64 $65,786.69 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 8 — — $23,453.07 $109,275.01 $65,670.32 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 8 — — $23,418.01 $109,111.63 $65,572.14 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
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
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
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 11 8 — — $23,264.76 $108,397.61 $65,143.04 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 8 — — $23,210.87 $108,146.50 $64,992.13 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 8 — — $23,187.49 $108,037.58 $64,926.67 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 8 — — $23,153.07 $107,877.23 $64,830.31 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 8 — — $23,133.59 $107,786.46 $64,775.76 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 11 8 — — $23,111.52 $107,683.60 $64,713.94 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 8 — — $23,092.69 $107,595.86 $64,661.21 2026-03-30
J9029 HCPCS Instill Adstiladrin Tx Dose 11 8 — — $61,299.24 $248,301.74 $64,609.13 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 8 — — $22,899.83 $106,697.28 $64,121.20 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 8 — — $22,853.08 $106,479.45 $63,990.29 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 11 8 — — $22,651.13 $105,538.52 $63,424.82 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 11 8 — — $22,645.29 $105,511.29 $63,408.46 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 8 — — $22,541.39 $105,027.21 $63,117.55 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 8 — — $22,432.30 $104,518.92 $62,812.09 2026-03-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 8 — — $22,328.41 $104,034.84 $62,521.17 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 8 — — $22,262.17 $103,726.24 $62,335.71 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 8 — — $22,153.08 $103,217.96 $62,030.25 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 8 — — $22,123.86 $103,081.81 $61,948.43 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
264 MS_DRG Other Circulatory System O.r. Procedures 11 8 — — $21,692.05 $101,069.85 $60,739.32 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 8 — — $21,449.84 $99,941.34 $60,061.13 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 11 8 — — $21,377.11 $99,602.49 $59,857.49 2026-03-30
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 11 8 — — $21,374.52 $99,590.38 $59,850.21 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 8 — — $21,121.92 $98,413.46 $59,142.93 2026-03-30
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 11 8 — — $21,029.06 $97,980.82 $58,882.92 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 8 — — $21,005.69 $97,871.90 $58,817.47 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 8 — — $20,976.47 $97,735.75 $58,735.65 2026-03-30
652 MS_DRG Kidney Transplant 11 8 — — $20,970.62 $97,708.52 $58,719.28 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 8 — — $20,955.04 $97,635.91 $58,675.64 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 8 — — $20,914.13 $97,445.30 $58,561.10 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 8 — — $20,846.60 $97,130.65 $58,372.00 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 8 — — $20,732.31 $96,598.16 $58,052.00 2026-03-30
A9543 HCPCS Y90 Ibritumomab Rx 9 7 — — $54,991.73 $222,752.24 $57,961.04 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 8 — — $20,694.00 $96,419.66 $57,944.72 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 8 — — $20,673.87 $96,325.87 $57,888.36 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 8 — — $20,632.31 $96,132.24 $57,771.99 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 11 8 — — $20,550.50 $95,751.02 $57,542.90 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 8 — — $20,519.33 $95,605.80 $57,455.62 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 8 — — $20,460.89 $95,333.51 $57,291.98 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 8 — — $20,451.15 $95,288.12 $57,264.71 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 8 — — $20,403.10 $95,064.24 $57,130.16 2026-03-30
665 MS_DRG Prostatectomy With Mcc 11 8 — — $20,267.38 $94,431.91 $56,750.15 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 8 — — $20,225.17 $94,235.25 $56,631.97 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 8 — — $20,189.46 $94,068.85 $56,531.97 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 7 — — $53,489.57 $216,667.49 $56,377.77 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 11 8 — — $19,879.72 $92,625.68 $55,664.68 2026-03-30
263 MS_DRG Vein Ligation And Stripping 11 8 — — $19,853.10 $92,501.64 $55,590.13 2026-03-30
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 11 8 — — $19,613.49 $91,385.23 $54,919.21 2026-03-30
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 11 8 — — $19,610.89 $91,373.13 $54,911.94 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 8 — — $19,589.46 $91,273.28 $54,851.94 2026-03-30
173 MS_DRG Urethral Procedures Age 0-17 11 8 — — $19,327.13 $90,050.98 $54,117.38 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 11 8 — — $19,130.38 $89,134.26 $53,566.46 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 11 8 — — $19,117.39 $89,073.75 $53,530.09 2026-03-30
570 MS_DRG Skin Debridement With Mcc 11 8 — — $19,097.91 $88,982.98 $53,475.55 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 11 8 — — $18,960.90 $88,344.60 $53,091.90 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 8 — — $18,910.90 $88,111.64 $52,951.90 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 8 — — $18,844.02 $87,800.01 $52,764.62 2026-03-30
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 11 8 — — $18,832.33 $87,745.55 $52,731.90 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
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
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 8 — — $18,749.21 $87,358.29 $52,499.17 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 11 8 — — $18,740.12 $87,315.93 $52,473.71 2026-03-30
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 11 8 — — $18,712.85 $87,188.86 $52,397.35 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 8 — — $18,509.60 $86,241.88 $51,828.24 2026-03-30
800 MS_DRG Splenic Procedures With Cc 11 8 — — $18,242.72 $84,998.40 $51,080.96 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 11 8 — — $18,177.14 $84,692.82 $50,897.32 2026-03-30
503 MS_DRG Foot Procedures With Mcc 11 8 — — $18,123.89 $84,444.73 $50,748.22 2026-03-30
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 11 8 — — $17,999.22 $83,863.83 $50,399.13 2026-03-30
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 8 — — $17,903.11 $83,416.06 $50,130.03 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 8 — — $17,848.57 $83,161.92 $49,977.30 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 11 8 — — $17,844.02 $83,140.74 $49,964.57 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 8 — — $17,751.82 $82,711.12 $49,706.39 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 8 — — $17,667.40 $82,317.80 $49,470.02 2026-03-30
849 MS_DRG Radiotherapy 11 8 — — $17,594.03 $81,975.92 $49,264.56 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 8 — — $17,572.60 $81,876.08 $49,204.56 2026-03-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 8 — — $17,515.45 $81,609.84 $49,044.56 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 11 8 — — $17,272.60 $80,478.30 $48,364.54 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 8 — — $17,212.21 $80,196.93 $48,195.45 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
33262 CPT Rmvl& Replc Pulse Gen 1 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
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
J7310 HCPCS Ganciclovir Long Act Implant 2 2 — — $48,000.00 $48,000.00 $48,000.00 2026-03-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 8 — — $17,125.85 $79,794.54 $47,953.63 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
253 MS_DRG Other Vascular Procedures With Cc 11 8 — — $16,854.42 $78,529.88 $47,193.61 2026-03-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 8 — — $16,834.29 $78,436.09 $47,137.25 2026-03-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 8 — — $16,771.30 $78,142.61 $46,960.88 2026-03-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 8 — — $16,747.93 $78,033.70 $46,895.42 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 11 8 — — $16,747.93 $78,033.70 $46,895.42 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
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 11 8 — — $16,672.60 $77,682.74 $46,684.51 2026-03-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 8 — — $16,577.80 $77,241.02 $46,419.05 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 8 — — $16,499.23 $76,874.93 $46,199.05 2026-03-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 11 8 — — $16,468.06 $76,729.71 $46,111.77 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
J9226 HCPCS Supprelin La Implant 11 8 — — $43,568.55 $176,480.95 $45,921.06 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 11 8 — — $16,389.49 $76,363.62 $45,891.77 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 8 — — $16,382.35 $76,330.34 $45,871.77 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 8 — — $16,181.05 $75,392.43 $45,308.12 2026-03-30
545 MS_DRG Connective Tissue Disorders With Mcc 11 8 — — $16,114.82 $75,083.83 $45,122.66 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 8 — — $15,968.71 $74,403.10 $44,713.56 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 8 — — $15,964.17 $74,381.92 $44,700.84 2026-03-30
792 MS_DRG Prematurity Without Major Problems 11 8 — — $15,903.78 $74,100.55 $44,531.74 2026-03-30
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 11 8 — — $15,871.31 $73,949.27 $44,440.83 2026-03-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 11 8 — — $15,852.48 $73,861.53 $44,388.10 2026-03-30
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 11 8 — — $15,728.45 $73,283.66 $44,040.83 2026-03-30
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 11 8 — — $15,677.16 $73,044.65 $43,897.19 2026-03-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 11 8 — — $15,618.72 $72,772.35 $43,733.55 2026-03-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 8 — — $15,566.12 $72,527.29 $43,586.27 2026-03-30
397 MS_DRG Major Head And Neck Procedures With Cc 11 8 — — $15,551.18 $72,457.70 $43,544.45 2026-03-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 8 — — $15,522.61 $72,324.58 $43,464.45 2026-03-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 8 — — $15,495.99 $72,200.53 $43,389.90 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
113 MS_DRG Orbital Procedures With Cc/mcc 11 8 — — $15,266.77 $71,132.53 $42,748.07 2026-03-30
333 MS_DRG Rectal Resection With Cc 11 8 — — $15,208.98 $70,863.26 $42,586.25 2026-03-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 8 — — $15,185.60 $70,754.34 $42,520.80 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 11 8 — — $15,174.56 $70,702.91 $42,489.89 2026-03-30
709 MS_DRG Penis Procedures With Cc/mcc 11 8 — — $15,110.93 $70,406.41 $42,311.70 2026-03-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 11 8 — — $15,100.54 $70,358.00 $42,282.61 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 11 8 — — $15,084.95 $70,285.39 $42,238.97 2026-03-30
509 MS_DRG Arthroscopy 1 1 — — $42,160.80 $42,160.80 $42,160.80 2026-03-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 8 — — $15,007.68 $69,925.36 $42,022.61 2026-03-30
347 MS_DRG Anal And Stomal Procedures With Mcc 11 8 — — $14,906.38 $69,453.38 $41,738.96 2026-03-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 11 8 — — $14,901.84 $69,432.20 $41,726.24 2026-03-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 11 8 — — $14,841.45 $69,150.83 $41,557.14 2026-03-30
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