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 C A DEAN HOSPITAL

Greenville, ME · CCN 201301 · Rates published

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You selected 59510 (CPT)

Cesarean delivery

This hospital’s price: $2,815 across 5 payers · range $2,815-$2,843

Source: https://northernlighthealth.org/NLH/media/Price-Transparency/043341666_CA-Dean-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.

14,645 distinct procedures filed
8 distinct payers
396,328 rate rows
2026-03-30 last MRF observed
Data quality

127,609 of 396,328 rate rows are consumer-grade (32.2%)

268,719 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 258,466
per-diem day rate — not a per-procedure price 3,888
template filing: same amount across many unrelated codes — excluded 3,462
placeholder amount (≤ $0.02) — excluded from medians 1,915
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 126
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 79
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://northernlighthealth.org/NLH/media/Price-Transparency/043341666_CA-Dean-hospital_standardcharges.csv
Found on page https://northernlighthealth.org/Resources/Price-Transparency/Standard-Charges/Machine-Readable-Files
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 20ce69d02453ed9e… · 136,129,787 bytes · first seen 2026-05-14

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 1 $4,192,300.00 $4,192,300.00 $4,192,300.00 nat. median
$3,685,267
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,753,613.11 $3,753,613.11 $3,753,613.11 nat. median
$3,325,455
1.1× 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
J3394
HCPCS 		Inj Lovotibeglogene Autotem 1 $3,608,090.00 $3,608,090.00 $3,608,090.00 nat. median
$3,248,446
1.1× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 1 $3,353,840.00 $3,353,840.00 $3,353,840.00 nat. median
$2,968,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,715,908.39 $2,715,908.39 $2,715,908.39 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $785,156.53 $1,306,495.61 $1,156,143.03 nat. median
$168,055
outlier · 6.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $509,535.00 $847,863.09 $750,290.32 nat. median
$186,516
outlier · 4.0×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $639,154.94 $639,154.94 $639,154.94 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $622,989.72 $622,989.72 $622,989.72 nat. median
$599,737
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $596,993.05 $596,993.05 $596,993.05 nat. median
$574,037
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $583,629.15 $583,629.15 $583,629.15 nat. median
$579,571
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $388,198.18 $645,959.38 $571,621.85 nat. median
$131,925
outlier · 4.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 $385,919.96 $642,168.43 $568,267.17 nat. median
$145,435
outlier · 3.9×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $553,154.38 $553,154.38 $553,154.38 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $551,498.21 $551,498.21 $551,498.21 nat. median
$513,770
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 3 $251,848.35 $419,074.11 $370,846.72 nat. median
$97,418
outlier · 3.8×
7
MS_DRG 		Lung Transplant 3 $235,462.59 $391,808.30 $346,718.68 nat. median
$70,649
outlier · 4.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $218,511.37 $363,601.56 $321,758.00 nat. median
$72,715
outlier · 4.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $206,036.59 $342,843.61 $303,388.89 nat. median
$65,418
outlier · 4.6×
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 3 $205,800.22 $342,450.29 $303,040.83 nat. median
$2,110
outlier · 143.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $200,389.21 $333,446.41 $295,073.12 nat. median
$2,736
outlier · 107.8×
212
MS_DRG 		Testes Procedures Age 0-17 3 $197,714.61 $328,995.90 $291,134.78 nat. median
$74,509
outlier · 3.9×
J3403
HCPCS 		Revakinagene Per Implant 2 $249,194.60 $319,480.25 $284,337.42 nat. median
$264,195
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $187,467.15 $311,944.18 $276,045.39 nat. median
$69,922
outlier · 3.9×
215
MS_DRG 		Other Heart Assist System Implant 3 $181,039.76 $301,249.04 $266,581.05 nat. median
$73,023
outlier · 3.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $177,872.42 $295,978.61 $261,917.15 nat. median
$69,822
outlier · 3.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $163,813.98 $272,585.45 $241,216.10 nat. median
$2,596
outlier · 92.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $157,448.40 $261,993.17 $231,842.79 nat. median
$2,633
outlier · 88.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $153,273.78 $255,046.62 $225,695.65 nat. median
$60,505
outlier · 3.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 $152,791.95 $254,244.87 $224,986.16 nat. median
$59,651
outlier · 3.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $143,071.77 $238,070.54 $210,673.20 nat. median
$56,428
outlier · 3.7×
0266T
CPT 		Implt/rpl Crtd Sns Dev Total 2 $161,600.59 $243,753.34 $207,180.25 nat. median
$41,318
outlier · 5.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $139,608.07 $232,306.97 $205,572.89 nat. median
$55,923
outlier · 3.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 3 $139,006.24 $231,305.53 $204,686.70 nat. median
$55,935
outlier · 3.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $138,546.23 $230,540.07 $204,009.33 nat. median
$52,327
outlier · 3.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $131,249.73 $218,398.74 $193,265.24 nat. median
$9,905
outlier · 19.5×
10
MS_DRG 		Pancreas Transplant 3 $130,469.72 $217,100.80 $192,116.67 nat. median
$23,080
outlier · 8.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $130,415.17 $217,010.04 $192,036.35 nat. median
$37,013
outlier · 5.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $129,722.43 $215,857.32 $191,016.29 nat. median
$45,605
outlier · 4.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $129,646.07 $215,730.25 $190,903.83 nat. median
$51,518
outlier · 3.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $125,671.45 $209,116.51 $185,051.21 nat. median
$48,611
outlier · 3.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $125,055.07 $208,090.86 $184,143.60 nat. median
$49,569
outlier · 3.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $122,385.93 $203,649.43 $180,213.29 nat. median
$47,340
outlier · 3.8×
317
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $121,575.00 $202,300.06 $179,019.20 nat. median
$2,633
outlier · 68.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $121,485.91 $202,151.81 $178,888.02 nat. median
$2,958
outlier · 60.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $119,553.15 $198,935.70 $176,042.02 nat. median
$47,458
outlier · 3.7×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $119,553.15 $198,935.70 $176,042.02 nat. median
$45,446
outlier · 3.9×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $119,118.60 $198,212.61 $175,402.14 nat. median
$43,299
outlier · 4.1×

Other procedures at this hospital

Browse this hospital's 14,645 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
             
J1411 HCPCS Inj Hemgenix Per Tx Dose 1 1 — — $4,192,300.00 $4,192,300.00 $4,192,300.00 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,753,613.11 $3,753,613.11 $3,753,613.11 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
J3394 HCPCS Inj Lovotibeglogene Autotem 1 1 — — $3,608,090.00 $3,608,090.00 $3,608,090.00 2026-03-30
J3393 HCPCS Inj Betibeglogene Autotemce 1 1 — — $3,353,840.00 $3,353,840.00 $3,353,840.00 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,715,908.39 $2,715,908.39 $2,715,908.39 2026-03-30
J3392 HCPCS Inj Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 3 — — $785,156.53 $1,306,495.61 $1,156,143.03 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $509,535.00 $847,863.09 $750,290.32 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $639,154.94 $639,154.94 $639,154.94 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $622,989.72 $622,989.72 $622,989.72 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $596,993.05 $596,993.05 $596,993.05 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $583,629.15 $583,629.15 $583,629.15 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $388,198.18 $645,959.38 $571,621.85 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 4 3 — — $385,919.96 $642,168.43 $568,267.17 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $553,154.38 $553,154.38 $553,154.38 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $551,498.21 $551,498.21 $551,498.21 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 4 3 — — $251,848.35 $419,074.11 $370,846.72 2026-03-30
7 MS_DRG Lung Transplant 4 3 — — $235,462.59 $391,808.30 $346,718.68 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $218,511.37 $363,601.56 $321,758.00 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $206,036.59 $342,843.61 $303,388.89 2026-03-30
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 4 3 — — $205,800.22 $342,450.29 $303,040.83 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $200,389.21 $333,446.41 $295,073.12 2026-03-30
212 MS_DRG Testes Procedures Age 0-17 4 3 — — $197,714.61 $328,995.90 $291,134.78 2026-03-30
J3403 HCPCS Revakinagene Per Implant 3 2 — — $249,194.60 $319,480.25 $284,337.42 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $187,467.15 $311,944.18 $276,045.39 2026-03-30
215 MS_DRG Other Heart Assist System Implant 4 3 — — $181,039.76 $301,249.04 $266,581.05 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $177,872.42 $295,978.61 $261,917.15 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 3 — — $163,813.98 $272,585.45 $241,216.10 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $157,448.40 $261,993.17 $231,842.79 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $153,273.78 $255,046.62 $225,695.65 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 4 3 — — $152,791.95 $254,244.87 $224,986.16 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $143,071.77 $238,070.54 $210,673.20 2026-03-30
0266T CPT Implt/rpl Crtd Sns Dev Total 3 2 — — $161,600.59 $243,753.34 $207,180.25 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $139,608.07 $232,306.97 $205,572.89 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 3 — — $139,006.24 $231,305.53 $204,686.70 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $138,546.23 $230,540.07 $204,009.33 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $131,249.73 $218,398.74 $193,265.24 2026-03-30
10 MS_DRG Pancreas Transplant 4 3 — — $130,469.72 $217,100.80 $192,116.67 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 3 — — $130,415.17 $217,010.04 $192,036.35 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $129,722.43 $215,857.32 $191,016.29 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $129,646.07 $215,730.25 $190,903.83 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $125,671.45 $209,116.51 $185,051.21 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $125,055.07 $208,090.86 $184,143.60 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $122,385.93 $203,649.43 $180,213.29 2026-03-30
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $121,575.00 $202,300.06 $179,019.20 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 3 — — $121,485.91 $202,151.81 $178,888.02 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $119,553.15 $198,935.70 $176,042.02 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $119,553.15 $198,935.70 $176,042.02 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $119,118.60 $198,212.61 $175,402.14 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $116,996.74 $194,681.85 $172,277.71 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 4 3 — — $111,427.54 $185,414.74 $164,077.06 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $111,298.45 $185,199.93 $163,886.98 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $110,231.16 $183,423.96 $162,315.38 2026-03-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 3 2 — — $125,689.75 $189,586.53 $161,140.70 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $109,243.86 $181,781.12 $160,861.60 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $109,212.96 $181,729.68 $160,816.08 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 4 3 — — $108,422.03 $180,413.59 $159,651.45 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 4 3 — — $108,065.66 $179,820.59 $159,126.70 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $107,814.75 $179,403.07 $158,757.22 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $106,703.82 $177,554.49 $157,121.38 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $106,634.72 $177,439.52 $157,019.64 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $156,380.06 $156,380.06 $156,380.06 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $104,858.33 $174,483.61 $154,403.90 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $104,189.22 $173,370.23 $153,418.64 2026-03-30
213 MS_DRG Splenic Procedures Age 0-17 4 3 — — $103,763.76 $172,662.26 $152,792.14 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $103,629.21 $172,438.37 $152,594.02 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $102,220.10 $170,093.61 $150,519.10 2026-03-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 4 3 — — $101,903.73 $169,567.17 $150,053.24 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $101,205.53 $168,405.38 $149,025.15 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 4 3 — — $100,420.06 $167,098.37 $147,868.55 2026-03-30
0408T CPT Insj/rplc Cardiac Modulj Sys 3 2 — — $115,135.83 $173,667.34 $147,610.04 2026-03-30
0571T CPT Insj/rplcmt Icds Ss Eltrd 3 2 — — $115,135.83 $173,667.34 $147,610.04 2026-03-30
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 3 2 — — $115,135.83 $173,667.34 $147,610.04 2026-03-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 3 — — $99,818.23 $166,096.92 $146,982.35 2026-03-30
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 4 3 — — $99,465.50 $165,509.98 $146,462.96 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 3 — — $99,323.68 $165,273.99 $146,254.12 2026-03-30
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 4 3 — — $99,167.31 $165,013.80 $146,023.88 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $98,770.94 $164,354.24 $145,440.21 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $96,961.82 $161,343.86 $142,776.28 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $96,903.63 $161,247.05 $142,690.61 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $96,252.71 $160,163.92 $141,732.12 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $95,934.52 $159,634.46 $141,263.60 2026-03-30
0268T CPT Implt/rpl Crtd Sns Dev Gen 3 2 — — $109,433.22 $165,065.68 $140,299.00 2026-03-30
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 2 — — $109,433.22 $165,065.68 $140,299.00 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 — — $94,645.41 $157,489.38 $139,365.37 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $94,481.77 $157,217.08 $139,124.41 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $91,641.72 $152,491.25 $134,942.43 2026-03-30
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 4 3 — — $90,681.70 $150,893.79 $133,528.81 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $89,954.41 $149,683.59 $132,457.88 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $89,794.41 $149,417.34 $132,222.27 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $89,487.13 $148,906.03 $131,769.80 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $89,114.40 $148,285.81 $131,220.95 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $87,796.19 $146,092.32 $129,279.90 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 3 — — $87,352.55 $145,354.10 $128,626.62 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 4 3 — — $86,561.62 $144,038.00 $127,461.99 2026-03-30
C9760 HCPCS Non-blind Interatrial Shunt 3 2 — — $98,756.63 $148,961.45 $126,611.06 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $85,481.60 $142,240.86 $125,871.67 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $85,307.05 $141,950.41 $125,614.64 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $85,052.50 $141,526.84 $125,239.82 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $84,310.67 $140,292.44 $124,147.46 2026-03-30
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $83,974.30 $139,732.72 $123,652.17 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $83,574.29 $139,067.11 $123,063.15 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $83,361.56 $138,713.12 $122,749.90 2026-03-30
245 MS_DRG Aicd Generator Procedures 4 3 — — $82,954.28 $138,035.41 $122,150.18 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $82,705.19 $137,620.92 $121,783.39 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $82,668.82 $137,560.41 $121,729.85 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $82,345.18 $137,021.87 $121,253.28 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $81,488.80 $135,596.86 $119,992.26 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $81,465.16 $135,557.53 $119,957.46 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $81,145.16 $135,025.04 $119,486.24 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $79,870.59 $132,904.16 $117,609.45 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $78,681.47 $130,925.49 $115,858.48 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $78,054.19 $129,881.69 $114,934.79 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $77,552.36 $129,046.65 $114,195.86 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $77,106.90 $128,305.40 $113,539.92 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $76,786.89 $127,772.92 $113,068.70 2026-03-30
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 4 3 — — $76,655.98 $127,555.08 $112,875.94 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $76,617.80 $127,491.54 $112,819.71 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $76,394.16 $127,119.41 $112,490.40 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $76,303.25 $126,968.13 $112,356.54 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $76,161.43 $126,732.14 $112,147.71 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 4 3 — — $75,866.88 $126,242.01 $111,713.98 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 4 3 — — $75,812.33 $126,151.25 $111,633.66 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $75,510.51 $125,649.02 $111,189.23 2026-03-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 4 3 — — $75,010.50 $124,817.00 $110,452.96 2026-03-30
791 MS_DRG Prematurity With Major Problems 4 3 — — $73,801.38 $122,805.05 $108,672.54 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 3 — — $73,101.37 $121,640.23 $107,641.77 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $72,439.54 $120,538.95 $106,667.23 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $71,126.79 $118,354.53 $104,734.20 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 3 — — $70,804.96 $117,819.02 $104,260.31 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $70,377.68 $117,108.03 $103,631.15 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 3 — — $70,272.23 $116,932.55 $103,475.86 2026-03-30
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $70,204.95 $116,820.61 $103,376.80 2026-03-30
0409T CPT Insj/rplc Car Modulj Pls Gn 3 2 — — $80,606.17 $121,583.85 $103,341.24 2026-03-30
0515T CPT Insj Wcs Lv Compl Sys 3 2 — — $80,606.17 $121,583.85 $103,341.24 2026-03-30
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 2 — — $80,606.17 $121,583.85 $103,341.24 2026-03-30
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 2 — — $80,606.17 $121,583.85 $103,341.24 2026-03-30
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 3 2 — — $80,606.17 $121,583.85 $103,341.24 2026-03-30
0916T CPT Insj Perm Ccm-d Sys Pg Only 3 2 — — $80,606.17 $121,583.85 $103,341.24 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $69,806.76 $116,158.02 $102,790.46 2026-03-30
Q0480 HCPCS Driver Pneumatic Vad Rep 3 2 — — $99,999.91 $131,664.24 $102,698.11 2026-03-30
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $68,419.46 $113,849.57 $100,747.67 2026-03-30
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 4 3 — — $68,121.28 $113,353.38 $100,308.58 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $67,959.45 $113,084.11 $100,070.30 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 3 — — $67,952.18 $113,072.01 $100,059.59 2026-03-30
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $67,761.27 $112,754.33 $99,778.47 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $67,379.44 $112,118.98 $99,216.24 2026-03-30
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 3 2 — — $77,008.60 $116,157.39 $98,728.98 2026-03-30
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 3 2 — — $77,008.60 $116,157.39 $98,728.98 2026-03-30
0680T CPT Insj/rplcmt Pg Only Isdss 3 2 — — $77,008.60 $116,157.39 $98,728.98 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 — — $66,784.89 $111,129.64 $98,340.75 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 4 3 — — $66,757.61 $111,084.26 $98,300.59 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $65,973.96 $109,780.27 $97,146.67 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $65,923.05 $109,695.55 $97,071.70 2026-03-30
332 MS_DRG Rectal Resection With Mcc 4 3 — — $65,832.14 $109,544.28 $96,937.83 2026-03-30
265 MS_DRG Aicd Lead Procedures 4 3 — — $65,786.69 $109,468.64 $96,870.90 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $65,670.32 $109,275.01 $96,699.55 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $65,572.14 $109,111.63 $96,554.98 2026-03-30
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 4 3 — — $65,143.04 $108,397.61 $95,923.13 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $64,992.13 $108,146.50 $95,700.91 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $64,926.67 $108,037.58 $95,604.52 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $64,830.31 $107,877.23 $95,462.63 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $64,775.76 $107,786.46 $95,382.30 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 4 3 — — $64,713.94 $107,683.60 $95,291.28 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $64,661.21 $107,595.86 $95,213.64 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 3 — — $64,121.20 $106,697.28 $94,418.48 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $63,990.29 $106,479.45 $94,225.71 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $63,424.82 $105,538.52 $93,393.06 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 4 3 — — $63,408.46 $105,511.29 $93,368.96 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $63,117.55 $105,027.21 $92,940.59 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $62,812.09 $104,518.92 $92,490.80 2026-03-30
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 2 1 — — $80,801.21 $103,591.29 $92,196.25 2026-03-30
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 2 1 — — $80,801.21 $103,591.29 $92,196.25 2026-03-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 3 — — $62,521.17 $104,034.84 $92,062.43 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $62,335.71 $103,726.24 $91,789.34 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 — — $62,030.25 $103,217.96 $91,339.55 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $61,948.43 $103,081.81 $91,219.08 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $60,739.32 $101,069.85 $89,438.65 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $60,061.13 $99,941.34 $88,440.01 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $59,857.49 $99,602.49 $88,140.15 2026-03-30
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 4 3 — — $59,850.21 $99,590.38 $88,129.44 2026-03-30
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0525T CPT Insj/rplcmt Compl Iims 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 3 2 — — $68,486.15 $103,302.40 $87,802.76 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $59,142.93 $98,413.46 $87,087.96 2026-03-30
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $58,882.92 $97,980.82 $86,705.10 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $58,817.47 $97,871.90 $86,608.73 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $58,735.65 $97,735.75 $86,488.24 2026-03-30
652 MS_DRG Kidney Transplant 4 3 — — $58,719.28 $97,708.52 $86,464.15 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $58,675.64 $97,635.91 $86,399.90 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 3 — — $58,561.10 $97,445.30 $86,231.22 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 3 — — $58,372.00 $97,130.65 $85,952.77 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $58,052.00 $96,598.16 $85,481.57 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $57,944.72 $96,419.66 $85,323.61 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $57,888.36 $96,325.87 $85,240.61 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $57,771.99 $96,132.24 $85,069.26 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $57,542.90 $95,751.02 $84,731.92 2026-03-30
C8003 HCPCS Imp Extar Knee Shck Absrb 3 2 — — $66,040.20 $99,613.00 $84,666.93 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 3 — — $57,455.62 $95,605.80 $84,603.40 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 3 — — $57,291.98 $95,333.51 $84,362.45 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $57,264.71 $95,288.12 $84,322.29 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $57,130.16 $95,064.24 $84,124.17 2026-03-30
665 MS_DRG Prostatectomy With Mcc 4 3 — — $56,750.15 $94,431.91 $83,564.61 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $56,631.97 $94,235.25 $83,390.58 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 3 — — $56,531.97 $94,068.85 $83,243.33 2026-03-30
C9766 HCPCS Revasc Intra Lithotrip-ather 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9765 HCPCS Revasc Intra Lithotrip-stent 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9767 HCPCS Revasc Lithotrip-stent-ather 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9602 HCPCS Perc D-e Cor Stent Ather S 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9775 HCPCS Revasc Lith-sten-ath Tib/per 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
0645T CPT Tcat Impltj C Sins Rdctj Dev 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9797 HCPCS Vasc Emb/occ W/prs Cath 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
C9774 HCPCS Revasc Lithotr-ather Tib/per 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
0238T CPT Trluml Perip Athrc Iliac Art 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
0632T CPT Perq Tcat US Abltj Nrv P-art 3 2 — — $64,484.09 $97,265.82 $82,671.92 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 4 3 — — $55,664.68 $92,625.68 $81,966.24 2026-03-30
263 MS_DRG Vein Ligation And Stripping 4 3 — — $55,590.13 $92,501.64 $81,856.48 2026-03-30
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 4 3 — — $54,919.21 $91,385.23 $80,868.54 2026-03-30
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $54,911.94 $91,373.13 $80,857.83 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $54,851.94 $91,273.28 $80,769.48 2026-03-30
C9758 HCPCS Blind Interatrial Shunt Ide 3 2 — — $62,845.79 $94,794.64 $80,571.52 2026-03-30
0888T CPT Histotripsy Mal Renal Tissue 3 2 — — $62,845.79 $94,794.64 $80,571.52 2026-03-30
0686T CPT Histotripsy Mal Hepatcel Tis 3 2 — — $62,845.79 $94,794.64 $80,571.52 2026-03-30
C9782 HCPCS Blind Myocar Trpl Bon Marrow 3 2 — — $62,845.79 $94,794.64 $80,571.52 2026-03-30
173 MS_DRG Urethral Procedures Age 0-17 4 3 — — $54,117.38 $90,050.98 $79,687.84 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $53,566.46 $89,134.26 $78,876.61 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 3 — — $53,530.09 $89,073.75 $78,823.07 2026-03-30
570 MS_DRG Skin Debridement With Mcc 4 3 — — $53,475.55 $88,982.98 $78,742.74 2026-03-30
J9029 HCPCS Instill Adstiladrin Tx Dose 5 4 — — $61,299.24 $167,040.00 $78,588.77 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $53,091.90 $88,344.60 $78,177.83 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $52,951.90 $88,111.64 $77,971.68 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $52,764.62 $87,800.01 $77,695.91 2026-03-30
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 4 3 — — $52,731.90 $87,745.55 $77,647.73 2026-03-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $52,499.17 $87,358.29 $77,305.02 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $52,473.71 $87,315.93 $77,267.55 2026-03-30
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 4 3 — — $52,397.35 $87,188.86 $77,155.09 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $51,828.24 $86,241.88 $76,317.10 2026-03-30
0308T CPT Insj Ocular Telescope Prosth 3 2 — — $58,952.82 $88,922.62 $75,580.54 2026-03-30
800 MS_DRG Splenic Procedures With Cc 4 3 — — $51,080.96 $84,998.40 $75,216.71 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 4 3 — — $50,897.32 $84,692.82 $74,946.30 2026-03-30
503 MS_DRG Foot Procedures With Mcc 4 3 — — $50,748.22 $84,444.73 $74,726.76 2026-03-30
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 4 3 — — $50,399.13 $83,863.83 $74,212.71 2026-03-30
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $50,130.03 $83,416.06 $73,816.47 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $49,977.30 $83,161.92 $73,591.57 2026-03-30
0981T CPT Tcat Impl Wrls Ivc Snr 2 1 — — $64,484.09 $82,671.92 $73,578.01 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 3 — — $49,964.57 $83,140.74 $73,572.83 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $49,706.39 $82,711.12 $73,192.66 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 3 — — $49,470.02 $82,317.80 $72,844.60 2026-03-30
849 MS_DRG Radiotherapy 4 3 — — $49,264.56 $81,975.92 $72,542.07 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $49,204.56 $81,876.08 $72,453.71 2026-03-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $49,044.56 $81,609.84 $72,218.11 2026-03-30
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 2 1 — — $62,845.79 $80,571.52 $71,708.65 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 4 3 — — $48,364.54 $80,478.30 $71,216.79 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 3 — — $48,195.45 $80,196.93 $70,967.81 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $46,750.00 $91,769.47 $70,705.29 2026-03-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $47,953.63 $79,794.54 $70,611.72 2026-03-30
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $47,193.61 $78,529.88 $69,492.60 2026-03-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 3 — — $47,137.25 $78,436.09 $69,409.60 2026-03-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $46,960.88 $78,142.61 $69,149.90 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 3 — — $46,895.42 $78,033.70 $69,053.51 2026-03-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 3 — — $46,895.42 $78,033.70 $69,053.51 2026-03-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 3 — — $46,684.51 $77,682.74 $68,742.95 2026-03-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 3 — — $46,419.05 $77,241.02 $68,352.05 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $46,199.05 $76,874.93 $68,028.10 2026-03-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 4 3 — — $46,111.77 $76,729.71 $67,899.59 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $45,891.77 $76,363.62 $67,575.63 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 3 — — $45,871.77 $76,330.34 $67,546.18 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 2 — — $65,277.04 $83,688.52 $67,452.66 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $46,750.00 $86,837.90 $66,905.68 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 3 — — $45,308.12 $75,392.43 $66,716.21 2026-03-30
545 MS_DRG Connective Tissue Disorders With Mcc 4 3 — — $45,122.66 $75,083.83 $66,443.12 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $44,713.56 $74,403.10 $65,840.73 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $44,700.84 $74,381.92 $65,821.99 2026-03-30
792 MS_DRG Prematurity Without Major Problems 4 3 — — $44,531.74 $74,100.55 $65,572.99 2026-03-30
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 4 3 — — $44,440.83 $73,949.27 $65,439.13 2026-03-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 4 3 — — $44,388.10 $73,861.53 $65,361.49 2026-03-30
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 4 3 — — $44,040.83 $73,283.66 $64,850.12 2026-03-30
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 4 3 — — $43,897.19 $73,044.65 $64,638.61 2026-03-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 3 — — $43,733.55 $72,772.35 $64,397.65 2026-03-30
A9543 HCPCS Y90 Ibritumomab Rx 3 2 — — $54,991.73 $70,502.22 $64,211.74 2026-03-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 3 — — $43,586.27 $72,527.29 $64,180.79 2026-03-30
397 MS_DRG Major Head And Neck Procedures With Cc 4 3 — — $43,544.45 $72,457.70 $64,119.21 2026-03-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 3 — — $43,464.45 $72,324.58 $64,001.40 2026-03-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 3 — — $43,389.90 $72,200.53 $63,891.64 2026-03-30
113 MS_DRG Orbital Procedures With Cc/mcc 4 3 — — $42,748.07 $71,132.53 $62,946.54 2026-03-30
C2616 HCPCS Brachytx Non-stryttrium-90 3 2 — — $17,485.10 $80,500.60 $62,790.47 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $53,489.57 $68,576.37 $62,756.25 2026-03-30
333 MS_DRG Rectal Resection With Cc 4 3 — — $42,586.25 $70,863.26 $62,708.26 2026-03-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 3 — — $42,520.80 $70,754.34 $62,611.88 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 3 — — $42,489.89 $70,702.91 $62,566.36 2026-03-30
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