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 ACADIA HOSPITAL

Bangor, ME · CCN 204006 · Rates published

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You selected 93306 (CPT)

Tte w/doppler complete

This hospital’s price: $541 across 6 payers · range $531-$541

Source: https://northernlighthealth.org/NLH/media/Price-Transparency/010459837_Acadia-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.

15,231 distinct procedures filed
9 distinct payers
627,202 rate rows
2026-03-30 last MRF observed
Data quality

197,862 of 627,202 rate rows are consumer-grade (31.5%)

429,340 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 421,082
per-diem day rate — not a per-procedure price 4,678
placeholder amount (≤ $0.02) — excluded from medians 3,466
percent-of-charges filed in the dollar field — excluded from medians 80
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 34
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://northernlighthealth.org/NLH/media/Price-Transparency/010459837_Acadia-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 · 2026-10-21
Content fingerprint 8f1df873120915ec… · 86,336,627 bytes · first seen 2026-05-14

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj Atidarsagene Autotemcel 6 $4,505,000.00 $4,595,100.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 6 $3,685,266.67 $3,758,972.00 $3,758,972.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $3,382,791.84 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 6 $3,248,445.72 $3,313,414.63 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 6 $2,945,740.00 $3,004,654.80 $3,004,654.80 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.61 $2,504,212.82 $2,504,212.82 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 6 $2,332,000.00 $2,378,640.00 $2,378,640.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $786,032.40 $786,032.40 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $603,560.72 $603,560.72 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.95 $577,186.33 $577,186.33 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $573,788.95 $573,788.95 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $568,464.29 $568,464.29 nat. median
$622,450
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $543,894.77 $543,894.77 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $499,090.70 $499,090.70 nat. median
$591,721
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $280,405.71 $286,013.82 $286,013.82 nat. median
$359,454
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $283,815.00 $283,815.00 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene Per Implant 6 $257,500.00 $262,650.00 $262,650.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 6 $205,640.00 $209,752.80 $209,752.80 nat. median
$209,753
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $181,972.02 $185,611.46 $185,611.46 nat. median
$249,036
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $138,638.58 $141,411.35 $141,411.35 nat. median
$198,418
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 6 $137,824.95 $140,581.45 $140,581.45 nat. median
$190,559
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 6 $61,742.59 $108,243.35 $107,182.14 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 6 $89,943.49 $91,742.36 $91,742.36 nat. median
$126,695
0.7× median
7
MS_DRG 		Lung Transplant 6 $84,091.58 $85,773.41 $85,773.41 nat. median
$117,974
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $78,037.73 $79,598.49 $79,598.49 nat. median
$110,307
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $59,882.48 $156,380.06 $76,772.41 nat. median
$75,000
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $73,582.57 $75,054.22 $75,054.22 nat. median
$104,013
0.7× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 6 $73,498.15 $74,968.12 $74,968.12 nat. median
$92,678
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $71,565.70 $72,997.02 $72,997.02 nat. median
$93,276
0.8× median
212
MS_DRG 		Testes Procedures Age 0-17 6 $70,610.51 $72,022.72 $72,022.72 nat. median
$97,323
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 6 $67,452.66 $68,801.71 $68,801.71 nat. median
$70,178
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $66,950.80 $68,289.82 $68,289.82 nat. median
$95,038
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 6 $64,655.36 $65,948.47 $65,948.47 nat. median
$93,901
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $63,524.20 $64,794.69 $64,794.69 nat. median
$90,551
0.7× median
J9029
HCPCS 		Instill Adstiladrin Tx Dose 6 $61,921.06 $167,040.00 $64,609.13 nat. median
$68,423
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $58,503.46 $59,673.53 $59,673.53 nat. median
$78,049
0.8× median
38240
CPT 		Transplt Allo Hct/donor 6 $57,240.31 $58,385.12 $58,385.12 nat. median
$12,842
outlier · 4.5×
A9543
HCPCS 		Y90 Ibritumomab Rx 6 $55,643.28 $71,337.54 $57,961.04 nat. median
$63,528
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $56,230.10 $57,354.70 $57,354.70 nat. median
$78,268
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,272.32 $71,579.27 $56,377.77 nat. median
$65,720
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $54,739.20 $55,833.99 $55,833.99 nat. median
$77,028
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $54,567.13 $55,658.47 $55,658.47 nat. median
$77,632
0.7× median
90288
CPT 		Botulism Ig IV 1 $47,134.07 $60,428.29 $53,781.18 nat. median
$51,570
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $51,095.72 $52,117.64 $52,117.64 nat. median
$74,370
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $49,858.72 $50,855.89 $50,855.89 nat. median
$72,398
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 6 $49,643.79 $50,636.66 $50,636.66 nat. median
$71,748
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $49,479.50 $50,469.09 $50,469.09 nat. median
$67,976
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $46,873.68 $47,811.15 $47,811.15 nat. median
$63,648
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 6 $26,685.26 $48,155.50 $47,683.38 nat. median
$50,516
0.9× median
10
MS_DRG 		Pancreas Transplant 6 $46,595.11 $47,527.01 $47,527.01 nat. median
$64,933
0.7× median

Other procedures at this hospital

Browse this hospital's 15,231 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 12 6 — — $4,505,000.00 $4,595,100.00 $4,595,100.00 2026-03-30
J1411 HCPCS Inj Hemgenix Per Tx Dose 12 6 — — $3,685,266.67 $3,758,972.00 $3,758,972.00 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 6 — — $3,316,462.59 $3,382,791.84 $3,382,791.84 2026-03-30
J3394 HCPCS Inj Lovotibeglogene Autotem 12 6 — — $3,248,445.72 $3,313,414.63 $3,313,414.63 2026-03-30
J3393 HCPCS Inj Betibeglogene Autotemce 12 6 — — $2,945,740.00 $3,004,654.80 $3,004,654.80 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 6 — — $2,455,110.61 $2,504,212.82 $2,504,212.82 2026-03-30
J3392 HCPCS Inj Exagamglogene Autotem 12 6 — — $2,332,000.00 $2,378,640.00 $2,378,640.00 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel 12 6 — — $770,620.00 $786,032.40 $786,032.40 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 6 — — $591,726.20 $603,560.72 $603,560.72 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 12 6 — — $565,868.95 $577,186.33 $577,186.33 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 6 — — $562,538.19 $573,788.95 $573,788.95 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 12 6 — — $557,317.93 $568,464.29 $568,464.29 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 6 — — $533,230.17 $543,894.77 $543,894.77 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 12 6 — — $489,304.61 $499,090.70 $499,090.70 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 6 — — $280,405.71 $286,013.82 $286,013.82 2026-03-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 6 — — $278,250.00 $283,815.00 $283,815.00 2026-03-30
J3403 HCPCS Revakinagene Per Implant 12 6 — — $257,500.00 $262,650.00 $262,650.00 2026-03-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 12 6 — — $205,640.00 $209,752.80 $209,752.80 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 6 — — $181,972.02 $185,611.46 $185,611.46 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 6 — — $138,638.58 $141,411.35 $141,411.35 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 12 6 — — $137,824.95 $140,581.45 $140,581.45 2026-03-30
Q0480 HCPCS Driver Pneumatic Vad Rep 16 6 — — $61,742.59 $108,243.35 $107,182.14 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 12 6 — — $89,943.49 $91,742.36 $91,742.36 2026-03-30
7 MS_DRG Lung Transplant 12 6 — — $84,091.58 $85,773.41 $85,773.41 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 12 6 — — $78,037.73 $79,598.49 $79,598.49 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 6 2 — — $59,882.48 $156,380.06 $76,772.41 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 6 — — $73,582.57 $75,054.22 $75,054.22 2026-03-30
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 12 6 — — $73,498.15 $74,968.12 $74,968.12 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $71,565.70 $72,997.02 $72,997.02 2026-03-30
212 MS_DRG Testes Procedures Age 0-17 12 6 — — $70,610.51 $72,022.72 $72,022.72 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 6 — — $67,452.66 $68,801.71 $68,801.71 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 6 — — $66,950.80 $68,289.82 $68,289.82 2026-03-30
215 MS_DRG Other Heart Assist System Implant 12 6 — — $64,655.36 $65,948.47 $65,948.47 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $63,524.20 $64,794.69 $64,794.69 2026-03-30
J9029 HCPCS Instill Adstiladrin Tx Dose 18 6 — — $61,921.06 $167,040.00 $64,609.13 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 6 — — $58,503.46 $59,673.53 $59,673.53 2026-03-30
38240 CPT Transplt Allo Hct/donor 12 6 — — $57,240.31 $58,385.12 $58,385.12 2026-03-30
A9543 HCPCS Y90 Ibritumomab Rx 16 6 — — $55,643.28 $71,337.54 $57,961.04 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 12 6 — — $56,230.10 $57,354.70 $57,354.70 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 6 — — $55,272.32 $71,579.27 $56,377.77 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 6 — — $54,739.20 $55,833.99 $55,833.99 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 12 6 — — $54,567.13 $55,658.47 $55,658.47 2026-03-30
90288 CPT Botulism Ig IV 4 1 — — $47,134.07 $60,428.29 $53,781.18 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 6 — — $51,095.72 $52,117.64 $52,117.64 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $49,858.72 $50,855.89 $50,855.89 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 12 6 — — $49,643.79 $50,636.66 $50,636.66 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 6 — — $49,479.50 $50,469.09 $50,469.09 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $46,873.68 $47,811.15 $47,811.15 2026-03-30
L7181 HCPCS Electronic Elbo Simultaneous 16 6 — — $26,685.26 $48,155.50 $47,683.38 2026-03-30
10 MS_DRG Pancreas Transplant 12 6 — — $46,595.11 $47,527.01 $47,527.01 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 6 — — $46,575.63 $47,507.14 $47,507.14 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 6 — — $46,328.23 $47,254.79 $47,254.79 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 6 — — $46,300.95 $47,226.97 $47,226.97 2026-03-30
J9226 HCPCS Supprelin La Implant 18 6 — — $44,272.18 $102,447.14 $45,921.06 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 — — $44,881.48 $45,779.11 $45,779.11 2026-03-30
L7180 HCPCS Electronic Elbow Sequential 16 6 — — $24,213.51 $46,081.51 $45,629.73 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 6 — — $44,661.36 $45,554.58 $45,554.58 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 6 — — $43,708.12 $44,582.28 $44,582.28 2026-03-30
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $44,544.00 $44,544.00 $44,544.00 2026-03-30
0266T CPT Implt/rpl Crtd Sns Dev Total 12 6 — — $43,553.28 $44,424.35 $44,424.35 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 12 6 — — $43,553.28 $44,424.35 $44,424.35 2026-03-30
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 6 — — $43,418.51 $44,286.88 $44,286.88 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 6 — — $43,386.69 $44,254.42 $44,254.42 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $42,696.44 $43,550.36 $43,550.36 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $42,696.44 $43,550.36 $43,550.36 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $42,541.24 $43,392.07 $43,392.07 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 6 — — $41,783.46 $42,619.12 $42,619.12 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 12 6 — — $39,794.51 $40,590.40 $40,590.40 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 6 — — $39,748.41 $40,543.37 $40,543.37 2026-03-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 16 6 — — $3,906.53 $40,619.87 $40,221.64 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 6 — — $39,367.24 $40,154.58 $40,154.58 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 12 6 — — $39,014.65 $39,794.94 $39,794.94 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 6 — — $39,003.61 $39,783.68 $39,783.68 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 12 6 — — $38,721.14 $39,495.56 $39,495.56 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 12 6 — — $38,593.87 $39,365.75 $39,365.75 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 6 — — $38,504.26 $39,274.34 $39,274.34 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 6 — — $38,107.51 $38,869.66 $38,869.66 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 6 — — $38,082.83 $38,844.49 $38,844.49 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 6 — — $37,448.42 $38,197.39 $38,197.39 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 6 — — $37,209.46 $37,953.65 $37,953.65 2026-03-30
213 MS_DRG Splenic Procedures Age 0-17 12 6 — — $37,057.52 $37,798.67 $37,798.67 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 — — $37,009.47 $37,749.65 $37,749.65 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $36,506.22 $37,236.35 $37,236.35 2026-03-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 12 6 — — $36,393.24 $37,121.10 $37,121.10 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $36,143.89 $36,866.76 $36,866.76 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 12 6 — — $35,863.37 $36,580.64 $36,580.64 2026-03-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 12 6 — — $35,648.44 $36,361.41 $36,361.41 2026-03-30
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 12 6 — — $35,522.46 $36,232.91 $36,232.91 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 12 6 — — $35,471.81 $36,181.25 $36,181.25 2026-03-30
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 12 6 — — $35,415.97 $36,124.29 $36,124.29 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 6 — — $35,274.41 $35,979.90 $35,979.90 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $34,628.31 $35,320.88 $35,320.88 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 6 — — $34,607.53 $35,299.69 $35,299.69 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 6 — — $34,375.07 $35,062.57 $35,062.57 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 6 — — $34,284.44 $34,970.13 $34,970.13 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 6 — — $34,261.43 $34,946.66 $34,946.66 2026-03-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 6 — — $33,874.88 $34,552.38 $34,552.38 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 6 — — $33,801.05 $34,477.07 $34,477.07 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 12 6 — — $33,742.61 $34,417.46 $34,417.46 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $32,728.33 $33,382.89 $33,382.89 2026-03-30
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 12 6 — — $32,385.47 $33,033.18 $33,033.18 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 6 — — $32,125.74 $32,768.25 $32,768.25 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 6 — — $32,068.59 $32,709.96 $32,709.96 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 6 — — $31,958.85 $32,598.03 $32,598.03 2026-03-30
K0606 HCPCS Aed Garment W Elec Analysis 4 1 — — $28,500.12 $36,538.62 $32,519.37 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $31,825.74 $32,462.25 $32,462.25 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 12 6 — — $31,354.96 $31,982.06 $31,982.06 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 6 — — $31,196.52 $31,820.45 $31,820.45 2026-03-30
0571T CPT Insj/rplcmt Icds Ss Eltrd 12 6 — — $31,030.48 $31,651.09 $31,651.09 2026-03-30
0408T CPT Insj/rplc Cardiac Modulj Sys 12 6 — — $31,030.48 $31,651.09 $31,651.09 2026-03-30
33249 CPT Insj/rplcmt Defib W/lead(s) 12 6 — — $31,030.48 $31,651.09 $31,651.09 2026-03-30
33231 CPT Insrt Pulse Gen W/mult Leads 12 6 — — $31,030.48 $31,651.09 $31,651.09 2026-03-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 12 6 — — $31,030.48 $31,651.09 $31,651.09 2026-03-30
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 12 6 — — $31,030.48 $31,651.09 $31,651.09 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 12 6 — — $31,030.48 $31,651.09 $31,651.09 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 12 6 — — $30,914.06 $31,532.34 $31,532.34 2026-03-30
69930 CPT Implant Cochlear Device 12 6 — — $30,784.88 $31,400.58 $31,400.58 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 6 — — $30,528.34 $31,138.91 $31,138.91 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $30,466.01 $31,075.33 $31,075.33 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 6 — — $30,375.10 $30,982.60 $30,982.60 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 12 6 — — $30,110.17 $30,712.37 $30,712.37 2026-03-30
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 6 — — $29,990.04 $30,589.84 $30,589.84 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 6 — — $29,847.18 $30,444.12 $30,444.12 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 6 — — $29,771.21 $30,366.63 $30,366.63 2026-03-30
245 MS_DRG Aicd Generator Procedures 12 6 — — $29,625.75 $30,218.27 $30,218.27 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 6 — — $29,536.79 $30,127.53 $30,127.53 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 6 — — $29,523.81 $30,114.28 $30,114.28 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 12 6 — — $29,493.56 $30,083.43 $30,083.43 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 12 6 — — $29,493.56 $30,083.43 $30,083.43 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 12 6 — — $29,493.56 $30,083.43 $30,083.43 2026-03-30
61886 CPT Implant Neurostim Arrays 12 6 — — $29,493.56 $30,083.43 $30,083.43 2026-03-30
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 12 6 — — $29,493.56 $30,083.43 $30,083.43 2026-03-30
0268T CPT Implt/rpl Crtd Sns Dev Gen 12 6 — — $29,493.56 $30,083.43 $30,083.43 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 12 6 — — $29,493.56 $30,083.43 $30,083.43 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 12 6 — — $29,408.22 $29,996.39 $29,996.39 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 12 6 — — $29,102.38 $29,684.43 $29,684.43 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 6 — — $29,093.94 $29,675.82 $29,675.82 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 6 — — $28,979.65 $29,559.25 $29,559.25 2026-03-30
L6700 HCPCS Ue Add Ext Power Myoel 12 6 — — $28,931.56 $29,510.19 $29,510.19 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 6 — — $28,524.46 $29,094.95 $29,094.95 2026-03-30
J9266 HCPCS Pegaspargase Injection 18 6 — — $26,507.79 $62,674.48 $28,992.54 2026-03-30
E0194 HCPCS Air Fluidized Bed 4 1 — — $25,397.42 $32,560.79 $28,979.10 2026-03-30
L5856 HCPCS Elec Knee-shin Swing/stance 16 6 — — $16,010.99 $29,180.00 $28,893.92 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 6 — — $28,099.79 $28,661.79 $28,661.79 2026-03-30
L6880 HCPCS Elec Hand Ind Art Digits 16 6 — — $15,531.29 $28,715.00 $28,433.48 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 6 — — $27,875.77 $28,433.28 $28,433.28 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 12 6 — — $27,696.55 $28,250.48 $28,250.48 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 6 — — $27,537.46 $28,088.21 $28,088.21 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 12 6 — — $27,514.07 $28,064.35 $28,064.35 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 6 — — $27,423.17 $27,971.64 $27,971.64 2026-03-30
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 12 6 — — $27,376.42 $27,923.95 $27,923.95 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 6 — — $27,362.78 $27,910.04 $27,910.04 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 6 — — $27,282.91 $27,828.57 $27,828.57 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 12 6 — — $27,250.45 $27,795.46 $27,795.46 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 6 — — $27,199.80 $27,743.79 $27,743.79 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 12 6 — — $27,094.60 $27,636.50 $27,636.50 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 12 6 — — $27,075.12 $27,616.63 $27,616.63 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 6 — — $26,967.33 $27,506.68 $27,506.68 2026-03-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 12 6 — — $26,788.76 $27,324.54 $27,324.54 2026-03-30
C9760 HCPCS Non-blind Interatrial Shunt 12 6 — — $26,616.09 $27,148.41 $27,148.41 2026-03-30
791 MS_DRG Prematurity With Major Problems 12 6 — — $26,356.95 $26,884.09 $26,884.09 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 6 — — $26,106.95 $26,629.09 $26,629.09 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 6 — — $25,870.59 $26,388.00 $26,388.00 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 6 — — $25,401.76 $25,909.79 $25,909.79 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 6 — — $25,286.83 $25,792.56 $25,792.56 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 6 — — $25,134.23 $25,636.91 $25,636.91 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 6 — — $25,096.57 $25,598.50 $25,598.50 2026-03-30
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 12 6 — — $25,072.54 $25,573.99 $25,573.99 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 6 — — $24,930.33 $25,428.94 $25,428.94 2026-03-30
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 12 6 — — $24,434.88 $24,923.58 $24,923.58 2026-03-30
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 12 6 — — $24,328.39 $24,814.96 $24,814.96 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 6 — — $24,270.60 $24,756.01 $24,756.01 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 6 — — $24,268.00 $24,753.36 $24,753.36 2026-03-30
J9600 HCPCS Porfimer Sodium Injection 18 6 — — $23,724.76 $63,973.54 $24,712.99 2026-03-30
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 12 6 — — $24,199.82 $24,683.82 $24,683.82 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 6 — — $24,063.46 $24,544.73 $24,544.73 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 6 — — $23,851.12 $24,328.14 $24,328.14 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 12 6 — — $23,841.38 $24,318.21 $24,318.21 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 12 6 — — $23,743.34 $24,218.21 $24,218.21 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 12 6 — — $23,743.34 $24,218.21 $24,218.21 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 12 6 — — $23,743.34 $24,218.21 $24,218.21 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 6 — — $23,561.51 $24,032.74 $24,032.74 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 6 — — $23,543.33 $24,014.20 $24,014.20 2026-03-30
332 MS_DRG Rectal Resection With Mcc 12 6 — — $23,510.86 $23,981.08 $23,981.08 2026-03-30
265 MS_DRG Aicd Lead Procedures 12 6 — — $23,494.63 $23,964.52 $23,964.52 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 6 — — $23,453.07 $23,922.13 $23,922.13 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $23,418.01 $23,886.37 $23,886.37 2026-03-30
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 12 6 — — $23,264.76 $23,730.06 $23,730.06 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 6 — — $23,210.87 $23,675.08 $23,675.08 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 6 — — $23,187.49 $23,651.24 $23,651.24 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 6 — — $23,153.07 $23,616.14 $23,616.14 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 6 — — $23,133.59 $23,596.27 $23,596.27 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 12 6 — — $23,111.52 $23,573.75 $23,573.75 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 6 — — $23,092.69 $23,554.54 $23,554.54 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 6 — — $22,899.83 $23,357.83 $23,357.83 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 6 — — $22,853.08 $23,310.14 $23,310.14 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 12 6 — — $22,651.13 $23,104.15 $23,104.15 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 12 6 — — $22,645.29 $23,098.19 $23,098.19 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 6 — — $22,541.39 $22,992.22 $22,992.22 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 6 — — $22,432.30 $22,880.95 $22,880.95 2026-03-30
L6975 HCPCS Interscap-thor Myoelectronic 16 6 — — $11,845.03 $23,078.64 $22,852.38 2026-03-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 6 — — $22,328.41 $22,774.97 $22,774.97 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $22,262.17 $22,707.42 $22,707.42 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 6 — — $22,153.08 $22,596.14 $22,596.14 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 6 — — $22,123.86 $22,566.34 $22,566.34 2026-03-30
Q0483 HCPCS Monitor Elec Vad Rep 16 6 — — $12,853.46 $22,533.92 $22,313.00 2026-03-30
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 12 6 — — $21,776.89 $22,212.43 $22,212.43 2026-03-30
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 12 6 — — $21,776.89 $22,212.43 $22,212.43 2026-03-30
0515T CPT Insj Wcs Lv Compl Sys 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
0916T CPT Insj Perm Ccm-d Sys Pg Only 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
0409T CPT Insj/rplc Car Modulj Pls Gn 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
33240 CPT Insrt Pulse Gen W/singl Lead 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
33230 CPT Insrt Pulse Gen W/dual Leads 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 12 6 — — $21,724.32 $22,158.81 $22,158.81 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 12 6 — — $21,692.05 $22,125.89 $22,125.89 2026-03-30
L5858 HCPCS Stance Phase Only 16 6 — — $12,377.67 $22,336.47 $22,117.49 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 6 — — $21,449.84 $21,878.84 $21,878.84 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 12 6 — — $21,377.11 $21,804.66 $21,804.66 2026-03-30
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 12 6 — — $21,374.52 $21,802.01 $21,802.01 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 6 — — $21,121.92 $21,544.36 $21,544.36 2026-03-30
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 12 6 — — $21,029.06 $21,449.65 $21,449.65 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 6 — — $21,005.69 $21,425.80 $21,425.80 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 6 — — $20,976.47 $21,396.00 $21,396.00 2026-03-30
652 MS_DRG Kidney Transplant 12 6 — — $20,970.62 $21,390.04 $21,390.04 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 6 — — $20,955.04 $21,374.14 $21,374.14 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 12 6 — — $20,914.13 $21,332.41 $21,332.41 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 6 — — $20,846.60 $21,263.53 $21,263.53 2026-03-30
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
0680T CPT Insj/rplcmt Pg Only Isdss 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
63655 CPT Implant Neuroelectrodes 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
64580 CPT Opn Impltj Nea Neuromuscular 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 12 6 — — $20,754.74 $21,169.83 $21,169.83 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 6 — — $20,732.31 $21,146.96 $21,146.96 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 6 — — $20,694.00 $21,107.88 $21,107.88 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 6 — — $20,673.87 $21,087.35 $21,087.35 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 6 — — $20,632.31 $21,044.96 $21,044.96 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 12 6 — — $20,550.50 $20,961.51 $20,961.51 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 6 — — $20,519.33 $20,929.71 $20,929.71 2026-03-30
L5973 HCPCS Ank-foot Sys Dors-plant Flex 16 6 — — $11,622.24 $21,085.93 $20,879.21 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 6 — — $20,460.89 $20,870.10 $20,870.10 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 6 — — $20,451.15 $20,860.17 $20,860.17 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 6 — — $20,403.10 $20,811.16 $20,811.16 2026-03-30
665 MS_DRG Prostatectomy With Mcc 12 6 — — $20,267.38 $20,672.73 $20,672.73 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 — — $20,225.17 $20,629.68 $20,629.68 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 6 — — $20,189.46 $20,593.25 $20,593.25 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 12 6 — — $19,879.72 $20,277.32 $20,277.32 2026-03-30
L6970 HCPCS Interscapular-thor Switch CT 16 6 — — $10,810.64 $20,475.81 $20,275.07 2026-03-30
263 MS_DRG Vein Ligation And Stripping 12 6 — — $19,853.10 $20,250.16 $20,250.16 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 6 — — $19,695.96 $20,089.88 $20,089.88 2026-03-30
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 12 6 — — $19,613.49 $20,005.76 $20,005.76 2026-03-30
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 12 6 — — $19,610.89 $20,003.11 $20,003.11 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 6 — — $19,589.46 $19,981.25 $19,981.25 2026-03-30
54401 CPT Insert Self-contd Prosthesis 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
54405 CPT Insert Multi-comp Penis Pros 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
54410 CPT Remove/replace Penis Prosth 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
53447 CPT Remove/replace Ur Sphincter 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
53445 CPT Insert Uro/ves Nck Sphincter 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
54411 CPT Remov/replc Penis Pros Comp 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
54416 CPT Remv/repl Penis Contain Pros 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
53444 CPT Insert Tandem Cuff 12 6 — — $19,481.23 $19,870.85 $19,870.85 2026-03-30
173 MS_DRG Urethral Procedures Age 0-17 12 6 — — $19,327.13 $19,713.67 $19,713.67 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 12 6 — — $19,130.38 $19,512.98 $19,512.98 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 12 6 — — $19,117.39 $19,499.74 $19,499.74 2026-03-30
570 MS_DRG Skin Debridement With Mcc 12 6 — — $19,097.91 $19,479.87 $19,479.87 2026-03-30
Q0489 HCPCS Pwr Pck Base Combo Vad Rep 16 6 — — $11,143.27 $19,535.67 $19,344.14 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 12 6 — — $18,960.90 $19,340.12 $19,340.12 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 6 — — $18,910.90 $19,289.12 $19,289.12 2026-03-30
K1014 HCPCS Ak 4 Bar Link Hydl Swg/stanc 4 1 — — $16,850.23 $21,602.86 $19,226.54 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 6 — — $18,844.02 $19,220.90 $19,220.90 2026-03-30
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 12 6 — — $18,832.33 $19,208.97 $19,208.97 2026-03-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 6 — — $18,749.21 $19,124.20 $19,124.20 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 12 6 — — $18,740.12 $19,114.92 $19,114.92 2026-03-30
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 12 6 — — $18,712.85 $19,087.10 $19,087.10 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 6 — — $18,637.52 $19,010.27 $19,010.27 2026-03-30
L6965 HCPCS Shldr Disartic Myoelectronic 16 6 — — $10,505.06 $19,129.05 $18,941.51 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 6 — — $18,509.60 $18,879.79 $18,879.79 2026-03-30
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
0525T CPT Insj/rplcmt Compl Iims 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
33274 CPT Tcat Insj/rpl Perm Ldls Pm 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
33221 CPT Insert Pulse Gen Mult Leads 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
33229 CPT Remv&replc Pm Gen Mult Leads 12 6 — — $18,457.83 $18,826.99 $18,826.99 2026-03-30
800 MS_DRG Splenic Procedures With Cc 12 6 — — $18,242.72 $18,607.58 $18,607.58 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 12 6 — — $18,177.14 $18,540.68 $18,540.68 2026-03-30
503 MS_DRG Foot Procedures With Mcc 12 6 — — $18,123.89 $18,486.37 $18,486.37 2026-03-30
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 12 6 — — $17,999.22 $18,359.20 $18,359.20 2026-03-30
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 6 — — $17,903.11 $18,261.18 $18,261.18 2026-03-30
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