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

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Hospital

MEMORIAL HOSPITAL AT GULFPORT

Gulfport, MS · CCN 250019 · Rates published

24,046 distinct procedures filed
15 distinct payers
510,368 rate rows
2026-02-18 last MRF observed
Data quality

428,338 of 510,368 rate rows are consumer-grade (83.9%)

82,030 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 81,179
placeholder amount (≤ $0.02) — excluded from medians 554
percent-of-charges filed in the dollar field — excluded from medians 139
per-diem day rate — not a per-procedure price 98
exceeds 10× this hospital's gross charge — excluded from medians 60
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorialhealthsystem.pt.panaceainc.com/MRFDownload/memorialhealthsystem/memorialgulfport
Found on page https://wearememorial.com/about-us/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 229028da87bbb875… · 402,337,501 bytes · first seen 2026-05-06

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 5 $3,150,000.00 $4,526,200.00 $3,792,733.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,749,200.00 $3,821,300.00 $3,785,250.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,659,075.00 $3,659,075.00 $3,659,075.00 nat. median
$3,570,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,286,000.00 $3,483,160.00 $3,384,580.00 nat. median
$3,286,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $2,496,000.00 $4,021,120.00 $3,361,920.00 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,968,000.00 $3,146,080.00 $3,057,040.00 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,425,280.00 $2,471,920.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $1,811,194.60 $4,431,574.70 $2,428,013.50 nat. median
$2,469,189
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $485,193.33 $1,243,777.63 $623,508.45 nat. median
$754,974
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $388,758.20 $1,163,256.72 $555,549.91 nat. median
$625,184
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $373,581.00 $1,217,989.32 $550,843.98 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $380,232.40 $1,137,745.49 $545,146.01 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $360,360.00 $1,102,515.48 $516,376.04 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $330,720.00 $1,078,656.00 $485,859.57 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 $261,986.21 $764,249.89 $377,128.00 nat. median
$370,174
1.0× median
0100T
HCPCS 		Prosth Retina Receive&gen 5 $1,782.96 $297,375.98 $282,125.93 nat. median
$11,210
outlier · 25.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $195,913.00 $570,830.60 $281,683.01 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $165,138.36 $480,742.54 $237,228.00 nat. median
$206,368
1.1× median
0024
APR_DRG 		3 $232,467.25 $239,441.27 $237,116.60 nat. median
$372,987
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $149,277.18 $434,311.37 $208,958.10 nat. median
$202,986
1.0× median
5834
APR_DRG 		3 $204,766.76 $210,909.76 $208,862.10 nat. median
$309,665
0.7× median
5884
APR_DRG 		3 $167,964.25 $173,003.18 $171,323.54 nat. median
$246,434
0.7× median
5833
APR_DRG 		3 $162,179.28 $167,044.66 $165,422.87 nat. median
$244,017
0.7× median
1614
APR_DRG 		3 $160,593.79 $165,411.60 $163,805.67 nat. median
$207,730
0.8× median
0074
APR_DRG 		3 $152,401.34 $156,973.38 $155,449.37 nat. median
$178,275
0.9× median
0014
APR_DRG 		3 $148,606.97 $153,065.18 $151,579.11 nat. median
$190,591
0.8× median
1904
HCPCS 		Acute Myocardial Infarction 1 $147,421.08 $147,421.08 $147,421.08 —
1903
HCPCS 		Acute Myocardial Infarction 1 $147,421.08 $147,421.08 $147,421.08 —
0023
APR_DRG 		3 $143,753.72 $148,066.33 $146,628.79 nat. median
$167,082
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $98,730.77 $286,344.45 $137,767.50 nat. median
$133,176
1.0× median
0064
APR_DRG 		3 $131,237.12 $135,174.23 $133,861.86 nat. median
$98,565
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $91,612.90 $265,507.98 $131,018.00 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 12 $91,384.46 $264,839.23 $130,688.00 nat. median
$122,708
1.1× median
1613
APR_DRG 		3 $123,031.66 $126,722.61 $125,492.29 nat. median
$119,796
1.0× median
1901
HCPCS 		Acute Myocardial Infarction 1 $124,741.08 $124,741.08 $124,741.08 —
1902
HCPCS 		Acute Myocardial Infarction 1 $124,741.08 $124,741.08 $124,741.08 —
6304
APR_DRG 		3 $121,914.67 $125,572.11 $124,352.96 nat. median
$150,721
0.8× median
5832
APR_DRG 		3 $119,591.80 $123,179.55 $121,983.64 nat. median
$156,126
0.8× median
8414
APR_DRG 		3 $113,251.39 $116,648.93 $115,516.42 nat. median
$160,267
0.7× median
5934
APR_DRG 		3 $109,544.83 $112,831.17 $111,735.73 nat. median
$151,838
0.7× median
5883
APR_DRG 		3 $108,209.03 $111,455.30 $110,373.21 nat. median
$182,736
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $77,199.25 $223,314.22 $110,197.01 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $76,328.39 $220,764.88 $108,939.01 nat. median
$102,358
1.1× median
0022
APR_DRG 		3 $106,680.83 $109,881.25 $108,814.45 nat. median
$140,623
0.8× median
5882
APR_DRG 		3 $105,957.29 $109,136.01 $108,076.44 nat. median
$145,336
0.7× median
5914
APR_DRG 		3 $105,783.57 $108,957.08 $107,899.24 nat. median
$164,279
0.7× median
0114
APR_DRG 		3 $105,647.44 $108,816.86 $107,760.39 nat. median
$197,700
0.5× median
6094
APR_DRG 		3 $105,108.89 $108,262.16 $107,211.07 nat. median
$162,982
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $74,635.80 $215,810.09 $106,494.00 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 12 $74,257.82 $214,703.62 $105,948.00 nat. median
$99,019
1.1× median

Other procedures at this hospital

Browse this hospital's 24,046 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 5 — — $3,150,000.00 $4,526,200.00 $3,792,733.00 2026-02-18
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,749,200.00 $3,821,300.00 $3,785,250.00 2026-02-18
C9172 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,659,075.00 $3,659,075.00 $3,659,075.00 2026-02-18
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,286,000.00 $3,483,160.00 $3,384,580.00 2026-02-18
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 6 — — $2,496,000.00 $4,021,120.00 $3,361,920.00 2026-02-18
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,968,000.00 $3,146,080.00 $3,057,040.00 2026-02-18
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,425,280.00 $2,471,920.00 $2,448,600.00 2026-02-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 8 — — $1,811,194.60 $4,431,574.70 $2,428,013.50 2026-02-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 12 — — $485,193.33 $1,243,777.63 $623,508.45 2026-02-18
Q2055 HCPCS Idecabtagene Vicleucel Car 20 12 — — $388,758.20 $1,163,256.72 $555,549.91 2026-02-18
Q2056 HCPCS Ciltacabtagene Car-pos T 16 9 — — $373,581.00 $1,217,989.32 $550,843.98 2026-02-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 12 — — $380,232.40 $1,137,745.49 $545,146.01 2026-02-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 12 — — $360,360.00 $1,102,515.48 $516,376.04 2026-02-18
Q2053 HCPCS Brexucabtagene Car Pos T 20 12 — — $330,720.00 $1,078,656.00 $485,859.57 2026-02-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 12 — — $261,986.21 $764,249.89 $377,128.00 2026-02-18
0100T HCPCS Prosth Retina Receive&gen 5 5 — — $1,782.96 $297,375.98 $282,125.93 2026-02-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 — — $195,913.00 $570,830.60 $281,683.01 2026-02-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $165,138.36 $480,742.54 $237,228.00 2026-02-18
0024 APR_DRG — 3 3 — — $232,467.25 $239,441.27 $237,116.60 2026-02-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 12 — — $149,277.18 $434,311.37 $208,958.10 2026-02-18
5834 APR_DRG — 3 3 — — $204,766.76 $210,909.76 $208,862.10 2026-02-18
5884 APR_DRG — 3 3 — — $167,964.25 $173,003.18 $171,323.54 2026-02-18
5833 APR_DRG — 3 3 — — $162,179.28 $167,044.66 $165,422.87 2026-02-18
1614 APR_DRG — 3 3 — — $160,593.79 $165,411.60 $163,805.67 2026-02-18
0074 APR_DRG — 3 3 — — $152,401.34 $156,973.38 $155,449.37 2026-02-18
0014 APR_DRG — 3 3 — — $148,606.97 $153,065.18 $151,579.11 2026-02-18
1903 HCPCS Acute Myocardial Infarction 2 1 — — $147,421.08 $147,421.08 $147,421.08 2026-02-18
1904 HCPCS Acute Myocardial Infarction 2 1 — — $147,421.08 $147,421.08 $147,421.08 2026-02-18
0023 APR_DRG — 3 3 — — $143,753.72 $148,066.33 $146,628.79 2026-02-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 12 — — $98,730.77 $286,344.45 $137,767.50 2026-02-18
0064 APR_DRG — 3 3 — — $131,237.12 $135,174.23 $133,861.86 2026-02-18
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $91,612.90 $265,507.98 $131,018.00 2026-02-18
7 MS_DRG Lung Transplant 18 12 — — $91,384.46 $264,839.23 $130,688.00 2026-02-18
1613 APR_DRG — 3 3 — — $123,031.66 $126,722.61 $125,492.29 2026-02-18
1902 HCPCS Acute Myocardial Infarction 2 1 — — $124,741.08 $124,741.08 $124,741.08 2026-02-18
1901 HCPCS Acute Myocardial Infarction 2 1 — — $124,741.08 $124,741.08 $124,741.08 2026-02-18
6304 APR_DRG — 3 3 — — $121,914.67 $125,572.11 $124,352.96 2026-02-18
5832 APR_DRG — 3 3 — — $119,591.80 $123,179.55 $121,983.64 2026-02-18
8414 APR_DRG — 3 3 — — $113,251.39 $116,648.93 $115,516.42 2026-02-18
5934 APR_DRG — 3 3 — — $109,544.83 $112,831.17 $111,735.73 2026-02-18
5883 APR_DRG — 3 3 — — $108,209.03 $111,455.30 $110,373.21 2026-02-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $77,199.25 $223,314.22 $110,197.01 2026-02-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 — — $76,328.39 $220,764.88 $108,939.01 2026-02-18
0022 APR_DRG — 3 3 — — $106,680.83 $109,881.25 $108,814.45 2026-02-18
5882 APR_DRG — 3 3 — — $105,957.29 $109,136.01 $108,076.44 2026-02-18
5914 APR_DRG — 3 3 — — $105,783.57 $108,957.08 $107,899.24 2026-02-18
0114 APR_DRG — 3 3 — — $105,647.44 $108,816.86 $107,760.39 2026-02-18
6094 APR_DRG — 3 3 — — $105,108.89 $108,262.16 $107,211.07 2026-02-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $74,635.80 $215,810.09 $106,494.00 2026-02-18
215 MS_DRG Other Heart Assist System Implant 18 12 — — $74,257.82 $214,703.62 $105,948.00 2026-02-18
5831 APR_DRG — 3 3 — — $103,348.87 $106,449.34 $105,415.85 2026-02-18
6314 APR_DRG — 3 3 — — $100,908.67 $103,935.93 $102,926.84 2026-02-18
0044 APR_DRG — 3 3 — — $100,636.02 $103,655.10 $102,648.74 2026-02-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $73,431.26 $145,189.04 $102,004.21 2026-02-18
1612 APR_DRG — 3 3 — — $98,783.50 $101,747.01 $100,759.17 2026-02-18
0094 APR_DRG — 3 3 — — $98,525.65 $101,481.42 $100,496.16 2026-02-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $67,724.92 $195,579.54 $96,511.01 2026-02-18
1611 APR_DRG — 3 3 — — $93,844.33 $96,659.66 $95,721.22 2026-02-18
0063 APR_DRG — 3 3 — — $92,278.93 $95,047.30 $94,124.51 2026-02-18
0021 APR_DRG — 3 3 — — $91,454.13 $94,197.75 $93,283.21 2026-02-18
0073 APR_DRG — 3 3 — — $89,814.04 $92,508.46 $91,610.32 2026-02-18
6034 APR_DRG — 3 3 — — $88,055.37 $90,697.03 $89,816.48 2026-02-18
850 MS_DRG Acute Leukemia With Other Procedures 16 11 — — $64,684.50 $127,676.93 $89,700.88 2026-02-18
4404 APR_DRG — 3 3 — — $87,313.90 $89,933.32 $89,060.18 2026-02-18
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 2 — — $84,711.71 $112,091.89 $88,946.86 2026-02-18
0013 APR_DRG — 3 3 — — $85,914.11 $88,491.53 $87,632.39 2026-02-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $59,575.58 $171,723.58 $84,739.01 2026-02-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $59,543.04 $171,628.34 $84,692.00 2026-02-18
0062 APR_DRG — 3 3 — — $80,107.54 $82,510.77 $81,709.69 2026-02-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 11 — — $58,652.79 $115,600.72 $81,216.60 2026-02-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $56,717.91 $163,358.19 $80,611.01 2026-02-18
6024 APR_DRG — 3 3 — — $78,521.72 $80,877.37 $80,092.15 2026-02-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 12 — — $55,791.65 $160,646.73 $79,273.01 2026-02-18
0084 APR_DRG — 3 3 — — $77,093.53 $79,406.34 $78,635.40 2026-02-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 18 12 — — $55,023.94 $158,399.35 $78,164.00 2026-02-18
10 MS_DRG Pancreas Transplant 18 12 — — $56,108.02 $161,572.85 $77,637.09 2026-02-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $54,477.74 $156,800.44 $77,375.01 2026-02-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $52,585.78 $151,262.01 $74,642.00 2026-02-18
0012 APR_DRG — 3 3 — — $72,006.41 $74,166.60 $73,446.54 2026-02-18
38240 HCPCS Transplt Allo Hct/donor 16 12 — — $40,487.70 $185,207.97 $72,291.74 2026-02-18
5933 APR_DRG — 3 3 — — $70,444.62 $72,557.96 $71,853.51 2026-02-18
0072 APR_DRG — 3 3 — — $70,253.57 $72,361.18 $71,658.64 2026-02-18
5881 APR_DRG — 3 3 — — $69,745.48 $71,837.84 $71,140.39 2026-02-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $49,836.10 $143,212.76 $70,670.00 2026-02-18
0043 APR_DRG — 3 3 — — $68,867.98 $70,934.02 $70,245.34 2026-02-18
1604 APR_DRG — 3 3 — — $67,954.36 $69,992.99 $69,313.45 2026-02-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $50,083.24 $98,443.42 $69,162.54 2026-02-18
C1605 HCPCS Pacemaker Aveir Dr Leadless Pacemaker System Bundle 20 13 $136,871.50 $95,810.05 30% off $20,530.73 $109,497.20 $68,435.75 2026-02-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $48,183.67 $138,375.50 $68,283.01 2026-02-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 12 — — $49,071.15 $140,973.47 $67,825.88 2026-02-18
0054 APR_DRG — 3 3 — — $66,321.18 $68,310.82 $67,647.60 2026-02-18
A9543 HCPCS Y90 Ibritumomab, Rx 20 12 — — $15,365.73 $157,143.79 $67,503.96 2026-02-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 9 — — $46,800.00 $152,412.96 $67,156.06 2026-02-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 12 — — $47,149.42 $135,347.91 $66,789.01 2026-02-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 — — $47,071.20 $135,118.91 $66,676.00 2026-02-18
1624 APR_DRG — 3 3 — — $64,045.67 $65,967.04 $65,326.58 2026-02-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 11 — — $47,328.03 $92,927.14 $65,287.02 2026-02-18
0011 APR_DRG — 3 3 — — $63,931.79 $65,849.74 $65,210.43 2026-02-18
C1824 HCPCS Generator Optimzer Smart Implantable Pulse 20 13 $129,213.48 $90,449.44 30% off $19,382.02 $103,370.78 $64,606.74 2026-02-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $45,619.52 $130,869.34 $64,579.00 2026-02-18
0061 APR_DRG — 3 3 — — $62,968.21 $64,857.26 $64,227.57 2026-02-18
0071 APR_DRG — 3 3 — — $62,554.84 $64,431.49 $63,805.94 2026-02-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $44,694.66 $128,161.94 $63,243.01 2026-02-18
5913 APR_DRG — 3 3 — — $61,973.26 $63,832.46 $63,212.73 2026-02-18
6023 APR_DRG — 3 3 — — $61,916.78 $63,774.28 $63,155.12 2026-02-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 12 — — $45,683.90 $131,057.81 $63,055.20 2026-02-18
3034 APR_DRG — 3 3 — — $61,230.01 $63,066.91 $62,454.61 2026-02-18
33361 HCPCS Transcatheter Aortic Valve Replacement 20 13 $124,753.23 $87,327.26 30% off $1,464.11 $99,802.58 $62,376.62 2026-02-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 12 — — $43,795.40 $125,529.52 $61,944.00 2026-02-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $43,544.80 $124,795.92 $61,582.00 2026-02-18
6074 APR_DRG — 3 3 — — $60,311.63 $62,120.98 $61,517.86 2026-02-18
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 12 — — $43,395.97 $124,360.23 $61,367.01 2026-02-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $43,202.13 $123,792.81 $61,087.01 2026-02-18
28 MS_DRG Spinal Procedures With Mcc 18 12 — — $42,999.99 $123,201.07 $60,795.00 2026-02-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 12 — — $42,698.16 $122,317.51 $60,359.01 2026-02-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 12 — — $42,698.16 $122,317.51 $60,359.01 2026-02-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 11 — — $43,740.02 $85,743.50 $60,240.07 2026-02-18
6303 APR_DRG — 3 3 — — $58,906.49 $60,673.68 $60,084.62 2026-02-18
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 18 12 — — $42,385.95 $121,403.56 $59,908.00 2026-02-18
0266T HCPCS Implt/rpl Crtd Sns Dev Total 12 11 — — $42,156.04 $135,715.48 $59,544.81 2026-02-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $42,098.66 $120,562.56 $59,493.01 2026-02-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $41,648.00 $119,243.31 $58,842.00 2026-02-18
4403 APR_DRG — 3 3 — — $57,554.17 $59,280.80 $58,705.25 2026-02-18
7404 APR_DRG — 3 3 — — $57,365.77 $59,086.74 $58,513.09 2026-02-18
8424 APR_DRG — 3 3 — — $57,233.90 $58,950.92 $58,378.58 2026-02-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 — — $41,219.48 $117,988.91 $58,223.01 2026-02-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 12 — — $42,067.51 $120,471.37 $57,961.80 2026-02-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $40,645.59 $116,308.94 $57,394.00 2026-02-18
C9084 HCPCS Loncastuximab Tesirine 10 Mg Inj 20 13 $119,850.00 $83,895.00 30% off $281.48 $95,880.00 $57,168.45 2026-02-18
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 4 4 — — $55,617.44 $135,715.48 $57,120.62 2026-02-18
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 4 4 — — $55,617.44 $135,715.48 $57,120.62 2026-02-18
0424T HCPCS Insj/rplc Nstim Apnea Compl 4 4 — — $55,617.44 $135,715.48 $57,120.62 2026-02-18
0312T HCPCS Laps Impltj Nstim Vagus 4 4 — — $55,617.44 $135,715.48 $57,120.62 2026-02-18
0316T HCPCS Replc Vagus Nerve Pls Gen 4 4 — — $55,617.44 $135,715.48 $57,120.62 2026-02-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $40,408.15 $115,613.85 $57,051.01 2026-02-18
5932 APR_DRG — 3 3 — — $55,833.73 $57,508.74 $56,950.40 2026-02-18
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $39,504.74 $112,969.27 $55,746.00 2026-02-18
1634 APR_DRG — 3 3 — — $54,499.12 $56,134.09 $55,589.10 2026-02-18
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 12 — — $39,177.30 $112,010.73 $55,273.01 2026-02-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $39,177.30 $112,010.73 $55,273.01 2026-02-18
1784 APR_DRG — 3 3 — — $54,135.54 $55,759.61 $55,218.25 2026-02-18
7594 APR_DRG — 3 3 — — $53,679.19 $55,289.57 $54,752.77 2026-02-18
8 MS_DRG Simultaneous Pancreas/kidney Transplant 18 12 — — $38,580.57 $110,263.89 $54,411.01 2026-02-18
J9226 HCPCS Supprelin La Implant 17 12 — — $25,830.58 $106,989.00 $54,382.65 2026-02-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 — — $38,494.73 $110,012.61 $54,287.01 2026-02-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $38,302.97 $109,451.27 $54,010.00 2026-02-18
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 18 12 — — $38,267.66 $109,347.91 $53,959.01 2026-02-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $38,263.51 $109,335.75 $53,953.01 2026-02-18
6093 APR_DRG — 3 3 — — $52,365.58 $53,936.55 $53,412.89 2026-02-18
0113 APR_DRG — 3 3 — — $52,002.27 $53,562.34 $53,042.32 2026-02-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $39,016.69 $76,286.83 $52,983.84 2026-02-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $37,580.94 $107,337.63 $52,967.01 2026-02-18
77535848 CDM Device Ventricular Assist Impella 5.5 Smartassist Catheter 05500 20 13 $105,750.00 $74,025.00 30% off $15,862.50 $84,600.00 $52,875.00 2026-02-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 11 — — $38,784.10 $75,821.13 $52,660.40 2026-02-18
5464 HCPCS Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses 2 1 — — $52,557.38 $52,557.38 $52,557.38 2026-02-18
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 12 — — $30,034.98 $151,441.29 $51,384.76 2026-02-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 — — $36,447.70 $104,020.25 $51,330.00 2026-02-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 12 — — $37,743.62 $107,813.85 $51,213.58 2026-02-18
77592600 CDM Set Vntrc Ast Impella Rp Rt Hrt Pmp Strl Lf Disp 20 13 $102,227.42 $71,559.19 30% off $15,334.11 $81,781.94 $51,113.71 2026-02-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 12 — — $36,181.87 $103,242.07 $50,946.00 2026-02-18
1654 APR_DRG — 3 3 — — $49,838.33 $51,333.48 $50,835.10 2026-02-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 12 — — $36,073.88 $102,925.94 $50,790.00 2026-02-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 12 — — $35,782.44 $102,072.78 $50,369.01 2026-02-18
4402 APR_DRG — 3 3 — — $49,361.83 $50,842.68 $50,349.07 2026-02-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 11 — — $36,566.08 $71,380.39 $50,149.10 2026-02-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 — — $35,576.83 $101,470.91 $50,072.00 2026-02-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $35,549.83 $101,391.87 $50,033.01 2026-02-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 12 — — $35,535.99 $101,351.34 $50,013.01 2026-02-18
1674 APR_DRG — 3 3 — — $49,022.12 $50,492.78 $50,002.56 2026-02-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 12 — — $35,411.38 $100,986.57 $49,833.01 2026-02-18
0053 APR_DRG — 3 3 — — $48,838.14 $50,303.28 $49,814.90 2026-02-18
0083 APR_DRG — 3 3 — — $48,544.38 $50,000.71 $49,515.27 2026-02-18
245 MS_DRG Aicd Generator Procedures 18 12 — — $34,743.34 $99,031.00 $48,868.00 2026-02-18
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 — — $34,539.13 $98,433.18 $48,573.01 2026-02-18
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 13 12 — — $28,547.37 $135,715.48 $48,500.14 2026-02-18
6 MS_DRG Liver Transplant Without Mcc 18 12 — — $34,483.05 $98,269.04 $48,492.00 2026-02-18
0042 APR_DRG — 3 3 — — $47,347.52 $48,767.95 $48,294.47 2026-02-18
6022 APR_DRG — 3 3 — — $47,244.06 $48,661.38 $48,188.94 2026-02-18
77535869 CDM Device Vntrc Ast Impella 5.5 Smartassist Cath 1001000 20 13 $96,350.00 $67,445.00 30% off $14,452.50 $77,080.00 $48,175.00 2026-02-18
3044 APR_DRG — 3 3 — — $46,996.52 $48,406.42 $47,936.45 2026-02-18
6073 APR_DRG — 3 3 — — $46,919.47 $48,327.05 $47,857.86 2026-02-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 12 — — $33,972.86 $96,775.51 $47,755.00 2026-02-18
799 MS_DRG Splenic Procedures With Mcc 18 12 — — $33,829.56 $96,356.02 $47,548.00 2026-02-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $33,823.33 $96,337.78 $47,539.01 2026-02-18
3033 APR_DRG — 3 3 — — $46,360.73 $47,751.55 $47,287.94 2026-02-18
1834 APR_DRG — 3 3 — — $46,195.76 $47,581.63 $47,119.68 2026-02-18
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 18 12 — — $33,482.73 $95,340.75 $47,047.01 2026-02-18
77525996 CDM Anterior Deluxe System V5-2.5k 20 13 $94,000.00 $65,800.00 30% off $14,100.00 $75,200.00 $47,000.00 2026-02-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 12 — — $33,308.28 $94,830.07 $46,795.00 2026-02-18
6114 APR_DRG — 3 3 — — $45,832.12 $47,207.08 $46,748.76 2026-02-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 — — $33,117.21 $94,270.75 $46,519.01 2026-02-18
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 8 — — $42,156.04 $96,745.31 $46,350.52 2026-02-18
0093 APR_DRG — 3 3 — — $45,409.63 $46,771.92 $46,317.82 2026-02-18
163 MS_DRG Major Chest Procedures With Mcc 18 12 — — $32,821.62 $93,405.44 $46,092.00 2026-02-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 12 — — $32,808.46 $93,366.93 $46,073.01 2026-02-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $32,706.70 $93,069.04 $45,926.00 2026-02-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 12 — — $32,701.85 $93,054.85 $45,919.01 2026-02-18
8634 APR_DRG — 3 3 — — $44,932.43 $46,280.40 $45,831.08 2026-02-18
1664 APR_DRG — 3 3 — — $44,924.65 $46,272.39 $45,823.14 2026-02-18
9104 APR_DRG — 3 3 — — $44,380.87 $45,712.30 $45,268.49 2026-02-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 12 — — $32,145.96 $91,427.57 $45,116.00 2026-02-18
1794 APR_DRG — 3 3 — — $44,105.36 $45,428.52 $44,987.47 2026-02-18
4401 APR_DRG — 3 3 — — $44,076.91 $45,399.22 $44,958.45 2026-02-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 12 — — $31,959.75 $90,882.45 $44,847.01 2026-02-18
6804 APR_DRG — 3 3 — — $43,922.74 $45,240.42 $44,801.19 2026-02-18
1623 APR_DRG — 3 3 — — $43,866.14 $45,182.12 $44,743.46 2026-02-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 12 — — $31,873.91 $90,631.16 $44,723.01 2026-02-18
6124 APR_DRG — 3 3 — — $43,827.26 $45,142.08 $44,703.81 2026-02-18
0874T HCPCS Rmvl Pertl Ascites Pmp Sys 1 1 — — $44,444.44 $44,444.44 $44,444.44 2026-02-18
69930 HCPCS Implant Cochlear Device 16 12 — — $24,846.05 $158,915.05 $44,363.21 2026-02-18
901 MS_DRG Wound Debridements For Injuries With Mcc 18 12 — — $31,584.54 $89,784.08 $44,305.00 2026-02-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 12 — — $31,323.55 $89,020.09 $43,928.00 2026-02-18
6134 APR_DRG — 3 3 — — $42,999.44 $44,289.42 $43,859.43 2026-02-18
6033 APR_DRG — 3 3 — — $42,850.35 $44,135.86 $43,707.36 2026-02-18
61635 HCPCS Stent- Intracranial (inc Pta) 20 13 $86,900.90 $60,830.63 30% off $1,810.23 $69,520.72 $43,450.45 2026-02-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $30,805.75 $87,504.27 $43,180.00 2026-02-18
C9606 HCPCS Des- Coronary Acute (ami) Any Vessel/Graft (inc All Rx) 20 13 $86,125.65 $60,287.96 30% off $3,064.00 $68,900.52 $43,062.83 2026-02-18
1694 APR_DRG — 3 3 — — $42,047.59 $43,309.02 $42,888.54 2026-02-18
9114 APR_DRG — 3 3 — — $41,928.25 $43,186.10 $42,766.82 2026-02-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 12 — — $30,443.69 $86,444.41 $42,657.01 2026-02-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 12 — — $30,400.07 $86,316.74 $42,594.00 2026-02-18
3124 APR_DRG — 3 3 — — $41,745.67 $42,998.04 $42,580.58 2026-02-18
8413 APR_DRG — 3 3 — — $41,561.96 $42,808.82 $42,393.20 2026-02-18
0914 APR_DRG — 3 3 — — $41,527.08 $42,772.89 $42,357.62 2026-02-18
140 MS_DRG Major Head And Neck Procedures With Mcc 18 12 — — $30,191.01 $85,704.74 $42,292.00 2026-02-18
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 12 — — $30,867.36 $87,684.63 $42,277.15 2026-02-18
77592482 CDM Devicecp 3.5l Heart Assist Percutaneous 20 13 $84,507.35 $59,155.15 30% off $12,676.10 $67,605.88 $42,253.68 2026-02-18
C9760 HCPCS Non-blind Interatrial Shunt 12 11 — — $25,762.20 $59,122.55 $42,247.99 2026-02-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 12 — — $29,923.80 $84,922.51 $41,906.00 2026-02-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 12 — — $29,916.87 $84,902.24 $41,896.00 2026-02-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 12 — — $29,716.80 $84,316.59 $41,607.01 2026-02-18
9124 APR_DRG — 3 3 — — $40,736.95 $41,959.06 $41,551.69 2026-02-18
0082 APR_DRG — 3 3 — — $40,616.59 $41,835.09 $41,428.92 2026-02-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 12 — — $29,364.44 $83,285.10 $41,098.00 2026-02-18
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 16 12 — — $23,006.89 $135,715.48 $41,079.35 2026-02-18
61886 HCPCS Implant Neurostim Arrays 16 12 — — $23,006.89 $135,715.48 $41,079.35 2026-02-18
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 16 12 — — $23,006.89 $135,715.48 $41,079.35 2026-02-18
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 12 — — $23,006.89 $135,715.48 $41,079.35 2026-02-18
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 18 12 — — $29,322.22 $83,161.48 $41,037.01 2026-02-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 12 — — $29,380.36 $83,331.71 $40,946.49 2026-02-18
1783 APR_DRG — 3 3 — — $40,049.05 $41,250.52 $40,850.03 2026-02-18
8504 APR_DRG — 3 3 — — $39,885.91 $41,082.49 $40,683.63 2026-02-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 12 — — $29,070.92 $82,425.86 $40,674.00 2026-02-18
793 MS_DRG Full Term Neonate With Major Problems 17 12 — — $29,784.65 $84,515.18 $40,662.38 2026-02-18
0234 APR_DRG — 3 3 — — $39,784.23 $40,977.76 $40,579.91 2026-02-18
77592331-1744 CDM Impella 20 13 $81,082.30 $56,757.61 30% off $12,162.35 $64,865.84 $40,541.15 2026-02-18
0214 APR_DRG — 3 3 — — $39,238.88 $40,416.05 $40,023.66 2026-02-18
4414 APR_DRG — 3 3 — — $39,231.65 $40,408.60 $40,016.28 2026-02-18
77540079 CDM Valve 23 Mm Edwards Ultra Resilia Transcatheter Heart Valve 20 13 $79,900.00 $55,930.00 30% off $11,985.00 $63,920.00 $39,950.00 2026-02-18
77540081 CDM Valve 29 Mm Edwards Ultra Resilia Transcatheter Heart Valve 20 13 $79,900.00 $55,930.00 30% off $11,985.00 $63,920.00 $39,950.00 2026-02-18
CDM-1759 CDM Valve 26 Mm Edwards Ultra Resilia Transcatheter Heart Valve 20 13 $79,900.00 $55,930.00 30% off $11,985.00 $63,920.00 $39,950.00 2026-02-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 12 — — $28,491.50 $80,729.68 $39,837.01 2026-02-18
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 18 12 — — $28,472.12 $80,672.94 $39,809.01 2026-02-18
791 MS_DRG Prematurity With Major Problems 17 12 — — $29,019.01 $82,273.87 $39,584.03 2026-02-18
6313 APR_DRG — 3 3 — — $38,751.64 $39,914.19 $39,526.67 2026-02-18
2604 APR_DRG — 3 3 — — $38,739.65 $39,901.84 $39,514.44 2026-02-18
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 12 — — $28,228.44 $79,959.61 $39,457.01 2026-02-18
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 12 — — $28,172.36 $79,795.46 $39,376.00 2026-02-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 11 — — $29,182.38 $56,597.31 $39,308.79 2026-02-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 12 — — $28,116.98 $79,633.34 $39,296.00 2026-02-18
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 18 12 — — $27,983.37 $79,242.23 $39,103.01 2026-02-18
6084 APR_DRG — 3 3 — — $38,187.02 $39,332.63 $38,950.76 2026-02-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 12 — — $27,833.85 $78,804.51 $38,887.01 2026-02-18
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 12 — — $27,669.78 $78,324.23 $38,650.00 2026-02-18
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 12 — — $27,642.78 $78,245.19 $38,611.01 2026-02-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 12 — — $27,568.02 $78,026.33 $38,503.01 2026-02-18
7524 APR_DRG — 3 3 — — $37,618.18 $38,746.73 $38,370.54 2026-02-18
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 12 — — $27,374.88 $77,460.94 $38,224.00 2026-02-18
L7181 HCPCS Electronic Elbo Simultaneous 4 2 — — $37,686.66 $49,867.61 $38,217.98 2026-02-18
6814 APR_DRG — 3 3 — — $37,453.32 $38,576.92 $38,202.39 2026-02-18
6302 APR_DRG — 3 3 — — $37,374.05 $38,495.27 $38,121.53 2026-02-18
1782 APR_DRG — 3 3 — — $37,313.14 $38,432.53 $38,059.40 2026-02-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $27,231.58 $77,041.45 $38,017.01 2026-02-18
2204 APR_DRG — 3 3 — — $37,167.12 $38,282.13 $37,910.46 2026-02-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 12 — — $27,026.67 $76,441.61 $37,721.01 2026-02-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 11 — — $27,996.53 $54,223.09 $37,659.82 2026-02-18
0894 APR_DRG — 3 3 — — $36,915.32 $38,022.78 $37,653.63 2026-02-18
1653 APR_DRG — 3 3 — — $36,808.56 $37,912.82 $37,544.73 2026-02-18
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 12 — — $26,818.29 $75,831.63 $37,420.00 2026-02-18
9504 APR_DRG — 3 3 — — $36,551.68 $37,648.23 $37,282.71 2026-02-18
90288 HCPCS Botulism Ig IV 4 2 — — $13.65 $51,140.25 $37,245.00 2026-02-18
1603 APR_DRG — 3 3 — — $36,478.35 $37,572.70 $37,207.92 2026-02-18
0408T HCPCS Ccm- Insertion Initial/replace- With Atrial And Ventricular Elec 26 15 $50,520.22 $35,364.15 30% off $7,578.03 $106,315.53 $37,132.36 2026-02-18
6083 APR_DRG — 3 3 — — $36,368.57 $37,459.63 $37,095.94 2026-02-18
6072 APR_DRG — 3 3 — — $36,330.82 $37,420.74 $37,057.44 2026-02-18
C1825 HCPCS System Neurostimulator Barostim Neo2 Ipg Model Csl Comb Kt 20 13 $74,025.00 $51,817.50 30% off $11,103.75 $59,220.00 $37,012.50 2026-02-18
1633 APR_DRG — 3 3 — — $36,281.36 $37,369.80 $37,006.99 2026-02-18
0204 APR_DRG — 3 3 — — $36,200.68 $37,286.70 $36,924.69 2026-02-18
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 13 12 — — $21,027.38 $106,315.53 $36,815.96 2026-02-18
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 12 — — $21,027.38 $106,315.53 $36,815.96 2026-02-18
0515T HCPCS Insj Wcs Lv Compl Sys 13 12 — — $21,027.38 $106,315.53 $36,815.96 2026-02-18
1204 APR_DRG — 3 3 — — $36,033.82 $37,114.83 $36,754.50 2026-02-18
6214 APR_DRG — 3 3 — — $35,956.12 $37,034.80 $36,675.24 2026-02-18
6904 APR_DRG — 3 3 — — $35,850.55 $36,926.07 $36,567.56 2026-02-18
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 12 — — $26,172.41 $73,940.91 $36,487.01 2026-02-18
0052 APR_DRG — 3 3 — — $35,748.38 $36,820.83 $36,463.35 2026-02-18
33270 HCPCS Insertion/Replacement Subcutaneous Icd With Electrode 28 15 $50,520.22 $35,364.15 30% off $669.95 $151,441.29 $36,374.56 2026-02-18
33264 HCPCS Icd- Remove/Replace Multi Chamber Gen 28 15 $50,520.22 $35,364.15 30% off $480.63 $151,441.29 $36,374.56 2026-02-18
33231 HCPCS Icd- Multi Chamber Insertion w/Existing Leads 28 15 $50,520.22 $35,364.15 30% off $478.17 $151,441.29 $36,374.56 2026-02-18
33249 HCPCS Icd- Insertion/Replace Single/Dual w/Leads 28 15 $50,520.22 $35,364.15 30% off $1,090.37 $151,441.29 $36,374.56 2026-02-18
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