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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

LIBERTY HOSPITAL

Liberty, MO · CCN 260177 · Rates published

15,346 distinct procedures filed
17 distinct payers
515,190 rate rows
2026-08-01 last MRF observed
Data quality

504,712 of 515,190 rate rows are consumer-grade (98.0%)

10,478 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
per-diem day rate — not a per-procedure price 5,501
placeholder amount (≤ $0.02) — excluded from medians 1,927
template filing: same amount across many unrelated codes — excluded 1,731
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 764
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 311
percent-of-charges filed in the dollar field — excluded from medians 182
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 62
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.libertyhospital.org/clientfiles/getfile/431684627_Liberty_Hospital_standardcharges.csv
Found on page https://www.libertyhospital.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-02
Content fingerprint abd808ad381bec74… · 220,693,915 bytes · first seen 2026-08-01

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 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 2 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 7 $3,685,266.67 $4,688,141.50 $3,691,450.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,335,820.00 $4,236,491.40 $3,352,499.10 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $4,218,148.00 $3,322,473.30 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 7 $3,245,381.39 $4,121,634.37 $3,281,917.60 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $3,180,000.00 $4,038,600.00 $3,195,900.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 7 $2,938,320.00 $3,731,666.40 $2,948,213.33 nat. median
$2,997,086
1.0× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 7 $2,664,228.59 $3,383,570.31 $2,677,549.73 nat. median
$2,664,229
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,423,131.23 $4,538,367.04 $2,587,087.26 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 7 $2,332,000.00 $2,961,640.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $978,687.40 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $578,771.12 $1,414,059.60 $614,180.81 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $553,169.30 $1,378,295.85 $588,494.81 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $516,442.29 $1,291,214.93 $562,399.51 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $527,622.46 $1,320,781.08 $559,781.08 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $502,840.73 $1,223,792.88 $532,539.65 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,290.60 $1,220,128.78 $489,399.16 nat. median
$577,541
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $353,377.50 $278,250.00 nat. median
$302,242
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 $234,521.06 $586,302.66 $271,828.97 nat. median
$370,165
0.7× median
J3403
HCPCS 		Revakinagene Per Implant 7 $257,500.00 $333,036.89 $262,233.77 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $202,713.58 $257,446.25 $205,190.36 nat. median
$209,736
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $175,167.57 $437,918.94 $185,397.93 nat. median
$261,939
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $141,248.66 $368,806.90 $147,522.76 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $133,274.69 $333,186.72 $135,940.18 nat. median
$199,832
0.7× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 7 $121,900.00 $154,813.00 $122,509.50 nat. median
$121,900
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 9 $99,999.94 $249,999.85 $110,356.90 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 8 $87,868.91 $219,672.28 $89,626.29 nat. median
$132,706
0.7× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $79,752.60 $91,715.49 $85,734.05 nat. median
$83,623
1.0× median
7
MS_DRG 		Lung Transplant 9 $81,269.73 $203,174.31 $85,674.74 nat. median
$122,690
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $79,506.91 $203,687.35 $81,474.94 nat. median
$114,305
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $68,527.18 $171,317.95 $74,967.87 nat. median
$108,240
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 1 $74,881.87 $74,881.87 $74,881.87 nat. median
$96,134
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 1 $68,909.40 $79,245.81 $74,077.60 nat. median
$58,534
1.3× median
J9183
HCPCS 		Gemcitabine Intravesical Sys 7 $73,088.26 $92,822.09 $73,453.70 nat. median
$75,281
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 10 $67,744.88 $169,362.19 $71,939.87 nat. median
$100,978
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $69,922.48 $69,922.48 $69,922.48 nat. median
$75,807
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $65,142.39 $162,855.98 $69,050.93 nat. median
$96,835
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 9 $67,452.66 $168,631.65 $68,801.71 nat. median
$70,178
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 1 $63,802.80 $73,373.22 $68,588.01 nat. median
$51,048
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $66,224.43 $165,561.07 $68,211.25 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $65,872.60 $164,712.23 $65,884.89 nat. median
$98,002
0.7× median
J9029
HCPCS 		Instill Adstiladrin Tx Dose 11 $63,235.61 $158,505.10 $65,246.54 nat. median
$69,291
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $60,016.39 $150,040.98 $64,720.14 nat. median
$92,900
0.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $59,690.70 $68,644.31 $64,167.50 nat. median
$62,767
1.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $57,608.10 $66,249.32 $61,928.71 nat. median
$46,826
1.3× median
C9150
HCPCS 		Xe129 Xenon- Diagnostic 1 $59,935.20 $59,935.20 $59,935.20 nat. median
$925
outlier · 64.8×
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 1 $55,046.70 $63,303.71 $59,175.21 nat. median
$57,648
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $57,285.18 $143,212.95 $57,288.72 nat. median
$81,364
0.7× median
A9543
HCPCS 		Y90 Ibritumomab Rx 10 $56,824.55 $142,061.38 $57,108.68 nat. median
$63,643
0.9× median

Other procedures at this hospital

Browse this hospital's 15,346 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
             
J3391 HCPCS Inj Atidarsagene Autotemcel 9 6 — — $4,505,000.00 $4,955,500.00 $4,505,000.00 2026-08-01
J1414 HCPCS Inj Beqvez Per Tx Dose 4 2 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-08-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 14 7 — — $3,685,266.67 $4,688,141.50 $3,691,450.00 2026-08-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 8 7 — — $3,335,820.00 $4,236,491.40 $3,352,499.10 2026-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 7 — — $3,316,462.59 $4,218,148.00 $3,322,473.30 2026-08-01
J3394 HCPCS Inj Lovotibeglogene Autotem 14 7 — — $3,245,381.39 $4,121,634.37 $3,281,917.60 2026-08-01
J3387 HCPCS Inj Elivaldogene Autotemecel 8 7 — — $3,180,000.00 $4,038,600.00 $3,195,900.00 2026-08-01
J3393 HCPCS Inj Betibeglogene Autotemce 14 7 — — $2,938,320.00 $3,731,666.40 $2,948,213.33 2026-08-01
C9309 HCPCS Inj Onase Abepar-brve Treat 8 7 — — $2,664,228.59 $3,383,570.31 $2,677,549.73 2026-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 8 — — $2,423,131.23 $4,538,367.04 $2,587,087.26 2026-08-01
J3392 HCPCS Inj Exagamglogene Autotem 14 7 — — $2,332,000.00 $2,961,640.00 $2,332,000.00 2026-08-01
Q2057 HCPCS Afamitresgene Autoleucel 14 7 — — $770,620.00 $978,687.40 $770,620.00 2026-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 9 — — $578,771.12 $1,414,059.60 $614,180.81 2026-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 16 9 — — $553,169.30 $1,378,295.85 $588,494.81 2026-08-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 9 — — $516,442.29 $1,291,214.93 $562,399.51 2026-08-01
Q2055 HCPCS Idecabtagene Vicleucel Car 16 9 — — $527,622.46 $1,320,781.08 $559,781.08 2026-08-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 9 — — $502,840.73 $1,223,792.88 $532,539.65 2026-08-01
Q2053 HCPCS Brexucabtagene Car Pos T 16 9 — — $489,290.60 $1,220,128.78 $489,399.16 2026-08-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 7 — — $278,250.00 $353,377.50 $278,250.00 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 10 — — $234,521.06 $586,302.66 $271,828.97 2026-08-01
J3403 HCPCS Revakinagene Per Implant 10 7 — — $257,500.00 $333,036.89 $262,233.77 2026-08-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 7 — — $202,713.58 $257,446.25 $205,190.36 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 9 — — $175,167.57 $437,918.94 $185,397.93 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 8 — — $141,248.66 $368,806.90 $147,522.76 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 15 8 — — $133,274.69 $333,186.72 $135,940.18 2026-08-01
J3404 HCPCS Inj Zopapogene Per Ther Dose 8 7 — — $121,900.00 $154,813.00 $122,509.50 2026-08-01
Q0480 HCPCS Driver Pneumatic Vad Rep 16 9 — — $99,999.94 $249,999.85 $110,356.90 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 15 8 — — $87,868.91 $219,672.28 $89,626.29 2026-08-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 2 1 — — $79,752.60 $91,715.49 $85,734.05 2026-08-01
7 MS_DRG Lung Transplant 17 9 — — $81,269.73 $203,174.31 $85,674.74 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $79,506.91 $203,687.35 $81,474.94 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 9 — — $68,527.18 $171,317.95 $74,967.87 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 4 1 — — $74,881.87 $74,881.87 $74,881.87 2026-08-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 2 1 — — $68,909.40 $79,245.81 $74,077.60 2026-08-01
J9183 HCPCS Gemcitabine Intravesical Sys 8 7 — — $73,088.26 $92,822.09 $73,453.70 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 18 10 — — $67,744.88 $169,362.19 $71,939.87 2026-08-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $69,922.48 $69,922.48 $69,922.48 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $65,142.39 $162,855.98 $69,050.93 2026-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 16 9 — — $67,452.66 $168,631.65 $68,801.71 2026-08-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 2 1 — — $63,802.80 $73,373.22 $68,588.01 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 9 — — $66,224.43 $165,561.07 $68,211.25 2026-08-01
215 MS_DRG Other Heart Assist System Implant 18 10 — — $65,872.60 $164,712.23 $65,884.89 2026-08-01
J9029 HCPCS Instill Adstiladrin Tx Dose 22 11 — — $63,235.61 $158,505.10 $65,246.54 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $60,016.39 $150,040.98 $64,720.14 2026-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $59,690.70 $68,644.31 $64,167.50 2026-08-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $57,608.10 $66,249.32 $61,928.71 2026-08-01
C9150 HCPCS Xe129 Xenon- Diagnostic 4 1 — — $59,935.20 $59,935.20 $59,935.20 2026-08-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 1 — — $55,046.70 $63,303.71 $59,175.21 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 16 9 — — $57,285.18 $143,212.95 $57,288.72 2026-08-01
A9543 HCPCS Y90 Ibritumomab Rx 20 10 — — $56,824.55 $142,061.38 $57,108.68 2026-08-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 10 — — $55,272.32 $138,841.25 $57,017.10 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 9 — — $52,695.85 $131,739.62 $55,769.75 2026-08-01
38240 CPT Transplt Allo Hct/donor 27 14 — — $245.61 $139,090.93 $55,636.37 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 10 — — $52,666.62 $131,666.56 $55,594.44 2026-08-01
90288 CPT Botulism Ig IV 4 1 — — $55,036.65 $55,036.65 $55,036.65 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 9 — — $51,866.91 $129,667.27 $54,978.93 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 10 — — $50,128.81 $125,322.02 $52,057.68 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $48,116.47 $120,291.17 $50,797.39 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 17 9 — — $48,607.12 $121,517.79 $50,578.41 2026-08-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 2 1 — — $46,968.30 $54,013.55 $50,490.93 2026-08-01
10 MS_DRG Pancreas Transplant 17 9 — — $47,472.33 $123,952.37 $49,580.95 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 10 — — $47,200.43 $123,241.90 $49,296.76 2026-08-01
L7181 HCPCS Electronic Elbo Simultaneous 16 9 — — $48,133.08 $120,332.70 $49,095.74 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 9 — — $46,416.92 $116,042.31 $48,878.15 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 10 — — $43,946.89 $109,867.23 $47,172.64 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $44,168.90 $110,422.24 $46,404.21 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 10 — — $43,259.74 $108,149.34 $45,726.45 2026-08-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 2 — — $27,490.47 $52,347.20 $45,519.30 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 10 — — $41,463.18 $103,657.95 $45,502.17 2026-08-01
J9226 HCPCS Supprelin La Implant 24 11 — — $41,173.43 $113,154.50 $45,212.04 2026-08-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $27,298.99 $51,964.25 $45,186.30 2026-08-01
64654 CPT 1st Opn Implt Bat Modulj Sys 8 7 — — $44,117.59 $56,029.34 $44,338.18 2026-08-01
L7180 HCPCS Electronic Elbow Sequential 16 9 — — $43,372.97 $108,432.43 $44,240.43 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 9 — — $42,462.51 $106,156.28 $43,921.38 2026-08-01
33276 CPT Insj Phrnc Nrv Stim Sys 22 11 — — $6,406.00 $105,832.18 $43,807.09 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $40,159.14 $100,397.85 $43,500.26 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $41,693.89 $104,234.73 $43,365.64 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $38,295.42 $95,738.56 $42,733.56 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 11 — — $40,216.97 $100,542.43 $42,570.09 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 8 — — $41,533.45 $103,833.63 $42,364.12 2026-08-01
0266T CPT Implt/rpl Crtd Sns Dev Total 14 6 — — $6,406.00 $105,832.18 $42,332.87 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $36,996.36 $92,490.89 $42,098.12 2026-08-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 3 2 — — $25,150.85 $47,667.96 $41,450.40 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 — — $38,470.79 $96,176.97 $40,779.04 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 18 10 — — $37,254.43 $93,136.07 $40,543.70 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 10 — — $39,328.33 $98,320.83 $40,496.73 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 9 — — $37,987.60 $94,969.00 $40,108.39 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 18 10 — — $37,806.02 $94,515.05 $39,749.16 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 — — $38,520.54 $96,301.34 $39,737.91 2026-08-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 16 9 — — $38,629.63 $96,574.08 $39,402.21 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 10 — — $35,691.07 $89,227.68 $39,355.15 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 9 — — $37,534.89 $93,837.22 $39,229.16 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 9 — — $36,591.52 $91,478.81 $38,824.94 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 10 — — $36,206.59 $90,516.48 $38,799.80 2026-08-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 3 2 — — $23,578.68 $44,523.63 $38,716.20 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 10 — — $36,538.55 $95,404.31 $38,161.72 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $35,477.77 $88,694.43 $37,909.99 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 1 — — $37,755.18 $37,755.18 $37,755.18 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 15 8 — — $36,968.37 $92,420.93 $37,707.74 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 9 — — $35,938.51 $93,837.22 $37,534.89 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $33,586.69 $83,966.73 $37,325.79 2026-08-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 17 9 — — $33,836.06 $84,590.15 $37,078.39 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 10 — — $34,372.10 $85,930.26 $36,319.57 2026-08-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 18 10 — — $33,758.95 $84,397.37 $36,191.23 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 17 9 — — $33,084.23 $82,710.58 $36,139.63 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 9 — — $34,018.89 $85,047.22 $36,060.02 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $34,227.83 $85,569.58 $36,052.95 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $31,113.55 $77,783.89 $35,524.63 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $32,938.09 $82,345.23 $35,280.25 2026-08-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 16 9 — — $33,554.98 $83,887.45 $35,154.40 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 10 — — $34,372.10 $85,930.26 $35,022.23 2026-08-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 16 9 — — $34,284.44 $85,711.10 $34,970.13 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $31,920.11 $79,800.27 $34,906.46 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 18 10 — — $34,377.86 $86,665.61 $34,666.24 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 9 — — $31,681.31 $79,203.28 $34,437.40 2026-08-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 10 8 — — $1,403.00 $43,578.51 $34,313.79 2026-08-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 22 11 — — $6,406.00 $82,314.18 $34,071.62 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 9 — — $32,026.45 $80,066.11 $33,948.03 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $32,424.91 $83,878.12 $33,551.25 2026-08-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 18 10 — — $31,584.30 $78,960.76 $32,995.18 2026-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 2 — — $20,246.50 $37,859.27 $32,921.10 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 10 — — $30,989.18 $77,472.95 $32,730.55 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 10 — — $31,101.12 $77,752.79 $32,672.33 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $31,322.50 $78,306.25 $32,560.53 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 10 — — $30,205.64 $75,514.09 $31,945.27 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 10 — — $31,137.81 $77,844.52 $31,783.84 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 18 10 — — $29,256.68 $73,141.70 $31,496.06 2026-08-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 17 9 — — $10,030.00 $75,402.42 $31,439.54 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $28,559.57 $71,398.93 $31,415.53 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 10 — — $28,650.99 $71,627.46 $31,103.09 2026-08-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 8 7 — — $30,907.52 $39,252.55 $31,062.06 2026-08-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 8 7 — — $30,907.52 $39,252.55 $31,062.06 2026-08-01
64656 CPT Revj/rplcmt Bat Mod Sys Pg 8 7 — — $30,907.52 $39,252.55 $31,062.06 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $29,562.63 $73,906.58 $31,039.58 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $29,696.96 $74,242.39 $30,946.96 2026-08-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 10 8 — — $1,403.00 $39,252.55 $30,907.52 2026-08-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 10 8 — — $1,403.00 $39,252.55 $30,907.52 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 17 9 — — $30,155.27 $75,388.17 $30,677.04 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 10 — — $28,928.34 $72,320.84 $30,554.65 2026-08-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 2 — — $18,831.13 $35,028.54 $30,459.60 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 10 — — $28,555.22 $71,388.05 $30,409.10 2026-08-01
245 MS_DRG Aicd Generator Procedures 18 10 — — $30,183.50 $75,972.72 $30,389.09 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 10 — — $29,099.97 $72,749.92 $30,331.70 2026-08-01
0408T CPT Insj/rplc Cardiac Modulj Sys 22 11 — — $9,175.00 $75,402.42 $30,160.97 2026-08-01
33270 CPT Ins/rep Subq Defibrillator 27 14 — — $484.10 $75,402.42 $30,160.97 2026-08-01
33231 CPT Insrt Pulse Gen W/mult Leads 29 14 — — $344.32 $75,402.42 $30,160.97 2026-08-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 22 11 — — $9,175.00 $75,402.42 $30,160.97 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 10 — — $28,055.87 $70,139.66 $30,092.87 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 10 — — $27,811.47 $69,528.69 $30,079.64 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $29,568.23 $73,920.58 $29,961.88 2026-08-01
69930 CPT Implant Cochlear Device 33 14 — — $1,003.76 $74,805.64 $29,922.25 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 18 10 — — $28,662.80 $71,657.00 $29,650.28 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 10 — — $27,317.09 $68,292.74 $29,525.24 2026-08-01
L6700 HCPCS Ue Add Ext Power Myoel 14 7 — — $28,931.56 $37,477.94 $29,510.19 2026-08-01
L5856 HCPCS Elec Knee-shin Swing/stance 16 9 — — $28,831.20 $72,078.00 $29,407.82 2026-08-01
L6880 HCPCS Elec Hand Ind Art Digits 16 9 — — $28,701.67 $71,754.18 $29,275.70 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 10 — — $26,059.69 $65,149.23 $29,153.67 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 10 — — $26,526.71 $66,316.77 $29,061.48 2026-08-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 21 10 — — $6,406.00 $71,667.78 $28,667.11 2026-08-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 29 14 — — $474.57 $71,667.78 $28,667.11 2026-08-01
61886 CPT Implant Neurostim Arrays 27 14 — — $701.08 $71,667.78 $28,667.11 2026-08-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 31 14 — — $678.85 $71,667.78 $28,667.11 2026-08-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 14 6 — — $6,406.00 $71,667.78 $28,667.11 2026-08-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 22 11 — — $6,406.00 $71,667.78 $28,667.11 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 10 — — $26,487.53 $66,218.83 $28,628.81 2026-08-01
J9266 HCPCS Pegaspargase Injection 24 11 — — $24,190.01 $67,676.33 $28,566.18 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 10 — — $27,888.58 $69,721.46 $28,400.57 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 10 — — $26,299.73 $65,749.33 $28,217.98 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 10 — — $25,873.76 $64,684.39 $27,939.46 2026-08-01
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 18 10 — — $25,519.30 $63,798.24 $27,891.82 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 10 — — $25,557.23 $63,893.07 $27,877.93 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 10 — — $26,053.47 $65,133.68 $27,796.56 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 10 — — $27,551.54 $68,878.84 $27,763.48 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 9 — — $25,571.53 $63,928.83 $27,711.88 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 10 — — $26,851.94 $67,129.86 $27,604.70 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 10 — — $25,293.56 $63,233.90 $27,475.03 2026-08-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 10 7 — — $21,166.67 $34,515.84 $27,177.83 2026-08-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 10 7 — — $21,166.67 $34,515.84 $27,177.83 2026-08-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $16,892.58 $31,151.43 $27,088.20 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 18 10 — — $24,316.62 $60,791.54 $27,020.69 2026-08-01
0871T CPT Rplcmt Subq Prtl Ascites Pmp 10 8 — — $1,403.00 $34,240.40 $26,960.94 2026-08-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $16,818.06 $31,002.39 $26,958.60 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $25,393.68 $63,484.20 $26,917.30 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 8 — — $25,762.89 $67,268.22 $26,907.29 2026-08-01
C9760 HCPCS Non-blind Interatrial Shunt 22 11 — — $8,800.00 $64,675.69 $26,771.28 2026-08-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 27 14 — — $338.32 $66,857.74 $26,743.09 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 15 8 — — $25,934.70 $64,836.75 $26,453.39 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $23,641.28 $59,103.19 $25,879.99 2026-08-01
791 MS_DRG Prematurity With Major Problems 15 8 — — $25,246.92 $63,117.30 $25,751.86 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 9 — — $24,328.43 $60,821.08 $25,706.72 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 10 — — $24,182.30 $60,455.74 $25,607.42 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 9 — — $24,436.64 $61,091.59 $25,569.05 2026-08-01
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 18 10 — — $23,457.21 $58,643.01 $25,544.57 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 10 — — $22,292.46 $55,731.15 $25,439.67 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 10 — — $24,773.06 $61,932.66 $25,399.69 2026-08-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $24,228.42 $60,571.05 $25,357.01 2026-08-01
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 18 10 — — $23,702.76 $61,889.13 $24,755.65 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 10 — — $23,943.50 $59,858.75 $24,727.53 2026-08-01
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 18 10 — — $24,536.76 $61,341.89 $24,655.42 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $22,287.49 $55,718.71 $24,620.56 2026-08-01
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 16 9 — — $23,770.00 $59,425.00 $24,570.15 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 10 — — $23,647.85 $61,215.96 $24,486.39 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 10 — — $24,010.66 $60,026.65 $24,300.16 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 17 9 — — $22,083.52 $55,208.79 $24,290.23 2026-08-01
131 MS_DRG Cranial/facial Procedures W Cc/mcc 3 2 — — $15,234.00 $27,834.26 $24,203.70 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 10 — — $21,594.11 $53,985.28 $24,135.01 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 18 10 — — $23,071.62 $60,087.29 $24,034.91 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 11 — — $19,737.86 $49,344.64 $24,005.09 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 9 — — $21,893.23 $54,733.07 $23,986.57 2026-08-01
265 MS_DRG Aicd Lead Procedures 18 10 — — $22,183.01 $55,457.53 $23,936.95 2026-08-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $15,064.25 $27,494.78 $23,908.50 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 10 — — $22,291.22 $55,728.04 $23,894.61 2026-08-01
332 MS_DRG Rectal Resection With Mcc 18 10 — — $21,570.48 $53,926.20 $23,840.51 2026-08-01
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 18 10 — — $20,533.22 $51,333.04 $23,686.47 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 10 — — $22,532.50 $56,331.25 $23,624.03 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $21,773.21 $54,433.02 $23,588.97 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 10 — — $21,788.75 $54,471.88 $23,569.12 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 18 10 — — $23,270.03 $58,175.06 $23,546.63 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 10 — — $21,419.37 $53,548.42 $23,527.44 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 9 — — $21,299.97 $53,249.93 $23,330.95 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 10 — — $22,689.83 $56,724.57 $23,283.32 2026-08-01
93656 CPT Compre Ep Eval Abltj Atr Fib 57 17 $59,296.00 $16,543.00 72% off $970.96 $59,238.34 $23,078.03 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 18 10 — — $21,332.31 $53,330.77 $23,077.57 2026-08-01
Q0483 HCPCS Monitor Elec Vad Rep 16 9 — — $22,523.47 $56,308.68 $22,973.94 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 10 — — $21,546.85 $53,867.12 $22,965.77 2026-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $19,926.90 $49,817.26 $22,889.24 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $21,385.79 $53,464.47 $22,854.62 2026-08-01
L5858 HCPCS Stance Phase Only 16 9 — — $22,326.11 $55,815.28 $22,772.63 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 1 — — $22,748.77 $22,748.77 $22,748.77 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $21,781.91 $54,454.78 $22,681.29 2026-08-01
93653 CPT Compre Ep Eval Tx Svt 57 17 $50,896.00 $14,199.50 72% off $856.22 $57,695.06 $22,618.87 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 11 — — $20,874.00 $52,184.99 $22,570.15 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 10 — — $21,948.57 $54,871.43 $22,540.38 2026-08-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 17 9 — — $10,030.00 $52,788.95 $22,279.49 2026-08-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 17 9 — — $10,030.00 $52,788.95 $22,279.49 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 10 — — $21,734.65 $54,336.63 $22,100.43 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 10 — — $21,020.75 $54,885.42 $21,954.17 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 19 11 — — $20,651.37 $51,628.43 $21,779.57 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 11 — — $17,016.59 $42,541.49 $21,611.08 2026-08-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 18 10 — — $19,408.27 $48,520.68 $21,563.01 2026-08-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 16 9 — — $21,117.91 $52,794.78 $21,540.27 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 10 — — $21,181.82 $52,954.54 $21,519.57 2026-08-01
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 19 11 — — $20,268.93 $50,672.32 $21,424.97 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 11 — — $19,831.14 $49,577.84 $21,401.15 2026-08-01
665 MS_DRG Prostatectomy With Mcc 18 10 — — $20,648.95 $53,380.52 $21,352.21 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 11 — — $20,019.56 $50,048.90 $21,349.55 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 18 10 — — $19,777.66 $49,444.14 $21,307.87 2026-08-01
652 MS_DRG Kidney Transplant 18 10 — — $19,099.83 $47,749.57 $21,187.62 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 9 — — $21,093.51 $52,733.78 $21,122.63 2026-08-01
0515T CPT Insj Wcs Lv Compl Sys 22 11 — — $9,175.00 $52,788.95 $21,115.58 2026-08-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 22 11 — — $9,175.00 $52,788.95 $21,115.58 2026-08-01
0409T CPT Insj/rplc Car Modulj Pls Gn 22 11 — — $9,175.00 $52,788.95 $21,115.58 2026-08-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 22 11 — — $9,175.00 $52,788.95 $21,115.58 2026-08-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 41 17 $53,365.00 $14,888.00 72% off $321.59 $52,788.95 $21,115.58 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 11 — — $19,230.42 $48,076.05 $21,083.60 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 11 — — $20,260.22 $50,650.55 $21,063.09 2026-08-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 55 17 $31,483.00 $8,783.00 72% off $333.83 $52,788.95 $21,000.00 2026-08-01
33230 CPT Insrt Pulse Gen W/dual Leads 43 17 $21,965.00 $6,128.00 72% off $330.34 $52,788.95 $21,000.00 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 11 — — $19,704.90 $49,262.25 $20,937.39 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 11 — — $19,176.94 $47,942.35 $20,905.64 2026-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 10 — — $19,869.07 $49,672.67 $20,846.09 2026-08-01
L6975 HCPCS Interscap-thor Myoelectronic 16 9 — — $20,429.48 $51,073.70 $20,838.07 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 11 — — $19,316.86 $48,292.14 $20,836.17 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 11 — — $17,446.30 $43,615.75 $20,787.21 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 11 — — $18,336.18 $45,840.46 $20,605.94 2026-08-01
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 3 2 — — $13,164.00 $23,694.26 $20,603.70 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 11 — — $19,020.23 $47,550.57 $20,569.56 2026-08-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 55 17 $33,229.00 $9,270.00 72% off $348.11 $75,402.42 $20,537.40 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 10 — — $17,798.27 $44,495.68 $20,408.58 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $19,190.62 $47,976.55 $20,342.06 2026-08-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 3 2 — — $13,007.19 $23,380.65 $20,331.00 2026-08-01
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 18 10 — — $20,066.76 $50,816.90 $20,326.76 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 11 — — $19,399.56 $48,498.91 $20,253.99 2026-08-01
263 MS_DRG Vein Ligation And Stripping 19 11 — — $16,678.92 $41,697.31 $20,226.86 2026-08-01
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 22 11 — — $6,406.00 $50,432.91 $20,173.16 2026-08-01
61885 CPT Insrt/redo Neurostim 1 Array 29 14 — — $421.15 $50,432.91 $20,173.16 2026-08-01
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 19 11 — — $17,773.40 $44,433.50 $19,982.74 2026-08-01
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 19 11 — — $17,829.37 $44,573.42 $19,980.10 2026-08-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 11 — — $15,701.36 $39,253.40 $19,940.73 2026-08-01
Q0489 HCPCS Pwr Pck Base Combo Vad Rep 16 9 — — $19,526.62 $48,816.55 $19,917.15 2026-08-01
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 22 11 — — $6,406.00 $50,432.91 $19,722.90 2026-08-01
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 22 11 — — $6,406.00 $50,432.91 $19,722.90 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 10 — — $19,082.42 $47,706.04 $19,690.99 2026-08-01
0680T CPT Insj/rplcmt Pg Only Isdss 21 10 — — $9,175.00 $50,432.91 $19,625.75 2026-08-01
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 29 14 — — $133.02 $50,432.91 $19,625.75 2026-08-01
63655 CPT Implant Neuroelectrodes 29 14 — — $140.40 $50,432.91 $19,625.75 2026-08-01
64580 CPT Opn Impltj Nea Neuromuscular 29 14 — — $52.49 $50,432.91 $19,625.75 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 18 10 — — $18,016.55 $45,041.37 $19,490.54 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 19 11 — — $16,441.37 $41,103.43 $19,477.30 2026-08-01
570 MS_DRG Skin Debridement With Mcc 19 11 — — $18,719.25 $47,917.73 $19,457.46 2026-08-01
133 MS_DRG Other Ear- Nose- Mouth & Throat O.r. Procedures W Cc/mcc 3 2 — — $12,427.08 $22,220.42 $19,322.10 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 19 11 — — $18,135.32 $45,338.31 $19,317.87 2026-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 10 — — $18,288.92 $45,722.30 $19,266.93 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 11 — — $18,239.17 $45,597.93 $19,198.78 2026-08-01
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 19 11 — — $17,464.33 $43,660.84 $19,186.87 2026-08-01
J7310 HCPCS Ganciclovir Long Act Implant 4 1 — — $19,164.80 $19,164.80 $19,164.80 2026-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 11 — — $16,955.03 $42,387.58 $19,102.19 2026-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 11 — — $18,570.00 $46,425.01 $19,092.93 2026-08-01
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 19 11 — — $16,479.31 $41,198.27 $19,065.15 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 9 — — $18,125.37 $45,313.43 $18,988.40 2026-08-01
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