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Hospital

CASS REGIONAL MEDICAL CENTER

Harrisonville, MO · CCN 261324 · Rates published

11,205 distinct procedures filed
24 distinct payers
166,037 rate rows
2026-04-07 last MRF observed
Data quality

165,777 of 166,037 rate rows are consumer-grade (99.8%)

260 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
placeholder amount (≤ $0.02) — excluded from medians 67
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 53
per-diem day rate — not a per-procedure price 49
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 43
percent-of-charges filed in the dollar field — excluded from medians 27
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7984/440665664_cass-regional-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/cassregionalmedicalcenter/7984
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 26b3bceca8ef11ce… · 95,159,139 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $10,100,475.00 $10,100,475.00 $10,100,475.00 nat. median
$3,685,267
outlier · 2.7×
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $8,973,360.00 $8,973,360.00 $8,973,360.00 nat. median
$3,325,455
outlier · 2.7×
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $6,269,331.27 $6,269,331.27 $6,269,331.27 nat. median
$2,455,111
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,391,394.89 $1,391,394.89 $1,391,394.89 nat. median
$621,313
outlier · 2.2×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,380,840.90 $1,380,840.90 $1,380,840.90 nat. median
$599,737
outlier · 2.3×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $1,319,569.35 $1,319,569.35 $1,319,569.35 nat. median
$574,037
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $1,290,066.21 $1,290,066.21 $1,290,066.21 nat. median
$579,571
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $1,223,600.40 $1,223,600.40 $1,223,600.40 nat. median
$513,770
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,223,600.40 $1,223,600.40 $1,223,600.40 nat. median
$562,501
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 1 $317,476.00 $317,476.00 $317,476.00 nat. median
$73,023
outlier · 4.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $277,493.00 $277,493.00 $277,493.00 nat. median
$186,516
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $277,493.00 $277,493.00 $277,493.00 nat. median
$65,418
outlier · 4.2×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $183,510.66 $183,510.66 $183,510.66 nat. median
$92,809
2.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $178,259.99 $178,259.99 $178,259.99 nat. median
$65,477
outlier · 2.7×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $168,250.50 $168,250.50 $168,250.50 nat. median
$66,211
outlier · 2.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $163,462.00 $163,462.00 $163,462.00 nat. median
$44,036
outlier · 3.7×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $145,454.08 $145,454.08 $145,454.08 nat. median
$63,499
outlier · 2.3×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 $144,076.00 $144,076.00 $144,076.00 nat. median
$23,282
outlier · 6.2×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $144,076.00 $144,076.00 $144,076.00 nat. median
$38,173
outlier · 3.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $144,076.00 $144,076.00 $144,076.00 nat. median
$56,428
outlier · 2.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $142,470.00 $142,470.00 $142,470.00 nat. median
$47,458
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $142,470.00 $142,470.00 $142,470.00 nat. median
$69,822
outlier · 2.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $142,470.00 $142,470.00 $142,470.00 nat. median
$45,446
outlier · 3.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $136,412.00 $136,412.00 $136,412.00 nat. median
$43,803
outlier · 3.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $136,412.00 $136,412.00 $136,412.00 nat. median
$60,505
outlier · 2.3×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $134,787.00 $134,787.00 $134,787.00 nat. median
$30,649
outlier · 4.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $134,787.00 $134,787.00 $134,787.00 nat. median
$59,651
outlier · 2.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $134,787.00 $134,787.00 $134,787.00 nat. median
$42,674
outlier · 3.2×
225
MS_DRG 		Ms-DRG Carve Out: 224, 225 1 $130,322.00 $130,322.00 $130,322.00 nat. median
$2,024
outlier · 64.4×
224
MS_DRG 		Ms-DRG Carve Out: 224, 225 1 $130,322.00 $130,322.00 $130,322.00 nat. median
$2,024
outlier · 64.4×
222
MS_DRG 		Ms-DRG Carve Out: 222, 223 1 $128,697.00 $128,697.00 $128,697.00 nat. median
$2,024
outlier · 63.6×
223
MS_DRG 		Ms-DRG Carve Out: 222, 223 1 $128,697.00 $128,697.00 $128,697.00 nat. median
$2,024
outlier · 63.6×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $124,628.01 $124,628.01 $124,628.01 nat. median
$7,098
outlier · 17.6×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 $122,872.00 $122,872.00 $122,872.00 nat. median
$34,616
outlier · 3.5×
J9226
HCPCS 		Supprelin La Implant 1 $121,358.00 $121,358.00 $121,358.00 nat. median
$57,036
outlier · 2.1×
455
MS_DRG 		Ms-DRG Carve Out: 453, 454, 455 1 $105,557.00 $105,557.00 $105,557.00 nat. median
$2,106
outlier · 50.1×
453
MS_DRG 		Ms-DRG Carve Out: 453, 454, 455 1 $105,557.00 $105,557.00 $105,557.00 nat. median
$2,106
outlier · 50.1×
454
MS_DRG 		Ms-DRG Carve Out: 453, 454, 455 1 $105,557.00 $105,557.00 $105,557.00 nat. median
$2,106
outlier · 50.1×
227
MS_DRG 		Ms-DRG Carve Out: 226, 227 1 $101,985.00 $101,985.00 $101,985.00 nat. median
$2,024
outlier · 50.4×
226
MS_DRG 		Ms-DRG Carve Out: 226, 227 1 $101,985.00 $101,985.00 $101,985.00 nat. median
$2,024
outlier · 50.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $100,167.00 $100,167.00 $100,167.00 nat. median
$55,935
1.8× median
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 $100,167.00 $100,167.00 $100,167.00 nat. median
$22,248
outlier · 4.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $95,814.00 $95,814.00 $95,814.00 nat. median
$40,301
outlier · 2.4×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $95,814.00 $95,814.00 $95,814.00 nat. median
$27,920
outlier · 3.4×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $85,824.00 $85,824.00 $85,824.00 nat. median
$38,832
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $85,824.00 $85,824.00 $85,824.00 nat. median
$55,923
1.5× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $85,824.00 $85,824.00 $85,824.00 nat. median
$35,297
outlier · 2.4×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $84,447.00 $84,447.00 $84,447.00 nat. median
$22,934
outlier · 3.7×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $84,447.00 $84,447.00 $84,447.00 nat. median
$35,725
outlier · 2.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $84,047.00 $84,047.00 $84,047.00 nat. median
$43,023
2.0× median

Other procedures at this hospital

Browse this hospital's 11,205 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
             
J9309 HCPCS Nf Polatuzuamab J9309 61 18 $69,510.18 $48,657.13 30% off $338.38 $67,355.36 $33,561.02 2026-04-07
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7 Ml Vi 33 18 $47,605.53 $33,323.88 30% off $74.76 $46,129.76 $24,831.16 2026-04-07
J9228 HCPCS Ipilimumab Yervoy 50mg 33 18 $38,029.92 $26,620.95 30% off $469.41 $36,850.99 $19,850.63 2026-04-07
33231 CPT Insrt Pulse Gen W/mult Leads 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33249 CPT Insj/rplcmt Defib W/lead(s) 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33230 CPT Insrt Pulse Gen W/dual Leads 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33240 CPT Insrt Pulse Gen W/singl Lead 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
69930 CPT Implant Cochlear Device 2 1 — — $57,184.00 $58,867.00 $58,025.50 2026-04-07
61886 CPT Implant Neurostim Arrays 2 1 — — $44,539.00 $58,867.00 $51,703.00 2026-04-07
64568 CPT Opn Impltj Crnl Nrv Nea&pg 2 1 — — $44,539.00 $58,867.00 $51,703.00 2026-04-07
33271 CPT Insj Subq Impltbl Dfb Elctrd 2 1 — — $16,722.00 $72,355.00 $44,538.50 2026-04-07
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 2 1 — — $36,953.00 $44,539.00 $40,746.00 2026-04-07
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 2 1 — — $36,953.00 $44,539.00 $40,746.00 2026-04-07
61885 CPT Insrt/redo Neurostim 1 Array 2 1 — — $36,953.00 $44,539.00 $40,746.00 2026-04-07
33272 CPT Rmvl Of Subq Defibrillator 2 1 — — $6,276.00 $72,355.00 $39,315.50 2026-04-07
62361 CPT Implant Spine Infusion Pump 2 1 — — $30,209.00 $36,953.00 $33,581.00 2026-04-07
62362 CPT Implant Spine Infusion Pump 2 1 — — $30,209.00 $36,953.00 $33,581.00 2026-04-07
93653 CPT Compre Ep Eval Tx Svt 2 1 — — $25,153.00 $37,794.00 $31,473.50 2026-04-07
93656 CPT Compre Ep Eval Abltj Atr Fib 2 1 — — $25,153.00 $37,794.00 $31,473.50 2026-04-07
93654 CPT Compre Ep Eval Tx Vt 2 1 — — $25,153.00 $37,794.00 $31,473.50 2026-04-07
64580 CPT Opn Impltj Nea Neuromuscular 2 1 — — $16,722.00 $44,539.00 $30,630.50 2026-04-07
64575 CPT Opn Impltj Nea Perph Nerve 2 1 — — $16,722.00 $44,539.00 $30,630.50 2026-04-07
63655 CPT Implant Neuroelectrodes 2 1 — — $16,722.00 $44,539.00 $30,630.50 2026-04-07
54416 CPT Remv/repl Penis Contain Pros 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
54401 CPT Insert Self-contd Prosthesis 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
54410 CPT Remove/replace Penis Prosth 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
54405 CPT Insert Multi-comp Penis Pros 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
33224 CPT Insert Pacing Lead & Connect 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
33225 CPT L Ventric Pacing Lead Add-on 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
33208 CPT Insrt Heart Pm Atrial & Vent 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
33214 CPT Upgrade Of Pacemaker System 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
64553 CPT Implant Neuroelectrodes 2 1 — — $10,567.00 $44,539.00 $27,553.00 2026-04-07
64555 CPT Implant Neuroelectrodes 2 1 — — $10,567.00 $44,539.00 $27,553.00 2026-04-07
64561 CPT Implant Neuroelectrodes 2 1 — — $10,567.00 $44,539.00 $27,553.00 2026-04-07
23470 CPT Reconstruct Shoulder Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
23472 CPT Reconstruct Shoulder Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27446 CPT Revision Of Knee Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27447 CPT Total Knee Arthroplasty 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27132 CPT Total Hip Arthroplasty 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27487 CPT Revise/replace Knee Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27486 CPT Revise/replace Knee Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27134 CPT Revise Hip Joint Replacement 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27130 CPT Total Hip Arthroplasty 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27137 CPT Revise Hip Joint Replacement 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27138 CPT Revise Hip Joint Replacement 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
93580 CPT Transcath Closure Of Asd 2 1 — — $25,153.00 $27,126.00 $26,139.50 2026-04-07
93581 CPT Transcath Closure Of Vsd 2 1 — — $25,153.00 $27,126.00 $26,139.50 2026-04-07
63620 CPT Srs Spinal Lesion 2 1 — — $10,567.00 $39,154.00 $24,860.50 2026-04-07
61796 CPT Srs Cranial Lesion Simple 2 1 — — $10,567.00 $39,154.00 $24,860.50 2026-04-07
61798 CPT Srs Cranial Lesion Complex 2 1 — — $10,567.00 $39,154.00 $24,860.50 2026-04-07
93650 CPT Icar Cath Abltj Av Node Func 2 1 — — $10,567.00 $37,794.00 $24,180.50 2026-04-07
54400 CPT Insert Semi-rigid Prosthesis 2 1 — — $16,722.00 $30,413.00 $23,567.50 2026-04-07
33228 CPT Remv&replc Pm Gen Dual Lead 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33227 CPT Remove&replace Pm Gen Singl 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33229 CPT Remv&replc Pm Gen Mult Leads 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33221 CPT Insert Pulse Gen Mult Leads 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33207 CPT Insert Heart Pm Ventricular 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33206 CPT Insert Heart Pm Atrial 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33212 CPT Insert Pulse Gen Sngl Lead 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33213 CPT Insert Pulse Gen Dual Leads 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
27438 CPT Revise Kneecap With Implant 2 1 — — $10,567.00 $36,164.00 $23,365.50 2026-04-07
27440 CPT Revision Of Knee Joint 2 1 — — $10,171.00 $36,164.00 $23,167.50 2026-04-07
27437 CPT Revise Kneecap 2 1 — — $10,171.00 $36,164.00 $23,167.50 2026-04-07
23473 CPT Revis Reconst Shoulder Joint 2 1 — — $10,171.00 $36,164.00 $23,167.50 2026-04-07
92925 CPT Percutaneous Cardiovascular Procedure (ptca) W/out Stent 2 1 — — $16,722.00 $29,198.00 $22,960.00 2026-04-07
92924 CPT Prq Trluml C Athrc 1 Art&/br 2 1 — — $16,722.00 $29,198.00 $22,960.00 2026-04-07
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
C9600 HCPCS Perc Drug-el Cor Stent Sing 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
C9602 HCPCS Perc D-e Cor Stent Ather S 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
36906 CPT Thrmbc/nfs Dialysis Circuit 2 1 — — $5,597.00 $36,953.00 $21,275.00 2026-04-07
63621 CPT Srs Spinal Lesion Addl 2 1 — — $2,869.00 $39,154.00 $21,011.50 2026-04-07
61799 CPT Srs Cran Les Complex Addl 2 1 — — $2,869.00 $39,154.00 $21,011.50 2026-04-07
61797 CPT Srs Cran Les Simple Addl 2 1 — — $2,869.00 $39,154.00 $21,011.50 2026-04-07
36260 CPT Insertion Of Infusion Pump 2 1 — — $10,567.00 $30,209.00 $20,388.00 2026-04-07
37236 CPT Open/perq Place Stent 1st 2 1 — — $16,722.00 $23,866.00 $20,294.00 2026-04-07
37238 CPT Open/perq Place Stent Same 2 1 — — $16,722.00 $23,866.00 $20,294.00 2026-04-07
62360 CPT Insert Spine Infusion Device 2 1 — — $10,171.00 $30,209.00 $20,190.00 2026-04-07
61215 CPT Ins Subq Rsvr Pmp/nfs Sys 2 1 — — $10,171.00 $30,209.00 $20,190.00 2026-04-07
55873 CPT Cryoablate Prostate 2 1 — — $16,722.00 $23,617.00 $20,169.50 2026-04-07
61800 CPT Apply Srs Headframe Add-on 2 1 — — $1,160.00 $39,154.00 $20,157.00 2026-04-07
92921 CPT Percutaneous Cardiovascular Procedure (ptca) W/out Stent 2 1 — — $10,567.00 $29,198.00 $19,882.50 2026-04-07
92920 CPT Prq Trluml C Angiop 1art&/br 2 1 — — $10,567.00 $29,198.00 $19,882.50 2026-04-07
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $10,485.00 $28,522.00 $19,503.50 2026-04-07
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 2 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
93655 CPT Icar Cath Abltj Dscrt Arrhyt 2 1 — — $1,160.00 $37,794.00 $19,477.00 2026-04-07
93657 CPT Tx L/r Atrial Fib Addl 2 1 — — $1,160.00 $37,794.00 $19,477.00 2026-04-07
22849 CPT Reinsert Spinal Fixation 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22610 CPT Arthrd Pst Tq 1ntrspc Thrc 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22857 CPT Tot Disc Arthrp 1ntrspc Lmbr 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22590 CPT Arthrd Pst Tq Craniocervical 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $10,100,475.00 $10,100,475.00 $10,100,475.00 2026-04-07
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $8,973,360.00 $8,973,360.00 $8,973,360.00 2026-04-07
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $6,269,331.27 $6,269,331.27 $6,269,331.27 2026-04-07
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,391,394.89 $1,391,394.89 $1,391,394.89 2026-04-07
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $1,380,840.90 $1,380,840.90 $1,380,840.90 2026-04-07
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $1,319,569.35 $1,319,569.35 $1,319,569.35 2026-04-07
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $1,290,066.21 $1,290,066.21 $1,290,066.21 2026-04-07
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $1,223,600.40 $1,223,600.40 $1,223,600.40 2026-04-07
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $1,223,600.40 $1,223,600.40 $1,223,600.40 2026-04-07
215 MS_DRG Other Heart Assist System Implant 1 1 — — $317,476.00 $317,476.00 $317,476.00 2026-04-07
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $277,493.00 $277,493.00 $277,493.00 2026-04-07
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $277,493.00 $277,493.00 $277,493.00 2026-04-07
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $183,510.66 $183,510.66 $183,510.66 2026-04-07
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $178,259.99 $178,259.99 $178,259.99 2026-04-07
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $168,250.50 $168,250.50 $168,250.50 2026-04-07
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $163,462.00 $163,462.00 $163,462.00 2026-04-07
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $145,454.08 $145,454.08 $145,454.08 2026-04-07
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $144,076.00 $144,076.00 $144,076.00 2026-04-07
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $144,076.00 $144,076.00 $144,076.00 2026-04-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $144,076.00 $144,076.00 $144,076.00 2026-04-07
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $142,470.00 $142,470.00 $142,470.00 2026-04-07
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $142,470.00 $142,470.00 $142,470.00 2026-04-07
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $142,470.00 $142,470.00 $142,470.00 2026-04-07
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $136,412.00 $136,412.00 $136,412.00 2026-04-07
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $136,412.00 $136,412.00 $136,412.00 2026-04-07
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $134,787.00 $134,787.00 $134,787.00 2026-04-07
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $134,787.00 $134,787.00 $134,787.00 2026-04-07
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $134,787.00 $134,787.00 $134,787.00 2026-04-07
225 MS_DRG Ms-DRG Carve Out: 224, 225 1 1 — — $130,322.00 $130,322.00 $130,322.00 2026-04-07
224 MS_DRG Ms-DRG Carve Out: 224, 225 1 1 — — $130,322.00 $130,322.00 $130,322.00 2026-04-07
222 MS_DRG Ms-DRG Carve Out: 222, 223 1 1 — — $128,697.00 $128,697.00 $128,697.00 2026-04-07
223 MS_DRG Ms-DRG Carve Out: 222, 223 1 1 — — $128,697.00 $128,697.00 $128,697.00 2026-04-07
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $124,628.01 $124,628.01 $124,628.01 2026-04-07
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $122,872.00 $122,872.00 $122,872.00 2026-04-07
J9226 HCPCS Supprelin La Implant 1 1 — — $121,358.00 $121,358.00 $121,358.00 2026-04-07
455 MS_DRG Ms-DRG Carve Out: 453, 454, 455 1 1 — — $105,557.00 $105,557.00 $105,557.00 2026-04-07
454 MS_DRG Ms-DRG Carve Out: 453, 454, 455 1 1 — — $105,557.00 $105,557.00 $105,557.00 2026-04-07
453 MS_DRG Ms-DRG Carve Out: 453, 454, 455 1 1 — — $105,557.00 $105,557.00 $105,557.00 2026-04-07
226 MS_DRG Ms-DRG Carve Out: 226, 227 1 1 — — $101,985.00 $101,985.00 $101,985.00 2026-04-07
227 MS_DRG Ms-DRG Carve Out: 226, 227 1 1 — — $101,985.00 $101,985.00 $101,985.00 2026-04-07
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $100,167.00 $100,167.00 $100,167.00 2026-04-07
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $100,167.00 $100,167.00 $100,167.00 2026-04-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $95,814.00 $95,814.00 $95,814.00 2026-04-07
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $95,814.00 $95,814.00 $95,814.00 2026-04-07
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $85,824.00 $85,824.00 $85,824.00 2026-04-07
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $85,824.00 $85,824.00 $85,824.00 2026-04-07
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $85,824.00 $85,824.00 $85,824.00 2026-04-07
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $84,447.00 $84,447.00 $84,447.00 2026-04-07
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $84,447.00 $84,447.00 $84,447.00 2026-04-07
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $84,047.00 $84,047.00 $84,047.00 2026-04-07
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $84,047.00 $84,047.00 $84,047.00 2026-04-07
460 MS_DRG Ms-DRG Carve Out: 459, 460 1 1 — — $82,399.00 $82,399.00 $82,399.00 2026-04-07
459 MS_DRG Ms-DRG Carve Out: 459, 460 1 1 — — $82,399.00 $82,399.00 $82,399.00 2026-04-07
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $71,451.00 $71,451.00 $71,451.00 2026-04-07
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $71,451.00 $71,451.00 $71,451.00 2026-04-07
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $71,241.00 $71,241.00 $71,241.00 2026-04-07
J9266 HCPCS Pegaspargase Injection 1 1 — — $70,190.03 $70,190.03 $70,190.03 2026-04-07
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
245 MS_DRG Aicd Generator Procedures 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
265 MS_DRG Aicd Lead Procedures 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $65,835.00 $65,835.00 $65,835.00 2026-04-07
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $62,149.66 $62,149.66 $62,149.66 2026-04-07
33289 CPT Tcat Impl Wrls P-art Prs Snr 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0408T CPT Insj/rplc Cardiac Modulj Sys 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0100T CPT Prosth Retina Receive&gen 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0571T CPT Insj/rplcmt Icds Ss Eltrd 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0515T CPT Insj Wcs Lv Compl Sys 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0409T CPT Insj/rplc Car Modulj Pls Gn 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $53,590.00 $53,590.00 $53,590.00 2026-04-07
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 1 1 — — $53,590.00 $53,590.00 $53,590.00 2026-04-07
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 1 1 — — $53,590.00 $53,590.00 $53,590.00 2026-04-07
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $52,169.00 $52,169.00 $52,169.00 2026-04-07
247 MS_DRG Ms-DRG Carve Out: 247 1 1 — — $51,354.00 $51,354.00 $51,354.00 2026-04-07
246 MS_DRG Ms-DRG Carve Out: 246 1 1 — — $51,354.00 $51,354.00 $51,354.00 2026-04-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $48,718.00 $48,718.00 $48,718.00 2026-04-07
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $48,718.00 $48,718.00 $48,718.00 2026-04-07
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $48,718.00 $48,718.00 $48,718.00 2026-04-07
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $47,373.00 $47,373.00 $47,373.00 2026-04-07
A9604 HCPCS Sm 153 Lexidronam 1 1 — — $46,989.94 $46,989.94 $46,989.94 2026-04-07
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 1 1 — — $45,472.00 $45,472.00 $45,472.00 2026-04-07
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $45,472.00 $45,472.00 $45,472.00 2026-04-07
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $45,472.00 $45,472.00 $45,472.00 2026-04-07
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $44,875.00 $44,875.00 $44,875.00 2026-04-07
64565 CPT Neurostimulator 1 1 — — $44,539.00 $44,539.00 $44,539.00 2026-04-07
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $43,848.00 $43,848.00 $43,848.00 2026-04-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $43,848.00 $43,848.00 $43,848.00 2026-04-07
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $43,848.00 $43,848.00 $43,848.00 2026-04-07
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $43,488.00 $43,488.00 $43,488.00 2026-04-07
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $43,488.00 $43,488.00 $43,488.00 2026-04-07
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $43,488.00 $43,488.00 $43,488.00 2026-04-07
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $42,180.00 $42,180.00 $42,180.00 2026-04-07
254 MS_DRG Other Vascular Procedures Without Cc/mcc 1 1 — — $42,180.00 $42,180.00 $42,180.00 2026-04-07
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $42,180.00 $42,180.00 $42,180.00 2026-04-07
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
249 MS_DRG Ms-DRG Carve Out: 248, 249, 250, 251 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
248 MS_DRG Ms-DRG Carve Out: 248, 249, 250, 251 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $40,786.00 $40,786.00 $40,786.00 2026-04-07
77372 CPT Srs Linear Based 1 1 — — $39,154.00 $39,154.00 $39,154.00 2026-04-07
77371 CPT Srs Multisource 1 1 — — $39,154.00 $39,154.00 $39,154.00 2026-04-07
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 1 1 — — $38,741.00 $38,741.00 $38,741.00 2026-04-07
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $38,741.00 $38,741.00 $38,741.00 2026-04-07
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $38,741.00 $38,741.00 $38,741.00 2026-04-07
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 1 1 — — $38,327.00 $38,327.00 $38,327.00 2026-04-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $38,327.00 $38,327.00 $38,327.00 2026-04-07
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $38,327.00 $38,327.00 $38,327.00 2026-04-07
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $38,243.00 $38,243.00 $38,243.00 2026-04-07
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $38,243.00 $38,243.00 $38,243.00 2026-04-07
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 1 1 — — $38,243.00 $38,243.00 $38,243.00 2026-04-07
C9782 HCPCS Blind Myocar Trpl Bon Marrow 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
0308T CPT Insj Ocular Telescope Prosth 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33274 CPT Tcat Insj/rpl Perm Ldls Pm 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
0268T CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
93590 CPT Perq Transcath Cls Mitral 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
93591 CPT Perq Transcath Cls Aortic 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
C9758 HCPCS Blind Interatrial Shunt Ide 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
0266T CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
37227 CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
37231 CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33967 CPT Insert I-aort Percut Device 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33968 CPT Remove Aortic Assist Device 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 — — $35,728.00 $35,728.00 $35,728.00 2026-04-07
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $35,728.00 $35,728.00 $35,728.00 2026-04-07
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $35,728.00 $35,728.00 $35,728.00 2026-04-07
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $34,955.00 $34,955.00 $34,955.00 2026-04-07
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $34,955.00 $34,955.00 $34,955.00 2026-04-07
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 1 — — $34,955.00 $34,955.00 $34,955.00 2026-04-07
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $34,594.00 $34,594.00 $34,594.00 2026-04-07
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $34,594.00 $34,594.00 $34,594.00 2026-04-07
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 — — $34,594.00 $34,594.00 $34,594.00 2026-04-07
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $32,729.00 $32,729.00 $32,729.00 2026-04-07
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $32,729.00 $32,729.00 $32,729.00 2026-04-07
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $32,729.00 $32,729.00 $32,729.00 2026-04-07
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 1 1 — — $32,691.27 $32,691.27 $32,691.27 2026-04-07
Q4244 HCPCS Drug Pass Throughs 1 1 — — $32,342.49 $32,342.49 $32,342.49 2026-04-07
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $31,650.00 $31,650.00 $31,650.00 2026-04-07
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 — — $30,979.00 $30,979.00 $30,979.00 2026-04-07
77373 CPT Strtctc Bdy Rad Ther Tx Dlvr 1 1 — — $28,911.00 $28,911.00 $28,911.00 2026-04-07
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 1 1 — — $27,124.00 $27,124.00 $27,124.00 2026-04-07
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 1 — — $26,985.00 $26,985.00 $26,985.00 2026-04-07
J9216 HCPCS Interferon Gamma 1-b Inj 1 1 — — $26,600.24 $26,600.24 $26,600.24 2026-04-07
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 1 1 — — $25,409.00 $25,409.00 $25,409.00 2026-04-07
53447 CPT Remove/replace Ur Sphincter 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
33824 CPT Repair Pda Div 18 Yrs&older 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
33820 CPT Repair Pda By Ligation 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
93582 CPT Perq Transcath Closure Pda 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $25,152.00 $25,152.00 $25,152.00 2026-04-07
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $24,603.00 $24,603.00 $24,603.00 2026-04-07
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $24,603.00 $24,603.00 $24,603.00 2026-04-07
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 — — $24,603.00 $24,603.00 $24,603.00 2026-04-07
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 1 1 — — $24,196.00 $24,196.00 $24,196.00 2026-04-07
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $24,196.00 $24,196.00 $24,196.00 2026-04-07
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 1 1 — — $24,196.00 $24,196.00 $24,196.00 2026-04-07
75736 CPT Artery X-rays Pelvis 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75726 CPT Artery X-rays Abdomen 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75842 CPT Other Diagnostic Radiology 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75893 CPT Venous Sampling By Catheter 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75605 CPT Contrast Exam Thoracic Aorta 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75705 CPT Artery X-rays Spine 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 1 1 — — $24,149.00 $24,149.00 $24,149.00 2026-04-07
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 — — $24,149.00 $24,149.00 $24,149.00 2026-04-07
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $24,149.00 $24,149.00 $24,149.00 2026-04-07
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 1 1 — — $23,216.00 $23,216.00 $23,216.00 2026-04-07
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 1 1 — — $22,168.00 $22,168.00 $22,168.00 2026-04-07
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $22,168.00 $22,168.00 $22,168.00 2026-04-07
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $22,168.00 $22,168.00 $22,168.00 2026-04-07
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $21,927.00 $21,927.00 $21,927.00 2026-04-07
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 — — $21,642.00 $21,642.00 $21,642.00 2026-04-07
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 1 — — $21,642.00 $21,642.00 $21,642.00 2026-04-07
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 — — $21,642.00 $21,642.00 $21,642.00 2026-04-07
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 1 1 — — $20,941.00 $20,941.00 $20,941.00 2026-04-07
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 1 1 — — $20,548.00 $20,548.00 $20,548.00 2026-04-07
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $20,548.00 $20,548.00 $20,548.00 2026-04-07
38 MS_DRG Extracranial Procedures With Cc 1 1 — — $19,810.00 $19,810.00 $19,810.00 2026-04-07
39 MS_DRG Extracranial Procedures Without Cc/mcc 1 1 — — $19,810.00 $19,810.00 $19,810.00 2026-04-07
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $19,810.00 $19,810.00 $19,810.00 2026-04-07
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
504 MS_DRG Foot Procedures With Cc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
503 MS_DRG Foot Procedures With Mcc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
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