Price Transparencybeta Hospital negotiated rates

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

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Hospital

BOZEMAN HEALTH DEACONESS HOSPITAL

Bozeman, MT · CCN 270057 · Rates published

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HC ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS

This hospital’s price: $4,606 across 20 payers · range $1,217-$14,332

Source: https://bozemanhealth.org/wp-content/uploads/2026/02/474717998_deaconess-regional-medical-center_standardcharges.json · observed 2026-01-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

20,712 distinct procedures filed
20 distinct payers
446,985 rate rows
2026-01-16 last MRF observed
Data quality

335,050 of 446,985 rate rows are consumer-grade (75.0%)

111,935 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 101,320
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,055
exceeds 10× this hospital's gross charge — excluded from medians 503
placeholder amount (≤ $0.02) — excluded from medians 45
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bozemanhealth.org/wp-content/uploads/2026/02/474717998_deaconess-regional-medical-center_standardcharges.json
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-08-03
Content fingerprint 85d0582f4b5958a7… · 2,169,157 bytes · first seen 2026-05-13

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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 20 $3,973,410.00 $4,132,346.40 $4,052,878.20 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 20 $3,973,410.00 $4,132,346.40 $4,052,878.20 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 20 $3,557,628.00 $3,699,933.12 $3,628,780.56 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 20 $3,419,703.00 $3,556,491.12 $3,488,097.06 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 20 $3,178,728.00 $3,305,877.12 $3,242,302.56 nat. median
$2,997,086
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 20 $2,574,104.32 $2,677,068.49 $2,625,586.40 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 20 $2,497,572.00 $2,597,474.88 $2,547,523.44 nat. median
$2,405,851
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $502,733.22 $630,014.46 $566,373.84 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 20 $500,767.26 $614,080.42 $557,423.84 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 20 $500,258.21 $588,455.51 $544,356.86 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 20 $490,889.78 $575,282.73 $533,086.26 nat. median
$624,417
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 20 $464,983.16 $545,243.78 $505,113.47 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 20 $437,503.88 $543,611.30 $490,557.59 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $288,672.27 $315,482.64 $302,077.46 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $215,613.99 $333,832.75 $274,723.37 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $181,585.95 $228,712.40 $205,149.17 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $164,047.98 $224,561.55 $194,304.77 nat. median
$199,832
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $108,157.95 $144,087.52 $126,122.74 nat. median
$132,706
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $100,287.60 $104,299.10 $102,293.35 nat. median
$114,305
0.9× median
7
MS_DRG 		Lung Transplant 20 $100,035.01 $104,036.41 $102,035.71 nat. median
$122,690
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $81,515.73 $118,381.55 $99,948.64 nat. median
$99,646
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $84,350.19 $106,241.66 $95,295.93 nat. median
$108,240
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $83,387.25 $105,028.28 $94,207.76 nat. median
$100,978
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $61,703.61 $113,118.07 $87,410.84 nat. median
$77,385
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $73,874.25 $99,688.36 $86,781.30 nat. median
$92,900
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 20 $81,097.80 $92,124.92 $86,611.36 nat. median
$98,002
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $70,512.40 $83,311.62 $76,912.01 nat. median
$81,364
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $51,321.06 $93,069.05 $72,195.05 nat. median
$62,262
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $63,843.04 $80,412.36 $72,127.70 nat. median
$81,124
0.9× median
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 20 $26,580.22 $117,544.26 $72,062.24 nat. median
$35,222
outlier · 2.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 20 $52,267.16 $86,942.21 $69,604.68 nat. median
$64,357
1.1× median
10
MS_DRG 		Pancreas Transplant 20 $61,029.25 $76,867.75 $68,948.50 nat. median
$67,750
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $60,679.44 $76,427.39 $68,553.41 nat. median
$69,153
1.0× median
S2068
HCPCS 		Breast Diep Or Siea Flap 9 $66,009.41 $66,009.41 $66,009.41 nat. median
$4,179
outlier · 15.8×
A9543
HCPCS 		Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 20 $60,859.09 $93,368.00 $65,357.60 nat. median
$63,643
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $61,607.12 $67,420.51 $64,513.82 nat. median
$80,459
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 $59,830.56 $68,160.42 $63,995.49 nat. median
$73,475
0.9× median
38240
CPT 		Transplt Allo Hct/donor 14 $226.24 $65,875.10 $63,341.44 nat. median
$13,835
outlier · 4.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $59,226.62 $66,070.66 $62,648.64 nat. median
$74,472
0.8× median
834
MS_DRG 		Acute Leukemia With Mcc 20 $42,308.67 $79,096.49 $60,702.58 nat. median
$52,155
1.2× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 300 Billion Viral Particles/ml Is Susp 20 $23,333.10 $70,619.72 $60,187.03 nat. median
$69,291
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $53,248.46 $66,154.91 $59,701.68 nat. median
$65,958
0.9× median
J7352
HCPCS 		Afamelanotide Acetate 16 Mg Sc Impl 20 $3,077.34 $85,150.00 $59,605.00 nat. median
$3,403
outlier · 17.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $51,456.23 $67,457.93 $59,457.08 nat. median
$79,040
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 $57,134.65 $59,420.04 $58,277.35 nat. median
$71,485
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 20 $52,264.47 $61,858.77 $57,061.62 nat. median
$65,655
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $54,094.28 $56,560.77 $55,327.53 nat. median
$68,581
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 $47,353.74 $62,160.39 $54,757.07 nat. median
$59,832
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 20 $48,409.29 $60,973.07 $54,691.18 nat. median
$60,294
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 20 $49,503.12 $58,410.81 $53,956.96 nat. median
$62,218
0.9× median

Other procedures at this hospital

Browse this hospital's 20,712 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 27 20 — — $3,973,410.00 $4,132,346.40 $4,052,878.20 2026-01-16
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 27 20 — — $3,973,410.00 $4,132,346.40 $4,052,878.20 2026-01-16
J1413 HCPCS Inj Delandistrogene Mox Rokl 27 20 — — $3,557,628.00 $3,699,933.12 $3,628,780.56 2026-01-16
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 27 20 — — $3,419,703.00 $3,556,491.12 $3,488,097.06 2026-01-16
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 27 20 — — $3,178,728.00 $3,305,877.12 $3,242,302.56 2026-01-16
J3399 HCPCS Inj Onase Abepar-xioi Treat 27 20 — — $2,574,104.32 $2,677,068.49 $2,625,586.40 2026-01-16
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 27 20 — — $2,497,572.00 $2,597,474.88 $2,547,523.44 2026-01-16
Q2042 HCPCS Tisagenlecleucel Car-pos T 27 20 — — $502,733.22 $630,014.46 $566,373.84 2026-01-16
Q2056 HCPCS Ciltacabtagene Car-pos T 27 20 — — $500,767.26 $614,080.42 $557,423.84 2026-01-16
Q2055 HCPCS Idecabtagene Vicleucel Car 27 20 — — $500,258.21 $588,455.51 $544,356.86 2026-01-16
Q2054 HCPCS Lisocabtagene Mara Car Pos T 27 20 — — $490,889.78 $575,282.73 $533,086.26 2026-01-16
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 27 20 — — $464,983.16 $545,243.78 $505,113.47 2026-01-16
Q2053 HCPCS Brexucabtagene Car Pos T 27 20 — — $437,503.88 $543,611.30 $490,557.59 2026-01-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 20 — — $288,672.27 $315,482.64 $302,077.46 2026-01-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 20 — — $215,613.99 $333,832.75 $274,723.37 2026-01-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 20 — — $181,585.95 $228,712.40 $205,149.17 2026-01-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 20 — — $164,047.98 $224,561.55 $194,304.77 2026-01-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 20 — — $108,157.95 $144,087.52 $126,122.74 2026-01-16
14 MS_DRG Allogeneic Bone Marrow Transplant 27 20 — — $100,287.60 $104,299.10 $102,293.35 2026-01-16
7 MS_DRG Lung Transplant 27 20 — — $100,035.01 $104,036.41 $102,035.71 2026-01-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 20 — — $81,515.73 $118,381.55 $99,948.64 2026-01-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 20 — — $84,350.19 $106,241.66 $95,295.93 2026-01-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 20 — — $83,387.25 $105,028.28 $94,207.76 2026-01-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 20 — — $61,703.61 $113,118.07 $87,410.84 2026-01-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 20 — — $73,874.25 $99,688.36 $86,781.30 2026-01-16
215 MS_DRG Other Heart Assist System Implant 27 20 — — $81,097.80 $92,124.92 $86,611.36 2026-01-16
850 MS_DRG Acute Leukemia With Other Procedures 27 20 — — $70,512.40 $83,311.62 $76,912.01 2026-01-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 20 — — $51,321.06 $93,069.05 $72,195.05 2026-01-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 20 — — $63,843.04 $80,412.36 $72,127.70 2026-01-16
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 20 — — $26,580.22 $117,544.26 $72,062.24 2026-01-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 20 — — $52,267.16 $86,942.21 $69,604.68 2026-01-16
10 MS_DRG Pancreas Transplant 27 20 — — $61,029.25 $76,867.75 $68,948.50 2026-01-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 20 — — $60,679.44 $76,427.39 $68,553.41 2026-01-16
S2068 HCPCS Breast Diep Or Siea Flap 14 9 — — $66,009.41 $66,009.41 $66,009.41 2026-01-16
A9543 HCPCS Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 27 20 $93,368.00 $74,694.40 20% off $60,859.09 $93,368.00 $65,357.60 2026-01-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 20 — — $61,607.12 $67,420.51 $64,513.82 2026-01-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 20 — — $59,830.56 $68,160.42 $63,995.49 2026-01-16
38240 CPT Transplt Allo Hct/donor 14 14 — — $226.24 $65,875.10 $63,341.44 2026-01-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $59,226.62 $66,070.66 $62,648.64 2026-01-16
834 MS_DRG Acute Leukemia With Mcc 27 20 — — $42,308.67 $79,096.49 $60,702.58 2026-01-16
J9029 HCPCS Nadofaragene Firadenovec-vncg 300 Billion Viral Particles/ml Is Susp 27 20 $33,333.00 $26,666.40 $23,333.10 $70,619.72 $60,187.03 2026-01-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 20 — — $53,248.46 $66,154.91 $59,701.68 2026-01-16
J7352 HCPCS Afamelanotide Acetate 16 Mg Sc Impl 27 20 $85,150.00 $68,120.00 20% off $3,077.34 $85,150.00 $59,605.00 2026-01-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 20 — — $51,456.23 $67,457.93 $59,457.08 2026-01-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 20 — — $57,134.65 $59,420.04 $58,277.35 2026-01-16
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 27 20 — — $52,264.47 $61,858.77 $57,061.62 2026-01-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 20 — — $54,094.28 $56,560.77 $55,327.53 2026-01-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 20 — — $47,353.74 $62,160.39 $54,757.07 2026-01-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 20 — — $48,409.29 $60,973.07 $54,691.18 2026-01-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 20 — — $49,503.12 $58,410.81 $53,956.96 2026-01-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 20 — — $47,137.88 $59,371.44 $53,254.66 2026-01-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 20 — — $46,973.31 $59,163.85 $53,068.58 2026-01-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 20 — — $46,758.99 $58,894.60 $52,826.79 2026-01-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 20 — — $46,201.74 $58,191.93 $52,196.83 2026-01-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 20 — — $45,538.86 $57,357.24 $51,448.05 2026-01-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 20 — — $17,637.89 $83,391.20 $50,514.54 2026-01-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 20 — — $43,932.18 $55,148.49 $49,540.33 2026-01-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 20 — — $43,669.63 $54,975.64 $49,322.64 2026-01-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 20 — — $41,302.87 $57,236.51 $49,269.69 2026-01-16
266T OTHER Implt/rpl Crtd Sns Dev Total 27 20 — — $48,195.54 $50,123.36 $49,159.45 2026-01-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 20 — — $45,040.55 $52,525.43 $48,782.99 2026-01-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 20 — — $45,617.76 $51,409.21 $48,513.49 2026-01-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 20 — — $40,723.42 $55,905.01 $48,314.21 2026-01-16
33276 CPT Insj Phrnc Nrv Stim Sys 14 14 — — $537.67 $50,123.36 $48,195.54 2026-01-16
6 MS_DRG Liver Transplant Without Mcc 27 20 — — $37,118.16 $57,591.75 $47,354.96 2026-01-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 20 — — $38,144.62 $56,123.02 $47,133.82 2026-01-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 20 — — $41,648.85 $52,457.68 $47,053.26 2026-01-16
J9226 HCPCS Supprelin La Implant 27 20 — — $43,082.71 $50,414.41 $46,748.56 2026-01-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 20 — — $41,298.27 $52,016.45 $46,657.36 2026-01-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 20 — — $39,421.39 $52,944.08 $46,182.74 2026-01-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 20 — — $41,341.90 $50,726.64 $46,034.27 2026-01-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 20 — — $43,627.01 $48,049.81 $45,838.41 2026-01-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 20 — — $41,873.89 $49,135.43 $45,504.66 2026-01-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 20 — — $29,258.52 $61,719.16 $45,488.84 2026-01-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 20 — — $42,308.67 $47,288.87 $44,798.77 2026-01-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 20 — — $42,859.20 $46,349.41 $44,604.31 2026-01-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 27 20 — — $29,554.75 $57,561.35 $43,558.05 2026-01-16
28 MS_DRG Spinal Procedures With Mcc 27 20 — — $38,611.06 $48,396.90 $43,503.98 2026-01-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $40,543.54 $45,525.69 $43,034.61 2026-01-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 20 — — $36,388.68 $48,620.37 $42,504.53 2026-01-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 20 — — $41,553.93 $43,216.09 $42,385.01 2026-01-16
245 MS_DRG Aicd Generator Procedures 27 20 — — $37,405.96 $47,113.42 $42,259.69 2026-01-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 20 — — $34,328.09 $50,102.14 $42,215.11 2026-01-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 20 — — $31,133.87 $53,070.89 $42,102.38 2026-01-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 20 — — $36,483.96 $47,690.78 $42,087.37 2026-01-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 20 — — $29,882.01 $53,168.52 $41,525.26 2026-01-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 20 — — $38,327.57 $44,191.58 $41,259.57 2026-01-16
799 MS_DRG Splenic Procedures With Mcc 27 20 — — $36,395.57 $45,840.98 $41,118.28 2026-01-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 20 — — $35,607.92 $46,534.09 $41,071.00 2026-01-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 20 — — $32,723.08 $49,311.58 $41,017.33 2026-01-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 20 — — $35,819.19 $46,183.19 $41,001.19 2026-01-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 20 — — $36,554.02 $45,426.67 $40,990.35 2026-01-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 20 — — $38,877.16 $41,968.93 $40,423.04 2026-01-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 20 — — $38,996.57 $40,958.79 $39,977.68 2026-01-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 20 — — $38,282.40 $41,187.22 $39,734.81 2026-01-16
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/per Open Or Percutaneous Tibial/peroneal Artery(ies)… 27 20 $56,312.00 $45,049.60 20% off $19,231.65 $56,312.00 $39,418.40 2026-01-16
C9774 HCPCS Hc Revasc Lithotr-ather Tib/per 27 20 $56,312.00 $45,049.60 20% off $19,231.65 $56,312.00 $39,418.40 2026-01-16
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 27 20 $56,312.00 $45,049.60 20% off $12,145.75 $56,312.00 $39,418.40 2026-01-16
C9773 HCPCS Hc Revasc Lithotr-stent Tib/per 27 20 $56,312.00 $45,049.60 20% off $19,231.65 $56,312.00 $39,418.40 2026-01-16
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 27 20 $56,312.00 $45,049.60 20% off $19,231.65 $56,312.00 $39,418.40 2026-01-16
C9767 HCPCS Hc Revasc Lithotrip-stent-ather Open Or Percutaneous Lower Extremity Artery(ies)… 27 20 $56,312.00 $45,049.60 20% off $19,231.65 $56,312.00 $39,418.40 2026-01-16
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 27 20 $56,312.00 $45,049.60 20% off $19,231.65 $56,312.00 $39,418.40 2026-01-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 20 — — $32,603.54 $45,938.25 $39,270.89 2026-01-16
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 20 — — $26,800.67 $50,658.02 $38,729.35 2026-01-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 20 — — $26,072.73 $51,317.26 $38,695.00 2026-01-16
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 20 — — $27,016.52 $49,736.48 $38,376.50 2026-01-16
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 27 20 — — $37,485.54 $38,984.96 $38,235.25 2026-01-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 20 — — $31,458.43 $44,906.40 $38,182.42 2026-01-16
653 MS_DRG Major Bladder Procedures With Mcc 27 20 — — $31,730.31 $44,377.55 $38,053.93 2026-01-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 20 — — $33,624.65 $42,351.09 $37,987.87 2026-01-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 20 — — $30,202.32 $45,704.61 $37,953.46 2026-01-16
471 MS_DRG Cervical Spinal Fusion With Mcc 27 20 — — $37,180.16 $38,667.37 $37,923.76 2026-01-16
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 20 — — $33,052.09 $42,451.85 $37,751.97 2026-01-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 20 — — $33,120.22 $41,716.17 $37,418.19 2026-01-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 20 — — $34,372.48 $40,097.10 $37,234.79 2026-01-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 20 — — $31,476.03 $42,451.85 $36,963.94 2026-01-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 20 — — $29,931.35 $43,456.77 $36,694.06 2026-01-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $35,154.01 $37,898.84 $36,526.43 2026-01-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 20 — — $28,873.50 $43,457.64 $36,165.57 2026-01-16
793 MS_DRG Full Term Neonate With Major Problems 27 20 — — $31,923.05 $40,208.35 $36,065.70 2026-01-16
163 MS_DRG Major Chest Procedures With Mcc 27 20 — — $34,668.66 $36,692.32 $35,680.49 2026-01-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 20 — — $34,233.18 $37,108.45 $35,670.82 2026-01-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 20 — — $33,901.72 $36,554.61 $35,228.17 2026-01-16
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 27 20 — — $34,337.95 $35,711.47 $35,024.71 2026-01-16
571T OTHER Insj/rplcmt Icds Ss Eltrd 27 20 — — $34,337.95 $35,711.47 $35,024.71 2026-01-16
408T OTHER Insj/rplc Cardiac Modulj Sys 27 20 — — $34,337.95 $35,711.47 $35,024.71 2026-01-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 20 — — $13,222.12 $56,542.25 $34,882.18 2026-01-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 20 — — $31,411.73 $38,049.10 $34,730.42 2026-01-16
901 MS_DRG Wound Debridements For Injuries With Mcc 27 20 — — $33,913.22 $35,269.75 $34,591.49 2026-01-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 20 — — $30,471.76 $38,380.03 $34,425.89 2026-01-16
33231 CPT Insrt Pulse Gen W/mult Leads 14 14 — — $373.42 $35,711.47 $34,337.95 2026-01-16
33270 CPT Ins/rep Subq Defibrillator 14 14 — — $520.34 $35,711.47 $34,337.95 2026-01-16
33249 CPT Insj/rplcmt Defib W/lead(s) 14 14 — — $846.72 $35,711.47 $34,337.95 2026-01-16
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 14 14 — — $375.61 $35,711.47 $34,337.95 2026-01-16
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 20 — — $31,257.11 $37,390.73 $34,323.92 2026-01-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 20 — — $28,343.79 $39,829.62 $34,086.71 2026-01-16
69930 CPT Implant Cochlear Device 14 14 — — $1,154.34 $35,428.83 $34,066.18 2026-01-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 20 — — $31,983.93 $35,915.36 $33,949.64 2026-01-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 20 — — $29,766.02 $37,491.49 $33,628.75 2026-01-16
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 27 20 — — $32,637.21 $33,942.70 $33,289.96 2026-01-16
268T OTHER Implt/rpl Crtd Sns Dev Gen 27 20 — — $32,637.21 $33,942.70 $33,289.96 2026-01-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 20 — — $13,105.74 $53,078.56 $33,092.15 2026-01-16
64568 CPT Opn Impltj Crnl Nrv Nea&pg 14 14 — — $575.15 $33,942.70 $32,637.21 2026-01-16
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 14 14 — — $360.80 $33,942.70 $32,637.21 2026-01-16
61886 CPT Implant Neurostim Arrays 14 14 — — $851.92 $33,942.70 $32,637.21 2026-01-16
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 14 14 — — $793.27 $33,942.70 $32,637.21 2026-01-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 20 — — $26,323.79 $38,798.67 $32,561.23 2026-01-16
37 MS_DRG Extracranial Procedures With Mcc 27 20 — — $25,419.80 $39,581.25 $32,500.53 2026-01-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 20 — — $28,643.10 $36,076.60 $32,359.85 2026-01-16
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 27 20 — — $20,382.38 $43,096.32 $31,739.35 2026-01-16
974 MS_DRG HIV With Major Related Condition With Mcc 27 20 — — $22,857.84 $40,198.80 $31,528.32 2026-01-16
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 20 — — $29,100.08 $33,858.29 $31,479.19 2026-01-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 20 — — $28,256.93 $33,957.83 $31,107.38 2026-01-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 20 — — $25,964.03 $36,206.88 $31,085.46 2026-01-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 20 — — $27,439.82 $34,560.96 $31,000.39 2026-01-16
265 MS_DRG Aicd Lead Procedures 27 20 — — $27,305.10 $34,391.59 $30,848.35 2026-01-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 20 — — $30,140.32 $31,402.00 $30,771.16 2026-01-16
33289 CPT Tcat Impl Wrls P-art Prs Snr 14 14 — — $308.65 $31,664.61 $30,446.74 2026-01-16
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 20 — — $26,819.80 $33,780.12 $30,299.96 2026-01-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 20 — — $29,310.50 $31,282.25 $30,296.38 2026-01-16
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 20 — — $27,023.41 $33,463.96 $30,243.69 2026-01-16
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 27 20 $58,382.00 $46,705.60 20% off $25,717.00 $58,382.00 $30,152.24 2026-01-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 20 — — $29,472.09 $30,650.97 $30,061.53 2026-01-16
C9760 HCPCS Non-blind Interatrial Shunt 27 20 — — $29,453.04 $30,631.16 $30,042.10 2026-01-16
332 MS_DRG Rectal Resection With Mcc 27 20 — — $26,551.13 $33,442.25 $29,996.69 2026-01-16
800 MS_DRG Splenic Procedures With Cc 27 20 — — $22,303.65 $37,379.44 $29,841.54 2026-01-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 20 — — $22,983.02 $36,677.19 $29,830.10 2026-01-16
665 MS_DRG Prostatectomy With Mcc 27 20 — — $26,282.46 $33,103.51 $29,692.99 2026-01-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 20 — — $23,670.75 $35,641.45 $29,656.10 2026-01-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 20 — — $22,511.86 $36,765.37 $29,638.62 2026-01-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 20 — — $25,795.43 $33,352.02 $29,573.72 2026-01-16
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 27 20 — — $24,456.86 $34,627.84 $29,542.35 2026-01-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 20 — — $26,760.40 $31,712.92 $29,236.66 2026-01-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 20 — — $24,410.17 $33,831.37 $29,120.77 2026-01-16
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 20 — — $23,777.14 $33,668.95 $28,723.04 2026-01-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 20 — — $27,182.63 $30,152.14 $28,667.38 2026-01-16
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 20 — — $23,889.67 $33,167.78 $28,528.72 2026-01-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 20 — — $27,928.94 $29,046.10 $28,487.52 2026-01-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 20 — — $26,218.16 $30,365.80 $28,291.98 2026-01-16
652 MS_DRG Kidney Transplant 27 20 — — $23,510.00 $32,878.55 $28,194.28 2026-01-16
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 20 — — $27,240.72 $28,844.69 $28,042.71 2026-01-16
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 20 — — $27,433.69 $28,621.73 $28,027.71 2026-01-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 20 — — $24,642.10 $31,037.20 $27,839.65 2026-01-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 20 — — $26,811.38 $28,785.89 $27,798.63 2026-01-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 20 — — $21,481.28 $33,359.99 $27,420.63 2026-01-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 20 — — $25,020.23 $29,545.01 $27,282.62 2026-01-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 20 — — $24,949.05 $29,526.77 $27,237.91 2026-01-16
500 MS_DRG Soft Tissue Procedures With Mcc 27 20 — — $24,254.78 $29,984.50 $27,119.64 2026-01-16
252 MS_DRG Other Vascular Procedures With Mcc 27 20 — — $26,257.96 $27,772.28 $27,015.12 2026-01-16
662 MS_DRG Minor Bladder Procedures With Mcc 27 20 — — $23,878.95 $30,076.57 $26,977.76 2026-01-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 20 — — $10,046.66 $43,816.32 $26,931.49 2026-01-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 20 — — $6,379.59 $47,324.60 $26,852.10 2026-01-16
619 MS_DRG O.r. Procedures For Obesity With Mcc 27 20 — — $20,869.97 $32,341.78 $26,605.88 2026-01-16
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 20 — — $23,621.76 $29,477.26 $26,549.51 2026-01-16
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 20 — — $23,488.57 $29,584.10 $26,536.33 2026-01-16
J9600 HCPCS Porfimer Sodium Injection 27 20 — — $25,948.64 $26,986.59 $26,467.62 2026-01-16
93656 CPT Compre Ep Eval Abltj Atr Fib 14 14 — — $872.96 $27,325.05 $26,274.09 2026-01-16
93653 CPT Compre Ep Eval Tx Svt 14 14 — — $769.86 $27,325.05 $26,274.09 2026-01-16
93654 CPT Compre Ep Eval Tx Vt 14 14 — — $927.49 $27,325.05 $26,274.09 2026-01-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 20 — — $21,325.81 $30,767.99 $26,046.90 2026-01-16
570 MS_DRG Skin Debridement With Mcc 27 20 — — $23,041.55 $29,021.27 $26,031.41 2026-01-16
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 20 — — $24,295.35 $27,133.01 $25,714.18 2026-01-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 20 — — $22,884.01 $28,535.82 $25,709.92 2026-01-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 20 — — $24,938.33 $26,469.43 $25,703.88 2026-01-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 20 — — $24,528.05 $26,801.22 $25,664.63 2026-01-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 20 — — $24,067.86 $26,721.58 $25,394.72 2026-01-16
668 MS_DRG Transurethral Procedures With Mcc 27 20 — — $22,322.79 $28,116.23 $25,219.51 2026-01-16
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 20 — — $21,877.30 $28,560.06 $25,218.68 2026-01-16
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 20 — — $22,310.54 $28,100.59 $25,205.56 2026-01-16
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 27 20 $47,635.00 $38,108.00 20% off $360.16 $47,635.00 $25,001.46 2026-01-16
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 20 — — $21,496.87 $28,448.02 $24,972.44 2026-01-16
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 27 20 — — $21,790.80 $28,091.04 $24,940.92 2026-01-16
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 20 — — $22,450.62 $27,361.45 $24,906.03 2026-01-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 20 — — $21,946.19 $27,641.99 $24,794.09 2026-01-16
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 20 — — $21,907.92 $27,593.35 $24,750.63 2026-01-16
C9764 HCPCS Hc Dstrj Lesion Anus Simple Laser Surg 27 20 $35,329.00 $28,263.20 20% off $12,145.75 $35,329.00 $24,730.30 2026-01-16
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 20 — — $23,604.92 $25,724.21 $24,664.56 2026-01-16
515T OTHER Insj Wcs Lv Compl Sys 27 20 — — $24,039.87 $25,001.46 $24,520.67 2026-01-16
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 27 20 — — $24,039.87 $25,001.46 $24,520.67 2026-01-16
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 27 20 — — $24,039.87 $25,001.46 $24,520.67 2026-01-16
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 27 20 — — $24,039.87 $25,001.46 $24,520.67 2026-01-16
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 27 20 — — $24,039.87 $25,001.46 $24,520.67 2026-01-16
409T OTHER Insj/rplc Car Modulj Pls Gn 27 20 — — $24,039.87 $25,001.46 $24,520.67 2026-01-16
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 20 — — $21,474.67 $27,047.90 $24,261.28 2026-01-16
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 20 — — $21,967.68 $26,285.33 $24,126.51 2026-01-16
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 20 — — $23,412.02 $24,668.90 $24,040.46 2026-01-16
33230 CPT Insrt Pulse Gen W/dual Leads 14 14 — — $348.46 $25,001.46 $24,039.87 2026-01-16
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 14 14 — — $346.62 $25,001.46 $24,039.87 2026-01-16
33240 CPT Insrt Pulse Gen W/singl Lead 14 14 — — $343.14 $25,001.46 $24,039.87 2026-01-16
264 MS_DRG Other Circulatory System O.r. Procedures 27 20 — — $19,961.30 $27,823.34 $23,892.32 2026-01-16
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 20 — — $19,428.00 $28,026.34 $23,727.17 2026-01-16
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 20 — — $20,945.75 $26,381.71 $23,663.73 2026-01-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 20 — — $19,684.23 $27,582.92 $23,633.58 2026-01-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 20 — — $22,570.03 $24,379.67 $23,474.85 2026-01-16
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 20 — — $20,908.24 $25,970.01 $23,439.12 2026-01-16
680T OTHER Insj/rplcmt Pg Only Isdss 27 20 — — $22,966.94 $23,885.62 $23,426.28 2026-01-16
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 27 20 — — $22,966.94 $23,885.62 $23,426.28 2026-01-16
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 27 20 — — $22,966.94 $23,885.62 $23,426.28 2026-01-16
C1757 HCPCS Cath, Thrombectomy/embolect 2 1 — — $23,328.00 $23,328.00 $23,328.00 2026-01-16
263 MS_DRG Vein Ligation And Stripping 27 20 — — $20,530.11 $25,857.97 $23,194.04 2026-01-16
963 MS_DRG Other Multiple Significant Trauma With Mcc 27 20 — — $20,794.95 $25,558.31 $23,176.63 2026-01-16
849 MS_DRG Radiotherapy 27 20 — — $20,445.91 $25,752.00 $23,098.96 2026-01-16
472 MS_DRG Cervical Spinal Fusion With Cc 27 20 — — $22,176.59 $23,949.73 $23,063.16 2026-01-16
C2616 HCPCS Y-90 Microspheres 3-22 Gbq/vial 27 20 $32,860.00 $26,288.00 20% off $18,726.54 $32,860.00 $23,002.00 2026-01-16
61885 CPT Insrt/redo Neurostim 1 Array 14 14 — — $510.63 $23,885.62 $22,966.94 2026-01-16
64580 CPT Opn Impltj Nea Neuromuscular 14 14 — — $300.92 $23,885.62 $22,966.94 2026-01-16
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 14 14 — — $567.95 $23,885.62 $22,966.94 2026-01-16
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 20 — — $20,309.66 $25,580.89 $22,945.28 2026-01-16
503 MS_DRG Foot Procedures With Mcc 27 20 — — $20,258.37 $25,515.75 $22,887.06 2026-01-16
333 MS_DRG Rectal Resection With Cc 27 20 — — $16,268.09 $29,472.05 $22,870.07 2026-01-16
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 27 20 — — $20,027.97 $25,225.65 $22,626.81 2026-01-16
253 MS_DRG Other Vascular Procedures With Cc 27 20 — — $19,541.91 $25,693.81 $22,617.86 2026-01-16
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 27 20 — — $19,153.07 $25,985.64 $22,569.35 2026-01-16
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 27 20 — — $20,284.40 $24,322.35 $22,303.38 2026-01-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 27 20 — — $20,080.03 $24,304.98 $22,192.51 2026-01-16
397 MS_DRG Appendix Procedures With Mcc 27 20 — — $18,966.30 $25,262.13 $22,114.22 2026-01-16
654 MS_DRG Major Bladder Procedures With Cc 27 20 — — $21,601.74 $22,565.25 $22,083.49 2026-01-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 20 — — $3,171.99 $40,862.12 $22,017.06 2026-01-16
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 20 — — $20,693.15 $23,136.76 $21,914.96 2026-01-16
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 27 20 — — $17,087.88 $26,668.33 $21,878.10 2026-01-16
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 27 20 — — $18,889.75 $24,628.08 $21,758.92 2026-01-16
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 27 20 — — $15,671.80 $27,774.88 $21,723.34 2026-01-16
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 27 20 — — $20,639.64 $22,797.77 $21,718.71 2026-01-16
J9311 HCPCS Rituximab-hyaluronidase Human 1400-23400 Mg -ut/11.7ml Sc Soln 40 20 $25,367.00 $20,293.60 20% off $35.09 $25,367.00 $21,666.85 2026-01-16
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 27 20 — — $18,378.43 $24,740.99 $21,559.71 2026-01-16
54416 CPT Remv/repl Penis Contain Pros 14 14 — — $679.48 $22,420.00 $21,557.69 2026-01-16
53444 CPT Insert Tandem Cuff 14 14 — — $747.95 $22,420.00 $21,557.69 2026-01-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 20 — — $19,505.17 $23,298.31 $21,401.74 2026-01-16
164 MS_DRG Major Chest Procedures With Cc 27 20 — — $19,266.35 $23,330.45 $21,298.40 2026-01-16
C1776 HCPCS Joint Device (implantable) 2 1 — — $21,281.00 $21,281.00 $21,281.00 2026-01-16
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 20 — — $10,713.71 $31,143.74 $20,928.72 2026-01-16
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 27 20 — — $18,513.92 $23,319.16 $20,916.54 2026-01-16
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 27 20 — — $18,455.74 $23,245.33 $20,850.53 2026-01-16
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
525T OTHER Insj/rplcmt Compl Iims 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 27 20 — — $20,425.21 $21,242.22 $20,833.72 2026-01-16
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 27 20 — — $15,194.93 $26,272.27 $20,733.60 2026-01-16
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 27 20 — — $17,477.50 $23,819.45 $20,648.47 2026-01-16
35 MS_DRG Carotid Artery Stent Procedures With Cc 27 20 — — $17,412.44 $23,877.64 $20,645.04 2026-01-16
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 27 20 — — $18,100.84 $23,183.07 $20,641.96 2026-01-16
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 27 20 — — $17,345.08 $23,837.69 $20,591.38 2026-01-16
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 27 20 — — $17,444.58 $23,613.60 $20,529.09 2026-01-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 27 20 — — $19,617.35 $21,364.84 $20,491.10 2026-01-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 20 — — $3,515.07 $37,452.56 $20,483.81 2026-01-16
347 MS_DRG Anal And Stomal Procedures With Mcc 27 20 — — $18,116.65 $22,818.00 $20,467.33 2026-01-16
33221 CPT Insert Pulse Gen Mult Leads 14 14 — — $333.07 $21,242.22 $20,425.21 2026-01-16
33274 CPT Hc Transcath Ins Or Repl Perm Leadless Packmacker 40 20 $23,090.00 $18,472.00 20% off $444.02 $23,090.00 $20,425.21 2026-01-16
33229 CPT Remv&replc Pm Gen Mult Leads 14 14 — — $347.25 $21,242.22 $20,425.21 2026-01-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 27 20 — — $18,585.87 $22,147.47 $20,366.67 2026-01-16
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 20 — — $18,063.83 $22,470.57 $20,267.20 2026-01-16
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 27 20 — — $19,781.50 $20,747.35 $20,264.42 2026-01-16
J9316 HCPCS Pertuz-trastuz-hyaluron-zzxf 60-60-2000 Mg-mg-u/ml Sc Soln 40 20 $21,201.00 $16,960.80 20% off $61.35 $31,037.00 $20,246.96 2026-01-16
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 20 — — $18,349.34 $22,123.15 $20,236.24 2026-01-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 27 20 — — $15,132.96 $25,318.11 $20,225.53 2026-01-16
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