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

LOGAN HEALTH - WHITEFISH

Whitefish, MT · CCN 271336 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $305 across 1 payer

Source: https://hospitalpricedisclosure.com/Download.aspx?pi=FdPNqgcn*_*TDE47QlrE*__*fuQ*-* · observed 2026-04-01

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.

7,431 distinct procedures filed
10 distinct payers
34,513 rate rows
2026-04-01 last MRF observed
Data quality

21,812 of 34,513 rate rows are consumer-grade (63.2%)

12,701 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 8,235
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
placeholder amount (≤ $0.02) — excluded from medians 18
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pi=FdPNqgcn*_*TDE47QlrE*__*fuQ*-*
Found on page https://hospitalpricedisclosure.com/Default.aspx?pi=FdPNqgcn*_*TDE47QlrE*__*fuQ*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 59af55bfafa96030… · 10,912,056 bytes · first seen 2026-05-08

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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $4,800,000.00 $4,800,000.00 $4,800,000.00 nat. median
$3,324,572
1.4× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $4,650,000.00 $4,650,000.00 $4,650,000.00 nat. median
$3,286,000
1.4× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$2,994,107
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $3,300,000.00 $3,300,000.00 $3,300,000.00 nat. median
$2,401,960
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $718,425.00 $718,425.00 $718,425.00 nat. median
$646,415
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $626,580.00 $626,580.00 $626,580.00 nat. median
$738,272
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $615,450.00 $615,450.00 $615,450.00 nat. median
$640,950
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $604,485.00 $604,485.00 $604,485.00 nat. median
$591,650
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $531,525.00 $531,525.00 $531,525.00 nat. median
$608,101
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $393,750.00 $393,750.00 $393,750.00 nat. median
$319,951
1.2× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $378,750.00 $378,750.00 $378,750.00 nat. median
$265,000
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $291,000.00 $291,000.00 $291,000.00 nat. median
$209,753
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $149,999.90 $149,999.90 $149,999.90 nat. median
$111,503
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $116,116.62 $116,116.62 $116,116.62 nat. median
$63,643
1.8× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $97,750.19 $97,750.19 $97,750.19 nat. median
$1,036
outlier · 94.4×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $90,000.00 $90,000.00 $90,000.00 nat. median
$68,423
1.3× median
E0194
HCPCS 		Air Fluidized Bed 1 $79,926.48 $79,926.48 $79,926.48 nat. median
$4,438
outlier · 18.0×
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $71,632.50 $71,632.50 $71,632.50 nat. median
$50,453
1.4× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $62,774.28 $62,774.28 $62,774.28 nat. median
$46,980
1.3× median
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $61,849.08 $61,849.08 $61,849.08 nat. median
$3,697
outlier · 16.7×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $59,053.56 $59,053.56 $59,053.56 nat. median
$65,720
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $58,900.13 $58,900.13 $58,900.13 nat. median
$75,037
0.8× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $57,835.53 $57,835.53 $57,835.53 nat. median
$39,921
1.4× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 $53,342.37 $53,342.37 $53,342.37 nat. median
$22,587
outlier · 2.4×
L5856
HCPCS 		Elec Knee-shin Swing/stance 1 $42,886.70 $42,886.70 $42,886.70 nat. median
$30,017
1.4× median
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $42,799.70 $42,799.70 $42,799.70 nat. median
$30,016
1.4× median
551
MS_DRG 		Medical Back Problems With Mcc 1 $42,108.00 $42,108.00 $42,108.00 nat. median
$16,106
outlier · 2.6×
J9226
HCPCS 		Supprelin La Implant 1 $38,428.11 $38,428.11 $38,428.11 nat. median
$55,159
0.7× median
K0864
HCPCS 		Pwc Gp3 Xhd Mult Pow Opt S/b 1 $37,989.90 $37,989.90 $37,989.90 nat. median
$2,315
outlier · 16.4×
J7311
HCPCS 		Fluocinolone Acetonide Implt 1 $37,683.47 $37,683.47 $37,683.47 nat. median
$441
outlier · 85.5×
L8614
HCPCS 		Cochlear Device 1 $34,134.27 $34,134.27 $34,134.27 nat. median
$22,385
1.5× median
Q0483
HCPCS 		Monitor Elec Vad, Rep 1 $33,586.82 $33,586.82 $33,586.82 nat. median
$23,335
1.4× median
L5858
HCPCS 		Stance Phase Only 1 $33,226.01 $33,226.01 $33,226.01 nat. median
$23,235
1.4× median
L6975
HCPCS 		Interscap-thor Myoelectronic 1 $33,183.87 $33,183.87 $33,183.87 nat. median
$22,861
1.5× median
J7310
HCPCS 		Ganciclovir Long Act Implant 1 $32,400.00 $32,400.00 $32,400.00 nat. median
$18,387
1.8× median
J9600
HCPCS 		Porfimer Sodium Injection 1 $32,174.18 $32,174.18 $32,174.18 nat. median
$30,131
1.1× median
K0860
HCPCS 		Pwc Gp3 Vhd Sing Pow Opt S/b 1 $31,924.26 $31,924.26 $31,924.26 nat. median
$1,945
outlier · 16.4×
K0863
HCPCS 		Pwc Gp3 Vhd Mult Pow Opt S/b 1 $31,924.26 $31,924.26 $31,924.26 nat. median
$1,945
outlier · 16.4×
L5973
HCPCS 		Ank-foot Sys Dors-plant Flex 1 $31,180.47 $31,180.47 $31,180.47 nat. median
$21,726
1.4× median
L5827
HCPCS 		Endo Knee Shin Single Axis 1 $31,180.47 $31,180.47 $31,180.47 nat. median
$7,370
outlier · 4.2×
L6970
HCPCS 		Interscapular-thor Switch CT 1 $30,972.42 $30,972.42 $30,972.42 nat. median
$21,078
1.5× median
K0854
HCPCS 		Pwc Gp 3 Xhd Seat/back 1 $30,604.68 $30,604.68 $30,604.68 nat. median
$1,865
outlier · 16.4×
L6965
HCPCS 		Shldr Disartic Myoelectronic 1 $30,594.71 $30,594.71 $30,594.71 nat. median
$20,067
1.5× median
100
MS_DRG 		Seizures With Mcc 1 $30,264.36 $30,264.36 $30,264.36 nat. median
$18,371
1.6× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $30,264.36 $30,264.36 $30,264.36 nat. median
$19,268
1.6× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 $29,782.17 $29,782.17 $29,782.17 nat. median
$23,553
1.3× median
Q0489
HCPCS 		Pwr Pck Base Combo Vad, Rep 1 $29,117.96 $29,117.96 $29,117.96 nat. median
$20,275
1.4× median
K0855
HCPCS 		Pwc Gp 3 Xhd Cap Chair 1 $28,910.52 $28,910.52 $28,910.52 nat. median
$1,761
outlier · 16.4×
L6960
HCPCS 		Shldr Disartic Switch Contro 1 $28,238.37 $28,238.37 $28,238.37 nat. median
$16,650
1.7× median
815
MS_DRG 		Reticuloendothelial And Immunity Disorders With Cc 1 $28,014.13 $28,014.13 $28,014.13 nat. median
$10,373
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 7,431 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 1 — — $4,800,000.00 $4,800,000.00 $4,800,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 1 — — $4,650,000.00 $4,650,000.00 $4,650,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 1 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 1 — — $3,300,000.00 $3,300,000.00 $3,300,000.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 1 — — $718,425.00 $718,425.00 $718,425.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 1 — — $626,580.00 $626,580.00 $626,580.00 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 1 — — $615,450.00 $615,450.00 $615,450.00 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 1 — — $604,485.00 $604,485.00 $604,485.00 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 1 — — $531,525.00 $531,525.00 $531,525.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $393,750.00 $393,750.00 $393,750.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 3 1 — — $378,750.00 $378,750.00 $378,750.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 1 — — $291,000.00 $291,000.00 $291,000.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 1 — — $149,999.90 $149,999.90 $149,999.90 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 1 — — $116,116.62 $116,116.62 $116,116.62 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 3 1 — — $97,750.19 $97,750.19 $97,750.19 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 1 — — $90,000.00 $90,000.00 $90,000.00 2026-04-01
E0194 HCPCS Air Fluidized Bed 3 1 — — $79,926.48 $79,926.48 $79,926.48 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 1 — — $71,632.50 $71,632.50 $71,632.50 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 1 — — $62,774.28 $62,774.28 $62,774.28 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 3 1 — — $61,849.08 $61,849.08 $61,849.08 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 1 — — $59,053.56 $59,053.56 $59,053.56 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $58,900.13 $58,900.13 $58,900.13 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 1 — — $57,835.53 $57,835.53 $57,835.53 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $53,342.37 $53,342.37 $53,342.37 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 1 — — $42,886.70 $42,886.70 $42,886.70 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 3 1 — — $42,799.70 $42,799.70 $42,799.70 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $42,108.00 $42,108.00 $42,108.00 2026-04-01
J9226 HCPCS Supprelin La Implant 3 1 — — $38,428.11 $38,428.11 $38,428.11 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 3 1 — — $37,989.90 $37,989.90 $37,989.90 2026-04-01
J7311 HCPCS Fluocinolone Acetonide Implt 3 1 — — $37,683.47 $37,683.47 $37,683.47 2026-04-01
L8614 HCPCS Cochlear Device 3 1 — — $34,134.27 $34,134.27 $34,134.27 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 1 — — $33,586.82 $33,586.82 $33,586.82 2026-04-01
L5858 HCPCS Stance Phase Only 3 1 — — $33,226.01 $33,226.01 $33,226.01 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 3 1 — — $33,183.87 $33,183.87 $33,183.87 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 3 1 — — $32,400.00 $32,400.00 $32,400.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 1 — — $32,174.18 $32,174.18 $32,174.18 2026-04-01
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 3 1 — — $31,924.26 $31,924.26 $31,924.26 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 3 1 — — $31,924.26 $31,924.26 $31,924.26 2026-04-01
L5827 HCPCS Endo Knee Shin Single Axis 3 1 — — $31,180.47 $31,180.47 $31,180.47 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 1 — — $31,180.47 $31,180.47 $31,180.47 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 3 1 — — $30,972.42 $30,972.42 $30,972.42 2026-04-01
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 3 1 — — $30,604.68 $30,604.68 $30,604.68 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 3 1 — — $30,594.71 $30,594.71 $30,594.71 2026-04-01
100 MS_DRG Seizures With Mcc 1 1 — — $30,264.36 $30,264.36 $30,264.36 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $30,264.36 $30,264.36 $30,264.36 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $29,782.17 $29,782.17 $29,782.17 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 1 — — $29,117.96 $29,117.96 $29,117.96 2026-04-01
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 3 1 — — $28,910.52 $28,910.52 $28,910.52 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 3 1 — — $28,238.37 $28,238.37 $28,238.37 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 — — $28,014.13 $28,014.13 $28,014.13 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 3 1 — — $27,998.27 $27,998.27 $27,998.27 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $27,981.92 $27,981.92 $27,981.92 2026-04-01
E0764 HCPCS Functional Neuromuscularstim 3 1 — — $27,179.64 $27,179.64 $27,179.64 2026-04-01
E0469 HCPCS Lung Expans High Oscil Neb 3 1 — — $26,924.76 $26,924.76 $26,924.76 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 — — $26,131.00 $26,131.00 $26,131.00 2026-04-01
E0483 HCPCS Chest Compression Gen System 3 1 — — $26,110.80 $26,110.80 $26,110.80 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 3 1 — — $26,029.83 $26,029.83 $26,029.83 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 1 — — $25,939.25 $25,939.25 $25,939.25 2026-04-01
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 3 1 — — $25,079.94 $25,079.94 $25,079.94 2026-04-01
E0467 HCPCS Home Vent Multi-function 3 1 — — $24,728.94 $24,728.94 $24,728.94 2026-04-01
E0636 HCPCS Pt Support & Positioning Sys 3 1 — — $24,433.56 $24,433.56 $24,433.56 2026-04-01
81416 HCPCS Exome Sequence Analysis 4 2 — — $24,120.00 $30,000.00 $24,120.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $24,038.01 $24,038.01 $24,038.01 2026-04-01
L6945 HCPCS Elbow Disart Myoelectronic C 3 1 — — $23,927.99 $23,927.99 $23,927.99 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $23,530.46 $23,530.46 $23,530.46 2026-04-01
E0767 HCPCS Intrabuc Am Rf Emf Cancer Tx 3 1 — — $23,530.46 $23,530.46 $23,530.46 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 1 1 — — $23,501.92 $23,501.92 $23,501.92 2026-04-01
L6950 HCPCS Above Elbow Switch Control 3 1 — — $23,377.95 $23,377.95 $23,377.95 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 1 1 — — $23,214.24 $23,214.24 $23,214.24 2026-04-01
K0853 HCPCS Pwc Gp 3 Vhd Cap Chair 3 1 — — $23,101.74 $23,101.74 $23,101.74 2026-04-01
638 MS_DRG Diabetes With Cc 1 1 — — $22,968.00 $22,968.00 $22,968.00 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $22,968.00 $22,968.00 $22,968.00 2026-04-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 1 1 — — $22,599.96 $22,599.96 $22,599.96 2026-04-01
K0852 HCPCS Pwc Gp 3 Vhd Seat/back 3 1 — — $22,488.66 $22,488.66 $22,488.66 2026-04-01
K0858 HCPCS Pwc Gp3 Hd Sing Pow Opt S/b 3 1 — — $22,346.10 $22,346.10 $22,346.10 2026-04-01
K0862 HCPCS Pwc Gp3 Hd Mult Pow Opt S/b 3 1 — — $22,346.10 $22,346.10 $22,346.10 2026-04-01
E0468 HCPCS Home Vent Dual Fnct Incl All 3 1 — — $22,065.12 $22,065.12 $22,065.12 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 3 1 — — $21,460.32 $21,460.32 $21,460.32 2026-04-01
K0828 HCPCS Pwc Gp 2 Xtra Hd Seat/back 3 1 — — $21,351.96 $21,351.96 $21,351.96 2026-04-01
K0859 HCPCS Pwc Gp3 Hd Sing Pow Opt Cap 3 1 — — $21,311.28 $21,311.28 $21,311.28 2026-04-01
L7191 HCPCS Elbow Child Myoelectronic CT 3 1 — — $20,838.72 $20,838.72 $20,838.72 2026-04-01
L6940 HCPCS Elbow Disarticulation Switch 3 1 — — $20,567.58 $20,567.58 $20,567.58 2026-04-01
E0466 HCPCS Home Vent Non-invasive Inter 3 1 — — $20,477.88 $20,477.88 $20,477.88 2026-04-01
E0465 HCPCS Home Vent Invasive Interface 3 1 — — $20,477.88 $20,477.88 $20,477.88 2026-04-01
E1036 HCPCS Patient Transfer System >300 3 1 — — $20,383.92 $20,383.92 $20,383.92 2026-04-01
L7186 HCPCS Electron Elbow Child Switch 3 1 — — $20,338.94 $20,338.94 $20,338.94 2026-04-01
K0829 HCPCS Pwc Gp 2 Xtra Hd Cap Chair 3 1 — — $20,143.08 $20,143.08 $20,143.08 2026-04-01
K0850 HCPCS Pwc Gp 3 Hd Seat/back 3 1 — — $19,463.22 $19,463.22 $19,463.22 2026-04-01
E1008 HCPCS Pwr Seat Combo Pwr Shear 3 1 — — $19,305.72 $19,305.72 $19,305.72 2026-04-01
E1007 HCPCS Pwr Seat Combo W/shear 3 1 — — $19,086.48 $19,086.48 $19,086.48 2026-04-01
0426U CPT Genome Ultra-rapid Seq Alys 1 1 — — $18,955.50 $18,955.50 $18,955.50 2026-04-01
K0851 HCPCS Pwc Gp 3 Hd Cap Chair 3 1 — — $18,714.24 $18,714.24 $18,714.24 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $18,665.00 $18,665.00 $18,665.00 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 — — $18,526.52 $18,526.52 $18,526.52 2026-04-01
K0857 HCPCS Pwc Gp3 Std Sing Pow Opt Cap 3 1 — — $18,371.70 $18,371.70 $18,371.70 2026-04-01
K0826 HCPCS Pwc Gp 2 Vhd Seat/back 3 1 — — $18,332.46 $18,332.46 $18,332.46 2026-04-01
K0861 HCPCS Pwc Gp3 Std Mult Pow Opt S/b 3 1 — — $18,039.60 $18,039.60 $18,039.60 2026-04-01
K0856 HCPCS Pwc Gp3 Std Sing Pow Opt S/b 3 1 — — $18,010.62 $18,010.62 $18,010.62 2026-04-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $11,386.62 $23,588.93 $17,487.78 2026-04-01
0315U CPT Onc Cutan Sq Cll Ca Mrna 40 4 2 — — $17,085.00 $21,250.00 $17,085.00 2026-04-01
0485U CPT Onc Sol Tum Cfdna&rna Ngs Gm 4 2 — — $9,123.70 $16,994.55 $16,994.55 2026-04-01
0211U CPT Onc Pan-tum Dna&rna Gnrj Seq 4 2 — — $16,994.55 $21,137.50 $16,994.55 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 3 1 — — $16,992.20 $16,992.20 $16,992.20 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $16,968.00 $16,968.00 $16,968.00 2026-04-01
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $16,925.91 $16,925.91 $16,925.91 2026-04-01
L5991 HCPCS Low Pros Ext Osseo Connector 3 1 — — $16,881.66 $16,881.66 $16,881.66 2026-04-01
E0193 HCPCS Powered Air Flotation Bed 3 1 — — $16,801.74 $16,801.74 $16,801.74 2026-04-01
K0848 HCPCS Pwc Gp 3 Std Seat/back 3 1 — — $16,779.60 $16,779.60 $16,779.60 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $15,188.00 $17,880.09 $16,534.04 2026-04-01
K0839 HCPCS Pwc Gp2 Vhd Sing Pow Opt S/b 3 1 — — $16,467.30 $16,467.30 $16,467.30 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $16,353.04 $16,353.04 $16,353.04 2026-04-01
K0849 HCPCS Pwc Gp 3 Std Cap Chair 3 1 — — $16,132.32 $16,132.32 $16,132.32 2026-04-01
L6935 HCPCS Below Elbow Myoelectronic CT 3 1 — — $16,089.41 $16,089.41 $16,089.41 2026-04-01
E0786 HCPCS Implantable Pump Replacement 3 1 — — $15,813.51 $15,813.51 $15,813.51 2026-04-01
K0827 HCPCS Pwc Gp Vhd Cap Chair 3 1 — — $15,784.38 $15,784.38 $15,784.38 2026-04-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 4 2 — — $15,629.76 $19,440.00 $15,629.76 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $10,963.26 $20,276.20 $15,619.73 2026-04-01
187 MS_DRG Pleural Effusion With Cc 1 1 — — $15,401.68 $15,401.68 $15,401.68 2026-04-01
L6925 HCPCS Wrist Disart Myoelectronic C 3 1 — — $15,383.16 $15,383.16 $15,383.16 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $15,312.00 $15,312.00 $15,312.00 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 — — $15,312.00 $15,312.00 $15,312.00 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $15,312.00 $15,312.00 $15,312.00 2026-04-01
0094U CPT Genome Rapid Sequence Alys 4 2 — — $15,240.23 $18,955.50 $15,240.23 2026-04-01
L5857 HCPCS Elec Knee-shin Swing Only 3 1 — — $15,198.32 $15,198.32 $15,198.32 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 1 1 — — $15,188.00 $15,188.00 $15,188.00 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 — — $6,946.24 $38,280.00 $15,182.16 2026-04-01
951 MS_DRG Other Factors Influencing Health Status 2 2 — — $8,404.11 $21,877.52 $15,140.82 2026-04-01
L8679 HCPCS Imp Neurosti Pls Gn Any Type 3 1 — — $15,109.28 $15,109.28 $15,109.28 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $10,963.26 $19,140.00 $15,051.63 2026-04-01
L6930 HCPCS Below Elbow Switch Control 3 1 — — $14,986.08 $14,986.08 $14,986.08 2026-04-01
E1006 HCPCS Pwr Seat Combo Without Shear 3 1 — — $14,655.96 $14,655.96 $14,655.96 2026-04-01
L8619 HCPCS Coch Imp Ext Proc/contr Rplc 3 1 — — $14,653.61 $14,653.61 $14,653.61 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $14,598.00 $14,598.00 $14,598.00 2026-04-01
0578U CPT Onc Cutan Mln RNA Qpcr 10gen 4 2 — — $9,682.50 $14,457.93 $14,457.93 2026-04-01
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 4 2 — — $14,457.93 $17,982.50 $14,457.93 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $10,384.89 $18,272.09 $14,328.49 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $14,304.08 $14,304.08 $14,304.08 2026-04-01
E1035 HCPCS Patient Transfer System <300 3 1 — — $14,284.80 $14,284.80 $14,284.80 2026-04-01
L6920 HCPCS Wrist Disarticul Switch Ctrl 3 1 — — $14,262.96 $14,262.96 $14,262.96 2026-04-01
E0783 HCPCS Programmable Infusion Pump 3 1 — — $14,242.50 $14,242.50 $14,242.50 2026-04-01
L7190 HCPCS Elbow Adolescent Myoelectron 3 1 — — $14,198.12 $14,198.12 $14,198.12 2026-04-01
E2510 HCPCS Sgd W Multi Methods Msg/accs 3 1 — — $13,852.38 $13,852.38 $13,852.38 2026-04-01
E0304 HCPCS Hosp Bed Xtra Hvy Dty X Wide 3 1 — — $13,776.48 $13,776.48 $13,776.48 2026-04-01
0267U CPT Rare Do Id Opt Gen Mapg&seq 4 2 — — $13,546.05 $16,848.32 $13,546.05 2026-04-01
K0843 HCPCS Pwc Gp2 Hd Mult Pow Opt S/b 3 1 — — $13,362.12 $13,362.12 $13,362.12 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/Mcc 2 2 — — $7,152.04 $19,140.00 $13,146.02 2026-04-01
E0302 HCPCS Ex Hd Hosp Bed > 600 Lbs 3 1 — — $13,041.54 $13,041.54 $13,041.54 2026-04-01
K0011 HCPCS Stnd Wt Pwr Whlchr W Control 3 1 — — $13,022.64 $13,022.64 $13,022.64 2026-04-01
L5987 HCPCS Shank Ft W Vert Load Pylon 3 1 — — $12,860.75 $12,860.75 $12,860.75 2026-04-01
K0824 HCPCS Pwc Gp 2 Hd Seat/back 3 1 — — $12,637.08 $12,637.08 $12,637.08 2026-04-01
K0837 HCPCS Pwc Gp 2 Hd Sing Pow Opt S/b 3 1 — — $12,591.90 $12,591.90 $12,591.90 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 1 1 — — $12,456.06 $12,456.06 $12,456.06 2026-04-01
L8627 HCPCS Cid Ext Speech Process Repl 3 1 — — $12,413.49 $12,413.49 $12,413.49 2026-04-01
312 MS_DRG Syncope And Collapse 1 1 — — $11,992.26 $11,992.26 $11,992.26 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 4 — — $3,360.75 $16,968.00 $11,986.56 2026-04-01
E0986 HCPCS Man W/c Push-rim Powr System 3 1 — — $11,946.96 $11,946.96 $11,946.96 2026-04-01
E1005 HCPCS Pwr Seat Recline Pwr 3 1 — — $11,936.16 $11,936.16 $11,936.16 2026-04-01
L5280 HCPCS Hemipelvect Canad Sing Axis 3 1 — — $11,873.06 $11,873.06 $11,873.06 2026-04-01
J9266 HCPCS Pegaspargase Injection 3 1 — — $11,845.92 $11,845.92 $11,845.92 2026-04-01
L8609 HCPCS Artificial Cornea 3 1 — — $11,671.37 $11,671.37 $11,671.37 2026-04-01
E1905 HCPCS Vr Cbt Therapy 3 1 — — $11,628.72 $11,628.72 $11,628.72 2026-04-01
K0825 HCPCS Pwc Gp 2 Hd Cap Chair 3 1 — — $11,623.86 $11,623.86 $11,623.86 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $11,541.00 $11,541.00 $11,541.00 2026-04-01
101 MS_DRG Seizures Without Mcc 1 1 — — $11,484.00 $11,484.00 $11,484.00 2026-04-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $11,484.00 $11,484.00 $11,484.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $11,484.00 $11,484.00 $11,484.00 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 4 — — $10,963.26 $15,574.16 $11,467.50 2026-04-01
L5250 HCPCS Hip Canad Sing Axi Cons Fric 3 1 — — $11,458.67 $11,458.67 $11,458.67 2026-04-01
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 2 2 — — $4,242.00 $18,564.26 $11,403.13 2026-04-01
L5615 HCPCS Ak 4 Bar Link Hydl Swg/stanc 3 1 — — $11,400.44 $11,400.44 $11,400.44 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 3 — — $10,963.26 $11,484.00 $11,391.00 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 4 4 — — $2,090.16 $19,140.00 $11,389.54 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 1 1 — — $11,316.06 $11,316.06 $11,316.06 2026-04-01
5045 OTHER Trauma Response With Critical Care 2 2 — — $11,256.78 $11,302.49 $11,279.64 2026-04-01
E2328 HCPCS Head/extremity Control Inter 3 1 — — $11,235.06 $11,235.06 $11,235.06 2026-04-01
K0838 HCPCS Pwc Gp 2 Hd Sing Pow Opt Cap 3 1 — — $11,224.08 $11,224.08 $11,224.08 2026-04-01
L7185 HCPCS Electron Elbow Adolescent Sw 3 1 — — $11,222.07 $11,222.07 $11,222.07 2026-04-01
K0841 HCPCS Pwc Gp2 Std Mult Pow Opt S/b 3 1 — — $11,164.86 $11,164.86 $11,164.86 2026-04-01
K0842 HCPCS Pwc Gp2 Std Mult Pow Opt Cap 3 1 — — $11,158.56 $11,158.56 $11,158.56 2026-04-01
E1841 HCPCS Static Str Shldr Dev Rom Adj 3 1 — — $11,125.44 $11,125.44 $11,125.44 2026-04-01
E0680 HCPCS Non Pneum Comp Control Cal 3 1 — — $11,067.30 $11,067.30 $11,067.30 2026-04-01
81554 HCPCS Pulm Ds Ipf Mrna 190 Gen Alg 4 2 — — $11,055.00 $13,524.00 $11,055.00 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 — — $3,828.00 $18,272.10 $11,050.05 2026-04-01
0265U CPT Rar Do Whl Gn&mtcdrl DNA Als 4 2 — — $11,006.36 $13,689.50 $11,006.36 2026-04-01
0583U CPT Rare Ds Rpd Whlgen Cmptr DNA 4 2 — — $9,477.75 $11,005.16 $11,005.16 2026-04-01
0212U CPT Rare Ds Gen DNA Alys Proband 4 2 — — $11,005.16 $13,688.00 $11,005.16 2026-04-01
0532U CPT Rare Ds Whlgen&mitochdrl DNA 4 2 — — $11,005.16 $12,578.00 $11,005.16 2026-04-01
0582U CPT Rare Ds Rpd Whlgen DNA Vrnts 4 2 — — $11,005.16 $18,955.50 $11,005.16 2026-04-01
0567U CPT Rare Ds Whl Gen Seq Srs&lrs 4 2 — — $11,005.16 $12,578.00 $11,005.16 2026-04-01
E1004 HCPCS Pwr Seat Recline Mech 3 1 — — $10,973.16 $10,973.16 $10,973.16 2026-04-01
0295U CPT Onc Brst Dux Carc 7 Proteins 4 2 — — $10,924.35 $13,587.50 $10,924.35 2026-04-01
682 MS_DRG Renal Failure With Mcc 4 4 — — $6,517.60 $15,312.00 $10,858.69 2026-04-01
L7170 HCPCS Electronic Elbow Hosmer Swit 3 1 — — $10,816.64 $10,816.64 $10,816.64 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 10 8 — — $5,252.85 $18,672.37 $10,801.61 2026-04-01
L8682 HCPCS Implt Neurostim Radiofq Rec 3 1 — — $10,795.35 $10,795.35 $10,795.35 2026-04-01
L5341 HCPCS Hemipelvectomy Canadian Sach 3 1 — — $10,665.30 $10,665.30 $10,665.30 2026-04-01
K0836 HCPCS Pwc Gp2 Std Sing Pow Opt Cap 3 1 — — $10,645.56 $10,645.56 $10,645.56 2026-04-01
0469U CPT Rare Ds Whl Gen Seq Ftl Samp 4 2 — — $2,994.85 $10,501.44 $10,501.44 2026-04-01
0214U CPT Rare Ds Xom DNA Alys Proband 4 2 — — $10,501.44 $13,061.50 $10,501.44 2026-04-01
0335U CPT Rare Ds Whl Gen Seq Fetal 4 2 — — $10,501.44 $13,061.50 $10,501.44 2026-04-01
E0472 HCPCS Rad W Backup Invasive Intrfc 3 1 — — $10,491.84 $10,491.84 $10,491.84 2026-04-01
L5270 HCPCS Tilt Table Locking Hip Sing 3 1 — — $10,452.39 $10,452.39 $10,452.39 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 1 1 — — $10,447.67 $10,447.67 $10,447.67 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 — — $10,419.36 $10,419.36 $10,419.36 2026-04-01
K0835 HCPCS Pwc Gp2 Std Sing Pow Opt S/b 3 1 — — $10,264.68 $10,264.68 $10,264.68 2026-04-01
0425U CPT Genom Rpd Seq Alys Ea Cmprtr 1 1 — — $10,235.98 $10,235.98 $10,235.98 2026-04-01
L7008 HCPCS Pediatric Electric Hand 3 1 — — $10,181.04 $10,181.04 $10,181.04 2026-04-01
81425 HCPCS Genome Sequence Analysis 4 2 — — $10,112.72 $12,578.00 $10,112.72 2026-04-01
0523U CPT Onc Soltum DNA Ngs Snv 22gen 4 2 — — $3,380.22 $10,050.00 $10,050.00 2026-04-01
0530U CPT Onc Pan-sol Tum Ctdna 77 Gen 4 2 — — $7,299.00 $10,050.00 $10,050.00 2026-04-01
0487U CPT Onc Sol Tum Cfcdna Tgsap 84 4 2 — — $7,299.00 $10,050.00 $10,050.00 2026-04-01
0242U CPT Trgt Gen Seq Alys Pnl 55-74 4 2 — — $10,050.00 $12,500.00 $10,050.00 2026-04-01
0539U CPT Onc Sol Tumor Cfctdna 152gen 4 2 — — $8,221.28 $10,050.00 $10,050.00 2026-04-01
0569U CPT Onc Sol Tum Ngs Tmm>20000dmr 3 1 — — $10,050.00 $10,050.00 $10,050.00 2026-04-01
0326U CPT Trgt Gen Seq Alys Pnl 83+ 4 2 — — $10,050.00 $12,500.00 $10,050.00 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 — — $8,534.71 $11,401.32 $9,968.01 2026-04-01
0261U CPT Onc Clrct Ca Img Alys W/ai 4 2 — — $6,283.12 $9,949.50 $9,949.50 2026-04-01
0108U CPT Gi Barrett Esoph 9 Prtn Bmrk 4 2 — — $9,949.50 $12,375.00 $9,949.50 2026-04-01
E1003 HCPCS Pwr Seat Recline 3 1 — — $9,937.08 $9,937.08 $9,937.08 2026-04-01
200 MS_DRG Pneumothorax With Cc 2 2 — — $8,340.48 $11,484.00 $9,912.24 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 2 2 — — $8,484.00 $11,313.12 $9,898.56 2026-04-01
E0784 HCPCS Ext Amb Infusn Pump Insulin 3 1 — — $9,872.10 $9,872.10 $9,872.10 2026-04-01
L5331 HCPCS Hip Disart Canadian Sach Ft 3 1 — — $9,849.77 $9,849.77 $9,849.77 2026-04-01
K0822 HCPCS Pwc Gp 2 Std Seat/back 3 1 — — $9,797.04 $9,797.04 $9,797.04 2026-04-01
0036U CPT Xome Tum & Nml Spec Seq Alys 4 2 — — $9,607.80 $11,950.00 $9,607.80 2026-04-01
81415 HCPCS Exome Sequence Analysis 4 2 — — $9,607.80 $11,950.00 $9,607.80 2026-04-01
K0823 HCPCS Pwc Gp 2 Std Cap Chair 3 1 — — $9,599.22 $9,599.22 $9,599.22 2026-04-01
E0482 HCPCS Cough Stimulating Device 3 1 — — $9,523.26 $9,523.26 $9,523.26 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $7,542.08 $11,484.00 $9,513.04 2026-04-01
L8683 HCPCS Radiofq Trsmtr For Implt Neu 3 1 — — $9,502.40 $9,502.40 $9,502.40 2026-04-01
E0675 HCPCS Pneumatic Compression Device 3 1 — — $9,444.42 $9,444.42 $9,444.42 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 10 8 — — $4,878.00 $16,147.48 $9,419.69 2026-04-01
A9515 HCPCS Choline C-11 3 1 — — $9,399.06 $9,399.06 $9,399.06 2026-04-01
L6570 HCPCS Scap Thorac Prosth Tiss Shap 3 1 — — $9,249.78 $9,249.78 $9,249.78 2026-04-01
E0652 HCPCS Pneum Compres W/cal Pressure 3 1 — — $9,222.80 $9,222.80 $9,222.80 2026-04-01
5673 OTHER Level 3 Pathology 9 7 — — $5,716.30 $20,760.15 $9,180.89 2026-04-01
L5702 HCPCS Replace Socket Hip 3 1 — — $9,177.84 $9,177.84 $9,177.84 2026-04-01
A9582 HCPCS Iodine I-123 Iobenguane 3 1 — — $9,145.56 $9,145.56 $9,145.56 2026-04-01
E0277 HCPCS Powered Pres-redu Air Mattrs 3 1 — — $9,069.66 $9,069.66 $9,069.66 2026-04-01
E0694 HCPCS Uvl Md Cabinet Sys 6 Ft 3 1 — — $9,061.32 $9,061.32 $9,061.32 2026-04-01
K0815 HCPCS Pwc Gp 1 Std Seat/back 3 1 — — $9,036.36 $9,036.36 $9,036.36 2026-04-01
L5961 HCPCS Endo Poly Hip, Pneu/hyd/rot 3 1 — — $9,014.90 $9,014.90 $9,014.90 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 2 2 — — $2,080.00 $15,943.00 $9,011.50 2026-04-01
E0471 HCPCS Rad W/backup Non Inv Intrfc 3 1 — — $8,926.92 $8,926.92 $8,926.92 2026-04-01
L5230 HCPCS Fem Focal Defic Constant Fri 3 1 — — $8,917.82 $8,917.82 $8,917.82 2026-04-01
K0010 HCPCS Stnd Wt Frame Power Whlchr 3 1 — — $8,892.90 $8,892.90 $8,892.90 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 4 — — $3,654.42 $11,484.00 $8,890.48 2026-04-01
L6550 HCPCS Shldr Disar Prosth Tiss Shap 3 1 — — $8,889.89 $8,889.89 $8,889.89 2026-04-01
E1002 HCPCS Pwr Seat Tilt 3 1 — — $8,854.74 $8,854.74 $8,854.74 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 2 — — $600.72 $16,968.00 $8,784.36 2026-04-01
0334U CPT Onc Sld Orgn Tgsa DNA 84/+ 1 1 — — $8,750.00 $8,750.00 $8,750.00 2026-04-01
0388U CPT Onc Nonsm Cll Lng Ca 37 Gen 1 1 — — $8,750.00 $8,750.00 $8,750.00 2026-04-01
E1840 HCPCS Adj Shoulder Ext/flex Device 3 1 — — $8,741.16 $8,741.16 $8,741.16 2026-04-01
L5980 HCPCS Flex Foot System 3 1 — — $8,691.69 $8,691.69 $8,691.69 2026-04-01
K0816 HCPCS Pwc Gp 1 Std Cap Chair 3 1 — — $8,549.10 $8,549.10 $8,549.10 2026-04-01
L8690 HCPCS Aud Osseo Dev, Int/ext Comp 3 1 — — $8,521.76 $8,521.76 $8,521.76 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $8,498.39 $8,498.39 $8,498.39 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 3 3 — — $7,591.08 $12,953.81 $8,484.00 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 3 — — $7,542.08 $19,140.00 $8,484.00 2026-04-01
K0821 HCPCS Pwc Gp 2 Std Port Cap Chair 3 1 — — $8,459.82 $8,459.82 $8,459.82 2026-04-01
0300U CPT Onc Pan Tum Whl Gen Seq&opt 4 2 — — $8,408.09 $10,457.83 $8,408.09 2026-04-01
E2327 HCPCS Head Control Interface Mech 3 1 — — $8,401.14 $8,401.14 $8,401.14 2026-04-01
L6026 HCPCS Part Hand Myo Exclu Term Dev 3 1 — — $8,374.31 $8,374.31 $8,374.31 2026-04-01
9522 OTHER Rbc Leukoreduced Irradiated 2 2 — — $1,100.29 $15,630.98 $8,365.63 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 1 1 — — $8,306.00 $8,306.00 $8,306.00 2026-04-01
E0617 HCPCS Automatic Ext Defibrillator 3 1 — — $8,290.80 $8,290.80 $8,290.80 2026-04-01
637 MS_DRG Diabetes With Mcc 1 1 — — $8,284.00 $8,284.00 $8,284.00 2026-04-01
81464 HCPCS So Gsap Cll Fr Mcrstl Ins 1 1 — — $8,221.28 $8,221.28 $8,221.28 2026-04-01
0379U CPT Tgsap Sl Or Neo Dna523&rna55 1 1 — — $8,221.28 $8,221.28 $8,221.28 2026-04-01
Q0482 HCPCS Microprcsr Cu Combo Vad, Rep 3 1 — — $8,153.03 $8,153.03 $8,153.03 2026-04-01
E0373 HCPCS Nonpowered Pressure Mattress 3 1 — — $8,134.20 $8,134.20 $8,134.20 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 2 2 — — $7,656.00 $8,496.00 $8,076.00 2026-04-01
L6350 HCPCS Thoracic Intern Lock Elbow 3 1 — — $8,041.97 $8,041.97 $8,041.97 2026-04-01
K0814 HCPCS Pwc Gp 1 Std Port Cap Chair 3 1 — — $8,033.04 $8,033.04 $8,033.04 2026-04-01
E1802 HCPCS Adjst Forearm Pro/sup Device 3 1 — — $8,026.56 $8,026.56 $8,026.56 2026-04-01
E0747 HCPCS Elec Osteogen Stim Not Spine 3 1 — — $8,014.91 $8,014.91 $8,014.91 2026-04-01
E0748 HCPCS Elec Osteogen Stim Spinal 3 1 — — $7,963.01 $7,963.01 $7,963.01 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 2 2 — — $4,282.63 $11,484.00 $7,883.32 2026-04-01
L5600 HCPCS Hip Disart Sach Laminat Mold 3 1 — — $7,817.63 $7,817.63 $7,817.63 2026-04-01
0560U CPT Onc Mrd Gsa Cfdna Baseline 4 2 — — $7,795.68 $9,696.12 $7,795.68 2026-04-01
0306U CPT Onc Mrd Nxt-gnrj Alys 1st 4 2 — — $7,795.68 $9,696.12 $7,795.68 2026-04-01
0288U CPT Onc Lung Mrna Quan Pcr 11&3 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
0497U CPT Onc Prst8 Mrna Rt-pcr 6 Gene 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
81542 HCPCS Onc Prostate Mrna 22 Cnt Gen 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
81541 HCPCS Onc Prostate Mrna 46 Genes 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
81523 HCPCS Onc Brst Mrna 70 Cnt 31 Gene 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
0047U CPT Onc Prst8 Mrna 17 Gene Alg 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
81521 HCPCS Onc Breast Mrna 70 Genes 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
81522 HCPCS Onc Breast Mrna 12 Genes 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
81519 HCPCS Oncology Breast Mrna 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
0045U CPT Onc Brst Dux Carc Is 12 Gene 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
81518 HCPCS Onc Brst Mrna 11 Genes 4 2 — — $7,784.73 $9,682.50 $7,784.73 2026-04-01
0566U CPT Onc Lng Qpcr-bsd Alys 13dmrs 4 2 — — $1,041.95 $7,784.73 $7,784.73 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 3 1 — — $7,782.23 $7,782.23 $7,782.23 2026-04-01
E2330 HCPCS Head Control Proximity Switc 3 1 — — $7,768.98 $7,768.98 $7,768.98 2026-04-01
313 MS_DRG Chest Pain 2 2 — — $3,828.00 $11,701.00 $7,764.50 2026-04-01
E0734 HCPCS Ext Up Limb Tremor Stim Wris 3 1 — — $7,726.32 $7,726.32 $7,726.32 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 1 1 — — $7,656.00 $7,656.00 $7,656.00 2026-04-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 — — $7,656.00 $7,656.00 $7,656.00 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 — — $7,656.00 $7,656.00 $7,656.00 2026-04-01
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