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

REGIONAL WEST MEDICAL CENTER

Scottsbluff, NE · CCN 280061 · Rates published

17,920 distinct procedures filed
38 distinct payers
588,847 rate rows
2026-03-27 last MRF observed
Data quality

341,606 of 588,847 rate rows are consumer-grade (58.0%)

247,241 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
professional (physician) fee — not the facility price 190,036
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 51,163
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,845
per-diem day rate — not a per-procedure price 1,620
placeholder amount (≤ $0.02) — excluded from medians 266
percent-of-charges filed in the dollar field — excluded from medians 163
exceeds 10× this hospital's gross charge — excluded from medians 85
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 54
exceeds 3× this hospital's gross charge for a DRG stay — excluded 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbRegWest&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.rwhs.org/our-network/about-us/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-14
Content fingerprint ab30a60b81a1e32e… · 29,531,095 bytes · first seen 2026-05-07

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,505,000.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,327,859.73 $4,991,789.59 $3,494,252.71 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,252,508.08 $4,878,762.12 $3,415,133.48 nat. median
$3,248,446
1.1× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $3,180,000.00 $4,770,000.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,335,820.00 $3,502,611.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,939,968.89 $4,897,200.00 $3,086,967.33 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,588,981.23 $3,884,946.48 $2,718,430.29 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $3,498,000.00 $2,448,600.00 nat. median
$2,332,000
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,155,930.00 $809,151.00 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $587,649.57 $881,474.36 $617,032.05 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $566,531.30 $863,696.72 $594,857.87 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel (cd8) 70000000 Cells IV Susp 18 $2.85 $1,443,215.30 $590,311.30 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $558,081.73 $837,122.59 $585,985.81 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $532,192.24 $807,075.90 $558,801.85 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 18 $2.85 $1,304,883.43 $521,953.37 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $128,707.93 $1,031,334.81 $408,334.93 nat. median
$168,055
outlier · 2.4×
Q2058
HCPCS 		Obecabtagene Autoleucel 300 X 1,000,000 Cells IV Susp Day 9 17 $278,250.00 $1,312,510.50 $393,750.00 nat. median
$286,598
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $217,072.24 $702,799.09 $278,269.13 nat. median
$186,516
1.5× median
J3403
HCPCS 		Revakinagene, Per Implant 7 $265,000.00 $397,500.00 $278,250.00 nat. median
$264,195
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $182,814.06 $591,883.86 $212,022.23 nat. median
$131,925
1.6× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $201,669.02 $302,503.53 $211,752.47 nat. median
$207,733
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $165,157.48 $534,718.42 $210,778.39 nat. median
$145,435
1.4× median
5834
APR_DRG 		Neonate With Ecmo 4 $154,740.98 $154,740.98 $154,740.98 nat. median
$390,362
outlier · 0.4×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $132,128.29 $198,192.44 $138,734.70 nat. median
$108,243
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 23 $93,573.07 $352,543.50 $137,578.60 nat. median
$97,418
1.4× median
7
MS_DRG 		Lung Transplant 16 $100,711.57 $326,066.56 $128,632.38 nat. median
$70,649
1.8× median
5833
APR_DRG 		Neonate With Ecmo 4 $124,310.92 $124,310.92 $124,310.92 nat. median
$268,208
outlier · 0.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $122,573.54 $122,573.54 $122,573.54 nat. median
$286,698
outlier · 0.4×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 7 $114,097.24 $171,145.86 $119,802.10 nat. median
$95,583
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $100,965.88 $326,889.91 $119,377.44 nat. median
$72,715
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $84,920.67 $274,941.52 $112,566.51 nat. median
$65,418
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $107,083.29 $270,326.90 $112,437.45 nat. median
$2,110
outlier · 53.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 $72,990.32 $263,219.32 $109,483.19 nat. median
$2,736
outlier · 40.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $83,951.23 $271,802.81 $108,022.92 nat. median
$74,509
1.4× median
24
APR_DRG 		Heart And/Or Lung Transplant 4 $107,674.40 $107,674.40 $107,674.40 nat. median
$225,531
outlier · 0.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $82,067.05 $265,702.53 $102,428.08 nat. median
$69,922
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 16 $81,646.28 $264,340.26 $98,918.85 nat. median
$73,023
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $74,373.89 $240,794.95 $97,189.58 nat. median
$69,822
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $94,901.27 $94,901.27 $94,901.27 nat. median
$202,242
outlier · 0.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $64,274.83 $215,176.28 $89,514.00 nat. median
$2,596
outlier · 34.5×
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 7 $82,562.05 $123,843.08 $86,690.15 nat. median
$68,802
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $70,989.30 $229,836.91 $86,038.56 nat. median
$2,633
outlier · 32.7×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $85,432.92 $85,432.92 $85,432.92 nat. median
$173,018
outlier · 0.5×
5832
APR_DRG 		Neonate With Ecmo 4 $84,346.85 $84,346.85 $84,346.85 nat. median
$201,678
outlier · 0.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $65,302.08 $211,423.81 $83,759.32 nat. median
$60,505
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $83,686.81 $83,686.81 $83,686.81 nat. median
$171,497
outlier · 0.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 $55,653.37 $211,306.54 $83,480.05 nat. median
$59,651
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $81,979.35 $81,979.35 $81,979.35 nat. median
$198,578
outlier · 0.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $81,663.46 $81,663.46 $81,663.46 nat. median
$149,836
0.5× median

Other procedures at this hospital

Browse this hospital's 17,920 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
             
0238T CPT Hb Radiant-trluml Peripheral Atherectomy Iliac Artery Ea 24 12 $44,891.80 $26,935.08 40% off $246.00 $41,749.37 $37,709.11 2026-03-17
0408T CPT Insj/rplc Cardiac Modulj Sys 7 7 — — $32,594.02 $48,891.02 $34,223.72 2026-03-17
0571T CPT Insj/rplcmt Icds Ss Eltrd 7 7 — — $32,594.02 $48,891.02 $34,223.72 2026-03-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 7 7 — — $45,737.61 $68,606.41 $48,024.49 2026-03-17
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
0686T CPT Histotripsy Mal Hepatcel Tis 7 7 — — $35,573.81 $53,360.71 $37,352.50 2026-03-17
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 7 7 — — $32,594.02 $48,891.02 $34,223.72 2026-03-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 16 — — $217,072.24 $702,799.09 $278,269.13 2026-03-27
10 MS_DRG Pancreas Transplant 25 16 — — $61,442.01 $198,926.35 $71,308.87 2026-03-27
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 23 $100,567.29 $88,499.21 $36,120.98 $134,627.71 $54,181.47 2026-03-27
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 16 — — $31,624.18 $102,387.32 $41,927.90 2026-03-27
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 4 — — $32,891.49 $32,891.49 $32,891.49 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 25 16 — — $100,965.88 $326,889.91 $119,377.44 2026-03-27
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 4 4 — — $69,780.23 $69,780.23 $69,780.23 2026-03-27
140 MS_DRG Major Head And Neck Procedures With Mcc 25 16 — — $32,591.31 $105,518.54 $42,417.30 2026-03-27
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 16 — — $25,445.30 $89,480.05 $37,268.15 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 16 — — $46,514.21 $189,682.50 $58,939.83 2026-03-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $44,851.62 $44,851.62 $44,851.62 2026-03-27
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $46,340.45 $46,340.45 $46,340.45 2026-03-27
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $46,340.45 $46,340.45 $46,340.45 2026-03-27
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $66,163.30 $66,163.30 $66,163.30 2026-03-27
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $94,901.27 $94,901.27 $94,901.27 2026-03-27
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $39,132.37 $39,132.37 $39,132.37 2026-03-27
163 MS_DRG Major Chest Procedures With Mcc 32 23 $232,775.13 $204,842.11 $29,681.71 $114,999.54 $44,522.56 2026-03-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $32,552.74 $32,552.74 $32,552.74 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 23 $84,956.86 $74,762.03 $24,753.74 $96,064.99 $37,130.61 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 16 — — $46,514.21 $150,595.71 $54,002.11 2026-03-27
1784 APR_DRG External Heart Assist Systems 4 4 — — $32,879.86 $32,879.86 $32,879.86 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 16 — — $128,707.93 $1,031,334.81 $408,334.93 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 16 — — $61,089.83 $197,786.14 $70,900.87 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 16 — — $84,920.67 $274,941.52 $112,566.51 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 16 — — $62,120.93 $201,124.45 $78,189.28 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 32 23 $619,519.47 $545,177.13 $42,615.22 $161,356.64 $63,922.82 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 8 8 — — $107,083.29 $270,326.90 $112,437.45 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 16 — — $42,594.81 $155,469.40 $52,627.23 2026-03-27
21 APR_DRG Heart And/Or Lung Transplant 4 4 — — $36,681.74 $36,681.74 $36,681.74 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 16 — — $83,951.23 $271,802.81 $108,022.92 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 8 — — $54,026.74 $136,297.89 $56,728.08 2026-03-17
215 MS_DRG Other Heart Assist System Implant 25 16 — — $81,646.28 $264,340.26 $98,918.85 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $74,373.89 $240,794.95 $97,189.58 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $49,766.26 $161,124.61 $65,348.68 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $45,846.85 $157,037.89 $65,348.68 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $59,627.19 $193,050.63 $76,298.19 2026-03-27
22 APR_DRG Heart And/Or Lung Transplant 4 4 — — $47,450.64 $47,450.64 $47,450.64 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $40,817.75 $132,152.67 $53,014.38 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $35,391.77 $120,375.10 $50,109.75 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 22 $13,949.62 $12,275.67 $13,949.62 $124,333.34 $46,846.22 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 23 $116,754.55 $102,744.00 $37,950.17 $142,342.25 $56,925.26 2026-03-27
23 APR_DRG Heart And/Or Lung Transplant 4 4 — — $56,598.94 $56,598.94 $56,598.94 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $65,302.08 $211,423.81 $83,759.32 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $47,075.23 $152,412.07 $60,259.11 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 16 — — $60,235.21 $195,019.18 $75,969.59 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 16 — — $40,998.84 $132,738.99 $54,303.90 2026-03-27
23472 HCPCS Arthroplasty, Glenohumeral Joint; Total Shoulder (glenoid And Proximal Humeral R… 30 15 $57,468.91 $50,572.65 $90.00 $103,444.05 $38,848.99 2025-11-14
23472 CPT Hb Arthroplasty Glenohumeral Joint Total Shoulder 24 12 $45,975.13 $27,585.08 40% off $18,207.01 $42,756.87 $38,619.11 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 16 — — $45,345.18 $146,810.79 $58,333.29 2026-03-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 16 — — $31,688.91 $102,596.90 $41,657.90 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 16 — — $38,815.66 $125,670.66 $48,933.40 2026-03-27
24 APR_DRG Heart And/Or Lung Transplant 4 4 — — $107,674.40 $107,674.40 $107,674.40 2026-03-27
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 16 — — $29,296.89 $94,852.42 $38,909.09 2026-03-27
245 MS_DRG Aicd Generator Procedures 25 16 — — $37,658.95 $121,925.66 $45,366.64 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 23 $58,922.08 $51,851.43 $30,111.52 $111,583.89 $45,167.28 2026-03-27
252 MS_DRG Other Vascular Procedures With Mcc 32 23 $50,267.69 $44,235.57 $23,102.03 $85,588.48 $34,653.05 2026-03-27
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 16 — — $26,249.06 $84,984.69 $32,366.20 2026-03-27
264 MS_DRG Other Circulatory System O.r. Procedures 32 23 $38,444.53 $33,831.19 $22,123.86 $87,202.75 $33,185.79 2026-03-27
265 MS_DRG Aicd Lead Procedures 25 16 — — $27,489.77 $89,001.64 $35,993.53 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 16 — — $46,166.66 $149,470.46 $60,912.32 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 16 — — $36,255.64 $128,989.18 $47,336.13 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 16 — — $51,382.26 $166,356.62 $68,352.61 2026-03-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 16 — — $32,063.44 $103,809.47 $41,999.38 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 23 $140,813.21 $123,915.62 $34,943.46 $128,068.35 $52,415.19 2026-03-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 23 $132,183.19 $116,321.20 $23,552.38 $85,937.78 $35,328.57 2026-03-27
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 16 — — $30,133.79 $98,529.32 $41,029.51 2026-03-27
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 16 — — $24,051.24 $78,615.67 $32,752.36 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 16 — — $54,460.14 $176,321.65 $70,859.18 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 16 — — $47,735.66 $154,550.28 $59,703.20 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 16 — — $35,848.75 $116,064.91 $45,923.52 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $38,556.73 $132,937.55 $53,979.42 2026-03-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 16 — — $24,693.94 $86,131.65 $34,571.52 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 32 23 $216,201.71 $190,257.50 $39,791.29 $151,683.53 $59,686.93 2026-03-27
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 23 $134,478.20 $118,340.82 $22,594.07 $83,749.67 $33,891.11 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 25 16 — — $165,157.48 $534,718.42 $210,778.39 2026-03-27
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $39,377.19 $39,377.19 $39,377.19 2026-03-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 16 — — $32,293.85 $107,007.78 $44,553.58 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 16 — — $47,674.01 $159,693.68 $66,452.57 2026-03-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 16 — — $33,852.06 $109,600.36 $44,378.87 2026-03-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 16 — — $32,824.04 $106,272.03 $43,033.78 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 23 $123,886.84 $109,020.42 $33,030.15 $126,721.05 $49,545.23 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 23 $158,932.72 $139,860.79 $30,441.33 $114,567.91 $45,662.00 2026-03-27
332 MS_DRG Rectal Resection With Mcc 32 23 $171,883.00 $151,257.04 $23,978.88 $86,544.07 $35,968.32 2026-03-27
33213 HCPCS Insertion Of Pacemaker Pulse Generator Only; With Existing Dual Leads 15 15 $68,024.65 $59,861.69 $90.00 $102,036.98 $57,140.71 2025-11-14
33213 CPT Hb Radiant Ccl-insert Pm Pulse Gen Only W Exist Dual Leads 24 12 $68,024.65 $40,814.79 40% off $10,853.29 $63,262.92 $57,140.71 2026-03-17
33227 CPT Hb Remove And Replace Pm Gen Single Lead 33 12 $56,115.48 $33,669.29 40% off $8,593.12 $52,187.40 $42,086.61 2026-03-17
33231 CPT Insrt Pulse Gen W/mult Leads 7 7 — — $32,594.02 $48,891.02 $34,223.72 2026-03-17
33249 CPT Hb Insrt/repl Dfib W Leads Sngl/dual Chmb 24 12 $57,665.00 $34,599.00 40% off $32,594.02 $53,628.45 $48,438.60 2026-03-17
33249 HCPCS Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 15 15 $57,665.00 $50,745.20 $90.00 $86,497.50 $48,438.60 2025-11-14
33262 HCPCS Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 15 $38,241.30 $33,652.34 $90.00 $57,361.95 $32,505.11 2025-11-14
33262 CPT Hb Remv&replc Cvd Gen Sing Lead 25 12 $38,241.30 $22,944.78 40% off $23,097.60 $35,564.41 $32,122.69 2026-03-17
33263 HCPCS Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 15 $39,037.00 $34,352.56 $90.00 $58,555.50 $33,181.45 2025-11-14
33263 CPT Hb Remv&replc Cvd Gen Dual Lead 24 12 $39,037.00 $23,422.20 40% off $23,097.60 $36,304.41 $32,791.08 2026-03-17
33264 HCPCS Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 15 $50,836.30 $44,735.94 $90.00 $76,254.45 $43,210.86 2025-11-14
33264 CPT Hb Radiant Ccl-remv&replc Cvd Gen Mult Lead 24 12 $50,836.30 $30,501.78 40% off $32,594.02 $48,891.02 $42,702.50 2026-03-17
33270 CPT Ins/rep Subq Defibrillator 7 7 — — $32,594.02 $48,891.02 $34,223.72 2026-03-17
33276 CPT Insj Phrnc Nrv Stim Sys 7 7 — — $45,737.61 $68,606.41 $48,024.49 2026-03-17
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 23 $262,388.23 $230,901.64 $23,649.07 $90,403.83 $35,473.61 2026-03-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 16 — — $29,967.33 $97,023.07 $38,500.11 2026-03-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 23 $353,257.37 $310,866.49 $29,092.28 $106,429.22 $43,638.43 2026-03-27
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 8 — — $32,581.56 $82,124.08 $34,210.64 2026-03-17
36906 CPT Hb Radiant Ir-perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 24 12 $40,346.00 $24,207.60 40% off $19,035.47 $37,521.78 $33,890.64 2026-03-17
36906 HCPCS Percutaneous Transluminal Mechanical Thrombectomy And/or Infusion For Thrombolys… 15 15 $40,346.00 $35,504.48 $90.00 $60,519.00 $33,890.64 2025-11-14
37 MS_DRG Extracranial Procedures With Mcc 32 23 $140,265.89 $123,433.98 $21,802.66 $82,856.46 $32,703.98 2026-03-27
37229 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial, Peroneal Artery, … 30 15 $52,210.35 $45,945.11 $90.00 $93,978.63 $35,294.20 2025-11-14
37229 CPT Hb Radiant-revasc Tibio/peroneal Ather Uni Initial +/- Pta 18 12 $41,768.28 $25,060.97 40% off $25,060.97 $38,844.50 $35,085.36 2026-03-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 32 23 $320,180.94 $281,759.23 $93,573.07 $352,543.50 $137,578.60 2026-03-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 16 — — $29,068.78 $94,113.90 $38,405.79 2026-03-27
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 16 — — $30,148.43 $97,609.39 $39,987.17 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 23 $189,522.01 $166,779.37 $36,229.59 $135,446.07 $54,344.38 2026-03-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 16 — — $26,981.93 $87,357.44 $35,471.36 2026-03-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 16 — — $27,001.19 $87,419.81 $35,441.58 2026-03-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 16 — — $27,199.24 $88,061.03 $33,897.94 2026-03-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 16 — — $31,344.44 $101,481.63 $41,302.51 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 23 $452,240.23 $397,971.40 $72,990.32 $263,219.32 $109,483.19 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 23 $362,564.90 $319,057.11 $47,806.77 $177,212.37 $71,710.15 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 23 $435,303.78 $383,067.33 $37,232.93 $137,327.30 $55,849.40 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 16 — — $64,274.83 $215,176.28 $89,514.00 2026-03-27
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $44,300.48 $44,300.48 $44,300.48 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 23 $112,270.61 $98,798.13 $38,193.89 $137,735.65 $57,290.83 2026-03-27
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $64,786.69 $64,786.69 $64,786.69 2026-03-27
4404 APR_DRG Kidney Transplant 4 4 — — $34,598.54 $34,598.54 $34,598.54 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 16 — — $51,668.16 $167,282.27 $66,403.93 2026-03-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 16 — — $31,468.51 $101,883.33 $42,174.09 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 16 — — $39,688.01 $128,495.00 $52,982.60 2026-03-27
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 23 $153,354.78 $134,952.20 $21,394.03 $77,151.64 $32,091.05 2026-03-27
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 8 $423,245.28 $372,455.85 $58,686.57 $211,636.82 $75,705.69 2026-03-27
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 8 $299,025.47 $263,142.41 $40,506.54 $146,075.59 $52,253.44 2026-03-27
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 8 8 $187,934.24 $165,382.13 $30,501.60 $109,995.54 $39,347.07 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 23 $167,158.28 $147,099.29 $55,653.37 $211,306.54 $83,480.05 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 23 $118,567.15 $104,339.09 $39,491.94 $143,198.03 $59,237.91 2026-03-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 — — $33,275.63 $107,734.10 $41,497.07 2026-03-27
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 8 $497,807.17 $438,070.31 $43,923.87 $158,399.22 $56,661.79 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 16 — — $47,291.01 $153,110.67 $54,902.49 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 23 $77,783.04 $68,449.08 $37,746.19 $136,121.16 $56,619.29 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 23 $84,478.14 $74,340.76 $34,473.91 $127,110.27 $51,710.86 2026-03-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 23 $100,441.76 $88,388.75 $23,355.68 $85,458.74 $35,033.53 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 32 23 $176,361.28 $155,197.93 $31,979.13 $121,189.64 $47,968.69 2026-03-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 23 $240,286.16 $211,451.82 $28,430.67 $111,893.27 $42,646.01 2026-03-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 23 $94,913.23 $83,523.64 $22,878.85 $85,803.05 $34,318.27 2026-03-27
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 23 $62,403.31 $54,914.91 $21,372.18 $80,321.54 $32,058.27 2026-03-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 23 $68,124.19 $59,949.28 $24,315.98 $88,602.44 $36,473.97 2026-03-27
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 23 $121,169.22 $106,628.91 $24,012.00 $87,838.97 $36,017.99 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 16 — — $82,067.05 $265,702.53 $102,428.08 2026-03-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 23 $111,982.85 $98,544.91 $24,751.09 $89,420.80 $36,266.10 2026-03-27
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $42,520.69 $42,520.69 $42,520.69 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $47,456.69 $156,467.09 $65,111.43 2026-03-27
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 16 — — $26,701.42 $86,449.26 $34,536.24 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 16 — — $41,577.58 $134,612.74 $48,729.89 2026-03-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 23 $93,486.78 $82,268.36 $21,447.68 $81,322.03 $32,171.52 2026-03-27
5831 APR_DRG Neonate With Ecmo 4 4 — — $66,644.20 $66,644.20 $66,644.20 2026-03-27
5832 APR_DRG Neonate With Ecmo 4 4 — — $84,346.85 $84,346.85 $84,346.85 2026-03-27
5833 APR_DRG Neonate With Ecmo 4 4 — — $124,310.92 $124,310.92 $124,310.92 2026-03-27
5834 APR_DRG Neonate With Ecmo 4 4 — — $154,740.98 $154,740.98 $154,740.98 2026-03-27
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $36,070.33 $36,070.33 $36,070.33 2026-03-27
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $36,070.33 $36,070.33 $36,070.33 2026-03-27
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $74,715.99 $74,715.99 $74,715.99 2026-03-27
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $122,573.54 $122,573.54 $122,573.54 2026-03-27
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $51,686.87 $51,686.87 $51,686.87 2026-03-27
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $49,858.46 $49,858.46 $49,858.46 2026-03-27
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $45,325.87 $45,325.87 $45,325.87 2026-03-27
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $32,440.10 $32,440.10 $32,440.10 2026-03-27
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $44,993.35 $44,993.35 $44,993.35 2026-03-27
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $49,735.43 $49,735.43 $49,735.43 2026-03-27
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $83,686.81 $83,686.81 $83,686.81 2026-03-27
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $41,679.43 $41,679.43 $41,679.43 2026-03-27
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $48,114.83 $48,114.83 $48,114.83 2026-03-27
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $69,477.64 $69,477.64 $69,477.64 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 25 16 — — $37,369.20 $120,987.54 $46,107.17 2026-03-27
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $32,852.42 $32,852.42 $32,852.42 2026-03-27
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $36,655.56 $36,655.56 $36,655.56 2026-03-27
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $53,765.08 $53,765.08 $53,765.08 2026-03-27
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $65,086.37 $65,086.37 $65,086.37 2026-03-27
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $44,822.11 $44,822.11 $44,822.11 2026-03-27
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $39,704.71 $39,704.71 $39,704.71 2026-03-27
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $32,784.26 $32,784.26 $32,784.26 2026-03-27
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $81,979.35 $81,979.35 $81,979.35 2026-03-27
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $36,125.20 $36,125.20 $36,125.20 2026-03-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 23 $131,861.16 $116,037.82 $23,096.07 $96,431.75 $34,644.11 2026-03-27
61885 CPT Insrt/redo Neurostim 1 Array 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
61886 CPT Pr Imp Stim,cranial,subq,>1 Array 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 23 $214,039.27 $188,354.56 $23,571.59 $93,362.90 $35,357.38 2026-03-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 23 $64,289.01 $56,574.33 $24,681.55 $98,445.22 $37,022.33 2026-03-27
63 APR_DRG Pancreas Transplant 4 4 — — $34,701.20 $34,701.20 $34,701.20 2026-03-27
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $35,146.77 $35,146.77 $35,146.77 2026-03-27
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $70,393.30 $70,393.30 $70,393.30 2026-03-27
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $73,089.57 $73,089.57 $73,089.57 2026-03-27
63685 HCPCS Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, … 16 16 $76,183.98 $67,041.90 $15,998.64 $114,275.97 $64,375.46 2025-11-14
64 APR_DRG Pancreas Transplant 4 4 — — $57,672.13 $57,672.13 $57,672.13 2026-03-27
64568 CPT Opn Impltj Crnl Nrv Nea&pg 7 7 — — $45,737.61 $68,606.41 $48,024.49 2026-03-17
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
64654 CPT 1st Opn Implt Bat Modulj Sys 7 7 — — $45,737.61 $68,606.41 $48,024.49 2026-03-17
64656 CPT Revj/rplcmt Bat Mod Sys Pg 7 7 — — $32,042.46 $48,063.69 $33,644.58 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 16 — — $35,505.05 $114,952.14 $46,746.46 2026-03-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 16 — — $26,759.99 $88,505.62 $36,863.15 2026-03-27
652 MS_DRG Kidney Transplant 25 16 — — $23,669.01 $77,130.15 $32,134.90 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 25 16 — — $42,959.32 $139,086.27 $51,660.35 2026-03-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 23 $81,250.00 $71,500.00 $27,826.02 $104,530.52 $40,767.11 2026-03-27
69930 CPT Implant Cochlear Device 7 7 — — $34,238.06 $51,357.09 $35,949.96 2026-03-17
7 MS_DRG Lung Transplant 25 16 — — $100,711.57 $326,066.56 $128,632.38 2026-03-27
70530_1 CDM Supply Code From Trans 16 16 $90,997.50 $80,077.80 $19,109.48 $84,627.68 $74,617.95 2025-11-14
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $34,909.02 $34,909.02 $34,909.02 2026-03-27
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $42,033.56 $42,033.56 $42,033.56 2026-03-27
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 16 — — $30,344.17 $98,243.12 $35,559.72 2026-03-27
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 16 — — $30,677.85 $99,323.46 $35,642.11 2026-03-27
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $81,663.46 $81,663.46 $81,663.46 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 22 $21,038.60 $18,513.97 $21,038.60 $148,322.76 $56,263.63 2026-03-27
791 MS_DRG Prematurity With Major Problems 31 22 $57,427.26 $50,535.99 $26,881.62 $101,294.51 $38,447.01 2026-03-27
793 MS_DRG Full Term Neonate With Major Problems 30 21 $12,642.91 $11,125.76 $12,642.91 $104,053.98 $35,815.81 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 25 16 — — $36,641.73 $118,632.26 $45,034.07 2026-03-27
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 16 — — $41,930.53 $138,254.90 $55,712.56 2026-03-27
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 23 $74,950.84 $65,956.74 $26,385.58 $95,152.26 $39,126.96 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 16 — — $44,868.16 $145,266.39 $58,295.56 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 23 $59,589.25 $52,438.54 $30,363.85 $116,753.53 $45,545.77 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 23 $226,081.91 $198,952.08 $30,979.76 $119,148.73 $46,469.64 2026-03-27
834 MS_DRG Acute Leukemia With Mcc 25 16 — — $42,594.81 $137,906.14 $54,573.92 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 16 — — $38,586.79 $124,929.64 $47,767.97 2026-03-27
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 4 — — $36,839.27 $36,839.27 $36,839.27 2026-03-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 23 $52,398.12 $46,110.34 $21,423.84 $79,565.55 $32,135.76 2026-03-27
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $33,937.25 $33,937.25 $33,937.25 2026-03-27
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $85,432.92 $85,432.92 $85,432.92 2026-03-27
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $42,484.95 $42,484.95 $42,484.95 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 24 16 — — $70,989.30 $229,836.91 $86,038.56 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 23 $114,933.17 $101,141.19 $32,706.97 $124,782.44 $49,060.45 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 23 $315,887.75 $277,981.22 $30,124.77 $112,564.42 $45,187.15 2026-03-27
8634 APR_DRG Neonatal Aftercare 4 4 — — $42,729.76 $42,729.76 $42,729.76 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 32 23 $212,317.25 $186,839.18 $45,774.92 $173,564.68 $68,662.37 2026-03-27
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 16 — — $30,282.52 $98,043.52 $38,442.53 2026-03-27
901 MS_DRG Wound Debridements For Injuries With Mcc 25 16 — — $34,142.58 $110,540.98 $41,735.31 2026-03-27
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 23 $226,522.51 $199,339.81 $24,325.91 $96,334.45 $36,443.34 2026-03-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 23 $104,854.40 $92,271.87 $25,426.61 $99,393.32 $38,139.91 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 25 16 — — $182,814.06 $591,883.86 $212,022.23 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 16 — — $51,469.34 $171,305.59 $71,279.09 2026-03-27
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 4 4 — — $32,658.73 $32,658.73 $32,658.73 2026-03-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 25 16 — — $33,344.22 $107,956.16 $38,733.39 2026-03-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 23 $124,671.09 $109,710.56 $24,030.54 $86,659.47 $35,211.38 2026-03-27
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 4 4 — — $73,789.52 $73,789.52 $73,789.52 2026-03-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 23 $43,135.77 $37,959.48 $23,308.00 $91,035.07 $34,962.00 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 23 $127,634.41 $112,318.28 $44,578.19 $170,366.09 $66,867.29 2026-03-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 23 $195,498.16 $172,038.38 $24,921.30 $95,368.88 $37,381.94 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 16 — — $57,521.07 $186,231.79 $75,718.44 2026-03-27
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 16 — — $31,671.19 $102,539.51 $41,907.05 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 16 — — $48,736.70 $157,791.29 $60,841.83 2026-03-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 16 — — $27,623.86 $89,435.77 $35,929.99 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 23 $26,770.24 $23,557.81 $26,770.24 $118,609.81 $44,429.69 2026-03-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 16 — — $26,992.72 $87,392.37 $34,109.40 2026-03-27
A9543 HCPCS Hc Provsn,ther Radiorx_zeval 30 18 $268,007.00 $120,603.15 55% off $50,809.83 $151,411.85 $60,564.74 2026-03-27
C9765 HCPCS Hb Revasc Intra Lithotrip Stent 39 27 $44,891.80 $26,935.08 40% off $90.00 $67,337.70 $37,709.11 2026-03-17
C9766 HCPCS Hb Revasc Intra Lithotrip-ather 39 27 $44,891.80 $26,935.08 40% off $90.00 $67,337.70 $37,709.11 2026-03-17
C9767 HCPCS Hb Revasc Lithotrip-stent-ather 39 27 $44,891.80 $26,935.08 40% off $90.00 $67,337.70 $37,709.11 2026-03-17
C9773 HCPCS Hb Radiant Ccl-revasc Lithotr-stent Tib/per 39 27 $44,891.80 $26,935.08 40% off $90.00 $67,337.70 $37,709.11 2026-03-17
C9774 HCPCS Hb Radiant-revasc Lithotr-ather Tib/per 39 27 $44,891.80 $26,935.08 40% off $90.00 $67,337.70 $37,709.11 2026-03-17
C9775 HCPCS Hb Radiant Ccl-revasc Lith-sten-ath Tib/per 39 27 $44,891.80 $26,935.08 40% off $90.00 $67,337.70 $37,709.11 2026-03-17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2026-03-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,327,859.73 $4,991,789.59 $3,494,252.71 2026-03-17
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 18 12 $44,270.16 $26,562.10 40% off $191.71 $41,171.25 $37,186.93 2026-03-17
J3387 HCPCS Inj Elivaldogene Autotemecel 7 7 — — $3,180,000.00 $4,770,000.00 $3,339,000.00 2026-03-17
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 5 — — $3,335,820.00 $3,502,611.00 $3,335,820.00 2026-03-17
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,505,000.00 $4,730,250.00 $4,505,000.00 2026-03-17
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $3,498,000.00 $2,448,600.00 2026-03-17
J3393 HCPCS Inj, Betibeglogene Autotemce 8 8 — — $2,939,968.89 $4,897,200.00 $3,086,967.33 2026-03-17
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,252,508.08 $4,878,762.12 $3,415,133.48 2026-03-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 8 — — $2,588,981.23 $3,884,946.48 $2,718,430.29 2026-03-17
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 7 7 — — $201,669.02 $302,503.53 $211,752.47 2026-03-17
J3403 HCPCS Revakinagene, Per Implant 7 7 — — $265,000.00 $397,500.00 $278,250.00 2026-03-17
J7330 HCPCS J7330-maci Matric Autologous Graft 18 12 $90,997.50 $54,598.50 40% off $35,990.73 $84,627.68 $76,437.90 2026-03-17
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 30 18 $78,750.00 $35,437.50 55% off $9,930.38 $104,773.89 $67,606.08 2026-03-27
J9226 HCPCS Supprelin La Implant 9 9 — — $36,330.19 $72,861.11 $45,344.61 2026-03-17
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 32 12 $76,482.00 $45,889.20 40% off $323.91 $71,128.26 $64,244.88 2026-03-17
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 24 12 $38,478.00 $23,086.80 40% off $23.38 $35,784.54 $32,321.52 2026-03-17
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution 24 12 $46,046.22 $27,627.74 40% off $30.53 $42,822.98 $38,678.82 2026-03-17
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 7 — — $114,097.24 $171,145.86 $119,802.10 2026-03-17
L5856 HCPCS Elec Knee-shin Swing/stance 7 7 — — $35,259.71 $52,889.57 $37,022.70 2026-03-17
L6700 HCPCS Ue Add Ext Power Myoel 7 7 — — $35,412.23 $53,118.35 $37,182.84 2026-03-17
L6880 HCPCS Elec Hand Ind Art Digits 7 7 — — $35,051.25 $52,576.88 $36,803.81 2026-03-17
L7180 HCPCS Electronic Elbow Sequential 7 7 — — $53,323.46 $79,985.19 $55,989.63 2026-03-17
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $58,766.81 $88,150.22 $61,705.15 2026-03-17
L8701 HCPCS Ewh S/d Uprt Micro Sensor 7 7 — — $41,964.16 $62,946.24 $44,062.37 2026-03-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 7 7 — — $82,562.05 $123,843.08 $86,690.15 2026-03-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $132,128.29 $198,192.44 $138,734.70 2026-03-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 8 — — $532,192.24 $807,075.90 $558,801.85 2026-03-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 8 — — $566,531.30 $863,696.72 $594,857.87 2026-03-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 9 — — $43,412.04 $91,596.09 $57,124.31 2026-03-17
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 31 18 $2,310,018.48 $1,039,508.32 55% off $2.85 $1,304,883.43 $521,953.37 2026-03-27
Q2054 HCPCS Lisocabtagene Maraleucel (cd8) 70000000 Cells IV Susp 34 18 $2,656,752.00 $1,195,538.40 55% off $2.85 $1,443,215.30 $590,311.30 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 8 8 — — $558,081.73 $837,122.59 $585,985.81 2026-03-17
Q2056 HCPCS Ciltacabtagene Car-pos T 8 8 — — $587,649.57 $881,474.36 $617,032.05 2026-03-17
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,155,930.00 $809,151.00 2026-03-17
Q2058 HCPCS Obecabtagene Autoleucel 300 X 1,000,000 Cells IV Susp Day 9 29 17 $2,625,021.00 $1,181,259.45 55% off $278,250.00 $1,312,510.50 $393,750.00 2026-03-27
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