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

UNIVERSITY MEDICAL CENTER

Las Vegas, NV · CCN 290007 · Rates published

Your selected procedure

You selected 59510 (CPT)

CESAREAN DELIVERY

This hospital’s price: $3,010 across 52 payers · range $1,961-$4,730

Source: https://mrfs.hyvehealthcare.com/UMCSouthernNevada/886000436_university-medical-center-of-southern-nevada_standardcharges.json · observed 2026-07-01

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.

20,247 distinct procedures filed
91 distinct payers
5,628,819 rate rows
2026-07-01 last MRF observed
Data quality

3,106,524 of 5,628,819 rate rows are consumer-grade (55.2%)

2,522,295 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 2,161,881
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 274,246
per-diem day rate — not a per-procedure price 74,389
placeholder amount (≤ $0.02) — excluded from medians 6,755
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,031
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 642
exceeds 10× this hospital's gross charge — excluded from medians 288
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 63
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/UMCSouthernNevada/886000436_university-medical-center-of-southern-nevada_standardcharges.json
Found on page https://www.umcsn.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint c5e9516facdf19b0… · 2,557,193,768 bytes · first seen 2026-07-31

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 14 $4,100,217.80 $4,715,250.47 $4,100,217.80 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 16 $25,790.42 $4,715,250.47 $4,100,217.80 nat. median
$3,705,478
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 45 $2,577,279.76 $4,510,239.58 $3,898,135.63 nat. median
$2,401,965
1.6× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,648,000.00 $4,221,841.46 $3,671,166.49 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 16 $25.42 $4,058,165.70 $3,528,839.74 nat. median
$3,286,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 46 $2,647,130.35 $4,648,445.45 $3,461,850.08 nat. median
$2,467,989
1.4× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 15 $3,192,000.00 $4,854,657.88 $3,280,174.24 nat. median
$2,994,107
1.1× median
Q2052
HCPCS 		Home Ivig, Services/supplies 84 $1,078,769.54 $1,078,769.54 $1,078,769.54 nat. median
$260
outlier · 4143.9×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 80 $551,318.34 $1,218,612.00 $766,150.50 nat. median
$646,415
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 80 $528,312.43 $1,218,612.00 $734,179.88 nat. median
$623,527
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 80 $516,485.97 $1,167,760.66 $717,745.01 nat. median
$640,950
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 80 $122,755.66 $1,250,232.32 $686,493.99 nat. median
$739,658
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 80 $489,517.15 $1,250,232.32 $680,267.24 nat. median
$608,239
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 80 $483,360.00 $1,141,619.92 $675,884.74 nat. median
$592,235
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $417,403.38 $834,806.76 $417,403.38 nat. median
$359,244
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $3,335.00 $623,530.68 $311,765.34 nat. median
$248,541
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $3,335.00 $525,125.52 $262,562.76 nat. median
$198,115
1.3× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 68 $60,221.82 $291,351.00 $253,369.00 nat. median
$50,763
outlier · 5.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 64 $87,738.96 $291,351.00 $253,369.00 nat. median
$66,623
outlier · 3.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 62 $3,335.00 $474,407.76 $195,787.00 nat. median
$190,359
1.0× median
K1004
HCPCS 		Lo Freq US Diathermy Device 84 $186,433.40 $186,433.40 $186,433.40 nat. median
$660
outlier · 282.5×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 64 $38,433.46 $223,417.00 $160,965.00 nat. median
$33,599
outlier · 4.8×
652
MS_DRG 		Kidney Transplant 68 $33,994.10 $223,417.00 $160,965.00 nat. median
$29,909
outlier · 5.4×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 64 $50,993.37 $223,417.00 $160,965.00 nat. median
$42,787
outlier · 3.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $145,010.07 $290,020.14 $145,010.07 nat. median
$110,084
1.3× median
7
MS_DRG 		Lung Transplant 20 $144,644.83 $289,289.66 $144,644.83 nat. median
$117,977
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 88 $93,216.70 $186,433.40 $139,825.05 nat. median
$96,983
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 66 $3,335.00 $312,780.26 $131,000.00 nat. median
$126,461
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $3,335.00 $243,930.98 $121,965.49 nat. median
$103,938
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $120,573.14 $241,146.28 $120,573.14 nat. median
$97,137
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 25 $117,867.03 $235,734.06 $117,867.03 nat. median
$94,943
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 62 $3,335.00 $234,525.44 $117,262.72 nat. median
$93,787
1.3× median
Q0480
HCPCS 		Dme Pos 88 $34,242.70 $199,999.82 $117,121.26 nat. median
$111,503
1.1× median
Q0479
HCPCS 		Dme Pos 88 $14,104.71 $199,999.82 $107,052.26 nat. median
$15,271
outlier · 7.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 $3,335.00 $231,882.40 $106,228.00 nat. median
$93,226
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 76 $64,034.94 $129,944.43 $102,102.04 nat. median
$75,037
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $3,335.00 $203,913.70 $101,956.85 nat. median
$78,164
1.3× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 88 $67,452.66 $134,905.32 $101,178.99 nat. median
$70,178
1.4× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 85 $63,402.04 $140,968.51 $94,701.02 nat. median
$68,400
1.4× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 84 $62,801.36 $138,927.73 $94,202.04 nat. median
$63,504
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 $14,342.00 $187,473.36 $93,736.68 nat. median
$77,487
1.2× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 54 $90,636.00 $90,636.00 $90,636.00 nat. median
$1,036
outlier · 87.5×
10
MS_DRG 		Pancreas Transplant 22 $88,244.77 $176,489.54 $88,244.77 nat. median
$64,851
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 59 $1,168.98 $122,755.66 $86,081.57 nat. median
$65,720
1.3× median
90288
CPT 		Botulism Ig IV 80 $85,233.75 $102,280.50 $85,233.75 nat. median
$51,570
1.7× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 54 $84,665.28 $84,665.28 $84,665.28 nat. median
$1,683
outlier · 50.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 $3,335.00 $184,626.68 $84,580.00 nat. median
$77,936
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 58 $61,748.00 $137,118.62 $82,683.00 nat. median
$56,633
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 $37,665.00 $213,635.78 $82,683.00 nat. median
$90,512
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 $28,483.00 $165,226.78 $82,613.39 nat. median
$67,908
1.2× median

Other procedures at this hospital

Browse this hospital's 20,247 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 35 14 — — $4,100,217.80 $4,715,250.47 $4,100,217.80 2026-07-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 37 16 — — $25,790.42 $4,715,250.47 $4,100,217.80 2026-07-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 76 45 — — $2,577,279.76 $4,510,239.58 $3,898,135.63 2026-07-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 36 15 — — $3,648,000.00 $4,221,841.46 $3,671,166.49 2026-07-01
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 37 16 — — $25.42 $4,058,165.70 $3,528,839.74 2026-07-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 77 46 — — $2,647,130.35 $4,648,445.45 $3,461,850.08 2026-07-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 39 15 — — $3,192,000.00 $4,854,657.88 $3,280,174.24 2026-07-01
Q2052 HCPCS Home Ivig, Services/supplies 120 84 — — $1,078,769.54 $1,078,769.54 $1,078,769.54 2026-07-01
Q2056 HCPCS Ciltacabtagene Car-pos T 128 80 — — $551,318.34 $1,218,612.00 $766,150.50 2026-07-01
Q2055 HCPCS Idecabtagene Vicleucel Car 128 80 — — $528,312.43 $1,218,612.00 $734,179.88 2026-07-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 128 80 — — $516,485.97 $1,167,760.66 $717,745.01 2026-07-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 128 80 — — $122,755.66 $1,250,232.32 $686,493.99 2026-07-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 128 80 — — $489,517.15 $1,250,232.32 $680,267.24 2026-07-01
Q2053 HCPCS Brexucabtagene Car Pos T 128 80 — — $483,360.00 $1,141,619.92 $675,884.74 2026-07-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 20 — — $417,403.38 $834,806.76 $417,403.38 2026-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 24 — — $3,335.00 $623,530.68 $311,765.34 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 63 24 — — $3,335.00 $525,125.52 $262,562.76 2026-07-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 98 68 — — $60,221.82 $291,351.00 $253,369.00 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 89 64 — — $87,738.96 $291,351.00 $253,369.00 2026-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 119 62 — — $3,335.00 $474,407.76 $195,787.00 2026-07-01
K1004 HCPCS Lo Freq US Diathermy Device 120 84 — — $186,433.40 $186,433.40 $186,433.40 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 89 64 — — $38,433.46 $223,417.00 $160,965.00 2026-07-01
652 MS_DRG Kidney Transplant 98 68 — — $33,994.10 $223,417.00 $160,965.00 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 89 64 — — $50,993.37 $223,417.00 $160,965.00 2026-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 38 20 — — $145,010.07 $290,020.14 $145,010.07 2026-07-01
7 MS_DRG Lung Transplant 38 20 — — $144,644.83 $289,289.66 $144,644.83 2026-07-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 142 88 — — $93,216.70 $186,433.40 $139,825.05 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 127 66 — — $3,335.00 $312,780.26 $131,000.00 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 63 24 — — $3,335.00 $243,930.98 $121,965.49 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 20 — — $120,573.14 $241,146.28 $120,573.14 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 47 25 — — $117,867.03 $235,734.06 $117,867.03 2026-07-01
215 MS_DRG Other Heart Assist System Implant 119 62 — — $3,335.00 $234,525.44 $117,262.72 2026-07-01
Q0480 HCPCS Dme Pos 142 88 — — $34,242.70 $199,999.82 $117,121.26 2026-07-01
Q0479 HCPCS Dme Pos 142 88 — — $14,104.71 $199,999.82 $107,052.26 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 89 42 — — $3,335.00 $231,882.40 $106,228.00 2026-07-01
J7330 HCPCS Cultured Chondrocytes Implnt 106 76 — — $64,034.94 $129,944.43 $102,102.04 2026-07-01
850 MS_DRG Acute Leukemia With Other Procedures 54 20 — — $3,335.00 $203,913.70 $101,956.85 2026-07-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 142 88 — — $67,452.66 $134,905.32 $101,178.99 2026-07-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 134 85 — — $63,402.04 $140,968.51 $94,701.02 2026-07-01
A9543 HCPCS Y90 Ibritumomab, Rx 133 84 — — $62,801.36 $138,927.73 $94,202.04 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 101 60 — — $14,342.00 $187,473.36 $93,736.68 2026-07-01
C9150 HCPCS Xe129 Xenon, Diagnostic 83 54 — — $90,636.00 $90,636.00 $90,636.00 2026-07-01
10 MS_DRG Pancreas Transplant 42 22 — — $88,244.77 $176,489.54 $88,244.77 2026-07-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 97 59 — — $1,168.98 $122,755.66 $86,081.57 2026-07-01
90288 CPT Botulism Ig IV 114 80 — — $85,233.75 $102,280.50 $85,233.75 2026-07-01
A9699 HCPCS Radiopharm Rx Agent Noc 83 54 — — $84,665.28 $84,665.28 $84,665.28 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 89 42 — — $3,335.00 $184,626.68 $84,580.00 2026-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 96 58 — — $61,748.00 $137,118.62 $82,683.00 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 119 75 — — $37,665.00 $213,635.78 $82,683.00 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 27 — — $28,483.00 $165,226.78 $82,613.39 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 119 75 — — $37,665.00 $187,577.40 $80,143.00 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 105 62 — — $37,781.00 $156,434.40 $78,217.20 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 119 75 — — $37,665.00 $171,276.52 $77,502.00 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 58 — — $67,004.00 $147,593.32 $77,134.00 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 20 — — $76,994.19 $153,988.38 $76,994.19 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 119 75 — — $37,665.00 $135,221.58 $76,647.00 2026-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 27 — — $28,483.00 $151,150.56 $75,575.28 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 20 — — $73,921.73 $147,843.46 $73,921.73 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 89 42 — — $3,335.00 $157,224.66 $72,026.00 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 20 — — $71,578.65 $143,157.30 $71,578.65 2026-07-01
914T OTHER Percutaneous Transcatheter Therapeutic Drug Delivery By Intracoronary Drug-deliv… 120 84 — — $3,704.00 $70,867.64 $70,867.64 2026-07-01
J9226 HCPCS Supprelin La Implant 100 62 — — $175.40 $100,044.88 $70,155.79 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 20 — — $69,997.04 $139,994.08 $69,997.04 2026-07-01
266T OTHER Pr Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 142 88 $198,359.00 $59,507.70 70% off $5,270.00 $168,605.15 $69,425.65 2026-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 63 24 — — $3,335.00 $136,941.54 $68,470.77 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 20 — — $68,158.65 $136,317.30 $68,158.65 2026-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 92 56 — — $26,028.00 $148,414.56 $67,990.00 2026-07-01
C1825 HCPCS Set Barostim Neo2 Stimulator With Generator 2104 / Lead 1036 77 51 $131,250.00 $39,375.00 70% off $32,156.25 $118,125.00 $67,987.50 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 63 24 — — $3,335.00 $135,841.38 $67,920.69 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 47 25 — — $11,292.00 $134,575.20 $67,287.60 2026-07-01
L7180 HCPCS Dme Pos 142 88 — — $43,487.11 $94,422.54 $67,187.59 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 117 75 — — $37,665.00 $173,023.04 $66,835.00 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 38 20 — — $66,805.04 $133,610.08 $66,805.04 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 38 20 — — $66,805.04 $133,610.08 $66,805.04 2026-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 64 29 — — $43,876.00 $132,611.74 $66,305.87 2026-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 18 — — $65,796.75 $131,593.50 $65,796.75 2026-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 20 — — $64,440.93 $128,881.86 $64,440.93 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 119 75 — — $37,665.00 $142,951.42 $64,385.00 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 119 62 — — $3,335.00 $110,309.84 $63,834.00 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 101 60 — — $14,342.00 $127,046.78 $63,523.39 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 38 20 — — $61,699.39 $123,398.78 $61,699.39 2026-07-01
834 MS_DRG Acute Leukemia With Mcc 38 20 — — $61,175.88 $122,351.76 $61,175.88 2026-07-01
C9759 HCPCS Transcath Intraop Microinf 120 84 — — $790.00 $60,786.00 $60,786.00 2026-07-01
L2006 HCPCS Dme Pos 86 51 — — $2,777.78 $78,310.02 $60,494.49 2026-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 20 — — $60,084.58 $120,169.16 $60,084.58 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 20 — — $59,778.00 $119,556.00 $59,778.00 2026-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 20 — — $59,721.55 $119,443.10 $59,721.55 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 20 — — $59,714.91 $119,429.82 $59,714.91 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 58 — — $51,633.00 $113,623.58 $59,442.00 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 121 77 — — $37,665.00 $117,767.42 $58,883.71 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 121 77 — — $37,665.00 $130,252.06 $58,806.00 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 110 71 — — $37,665.00 $131,693.10 $57,869.00 2026-07-01
C1605 HCPCS Pacemaker Implantable Aveir Leadless Right Ventricular 38mm 19.5fr 120 84 $142,500.00 $42,750.00 70% off $34,912.50 $128,250.00 $57,427.50 2026-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 63 24 — — $3,335.00 $112,773.56 $56,386.78 2026-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 20 — — $56,214.12 $112,428.24 $56,214.12 2026-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 89 42 — — $3,335.00 $121,838.20 $55,815.00 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 20 — — $55,748.16 $111,496.32 $55,748.16 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 89 42 — — $3,335.00 $121,094.44 $55,475.00 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 38 20 — — $55,419.44 $110,838.88 $55,419.44 2026-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 63 24 — — $3,335.00 $110,752.54 $55,376.27 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 20 — — $55,354.14 $110,708.28 $55,354.14 2026-07-01
L7181 HCPCS Dme Pos 142 88 — — $14,371.08 $94,422.54 $54,396.81 2026-07-01
J9225 HCPCS Vantas Implant 106 76 — — $5,556.20 $100,044.88 $54,270.00 2026-07-01
245 MS_DRG Aicd Generator Procedures 42 22 — — $4,455.00 $108,173.72 $54,086.86 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 47 25 — — $53,670.70 $138,113.00 $53,670.70 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 123 75 — — $37,665.00 $117,247.22 $53,462.00 2026-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 123 62 — — $3,335.00 $92,747.00 $53,289.58 2026-07-01
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 142 88 — — $3,704.00 $70,867.64 $53,150.73 2026-07-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 142 88 — — $34,284.44 $134,905.32 $52,969.46 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 20 — — $52,855.00 $105,710.00 $52,855.00 2026-07-01
799 MS_DRG Splenic Procedures With Mcc 38 20 — — $52,625.89 $105,251.78 $52,625.89 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 20 — — $52,615.93 $105,231.86 $52,615.93 2026-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 92 56 — — $26,028.00 $114,002.10 $52,226.00 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 64 29 — — $43,876.00 $104,142.76 $52,071.38 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 20 — — $51,792.47 $103,584.94 $51,792.47 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 96 58 — — $37,781.00 $102,974.00 $51,487.00 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 54 20 — — $3,335.00 $102,028.80 $51,014.40 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 20 — — $50,822.92 $101,645.84 $50,822.92 2026-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 25 — — $28,483.00 $99,868.32 $49,934.16 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 100 58 — — $42,043.00 $92,747.00 $49,934.00 2026-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 20 — — $49,636.44 $99,272.88 $49,636.44 2026-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 58 — — $37,781.00 $101,661.34 $49,242.33 2026-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 38 20 — — $49,036.55 $98,073.10 $49,036.55 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 63 24 — — $3,335.00 $97,238.58 $48,619.29 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 38 20 — — $47,889.91 $95,779.82 $47,889.91 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 105 62 — — $14,342.00 $95,582.82 $47,791.41 2026-07-01
815T OTHER US Rems B1 Dns Hips Plvs/spi 85 56 — — $47,399.82 $47,399.82 $47,399.82 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 121 77 — — $37,665.00 $93,804.00 $47,298.00 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 20 — — $47,212.55 $94,425.10 $47,212.55 2026-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 47 25 — — $9,561.00 $94,285.66 $47,142.83 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 38 20 — — $46,808.57 $93,617.14 $46,808.57 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 20 — — $46,370.28 $92,740.56 $46,370.28 2026-07-01
793 MS_DRG Full Term Neonate With Major Problems 33 18 — — $46,158.89 $92,317.78 $46,158.89 2026-07-01
268T OTHER Pr Im/repl Cartd Sins Barreflx Act Dev Pls Gen Only 142 88 $130,415.00 $39,124.50 70% off $1,216.34 $110,852.75 $45,645.25 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 48 27 — — $28,483.00 $90,974.12 $45,487.06 2026-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 20 — — $45,419.55 $90,839.10 $45,419.55 2026-07-01
C1875 HCPCS Stent Aortic Heart Evolut Fx Transcatheter Xenograft 23mm 121 84 $112,500.00 $33,750.00 70% off $470.87 $101,250.00 $45,337.50 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 106 69 — — $8,572.00 $90,391.94 $45,195.97 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 20 — — $45,017.78 $90,035.56 $45,017.78 2026-07-01
791 MS_DRG Prematurity With Major Problems 33 18 — — $44,934.77 $89,869.54 $44,934.77 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 38 20 — — $44,091.39 $88,182.78 $44,091.39 2026-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 38 20 — — $44,060.40 $88,120.80 $44,060.40 2026-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 20 — — $43,670.81 $87,341.62 $43,670.81 2026-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 38 20 — — $43,581.16 $87,162.32 $43,581.16 2026-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 38 20 — — $43,492.62 $86,985.24 $43,492.62 2026-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 101 60 — — $15,576.00 $86,558.00 $43,279.00 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 20 — — $43,039.94 $86,079.88 $43,039.94 2026-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 20 — — $42,777.63 $85,555.26 $42,777.63 2026-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 38 20 — — $42,734.46 $85,468.92 $42,734.46 2026-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 38 20 — — $42,614.93 $85,229.86 $42,614.93 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 79 32 — — $3,335.00 $92,762.70 $42,469.00 2026-07-01
620T OTHER Pr Endovascular Venous Arterialization Tibl/prnl Vn 142 88 $101,065.00 $30,319.50 70% off $3,163.00 $85,905.25 $42,447.30 2026-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 27 — — $28,483.00 $84,612.26 $42,306.13 2026-07-01
525F OTHER Initial Visit For Episode 1 1 — — $42,154.12 $42,154.12 $42,154.12 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 115 73 — — $8,572.00 $107,520.70 $42,094.00 2026-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 70 27 — — $3,335.00 $83,498.82 $41,749.41 2026-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 20 — — $41,416.27 $82,832.54 $41,416.27 2026-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 96 58 — — $36,032.00 $92,747.00 $41,219.00 2026-07-01
J9266 HCPCS Pegaspargase Injection 134 85 — — $25,159.59 $59,972.99 $41,003.85 2026-07-01
C9760 HCPCS Non-blind Interatrial Shunt 142 88 — — $3,704.00 $60,786.00 $40,612.77 2026-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 38 20 — — $40,383.63 $80,767.26 $40,383.63 2026-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 38 20 — — $40,103.61 $80,207.22 $40,103.61 2026-07-01
C1735 HCPCS Catheter Renal Denervation Symplicity Spyral 4fr 117cm 120 84 $98,689.60 $29,606.88 70% off $24,178.95 $88,820.64 $39,771.90 2026-07-01
792T OTHER Appl Slvr Diamn Fluoride 38% 120 84 — — $39,690.82 $39,690.82 $39,690.82 2026-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 20 — — $39,676.39 $79,352.78 $39,676.39 2026-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 38 20 — — $39,674.17 $79,348.34 $39,674.17 2026-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 77 37 — — $3,335.00 $86,600.06 $39,672.00 2026-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 64 29 — — $11,292.00 $79,335.06 $39,667.53 2026-07-01
265 MS_DRG Aicd Lead Procedures 42 22 — — $4,455.00 $93,804.00 $39,481.59 2026-07-01
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 142 88 $174,068.00 $52,220.40 70% off $3,010.00 $147,957.80 $39,370.43 2026-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 69 37 — — $8,572.00 $78,609.00 $39,304.50 2026-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 38 20 — — $39,064.33 $78,128.66 $39,064.33 2026-07-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 20 — — $38,965.82 $77,931.64 $38,965.82 2026-07-01
J9600 HCPCS Porfimer Sodium Injection 134 85 — — $26,196.06 $53,553.54 $38,853.29 2026-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 20 — — $38,779.88 $77,559.76 $38,779.88 2026-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 20 — — $38,767.71 $77,535.42 $38,767.71 2026-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 38 20 — — $38,752.21 $77,504.42 $38,752.21 2026-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 38 20 — — $38,683.59 $77,367.18 $38,683.59 2026-07-01
887T OTHER End-tidal Control Of Inhaled Anesthetic Agents And Oxygen To Assist Anesthesia C… 120 84 — — $38,682.40 $38,682.40 $38,682.40 2026-07-01
571T OTHER Insj/rplcmt Icds Ss Eltrd 142 88 — — $3,704.00 $70,867.64 $38,545.82 2026-07-01
332 MS_DRG Rectal Resection With Mcc 38 20 — — $38,391.40 $76,782.80 $38,391.40 2026-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 20 — — $38,349.34 $76,698.68 $38,349.34 2026-07-01
L5856 HCPCS Dme Pos 142 88 — — $20,073.62 $56,571.04 $38,322.33 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 110 58 — — $3,335.00 $98,998.38 $38,284.00 2026-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 38 20 — — $38,062.68 $76,125.36 $38,062.68 2026-07-01
665 MS_DRG Prostatectomy With Mcc 38 20 — — $38,002.91 $76,005.82 $38,002.91 2026-07-01
252 MS_DRG Other Vascular Procedures With Mcc 55 24 — — $28,903.00 $75,935.00 $37,967.50 2026-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 63 24 — — $3,335.00 $75,819.88 $37,909.94 2026-07-01
C1604 HCPCS System Case Stent Graft Detour 120 84 $93,750.00 $28,125.00 70% off $22,968.75 $84,375.00 $37,781.25 2026-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 67 26 — — $3,335.00 $93,804.00 $37,699.65 2026-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 57 26 — — $35,472.00 $93,804.00 $37,542.49 2026-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 47 25 — — $11,292.00 $74,303.58 $37,151.79 2026-07-01
L8614 HCPCS Dme Pos 86 51 — — $1,062.84 $47,351.10 $36,578.72 2026-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 38 20 — — $36,545.26 $73,090.52 $36,545.26 2026-07-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 55 24 — — $27,590.00 $72,355.62 $36,177.81 2026-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 20 — — $36,074.88 $72,149.76 $36,074.88 2026-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 38 20 — — $36,059.38 $72,118.76 $36,059.38 2026-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 38 20 — — $35,631.05 $71,262.10 $35,631.05 2026-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 63 24 — — $3,335.00 $70,932.28 $35,466.14 2026-07-01
33264 CPT Pr Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 142 88 $124,018.00 $37,205.40 70% off $395.98 $105,415.30 $35,433.82 2026-07-01
33270 CPT Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 142 88 $134,900.00 $40,470.00 70% off $3,010.00 $114,665.00 $35,433.82 2026-07-01
33249 CPT Pr Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 142 88 $124,018.00 $37,205.40 70% off $876.87 $105,415.30 $35,433.82 2026-07-01
33231 CPT Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 142 88 $124,018.00 $37,205.40 70% off $390.89 $105,415.30 $35,433.82 2026-07-01
408T OTHER Insj/rplc Cardiac Modulj Sys 66 31 — — $28.26 $70,867.64 $35,433.82 2026-07-01
830T OTHER Hc Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 85 56 $72,241.00 $21,672.30 70% off $17,699.04 $65,016.90 $35,398.09 2026-07-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 47 25 — — $9,561.00 $70,726.42 $35,363.21 2026-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 20 — — $35,295.69 $70,591.38 $35,295.69 2026-07-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 38 20 — — $35,200.51 $70,401.02 $35,200.51 2026-07-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 38 20 — — $35,129.67 $70,259.34 $35,129.67 2026-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 38 20 — — $35,071.01 $70,142.02 $35,071.01 2026-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 38 20 — — $34,527.58 $69,055.16 $34,527.58 2026-07-01
C1882 HCPCS Acticor Hf-t Dx Df4 High Energy With Promri Ti And Cls 2,281 84 $85,252.50 $25,575.75 70% off $528.28 $93,382.87 $34,356.75 2026-07-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 38 20 — — $34,226.53 $68,453.06 $34,226.53 2026-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 106 69 — — $8,572.00 $68,311.38 $34,155.69 2026-07-01
C1767 HCPCS Battery Gastric Neurostimulator Enterra Ii Model 37800 1,082 84 $76,342.31 $22,902.69 70% off $9,123.80 $128,891.25 $34,155.00 2026-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 38 20 — — $34,131.34 $68,262.68 $34,131.34 2026-07-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 38 20 — — $33,963.11 $67,926.22 $33,963.11 2026-07-01
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 142 88 — — $3,704.00 $49,614.16 $33,953.53 2026-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 101 60 — — $15,576.00 $82,683.00 $33,933.00 2026-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 110 58 — — $3,335.00 $67,704.86 $33,852.43 2026-07-01
64568 CPT Pr Open Implantation Cranial Nerve Nea & Pulse Gen 142 88 $117,876.00 $35,362.80 70% off $1,588.00 $100,194.60 $33,678.80 2026-07-01
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 70 33 — — $1,385.00 $67,357.60 $33,678.80 2026-07-01
570 MS_DRG Skin Debridement With Mcc 38 20 — — $33,316.74 $66,633.48 $33,316.74 2026-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 38 20 — — $33,051.11 $66,102.22 $33,051.11 2026-07-01
L6880 HCPCS Dme Pos 142 88 — — $9,634.18 $56,303.92 $32,969.05 2026-07-01
L5858 HCPCS Dme Pos 142 88 — — $21,898.50 $43,797.00 $32,847.75 2026-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 20 — — $32,634.96 $65,269.92 $32,634.96 2026-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 38 20 — — $32,550.84 $65,101.68 $32,550.84 2026-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 38 20 — — $32,462.30 $64,924.60 $32,462.30 2026-07-01
668 MS_DRG Transurethral Procedures With Mcc 38 20 — — $32,277.46 $64,554.92 $32,277.46 2026-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 38 20 — — $32,259.75 $64,519.50 $32,259.75 2026-07-01
800 MS_DRG Splenic Procedures With Cc 38 20 — — $32,249.79 $64,499.58 $32,249.79 2026-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 20 — — $32,232.08 $64,464.16 $32,232.08 2026-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 115 73 — — $8,572.00 $64,132.12 $32,066.06 2026-07-01
L5973 HCPCS Dme Pos 86 51 — — $745.86 $41,426.78 $32,002.19 2026-07-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 38 20 — — $31,732.92 $63,465.84 $31,732.92 2026-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 63 24 — — $3,335.00 $63,392.80 $31,696.40 2026-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 47 25 — — $9,561.00 $63,355.16 $31,677.58 2026-07-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 38 20 — — $31,633.31 $63,266.62 $31,633.31 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 108 64 — — $3,335.00 $178,439.70 $31,525.00 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 108 64 — — $3,335.00 $122,351.76 $31,525.00 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 124 71 — — $3,335.00 $84,154.06 $31,525.00 2026-07-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 108 64 — — $3,335.00 $78,148.58 $31,525.00 2026-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 110 58 — — $3,335.00 $54,626.98 $31,525.00 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 124 71 — — $3,335.00 $126,287.52 $31,525.00 2026-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 111 70 — — $9,561.00 $63,016.48 $31,508.24 2026-07-01
33289 CPT Pr Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 142 88 $120,576.00 $36,172.80 70% off $304.46 $102,489.60 $31,418.42 2026-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 12 5 — — $4,224.00 $58,562.00 $31,393.00 2026-07-01
654 MS_DRG Major Bladder Procedures With Cc 38 20 — — $31,234.86 $62,469.72 $31,234.86 2026-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 38 20 — — $31,083.23 $62,166.46 $31,083.23 2026-07-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 98 53 — — $3,335.00 $92,477.00 $31,051.13 2026-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 100 58 — — $26,123.00 $92,747.00 $31,011.00 2026-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 38 20 — — $30,286.34 $60,572.68 $30,286.34 2026-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 38 20 — — $30,232.11 $60,464.22 $30,232.11 2026-07-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 127 79 — — $11,301.00 $60,353.54 $30,176.77 2026-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 48 27 — — $3,600.00 $60,136.60 $30,068.30 2026-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 38 20 — — $29,921.10 $59,842.20 $29,921.10 2026-07-01
C2616 HCPCS Microsphere Brachytherapyâ Therasphere Y-90 10.5GBq 142 88 $72,356.25 $21,706.88 70% off $17,944.35 $61,502.81 $29,855.86 2026-07-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 38 20 — — $29,822.59 $59,645.18 $29,822.59 2026-07-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 142 88 — — $3,163.00 $39,690.82 $29,768.12 2026-07-01
645T OTHER Tcat Impltj C Sins Rdctj Dev 142 88 — — $3,163.00 $39,690.82 $29,768.12 2026-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 20 — — $29,704.16 $59,408.32 $29,704.16 2026-07-01
263 MS_DRG Vein Ligation And Stripping 38 20 — — $29,685.35 $59,370.70 $29,685.35 2026-07-01
849 MS_DRG Radiotherapy 38 20 — — $29,563.60 $59,127.20 $29,563.60 2026-07-01
C1722 HCPCS Acid Aacticor Dx Df4 High Energy With Promri Ti And Cls 2,641 84 $72,408.75 $21,722.63 70% off $6,980.40 $79,194.37 $29,544.26 2026-07-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 38 20 — — $29,471.74 $58,943.48 $29,471.74 2026-07-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 38 20 — — $29,366.59 $58,733.18 $29,366.59 2026-07-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 38 20 — — $29,330.07 $58,660.14 $29,330.07 2026-07-01
503 MS_DRG Foot Procedures With Mcc 38 20 — — $29,292.44 $58,584.88 $29,292.44 2026-07-01
C1721 HCPCS Aicd Rivacor Dr-t Df4 High Energy With Promri Ti And Cls 1,921 84 $72,657.19 $21,797.16 70% off $8,750.00 $76,177.12 $29,280.84 2026-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 48 27 — — $28,483.00 $58,525.10 $29,262.55 2026-07-01
L6970 HCPCS Dme Pos 142 88 — — $18,860.04 $44,602.48 $29,138.76 2026-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 63 24 — — $3,335.00 $58,069.10 $29,034.55 2026-07-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 142 88 — — $3,704.00 $38,682.40 $29,011.80 2026-07-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 38 20 — — $28,959.29 $57,918.58 $28,959.29 2026-07-01
C1820 HCPCS Implant Spinal Cord Neurostimulator Intellis W/rechrgbl Battery 481 84 $71,400.00 $21,420.00 70% off $2,852.82 $85,156.78 $28,774.20 2026-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 38 20 — — $28,650.50 $57,301.00 $28,650.50 2026-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 38 20 — — $28,602.90 $57,205.80 $28,602.90 2026-07-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 38 20 — — $28,265.33 $56,530.66 $28,265.33 2026-07-01
253 MS_DRG Other Vascular Procedures With Cc 55 24 — — $27,211.00 $56,512.96 $28,256.48 2026-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 38 20 — — $28,203.35 $56,406.70 $28,203.35 2026-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 38 20 — — $28,058.36 $56,116.72 $28,058.36 2026-07-01
545 MS_DRG Connective Tissue Disorders With Mcc 38 20 — — $27,967.60 $55,935.20 $27,967.60 2026-07-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 38 20 — — $27,945.47 $55,890.94 $27,945.47 2026-07-01
164 MS_DRG Major Chest Procedures With Cc 54 20 — — $3,335.00 $55,716.06 $27,858.03 2026-07-01
93654 CPT Hc Ep Ablate Ventric Tachy 142 88 $102,011.00 $30,603.30 70% off $1,006.82 $86,709.35 $27,775.50 2026-07-01
93653 CPT Hc Ablate Supravent Arrhyt 142 88 $94,894.00 $28,468.20 70% off $756.08 $80,659.90 $27,775.50 2026-07-01
409T OTHER Insj/rplc Car Modulj Pls Gn 142 88 — — $5,839.20 $49,614.16 $27,726.68 2026-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 38 20 — — $27,715.25 $55,430.50 $27,715.25 2026-07-01
L6965 HCPCS Dme Pos 142 88 — — $17,808.01 $37,720.08 $27,513.38 2026-07-01
93656 CPT Hc Atrial Fib Pulm Vein Isol 142 88 $102,240.00 $30,672.00 70% off $1,008.08 $86,904.00 $27,480.00 2026-07-01
397 MS_DRG Appendix Procedures With Mcc 38 20 — — $27,424.17 $54,848.34 $27,424.17 2026-07-01
620 MS_DRG O.r. Procedures For Obesity With Cc 141 79 — — $3,335.00 $53,281.00 $27,397.05 2026-07-01
792 MS_DRG Prematurity Without Major Problems 33 18 — — $27,113.16 $54,226.32 $27,113.16 2026-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 38 20 — — $27,097.66 $54,195.32 $27,097.66 2026-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 38 20 — — $26,874.09 $53,748.18 $26,874.09 2026-07-01
922T OTHER Removal Of A Permanent Cardiac Contractility Modulation-defibrillation System Co… 142 88 — — $3,704.00 $49,614.16 $26,818.12 2026-07-01
C1816 HCPCS Receiver/transmitter, Neuro 78 51 — — $26,792.85 $26,792.85 $26,792.85 2026-07-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 38 20 — — $26,770.05 $53,540.10 $26,770.05 2026-07-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 119 70 — — $3,335.00 $40,048.28 $26,755.00 2026-07-01
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