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

SUMMERLIN HOSPITAL MEDICAL CENTER

Las Vegas, NV · CCN 290041 · Rates published

10,416 distinct procedures filed
17 distinct payers
688,516 rate rows
2026-09-11 last MRF observed
Data quality

687,898 of 688,516 rate rows are consumer-grade (99.9%)

618 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
per-diem day rate — not a per-procedure price 401
placeholder amount (≤ $0.02) — excluded from medians 103
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 62
exceeds 10× this hospital's gross charge — excluded from medians 37
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/232939047_summerlin-hospital-medical-center_standardcharges.csv
Found on page https://www.summerlinhospital.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-01
Content fingerprint f2ee58b88cb3963f… · 176,615,762 bytes · first seen 2026-09-11

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
845
OTHER 		Inj, Atidarsagene Autotemcel 10 $4,257,225.00 $4,685,200.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 10 $3,482,577.00 $3,832,677.33 $3,685,266.67 nat. median
$3,765,001
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Treat 10 $3,152,349.90 $3,469,252.80 $3,335,820.00 nat. median
$8,800
outlier · 379.1×
714
OTHER 		Inj Delandistrogene Mox Rokl 10 $3,134,057.15 $3,449,121.09 $3,316,462.59 nat. median
$3,391,964
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 10 $3,069,781.20 $3,378,383.54 $3,248,445.71 nat. median
$3,351,720
1.0× median
906
OTHER 		Inj Elivaldogene Autotemecel 10 $2,920,050.00 $3,213,600.00 $3,090,000.00 nat. median
$2,726
outlier · 1133.4×
746
OTHER 		Inj, Betibeglogene Autotemce 10 $2,783,724.30 $3,063,569.60 $2,945,740.00 nat. median
$3,001,835
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 10 $2,320,079.52 $4,664,710.15 $2,455,110.60 nat. median
$2,508,045
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 10 $2,203,740.00 $4,430,800.00 $2,332,000.00 nat. median
$28,063
outlier · 83.1×
2067
OTHER 		Afamitresgene Autoleucel 10 $728,235.90 $1,464,178.00 $770,620.00 nat. median
$838,386
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos T 10 $559,181.26 $1,124,279.78 $591,726.20 nat. median
$555,653
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 10 $534,746.15 $1,075,151.00 $565,868.94 nat. median
$553,480
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 10 $531,598.58 $1,068,822.55 $562,538.19 nat. median
$542,562
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 10 $526,665.45 $1,058,904.07 $557,317.93 nat. median
$552,917
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 10 $503,902.51 $1,013,137.32 $533,230.17 nat. median
$513,929
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 10 $462,392.85 $929,678.76 $489,304.61 nat. median
$483,557
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $393,053.44 $811,062.66 $415,929.57 nat. median
$168,055
outlier · 2.5×
831
OTHER 		Obecbtge Autol Up To 400 Mil 10 $262,946.25 $528,675.00 $278,250.00 nat. median
$278,250
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $255,383.38 $526,981.57 $270,246.96 nat. median
$186,516
1.4× median
897
OTHER 		Revakinagene, Per Implant 10 $243,337.50 $489,250.00 $257,500.00 nat. median
$269,427
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $194,776.91 $401,920.60 $206,113.13 nat. median
$131,925
1.6× median
886
OTHER 		Inj. Remestemcel-l-rknd/ Td 10 $194,329.80 $390,716.00 $205,640.00 nat. median
$203,660
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $129,073.00 $399,572.46 $204,908.95 nat. median
$145,435
1.4× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 10 $144,112.97 $289,750.95 $152,500.50 nat. median
$149,948
1.0× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 10 $144,112.97 $289,750.95 $152,500.50 nat. median
$149,948
1.0× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 10 $129,937.97 $261,250.95 $137,500.50 nat. median
$135,199
1.0× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 10 $129,937.97 $261,250.95 $137,500.50 nat. median
$135,199
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $126,671.60 $261,385.83 $134,044.02 nat. median
$97,418
1.4× median
7
MS_DRG 		Lung Transplant 10 $118,487.07 $244,497.12 $125,383.14 nat. median
$70,649
1.8× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 10 $115,762.97 $232,750.95 $122,500.50 nat. median
$3,015
outlier · 40.6×
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 10 $115,762.97 $232,750.95 $122,500.50 nat. median
$3,015
outlier · 40.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $110,020.12 $227,025.64 $116,423.40 nat. median
$72,715
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $103,789.10 $214,167.98 $109,829.74 nat. median
$65,418
1.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $103,671.02 $213,924.33 $109,704.79 nat. median
$2,110
outlier · 52.0×
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 10 $101,587.97 $204,250.95 $107,500.50 nat. median
$3,015
outlier · 35.7×
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 10 $101,587.97 $204,250.95 $107,500.50 nat. median
$3,015
outlier · 35.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $86,725.00 $208,347.24 $106,844.74 nat. median
$2,736
outlier · 39.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $99,632.35 $205,590.57 $105,431.06 nat. median
$74,509
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $94,513.84 $195,028.57 $100,014.65 nat. median
$69,922
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 10 $91,303.43 $188,403.91 $96,617.39 nat. median
$73,023
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $89,721.39 $185,139.38 $95,892.71 nat. median
$69,822
1.4× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 10 $89,775.47 $180,500.95 $95,000.50 nat. median
$93,410
1.0× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 10 $89,775.47 $180,500.95 $95,000.50 nat. median
$93,410
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $82,699.33 $170,649.41 $87,512.52 nat. median
$2,596
outlier · 33.7×
C1882
HCPCS 		Defib Amplia MRI Quad Dtmb1qq 8 $1,980.00 $404,612.00 $86,809.86 nat. median
$24,131
outlier · 3.6×
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 10 $80,325.47 $161,500.95 $85,000.50 nat. median
$83,578
1.0× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 10 $80,325.47 $161,500.95 $85,000.50 nat. median
$83,578
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $79,519.80 $164,088.48 $84,147.94 nat. median
$2,633
outlier · 32.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $77,434.62 $159,785.72 $81,941.39 nat. median
$60,505
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $20,111.00 $159,289.11 $81,686.72 nat. median
$59,651
1.4× median

Other procedures at this hospital

Browse this hospital's 10,416 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
             
845 OTHER Inj, Atidarsagene Autotemcel 11 10 — — $4,257,225.00 $4,685,200.00 $4,505,000.00 2026-09-11
9138 OTHER Inj, Hemgenix, Per Tx Dose 11 10 — — $3,482,577.00 $3,832,677.33 $3,685,266.67 2026-09-11
908 OTHER Topi Adm Prad Zami Per Treat 11 10 — — $3,152,349.90 $3,469,252.80 $3,335,820.00 2026-09-11
714 OTHER Inj Delandistrogene Mox Rokl 11 10 — — $3,134,057.15 $3,449,121.09 $3,316,462.59 2026-09-11
748 OTHER Inj, Lovotibeglogene Autotem 11 10 — — $3,069,781.20 $3,378,383.54 $3,248,445.71 2026-09-11
906 OTHER Inj Elivaldogene Autotemecel 11 10 — — $2,920,050.00 $3,213,600.00 $3,090,000.00 2026-09-11
746 OTHER Inj, Betibeglogene Autotemce 11 10 — — $2,783,724.30 $3,063,569.60 $2,945,740.00 2026-09-11
9141 OTHER Inj Onase Abepar-xioi Treat 14 10 — — $2,320,079.52 $4,664,710.15 $2,455,110.60 2026-09-11
824 OTHER Inj, Exagamglogene Autotem 14 10 — — $2,203,740.00 $4,430,800.00 $2,332,000.00 2026-09-11
2067 OTHER Afamitresgene Autoleucel 14 10 — — $728,235.90 $1,464,178.00 $770,620.00 2026-09-11
9194 OTHER Tisagenlecleucel Car-pos T 14 10 — — $559,181.26 $1,124,279.78 $591,726.20 2026-09-11
9498 OTHER Ciltacabtagene Car-pos T 14 10 — — $534,746.15 $1,075,151.00 $565,868.94 2026-09-11
9413 OTHER Lisocabtagene Car Pos T 14 10 — — $531,598.58 $1,068,822.55 $562,538.19 2026-09-11
9422 OTHER Idecabtagene Vicleucel Car 14 10 — — $526,665.45 $1,058,904.07 $557,317.93 2026-09-11
9035 OTHER Axicabtagene Ciloleucel Car+ 14 10 — — $503,902.51 $1,013,137.32 $533,230.17 2026-09-11
9391 OTHER Brexucabtagene Car Pos T 14 10 — — $462,392.85 $929,678.76 $489,304.61 2026-09-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 10 — — $393,053.44 $811,062.66 $415,929.57 2026-09-11
831 OTHER Obecbtge Autol Up To 400 Mil 14 10 — — $262,946.25 $528,675.00 $278,250.00 2026-09-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 10 — — $255,383.38 $526,981.57 $270,246.96 2026-09-11
897 OTHER Revakinagene, Per Implant 14 10 — — $243,337.50 $489,250.00 $257,500.00 2026-09-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 10 — — $194,776.91 $401,920.60 $206,113.13 2026-09-11
886 OTHER Inj. Remestemcel-l-rknd/ Td 14 10 — — $194,329.80 $390,716.00 $205,640.00 2026-09-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 11 — — $129,073.00 $399,572.46 $204,908.95 2026-09-11
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 14 10 — — $144,112.97 $289,750.95 $152,500.50 2026-09-11
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 14 10 — — $144,112.97 $289,750.95 $152,500.50 2026-09-11
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 14 10 — — $129,937.97 $261,250.95 $137,500.50 2026-09-11
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 14 10 — — $129,937.97 $261,250.95 $137,500.50 2026-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 11 — — $126,671.60 $261,385.83 $134,044.02 2026-09-11
7 MS_DRG Lung Transplant 14 10 — — $118,487.07 $244,497.12 $125,383.14 2026-09-11
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 14 10 — — $115,762.97 $232,750.95 $122,500.50 2026-09-11
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 14 10 — — $115,762.97 $232,750.95 $122,500.50 2026-09-11
14 MS_DRG Allogeneic Bone Marrow Transplant 14 10 — — $110,020.12 $227,025.64 $116,423.40 2026-09-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 10 — — $103,789.10 $214,167.98 $109,829.74 2026-09-11
209 MS_DRG Complex Aortic Arch Procedures 15 10 — — $103,671.02 $213,924.33 $109,704.79 2026-09-11
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 14 10 — — $101,587.97 $204,250.95 $107,500.50 2026-09-11
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 14 10 — — $101,587.97 $204,250.95 $107,500.50 2026-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $86,725.00 $208,347.24 $106,844.74 2026-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 10 — — $99,632.35 $205,590.57 $105,431.06 2026-09-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 10 — — $94,513.84 $195,028.57 $100,014.65 2026-09-11
215 MS_DRG Other Heart Assist System Implant 14 10 — — $91,303.43 $188,403.91 $96,617.39 2026-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $89,721.39 $185,139.38 $95,892.71 2026-09-11
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 14 10 — — $89,775.47 $180,500.95 $95,000.50 2026-09-11
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 14 10 — — $89,775.47 $180,500.95 $95,000.50 2026-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 11 — — $82,699.33 $170,649.41 $87,512.52 2026-09-11
C1882 HCPCS Defib Amplia MRI Quad Dtmb1qq 448 8 $304,483.00 — $1,980.00 $404,612.00 $86,809.86 2026-09-11
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 14 10 — — $80,325.47 $161,500.95 $85,000.50 2026-09-11
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 14 10 — — $80,325.47 $161,500.95 $85,000.50 2026-09-11
850 MS_DRG Acute Leukemia With Other Procedures 14 10 — — $79,519.80 $164,088.48 $84,147.94 2026-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 11 — — $77,434.62 $159,785.72 $81,941.39 2026-09-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $20,111.00 $159,289.11 $81,686.72 2026-09-11
C1721 HCPCS Aicd Iperia Dr-t Df-4 402 8 $294,621.00 — $1,980.00 $534,242.40 $81,420.12 2026-09-11
C1722 HCPCS Aicd Inventra Dx 438 8 $268,663.00 — $1,980.00 $455,682.40 $81,114.82 2026-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 10 — — $72,338.83 $149,270.60 $76,549.03 2026-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $70,608.74 $145,700.57 $75,465.42 2026-09-11
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 14 10 — — $70,875.47 $142,500.95 $75,000.50 2026-09-11
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 14 10 — — $70,875.47 $142,500.95 $75,000.50 2026-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 11 — — $70,308.12 $145,080.25 $74,400.13 2026-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 10 — — $70,078.37 $144,606.16 $74,157.01 2026-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $66,433.84 $137,085.71 $71,003.36 2026-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 11 — — $65,632.82 $145,694.00 $70,147.24 2026-09-11
10 MS_DRG Pancreas Transplant 14 10 — — $66,044.22 $136,281.72 $69,888.06 2026-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 10 — — $66,016.99 $136,225.53 $69,859.25 2026-09-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 10 — — $65,670.96 $135,511.51 $69,493.08 2026-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 10 — — $63,647.54 $131,336.19 $67,351.89 2026-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 11 — — $54,056.00 $130,700.92 $67,026.11 2026-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 10 — — $62,006.46 $127,949.83 $65,615.30 2026-09-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 10 — — $61,601.41 $127,114.03 $65,186.68 2026-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 11 — — $61,556.91 $127,022.20 $65,139.59 2026-09-11
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 14 10 — — $61,425.47 $123,500.95 $65,000.50 2026-09-11
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 14 10 — — $61,425.47 $123,500.95 $65,000.50 2026-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $60,591.51 $125,030.11 $64,759.19 2026-09-11
5244 OTHER Level 4 Blood Product Exchange And Related Services 14 10 — — $60,729.03 $122,100.69 $64,263.52 2026-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $60,591.51 $125,030.11 $64,118.01 2026-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $60,374.46 $124,582.22 $63,888.32 2026-09-11
717 OTHER Instill Adstiladrin, Tx Dose 14 10 — — $59,858.46 $120,350.34 $63,342.28 2026-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 10 — — $59,314.63 $122,395.26 $62,766.80 2026-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 12 — — $56,532.87 $116,655.12 $61,019.60 2026-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 10 — — $56,468.39 $116,522.07 $59,754.91 2026-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 11 — — $55,426.70 $114,372.56 $59,239.12 2026-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 11 — — $55,935.29 $115,422.02 $59,190.78 2026-09-11
28 MS_DRG Spinal Procedures With Mcc 15 11 — — $55,442.13 $117,105.00 $58,668.92 2026-09-11
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $55,031.65 $113,557.36 $58,234.55 2026-09-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 10 — — $54,853.63 $113,190.04 $58,046.17 2026-09-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 10 — — $54,728.31 $112,931.44 $57,913.56 2026-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 11 — — $54,173.41 $111,786.41 $57,899.62 2026-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 10 — — $54,138.90 $111,715.19 $57,289.84 2026-09-11
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 11 — — $53,251.61 $117,166.00 $56,914.42 2026-09-11
1643 OTHER Y90 Ibritumomab, Rx 14 10 — — $53,699.20 $107,966.64 $56,824.55 2026-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $52,917.39 $109,194.62 $55,997.24 2026-09-11
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 10 — — $52,704.88 $108,756.09 $55,772.35 2026-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $52,637.69 $108,617.45 $55,701.26 2026-09-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $51,933.84 $107,165.06 $55,506.01 2026-09-11
9273 OTHER Sipuleucel-t Auto Cd54+ 14 10 — — $52,232.35 $105,017.42 $55,272.32 2026-09-11
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 14 10 — — $51,975.47 $104,500.95 $55,000.50 2026-09-11
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 14 10 — — $51,975.47 $104,500.95 $55,000.50 2026-09-11
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 10 — — $51,775.82 $106,839.00 $54,789.23 2026-09-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $51,427.07 $106,119.36 $54,420.18 2026-09-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 10 — — $51,034.74 $105,309.79 $54,005.02 2026-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 11 — — $50,487.11 $104,179.75 $53,959.76 2026-09-11
834 MS_DRG Acute Leukemia With Mcc 14 10 — — $50,734.13 $104,689.47 $53,686.91 2026-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 10 — — $50,557.95 $104,325.92 $53,500.47 2026-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 10 — — $50,409.01 $104,018.58 $53,342.86 2026-09-11
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 10 — — $50,211.03 $103,610.05 $53,133.36 2026-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $49,307.39 $101,745.40 $52,698.90 2026-09-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 11 — — $49,278.31 $101,685.41 $52,146.36 2026-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 10 — — $48,953.19 $101,014.52 $51,802.32 2026-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 11 — — $25,605.00 $100,686.56 $51,634.13 2026-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 11 — — $48,150.36 $99,357.88 $50,952.76 2026-09-11
653 MS_DRG Major Bladder Procedures With Mcc 14 10 — — $48,068.62 $99,189.23 $50,866.27 2026-09-11
C1767 HCPCS Generator Aspire Sr 106 192 8 $184,128.00 — $210.75 $282,503.20 $50,261.85 2026-09-11
C1820 HCPCS Charging Sys Neurostim 97764 225 8 $180,144.00 — $1,980.00 $296,981.60 $50,178.08 2026-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $46,650.05 $96,262.01 $49,365.13 2026-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 10 — — $46,170.52 $95,272.50 $48,857.69 2026-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 11 — — $2,646.00 $121,533.00 $48,473.29 2026-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 10 — — $45,727.34 $94,358.00 $48,388.72 2026-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $45,573.86 $94,041.30 $48,226.31 2026-09-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $45,387.68 $93,657.12 $48,029.29 2026-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 12 — — $44,112.59 $93,600.00 $47,613.58 2026-09-11
471 MS_DRG Cervical Spinal Fusion With Mcc 15 11 — — $44,729.25 $92,298.45 $47,332.54 2026-09-11
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 10 — — $44,507.65 $91,841.18 $47,098.04 2026-09-11
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 10 — — $43,573.14 $89,912.82 $46,109.14 2026-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 10 — — $43,485.96 $89,732.93 $46,016.89 2026-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 — — $43,358.80 $89,470.54 $45,882.33 2026-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 11 — — $42,820.25 $131,965.00 $45,765.56 2026-09-11
6 MS_DRG Liver Transplant Without Mcc 14 10 — — $42,988.26 $88,705.93 $45,490.22 2026-09-11
0275 RC — 3,576 10 $155,877.00 — $1,137.15 $534,242.40 $45,380.90 2026-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 10 — — $42,620.46 $87,946.97 $45,101.01 2026-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 11 — — $42,168.17 $89,698.00 $45,068.63 2026-09-11
1142 OTHER Supprelin La Implant 14 10 — — $42,544.51 $85,539.24 $45,020.65 2026-09-11
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 14 10 — — $42,525.47 $85,500.95 $45,000.50 2026-09-11
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 14 10 — — $42,525.47 $85,500.95 $45,000.50 2026-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 10 — — $42,514.20 $87,727.71 $44,988.57 2026-09-11
245 MS_DRG Aicd Generator Procedures 15 11 — — $42,310.76 $87,307.91 $44,773.29 2026-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 10 — — $42,186.35 $87,051.20 $44,641.64 2026-09-11
799 MS_DRG Splenic Procedures With Mcc 14 10 — — $42,006.53 $86,680.14 $44,451.35 2026-09-11
163 MS_DRG Major Chest Procedures With Mcc 14 10 — — $41,578.77 $85,797.46 $43,998.70 2026-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 11 — — $41,566.97 $85,773.11 $43,986.21 2026-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 10 — — $41,407.13 $85,443.27 $43,817.06 2026-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 10 — — $40,770.48 $84,129.57 $43,143.37 2026-09-11
C1772 HCPCS Pump Infusion 20ml Synchromed2 48 8 $165,920.00 — $1,980.00 $235,696.80 $42,934.11 2026-09-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 10 — — $40,176.53 $82,903.96 $42,514.85 2026-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 10 — — $39,863.22 $82,257.44 $42,183.30 2026-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 14 10 — — $39,612.57 $81,740.22 $41,918.06 2026-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 11 — — $39,390.07 $81,281.10 $41,682.62 2026-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 11 — — $38,917.81 $80,306.60 $41,594.70 2026-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 11 — — $39,230.22 $80,951.25 $41,513.46 2026-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 10 — — $39,164.82 $80,816.30 $41,444.26 2026-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 10 — — $39,145.76 $80,776.97 $41,424.09 2026-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 10 — — $39,034.06 $80,546.47 $41,305.88 2026-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 14 10 — — $38,988.63 $80,452.73 $41,257.81 2026-09-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $38,770.68 $100,914.00 $41,027.18 2026-09-11
793 MS_DRG Full Term Neonate With Major Problems 14 10 — — $38,743.43 $79,946.77 $40,998.34 2026-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 11 — — $38,342.92 $79,120.30 $40,980.26 2026-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 10 — — $38,592.67 $79,635.67 $40,838.81 2026-09-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 11 — — $37,389.33 $103,394.00 $39,961.08 2026-09-11
791 MS_DRG Prematurity With Major Problems 14 10 — — $37,738.99 $77,874.10 $39,935.44 2026-09-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 10 — — $37,058.77 $76,470.47 $39,215.63 2026-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 11 — — $36,403.05 $75,117.41 $38,521.75 2026-09-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 10 — — $36,242.30 $74,785.70 $38,351.64 2026-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 11 — — $36,028.88 $74,345.31 $38,125.80 2026-09-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 10 — — $35,976.21 $74,236.62 $38,070.06 2026-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 10 — — $35,942.60 $74,167.27 $38,034.50 2026-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 10 — — $35,743.72 $73,756.87 $37,824.04 2026-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 10 — — $35,050.77 $72,326.99 $37,090.76 2026-09-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 10 — — $34,901.83 $72,019.65 $36,933.15 2026-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 10 — — $34,821.00 $71,852.86 $36,847.62 2026-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 11 — — $32,360.00 $71,845.37 $36,843.78 2026-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 10 — — $34,722.01 $71,648.59 $36,742.86 2026-09-11
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 10 — — $34,531.30 $71,255.06 $36,541.06 2026-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 10 — — $34,234.32 $70,642.26 $36,226.80 2026-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 10 — — $34,220.70 $70,614.15 $36,212.38 2026-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 10 — — $33,829.27 $69,806.43 $35,798.17 2026-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 — — $33,803.84 $69,753.96 $35,771.26 2026-09-11
332 MS_DRG Rectal Resection With Mcc 14 10 — — $33,758.43 $69,660.26 $35,723.21 2026-09-11
265 MS_DRG Aicd Lead Procedures 14 10 — — $33,735.73 $69,613.41 $35,699.18 2026-09-11
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 10 — — $33,677.60 $69,493.47 $35,637.68 2026-09-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $33,628.56 $69,392.26 $35,585.77 2026-09-11
C2616 HCPCS Therasphere Y-90 Vial Bead 18 8 $226,793.00 — $1,980.00 $181,434.40 $35,379.75 2026-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 11 — — $10,940.00 $68,950.01 $35,358.98 2026-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 10 — — $33,338.85 $68,794.46 $35,279.21 2026-09-11
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 10 — — $33,306.15 $68,726.98 $35,244.60 2026-09-11
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 10 — — $33,258.02 $68,627.67 $35,193.68 2026-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 10 — — $33,230.78 $68,571.46 $35,164.85 2026-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 10 — — $33,199.89 $68,507.71 $35,132.16 2026-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 11 — — $25,605.00 $68,453.39 $35,104.30 2026-09-11
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 14 10 — — $33,075.47 $66,500.95 $35,000.50 2026-09-11
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 14 10 — — $33,075.47 $66,500.95 $35,000.50 2026-09-11
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 11 — — $32,903.84 $84,499.00 $34,818.88 2026-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 10 — — $32,838.45 $67,761.89 $34,749.69 2026-09-11
252 MS_DRG Other Vascular Procedures With Mcc 14 10 — — $32,556.01 $67,179.06 $34,450.80 2026-09-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 — — $32,547.83 $67,162.18 $34,442.15 2026-09-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 10 — — $32,402.52 $66,862.34 $34,288.38 2026-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 10 — — $32,249.95 $66,547.51 $34,126.93 2026-09-11
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 10 — — $32,104.64 $66,247.67 $33,973.16 2026-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 10 — — $32,012.01 $66,056.53 $33,875.14 2026-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 11 — — $31,859.42 $65,741.66 $33,713.67 2026-09-11
5166 OTHER Cochlear Implant Procedure 14 10 — — $31,833.53 $64,003.93 $33,686.28 2026-09-11
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 10 — — $31,818.57 $65,657.36 $33,670.44 2026-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 14 10 — — $31,214.62 $64,411.12 $33,031.34 2026-09-11
C1785 HCPCS Pacer Accolade MRI Dr L311 470 8 $119,526.00 — $1,799.22 $135,676.80 $32,798.22 2026-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 10 — — $30,875.88 $63,712.12 $32,672.88 2026-09-11
37 MS_DRG Extracranial Procedures With Mcc 15 11 — — $26,106.00 $63,502.24 $32,565.25 2026-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 11 — — $20,686.00 $63,494.73 $32,561.40 2026-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 11 — — $30,183.84 $62,284.11 $32,259.97 2026-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 10 — — $30,417.25 $62,765.74 $32,187.56 2026-09-11
5232 OTHER Level 2 Icd And Similar Procedures 14 10 — — $30,304.95 $60,930.59 $32,068.73 2026-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 10 — — $30,287.37 $62,497.74 $32,050.13 2026-09-11
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 10 — — $30,254.68 $62,430.28 $32,015.53 2026-09-11
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 11 — — $30,213.80 $76,861.00 $31,972.28 2026-09-11
652 MS_DRG Kidney Transplant 14 10 — — $30,205.64 $62,329.11 $31,963.65 2026-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 14 10 — — $30,126.62 $62,166.04 $31,880.02 2026-09-11
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 10 — — $28,720.00 $61,971.14 $31,780.07 2026-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 11 — — $29,872.34 $64,313.00 $31,610.94 2026-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 10 — — $29,818.76 $61,530.77 $31,554.24 2026-09-11
5465 OTHER Level 5 Neurostimulator And Related Procedures 14 10 — — $29,792.13 $59,899.51 $31,526.06 2026-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 10 — — $29,790.59 $61,472.65 $31,524.44 2026-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 10 — — $29,732.47 $61,352.71 $31,462.93 2026-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 14 10 — — $29,618.04 $61,116.60 $31,341.84 2026-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 10 — — $29,574.45 $61,026.63 $31,295.71 2026-09-11
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 10 — — $29,492.71 $60,857.98 $31,209.22 2026-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 11 — — $2,646.00 $74,655.00 $31,194.80 2026-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 10 — — $29,411.88 $60,691.19 $31,123.69 2026-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 11 — — $29,113.10 $80,334.00 $31,115.58 2026-09-11
665 MS_DRG Prostatectomy With Mcc 14 10 — — $29,222.07 $60,299.51 $30,922.83 2026-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $29,163.04 $60,177.71 $30,860.36 2026-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 14 10 — — $28,679.89 $59,180.72 $30,349.09 2026-09-11
263 MS_DRG Vein Ligation And Stripping 14 10 — — $28,642.67 $59,103.92 $30,309.70 2026-09-11
C1786 HCPCS Pacer Essentio MRI Sr L110 401 8 $93,766.00 — $1,980.00 $118,664.00 $30,260.86 2026-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 12 — — $19,639.00 $58,650.39 $30,077.12 2026-09-11
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 10 — — $28,307.54 $58,412.38 $29,955.07 2026-09-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 10 — — $28,303.92 $58,404.90 $29,951.23 2026-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 10 — — $28,273.94 $58,343.05 $29,919.51 2026-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 10 — — $27,907.04 $57,585.96 $29,531.26 2026-09-11
5200 OTHER Implantation Wireless Pa Pressure Monitor 14 10 — — $27,692.87 $55,678.78 $29,304.62 2026-09-11
472 MS_DRG Cervical Spinal Fusion With Cc 16 11 — — $27,631.85 $57,018.11 $29,302.53 2026-09-11
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 14 10 — — $27,613.70 $56,980.64 $29,220.84 2026-09-11
570 MS_DRG Skin Debridement With Mcc 14 10 — — $27,586.44 $56,924.39 $29,192.00 2026-09-11
C2621 HCPCS Crt P Quadra Allure Rf Pm3262 170 8 $94,996.00 — $1,980.00 $157,824.80 $29,095.08 2026-09-11
668 MS_DRG Transurethral Procedures With Mcc 14 10 — — $27,394.82 $56,529.00 $28,989.23 2026-09-11
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 10 — — $27,324.89 $56,384.69 $28,915.23 2026-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 10 — — $27,231.36 $56,191.69 $28,816.25 2026-09-11
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 10 — — $27,215.01 $56,157.96 $28,798.95 2026-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 13 — — $19,506.00 $55,918.08 $28,675.94 2026-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 14 10 — — $27,086.04 $55,891.83 $28,662.47 2026-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 14 10 — — $27,047.88 $55,813.09 $28,622.10 2026-09-11
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 10 — — $26,942.55 $55,595.74 $28,510.63 2026-09-11
843 OTHER Pegaspargase Injection 14 10 — — $26,860.74 $54,005.71 $28,424.06 2026-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 10 — — $26,763.63 $55,226.54 $28,321.30 2026-09-11
800 MS_DRG Splenic Procedures With Cc 14 10 — — $26,390.38 $54,456.33 $27,926.32 2026-09-11
654 MS_DRG Major Bladder Procedures With Cc 14 10 — — $26,298.64 $54,267.05 $27,829.25 2026-09-11
503 MS_DRG Foot Procedures With Mcc 14 10 — — $26,224.17 $54,113.38 $27,750.45 2026-09-11
5117 OTHER Level 7 Musculoskeletal Procedures 14 10 — — $26,197.03 $52,671.29 $27,721.73 2026-09-11
J9266 HCPCS Pegaspargase 750unit/ml 5ml Vl 19 12 $170,796.00 — $1,980.00 $136,636.80 $27,668.95 2026-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 10 — — $26,049.79 $53,753.54 $27,565.92 2026-09-11
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 14 10 — — $25,987.97 $52,250.95 $27,500.50 2026-09-11
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 14 10 — — $25,987.97 $52,250.95 $27,500.50 2026-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 10 — — $25,915.40 $53,476.22 $27,423.70 2026-09-11
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 11 — — $25,585.72 $54,005.00 $27,345.58 2026-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 10 — — $25,839.12 $53,318.82 $27,342.98 2026-09-11
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 11 — — $25,832.76 $53,305.70 $27,336.25 2026-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 10 — — $25,703.78 $53,039.55 $27,199.77 2026-09-11
849 MS_DRG Radiotherapy 14 10 — — $25,483.10 $52,584.17 $26,966.24 2026-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 10 — — $25,453.13 $52,522.33 $26,934.53 2026-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 10 — — $25,373.21 $52,357.41 $26,849.95 2026-09-11
5213 OTHER Level 3 Electrophysiologic Procedures 14 10 — — $25,235.27 $50,737.58 $26,703.99 2026-09-11
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 10 — — $25,033.56 $51,656.55 $26,490.54 2026-09-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 10 — — $24,949.09 $51,482.25 $26,401.15 2026-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 14 10 — — $24,828.30 $51,232.99 $26,273.33 2026-09-11
253 MS_DRG Other Vascular Procedures With Cc 14 10 — — $24,448.68 $50,449.66 $25,871.62 2026-09-11
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 10 — — $24,420.53 $50,391.56 $25,841.83 2026-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 10 — — $24,332.43 $50,209.79 $25,748.61 2026-09-11
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 14 10 — — $24,299.74 $50,142.32 $25,714.01 2026-09-11
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 14 10 — — $24,299.74 $50,142.32 $25,714.01 2026-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 11 — — $10,940.00 $49,924.93 $25,602.53 2026-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 11 — — $24,061.80 $58,121.00 $25,533.61 2026-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 11 — — $23,788.44 $80,334.00 $25,424.68 2026-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 10 — — $23,951.91 $49,424.57 $25,345.93 2026-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 10 — — $23,908.31 $49,334.61 $25,299.80 2026-09-11
164 MS_DRG Major Chest Procedures With Cc 14 10 — — $23,798.43 $49,107.87 $25,183.52 2026-09-11
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 10 — — $23,506.90 $48,506.29 $24,875.02 2026-09-11
C1895 HCPCS Lead Defib 8fx65cm Optim 403 8 $82,893.00 — $1,980.00 $149,182.40 $24,809.26 2026-09-11
545 MS_DRG Connective Tissue Disorders With Mcc 14 10 — — $23,414.27 $48,315.16 $24,777.00 2026-09-11
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 16 11 — — $23,047.36 $47,558.04 $24,632.63 2026-09-11
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 14 10 — — $23,209.92 $47,893.49 $24,560.76 2026-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 10 — — $23,203.56 $47,880.37 $24,554.04 2026-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 14 10 — — $23,172.69 $47,816.66 $24,521.37 2026-09-11
792 MS_DRG Prematurity Without Major Problems 14 10 — — $23,119.12 $47,706.13 $24,464.68 2026-09-11
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 10 — — $23,073.70 $47,612.39 $24,416.61 2026-09-11
856 OTHER Porfimer Sodium Injection 14 10 — — $22,895.86 $46,034.00 $24,228.42 2026-09-11
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 10 — — $22,873.90 $47,200.10 $24,205.18 2026-09-11
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 10 — — $22,802.15 $47,052.06 $24,129.26 2026-09-11
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 14 10 — — $22,720.42 $46,883.40 $24,042.77 2026-09-11
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 10 — — $22,646.85 $46,731.60 $23,964.92 2026-09-11
397 MS_DRG Appendix Procedures With Mcc 14 10 — — $22,625.97 $46,688.51 $23,942.82 2026-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 15 11 — — $22,586.00 $46,606.04 $23,900.53 2026-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 10 — — $22,548.77 $46,529.21 $23,861.14 2026-09-11
113 MS_DRG Orbital Procedures With Cc/mcc 14 10 — — $22,228.19 $45,867.69 $23,521.89 2026-09-11
333 MS_DRG Rectal Resection With Cc 14 10 — — $22,147.36 $45,700.90 $23,436.36 2026-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 14 10 — — $22,114.66 $45,633.42 $23,401.75 2026-09-11
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 14 10 — — $22,099.22 $45,601.56 $23,385.41 2026-09-11
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