Price Transparency 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

CARSON VALLEY HEALTH

Gardnerville, NV · CCN 291306 · Rates published

20,113 distinct procedures filed
152 distinct payers
843,870 rate rows
2026-05-13 last MRF observed
Data quality

834,074 of 843,870 rate rows are consumer-grade (98.8%)

9,796 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,343
per-diem day rate — not a per-procedure price 2,536
percent-of-charges filed in the dollar field — excluded from medians 622
placeholder amount (≤ $0.02) — excluded from medians 292
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://carsonvalleyhealth.pt.panaceainc.com/MRFDownload/carsonvalleyhealth/carsonvalley
Found on page https://carsonvalleyhealth.org/patients-and-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint a604496adc416c66… · 59,877,471 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $4,422,319.99 $4,790,846.66 $4,606,583.33 nat. median
$3,710,000
1.2× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $4,002,984.00 $4,336,566.00 $4,169,775.00 nat. median
$3,335,820
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,993,431.66 $4,326,217.64 $4,159,824.65 nat. median
$3,325,455
1.3× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,903,009.68 $4,228,260.49 $4,065,635.08 nat. median
$3,286,000
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,816,000.00 $4,134,000.00 $3,975,000.00 nat. median
$3,180,000
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $3,527,962.66 $3,821,959.54 $3,674,961.10 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $3,106,777.46 $3,365,675.59 $3,236,226.52 nat. median
$2,469,189
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,798,400.00 $3,031,600.00 $2,915,000.00 nat. median
$2,448,600
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $693,558.00 $1,001,806.00 $809,151.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $528,884.62 $763,944.44 $617,032.05 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $509,878.17 $736,490.69 $594,857.86 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $505,981.12 $730,861.61 $590,311.30 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $502,273.55 $725,506.24 $585,985.81 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $478,973.02 $691,849.91 $558,801.85 nat. median
$634,511
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 2 $478,499.97 $582,020.37 $530,260.17 nat. median
$370,174
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $440,505.18 $636,285.26 $513,922.71 nat. median
$620,080
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $333,900.00 $361,725.00 $347,812.50 nat. median
$324,450
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $310,527.23 $377,707.81 $344,117.52 nat. median
$265,286
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 5 $238,500.00 $344,500.00 $293,750.00 nat. median
$265,000
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $236,580.62 $287,763.32 $262,171.97 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $235,192.20 $286,074.52 $260,633.36 nat. median
$202,986
1.3× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $181,502.12 $262,169.73 $211,752.47 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $153,484.59 $186,690.00 $170,087.29 nat. median
$133,176
1.3× median
7
MS_DRG 		Lung Transplant 2 $143,498.58 $174,543.57 $159,021.08 nat. median
$122,708
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $133,167.95 $161,977.98 $147,572.97 nat. median
$117,303
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $125,565.41 $152,730.68 $139,148.04 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 2 $125,421.36 $152,555.47 $138,988.42 nat. median
$98,017
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $122,123.71 $148,544.39 $135,334.05 nat. median
$98,905
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $120,493.73 $146,561.77 $133,527.75 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $114,248.59 $138,965.54 $126,607.07 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 2 $110,331.53 $134,201.04 $122,266.29 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $108,401.25 $131,853.17 $120,127.21 nat. median
$93,672
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $99,833.58 $121,431.93 $110,632.76 nat. median
$82,712
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $95,954.19 $116,713.26 $106,333.73 nat. median
$83,442
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $93,410.04 $113,618.70 $103,514.37 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $93,116.39 $113,261.53 $103,188.96 nat. median
$81,118
1.3× median
J1786
HCPCS 		Imiglucerase 400 Units IV Solr 11 $38.91 $192,464.33 $102,647.64 nat. median
$84
outlier · 1228.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $87,192.60 $106,056.16 $96,624.38 nat. median
$77,576
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $85,081.71 $103,488.59 $94,285.15 nat. median
$74,915
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 2 $84,714.93 $103,042.46 $93,878.70 nat. median
$73,807
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $84,434.59 $102,701.47 $93,568.03 nat. median
$72,138
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $79,987.86 $97,292.72 $88,640.29 nat. median
$68,090
1.3× median
10
MS_DRG 		Pancreas Transplant 2 $79,512.50 $96,714.52 $88,113.51 nat. median
$68,882
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $79,479.25 $96,674.08 $88,076.67 nat. median
$64,027
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $79,057.08 $96,160.57 $87,608.83 nat. median
$71,240
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $79,010.54 $96,103.96 $87,557.25 nat. median
$68,887
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $76,588.27 $93,157.66 $84,872.96 nat. median
$66,526
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $76,212.63 $92,700.75 $84,456.69 nat. median
$65,950
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $74,585.97 $90,722.17 $82,654.07 nat. median
$64,732
1.3× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $74,091.77 $90,121.05 $82,106.41 nat. median
$60,691
1.4× median

Other procedures at this hospital

Browse this hospital's 20,113 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
             
0408T HCPCS Insj/rplc Cardiac Modulj Sys 2 1 — — $38,482.48 $41,689.35 $40,085.92 2026-03-27
0409T HCPCS Insj/rplc Car Modulj Pls Gn 2 1 — — $27,270.43 $29,542.97 $28,406.70 2026-03-27
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 2 1 — — $27,270.43 $29,542.97 $28,406.70 2026-03-27
0515T HCPCS Insj Wcs Lv Compl Sys 2 1 — — $27,270.43 $29,542.97 $28,406.70 2026-03-27
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 2 1 — — $38,482.48 $41,689.35 $40,085.92 2026-03-27
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $27,270.43 $29,542.97 $28,406.70 2026-03-27
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 2 1 — — $54,000.60 $58,500.65 $56,250.62 2026-03-27
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 2 1 — — $37,831.27 $40,983.88 $39,407.57 2026-03-27
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 2 1 — — $42,000.60 $45,500.65 $43,750.62 2026-03-27
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 2 1 — — $33,000.60 $35,750.65 $34,375.62 2026-03-27
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 2 1 — — $37,831.27 $40,983.88 $39,407.57 2026-03-27
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 2 1 — — $37,831.27 $40,983.88 $39,407.57 2026-03-27
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 2 1 — — $38,482.48 $41,689.35 $40,085.92 2026-03-27
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 2 1 — — $27,270.43 $29,542.97 $28,406.70 2026-03-27
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 2 1 — — $27,270.43 $29,542.97 $28,406.70 2026-03-27
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 2 1 — — $33,266.08 $36,038.25 $34,652.17 2026-03-27
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 2 1 — — $33,266.08 $36,038.25 $34,652.17 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $310,527.23 $377,707.81 $344,117.52 2026-03-27
10 MS_DRG Pancreas Transplant 2 2 — — $79,512.50 $96,714.52 $88,113.51 2026-03-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 2 2 — — $60,435.79 $73,510.69 $66,973.24 2026-03-27
113 MS_DRG Orbital Procedures With Cc/mcc 2 2 — — $26,052.07 $31,688.27 $28,870.17 2026-03-27
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 2 2 — — $46,716.65 $56,823.50 $51,770.07 2026-03-27
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 2 2 — — $31,932.65 $38,841.07 $35,386.86 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $133,167.95 $161,977.98 $147,572.97 2026-03-27
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $47,262.94 $57,487.97 $52,375.46 2026-03-27
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $41,515.33 $50,496.90 $46,006.12 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $65,705.82 $79,920.85 $72,813.34 2026-03-27
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $49,661.93 $60,405.97 $55,033.95 2026-03-27
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $27,967.94 $34,018.62 $30,993.28 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $41,416.71 $50,376.94 $45,896.82 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $60,194.23 $73,216.87 $66,705.55 2026-03-27
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $32,980.89 $40,116.10 $36,548.49 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 2 2 — — $478,499.97 $582,020.37 $530,260.17 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $79,057.08 $96,160.57 $87,608.83 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $125,565.41 $152,730.68 $139,148.04 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $87,192.60 $106,056.16 $96,624.38 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $71,301.62 $86,727.27 $79,014.45 2026-03-27
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $30,457.79 $37,047.14 $33,752.46 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $125,421.36 $152,555.47 $138,988.42 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $58,659.54 $71,350.15 $65,004.85 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $120,493.73 $146,561.77 $133,527.75 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $63,237.02 $76,917.94 $70,077.48 2026-03-27
215 MS_DRG Other Heart Assist System Implant 2 2 — — $110,331.53 $134,201.04 $122,266.29 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $108,401.25 $131,853.17 $120,127.21 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $72,859.58 $88,622.29 $80,740.93 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $72,859.58 $88,622.29 $80,740.93 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $85,081.71 $103,488.59 $94,285.15 2026-03-27
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $35,208.13 $42,825.19 $39,016.66 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $59,091.69 $71,875.80 $65,483.75 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $55,849.45 $67,932.12 $61,890.78 2026-03-27
22633 HCPCS Arthrd Cmbn 1ntrspc Lumbar 2 1 — — $33,266.08 $36,038.25 $34,652.17 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $54,821.15 $66,681.35 $60,751.25 2026-03-27
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 2 — — $34,898.98 $42,449.15 $38,674.07 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $63,496.31 $77,233.33 $70,364.82 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $93,410.04 $113,618.70 $103,514.37 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $67,178.46 $81,712.09 $74,445.27 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 2 2 — — $84,714.93 $103,042.46 $93,878.70 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 2 2 — — $60,531.09 $73,626.60 $67,078.85 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $65,028.78 $79,097.34 $72,063.06 2026-03-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 — — $46,415.26 $56,456.90 $51,436.08 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $54,536.37 $66,334.97 $60,435.67 2026-03-27
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $43,346.98 $52,724.82 $48,035.90 2026-03-27
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $31,585.82 $38,419.21 $35,002.51 2026-03-27
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 2 — — $35,378.78 $43,032.75 $39,205.76 2026-03-27
245 MS_DRG Aicd Generator Procedures 2 2 — — $50,555.04 $61,492.30 $56,023.67 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $50,381.07 $61,280.70 $55,830.88 2026-03-27
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $38,653.15 $47,015.52 $42,834.33 2026-03-27
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $28,761.32 $34,983.65 $31,872.49 2026-03-27
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $29,889.35 $36,355.72 $33,122.54 2026-03-27
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 2 — — $34,816.98 $42,349.41 $38,583.20 2026-03-27
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 — — $34,452.42 $41,905.98 $38,179.20 2026-03-27
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 2 — — $36,043.63 $43,841.43 $39,942.53 2026-03-27
263 MS_DRG Vein Ligation And Stripping 2 2 — — $33,878.44 $41,207.82 $37,543.13 2026-03-27
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $37,016.52 $45,024.81 $41,020.66 2026-03-27
265 MS_DRG Aicd Lead Procedures 2 2 — — $40,092.55 $48,766.32 $44,429.43 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 2 2 — — $67,907.57 $82,598.94 $75,253.26 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 2 2 — — $52,753.47 $64,166.35 $58,459.91 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $76,212.63 $92,700.75 $84,456.69 2026-03-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $46,796.43 $56,920.54 $51,858.49 2026-03-27
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 2 2 — — $27,955.75 $34,003.80 $30,979.78 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $58,465.63 $71,114.29 $64,789.96 2026-03-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $39,406.65 $47,932.02 $43,669.33 2026-03-27
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $28,289.28 $34,409.49 $31,349.38 2026-03-27
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 2 2 — — $45,713.84 $55,603.74 $50,658.79 2026-03-27
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 2 2 — — $36,474.67 $44,365.73 $40,420.20 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $79,010.54 $96,103.96 $87,557.25 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $66,557.93 $80,957.32 $73,757.62 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $51,176.67 $62,248.42 $56,712.54 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $61,677.95 $75,021.58 $68,349.76 2026-03-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $39,961.80 $48,607.28 $44,284.54 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $66,576.77 $80,980.23 $73,778.50 2026-03-27
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $29,986.86 $36,474.33 $33,230.60 2026-03-27
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 2 — — $37,803.26 $45,981.75 $41,892.51 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $235,192.20 $286,074.52 $260,633.36 2026-03-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $49,647.52 $60,388.45 $55,017.99 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $74,091.77 $90,121.05 $82,106.41 2026-03-27
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 2 2 — — $26,839.91 $32,646.56 $29,743.24 2026-03-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $49,452.50 $60,151.23 $54,801.87 2026-03-27
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 2 2 — — $26,652.65 $32,418.78 $29,535.72 2026-03-27
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 2 2 — — $30,148.64 $36,671.11 $33,409.88 2026-03-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $47,951.05 $58,324.96 $53,138.01 2026-03-27
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $34,915.60 $42,469.37 $38,692.49 2026-03-27
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $35,573.80 $43,269.96 $39,421.88 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $55,264.38 $67,220.48 $61,242.43 2026-03-27
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $27,083.69 $32,943.07 $30,013.38 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $50,932.90 $61,951.90 $56,442.40 2026-03-27
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $26,562.89 $32,309.61 $29,436.25 2026-03-27
332 MS_DRG Rectal Resection With Mcc 2 2 — — $40,120.25 $48,800.01 $44,460.13 2026-03-27
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 1 — — $54,000.60 $58,500.65 $56,250.62 2026-03-27
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 1 — — $37,831.27 $40,983.88 $39,407.57 2026-03-27
333 MS_DRG Rectal Resection With Cc 2 2 — — $25,953.45 $31,568.31 $28,760.88 2026-03-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $39,568.43 $48,128.80 $43,848.62 2026-03-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $42,890.45 $52,169.53 $47,529.99 2026-03-27
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $28,619.49 $34,811.13 $31,715.31 2026-03-27
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $25,437.08 $30,940.23 $28,188.65 2026-03-27
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 2 — — $26,488.65 $32,219.30 $29,353.97 2026-03-27
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $27,612.25 $33,585.98 $30,599.12 2026-03-27
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $32,156.48 $39,113.33 $35,634.90 2026-03-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $48,675.74 $59,206.42 $53,941.08 2026-03-27
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $25,768.40 $31,343.23 $28,555.82 2026-03-27
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 2 2 — — $38,102.44 $46,345.66 $42,224.05 2026-03-27
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 — — $26,752.38 $32,540.08 $29,646.23 2026-03-27
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $36,479.10 $44,371.12 $40,425.11 2026-03-27
38240 HCPCS Transplt Allo Hct/donor 4 3 — — $212.54 $83,542.58 $38,664.38 2026-03-27
397 MS_DRG Appendix Procedures With Mcc 2 2 — — $26,537.41 $32,278.61 $29,408.01 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $153,484.59 $186,690.00 $170,087.29 2026-03-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $42,785.18 $52,041.49 $47,413.33 2026-03-27
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $44,550.36 $54,188.54 $49,369.45 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $60,617.52 $73,731.73 $67,174.62 2026-03-27
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $32,136.54 $39,089.07 $35,612.81 2026-03-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $39,509.70 $48,057.37 $43,783.54 2026-03-27
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $36,603.21 $44,522.08 $40,562.65 2026-03-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $39,476.46 $48,016.94 $43,746.70 2026-03-27
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $26,443.22 $32,164.04 $29,303.63 2026-03-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $37,753.39 $45,921.10 $41,837.24 2026-03-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $46,018.56 $55,974.38 $50,996.47 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $122,123.71 $148,544.39 $135,334.05 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $79,987.86 $97,292.72 $88,640.29 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $62,296.26 $75,773.65 $69,034.96 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $99,833.58 $121,431.93 $110,632.76 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $63,904.08 $77,729.32 $70,816.70 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $74,037.47 $90,055.01 $82,046.24 2026-03-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $46,991.46 $57,157.76 $52,074.61 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $59,056.23 $71,832.67 $65,444.45 2026-03-27
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $35,795.42 $43,539.53 $39,667.47 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $93,116.39 $113,261.53 $103,188.96 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $66,075.92 $80,371.02 $73,223.47 2026-03-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $46,235.75 $56,238.55 $51,237.15 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 2 2 — — $61,199.26 $74,439.33 $67,819.29 2026-03-27
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 2 2 — — $29,474.93 $35,851.64 $32,663.28 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $63,155.02 $76,818.20 $69,986.61 2026-03-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $34,513.37 $41,980.11 $38,246.74 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $57,680.00 $70,158.69 $63,919.35 2026-03-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $39,077.55 $47,531.73 $43,304.64 2026-03-27
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 — — $30,450.04 $37,037.71 $33,743.88 2026-03-27
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 2 2 — — $33,610.28 $40,881.65 $37,245.96 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $53,505.86 $65,081.51 $59,293.68 2026-03-27
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $32,645.14 $39,707.71 $36,176.43 2026-03-27
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 2 — — $27,051.56 $32,903.99 $29,977.78 2026-03-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $47,568.77 $57,859.96 $52,714.36 2026-03-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $38,279.73 $46,561.31 $42,420.52 2026-03-27
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $27,249.90 $33,145.25 $30,197.58 2026-03-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $32,270.61 $39,252.15 $35,761.38 2026-03-27
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 2 2 — — $30,714.87 $37,359.83 $34,037.35 2026-03-27
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $35,758.85 $43,495.05 $39,626.95 2026-03-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 — — $40,684.27 $49,486.05 $45,085.16 2026-03-27
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $28,102.02 $34,181.71 $31,141.86 2026-03-27
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $40,175.66 $48,867.40 $44,521.53 2026-03-27
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 2 — — $33,428.56 $40,660.61 $37,044.58 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $114,248.59 $138,965.54 $126,607.07 2026-03-27
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $35,068.52 $42,655.36 $38,861.94 2026-03-27
503 MS_DRG Foot Procedures With Mcc 2 2 — — $30,927.62 $37,618.61 $34,273.11 2026-03-27
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 2 2 — — $33,469.56 $40,710.48 $37,090.02 2026-03-27
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $35,313.40 $42,953.23 $39,133.32 2026-03-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $41,412.27 $50,371.55 $45,891.91 2026-03-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $31,804.11 $38,684.73 $35,244.42 2026-03-27
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $27,499.22 $33,448.50 $30,473.86 2026-03-27
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $25,741.81 $31,310.88 $28,526.35 2026-03-27
570 MS_DRG Skin Debridement With Mcc 2 2 — — $32,589.74 $39,640.32 $36,115.03 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $72,594.75 $88,300.16 $80,447.46 2026-03-27
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $38,465.89 $46,787.74 $42,626.82 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $54,309.22 $66,058.67 $60,183.94 2026-03-27
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $29,371.88 $35,726.29 $32,549.08 2026-03-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $35,885.17 $43,648.70 $39,766.93 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $51,381.67 $62,497.76 $56,939.71 2026-03-27
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $30,550.87 $37,160.36 $33,855.61 2026-03-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $38,643.18 $47,003.39 $42,823.29 2026-03-27
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 1 — — $37,831.27 $40,983.88 $39,407.57 2026-03-27
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 2 — — $31,994.70 $38,916.55 $35,455.62 2026-03-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $39,438.78 $47,971.11 $43,704.94 2026-03-27
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 — — $33,465.12 $40,705.09 $37,085.10 2026-03-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $41,295.93 $50,230.03 $45,762.98 2026-03-27
64555 CPT Prq Impltj Neurostimulator Eltrd Peripheral Nrv 162 124 $29,982.00 $29,982.00 $12,321.36 $29,982.00 $29,982.00 2026-03-26
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 4 3 — — $16,803.08 $58,500.65 $35,401.84 2026-03-27
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 1 — — $54,000.60 $58,500.65 $56,250.62 2026-03-27
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 2 1 — — $37,831.27 $40,983.88 $39,407.57 2026-03-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $52,095.27 $63,365.75 $57,730.51 2026-03-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $41,063.23 $49,946.99 $45,505.11 2026-03-27
652 MS_DRG Kidney Transplant 2 2 — — $35,785.44 $43,527.39 $39,656.42 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $57,580.27 $70,037.39 $63,808.83 2026-03-27
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $31,018.48 $37,729.13 $34,373.81 2026-03-27
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $35,279.05 $42,911.45 $39,095.25 2026-03-27
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $28,155.20 $34,246.40 $31,200.80 2026-03-27
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $33,923.87 $41,263.08 $37,593.48 2026-03-27
665 MS_DRG Prostatectomy With Mcc 2 2 — — $34,585.39 $42,067.72 $38,326.56 2026-03-27
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $32,355.94 $39,355.94 $35,855.94 2026-03-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $46,557.09 $56,629.42 $51,593.25 2026-03-27
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $25,913.56 $31,519.79 $28,716.68 2026-03-27
69930 HCPCS Implant Cochlear Device 4 3 — — $22,342.35 $43,792.16 $31,382.94 2026-03-27
7 MS_DRG Lung Transplant 2 2 — — $143,498.58 $174,543.57 $159,021.08 2026-03-27
709 MS_DRG Penis Procedures With Cc/mcc 2 2 — — $25,786.13 $31,364.79 $28,575.46 2026-03-27
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $39,608.32 $48,177.33 $43,892.82 2026-03-27
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 2 2 — — $39,700.29 $48,289.19 $43,994.74 2026-03-27
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $28,451.06 $34,606.27 $31,528.67 2026-03-27
783 MS_DRG Cesarean Section With Sterilization With Mcc 2 2 — — $27,204.47 $33,089.99 $30,147.23 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $65,858.73 $80,106.85 $72,982.79 2026-03-27
791 MS_DRG Prematurity With Major Problems 2 2 — — $44,976.97 $54,707.45 $49,842.21 2026-03-27
792 MS_DRG Prematurity Without Major Problems 2 2 — — $27,139.10 $33,010.46 $30,074.78 2026-03-27
793 MS_DRG Full Term Neonate With Major Problems 2 2 — — $46,202.50 $56,198.12 $51,200.31 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $50,183.84 $61,040.79 $55,612.32 2026-03-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 2 2 — — $62,103.45 $75,539.14 $68,821.29 2026-03-27
800 MS_DRG Splenic Procedures With Cc 2 2 — — $31,130.40 $37,865.26 $34,497.83 2026-03-27
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $44,147.02 $53,697.94 $48,922.48 2026-03-27
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 — — $25,281.95 $30,751.54 $28,016.75 2026-03-27
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $25,326.28 $30,805.45 $28,065.86 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $64,986.68 $79,046.13 $72,016.40 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $50,803.25 $61,794.21 $56,298.73 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $51,833.77 $63,047.67 $57,440.72 2026-03-27
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $25,609.94 $31,150.49 $28,380.22 2026-03-27
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $35,015.33 $42,590.67 $38,803.00 2026-03-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 2 2 — — $60,832.48 $73,993.20 $67,412.84 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $53,235.49 $64,752.64 $58,994.07 2026-03-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $35,845.28 $43,600.18 $39,722.73 2026-03-27
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $28,726.97 $34,941.87 $31,834.42 2026-03-27
849 MS_DRG Radiotherapy 2 2 — — $30,023.43 $36,518.80 $33,271.12 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $95,954.19 $116,713.26 $106,333.73 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $54,723.64 $66,562.75 $60,643.19 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $50,403.23 $61,307.65 $55,855.44 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $76,588.27 $93,157.66 $84,872.96 2026-03-27
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $42,826.18 $52,091.35 $47,458.76 2026-03-27
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $46,501.69 $56,562.03 $51,531.86 2026-03-27
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $40,700.89 $49,506.26 $45,103.57 2026-03-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $42,542.52 $51,746.32 $47,144.42 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $236,580.62 $287,763.32 $262,171.97 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $79,479.25 $96,674.08 $88,076.67 2026-03-27
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 — — $35,689.04 $43,410.14 $39,549.59 2026-03-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $43,150.85 $52,486.26 $47,818.56 2026-03-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $40,206.68 $48,905.14 $44,555.91 2026-03-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $38,997.77 $47,434.68 $43,216.22 2026-03-27
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $25,894.72 $31,496.88 $28,695.80 2026-03-27
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $28,579.60 $34,762.61 $31,671.10 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $74,585.97 $90,722.17 $82,654.07 2026-03-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $41,697.05 $50,717.94 $46,207.50 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $84,434.59 $102,701.47 $93,568.03 2026-03-27
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $46,693.38 $56,795.20 $51,744.29 2026-03-27
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 2 — — $32,622.98 $39,680.76 $36,151.87 2026-03-27
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 2 — — $28,579.60 $34,762.61 $31,671.10 2026-03-27
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $30,292.69 $36,846.32 $33,569.50 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $67,828.90 $82,503.25 $75,166.07 2026-03-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $40,021.63 $48,680.06 $44,350.85 2026-03-27
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $29,224.50 $35,547.04 $32,385.77 2026-03-27
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $31,979.19 $38,897.68 $35,438.43 2026-03-27
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $25,429.33 $30,930.80 $28,180.07 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $51,988.90 $63,236.36 $57,612.63 2026-03-27
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $27,242.15 $33,135.81 $30,188.98 2026-03-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $37,989.41 $46,208.18 $42,098.79 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 4 3 — — $68,189.45 $81,368.05 $75,924.81 2026-03-27
C1820 HCPCS Hchg Cvmc Implantable Pulse Generator W/charging Kit 56 10 $48,711.28 $34,097.90 30% off $12,753.99 $60,063.56 $32,411.22 2026-03-27
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $33,000.60 $35,750.65 $34,375.62 2026-03-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $4,422,319.99 $4,790,846.66 $4,606,583.33 2026-03-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,993,431.66 $4,326,217.64 $4,159,824.65 2026-03-27
J1786 HCPCS Imiglucerase 400 Units IV Solr 72 11 $194,413.00 $136,089.10 30% off $38.91 $192,464.33 $102,647.64 2026-03-27
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 168 129 $44,357.36 $44,357.36 $53.39 $44,357.36 $44,357.36 2026-03-27
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 168 129 $42,569.77 $42,569.77 $332.38 $42,569.77 $42,569.77 2026-03-27
J3357 HCPCS Ustekinumab 90 Mg/ml Sc Sosy 164 126 $78,540.87 $78,540.87 $325.93 $78,540.87 $78,540.87 2026-03-27
J3387 HCPCS Inj Elivaldogene Autotemecel 2 1 — — $3,816,000.00 $4,134,000.00 $3,975,000.00 2026-03-27
J3389 HCPCS Topi Adm Prad Zami Per Treat 2 1 — — $4,002,984.00 $4,336,566.00 $4,169,775.00 2026-03-27
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,798,400.00 $3,031,600.00 $2,915,000.00 2026-03-27
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $3,527,962.66 $3,821,959.54 $3,674,961.10 2026-03-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,903,009.68 $4,228,260.49 $4,065,635.08 2026-03-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $3,106,777.46 $3,365,675.59 $3,236,226.52 2026-03-27
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 3 — — $181,502.12 $262,169.73 $211,752.47 2026-03-27
J3403 HCPCS Revakinagene, Per Implant 6 5 — — $238,500.00 $344,500.00 $293,750.00 2026-03-27
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $80,237.80 $83,726.40 $81,982.10 2026-03-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 6 5 — — $57,847.31 $83,557.23 $74,427.18 2026-03-27
J9226 HCPCS Supprelin La Implant 6 5 — — $38,866.81 $56,140.93 $51,798.07 2026-03-27
J9228 HCPCS Ipilimumab 50 Mg/10ml IV Soln 368 135 $66,637.19 $66,637.19 $168.22 $179,236.35 $35,984.08 2026-03-27
J9266 HCPCS Pegaspargase Injection 6 5 — — $25,581.65 $36,951.27 $33,398.26 2026-03-27
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 168 129 $28,337.89 $28,337.89 $181.49 $28,337.89 $28,337.89 2026-03-27
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 168 129 $43,076.85 $43,076.85 $30.71 $43,076.85 $43,076.85 2026-03-27
J9600 HCPCS Porfimer Sodium Injection 4 3 — — $26,821.45 $31,496.95 $28,530.85 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $478,973.02 $691,849.91 $558,801.85 2026-03-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $509,878.17 $736,490.69 $594,857.86 2026-03-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $48,963.70 $70,725.33 $64,424.04 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $440,505.18 $636,285.26 $513,922.71 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $505,981.12 $730,861.61 $590,311.30 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $502,273.55 $725,506.24 $585,985.81 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $528,884.62 $763,944.44 $617,032.05 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 4 3 — — $693,558.00 $1,001,806.00 $809,151.00 2026-03-27
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 1 — — $333,900.00 $361,725.00 $347,812.50 2026-03-27
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