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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

MARY HITCHCOCK MEMORIAL HOSPITAL

Lebanon, NH · CCN 300003 · Rates published

Your selected procedure

You selected 29916 (CPT)

Hip arthro w/labral repair

This hospital’s price: $3,616 across 23 payers · range $372-$31,105

Source: https://www.dartmouth-hitchcock.org/02-0222140_Mary%20Hitchcock%20Memorial%20Hospital_standardcharges.zip · observed 2026-07-18

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.

27,060 distinct procedures filed
23 distinct payers
2,562,459 rate rows
2026-07-18 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dartmouth-hitchcock.org/02-0222140_Mary%20Hitchcock%20Memorial%20Hospital_standardcharges.zip
Found on page https://www.dartmouth-hitchcock.org/patients-visitors/lebanon-locations
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-02
Content fingerprint 7b99f67a435f085b… · 29,609,483 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj Atidarsagene Autotemcel 12 $20.50 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 11 $3,570,000.00 $4,998,000.00 $3,605,000.00 nat. median
$3,705,478
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 7 $3,570,000.00 $4,998,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,264,000.00 $4,732,800.00 $3,296,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 12 $3,162,000.00 $4,584,900.00 $3,193,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 12 $2,856,000.00 $4,141,200.00 $2,884,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $67,500.00 $3,385,597.53 $2,354,513.02 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 15 $2,244,000.00 $3,253,800.00 $2,244,000.00 nat. median
$2,401,965
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $727,000.00 $2,774,232.00 $789,885.50 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $2.81 $2,149,370.59 $597,643.46 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $207,021.11 $2,095,009.69 $582,845.02 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $210,707.00 $2,025,137.47 $579,414.34 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $209,502.29 $2,007,587.23 $574,037.47 nat. median
$623,527
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $0.88 $1,919,628.62 $533,230.17 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $58,876.79 $1,854,595.74 $494,405.35 nat. median
$592,235
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $264,031.74 $1,235,991.06 $320,931.18 nat. median
$359,244
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 13 $20.50 $598,627.05 $278,250.00 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene Per Implant 13 $250,000.00 $553,985.50 $262,500.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $197,209.87 $802,108.47 $248,084.55 nat. median
$248,541
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 13 $194,000.00 $740,304.00 $211,809.20 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $151,327.12 $611,100.42 $196,762.05 nat. median
$198,115
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $85,179.93 $343,979.94 $166,000.00 nat. median
$110,084
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 14 $150,045.69 $483,239.72 $157,537.52 nat. median
$190,359
0.8× median
7
MS_DRG 		Lung Transplant 14 $91,496.21 $370,664.51 $114,643.02 nat. median
$117,977
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 14 $98,175.33 $318,603.24 $102,942.52 nat. median
$126,461
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $77,155.53 $324,342.18 $100,315.96 nat. median
$103,938
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 14 $8.03 $348,872.55 $99,999.91 nat. median
$111,503
0.9× median
212
MS_DRG 		Testes Procedures Age 0-17 14 $76,269.13 $311,241.75 $96,264.13 nat. median
$97,137
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 13 $36,412.77 $306,449.90 $93,216.70 nat. median
$96,983
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $73,078.30 $295,110.22 $92,051.24 nat. median
$94,943
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 14 $70,572.78 $284,992.24 $90,037.28 nat. median
$93,787
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $67,568.24 $280,006.24 $86,603.28 nat. median
$90,512
1.0× median
10
MS_DRG 		Pancreas Transplant 14 $50,859.61 $179,775.20 $85,205.53 nat. median
$64,851
1.3× median
209
MS_DRG 		Kidney & Urinary Tract Signs & Symptoms Age 0-17 12 $80,224.89 $323,970.09 $83,212.20 nat. median
$92,645
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $73,387.97 $315,452.09 $82,021.35 nat. median
$93,226
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $59,327.36 $241,283.13 $74,626.58 nat. median
$76,979
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 14 $59,293.75 $240,524.64 $74,391.99 nat. median
$77,487
1.0× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 14 $38,094.31 $195,166.00 $74,178.52 nat. median
$50,763
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 15 $42,028.26 $171,000.00 $71,572.17 nat. median
$53,841
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $55,772.13 $225,223.15 $70,008.13 nat. median
$74,298
0.9× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 15 $38,502.81 $171,000.00 $69,019.74 nat. median
$50,830
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $54,171.38 $219,770.61 $67,972.97 nat. median
$72,247
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 14 $54,187.31 $218,823.21 $67,961.24 nat. median
$71,737
0.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 11 $54,268.11 $219,149.50 $67,780.87 nat. median
$47,543
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $61,376.42 $247,854.81 $67,718.53 nat. median
$78,164
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $52,257.84 $218,099.06 $67,455.98 nat. median
$67,908
1.0× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 11 $26,348.70 $221,750.61 $67,452.66 nat. median
$70,178
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 18 $31,387.91 $138,854.71 $67,138.44 nat. median
$75,037
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $58,393.34 $257,875.47 $67,050.73 nat. median
$77,936
0.9× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 14 $62,043.98 $253,633.65 $65,857.23 nat. median
$70,795
0.9× median

Other procedures at this hospital

Browse this hospital's 27,060 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj Atidarsagene Autotemcel 15 12 — — $20.50 $4,730,250.00 $4,505,000.00 2026-07-18
J1411 HCPCS Inj Hemgenix Per Tx Dose 37 11 — — $3,570,000.00 $4,998,000.00 $3,605,000.00 2026-07-18
J1414 HCPCS Inj Beqvez Per Tx Dose 26 7 — — $3,570,000.00 $4,998,000.00 $3,570,000.00 2026-07-18
J1413 HCPCS Inj Delandistrogene Mox Rokl 39 12 — — $3,264,000.00 $4,732,800.00 $3,296,000.00 2026-07-18
J3394 HCPCS Inj Lovotibeglogene Autotem 39 12 — — $3,162,000.00 $4,584,900.00 $3,193,000.00 2026-07-18
J3393 HCPCS Inj Betibeglogene Autotemce 39 12 — — $2,856,000.00 $4,141,200.00 $2,884,000.00 2026-07-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 47 13 — — $67,500.00 $3,385,597.53 $2,354,513.02 2026-07-18
J3392 HCPCS Inj Exagamglogene Autotem 38 15 — — $2,244,000.00 $3,253,800.00 $2,244,000.00 2026-07-18
Q2057 HCPCS Afamitresgene Autoleucel 42 14 — — $727,000.00 $2,774,232.00 $789,885.50 2026-07-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 112 23 $1,903,396.25 $582,439.25 69% off $2.81 $2,149,370.59 $597,643.46 2026-07-18
Q2056 HCPCS Ciltacabtagene Car-pos T 102 23 $1,827,194.25 $559,121.44 69% off $207,021.11 $2,095,009.69 $582,845.02 2026-07-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 102 23 $1,859,726.40 $569,076.28 69% off $210,707.00 $2,025,137.47 $579,414.34 2026-07-18
Q2055 HCPCS Idecabtagene Vicleucel Car 102 23 $1,849,093.51 $565,822.61 69% off $209,502.29 $2,007,587.23 $574,037.47 2026-07-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 118 23 $1,762,530.00 $539,334.18 69% off $0.88 $1,919,628.62 $533,230.17 2026-07-18
Q2053 HCPCS Brexucabtagene Car Pos T 108 23 $1,617,000.00 $494,802.00 69% off $58,876.79 $1,854,595.74 $494,405.35 2026-07-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 28 14 — — $264,031.74 $1,235,991.06 $320,931.18 2026-07-18
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 17 13 — — $20.50 $598,627.05 $278,250.00 2026-07-18
J3403 HCPCS Revakinagene Per Implant 17 13 — — $250,000.00 $553,985.50 $262,500.00 2026-07-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 14 — — $197,209.87 $802,108.47 $248,084.55 2026-07-18
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 37 13 — — $194,000.00 $740,304.00 $211,809.20 2026-07-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 14 — — $151,327.12 $611,100.42 $196,762.05 2026-07-18
14 MS_DRG Allogeneic Bone Marrow Transplant 45 15 — — $85,179.93 $343,979.94 $166,000.00 2026-07-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 26 14 — — $150,045.69 $483,239.72 $157,537.52 2026-07-18
7 MS_DRG Lung Transplant 30 14 — — $91,496.21 $370,664.51 $114,643.02 2026-07-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 26 14 — — $98,175.33 $318,603.24 $102,942.52 2026-07-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 14 — — $77,155.53 $324,342.18 $100,315.96 2026-07-18
Q0480 HCPCS Driver Pneumatic Vad Rep 72 14 — — $8.03 $348,872.55 $99,999.91 2026-07-18
212 MS_DRG Testes Procedures Age 0-17 30 14 — — $76,269.13 $311,241.75 $96,264.13 2026-07-18
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 30 13 — — $36,412.77 $306,449.90 $93,216.70 2026-07-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 14 — — $73,078.30 $295,110.22 $92,051.24 2026-07-18
215 MS_DRG Other Heart Assist System Implant 30 14 — — $70,572.78 $284,992.24 $90,037.28 2026-07-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $67,568.24 $280,006.24 $86,603.28 2026-07-18
10 MS_DRG Pancreas Transplant 35 14 — — $50,859.61 $179,775.20 $85,205.53 2026-07-18
209 MS_DRG Kidney & Urinary Tract Signs & Symptoms Age 0-17 19 12 — — $80,224.89 $323,970.09 $83,212.20 2026-07-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 14 — — $73,387.97 $315,452.09 $82,021.35 2026-07-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 14 — — $59,327.36 $241,283.13 $74,626.58 2026-07-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 14 — — $59,293.75 $240,524.64 $74,391.99 2026-07-18
8 MS_DRG Simultaneous Pancreas/kidney Transplant 35 14 — — $38,094.31 $195,166.00 $74,178.52 2026-07-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 15 — — $42,028.26 $171,000.00 $71,572.17 2026-07-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 14 — — $55,772.13 $225,223.15 $70,008.13 2026-07-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 15 — — $38,502.81 $171,000.00 $69,019.74 2026-07-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $54,171.38 $219,770.61 $67,972.97 2026-07-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 30 14 — — $54,187.31 $218,823.21 $67,961.24 2026-07-18
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 20 11 — — $54,268.11 $219,149.50 $67,780.87 2026-07-18
850 MS_DRG Acute Leukemia With Other Procedures 29 14 — — $61,376.42 $247,854.81 $67,718.53 2026-07-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 14 — — $52,257.84 $218,099.06 $67,455.98 2026-07-18
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 38 11 — — $26,348.70 $221,750.61 $67,452.66 2026-07-18
J7330 HCPCS Cultured Chondrocytes Implnt 71 18 — — $31,387.91 $138,854.71 $67,138.44 2026-07-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 14 — — $58,393.34 $257,875.47 $67,050.73 2026-07-18
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 28 14 — — $62,043.98 $253,633.65 $65,857.23 2026-07-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 14 — — $50,568.30 $204,208.66 $65,748.73 2026-07-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 14 — — $46,760.19 $205,299.17 $63,497.09 2026-07-18
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 140 23 $133,218.75 $40,764.94 69% off $6,037.47 $240,927.75 $63,402.04 2026-07-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 14 — — $49,476.81 $204,088.45 $63,122.62 2026-07-18
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 20 11 — — $50,246.52 $202,909.21 $62,757.89 2026-07-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 14 — — $48,706.63 $197,831.61 $61,187.44 2026-07-18
A9543 HCPCS Y90 Ibritumomab Rx 126 23 $70,000.00 $21,420.00 69% off $7,931.00 $215,933.29 $60,900.00 2026-07-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 14 — — $46,681.07 $196,861.32 $60,887.35 2026-07-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 14 — — $47,708.39 $192,659.56 $59,639.15 2026-07-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $45,212.13 $188,200.21 $58,208.54 2026-07-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $41,653.22 $188,200.21 $58,208.54 2026-07-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 14 — — $43,114.45 $187,516.14 $57,996.97 2026-07-18
90288 CPT Botulism Ig IV 33 6 — — $10.49 $173,287.52 $57,300.00 2026-07-18
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 148 23 $110,453.00 $33,798.62 69% off $5,272.32 $211,038.70 $57,017.10 2026-07-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 14 — — $45,284.25 $184,175.91 $56,963.87 2026-07-18
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 20 11 — — $45,368.01 $183,208.48 $56,664.65 2026-07-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 14 — — $43,386.28 $175,205.69 $54,657.31 2026-07-18
652 MS_DRG Kidney Transplant 39 15 — — $21,503.31 $121,977.00 $54,363.31 2026-07-18
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 30 14 — — $41,942.38 $175,408.90 $54,252.32 2026-07-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 14 — — $49,702.26 $206,612.93 $53,721.85 2026-07-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 14 — — $42,767.87 $173,525.56 $53,669.82 2026-07-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 14 — — $42,573.31 $171,922.71 $53,591.23 2026-07-18
131 MS_DRG Cranial/facial Procedures W Cc/mcc 1 1 — — $53,412.19 $53,412.19 $53,412.19 2026-07-18
28 MS_DRG Spinal Procedures With Mcc 30 14 — — $42,563.43 $171,971.37 $53,189.11 2026-07-18
C9150 HCPCS Xe129 Xenon- Diagnostic 9 3 — — $53,040.00 $104,923.73 $53,040.00 2026-07-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 14 — — $40,182.18 $170,677.64 $52,788.97 2026-07-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 14 — — $41,196.01 $167,972.83 $51,952.40 2026-07-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 14 — — $40,762.62 $167,864.07 $51,918.76 2026-07-18
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 30 14 — — $39,145.67 $158,080.96 $50,898.99 2026-07-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 14 — — $39,942.03 $164,014.37 $50,728.09 2026-07-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 14 — — $37,813.54 $163,132.80 $50,455.43 2026-07-18
317 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 29 14 — — $43,311.90 $191,383.01 $49,761.89 2026-07-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 14 — — $46,940.13 $191,242.76 $49,725.42 2026-07-18
459 MS_DRG Spinal Fusion Except Cervical With Mcc 28 14 — — $46,436.71 $189,831.68 $49,290.74 2026-07-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 14 — — $35,028.30 $159,317.45 $49,275.38 2026-07-18
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 30 14 — — $38,697.14 $157,133.56 $48,599.93 2026-07-18
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 30 14 — — $38,007.49 $156,578.29 $48,428.18 2026-07-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 30 14 — — $37,247.81 $156,355.04 $48,359.13 2026-07-18
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 30 14 — — $37,777.83 $156,108.89 $48,283.00 2026-07-18
0266T CPT Implt/rpl Crtd Sns Dev Total 44 13 — — $118.31 $195,941.35 $48,105.29 2026-07-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 14 — — $37,521.16 $151,520.73 $47,482.79 2026-07-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $37,082.57 $152,637.00 $47,209.18 2026-07-18
653 MS_DRG Major Bladder Procedures With Mcc 30 14 — — $36,830.81 $148,732.92 $47,155.38 2026-07-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 14 — — $35,937.81 $151,019.84 $46,709.01 2026-07-18
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 20 11 — — $36,988.87 $149,371.20 $46,199.10 2026-07-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 14 — — $35,668.25 $148,990.52 $46,081.35 2026-07-18
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 1 1 — — $45,467.79 $45,467.79 $45,467.79 2026-07-18
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 28 14 — — $42,823.89 $175,062.57 $45,455.86 2026-07-18
J9226 HCPCS Supprelin La Implant 118 23 — — $36,674.54 $171,994.84 $45,261.80 2026-07-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 14 — — $34,738.51 $140,283.62 $44,981.47 2026-07-18
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 20 11 — — $35,847.74 $144,763.01 $44,773.83 2026-07-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $32,153.45 $144,262.12 $44,618.90 2026-07-18
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 20 11 — — $35,585.49 $143,703.98 $44,446.28 2026-07-18
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 30 14 — — $35,349.47 $142,750.86 $44,261.51 2026-07-18
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 5 — — $24,797.98 $98,420.64 $43,878.82 2026-07-18
L7181 HCPCS Electronic Elbo Simultaneous 78 17 — — $2,787.02 $155,207.05 $43,798.73 2026-07-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 14 — — $34,888.27 $141,605.97 $43,797.39 2026-07-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 14 — — $34,883.81 $140,870.37 $43,769.24 2026-07-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 14 — — $35,003.59 $141,354.09 $43,727.32 2026-07-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 20 13 — — $41,624.51 $128,465.51 $43,542.29 2026-07-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 14 — — $34,051.70 $137,510.12 $43,057.63 2026-07-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 14 — — $38,299.45 $165,067.67 $42,919.58 2026-07-18
471 MS_DRG Cervical Spinal Fusion With Mcc 30 14 — — $34,006.77 $138,208.50 $42,746.58 2026-07-18
133 MS_DRG Other Ear- Nose- Mouth & Throat O.r. Procedures W Cc/mcc 1 1 — — $42,639.58 $42,639.58 $42,639.58 2026-07-18
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 30 14 — — $32,938.33 $136,265.05 $42,145.49 2026-07-18
213 MS_DRG Splenectomy Age 0-17 19 12 — — $40,449.11 $163,344.60 $41,955.30 2026-07-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 14 — — $38,545.21 $160,914.57 $41,839.73 2026-07-18
L7180 HCPCS Electronic Elbow Sequential 82 17 — — $1,892.08 $148,522.51 $41,713.85 2026-07-18
650 MS_DRG Neonate Birthwt 1500-1999g Without Signif O.r. Proc W Other Prob 30 14 — — $32,256.37 $134,564.88 $41,619.65 2026-07-18
6 MS_DRG Liver Transplant Without Mcc 30 14 — — $32,865.92 $132,721.61 $41,618.71 2026-07-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 14 — — $33,155.10 $133,889.39 $41,557.16 2026-07-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 14 — — $33,254.33 $134,290.11 $41,552.18 2026-07-18
245 MS_DRG Aicd Generator Procedures 30 14 — — $32,337.17 $130,586.38 $41,374.11 2026-07-18
277 MS_DRG Other Major Cardiovascular Procedures W Mcc 30 14 — — $32,572.84 $132,192.09 $40,885.76 2026-07-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 14 — — $32,495.94 $131,227.52 $40,727.05 2026-07-18
799 MS_DRG Splenic Procedures With Mcc 30 14 — — $32,099.74 $129,627.53 $40,716.99 2026-07-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 14 — — $32,149.25 $131,562.40 $40,691.00 2026-07-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 14 — — $31,586.32 $130,194.26 $40,267.85 2026-07-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 14 — — $31,311.16 $130,137.01 $40,250.15 2026-07-18
163 MS_DRG Major Chest Procedures With Mcc 30 14 — — $31,765.90 $128,279.42 $39,940.10 2026-07-18
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 63 14 — — $403.67 $130,919.42 $39,823.40 2026-07-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 14 — — $29,338.80 $128,242.22 $39,664.10 2026-07-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 14 — — $36,056.14 $152,545.41 $39,663.65 2026-07-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 14 — — $30,754.53 $127,738.46 $39,508.29 2026-07-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 14 — — $29,864.62 $125,732.04 $38,887.73 2026-07-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 14 — — $30,427.02 $122,872.67 $38,513.10 2026-07-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 14 — — $29,821.21 $123,860.14 $38,308.77 2026-07-18
901 MS_DRG Wound Debridements For Injuries With Mcc 30 14 — — $29,744.47 $120,116.34 $37,819.71 2026-07-18
140 MS_DRG Simple Pneumonia & Pleurisy Age 0-17 30 14 — — $29,609.77 $122,082.70 $37,759.02 2026-07-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 14 — — $29,129.46 $120,877.70 $37,386.33 2026-07-18
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 30 14 — — $28,730.37 $120,671.62 $37,322.59 2026-07-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 14 — — $28,773.08 $120,611.51 $37,304.00 2026-07-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 14 — — $29,574.37 $119,429.41 $37,283.01 2026-07-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 14 — — $29,336.70 $120,259.46 $37,195.11 2026-07-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 14 — — $28,789.18 $119,893.09 $37,081.80 2026-07-18
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 19 12 — — $12,143.00 $95,877.73 $36,955.41 2026-07-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 14 — — $28,476.21 $118,868.41 $36,764.88 2026-07-18
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 30 14 — — $27,376.26 $118,081.30 $36,521.43 2026-07-18
C9760 HCPCS Non-blind Interatrial Shunt 23 11 — — $12,143.00 $119,742.80 $36,458.52 2026-07-18
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 14 — — $27,601.14 $111,460.96 $35,887.48 2026-07-18
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 14 — — $25,097.94 $114,034.11 $35,269.67 2026-07-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 14 — — $26,615.88 $111,967.58 $34,630.51 2026-07-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 14 — — $27,212.02 $109,889.60 $34,344.21 2026-07-18
L8701 HCPCS Ewh S/d Uprt Micro Sensor 38 11 — — $13,392.36 $112,710.09 $34,284.44 2026-07-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 14 — — $27,393.47 $110,622.33 $34,276.71 2026-07-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 14 — — $27,225.72 $110,788.34 $34,265.78 2026-07-18
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 28 14 — — $32,246.57 $131,822.86 $34,228.46 2026-07-18
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 30 14 — — $26,408.63 $110,516.42 $34,181.68 2026-07-18
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 24 11 — — $1,445.77 $73,366.98 $34,101.97 2026-07-18
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 30 14 — — $26,414.65 $106,669.59 $33,630.17 2026-07-18
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 30 14 — — $26,671.22 $107,705.71 $33,359.76 2026-07-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 14 — — $26,491.90 $106,981.57 $33,335.80 2026-07-18
143 MS_DRG Stomach Esophageal & Duodenal Proc Age 0-17 30 14 — — $23,117.18 $107,236.31 $33,167.18 2026-07-18
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 14 — — $25,092.33 $106,970.12 $33,084.85 2026-07-18
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 14 — — $26,034.03 $105,132.57 $33,040.69 2026-07-18
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 30 14 — — $25,394.01 $102,547.98 $33,017.68 2026-07-18
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 14 — — $25,335.18 $102,310.41 $32,815.56 2026-07-18
651 MS_DRG Neonate Birthwt 2000-2499g W Signif O.r. Proc W Mult Major Prob 30 14 — — $24,310.96 $106,068.52 $32,805.99 2026-07-18
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 30 14 — — $24,862.68 $105,089.64 $32,503.23 2026-07-18
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 1 1 — — $32,258.24 $32,258.24 $32,258.24 2026-07-18
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 14 — — $22,221.68 $103,856.02 $32,121.69 2026-07-18
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 30 14 — — $24,717.84 $99,817.41 $32,102.47 2026-07-18
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 14 — — $24,647.73 $103,775.87 $32,096.89 2026-07-18
332 MS_DRG Rectal Resection With Mcc 30 14 — — $24,285.05 $103,632.76 $32,052.64 2026-07-18
265 MS_DRG Aicd Lead Procedures 30 14 — — $24,974.01 $103,561.21 $32,030.50 2026-07-18
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 30 14 — — $25,226.74 $101,872.49 $32,026.50 2026-07-18
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 14 — — $25,099.34 $103,378.02 $31,973.85 2026-07-18
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 14 — — $22,434.53 $103,223.46 $31,926.04 2026-07-18
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 14 — — $25,309.67 $102,207.37 $31,645.08 2026-07-18
C9273 HCPCS Sipuleucel-t - Per Infusion 10 7 — — $68.60 $31,620.00 $31,620.00 2026-07-18
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 1 1 — — $31,569.06 $31,569.06 $31,569.06 2026-07-18
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 14 — — $24,513.30 $102,055.67 $31,564.85 2026-07-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 29 14 — — $28,588.93 $121,381.45 $31,560.64 2026-07-18
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 14 — — $24,530.81 $101,969.81 $31,538.29 2026-07-18
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 14 — — $24,116.31 $101,789.49 $31,482.52 2026-07-18
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 14 — — $24,944.65 $100,733.32 $31,470.86 2026-07-18
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 14 — — $23,979.78 $100,939.40 $31,219.60 2026-07-18
252 MS_DRG Other Vascular Procedures With Mcc 30 14 — — $24,016.89 $99,843.17 $30,880.55 2026-07-18
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 8 5 — — $17,411.09 $69,102.82 $30,808.07 2026-07-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 14 — — $24,258.44 $99,359.45 $30,730.94 2026-07-18
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 14 — — $24,077.10 $98,878.60 $30,582.22 2026-07-18
793 MS_DRG Full Term Neonate With Major Problems 20 13 — — $29,200.87 $90,122.50 $30,546.63 2026-07-18
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 14 — — $24,299.66 $98,128.69 $30,469.43 2026-07-18
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 14 — — $24,148.69 $97,519.04 $30,456.43 2026-07-18
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 14 — — $23,500.87 $97,647.84 $30,201.56 2026-07-18
0888T CPT Histotripsy Mal Renal Tissue 23 11 — — $19,584.23 $96,252.75 $30,083.07 2026-07-18
264 MS_DRG Other Circulatory System O.r. Procedures 30 14 — — $23,677.36 $95,615.66 $29,989.10 2026-07-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 14 — — $27,510.69 $115,075.96 $29,921.14 2026-07-18
L6700 HCPCS Ue Add Ext Power Myoel 44 20 — — $23,145.25 $95,112.50 $29,799.50 2026-07-18
791 MS_DRG Prematurity With Major Problems 20 13 — — $28,427.20 $87,734.70 $29,736.37 2026-07-18
C1300 HCPCS Hyperbaric Oxygen 11 7 — — $68.60 $29,431.10 $29,431.10 2026-07-18
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 14 — — $22,520.63 $90,944.50 $29,282.12 2026-07-18
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 14 — — $19,159.18 $94,548.04 $29,242.82 2026-07-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 14 — — $23,055.05 $93,102.62 $29,214.71 2026-07-18
37 MS_DRG Extracranial Procedures With Mcc 30 14 — — $23,250.21 $94,227.47 $29,143.67 2026-07-18
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 30 14 — — $21,850.59 $94,216.02 $29,140.12 2026-07-18
C2624 HCPCS Sensor Cardiomems 44 20 $49,900.00 $15,269.40 69% off $68.60 $47,405.00 $28,879.62 2026-07-18
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 14 — — $22,629.79 $91,385.28 $28,852.42 2026-07-18
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 1 1 — — $28,711.06 $28,711.06 $28,711.06 2026-07-18
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 30 14 — — $22,818.91 $92,693.32 $28,669.17 2026-07-18
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 14 — — $22,330.90 $92,590.28 $28,637.29 2026-07-18
665 MS_DRG Prostatectomy With Mcc 30 14 — — $22,122.30 $89,335.92 $28,637.17 2026-07-18
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 14 — — $22,570.36 $92,367.02 $28,568.24 2026-07-18
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 30 14 — — $22,266.49 $92,186.70 $28,512.48 2026-07-18
J9266 HCPCS Pegaspargase Injection 155 23 $93,853.03 $28,719.03 69% off $5,687.84 $102,868.01 $28,424.05 2026-07-18
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 14 — — $20,038.58 $91,889.03 $28,420.41 2026-07-18
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 14 — — $22,566.00 $91,127.68 $28,312.57 2026-07-18
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 14 — — $21,650.35 $91,216.41 $28,212.38 2026-07-18
L6880 HCPCS Elec Hand Ind Art Digits 78 19 — — $2,227.50 $92,549.56 $28,151.96 2026-07-18
500 MS_DRG Soft Tissue Procedures With Mcc 30 14 — — $22,184.57 $90,583.86 $28,016.72 2026-07-18
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 14 — — $21,590.13 $90,446.47 $27,974.24 2026-07-18
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 14 — — $22,333.52 $90,188.87 $27,913.78 2026-07-18
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 14 — — $21,747.67 $90,145.93 $27,881.28 2026-07-18
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 14 — — $19,642.29 $89,934.13 $27,815.78 2026-07-18
C9773 HCPCS Revasc Lithotr-stent Tib/per 23 11 — — $12,143.00 $78,187.22 $27,710.68 2026-07-18
C9774 HCPCS Revasc Lithotr-ather Tib/per 23 11 — — $12,143.00 $78,187.22 $27,710.68 2026-07-18
C9775 HCPCS Revasc Lith-sten-ath Tib/per 23 11 — — $12,143.00 $78,187.22 $27,710.68 2026-07-18
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 30 14 — — $21,498.58 $86,817.16 $27,579.46 2026-07-18
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 14 — — $20,644.92 $89,149.88 $27,573.21 2026-07-18
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 14 — — $21,413.69 $88,992.46 $27,524.53 2026-07-18
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 28 14 — — $25,611.15 $104,697.51 $27,185.23 2026-07-18
662 MS_DRG Minor Bladder Procedures With Mcc 30 14 — — $21,699.16 $87,627.17 $27,176.61 2026-07-18
263 MS_DRG Vein Ligation And Stripping 30 14 — — $18,777.59 $87,509.82 $27,065.96 2026-07-18
C9782 HCPCS Blind Myocar Trpl Bon Marrow 23 11 — — $12,143.00 $84,204.23 $27,006.65 2026-07-18
31299 CPT Unlisted Px Accessory Sinus 110 23 $52,357.00 $16,021.24 69% off $55.50 $51,224.00 $26,933.04 2026-07-18
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 30 14 — — $20,010.57 $86,453.66 $26,739.29 2026-07-18
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 30 14 — — $20,072.89 $86,442.21 $26,735.76 2026-07-18
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 14 — — $17,676.94 $86,347.75 $26,706.54 2026-07-18
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 20 11 — — $21,332.73 $86,147.40 $26,644.58 2026-07-18
173 MS_DRG Urethral Procedures Age 0-17 30 14 — — $21,096.00 $85,191.41 $26,552.44 2026-07-18
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 20 11 — — $21,230.66 $85,735.24 $26,517.10 2026-07-18
L5856 HCPCS Elec Knee-shin Swing/stance 82 17 — — $1,149.69 $94,048.27 $26,414.28 2026-07-18
570 MS_DRG Skin Debridement With Mcc 30 14 — — $20,845.80 $84,181.05 $26,158.10 2026-07-18
472 MS_DRG Cervical Spinal Fusion With Cc 30 14 — — $20,283.64 $84,324.16 $26,080.67 2026-07-18
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 30 14 — — $18,510.13 $84,266.91 $26,062.96 2026-07-18
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 19 12 — — $12,143.00 $68,793.85 $25,872.34 2026-07-18
0916T CPT Insj Perm Ccm-d Sys Pg Only 19 12 — — $12,143.00 $68,793.85 $25,872.34 2026-07-18
668 MS_DRG Transurethral Procedures With Mcc 30 14 — — $20,417.37 $83,577.12 $25,849.61 2026-07-18
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 12 10 — — $25,179.56 $54,171.31 $25,809.05 2026-07-18
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 12 10 — — $25,179.56 $54,171.31 $25,809.05 2026-07-18
974 MS_DRG HIV With Major Related Condition With Mcc 30 14 — — $20,455.26 $82,603.96 $25,785.67 2026-07-18
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 14 — — $20,591.71 $83,356.72 $25,781.44 2026-07-18
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 14 — — $20,534.29 $83,061.91 $25,690.26 2026-07-18
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 30 14 — — $19,661.89 $83,010.39 $25,674.33 2026-07-18
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 30 14 — — $18,552.84 $82,483.74 $25,511.44 2026-07-18
C9758 HCPCS Blind Interatrial Shunt Ide 23 11 — — $12,143.00 $76,200.76 $25,496.02 2026-07-18
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 14 — — $20,343.28 $82,151.73 $25,442.14 2026-07-18
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 14 — — $20,203.65 $81,587.87 $25,331.49 2026-07-18
800 MS_DRG Splenic Procedures With Cc 30 14 — — $19,912.34 $80,411.49 $25,126.46 2026-07-18
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 48 17 — — $267.16 $97,735.29 $25,118.78 2026-07-18
0409T CPT Insj/rplc Car Modulj Pls Gn 48 17 — — $266.20 $97,735.29 $25,118.78 2026-07-18
654 MS_DRG Major Bladder Procedures With Cc 30 14 — — $19,757.82 $80,122.40 $24,781.10 2026-07-18
503 MS_DRG Foot Procedures With Mcc 30 14 — — $18,529.73 $79,887.70 $24,708.51 2026-07-18
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 30 14 — — $17,840.78 $79,338.15 $24,538.54 2026-07-18
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 33 11 — — $426.44 $93,373.23 $24,477.65 2026-07-18
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 14 — — $19,284.36 $77,875.55 $24,425.89 2026-07-18
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 14 — — $18,926.73 $78,914.54 $24,407.52 2026-07-18
C9797 HCPCS Vasc Emb/occ W/prs Cath 24 12 — — $12,143.00 $78,187.22 $24,405.09 2026-07-18
C9767 HCPCS Revasc Lithotrip-stent-ather 24 12 — — $12,143.00 $78,187.22 $24,405.09 2026-07-18
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 14 — — $18,792.99 $78,674.12 $24,333.16 2026-07-18
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 30 14 — — $18,366.60 $78,654.08 $24,326.96 2026-07-18
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 14 — — $19,020.55 $78,247.64 $24,201.26 2026-07-18
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 30 14 — — $18,853.43 $76,135.32 $24,176.02 2026-07-18
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 14 — — $21,605.54 $92,461.48 $24,041.10 2026-07-18
134 MS_DRG Other Ear- Nose- Mouth & Throat O.r. Procedures Without Cc/mcc 1 1 — — $24,013.94 $24,013.94 $24,013.94 2026-07-18
0680T CPT Insj/rplcmt Pg Only Isdss 24 11 — — $2,582.46 $51,628.64 $23,997.69 2026-07-18
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 43 11 — — $88.81 $93,373.23 $23,997.69 2026-07-18
849 MS_DRG Radiotherapy 30 14 — — $18,700.57 $77,552.12 $23,986.14 2026-07-18
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 14 — — $19,123.47 $77,457.67 $23,956.92 2026-07-18
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 14 — — $18,318.29 $77,205.79 $23,879.02 2026-07-18
J9600 HCPCS Porfimer Sodium Injection 95 23 — — $3,004.74 $92,068.00 $23,517.16 2026-07-18
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 20 11 — — $18,828.62 $76,035.14 $23,516.94 2026-07-18
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 14 — — $18,642.46 $75,869.13 $23,465.60 2026-07-18
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 30 14 — — $18,576.65 $75,488.45 $23,347.86 2026-07-18
C9769 HCPCS Cysto W/temp Pros Implant 7 3 — — $9,197.00 $39,000.21 $23,167.49 2026-07-18
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 30 14 — — $18,306.25 $73,925.68 $23,157.92 2026-07-18
253 MS_DRG Other Vascular Procedures With Cc 30 14 — — $17,874.38 $74,292.04 $22,977.83 2026-07-18
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 30 14 — — $17,879.29 $74,203.31 $22,950.38 2026-07-18
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 30 14 — — $16,782.84 $73,822.64 $22,832.64 2026-07-18
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 30 14 — — $16,782.84 $73,822.64 $22,832.64 2026-07-18
C1820 HCPCS Generator Neurostimulator 2.2x1.9in Permanent MRI Intellis 404 20 $38,000.00 $11,628.00 69% off $40.87 $67,761.60 $22,821.54 2026-07-18
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 30 14 — — $18,122.94 $73,490.62 $22,729.96 2026-07-18
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 30 14 — — $17,518.00 $73,072.73 $22,600.71 2026-07-18
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 14 — — $18,009.28 $72,726.40 $22,537.82 2026-07-18
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/mcc 1 1 — — $22,454.85 $22,454.85 $22,454.85 2026-07-18
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 30 14 — — $16,810.84 $72,589.02 $22,451.10 2026-07-18
164 MS_DRG Major Chest Procedures With Cc 30 14 — — $17,621.63 $72,242.69 $22,343.98 2026-07-18
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 30 14 — — $17,277.15 $72,211.20 $22,334.24 2026-07-18
L8614 HCPCS Cochlear Device 820 23 $37,730.00 $11,545.38 69% off $68.60 $75,546.65 $22,151.37 2026-07-18
S0181 HCPCS Ondansetron Hydrochloride Oral 4 Mg 11 7 — — $68.60 $22,110.53 $22,110.53 2026-07-18
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