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 →

Export CSV
Hospital

FRISBIE MEMORIAL HOSPITAL

Rochester, NH · CCN 300014 · Rates published

20,254 distinct procedures filed
20 distinct payers
369,687 rate rows
2026-03-01 last MRF observed
Data quality

328,826 of 369,687 rate rows are consumer-grade (88.9%)

40,861 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 17,718
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,720
per-diem day rate — not a per-procedure price 6,342
template filing: same amount across many unrelated codes — excluded 3,044
placeholder amount (≤ $0.02) — excluded from medians 974
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
exceeds 10× this hospital's gross charge — excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://core.secure.ehc.com/src/util/json-detail-price-list/84-2462186_frisbie-memorial-hospital_standardcharges.json
Found on page https://frisbiehospital.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint f2c771816efbba90… · 246,453,248 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
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 —
845
OTHER 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 9 $6,016.87 $8,031,514.00 $4,264,333.37 nat. median
$4,505,000
0.9× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 8 $3,685,267.00 $6,570,094.01 $4,121,736.62 nat. median
$3,765,001
1.1× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,574,708.99 $3,685,267.00 $3,629,988.00 nat. median
$3,562,713
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 —
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,228,024.20 $3,327,860.00 $3,277,942.10 nat. median
$3,225,691
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,154,932.76 $3,252,508.00 $3,203,720.38 nat. median
$3,187,420
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 9 $10,894.39 $5,947,099.90 $3,158,619.39 nat. median
$8,800
outlier · 358.9×
714
OTHER 		Transurethral Prostatectomy Without Cc/mcc 9 $7,076.64 $5,932,908.81 $3,150,489.86 nat. median
$3,391,964
0.9× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 —
748
OTHER 		Inj, Lovotibeglogene Auto 9 $13,470.32 $5,798,571.26 $3,080,177.90 nat. median
$3,351,720
0.9× median
906
OTHER 		Inj Elivaldogene Autoteme 9 $9,626.48 $5,669,304.00 $3,010,958.05 nat. median
$2,726
outlier · 1104.4×
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,851,769.93 $2,939,969.00 $2,895,869.46 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 8 $2,588,981.00 $4,615,635.33 $2,895,610.50 nat. median
$2,508,045
1.2× median
746
OTHER 		Vagina, Cervix And Vulva Procedures With Cc/mcc 9 $12,460.19 $5,241,376.73 $2,784,242.80 nat. median
$3,001,835
0.9× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,511,311.57 $2,588,981.00 $2,550,146.29 nat. median
$2,316,956
1.1× median
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 —
824
OTHER 		Lymphoma And Non-acute Leukemia With Other Procedures With Cc 9 $14,590.57 $4,157,489.60 $2,209,212.46 nat. median
$28,063
outlier · 78.7×
2067
OTHER 		Afamitresgene Autoleucel 8 $770,620.00 $1,373,861.34 $861,889.43 nat. median
$838,386
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 9 $587,649.60 $1,047,661.71 $657,248.68 nat. median
$553,480
1.2× median
9194
OTHER 		Tisagenlecleucel Car-pos 9 $566,531.30 $1,010,012.00 $633,629.21 nat. median
$555,653
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 9 $562,201.20 $1,002,292.30 $628,786.26 nat. median
$542,562
1.2× median
9422
OTHER 		Idecabtagene Vicleucel Ca 9 $558,081.80 $994,948.23 $624,178.98 nat. median
$552,917
1.1× median
9035
OTHER 		Axicabtagene Ciloleucel C 9 $532,192.20 $948,792.25 $595,223.11 nat. median
$513,929
1.2× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $570,020.11 $587,649.60 $578,834.85 nat. median
$511,310
1.1× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $549,535.36 $566,531.30 $558,033.33 nat. median
$513,317
1.1× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $545,335.16 $562,201.20 $553,768.18 nat. median
$501,224
1.1× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $541,339.35 $558,081.80 $549,710.57 nat. median
$510,790
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 9 $489,450.20 $872,591.82 $547,418.90 nat. median
$483,557
1.1× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $516,226.43 $532,192.20 $524,209.32 nat. median
$474,772
1.1× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $474,766.69 $489,450.20 $482,108.45 nat. median
$446,714
1.1× median
J3403
HCPCS 		Revakinagene Taroretcel-lwey, Per Implant 1 $332,575.00 $417,110.00 $393,909.25 nat. median
$264,195
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $3,609.00 $1,275,879.01 $311,877.17 nat. median
$168,055
1.9× median
897
OTHER 		Revakinagene, Per Implant 9 $265,000.00 $472,442.00 $296,385.64 nat. median
$269,427
1.1× median
00831
OTHER 		Obecbtge Autol Up To 400 2 $269,902.50 $278,250.00 $274,076.25 —
77425
CPT 		Intraoperative Radiation Treatment Delivery, Electrons, Single Treatment Session… 1 $268,461.97 $268,461.97 $268,461.97 nat. median
$7,458
outlier · 36.0×
831
OTHER 		Other Antepartum Diagnoses Without O.r. Procedures With Mcc 9 $4,120.09 $496,064.10 $263,970.90 nat. median
$278,250
0.9× median
00897
OTHER 		Revakinagene, Per Implant 2 $257,050.00 $265,000.00 $261,025.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $3,609.00 $827,994.15 $255,436.34 nat. median
$186,516
1.4× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $242,929.13 $250,442.40 $246,685.77 nat. median
$149,977
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $224,085.00 $257,697.00 $240,891.00 nat. median
$2,106
outlier · 114.4×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $224,085.00 $257,697.00 $240,891.00 nat. median
$2,106
outlier · 114.4×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $224,085.00 $257,697.00 $240,891.00 nat. median
$2,106
outlier · 114.4×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $213,538.61 $220,142.90 $216,840.76 nat. median
$177,883
1.2× median
00886
OTHER 		Inj. Remestemcel-l-rknd/ 2 $195,618.93 $201,669.00 $198,643.96 —
886
OTHER 		Inj. Remestemcel-l-rknd/ 9 $9,015.43 $359,535.49 $192,261.77 nat. median
$203,660
0.9× median
1907
OTHER 		New Technology - Level 52 9 $159,381.30 $284,144.98 $178,257.84 nat. median
$149,948
1.2× median
1908
OTHER 		New Technology - Level 52 9 $159,381.30 $284,144.98 $178,257.84 nat. median
$149,948
1.2× median
1906
OTHER 		New Technology - Level 51 9 $143,704.50 $256,196.38 $160,724.34 nat. median
$135,199
1.2× median
1905
OTHER 		New Technology - Level 51 9 $143,704.50 $256,196.38 $160,724.34 nat. median
$135,199
1.2× median

Other procedures at this hospital

Browse this hospital's 20,254 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
             
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
845 OTHER Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 14 9 $26,537.00 — $6,016.87 $8,031,514.00 $4,264,333.37 2026-07-17
9138 OTHER Inj, Hemgenix, Per Tx Dos 11 8 — — $3,685,267.00 $6,570,094.01 $4,121,736.62 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,574,708.99 $3,685,267.00 $3,629,988.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,235,745.40 $3,335,820.00 $3,285,782.70 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,228,024.20 $3,327,860.00 $3,277,942.10 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,154,932.76 $3,252,508.00 $3,203,720.38 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 14 9 $32,314.00 — $10,894.39 $5,947,099.90 $3,158,619.39 2026-07-17
714 OTHER Transurethral Prostatectomy Without Cc/mcc 14 9 $32,314.00 — $7,076.64 $5,932,908.81 $3,150,489.86 2026-07-17
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 14 9 $32,314.00 — $13,470.32 $5,798,571.26 $3,080,177.90 2026-07-17
906 OTHER Inj Elivaldogene Autoteme 14 9 $32,314.00 — $9,626.48 $5,669,304.00 $3,010,958.05 2026-07-17
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,851,769.93 $2,939,969.00 $2,895,869.46 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 11 8 — — $2,588,981.00 $4,615,635.33 $2,895,610.50 2026-03-01
746 OTHER Vagina, Cervix And Vulva Procedures With Cc/mcc 14 9 $32,314.00 — $12,460.19 $5,241,376.73 $2,784,242.80 2026-07-17
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,511,311.57 $2,588,981.00 $2,550,146.29 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,262,040.00 $2,332,000.00 $2,297,020.00 2026-03-01
824 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Cc 14 9 $32,314.00 — $14,590.57 $4,157,489.60 $2,209,212.46 2026-07-17
2067 OTHER Afamitresgene Autoleucel 11 8 — — $770,620.00 $1,373,861.34 $861,889.43 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 12 9 $804,636.00 — $587,649.60 $1,047,661.71 $657,248.68 2026-07-17
9194 OTHER Tisagenlecleucel Car-pos 12 9 $762,479.08 — $566,531.30 $1,010,012.00 $633,629.21 2026-07-17
9413 OTHER Lisocabtagene Car Pos T 12 9 $730,662.24 — $562,201.20 $1,002,292.30 $628,786.26 2026-07-17
9422 OTHER Idecabtagene Vicleucel Ca 12 9 $747,045.60 — $558,081.80 $994,948.23 $624,178.98 2026-07-17
9035 OTHER Axicabtagene Ciloleucel C 12 9 $710,446.41 — $532,192.20 $948,792.25 $595,223.11 2026-07-17
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $570,020.11 $587,649.60 $578,834.85 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $549,535.36 $566,531.30 $558,033.33 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $545,335.16 $562,201.20 $553,768.18 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $541,339.35 $558,081.80 $549,710.57 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 12 9 $710,539.20 — $489,450.20 $872,591.82 $547,418.90 2026-07-17
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $516,226.43 $532,192.20 $524,209.32 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $474,766.69 $489,450.20 $482,108.45 2026-03-01
J3403 HCPCS Revakinagene Taroretcel-lwey, Per Implant 8 1 — — $332,575.00 $417,110.00 $393,909.25 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 43 13 — — $3,609.00 $1,275,879.01 $311,877.17 2026-03-01
897 OTHER Revakinagene, Per Implant 12 9 $26,537.00 — $265,000.00 $472,442.00 $296,385.64 2026-07-17
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $269,902.50 $278,250.00 $274,076.25 2026-03-01
77425 CPT Intraoperative Radiation Treatment Delivery, Electrons, Single Treatment Session… 2 1 — — $268,461.97 $268,461.97 $268,461.97 2026-03-01
831 OTHER Other Antepartum Diagnoses Without O.r. Procedures With Mcc 14 9 $26,537.00 — $4,120.09 $496,064.10 $263,970.90 2026-07-17
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 13 — — $3,609.00 $827,994.15 $255,436.34 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 $410,356.46 — $242,929.13 $250,442.40 $246,685.77 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $224,085.00 $257,697.00 $240,891.00 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $224,085.00 $257,697.00 $240,891.00 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 — — $224,085.00 $257,697.00 $240,891.00 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 $706,915.00 — $213,538.61 $220,142.90 $216,840.76 2026-07-17
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 14 9 $26,537.00 — $9,015.43 $359,535.49 $192,261.77 2026-07-17
1908 OTHER New Technology - Level 52 12 9 $266,961.28 — $159,381.30 $284,144.98 $178,257.84 2026-07-17
1907 OTHER New Technology - Level 52 12 9 $266,961.28 — $159,381.30 $284,144.98 $178,257.84 2026-07-17
1906 OTHER New Technology - Level 51 12 9 $240,702.88 — $143,704.50 $256,196.38 $160,724.34 2026-07-17
1905 OTHER New Technology - Level 51 12 9 $240,702.88 — $143,704.50 $256,196.38 $160,724.34 2026-07-17
01907 OTHER New Technology - Level 52 2 2 — — $154,564.36 $159,344.70 $156,954.53 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $154,564.36 $159,344.70 $156,954.53 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 3 2 $2.17 — $156,039.34 $156,039.34 $156,039.34 2026-07-17
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 $229,751.80 — $150,506.27 $155,161.10 $152,833.68 2026-07-17
1903 OTHER New Technology - Level 50 12 9 $214,444.48 — $128,027.70 $228,247.78 $143,190.83 2026-07-17
1904 OTHER New Technology - Level 50 12 9 $214,444.48 — $128,027.70 $228,247.78 $143,190.83 2026-07-17
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $131,816.00 $151,589.00 $141,702.50 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $139,361.36 $143,671.50 $141,516.43 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $139,361.36 $143,671.50 $141,516.43 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 45 13 — — $3,609.00 $780,299.00 $135,397.71 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $124,158.35 $127,998.30 $126,078.32 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $124,158.35 $127,998.30 $126,078.32 2026-03-01
1901 OTHER New Technology - Level 49 12 9 $188,186.08 — $112,350.90 $200,299.18 $125,657.33 2026-07-17
1902 OTHER New Technology - Level 49 12 9 $188,186.08 — $112,350.90 $200,299.18 $125,657.33 2026-07-17
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 46 13 — — $3,609.00 $55,100.34 $122,500.00 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 11 3 $78,232.38 — $87,563.86 $188,521.65 $120,674.40 2026-07-17
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 $155,895.99 — $117,533.54 $121,168.60 $119,351.07 2026-07-17
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 14 9 $156,110.98 — $104,995.71 $192,975.62 $118,840.82 2026-07-17
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 11 3 $144,272.08 — $85,097.42 $183,212.36 $117,275.50 2026-07-17
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 10 3 — — $0.01 $578,771.00 $114,017.90 2026-03-01
1585 OTHER New Technology - Level 48 12 9 $166,304.08 — $99,286.92 $177,008.72 $111,046.10 2026-07-17
1599 OTHER New Technology - Level 48 12 9 $166,304.08 — $99,286.92 $177,008.72 $111,046.10 2026-07-17
01901 OTHER New Technology - Level 49 2 2 — — $108,955.35 $112,325.10 $110,640.23 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $108,955.35 $112,325.10 $110,640.23 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 13 — — $3,609.00 $255,719.09 $110,049.24 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 10 3 — — $0.01 $553,169.00 $108,974.31 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $100,748.00 $115,862.00 $108,305.00 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 3 3 $40,260.01 — $105,334.34 $108,592.10 $106,963.22 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 13 — — $3,609.00 $257,228.69 $106,516.84 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $105,673.38 $105,673.38 $105,673.38 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 13 8 — — $92,228.57 $169,510.41 $104,390.16 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 10 3 — — $0.01 $527,622.00 $103,941.55 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 10 3 — — $0.01 $516,442.00 $101,739.09 2026-03-01
22634 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 3 2 $94,140.00 — $101,518.00 $101,518.00 $101,518.00 2026-07-17
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 12 4 — — $61,338.53 $161,324.10 $100,962.70 2026-03-01
1598 OTHER New Technology - Level 47 12 9 $148,798.48 — $88,835.72 $158,376.32 $99,357.10 2026-07-17
1584 OTHER New Technology - Level 47 12 9 $148,798.48 — $88,835.72 $158,376.32 $99,357.10 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 10 3 — — $0.01 $502,841.00 $99,059.69 2026-03-01
01585 OTHER New Technology - Level 48 2 2 — — $96,286.20 $99,264.12 $97,775.16 2026-03-01
01599 OTHER New Technology - Level 48 2 2 — — $96,286.20 $99,264.12 $97,775.16 2026-03-01
7 MS_DRG Lung Transplant 42 13 — — $3,609.00 $382,626.61 $97,518.62 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 13 — — $7,757.00 $321,286.16 $97,055.14 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 41 13 — — $7,757.00 $270,336.00 $96,717.45 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 10 3 — — $0.01 $489,399.00 $96,411.62 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 44 11 — — $3,609.00 $334,425.26 $96,153.41 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 13 — — $7,757.00 $257,894.00 $92,568.53 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 13 — — $7,757.00 $199,950.00 $92,174.60 2026-03-01
007 OTHER Lung Transplant 3 3 $138,589.48 — $90,332.55 $93,126.34 $91,729.45 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 42 13 — — $3,609.00 $355,080.87 $90,684.25 2026-03-01
215 MS_DRG Other Heart Assist System Implant 46 13 — — $3,609.00 $273,456.00 $89,627.46 2026-03-01
22804 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 13 Or More V… 10 3 $115,060.00 — $67,500.00 $124,077.00 $88,590.01 2026-07-17
22802 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 7 To 12 Vert… 10 3 $115,060.00 — $67,500.00 $124,077.00 $88,590.01 2026-07-17
22800 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; Up To 6 Vert… 10 3 $115,060.00 — $67,500.00 $124,077.00 $88,590.01 2026-07-17
22812 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 8 Or More Ver… 10 3 $115,060.00 — $67,500.00 $124,077.00 $88,590.01 2026-07-17
22810 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 4 To 7 Verteb… 10 3 $115,060.00 — $67,500.00 $124,077.00 $88,590.01 2026-07-17
22808 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 2 To 3 Verteb… 10 3 $115,060.00 — $67,500.00 $124,077.00 $88,590.01 2026-07-17
1597 OTHER New Technology - Level 46 12 9 $131,292.88 — $78,384.52 $139,743.92 $87,668.10 2026-07-17
1583 OTHER New Technology - Level 46 12 9 $131,292.88 — $78,384.52 $139,743.92 $87,668.10 2026-07-17
01598 OTHER New Technology - Level 47 2 2 — — $86,150.86 $88,815.32 $87,483.09 2026-03-01
01584 OTHER New Technology - Level 47 2 2 — — $86,150.86 $88,815.32 $87,483.09 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 13 5 $135,141.34 — $55,306.59 $144,116.49 $87,292.38 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 13 — — $7,757.00 $292,948.00 $85,271.66 2026-03-01
22633 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 10 3 $94,140.00 — $67,500.00 $101,518.00 $83,576.90 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 13 — — $3,609.00 $257,697.00 $82,701.27 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 $706,915.00 — $80,061.30 $82,537.42 $81,299.36 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 13 — — $7,757.00 $199,950.00 $80,883.68 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 13 — — $7,757.00 $199,950.00 $80,627.20 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 13 — — $3,609.00 $166,880.28 $79,442.35 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 13 — — $3,609.00 $304,634.03 $78,688.39 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 3 3 $127,074.13 — $77,107.29 $79,492.05 $78,299.67 2026-07-17
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 3 3 $129,503.67 — $76,295.11 $78,654.75 $77,474.93 2026-07-17
01597 OTHER New Technology - Level 46 2 2 — — $76,015.52 $78,366.52 $77,191.02 2026-03-01
01583 OTHER New Technology - Level 46 2 2 — — $76,015.52 $78,366.52 $77,191.02 2026-03-01
85360 CDM Cath Rh W Wirls Sens Plc 19 9 $179,641.00 $179,641.00 $14,802.42 $143,712.80 $76,569.61 2026-03-01
22586 CPT Arthrodesis, Pre-sacral Interbody Technique, Including Disc Space Preparation, D… 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
22556 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
22610 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Thoracic … 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
22532 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
22612 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Lumbar (w… 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
22533 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
22558 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
22630 CPT Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/or Discect… 10 3 $62,760.00 — $67,500.00 $87,326.00 $76,056.90 2026-07-17
1596 OTHER New Technology - Level 45 12 9 $113,787.28 — $67,933.32 $121,111.52 $75,979.10 2026-07-17
1582 OTHER New Technology - Level 45 12 9 $113,787.28 — $67,933.32 $121,111.52 $75,979.10 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 13 — — $3,609.00 $257,697.00 $75,549.93 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 13 8 — — $66,737.65 $122,659.67 $75,537.91 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 13 — — $7,757.00 $257,894.00 $75,528.10 2026-03-01
5244 OTHER Level 4 Blood Product Exc 12 9 $71,820.19 — $67,163.09 $119,738.36 $75,117.64 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 13 — — $7,757.00 $207,819.00 $74,356.82 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 13 — — $7,757.00 $180,699.00 $73,834.19 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 41 13 — — $7,757.00 $206,162.00 $73,722.17 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $73,272.00 $73,272.00 $73,272.00 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 $44,638.86 — $71,501.60 $73,712.99 $72,607.29 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 13 — — $3,609.00 $257,697.00 $70,620.85 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 $46,512.11 — $69,059.97 $71,195.85 $70,127.91 2026-07-17
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 13 5 $103,725.95 — $43,855.64 $114,397.97 $69,283.87 2026-07-17
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $181,146.00 — $66,358.02 $68,410.33 $67,384.18 2026-07-17
77424 CPT Intraoperative Radiation Treatment Delivery, X-ray, Single Treatment Session 10 3 $12,698.87 — $7,465.00 $268,461.97 $67,310.72 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 46 13 — — $3,609.00 $255,853.59 $67,018.74 2026-03-01
01596 OTHER New Technology - Level 45 2 2 — — $65,880.19 $67,917.72 $66,898.96 2026-03-01
01582 OTHER New Technology - Level 45 2 2 — — $65,880.19 $67,917.72 $66,898.96 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $65,954.41 $67,273.50 $66,613.96 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 13 — — $3,609.00 $133,221.00 $66,359.89 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $65,133.23 $67,147.66 $66,140.45 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 13 — — $7,757.00 $180,699.00 $65,524.27 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $64,868.50 $66,165.87 $65,517.18 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 $314.42 — $63,654.79 $65,623.49 $64,639.14 2026-07-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 13 — — $3,609.00 $257,697.00 $64,316.43 2026-03-01
1595 OTHER New Technology - Level 44 12 9 $96,281.68 — $57,482.12 $102,479.12 $64,290.09 2026-07-17
1581 OTHER New Technology - Level 44 12 9 $96,281.68 — $57,482.12 $102,479.12 $64,290.09 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 13 — — $7,757.00 $180,699.00 $64,286.01 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 13 — — $3,609.00 $257,697.00 $63,896.26 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 $105,620.36 — $62,921.53 $64,867.56 $63,894.54 2026-07-17
1643 OTHER Y90 Ibritumomab, Rx 12 9 $100,453.63 — $56,824.55 $101,306.81 $63,554.64 2026-07-17
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $62,346.55 $64,274.79 $63,310.67 2026-03-01
717 OTHER Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 14 9 $32,314.00 — $13,357.03 $114,589.10 $62,914.39 2026-07-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 41 13 — — $7,757.00 $234,563.00 $61,170.61 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 13 — — $3,609.00 $232,491.56 $61,145.00 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 13 — — $7,757.00 $185,332.00 $60,985.45 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 12 9 $89,889.30 — $54,404.11 $96,991.65 $60,847.53 2026-07-17
231 OTHER Coronary Bypass With Ptca With Mcc 3 3 $233,640.00 — $59,558.89 $61,400.92 $60,479.90 2026-07-17
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 $61,127.13 — $59,366.67 $61,202.75 $60,284.71 2026-07-17
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 2 2 — — $58,811.86 $59,988.10 $59,399.98 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 13 — — $3,609.00 $225,137.57 $59,177.69 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 41 13 — — $7,757.00 $177,471.00 $59,105.44 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 13 — — $3,609.00 $203,214.43 $58,964.63 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 46 13 — — $3,609.00 $115,862.00 $58,555.12 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 13 — — $3,609.00 $257,697.00 $58,267.94 2026-03-01
652 MS_DRG Kidney Transplant 42 13 — — $3,609.00 $492,050.00 $58,080.50 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 13 — — $3,609.00 $190,119.65 $57,916.44 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 2 2 — — $57,300.30 $58,446.30 $57,873.30 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 13 — — $3,609.00 $133,221.00 $57,618.10 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $56,575.66 $57,707.17 $57,141.42 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 3 3 $559.40 — $55,799.70 $57,525.46 $56,662.58 2026-07-17
01595 OTHER New Technology - Level 44 2 2 — — $55,744.85 $57,468.92 $56,606.89 2026-03-01
01581 OTHER New Technology - Level 44 2 2 — — $55,744.85 $57,468.92 $56,606.89 2026-03-01
10 MS_DRG Pancreas Transplant 42 13 — — $3,609.00 $212,013.23 $56,429.37 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 13 — — $7,757.00 $151,589.00 $56,204.22 2026-03-01
92921 CPT Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Majo… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
92974 CPT Transcatheter Placement Of Radiation Delivery Device For Subsequent Coronary Int… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
92925 CPT Percutaneous Transluminal Coronary Atherectomy, With Coronary Angioplasty When P… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
92934 CPT Percutaneous Transluminal Coronary Atherectomy, With Intracoronary Stent, With C… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
92929 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
92944 CPT Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
0715T CPT Percutaneous Transluminal Coronary Lithotripsy (list Separately In Addition To C… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
93592 CPT Percutaneous Transcatheter Closure Of Paravalvular Leak; Each Additional Occlusi… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
92938 CPT Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
92973 CPT Percutaneous Transluminal Coronary Mechanical Aspiration Thrombectomy (List Sepa… 3 2 $55,739.00 — $52,267.00 $60,107.00 $56,187.00 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 43 13 — — $3,609.00 $210,798.89 $56,162.66 2026-03-01
76841 CDM Ins Icd Gen W Mult Lead 19 9 $131,348.00 $131,348.00 $10,823.08 $105,078.40 $55,985.35 2026-03-01
76844 CDM Rmv Icd W Rplc Mult Ld 19 9 $131,348.00 $131,348.00 $10,823.08 $105,078.40 $55,985.35 2026-03-01
66661 CDM Icd Ins/repl Ld/gen 19 9 $131,348.00 $131,348.00 $10,823.08 $105,078.40 $55,985.35 2026-03-01
84398 CDM Ins/repl Subq Icd W/eval 19 9 $131,348.00 $131,348.00 $10,823.08 $105,078.40 $55,985.35 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $55,119.81 $56,824.55 $55,972.18 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 $84,131.41 — $53,948.75 $55,617.27 $54,783.01 2026-07-17
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $53,909.66 $54,987.85 $54,448.75 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $188,274.00 — $53,241.59 $54,888.24 $54,064.92 2026-07-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 46 13 — — $3,609.00 $115,862.00 $53,690.59 2026-03-01
56721 CDM Sq Plmt Neurocver/spine 19 9 $125,941.00 $125,941.00 $10,377.54 $100,752.80 $53,680.69 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $52,771.99 $54,404.11 $53,588.05 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 13 — — $3,609.00 $204,216.04 $53,556.33 2026-03-01
B2102 HCPCS Burns; M=12-45 2 2 — — $52,844.51 $53,901.40 $53,372.96 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $52,491.53 $53,541.36 $53,016.44 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 13 — — $3,609.00 $198,877.08 $52,907.13 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 14 9 $69,450.93 — $46,710.83 $85,851.63 $52,870.29 2026-07-17
B0405 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $52,242.37 $53,287.22 $52,764.79 2026-03-01
C0106 HCPCS Stroke; M > 30.05 & M < 34.25 2 2 — — $52,225.76 $53,270.28 $52,748.02 2026-03-01
B0105 HCPCS Stroke; M > 34.25 & M < 38.85 2 2 — — $52,211.23 $53,255.45 $52,733.34 2026-03-01
1580 OTHER New Technology - Level 43 12 9 $78,776.08 — $47,030.92 $83,846.72 $52,601.09 2026-07-17
1594 OTHER New Technology - Level 43 12 9 $78,776.08 — $47,030.92 $83,846.72 $52,601.09 2026-07-17
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $51,774.46 $53,375.73 $52,575.10 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 13 — — $3,609.00 $197,559.33 $52,284.67 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 13 — — $3,609.00 $161,631.39 $51,761.88 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 41 13 — — $7,757.00 $150,753.00 $51,710.46 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 13 — — $3,609.00 $133,221.00 $51,497.47 2026-03-01
010 OTHER Pancreas Transplant 3 3 $47,078.62 — $50,697.49 $52,265.45 $51,481.47 2026-07-17
B0604 HCPCS Neurological; M < 25.85 2 2 — — $50,865.77 $51,883.09 $51,374.43 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 46 13 — — $3,609.00 $193,567.66 $51,366.06 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 $80,999.11 — $50,407.24 $51,966.23 $51,186.74 2026-07-17
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $181,146.00 — $50,363.96 $51,921.61 $51,142.79 2026-07-17
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 14 9 $66,459.78 — $44,699.06 $82,154.10 $50,593.23 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 13 — — $3,609.00 $161,146.84 $50,568.79 2026-03-01
C0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $49,850.45 $50,847.46 $50,348.96 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 $43,189.08 — $49,248.17 $50,771.31 $50,009.74 2026-07-17
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 3 3 $2,516.35 — $48,955.38 $50,469.46 $49,712.42 2026-07-17
B1004 HCPCS Amputation, Lower Extremity; M=39-45 2 2 — — $49,071.83 $50,053.26 $49,562.54 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 $129,739.00 — $48,409.90 $49,907.11 $49,158.50 2026-07-17
B1504 HCPCS Pulmonary; M < 29.15 2 2 — — $48,637.88 $49,610.63 $49,124.25 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 13 — — $3,609.00 $180,859.93 $48,570.73 2026-03-01
1142 OTHER Supprelin La Implant 12 9 $64,291.79 — $43,185.34 $76,990.82 $48,300.06 2026-07-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 44 11 — — $3,609.00 $168,616.07 $48,269.34 2026-03-01
B0704 HCPCS Fracture Of Lower Extremity; M < 28.15 2 2 — — $47,630.86 $48,583.48 $48,107.17 2026-03-01
B1304 HCPCS Rheumatoid, Other Arthritis; M=12-35 2 2 — — $47,572.72 $48,524.18 $48,048.45 2026-03-01
A0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $47,500.05 $48,450.05 $47,975.05 2026-03-01
64565 CPT HPercutaneous Implantation Of Neurostimulator Electrode Array; Neuromuscular 8 2 $61,778.44 — $36,318.00 $66,787.00 $47,867.51 2026-07-17
D0106 HCPCS Stroke; M > 30.05 & M < 34.25 2 2 — — $47,317.33 $48,263.68 $47,790.50 2026-03-01
S2112 HCPCS Arthroscopy, Knee, Surgical For Harvesting Of Cartilage (chondrocyte Cells) 3 2 $47,347.00 — $44,397.00 $51,057.00 $47,727.00 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 46 13 — — $3,609.00 $177,521.23 $47,690.77 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 13 — — $3,609.00 $151,589.00 $47,508.94 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 46 13 — — $3,609.00 $109,157.00 $47,450.54 2026-03-01
63655 CPT Laminectomy For Implantation Of Neurostimulator Electrodes, Plate/paddle, Epidur… 10 3 $61,778.44 — $36,318.00 $66,787.00 $47,262.96 2026-07-17
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $181,146.00 — $46,455.83 $47,892.61 $47,174.22 2026-07-17
B0904 HCPCS Other Orthopedic; M < 24.15 2 2 — — $46,679.90 $47,613.50 $47,146.70 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 $66,647.79 — $46,287.16 $47,718.72 $47,002.94 2026-07-17
D0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $46,376.76 $47,304.29 $46,840.53 2026-03-01
C0105 HCPCS Stroke; M > 34.25 & M < 38.85 2 2 — — $46,364.30 $47,291.59 $46,827.94 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 13 — — $3,609.00 $173,281.38 $46,600.38 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 13 — — $3,609.00 $163,182.56 $46,537.69 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 42 13 — — $3,609.00 $175,198.92 $46,477.87 2026-03-01
B2005 HCPCS Miscellaneous; M=12-32 And A Tm81 2 2 — — $45,924.12 $46,842.60 $46,383.36 2026-03-01
01594 OTHER New Technology - Level 43 2 2 — — $45,609.52 $47,020.12 $46,314.82 2026-03-01
01580 OTHER New Technology - Level 43 2 2 — — $45,609.52 $47,020.12 $46,314.82 2026-03-01
77523 CPT Proton Treatment Delivery; Intermediate 2 1 — — $46,190.89 $46,190.89 $46,190.89 2026-03-01
77525 CPT Proton Treatment Delivery; Complex 2 1 — — $46,190.89 $46,190.89 $46,190.89 2026-03-01
77522 CPT Proton Treatment Delivery; Simple, With Compensation 2 1 — — $46,190.89 $46,190.89 $46,190.89 2026-03-01
B0504 HCPCS Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3 2 2 — — $45,656.28 $46,569.40 $46,112.84 2026-03-01
B1704 HCPCS Major Multiple Trauma,no Brain Or Spinal Cord Inju 2 2 — — $45,581.53 $46,493.16 $46,037.35 2026-03-01
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days 2 2 — — $45,432.03 $46,340.67 $45,886.35 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 13 — — $3,609.00 $100,353.00 $45,728.65 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 13 — — $3,609.00 $169,307.44 $45,640.88 2026-03-01
C0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $44,983.55 $45,883.22 $45,433.39 2026-03-01
B0304 HCPCS Nontraumatic Brain Injury; M < 26.15 2 2 — — $44,921.26 $45,819.68 $45,370.47 2026-03-01
A0106 HCPCS Stroke; M > 30.05 & M < 34.25 2 2 — — $44,881.81 $45,779.44 $45,330.62 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 46 13 — — $3,609.00 $168,397.43 $45,281.30 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 13 5 $57,755.56 — $26,258.38 $75,295.33 $45,160.59 2026-07-17
63048 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 3 2 $44,788.00 — $41,997.00 $48,297.00 $45,147.00 2026-07-17
63052 CPT Laminectomy, Facetectomy, Or Foraminotomy (unilateral Or Bilateral With Decompre… 3 2 $44,788.00 — $41,997.00 $48,297.00 $45,147.00 2026-07-17
63053 CPT Laminectomy, Facetectomy, Or Foraminotomy (unilateral Or Bilateral With Decompre… 3 2 $44,788.00 — $41,997.00 $48,297.00 $45,147.00 2026-07-17
63043 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 3 2 $44,788.00 — $41,997.00 $48,297.00 $45,147.00 2026-07-17
63044 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 3 2 $44,788.00 — $41,997.00 $48,297.00 $45,147.00 2026-07-17
63035 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 3 2 $44,788.00 — $41,997.00 $48,297.00 $45,147.00 2026-07-17
22103 CPT Partial Excision Of Posterior Vertebral Component (eg, Spinous Process, Lamina O… 3 2 $44,788.00 — $41,997.00 $48,297.00 $45,147.00 2026-07-17
B1404 HCPCS Cardiac; M < 31.15 2 2 — — $44,574.51 $45,466.00 $45,020.25 2026-03-01
B1204 HCPCS Osteoarthritis; M=39-47 2 2 — — $44,568.28 $45,459.65 $45,013.96 2026-03-01
C2102 HCPCS Burns; M=12-45 2 2 — — $44,427.09 $45,315.63 $44,871.36 2026-03-01
834 OTHER Acute Leukemia With Mcc 3 3 $45,779.92 — $44,044.75 $45,406.96 $44,725.86 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 13 — — $3,609.00 $165,593.51 $44,651.33 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 14 9 $58,582.86 — $39,401.30 $72,417.16 $44,596.90 2026-07-17
B0204 HCPCS Traumatic Brain Injury; M > 40.65 & M < 44.25 2 2 — — $44,099.03 $44,981.01 $44,540.02 2026-03-01
63650 CPT Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural 10 3 $61,778.44 — $29,626.00 $66,787.00 $44,419.96 2026-07-17
B2004 HCPCS Miscellaneous; M < 27.85 2 2 — — $43,874.79 $44,752.29 $44,313.54 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $163,705.00 — $43,619.57 $44,968.63 $44,294.10 2026-07-17
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 $65,068.58 — $43,528.56 $44,874.80 $44,201.68 2026-07-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 46 13 — — $3,609.00 $164,458.95 $44,188.25 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 3 3 $82,282.00 — $43,247.86 $44,585.42 $43,916.64 2026-07-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 46 13 — — $3,609.00 $109,157.00 $43,898.03 2026-03-01
B0805 HCPCS Replacement Of Lower Extremity Joint; M > 22.05 & 2 2 — — $43,415.92 $44,284.24 $43,850.08 2026-03-01
215 OTHER Other Heart Assist System Implant 3 3 $247,738.00 — $43,170.84 $44,506.02 $43,838.43 2026-07-17
B1203 HCPCS Osteoarthritis; M < 30.75 2 2 — — $43,291.34 $44,157.17 $43,724.25 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 3 3 $76,473.81 — $42,900.96 $44,227.79 $43,564.38 2026-07-17
See an error in this hospital's data? Submit a correction