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

FRISBIE MEMORIAL HOSPITAL

Rochester, NH · CCN 300014 · Rates published

20,250 distinct procedures filed
19 distinct payers
352,637 rate rows
2026-03-01 last MRF observed
Data quality

340,553 of 352,637 rate rows are consumer-grade (96.6%)

12,084 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 6,342
template filing: same amount across many unrelated codes — excluded 3,044
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,701
placeholder amount (≤ $0.02) — excluded from medians 974
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 · 2026-05-15
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
845
OTHER 		Inj, Atidarsagene Autotem 9 $6,016.87 $4,685,200.00 $4,505,000.00 nat. median
$9,966
outlier · 452.1×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 nat. median
$4,505,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 8 $3,685,267.00 $3,832,677.68 $3,758,972.34 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,574,708.99 $3,685,267.00 $3,629,988.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 9 $10,894.39 $4,670,148.00 $3,369,178.20 nat. median
$22,747
outlier · 148.1×
714
OTHER 		Inj Delandistrogene Mox R 9 $7,076.64 $4,659,004.00 $3,361,138.60 nat. median
$13,041
outlier · 257.7×
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 nat. median
$12,675
outlier · 259.2×
748
OTHER 		Inj, Lovotibeglogene Auto 9 $13,470.32 $4,553,511.20 $3,285,033.08 nat. median
$17,963
outlier · 182.9×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,228,024.20 $3,327,860.00 $3,277,942.10 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 9 $9,626.48 $4,452,000.00 $3,211,800.00 nat. median
$20,756
outlier · 154.7×
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
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 nat. median
$21
outlier · 151392.0×
746
OTHER 		Inj, Betibeglogene Autote 9 $12,460.19 $4,115,956.60 $2,969,368.69 nat. median
$21,896
outlier · 135.6×
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 9 $2,588,981.00 $4,615,635.33 $2,640,760.62 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,511,311.57 $2,588,981.00 $2,550,146.29 nat. median
$2,457,321
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 10 $14,590.57 $4,157,489.60 $2,378,640.00 nat. median
$25,250
outlier · 94.2×
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 nat. median
$2,332,000
1.0× median
2067
OTHER 		Afamitresgene Autoleucel 9 $770,620.00 $1,373,861.34 $786,032.40 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 9 $587,649.60 $1,047,661.71 $599,402.59 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $570,020.11 $587,649.60 $578,834.85 nat. median
$554,552
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 9 $566,531.30 $1,010,012.00 $577,861.93 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 9 $562,201.20 $1,002,292.30 $573,445.22 nat. median
$562,201
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $561,407.87 $578,771.00 $570,089.44 nat. median
$754,974
0.8× median
9422
OTHER 		Idecabtagene Vicleucel Ca 9 $558,081.80 $994,948.23 $569,243.44 nat. median
$558,082
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $549,535.36 $566,531.30 $558,033.33 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $545,335.16 $562,201.20 $553,768.18 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $541,339.35 $558,081.80 $549,710.57 nat. median
$530,178
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $536,573.93 $553,169.00 $544,871.47 nat. median
$675,122
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 9 $532,192.20 $948,792.25 $542,836.04 nat. median
$532,192
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $516,226.43 $532,192.20 $524,209.31 nat. median
$505,583
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $511,793.34 $527,622.00 $519,707.67 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $500,948.74 $516,442.00 $508,695.37 nat. median
$674,188
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 9 $489,450.20 $872,591.82 $499,239.20 nat. median
$489,450
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $487,755.77 $502,841.00 $495,298.39 nat. median
$634,511
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $474,766.69 $489,450.20 $482,108.45 nat. median
$464,978
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $474,717.03 $489,399.00 $482,058.02 nat. median
$620,080
0.8× median
J3403
HCPCS 		Revakinagene Taroretcel-lwey, Per Implant 1 $332,575.00 $417,110.00 $417,110.00 nat. median
$265,000
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $23,535.00 $1,275,879.01 $352,870.43 nat. median
$370,174
1.0× median
831
OTHER 		Obecbtge Autol Up To 400 10 $4,120.09 $496,064.10 $283,815.00 nat. median
$12,362
outlier · 23.0×
00831
OTHER 		Obecbtge Autol Up To 400 2 $269,902.50 $278,250.00 $274,076.25 nat. median
$278,250
1.0× median
897
OTHER 		Revakinagene, Per Implant 9 $265,000.00 $472,442.00 $270,300.00 nat. median
$9,577
outlier · 28.2×
77425
CPT 		Intraoperative Radiation Treatment Delivery, Electrons, Single Treatment Session… 1 $268,461.97 $268,461.97 $268,461.97 nat. median
$7,537
outlier · 35.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $203,126.17 $827,994.15 $266,888.41 nat. median
$265,286
1.0× median
00897
OTHER 		Revakinagene, Per Implant 2 $257,050.00 $265,000.00 $261,025.00 nat. median
$265,000
1.0× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $242,929.13 $250,442.40 $246,685.77 nat. median
$424,868
0.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $224,085.00 $257,697.00 $240,891.00 nat. median
$62,270
outlier · 3.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $224,085.00 $257,697.00 $240,891.00 nat. median
$48,483
outlier · 5.0×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $224,085.00 $257,697.00 $240,891.00 nat. median
$87,411
outlier · 2.8×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $213,538.61 $220,142.90 $216,840.76 nat. median
$263,894
0.8× median

Other procedures at this hospital

Browse this hospital's 20,250 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
             
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 9 8 — — $3,685,267.00 $3,832,677.68 $3,758,972.34 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
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
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 9 — — $2,588,981.00 $4,615,635.33 $2,640,760.62 2026-03-01
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
2067 OTHER Afamitresgene Autoleucel 11 9 — — $770,620.00 $1,373,861.34 $786,032.40 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 11 9 — — $587,649.60 $1,047,661.71 $599,402.59 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $570,020.11 $587,649.60 $578,834.85 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 11 9 — — $566,531.30 $1,010,012.00 $577,861.93 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 11 9 — — $562,201.20 $1,002,292.30 $573,445.22 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 2 — — $561,407.87 $578,771.00 $570,089.44 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 11 9 — — $558,081.80 $994,948.23 $569,243.44 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
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 2 — — $536,573.93 $553,169.00 $544,871.47 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 11 9 — — $532,192.20 $948,792.25 $542,836.04 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $516,226.43 $532,192.20 $524,209.31 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 2 — — $511,793.34 $527,622.00 $519,707.67 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 2 — — $500,948.74 $516,442.00 $508,695.37 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 11 9 — — $489,450.20 $872,591.82 $499,239.20 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 2 — — $487,755.77 $502,841.00 $495,298.39 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $474,766.69 $489,450.20 $482,108.45 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 2 — — $474,717.03 $489,399.00 $482,058.02 2026-03-01
J3403 HCPCS Revakinagene Taroretcel-lwey, Per Implant 8 1 — — $332,575.00 $417,110.00 $417,110.00 2026-03-01
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
897 OTHER Revakinagene, Per Implant 11 9 — — $265,000.00 $472,442.00 $270,300.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $242,929.13 $250,442.40 $246,685.77 2026-03-01
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
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
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
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $213,538.61 $220,142.90 $216,840.76 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 — — $203,126.17 $827,994.15 $266,888.41 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
1907 OTHER New Technology - Level 52 11 9 — — $159,381.30 $284,144.98 $162,568.93 2026-03-01
1908 OTHER New Technology - Level 52 11 9 — — $159,381.30 $284,144.98 $162,568.93 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 2 1 — — $156,039.34 $156,039.34 $156,039.34 2026-03-01
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
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $150,506.27 $155,161.10 $152,833.68 2026-03-01
1905 OTHER New Technology - Level 51 11 9 — — $143,704.50 $256,196.38 $146,578.59 2026-03-01
1906 OTHER New Technology - Level 51 11 9 — — $143,704.50 $256,196.38 $146,578.59 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $139,361.36 $143,671.50 $141,516.43 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $139,361.36 $143,671.50 $141,516.43 2026-03-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $131,816.00 $151,589.00 $141,702.50 2026-03-01
1904 OTHER New Technology - Level 50 11 9 — — $128,027.70 $228,247.78 $130,588.25 2026-03-01
1903 OTHER New Technology - Level 50 11 9 — — $128,027.70 $228,247.78 $130,588.25 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $124,158.35 $127,998.30 $126,078.33 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $124,158.35 $127,998.30 $126,078.33 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $117,533.54 $121,168.60 $119,351.07 2026-03-01
1901 OTHER New Technology - Level 49 11 9 — — $112,350.90 $200,299.18 $114,597.92 2026-03-01
1902 OTHER New Technology - Level 49 11 9 — — $112,350.90 $200,299.18 $114,597.92 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $108,955.35 $112,325.10 $110,640.23 2026-03-01
01901 OTHER New Technology - Level 49 2 2 — — $108,955.35 $112,325.10 $110,640.23 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $105,673.38 $105,673.38 $105,673.38 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $105,334.34 $108,592.10 $106,963.22 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 13 10 — — $104,995.71 $192,975.62 $110,407.86 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 11 — — $101,894.10 $166,880.28 $113,022.43 2026-03-01
22634 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 2 1 — — $101,518.00 $101,518.00 $101,518.00 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
1585 OTHER New Technology - Level 48 11 9 — — $99,286.92 $177,008.72 $101,272.66 2026-03-01
1599 OTHER New Technology - Level 48 11 9 — — $99,286.92 $177,008.72 $101,272.66 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
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 13 10 — — $92,228.57 $169,510.41 $96,982.62 2026-03-01
007 OTHER Lung Transplant 2 2 — — $90,332.55 $93,126.34 $91,729.45 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 19 9 — — $89,677.38 $334,425.26 $110,405.84 2026-03-01
1598 OTHER New Technology - Level 47 11 9 — — $88,835.72 $158,376.32 $90,612.43 2026-03-01
1584 OTHER New Technology - Level 47 11 9 — — $88,835.72 $158,376.32 $90,612.43 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 11 — — $87,866.00 $255,719.09 $170,742.20 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 10 2 — — $87,563.86 $188,521.65 $109,821.13 2026-03-01
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
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 10 2 — — $85,097.42 $183,212.36 $106,727.76 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $80,061.30 $82,537.42 $81,299.36 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $79,470.20 $780,299.00 $107,919.53 2026-03-01
1597 OTHER New Technology - Level 46 11 9 — — $78,384.52 $139,743.92 $79,952.21 2026-03-01
1583 OTHER New Technology - Level 46 11 9 — — $78,384.52 $139,743.92 $79,952.21 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $77,107.29 $79,492.05 $78,299.67 2026-03-01
215 MS_DRG Other Heart Assist System Implant 21 11 — — $76,401.64 $273,456.00 $113,159.58 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $76,295.11 $78,654.75 $77,474.93 2026-03-01
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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 — — $75,589.61 $257,697.00 $93,600.00 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 2 2 — — $71,501.60 $73,712.99 $72,607.30 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $69,059.97 $71,195.85 $70,127.91 2026-03-01
1582 OTHER New Technology - Level 45 11 9 — — $67,933.32 $121,111.52 $69,291.99 2026-03-01
1596 OTHER New Technology - Level 45 11 9 — — $67,933.32 $121,111.52 $69,291.99 2026-03-01
22532 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22812 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 8 Or More Ver… 9 2 — — $67,500.00 $124,077.00 $78,719.00 2026-03-01
22810 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 4 To 7 Verteb… 9 2 — — $67,500.00 $124,077.00 $78,719.00 2026-03-01
22804 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 13 Or More V… 9 2 — — $67,500.00 $124,077.00 $78,719.00 2026-03-01
22802 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 7 To 12 Vert… 9 2 — — $67,500.00 $124,077.00 $78,719.00 2026-03-01
22633 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 9 2 — — $67,500.00 $101,518.00 $78,719.00 2026-03-01
22610 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Thoracic … 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22612 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Lumbar (w… 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22586 CPT Arthrodesis, Pre-sacral Interbody Technique, Including Disc Space Preparation, D… 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22558 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22556 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22630 CPT Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/or Discect… 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22533 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 9 2 — — $67,500.00 $87,326.00 $78,719.00 2026-03-01
22800 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; Up To 6 Vert… 9 2 — — $67,500.00 $124,077.00 $78,719.00 2026-03-01
22808 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 2 To 3 Verteb… 9 2 — — $67,500.00 $124,077.00 $78,719.00 2026-03-01
5244 OTHER Level 4 Blood Product Exc 11 9 — — $67,163.09 $119,738.36 $68,506.35 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 13 10 — — $66,737.65 $122,659.67 $70,177.73 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $66,358.02 $68,410.33 $67,384.18 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 12 — — $66,135.00 $199,950.00 $94,319.75 2026-03-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $65,954.41 $67,273.50 $66,613.96 2026-03-01
01582 OTHER New Technology - Level 45 2 2 — — $65,880.19 $67,917.72 $66,898.96 2026-03-01
01596 OTHER New Technology - Level 45 2 2 — — $65,880.19 $67,917.72 $66,898.96 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $65,133.23 $67,147.66 $66,140.45 2026-03-01
B0505 OTHER 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 2 2 — — $63,654.79 $65,623.49 $64,639.14 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $62,921.53 $64,867.56 $63,894.54 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $62,346.55 $64,274.79 $63,310.67 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 12 4 — — $61,338.53 $161,324.10 $101,168.52 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 14 — — $61,072.56 $133,221.00 $70,489.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 12 — — $60,789.00 $257,894.00 $80,282.99 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 11 — — $60,145.14 $257,697.00 $93,600.00 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $59,558.89 $61,400.92 $60,479.90 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $59,366.67 $61,202.75 $60,284.71 2026-03-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $58,811.86 $59,988.10 $59,399.98 2026-03-01
1581 OTHER New Technology - Level 44 11 9 — — $57,482.12 $102,479.12 $58,631.76 2026-03-01
1595 OTHER New Technology - Level 44 11 9 — — $57,482.12 $102,479.12 $58,631.76 2026-03-01
B1903 OTHER Guillian Barre; M < 18.05 2 2 — — $57,300.30 $58,446.30 $57,873.30 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 11 9 — — $56,824.55 $101,306.81 $57,961.04 2026-03-01
B0205 OTHER 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 2 2 — — $55,799.70 $57,525.46 $56,662.58 2026-03-01
01595 OTHER New Technology - Level 44 2 2 — — $55,744.85 $57,468.92 $56,606.88 2026-03-01
01581 OTHER New Technology - Level 44 2 2 — — $55,744.85 $57,468.92 $56,606.88 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 12 4 — — $55,306.59 $144,116.49 $85,632.07 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $55,119.81 $56,824.55 $55,972.18 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 11 9 — — $54,404.11 $96,991.65 $55,492.19 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $53,948.75 $55,617.27 $54,783.01 2026-03-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $53,909.66 $54,987.85 $54,448.76 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $53,241.59 $54,888.24 $54,064.91 2026-03-01
B2102 OTHER Burns; M=12-45 2 2 — — $52,844.51 $53,901.40 $53,372.96 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $52,771.99 $54,404.11 $53,588.05 2026-03-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $52,491.53 $53,541.36 $53,016.44 2026-03-01
92929 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
92938 CPT Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
0715T CPT Percutaneous Transluminal Coronary Lithotripsy (list Separately In Addition To C… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
92973 CPT Percutaneous Transluminal Coronary Mechanical Aspiration Thrombectomy (List Sepa… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
92974 CPT Transcatheter Placement Of Radiation Delivery Device For Subsequent Coronary Int… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
92944 CPT Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
92934 CPT Percutaneous Transluminal Coronary Atherectomy, With Intracoronary Stent, With C… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
93592 CPT Percutaneous Transcatheter Closure Of Paravalvular Leak; Each Additional Occlusi… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
92925 CPT Percutaneous Transluminal Coronary Atherectomy, With Coronary Angioplasty When P… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
92921 CPT Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Majo… 2 1 — — $52,267.00 $60,107.00 $56,187.00 2026-03-01
B0405 OTHER 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 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $52,225.76 $53,270.28 $52,748.02 2026-03-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $52,211.23 $53,255.45 $52,733.34 2026-03-01
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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 — — $51,193.33 $257,697.00 $67,082.45 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 12 — — $50,961.11 $292,948.00 $70,683.18 2026-03-01
B0604 OTHER Neurological; M < 25.85 2 2 — — $50,865.77 $51,883.09 $51,374.43 2026-03-01
010 OTHER Pancreas Transplant 2 2 — — $50,697.49 $52,265.45 $51,481.47 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $50,407.24 $51,966.23 $51,186.74 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $50,363.96 $51,921.61 $51,142.79 2026-03-01
C0505 OTHER 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 2 2 — — $49,248.17 $50,771.31 $50,009.74 2026-03-01
B1004 OTHER Amputation, Lower Extremity; M=39-45 2 2 — — $49,071.83 $50,053.26 $49,562.54 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 — — $48,955.38 $50,469.46 $49,712.42 2026-03-01
B1504 OTHER Pulmonary; M < 29.15 2 2 — — $48,637.88 $49,610.63 $49,124.25 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $48,409.90 $49,907.11 $49,158.51 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 14 — — $48,348.33 $115,862.00 $61,809.50 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 11 — — $48,081.50 $203,214.43 $63,916.32 2026-03-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 2 2 — — $47,630.86 $48,583.48 $48,107.17 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 12 — — $47,580.00 $180,699.00 $68,422.30 2026-03-01
B1304 OTHER Rheumatoid, Other Arthritis; M=12-35 2 2 — — $47,572.72 $48,524.18 $48,048.45 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 13 10 — — $46,710.83 $85,851.63 $49,118.61 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 11 — — $46,642.78 $190,119.65 $59,797.67 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 12 — — $46,568.49 $199,950.00 $79,092.78 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 9 — — $45,882.73 $168,616.07 $55,666.24 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 12 — — $44,799.00 $207,819.00 $66,864.00 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 11 — — $44,255.72 $163,182.56 $51,325.24 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 12 — — $44,050.91 $257,894.00 $63,247.73 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 12 4 — — $43,855.64 $114,397.97 $67,973.73 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 12 — — $43,200.65 $270,336.00 $91,592.00 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 12 — — $42,902.82 $199,950.00 $79,092.78 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 14 — — $41,387.65 $133,221.00 $70,489.00 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 — — $39,701.57 $257,697.00 $64,732.37 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 11 — — $39,448.43 $257,697.00 $66,353.31 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 11 — — $39,147.71 $161,631.39 $50,837.36 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 11 — — $38,911.16 $161,146.84 $50,684.95 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 12 — — $38,365.24 $185,332.00 $56,565.45 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 12 — — $38,195.05 $180,699.00 $62,875.35 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 38 14 — — $37,137.82 $115,862.00 $61,809.50 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 14 — — $37,015.94 $100,353.00 $54,055.00 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 14 — — $35,934.92 $151,589.00 $79,673.00 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 12 — — $33,926.48 $206,162.00 $68,771.00 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 14 — — $33,823.00 $151,589.00 $50,483.00 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 12 — — $33,550.03 $234,563.00 $50,055.30 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 38 14 — — $33,237.76 $132,419.26 $70,088.13 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 12 — — $33,118.05 $180,699.00 $59,478.40 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 14 — — $32,250.49 $134,336.80 $71,046.90 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 14 — — $31,137.73 $133,221.00 $70,489.00 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 11 — — $31,017.00 $257,228.69 $171,742.00 2026-03-01
7 MS_DRG Lung Transplant 20 10 — — $31,017.00 $382,626.61 $107,853.67 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 12 — — $31,017.00 $321,286.16 $90,790.58 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $31,017.00 $304,634.03 $86,158.46 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 21 11 — — $31,017.00 $255,853.59 $71,884.45 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 38 14 — — $31,017.00 $153,532.83 $71,625.31 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 14 — — $31,017.00 $147,357.72 $68,822.53 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 14 — — $31,017.00 $145,915.88 $68,168.10 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 14 — — $31,017.00 $145,416.55 $67,941.46 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 14 — — $31,017.00 $144,810.86 $67,666.55 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 11 — — $31,017.00 $232,491.56 $65,448.92 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 14 — — $31,017.00 $138,623.92 $64,858.40 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 38 14 — — $31,017.00 $138,210.28 $64,670.65 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 14 — — $31,017.00 $135,808.19 $63,580.38 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 14 — — $31,017.00 $135,462.50 $63,423.48 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 11 — — $31,017.00 $225,137.57 $63,423.11 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 14 — — $31,017.00 $134,395.89 $62,939.36 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 38 14 — — $31,017.00 $133,810.88 $62,673.84 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 14 — — $31,017.00 $131,860.84 $61,788.74 2026-03-01
10 MS_DRG Pancreas Transplant 20 10 — — $31,017.00 $212,013.23 $60,394.10 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 14 — — $31,017.00 $126,838.02 $59,508.97 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 11 — — $31,017.00 $210,798.89 $59,473.24 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 38 14 — — $31,017.00 $123,992.74 $58,217.54 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 11 — — $31,017.00 $198,877.08 $56,189.15 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 11 — — $31,017.00 $197,559.33 $55,826.15 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 11 — — $31,017.00 $193,567.66 $54,726.56 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 35 14 — — $31,017.00 $138,907.56 $54,448.16 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 35 14 — — $31,017.00 $137,004.80 $53,728.72 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 11 — — $31,017.00 $180,859.93 $51,225.97 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 21 11 — — $31,017.00 $177,521.23 $50,306.26 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 11 — — $31,017.00 $173,281.38 $49,138.31 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 14 — — $30,760.56 $129,789.67 $60,848.68 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 14 — — $30,715.85 $127,857.36 $59,971.63 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 38 14 — — $30,498.06 $126,022.55 $59,138.84 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 38 14 — — $30,218.96 $132,380.85 $62,024.77 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 14 — — $30,216.80 $124,140.47 $58,284.60 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 12 — — $30,104.00 $177,471.00 $50,292.43 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 38 14 — — $30,003.34 $124,778.67 $66,267.84 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 14 — — $29,652.86 $150,753.00 $65,976.55 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 14 — — $29,636.27 $124,503.89 $58,449.55 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 14 — — $29,592.28 $143,208.00 $75,482.50 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 14 — — $29,446.60 $109,157.00 $58,457.00 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 14 — — $29,330.50 $122,704.54 $57,632.85 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 38 14 — — $28,727.60 $113,435.96 $53,425.99 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 38 14 — — $28,707.41 $105,857.41 $51,678.10 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 14 — — $28,459.32 $110,112.03 $51,917.31 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 38 14 — — $28,394.42 $105,612.18 $49,874.90 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 36 12 — — $28,181.17 $101,596.88 $54,676.94 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 14 — — $28,042.49 $114,363.70 $53,847.08 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 14 — — $27,872.29 $103,038.72 $48,706.85 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 38 14 — — $27,843.45 $108,525.41 $51,197.17 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 38 14 — — $27,772.05 $110,434.08 $52,063.49 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 14 — — $27,564.37 $111,181.60 $52,402.78 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 14 — — $27,414.36 $115,581.00 $54,399.59 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 38 14 — — $27,200.89 $114,083.02 $53,719.68 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 14 — — $27,000.41 $105,160.12 $49,669.72 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 38 14 — — $26,134.29 $105,505.81 $49,826.63 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 14 — — $25,850.88 $117,714.22 $55,367.82 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 14 — — $25,387.16 $107,124.93 $50,561.52 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 14 — — $25,266.73 $105,260.58 $49,715.32 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 38 14 — — $25,248.70 $105,349.22 $49,755.55 2026-03-01
332 MS_DRG Rectal Resection With Mcc 38 14 — — $25,013.60 $106,977.20 $50,494.46 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 14 — — $24,986.19 $102,565.98 $48,492.29 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 38 14 — — $24,799.41 $102,069.61 $48,266.99 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 38 14 — — $23,810.70 $110,697.04 $52,182.84 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 11 — — $23,535.00 $1,275,879.01 $352,870.43 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $23,535.00 $355,080.87 $100,191.28 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 11 — — $23,535.00 $204,216.04 $57,659.87 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 10 — — $23,535.00 $175,198.92 $50,153.46 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 38 14 — — $23,535.00 $106,714.24 $50,018.87 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 38 14 — — $23,535.00 $103,984.19 $48,779.74 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 38 14 — — $23,107.57 $106,554.69 $50,302.70 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 38 14 — — $22,888.33 $107,207.66 $50,599.07 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 38 14 — — $22,400.10 $151,589.00 $79,673.00 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 14 — — $22,253.71 $109,157.00 $58,457.00 2026-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 38 14 — — $22,056.10 $108,961.00 $58,359.00 2026-03-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 38 14 — — $19,109.43 $143,208.00 $75,482.50 2026-03-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 38 14 — — $17,795.46 $108,961.00 $54,114.50 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 $71,856.40 2026-03-01
824 OTHER Inj, Exagamglogene Autote 13 10 — — $14,590.57 $4,157,489.60 $2,378,640.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 12 9 — — $13,470.32 $4,553,511.20 $3,285,033.08 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 13 10 — — $13,357.03 $114,589.10 $65,560.29 2026-03-01
746 OTHER Inj, Betibeglogene Autote 12 9 — — $12,460.19 $4,115,956.60 $2,969,368.69 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 12 9 — — $10,894.39 $4,670,148.00 $3,369,178.20 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 $52,539.20 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 $52,539.20 2026-03-01
66661 CDM Icd Ins/repl Ld/gen 19 9 $131,348.00 $131,348.00 $10,823.08 $105,078.40 $52,539.20 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 $52,539.20 2026-03-01
56721 CDM Sq Plmt Neurocver/spine 19 9 $125,941.00 $125,941.00 $10,377.54 $100,752.80 $50,376.40 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 12 9 — — $9,626.48 $4,452,000.00 $3,211,800.00 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 13 10 — — $9,015.43 $359,535.49 $205,702.38 2026-03-01
714 OTHER Inj Delandistrogene Mox R 12 9 — — $7,076.64 $4,659,004.00 $3,361,138.60 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 11 9 — — $6,016.87 $4,685,200.00 $4,505,000.00 2026-03-01
831 OTHER Obecbtge Autol Up To 400 13 10 — — $4,120.09 $496,064.10 $283,815.00 2026-03-01
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