Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER

Santa Fe, NM · CCN 320002 · Rates published

Your selected procedure

You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $7,538 across 16 payers · range $3,265-$20,506

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/850106941_stvincentregionalmedicalcenter_standardcharges.json · observed 2026-01-13

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.

18,039 distinct procedures filed
21 distinct payers
595,249 rate rows
2026-01-13 last MRF observed
Data quality

418,196 of 595,249 rate rows are consumer-grade (70.3%)

177,053 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 169,436
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,951
placeholder amount (≤ $0.02) — excluded from medians 433
per-diem day rate — not a per-procedure price 108
template filing: same amount across many unrelated codes — excluded 68
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 56
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/850106941_stvincentregionalmedicalcenter_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 3b7ec4cf9e1ad91a… · 123,620,676 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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 14 $3,915,014.60 $4,502,266.79 $3,915,014.60 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $3,915,014.60 $4,502,266.79 $3,915,014.60 nat. median
$3,705,478
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,296,000.00 $4,031,144.63 $3,505,343.16 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 15 $3,286,000.00 $3,874,861.96 $3,369,445.18 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 15 $2,968,000.00 $3,601,813.43 $3,132,011.68 nat. median
$2,994,107
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 20 $2,460,866.32 $4,921,732.64 $2,583,909.64 nat. median
$2,401,965
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 15 $2,222,890.60 $2,916,714.96 $2,536,273.88 nat. median
$2,467,989
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $596,880.21 $2,295,843.63 $626,724.22 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 21 $527,123.43 $3,007,806.00 $605,055.56 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 20 $557,506.97 $2,312,284.00 $585,382.32 nat. median
$623,527
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 21 $516,726.08 $2,653,984.52 $570,338.51 nat. median
$640,950
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 20 $516,567.87 $2,055,976.00 $542,396.26 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 21 $469,754.01 $2,482,986.40 $535,622.09 nat. median
$592,235
0.9× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 2 $478,950.00 $478,950.00 $478,950.00 nat. median
$32,174
outlier · 14.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $194,261.61 $708,499.24 $264,628.45 nat. median
$359,244
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $193,180.73 $529,190.32 $200,620.10 nat. median
$248,541
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $136,778.82 $445,703.97 $166,461.46 nat. median
$198,115
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $150,384.25 $402,630.60 $154,895.78 nat. median
$190,359
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 17 $114,954.84 $114,954.84 $114,954.84 nat. median
$75,037
1.5× median
Q0480
HCPCS 		Dme Pos 20 $99,999.96 $199,999.92 $104,999.96 nat. median
$111,503
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $99,149.36 $265,457.53 $101,016.66 nat. median
$126,461
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 20 $93,216.70 $186,433.40 $97,877.54 nat. median
$96,983
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $91,934.54 $246,139.71 $93,313.56 nat. median
$110,084
0.8× median
7
MS_DRG 		Lung Transplant 15 $82,859.25 $245,519.71 $91,702.99 nat. median
$117,977
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $77,324.57 $207,038.12 $81,190.80 nat. median
$103,938
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $74,726.20 $200,065.90 $78,462.51 nat. median
$94,943
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $60,128.00 $204,659.56 $76,441.84 nat. median
$97,137
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 16 $69,027.43 $199,043.83 $74,343.08 nat. median
$93,787
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $49,660.07 $196,928.30 $73,505.25 nat. median
$93,226
0.8× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 20 $67,452.66 $134,905.32 $70,825.29 nat. median
$70,178
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 20 $66,905.64 $133,811.28 $70,250.92 nat. median
$68,400
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $67,721.19 $181,311.72 $69,752.83 nat. median
$90,512
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $50,075.35 $173,061.90 $64,639.35 nat. median
$78,164
0.8× median
38240
CPT 		Transplt Allo Hct/donor 16 $2,246.01 $124,821.08 $62,410.54 nat. median
$12,874
outlier · 4.8×
A9543
HCPCS 		Y90 Ibritumomab, Rx 21 $36,447.53 $294,277.60 $62,363.26 nat. median
$63,504
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $59,460.85 $159,198.24 $61,244.68 nat. median
$76,979
0.8× median
J7310
HCPCS 		Ganciclovir Long Act Implant 18 $16,960.00 $105,504.00 $61,232.00 nat. median
$18,387
outlier · 3.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 21 $35,880.08 $205,332.45 $60,949.67 nat. median
$65,720
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $39,582.97 $159,108.06 $59,427.87 nat. median
$77,487
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $44,933.76 $156,691.92 $58,525.49 nat. median
$77,936
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $56,564.26 $151,440.67 $58,261.19 nat. median
$74,298
0.8× median
10
MS_DRG 		Pancreas Transplant 15 $33,579.59 $149,789.21 $55,946.06 nat. median
$64,851
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $54,293.57 $145,362.76 $55,922.38 nat. median
$72,247
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $49,344.71 $148,926.84 $55,625.39 nat. median
$66,623
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $50,491.16 $146,843.25 $54,847.21 nat. median
$71,737
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $45,331.35 $140,228.00 $52,375.84 nat. median
$67,908
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $49,588.72 $132,765.40 $51,076.38 nat. median
$66,584
0.8× median
L7180
HCPCS 		Dme Pos 21 $47,877.56 $240,974.78 $50,497.42 nat. median
$46,980
1.1× median
L5969
HCPCS 		Ak/ft Power Asst Incl Motors 18 $13,782.16 $86,551.96 $50,167.06 nat. median
$19,444
outlier · 2.6×
L7181
HCPCS 		Dme Pos 21 $47,488.54 $239,016.80 $50,087.11 nat. median
$50,516
1.0× median

Other procedures at this hospital

Browse this hospital's 18,039 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 20 14 — — $3,915,014.60 $4,502,266.79 $3,915,014.60 2026-01-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 14 — — $3,915,014.60 $4,502,266.79 $3,915,014.60 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 23 15 — — $3,296,000.00 $4,031,144.63 $3,505,343.16 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 23 15 — — $3,286,000.00 $3,874,861.96 $3,369,445.18 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 23 15 — — $2,968,000.00 $3,601,813.43 $3,132,011.68 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 36 20 — — $2,460,866.32 $4,921,732.64 $2,583,909.64 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 23 15 — — $2,222,890.60 $2,916,714.96 $2,536,273.88 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 36 20 — — $596,880.21 $2,295,843.63 $626,724.22 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 38 21 — — $527,123.43 $3,007,806.00 $605,055.56 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 36 20 — — $557,506.97 $2,312,284.00 $585,382.32 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 38 21 — — $516,726.08 $2,653,984.52 $570,338.51 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 36 20 — — $516,567.87 $2,055,976.00 $542,396.26 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 38 21 — — $469,754.01 $2,482,986.40 $535,622.09 2026-01-13
C9098 HCPCS Ciltacabtagene Car Pos T 2 2 — — $478,950.00 $478,950.00 $478,950.00 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 16 — — $194,261.61 $708,499.24 $264,628.45 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 15 — — $193,180.73 $529,190.32 $200,620.10 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 16 — — $136,778.82 $445,703.97 $166,461.46 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 16 — — $150,384.25 $402,630.60 $154,895.78 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 25 17 — — $114,954.84 $114,954.84 $114,954.84 2026-01-13
Q0480 HCPCS Dme Pos 35 20 — — $99,999.96 $199,999.92 $104,999.96 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 16 — — $99,149.36 $265,457.53 $101,016.66 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 35 20 — — $93,216.70 $186,433.40 $97,877.54 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 28 16 — — $91,934.54 $246,139.71 $93,313.56 2026-01-13
7 MS_DRG Lung Transplant 24 15 — — $82,859.25 $245,519.71 $91,702.99 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 15 — — $77,324.57 $207,038.12 $81,190.80 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 15 — — $74,726.20 $200,065.90 $78,462.51 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 16 — — $60,128.00 $204,659.56 $76,441.84 2026-01-13
215 MS_DRG Other Heart Assist System Implant 29 16 — — $69,027.43 $199,043.83 $74,343.08 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 16 — — $49,660.07 $196,928.30 $73,505.25 2026-01-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 35 20 — — $67,452.66 $134,905.32 $70,825.29 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 36 20 — — $66,905.64 $133,811.28 $70,250.92 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 16 — — $67,721.19 $181,311.72 $69,752.83 2026-01-13
850 MS_DRG Acute Leukemia With Other Procedures 29 16 — — $50,075.35 $173,061.90 $64,639.35 2026-01-13
38240 CPT Transplt Allo Hct/donor 28 16 — — $2,246.01 $124,821.08 $62,410.54 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 38 21 — — $36,447.53 $294,277.60 $62,363.26 2026-01-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 16 — — $59,460.85 $159,198.24 $61,244.68 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 27 18 — — $16,960.00 $105,504.00 $61,232.00 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 38 21 — — $35,880.08 $205,332.45 $60,949.67 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 16 — — $39,582.97 $159,108.06 $59,427.87 2026-01-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 16 — — $44,933.76 $156,691.92 $58,525.49 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 16 — — $56,564.26 $151,440.67 $58,261.19 2026-01-13
10 MS_DRG Pancreas Transplant 24 15 — — $33,579.59 $149,789.21 $55,946.06 2026-01-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 16 — — $54,293.57 $145,362.76 $55,922.38 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 16 — — $49,344.71 $148,926.84 $55,625.39 2026-01-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 16 — — $50,491.16 $146,843.25 $54,847.21 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 16 — — $45,331.35 $140,228.00 $52,375.84 2026-01-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 16 — — $49,588.72 $132,765.40 $51,076.38 2026-01-13
L7180 HCPCS Dme Pos 37 21 — — $47,877.56 $240,974.78 $50,497.42 2026-01-13
L5969 HCPCS Ak/ft Power Asst Incl Motors 27 18 — — $13,782.16 $86,551.96 $50,167.06 2026-01-13
L7181 HCPCS Dme Pos 37 21 — — $47,488.54 $239,016.80 $50,087.11 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 16 — — $32,545.55 $133,370.38 $49,839.22 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 38 21 — — $45,000.50 $282,603.14 $49,681.07 2026-01-13
J9226 HCPCS Supprelin La Implant 38 21 — — $21,173.64 $97,759.06 $49,673.49 2026-01-13
266T OTHER Implt/rpl Crtd Sns Dev Total 38 21 — — $18,707.16 $176,750.75 $49,386.72 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 16 — — $11,992.00 $130,698.72 $48,813.34 2026-01-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 16 — — $11,992.00 $128,282.59 $47,913.77 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 16 — — $35,562.33 $125,958.51 $47,046.48 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 16 — — $31,165.95 $125,475.66 $46,865.44 2026-01-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 16 — — $33,154.42 $125,263.35 $46,786.15 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 16 — — $45,379.95 $121,515.15 $46,741.35 2026-01-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 16 — — $45,314.70 $121,321.63 $46,674.14 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 16 — — $44,377.23 $118,813.43 $45,708.55 2026-01-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 16 — — $43,465.73 $116,372.87 $44,769.70 2026-01-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 16 — — $43,409.60 $116,222.57 $44,711.89 2026-01-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 16 — — $42,864.38 $114,762.74 $44,150.31 2026-01-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 16 — — $42,353.55 $113,394.97 $43,624.16 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 16 — — $42,037.08 $112,547.64 $43,298.19 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 16 — — $38,720.14 $115,692.75 $43,211.72 2026-01-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 16 — — $42,969.76 $115,296.32 $43,060.86 2026-01-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 16 — — $42,353.55 $113,394.97 $42,988.86 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 29 16 — — $29,918.03 $114,214.13 $42,659.49 2026-01-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 16 — — $41,289.08 $110,544.83 $42,527.75 2026-01-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 16 — — $40,978.17 $111,771.69 $41,745.88 2026-01-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 16 — — $34,945.13 $111,694.66 $41,714.30 2026-01-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 16 — — $40,032.34 $107,179.90 $41,233.31 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 16 — — $37,429.02 $109,381.86 $40,854.73 2026-01-13
L2006 HCPCS Dme Pos 35 20 — — $38,750.60 $77,501.20 $40,688.13 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 16 — — $31,335.09 $107,824.33 $40,273.03 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 15 — — $38,179.87 $102,221.75 $40,088.86 2026-01-13
834 MS_DRG Acute Leukemia With Mcc 29 16 — — $38,784.73 $103,839.40 $39,948.27 2026-01-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 16 — — $38,784.73 $103,846.91 $39,948.27 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 29 16 — — $34,423.16 $104,728.07 $39,116.63 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 16 — — $37,898.49 $101,468.35 $39,035.44 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 16 — — $37,862.71 $101,372.53 $38,998.59 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 16 — — $37,858.50 $101,359.38 $38,994.26 2026-01-13
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 36 20 — — $36,934.63 $83,532.80 $38,781.36 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 16 — — $28,245.45 $103,431.70 $38,621.94 2026-01-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 16 — — $37,331.52 $99,950.28 $38,451.47 2026-01-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 16 — — $29,335.17 $102,772.24 $38,386.17 2026-01-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 16 — — $37,166.63 $99,506.88 $38,281.63 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 16 — — $24,035.90 $101,988.78 $38,092.86 2026-01-13
21602 CPT Exc Ch Wal Tum Without Lymphadec 25 17 — — $38,028.25 $38,028.25 $38,028.25 2026-01-13
21603 CPT Exc Ch Wal Tum W/lymphadec 25 17 — — $38,028.25 $38,028.25 $38,028.25 2026-01-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 16 — — $36,017.95 $96,435.05 $37,098.49 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 16 — — $35,748.50 $95,711.71 $36,820.96 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 16 — — $31,288.77 $96,752.56 $36,137.94 2026-01-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 16 — — $34,967.52 $93,618.73 $36,016.55 2026-01-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 35 20 — — $34,284.44 $68,568.88 $35,998.66 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 24 15 — — $34,026.55 $91,101.13 $35,727.88 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 16 — — $27,655.83 $95,418.62 $35,639.04 2026-01-13
571T OTHER Insj/rplcmt Icds Ss Eltrd 36 20 — — $33,833.30 $170,762.23 $35,524.97 2026-01-13
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 36 20 — — $33,833.30 $67,666.60 $35,524.97 2026-01-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 16 — — $35,144.44 $94,625.76 $35,343.63 2026-01-13
33270 CPT Ins/rep Subq Defibrillator 38 21 — — $30,806.39 $193,464.13 $35,186.64 2026-01-13
408T OTHER Insj/rplc Cardiac Modulj Sys 38 21 — — $21,930.03 $133,115.28 $35,186.64 2026-01-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 16 — — $16,899.08 $94,067.76 $35,135.22 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 16 — — $21,778.39 $93,994.49 $35,107.86 2026-01-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 16 — — $34,868.63 $93,968.18 $35,093.82 2026-01-13
69930 CPT Implant Cochlear Device 38 21 — — $28,906.14 $181,530.56 $34,908.15 2026-01-13
245 MS_DRG Aicd Generator Procedures 29 16 — — $26,203.90 $91,807.56 $34,290.38 2026-01-13
Q0224 HCPCS Injection, Pemivibart, For The Pre-exposure Prophylaxis Only, For Certain Adults… 25 17 — — $30,871.42 $37,355.01 $34,113.21 2026-01-13
471 MS_DRG Cervical Spinal Fusion With Mcc 29 16 — — $17,160.84 $91,253.32 $34,083.38 2026-01-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 29 16 — — $33,012.60 $88,386.27 $34,002.98 2026-01-13
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 35 20 — — $32,157.56 $64,315.12 $33,765.44 2026-01-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 16 — — $32,642.10 $87,405.53 $33,621.36 2026-01-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 16 — — $24,336.17 $89,716.46 $33,509.40 2026-01-13
61886 CPT Implant Neurostim Arrays 38 21 — — $18,519.10 $116,299.95 $33,443.87 2026-01-13
64568 CPT Opn Impltj Crnl Nrv Nea&pg 38 21 — — $22,317.71 $140,155.22 $33,443.87 2026-01-13
268T OTHER Implt/rpl Crtd Sns Dev Gen 38 21 — — $14,428.91 $99,516.01 $33,443.87 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 38 21 — — $29,586.29 $185,801.90 $33,443.87 2026-01-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 38 21 — — $30,063.48 $188,798.65 $33,443.87 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 29 16 — — $21,281.92 $89,327.55 $33,364.15 2026-01-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 16 — — $25,628.86 $89,323.79 $33,357.83 2026-01-13
163 MS_DRG Major Chest Procedures With Mcc 29 16 — — $32,342.48 $86,592.01 $33,312.75 2026-01-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 16 — — $29,721.31 $87,912.81 $32,835.77 2026-01-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 16 — — $32,329.15 $86,556.32 $32,814.08 2026-01-13
G2072 HCPCS Med Tx Insert/remove Imp 25 17 — — $32,348.85 $32,348.85 $32,348.85 2026-01-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 16 — — $31,381.86 $84,019.94 $32,323.32 2026-01-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 16 — — $31,198.74 $86,280.13 $32,226.00 2026-01-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 16 — — $24,128.53 $86,268.86 $32,221.09 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 29 16 — — $31,088.55 $83,234.60 $32,021.21 2026-01-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 29 16 — — $30,824.01 $82,526.29 $31,748.73 2026-01-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 16 — — $28,389.08 $84,758.30 $31,657.63 2026-01-13
J3101 HCPCS Tenecteplase (TNKase) Injection 14 Mg 138 21 $41,004.82 $24,602.89 40% off $86.21 $63,264.58 $31,632.29 2026-01-13
33289 CPT Tcat Impl Wrls P-art Prs Snr 38 21 — — $29,340.73 $184,259.78 $31,499.24 2026-01-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 16 — — $26,154.98 $84,252.91 $31,468.87 2026-01-13
G2070 HCPCS Med Assist Tx Implant 25 17 — — $31,023.33 $31,023.33 $31,023.33 2026-01-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 16 — — $29,932.16 $80,138.34 $30,763.68 2026-01-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 16 — — $11,992.00 $81,290.04 $30,361.60 2026-01-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 16 — — $24,147.27 $81,120.95 $30,299.15 2026-01-13
C9760 HCPCS Non-blind Interatrial Shunt 38 21 — — $12,500.50 $143,002.60 $30,180.99 2026-01-13
L6880 HCPCS Dme Pos 38 21 — — $28,891.37 $142,525.04 $30,156.78 2026-01-13
L5856 HCPCS Dme Pos 37 21 — — $29,028.47 $143,201.33 $30,008.55 2026-01-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 16 — — $21,544.73 $80,021.85 $29,887.95 2026-01-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 16 — — $28,854.36 $77,252.50 $29,719.99 2026-01-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 16 — — $28,838.22 $77,209.29 $29,703.37 2026-01-13
140 MS_DRG Major Head And Neck Procedures With Mcc 29 16 — — $13,016.87 $79,454.45 $29,676.04 2026-01-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 29 16 — — $23,100.21 $78,727.36 $29,405.19 2026-01-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 16 — — $16,414.58 $78,721.72 $29,398.17 2026-01-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 16 — — $28,540.70 $76,412.67 $29,396.92 2026-01-13
793 MS_DRG Full Term Neonate With Major Problems 29 16 — — $4,315.71 $78,357.23 $29,264.15 2026-01-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 16 — — $13,271.34 $78,165.60 $29,195.38 2026-01-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 29 16 — — $22,631.33 $77,094.68 $28,795.42 2026-01-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 29 16 — — $21,456.78 $76,715.16 $28,653.67 2026-01-13
J9266 HCPCS Pegaspargase Injection 38 21 — — $6,218.44 $57,132.90 $28,566.45 2026-01-13
791 MS_DRG Prematurity With Major Problems 29 16 — — $17,169.17 $76,281.16 $28,488.07 2026-01-13
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 29 16 — — $27,438.34 $73,461.08 $28,261.49 2026-01-13
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 16 — — $27,286.77 $73,057.14 $28,105.37 2026-01-13
C9603 HCPCS Perc D-e Cor Stent Ather Br 27 18 — — $7,337.86 $48,752.77 $28,045.31 2026-01-13
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 16 — — $24,169.12 $74,842.00 $27,953.38 2026-01-13
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 29 16 — — $11,690.36 $74,789.39 $27,933.74 2026-01-13
44208 CPT L Colectomy/coloproctostomy 25 17 — — $27,919.94 $27,919.94 $27,919.94 2026-01-13
44207 CPT L Colectomy/coloproctostomy 25 17 — — $27,919.94 $27,919.94 $27,919.94 2026-01-13
44206 CPT Lap Part Colectomy W/stoma 25 17 — — $27,919.94 $27,919.94 $27,919.94 2026-01-13
92925 CPT Prq Card Angio/athrect Addl 27 18 — — $7,250.90 $48,175.01 $27,712.96 2026-01-13
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 16 — — $22,588.66 $74,143.08 $27,686.74 2026-01-13
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 16 — — $21,891.84 $73,973.99 $27,629.90 2026-01-13
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 16 — — $26,821.55 $71,811.49 $27,626.20 2026-01-13
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 14 — — $13,659.56 $55,147.54 $27,573.77 2026-01-13
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 16 — — $26,676.30 $71,420.70 $27,476.59 2026-01-13
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 16 — — $18,265.14 $73,821.81 $27,451.67 2026-01-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 16 — — $27,120.47 $72,613.74 $27,381.58 2026-01-13
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 29 16 — — $26,468.60 $70,864.58 $27,262.66 2026-01-13
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 29 16 — — $21,431.28 $72,538.59 $27,093.11 2026-01-13
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 16 — — $18,310.41 $72,352.59 $27,017.32 2026-01-13
93654 CPT Compre Ep Eval Tx Vt 38 21 — — $10,535.09 $69,995.12 $26,923.47 2026-01-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 16 — — $23,233.44 $70,342.27 $26,257.39 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 38 21 — — $13,553.85 $122,674.46 $26,206.47 2026-01-13
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 16 — — $25,154.33 $67,347.46 $25,774.57 2026-01-13
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 16 — — $24,835.76 $68,546.14 $25,602.71 2026-01-13
G0339 HCPCS Robot Lin-radsurg Com, First 25 17 — — $25,581.77 $25,581.77 $25,581.77 2026-01-13
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 16 — — $24,772.61 $66,329.16 $25,515.79 2026-01-13
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 16 — — $23,870.41 $68,085.83 $25,425.18 2026-01-13
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 16 — — $16,975.06 $67,351.22 $25,152.92 2026-01-13
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 16 — — $16,436.44 $67,332.43 $25,148.71 2026-01-13
265 MS_DRG Aicd Lead Procedures 29 16 — — $19,631.20 $67,014.92 $25,030.83 2026-01-13
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 16 — — $13,036.64 $66,716.19 $24,918.56 2026-01-13
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 36 20 — — $23,686.57 $119,808.83 $24,870.90 2026-01-13
33230 CPT Insrt Pulse Gen W/dual Leads 38 21 — — $23,363.67 $146,723.85 $24,870.90 2026-01-13
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 36 20 — — $23,686.57 $47,373.14 $24,870.90 2026-01-13
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 36 20 — — $23,686.57 $47,373.14 $24,870.90 2026-01-13
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 16 — — $24,568.41 $65,778.67 $24,844.61 2026-01-13
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 16 — — $23,294.32 $66,306.61 $24,766.29 2026-01-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 16 — — $24,034.42 $64,347.02 $24,755.45 2026-01-13
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 16 — — $24,366.32 $65,235.69 $24,731.82 2026-01-13
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 16 — — $24,576.60 $66,139.40 $24,703.84 2026-01-13
515T OTHER Insj Wcs Lv Compl Sys 38 21 — — $21,996.46 $137,867.24 $24,634.03 2026-01-13
33240 CPT Insrt Pulse Gen W/singl Lead 38 21 — — $21,962.82 $137,926.51 $24,634.03 2026-01-13
409T OTHER Insj/rplc Car Modulj Pls Gn 38 21 — — $21,930.03 $133,115.28 $24,634.03 2026-01-13
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 38 21 — — $21,930.03 $133,115.28 $24,634.03 2026-01-13
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 16 — — $17,000.04 $65,825.64 $24,585.95 2026-01-13
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 16 — — $15,816.12 $65,814.36 $24,578.24 2026-01-13
264 MS_DRG Other Circulatory System O.r. Procedures 29 16 — — $14,624.39 $65,662.18 $24,524.91 2026-01-13
L8614 HCPCS Dme Pos 35 20 — — $23,230.83 $46,461.66 $24,392.37 2026-01-13
332 MS_DRG Rectal Resection With Mcc 29 16 — — $23,043.49 $65,166.18 $24,339.66 2026-01-13
58548 CPT Lap Radical Hyst 25 17 — — $24,318.09 $24,318.09 $24,318.09 2026-01-13
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 29 16 — — $20,570.01 $65,094.78 $24,313.00 2026-01-13
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 16 — — $23,553.76 $63,061.92 $24,260.37 2026-01-13
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 16 — — $22,820.24 $64,713.39 $24,169.15 2026-01-13
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 29 16 — — $19,222.16 $64,608.17 $24,131.26 2026-01-13
665 MS_DRG Prostatectomy With Mcc 29 16 — — $10,146.32 $64,506.72 $24,093.37 2026-01-13
252 MS_DRG Other Vascular Procedures With Mcc 29 16 — — $19,905.45 $64,446.60 $24,070.91 2026-01-13
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 29 16 — — $18,056.46 $64,006.96 $23,901.10 2026-01-13
Q0483 HCPCS Dme Pos 35 20 — — $22,755.13 $45,510.26 $23,892.89 2026-01-13
L6975 HCPCS Dme Pos 37 21 — — $22,633.97 $113,920.08 $23,872.51 2026-01-13
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 16 — — $22,029.74 $63,728.90 $23,801.46 2026-01-13
680T OTHER Insj/rplcmt Pg Only Isdss 35 20 — — $22,629.41 $45,258.82 $23,760.88 2026-01-13
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 36 20 — — $22,629.41 $45,258.82 $23,760.88 2026-01-13
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 36 20 — — $22,629.41 $45,258.82 $23,760.88 2026-01-13
L6970 HCPCS Dme Pos 37 21 — — $22,513.14 $113,311.92 $23,745.06 2026-01-13
43288 CPT Esphg Thrsc Moblj 25 17 — — $23,630.34 $23,630.34 $23,630.34 2026-01-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 16 — — $22,936.27 $61,408.58 $23,624.36 2026-01-13
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 16 — — $22,861.19 $61,205.67 $23,547.03 2026-01-13
63655 CPT Implant Neuroelectrodes 38 21 — — $5,831.77 $45,258.82 $23,534.58 2026-01-13
64580 CPT Opn Impltj Nea Neuromuscular 38 21 — — $5,831.77 $45,258.82 $23,534.58 2026-01-13
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 38 21 — — $20,842.84 $130,893.04 $23,534.58 2026-01-13
61885 CPT Insrt/redo Neurostim 1 Array 38 21 — — $13,892.45 $87,244.59 $23,534.58 2026-01-13
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 38 21 — — $13,892.45 $87,244.59 $23,534.58 2026-01-13
L6965 HCPCS Dme Pos 37 21 — — $22,149.18 $111,480.11 $23,361.19 2026-01-13
37 MS_DRG Extracranial Procedures With Mcc 29 16 — — $17,287.30 $62,389.31 $23,302.56 2026-01-13
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 16 — — $22,589.63 $60,565.00 $23,267.32 2026-01-13
L5858 HCPCS Dme Pos 37 21 — — $22,027.14 $110,865.74 $23,232.46 2026-01-13
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 29 16 — — $10,106.25 $62,032.34 $23,169.23 2026-01-13
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 16 — — $13,896.87 $61,231.97 $22,871.01 2026-01-13
43287 CPT Esphg Dstl 2/3 W/laps Moblj 25 17 — — $22,685.64 $22,685.64 $22,685.64 2026-01-13
652 MS_DRG Kidney Transplant 24 15 — — $21,551.83 $76,629.07 $22,629.42 2026-01-13
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 29 16 — — $21,899.87 $58,633.59 $22,556.87 2026-01-13
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 16 — — $14,981.91 $60,200.51 $22,485.08 2026-01-13
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 16 — — $21,796.72 $58,357.41 $22,450.62 2026-01-13
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 29 16 — — $15,448.71 $60,027.66 $22,419.83 2026-01-13
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 29 16 — — $21,241.33 $59,922.45 $22,377.02 2026-01-13
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 16 — — $21,699.19 $58,096.25 $22,350.17 2026-01-13
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 29 16 — — $11,992.00 $59,749.60 $22,316.68 2026-01-13
54405 CPT Insert Multi-comp Penis Pros 36 20 — — $21,240.86 $57,761.21 $22,302.90 2026-01-13
54401 CPT Insert Self-contd Prosthesis 36 20 — — $21,240.86 $57,761.21 $22,302.90 2026-01-13
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 29 16 — — $14,889.28 $59,629.35 $22,271.77 2026-01-13
21147 CPT Lefort I-3/> Piece With Graft 25 17 — — $22,256.48 $22,256.48 $22,256.48 2026-01-13
500 MS_DRG Soft Tissue Procedures With Mcc 29 16 — — $12,506.87 $59,529.78 $22,234.58 2026-01-13
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 16 — — $21,462.01 $57,461.22 $22,105.87 2026-01-13
54416 CPT Remv/repl Penis Contain Pros 38 21 — — $11,076.15 $69,558.22 $22,090.50 2026-01-13
54410 CPT Remove/replace Penis Prosth 38 21 — — $11,076.15 $69,558.22 $22,090.50 2026-01-13
54411 CPT Remov/replc Penis Pros Comp 38 21 — — $19,219.50 $120,698.46 $22,090.50 2026-01-13
53447 CPT Remove/replace Ur Sphincter 38 21 — — $11,076.15 $69,558.22 $22,090.50 2026-01-13
53445 CPT Insert Uro/ves Nck Sphincter 38 21 — — $11,076.15 $69,558.22 $22,090.50 2026-01-13
53444 CPT Insert Tandem Cuff 38 21 — — $6,611.63 $42,481.72 $22,090.50 2026-01-13
92934 CPT Prq Card Stent/ath/angio 27 18 — — $5,775.67 $38,373.56 $22,074.62 2026-01-13
L5973 HCPCS Dme Pos 36 20 — — $20,880.34 $41,760.68 $21,924.36 2026-01-13
662 MS_DRG Minor Bladder Procedures With Mcc 29 16 — — $15,401.88 $58,607.29 $21,890.05 2026-01-13
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 16 — — $15,939.97 $57,976.01 $21,654.28 2026-01-13
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 16 — — $13,119.38 $57,934.68 $21,638.84 2026-01-13
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 29 16 — — $14,976.71 $57,649.10 $21,532.18 2026-01-13
60254 CPT Extensive Thyroid Surgery 25 17 — — $21,526.51 $21,526.51 $21,526.51 2026-01-13
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 16 — — $20,636.82 $55,255.51 $21,255.92 2026-01-13
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 36 20 — — $20,125.03 $40,250.06 $21,131.28 2026-01-13
570 MS_DRG Skin Debridement With Mcc 29 16 — — $20,063.66 $56,559.40 $21,122.39 2026-01-13
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 29 16 — — $20,452.28 $54,759.50 $21,065.85 2026-01-13
33858 CPT As-aort Grf F/aortic Dsj 25 17 — — $21,020.33 $21,020.33 $21,020.33 2026-01-13
974 MS_DRG HIV With Major Related Condition With Mcc 29 16 — — $15,329.02 $56,100.97 $20,953.99 2026-01-13
525T OTHER Insj/rplcmt Compl Iims 38 21 — — $9,879.34 $62,229.28 $20,930.03 2026-01-13
J0129 HCPCS Abatacept (Orencia) 500 Mg In Sodium Chloride 0.9 % 100 Ml Infusion 61 21 $30,686.66 $18,412.00 40% off $34.92 $55,235.97 $20,866.92 2026-01-13
33622 CPT Redo Compl Cardiac Anomaly 25 17 — — $20,741.49 $20,741.49 $20,741.49 2026-01-13
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 29 16 — — $20,095.11 $53,801.32 $20,697.96 2026-01-13
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 16 — — $20,297.84 $55,398.30 $20,690.15 2026-01-13
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 29 16 — — $13,847.95 $55,101.45 $20,580.69 2026-01-13
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 29 16 — — $19,975.82 $63,895.63 $20,575.09 2026-01-13
668 MS_DRG Transurethral Procedures With Mcc 29 16 — — $9,693.57 $54,787.69 $20,463.50 2026-01-13
800 MS_DRG Splenic Procedures With Cc 29 16 — — $15,616.80 $54,740.72 $20,445.96 2026-01-13
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 16 — — $17,733.29 $54,710.66 $20,434.73 2026-01-13
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 36 20 — — $19,406.28 $38,812.56 $20,376.59 2026-01-13
617T OTHER Insj Iris Prosth W/rmvl&insj 25 17 — — $20,372.25 $20,372.25 $20,372.25 2026-01-13
618T OTHER Insj Iris Prosth Sec Io Lens 25 17 — — $20,372.25 $20,372.25 $20,372.25 2026-01-13
472 MS_DRG Cervical Spinal Fusion With Cc 29 16 — — $14,673.31 $54,428.84 $20,329.48 2026-01-13
Q0489 HCPCS Dme Pos 37 21 — — $19,265.12 $96,964.20 $20,319.30 2026-01-13
33440 CPT Rplcmt A-valve Tlcj Autol Pv 25 17 — — $20,304.03 $20,304.03 $20,304.03 2026-01-13
33871 CPT Transvrs A-arch Grf Hypthrm 25 17 — — $20,189.85 $20,189.85 $20,189.85 2026-01-13
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 38 21 — — $4,413.42 $38,812.56 $20,182.53 2026-01-13
23472 CPT Reconstruct Shoulder Joint 38 21 — — $17,756.28 $111,509.44 $20,182.53 2026-01-13
25442 CPT Reconstruct Wrist Joint 38 21 — — $8,005.61 $50,275.23 $20,182.53 2026-01-13
22867 CPT Insj Stablj Dev W/dcmprn 38 21 — — $10,690.67 $92,302.94 $20,182.53 2026-01-13
24371 CPT Revise Reconst Elbow Joint 38 21 — — $9,075.83 $58,283.41 $20,182.53 2026-01-13
24361 CPT Reconstruct Elbow Joint 38 21 — — $8,005.61 $50,275.23 $20,182.53 2026-01-13
27279 CPT Arthrd Si Jt Perq/min Nvas 38 21 — — $10,220.00 $64,181.60 $20,182.53 2026-01-13
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 38 21 — — $17,756.28 $111,509.44 $20,182.53 2026-01-13
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