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

CHRISTUS SOUTHERN NEW MEXICO

Alamogordo, NM · CCN 320004 · Rates published

20,269 distinct procedures filed
20 distinct payers
615,212 rate rows
2026-01-12 last MRF observed
Data quality

458,852 of 615,212 rate rows are consumer-grade (74.6%)

156,360 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 156,180
placeholder amount (≤ $0.02) — excluded from medians 99
per-diem day rate — not a per-procedure price 81
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/850138775_geraldchampionregionalmedicalcenter_standardcharges.ashx
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 8cdf66a6625e7032… · 123,728,509 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $3,772,911.73 $4,187,932.02 $3,772,911.73 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 13 $3,772,911.73 $4,187,932.02 $3,772,911.73 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 19 $3,247,144.79 $4,870,717.19 $3,604,330.72 nat. median
$3,286,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $3,296,000.00 $3,749,702.20 $3,378,110.09 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 19 $2,968,000.00 $4,527,494.09 $3,264,800.00 nat. median
$3,006,423
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 19 $2,371,544.52 $3,557,316.78 $2,632,414.42 nat. median
$2,448,600
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 19 $2,222,890.60 $3,666,322.53 $2,445,179.66 nat. median
$2,469,189
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 19 $575,215.32 $862,822.98 $638,489.01 nat. median
$754,974
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 19 $537,271.20 $805,906.80 $596,371.03 nat. median
$625,184
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 19 $527,123.43 $841,000.85 $579,835.77 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 19 $516,726.08 $787,866.30 $568,398.69 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 19 $497,818.06 $746,727.09 $552,578.05 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 19 $469,754.01 $744,491.36 $516,729.41 nat. median
$620,080
0.8× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 4 $478,950.00 $526,845.00 $478,950.00 nat. median
$57,174
outlier · 8.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $194,261.61 $503,159.88 $335,439.92 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $193,180.73 $375,818.25 $250,545.50 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $136,778.82 $316,506.90 $211,004.60 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $152,164.36 $285,937.97 $190,625.31 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $100,323.00 $188,520.86 $125,680.57 nat. median
$133,176
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $93,022.78 $174,802.73 $116,535.15 nat. median
$117,303
1.0× median
7
MS_DRG 		Lung Transplant 18 $82,859.25 $174,362.45 $116,241.63 nat. median
$122,708
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $74,483.64 $147,023.58 $102,171.31 nat. median
$108,660
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $60,128.00 $145,345.17 $96,896.78 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $75,610.74 $142,083.08 $94,722.05 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 20 $69,027.43 $141,354.62 $94,236.41 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $68,522.81 $128,763.87 $85,842.58 nat. median
$93,672
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $17,598.13 $139,761.60 $83,803.20 nat. median
$98,905
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $50,075.35 $122,904.12 $81,936.08 nat. median
$83,442
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $57,233.81 $112,863.04 $75,710.05 nat. median
$77,576
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $51,340.22 $113,057.81 $75,371.87 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $39,582.97 $112,995.11 $75,330.07 nat. median
$81,118
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $44,933.76 $111,279.33 $74,186.22 nat. median
$82,712
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 19 $64,477.17 $96,715.76 $71,569.66 nat. median
$69,774
1.0× median
10
MS_DRG 		Pancreas Transplant 18 $33,579.59 $106,374.86 $70,916.57 nat. median
$68,882
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $49,344.71 $105,765.14 $70,510.09 nat. median
$71,240
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 $50,491.16 $104,285.52 $69,523.68 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $54,936.25 $103,232.85 $68,821.90 nat. median
$74,915
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 $45,331.35 $99,586.50 $66,391.00 nat. median
$72,138
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $50,175.70 $94,287.11 $62,858.07 nat. median
$68,887
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $43,450.09 $92,812.83 $61,875.22 nat. median
$66,526
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 20 $41,745.77 $91,102.40 $60,734.93 nat. median
$64,732
0.9× median
38240
CPT 		Transplt Allo Hct/donor 16 $2,246.01 $90,217.85 $60,145.23 nat. median
$15,912
outlier · 3.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $35,562.33 $92,859.22 $59,635.56 nat. median
$63,738
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 $29,814.64 $89,109.12 $59,406.08 nat. median
$64,027
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 20 $44,902.53 $84,378.09 $58,877.15 nat. median
$60,185
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 19 $36,447.53 $86,682.21 $57,788.14 nat. median
$62,507
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 20 $45,917.12 $86,284.65 $57,523.10 nat. median
$62,134
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $45,514.91 $86,160.57 $57,440.38 nat. median
$64,510
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $13,192.31 $94,763.42 $56,821.60 nat. median
$68,090
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 19 $35,880.08 $84,717.38 $56,478.25 nat. median
$66,682
0.8× median

Other procedures at this hospital

Browse this hospital's 20,269 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
             
347 MS_DRG Anal And Stomal Procedures With Mcc 42 20 — — $13,867.73 $31,577.58 $21,051.72 2026-01-12
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 42 20 — — $11,484.80 $31,585.58 $21,057.05 2026-01-12
C1767 HCPCS Generator, Neuro Non-recharg 22 15 — — $21,067.92 $21,067.92 $21,067.92 2026-01-12
C1820 HCPCS Generator Neuro Rechg Bat Sy 22 15 — — $21,071.24 $21,071.24 $21,071.24 2026-01-12
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 42 20 — — $11,396.33 $31,706.99 $21,137.99 2026-01-12
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 42 20 — — $17,020.12 $31,983.17 $21,322.11 2026-01-12
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 42 20 — — $14,303.30 $31,983.17 $21,322.11 2026-01-12
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 20 — — $9,082.61 $32,033.87 $21,355.91 2026-01-12
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 42 20 — — $5,500.67 $32,168.63 $21,445.75 2026-01-12
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 42 20 — — $5,958.63 $32,270.03 $21,513.35 2026-01-12
825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
796T CPT Tcat Ins 2chmbr Ldls Pm Ra 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
823T CPT Tcat Ins 1chmbr Ldls Pm Ra 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
797T CPT Tcat Ins 2chmbr Ldls Pm Rv 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 32 19 — — $19,394.56 $29,091.84 $21,527.96 2026-01-12
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 42 20 — — $16,435.08 $45,072.52 $21,549.86 2026-01-12
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 20 — — $13,060.58 $32,664.95 $21,776.63 2026-01-12
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 42 20 — — $13,892.45 $32,712.05 $21,808.03 2026-01-12
61885 CPT Insrt/redo Neurostim 1 Array 42 20 — — $13,892.45 $32,712.05 $21,808.03 2026-01-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 42 20 — — $17,239.51 $32,395.44 $21,975.22 2026-01-12
397 MS_DRG Appendix Procedures With Mcc 42 20 — — $10,906.11 $33,058.53 $22,039.02 2026-01-12
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 42 20 — — $16,405.74 $33,384.06 $22,256.04 2026-01-12
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 42 20 — — $10,509.56 $34,072.52 $22,291.04 2026-01-12
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 42 20 — — $20,842.84 $32,712.05 $22,367.57 2026-01-12
164 MS_DRG Major Chest Procedures With Cc 42 20 — — $17,870.70 $33,581.52 $22,387.68 2026-01-12
545 MS_DRG Connective Tissue Disorders With Mcc 42 20 — — $14,160.71 $33,713.61 $22,475.74 2026-01-12
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 42 20 — — $12,988.24 $33,997.80 $22,665.20 2026-01-12
253 MS_DRG Other Vascular Procedures With Cc 42 20 — — $15,865.04 $34,061.84 $22,707.89 2026-01-12
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 42 20 — — $18,348.53 $34,479.44 $22,986.29 2026-01-12
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 42 20 — — $12,890.93 $34,536.81 $23,024.54 2026-01-12
L5858 HCPCS Dme Pos 27 16 — — $22,027.14 $24,229.85 $23,128.49 2026-01-12
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 42 20 — — $17,521.38 $32,925.11 $23,177.64 2026-01-12
L6965 HCPCS Dme Pos 27 16 — — $22,149.18 $24,364.10 $23,256.64 2026-01-12
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 42 20 — — $18,577.15 $34,909.05 $23,272.70 2026-01-12
33240 CPT Insrt Pulse Gen W/singl Lead 42 20 — — $21,962.82 $34,240.23 $23,492.96 2026-01-12
515T CPT Insj Wcs Lv Compl Sys 42 20 — — $21,996.46 $34,240.23 $23,511.47 2026-01-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 42 20 — — $15,032.98 $35,274.62 $23,516.41 2026-01-12
503 MS_DRG Foot Procedures With Mcc 42 20 — — $11,364.58 $35,310.63 $23,540.42 2026-01-12
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 42 20 — — $16,918.33 $35,356.01 $23,570.67 2026-01-12
L6970 HCPCS Dme Pos 27 16 — — $22,513.14 $24,764.45 $23,638.79 2026-01-12
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 42 20 — — $18,905.88 $42,999.16 $23,684.52 2026-01-12
J9266 HCPCS Pegaspargase Injection 37 19 — — $6,218.44 $41,294.36 $23,756.40 2026-01-12
849 MS_DRG Radiotherapy 42 20 — — $7,006.72 $35,637.51 $23,758.34 2026-01-12
L6975 HCPCS Dme Pos 27 16 — — $22,633.97 $24,897.37 $23,765.67 2026-01-12
263 MS_DRG Vein Ligation And Stripping 42 20 — — $6,452.49 $35,784.27 $23,856.18 2026-01-12
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 20 — — $19,054.98 $35,806.95 $23,871.30 2026-01-12
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 42 20 — — $18,625.43 $34,999.77 $23,929.94 2026-01-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 42 20 — — $14,634.34 $35,949.71 $23,966.47 2026-01-12
93653 CPT Compre Ep Eval Tx Svt 42 20 — — $10,535.09 $37,422.45 $23,978.77 2026-01-12
93654 CPT Compre Ep Eval Tx Vt 42 20 — — $10,535.09 $37,422.45 $23,978.77 2026-01-12
93656 CPT Compre Ep Eval Abltj Atr Fib 42 20 — — $10,535.09 $37,422.45 $23,978.77 2026-01-12
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 20 — — $19,194.14 $36,068.46 $24,045.64 2026-01-12
409T CPT Insj/rplc Car Modulj Pls Gn 37 19 — — $21,930.03 $34,240.23 $24,123.03 2026-01-12
414T CPT Rmvl & Rpl Car Modulj Pls Gn 37 19 — — $21,930.03 $34,240.23 $24,123.03 2026-01-12
963 MS_DRG Other Multiple Significant Trauma With Mcc 42 20 — — $19,288.57 $36,245.90 $24,163.93 2026-01-12
680T CPT Insj/rplcmt Pg Only Isdss 32 19 — — $21,808.03 $32,712.05 $24,206.91 2026-01-12
816T CPT Opn Insj/rplcmt Ins Ptn Subq 32 19 — — $21,808.03 $32,712.05 $24,206.91 2026-01-12
817T CPT Opn Insj/rplcmt Ins Ptn Subf 32 19 — — $21,808.03 $32,712.05 $24,206.91 2026-01-12
33230 CPT Insrt Pulse Gen W/dual Leads 42 20 — — $22,458.65 $34,240.23 $24,236.58 2026-01-12
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 42 20 — — $22,458.65 $34,240.23 $24,236.58 2026-01-12
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 42 20 — — $22,458.65 $34,240.23 $24,236.58 2026-01-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 42 20 — — $19,358.15 $36,376.65 $24,251.10 2026-01-12
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 20 — — $19,393.65 $36,443.36 $24,295.57 2026-01-12
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 20 — — $12,066.09 $36,508.74 $24,339.16 2026-01-12
J9600 HCPCS Porfimer Sodium Injection 37 19 — — $19,534.15 $36,958.91 $24,639.27 2026-01-12
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 42 20 — — $18,838.43 $55,527.64 $24,701.46 2026-01-12
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 42 20 — — $17,391.38 $37,430.66 $24,953.77 2026-01-12
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 22 15 — — $24,974.21 $24,974.21 $24,974.21 2026-01-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 42 20 — — $17,614.63 $37,469.36 $24,979.57 2026-01-12
654 MS_DRG Major Bladder Procedures With Cc 42 20 — — $19,822.19 $37,652.13 $25,101.42 2026-01-12
C1882 HCPCS Aicd, Other Than Sing/dual 22 15 — — $25,113.15 $25,113.15 $25,113.15 2026-01-12
923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 32 19 — — $22,826.82 $34,240.23 $25,337.77 2026-01-12
916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 32 19 — — $22,826.82 $34,240.23 $25,337.77 2026-01-12
614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 32 19 — — $22,826.82 $34,240.23 $25,337.77 2026-01-12
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 42 20 — — $10,550.15 $38,132.45 $25,421.63 2026-01-12
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 42 20 — — $13,761.04 $38,185.82 $25,457.21 2026-01-12
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 42 20 — — $20,332.98 $38,208.50 $25,472.33 2026-01-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 42 20 — — $9,764.34 $38,252.52 $25,501.68 2026-01-12
472 MS_DRG Cervical Spinal Fusion With Cc 42 20 — — $14,673.31 $38,654.12 $25,769.41 2026-01-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 20 — — $17,733.29 $38,854.25 $25,902.83 2026-01-12
800 MS_DRG Splenic Procedures With Cc 42 20 — — $15,616.80 $38,875.59 $25,917.06 2026-01-12
668 MS_DRG Transurethral Procedures With Mcc 42 20 — — $9,693.57 $38,908.95 $25,939.30 2026-01-12
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 42 20 — — $13,847.95 $39,131.75 $26,087.83 2026-01-12
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 20 — — $20,881.10 $39,238.49 $26,158.99 2026-01-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 20 — — $20,297.84 $39,339.89 $26,226.59 2026-01-12
974 MS_DRG HIV With Major Related Condition With Mcc 42 20 — — $15,329.02 $40,108.17 $26,561.03 2026-01-12
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 42 20 — — $20,212.28 $63,895.63 $26,737.22 2026-01-12
570 MS_DRG Skin Debridement With Mcc 42 20 — — $20,063.66 $40,161.75 $26,774.50 2026-01-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 42 20 — — $10,106.25 $44,053.58 $27,079.92 2026-01-12
S2067 HCPCS Breast ""stacked"" Diep/gap 22 15 — — $27,109.08 $27,109.08 $27,109.08 2026-01-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 42 20 — — $13,119.38 $41,143.71 $27,131.54 2026-01-12
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 42 20 — — $20,694.37 $38,887.59 $27,134.77 2026-01-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 42 20 — — $21,716.06 $40,807.50 $27,205.00 2026-01-12
C9760 HCPCS Non-blind Interatrial Shunt 37 19 — — $12,500.50 $41,950.26 $27,225.38 2026-01-12
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 42 20 — — $14,976.71 $40,940.91 $27,293.94 2026-01-12
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 42 20 — — $15,939.97 $41,173.07 $27,448.71 2026-01-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 42 20 — — $21,956.04 $41,258.45 $27,505.63 2026-01-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 20 — — $3,969.05 $45,954.80 $27,555.20 2026-01-12
662 MS_DRG Minor Bladder Procedures With Mcc 42 20 — — $15,401.88 $41,621.36 $27,747.57 2026-01-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 20 — — $22,054.73 $41,443.91 $27,869.20 2026-01-12
500 MS_DRG Soft Tissue Procedures With Mcc 42 20 — — $12,506.87 $42,276.44 $28,184.29 2026-01-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 20 — — $14,889.28 $42,347.15 $28,231.43 2026-01-12
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 42 20 — — $15,098.84 $54,520.19 $28,288.36 2026-01-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 20 — — $21,241.33 $42,547.28 $28,364.85 2026-01-12
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 42 20 — — $15,448.71 $42,628.67 $28,419.11 2026-01-12
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 20 — — $14,981.91 $42,752.75 $28,501.83 2026-01-12
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 42 20 — — $22,857.03 $42,951.54 $28,634.36 2026-01-12
652 MS_DRG Kidney Transplant 38 18 — — $21,806.94 $76,629.07 $28,846.67 2026-01-12
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 42 20 — — $23,131.80 $43,467.87 $28,978.58 2026-01-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 42 20 — — $13,896.87 $43,486.55 $28,991.03 2026-01-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 42 20 — — $22,159.10 $49,399.63 $29,312.51 2026-01-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 42 20 — — $23,207.77 $43,610.63 $29,448.35 2026-01-12
37 MS_DRG Extracranial Procedures With Mcc 42 20 — — $17,287.30 $44,307.08 $29,538.05 2026-01-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 42 20 — — $23,832.57 $44,784.71 $29,856.47 2026-01-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 42 20 — — $22,029.74 $45,255.68 $30,170.45 2026-01-12
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 42 20 — — $13,892.45 $46,485.51 $30,188.98 2026-01-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 42 20 — — $13,036.64 $47,379.71 $30,208.17 2026-01-12
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 42 20 — — $18,056.46 $51,201.56 $30,296.76 2026-01-12
L6880 HCPCS Dme Pos 27 16 — — $28,891.37 $31,780.51 $30,335.94 2026-01-12
268T CPT Implt/rpl Crtd Sns Dev Gen 42 20 — — $14,428.91 $46,485.51 $30,457.21 2026-01-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 42 20 — — $24,318.92 $45,698.63 $30,465.75 2026-01-12
L5856 HCPCS Dme Pos 27 16 — — $29,028.47 $31,931.32 $30,479.90 2026-01-12
252 MS_DRG Other Vascular Procedures With Mcc 42 20 — — $19,905.45 $45,768.00 $30,512.00 2026-01-12
665 MS_DRG Prostatectomy With Mcc 42 20 — — $10,146.32 $45,810.71 $30,540.47 2026-01-12
33289 CPT Tcat Impl Wrls P-art Prs Snr 42 20 — — $27,692.47 $43,365.60 $30,571.08 2026-01-12
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 42 20 — — $19,222.16 $45,882.75 $30,588.50 2026-01-12
264 MS_DRG Other Circulatory System O.r. Procedures 42 20 — — $14,624.39 $46,631.22 $30,627.81 2026-01-12
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 20 — — $19,639.85 $46,228.31 $30,818.87 2026-01-12
332 MS_DRG Rectal Resection With Mcc 42 20 — — $23,043.49 $46,279.01 $30,852.67 2026-01-12
64568 CPT Opn Impltj Crnl Nrv Nea&pg 42 20 — — $22,317.71 $46,485.51 $30,990.34 2026-01-12
61886 CPT Implant Neurostim Arrays 42 20 — — $18,519.10 $46,485.51 $30,990.34 2026-01-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 20 — — $24,844.61 $50,543.81 $31,142.63 2026-01-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 20 — — $15,816.12 $46,732.62 $31,155.08 2026-01-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 20 — — $17,000.04 $46,747.31 $31,164.87 2026-01-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 20 — — $19,384.20 $46,971.45 $31,314.30 2026-01-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 20 — — $23,294.32 $49,624.34 $31,393.46 2026-01-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 20 — — $10,689.56 $52,196.13 $31,442.85 2026-01-12
265 MS_DRG Aicd Lead Procedures 42 20 — — $19,631.20 $47,593.17 $31,728.78 2026-01-12
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 42 20 — — $29,586.29 $46,485.51 $31,767.63 2026-01-12
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 42 20 — — $16,436.44 $47,817.32 $31,878.21 2026-01-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 42 20 — — $16,975.06 $47,825.33 $31,883.55 2026-01-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 42 20 — — $25,452.08 $47,828.00 $31,885.33 2026-01-12
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 42 20 — — $29,586.29 $46,485.51 $32,030.08 2026-01-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 20 — — $23,870.41 $48,342.99 $32,228.66 2026-01-12
69930 CPT Implant Cochlear Device 42 20 — — $28,906.14 $48,520.80 $32,347.20 2026-01-12
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 20 — — $24,835.76 $48,680.54 $32,453.69 2026-01-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 42 20 — — $21,875.04 $56,552.32 $32,581.06 2026-01-12
33231 CPT Insrt Pulse Gen W/mult Leads 42 20 — — $23,363.67 $48,907.89 $32,605.26 2026-01-12
408T CPT Insj/rplc Cardiac Modulj Sys 37 19 — — $21,930.03 $48,907.89 $32,605.26 2026-01-12
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 42 20 — — $23,363.67 $48,907.89 $32,605.26 2026-01-12
33249 CPT Insj/rplcmt Defib W/lead(s) 42 20 — — $28,632.36 $48,907.89 $32,605.26 2026-01-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 42 20 — — $24,654.75 $117,279.25 $32,613.81 2026-01-12
33270 CPT Ins/rep Subq Defibrillator 42 20 — — $30,806.39 $48,907.89 $33,246.14 2026-01-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 20 — — $23,233.44 $49,925.34 $33,283.56 2026-01-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 20 — — $5,944.04 $55,511.58 $33,285.60 2026-01-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 20 — — $26,781.91 $50,326.94 $33,726.86 2026-01-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 20 — — $26,992.07 $50,721.86 $33,814.57 2026-01-12
140 MS_DRG Major Head And Neck Procedures With Mcc 42 20 — — $4,517.61 $56,425.50 $33,833.60 2026-01-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 20 — — $18,310.41 $51,370.26 $34,246.84 2026-01-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 42 20 — — $21,431.28 $57,431.58 $34,342.90 2026-01-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 20 — — $21,277.73 $51,566.39 $34,377.59 2026-01-12
674T CPT Laps Insj Nw/rpcmt Prm Isdss 32 19 — — $30,990.34 $46,485.51 $34,399.28 2026-01-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 36 19 — — $13,659.56 $52,428.27 $34,952.18 2026-01-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 42 20 — — $21,891.84 $52,535.01 $35,023.34 2026-01-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 42 20 — — $22,588.66 $52,643.09 $35,095.39 2026-01-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 20 — — $11,690.36 $53,112.72 $35,408.48 2026-01-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 20 — — $24,169.12 $53,150.07 $35,433.38 2026-01-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 20 — — $27,139.04 $61,580.01 $35,900.07 2026-01-12
791 MS_DRG Prematurity With Major Problems 37 19 — — $2,513.15 $54,166.73 $36,111.15 2026-01-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 20 — — $16,414.58 $55,897.17 $36,155.88 2026-01-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 20 — — $28,878.54 $54,266.79 $36,177.86 2026-01-12
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 32 19 — — $32,605.26 $48,907.89 $36,191.84 2026-01-12
571T CPT Insj/rplcmt Icds Ss Eltrd 32 19 — — $32,605.26 $48,907.89 $36,191.84 2026-01-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 20 — — $27,609.77 $51,882.60 $36,202.63 2026-01-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 20 — — $21,456.78 $54,481.59 $36,321.06 2026-01-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 20 — — $22,631.33 $54,751.10 $36,500.73 2026-01-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 20 — — $29,179.58 $54,832.49 $36,554.99 2026-01-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 20 — — $27,763.13 $68,906.80 $36,725.63 2026-01-12
793 MS_DRG Full Term Neonate With Major Problems 42 20 — — $4,315.71 $55,642.34 $37,094.89 2026-01-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 20 — — $21,432.85 $55,910.51 $37,273.67 2026-01-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 20 — — $21,544.73 $56,828.43 $37,885.62 2026-01-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 20 — — $28,193.23 $56,912.49 $37,941.66 2026-01-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 20 — — $24,147.27 $57,610.26 $38,406.84 2026-01-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 20 — — $21,719.58 $61,620.19 $38,486.00 2026-01-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 42 20 — — $29,195.91 $54,863.18 $38,620.95 2026-01-12
901 MS_DRG Wound Debridements For Injuries With Mcc 42 20 — — $31,456.55 $59,111.22 $39,407.48 2026-01-12
620T CPT Evasc Ven Artlz Tibl/prnl Vn 32 19 — — $35,594.02 $53,391.03 $39,509.36 2026-01-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 20 — — $31,753.33 $59,668.92 $39,779.28 2026-01-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 20 — — $26,154.98 $59,834.36 $39,889.57 2026-01-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 20 — — $28,389.08 $60,193.26 $40,128.84 2026-01-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 20 — — $24,128.53 $61,264.61 $40,843.07 2026-01-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 20 — — $31,198.74 $61,273.95 $40,849.30 2026-01-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 20 — — $31,188.88 $60,909.76 $40,895.40 2026-01-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 20 — — $22,931.21 $79,767.78 $40,980.05 2026-01-12
471 MS_DRG Cervical Spinal Fusion With Mcc 42 20 — — $17,160.84 $64,805.55 $40,983.19 2026-01-12
163 MS_DRG Major Chest Procedures With Mcc 42 20 — — $32,725.32 $61,495.43 $40,996.95 2026-01-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 42 20 — — $33,028.49 $62,065.13 $41,376.75 2026-01-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 20 — — $29,721.31 $62,433.36 $41,622.24 2026-01-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 20 — — $3,507.15 $62,769.57 $41,846.38 2026-01-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 20 — — $25,628.86 $63,425.99 $42,283.99 2026-01-12
799 MS_DRG Splenic Procedures With Mcc 42 20 — — $21,281.92 $63,438.00 $42,292.00 2026-01-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 20 — — $24,336.17 $63,714.18 $42,476.12 2026-01-12
J7330 HCPCS Cultured Chondrocytes Implnt 22 15 — — $43,088.81 $43,088.81 $43,088.81 2026-01-12
6 MS_DRG Liver Transplant Without Mcc 38 18 — — $34,429.32 $64,697.48 $43,131.65 2026-01-12
245 MS_DRG Aicd Generator Procedures 42 20 — — $26,203.90 $65,199.14 $43,466.09 2026-01-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 20 — — $10,024.01 $73,435.08 $44,032.80 2026-01-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 20 — — $16,899.08 $66,805.49 $44,091.94 2026-01-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 20 — — $21,778.39 $66,753.47 $44,265.93 2026-01-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 20 — — $34,868.63 $66,726.78 $44,484.52 2026-01-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 20 — — $34,294.99 $67,201.74 $44,801.16 2026-01-12
266T CPT Implt/rpl Crtd Sns Dev Total 42 20 — — $18,707.16 $68,645.39 $45,000.50 2026-01-12
J9226 HCPCS Supprelin La Implant 37 19 — — $21,173.64 $69,043.98 $45,108.81 2026-01-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 20 — — $27,655.83 $67,763.45 $45,175.63 2026-01-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 42 20 — — $36,171.66 $67,971.57 $45,314.38 2026-01-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 42 20 — — $35,381.43 $66,486.62 $45,649.96 2026-01-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 19 — — $3,164.84 $68,483.90 $45,655.93 2026-01-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 20 — — $31,288.77 $68,712.05 $45,808.03 2026-01-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 20 — — $37,606.57 $70,667.97 $47,111.98 2026-01-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 42 20 — — $37,773.42 $70,981.50 $47,321.00 2026-01-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 20 — — $6,365.21 $79,314.84 $47,558.40 2026-01-12
33276 CPT Insj Phrnc Nrv Stim Sys 42 20 — — $45,000.50 $68,645.39 $47,632.07 2026-01-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 20 — — $38,306.63 $71,983.49 $47,988.99 2026-01-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 20 — — $38,310.89 $71,991.48 $47,994.32 2026-01-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 20 — — $38,347.10 $72,059.52 $48,039.68 2026-01-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 42 20 — — $24,035.90 $72,429.09 $48,232.50 2026-01-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 38 18 — — $38,631.81 $72,594.54 $48,396.36 2026-01-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 20 — — $29,335.17 $72,986.79 $48,657.86 2026-01-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 20 — — $39,243.83 $73,744.61 $49,163.07 2026-01-12
834 MS_DRG Acute Leukemia With Mcc 42 20 — — $39,243.83 $78,918.16 $49,163.07 2026-01-12
653 MS_DRG Major Bladder Procedures With Mcc 42 20 — — $31,658.78 $74,375.69 $49,583.79 2026-01-12
L7181 HCPCS Dme Pos 27 16 — — $47,488.54 $52,237.39 $49,862.96 2026-01-12
L7180 HCPCS Dme Pos 27 16 — — $47,877.56 $52,665.32 $50,271.44 2026-01-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 20 — — $40,506.21 $76,116.80 $50,744.53 2026-01-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 20 — — $31,335.09 $76,574.42 $51,049.61 2026-01-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 20 — — $37,429.02 $77,680.47 $51,786.98 2026-01-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 20 — — $41,777.82 $78,506.33 $52,337.55 2026-01-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 20 — — $40,978.17 $79,374.89 $52,916.59 2026-01-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 20 — — $36,401.70 $79,928.57 $53,285.71 2026-01-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 20 — — $13,076.19 $88,958.36 $53,340.80 2026-01-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 19 — — $42,854.89 $80,530.29 $53,686.86 2026-01-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 40 19 — — $42,854.89 $80,530.29 $53,686.86 2026-01-12
28 MS_DRG Spinal Procedures With Mcc 42 20 — — $29,918.03 $81,111.99 $54,074.66 2026-01-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 20 — — $43,371.77 $81,501.59 $54,334.39 2026-01-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 20 — — $42,969.76 $81,875.16 $54,583.44 2026-01-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 20 — — $38,720.14 $82,162.01 $54,774.67 2026-01-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 20 — — $32,649.31 $82,644.98 $55,096.65 2026-01-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 42 20 — — $43,923.44 $82,538.25 $56,224.24 2026-01-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 37 19 — — $35,880.08 $84,717.38 $56,478.25 2026-01-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 20 — — $13,192.31 $94,763.42 $56,821.60 2026-01-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 20 — — $45,514.91 $86,160.57 $57,440.38 2026-01-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 20 — — $45,917.12 $86,284.65 $57,523.10 2026-01-12
A9543 HCPCS Y90 Ibritumomab, Rx 37 19 — — $36,447.53 $86,682.21 $57,788.14 2026-01-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 20 — — $44,902.53 $84,378.09 $58,877.15 2026-01-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 42 20 — — $29,814.64 $89,109.12 $59,406.08 2026-01-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 42 20 — — $35,562.33 $92,859.22 $59,635.56 2026-01-12
38240 CPT Transplt Allo Hct/donor 29 16 — — $2,246.01 $90,217.85 $60,145.23 2026-01-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 20 — — $41,745.77 $91,102.40 $60,734.93 2026-01-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 20 — — $43,450.09 $92,812.83 $61,875.22 2026-01-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 20 — — $50,175.70 $94,287.11 $62,858.07 2026-01-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 20 — — $45,331.35 $99,586.50 $66,391.00 2026-01-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 20 — — $54,936.25 $103,232.85 $68,821.90 2026-01-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 20 — — $50,491.16 $104,285.52 $69,523.68 2026-01-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 20 — — $49,344.71 $105,765.14 $70,510.09 2026-01-12
10 MS_DRG Pancreas Transplant 38 18 — — $33,579.59 $106,374.86 $70,916.57 2026-01-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 32 19 — — $64,477.17 $96,715.76 $71,569.66 2026-01-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 20 — — $44,933.76 $111,279.33 $74,186.22 2026-01-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 20 — — $39,582.97 $112,995.11 $75,330.07 2026-01-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 20 — — $51,340.22 $113,057.81 $75,371.87 2026-01-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 20 — — $57,233.81 $112,863.04 $75,710.05 2026-01-12
850 MS_DRG Acute Leukemia With Other Procedures 42 20 — — $50,075.35 $122,904.12 $81,936.08 2026-01-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 20 — — $17,598.13 $139,761.60 $83,803.20 2026-01-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 20 — — $68,522.81 $128,763.87 $85,842.58 2026-01-12
215 MS_DRG Other Heart Assist System Implant 42 20 — — $69,027.43 $141,354.62 $94,236.41 2026-01-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 38 18 — — $75,610.74 $142,083.08 $94,722.05 2026-01-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 20 — — $60,128.00 $145,345.17 $96,896.78 2026-01-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 18 — — $74,483.64 $147,023.58 $102,171.31 2026-01-12
7 MS_DRG Lung Transplant 38 18 — — $82,859.25 $174,362.45 $116,241.63 2026-01-12
14 MS_DRG Allogeneic Bone Marrow Transplant 40 19 — — $93,022.78 $174,802.73 $116,535.15 2026-01-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 42 20 — — $100,323.00 $188,520.86 $125,680.57 2026-01-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 20 — — $152,164.36 $285,937.97 $190,625.31 2026-01-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 20 — — $136,778.82 $316,506.90 $211,004.60 2026-01-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 38 18 — — $193,180.73 $375,818.25 $250,545.50 2026-01-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 20 — — $194,261.61 $503,159.88 $335,439.92 2026-01-12
C9098 HCPCS Ciltacabtagene Car Pos T 5 4 — — $478,950.00 $526,845.00 $478,950.00 2026-01-12
Q2053 HCPCS Brexucabtagene Car Pos T 37 19 — — $469,754.01 $744,491.36 $516,729.41 2026-01-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 32 19 — — $497,818.06 $746,727.09 $552,578.05 2026-01-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 37 19 — — $516,726.08 $787,866.30 $568,398.69 2026-01-12
Q2056 HCPCS Ciltacabtagene Car-pos T 37 19 — — $527,123.43 $841,000.85 $579,835.77 2026-01-12
Q2055 HCPCS Idecabtagene Vicleucel Car 32 19 — — $537,271.20 $805,906.80 $596,371.03 2026-01-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 32 19 — — $575,215.32 $862,822.98 $638,489.01 2026-01-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 37 19 — — $2,222,890.60 $3,666,322.53 $2,445,179.66 2026-01-12
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 32 19 — — $2,371,544.52 $3,557,316.78 $2,632,414.42 2026-01-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 37 19 — — $2,968,000.00 $4,527,494.09 $3,264,800.00 2026-01-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 13 — — $3,296,000.00 $3,749,702.20 $3,378,110.09 2026-01-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 37 19 — — $3,247,144.79 $4,870,717.19 $3,604,330.72 2026-01-12
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 17 13 — — $3,772,911.73 $4,187,932.02 $3,772,911.73 2026-01-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 13 — — $3,772,911.73 $4,187,932.02 $3,772,911.73 2026-01-12
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