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

NEW YORK-PRESBYTERIAN/QUEENS

Flushing, NY · CCN 330055 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC ECHO REST & STRESS W/INTERP & REPORT

This hospital’s price: $674 across 23 payers · range $88-$2,857

Source: https://nyp.widen.net/content/nfagsjimrt/original/111839362_NewYork-Presbyterian-Queens_standardcharges.json.zip?u=n8xzey&download=true · observed 2026-03-31

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.

4,045 distinct procedures filed
23 distinct payers
222,392 rate rows
2026-03-31 last MRF observed
Data quality

218,482 of 222,392 rate rows are consumer-grade (98.2%)

3,910 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,037
template filing: same amount across many unrelated codes — excluded 1,274
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 394
placeholder amount (≤ $0.02) — excluded from medians 198
per-diem day rate — not a per-procedure price 6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nyp.widen.net/content/nfagsjimrt/original/111839362_NewYork-Presbyterian-Queens_standardcharges.json.zip?u=n8xzey&download=true
Found on page https://www.nyp.org/queens/patients-visitors/billing/hospital-price-transparency/standard-charges
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-10-10
Content fingerprint f5cefd9e2882db6e… · 2,860,586 bytes · first seen 2026-05-14

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
J0225
HCPCS 		Amvuttra 25 Mg/0.5ml Sc Sosy 23 $4,734.67 $966,599.88 $238,702.00 nat. median
$8,223
outlier · 29.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 16 $154,857.79 $939,201.25 $206,584.47 nat. median
$190,557
1.1× median
4
MS_DRG 		Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 16 $125,131.51 $939,201.25 $192,759.92 nat. median
$126,722
1.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome Neonate 16 $52,840.55 $492,564.97 $135,372.04 nat. median
$50,905
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $76,417.66 $478,663.17 $93,230.91 nat. median
$90,581
1.0× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 16 $28,501.57 $352,773.64 $93,215.73 nat. median
$29,848
outlier · 3.1×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 16 $37,338.78 $334,281.27 $91,870.80 nat. median
$38,049
outlier · 2.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $42,322.62 $389,836.70 $90,838.87 nat. median
$43,741
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $38,265.41 $316,670.17 $77,555.23 nat. median
$74,460
1.0× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 $30,709.55 $279,130.15 $76,713.57 nat. median
$31,965
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $43,527.22 $293,787.01 $75,212.07 nat. median
$71,758
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $61,925.77 $290,376.69 $74,817.99 nat. median
$72,473
1.0× median
38204
CPT 		Hc Lab Stem Cell Product Procurement 12 $805.43 $84,882.94 $72,457.52 nat. median
$1,476
outlier · 49.1×
326
MS_DRG 		Stomach Esophageal And Duodenal Procedures With Mcc 16 $45,193.88 $244,954.24 $69,565.22 nat. median
$46,224
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 16 $57,454.34 $326,114.94 $68,533.96 nat. median
$59,384
1.2× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $34,342.11 $240,854.32 $68,400.87 nat. median
$35,721
1.9× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours 16 $24,039.68 $248,078.86 $68,179.72 nat. median
$25,409
outlier · 2.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 $50,723.54 $313,573.14 $67,907.53 nat. median
$53,532
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 16 $45,747.66 $300,543.62 $67,303.10 nat. median
$62,721
1.1× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $31,272.14 $235,631.36 $65,539.21 nat. median
$31,913
outlier · 2.1×
614
MS_DRG 		Adrenal And Pituitary Procedures With Cc-mcc 16 $20,464.53 $245,170.46 $64,534.80 nat. median
$21,558
outlier · 3.0×
264
MS_DRG 		Other Circulatory System O.r. Procedures 16 $31,205.02 $221,830.08 $62,998.12 nat. median
$31,243
outlier · 2.0×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 16 $39,835.56 $236,211.00 $61,605.52 nat. median
$42,902
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 $41,116.67 $255,106.40 $58,011.00 nat. median
$58,331
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 16 $40,085.33 $222,516.69 $56,985.29 nat. median
$55,491
1.0× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 $23,160.91 $202,859.14 $55,751.95 nat. median
$24,371
outlier · 2.3×
974
MS_DRG 		HIV With Major Related Condition With Mcc 16 $26,710.46 $202,308.01 $55,600.48 nat. median
$27,536
outlier · 2.0×
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 16 $16,809.01 $205,265.28 $54,238.62 nat. median
$17,182
outlier · 3.2×
A9543
HCPCS 		Zevalin Y-90 3.2 Mg/2ml IV Kit 21 $0.03 $71,783.46 $53,983.32 nat. median
$63,643
0.8× median
252
MS_DRG 		Other Vascular Procedures With Mcc 16 $30,633.60 $343,857.39 $50,626.75 nat. median
$32,714
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $43,863.48 $275,779.41 $50,443.01 nat. median
$45,474
1.1× median
82
MS_DRG 		Traumatic Stupor And Coma Greater Than 1 Hour With Mcc 16 $20,828.41 $293,500.86 $49,826.98 nat. median
$21,717
outlier · 2.3×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $36,360.12 $245,338.39 $49,757.14 nat. median
$49,396
1.0× median
J9226
HCPCS 		Supprelin La 50 Mg Sc Kit 23 $43,282.37 $197,478.59 $49,675.23 nat. median
$55,159
0.9× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 16 $16,605.87 $188,245.28 $49,550.71 nat. median
$18,786
outlier · 2.6×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 $39,432.72 $244,442.12 $48,832.45 nat. median
$45,264
1.1× median
253
MS_DRG 		Other Vascular Procedures With Cc 16 $22,884.47 $201,942.16 $46,834.41 nat. median
$24,944
1.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 16 $35,520.29 $248,527.56 $46,089.51 nat. median
$36,018
1.3× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 $39,902.99 $247,420.28 $45,888.43 nat. median
$45,888
1.0× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 $17,905.04 $171,661.72 $45,621.70 nat. median
$19,268
outlier · 2.4×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 16 $39,277.24 $211,203.34 $45,168.83 nat. median
$42,662
1.1× median
163
MS_DRG 		Major Chest Procedures With Mcc 16 $32,537.94 $261,186.62 $44,717.06 nat. median
$42,735
1.0× median
789
MS_DRG 		Neonates Died Or Transferred To Another Acute Care Facility 16 $16,257.01 $242,691.06 $43,576.95 nat. median
$16,213
outlier · 2.7×
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 16 $30,757.24 $154,084.95 $42,859.80 nat. median
$34,048
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 16 $30,587.42 $188,425.93 $41,411.86 nat. median
$40,230
1.0× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 $30,349.26 $186,917.72 $41,351.24 nat. median
$39,076
1.1× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 16 $27,349.89 $142,820.75 $40,560.05 nat. median
$29,611
1.4× median
J9274
HCPCS 		Kimmtrak 100 Mcg/0.5ml IV Soln 23 $206.24 $164,081.69 $40,520.00 nat. median
$418
outlier · 96.9×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 $19,996.33 $156,527.07 $40,206.36 nat. median
$40,092
1.0× median
374
MS_DRG 		Digestive Malignancy With Mcc 16 $18,984.31 $142,601.94 $39,502.65 nat. median
$20,165
2.0× median

Other procedures at this hospital

Browse this hospital's 4,045 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
             
J0225 HCPCS Amvuttra 25 Mg/0.5ml Sc Sosy 46 23 — $835,457.00 $4,734.67 $966,599.88 $238,702.00 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 39 16 — — $154,857.79 $939,201.25 $206,584.47 2026-03-31
4 MS_DRG Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 39 16 — — $125,131.51 $939,201.25 $192,759.92 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 39 16 — — $52,840.55 $492,564.97 $135,372.04 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 16 — — $76,417.66 $478,663.17 $93,230.91 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 39 16 — — $28,501.57 $352,773.64 $93,215.73 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 16 — — $37,338.78 $334,281.27 $91,870.80 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $42,322.62 $389,836.70 $90,838.87 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 39 16 — — $38,265.41 $316,670.17 $77,555.23 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 39 16 — — $30,709.55 $279,130.15 $76,713.57 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 16 — — $43,527.22 $293,787.01 $75,212.07 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 16 — — $61,925.77 $290,376.69 $74,817.99 2026-03-31
38204 CPT Hc Lab Stem Cell Product Procurement 13 12 — $90,301.00 $805.43 $84,882.94 $72,457.52 2026-03-31
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 39 16 — — $45,193.88 $244,954.24 $69,565.22 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 39 16 — — $57,454.34 $326,114.94 $68,533.96 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 39 16 — — $34,342.11 $240,854.32 $68,400.87 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours 39 16 — — $24,039.68 $248,078.86 $68,179.72 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 16 — — $50,723.54 $313,573.14 $67,907.53 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 39 16 — — $45,747.66 $300,543.62 $67,303.10 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $31,272.14 $235,631.36 $65,539.21 2026-03-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc-mcc 39 16 — — $20,464.53 $245,170.46 $64,534.80 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 39 16 — — $31,205.02 $221,830.08 $62,998.12 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 39 16 — — $39,835.56 $236,211.00 $61,605.52 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 39 16 — — $41,116.67 $255,106.40 $58,011.00 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 16 — — $40,085.33 $222,516.69 $56,985.29 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 39 16 — — $23,160.91 $202,859.14 $55,751.95 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 37 16 — — $26,710.46 $202,308.01 $55,600.48 2026-03-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 39 16 — — $16,809.01 $205,265.28 $54,238.62 2026-03-31
A9543 HCPCS Zevalin Y-90 3.2 Mg/2ml IV Kit 29 21 — $0.04 $0.03 $71,783.46 $53,983.32 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 39 16 — — $30,633.60 $343,857.39 $50,626.75 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 16 — — $43,863.48 $275,779.41 $50,443.01 2026-03-31
82 MS_DRG Traumatic Stupor And Coma Greater Than 1 Hour With Mcc 39 16 — — $20,828.41 $293,500.86 $49,826.98 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 16 — — $36,360.12 $245,338.39 $49,757.14 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 46 23 — $170,685.80 $43,282.37 $197,478.59 $49,675.23 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 39 16 — — $16,605.87 $188,245.28 $49,550.71 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 39 16 — — $39,432.72 $244,442.12 $48,832.45 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 39 16 — — $22,884.47 $201,942.16 $46,834.41 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 39 16 — — $35,520.29 $248,527.56 $46,089.51 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 39 16 — — $39,902.99 $247,420.28 $45,888.43 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 39 16 — — $17,905.04 $171,661.72 $45,621.70 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 39 16 — — $39,277.24 $211,203.34 $45,168.83 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 39 16 — — $32,537.94 $261,186.62 $44,717.06 2026-03-31
789 MS_DRG Neonates Died Or Transferred To Another Acute Care Facility 39 16 — — $16,257.01 $242,691.06 $43,576.95 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 39 16 — — $30,757.24 $154,084.95 $42,859.80 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 16 — — $30,587.42 $188,425.93 $41,411.86 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 16 — — $30,349.26 $186,917.72 $41,351.24 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 39 16 — — $27,349.89 $142,820.75 $40,560.05 2026-03-31
J9274 HCPCS Kimmtrak 100 Mcg/0.5ml IV Soln 46 23 — $141,820.00 $206.24 $164,081.69 $40,520.00 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 16 — — $19,996.33 $156,527.07 $40,206.36 2026-03-31
374 MS_DRG Digestive Malignancy With Mcc 39 16 — — $18,984.31 $142,601.94 $39,502.65 2026-03-31
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 39 16 — — $21,781.37 $138,509.93 $39,335.81 2026-03-31
791 MS_DRG Prematurity With Major Problems 39 16 — — $20,614.56 $230,469.28 $39,241.14 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 39 16 — — $10,002.69 $208,724.25 $39,239.88 2026-03-31
441 MS_DRG Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Mcc 39 16 — — $17,032.45 $177,336.14 $38,167.07 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 39 16 — — $26,207.02 $160,685.39 $37,992.16 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 39 16 — — $22,653.96 $253,326.21 $37,987.62 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 39 16 — — $26,311.26 $202,633.83 $37,755.57 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 39 16 — — $25,261.14 $129,115.52 $36,667.86 2026-03-31
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 39 16 — — $26,218.64 $150,180.84 $36,662.38 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 39 16 — — $22,452.59 $223,282.53 $36,642.79 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 39 16 — — $30,294.45 $206,832.40 $35,926.14 2026-03-31
280 MS_DRG Acute Myocardial Infarction Discharged Alive With Mcc 39 16 — — $14,833.30 $144,887.74 $35,899.30 2026-03-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 39 16 — — $14,818.29 $129,163.04 $35,497.99 2026-03-31
380 MS_DRG Complicated Peptic Ulcer With Mcc 39 16 — — $17,331.85 $123,978.24 $35,059.11 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 39 16 — — $27,657.47 $169,870.93 $34,536.84 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours With Mcc 39 16 — — $17,665.70 $150,373.96 $33,668.15 2026-03-31
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 39 16 — — $19,884.27 $175,745.40 $33,656.90 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 39 16 — — $18,221.08 $130,385.85 $33,163.47 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 39 16 — — $26,078.97 $176,970.22 $33,095.26 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 39 16 — — $26,056.89 $176,490.36 $33,008.12 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 39 16 — — $26,504.06 $162,566.51 $32,665.35 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 39 16 — — $21,325.64 $113,800.56 $32,318.53 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 39 16 — — $25,479.29 $144,333.43 $32,151.05 2026-03-31
J9269 HCPCS Elzonris 1000 Mcg/ml IV Soln 46 23 — $112,522.17 $331.19 $130,184.93 $32,149.19 2026-03-31
551 MS_DRG Medical Back Problems With Mcc 39 16 — — $15,407.38 $109,900.93 $31,211.06 2026-03-31
54 MS_DRG Nervous System Neoplasms With Mcc 39 16 — — $13,576.53 $113,123.19 $31,089.74 2026-03-31
38 MS_DRG Extracranial Procedures With Cc 39 16 — — $14,567.46 $169,608.58 $31,074.99 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 16 — — $17,136.80 $115,146.36 $30,960.11 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 39 16 — — $20,724.18 $108,808.55 $30,900.83 2026-03-31
919 MS_DRG Complications Of Treatment With Mcc 39 16 — — $16,442.48 $396,357.16 $30,842.40 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 39 16 — — $17,683.31 $120,979.62 $30,250.55 2026-03-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 39 16 — — $20,233.14 $137,821.03 $30,110.20 2026-03-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 39 16 — — $17,639.20 $202,277.69 $29,869.23 2026-03-31
617 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 39 16 — — $17,396.32 $142,465.60 $29,742.83 2026-03-31
J2507 HCPCS Krystexxa 8 Mg/ml IV Soln 46 23 — $102,615.80 $3,456.92 $118,723.55 $29,318.80 2026-03-31
A9508 HCPCS Azedra Dosimetric 15 Mci/ml IV Soln 15 14 — $38,052.00 $745.05 $35,768.88 $28,919.52 2026-03-31
33249 CPT Insj-rplcmt Perm Dfb W-trnsvns Lds 1-dual Chmbr 39 16 — — $1,018.00 $77,665.75 $28,769.35 2026-03-31
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 39 16 — — $397.00 $77,665.75 $28,769.35 2026-03-31
33264 CPT Rmvl Impltbl Dfb Pls Gen W-rplcmt Pls Gen Mlt Ld 39 16 — — $449.00 $77,665.75 $28,769.35 2026-03-31
33270 CPT Ins-rplcmnt Perm Subq Impltbl Dfb W-subq Eltrd 39 16 — — $719.00 $77,665.75 $28,769.35 2026-03-31
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 39 16 — — $16,482.22 $113,112.01 $28,398.86 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 39 16 — — $20,883.17 $126,970.12 $28,243.97 2026-03-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 39 16 — — $15,030.25 $164,050.09 $27,909.95 2026-03-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 39 16 — — $17,983.64 $123,203.65 $27,892.52 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 39 16 — — $21,212.59 $109,452.83 $27,691.84 2026-03-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 39 16 — — $18,151.45 $111,044.46 $27,458.67 2026-03-31
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 39 16 — — $21,590.22 $163,455.04 $27,389.53 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 39 16 — — $20,990.92 $192,422.94 $27,363.79 2026-03-31
J9359 HCPCS Zynlonta 10 Mg IV Solr 46 23 — $94,581.41 $205.90 $109,427.99 $27,023.26 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 39 16 — — $20,226.07 $108,610.44 $26,465.34 2026-03-31
682 MS_DRG Renal Failure With Mcc 39 16 — — $13,601.25 $111,549.15 $26,380.67 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 39 16 — — $15,182.16 $103,795.27 $26,367.41 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 39 16 — — $14,623.10 $101,992.57 $26,357.96 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 39 16 — — $19,356.13 $123,808.28 $26,150.94 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 39 16 — — $21,959.77 $136,667.55 $25,978.40 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 39 16 — — $16,394.79 $111,156.14 $25,699.67 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 39 16 — — $18,661.93 $110,429.14 $25,650.67 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc-mcc 39 16 — — $16,673.20 $100,308.95 $25,484.75 2026-03-31
64590 CPT Ins-rplc Perph Sac-gstrc Npg-rcvr Pckt Crtjandconn 39 16 — — $2,633.00 $97,112.38 $25,375.15 2026-03-31
33263 CPT Rmvl Impltbl Dfb Plse Gen W-rplcmt Plse Gen 2 Ld 39 16 — — $432.00 $77,665.75 $25,232.55 2026-03-31
33262 CPT Rmvl Impltbl Dfb Plse Gen W-repl Plse Gen 1 Lead 39 16 — — $416.00 $77,665.75 $25,232.55 2026-03-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 39 16 — — $18,955.16 $98,811.22 $25,202.39 2026-03-31
J2326 HCPCS Spinraza 12 Mg/5ml It Soln 46 23 — $87,500.00 $1,147.50 $101,235.00 $25,000.00 2026-03-31
J9600 HCPCS Photofrin 75 Mg IV Solr 45 22 — $78,067.50 $21,189.75 $90,321.87 $24,955.27 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 39 16 — — $14,347.02 $94,306.69 $24,765.63 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 39 16 — — $19,228.20 $174,841.59 $24,585.64 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 39 16 — — $21,311.19 $108,264.21 $24,507.87 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 39 16 — — $14,613.38 $113,035.30 $24,146.41 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc-mcc 39 16 — — $16,454.52 $98,924.06 $24,112.23 2026-03-31
792 MS_DRG Prematurity Without Major Problems 39 16 — — $8,756.65 $92,869.23 $23,822.43 2026-03-31
100 MS_DRG Seizures With Mcc 39 16 — — $17,870.60 $89,542.44 $23,714.27 2026-03-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 39 16 — — $18,992.25 $98,416.40 $23,566.30 2026-03-31
J0202 HCPCS Lemtrada 12 Mg/1.2ml IV Soln 46 23 — $81,959.19 $2,318.67 $94,824.43 $23,416.91 2026-03-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 39 16 — — $15,774.79 $106,698.07 $23,220.53 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc-mcc 39 16 — — $16,030.71 $111,584.10 $23,146.16 2026-03-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 39 16 — — $10,672.59 $83,692.29 $23,001.22 2026-03-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 39 16 — — $16,451.31 $125,688.67 $22,924.04 2026-03-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 39 16 — — $16,989.17 $100,153.44 $22,888.56 2026-03-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc-mcc 39 16 — — $16,020.32 $97,963.86 $22,886.29 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With Mcc 39 16 — — $12,065.38 $86,693.99 $22,762.40 2026-03-31
J9229 HCPCS Besponsa 0.9 Mg IV Solr 46 23 — $78,991.57 $2,563.15 $91,390.99 $22,569.02 2026-03-31
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 39 16 — — $16,315.30 $79,060.91 $22,452.72 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 39 16 — — $15,773.02 $116,896.04 $22,434.88 2026-03-31
85 MS_DRG Traumatic Stupor And Coma Less Than 1 Hour With Mcc 39 16 — — $18,771.16 $113,595.06 $22,170.48 2026-03-31
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 39 16 — — $13,248.80 $89,791.55 $21,988.69 2026-03-31
391 MS_DRG Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 39 16 — — $11,681.19 $80,145.91 $21,603.76 2026-03-31
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc-mcc 39 16 — — $16,275.55 $108,984.65 $21,311.81 2026-03-31
291 MS_DRG Heart Failure And Shock With Mcc 39 16 — — $11,860.48 $95,642.49 $21,297.60 2026-03-31
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 46 23 — — $4,527.92 $73,486.34 $21,216.93 2026-03-31
165 MS_DRG Major Chest Procedures Without Cc-mcc 39 16 — — $16,799.29 $93,024.20 $21,119.92 2026-03-31
196 MS_DRG Interstitial Lung Disease With Mcc 39 16 — — $16,976.80 $109,900.14 $20,915.87 2026-03-31
178 MS_DRG Respiratory Infections And Inflammations With Cc 39 16 — — $9,098.74 $74,069.02 $20,356.45 2026-03-31
920 MS_DRG Complications Of Treatment With Cc 39 16 — — $9,308.95 $72,769.88 $19,999.41 2026-03-31
637 MS_DRG Diabetes With Mcc 39 16 — — $13,198.52 $86,636.12 $19,859.86 2026-03-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 39 16 — — $12,781.65 $103,067.37 $19,675.09 2026-03-31
643 MS_DRG Endocrine Disorders With Mcc 39 16 — — $14,973.73 $96,791.63 $19,620.67 2026-03-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 39 16 — — $16,736.53 $100,709.99 $19,595.59 2026-03-31
811 MS_DRG Red Blood Cell Disorders With Mcc 39 16 — — $12,762.22 $72,387.51 $19,587.42 2026-03-31
375 MS_DRG Digestive Malignancy With Cc 39 16 — — $11,188.38 $74,886.02 $19,548.72 2026-03-31
181 MS_DRG Respiratory Neoplasms With Cc 39 16 — — $10,142.68 $70,962.23 $19,347.45 2026-03-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 39 16 — — $14,962.25 $148,191.54 $19,330.38 2026-03-31
707 MS_DRG Major Male Pelvic Procedures With Cc-mcc 39 16 — — $12,743.56 $75,423.03 $19,039.44 2026-03-31
315 MS_DRG Other Circulatory System Diagnoses With Cc 39 16 — — $8,835.55 $66,561.53 $18,737.00 2026-03-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 39 16 — — $15,213.07 $111,269.68 $18,715.32 2026-03-31
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 39 16 — — $9,317.77 $79,596.52 $18,689.37 2026-03-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc-mcc 39 16 — — $14,918.09 $84,685.07 $18,550.14 2026-03-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 39 16 — — $8,447.55 $71,046.01 $18,535.70 2026-03-31
205 MS_DRG Other Respiratory System Diagnoses With Mcc 39 16 — — $13,044.48 $115,755.48 $18,531.39 2026-03-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc-mcc 39 16 — — $14,866.15 $74,424.68 $18,508.29 2026-03-31
J7311 HCPCS Retisert 0.59 Mg Iz Impl 46 23 — $63,875.00 $322.77 $73,901.55 $18,250.00 2026-03-31
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 46 23 — — $4,293.45 $36,909.00 $18,219.20 2026-03-31
398 MS_DRG Appendix Procedures With Cc 39 16 — — $13,701.05 $69,836.46 $18,133.79 2026-03-31
947 MS_DRG Signs And Symptoms With Mcc 39 16 — — $11,696.21 $92,823.47 $18,121.50 2026-03-31
304 MS_DRG Hypertension With Mcc 39 16 — — $10,712.33 $63,624.14 $18,068.79 2026-03-31
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 39 16 — — $14,790.97 $88,389.00 $18,058.94 2026-03-31
C2616 HCPCS Y-90 Theraspheres 46 23 — $67,532.50 $12,186.08 $63,480.55 $18,053.37 2026-03-31
813 MS_DRG Coagulation Disorders 39 16 — — $14,008.41 $94,053.34 $18,020.12 2026-03-31
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 39 16 — — $15,007.65 $89,761.18 $17,948.29 2026-03-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc-mcc 39 16 — — $15,336.00 $67,461.74 $17,943.47 2026-03-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 39 16 — — $15,191.06 $80,293.16 $17,906.91 2026-03-31
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 39 16 — — $11,712.10 $61,632.10 $17,503.07 2026-03-31
580 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Cc 39 16 — — $13,189.61 $78,247.77 $17,426.77 2026-03-31
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 39 16 — — $10,296.35 $68,995.62 $17,366.73 2026-03-31
199 MS_DRG Pneumothorax With Mcc 39 16 — — $14,197.64 $76,483.78 $17,352.68 2026-03-31
42 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc-mcc 39 16 — — $10,374.99 $65,861.83 $17,195.12 2026-03-31
J3241 HCPCS Tepezza 500 Mg IV Solr 46 23 — $59,561.67 $341.14 $68,911.15 $17,017.62 2026-03-31
786 MS_DRG Cesarean Section Without Sterilization With Mcc 39 16 — — $14,608.09 $75,329.35 $16,990.63 2026-03-31
33274 CPT Tcat Insj-rpl Perm Leadless Pacemaker Rv W-img 39 16 — — $597.00 $32,963.67 $16,972.28 2026-03-31
33229 CPT Remvl Perm Pm Pls Gen W-repl Plse Gen Mult Lead 39 16 — — $416.00 $32,963.67 $16,972.28 2026-03-31
J9266 HCPCS Oncaspar 750 Unit/ml Ij Soln 46 23 — $17,876.77 $4,852.27 $88,819.50 $16,880.78 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 39 16 — — $11,974.42 $76,823.81 $16,769.16 2026-03-31
951 MS_DRG Other Factors Influencing Health Status 39 16 — — $5,344.30 $92,954.38 $16,597.71 2026-03-31
884 MS_DRG Organic Disturbances And Intellectual Disability 37 16 — — $7,843.16 $65,720.69 $16,358.20 2026-03-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 39 16 — — $10,254.84 $74,874.33 $16,333.07 2026-03-31
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 39 16 — — $13,859.66 $68,706.28 $16,324.07 2026-03-31
621 MS_DRG O.r. Procedures For Obesity Without Cc-mcc 39 16 — — $13,247.09 $60,794.68 $16,314.20 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 39 16 — — $11,265.21 $68,287.75 $16,214.07 2026-03-31
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 39 16 — — $8,336.54 $57,088.93 $16,212.84 2026-03-31
J2787 HCPCS Photrexa-photrexa Viscous Kit 0.146 &0.146-20 % Op Sosy 15 14 — $21,000.00 $1,539.00 $19,740.00 $15,960.00 2026-03-31
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc-mcc 39 16 — — $13,779.74 $81,985.02 $15,846.70 2026-03-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 39 16 — — $13,707.29 $81,526.19 $15,763.39 2026-03-31
620 MS_DRG O.r. Procedures For Obesity With Cc 39 16 — — $12,843.27 $68,042.92 $15,733.27 2026-03-31
328 MS_DRG Stomach Esophageal And Duodenal Procedures Without Cc-mcc 39 16 — — $11,336.68 $66,513.41 $15,699.59 2026-03-31
713 MS_DRG Transurethral Prostatectomy With Cc-mcc 39 16 — — $13,107.55 $56,556.97 $15,689.50 2026-03-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 39 16 — — $10,987.01 $80,983.08 $15,664.76 2026-03-31
183 MS_DRG Major Chest Trauma With Mcc 39 16 — — $13,566.04 $59,431.81 $15,639.94 2026-03-31
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 39 16 — — $9,344.27 $60,945.02 $15,488.54 2026-03-31
27130 CPT Arthrp Acetblr-prox Fem Prostc Agrft-algrft 46 23 — — $4,527.92 $60,470.09 $15,453.69 2026-03-31
281 MS_DRG Acute Myocardial Infarction Discharged Alive With Cc 39 16 — — $8,477.86 $63,841.84 $15,359.36 2026-03-31
581 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures Without Cc-mcc 39 16 — — $13,047.49 $79,239.38 $15,348.12 2026-03-31
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 39 16 — — $12,171.36 $64,781.00 $15,335.83 2026-03-31
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And-or Dandc 39 16 — — $10,019.03 $53,827.98 $15,286.75 2026-03-31
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc-mcc 39 16 — — $6,415.61 $60,972.29 $15,278.07 2026-03-31
54405 CPT Insj Multi-component Inflatable Penile Prosth 46 23 — — $3,014.00 $27,511.83 $15,262.92 2026-03-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours Without Mcc 39 16 — — $9,442.31 $62,455.31 $15,227.90 2026-03-31
23473 CPT Revis Shoulder Arthrplsty Humeral-glenoid Compnt 46 23 — — $4,527.92 $73,486.34 $15,225.31 2026-03-31
27446 CPT Arthrp Knee Condyleandplateau Medial-lat Cmprt 46 23 — — $4,527.92 $60,470.09 $15,225.31 2026-03-31
27447 CPT Arthrp Kne Condyleandplatu Medialandlat Compartments 46 23 — — $4,527.92 $60,470.09 $15,225.31 2026-03-31
602 MS_DRG Cellulitis With Mcc 39 16 — — $13,190.90 $72,865.23 $15,169.54 2026-03-31
37227 CPT Revsc Opn-prq Fem-pop W-stnt-athrc-angiop Sm Vsl 46 23 — — $3,486.93 $26,512.19 $14,999.56 2026-03-31
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 39 16 — — $9,706.38 $76,821.10 $14,908.98 2026-03-31
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc-mcc 39 16 — — $12,472.39 $73,705.72 $14,838.41 2026-03-31
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 39 16 — — $7,707.72 $58,945.66 $14,815.64 2026-03-31
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 39 16 — — $9,342.50 $52,169.10 $14,815.64 2026-03-31
964 MS_DRG Other Multiple Significant Trauma With Cc 39 16 — — $12,515.92 $73,981.37 $14,800.88 2026-03-31
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc-mc… 39 16 — — $11,756.35 $68,942.98 $14,729.69 2026-03-31
204 MS_DRG Respiratory Signs And Symptoms 39 16 — — $7,499.28 $51,832.32 $14,720.00 2026-03-31
615 MS_DRG Adrenal And Pituitary Procedures Without Cc-mcc 39 16 — — $12,777.14 $75,635.65 $14,693.71 2026-03-31
708 MS_DRG Major Male Pelvic Procedures Without Cc-mcc 39 16 — — $10,287.55 $59,869.36 $14,631.54 2026-03-31
794 MS_DRG Neonate With Other Significant Problems 39 16 — — $4,425.88 $55,952.05 $14,500.53 2026-03-31
37231 CPT Revsc Opn-prq Tib-pero W-stnt-athr-angiop Sm Vsl 46 23 — — $3,486.93 $25,421.66 $14,454.30 2026-03-31
562 MS_DRG Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh With Mc… 39 16 — — $12,232.66 $72,187.51 $14,448.71 2026-03-31
683 MS_DRG Renal Failure With Cc 39 16 — — $8,187.29 $58,270.21 $14,272.79 2026-03-31
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 39 16 — — $7,933.81 $53,979.43 $14,268.56 2026-03-31
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 39 16 — — $9,784.98 $93,387.78 $14,200.63 2026-03-31
563 MS_DRG Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without… 39 16 — — $8,230.56 $49,796.01 $14,141.70 2026-03-31
92933 CPT Prq Trluml Coronry Stent-ath-angio One Art-brnch 39 16 — — $753.00 $65,196.55 $14,119.95 2026-03-31
445 MS_DRG Disorders Of The Biliary Tract With Cc 39 16 — — $9,914.81 $57,813.80 $14,036.26 2026-03-31
287 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization Without Mcc 39 16 — — $9,960.74 $52,686.67 $14,009.39 2026-03-31
0275 RC Aicd Secura Dr 37cc 64x51x15mm 1,246 6 — $38,437.77 $2,565.41 $37,044.00 $13,837.60 2026-03-31
J9247 HCPCS Pepaxto 20 Mg IV Solr 32 19 — $33,250.00 $7,769.63 $33,118.24 $13,781.42 2026-03-31
83 MS_DRG Traumatic Stupor And Coma Greater Than 1 Hour With Cc 39 16 — — $11,128.52 $77,996.10 $13,745.34 2026-03-31
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc-mcc 39 16 — — $11,889.14 $58,761.69 $13,672.51 2026-03-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 39 16 — — $11,274.92 $79,082.26 $13,636.90 2026-03-31
22612 CPT Arthrodesis Posterior-pstlat Tq 1ntrspc Lumbar 46 23 — — $4,293.45 $22,849.00 $13,571.23 2026-03-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 39 16 — — $11,778.34 $63,783.48 $13,545.09 2026-03-31
64581 CPT Open Implantation Nea Sacral Nerve 39 16 — — $3,014.00 $73,021.93 $13,537.74 2026-03-31
378 MS_DRG Gastrointestinal Hemorrhage With Cc 39 16 — — $9,043.98 $54,997.43 $13,355.92 2026-03-31
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 39 16 — — $9,427.29 $56,020.72 $13,285.31 2026-03-31
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 39 16 — — $9,644.55 $61,218.13 $13,267.85 2026-03-31
155 MS_DRG Other Ear Nose Mouth And Throat Diagnoses With Cc 39 16 — — $8,582.07 $46,361.83 $13,166.42 2026-03-31
300 MS_DRG Peripheral Vascular Disorders With Cc 39 16 — — $9,792.05 $64,430.50 $13,068.00 2026-03-31
784 MS_DRG Cesarean Section With Sterilization With Cc 39 16 — — $9,901.57 $46,410.20 $13,062.84 2026-03-31
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc-mcc 39 16 — — $11,036.41 $50,388.23 $13,044.85 2026-03-31
37238 CPT Open-perq Placement Intravascular Stent Same 1st 46 23 — — $3,486.93 $23,059.75 $13,013.39 2026-03-31
86 MS_DRG Traumatic Stupor And Coma Less Than 1 Hour With Cc 39 16 — — $10,353.61 $59,911.72 $12,987.12 2026-03-31
394 MS_DRG Other Digestive System Diagnoses With Cc 39 16 — — $8,650.08 $51,463.57 $12,976.10 2026-03-31
37242 CPT Vascular Embolization Or Occlusion Arterial Rsandi 46 23 — — $3,486.93 $22,310.60 $12,898.76 2026-03-31
37226 CPT Revsc Opn-prq Fem-pop W-stnt-angiop Sm Vsl 46 23 — — $3,486.93 $22,293.60 $12,890.26 2026-03-31
19357 CPT Tissue Expander Placement Breast Reconstruction 46 23 — — $4,127.86 $21,616.84 $12,872.35 2026-03-31
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc-mcc 39 16 — — $10,923.41 $47,726.09 $12,756.86 2026-03-31
C9602 HCPCS Perc D-e Cor Stent Ather S 39 16 — — $422.00 $65,196.55 $12,753.43 2026-03-31
C9600 HCPCS Perc Drug-el Cor Stent Sing 39 16 — — $422.00 $65,196.55 $12,748.34 2026-03-31
92928 CPT Prq Trluml Coronary Stent W-angio One Art-brnch 40 17 — — $673.00 $65,196.55 $12,748.34 2026-03-31
92943 CPT Prq Trluml Coronry Chronic Occlus Revasc One Vsl 39 16 — — $754.00 $65,196.55 $12,748.34 2026-03-31
546 MS_DRG Connective Tissue Disorders With Cc 39 16 — — $10,561.31 $74,282.00 $12,668.12 2026-03-31
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 39 16 — — $9,167.63 $64,099.98 $12,598.92 2026-03-31
37184 CPT Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 46 23 — — $3,486.92 $22,310.60 $12,550.20 2026-03-31
399 MS_DRG Appendix Procedures Without Cc-mcc 39 16 — — $10,261.91 $57,395.31 $12,492.62 2026-03-31
37228 CPT Revsc Opn-prq Tib-pero W-angioplasty Uni 46 23 — — $3,486.92 $21,419.74 $12,453.33 2026-03-31
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 46 23 — — $4,293.45 $20,484.13 $12,388.79 2026-03-31
33208 CPT Ins New-rplcmt Prm Pm W-transv Eltrd Atrialandvent 40 17 — — $639.00 $60,753.09 $12,383.62 2026-03-31
33228 CPT Remvl Perm Pm Pls Gen W-repl Plse Gen 2 Lead Sys 39 16 — — $399.00 $32,963.67 $12,383.62 2026-03-31
55866 CPT Laps Surg Prst8ect Rpbic Rad W-nrv Sparing Robot 46 23 — — $3,517.52 $55,117.00 $12,319.60 2026-03-31
37221 CPT Revsc Opn-prq Iliac Art W-stnt Plmt And Angioplsty 46 23 — — $3,486.93 $21,139.88 $12,313.41 2026-03-31
J9037 HCPCS Blenrep 100 Mg IV Solr 32 19 — $28,969.50 $44.13 $33,118.24 $12,267.83 2026-03-31
787 MS_DRG Cesarean Section Without Sterilization With Cc 39 16 — — $9,714.33 $49,994.21 $12,251.32 2026-03-31
55867 CPT Laps Surg Prst8ect Smpl Stot Robotic Assistance 46 23 — — $3,517.52 $36,909.00 $12,011.61 2026-03-31
202 MS_DRG Bronchitis And Asthma With Cc-mcc 39 16 — — $8,874.42 $51,421.71 $12,004.19 2026-03-31
176 MS_DRG Pulmonary Embolism Without Mcc 39 16 — — $7,530.19 $60,716.92 $11,984.59 2026-03-31
389 MS_DRG Gastrointestinal Obstruction With Cc 39 16 — — $7,416.26 $46,814.53 $11,805.24 2026-03-31
92 MS_DRG Other Disorders Of Nervous System With Cc 39 16 — — $9,686.95 $47,035.32 $11,543.47 2026-03-31
47564 CPT Laps Surg Cholecstc W-expl Common Duct 46 23 — — $3,520.06 $19,558.77 $11,539.42 2026-03-31
381 MS_DRG Complicated Peptic Ulcer With Cc 39 16 — — $9,955.44 $57,069.32 $11,462.77 2026-03-31
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 39 16 — — $8,253.77 $42,368.33 $11,441.80 2026-03-31
558 MS_DRG Tendonitis Myositis And Bursitis Without Mcc 39 16 — — $7,965.61 $45,124.93 $11,413.25 2026-03-31
81416 CPT Hc Lab Exome Sequence Analysis Each Comparator Exome 28 21 — $8,918.00 $6,777.68 $16,117.92 $11,409.46 2026-03-31
446 MS_DRG Disorders Of The Biliary Tract Without Cc-mcc 39 16 — — $7,378.29 $43,010.11 $11,362.39 2026-03-31
58542 CPT Laps Supracrv Hysterect 250 Gm-less Than Rmvl Tube-ovar 46 23 — — $2,709.87 $22,802.83 $11,338.48 2026-03-31
24575 CPT Open Tx Humeral Epicondylar Fracture 46 23 — — $3,014.00 $19,558.77 $11,286.39 2026-03-31
29867 CPT Arthroscopy Knee Osteochondral Allograft 46 23 — — $4,293.45 $18,190.64 $11,242.05 2026-03-31
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 39 16 — — $9,542.99 $52,563.72 $11,237.31 2026-03-31
788 MS_DRG Cesarean Section Without Sterilization Without Cc-mcc 39 16 — — $8,326.84 $43,482.21 $11,207.54 2026-03-31
552 MS_DRG Medical Back Problems Without Mcc 39 16 — — $8,848.80 $45,639.61 $11,172.56 2026-03-31
84 MS_DRG Traumatic Stupor And Coma Greater Than 1 Hour Without Cc-mcc 39 16 — — $8,780.79 $39,302.12 $11,161.51 2026-03-31
38120 CPT Laparoscopic Surgical Splenectomy 46 23 — — $2,742.06 $19,558.77 $11,127.06 2026-03-31
684 MS_DRG Renal Failure Without Cc-mcc 39 16 — — $5,701.11 $38,958.49 $11,063.93 2026-03-31
638 MS_DRG Diabetes With Cc 39 16 — — $8,437.24 $43,999.86 $11,058.41 2026-03-31
200 MS_DRG Pneumothorax With Cc 39 16 — — $8,934.82 $51,302.73 $11,023.24 2026-03-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 39 16 — — $7,578.77 $51,944.73 $10,887.05 2026-03-31
55 MS_DRG Nervous System Neoplasms Without Mcc 39 16 — — $8,325.88 $56,339.19 $10,864.47 2026-03-31
442 MS_DRG Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Cc 39 16 — — $8,870.00 $54,468.62 $10,849.95 2026-03-31
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 39 16 — — $6,866.04 $44,205.93 $10,822.49 2026-03-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 39 16 — — $7,924.10 $74,564.77 $10,820.98 2026-03-31
28715 CPT Arthrodesis Triple 46 23 — — $2,749.90 $21,180.80 $10,797.42 2026-03-31
158 MS_DRG Dental And Oral Diseases With Cc 39 16 — — $8,643.90 $41,047.48 $10,758.47 2026-03-31
19296 CPT Hc Placement Of Breast Balloon Cath Separate Day 46 23 — $47,461.00 $1,408.41 $44,613.34 $10,756.91 2026-03-31
305 MS_DRG Hypertension Without Mcc 39 16 — — $6,966.72 $37,725.06 $10,713.64 2026-03-31
948 MS_DRG Signs And Symptoms Without Mcc 39 16 — — $7,353.56 $41,737.27 $10,699.12 2026-03-31
23615 CPT Optx Prox Humeral Fx W-int Fixj Rpr Tuberosity 46 23 — — $3,704.00 $17,584.42 $10,644.21 2026-03-31
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