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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

GUTHRIE CORTLAND REGIONAL MEDICAL CENTER

Cortland, NY · CCN 330175 · Rates published

5,696 distinct procedures filed
25 distinct payers
346,775 rate rows
2026-07-15 last MRF observed
Data quality

342,642 of 346,775 rate rows are consumer-grade (98.8%)

4,133 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 2,295
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 567
exceeds 10× this hospital's gross charge — excluded from medians 454
per-diem day rate — not a per-procedure price 341
placeholder amount (≤ $0.02) — excluded from medians 220
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 97
exceeds 3× this hospital's gross charge for a DRG stay — excluded 78
percent-of-charges filed in the dollar field — excluded from medians 75
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=7b9dcd42aaca15ad796e448c09186fb2fd7c909fff74a72aef558bf19a1ba560
Found on page https://www.guthrie.org/about-us/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 5053723c49ccb3e7… · 63,471,621 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
0845
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $4,189,650.00 $4,955,500.00 $4,640,150.00 nat. median
$1,060
outlier · 4377.5×
9138
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $3,427,298.00 $4,053,793.33 $3,795,824.67 nat. median
$3,765,001
1.0× median
0714
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $3,316,462.59 $3,648,108.85 $3,415,956.47 nat. median
$4,693,518
0.7× median
0748
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $3,248,445.71 $3,573,290.29 $3,345,899.09 —
0746
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 $2,945,740.00 $4,713,184.00 $3,048,840.90 —
9141
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 15 $2,455,110.60 $3,928,176.97 $2,528,763.92 nat. median
$2,508,045
1.0× median
0824
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 $2,332,000.00 $3,731,200.00 $2,413,620.00 nat. median
$1,136
outlier · 2123.7×
2067
OTHER 		Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 15 $716,676.60 $2,668,502.94 $809,151.00 nat. median
$838,386
1.0× median
9194
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 15 $550,305.37 $2,049,029.49 $621,312.51 nat. median
$555,653
1.1× median
9498
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 15 $526,258.12 $1,959,490.98 $594,162.39 nat. median
$553,480
1.1× median
9413
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 15 $523,160.51 $1,947,957.23 $590,665.09 nat. median
$542,562
1.1× median
9422
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 15 $518,305.68 $1,929,880.54 $585,183.83 nat. median
$552,917
1.1× median
9035
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 15 $495,904.06 $1,846,469.44 $559,891.68 nat. median
$513,929
1.1× median
9391
OTHER 		Cardiac Catheterization / Electrophysiology / Vascular Diagnostic Study 15 $455,053.29 $1,694,364.00 $513,769.84 nat. median
$483,557
1.1× median
J3357
HCPCS 		Ustekinumab 90 Mg/ml Sc Sosy 16 $41,978.25 $398,078.50 $398,078.50 nat. median
$20,264
outlier · 19.6×
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2ml IV Soln 15 $29,288.42 $348,598.75 $348,598.75 nat. median
$3,427
outlier · 101.7×
0831
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 $278,250.00 $963,524.10 $292,162.50 nat. median
$670
outlier · 435.7×
0897
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 $257,500.00 $891,671.00 $270,375.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $173,566.53 $586,146.46 $257,652.66 nat. median
$186,516
1.4× median
J1303
HCPCS 		Ravulizumab-cwvz 1100 Mg/11ml IV Soln 17 $24,333.10 $762,581.81 $247,178.18 nat. median
$504
outlier · 490.7×
0886
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 $205,640.00 $712,090.19 $215,922.00 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $136,556.52 $385,820.81 $200,514.05 nat. median
$145,435
1.4× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 11 $103,855.22 $233,674.25 $179,911.65 nat. median
$159,438
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $78,423.46 $510,371.80 $145,528.08 nat. median
$65,418
outlier · 2.2×
J2329
HCPCS 		Ublituximab-xiiy 150 Mg/6ml IV Soln 16 $10,785.60 $350,197.31 $132,296.76 nat. median
$116
outlier · 1142.5×
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 11 $79,345.77 $178,527.99 $129,037.24 nat. median
$153,542
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $75,863.51 $161,496.28 $119,235.54 nat. median
$97,418
1.2× median
J1930
HCPCS 		Lanreotide Acetate 120 Mg/0.5ml Sc Soln 13 $7,119.00 $304,447.50 $115,013.50 nat. median
$261
outlier · 440.2×
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 17 $9,180.00 $334,918.13 $108,558.13 nat. median
$114
outlier · 948.2×
J9345
HCPCS 		Retifanlimab-dlwr 500 Mg/20ml IV Soln 16 $14,991.00 $266,254.31 $100,584.96 nat. median
$34
outlier · 2951.4×
J9289
HCPCS 		Nivolumab-hyaluronidase-nvhy 600-10000 Mg-ut/5ml Sc Soln 16 $8,020.80 $252,902.25 $95,540.85 nat. median
$35
outlier · 2698.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $79,805.60 $200,465.40 $94,902.45 nat. median
$2,736
outlier · 34.7×
36906
CPT 		Thrmbc/Nfs Dialysis Circuit W/Stenting 21 $20,477.99 $124,109.00 $94,655.54 nat. median
$18,501
outlier · 5.1×
215
MS_DRG 		Other Heart Assist System Implant 12 $65,425.79 $257,169.11 $83,641.38 nat. median
$73,023
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $62,162.45 $95,138.64 $83,221.85 nat. median
$69,822
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $68,986.33 $101,923.33 $82,993.89 nat. median
$74,509
1.1× median
850
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 $9,915.69 $99,170.74 $81,623.39 nat. median
$30,434
outlier · 2.7×
37231
CPT 		Tib/per Revasc Stent & Ather 21 $13,400.97 $81,218.00 $81,218.00 nat. median
$19,288
outlier · 4.2×
37229
CPT 		Tib/per Revasc With Ather 21 $13,314.18 $80,692.00 $80,692.00 nat. median
$18,507
outlier · 4.4×
910
APR_DRG 		Craniotomy For Multiple Significant Trauma,extreme 11 $41,533.71 $93,450.85 $78,466.05 nat. median
$83,321
0.9× median
J9063
HCPCS 		Mirvetuximab Soravtansine-gynx 100 Mg/20ml IV Soln 16 $6,952.00 $206,546.63 $78,028.73 nat. median
$140
outlier · 557.7×
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis,extreme 11 $40,927.64 $93,276.98 $74,564.30 nat. median
$70,875
1.1× median
221
APR_DRG 		Major Small & Large Bowel Procedures,extreme 9 $8,935.91 $86,056.99 $72,783.49 nat. median
$11,405
outlier · 6.4×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 12 $11,153.03 $206,608.98 $72,284.41 nat. median
$13,260
outlier · 5.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $51,977.86 $82,019.01 $71,729.38 nat. median
$60,505
1.2× median
911
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 11 $37,572.23 $84,537.52 $71,493.88 nat. median
$13,098
outlier · 5.5×
912
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 11 $43,789.16 $98,525.61 $71,042.15 nat. median
$21,764
outlier · 3.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $53,990.31 $81,762.02 $70,590.74 nat. median
$59,651
1.2× median
312
APR_DRG 		Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,moderate 11 $51,948.48 $98,947.30 $70,122.38 nat. median
$16,336
outlier · 4.3×
791
APR_DRG 		O.r. Procedure For Other Complications Of Treatment,major 8 $8,573.64 $86,087.89 $69,883.49 —

Other procedures at this hospital

Browse this hospital's 5,696 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
             
0845 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 14 $4,505,000.00 $3,604,000.00 20% off $4,189,650.00 $4,955,500.00 $4,640,150.00 2026-07-15
9138 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 15 14 $3,685,266.67 $2,948,213.33 20% off $3,427,298.00 $4,053,793.33 $3,795,824.67 2026-07-15
0714 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 14 $3,316,462.59 $2,653,170.07 20% off $3,316,462.59 $3,648,108.85 $3,415,956.47 2026-07-15
0748 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 14 $3,248,445.71 $2,598,756.57 $3,248,445.71 $3,573,290.29 $3,345,899.09 2026-07-15
0746 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 15 $2,945,740.00 $2,356,592.00 20% off $2,945,740.00 $4,713,184.00 $3,048,840.90 2026-07-15
9141 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 15 15 $2,455,110.60 $1,964,088.48 20% off $2,455,110.60 $3,928,176.97 $2,528,763.92 2026-07-15
0824 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 15 $2,332,000.00 $1,865,600.00 20% off $2,332,000.00 $3,731,200.00 $2,413,620.00 2026-07-15
2067 OTHER Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 21 15 $770,620.00 $616,496.00 20% off $716,676.60 $2,668,502.94 $809,151.00 2026-07-15
9194 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 21 15 $591,726.20 $473,380.96 $550,305.37 $2,049,029.49 $621,312.51 2026-07-15
9498 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 21 15 $565,868.94 $452,695.16 $526,258.12 $1,959,490.98 $594,162.39 2026-07-15
9413 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 21 15 $562,538.19 $450,030.55 20% off $523,160.51 $1,947,957.23 $590,665.09 2026-07-15
9422 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 21 15 $557,317.93 $445,854.35 $518,305.68 $1,929,880.54 $585,183.83 2026-07-15
9035 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 21 15 $533,230.17 $426,584.14 $495,904.06 $1,846,469.44 $559,891.68 2026-07-15
9391 OTHER Cardiac Catheterization / Electrophysiology / Vascular Diagnostic Study 21 15 $489,304.61 $391,443.69 $455,053.29 $1,694,364.00 $513,769.84 2026-07-15
J3357 HCPCS Ustekinumab 90 Mg/ml Sc Sosy 30 16 $398,078.50 $318,462.80 20% off $41,978.25 $398,078.50 $398,078.50 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 30 15 $348,598.75 $278,879.00 20% off $29,288.42 $348,598.75 $348,598.75 2026-07-15
0831 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 21 15 $278,250.00 $222,600.00 20% off $278,250.00 $963,524.10 $292,162.50 2026-07-15
0897 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 21 15 $257,500.00 $206,000.00 20% off $257,500.00 $891,671.00 $270,375.00 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 $606,157.35 $484,925.88 $173,566.53 $586,146.46 $257,652.66 2026-07-15
J1303 HCPCS Ravulizumab-cwvz 1100 Mg/11ml IV Soln 33 17 $338,925.25 $271,140.20 $24,333.10 $762,581.81 $247,178.18 2026-07-15
0886 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 21 15 $205,640.00 $164,512.00 20% off $205,640.00 $712,090.19 $215,922.00 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 12 $389,175.51 $311,340.41 $136,556.52 $385,820.81 $200,514.05 2026-07-15
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 18 11 $321,270.31 $257,016.25 $103,855.22 $233,674.25 $179,911.65 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 $509,022.61 $407,218.09 $78,423.46 $510,371.80 $145,528.08 2026-07-15
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 30 16 $155,643.25 $124,514.60 $10,785.60 $350,197.31 $132,296.76 2026-07-15
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 18 11 $231,829.97 $185,463.98 $79,345.77 $178,527.99 $129,037.24 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 12 $231,829.97 $185,463.98 $75,863.51 $161,496.28 $119,235.54 2026-07-15
J1930 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 22 13 $135,310.00 $108,248.00 20% off $7,119.00 $304,447.50 $115,013.50 2026-07-15
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 33 17 $148,852.50 $119,082.00 20% off $9,180.00 $334,918.13 $108,558.13 2026-07-15
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20ml IV Soln 30 16 $118,335.25 $94,668.20 20% off $14,991.00 $266,254.31 $100,584.96 2026-07-15
J9289 HCPCS Nivolumab-hyaluronidase-nvhy 600-10000 Mg-ut/5ml Sc Soln 30 16 $112,401.00 $89,920.80 20% off $8,020.80 $252,902.25 $95,540.85 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 12 $200,328.10 $160,262.48 20% off $79,805.60 $200,465.40 $94,902.45 2026-07-15
36906 CPT Thrmbc/Nfs Dialysis Circuit W/Stenting 39 21 $124,109.00 $99,287.20 20% off $20,477.99 $124,109.00 $94,655.54 2026-07-15
215 MS_DRG Other Heart Assist System Implant 18 12 $819,075.73 $655,260.58 20% off $65,425.79 $257,169.11 $83,641.38 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 $249,591.32 $199,673.06 $62,162.45 $95,138.64 $83,221.85 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 $312,842.95 $250,274.36 20% off $68,986.33 $101,923.33 $82,993.89 2026-07-15
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 11 $143,384.80 $114,707.84 $9,915.69 $99,170.74 $81,623.39 2026-07-15
37231 CPT Tib/per Revasc Stent & Ather 40 21 $81,218.00 $64,974.40 20% off $13,400.97 $81,218.00 $81,218.00 2026-07-15
37229 CPT Tib/per Revasc With Ather 40 21 $80,692.00 $64,553.60 20% off $13,314.18 $80,692.00 $80,692.00 2026-07-15
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 18 11 $272,701.39 $218,161.11 20% off $41,533.71 $93,450.85 $78,466.05 2026-07-15
J9063 HCPCS Mirvetuximab Soravtansine-gynx 100 Mg/20ml IV Soln 30 16 $91,798.50 $73,438.80 $6,952.00 $206,546.63 $78,028.73 2026-07-15
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,extreme 18 11 $707,077.05 $565,661.64 20% off $40,927.64 $93,276.98 $74,564.30 2026-07-15
221 APR_DRG Major Small & Large Bowel Procedures,extreme 15 9 $73,459.69 $58,767.75 20% off $8,935.91 $86,056.99 $72,783.49 2026-07-15
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 18 12 $373,302.10 $298,641.68 $11,153.03 $206,608.98 $72,284.41 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 $275,943.79 $220,755.03 20% off $51,977.86 $82,019.01 $71,729.38 2026-07-15
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 18 11 $189,341.31 $151,473.05 $37,572.23 $84,537.52 $71,493.88 2026-07-15
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 18 11 $214,404.87 $171,523.90 $43,789.16 $98,525.61 $71,042.15 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 $197,290.31 $157,832.25 $53,990.31 $81,762.02 $70,590.74 2026-07-15
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,moderate 18 11 $175,230.61 $140,184.49 $51,948.48 $98,947.30 $70,122.38 2026-07-15
791 APR_DRG O.r. Procedure For Other Complications Of Treatment,major 14 8 $130,102.66 $104,082.13 $8,573.64 $86,087.89 $69,883.49 2026-07-15
61623 CPT Endovasc Temp B Vessel Occl 38 21 $67,860.00 $54,288.00 20% off $11,902.64 $67,860.00 $67,860.00 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 $311,619.59 $249,295.67 20% off $21,806.97 $176,260.00 $66,771.45 2026-07-15
0717 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 21 15 $63,342.28 $50,673.83 $58,908.32 $219,341.65 $66,509.40 2026-07-15
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 33 17 $91,073.00 $72,858.40 20% off $15,240.00 $204,914.25 $66,419.54 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 13 9 $86,373.17 $69,098.54 $56,757.27 $66,068.58 $66,068.58 2026-07-15
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures,extreme 19 12 $207,197.47 $165,757.98 $7,058.75 $92,230.13 $66,061.85 2026-07-15
20 APR_DRG Open Craniotomy For Trauma,extreme 18 11 $212,296.52 $169,837.22 $38,874.26 $87,109.02 $66,018.77 2026-07-15
37227 CPT Fem/Popl Revasc Stnt & Ather 37 21 $85,362.00 $68,289.60 $14,972.49 $85,362.00 $65,677.48 2026-07-15
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 18 11 $142,738.69 $114,190.95 20% off $8,225.11 $97,371.60 $64,161.98 2026-07-15
301 APR_DRG Hip Joint Replacement,extreme 14 8 $175,801.57 $140,641.26 $35,073.56 $78,915.50 $64,050.52 2026-07-15
262 APR_DRG Cholecystectomy Except Laparoscopic,extreme 14 8 $164,762.50 $131,810.00 20% off $7,946.39 $78,914.21 $64,049.47 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 12 $259,436.65 $207,549.32 $49,956.44 $74,583.67 $63,677.49 2026-07-15
181 APR_DRG Lower Vascular Procedures,extreme 18 11 $357,866.88 $286,293.50 20% off $38,294.48 $86,162.58 $63,531.74 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 $382,940.83 $306,352.66 20% off $49,390.24 $74,730.42 $63,426.35 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 70 18 $217,755.75 $174,204.60 20% off $8,839.00 $308,661.00 $63,425.25 2026-07-15
37230 CPT Tib/per Revasc With Stent 37 21 $79,179.00 $63,343.20 20% off $13,888.00 $79,179.00 $63,343.20 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 12 $137,006.62 $109,605.30 $51,078.96 $136,175.66 $62,729.17 2026-07-15
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 18 11 $100,704.99 $80,563.99 20% off $35,182.87 $79,161.45 $62,346.35 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 $213,797.32 $171,037.86 $46,324.16 $74,164.10 $62,104.20 2026-07-15
5244 OTHER Level 4 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 21 15 $59,142.33 $47,313.86 20% off $55,002.37 $204,798.06 $62,099.45 2026-07-15
447 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures,extreme 18 11 $143,091.37 $114,473.10 $42,820.35 $99,220.96 $62,054.48 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 12 $233,199.36 $186,559.49 $47,130.36 $148,038.34 $62,011.92 2026-07-15
J9316 HCPCS Pertuz-trastuz-hyaluron-zzxf 60-60-2000 Mg-mg-u/ml Sc Soln 66 17 $94,619.38 $75,695.50 20% off $7,606.44 $277,802.44 $61,733.88 2026-07-15
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 35 18 $123,380.50 $98,704.40 20% off $7,164.00 $277,606.13 $61,690.25 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 $150,206.15 $120,164.92 20% off $39,826.93 $150,206.15 $61,371.84 2026-07-15
36903 CPT Intro Cath Dialysis Circuit W/Stenting 39 21 $76,601.00 $61,280.80 $12,639.17 $76,601.00 $61,280.80 2026-07-15
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 19 12 $75,309.36 $60,247.49 $6,830.18 $82,349.75 $61,216.03 2026-07-15
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,majo… 18 11 $184,098.63 $147,278.90 20% off $9,766.32 $91,927.53 $61,164.76 2026-07-15
650 APR_DRG Splenic Procedures,extreme 14 8 $161,616.30 $129,293.04 20% off $7,863.98 $74,399.60 $60,377.96 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 12 $60,091.79 $48,073.43 20% off $44,320.68 $69,827.42 $60,065.79 2026-07-15
1643 OTHER New Technology Apc Û Mid Cost Band (Temporary Payment Classification For Emergin… 21 15 $56,824.55 $45,459.64 20% off $52,846.83 $196,772.05 $59,665.78 2026-07-15
37236 CPT Open/Perq Place Stent 1st Artery 39 21 $73,272.00 $58,617.60 20% off $12,089.88 $73,272.00 $58,764.14 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 $129,152.03 $103,321.62 20% off $45,064.30 $69,417.21 $58,444.96 2026-07-15
9273 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 21 15 $55,272.32 $44,217.86 $51,403.26 $191,397.00 $58,035.94 2026-07-15
121 APR_DRG Other Respiratory And Chest Procedures,extreme 18 11 $86,858.01 $69,486.41 $7,565.84 $78,959.28 $57,955.52 2026-07-15
182 APR_DRG Other Upper Vascular Procedures,extreme 18 11 $250,635.77 $200,508.62 $9,014.88 $81,726.51 $57,859.78 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 12 $436,916.22 $349,532.98 $44,610.18 $67,297.36 $57,073.00 2026-07-15
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,moderate 18 11 $311,414.59 $249,131.67 20% off $30,693.72 $69,060.87 $56,677.26 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 $272,701.39 $218,161.11 20% off $40,463.39 $65,859.85 $55,945.29 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 $274,467.43 $219,573.94 20% off $43,904.35 $66,968.61 $55,794.90 2026-07-15
J9356 HCPCS Trastuzumab-hyaluronidase-oysk 600-10000 Mg-unt/5ml Sc Soln 30 16 $65,497.00 $52,397.60 20% off $3,778.38 $147,368.25 $55,672.45 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 11 $146,923.19 $117,538.55 20% off $49,257.16 $146,923.19 $55,612.92 2026-07-15
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,extreme 18 11 $244,110.25 $195,288.20 $7,711.01 $78,686.30 $55,204.79 2026-07-15
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 30 16 $63,871.25 $51,097.00 20% off $10,043.95 $143,710.31 $54,290.56 2026-07-15
J9204 HCPCS Mogamulizumab-kpkc 20 Mg/5ml IV Soln 30 16 $63,772.00 $51,017.60 20% off $4,969.94 $143,487.00 $54,206.20 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 13 $347,301.84 $277,841.47 20% off $10,892.28 $62,670.72 $54,053.15 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 18 12 $165,843.26 $132,674.61 $38,597.17 $98,878.19 $54,041.79 2026-07-15
J9999 HCPCS Telisotuzumab Vedotin-tllv 20 Mg IV Solr 52 16 $39,170.00 $31,336.00 20% off $19,585.00 $440,662.50 $53,858.75 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 $171,976.58 $137,581.26 20% off $40,769.75 $64,034.18 $53,673.33 2026-07-15
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg IV Solr 31 16 $63,070.50 $50,456.40 20% off $7,545.92 $63,070.50 $53,609.93 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 12 $85,351.90 $68,281.52 $41,676.36 $105,024.79 $53,520.68 2026-07-15
169 APR_DRG Major Abdominal Vascular Procedures,major 18 11 $167,830.10 $134,264.08 20% off $38,322.48 $93,456.00 $53,332.29 2026-07-15
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,minor 18 11 $162,326.95 $129,861.56 20% off $30,918.06 $69,565.65 $53,136.39 2026-07-15
161 APR_DRG Implantable Heart Assist Systems,moderate 18 11 $112,536.90 $90,029.52 $35,496.49 $156,797.21 $52,762.01 2026-07-15
J9311 HCPCS Rituximab-hyaluronidase Human 1400-23400 Mg -ut/11.7ml Sc Soln 66 17 $79,041.12 $63,232.90 20% off $5,114.20 $236,914.31 $52,647.63 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 12 $156,577.76 $125,262.21 $41,932.33 $155,397.72 $52,180.60 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 18 12 $118,435.75 $94,748.60 $35,861.60 $99,989.45 $51,336.99 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 $143,991.34 $115,193.07 20% off $43,672.49 $97,660.89 $51,266.25 2026-07-15
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Sosy 44 12 $54,963.38 $43,970.70 20% off $25,604.00 $132,117.19 $51,208.00 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 12 $292,749.64 $234,199.71 20% off $25,049.31 $90,138.99 $50,789.75 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 $439,305.99 $351,444.79 20% off $35,260.81 $99,637.07 $50,786.16 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 12 $229,073.42 $183,258.74 $33,292.55 $99,495.38 $50,709.36 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 12 $136,034.39 $108,827.51 20% off $39,235.43 $135,234.93 $50,638.94 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 12 $183,123.44 $146,498.75 20% off $33,026.10 $99,339.14 $50,629.91 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 13 $99,014.09 $79,211.27 20% off $6,654.45 $88,675.64 $50,531.76 2026-07-15
305 APR_DRG Amputation Of Lower Limb Except Toes,extreme 19 12 $143,034.70 $114,427.76 20% off $36,493.44 $82,110.24 $50,496.97 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 12 $178,530.25 $142,824.20 $40,599.01 $58,718.03 $50,294.14 2026-07-15
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 18 11 $249,588.32 $199,670.66 $26,442.66 $66,622.79 $50,240.43 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 $158,307.96 $126,646.37 $38,100.78 $59,062.30 $50,102.62 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 12 $193,851.56 $155,081.25 $28,363.90 $90,937.45 $50,078.53 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 12 $322,675.71 $258,140.57 $40,006.27 $59,700.40 $49,923.02 2026-07-15
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate 18 11 $164,850.38 $131,880.30 20% off $26,079.24 $62,438.45 $49,546.44 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 13 $375,813.18 $300,650.54 20% off $15,443.95 $97,135.75 $49,509.64 2026-07-15
J9024 HCPCS Atezolizumab-hyaluronidas-tqjs 1875-30000 Mg-ut/15ml Sc Soln 30 16 $58,239.00 $46,591.20 20% off $11,863.13 $131,037.75 $49,503.15 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 13 9 $166,529.89 $133,223.91 20% off $42,479.88 $49,448.92 $49,448.92 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 $208,822.77 $167,058.22 $32,389.44 $96,281.81 $49,151.65 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 18 12 $160,946.69 $128,757.35 20% off $34,674.11 $94,658.04 $48,732.40 2026-07-15
J9312 HCPCS Rituximab 500 Mg/50ml IV Soln 33 17 $66,475.00 $53,180.00 20% off $3,796.55 $149,568.75 $48,480.22 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 $231,584.85 $185,267.88 20% off $37,665.24 $57,180.98 $48,389.40 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 $145,359.83 $116,287.86 20% off $38,912.30 $58,097.41 $48,376.88 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 $111,889.11 $89,511.29 $38,729.11 $57,318.39 $48,214.46 2026-07-15
229 APR_DRG Other Digestive System And Abdominal Procedures,extreme 18 11 $92,119.89 $73,695.91 20% off $8,620.15 $75,478.68 $48,092.76 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 $281,849.07 $225,479.26 $29,021.06 $87,354.52 $48,017.71 2026-07-15
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 35 18 $95,550.25 $76,440.20 20% off $6,699.00 $214,988.06 $47,775.13 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 12 $197,193.30 $157,754.64 $32,531.00 $98,260.73 $47,519.12 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 $171,726.32 $137,381.06 $28,568.86 $98,422.78 $47,429.78 2026-07-15
1142 OTHER Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 21 15 $45,020.65 $36,016.52 20% off $41,869.20 $155,897.51 $47,271.68 2026-07-15
1580 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 21 15 $45,000.50 $36,000.40 $41,850.46 $155,827.73 $47,250.53 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 $164,270.71 $131,416.57 $36,308.66 $56,014.09 $47,177.40 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 12 $115,658.78 $92,527.02 20% off $32,272.87 $90,307.36 $46,831.12 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 $144,575.84 $115,660.67 20% off $29,774.28 $91,820.67 $46,807.29 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 12 $129,182.86 $103,346.29 $32,020.52 $89,975.10 $46,792.16 2026-07-15
37238 CPT Open/Perq Place Stent 1st Vein 39 21 $58,067.00 $46,453.60 20% off $9,581.06 $58,067.00 $46,453.60 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 12 $104,343.61 $83,474.89 $30,787.55 $89,668.12 $46,170.00 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 $210,591.33 $168,473.06 20% off $36,400.26 $89,468.13 $46,145.32 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 12 $130,707.95 $104,566.36 20% off $33,220.17 $76,830.21 $45,998.32 2026-07-15
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,extreme 18 11 $75,534.97 $60,427.98 $13,499.00 $82,532.60 $45,969.95 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 12 $86,239.87 $68,991.90 $24,960.29 $84,794.00 $45,897.77 2026-07-15
546 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses,extreme 14 8 $195,589.53 $156,471.62 20% off $25,081.15 $56,432.58 $45,766.23 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 13 9 $146,818.10 $117,454.48 20% off $39,174.90 $45,601.74 $45,601.74 2026-07-15
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml IV Soln 30 16 $53,390.50 $42,712.40 20% off $5,431.20 $120,128.63 $45,381.93 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 $143,391.50 $114,713.20 20% off $31,506.20 $88,151.18 $45,231.34 2026-07-15
C9797 HCPCS Vascular Emb Or Occlusion W/Use Of Press -gen Cath; Rad S/i 43 21 $53,184.00 $42,547.20 20% off $8,775.36 $78,806.27 $45,206.40 2026-07-15
120 APR_DRG Major Respiratory And Chest Procedures,moderate 18 11 $141,619.07 $113,295.26 $33,651.55 $79,393.23 $44,946.53 2026-07-15
J9319 HCPCS Romidepsin 10 Mg IV Solr 30 16 $44,811.00 $35,848.80 $3,107.50 $92,621.81 $44,811.00 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 $44,836.64 $35,869.31 20% off $31,025.82 $87,707.95 $44,792.43 2026-07-15
224 APR_DRG Peritoneal Adhesiolysis,moderate 19 12 $240,655.57 $192,524.46 $9,592.34 $72,668.96 $44,682.35 2026-07-15
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,major 18 11 $207,131.82 $165,705.46 $23,410.59 $53,131.79 $44,450.29 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 12 $156,800.46 $125,440.37 $31,257.68 $86,745.37 $44,226.85 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 $229,324.21 $183,459.37 $30,362.26 $85,492.00 $44,025.49 2026-07-15
C2616 HCPCS Bs Therasphere Yttrium Y90 88 22 $72,704.88 $58,163.91 $11,463.13 $75,936.26 $43,956.32 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 12 $176,093.01 $140,874.41 $29,640.42 $85,237.69 $43,894.90 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 12 $74,586.41 $59,669.13 $28,930.10 $83,760.88 $43,262.72 2026-07-15
245 MS_DRG Aicd Generator Procedures 21 13 $50,190.76 $40,152.61 $5,991.78 $83,141.45 $43,242.39 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 $102,349.89 $81,879.91 20% off $30,631.27 $84,160.50 $43,217.90 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 12 $189,241.75 $151,393.40 20% off $28,834.67 $83,548.34 $43,027.40 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 18 12 $207,325.49 $165,860.39 20% off $33,228.37 $84,907.03 $42,839.04 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 12 $188,275.55 $150,620.44 $28,284.48 $83,045.99 $42,838.54 2026-07-15
J9347 HCPCS Tremelimumab-actl 25 Mg/1.25ml IV Soln 60 16 $190,901.75 $152,721.40 20% off $3,529.13 $793,586.81 $42,349.50 2026-07-15
174 APR_DRG Percutaneous Cardiac Intervention With Ami,extreme 18 11 $98,189.98 $78,551.98 20% off $22,340.39 $50,265.87 $42,273.79 2026-07-15
23 APR_DRG Spinal Procedures,major 18 11 $111,861.52 $89,489.22 $9,819.54 $56,287.07 $42,258.88 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 18 12 $165,820.01 $132,656.01 $30,190.61 $81,849.74 $42,233.15 2026-07-15
690 APR_DRG Acute Leukemia,major 14 11 $111,889.11 $89,511.29 $35,126.21 $79,033.97 $42,069.84 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 12 $86,544.41 $69,235.53 $27,559.43 $78,245.98 $41,900.76 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 12 $177,531.32 $142,025.06 $28,736.15 $81,530.54 $41,706.47 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 12 $113,928.85 $91,143.08 20% off $26,366.82 $81,653.72 $41,638.10 2026-07-15
36905 CPT Throbc/Nfs Dialysis Circuit W/Angioplasty 39 21 $51,786.00 $41,428.80 $8,544.69 $51,786.00 $41,428.80 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 12 $259,506.16 $207,604.93 $18,914.61 $93,602.43 $41,297.20 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 12 $206,194.10 $164,955.28 20% off $27,405.07 $80,060.66 $40,828.14 2026-07-15
37225 CPT Fem/Popl Revasc With Ather 37 21 $52,851.00 $42,280.80 $9,270.07 $52,851.00 $40,613.94 2026-07-15
47540 CPT Perq Plmt Bile Stent; New Access W/Sep Bil Drain 40 21 $40,612.00 $32,489.60 20% off $3,365.98 $40,612.00 $40,612.00 2026-07-15
J0896 HCPCS Luspatercept 50 Mg/ml Sq Syringe 90 16 $95,529.50 $76,423.60 $4,196.20 $222,845.63 $40,389.50 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 13 $93,730.53 $74,984.42 20% off $26,516.70 $92,978.03 $40,387.95 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 12 $178,432.15 $142,745.72 $31,109.66 $112,056.21 $40,212.81 2026-07-15
264 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures,major 18 11 $82,093.81 $65,675.05 $9,081.84 $80,214.77 $40,208.32 2026-07-15
37242 CPT Vasc Embolize/Occlude Artery 39 21 $50,035.00 $40,028.00 20% off $8,255.78 $78,806.27 $40,128.07 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 12 $89,557.84 $71,646.27 20% off $23,685.69 $86,141.87 $39,619.44 2026-07-15
0236T CPT Trluml Perip Athrc Abd Aorta 41 21 $39,615.00 $31,692.00 20% off $2,091.00 $39,615.00 $39,615.00 2026-07-15
0238T CPT Trluml Perip Athrc Iliac 41 21 $39,615.00 $31,692.00 20% off $2,091.00 $39,615.00 $39,615.00 2026-07-15
0235T CPT Trluml Perip Athrc Visceral 38 21 $39,615.00 $31,692.00 20% off $5,586.21 $39,615.00 $39,615.00 2026-07-15
0234T CPT Trluml Perip Athrc Renal Art 41 21 $39,615.00 $31,692.00 20% off $2,091.00 $39,615.00 $39,615.00 2026-07-15
0237T CPT Trluml Perip Athrc Brchiocph 41 21 $39,615.00 $31,692.00 20% off $2,091.00 $39,615.00 $39,615.00 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 21 13 $212,611.50 $170,089.20 $8,962.57 $85,768.28 $39,568.40 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 18 12 $421,238.34 $336,990.67 20% off $27,719.56 $76,496.70 $39,406.27 2026-07-15
37241 CPT Vasc Embolize/Occlude Venous 39 21 $49,091.12 $39,272.90 $8,100.03 $49,770.12 $39,371.08 2026-07-15
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 35 18 $78,643.50 $62,914.80 $5,666.00 $176,947.88 $39,321.75 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 12 $170,177.80 $136,142.24 20% off $26,635.83 $76,979.90 $39,261.79 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 12 $148,568.16 $118,854.53 $25,651.38 $76,849.10 $39,195.28 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 12 $268,586.15 $214,868.92 20% off $25,906.94 $86,800.69 $39,175.88 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 12 $168,475.04 $134,780.03 20% off $25,883.89 $76,355.02 $38,944.08 2026-07-15
47539 CPT Perq Plmt Bile Stent; New Access Without Sep Bil Drain 41 22 $38,923.00 $31,138.40 $1,976.00 $38,923.00 $38,923.00 2026-07-15
37226 CPT Fem/Popl Revasc With Stent 39 21 $51,302.00 $41,041.60 20% off $8,464.83 $51,302.00 $38,710.30 2026-07-15
37221 CPT Iliac Revasc With Stent 39 21 $48,096.00 $38,476.80 $7,935.84 $48,096.00 $38,476.80 2026-07-15
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg IV Solr 60 16 $48,946.25 $39,157.00 20% off $2,933.04 $134,155.13 $38,268.00 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 12 $121,791.52 $97,433.22 $29,804.63 $113,860.75 $38,137.51 2026-07-15
J9286 HCPCS Glofitamab-gxbm 10 Mg/10ml IV Soln 60 16 $95,691.62 $76,553.30 20% off $2,770.57 $345,180.38 $37,969.75 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 12 $81,722.34 $65,377.87 20% off $23,133.30 $80,542.23 $37,651.23 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg IV Solr 35 18 $75,127.75 $60,102.20 20% off $6,501.00 $169,037.44 $37,563.88 2026-07-15
47556 CPT Perc Dil Biliary Stricture W Stent 41 22 $36,909.00 $29,527.20 20% off $1,976.00 $36,909.00 $36,909.00 2026-07-15
37239 CPT Open/Perq Place Stent Ea Add Vein 41 22 $36,857.00 $29,485.60 20% off $1,976.00 $36,857.00 $36,857.00 2026-07-15
37237 CPT Open/Perq Place Stent Ea Add Artery 41 22 $36,857.00 $29,485.60 20% off $1,976.00 $36,857.00 $36,857.00 2026-07-15
1579 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 21 15 $35,000.50 $28,000.40 $32,550.47 $121,199.73 $36,750.53 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 18 12 $244,758.63 $195,806.90 20% off $17,533.69 $95,844.50 $36,387.96 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 $120,362.11 $96,289.69 $24,267.26 $71,325.13 $36,386.72 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 12 $343,341.95 $274,673.56 20% off $24,988.47 $99,634.95 $36,382.68 2026-07-15
37228 CPT Tib/per Revasc With Tla 39 21 $45,219.00 $36,175.20 20% off $7,461.14 $45,219.00 $36,175.20 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 12 $124,413.98 $99,531.18 20% off $23,823.40 $70,006.35 $36,073.37 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 12 $89,065.00 $71,252.00 20% off $20,855.96 $88,431.76 $36,010.43 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 12 $111,758.70 $89,406.96 $24,839.87 $99,984.56 $35,762.37 2026-07-15
37243 CPT Vasc Embolize/Occlude Organ 41 22 $47,203.00 $37,762.40 $2,601.00 $49,770.12 $35,537.96 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 12 $44,075.95 $35,260.76 $21,300.47 $68,494.84 $35,375.21 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 13 $107,210.47 $85,768.38 $14,717.62 $70,404.16 $35,291.77 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 12 $136,511.66 $109,209.33 $25,990.21 $65,355.45 $35,206.20 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 12 $246,909.79 $197,527.83 20% off $25,712.87 $67,962.80 $35,023.98 2026-07-15
20983 CPT Ablate Bone Tumor(S) Perq 44 22 $35,020.00 $28,016.00 20% off $1,784.00 $35,020.00 $35,020.00 2026-07-15
260 APR_DRG Major Pancreas, Liver And Shunt Procedures,major 18 11 $210,216.64 $168,173.31 20% off $18,428.12 $43,435.99 $34,935.58 2026-07-15
681 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major 18 11 $169,212.86 $135,370.29 $22,286.02 $50,143.54 $34,905.06 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 12 $150,797.88 $120,638.30 20% off $23,510.33 $98,159.34 $34,897.66 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 12 $113,317.24 $90,653.79 20% off $24,502.97 $69,935.84 $34,785.77 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 12 $104,244.61 $83,395.69 $23,389.78 $68,153.52 $34,774.18 2026-07-15
930 APR_DRG Multiple Significant Trauma Without O.r. Procedure,extreme 18 11 $234,565.38 $187,652.30 20% off $5,501.52 $48,015.00 $34,393.69 2026-07-15
C1767 HCPCS Interstimm Ii 44 22 $34,347.28 $27,477.82 20% off $5,667.30 $34,347.28 $34,347.28 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 13 9 $145,804.83 $116,643.86 20% off $29,498.87 $34,338.30 $34,338.30 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 12 $112,485.83 $89,988.66 20% off $22,174.75 $66,960.07 $34,167.39 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 12 $126,144.90 $100,915.92 20% off $23,203.39 $64,367.77 $34,137.24 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 12 $74,374.57 $59,499.66 $23,294.34 $66,046.22 $34,117.80 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 12 $82,814.80 $66,251.84 20% off $20,594.00 $82,815.05 $34,107.04 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 12 $102,190.42 $81,752.34 $25,349.07 $63,614.10 $34,089.50 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 12 $84,070.64 $67,256.51 20% off $22,937.59 $84,070.64 $34,080.92 2026-07-15
47538 CPT Perq Plmt Bile Duct Stent; Each Stent; Existing Access 40 21 $40,039.00 $32,031.20 20% off $3,365.98 $40,039.00 $34,033.15 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 $93,400.41 $74,720.33 $20,499.84 $93,400.41 $33,900.89 2026-07-15
381 APR_DRG Major Skin Disorders,extreme 19 12 $46,715.06 $37,372.05 $5,467.75 $76,972.39 $33,744.23 2026-07-15
C9765 HCPCS Ivl W/Stent Fem/Pop 44 22 $33,711.50 $26,969.20 20% off $1,976.00 $33,711.50 $33,711.50 2026-07-15
332 MS_DRG Rectal Resection With Mcc 18 12 $120,551.62 $96,441.30 $23,405.79 $66,035.48 $33,697.30 2026-07-15
265 MS_DRG Aicd Lead Procedures 18 12 $126,280.02 $101,024.02 $22,635.91 $65,990.08 $33,674.22 2026-07-15
5232 OTHER Level 2 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 21 15 $32,061.58 $25,649.26 20% off $32,061.58 $111,022.84 $33,664.66 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 12 $110,632.43 $88,505.94 20% off $22,897.88 $88,221.75 $33,560.64 2026-07-15
193 APR_DRG Acute And Subacute Endocarditis,major 18 11 $101,014.92 $80,811.94 $8,314.96 $58,447.80 $33,521.88 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 12 $88,284.05 $70,627.24 $22,578.91 $88,284.05 $33,492.32 2026-07-15
5166 OTHER Level 6 Urinary And Male Genital System Procedure Û Includes Renal, Ureteral, Bl… 21 15 $31,807.82 $25,446.26 $31,807.82 $110,144.12 $33,398.21 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 12 $150,414.15 $120,331.32 $23,840.69 $65,034.60 $33,188.42 2026-07-15
C1982 HCPCS Trinav Infusion System 120cm 42 21 $33,155.33 $26,524.26 20% off $5,470.63 $33,155.33 $33,155.33 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 12 $181,098.91 $144,879.13 $22,136.96 $64,865.65 $33,102.52 2026-07-15
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 35 18 $38,916.00 $31,132.80 20% off $4,777.44 $87,561.00 $33,078.60 2026-07-15
61635 CPT Intracran Angioplsty W/Stent 36 21 $32,956.00 $26,364.80 20% off $3,365.98 $32,956.00 $32,956.00 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 12 $129,340.36 $103,472.29 $22,329.75 $99,924.14 $32,828.23 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 18 12 $350,689.18 $280,551.34 20% off $21,481.09 $91,958.89 $32,799.24 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 $113,231.37 $90,585.10 $21,627.76 $62,542.36 $32,771.26 2026-07-15
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,major 18 11 $113,053.89 $90,443.11 20% off $19,541.83 $43,969.11 $32,722.21 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 12 $71,349.08 $57,079.26 20% off $21,814.15 $71,349.08 $32,691.20 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 18 12 $105,342.48 $84,273.98 20% off $20,918.73 $60,947.48 $32,665.92 2026-07-15
441 APR_DRG Major Bladder Procedures,major 18 11 $244,758.63 $195,806.90 20% off $7,755.82 $41,495.47 $32,422.99 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 18 12 $50,447.07 $40,357.66 $18,680.18 $57,793.90 $32,186.10 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 12 $112,476.26 $89,981.01 $21,578.45 $97,892.51 $32,175.28 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 12 $105,321.65 $84,257.32 $21,957.62 $82,314.66 $32,083.79 2026-07-15
5465 OTHER Level 5 Abdominal / Peritoneal / Hernia Procedure Û Includes Laparoscopic And Op… 21 15 $30,473.59 $24,378.87 20% off $6,532.15 $105,523.95 $31,997.27 2026-07-15
37244 CPT Vasc Embolize/Occlude Bleed 43 22 $42,483.00 $33,986.40 $2,601.00 $88,398.63 $31,984.39 2026-07-15
313 APR_DRG Knee And Lower Leg Procedures Except Foot,extreme 19 12 $225,948.47 $180,758.78 $7,274.51 $48,115.23 $31,982.59 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 12 $157,841.49 $126,273.19 20% off $21,233.86 $64,337.99 $31,814.50 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 13 $217,854.08 $174,283.26 20% off $6,723.49 $96,552.16 $31,724.57 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 33 17 $43,451.75 $34,761.40 $8,904.00 $43,451.75 $31,689.36 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 12 $81,553.48 $65,242.78 20% off $20,016.91 $68,474.29 $31,679.17 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 12 $130,656.60 $104,525.28 20% off $22,129.92 $83,753.71 $31,406.89 2026-07-15
J2353 HCPCS Octreotide Acetate 20 Mg IM Kit 92 18 $59,723.75 $47,779.00 20% off $2,303.28 $201,222.00 $31,316.38 2026-07-15
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 35 18 $62,632.25 $50,105.80 $10,293.60 $140,922.56 $31,316.13 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 18 12 $195,036.77 $156,029.42 $21,620.72 $93,307.15 $31,070.34 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 12 $87,575.50 $70,060.40 20% off $20,757.32 $87,575.50 $30,965.37 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 12 $206,668.92 $165,335.14 $19,473.76 $93,623.20 $30,765.92 2026-07-15
665 MS_DRG Prostatectomy With Mcc 18 12 $50,174.04 $40,139.23 20% off $19,785.69 $57,134.48 $30,712.56 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 12 $128,690.06 $102,952.05 $20,096.33 $90,519.01 $30,453.31 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 12 $91,929.89 $73,543.91 20% off $21,406.79 $91,184.34 $30,423.34 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 12 $223,487.26 $178,789.81 $21,098.07 $91,740.83 $30,225.99 2026-07-15
37248 CPT Trluml Balo Angiop 1st Vein 44 22 $30,072.00 $24,057.60 20% off $1,784.00 $30,072.00 $30,072.00 2026-07-15
302 APR_DRG Knee Joint Replacement,major 15 9 $63,970.88 $51,176.70 20% off $15,843.60 $35,648.11 $30,000.08 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 12 $94,684.11 $75,747.29 $20,249.41 $94,652.11 $29,987.80 2026-07-15
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 18 12 $27,576.64 $22,061.31 20% off $20,016.91 $59,027.45 $29,985.24 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 18 12 $81,986.92 $65,589.54 $20,770.13 $80,300.22 $29,948.19 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 12 $77,358.40 $61,886.72 $19,013.88 $77,361.15 $29,919.94 2026-07-15
50 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis,extreme 18 11 $124,738.70 $99,790.96 $8,168.45 $69,809.02 $29,900.57 2026-07-15
5200 OTHER Level 0 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 21 15 $28,428.33 $22,742.66 20% off $28,428.33 $98,441.62 $29,849.75 2026-07-15
0843 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 21 15 $28,424.06 $22,739.25 $28,424.06 $98,426.83 $29,845.26 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 12 $109,663.71 $87,730.97 $20,200.09 $80,383.65 $29,736.88 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 12 $33,024.86 $26,419.89 $17,348.58 $57,341.74 $29,569.90 2026-07-15
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,major 3 2 $63,608.11 $50,886.49 $29,537.46 $31,946.17 $29,537.46 2026-07-15
36226 CPT Place Cath Vertebral Art 44 22 $29,537.00 $23,629.60 20% off $1,784.00 $29,537.00 $29,537.00 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 13 $92,219.09 $73,775.27 20% off $16,911.86 $92,219.59 $29,345.48 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 $96,722.99 $77,378.39 20% off $19,223.97 $56,844.02 $29,314.32 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 18 12 $55,854.00 $44,683.20 20% off $19,193.86 $55,877.63 $29,186.98 2026-07-15
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures,extreme 19 12 $85,300.00 $68,240.00 20% off $907.16 $50,403.56 $29,062.38 2026-07-15
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg IV Solr 30 16 $34,016.75 $27,213.40 $2,610.58 $76,537.69 $28,914.24 2026-07-15
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