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

MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE

Asheville, NC · CCN 340002 · Rates published

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You selected 27447 (CPT)

Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)

This hospital’s price: $14,400 across 13 payers · range $2,550-$62,226

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2048706_MISSION-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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.

36,403 distinct procedures filed
38 distinct payers
1,989,386 rate rows
2026-03-01 last MRF observed
Data quality

1,338,167 of 1,989,386 rate rows are consumer-grade (67.3%)

651,219 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 623,652
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 26,283
per-diem day rate — not a per-procedure price 1,038
placeholder amount (≤ $0.02) — excluded from medians 162
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 55
exceeds 10× this hospital's gross charge — excluded from medians 29
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/9995062d911c4dce9c2a73c479104f33?download=true
Found on page https://www.missionhealth.org/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-04
Content fingerprint bc7258e3b3d74e03… · 557,632,013 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
845
OTHER 		Inj, Atidarsagene Autotem 11 $4,505,000.00 $4,955,500.00 $4,640,150.00 nat. median
$16,015
outlier · 289.7×
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 9 $3,672,900.00 $4,407,480.00 $3,783,087.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 9 $3,605,000.00 $4,326,000.00 $3,713,150.00 nat. median
$3,646,097
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 13 $3,335,820.00 $4,002,984.00 $3,469,252.80 nat. median
$29,683
outlier · 116.9×
714
OTHER 		Inj Delandistrogene Mox R 14 $3,325,455.00 $3,993,432.00 $3,427,695.80 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 9 $3,286,000.00 $3,943,200.00 $3,384,580.00 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 13 $3,180,000.00 $3,816,000.00 $3,307,200.00 nat. median
$24,604
outlier · 134.4×
746
OTHER 		Inj, Betibeglogene Autote 14 $2,939,969.00 $3,561,600.00 $3,057,040.00 nat. median
$2,939,969
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $2,928,356.00 $2,928,356.00 $2,928,356.00 nat. median
$809,151
outlier · 3.6×
9141
OTHER 		Inj Onase Abepar-xioi Tre 9 $2,388,614.00 $2,866,336.80 $2,460,272.42 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 13 $2,332,000.00 $2,798,400.00 $2,425,280.00 nat. median
$58,186
outlier · 41.7×
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $2,136,364.71 $2,136,364.71 $2,136,364.71 nat. median
$624,417
outlier · 3.4×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 $2,120,710.57 $2,120,710.57 $2,120,710.57 nat. median
$610,161
outlier · 3.5×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $1,369,371.65 $2,152,818.94 $1,369,371.65 nat. median
$691,418
2.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $1,328,128.35 $2,233,068.37 $1,328,128.35 nat. median
$631,793
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $1,279,600.63 $2,022,330.51 $1,279,600.63 nat. median
$588,565
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $1,175,752.00 $1,859,910.76 $1,175,752.00 nat. median
$577,541
outlier · 2.0×
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $1,057,350.00 $1,057,350.00 $1,057,350.00 nat. median
$302,242
outlier · 3.5×
2067
OTHER 		Afamitresgene Autoleucel 13 $770,620.00 $924,744.00 $801,444.80 nat. median
$786,032
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $766,342.28 $766,342.28 $766,342.28 nat. median
$209,736
outlier · 3.7×
9498
OTHER 		Ciltacabtagene Car-pos T 14 $527,123.40 $705,179.52 $599,402.59 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 14 $529,192.90 $679,837.56 $577,861.93 nat. median
$576,820
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 9 $526,587.60 $631,905.12 $542,385.23 nat. median
$560,872
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 9 $516,726.10 $620,071.32 $532,227.88 nat. median
$562,201
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel C 9 $489,456.00 $587,347.20 $504,139.68 nat. median
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 14 $460,530.40 $587,340.24 $499,239.20 nat. median
$492,768
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 33 $199,322.69 $715,359.00 $356,115.45 nat. median
$261,939
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 $260,767.00 $593,860.23 $324,151.80 nat. median
$370,165
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 13 $278,250.00 $333,900.00 $289,380.00 nat. median
$20,175
outlier · 14.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 $149,287.20 $464,216.35 $243,384.99 nat. median
$199,832
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $94,095.97 $280,827.75 $187,461.86 nat. median
$114,305
1.6× median
A9699
HCPCS 		Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 $177,441.49 $177,441.49 $177,441.49 nat. median
$4,125
outlier · 43.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 $17,022.00 $466,956.79 $173,893.51 nat. median
$205,166
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 26 $86,530.45 $247,553.47 $167,041.96 nat. median
$96,134
1.7× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 2 $166,116.65 $244,244.20 $166,116.65 nat. median
$69,291
outlier · 2.4×
516430
CDM 		Kit Hrt Implant Lvas 15 $80,349.46 $393,655.48 $165,991.40 nat. median
$162,274
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $99,291.72 $229,702.20 $164,496.96 nat. median
$132,706
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 28 $76,967.62 $248,008.95 $162,488.29 nat. median
$99,646
1.6× median
7
MS_DRG 		Lung Transplant 28 $93,865.48 $205,793.29 $149,829.39 nat. median
$122,690
1.2× median
1908
OTHER 		New Technology - Level 52 9 $144,713.80 $173,656.56 $149,055.21 nat. median
$155,877
1.0× median
1907
OTHER 		New Technology - Level 52 14 $142,673.40 $173,656.56 $149,055.21 nat. median
$155,877
1.0× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 $145,223.54 $206,735.62 $145,223.54 nat. median
$65,655
outlier · 2.2×
J9999
HCPCS 		Carmustine Wafers 8/box 15 $56,099.26 $274,846.66 $137,423.33 nat. median
$2,547
outlier · 54.0×
C9293
HCPCS 		Glucarpidase 1000 U Inj 15 $1,705.02 $276,933.76 $136,928.36 nat. median
$24,377
outlier · 5.6×
1906
OTHER 		New Technology - Level 51 14 $128,640.00 $156,575.64 $134,394.09 nat. median
$140,545
1.0× median
1905
OTHER 		New Technology - Level 51 9 $130,479.70 $156,575.64 $134,394.09 nat. median
$140,545
1.0× median
456896
CDM 		Device Vntrc Asst Hrtmt 15 $64,761.05 $317,283.30 $133,787.79 nat. median
$66,206
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 $79,559.60 $393,452.00 $128,284.82 nat. median
$108,240
1.2× median
494847
CDM 		Syst Imp Hrtmt2 Lft Vent 15 $61,658.72 $302,084.10 $127,378.79 nat. median
$132,044
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 33 $17,022.00 $237,827.44 $124,338.62 nat. median
$100,978
1.2× median

Other procedures at this hospital

Browse this hospital's 36,403 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
845 OTHER Inj, Atidarsagene Autotem 13 11 — — $4,505,000.00 $4,955,500.00 $4,640,150.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 10 9 — — $3,672,900.00 $4,407,480.00 $3,783,087.00 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 10 9 — — $3,605,000.00 $4,326,000.00 $3,713,150.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 15 13 — — $3,335,820.00 $4,002,984.00 $3,469,252.80 2026-03-01
714 OTHER Inj Delandistrogene Mox R 25 14 — — $3,325,455.00 $3,993,432.00 $3,427,695.80 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 10 9 — — $3,286,000.00 $3,943,200.00 $3,384,580.00 2024-10-01
906 OTHER Inj Elivaldogene Autoteme 15 13 — — $3,180,000.00 $3,816,000.00 $3,307,200.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 25 14 — — $2,939,969.00 $3,561,600.00 $3,057,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $2,928,356.00 $2,928,356.00 $2,928,356.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 10 9 — — $2,388,614.00 $2,866,336.80 $2,460,272.42 2024-10-01
824 OTHER Inj, Exagamglogene Autote 15 13 — — $2,332,000.00 $2,798,400.00 $2,425,280.00 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 1 — — $2,136,364.71 $2,136,364.71 $2,136,364.71 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 1 — — $2,120,710.57 $2,120,710.57 $2,120,710.57 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 2 — — $1,369,371.65 $2,152,818.94 $1,369,371.65 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 9 2 — — $1,328,128.35 $2,233,068.37 $1,328,128.35 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 9 2 — — $1,279,600.63 $2,022,330.51 $1,279,600.63 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 9 2 — — $1,175,752.00 $1,859,910.76 $1,175,752.00 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $1,057,350.00 $1,057,350.00 $1,057,350.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 15 13 — — $770,620.00 $924,744.00 $801,444.80 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $766,342.28 $766,342.28 $766,342.28 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 25 14 — — $527,123.40 $705,179.52 $599,402.59 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 25 14 — — $529,192.90 $679,837.56 $577,861.93 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 10 9 — — $526,587.60 $631,905.12 $542,385.23 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 10 9 — — $516,726.10 $620,071.32 $532,227.88 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 10 9 — — $489,456.00 $587,347.20 $504,139.68 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 25 14 — — $460,530.40 $587,340.24 $499,239.20 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 94 33 — — $199,322.69 $715,359.00 $356,115.45 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 27 — — $260,767.00 $593,860.23 $324,151.80 2024-10-01
831 OTHER Obecbtge Autol Up To 400 15 13 — — $278,250.00 $333,900.00 $289,380.00 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 96 33 — — $149,287.20 $464,216.35 $243,384.99 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 37 28 — — $94,095.97 $280,827.75 $187,461.86 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $177,441.49 $177,441.49 $177,441.49 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 78 33 — — $17,022.00 $466,956.79 $173,893.51 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 47 26 — — $86,530.45 $247,553.47 $167,041.96 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 2 — — $166,116.65 $244,244.20 $166,116.65 2026-03-01
516430 CDM Kit Hrt Implant Lvas 42 15 $437,394.98 $437,394.98 $80,349.46 $393,655.48 $165,991.40 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 28 — — $99,291.72 $229,702.20 $164,496.96 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 37 28 — — $76,967.62 $248,008.95 $162,488.29 2024-10-01
7 MS_DRG Lung Transplant 37 28 — — $93,865.48 $205,793.29 $149,829.39 2024-10-01
1908 OTHER New Technology - Level 52 10 9 — — $144,713.80 $173,656.56 $149,055.21 2024-10-01
1907 OTHER New Technology - Level 52 25 14 — — $142,673.40 $173,656.56 $149,055.21 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 5 2 — — $145,223.54 $206,735.62 $145,223.54 2026-03-01
J9999 HCPCS Carmustine Wafers 8/box 25 15 $282,764.06 $282,764.06 $56,099.26 $274,846.66 $137,423.33 2026-03-01
C9293 HCPCS Glucarpidase 1000 U Inj 26 15 $284,911.28 $284,911.28 $1,705.02 $276,933.76 $136,928.36 2026-03-01
1905 OTHER New Technology - Level 51 10 9 — — $130,479.70 $156,575.64 $134,394.09 2024-10-01
1906 OTHER New Technology - Level 51 25 14 — — $128,640.00 $156,575.64 $134,394.09 2026-03-01
456896 CDM Device Vntrc Asst Hrtmt 42 15 $352,537.00 $352,537.00 $64,761.05 $317,283.30 $133,787.79 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 43 28 — — $79,559.60 $393,452.00 $128,284.82 2026-03-01
494847 CDM Syst Imp Hrtmt2 Lft Vent 42 15 $335,649.00 $335,649.00 $61,658.72 $302,084.10 $127,378.79 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 96 33 — — $17,022.00 $237,827.44 $124,338.62 2026-03-01
215 MS_DRG Other Heart Assist System Implant 43 28 — — $75,085.93 $166,837.46 $120,961.70 2024-10-01
1903 OTHER New Technology - Level 50 25 14 — — $114,606.60 $139,494.72 $119,732.97 2026-03-01
1904 OTHER New Technology - Level 50 10 9 — — $116,245.60 $139,494.72 $119,732.97 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 96 33 — — $74,314.88 $259,029.00 $119,689.56 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 15 13 — — $111,503.00 $133,803.60 $115,963.12 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 5 2 — — $110,645.59 $164,104.29 $110,645.59 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 33 — — $68,623.11 $213,959.62 $110,298.80 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 43 28 — — $65,616.30 $145,059.55 $105,337.93 2024-10-01
1901 OTHER New Technology - Level 49 25 14 — — $100,573.20 $122,413.80 $105,071.85 2026-03-01
1902 OTHER New Technology - Level 49 25 14 — — $100,573.20 $122,413.80 $105,071.85 2026-03-01
10 MS_DRG Pancreas Transplant 86 33 — — $55,349.15 $156,939.73 $99,029.54 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 28 — — $60,563.41 $133,439.10 $97,001.26 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 33 — — $60,530.55 $212,348.00 $96,947.03 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 96 33 — — $59,649.94 $206,241.00 $95,494.13 2026-03-01
1585 OTHER New Technology - Level 48 25 14 — — $88,878.66 $108,179.72 $92,854.26 2026-03-01
1599 OTHER New Technology - Level 48 10 9 — — $90,149.77 $108,179.72 $92,854.26 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 96 33 — — $57,736.02 $254,878.00 $92,336.38 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 88 33 — — $55,039.83 $156,040.84 $90,824.74 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 47 26 — — $44,294.86 $137,307.00 $90,800.93 2026-03-01
652 MS_DRG Kidney Transplant 37 28 — — $24,042.41 $156,542.40 $90,292.40 2024-10-01
J7330 HCPCS Algrf Maci Fnl 1 Membran 46 18 $237,153.96 $237,153.96 $43,565.18 $318,159.75 $89,999.93 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 96 33 — — $56,060.39 $167,208.17 $89,571.80 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 28 — — $55,520.80 $121,842.28 $88,681.54 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 96 33 — — $53,649.33 $248,255.94 $85,593.84 2026-03-01
1584 OTHER New Technology - Level 47 10 9 — — $80,660.38 $96,792.46 $83,080.19 2024-10-01
1598 OTHER New Technology - Level 47 25 14 — — $79,523.07 $96,792.46 $83,080.19 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 96 33 — — $51,149.94 $175,631.00 $81,470.13 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 28 — — $50,929.44 $111,283.24 $81,106.34 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 96 33 — — $11,097.00 $151,167.98 $79,863.58 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 28 — — $49,295.59 $107,525.77 $78,410.68 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 96 33 — — $48,448.54 $180,752.77 $77,013.14 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 96 33 — — $17,022.00 $156,874.12 $76,722.79 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 33 — — $48,195.17 $171,759.00 $76,595.12 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 43 28 — — $40,386.79 $109,485.60 $74,936.20 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 37 28 — — $40,593.14 $109,116.00 $74,854.57 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 28 — — $46,829.06 $101,853.34 $74,341.20 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 33 — — $46,758.54 $160,353.00 $74,224.84 2026-03-01
J9266 HCPCS Pegaspargase Singl Vial 29 15 $115,974.63 $115,974.63 $23,008.90 $112,727.34 $74,024.29 2026-03-01
1597 OTHER New Technology - Level 46 25 14 — — $70,167.47 $85,405.18 $73,306.11 2026-03-01
1583 OTHER New Technology - Level 46 10 9 — — $71,170.98 $85,405.18 $73,306.11 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 96 33 — — $17,022.00 $133,878.95 $72,716.57 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 15 13 — — $68,801.70 $82,562.04 $71,553.77 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 33 — — $43,249.79 $102,433.78 $71,398.04 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 96 33 — — $44,954.86 $163,292.00 $71,248.99 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 96 33 — — $44,900.08 $152,663.00 $71,158.60 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 96 33 — — $42,910.81 $150,065.00 $70,601.62 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 96 33 — — $44,368.02 $145,671.00 $70,280.76 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 43 28 — — $44,168.06 $95,733.67 $69,950.87 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 86 33 — — $42,228.19 $118,809.83 $69,896.98 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 86 33 — — $44,746.90 $129,688.47 $69,896.98 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 28 — — $43,560.68 $94,336.82 $68,948.75 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 28 — — $43,277.87 $93,686.43 $68,482.15 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 96 33 — — $42,830.71 $148,930.00 $67,744.40 2026-03-01
578762 CDM Kit Cath Rt Heart 45 18 $181,712.00 $181,712.00 $33,380.49 $163,540.80 $67,415.15 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 96 33 — — $17,022.00 $128,269.04 $67,045.07 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 96 33 — — $17,022.00 $143,285.67 $66,953.51 2026-03-01
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 28 18 $133,686.05 $133,686.05 $26,522.78 $215,933.29 $66,415.23 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 25 14 — — $63,354.77 $77,129.75 $66,203.03 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 28 — — $41,839.18 $90,377.77 $66,108.48 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 28 — — $41,604.30 $89,837.62 $65,720.96 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 37 28 — — $36,458.95 $93,474.15 $64,966.55 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 96 33 — — $17,022.00 $113,650.46 $64,246.59 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 96 33 — — $36,661.66 $153,501.00 $64,075.65 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 96 33 — — $40,389.53 $186,010.00 $63,716.72 2026-03-01
1582 OTHER New Technology - Level 45 25 14 — — $60,811.87 $74,017.88 $63,532.02 2026-03-01
1596 OTHER New Technology - Level 45 25 14 — — $60,811.87 $74,017.88 $63,532.02 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 96 33 — — $40,238.19 $136,102.00 $63,467.04 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 96 33 — — $39,997.84 $135,271.00 $63,070.49 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 28 — — $39,712.29 $85,486.44 $62,599.36 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 25 14 — — $56,824.55 $78,571.90 $62,507.01 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 96 33 — — $39,522.61 $132,510.00 $62,286.42 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 96 33 — — $17,022.00 $119,286.62 $62,228.80 2026-03-01
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 96 33 — — $17,022.00 $107,194.15 $62,220.89 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 96 33 — — $38,969.32 $131,325.00 $61,373.56 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 33 — — $38,807.71 $133,362.00 $61,106.92 2026-03-01
5244 OTHER Level 4 Blood Product Exc 25 14 — — $49,407.67 $72,146.86 $60,122.38 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 96 33 — — $37,803.85 $127,349.00 $59,450.67 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 33 — — $37,688.12 $127,971.00 $59,259.72 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 96 33 — — $37,424.49 $113,847.30 $58,824.76 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 96 33 — — $17,022.00 $109,079.43 $58,648.51 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 96 33 — — $17,022.00 $107,642.50 $58,171.75 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 28 — — $36,825.32 $78,847.09 $57,836.21 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 96 33 — — $36,798.61 $121,738.36 $57,792.14 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 96 33 — — $17,022.00 $108,012.12 $57,776.32 2026-03-01
0200 RC — 2 1 — — $57,297.99 $57,297.99 $57,297.99 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 25 14 — — $54,404.11 $66,018.28 $56,665.69 2026-03-01
245 MS_DRG Aicd Generator Procedures 96 33 — — $35,681.25 $133,711.00 $56,477.07 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 43 28 — — $35,799.54 $76,488.04 $56,143.79 2024-10-01
J2350 HCPCS Ocrelizumab 300 Mg Inj 33 15 $139,200.48 $139,200.48 $157.62 $135,302.87 $55,774.85 2026-03-01
C9758 HCPCS Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implantatio… 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-03-01
0960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-03-01
0956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-03-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-03-01
0674T CPT Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchroniz… 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 96 33 — — $17,022.00 $102,308.16 $55,219.62 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 96 33 — — $17,022.00 $99,051.57 $54,985.76 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $35,096.29 $74,870.72 $54,983.50 2024-10-01
585067 CDM Valve Tavr 26mm 42 15 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $54,476.46 2026-03-01
585066 CDM Valve Tavr 29mm 42 15 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $54,476.46 2026-03-01
585068 CDM Valve Tavr 20mm 42 15 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $54,476.46 2026-03-01
584925 CDM Valve Tavr 23mm 42 15 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $54,476.46 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 96 33 — — $34,754.59 $138,326.00 $54,419.74 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 96 33 — — $17,022.00 $100,274.16 $54,135.04 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 96 33 — — $34,397.14 $129,708.00 $53,830.00 2026-03-01
1595 OTHER New Technology - Level 44 10 9 — — $52,192.18 $62,630.62 $53,757.95 2024-10-01
1581 OTHER New Technology - Level 44 10 9 — — $52,192.18 $62,630.62 $53,757.95 2024-10-01
37 MS_DRG Extracranial Procedures With Mcc 96 33 — — $25,279.48 $84,005.72 $53,458.49 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 96 33 — — $17,022.00 $154,227.37 $53,340.80 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 88 33 — — $34,087.62 $102,824.32 $53,319.33 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 33 — — $33,986.96 $112,429.00 $53,153.25 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 96 33 — — $17,022.00 $100,530.05 $53,146.47 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 96 33 — — $17,022.00 $99,484.62 $52,238.12 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 47 26 — — $27,223.45 $77,196.00 $52,209.72 2026-03-01
485943 CDM Kit Vlv Aor 18fr 29mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
469507 CDM Kit Aor Vlv 14fr 29mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
469508 CDM Kit Aor Vlv 14fr 20mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
451503 CDM Valve Heart Sapien Trans 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
775844 CDM Valve Heart Trnscth 23mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
441862 CDM Valve Pulm 26mm Sapien R 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
775845 CDM Valve Heart Trnscth 26mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
551582 CDM Valve Heart Trnscth 20mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
457579 CDM Valve Hrt Sapien 26mm As 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
485939 CDM Kit Vlv Aor 18fr 20mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
496433 CDM Valve Ao 9000tfx 23mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
469504 CDM Kit Aor Vlv 14fr 23mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
485942 CDM Kit Vlv Aor 18fr 23mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
451502 CDM Valve Heart Sapien Trans 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
485646 CDM Kit Vlv Aor 18fr 26mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
560365 CDM Valve Aor Sapien3 20mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
560361 CDM Valve Aor 26mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
560363 CDM Valve Aor 23mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
441861 CDM Valve Pulm 23mm Sapien R 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
469506 CDM Kit Aor Vlv 14fr 26mm 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
457578 CDM Valve Hrt Sapien 23mm As 42 15 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $52,073.09 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 28 — — $33,163.19 $70,425.06 $51,794.12 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 15 13 — — $49,605.40 $59,526.48 $51,589.62 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 96 33 — — $17,022.00 $91,783.84 $51,321.88 2026-03-01
590484 CDM System Trcsd 1clip 1cath 42 15 $135,104.00 $135,104.00 $24,818.60 $121,593.60 $51,271.96 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 96 33 — — $32,618.80 $106,588.00 $50,895.94 2026-03-01
598386 CDM Valve Tavr 34mm 42 15 $132,993.00 $132,993.00 $24,430.81 $119,693.70 $50,470.84 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 96 33 — — $11,097.00 $85,170.05 $50,152.55 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 33 — — $32,106.60 $182,239.00 $50,050.87 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 96 33 — — $17,022.00 $96,074.93 $49,459.99 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 96 33 — — $17,022.00 $94,644.57 $49,389.94 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 96 33 — — $17,022.00 $93,286.38 $49,048.75 2026-03-01
121565 CDM Ins/repl Ccm System 26 16 $109,858.58 $109,858.58 $20,181.02 $98,872.72 $48,887.07 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 96 33 — — $17,022.00 $93,890.02 $48,851.17 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 96 33 — — $17,022.00 $91,893.19 $48,608.14 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 96 33 — — $31,029.46 $92,365.61 $48,273.72 2026-03-01
547215 CDM Valve Mitral 29m 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
547229 CDM Valve Mitral 46.5x39.5mm 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
487214 CDM Valve Tavr 23mm 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
487218 CDM Valve Tavr 34mm 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
777080 CDM Valve Tavor Aor 29mm 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
598801 CDM Valve Tavr 23mm 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
545488 CDM Valve Aor Tavr 26mm 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
547223 CDM Valve Mitral 36.5x52.5mm 42 15 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $48,067.47 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 96 33 — — $30,696.66 $103,124.51 $47,724.64 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 96 33 — — $30,680.91 $103,862.00 $47,698.66 2026-03-01
607167 CDM System Dlv Cath 1 Clip 45 18 $128,528.00 $128,528.00 $23,610.59 $115,675.20 $47,683.89 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 28 — — $29,326.00 $65,988.84 $47,657.42 2024-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 96 33 — — $17,022.00 $92,208.14 $47,629.74 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 88 33 — — $26,316.90 $81,049.55 $47,476.12 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 96 33 — — $30,500.82 $100,974.00 $47,401.53 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 96 33 — — $17,022.00 $90,830.26 $47,219.63 2026-03-01
595991 CDM Valve Tavr 29mm 42 15 $123,133.50 $123,133.50 $22,619.62 $110,820.15 $46,729.17 2026-03-01
596518 CDM Valve Tavr 26mm 42 15 $123,133.50 $123,133.50 $22,619.62 $110,820.15 $46,729.17 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $29,818.11 $62,732.16 $46,275.14 2024-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 96 33 — — $28,308.71 $94,385.00 $46,243.50 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 96 33 — — $17,022.00 $81,508.84 $45,854.86 2026-03-01
1142 OTHER Supprelin La Implant 25 14 — — $43,185.34 $54,420.25 $45,776.46 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 96 33 — — $17,022.00 $78,177.89 $45,753.18 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 96 33 — — $29,446.28 $96,739.00 $45,661.66 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 96 33 — — $29,314.81 $94,768.00 $45,444.75 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 96 33 — — $29,167.58 $98,162.00 $45,201.84 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 96 33 — — $17,022.00 $80,334.37 $44,890.02 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 28 — — $28,910.79 $60,645.55 $44,778.17 2024-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 96 33 — — $17,022.00 $76,272.93 $44,771.22 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 96 33 — — $28,713.58 $95,054.00 $44,452.79 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 96 33 — — $28,571.15 $97,122.00 $44,217.80 2026-03-01
1580 OTHER New Technology - Level 43 25 14 — — $42,100.67 $51,243.32 $43,983.85 2026-03-01
1594 OTHER New Technology - Level 43 10 9 — — $42,702.77 $51,243.32 $43,983.85 2024-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 28 — — $28,368.46 $59,398.31 $43,883.39 2024-10-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 47 26 — — $19,514.49 $67,722.00 $43,618.25 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 28 — — $27,523.46 $57,455.00 $42,489.23 2024-10-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 96 33 — — $17,022.00 $77,843.26 $42,334.75 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 28 — — $27,355.69 $57,069.18 $42,212.43 2024-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 96 33 — — $11,097.00 $78,993.68 $41,770.69 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 96 33 — — $17,022.00 $87,136.25 $41,768.43 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 96 33 — — $27,081.10 $88,523.00 $41,759.39 2026-03-01
265 MS_DRG Aicd Lead Procedures 43 28 — — $26,965.38 $56,171.54 $41,568.46 2024-10-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 96 33 — — $26,856.50 $85,655.00 $41,388.82 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 96 33 — — $25,257.64 $120,019.00 $41,156.09 2026-03-01
371977 CDM Set Vntrc 17.4x13.8in 45 18 $110,800.00 $110,800.00 $20,353.96 $99,720.00 $41,106.80 2026-03-01
607265 CDM Cath Vasc Assist Strl 45 18 $110,800.00 $110,800.00 $20,353.96 $99,720.00 $41,106.80 2026-03-01
488819 CDM Set Pump 21fr 5.0 45 18 $110,800.00 $110,800.00 $20,353.96 $99,720.00 $41,106.80 2026-03-01
573195 CDM Kit Cath Rt Heart 45 18 $110,800.00 $110,800.00 $20,353.96 $99,720.00 $41,106.80 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 28 — — $26,646.27 $55,437.68 $41,041.97 2024-10-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 96 33 — — $17,022.00 $74,516.68 $41,009.42 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 15 13 — — $39,378.40 $47,254.08 $40,953.54 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 96 33 — — $17,022.00 $77,917.62 $40,853.31 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 96 33 — — $17,022.00 $74,982.54 $40,846.53 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 96 33 — — $17,022.00 $77,983.24 $40,825.06 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 96 33 — — $26,472.34 $80,210.00 $40,755.01 2026-03-01
332 MS_DRG Rectal Resection With Mcc 96 33 — — $17,022.00 $79,188.33 $40,456.75 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 96 33 — — $17,022.00 $75,922.99 $40,413.82 2026-03-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 2 2 — — $18,388.00 $62,226.00 $40,307.00 2026-03-01
0408T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 2 2 — — $18,388.00 $62,226.00 $40,307.00 2026-03-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 2 2 — — $18,388.00 $62,226.00 $40,307.00 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 96 33 — — $26,126.54 $88,035.00 $40,184.47 2026-03-01
665 MS_DRG Prostatectomy With Mcc 96 33 — — $17,022.00 $68,263.77 $40,060.19 2026-03-01
586409 CDM Valve Pulm 27mm 42 15 $105,528.89 $105,528.89 $19,385.66 $94,976.00 $40,048.21 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 96 33 — — $26,029.30 $82,012.00 $40,024.04 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 96 33 — — $25,993.01 $88,323.00 $39,964.17 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 96 33 — — $25,825.11 $88,521.00 $39,759.68 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 96 33 — — $25,373.54 $91,936.00 $39,592.47 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 96 33 — — $17,022.00 $75,555.56 $39,464.11 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 1 1 — — $39,376.13 $39,376.13 $39,376.13 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 28 — — $25,524.63 $52,858.16 $39,191.39 2024-10-01
584750 CDM Transcth Aortic Vlv 29mm 42 15 $103,141.50 $103,141.50 $18,947.09 $92,827.35 $39,142.20 2026-03-01
584753 CDM Transcth Aortic Vlv 25mm 42 15 $103,141.50 $103,141.50 $18,947.09 $92,827.35 $39,142.20 2026-03-01
584751 CDM Transcth Aortic Vlv 27mm 42 15 $103,141.50 $103,141.50 $18,947.09 $92,827.35 $39,142.20 2026-03-01
584752 CDM Transcth Aortic Vlv 23mm 42 15 $103,141.50 $103,141.50 $18,947.09 $92,827.35 $39,142.20 2026-03-01
0100T CPT Placement Of A Subconjunctival Retinal Prosthesis Receiver And Pulse Generator, … 2 2 — — $15,151.00 $62,226.00 $38,688.50 2026-03-01
J9216 HCPCS Injection, Interferon, Gamma 1-b, 3 Million Units 1 1 — — $38,576.00 $38,576.00 $38,576.00 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 96 33 — — $17,022.00 $81,941.89 $38,572.28 2026-03-01
C1824 HCPCS Gen Pls Card Mod Sys 84 15 $103,439.00 $103,439.00 $17,838.37 $98,794.80 $38,201.50 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 96 33 — — $24,172.38 $76,177.00 $38,197.18 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 28 — — $24,857.67 $51,324.31 $38,090.99 2024-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 96 33 — — $17,022.00 $69,632.89 $38,075.17 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 96 33 — — $24,614.57 $84,160.00 $37,689.91 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 43 28 — — $24,481.73 $50,459.74 $37,470.74 2024-10-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 96 33 — — $17,022.00 $68,915.52 $37,366.79 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 96 33 — — $11,097.00 $70,750.50 $37,303.53 2026-03-01
0784T CPT Insertion Or Replacement Of Percutaneous Electrode Array, Spinal, With Integrate… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0525T CPT Insertion Or Replacement Of Intracardiac Ischemia Monitoring System, Including T… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0786T CPT Insertion Or Replacement Of Percutaneous Electrode Array, Sacral, With Integrate… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0645T CPT Transcatheter Implantation Of Coronary Sinus Reduction Device Including Vascular… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0620T CPT Endovascular Venous Arterialization, Tibial Or Peroneal Vein, With Transcatheter… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0817T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
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