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 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $1,919 across 18 payers · range $783-$3,838

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.

36,402 distinct procedures filed
38 distinct payers
1,989,386 rate rows
2026-03-01 last MRF observed
Data quality

1,338,164 of 1,989,386 rate rows are consumer-grade (67.3%)

651,222 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 58
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 · 2026-09-21
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
$17,146
outlier · 270.6×
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
$30,329
outlier · 114.4×
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
$24,952
outlier · 132.5×
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
$809,217
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
$2,262,040
1.1× median
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
$640,950
outlier · 3.3×
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
$622,245
outlier · 3.4×
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
$738,272
1.9× 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
$646,415
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
$608,101
outlier · 2.1×
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
$591,650
2.0× median
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
$319,951
outlier · 3.3×
2067
OTHER 		Afamitresgene Autoleucel 13 $770,620.00 $924,744.00 $801,444.80 nat. median
$789,886
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $766,342.28 $766,342.28 $766,342.28 nat. median
$209,753
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
$577,003
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 9 $526,587.60 $631,905.12 $542,385.23 nat. median
$562,826
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 25 $199,322.69 $715,359.00 $443,564.47 nat. median
$249,124
1.8× median
831
OTHER 		Obecbtge Autol Up To 400 13 $278,250.00 $333,900.00 $289,380.00 nat. median
$23,568
outlier · 12.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $260,767.00 $593,860.23 $277,716.85 nat. median
$359,358
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $149,287.20 $464,216.35 $178,536.51 nat. median
$190,557
0.9× median
A9699
HCPCS 		Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 $177,441.49 $177,441.49 $177,441.49 nat. median
$1,683
outlier · 105.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $17,022.00 $466,956.79 $169,476.83 nat. median
$198,433
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $79,559.60 $393,452.00 $168,581.00 nat. median
$103,967
1.6× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 2 $166,116.65 $244,244.20 $166,116.65 nat. median
$68,423
outlier · 2.4×
516430
CDM 		Kit Hrt Implant Lvas 15 $80,349.46 $393,655.48 $165,991.40 nat. median
$161,687
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $99,291.72 $229,702.20 $155,919.57 nat. median
$126,722
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $94,095.97 $280,827.75 $152,510.74 nat. median
$110,192
1.4× median
1907
OTHER 		New Technology - Level 52 14 $142,673.40 $173,656.56 $149,055.21 nat. median
$155,877
1.0× median
1908
OTHER 		New Technology - Level 52 9 $144,713.80 $173,656.56 $149,055.21 nat. median
$155,833
1.0× median
7
MS_DRG 		Lung Transplant 18 $93,865.48 $205,793.29 $146,589.86 nat. median
$117,894
1.2× 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
$65,720
outlier · 2.2×
J9999
HCPCS 		Carmustine Wafers 8/box 15 $56,099.26 $274,846.66 $137,423.33 nat. median
$2,702
outlier · 50.9×
C9293
HCPCS 		Glucarpidase 1000 U Inj 15 $1,705.02 $276,933.76 $136,928.36 nat. median
$30,181
outlier · 4.5×
1905
OTHER 		New Technology - Level 51 9 $130,479.70 $156,575.64 $134,394.09 nat. median
$140,530
1.0× median
1906
OTHER 		New Technology - Level 51 14 $128,640.00 $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
$103,152
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $68,623.11 $213,959.62 $128,660.00 nat. median
$90,581
1.4× median
494847
CDM 		Syst Imp Hrtmt2 Lft Vent 15 $61,658.72 $302,084.10 $127,378.79 nat. median
$131,893
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $76,967.62 $248,008.95 $124,217.35 nat. median
$94,964
1.3× median
1904
OTHER 		New Technology - Level 50 9 $116,245.60 $139,494.72 $119,732.97 nat. median
$120,722
1.0× median

Other procedures at this hospital

Browse this hospital's 36,402 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 55 25 — — $199,322.69 $715,359.00 $443,564.47 2026-03-01
831 OTHER Obecbtge Autol Up To 400 15 13 — — $278,250.00 $333,900.00 $289,380.00 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 17 — — $260,767.00 $593,860.23 $277,716.85 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 24 — — $149,287.20 $464,216.35 $178,536.51 2026-03-01
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 56 24 — — $17,022.00 $466,956.79 $169,476.83 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 18 — — $79,559.60 $393,452.00 $168,581.00 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… 22 18 — — $99,291.72 $229,702.20 $155,919.57 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 18 — — $94,095.97 $280,827.75 $152,510.74 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
7 MS_DRG Lung Transplant 20 18 — — $93,865.48 $205,793.29 $146,589.86 2024-10-01
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 25 — — $68,623.11 $213,959.62 $128,660.00 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 18 — — $76,967.62 $248,008.95 $124,217.35 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
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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 57 25 — — $59,649.94 $206,241.00 $111,717.00 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
10 MS_DRG Pancreas Transplant 54 25 — — $55,349.15 $156,939.73 $106,795.00 2026-03-01
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 57 25 — — $17,022.00 $237,827.44 $95,114.65 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 30 19 — — $86,530.45 $247,553.47 $92,866.18 2026-03-01
1599 OTHER New Technology - Level 48 10 9 — — $90,149.77 $108,179.72 $92,854.26 2024-10-01
1585 OTHER New Technology - Level 48 25 14 — — $88,878.66 $108,179.72 $92,854.26 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 25 — — $74,314.88 $259,029.00 $90,417.07 2026-03-01
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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 57 25 — — $57,736.02 $254,878.00 $89,634.00 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 25 — — $55,039.83 $156,040.84 $84,557.60 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 25 — — $60,530.55 $212,348.00 $84,364.00 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 57 25 — — $53,649.33 $183,273.00 $84,114.00 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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 57 25 — — $44,900.08 $152,663.00 $82,863.00 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 57 25 — — $42,910.81 $150,065.00 $82,204.00 2026-03-01
215 MS_DRG Other Heart Assist System Implant 21 18 — — $75,085.93 $166,837.46 $80,341.95 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 57 25 — — $56,060.39 $167,208.17 $78,751.00 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 57 25 — — $36,661.66 $153,501.00 $78,470.71 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
1583 OTHER New Technology - Level 46 10 9 — — $71,170.98 $85,405.18 $73,306.11 2024-10-01
1597 OTHER New Technology - Level 46 25 14 — — $70,167.47 $85,405.18 $73,306.11 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
850 MS_DRG Acute Leukemia With Other Procedures 21 18 — — $65,616.30 $145,059.55 $70,209.44 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 57 25 — — $37,803.85 $127,349.00 $68,983.00 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 25 — — $51,149.94 $175,631.00 $68,529.00 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 57 25 — — $37,688.12 $127,971.00 $67,708.00 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
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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 57 25 — — $40,389.53 $186,010.00 $64,841.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 18 — — $60,563.41 $133,439.10 $64,802.85 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 57 25 — — $48,448.54 $165,790.00 $64,450.00 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 18 — — $40,593.14 $109,116.00 $64,132.36 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 25 — — $46,758.54 $160,353.00 $63,991.00 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 57 25 — — $44,954.86 $163,292.00 $63,772.00 2026-03-01
1596 OTHER New Technology - Level 45 25 14 — — $60,811.87 $74,017.88 $63,532.02 2026-03-01
1582 OTHER New Technology - Level 45 25 14 — — $60,811.87 $74,017.88 $63,532.02 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 57 25 — — $48,195.17 $171,759.00 $62,818.00 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 25 14 — — $56,824.55 $78,571.90 $62,507.01 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
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
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
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
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 57 25 — — $11,097.00 $151,167.98 $61,016.89 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 57 25 — — $44,368.02 $145,671.00 $60,597.00 2026-03-01
5244 OTHER Level 4 Blood Product Exc 25 14 — — $49,407.67 $72,146.86 $60,122.38 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 57 25 — — $38,969.32 $131,325.00 $60,078.00 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 18 — — $55,520.80 $121,842.28 $59,407.26 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 24 — — $17,022.00 $156,874.12 $57,341.21 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 20 18 — — $36,458.95 $93,474.15 $57,303.32 2024-10-01
0200 RC — 2 1 — — $57,297.99 $57,297.99 $57,297.99 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 57 25 — — $28,713.58 $95,054.00 $57,256.00 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 25 14 — — $54,404.11 $66,018.28 $56,665.69 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 57 25 — — $42,830.71 $148,930.00 $56,513.00 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 57 25 — — $39,522.61 $132,510.00 $56,296.00 2026-03-01
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
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
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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 18 — — $50,929.44 $111,283.24 $54,494.50 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 25 — — $34,087.62 $102,824.32 $54,402.10 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 57 25 — — $17,022.00 $133,878.95 $54,214.22 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 25 — — $40,238.19 $136,102.00 $53,923.00 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 18 — — $49,295.59 $107,525.77 $52,746.28 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 25 — — $38,807.71 $133,362.00 $52,694.00 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 57 25 — — $34,397.14 $129,708.00 $52,476.00 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 57 25 — — $25,279.48 $84,005.72 $52,294.38 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 57 25 — — $17,022.00 $128,269.04 $52,006.89 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 57 25 — — $28,571.15 $97,122.00 $51,839.00 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 57 25 — — $26,472.34 $80,210.00 $51,737.00 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 57 25 — — $39,997.84 $135,271.00 $51,710.00 2026-03-01
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
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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 57 25 — — $17,022.00 $143,285.67 $50,803.04 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 18 — — $46,829.06 $101,853.34 $50,107.09 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 57 25 — — $34,754.59 $138,326.00 $49,781.00 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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 25 — — $32,106.60 $182,239.00 $48,883.00 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 43 23 — — $43,249.79 $102,433.78 $48,524.87 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 57 25 — — $17,022.00 $119,286.62 $48,472.59 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 25 — — $44,746.90 $129,688.47 $48,277.42 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 57 25 — — $30,500.82 $100,974.00 $48,134.00 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
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
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
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
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
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
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
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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 25 — — $33,986.96 $112,429.00 $47,588.00 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 19 — — $44,294.86 $137,307.00 $47,538.11 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 21 18 — — $44,168.06 $95,733.67 $47,259.82 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 25 — — $42,228.19 $118,809.83 $46,737.54 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
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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 18 — — $43,560.68 $94,336.82 $46,609.93 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 57 25 — — $36,798.61 $121,738.36 $46,401.65 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $43,277.87 $93,686.43 $46,307.32 2024-10-01
252 MS_DRG Other Vascular Procedures With Mcc 57 25 — — $26,029.30 $82,012.00 $46,197.00 2026-03-01
1142 OTHER Supprelin La Implant 25 14 — — $43,185.34 $54,420.25 $45,776.46 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 57 25 — — $30,696.66 $100,784.00 $45,343.00 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 18 — — $41,839.18 $90,377.77 $44,767.92 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 18 — — $41,604.30 $89,837.62 $44,516.60 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 57 25 — — $17,022.00 $109,079.43 $44,456.39 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 56 25 — — $26,316.90 $81,049.55 $44,053.86 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 57 25 — — $17,022.00 $108,012.12 $44,036.43 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 57 25 — — $17,022.00 $107,642.50 $43,891.00 2026-03-01
245 MS_DRG Aicd Generator Procedures 57 25 — — $35,681.25 $133,711.00 $43,792.00 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 57 25 — — $17,022.00 $107,194.15 $43,714.59 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 25 — — $37,424.49 $113,847.30 $43,487.42 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 21 18 — — $40,386.79 $109,485.60 $43,213.87 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 57 25 — — $17,022.00 $113,650.46 $42,603.25 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 18 — — $39,712.29 $85,486.44 $42,492.15 2024-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 57 25 — — $26,126.54 $88,035.00 $42,191.00 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 57 25 — — $17,022.00 $102,308.16 $41,792.11 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
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
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
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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 57 25 — — $17,022.00 $100,530.05 $41,092.49 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 57 25 — — $29,446.28 $96,739.00 $41,031.00 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 57 25 — — $17,022.00 $100,274.16 $40,991.79 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 57 25 — — $23,809.97 $98,492.00 $40,747.00 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 57 25 — — $17,022.00 $99,484.62 $40,681.14 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 57 25 — — $30,680.91 $103,862.00 $40,477.00 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
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 57 25 — — $23,670.97 $119,818.00 $40,209.00 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 57 25 — — $17,022.00 $98,021.45 $40,105.43 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
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 57 25 — — $25,257.64 $120,019.00 $39,611.00 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 18 — — $36,825.32 $78,847.09 $39,403.09 2024-10-01
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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 57 25 — — $17,022.00 $96,074.93 $39,339.53 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 57 25 — — $32,618.80 $106,588.00 $39,290.65 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 57 25 — — $17,022.00 $99,051.57 $39,187.00 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 57 25 — — $29,167.58 $98,162.00 $39,160.00 2026-03-01
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
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
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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 57 25 — — $17,022.00 $94,644.57 $38,776.74 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 57 25 — — $29,314.81 $94,768.00 $38,609.00 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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 57 25 — — $25,993.01 $88,323.00 $38,429.00 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 21 18 — — $35,799.54 $76,488.04 $38,305.51 2024-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 57 25 — — $17,022.00 $93,286.38 $38,242.33 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… 57 25 — — $24,172.38 $76,177.00 $38,076.00 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 57 25 — — $17,022.00 $92,208.14 $37,818.07 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 57 25 — — $17,022.00 $91,893.19 $37,694.16 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 18 — — $35,096.29 $74,870.72 $37,553.03 2024-10-01
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
0527T 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
0572T CPT Insertion Of Substernal Implantable Defibrillator Electrode 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0801T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0793T CPT Percutaneous Transcatheter Thermal Ablation Of Nerves Innervating The Pulmonary … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0823T CPT Transcatheter Insertion Of Permanent Single-chamber Leadless Pacemaker, Right At… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
1014T CPT Laparoscopic Revision Or Removal, Lower Esophageal Sphincter Neurostimulator Ele… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0796T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0825T CPT Transcatheter Removal And Replacement Of Permanent Single-chamber Leadless Pacem… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0802T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0816T 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
C9780 HCPCS Insertion Of Central Venous Catheter Through Central Venous Occlusion Via Inferi… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0918T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0917T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0803T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0797T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0516T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0632T CPT Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmona… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9792 HCPCS Blinded Or Nonblinded Procedure For Symptomatic New York Heart Association (nyha… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
92930 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9797 HCPCS Vascular Embolization Or Occlusion Procedure With Use Of A Pressure-generating C… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0680T CPT Insertion Or Replacement Of Pulse Generator Only, Permanent Implantable Synchron… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0675T CPT Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(s), Permanent… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9783 HCPCS Blinded Procedure For Transcatheter Implantation Of Coronary Sinus Reduction Dev… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0517T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0526T 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
1013T CPT Laparoscopy, Surgical, Implantation Or Replacement Of Lower Esophageal Sphincter… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0795T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
0505T CPT Endovenous Femoral-popliteal Arterial Revascularization, With Transcatheter Plac… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 57 25 — — $17,022.00 $91,783.84 $37,088.00 2026-03-01
652 MS_DRG Kidney Transplant 20 18 — — $24,042.41 $156,542.40 $36,793.11 2024-10-01
0308T CPT Insertion Of Ocular Telescope Prosthesis Including Removal Of Crystalline Lens O… 2 2 — — $17,284.00 $55,626.00 $36,455.00 2026-03-01
J3357 HCPCS Ustekinumab 45 Mg Sq 93 18 $94,247.81 $94,247.81 $378.69 $192,195.33 $36,338.18 2026-03-01
263 MS_DRG Vein Ligation And Stripping 57 25 — — $20,905.20 $66,868.40 $35,925.00 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 57 25 — — $31,029.46 $92,365.61 $35,880.00 2026-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 57 25 — — $20,503.24 $69,251.00 $35,863.00 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 57 25 — — $17,022.00 $87,136.25 $35,822.45 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 57 25 — — $27,081.10 $88,523.00 $35,607.00 2026-03-01
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