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

THE MCDOWELL HOSPITAL

Marion, NC · CCN 340087 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $8,183 across 20 payers · range $7,167-$9,380

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2048888_MISSION-HOSPITAL-MCDOWELL_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.

26,414 distinct procedures filed
31 distinct payers
859,576 rate rows
2026-03-01 last MRF observed
Data quality

838,320 of 859,576 rate rows are consumer-grade (97.5%)

21,256 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 18,416
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,402
per-diem day rate — not a per-procedure price 181
placeholder amount (≤ $0.02) — excluded from medians 168
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 70
exceeds 10× this hospital's gross charge — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2048888_MISSION-HOSPITAL-MCDOWELL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.missionhealth.org/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-19
Content fingerprint 5455708bf8b3db73… · 479,548,580 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 10 $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 12 $3,685,267.00 $4,422,320.40 $3,814,251.34 nat. median
$3,758,972
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 12 $3,335,820.00 $4,002,984.00 $3,452,573.70 nat. median
$29,683
outlier · 116.3×
714
OTHER 		Inj Delandistrogene Mox R 12 $3,327,860.00 $3,993,432.00 $3,444,335.10 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 12 $3,252,508.00 $3,903,009.60 $3,366,345.78 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 12 $3,180,000.00 $3,816,000.00 $3,291,300.00 nat. median
$24,604
outlier · 133.8×
746
OTHER 		Inj, Betibeglogene Autote 12 $2,939,969.00 $3,527,962.80 $3,042,867.92 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 12 $2,588,981.00 $3,106,777.20 $2,679,595.33 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 12 $2,332,000.00 $2,798,400.00 $2,413,620.00 nat. median
$58,186
outlier · 41.5×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 1 $1,369,371.65 $1,369,371.65 $1,369,371.65 nat. median
$691,418
2.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $1,328,128.35 $1,328,128.35 $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… 1 $1,279,600.63 $1,279,600.63 $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… 1 $1,175,752.00 $1,175,752.00 $1,175,752.00 nat. median
$577,541
outlier · 2.0×
2067
OTHER 		Afamitresgene Autoleucel 12 $770,620.00 $924,744.00 $797,591.70 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 12 $587,649.60 $705,179.52 $608,217.33 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 12 $566,531.30 $679,837.56 $586,359.90 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 12 $562,201.20 $674,641.44 $581,878.24 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 12 $558,081.80 $669,698.16 $577,614.66 nat. median
$560,872
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 12 $532,192.20 $638,630.64 $550,818.93 nat. median
$533,230
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 12 $489,450.20 $587,340.24 $506,580.96 nat. median
$492,768
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $194,533.44 $492,227.87 $343,380.66 nat. median
$261,939
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $296,268.65 $735,532.63 $319,782.88 nat. median
$370,165
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 12 $278,250.00 $333,900.00 $287,988.75 nat. median
$20,175
outlier · 14.3×
897
OTHER 		Revakinagene, Per Implant 12 $265,000.00 $318,000.00 $274,275.00 nat. median
$19,528
outlier · 14.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $148,144.43 $361,528.83 $254,836.63 nat. median
$199,832
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $133,889.32 $363,663.07 $248,776.20 nat. median
$205,166
1.2× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 12 $201,669.00 $242,002.80 $208,727.42 nat. median
$200,661
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 29 $85,321.11 $269,504.97 $177,413.04 nat. median
$114,305
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 $97,831.46 $235,930.90 $166,881.18 nat. median
$132,706
1.3× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $166,116.65 $166,116.65 $166,116.65 nat. median
$69,291
outlier · 2.4×
516430
CDM 		Kit Implnt Hrtmt 3 Kit 16 $53,945.38 $364,495.82 $159,770.67 nat. median
$162,274
1.0× median
7
MS_DRG 		Lung Transplant 29 $91,682.39 $220,580.76 $156,131.58 nat. median
$122,690
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 29 $73,671.14 $238,009.79 $155,840.46 nat. median
$99,646
1.6× median
1908
OTHER 		New Technology - Level 52 12 $142,673.40 $171,208.08 $147,666.97 nat. median
$155,877
0.9× median
1907
OTHER 		New Technology - Level 52 12 $142,673.40 $171,208.08 $147,666.97 nat. median
$155,877
0.9× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 1 $145,223.54 $145,223.54 $145,223.54 nat. median
$65,655
outlier · 2.2×
C9293
HCPCS 		Glucarpidase 1000 U Inj 15 $40,986.20 $276,933.76 $142,774.74 nat. median
$24,377
outlier · 5.9×
J9999
HCPCS 		Carmustine Wafers 8/box 15 $40,677.31 $274,846.66 $141,698.72 nat. median
$2,547
outlier · 55.6×
456896
CDM 		Device Vntrc Asst Hrtmt 16 $46,957.93 $317,283.30 $139,075.85 nat. median
$66,206
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 $80,639.69 $193,014.55 $136,827.12 nat. median
$108,240
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 24 $80,551.00 $192,793.12 $136,672.06 nat. median
$96,134
1.4× median
1905
OTHER 		New Technology - Level 51 12 $128,640.00 $154,368.00 $133,142.40 nat. median
$140,545
0.9× median
1906
OTHER 		New Technology - Level 51 12 $128,640.00 $154,368.00 $133,142.40 nat. median
$140,545
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 $78,520.40 $187,724.10 $133,122.25 nat. median
$96,835
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 29 $77,516.71 $185,218.55 $131,367.63 nat. median
$100,978
1.3× median
494847
CDM 		Syst Imp Hrtmt2 Lft Vent 16 $44,261.36 $299,063.26 $131,089.40 nat. median
$132,044
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 $60,658.59 $182,239.00 $121,448.79 nat. median
$80,459
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 29 $71,259.13 $169,597.58 $120,428.35 nat. median
$98,002
1.2× median
1903
OTHER 		New Technology - Level 50 12 $114,606.60 $137,527.92 $118,617.83 nat. median
$122,500
1.0× median
1904
OTHER 		New Technology - Level 50 12 $114,606.60 $137,527.92 $118,617.83 nat. median
$122,500
1.0× median

Other procedures at this hospital

Browse this hospital's 26,414 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 12 10 — — $4,505,000.00 $4,955,500.00 $4,640,150.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 14 12 — — $3,685,267.00 $4,422,320.40 $3,814,251.34 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 14 12 — — $3,335,820.00 $4,002,984.00 $3,452,573.70 2026-03-01
714 OTHER Inj Delandistrogene Mox R 14 12 — — $3,327,860.00 $3,993,432.00 $3,444,335.10 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 14 12 — — $3,252,508.00 $3,903,009.60 $3,366,345.78 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 14 12 — — $3,180,000.00 $3,816,000.00 $3,291,300.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 14 12 — — $2,939,969.00 $3,527,962.80 $3,042,867.92 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 14 12 — — $2,588,981.00 $3,106,777.20 $2,679,595.33 2026-03-01
824 OTHER Inj, Exagamglogene Autote 14 12 — — $2,332,000.00 $2,798,400.00 $2,413,620.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 1 — — $1,369,371.65 $1,369,371.65 $1,369,371.65 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 1 — — $1,328,128.35 $1,328,128.35 $1,328,128.35 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 1 — — $1,279,600.63 $1,279,600.63 $1,279,600.63 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 1 — — $1,175,752.00 $1,175,752.00 $1,175,752.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 14 12 — — $770,620.00 $924,744.00 $797,591.70 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 14 12 — — $587,649.60 $705,179.52 $608,217.33 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 14 12 — — $566,531.30 $679,837.56 $586,359.90 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 14 12 — — $562,201.20 $674,641.44 $581,878.24 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 14 12 — — $558,081.80 $669,698.16 $577,614.66 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 14 12 — — $532,192.20 $638,630.64 $550,818.93 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 14 12 — — $489,450.20 $587,340.24 $506,580.96 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 47 29 — — $194,533.44 $492,227.87 $343,380.66 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 29 — — $296,268.65 $735,532.63 $319,782.88 2026-03-01
831 OTHER Obecbtge Autol Up To 400 14 12 — — $278,250.00 $333,900.00 $287,988.75 2026-03-01
897 OTHER Revakinagene, Per Implant 14 12 — — $265,000.00 $318,000.00 $274,275.00 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 48 29 — — $148,144.43 $361,528.83 $254,836.63 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 48 29 — — $133,889.32 $363,663.07 $248,776.20 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 14 12 — — $201,669.00 $242,002.80 $208,727.42 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 44 29 — — $85,321.11 $269,504.97 $177,413.04 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 29 — — $97,831.46 $235,930.90 $166,881.18 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 4 1 — — $166,116.65 $166,116.65 $166,116.65 2026-03-01
516430 CDM Kit Implnt Hrtmt 3 Kit 36 16 $404,995.35 $404,995.35 $53,945.38 $364,495.82 $159,770.67 2026-03-01
7 MS_DRG Lung Transplant 44 29 — — $91,682.39 $220,580.76 $156,131.58 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 29 — — $73,671.14 $238,009.79 $155,840.46 2026-03-01
1908 OTHER New Technology - Level 52 14 12 — — $142,673.40 $171,208.08 $147,666.97 2026-03-01
1907 OTHER New Technology - Level 52 14 12 — — $142,673.40 $171,208.08 $147,666.97 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 4 1 — — $145,223.54 $145,223.54 $145,223.54 2026-03-01
C9293 HCPCS Glucarpidase 1000 U Inj 26 15 $307,704.18 $307,704.18 $40,986.20 $276,933.76 $142,774.74 2026-03-01
J9999 HCPCS Carmustine Wafers 8/box 26 15 $305,385.18 $305,385.18 $40,677.31 $274,846.66 $141,698.72 2026-03-01
456896 CDM Device Vntrc Asst Hrtmt 36 16 $352,537.00 $352,537.00 $46,957.93 $317,283.30 $139,075.85 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 47 29 — — $80,639.69 $193,014.55 $136,827.12 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 42 24 — — $80,551.00 $192,793.12 $136,672.06 2026-03-01
1905 OTHER New Technology - Level 51 14 12 — — $128,640.00 $154,368.00 $133,142.40 2026-03-01
1906 OTHER New Technology - Level 51 14 12 — — $128,640.00 $154,368.00 $133,142.40 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 29 — — $78,520.40 $187,724.10 $133,122.25 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 29 — — $77,516.71 $185,218.55 $131,367.63 2026-03-01
494847 CDM Syst Imp Hrtmt2 Lft Vent 36 16 $332,292.51 $332,292.51 $44,261.36 $299,063.26 $131,089.40 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 29 — — $60,658.59 $182,239.00 $121,448.79 2026-03-01
215 MS_DRG Other Heart Assist System Implant 48 29 — — $71,259.13 $169,597.58 $120,428.35 2026-03-01
1904 OTHER New Technology - Level 50 14 12 — — $114,606.60 $137,527.92 $118,617.83 2026-03-01
1903 OTHER New Technology - Level 50 14 12 — — $114,606.60 $137,527.92 $118,617.83 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 29 — — $70,070.54 $166,630.43 $118,350.49 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 29 — — $44,007.90 $182,239.00 $113,123.45 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 4 1 — — $110,645.59 $110,645.59 $110,645.59 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 48 29 — — $64,794.82 $153,460.52 $109,127.67 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 29 — — $31,790.93 $182,239.00 $107,014.96 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 48 29 — — $62,406.02 $147,497.26 $104,951.64 2026-03-01
1902 OTHER New Technology - Level 49 14 12 — — $100,573.20 $120,687.84 $104,093.26 2026-03-01
1901 OTHER New Technology - Level 49 14 12 — — $100,573.20 $120,687.84 $104,093.26 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 29 — — $60,839.40 $143,586.49 $102,212.95 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 29 — — $57,010.90 $134,029.27 $95,520.09 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 29 — — $55,711.07 $130,784.48 $93,247.77 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 29 — — $55,485.23 $130,220.69 $92,852.96 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 29 — — $55,312.60 $129,789.76 $92,551.18 2026-03-01
1599 OTHER New Technology - Level 48 14 12 — — $88,878.66 $106,654.39 $91,989.42 2026-03-01
1585 OTHER New Technology - Level 48 14 12 — — $88,878.66 $106,654.39 $91,989.42 2026-03-01
652 MS_DRG Kidney Transplant 44 29 — — $25,355.96 $150,230.67 $87,793.32 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 29 — — $52,574.44 $122,954.41 $87,764.43 2026-03-01
10 MS_DRG Pancreas Transplant 44 29 — — $52,281.73 $122,223.70 $87,252.71 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 48 29 — — $52,086.66 $122,172.60 $87,129.63 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 45 29 — — $52,001.30 $121,523.64 $86,762.47 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 48 29 — — $51,972.64 $121,452.10 $86,712.37 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 29 — — $50,481.08 $117,728.69 $84,104.88 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 29 — — $50,249.78 $117,151.27 $83,700.52 2026-03-01
1598 OTHER New Technology - Level 47 14 12 — — $79,523.07 $95,427.68 $82,306.38 2026-03-01
1584 OTHER New Technology - Level 47 14 12 — — $79,523.07 $95,427.68 $82,306.38 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 29 — — $49,248.13 $114,650.83 $81,949.48 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 48 29 — — $48,943.82 $113,891.15 $81,417.49 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 48 29 — — $48,910.38 $113,807.69 $81,359.04 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 29 — — $48,185.07 $111,997.08 $80,091.07 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 29 — — $48,185.07 $111,997.08 $80,091.07 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 48 29 — — $42,670.55 $114,666.00 $78,668.27 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 29 — — $47,225.73 $109,602.25 $78,413.99 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 29 — — $41,680.50 $114,666.00 $78,173.25 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 29 — — $45,135.78 $104,385.04 $74,760.41 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 29 — — $45,087.33 $104,264.10 $74,675.71 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 29 — — $44,686.81 $103,264.27 $73,975.54 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 29 — — $35,445.45 $111,590.00 $73,517.73 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 48 29 — — $44,316.31 $102,339.37 $73,327.84 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 48 29 — — $44,304.71 $102,310.42 $73,307.57 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 29 — — $41,561.78 $104,716.94 $73,139.36 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 48 29 — — $40,779.15 $105,071.67 $72,925.41 2026-03-01
1597 OTHER New Technology - Level 46 14 12 — — $70,167.47 $84,200.96 $72,623.33 2026-03-01
1583 OTHER New Technology - Level 46 14 12 — — $70,167.47 $84,200.96 $72,623.33 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 48 29 — — $25,362.10 $119,818.00 $72,590.05 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 47 29 — — $2,239.90 $101,122.71 $72,498.43 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 44 29 — — $43,780.00 $101,000.58 $72,390.29 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 29 — — $43,363.11 $99,959.86 $71,661.49 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 29 — — $43,337.18 $99,895.14 $71,616.16 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 29 — — $42,419.46 $97,604.20 $70,011.83 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 42 24 — — $42,259.79 $97,205.63 $69,732.71 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 48 29 — — $42,209.30 $97,079.58 $69,644.44 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 48 29 — — $41,299.77 $94,809.08 $68,054.43 2026-03-01
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 27 17 $144,380.93 $144,380.93 $19,231.54 $129,942.84 $67,859.04 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 29 — — $41,005.00 $94,073.26 $67,539.13 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 48 29 — — $40,646.78 $93,179.03 $66,912.90 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 48 29 — — $40,593.56 $93,046.17 $66,819.87 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 29 — — $40,534.89 $92,899.69 $66,717.29 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 14 12 — — $64,274.79 $77,129.75 $66,524.40 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 44 29 — — $40,386.14 $92,528.37 $66,457.26 2026-03-01
J2350 HCPCS Ocrelizumab 300 Mg Inj 29 15 $150,336.52 $150,336.52 $157.62 $135,302.87 $66,148.07 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 29 — — $39,707.23 $90,833.58 $65,270.40 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 48 29 — — $39,685.40 $90,779.08 $65,232.24 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 29 — — $39,441.12 $90,169.30 $64,805.21 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 29 — — $39,321.72 $89,871.22 $64,596.47 2026-03-01
J9266 HCPCS Pegaspargase Singl Vial 29 15 $125,252.60 $125,252.60 $16,683.65 $112,727.34 $64,379.84 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 29 — — $38,837.96 $88,663.58 $63,750.77 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 48 29 — — $38,776.54 $88,510.28 $63,643.41 2026-03-01
1582 OTHER New Technology - Level 45 14 12 — — $60,811.87 $72,974.24 $62,940.29 2026-03-01
1596 OTHER New Technology - Level 45 14 12 — — $60,811.87 $72,974.24 $62,940.29 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 29 — — $37,077.56 $87,801.42 $62,439.49 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 44 29 — — $34,959.64 $89,705.58 $62,332.61 2026-03-01
5244 OTHER Level 4 Blood Product Exc 14 12 — — $60,122.38 $72,146.86 $62,226.67 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 29 — — $37,710.76 $85,849.73 $61,780.25 2026-03-01
551981 CDM Pump Heart 21fr 85mm 38 18 $155,120.00 $155,120.00 $20,661.98 $139,608.00 $61,194.84 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 29 — — $37,350.49 $84,950.38 $61,150.43 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 29 — — $37,017.51 $84,119.17 $60,568.34 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 29 — — $36,902.21 $83,831.32 $60,366.76 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 29 — — $36,762.33 $83,482.14 $60,122.24 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 29 — — $36,267.65 $82,247.25 $59,257.45 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 48 29 — — $36,101.16 $81,831.64 $58,966.40 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 14 12 — — $56,824.55 $68,189.46 $58,813.41 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 48 29 — — $35,804.35 $81,090.71 $58,447.53 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 45 29 — — $35,399.05 $80,078.95 $57,739.00 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 29 — — $35,333.55 $79,915.43 $57,624.49 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 48 29 — — $35,238.02 $79,676.97 $57,457.50 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 48 29 — — $34,833.41 $78,666.91 $56,750.16 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 29 — — $34,683.30 $78,292.18 $56,487.74 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 48 29 — — $34,603.47 $78,092.90 $56,348.18 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 14 12 — — $54,404.11 $65,284.93 $56,308.25 2026-03-01
245 MS_DRG Aicd Generator Procedures 48 29 — — $34,450.63 $77,711.36 $56,081.00 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 29 — — $34,357.15 $77,478.01 $55,917.58 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 48 29 — — $34,343.50 $77,443.94 $55,893.72 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 48 29 — — $34,222.04 $77,140.75 $55,681.39 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 48 29 — — $33,900.67 $76,338.50 $55,119.58 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 48 29 — — $33,771.71 $76,016.58 $54,894.14 2026-03-01
463212 CDM Valve 29mm Sapien Xt Trn 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
496433 CDM Valve Ao 9000tfx 23mm 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
485646 CDM Valve Hrt W Cert Sys 26a 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
485942 CDM Valve Hrt W/cert Sys 23a 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
457578 CDM Valve Hrt Sapien 23mm As 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
469504 CDM Valve 23mm Thv 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
485943 CDM Valve Heart W/cert 29a 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
441861 CDM Valve Pulm 23mm Sapien R 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
485939 CDM Valve Hrt W/cert Sys 20a 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
451502 CDM Valve Heart Sapien Trans 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
457579 CDM Valve Hrt Sapien 26mm As 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
469507 CDM Valve 29mm Thv 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
463214 CDM Valve Xt Sapien 26mm Ta 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
463209 CDM Valve 23mm Sapien Xt Trn 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
463213 CDM Valve Xt Sapien 23mm Ta 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
441862 CDM Valve Pulm 26mm Sapien R 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
463211 CDM Valve 29mm Sapien Xt Trn 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
451503 CDM Valve Heart Sapien Trans 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
463210 CDM Valve 26mm Sapien Xt Trn 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
469508 CDM Valve Aor 20mm Edwrd Sap 36 16 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 29 — — $33,293.41 $74,822.56 $54,057.99 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 48 29 — — $32,847.17 $73,708.60 $53,277.89 2026-03-01
1581 OTHER New Technology - Level 44 14 12 — — $51,456.27 $61,747.52 $53,257.24 2026-03-01
1595 OTHER New Technology - Level 44 14 12 — — $51,456.27 $61,747.52 $53,257.24 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 48 29 — — $32,423.45 $72,650.85 $52,537.15 2026-03-01
544809 CDM Valve Tavr 25mm 36 16 $132,993.00 $132,993.00 $17,714.67 $119,693.70 $52,465.74 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 48 29 — — $32,256.28 $72,233.55 $52,244.92 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 29 — — $28,143.67 $76,316.36 $52,230.01 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 48 29 — — $25,783.10 $78,346.40 $52,064.75 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 29 — — $32,136.19 $71,933.77 $52,034.98 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 29 — — $32,087.06 $71,811.13 $51,949.10 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 48 29 — — $32,072.73 $71,775.36 $51,924.04 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 29 — — $31,988.80 $71,565.85 $51,777.32 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 48 29 — — $31,954.69 $71,480.69 $51,717.69 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 29 — — $31,901.47 $71,347.83 $51,624.65 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 48 29 — — $31,657.20 $70,738.05 $51,197.62 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 48 29 — — $31,469.56 $70,269.64 $50,869.60 2026-03-01
547229 CDM Valve Mitral 46.5x39.5mm 36 16 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-03-01
487214 CDM Valve Aor Evolut Pro 23m 36 16 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-03-01
487218 CDM Valve Tavr 34mm 36 16 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-03-01
545488 CDM Valve Aor Tavr 26mm 36 16 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-03-01
547223 CDM Valve Mitral 36.5x52.5mm 36 16 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-03-01
547215 CDM Valve Mitral 29m 36 16 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-03-01
777080 CDM Valve Tavor Aor 29mm 36 16 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 29 — — $30,753.12 $68,481.18 $49,617.15 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 48 29 — — $25,990.21 $73,120.97 $49,555.59 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 48 29 — — $30,504.76 $67,861.18 $49,182.97 2026-03-01
488819 CDM Set Pump 21fr 5.0 38 18 $124,096.00 $124,096.00 $16,529.59 $111,686.40 $48,955.87 2026-03-01
791 MS_DRG Prematurity With Major Problems 47 29 — — $28,245.66 $69,059.83 $48,652.75 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 29 — — $30,012.12 $66,631.39 $48,321.75 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 48 29 — — $29,891.35 $66,329.91 $48,110.63 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 48 29 — — $29,731.01 $65,929.63 $47,830.32 2026-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 22 — — $29,691.43 $65,830.84 $47,761.14 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 29 — — $29,432.34 $65,767.82 $47,600.08 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 29 — — $29,516.75 $65,394.80 $47,455.78 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 45 29 — — $28,605.85 $65,868.36 $47,237.11 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 29 — — $28,996.15 $64,095.18 $46,545.67 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 29 — — $28,823.52 $63,664.24 $46,243.88 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 48 29 — — $28,820.79 $63,657.43 $46,239.11 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 29 — — $28,749.14 $63,478.58 $46,113.86 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 48 29 — — $27,431.87 $63,815.84 $45,623.86 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 48 29 — — $28,382.74 $62,563.91 $45,473.32 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 48 29 — — $28,372.51 $62,538.36 $45,455.43 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 48 29 — — $28,078.42 $61,804.24 $44,941.33 2026-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 48 29 — — $23,422.26 $66,458.00 $44,940.13 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 29 — — $28,059.32 $61,756.55 $44,907.93 2026-03-01
332 MS_DRG Rectal Resection With Mcc 48 29 — — $28,025.20 $61,671.38 $44,848.29 2026-03-01
265 MS_DRG Aicd Lead Procedures 48 29 — — $28,008.14 $61,628.80 $44,818.47 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 48 29 — — $27,964.47 $61,519.79 $44,742.13 2026-03-01
1142 OTHER Supprelin La Implant 14 12 — — $43,185.34 $51,822.41 $44,696.82 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 48 29 — — $27,927.63 $61,427.81 $44,677.72 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 48 29 — — $27,766.60 $61,025.83 $44,396.21 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 48 29 — — $27,709.97 $60,884.46 $44,297.21 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 29 — — $27,649.24 $60,732.86 $44,191.05 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 29 — — $27,585.78 $60,574.46 $44,080.12 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 48 29 — — $27,129.09 $60,681.77 $43,905.43 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 29 — — $26,861.37 $60,823.14 $43,842.25 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 29 — — $27,383.14 $60,068.58 $43,725.86 2026-03-01
371977 CDM Set Vntrc 17.4x13.8in 38 18 $110,800.00 $110,800.00 $14,758.56 $99,720.00 $43,710.60 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 29 — — $27,334.01 $59,945.94 $43,639.97 2026-03-01
1580 OTHER New Technology - Level 43 14 12 — — $42,100.67 $50,520.80 $43,574.19 2026-03-01
1594 OTHER New Technology - Level 43 14 12 — — $42,100.67 $50,520.80 $43,574.19 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 48 29 — — $27,121.81 $59,416.21 $43,269.01 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 29 — — $27,115.67 $59,400.88 $43,258.28 2026-03-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 48 29 — — $19,977.91 $66,458.00 $43,217.96 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 42 24 — — $26,782.70 $58,569.67 $42,676.18 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 29 — — $24,672.85 $60,623.85 $42,648.35 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 29 — — $26,713.10 $58,395.94 $42,554.52 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 48 29 — — $25,864.85 $59,128.36 $42,496.61 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 47 29 — — $12,668.95 $70,941.57 $41,805.26 2026-03-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 48 29 — — $25,375.09 $58,033.13 $41,704.11 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 48 29 — — $26,114.02 $56,900.44 $41,507.23 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 48 29 — — $24,888.52 $58,109.78 $41,499.15 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 48 29 — — $23,775.14 $58,842.20 $41,308.67 2026-03-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 48 29 — — $25,859.52 $56,265.11 $41,062.32 2026-03-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 48 29 — — $25,780.37 $56,067.53 $40,923.95 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 48 29 — — $25,514.94 $55,404.94 $40,459.94 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 48 29 — — $25,392.80 $55,100.05 $40,246.43 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 48 29 — — $25,339.58 $54,967.19 $40,153.39 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 48 29 — — $24,795.03 $55,161.37 $39,978.20 2026-03-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 48 29 — — $25,225.64 $54,682.74 $39,954.19 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 48 29 — — $25,105.55 $54,382.96 $39,744.25 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 48 29 — — $25,065.29 $54,282.47 $39,673.88 2026-03-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 48 29 — — $25,044.14 $54,229.67 $39,636.90 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 29 — — $25,000.47 $54,120.65 $39,560.56 2026-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 48 29 — — $24,914.50 $53,906.04 $39,410.27 2026-03-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 48 29 — — $24,881.75 $53,824.28 $39,353.01 2026-03-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 48 29 — — $24,820.33 $53,670.98 $39,245.65 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 48 29 — — $24,810.11 $53,645.43 $39,227.77 2026-03-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 48 29 — — $24,759.61 $53,519.39 $39,139.50 2026-03-01
665 MS_DRG Prostatectomy With Mcc 48 29 — — $24,617.01 $53,163.40 $38,890.21 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 48 29 — — $24,572.66 $53,052.69 $38,812.68 2026-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 48 29 — — $24,535.13 $52,959.00 $38,747.07 2026-03-01
544808 CDM Valve Tavr 27mm 36 16 $97,106.00 $97,106.00 $12,934.52 $87,395.40 $38,308.32 2026-03-01
544807 CDM Valve Heart 29 Mm 36 16 $97,106.00 $97,106.00 $12,934.52 $87,395.40 $38,308.32 2026-03-01
263 MS_DRG Vein Ligation And Stripping 48 29 — — $24,181.69 $52,076.69 $38,129.19 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 48 29 — — $24,016.56 $51,664.50 $37,840.53 2026-03-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 48 29 — — $23,929.90 $51,448.18 $37,689.04 2026-03-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 48 29 — — $23,629.01 $50,697.02 $37,163.01 2026-03-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 48 29 — — $19,230.25 $54,859.89 $37,045.07 2026-03-01
J9119 HCPCS Cemiplimab-rwlc 350mginj 29 15 $84,188.44 $84,188.44 $72.46 $75,769.60 $37,042.91 2026-03-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 48 29 — — $22,540.64 $51,441.36 $36,991.00 2026-03-01
570 MS_DRG Skin Debridement With Mcc 48 29 — — $23,388.14 $50,095.76 $36,741.95 2026-03-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 48 29 — — $23,191.64 $49,605.21 $36,398.43 2026-03-01
662 MS_DRG Minor Bladder Procedures With Mcc 48 29 — — $20,642.16 $52,146.53 $36,394.35 2026-03-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 48 29 — — $23,109.07 $49,399.11 $36,254.09 2026-03-01
974 MS_DRG HIV With Major Related Condition With Mcc 48 29 — — $23,012.19 $49,157.24 $36,084.71 2026-03-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 48 29 — — $22,983.53 $49,085.70 $36,034.61 2026-03-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 48 29 — — $22,545.96 $49,429.77 $35,987.86 2026-03-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 48 29 — — $22,904.38 $48,888.12 $35,896.25 2026-03-01
C1822 HCPCS Pulse Gen Imp 180 16 $86,551.00 $86,551.00 $10,122.67 $85,495.50 $35,702.29 2026-03-01
668 MS_DRG Transurethral Procedures With Mcc 48 29 — — $21,588.75 $49,736.36 $35,662.56 2026-03-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 48 29 — — $22,769.96 $48,552.57 $35,661.26 2026-03-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 48 29 — — $22,048.76 $49,181.08 $35,614.92 2026-03-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 48 29 — — $20,852.51 $50,146.86 $35,499.68 2026-03-01
443520 CDM Pump Cath Lv Impella 9fr 38 18 $88,640.00 $88,640.00 $11,806.85 $79,776.00 $34,968.48 2026-03-01
503 MS_DRG Foot Procedures With Mcc 48 29 — — $22,364.66 $47,540.81 $34,952.74 2026-03-01
654 MS_DRG Major Bladder Procedures With Cc 48 29 — — $22,176.25 $47,680.48 $34,928.36 2026-03-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 48 29 — — $18,097.75 $51,385.15 $34,741.45 2026-03-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 48 29 — — $22,233.66 $47,213.77 $34,723.71 2026-03-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 48 29 — — $22,132.67 $46,961.68 $34,547.18 2026-03-01
J2327 HCPCS Risankizum-rzaa 1mg Inj 29 15 $78,308.83 $78,308.83 $39.21 $70,477.95 $34,455.89 2026-03-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 48 29 — — $22,075.36 $46,818.61 $34,446.99 2026-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 48 29 — — $22,070.58 $46,806.68 $34,438.63 2026-03-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 48 29 — — $21,973.69 $46,564.82 $34,269.25 2026-03-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 48 29 — — $21,884.99 $46,343.39 $34,114.19 2026-03-01
849 MS_DRG Radiotherapy 48 29 — — $21,807.89 $46,150.91 $33,979.40 2026-03-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 48 29 — — $21,785.38 $46,094.70 $33,940.04 2026-03-01
1593 OTHER New Technology - Level 42 14 12 — — $32,745.07 $39,294.08 $33,891.15 2026-03-01
1579 OTHER New Technology - Level 42 14 12 — — $32,745.07 $39,294.08 $33,891.15 2026-03-01
93650 CPT Intracardiac Catheter Ablation Of Atrioventricular Node Function, Atrioventricul… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93631 CPT Intra-operative Epicardial And Endocardial Pacing And Mapping To Localize The Si… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93623 CPT Programmed Stimulation And Pacing After Intravenous Drug Infusion (List Separate… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93622 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93624 CPT Electrophysiologic Follow-up Study With Pacing And Recording To Test Effectivene… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
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