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 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $968 across 17 payers · range $274-$1,853

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

838,313 of 859,576 rate rows are consumer-grade (97.5%)

21,263 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 77
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
$17,156
outlier · 270.5×
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
$30,519
outlier · 113.1×
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
$25,059
outlier · 131.3×
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
$2,285,360
1.1× median
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
$739,258
1.9× 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
$646,415
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
$608,239
outlier · 2.1×
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
$591,721
2.0× median
2067
OTHER 		Afamitresgene Autoleucel 12 $770,620.00 $924,744.00 $797,591.70 nat. median
$793,739
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
$577,163
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
$563,449
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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $296,268.65 $735,532.63 $309,468.20 nat. median
$359,454
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 12 $278,250.00 $333,900.00 $287,988.75 nat. median
$23,596
outlier · 12.2×
897
OTHER 		Revakinagene, Per Implant 12 $265,000.00 $318,000.00 $274,275.00 nat. median
$26,484
outlier · 10.4×
886
OTHER 		Inj. Remestemcel-l-rknd/ 12 $201,669.00 $242,002.80 $208,727.42 nat. median
$201,669
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $194,533.44 $492,227.87 $206,825.93 nat. median
$249,036
0.8× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $166,116.65 $166,116.65 $166,116.65 nat. median
$68,423
outlier · 2.4×
516430
CDM 		Kit Implnt Hrtmt 3 Kit 16 $53,945.38 $364,495.82 $159,770.67 nat. median
$161,687
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $148,144.43 $361,528.83 $156,762.66 nat. median
$190,559
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $133,889.32 $363,663.07 $153,931.23 nat. median
$198,418
0.8× median
1908
OTHER 		New Technology - Level 52 12 $142,673.40 $171,208.08 $147,666.97 nat. median
$155,563
0.9× median
1907
OTHER 		New Technology - Level 52 12 $142,673.40 $171,208.08 $147,666.97 nat. median
$155,833
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
$65,720
outlier · 2.2×
C9293
HCPCS 		Glucarpidase 1000 U Inj 15 $40,986.20 $276,933.76 $142,774.74 nat. median
$30,297
outlier · 4.7×
J9999
HCPCS 		Carmustine Wafers 8/box 15 $40,677.31 $274,846.66 $141,698.72 nat. median
$2,706
outlier · 52.4×
456896
CDM 		Device Vntrc Asst Hrtmt 16 $46,957.93 $317,283.30 $139,075.85 nat. median
$104,421
1.3× median
1905
OTHER 		New Technology - Level 51 12 $128,640.00 $154,368.00 $133,142.40 nat. median
$140,341
0.9× median
1906
OTHER 		New Technology - Level 51 12 $128,640.00 $154,368.00 $133,142.40 nat. median
$140,341
0.9× median
494847
CDM 		Syst Imp Hrtmt2 Lft Vent 16 $44,261.36 $299,063.26 $131,089.40 nat. median
$131,893
1.0× median
1904
OTHER 		New Technology - Level 50 12 $114,606.60 $137,527.92 $118,617.83 nat. median
$120,722
1.0× median
1903
OTHER 		New Technology - Level 50 12 $114,606.60 $137,527.92 $118,617.83 nat. median
$120,722
1.0× median
J9226
HCPCS 		Histrelin Implant (supprelin La), 50 Mg 1 $110,645.59 $110,645.59 $110,645.59 nat. median
$55,159
outlier · 2.0×
1901
OTHER 		New Technology - Level 49 12 $100,573.20 $120,687.84 $104,093.26 nat. median
$105,940
1.0× median
1902
OTHER 		New Technology - Level 49 12 $100,573.20 $120,687.84 $104,093.26 nat. median
$105,940
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $97,831.46 $235,930.90 $103,522.76 nat. median
$126,695
0.8× median
7
MS_DRG 		Lung Transplant 20 $91,682.39 $220,580.76 $97,475.76 nat. median
$117,974
0.8× median
1585
OTHER 		New Technology - Level 48 12 $88,878.66 $106,654.39 $91,989.42 nat. median
$96,901
0.9× median
1599
OTHER 		New Technology - Level 48 12 $88,878.66 $106,654.39 $91,989.42 nat. median
$97,104
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $85,321.11 $269,504.97 $90,712.51 nat. median
$110,307
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $80,639.69 $193,014.55 $85,735.28 nat. median
$104,013
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $80,551.00 $192,793.12 $84,429.08 nat. median
$92,678
0.9× 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.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 20 — — $296,268.65 $735,532.63 $309,468.20 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
886 OTHER Inj. Remestemcel-l-rknd/ 14 12 — — $201,669.00 $242,002.80 $208,727.42 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 20 — — $194,533.44 $492,227.87 $206,825.93 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 20 — — $148,144.43 $361,528.83 $156,762.66 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 20 — — $133,889.32 $363,663.07 $153,931.23 2026-03-01
1907 OTHER New Technology - Level 52 14 12 — — $142,673.40 $171,208.08 $147,666.97 2026-03-01
1908 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
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
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
1903 OTHER New Technology - Level 50 14 12 — — $114,606.60 $137,527.92 $118,617.83 2026-03-01
1904 OTHER New Technology - Level 50 14 12 — — $114,606.60 $137,527.92 $118,617.83 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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 20 — — $97,831.46 $235,930.90 $103,522.76 2026-03-01
7 MS_DRG Lung Transplant 23 20 — — $91,682.39 $220,580.76 $97,475.76 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
14 MS_DRG Allogeneic Bone Marrow Transplant 23 20 — — $85,321.11 $269,504.97 $90,712.51 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 20 — — $80,639.69 $193,014.55 $85,735.28 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 18 15 — — $80,551.00 $192,793.12 $84,429.08 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 20 — — $78,520.40 $187,724.10 $83,088.29 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 20 — — $77,516.71 $185,218.55 $82,026.21 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 20 — — $73,671.14 $238,009.79 $78,326.39 2026-03-01
215 MS_DRG Other Heart Assist System Implant 24 20 — — $71,259.13 $169,597.58 $76,119.33 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 20 — — $70,070.54 $166,630.43 $74,849.67 2026-03-01
1583 OTHER New Technology - Level 46 14 12 — — $70,167.47 $84,200.96 $72,623.33 2026-03-01
1597 OTHER New Technology - Level 46 14 12 — — $70,167.47 $84,200.96 $72,623.33 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 20 — — $64,794.82 $153,460.52 $68,564.23 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
717 OTHER Instill Adstiladrin, Tx D 14 12 — — $64,274.79 $77,129.75 $66,524.40 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
850 MS_DRG Acute Leukemia With Other Procedures 24 20 — — $62,406.02 $147,497.26 $66,036.46 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 20 — — $60,839.40 $143,586.49 $64,378.71 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 20 — — $60,658.59 $182,239.00 $64,187.38 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
5244 OTHER Level 4 Blood Product Exc 14 12 — — $60,122.38 $72,146.86 $62,226.67 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 20 — — $57,010.90 $134,029.27 $60,327.49 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 20 — — $55,711.07 $130,784.48 $59,510.82 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 14 12 — — $56,824.55 $68,189.46 $58,813.41 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 20 — — $55,485.23 $130,220.69 $58,713.06 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 20 — — $55,312.60 $129,789.76 $58,530.38 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 14 12 — — $54,404.11 $65,284.93 $56,308.25 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 20 — — $52,574.44 $122,954.41 $55,632.93 2026-03-01
10 MS_DRG Pancreas Transplant 23 20 — — $52,281.73 $122,223.70 $55,585.39 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 20 — — $52,001.30 $121,523.64 $55,026.45 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 20 — — $51,972.64 $121,452.10 $54,996.12 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 20 — — $52,086.66 $122,172.60 $54,342.69 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 20 — — $50,481.08 $117,728.69 $53,417.79 2026-03-01
1595 OTHER New Technology - Level 44 14 12 — — $51,456.27 $61,747.52 $53,257.24 2026-03-01
1581 OTHER New Technology - Level 44 14 12 — — $51,456.27 $61,747.52 $53,257.24 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 20 — — $50,249.78 $117,151.27 $53,173.04 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 20 — — $49,248.13 $114,650.83 $52,113.12 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 20 — — $48,943.82 $113,891.15 $51,791.10 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 20 — — $48,910.38 $113,807.69 $51,755.71 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 20 — — $48,185.07 $111,997.08 $51,471.51 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 20 — — $48,185.07 $111,997.08 $51,471.51 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 20 — — $47,225.73 $109,602.25 $49,973.06 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
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
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
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
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
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
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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 20 — — $35,445.45 $111,590.00 $49,611.50 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 20 — — $45,135.78 $104,385.04 $48,214.24 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 20 — — $45,087.33 $104,264.10 $47,710.26 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 20 — — $44,686.81 $103,264.27 $47,286.44 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 24 20 — — $44,316.31 $102,339.37 $46,894.39 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 20 — — $44,304.71 $102,310.42 $46,882.11 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 20 — — $44,007.90 $182,239.00 $46,568.04 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 20 — — $43,874.16 $101,122.71 $46,206.49 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 20 — — $43,363.11 $99,959.86 $45,885.74 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 20 — — $43,337.18 $99,895.14 $45,858.29 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 20 — — $43,780.00 $101,000.58 $45,668.21 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 20 — — $42,670.55 $114,666.00 $45,152.90 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 20 — — $42,419.46 $97,604.20 $44,887.19 2026-03-01
1142 OTHER Supprelin La Implant 14 12 — — $43,185.34 $51,822.41 $44,696.82 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 24 20 — — $42,209.30 $97,079.58 $44,664.81 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 15 — — $42,259.79 $97,205.63 $44,294.37 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 20 — — $41,561.78 $104,716.94 $44,188.05 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 20 — — $41,680.50 $114,666.00 $44,105.25 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 24 20 — — $41,299.77 $94,809.08 $43,702.36 2026-03-01
1594 OTHER New Technology - Level 43 14 12 — — $42,100.67 $50,520.80 $43,574.19 2026-03-01
1580 OTHER New Technology - Level 43 14 12 — — $42,100.67 $50,520.80 $43,574.19 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 20 — — $41,005.00 $94,073.26 $43,390.45 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 24 20 — — $40,779.15 $105,071.67 $43,151.46 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 20 — — $40,646.78 $93,179.03 $43,011.39 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 20 — — $40,593.56 $93,046.17 $42,955.07 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 20 — — $40,386.14 $92,528.37 $42,938.12 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 20 — — $40,534.89 $92,899.69 $42,892.99 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 20 — — $39,707.23 $90,833.58 $42,415.44 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 24 20 — — $39,685.40 $90,779.08 $41,994.07 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 20 — — $39,441.12 $90,169.30 $41,735.59 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 20 — — $39,321.72 $89,871.22 $41,609.24 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 20 — — $38,837.96 $88,663.58 $41,097.33 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 24 20 — — $38,776.54 $88,510.28 $40,615.56 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 20 — — $37,710.76 $85,849.73 $40,282.81 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 20 — — $37,350.49 $84,950.38 $39,523.33 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 20 — — $37,077.56 $87,801.42 $39,234.54 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 20 — — $37,017.51 $84,119.17 $39,170.99 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 20 — — $36,902.21 $83,831.32 $39,048.98 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 20 — — $36,762.33 $83,482.14 $38,900.96 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 20 — — $36,267.65 $82,247.25 $38,357.81 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 20 — — $35,804.35 $81,090.71 $38,246.38 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 20 — — $36,101.16 $81,831.64 $38,201.33 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 20 — — $35,399.05 $80,078.95 $37,458.38 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 20 — — $35,333.55 $79,915.43 $37,389.06 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 24 20 — — $35,238.02 $79,676.97 $37,287.97 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 23 20 — — $34,959.64 $89,705.58 $37,168.72 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 20 — — $34,833.41 $78,666.91 $36,859.82 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 20 — — $34,683.30 $78,292.18 $36,700.98 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 20 — — $34,603.47 $78,092.90 $36,616.51 2026-03-01
245 MS_DRG Aicd Generator Procedures 24 20 — — $34,450.63 $77,711.36 $36,454.78 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 20 — — $34,357.15 $77,478.01 $36,355.86 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 20 — — $34,343.50 $77,443.94 $36,341.42 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 24 20 — — $34,222.04 $77,140.75 $36,212.89 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 20 — — $33,771.71 $76,016.58 $36,075.10 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 24 20 — — $33,900.67 $76,338.50 $35,872.82 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 20 — — $33,293.41 $74,822.56 $35,230.24 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 20 — — $28,143.67 $76,316.36 $35,013.60 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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 20 — — $32,847.17 $73,708.60 $34,758.04 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
140 MS_DRG Major Head And Neck Procedures With Mcc 24 20 — — $32,423.45 $72,650.85 $34,309.66 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 20 — — $32,256.28 $72,233.55 $34,132.78 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 20 — — $32,136.19 $71,933.77 $34,005.69 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 20 — — $32,087.06 $71,811.13 $33,953.71 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 20 — — $32,072.73 $71,775.36 $33,938.54 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
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 20 — — $31,988.80 $71,565.85 $33,849.74 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 20 — — $31,954.69 $71,480.69 $33,813.63 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 20 — — $31,901.47 $71,347.83 $33,757.32 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 20 — — $25,990.21 $73,120.97 $33,691.20 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
93621 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93616 CPT Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogr… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93618 CPT Induction Of Arrhythmia By Electrical Pacing 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93615 CPT Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogr… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93619 CPT Comprehensive Electrophysiologic Evaluation With Right Atrial Pacing And Recordi… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93620 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93602 CPT Intra-atrial Recording 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93612 CPT Intraventricular Pacing 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93600 CPT Bundle Of His Recording 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93613 CPT Intracardiac Electrophysiologic 3-dimensional Mapping (List Separately In Additi… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93610 CPT Intra-atrial Pacing 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93603 CPT Right Ventricular Recording 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
93609 CPT Intraventricular And/or Intra-atrial Mapping Of Tachycardia Site(s) With Cathete… 2 2 — — $33,675.00 $33,690.00 $33,682.50 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 20 — — $31,790.93 $182,239.00 $33,640.35 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 20 — — $31,469.56 $70,269.64 $33,615.93 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 20 — — $31,657.20 $70,738.05 $33,498.85 2026-03-01
772801 CDM Kit Impl Neurostim 36 16 $83,511.16 $83,511.16 $11,123.69 $75,160.04 $32,945.15 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 23 20 — — $12,668.95 $70,941.57 $32,822.04 2026-03-01
5166 OTHER Cochlear Implant Procedur 14 12 — — $31,515.54 $37,818.65 $32,618.58 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 20 — — $30,753.12 $68,481.18 $32,542.17 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 20 — — $30,504.76 $67,861.18 $32,279.36 2026-03-01
791 MS_DRG Prematurity With Major Problems 23 20 — — $28,245.66 $69,059.83 $32,042.41 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 20 — — $30,012.12 $66,631.39 $31,758.07 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 20 — — $29,891.35 $66,329.91 $31,630.26 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 20 — — $29,731.01 $65,929.63 $31,460.60 2026-03-01
514663 CDM Cap Endrnt Grft 162698 36 16 $79,373.60 $79,373.60 $10,572.56 $71,436.24 $31,312.89 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 20 — — $29,516.75 $65,394.80 $31,233.88 2026-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 15 — — $29,691.43 $65,830.84 $31,120.90 2026-03-01
5232 OTHER Level 2 Icd And Similar P 14 12 — — $30,002.22 $36,002.66 $31,052.30 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 20 — — $29,432.34 $65,767.82 $30,776.03 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 20 — — $28,996.15 $64,095.18 $30,682.99 2026-03-01
J9228 HCPCS Ipilimumab 1 Mg Inj 79 15 $69,399.15 $69,399.15 $171.18 $249,836.18 $30,535.63 2026-03-01
5465 OTHER Level 5 Neurostimulator A 14 12 — — $29,494.52 $35,393.42 $30,526.83 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 20 — — $28,823.52 $63,664.24 $30,500.31 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 20 — — $28,820.79 $63,657.43 $30,497.42 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 20 — — $28,749.14 $63,478.58 $30,286.22 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 20 — — $28,605.85 $65,868.36 $30,269.99 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 20 — — $28,372.51 $62,538.36 $30,137.74 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 20 — — $28,382.74 $62,563.91 $30,033.89 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 20 — — $27,431.87 $63,815.84 $29,840.29 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 20 — — $28,078.42 $61,804.24 $29,711.87 2026-03-01
332 MS_DRG Rectal Resection With Mcc 24 20 — — $28,025.20 $61,671.38 $29,655.56 2026-03-01
265 MS_DRG Aicd Lead Procedures 24 20 — — $28,008.14 $61,628.80 $29,637.51 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 20 — — $27,964.47 $61,519.79 $29,591.29 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 24 20 — — $27,927.63 $61,427.81 $29,552.31 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 20 — — $28,059.32 $61,756.55 $29,550.94 2026-03-01
J3357 HCPCS Ustekinumab 1 Mg Sq 88 17 $101,787.63 $101,787.63 $285.81 $192,195.33 $29,437.92 2026-03-01
843 OTHER Pegaspargase Injection 14 12 — — $28,424.06 $34,108.87 $29,418.90 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 20 — — $27,709.97 $60,884.46 $29,321.99 2026-03-01
337140 CDM Stnt Prox Str24x24x152 36 16 $74,181.60 $74,181.60 $9,880.99 $66,763.44 $29,264.64 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 20 — — $27,649.24 $60,732.86 $29,257.72 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 20 — — $27,383.14 $60,068.58 $29,250.80 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 20 — — $27,766.60 $61,025.83 $29,242.66 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 20 — — $27,585.78 $60,574.46 $29,190.57 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 20 — — $27,334.01 $59,945.94 $28,924.15 2026-03-01
438918 CDM Stent Graft Evas 199mm 3 36 16 $72,935.05 $72,935.05 $9,714.95 $65,641.54 $28,772.88 2026-03-01
J1412 HCPCS Injection, Valoctocogene Roxaparvovec-rvox, Per Ml, Containing Nominal 2 X 10°13… 4 1 — — $28,750.78 $28,750.78 $28,750.78 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 24 20 — — $27,121.81 $59,416.21 $28,699.61 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 20 — — $26,861.37 $60,823.14 $28,601.77 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 20 — — $27,129.09 $60,681.77 $28,543.27 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 20 — — $24,672.85 $60,623.85 $28,519.30 2026-03-01
5200 OTHER Implantation Wireless Pa 14 12 — — $27,416.23 $32,899.48 $28,375.80 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 20 — — $27,115.67 $59,400.88 $28,347.84 2026-03-01
773097 CDM Device Clsr 12fr 31mm 36 16 $71,774.00 $71,774.00 $9,560.30 $64,596.60 $28,314.84 2026-03-01
773098 CDM Device Clsr 12f 35mm 36 16 $71,774.00 $71,774.00 $9,560.30 $64,596.60 $28,314.84 2026-03-01
773096 CDM Device Clsr 12fr 27mm 36 16 $71,774.00 $71,774.00 $9,560.30 $64,596.60 $28,314.84 2026-03-01
773095 CDM Device Clsr 12fr 24mm 36 16 $71,774.00 $71,774.00 $9,560.30 $64,596.60 $28,314.84 2026-03-01
773094 CDM Device Clsr 12fr 20mm 36 16 $71,774.00 $71,774.00 $9,560.30 $64,596.60 $28,314.84 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 20 — — $26,713.10 $58,395.94 $28,267.12 2026-03-01
337142 CDM Stent Evas Cls 150x40x40 36 16 $71,173.42 $71,173.42 $9,480.30 $64,056.08 $28,077.91 2026-03-01
337145 CDM Stnt Clsweb Tpr44x40x150 36 16 $71,173.42 $71,173.42 $9,480.30 $64,056.08 $28,077.91 2026-03-01
337141 CDM Stnt Clsweb Tpr42x38x150 36 16 $71,173.42 $71,173.42 $9,480.30 $64,056.08 $28,077.91 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 15 — — $26,782.70 $58,569.67 $28,072.14 2026-03-01
L8688 HCPCS Stimulator Pain 1.1cm 36 16 $70,929.60 $70,929.60 $9,447.82 $63,836.64 $27,981.73 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 20 — — $25,864.85 $59,128.36 $27,900.39 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 20 — — $23,775.14 $58,842.20 $27,781.97 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 20 — — $26,114.02 $56,900.44 $27,633.19 2026-03-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 20 — — $25,780.37 $56,067.53 $27,538.71 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 20 — — $24,888.52 $58,109.78 $27,478.85 2026-03-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 20 — — $25,375.09 $58,033.13 $27,447.14 2026-03-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 20 — — $25,859.52 $56,265.11 $27,363.89 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 24 20 — — $25,783.10 $78,346.40 $27,283.01 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 20 — — $25,514.94 $55,404.94 $26,999.26 2026-03-01
652 MS_DRG Kidney Transplant 23 20 — — $25,355.96 $150,230.67 $26,958.20 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 20 — — $25,392.80 $55,100.05 $26,866.82 2026-03-01
418030 CDM Stent Graft Evas 161mm 2 36 16 $68,079.75 $68,079.75 $9,068.22 $61,271.78 $26,857.46 2026-03-01
421752 CDM Stent Aaa 40x40x159mm Ta 36 16 $68,079.75 $68,079.75 $9,068.22 $61,271.78 $26,857.46 2026-03-01
430213 CDM Stent Grf Mn Prx Thr 38m 36 16 $68,079.75 $68,079.75 $9,068.22 $61,271.78 $26,857.46 2026-03-01
5117 OTHER Level 7 Musculoskeletal P 14 12 — — $25,935.34 $31,122.41 $26,843.08 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 20 — — $25,362.10 $119,818.00 $26,837.53 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 20 — — $25,339.58 $54,967.19 $26,813.70 2026-03-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 20 — — $25,225.64 $54,682.74 $26,693.12 2026-03-01
1592 OTHER New Technology - Level 41 14 12 — — $25,728.37 $30,874.04 $26,628.86 2026-03-01
1578 OTHER New Technology - Level 41 14 12 — — $25,728.37 $30,874.04 $26,628.86 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 20 — — $25,105.55 $54,382.96 $26,566.05 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 20 — — $25,065.29 $54,282.47 $26,523.45 2026-03-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 20 — — $25,044.14 $54,229.67 $26,501.07 2026-03-01
495512 CDM Kit Nucleus 7 Processor 38 18 $67,111.63 $67,111.63 $8,939.27 $60,400.47 $26,475.54 2026-03-01
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