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

BLUE RIDGE REGIONAL HOSPITAL

Spruce Pine, NC · CCN 341329 · Rates published

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You selected G0121 (HCPCS)

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

This hospital’s price: $2,894 across 4 payers · range $2,692-$4,317

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2048706_MISSION-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D · observed 2026-09-01

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.

66,187 distinct procedures filed
40 distinct payers
6,045,933 rate rows
2026-09-01 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2048854_TRANSYLVANIA-REGIONAL-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%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 success · 2026-09-23
Content fingerprint 52bbb7e02d102f9f… · 2,243,605,437 bytes · first seen 2026-09-23

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 Autotemc 12 $4,505,000.00 $4,955,500.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 14 $3,691,450.00 $4,429,740.00 $3,839,108.00 nat. median
$3,765,001
1.0× median
714
OTHER 		Inj Delandistrogene Mox Ro 14 $3,316,897.00 $3,980,276.40 $3,449,572.88 nat. median
$3,391,964
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tre 14 $3,285,783.00 $3,942,939.60 $3,417,214.32 nat. median
$8,800
outlier · 388.3×
748
OTHER 		Inj, Lovotibeglogene Autot 14 $3,235,304.00 $3,882,364.80 $3,364,716.16 nat. median
$3,351,720
1.0× median
906
OTHER 		Inj Elivaldogene Autotemec 14 $3,180,000.00 $3,816,000.00 $3,307,200.00 nat. median
$2,726
outlier · 1213.1×
746
OTHER 		Inj, Betibeglogene Autotem 14 $2,930,260.00 $3,516,312.00 $3,047,470.40 nat. median
$3,001,835
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
$813,967
outlier · 3.6×
9141
OTHER 		Inj Onase Abepar-xioi Trea 15 $2,680,038.00 $4,299,505.20 $2,787,239.52 nat. median
$2,508,045
1.1× median
922
OTHER 		Inj Onase Abepar-brve Trea 14 $2,664,228.00 $3,197,073.60 $2,770,797.12 nat. median
$167
outlier · 16628.4×
824
OTHER 		Inj, Exagamglogene Autotem 14 $2,300,907.00 $2,761,088.40 $2,392,943.28 nat. median
$28,063
outlier · 85.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $2,136,591.19 $2,136,591.19 $2,136,591.19 nat. median
$579,571
outlier · 3.7×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 $2,127,168.10 $2,127,168.10 $2,127,168.10 nat. median
$574,037
outlier · 3.7×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $1,369,371.65 $2,333,887.08 $1,369,371.65 nat. median
$621,313
outlier · 2.2×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $1,328,128.35 $2,236,280.28 $1,328,128.35 nat. median
$599,737
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $1,279,600.63 $2,021,026.66 $1,279,600.63 nat. median
$562,501
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $1,175,752.00 $1,859,304.28 $1,175,752.00 nat. median
$513,770
outlier · 2.3×
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
$286,598
outlier · 3.7×
2067
OTHER 		Afamitresgene Autoleucel 14 $813,967.40 $976,760.88 $846,526.10 nat. median
$838,386
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $770,311.60 $770,311.60 $770,311.60 nat. median
$207,733
outlier · 3.7×
9194
OTHER 		Tisagenlecleucel Car-pos T 15 $611,693.20 $952,547.22 $636,160.93 nat. median
$555,653
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 15 $587,977.80 $948,822.12 $611,496.91 nat. median
$553,480
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 15 $579,570.60 $930,106.98 $602,753.42 nat. median
$542,562
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Car 15 $567,977.80 $947,857.68 $590,696.91 nat. median
$552,917
1.1× median
9035
OTHER 		Axicabtagene Ciloleucel Ca 15 $562,500.90 $881,020.80 $585,000.94 nat. median
$513,929
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 15 $510,103.90 $828,954.72 $530,508.06 nat. median
$483,557
1.1× median
J3404
HCPCS 		Injection, Zopapogene Imadenovec-drba Suspension, Per Therapeutic Dose 1 $463,220.00 $463,220.00 $463,220.00 nat. median
$128,604
outlier · 3.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $1,860.00 $944,451.02 $293,856.00 nat. median
$168,055
1.7× median
831
OTHER 		Obecbtge Autol Up To 400 M 14 $278,250.00 $333,900.00 $289,380.00 nat. median
$278,250
1.0× median
J9183
HCPCS 		Gemcitabine Intravesical System, 225 Mg 1 $277,735.39 $277,735.39 $277,735.39 nat. median
$78,093
outlier · 3.6×
897
OTHER 		Revakinagene, Per Implant 14 $261,579.70 $313,895.64 $272,042.89 nat. median
$269,427
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $1,860.00 $715,359.00 $222,909.30 nat. median
$186,516
1.2× median
886
OTHER 		Inj. Remestemcel-l-rknd/ T 14 $203,659.80 $244,391.76 $211,806.19 nat. median
$203,660
1.0× median
A9699
HCPCS 		Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 $177,441.49 $177,441.49 $177,441.49 nat. median
$7,098
outlier · 25.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $1,860.00 $484,910.92 $167,525.21 nat. median
$145,435
1.2× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 2 $166,116.65 $244,272.74 $166,116.65 nat. median
$66,211
outlier · 2.5×
516430
CDM 		Kit Implnt Hrtmt 3 Kit 19 $53,945.38 $393,655.48 $160,749.99 nat. median
$159,771
1.0× median
1908
OTHER 		New Technology - Level 52 15 $142,673.40 $274,500.90 $148,380.34 nat. median
$149,948
1.0× median
1907
OTHER 		New Technology - Level 52 15 $142,673.40 $274,500.90 $148,380.34 nat. median
$149,948
1.0× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 $145,223.54 $213,822.92 $145,223.54 nat. median
$63,499
outlier · 2.3×
456896
CDM 		Device Vntrc Asst Hrtmt 19 $46,957.93 $317,283.30 $139,075.85 nat. median
$124,763
1.1× median
1905
OTHER 		New Technology - Level 51 15 $128,640.00 $247,500.90 $133,785.60 nat. median
$135,199
1.0× median
1906
OTHER 		New Technology - Level 51 15 $128,640.00 $247,500.90 $133,785.60 nat. median
$135,199
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $1,860.00 $487,773.52 $133,664.93 nat. median
$131,925
1.0× median
494847
CDM 		Syst Imp Hrtmt2 Lft Vent 19 $44,261.36 $302,084.10 $131,892.92 nat. median
$131,089
1.0× median
924
OTHER 		Inj Zopapogene Per Ther Do 14 $121,900.00 $146,280.00 $126,776.00 nat. median
$108
outlier · 1172.8×
C9293
HCPCS 		Glucarpidase 1000 U Inj 18 $1,706.58 $276,933.76 $126,158.71 nat. median
$57,284
outlier · 2.2×
J9999
HCPCS 		Carmustine 8 Wafers/box 18 $40,677.31 $274,846.66 $125,660.35 nat. median
$3,398
outlier · 37.0×
1903
OTHER 		New Technology - Level 50 15 $114,606.60 $220,500.90 $119,190.86 nat. median
$3,015
outlier · 39.5×
1904
OTHER 		New Technology - Level 50 15 $114,606.60 $220,500.90 $119,190.86 nat. median
$3,015
outlier · 39.5×

Other procedures at this hospital

Browse this hospital's 66,187 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 Autotemc 25 12 — — $4,505,000.00 $4,955,500.00 $4,640,150.00 2026-09-01
9138 OTHER Inj, Hemgenix, Per Tx Dose 29 14 — — $3,691,450.00 $4,429,740.00 $3,839,108.00 2026-09-01
714 OTHER Inj Delandistrogene Mox Ro 29 14 — — $3,316,897.00 $3,980,276.40 $3,449,572.88 2026-09-01
908 OTHER Topi Adm Prad Zami Per Tre 29 14 — — $3,285,783.00 $3,942,939.60 $3,417,214.32 2026-09-01
748 OTHER Inj, Lovotibeglogene Autot 29 14 — — $3,235,304.00 $3,882,364.80 $3,364,716.16 2026-09-01
906 OTHER Inj Elivaldogene Autotemec 29 14 — — $3,180,000.00 $3,816,000.00 $3,307,200.00 2026-09-01
746 OTHER Inj, Betibeglogene Autotem 29 14 — — $2,930,260.00 $3,516,312.00 $3,047,470.40 2026-09-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $2,928,356.00 $2,928,356.00 $2,928,356.00 2026-09-01
9141 OTHER Inj Onase Abepar-xioi Trea 30 15 — — $2,680,038.00 $4,299,505.20 $2,787,239.52 2026-09-01
922 OTHER Inj Onase Abepar-brve Trea 29 14 — — $2,664,228.00 $3,197,073.60 $2,770,797.12 2026-09-01
824 OTHER Inj, Exagamglogene Autotem 29 14 — — $2,300,907.00 $2,761,088.40 $2,392,943.28 2026-09-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 1 — — $2,136,591.19 $2,136,591.19 $2,136,591.19 2026-09-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 1 — — $2,127,168.10 $2,127,168.10 $2,127,168.10 2026-09-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 21 2 — — $1,369,371.65 $2,333,887.08 $1,369,371.65 2026-09-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 21 2 — — $1,328,128.35 $2,236,280.28 $1,328,128.35 2026-09-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 21 2 — — $1,279,600.63 $2,021,026.66 $1,279,600.63 2026-09-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 21 2 — — $1,175,752.00 $1,859,304.28 $1,175,752.00 2026-09-01
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 2026-09-01
2067 OTHER Afamitresgene Autoleucel 29 14 — — $813,967.40 $976,760.88 $846,526.10 2026-09-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $770,311.60 $770,311.60 $770,311.60 2026-09-01
9194 OTHER Tisagenlecleucel Car-pos T 30 15 — — $611,693.20 $952,547.22 $636,160.93 2026-09-01
9498 OTHER Ciltacabtagene Car-pos T 30 15 — — $587,977.80 $948,822.12 $611,496.91 2026-09-01
9413 OTHER Lisocabtagene Car Pos T 30 15 — — $579,570.60 $930,106.98 $602,753.42 2026-09-01
9422 OTHER Idecabtagene Vicleucel Car 30 15 — — $567,977.80 $947,857.68 $590,696.91 2026-09-01
9035 OTHER Axicabtagene Ciloleucel Ca 30 15 — — $562,500.90 $881,020.80 $585,000.94 2026-09-01
9391 OTHER Brexucabtagene Car Pos T 30 15 — — $510,103.90 $828,954.72 $530,508.06 2026-09-01
J3404 HCPCS Injection, Zopapogene Imadenovec-drba Suspension, Per Therapeutic Dose 1 1 — — $463,220.00 $463,220.00 $463,220.00 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 114 25 — — $1,860.00 $944,451.02 $293,856.00 2026-09-01
831 OTHER Obecbtge Autol Up To 400 M 29 14 — — $278,250.00 $333,900.00 $289,380.00 2026-09-01
J9183 HCPCS Gemcitabine Intravesical System, 225 Mg 1 1 — — $277,735.39 $277,735.39 $277,735.39 2026-09-01
897 OTHER Revakinagene, Per Implant 29 14 — — $261,579.70 $313,895.64 $272,042.89 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 117 25 — — $1,860.00 $715,359.00 $222,909.30 2026-09-01
886 OTHER Inj. Remestemcel-l-rknd/ T 29 14 — — $203,659.80 $244,391.76 $211,806.19 2026-09-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $177,441.49 $177,441.49 $177,441.49 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 118 24 — — $1,860.00 $484,910.92 $167,525.21 2026-09-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 21 2 — — $166,116.65 $244,272.74 $166,116.65 2026-09-01
516430 CDM Kit Implnt Hrtmt 3 Kit 190 19 $404,995.35 $404,995.35 $53,945.38 $393,655.48 $160,749.99 2026-09-01
1908 OTHER New Technology - Level 52 30 15 — — $142,673.40 $274,500.90 $148,380.34 2026-09-01
1907 OTHER New Technology - Level 52 30 15 — — $142,673.40 $274,500.90 $148,380.34 2026-09-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 21 2 — — $145,223.54 $213,822.92 $145,223.54 2026-09-01
456896 CDM Device Vntrc Asst Hrtmt 190 19 $352,537.00 $352,537.00 $46,957.93 $317,283.30 $139,075.85 2026-09-01
1905 OTHER New Technology - Level 51 30 15 — — $128,640.00 $247,500.90 $133,785.60 2026-09-01
1906 OTHER New Technology - Level 51 30 15 — — $128,640.00 $247,500.90 $133,785.60 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 118 24 — — $1,860.00 $487,773.52 $133,664.93 2026-09-01
494847 CDM Syst Imp Hrtmt2 Lft Vent 190 19 $332,292.51 $332,292.51 $44,261.36 $302,084.10 $131,892.92 2026-09-01
924 OTHER Inj Zopapogene Per Ther Do 29 14 — — $121,900.00 $146,280.00 $126,776.00 2026-09-01
C9293 HCPCS Glucarpidase 1000 U Inj 135 18 $307,704.18 $307,704.18 $1,706.58 $276,933.76 $126,158.71 2026-09-01
J9999 HCPCS Carmustine 8 Wafers/box 134 18 $305,385.18 $305,385.18 $40,677.31 $274,846.66 $125,660.35 2026-09-01
1904 OTHER New Technology - Level 50 30 15 — — $114,606.60 $220,500.90 $119,190.86 2026-09-01
1903 OTHER New Technology - Level 50 30 15 — — $114,606.60 $220,500.90 $119,190.86 2026-09-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 29 14 — — $111,503.00 $133,803.60 $115,963.12 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 25 — — $70,070.54 $223,497.85 $110,662.20 2026-09-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 21 2 — — $110,645.59 $156,459.03 $110,645.59 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 118 24 — — $1,860.00 $316,449.08 $110,341.66 2026-09-01
1901 OTHER New Technology - Level 49 30 15 — — $100,573.20 $193,500.90 $104,596.13 2026-09-01
1902 OTHER New Technology - Level 49 30 15 — — $100,573.20 $193,500.90 $104,596.13 2026-09-01
7 MS_DRG Lung Transplant 116 25 — — $1,860.00 $295,860.27 $103,756.23 2026-09-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 29 14 — — $95,081.00 $114,097.20 $98,884.24 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 116 25 — — $1,860.00 $288,972.54 $96,386.65 2026-09-01
1599 OTHER New Technology - Level 48 30 15 — — $88,878.66 $171,000.90 $92,433.81 2026-09-01
1585 OTHER New Technology - Level 48 30 15 — — $88,878.66 $171,000.90 $92,433.81 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 117 25 — — $1,860.00 $393,452.00 $90,963.23 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 119 25 — — $1,860.00 $248,429.69 $85,133.00 2026-09-01
209 MS_DRG Complex Aortic Arch Procedures 77 20 — — $1,860.00 $258,589.30 $84,833.05 2026-09-01
J7330 HCPCS Algrf Maci Fnl 1 Membran 44 16 $237,153.96 $237,153.96 $43,565.18 $318,159.75 $83,715.35 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 116 25 — — $1,860.00 $255,202.32 $82,890.17 2026-09-01
1584 OTHER New Technology - Level 47 30 15 — — $79,523.07 $153,000.90 $82,703.99 2026-09-01
1598 OTHER New Technology - Level 47 30 15 — — $79,523.07 $153,000.90 $82,703.99 2026-09-01
609579 CDM Valve Mitral 35mm 40 13 $236,432.00 $236,432.00 $43,432.56 $212,788.80 $82,514.77 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 119 25 — — $1,860.00 $259,029.00 $81,119.37 2026-09-01
215 MS_DRG Other Heart Assist System Implant 117 25 — — $1,860.00 $275,569.00 $77,062.96 2026-09-01
926 OTHER Gemcitabine Intravesical S 29 14 — — $72,984.24 $87,581.09 $75,903.61 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 80 25 — — $60,839.40 $209,683.00 $74,585.83 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 80 25 — — $60,658.59 $212,348.00 $73,263.90 2026-09-01
1597 OTHER New Technology - Level 46 30 15 — — $70,167.47 $135,000.90 $72,974.17 2026-09-01
1583 OTHER New Technology - Level 46 30 15 — — $70,167.47 $135,000.90 $72,974.17 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 80 25 — — $51,972.64 $185,785.00 $72,696.33 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 119 25 — — $1,860.00 $206,241.00 $72,606.95 2026-09-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 29 14 — — $68,801.70 $82,562.04 $71,553.77 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 119 25 — — $1,860.00 $197,834.94 $69,161.46 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 80 25 — — $55,485.23 $174,662.24 $68,242.93 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 25 — — $55,711.07 $175,418.44 $67,861.50 2026-09-01
717 OTHER Instill Adstiladrin, Tx Do 30 15 — — $64,331.61 $114,038.59 $66,904.87 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 119 25 — — $1,860.00 $254,878.00 $63,589.26 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 80 25 — — $45,135.78 $175,281.00 $63,541.76 2026-09-01
578762 CDM Dvc Intrcrd Vntrc Asst 43 16 $181,712.00 $181,712.00 $33,380.49 $163,540.80 $63,417.49 2026-09-01
1582 OTHER New Technology - Level 45 30 15 — — $60,811.87 $117,000.90 $63,244.34 2026-09-01
1596 OTHER New Technology - Level 45 30 15 — — $60,811.87 $117,000.90 $63,244.34 2026-09-01
5244 OTHER Level 4 Blood Product Exch 30 15 — — $60,122.38 $93,719.11 $62,527.28 2026-09-01
0960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
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 2026-09-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
0871T CPT Replacement Of A Subcutaneous Peritoneal Ascites Pump, Including Reconnection Be… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
0870T CPT Implantation Of Subcutaneous Peritoneal Ascites Pump System, Percutaneous, Inclu… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
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 2026-09-01
0956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $62,226.00 $62,226.00 $62,226.00 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 119 25 — — $1,860.00 $183,273.00 $61,621.79 2026-09-01
551981 CDM Pump Heart 21fr 85mm 155 20 $155,120.00 $155,120.00 $20,661.98 $139,608.00 $61,194.84 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 80 25 — — $44,007.90 $182,239.00 $59,685.35 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 80 25 — — $39,685.40 $127,349.00 $59,333.44 2026-09-01
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 141 20 $144,380.93 $144,380.93 $19,231.54 $215,933.29 $59,196.18 2026-09-01
1643 OTHER Y90 Ibritumomab, Rx 30 15 — — $56,824.55 $117,857.84 $59,097.53 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 80 25 — — $39,321.72 $127,971.00 $58,237.38 2026-09-01
9273 OTHER Sipuleucel-t Auto Cd54+ 30 15 — — $55,932.43 $99,027.41 $58,169.73 2026-09-01
10 MS_DRG Pancreas Transplant 116 25 — — $1,860.00 $163,936.04 $58,110.52 2026-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 119 25 — — $1,860.00 $175,631.00 $57,803.23 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 118 25 — — $1,860.00 $162,997.07 $57,505.12 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 80 25 — — $50,249.78 $171,759.00 $56,839.16 2026-09-01
J9266 HCPCS Pegasparga Single Vl Inj 153 18 $125,252.60 $125,252.60 $16,683.65 $112,727.34 $56,363.67 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 25 — — $48,185.07 $160,353.00 $56,362.73 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 25 — — $48,185.07 $150,219.30 $56,362.73 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 80 25 — — $48,910.38 $165,790.00 $56,309.85 2026-09-01
0908T CPT Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-09-01
0674T CPT Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchroniz… 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-09-01
0909T CPT Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 1 1 — — $55,626.00 $55,626.00 $55,626.00 2026-09-01
451503 CDM Valve Heart Sapien Trans 80 19 $127,042.50 $127,042.50 $20,326.80 $123,493.50 $55,534.65 2026-03-01
496433 CDM Valve Ao 9000tfx 23mm 80 19 $127,042.50 $127,042.50 $20,326.80 $123,493.50 $55,534.65 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 119 25 — — $1,860.00 $157,906.98 $55,480.54 2026-09-01
463211 CDM Valve 29mm Sapien Xt Trn 150 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $55,091.82 2026-09-01
463210 CDM Valve 26mm Sapien Xt Trn 150 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $55,091.82 2026-09-01
463214 CDM Valve Xt Sapien 26mm Ta 150 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $55,091.82 2026-09-01
463209 CDM Valve 23mm Sapien Xt Trn 150 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $55,091.82 2026-09-01
463212 CDM Valve 29mm Sapien Xt Trn 150 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $55,091.82 2026-09-01
463213 CDM Valve Xt Sapien 23mm Ta 150 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $55,091.82 2026-09-01
J2350 HCPCS Ocrelizumab 300 Mg Inj 153 18 $150,336.52 $150,336.52 $157.62 $135,302.87 $55,023.17 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 80 25 — — $44,304.71 $163,292.00 $54,850.86 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 119 25 — — $1,860.00 $155,296.00 $54,596.10 2026-09-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 119 25 — — $1,860.00 $152,759.78 $54,243.55 2026-09-01
485942 CDM Valve Hrt W/cert Sys 23a 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
469507 CDM Valve 29mm Thv 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
469508 CDM Valve Aor 20mm Edwrd Sap 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
469504 CDM Valve 23mm Thv 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
451502 CDM Valve Heart Sapien Trans 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
485939 CDM Valve Hrt W/cert Sys 20a 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
457579 CDM Valve Hrt Sapien 26mm As 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
485646 CDM Valve Hrt W Cert Sys 26a 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
457578 CDM Valve Hrt Sapien 23mm As 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
441862 CDM Valve Pulm 26mm Sapien R 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
485943 CDM Valve Heart W/cert 29a 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
441861 CDM Valve Pulm 23mm Sapien R 190 19 $137,215.00 $137,215.00 $18,277.04 $123,493.50 $54,131.32 2026-09-01
1581 OTHER New Technology - Level 44 30 15 — — $51,456.27 $99,000.90 $53,514.52 2026-09-01
1595 OTHER New Technology - Level 44 30 15 — — $51,456.27 $99,000.90 $53,514.52 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 80 25 — — $44,686.81 $145,671.00 $52,624.11 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 118 24 — — $1,860.00 $163,867.50 $51,999.37 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 119 25 — — $1,860.00 $147,007.16 $51,745.82 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 80 25 — — $40,593.56 $131,325.00 $51,673.41 2026-09-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 29 14 — — $49,605.40 $59,526.48 $51,589.62 2026-09-01
544809 CDM Valve Tavr 25mm 190 19 $132,993.00 $132,993.00 $16,287.21 $119,693.70 $51,468.29 2026-09-01
547215 CDM Valve Mitral 29m 80 19 $117,270.00 $117,270.00 $18,763.20 $113,994.00 $51,262.76 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 80 25 — — $17,022.00 $105,011.64 $50,446.31 2026-09-01
575013 CDM Valve Tavr 23mm 42 19 $117,270.00 $117,270.00 $18,763.20 $105,543.00 $50,273.65 2024-10-01
585067 CDM Valve Tavr 26mm 40 13 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $50,098.25 2026-09-01
584925 CDM Valve Tavr 23mm 40 13 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $50,098.25 2026-09-01
585068 CDM Valve Tavr 20mm 40 13 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $50,098.25 2026-09-01
585066 CDM Valve Tavr 29mm 40 13 $143,548.00 $143,548.00 $26,369.77 $129,193.20 $50,098.25 2026-09-01
547229 CDM Valve Mitral 46.5x39.5mm 190 19 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-09-01
777080 CDM Valve Tavor Aor 29mm 190 19 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-09-01
487214 CDM Valve Aor Evolut Pro 23m 190 19 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-09-01
487218 CDM Valve Tavr 34mm 190 19 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-09-01
547223 CDM Valve Mitral 36.5x52.5mm 190 19 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,967.37 2026-09-01
545488 CDM Valve Aor Tavr 26mm 154 19 $126,660.00 $126,660.00 $16,871.11 $113,994.00 $49,897.71 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 80 25 — — $17,022.00 $149,673.28 $49,852.33 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 80 25 — — $43,363.11 $148,930.00 $49,633.76 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 119 25 — — $1,860.00 $139,847.22 $48,388.61 2026-09-01
551582 CDM Valve Heart Trnscth 20mm 40 13 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $47,888.04 2026-09-01
560365 CDM Valve Aor Sapien3 20mm 40 13 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $47,888.04 2026-09-01
775845 CDM Valve Heart Trnscth 26mm 40 13 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $47,888.04 2026-09-01
775844 CDM Valve Heart Trnscth 23mm 40 13 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $47,888.04 2026-09-01
469506 CDM Kit Aor Vlv 14fr 26mm 40 13 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $47,888.04 2026-09-01
560363 CDM Valve Aor 23mm 40 13 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $47,888.04 2026-09-01
560361 CDM Valve Aor 26mm 40 13 $137,215.00 $137,215.00 $25,206.40 $123,493.50 $47,888.04 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 119 25 — — $1,860.00 $133,987.22 $47,284.68 2026-09-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 48 20 — — $42,259.79 $137,307.00 $47,177.29 2026-09-01
488819 CDM Set Pump 21fr 5.0 198 20 $124,096.00 $124,096.00 $16,529.59 $111,686.40 $47,163.37 2026-09-01
590484 CDM System Trcsd 1clip 1cath 40 13 $135,104.00 $135,104.00 $24,818.60 $121,593.60 $47,151.30 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 106 23 — — $1,860.00 $102,433.78 $46,891.07 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 119 25 — — $1,860.00 $139,843.00 $46,685.07 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 119 25 — — $1,860.00 $132,510.00 $46,441.61 2026-09-01
598386 CDM Valve Tavr 34mm 40 13 $132,993.00 $132,993.00 $24,430.81 $119,693.70 $46,414.56 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 25 — — $39,707.23 $133,362.00 $46,412.36 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 119 25 — — $1,860.00 $143,738.00 $45,783.15 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 116 25 — — $1,860.00 $128,042.69 $45,691.45 2026-09-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 119 25 — — $1,860.00 $136,102.00 $45,384.05 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 80 25 — — $17,022.00 $124,979.04 $45,281.40 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 80 25 — — $34,833.41 $129,708.00 $45,135.32 2026-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 119 25 — — $1,860.00 $135,271.00 $45,120.60 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 119 25 — — $1,860.00 $150,065.00 $45,046.42 2026-09-01
607167 CDM System Dlv Cath 1 Clip 43 16 $128,528.00 $128,528.00 $23,610.59 $115,675.20 $44,856.27 2026-09-01
834 MS_DRG Acute Leukemia With Mcc 119 25 — — $1,860.00 $125,422.26 $44,349.98 2026-09-01
598801 CDM Valve Tavr 23mm 40 13 $126,660.00 $126,660.00 $23,267.44 $113,994.00 $44,204.34 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 119 25 — — $1,860.00 $124,604.37 $44,069.73 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 80 25 — — $17,022.00 $113,942.14 $44,049.60 2026-09-01
121565 CDM Ins/repl Ccm System 24 14 $109,858.58 $109,858.58 $20,181.02 $98,872.72 $43,998.36 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 116 25 — — $1,860.00 $135,469.93 $43,815.62 2026-09-01
1580 OTHER New Technology - Level 43 30 15 — — $42,100.67 $81,000.90 $43,784.70 2026-09-01
1594 OTHER New Technology - Level 43 30 15 — — $42,100.67 $81,000.90 $43,784.70 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 80 25 — — $35,804.35 $138,326.00 $43,642.75 2026-09-01
C9758 HCPCS Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implantatio… 1 1 — — $43,558.00 $43,558.00 $43,558.00 2026-09-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 1 1 — — $43,558.00 $43,558.00 $43,558.00 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 119 25 — — $1,860.00 $186,010.00 $43,234.67 2026-09-01
595991 CDM Valve Tavr 29mm 40 13 $123,133.50 $123,133.50 $22,619.62 $110,820.15 $42,973.59 2026-09-01
596518 CDM Valve Tavr 26mm 40 13 $123,133.50 $123,133.50 $22,619.62 $110,820.15 $42,973.59 2026-09-01
856 OTHER Porfimer Sodium Injection 1 1 — — $42,966.25 $42,966.25 $42,966.25 2024-10-01
371977 CDM Set Vntrc 17.4x13.8in 198 20 $110,800.00 $110,800.00 $14,758.56 $99,720.00 $42,890.44 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 119 25 — — $1,860.00 $127,165.41 $42,666.76 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 25 — — $37,710.76 $115,148.41 $42,580.12 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 80 25 — — $31,790.93 $182,239.00 $42,045.84 2026-09-01
941 OTHER Riboflavin Epioxa/hd<=2ml 29 14 — — $40,427.50 $48,513.00 $42,044.60 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 116 25 — — $1,860.00 $124,106.33 $41,722.89 2026-09-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 29 14 — — $39,992.60 $47,991.12 $41,592.30 2026-09-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 2 1 — — $39,376.13 $43,558.00 $41,467.07 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 80 25 — — $32,256.28 $100,974.00 $41,401.04 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 80 25 — — $17,022.00 $118,716.95 $41,227.36 2026-09-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 29 14 — — $39,378.40 $47,254.08 $40,953.54 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 119 25 — — $1,860.00 $153,501.00 $40,496.48 2026-09-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 2 2 — — $18,388.00 $62,226.00 $40,307.00 2026-09-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 2 2 — — $18,388.00 $62,226.00 $40,307.00 2026-09-01
0408T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 2 2 — — $18,388.00 $62,226.00 $40,307.00 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 119 25 — — $1,860.00 $118,922.57 $40,123.46 2026-09-01
J9216 HCPCS Injection, Interferon, Gamma 1-b, 3 Million Units 1 1 — — $40,080.46 $40,080.46 $40,080.46 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 119 25 — — $1,860.00 $112,827.26 $40,034.43 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 119 25 — — $1,860.00 $112,441.16 $39,902.13 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 119 25 — — $1,860.00 $111,972.82 $39,741.66 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 80 25 — — $27,121.81 $82,012.00 $39,734.68 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 80 25 — — $33,356.00 $123,901.00 $39,174.14 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 80 25 — — $31,901.47 $100,784.00 $39,000.87 2026-09-01
1142 OTHER Supprelin La Implant 30 15 — — $37,491.97 $81,630.38 $38,991.65 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 119 25 — — $1,860.00 $109,759.04 $38,744.48 2026-09-01
0100T CPT Placement Of A Subconjunctival Retinal Prosthesis Receiver And Pulse Generator, … 2 2 — — $15,151.00 $62,226.00 $38,688.50 2026-09-01
573195 CDM Kit Cath Rt Heart 43 16 $110,800.00 $110,800.00 $20,353.96 $99,720.00 $38,669.20 2026-09-01
607265 CDM Cath Vasc Assist Strl 43 16 $110,800.00 $110,800.00 $20,353.96 $99,720.00 $38,669.20 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 118 25 — — $1,860.00 $107,408.18 $38,364.77 2026-09-01
544807 CDM Valve Heart 29 Mm 190 19 $97,106.00 $97,106.00 $12,934.52 $87,395.40 $38,308.32 2026-09-01
544808 CDM Valve Tavr 27mm 190 19 $97,106.00 $97,106.00 $12,934.52 $87,395.40 $38,308.32 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 119 25 — — $1,860.00 $107,188.86 $38,102.49 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 116 25 — — $1,860.00 $105,936.90 $38,042.86 2026-09-01
93656 CPT Com Ep Repo Cth Tx Afib 25 15 $86,089.92 $86,089.92 $15,814.72 $87,116.00 $37,879.56 2026-09-01
C1824 HCPCS Gen Pls Card Mod Sys 80 13 $103,439.00 $103,439.00 $17,838.37 $98,794.80 $37,761.57 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 119 25 — — $1,860.00 $110,932.00 $37,329.07 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 80 25 — — $17,022.00 $103,467.25 $37,188.37 2026-09-01
0784T CPT Insertion Or Replacement Of Percutaneous Electrode Array, Spinal, With Integrate… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0517T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0572T CPT Insertion Of Substernal Implantable Defibrillator Electrode 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0505T CPT Endovenous Femoral-popliteal Arterial Revascularization, With Transcatheter Plac… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0917T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0918T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0632T CPT Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmona… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
1014T CPT Laparoscopic Revision Or Removal, Lower Esophageal Sphincter Neurostimulator Ele… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0816T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0680T CPT Insertion Or Replacement Of Pulse Generator Only, Permanent Implantable Synchron… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0527T CPT Insertion Or Replacement Of Intracardiac Ischemia Monitoring System, Including T… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0786T CPT Insertion Or Replacement Of Percutaneous Electrode Array, Sacral, With Integrate… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0801T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
1013T CPT Laparoscopy, Surgical, Implantation Or Replacement Of Lower Esophageal Sphincter… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9783 HCPCS Blinded Procedure For Transcatheter Implantation Of Coronary Sinus Reduction Dev… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9780 HCPCS Insertion Of Central Venous Catheter Through Central Venous Occlusion Via Inferi… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0803T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0790T CPT Revision (eg, Augmentation, Division Of Tether), Replacement, Or Removal Of Thor… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0823T CPT Transcatheter Insertion Of Permanent Single-chamber Leadless Pacemaker, Right At… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0525T CPT Insertion Or Replacement Of Intracardiac Ischemia Monitoring System, Including T… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0802T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0793T CPT Percutaneous Transcatheter Thermal Ablation Of Nerves Innervating The Pulmonary … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0582T CPT Transurethral Ablation Of Malignant Prostate Tissue By High-energy Water Vapor T… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0797T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0675T CPT Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(s), Permanent… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0817T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0620T CPT Endovascular Venous Arterialization, Tibial Or Peroneal Vein, With Transcatheter… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0656T CPT Anterior Lumbar Or Thoracolumbar Vertebral Body Tethering; Up To 7 Vertebral Seg… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9792 HCPCS Blinded Or Nonblinded Procedure For Symptomatic New York Heart Association (nyha… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0526T CPT Insertion Or Replacement Of Intracardiac Ischemia Monitoring System, Including T… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0516T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0795T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
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 2026-09-01
0796T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0645T CPT Transcatheter Implantation Of Coronary Sinus Reduction Device Including Vascular… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0657T CPT Anterior Lumbar Or Thoracolumbar Vertebral Body Tethering; 8 Or More Vertebral S… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
0825T CPT Transcatheter Removal And Replacement Of Permanent Single-chamber Leadless Pacem… 1 1 — — $37,185.00 $37,185.00 $37,185.00 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 119 25 — — $1,860.00 $103,919.60 $36,982.30 2026-09-01
245 MS_DRG Aicd Generator Procedures 119 25 — — $1,860.00 $133,711.00 $36,973.09 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 119 25 — — $1,860.00 $106,869.02 $36,965.10 2026-09-01
586409 CDM Valve Pulm 27mm 40 13 $105,528.89 $105,528.89 $19,385.66 $94,976.00 $36,829.58 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 119 25 — — $1,860.00 $104,744.34 $36,767.91 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 119 25 — — $1,860.00 $102,391.20 $36,458.61 2026-09-01
0308T CPT Insertion Of Ocular Telescope Prosthesis Including Removal Of Crystalline Lens O… 2 2 — — $17,284.00 $55,626.00 $36,455.00 2026-09-01
L8701 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand With S… 29 14 — — $34,970.10 $41,964.12 $36,368.90 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 80 25 — — $27,585.78 $88,035.00 $36,289.17 2026-09-01
584751 CDM Transcth Aortic Vlv 27mm 40 13 $103,141.50 $103,141.50 $18,947.09 $92,827.35 $35,996.38 2026-09-01
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