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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

INTEGRIS MIAMI HOSPITAL

Miami, OK · CCN 370004 · Rates published

15,640 distinct procedures filed
34 distinct payers
220,816 rate rows
2026-04-01 last MRF observed
Data quality

167,654 of 220,816 rate rows are consumer-grade (75.9%)

53,162 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 51,866
template filing: same amount across many unrelated codes — excluded 1,250
placeholder amount (≤ $0.02) — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=pVP5UiW3I*__*Y*_*TJMcttiiiA*-*&f=1Uqk9sV2mcxtBmvoqWiwog*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?ci=fFJE38ye7xsB8Of*_*qxAfVQ*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 78c93c922dffae94… · 32,841,000 bytes · first seen 2026-05-09

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $79.40 $4,640,150.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
H2000
HCPCS 		Comp Multidisipln Evaluation 1 $4,165,959.00 $4,165,959.00 $4,165,959.00 nat. median
$173
outlier · 24108.6×
H2010
HCPCS 		Comprehensive Medication Services, Per 15 Minutes 1 $3,807,119.13 $3,807,119.13 $3,807,119.13 nat. median
$32
outlier · 118601.8×
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $13.04 $3,795,824.67 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,408,903.61 $3,408,903.61 $3,408,903.61 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,334.25 $3,415,956.47 $3,349,627.21 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $89.91 $3,345,899.09 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $42.45 $4,864,551.99 $3,004,654.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $38.88 $3,998,166.53 $2,504,212.82 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $141.40 $3,847,800.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,271,523.00 $789,885.50 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $1,284.99 $954,972.35 $603,560.73 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $912,729.35 $580,015.67 nat. median
$675,122
0.9× median
M1107
HCPCS 		Docu Dx Degen Neuro 1 $578,544.93 $578,544.93 $578,544.93 nat. median
$260
outlier · 2222.4×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $852,129.78 $576,601.64 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $870,577.06 $571,250.88 nat. median
$625,184
0.9× median
M1106
HCPCS 		Start Eoc Doc Med Rec 1 $552,546.94 $552,546.94 $552,546.94 nat. median
$260
outlier · 2122.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $829,687.20 $546,560.93 nat. median
$634,511
0.9× median
M1070
HCPCS 		Pt Not Scrn Fut Fall No Rsn 1 $540,429.11 $540,429.11 $540,429.11 nat. median
$260
outlier · 2075.9×
M1058
HCPCS 		Pt Prm Nurs Hm Res In Pp 1 $523,694.85 $523,694.85 $523,694.85 nat. median
$260
outlier · 2011.7×
M1069
HCPCS 		Pt Scr Ft Fall Rsk 1 $512,361.60 $512,361.60 $512,361.60 nat. median
$260
outlier · 1968.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $807,508.61 $501,537.22 nat. median
$620,080
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $308,648.42 $761,100.98 $346,842.30 nat. median
$370,174
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $61.30 $265,225.00 $260,075.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $201,075.32 $518,867.43 $243,130.21 nat. median
$265,286
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $422.01 $211,809.20 $207,696.40 nat. median
$209,753
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $152,829.26 $359,345.93 $184,701.69 nat. median
$202,986
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $142,262.85 $345,344.80 $158,329.99 nat. median
$206,368
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $100,502.09 $225,630.79 $114,391.19 nat. median
$133,176
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $100,922.30 $100,922.30 $100,922.30 nat. median
$87,411
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $82,622.08 $310,854.77 $98,609.32 nat. median
$108,660
0.9× median
7
MS_DRG 		Lung Transplant 12 $94,106.84 $199,651.13 $98,605.72 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $87,490.90 $237,232.13 $97,347.70 nat. median
$117,303
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $82,529.83 $230,779.01 $91,750.96 nat. median
$98,017
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $75,374.57 $212,840.77 $89,721.97 nat. median
$100,136
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $80,417.95 $213,709.34 $89,368.49 nat. median
$98,905
0.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $88,815.21 $88,815.21 $88,815.21 nat. median
$63,570
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $79,374.08 $219,603.80 $88,190.86 nat. median
$102,358
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $72,866.00 $262,734.29 $86,645.81 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $71,629.81 $193,687.34 $85,129.93 nat. median
$93,672
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $81,681.15 $81,681.15 $81,681.15 nat. median
$54,196
1.5× median
A5083
HCPCS 		Stoma Absorptive Cover 1 $74,643.30 $74,643.30 $74,643.30 nat. median
$1
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $62,029.14 $165,401.68 $73,356.99 nat. median
$79,312
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $66,142.90 $170,044.26 $73,264.36 nat. median
$82,712
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $61,841.09 $187,668.51 $73,126.39 nat. median
$81,118
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $71,813.18 $71,813.18 $71,813.18 nat. median
$62,270
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $63,658.47 $187,809.20 $70,461.60 nat. median
$83,442
0.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $68,940.62 $68,940.62 $68,940.62 nat. median
$49,935
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $58,047.37 $203,871.65 $68,474.30 nat. median
$77,576
0.9× median

Other procedures at this hospital

Browse this hospital's 15,640 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 4 — — $79.40 $4,640,150.00 $4,550,050.00 2026-04-01
H2000 HCPCS Comp Multidisipln Evaluation 2 1 — — $4,165,959.00 $4,165,959.00 $4,165,959.00 2026-04-01
H2010 HCPCS Comprehensive Medication Services, Per 15 Minutes 2 1 — — $3,807,119.13 $3,807,119.13 $3,807,119.13 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 4 — — $13.04 $3,795,824.67 $3,722,119.33 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,408,903.61 $3,408,903.61 $3,408,903.61 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 4 — — $3,334.25 $3,415,956.47 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 4 — — $89.91 $3,345,899.09 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 4 — — $42.45 $4,864,551.99 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 4 — — $38.88 $3,998,166.53 $2,504,212.82 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 4 — — $141.40 $3,847,800.00 $2,378,640.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 8 3 — — $770,620.00 $1,271,523.00 $789,885.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 4 — — $1,284.99 $954,972.35 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 3 — — $565,868.94 $912,729.35 $580,015.67 2026-04-01
M1107 HCPCS Docu Dx Degen Neuro 2 1 — — $578,544.93 $578,544.93 $578,544.93 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 3 — — $562,538.19 $852,129.78 $576,601.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 3 — — $557,317.93 $870,577.06 $571,250.88 2026-04-01
M1106 HCPCS Start Eoc Doc Med Rec 2 1 — — $552,546.94 $552,546.94 $552,546.94 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 3 — — $533,230.17 $829,687.20 $546,560.93 2026-04-01
M1070 HCPCS Pt Not Scrn Fut Fall No Rsn 2 1 — — $540,429.11 $540,429.11 $540,429.11 2026-04-01
M1058 HCPCS Pt Prm Nurs Hm Res In Pp 2 1 — — $523,694.85 $523,694.85 $523,694.85 2026-04-01
M1069 HCPCS Pt Scr Ft Fall Rsk 2 1 — — $512,361.60 $512,361.60 $512,361.60 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 3 — — $489,304.61 $807,508.61 $501,537.22 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 40 11 — — $308,648.42 $761,100.98 $346,842.30 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 8 4 — — $61.30 $265,225.00 $260,075.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 12 — — $201,075.32 $518,867.43 $243,130.21 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 8 4 — — $422.01 $211,809.20 $207,696.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 12 — — $152,829.26 $359,345.93 $184,701.69 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 12 — — $142,262.85 $345,344.80 $158,329.99 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 42 12 — — $100,502.09 $225,630.79 $114,391.19 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $100,922.30 $100,922.30 $100,922.30 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 12 — — $82,622.08 $310,854.77 $98,609.32 2026-04-01
7 MS_DRG Lung Transplant 42 12 — — $94,106.84 $199,651.13 $98,605.72 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 11 — — $87,490.90 $237,232.13 $97,347.70 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 40 11 — — $82,529.83 $230,779.01 $91,750.96 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 12 — — $75,374.57 $212,840.77 $89,721.97 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 11 — — $80,417.95 $213,709.34 $89,368.49 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $88,815.21 $88,815.21 $88,815.21 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 11 — — $79,374.08 $219,603.80 $88,190.86 2026-04-01
215 MS_DRG Other Heart Assist System Implant 42 12 — — $72,866.00 $262,734.29 $86,645.81 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $71,629.81 $193,687.34 $85,129.93 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $81,681.15 $81,681.15 $81,681.15 2026-04-01
A5083 HCPCS Stoma Absorptive Cover 2 1 — — $74,643.30 $74,643.30 $74,643.30 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 12 — — $62,029.14 $165,401.68 $73,356.99 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 11 — — $66,142.90 $170,044.26 $73,264.36 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 12 — — $61,841.09 $187,668.51 $73,126.39 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $71,813.18 $71,813.18 $71,813.18 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 40 11 — — $63,658.47 $187,809.20 $70,461.60 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $68,940.62 $68,940.62 $68,940.62 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 12 — — $58,047.37 $203,871.65 $68,474.30 2026-04-01
9 MS_DRG Bone Marrow Transplant 2 1 — — $68,214.48 $68,214.48 $68,214.48 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $56,695.51 $155,109.32 $66,816.57 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 12 — — $56,460.62 $149,728.66 $66,528.53 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $490.71 $130,327.56 $65,409.13 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 4 — — $938.10 $104,338.76 $64,609.13 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $64,572.73 $64,572.73 $64,572.73 2026-04-01
M1060 HCPCS Pt Died In Pp 2 1 — — $63,217.07 $63,217.07 $63,217.07 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 12 — — $56,281.08 $148,906.98 $61,531.53 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $61,205.86 $61,205.86 $61,205.86 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $60,608.79 $60,608.79 $60,608.79 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 11 — — $53,433.31 $144,735.39 $58,926.29 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 12 — — $51,256.15 $124,160.85 $58,813.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 11 — — $52,837.22 $135,829.48 $58,253.82 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 8 3 — — $56,824.55 $93,760.51 $58,245.17 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 11 — — $52,807.41 $143,452.93 $58,220.18 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $48,868.22 $128,102.05 $57,218.26 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 4 — — $1,732.50 $94,078.22 $56,377.77 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 11 — — $51,015.58 $133,074.93 $56,198.77 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $48,868.22 $115,891.08 $55,683.37 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 42 12 — — $51,518.16 $116,286.62 $54,700.82 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 11 — — $49,657.34 $126,126.35 $54,666.49 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 11 — — $49,622.56 $136,691.93 $54,627.26 2026-04-01
10 MS_DRG Pancreas Transplant 42 12 — — $38,257.87 $103,861.08 $54,191.46 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 12 — — $45,646.47 $110,997.72 $53,267.55 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $52,874.62 $52,874.62 $52,874.62 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 12 — — $45,229.91 $119,079.92 $52,756.75 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 12 — — $49,973.84 $122,949.75 $52,370.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 42 12 — — $44,844.58 $113,334.30 $52,284.23 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 2 1 — — $52,118.95 $52,118.95 $52,118.95 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 12 — — $47,870.47 $111,823.47 $52,083.69 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 12 — — $44,523.83 $138,771.61 $51,890.90 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $51,318.44 $51,318.44 $51,318.44 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 12 — — $43,853.22 $117,819.88 $51,068.56 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 12 — — $43,826.25 $110,459.45 $51,035.49 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 11 — — $45,696.86 $158,065.72 $50,198.55 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $32,799.60 $94,824.96 $50,159.58 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 12 — — $42,871.79 $112,035.52 $49,865.07 2026-04-01
90695 HCPCS H5n8 Vacc Drv Cll Cul Adj IM 2 1 — — $49,500.90 $49,500.90 $49,500.90 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 11 — — $44,832.52 $126,619.77 $49,223.46 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 12 — — $41,979.78 $103,209.12 $48,771.23 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 40 11 — — $44,286.81 $131,388.75 $48,607.83 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 12 — — $42,653.22 $102,293.65 $48,222.32 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 12 — — $44,384.74 $110,347.31 $48,185.77 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 42 12 — — $41,028.16 $107,804.80 $47,604.29 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 12 — — $40,911.78 $100,295.53 $47,461.58 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 42 12 — — $40,972.81 $103,099.02 $47,326.31 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 11 — — $43,132.94 $111,529.87 $47,306.12 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 12 — — $41,165.83 $112,015.13 $47,115.36 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 40 11 — — $42,705.74 $116,357.98 $46,824.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 12 — — $41,400.72 $99,753.18 $46,653.19 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $40,050.99 $104,805.58 $46,406.03 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 11 — — $42,103.26 $112,245.52 $46,144.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 12 — — $39,774.23 $153,657.62 $46,066.65 2026-04-01
J9226 HCPCS Supprelin La Implant 10 4 — — $1,296.38 $74,599.87 $45,921.06 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 11 — — $41,707.28 $90,943.10 $45,697.79 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 42 12 — — $39,146.91 $102,821.73 $45,297.39 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 42 12 — — $39,083.04 $112,751.17 $45,219.07 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 11 — — $40,757.08 $92,321.39 $44,625.83 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $37,974.59 $93,459.10 $43,859.82 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 11 — — $40,028.28 $104,997.23 $43,803.65 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 12 — — $37,599.90 $92,725.09 $43,400.35 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 11 — — $39,650.04 $100,744.09 $43,376.95 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 42 12 — — $37,316.05 $134,494.00 $43,052.27 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 12 — — $37,253.60 $104,552.75 $42,975.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 12 — — $37,133.67 $94,719.14 $42,828.63 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 14 5 — — $32.25 $43,633.45 $42,362.57 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 14 5 — — $4,053.00 $43,633.45 $42,362.57 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 2 1 — — $42,071.31 $42,071.31 $42,071.31 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 42 12 — — $36,473.71 $100,287.37 $42,019.35 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 12 — — $36,300.56 $116,292.74 $41,807.02 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $41,674.84 $41,674.84 $41,674.84 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 12 — — $35,502.22 $87,872.51 $40,828.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 12 — — $35,402.87 $106,326.60 $40,706.22 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 42 12 — — $35,113.34 $91,787.20 $40,351.17 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 4 — — $843.93 $40,711.39 $39,920.88 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 12 — — $34,742.91 $87,929.60 $39,896.93 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 12 — — $34,583.95 $111,168.98 $39,702.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 12 — — $34,486.73 $90,757.56 $39,582.79 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 12 — — $34,472.53 $87,803.19 $39,565.38 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 42 12 — — $34,346.22 $99,435.11 $39,410.49 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 11 — — $35,991.87 $124,507.47 $39,250.06 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 12 — — $34,011.98 $100,766.52 $39,000.62 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 12 — — $34,002.76 $83,068.86 $38,989.31 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 11 — — $35,570.34 $92,017.60 $38,774.51 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 12 — — $33,380.40 $77,602.57 $38,226.15 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 11 — — $34,982.05 $97,508.35 $38,110.85 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $35,318.12 $92,421.30 $38,097.85 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 2 — — $1,373.18 $74,614.73 $37,993.96 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 11 — — $33,877.86 $83,609.17 $36,865.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 12 — — $32,110.86 $86,771.51 $36,669.36 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $36,574.19 $36,574.19 $36,574.19 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 12 — — $31,988.10 $84,697.94 $36,518.81 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 42 12 — — $31,932.75 $79,186.80 $36,450.94 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 12 — — $31,817.78 $109,401.26 $36,309.97 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 12 — — $31,678.70 $77,213.14 $36,139.41 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 11 — — $32,916.30 $84,410.46 $35,780.41 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 12 — — $22,888.83 $100,177.27 $35,696.58 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 12 — — $32,671.48 $78,762.71 $35,428.31 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 4 — — $0.62 $36,019.23 $35,319.83 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 40 11 — — $32,475.62 $81,160.45 $35,283.26 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 11 — — $32,301.76 $83,252.36 $35,087.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 11 — — $32,176.86 $84,728.53 $34,946.23 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 42 12 — — $30,480.12 $66,343.77 $34,669.64 2026-04-01
3141F HCPCS Upper Gi Endo Not Barrtts 2 1 — — $34,595.10 $34,595.10 $34,595.10 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 11 — — $31,483.55 $72,974.27 $34,164.08 2026-04-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 1 — — $34,078.13 $34,078.13 $34,078.13 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 12 — — $29,967.76 $78,118.41 $34,041.35 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 12 — — $29,607.98 $77,637.23 $33,600.16 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 12 — — $29,452.57 $85,064.95 $33,409.59 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 11 — — $30,738.43 $80,112.46 $33,323.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 12 — — $29,675.39 $81,388.81 $33,095.56 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 12 — — $31,356.13 $71,842.68 $33,089.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 12 — — $28,457.02 $71,854.91 $32,984.29 2026-04-01
791 MS_DRG Prematurity With Major Problems 42 12 — — $31,011.64 $75,363.86 $32,909.35 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 12 — — $28,911.11 $79,651.67 $32,745.63 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $32,622.38 $32,622.38 $32,622.38 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 48 13 — — $1,737.68 $77,414.99 $32,591.42 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 12 — — $28,731.57 $72,319.78 $32,525.47 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 42 12 — — $28,654.22 $72,917.18 $32,430.61 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $32,322.85 $32,322.85 $32,322.85 2026-04-01
0662T HCPCS Scalp Cool 1st Meas&calbrj 2 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0742T HCPCS Aqmbf Spect Xers/strs & Rest 2 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0896T HCPCS Connj Lvr Algrft Prfu Dev Ea 2 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 4 — — $4,616.00 $43,633.45 $31,954.78 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 12 — — $27,936.78 $61,413.71 $31,550.84 2026-04-01
332 MS_DRG Rectal Resection With Mcc 42 12 — — $27,901.30 $77,913.71 $31,507.33 2026-04-01
B5200 HCPCS Parenteral Sol Hepatic Fream 2 1 — — $31,500.90 $31,500.90 $31,500.90 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 42 12 — — $27,838.14 $69,406.19 $31,429.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 40 11 — — $28,794.73 $60,428.92 $31,130.74 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 42 12 — — $27,573.45 $80,081.88 $31,105.30 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 12 — — $27,547.90 $83,468.49 $31,073.97 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 11 — — $28,728.74 $58,985.38 $31,056.29 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 12 — — $27,510.29 $80,473.34 $31,027.85 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 12 — — $27,489.00 $72,315.71 $31,001.75 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 12 — — $27,464.87 $73,634.87 $30,972.16 2026-04-01
A7523 HCPCS Tracheostomy Shower Protect 2 1 — — $30,918.62 $30,918.62 $30,918.62 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 12 — — $27,632.35 $72,203.57 $30,864.05 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 11 — — $28,505.20 $75,308.81 $30,804.11 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 12 — — $21,740.24 $66,380.47 $30,737.42 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 42 12 — — $27,233.53 $70,908.86 $30,688.47 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 12 — — $27,182.44 $69,589.70 $30,625.82 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 12 — — $25,508.30 $71,553.16 $30,523.26 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 4 — — $6,067.00 $42,657.00 $30,490.75 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 4 — — $6,067.00 $42,657.00 $30,490.75 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 4 — — $6,067.00 $42,657.00 $30,490.75 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 42 12 — — $26,961.74 $65,925.79 $30,353.08 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 12 — — $26,955.35 $82,432.73 $30,347.35 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 14 5 — — $4,053.00 $42,657.00 $30,188.86 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 5 — — $4,053.00 $42,657.00 $30,188.86 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 5 — — $341.75 $42,657.00 $30,188.86 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 14 5 — — $4,053.00 $42,657.00 $30,188.86 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 2 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1725 HCPCS Cath, Translumin Non-laser 2 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1722 HCPCS Aicd, Single Chamber 2 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4164 HCPCS Parenteral 50% Dextrose Solu 2 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4178 HCPCS Parenteral Sol Amino Acid > 2 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1715 HCPCS Brachytherapy Needle 2 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1724 HCPCS Cath, Trans Atherec,rotation 2 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 42 12 — — $28,273.15 $66,282.60 $30,069.93 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 42 12 — — $26,722.59 $65,921.71 $30,061.93 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 11 — — $27,799.82 $65,257.03 $30,008.35 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 12 — — $26,536.67 $65,982.88 $29,833.94 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 14 5 — — $2,756.39 $33,857.00 $29,678.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 14 5 — — $1,692.00 $33,857.00 $29,678.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 14 5 — — $37.50 $33,857.00 $29,678.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 14 5 — — $1,932.00 $42,657.00 $29,678.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 14 5 — — $4,053.00 $33,857.00 $29,678.00 2026-04-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 2 1 — — $29,657.98 $29,657.98 $29,657.98 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 12 — — $26,385.52 $82,744.68 $29,648.58 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 11 — — $27,444.29 $68,988.22 $29,607.27 2026-04-01
J1812 HCPCS Inj. Insulin (fiasp) 4 2 — — $3.17 $58,979.55 $29,491.36 2026-04-01
J3265 HCPCS Injection Torsemide 10 Mg/ml 2 1 — — $29,390.86 $29,390.86 $29,390.86 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 42 12 — — $28,262.51 $67,300.01 $29,110.39 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 4 — — $144.18 $44,666.37 $28,992.54 2026-04-01
M1005 HCPCS TB Scr No Perf 2 1 — — $28,897.68 $28,897.68 $28,897.68 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $28,808.11 $28,808.11 $28,808.11 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 12 — — $27,291.39 $70,996.54 $28,795.35 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 12 — — $25,648.91 $67,251.08 $28,745.32 2026-04-01
265 MS_DRG Aicd Lead Procedures 42 12 — — $22,694.97 $68,054.40 $28,720.07 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 42 12 — — $26,417.45 $66,747.47 $28,702.52 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 40 11 — — $26,609.05 $70,109.62 $28,665.01 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 12 — — $25,569.43 $64,610.70 $28,647.85 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 42 12 — — $25,290.55 $73,145.54 $28,305.87 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 42 12 — — $25,189.07 $54,246.97 $28,181.43 2026-04-01
652 MS_DRG Kidney Transplant 42 12 — — $25,125.20 $67,685.36 $28,103.11 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 42 12 — — $25,108.17 $66,333.57 $28,082.22 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 42 12 — — $24,864.77 $75,551.44 $27,783.75 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 42 12 — — $24,822.90 $59,525.69 $27,732.40 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 42 12 — — $24,800.90 $66,358.04 $27,705.43 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 42 12 — — $24,755.48 $116,565.95 $27,649.73 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 12 — — $20,046.93 $60,339.21 $27,647.06 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 5 — — $6,067.00 $42,657.00 $27,586.78 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 42 12 — — $24,666.07 $60,335.13 $27,540.09 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 42 12 — — $24,632.00 $63,833.88 $27,498.32 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 40 11 — — $25,566.60 $56,444.91 $27,488.99 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 12 — — $24,557.49 $93,467.25 $27,406.95 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 42 12 — — $24,504.98 $62,826.66 $27,342.55 2026-04-01
4210F HCPCS Ace/arb Thxpy For Mos/> 2 1 — — $27,069.16 $27,069.16 $27,069.16 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 42 12 — — $24,271.51 $61,107.87 $27,056.26 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 11 — — $25,131.59 $62,916.38 $26,998.24 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 12 — — $24,310.54 $57,982.24 $26,877.35 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 11 — — $24,989.66 $53,914.63 $26,838.12 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 42 12 — — $25,913.61 $65,605.69 $26,691.02 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 12 — — $25,163.52 $62,783.85 $26,670.37 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 42 12 — — $23,933.01 $62,096.74 $26,641.17 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 42 12 — — $23,732.19 $65,265.19 $26,394.91 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 11 — — $24,568.14 $60,526.79 $26,362.59 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 12 4 — — $8,571.00 $33,857.00 $26,357.65 2026-04-01
665 MS_DRG Prostatectomy With Mcc 42 12 — — $24,356.67 $63,680.96 $26,277.15 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 14 5 — — $2,756.39 $33,857.00 $26,096.68 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 14 5 — — $80.30 $42,657.00 $25,888.42 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 14 5 — — $4,053.00 $26,879.58 $25,850.00 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 42 12 — — $22,026.50 $53,720.94 $25,815.36 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 42 12 — — $23,114.09 $58,177.97 $25,636.96 2026-04-01
J3105 HCPCS Terbutaline Sulfate Inj 4 2 — — $2.33 $50,819.78 $25,411.06 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 4 — — $6,067.00 $25,892.76 $25,389.99 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 4 — — $6,067.00 $25,892.76 $25,389.99 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 4 — — $6,067.00 $25,892.76 $25,389.99 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 12 — — $22,874.23 $61,572.74 $25,342.83 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 42 12 — — $22,801.14 $61,368.85 $25,253.20 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 42 12 — — $22,788.37 $57,003.57 $25,237.54 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 42 12 — — $22,687.60 $56,544.81 $25,113.97 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 11 — — $23,329.11 $62,696.18 $24,964.81 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 3 — — $24,228.42 $39,976.89 $24,834.13 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 12 — — $22,435.68 $54,375.42 $24,805.05 2026-04-01
570 MS_DRG Skin Debridement With Mcc 40 11 — — $23,078.61 $52,905.38 $24,682.21 2026-04-01
263 MS_DRG Vein Ligation And Stripping 42 12 — — $15,834.23 $47,647.05 $24,621.04 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 42 12 — — $23,099.90 $54,940.20 $24,562.54 2026-04-01
800 MS_DRG Splenic Procedures With Cc 42 12 — — $22,144.02 $54,783.20 $24,447.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 42 12 — — $20,488.78 $50,725.79 $24,351.32 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 42 12 — — $21,820.93 $54,811.75 $24,348.40 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 42 12 — — $20,788.21 $49,524.88 $24,324.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 11 — — $22,697.54 $63,550.47 $24,252.31 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 11 — — $22,575.48 $62,459.66 $24,114.61 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 12 — — $21,772.88 $57,046.38 $23,992.28 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 42 12 — — $21,708.30 $57,435.81 $23,913.10 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 4 — — $4,053.00 $26,879.58 $23,821.84 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 42 12 — — $21,607.53 $54,611.94 $23,789.53 2026-04-01
503 MS_DRG Foot Procedures With Mcc 42 12 — — $22,014.16 $50,717.64 $23,672.70 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 42 12 — — $22,928.88 $53,725.02 $23,616.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 12 — — $21,411.67 $55,215.45 $23,549.35 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 44 12 — — $21,231.11 $56,530.54 $23,547.01 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 42 12 — — $21,349.23 $51,284.45 $23,472.77 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 42 12 — — $19,481.40 $49,113.02 $23,337.53 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 42 12 — — $21,083.82 $66,549.70 $23,147.32 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 42 12 — — $21,877.91 $49,477.99 $23,119.27 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 42 12 — — $20,923.44 $52,387.50 $22,950.65 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 11 — — $21,515.28 $58,612.26 $22,918.57 2026-04-01
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 2 1 — — $22,633.53 $22,633.53 $22,633.53 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 42 12 — — $20,626.82 $51,686.12 $22,586.91 2026-04-01
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