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

INTEGRIS HEALTH ENID HOSPITAL

Enid, OK · CCN 370016 · Rates published

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This hospital’s price: $536 across 3 payers · range $526-$541

Source: https://hospitalpricedisclosure.com/Download.aspx?pxi=DGoqeRgxZD8421GymxBLnQ*-*&f=1Uqk9sV2mcxtBmvoqWiwog*-* · observed 2026-04-01

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.

15,678 distinct procedures filed
37 distinct payers
146,712 rate rows
2026-04-01 last MRF observed
Data quality

109,599 of 146,712 rate rows are consumer-grade (74.7%)

37,113 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 34,630
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
template filing: same amount across many unrelated codes — excluded 625
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 49
placeholder amount (≤ $0.02) — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=DGoqeRgxZD8421GymxBLnQ*-*&f=1Uqk9sV2mcxtBmvoqWiwog*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?ci=fFJE38ye7xsB8Of*_*qxAfVQ*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-19
Content fingerprint cc07d6468f6fb7b9… · 43,411,222 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
$142
outlier · 29273.8×
H2010
HCPCS 		Comprehensive Medication Services, Per 15 Minutes 1 $3,807,119.13 $3,807,119.13 $3,807,119.13 nat. median
$35
outlier · 108930.4×
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $13.04 $3,795,824.67 $3,722,119.33 nat. median
$3,703,693
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
$3,324,572
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 $3,019,383.50 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $38.88 $3,998,166.53 $2,516,488.37 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $141.40 $3,847,800.00 $2,390,300.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,271,523.00 $793,738.60 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $1,284.99 $954,972.35 $606,519.36 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $912,729.35 $582,845.01 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $852,129.78 $579,414.33 nat. median
$640,950
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×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $870,577.06 $574,037.47 nat. median
$622,245
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 $549,227.08 nat. median
$608,101
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 $503,983.75 nat. median
$591,650
0.9× 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 $303,366.05 $1,018,662.39 $438,996.34 nat. median
$359,358
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $197,278.10 $661,070.91 $284,890.97 nat. median
$249,124
1.1× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $61.30 $265,225.00 $260,075.00 nat. median
$265,000
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $150,575.01 $503,648.47 $216,109.39 nat. median
$198,433
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $149,698.11 $500,692.70 $215,775.38 nat. median
$190,557
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $422.01 $211,809.20 $207,696.40 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $98,093.36 $326,748.15 $140,813.33 nat. median
$126,722
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $490.71 $130,327.56 $130,327.56 nat. median
$75,037
1.7× median
7
MS_DRG 		Lung Transplant 11 $91,786.40 $305,489.26 $124,937.40 nat. median
$117,894
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $85,261.80 $283,496.73 $122,173.97 nat. median
$110,192
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $80,460.20 $310,854.77 $115,199.08 nat. median
$103,967
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $80,369.22 $267,005.29 $115,066.92 nat. median
$92,655
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $78,286.50 $259,985.04 $112,041.52 nat. median
$93,270
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $77,257.04 $256,515.02 $110,546.10 nat. median
$97,414
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $73,312.74 $243,219.95 $104,816.54 nat. median
$94,964
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 11 $70,838.81 $262,734.29 $101,222.86 nat. median
$93,917
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $69,619.69 $230,771.75 $99,451.94 nat. median
$90,581
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $64,208.53 $212,532.32 $91,591.59 nat. median
$78,037
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $61,758.39 $204,273.62 $88,032.48 nat. median
$78,262
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $60,151.56 $198,857.46 $85,698.36 nat. median
$77,043
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $59,966.10 $198,232.34 $85,428.96 nat. median
$77,696
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $56,224.76 $203,871.65 $79,994.22 nat. median
$74,460
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $54,891.57 $181,127.56 $78,057.60 nat. median
$72,473
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $54,659.92 $180,346.75 $77,721.10 nat. median
$71,758
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $54,482.86 $179,749.94 $77,463.90 nat. median
$68,004
1.1× median
A5083
HCPCS 		Stoma Absorptive Cover 1 $74,643.30 $74,643.30 $74,643.30 nat. median
$1
A9699
HCPCS 		Radiopharm Rx Agent Noc 2 $1,373.18 $74,614.73 $74,614.73 nat. median
$1,683
outlier · 44.3×

Other procedures at this hospital

Browse this hospital's 15,678 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 4 4 — — $79.40 $4,640,150.00 $4,550,050.00 2026-04-01
H2000 HCPCS Comp Multidisipln Evaluation 1 1 — — $4,165,959.00 $4,165,959.00 $4,165,959.00 2026-04-01
H2010 HCPCS Comprehensive Medication Services, Per 15 Minutes 1 1 — — $3,807,119.13 $3,807,119.13 $3,807,119.13 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $13.04 $3,795,824.67 $3,722,119.33 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,408,903.61 $3,408,903.61 $3,408,903.61 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,334.25 $3,415,956.47 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $89.91 $3,345,899.09 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 4 — — $42.45 $4,864,551.99 $3,019,383.50 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 4 — — $38.88 $3,998,166.53 $2,516,488.37 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 4 — — $141.40 $3,847,800.00 $2,390,300.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $770,620.00 $1,271,523.00 $793,738.60 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $1,284.99 $954,972.35 $606,519.36 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $565,868.94 $912,729.35 $582,845.01 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $562,538.19 $852,129.78 $579,414.33 2026-04-01
M1107 HCPCS Docu Dx Degen Neuro 1 1 — — $578,544.93 $578,544.93 $578,544.93 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $557,317.93 $870,577.06 $574,037.47 2026-04-01
M1106 HCPCS Start Eoc Doc Med Rec 1 1 — — $552,546.94 $552,546.94 $552,546.94 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 3 — — $533,230.17 $829,687.20 $549,227.08 2026-04-01
M1070 HCPCS Pt Not Scrn Fut Fall No Rsn 1 1 — — $540,429.11 $540,429.11 $540,429.11 2026-04-01
M1058 HCPCS Pt Prm Nurs Hm Res In Pp 1 1 — — $523,694.85 $523,694.85 $523,694.85 2026-04-01
M1069 HCPCS Pt Scr Ft Fall Rsk 1 1 — — $512,361.60 $512,361.60 $512,361.60 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 3 — — $489,304.61 $807,508.61 $503,983.75 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 23 11 — — $303,366.05 $1,018,662.39 $438,996.34 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 11 — — $197,278.10 $661,070.91 $284,890.97 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $61.30 $265,225.00 $260,075.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 11 — — $150,575.01 $503,648.47 $216,109.39 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 11 — — $149,698.11 $500,692.70 $215,775.38 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $422.01 $211,809.20 $207,696.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 11 — — $98,093.36 $326,748.15 $140,813.33 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $490.71 $130,327.56 $130,327.56 2026-04-01
7 MS_DRG Lung Transplant 23 11 — — $91,786.40 $305,489.26 $124,937.40 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 11 — — $85,261.80 $283,496.73 $122,173.97 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 11 — — $80,460.20 $310,854.77 $115,199.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 23 11 — — $80,369.22 $267,005.29 $115,066.92 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 11 — — $78,286.50 $259,985.04 $112,041.52 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 11 — — $77,257.04 $256,515.02 $110,546.10 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 11 — — $73,312.74 $243,219.95 $104,816.54 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 11 — — $70,838.81 $262,734.29 $101,222.86 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — — $69,619.69 $230,771.75 $99,451.94 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 11 — — $64,208.53 $212,532.32 $91,591.59 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 11 — — $61,758.39 $204,273.62 $88,032.48 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 11 — — $60,151.56 $198,857.46 $85,698.36 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 11 — — $59,966.10 $198,232.34 $85,428.96 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 11 — — $56,224.76 $203,871.65 $79,994.22 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — — $54,891.57 $181,127.56 $78,057.60 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 11 — — $54,659.92 $180,346.75 $77,721.10 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 11 — — $54,482.86 $179,749.94 $77,463.90 2026-04-01
A5083 HCPCS Stoma Absorptive Cover 1 1 — — $74,643.30 $74,643.30 $74,643.30 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 2 — — $1,373.18 $74,614.73 $74,614.73 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 11 — — $51,674.41 $170,283.45 $73,384.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 11 — — $51,353.18 $169,200.69 $72,769.68 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 11 — — $51,086.54 $168,301.93 $72,530.34 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 11 — — $51,057.15 $168,202.86 $72,487.65 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 11 — — $49,290.05 $162,246.50 $69,920.73 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 11 — — $48,262.69 $158,783.55 $68,428.36 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 11 — — $47,950.56 $157,731.46 $67,974.96 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 11 — — $47,916.27 $157,615.87 $67,925.15 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — — $47,172.34 $155,108.30 $66,844.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — — $47,172.34 $155,108.30 $66,844.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 11 — — $37,667.05 $151,791.61 $65,415.16 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $938.10 $104,338.76 $64,925.84 2026-04-01
M1060 HCPCS Pt Died In Pp 1 1 — — $63,217.07 $63,217.07 $63,217.07 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 11 — — $44,044.76 $158,065.72 $62,301.31 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 11 — — $43,995.07 $144,398.65 $62,229.14 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 11 — — $43,584.26 $143,013.95 $61,632.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 11 — — $43,204.25 $141,733.03 $61,080.38 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 11 — — $43,192.35 $141,692.93 $61,063.10 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 11 — — $42,887.92 $140,666.79 $60,620.87 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 11 — — $42,654.18 $139,878.90 $60,281.33 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 11 — — $42,226.58 $138,437.57 $59,660.19 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 11 — — $42,199.98 $138,347.93 $59,621.56 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 11 — — $41,516.24 $136,043.24 $58,628.34 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $93,760.51 $58,529.29 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 11 — — $41,258.70 $135,175.14 $58,254.23 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 11 — — $41,094.94 $134,623.15 $58,016.35 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 11 — — $41,043.15 $134,448.58 $57,941.12 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 11 — — $15,730.83 $140,204.43 $57,241.85 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 11 — — $40,500.77 $132,620.39 $57,153.25 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 11 — — $40,379.00 $132,209.94 $56,976.36 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 11 — — $37,994.62 $163,046.18 $56,941.43 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $1,732.50 $94,078.22 $56,654.13 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 — — $40,110.26 $131,304.10 $56,585.99 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 11 — — $39,807.93 $130,285.03 $56,146.82 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 11 — — $39,576.28 $129,504.22 $55,810.32 2026-04-01
10 MS_DRG Pancreas Transplant 23 11 — — $38,601.00 $169,271.46 $55,784.90 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 11 — — $39,440.51 $129,046.58 $55,613.10 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 11 — — $39,385.93 $128,862.58 $55,533.81 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 11 — — $39,325.74 $128,659.71 $55,446.38 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 11 — — $39,173.18 $128,145.46 $55,224.76 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 11 — — $47,005.08 $154,544.51 $55,113.25 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — — $38,476.84 $125,798.30 $54,213.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 11 — — $38,454.44 $125,722.81 $54,180.71 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 11 — — $38,203.90 $153,657.62 $53,816.77 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 11 — — $38,081.43 $124,465.49 $53,638.87 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 11 — — $37,585.24 $122,792.99 $52,918.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 11 — — $37,522.26 $122,580.69 $52,826.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 12 — — $24,213.34 $117,650.47 $52,036.04 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — — $36,429.11 $118,896.00 $51,238.67 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 11 — — $35,779.65 $134,494.00 $50,295.27 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 12 — — $24,108.57 $116,499.30 $50,205.81 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 11 — — $35,599.80 $116,100.64 $50,034.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 11 — — $35,456.33 $115,617.05 $49,825.60 2026-04-01
90695 HCPCS H5n8 Vacc Drv Cll Cul Adj IM 1 1 — — $49,500.90 $49,500.90 $49,500.90 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 11 — — $34,948.95 $113,906.81 $49,088.56 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 11 — — $34,778.18 $116,292.74 $48,840.51 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 11 — — $34,473.75 $124,507.47 $48,398.29 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 11 — — $34,058.05 $110,903.86 $47,794.43 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 11 — — $33,892.89 $110,347.15 $47,554.51 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 23 11 — — $33,607.35 $109,384.70 $47,139.74 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 11 — — $33,477.88 $108,948.29 $46,951.67 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 11 — — $33,242.04 $108,153.32 $46,609.08 2026-04-01
245 MS_DRG Aicd Generator Procedures 23 11 — — $33,085.27 $111,168.98 $46,381.36 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 11 — — $32,989.40 $107,301.74 $46,242.08 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 11 — — $32,975.40 $107,254.56 $46,221.75 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $1,296.38 $74,599.87 $46,146.16 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 11 — — $32,850.83 $106,834.67 $46,040.80 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 23 11 — — $32,521.20 $105,723.60 $45,561.98 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 11 — — $32,512.10 $105,692.93 $45,548.76 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 11 — — $32,388.93 $105,277.76 $45,369.84 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 11 — — $23,367.75 $110,677.40 $45,186.72 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 11 — — $31,898.35 $103,624.13 $44,657.20 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 11 — — $31,440.65 $102,081.38 $43,992.35 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 11 — — $31,199.21 $101,267.54 $43,641.62 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 11 — — $31,006.05 $100,616.46 $43,361.04 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 11 — — $30,834.59 $100,038.52 $43,111.97 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 11 — — $30,711.42 $99,623.35 $42,933.05 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 11 — — $30,661.03 $99,453.50 $42,859.86 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 11 — — $30,646.33 $99,403.96 $42,838.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 11 — — $30,560.25 $99,113.81 $42,713.47 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 11 — — $30,525.26 $98,995.86 $42,662.64 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 11 — — $30,470.67 $98,811.87 $42,583.34 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 11 — — $30,357.30 $109,401.26 $42,418.65 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 25 11 — — $15,730.83 $98,358.95 $42,388.15 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 11 — — $30,220.13 $97,967.36 $42,219.40 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 11 — — $30,027.67 $97,318.65 $41,939.83 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 11 — — $21,328.14 $108,429.32 $41,809.76 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 11 — — $29,292.84 $94,841.75 $40,872.40 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 11 — — $29,038.10 $93,983.09 $40,502.36 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 5 — — $32.25 $43,633.45 $40,432.88 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 5 — — $5,610.00 $43,633.45 $40,432.88 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $843.93 $40,711.39 $39,920.88 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 11 — — $28,532.82 $92,279.92 $39,768.38 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 11 — — $28,408.95 $91,862.39 $39,588.44 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 11 — — $28,244.48 $91,308.03 $39,349.54 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 — — $28,203.89 $91,171.21 $39,290.57 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 11 — — $28,178.00 $91,083.93 $39,252.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 11 — — $28,024.73 $90,567.32 $39,030.32 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 11 — — $26,146.37 $84,235.89 $38,212.20 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 11 — — $27,313.70 $88,170.62 $37,997.46 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 11 — — $27,237.42 $87,913.50 $37,886.65 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 11 — — $27,375.98 $88,380.57 $37,815.12 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 11 — — $27,090.45 $87,418.12 $37,673.16 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 12 — — $7,157.04 $85,200.70 $37,474.74 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 11 — — $26,861.60 $86,646.74 $37,340.73 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 12 — — $15,730.83 $95,749.94 $36,920.66 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 11 — — $27,310.90 $88,161.19 $36,911.79 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 11 — — $26,549.47 $85,594.65 $36,887.33 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 11 — — $26,529.88 $85,528.60 $36,858.87 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 11 — — $26,494.89 $85,410.65 $36,808.04 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 11 — — $26,477.39 $85,351.67 $36,782.62 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 — — $26,394.81 $85,073.32 $36,662.66 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 11 — — $26,229.65 $84,516.60 $36,422.74 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 11 — — $26,171.56 $84,320.81 $36,338.37 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 11 — — $26,109.27 $84,110.86 $36,247.89 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 11 — — $26,088.28 $84,040.10 $36,217.39 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 11 — — $26,044.19 $83,891.48 $36,153.35 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 11 — — $25,785.95 $83,021.03 $35,778.22 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 11 — — $25,149.09 $80,874.38 $35,770.21 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 23 11 — — $25,568.30 $82,287.39 $35,462.06 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 11 — — $25,562.00 $82,432.73 $35,452.91 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $0.62 $36,019.23 $35,319.83 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 11 — — $25,450.03 $81,888.73 $35,290.25 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 11 — — $25,332.45 $81,492.42 $35,119.46 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 23 11 — — $25,220.48 $81,114.99 $34,956.81 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 11 — — $25,031.52 $80,478.07 $34,682.33 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 11 — — $25,000.03 $82,744.68 $34,636.58 2026-04-01
3141F OTHER Upper Gi Endo Not Barrtts 1 1 — — $34,595.10 $34,595.10 $34,595.10 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 11 — — $51.99 $83,959.89 $34,278.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 11 — — $23,663.81 $88,767.44 $34,228.25 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 11 — — $24,534.64 $78,803.22 $33,960.54 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 11 — — $24,273.60 $77,923.33 $33,581.35 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 11 — — $24,195.21 $77,659.12 $33,467.49 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 11 — — $24,192.41 $77,649.69 $33,463.42 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 11 — — $23,588.46 $86,611.36 $33,396.87 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 11 — — $23,920.18 $76,732.06 $33,067.96 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 11 — — $23,763.41 $76,203.65 $32,840.25 2026-04-01
652 MS_DRG Kidney Transplant 23 11 — — $23,757.11 $76,182.42 $32,831.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 11 — — $23,740.32 $76,125.80 $32,806.70 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 11 — — $23,696.23 $75,977.19 $32,742.65 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 11 — — $23,623.44 $75,731.86 $32,636.93 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 11 — — $23,500.27 $75,551.44 $32,458.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 11 — — $23,458.98 $75,177.51 $32,398.03 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 11 — — $23,437.29 $75,104.38 $32,366.51 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 11 — — $23,392.50 $116,565.95 $32,301.45 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 11 — — $23,304.32 $74,656.18 $32,173.36 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 11 — — $23,270.73 $74,542.95 $32,124.56 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 11 — — $800.00 $83,190.87 $32,077.95 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 11 — — $23,207.74 $74,330.64 $32,033.07 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 11 — — $23,197.24 $93,467.25 $32,017.82 2026-04-01
0742T OTHER Aqmbf Spect Xers/strs & Rest 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0896T OTHER Connj Lvr Algrft Prfu Dev Ea 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0662T OTHER Scalp Cool 1st Meas&calbrj 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 11 — — $23,145.45 $74,120.69 $31,942.59 2026-04-01
665 MS_DRG Prostatectomy With Mcc 23 11 — — $22,999.19 $73,627.67 $31,730.12 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — — $13,600.16 $73,474.34 $31,664.04 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 11 — — $22,915.21 $73,344.60 $31,608.13 2026-04-01
B5200 HCPCS Parenteral Sol Hepatic Fream 1 1 — — $31,500.90 $31,500.90 $31,500.90 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 12 — — $13,027.64 $76,394.73 $31,189.99 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 11 — — $23,266.56 $76,309.80 $31,155.32 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 11 — — $22,581.38 $72,219.38 $31,123.21 2026-04-01
A7523 HCPCS Tracheostomy Shower Protect 1 1 — — $30,918.62 $30,918.62 $30,918.62 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 11 — — $22,294.45 $71,252.21 $30,706.40 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 11 — — $22,291.65 $71,242.77 $30,702.34 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 11 — — $22,268.56 $71,164.92 $30,668.79 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 8 4 — — $8,396.00 $41,207.16 $30,490.75 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 8 4 — — $8,396.00 $41,207.16 $30,490.75 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 8 4 — — $8,396.00 $41,207.16 $30,490.75 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 11 — — $21,985.82 $70,211.91 $30,258.08 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 5 — — $341.75 $41,207.16 $30,188.86 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 5 — — $5,361.79 $41,207.16 $30,188.86 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 5 — — $5,610.00 $41,207.16 $30,188.86 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 9 5 — — $5,610.00 $41,207.16 $30,188.86 2026-04-01
B4178 HCPCS Parenteral Sol Amino Acid > 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1724 HCPCS Cath, Trans Atherec,rotation 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1725 HCPCS Cath, Translumin Non-laser 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1722 HCPCS Aicd, Single Chamber 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1715 HCPCS Brachytherapy Needle 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4164 HCPCS Parenteral 50% Dextrose Solu 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 23 11 — — $21,773.77 $69,497.14 $29,950.05 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 23 11 — — $21,759.77 $69,449.96 $29,929.72 2026-04-01
570 MS_DRG Skin Debridement With Mcc 23 11 — — $21,738.78 $69,379.20 $29,899.22 2026-04-01
263 MS_DRG Vein Ligation And Stripping 23 11 — — $22,552.69 $72,122.66 $29,816.51 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 23 11 — — $21,591.11 $68,881.46 $29,684.72 2026-04-01
61886 HCPCS Implant Neurostim Arrays 9 5 — — $5,610.00 $41,207.16 $29,678.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 9 5 — — $4,606.00 $32,706.80 $29,678.00 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 5 — — $2,756.39 $32,706.80 $29,678.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 5 — — $5,361.79 $32,706.80 $29,678.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 5 — — $37.50 $32,706.80 $29,678.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 11 — — $21,465.14 $68,456.85 $29,501.73 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 11 — — $21,452.54 $68,414.38 $29,483.43 2026-04-01
J3265 HCPCS Injection Torsemide 10 Mg/ml 1 1 — — $29,390.86 $29,390.86 $29,390.86 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 11 — — $21,362.96 $68,112.44 $29,353.31 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 11 — — $21,353.17 $68,079.41 $29,339.08 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 11 — — $21,323.77 $67,980.34 $29,296.38 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 11 — — $14,526.67 $71,551.79 $29,212.75 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $144.18 $44,666.37 $29,134.66 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 11 — — $21,104.72 $67,241.98 $28,978.18 2026-04-01
M1005 HCPCS TB Scr No Perf 1 1 — — $28,897.68 $28,897.68 $28,897.68 2026-04-01
800 MS_DRG Splenic Procedures With Cc 23 11 — — $20,817.09 $66,272.45 $28,560.36 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 23 11 — — $20,746.40 $66,034.20 $28,457.68 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 11 — — $20,689.02 $65,840.77 $28,374.32 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 11 — — $16,761.22 $68,699.82 $28,048.36 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 11 — — $20,451.07 $65,038.72 $28,028.68 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 23 11 — — $20,387.39 $64,824.06 $27,936.17 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 11 — — $20,288.01 $64,489.08 $27,791.81 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 11 — — $21,242.59 $67,706.70 $27,642.90 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 9 5 — — $8,396.00 $41,207.16 $27,586.78 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 11 — — $20,094.85 $63,838.01 $27,511.23 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 11 — — $20,033.27 $63,630.43 $27,421.77 2026-04-01
4210F OTHER Ace/arb Thxpy For Mos/> 1 1 — — $27,069.16 $27,069.16 $27,069.16 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 11 — — $19,771.53 $66,549.70 $27,041.56 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 11 — — $19,706.44 $62,528.79 $26,947.02 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 11 — — $19,613.36 $62,215.05 $26,811.81 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 11 — — $18,737.82 $65,387.85 $26,696.17 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 11 — — $19,774.70 $64,840.57 $26,472.73 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 23 11 — — $19,320.83 $61,229.01 $26,386.87 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 8 4 — — $11,888.00 $32,706.80 $26,357.65 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 23 11 — — $19,299.14 $61,155.88 $26,355.36 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 11 — — $19,231.25 $60,927.06 $26,256.74 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 23 11 — — $19,206.06 $60,842.14 $26,220.15 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 23 11 — — $19,206.06 $60,842.14 $26,220.15 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 11 — — $20,197.03 $64,182.42 $26,204.03 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 23 11 — — $19,124.88 $60,568.50 $26,102.22 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 9 5 — — $2,756.39 $32,706.80 $26,096.68 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 11 — — $17,433.99 $59,825.43 $26,042.25 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 23 11 — — $19,022.70 $60,224.10 $25,953.80 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 5 — — $80.30 $41,207.16 $25,888.42 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 23 11 — — $18,938.02 $69,585.62 $25,830.79 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 23 11 — — $18,819.75 $59,540.00 $25,658.98 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 11 — — $18,361.35 $57,994.88 $25,650.76 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 23 11 — — $18,812.05 $59,514.05 $25,647.80 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 23 11 — — $18,595.10 $58,782.77 $25,332.66 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 23 11 — — $18,523.71 $58,542.16 $25,228.96 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 23 11 — — $18,366.25 $58,011.40 $25,000.23 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 24 11 — — $17,916.25 $56,494.59 $24,987.18 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $39,976.89 $24,955.27 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 23 11 — — $18,261.27 $57,657.55 $24,847.74 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 23 11 — — $18,240.98 $57,589.14 $24,818.26 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 8 4 — — $8,396.00 $25,892.76 $24,740.74 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 8 4 — — $8,396.00 $25,892.76 $24,740.74 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 8 4 — — $8,396.00 $25,892.76 $24,740.74 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 23 11 — — $18,107.31 $57,138.58 $24,624.09 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 23 11 — — $18,052.02 $56,952.23 $24,543.77 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 9 5 — — $5,610.00 $26,879.58 $24,508.10 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 23 11 — — $17,989.04 $56,739.92 $24,452.28 2026-04-01
849 MS_DRG Radiotherapy 23 11 — — $20,117.95 $63,915.86 $24,412.04 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 23 11 — — $17,885.46 $56,390.80 $24,301.82 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 23 11 — — $17,856.77 $56,294.08 $24,260.14 2026-04-01
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