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

MCALESTER REGIONAL HEALTH CENTER

Mcalester, OK · CCN 370034 · Rates published

18,004 distinct procedures filed
12 distinct payers
300,071 rate rows
2026-03-15 last MRF observed
Data quality

207,478 of 300,071 rate rows are consumer-grade (69.1%)

92,593 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 73,026
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,730
per-diem day rate — not a per-procedure price 6,040
template filing: same amount across many unrelated codes — excluded 5,376
exceeds 10× this hospital's gross charge — excluded from medians 368
placeholder amount (≤ $0.02) — excluded from medians 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/McAlesterRegionalHealth/730992978_mcalester-regional-health-center_standardcharges.json
Found on page https://www.mrhcok.com/patients/billing-insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint b5930fa1b877a52e… · 71,169,190 bytes · first seen 2026-05-08

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,779,587.06 $3,779,587.06 $3,779,587.06 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 4 $3,779,587.06 $3,779,587.06 $3,779,587.06 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,384,086.90 $3,384,086.90 $3,384,086.90 nat. median
$3,325,455
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 12 $2,375,740.44 $4,157,545.77 $3,266,643.10 nat. median
$2,332,000
1.4× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 4 $3,252,889.89 $3,252,889.89 $3,252,889.89 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 4 $3,023,669.65 $3,023,669.65 $3,023,669.65 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,448,539.51 $4,284,944.14 $2,448,539.51 nat. median
$2,455,111
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $576,233.03 $1,008,407.80 $576,233.03 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $561,659.21 $982,903.62 $561,659.21 nat. median
$599,737
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $538,221.79 $941,888.13 $538,221.79 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $526,173.50 $920,803.63 $526,173.50 nat. median
$579,571
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $498,698.84 $872,722.97 $498,698.84 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $497,205.71 $870,109.99 $497,205.71 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $275,906.88 $562,734.68 $386,579.12 nat. median
$168,055
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $206,079.31 $383,634.63 $263,543.63 nat. median
$186,516
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $156,793.61 $274,388.82 $182,519.32 nat. median
$145,435
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $173,556.03 $303,723.05 $175,407.86 nat. median
$131,925
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $80,620.14 $229,836.47 $141,085.25 nat. median
$65,418
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 4 $77,511.57 $194,257.66 $133,448.24 nat. median
$73,023
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $95,852.78 $175,402.15 $120,495.17 nat. median
$72,715
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $103,375.09 $180,906.41 $114,602.60 nat. median
$97,418
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $100,878.83 $146,847.08 $111,097.25 nat. median
$2,106
outlier · 52.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $77,911.02 $157,367.93 $108,106.28 nat. median
$69,922
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $58,975.02 $150,736.43 $103,206.29 nat. median
$56,428
1.8× median
7
MS_DRG 		Lung Transplant 4 $95,611.35 $167,319.86 $101,406.99 nat. median
$70,649
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $70,607.46 $143,206.47 $98,377.86 nat. median
$69,822
1.4× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $87,872.73 $127,914.39 $96,773.71 nat. median
$2,024
outlier · 47.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $61,960.68 $138,756.33 $95,320.77 nat. median
$59,651
1.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 12 $64,591.25 $113,034.69 $88,812.97 nat. median
$66,211
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $61,995.06 $122,292.92 $84,010.98 nat. median
$60,505
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $76,024.43 $110,667.08 $83,725.25 nat. median
$2,024
outlier · 41.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $79,699.78 $139,474.62 $79,699.78 nat. median
$74,509
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $56,607.56 $114,683.06 $78,783.27 nat. median
$55,923
1.4× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $70,392.84 $102,469.30 $77,523.21 nat. median
$2,024
outlier · 38.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $43,828.70 $116,868.94 $76,700.23 nat. median
$44,036
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $76,638.04 $134,116.57 $76,638.04 nat. median
$2,736
outlier · 28.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $57,184.79 $110,704.77 $76,050.32 nat. median
$55,935
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $54,608.09 $110,097.25 $75,632.97 nat. median
$52,327
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $67,280.86 $97,939.26 $74,096.00 nat. median
$2,106
outlier · 35.2×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $66,713.35 $97,113.15 $73,471.01 nat. median
$2,024
outlier · 36.3×
33264
CPT 		Rmvl&rplcmt Dfb Gen Mlt Ld 12 $32,662.95 $81,514.77 $70,910.52 nat. median
$32,779
outlier · 2.2×
33249
CPT 		Ins/rep Perm Defib Sys Sgl 12 $32,662.95 $81,514.77 $70,910.52 nat. median
$32,069
outlier · 2.2×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $40,437.73 $113,609.72 $70,766.03 nat. median
$38,173
1.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $41,989.46 $102,603.47 $70,485.01 nat. median
$42,674
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $57,996.13 $101,493.23 $68,990.64 nat. median
$45,605
1.5× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $62,530.56 $91,024.36 $68,864.53 nat. median
$2,106
outlier · 32.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $48,780.17 $98,391.51 $67,591.54 nat. median
$49,569
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $67,394.27 $117,939.97 $67,394.27 nat. median
$2,633
outlier · 25.6×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $44,158.65 $97,144.81 $66,735.10 nat. median
$38,932
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $47,246.00 $94,714.72 $65,065.71 nat. median
$47,458
1.4× median

Other procedures at this hospital

Browse this hospital's 18,004 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 5 4 — — $3,779,587.06 $3,779,587.06 $3,779,587.06 2026-03-15
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 4 — — $3,779,587.06 $3,779,587.06 $3,779,587.06 2026-03-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 4 — — $3,384,086.90 $3,384,086.90 $3,384,086.90 2026-03-15
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 16 12 — — $2,375,740.44 $4,157,545.77 $3,266,643.10 2026-03-15
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 5 4 — — $3,252,889.89 $3,252,889.89 $3,252,889.89 2026-03-15
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 5 4 — — $3,023,669.65 $3,023,669.65 $3,023,669.65 2026-03-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 4 — — $2,448,539.51 $4,284,944.14 $2,448,539.51 2026-03-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $576,233.03 $1,008,407.80 $576,233.03 2026-03-15
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $561,659.21 $982,903.62 $561,659.21 2026-03-15
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $538,221.79 $941,888.13 $538,221.79 2026-03-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $526,173.50 $920,803.63 $526,173.50 2026-03-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $498,698.84 $872,722.97 $498,698.84 2026-03-15
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $497,205.71 $870,109.99 $497,205.71 2026-03-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 4 — — $275,906.88 $562,734.68 $386,579.12 2026-03-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 4 — — $206,079.31 $383,634.63 $263,543.63 2026-03-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 4 — — $156,793.61 $274,388.82 $182,519.32 2026-03-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 4 — — $173,556.03 $303,723.05 $175,407.86 2026-03-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 4 — — $80,620.14 $229,836.47 $141,085.25 2026-03-15
215 MS_DRG Other Heart Assist System Implant 11 4 — — $77,511.57 $194,257.66 $133,448.24 2026-03-15
14 MS_DRG Allogeneic Bone Marrow Transplant 11 4 — — $95,852.78 $175,402.15 $120,495.17 2026-03-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 4 — — $103,375.09 $180,906.41 $114,602.60 2026-03-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 1 — — $100,878.83 $146,847.08 $111,097.25 2026-03-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 4 — — $77,911.02 $157,367.93 $108,106.28 2026-03-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 4 — — $58,975.02 $150,736.43 $103,206.29 2026-03-15
7 MS_DRG Lung Transplant 11 4 — — $95,611.35 $167,319.86 $101,406.99 2026-03-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 4 — — $70,607.46 $143,206.47 $98,377.86 2026-03-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 1 — — $87,872.73 $127,914.39 $96,773.71 2026-03-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 4 — — $61,960.68 $138,756.33 $95,320.77 2026-03-15
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 12 — — $64,591.25 $113,034.69 $88,812.97 2026-03-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 4 — — $61,995.06 $122,292.92 $84,010.98 2026-03-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 1 — — $76,024.43 $110,667.08 $83,725.25 2026-03-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 4 — — $79,699.78 $139,474.62 $79,699.78 2026-03-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 4 — — $56,607.56 $114,683.06 $78,783.27 2026-03-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 1 — — $70,392.84 $102,469.30 $77,523.21 2026-03-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 4 — — $43,828.70 $116,868.94 $76,700.23 2026-03-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 4 — — $76,638.04 $134,116.57 $76,638.04 2026-03-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 4 — — $57,184.79 $110,704.77 $76,050.32 2026-03-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 4 — — $54,608.09 $110,097.25 $75,632.97 2026-03-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 1 — — $67,280.86 $97,939.26 $74,096.00 2026-03-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 1 — — $66,713.35 $97,113.15 $73,471.01 2026-03-15
33264 CPT Rmvl&rplcmt Dfb Gen Mlt Ld 21 12 $85,174.00 $34,069.60 60% off $32,662.95 $81,514.77 $70,910.52 2026-03-15
33249 CPT Ins/rep Perm Defib Sys Sgl 21 12 $86,494.00 $34,597.60 60% off $32,662.95 $81,514.77 $70,910.52 2026-03-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 4 — — $40,437.73 $113,609.72 $70,766.03 2026-03-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 4 — — $41,989.46 $102,603.47 $70,485.01 2026-03-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 4 — — $57,996.13 $101,493.23 $68,990.64 2026-03-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 1 — — $62,530.56 $91,024.36 $68,864.53 2026-03-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 4 — — $48,780.17 $98,391.51 $67,591.54 2026-03-15
850 MS_DRG Acute Leukemia With Other Procedures 6 4 — — $67,394.27 $117,939.97 $67,394.27 2026-03-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 4 — — $44,158.65 $97,144.81 $66,735.10 2026-03-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 4 — — $47,246.00 $94,714.72 $65,065.71 2026-03-15
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 1 — — $58,627.39 $85,342.59 $64,565.99 2026-03-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 4 — — $36,457.83 $99,440.73 $63,801.20 2026-03-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 4 — — $50,893.76 $91,800.72 $63,063.90 2026-03-15
33276 CPT Insj Phrnc Nrv Stim Sys 16 12 — — $45,844.56 $80,227.98 $63,036.27 2026-03-15
266T OTHER Implt/rpl Crtd Sns Dev Total 21 12 — — $44,705.70 $80,227.98 $62,466.84 2026-03-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 4 — — $49,955.85 $90,905.27 $62,448.75 2026-03-15
33270 CPT Ins/rep Subq Defib Syst=29 21 12 $70,215.00 $28,086.00 60% off $32,662.95 $81,514.77 $61,685.69 2026-03-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 1 — — $55,973.14 $81,478.87 $61,642.88 2026-03-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 4 — — $61,019.84 $106,784.72 $61,019.84 2026-03-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 4 — — $44,691.26 $88,044.03 $60,483.18 2026-03-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 4 — — $34,419.59 $92,057.00 $60,234.28 2026-03-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 4 — — $43,048.81 $87,112.40 $59,843.18 2026-03-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 4 — — $36,632.68 $85,983.28 $59,067.52 2026-03-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 4 — — $48,862.84 $85,978.76 $59,064.41 2026-03-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 4 — — $43,525.08 $85,686.30 $58,863.50 2026-03-15
10 MS_DRG Pancreas Transplant 11 4 — — $45,278.50 $102,078.34 $58,330.48 2026-03-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 5 1 — — $52,589.84 $76,553.87 $57,916.87 2026-03-15
A9543 HCPCS Y90 Ibritumomab, Rx 6 4 — — $57,890.39 $101,308.18 $57,890.39 2026-03-15
28 MS_DRG Spinal Procedures With Mcc 11 4 — — $44,477.63 $83,795.90 $57,564.86 2026-03-15
653 MS_DRG Major Bladder Procedures With Mcc 11 4 — — $40,783.78 $83,364.75 $57,268.68 2026-03-15
571T OTHER Insj/rplcmt Icds Ss Eltrd 21 12 — — $32,662.95 $81,514.77 $57,088.86 2026-03-15
33231 CPT Insrt Pulse Gen W/mult Leads 21 12 — — $32,662.95 $81,514.77 $57,088.86 2026-03-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 4 — — $41,738.52 $82,835.62 $56,905.18 2026-03-15
834 MS_DRG Acute Leukemia With Mcc 11 4 — — $40,437.73 $82,820.54 $56,894.83 2026-03-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 4 — — $47,314.04 $82,799.57 $56,797.48 2026-03-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $56,578.18 $99,011.82 $56,578.18 2026-03-15
245 MS_DRG Aicd Generator Procedures 11 4 — — $35,751.83 $82,194.93 $56,465.05 2026-03-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 4 — — $46,268.59 $82,068.30 $56,378.06 2026-03-15
38240 CPT Transplt Allo Hct/donor 21 12 — — $6,818.57 $105,440.37 $56,129.47 2026-03-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 4 — — $42,595.95 $81,670.32 $56,104.67 2026-03-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 4 — — $43,492.16 $81,587.41 $56,047.71 2026-03-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 4 — — $31,590.49 $80,887.93 $55,283.36 2026-03-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 4 — — $39,716.37 $79,707.56 $54,756.31 2026-03-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 4 — — $34,937.56 $78,614.62 $54,005.50 2026-03-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 4 — — $38,750.66 $77,490.02 $53,232.95 2026-03-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 4 — — $36,589.52 $77,303.09 $53,104.53 2026-03-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 4 — — $39,807.09 $76,309.65 $52,422.07 2026-03-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 4 — — $38,922.59 $76,228.25 $52,366.15 2026-03-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 4 — — $37,272.10 $76,023.23 $52,225.31 2026-03-15
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 21 12 — — $22,867.20 $81,514.77 $52,190.99 2026-03-15
33230 CPT Insrt Pulse Gen W/dual Leads 21 12 — — $22,867.20 $81,514.77 $52,190.99 2026-03-15
33240 CPT Insrt Pulse Gen W/singl Lead 21 12 — — $22,867.20 $81,514.77 $52,190.99 2026-03-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 21 12 — — $22,867.20 $81,514.77 $52,190.99 2026-03-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 4 — — $51,963.36 $90,935.88 $51,963.36 2026-03-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 4 — — $39,513.72 $75,632.78 $51,957.09 2026-03-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 4 — — $51,702.18 $90,478.82 $51,702.18 2026-03-15
163 MS_DRG Major Chest Procedures With Mcc 11 4 — — $33,720.91 $74,503.67 $51,181.42 2026-03-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 4 — — $37,553.03 $74,487.08 $51,170.03 2026-03-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 4 — — $39,476.41 $74,155.43 $50,942.20 2026-03-15
471 MS_DRG Cervical Spinal Fusion With Mcc 11 4 — — $35,536.01 $74,149.40 $50,938.06 2026-03-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 4 — — $33,594.35 $74,068.00 $50,882.13 2026-03-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 4 — — $44,896.10 $78,568.18 $50,666.73 2026-03-15
799 MS_DRG Splenic Procedures With Mcc 11 4 — — $34,786.12 $73,519.27 $50,505.18 2026-03-15
69930 CPT Implant Cochlear Device 21 12 — — $32,404.43 $67,796.04 $50,100.24 2026-03-15
61737 CPT Litt Icr Mlt Trj Mlt/cplx Ls 15 9 — — $40,703.72 $59,208.25 $49,955.99 2026-03-15
735T OTHER Prep Tum Cav Iort Prim Crnot 15 9 — — $40,703.72 $59,208.25 $49,955.99 2026-03-15
61736 CPT Litt Icr 1 Traj 1 Smpl Les 15 9 — — $40,703.72 $59,208.25 $49,955.99 2026-03-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 4 — — $49,051.59 $85,840.28 $49,051.59 2026-03-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 4 — — $36,849.97 $70,032.42 $48,109.83 2026-03-15
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 21 12 — — $31,045.17 $65,029.60 $48,037.39 2026-03-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 21 12 — — $31,045.17 $65,029.60 $48,037.39 2026-03-15
268T OTHER Implt/rpl Crtd Sns Dev Gen 21 12 — — $31,045.17 $65,029.60 $48,037.39 2026-03-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 4 — — $33,599.47 $69,100.79 $47,469.83 2026-03-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 4 — — $37,157.97 $68,558.09 $47,097.02 2026-03-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 4 — — $39,472.02 $69,076.04 $46,942.71 2026-03-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 4 — — $44,158.65 $77,277.64 $46,891.97 2026-03-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 4 — — $33,707.01 $68,034.98 $46,737.66 2026-03-15
6 MS_DRG Liver Transplant Without Mcc 11 4 — — $35,476.75 $67,864.64 $46,620.64 2026-03-15
J9226 HCPCS Supprelin La Implant 6 4 — — $46,110.76 $80,693.83 $46,110.76 2026-03-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 4 — — $33,006.87 $67,103.35 $46,097.66 2026-03-15
33224 CPT Insert Pacing Lead & Connect 21 12 — — $10,661.62 $81,514.77 $46,088.19 2026-03-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 1 — — $41,578.30 $60,524.62 $45,789.93 2026-03-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 4 — — $45,318.24 $79,306.92 $45,318.24 2026-03-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 4 — — $45,259.71 $79,204.49 $45,259.71 2026-03-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 4 — — $25,828.41 $86,185.28 $45,199.72 2026-03-15
61886 CPT Implant Neurostim Arrays 21 12 — — $31,045.17 $59,208.25 $45,126.71 2026-03-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 21 12 — — $31,045.17 $59,208.25 $45,126.71 2026-03-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 21 12 — — $31,045.17 $59,208.25 $45,126.71 2026-03-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 4 — — $42,081.61 $78,843.45 $45,053.40 2026-03-15
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 16 12 — — $32,662.95 $57,160.16 $44,911.56 2026-03-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 4 — — $34,235.23 $65,012.45 $44,661.29 2026-03-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 4 — — $34,779.54 $64,970.24 $44,632.29 2026-03-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 4 — — $32,719.35 $64,918.98 $44,597.08 2026-03-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 4 — — $30,067.30 $64,156.19 $44,073.06 2026-03-15
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 21 12 — — $21,846.61 $65,029.60 $43,438.11 2026-03-15
680T OTHER Insj/rplcmt Pg Only Isdss 21 12 — — $21,846.61 $65,029.60 $43,438.11 2026-03-15
61885 CPT Insrt/redo Neurostim 1 Array 21 12 — — $21,846.61 $65,029.60 $43,438.11 2026-03-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 4 — — $29,144.75 $62,894.41 $43,206.27 2026-03-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 4 — — $30,439.69 $62,645.67 $43,035.39 2026-03-15
901 MS_DRG Wound Debridements For Injuries With Mcc 11 4 — — $32,413.54 $62,623.06 $43,019.86 2026-03-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 16 12 — — $31,045.17 $54,329.05 $42,687.11 2026-03-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 4 — — $32,137.73 $61,818.05 $42,466.85 2026-03-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 4 — — $26,508.80 $61,714.04 $42,395.39 2026-03-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 4 — — $30,658.43 $61,418.57 $42,192.42 2026-03-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 4 — — $25,821.83 $61,178.87 $42,027.75 2026-03-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 4 — — $28,276.34 $60,948.23 $41,869.31 2026-03-15
62361 CPT Implant Spine Infusion Pump 21 12 — — $18,005.63 $65,029.60 $41,517.61 2026-03-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 4 — — $28,449.73 $60,176.39 $41,339.08 2026-03-15
140 MS_DRG Major Head And Neck Procedures With Mcc 11 4 — — $30,940.83 $60,007.55 $41,223.09 2026-03-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 4 — — $25,615.51 $59,499.52 $40,874.10 2026-03-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 4 — — $28,807.49 $59,210.08 $40,675.26 2026-03-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 4 — — $27,964.68 $58,892.00 $40,456.75 2026-03-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 4 — — $40,268.00 $70,469.00 $40,268.00 2026-03-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 4 — — $30,084.13 $58,548.29 $40,220.63 2026-03-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 4 — — $40,022.18 $70,038.82 $40,022.18 2026-03-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 4 — — $32,810.07 $58,234.73 $40,005.23 2026-03-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 4 — — $22,725.69 $69,106.82 $39,769.96 2026-03-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 4 — — $27,813.24 $57,758.36 $39,677.98 2026-03-15
332 MS_DRG Rectal Resection With Mcc 11 4 — — $25,377.01 $57,607.00 $39,574.00 2026-03-15
408T OTHER Insj/rplc Cardiac Modulj Sys 19 12 — — $21,741.95 $57,160.16 $39,451.06 2026-03-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 4 — — $27,596.69 $57,402.59 $39,433.58 2026-03-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 4 — — $31,207.87 $57,376.96 $39,415.97 2026-03-15
793 MS_DRG Full Term Neonate With Major Problems 11 4 — — $30,511.38 $57,238.27 $39,320.70 2026-03-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 4 — — $29,757.10 $57,089.03 $39,218.17 2026-03-15
33274 CPT Tcat Insj/rpl Perm Ldls Pm 19 12 $48,615.00 $19,446.00 60% off $19,428.87 $45,698.10 $38,892.00 2026-03-15
64583 CPT Rev/rplct Hpglsl Nstm Ary Pg 21 12 — — $12,704.21 $65,029.60 $38,866.90 2026-03-15
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 21 12 — — $15,220.56 $62,399.73 $38,810.14 2026-03-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 4 — — $24,815.88 $55,860.41 $38,374.16 2026-03-15
791 MS_DRG Prematurity With Major Problems 11 4 — — $29,702.23 $55,721.72 $38,278.88 2026-03-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 4 — — $25,404.81 $55,681.02 $38,250.92 2026-03-15
C1820 HCPCS Ans 1pg 16 Chan Recharge #3788 20 8 $44,495.00 $17,798.00 60% off $29,631.20 $48,833.94 $38,188.73 2026-03-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 4 — — $37,678.14 $65,936.75 $37,678.14 2026-03-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 4 — — $27,376.48 $54,443.36 $37,400.69 2026-03-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 4 — — $24,919.76 $54,081.56 $37,152.15 2026-03-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 4 — — $28,607.76 $53,954.93 $37,065.16 2026-03-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 4 — — $28,866.75 $53,912.72 $37,036.16 2026-03-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 4 — — $28,168.80 $53,471.03 $36,732.73 2026-03-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 4 — — $25,633.80 $53,468.01 $36,730.66 2026-03-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 4 — — $29,124.27 $53,385.10 $36,673.70 2026-03-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 1 — — $33,245.87 $48,395.27 $36,613.47 2026-03-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 4 — — $36,604.15 $64,057.26 $36,604.15 2026-03-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 4 — — $30,651.12 $53,639.46 $36,496.62 2026-03-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 4 — — $30,022.67 $53,118.27 $36,490.40 2026-03-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 4 — — $28,748.96 $52,904.21 $36,343.35 2026-03-15
69714 CPT Impl Oi Implt Skull Perq Esp 21 12 — — $13,108.16 $59,208.25 $36,158.21 2026-03-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 4 — — $23,220.99 $52,492.66 $36,060.63 2026-03-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 4 — — $25,058.77 $52,427.84 $36,016.10 2026-03-15
269T OTHER Rev/remvl Crtd Sns Dev Total 21 12 — — $6,524.19 $65,029.60 $35,776.89 2026-03-15
61770 CPT Incise Skull For Treatment 21 12 — — $6,524.19 $65,029.60 $35,776.89 2026-03-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 4 — — $26,693.89 $51,452.48 $35,346.06 2026-03-15
C1882 HCPCS Bvicdgen Multi Lead Sgl/dual 10 8 $39,488.00 $15,795.20 60% off $31,590.40 $37,118.72 $35,341.76 2026-03-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 4 — — $26,224.94 $51,316.81 $35,252.86 2026-03-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 4 — — $25,199.23 $51,007.77 $35,040.56 2026-03-15
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 5 1 — — $31,560.95 $45,942.57 $34,757.88 2026-03-15
265 MS_DRG Aicd Lead Procedures 11 4 — — $26,097.64 $50,317.34 $34,566.26 2026-03-15
652 MS_DRG Kidney Transplant 11 4 — — $22,470.37 $50,044.48 $34,378.81 2026-03-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 4 — — $25,980.58 $49,759.56 $34,183.08 2026-03-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 4 — — $20,019.51 $49,723.38 $34,158.23 2026-03-15
27438 CPT Revise Kneecap With Implant 21 12 — — $13,108.16 $55,201.08 $34,154.62 2026-03-15
23470 CPT Reconstruct Shoulder Joint 21 12 — — $13,108.16 $55,201.08 $34,154.62 2026-03-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 4 — — $34,033.31 $59,558.29 $34,033.31 2026-03-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 4 — — $24,557.62 $49,351.03 $33,902.44 2026-03-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 4 — — $20,951.56 $49,204.80 $33,801.98 2026-03-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 4 — — $31,655.60 $55,397.30 $33,716.03 2026-03-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 4 — — $23,835.53 $49,063.10 $33,704.64 2026-03-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 4 — — $26,226.40 $49,052.54 $33,697.39 2026-03-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 4 — — $23,552.40 $49,045.01 $33,692.21 2026-03-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 4 — — $28,247.81 $49,433.67 $33,666.32 2026-03-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 3 — — $25,625.76 $48,785.72 $33,514.09 2026-03-15
252 MS_DRG Other Vascular Procedures With Mcc 11 4 — — $25,096.81 $48,743.51 $33,485.09 2026-03-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 4 — — $25,159.73 $48,740.49 $33,483.02 2026-03-15
264 MS_DRG Other Circulatory System O.r. Procedures 11 4 — — $25,570.16 $48,506.83 $33,322.50 2026-03-15
69717 CPT Rplcmt Oi Implt Skl Prq Esp 21 12 — — $7,277.72 $59,208.25 $33,242.99 2026-03-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 4 — — $23,913.81 $48,255.08 $33,149.56 2026-03-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 4 — — $18,906.74 $51,449.47 $33,086.80 2026-03-15
37 MS_DRG Extracranial Procedures With Mcc 11 4 — — $24,295.71 $47,771.17 $32,817.13 2026-03-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 4 — — $22,561.08 $47,196.81 $32,422.56 2026-03-15
665 MS_DRG Prostatectomy With Mcc 11 4 — — $25,120.22 $47,083.75 $32,344.89 2026-03-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 4 — — $19,947.08 $46,987.27 $32,278.62 2026-03-15
37229 CPT Pta/tib/peroneal(+)ather Unila 21 12 $46,320.00 $18,528.00 60% off $15,220.56 $43,540.80 $32,013.68 2026-03-15
C9774 HCPCS Ir Ivl+ather W/angioplasty Btk 21 12 $51,533.00 $20,613.20 60% off $15,220.56 $48,441.02 $32,013.68 2026-03-15
37231 CPT Pta/stent/atherectomy Tib/per 21 12 $46,320.00 $18,528.00 60% off $15,220.56 $43,540.80 $32,013.68 2026-03-15
C9773 HCPCS Ir Ivl/stent/angioplasty Btk 21 12 $51,533.00 $20,613.20 60% off $15,220.56 $48,441.02 $32,013.68 2026-03-15
C9775 HCPCS Ir Ivl+st+ather W/pta Btk 21 12 $51,533.00 $20,613.20 60% off $15,220.56 $48,441.02 $32,013.68 2026-03-15
C9765 HCPCS Ir Ivl/stent/angioplasty Atk 21 12 $51,533.00 $20,613.20 60% off $15,220.56 $48,441.02 $32,013.68 2026-03-15
C9766 HCPCS Ir Ivl+ather W/angioplasty Atk 21 12 $51,533.00 $20,613.20 60% off $15,220.56 $48,441.02 $32,013.68 2026-03-15
C9767 HCPCS Ir Ivl+st+ather W/pta Atk 21 12 $51,533.00 $20,613.20 60% off $15,220.56 $48,441.02 $32,013.68 2026-03-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 4 — — $20,525.04 $46,452.11 $31,910.98 2026-03-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 4 — — $23,330.73 $46,420.45 $31,889.23 2026-03-15
54401 CPT Insert Self-contd Prosthesis 21 12 — — $20,506.10 $43,159.10 $31,832.60 2026-03-15
54410 CPT Remove/replace Penis Prosth 21 12 — — $20,506.10 $43,159.10 $31,832.60 2026-03-15
54411 CPT Remov/replc Penis Pros Comp 21 12 — — $20,506.10 $43,159.10 $31,832.60 2026-03-15
54405 CPT Insert Multi-comp Penis Pros 21 12 — — $20,506.10 $43,159.10 $31,832.60 2026-03-15
54416 CPT Remv/repl Penis Contain Pros 21 12 — — $20,506.10 $43,159.10 $31,832.60 2026-03-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 4 — — $21,323.95 $46,180.76 $31,724.57 2026-03-15
662 MS_DRG Minor Bladder Procedures With Mcc 11 4 — — $22,823.00 $45,912.42 $31,540.23 2026-03-15
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 5 1 — — $28,622.95 $41,665.79 $31,522.28 2026-03-15
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 16 12 — — $22,867.20 $40,017.60 $31,442.40 2026-03-15
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 16 12 — — $22,867.20 $40,017.60 $31,442.40 2026-03-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 4 — — $21,516.36 $45,524.99 $31,274.08 2026-03-15
25449 CPT Remove Wrist Joint Implant 21 12 — — $7,277.72 $55,201.08 $31,239.40 2026-03-15
25443 CPT Reconstruct Wrist Joint 21 12 — — $7,277.72 $55,201.08 $31,239.40 2026-03-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 4 — — $25,756.71 $45,407.41 $31,193.31 2026-03-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 4 — — $21,457.83 $45,374.24 $31,170.52 2026-03-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 4 — — $31,161.77 $54,533.10 $31,161.77 2026-03-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 4 — — $22,376.72 $45,181.28 $31,037.97 2026-03-15
C2616 HCPCS Brachytx, Non-str,yttrium-90 21 12 — — $17,813.06 $44,157.92 $30,985.49 2026-03-15
515T OTHER Insj Wcs Lv Compl Sys 19 12 — — $21,741.95 $40,017.60 $30,879.78 2026-03-15
409T OTHER Insj/rplc Car Modulj Pls Gn 19 12 — — $21,741.95 $40,017.60 $30,879.78 2026-03-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 4 — — $24,156.70 $44,679.29 $30,693.11 2026-03-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 4 — — $25,349.21 $44,612.96 $30,647.55 2026-03-15
500 MS_DRG Soft Tissue Procedures With Mcc 11 4 — — $23,182.21 $44,609.94 $30,645.48 2026-03-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 4 — — $22,624.00 $44,011.46 $30,234.34 2026-03-15
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 16 12 — — $21,846.61 $38,231.57 $30,039.09 2026-03-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 16 12 — — $21,846.61 $38,231.57 $30,039.09 2026-03-15
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 16 12 — — $21,846.61 $38,231.57 $30,039.09 2026-03-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 4 — — $26,220.55 $45,885.96 $29,959.91 2026-03-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 4 — — $29,874.89 $52,281.06 $29,874.89 2026-03-15
C1721 HCPCS Dual Chamber Icd 20 8 $34,311.50 $13,724.60 60% off $24,268.00 $35,990.72 $29,572.65 2026-03-15
472 MS_DRG Cervical Spinal Fusion With Cc 11 4 — — $21,195.92 $43,015.01 $29,549.81 2026-03-15
93656 CPT Compre Ep Eval Abltj Atr Fib 21 12 — — $15,220.56 $43,736.77 $29,478.67 2026-03-15
93653 CPT Compre Ep Eval Tx Svt 21 12 — — $15,220.56 $43,736.77 $29,478.67 2026-03-15
93654 CPT Compre Ep Eval Tx Vt 21 12 — — $15,220.56 $43,736.77 $29,478.67 2026-03-15
C1722 HCPCS Icd Single Chamber 20 8 $32,655.50 $13,062.20 60% off $25,346.40 $31,610.32 $29,465.19 2026-03-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 4 — — $21,571.96 $42,870.29 $29,450.39 2026-03-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 11 4 — — $19,192.07 $42,466.28 $29,172.85 2026-03-15
37227 CPT Pta/stent/atherectomy Same Ves 21 12 $36,240.00 $14,496.00 60% off $15,220.56 $34,065.60 $28,992.00 2026-03-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 4 — — $19,778.08 $42,178.34 $28,975.05 2026-03-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 4 — — $20,546.26 $42,146.69 $28,953.30 2026-03-15
974 MS_DRG HIV With Major Related Condition With Mcc 11 4 — — $21,847.04 $41,807.50 $28,720.29 2026-03-15
654 MS_DRG Major Bladder Procedures With Cc 11 4 — — $20,646.49 $41,796.95 $28,713.05 2026-03-15
C9760 HCPCS Non-blind Interatrial Shunt 21 12 — — $8,337.81 $49,028.56 $28,683.19 2026-03-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 4 — — $22,833.24 $41,733.63 $28,669.55 2026-03-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 4 — — $28,621.66 $50,087.91 $28,621.66 2026-03-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 4 — — $19,712.96 $41,498.46 $28,508.00 2026-03-15
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 5 1 — — $25,765.73 $37,506.60 $28,375.64 2026-03-15
54400 CPT Insert Semi-rigid Prosthesis 21 12 — — $13,236.11 $43,159.10 $28,197.60 2026-03-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 4 — — $19,983.66 $40,824.61 $28,045.08 2026-03-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 11 4 — — $19,342.78 $40,621.10 $27,905.28 2026-03-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 4 — — $20,975.71 $40,526.12 $27,840.03 2026-03-15
800 MS_DRG Splenic Procedures With Cc 11 4 — — $21,317.36 $40,505.02 $27,825.54 2026-03-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 4 — — $19,875.38 $40,378.39 $27,738.55 2026-03-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 4 — — $21,305.66 $40,203.52 $27,618.42 2026-03-15
J9266 HCPCS Pegaspargase Injection 6 4 — — $27,578.28 $48,261.99 $27,578.28 2026-03-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 4 — — $23,845.77 $41,730.10 $27,553.17 2026-03-15
659T OTHER Tcat Intra-c Nfs Supersat O2 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
33904 CPT Perq P-art Revsc Each Addl 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
33897 CPT Perq Trluml Angp Nt/recr Coa 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
92925 CPT Prq Card Angio/athrect Addl 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
C7533 HCPCS Ptca With Plcmt Brachytx Dev 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
C7532 HCPCS Angio With US Non-coronary 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
C9608 HCPCS Perc D-e Cor Revasc Chro Add 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
92944 CPT Prq Card Revasc Chronic Addl 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
92938 CPT Prq Revasc Byp Graft Addl 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
92934 CPT Prq Card Stent/ath/angio 15 9 — — $22,285.25 $32,416.47 $27,350.86 2026-03-15
668 MS_DRG Transurethral Procedures With Mcc 11 4 — — $21,335.65 $39,722.63 $27,288.06 2026-03-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 4 — — $23,267.81 $40,718.67 $27,285.99 2026-03-15
347 MS_DRG Anal And Stomal Procedures With Mcc 11 4 — — $17,315.51 $39,641.22 $27,232.14 2026-03-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 11 4 — — $16,481.49 $39,327.66 $27,016.73 2026-03-15
570 MS_DRG Skin Debridement With Mcc 11 4 — — $22,022.63 $39,116.61 $26,871.75 2026-03-15
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