Price Transparency 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

18,008 distinct procedures filed
12 distinct payers
300,071 rate rows
2026-03-15 last MRF observed
Data quality

209,213 of 300,071 rate rows are consumer-grade (69.7%)

90,858 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 79,046
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
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 · 2026-05-15
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
$3,710,000
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
$3,710,000
1.0× 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
$2,448,600
1.3× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 4 $3,252,889.89 $3,252,889.89 $3,252,889.89 nat. median
$3,286,000
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
$3,006,423
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
$2,469,189
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $576,233.03 $1,008,407.80 $576,233.03 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $561,659.21 $982,903.62 $561,659.21 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $538,221.79 $941,888.13 $538,221.79 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $526,173.50 $920,803.63 $526,173.50 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $498,698.84 $872,722.97 $498,698.84 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $497,205.71 $870,109.99 $497,205.71 nat. median
$620,080
0.8× 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
$370,174
1.0× median
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
$265,286
1.0× 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
$202,986
0.9× 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
$206,368
0.8× 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
$108,660
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 4 $77,511.57 $194,257.66 $133,448.24 nat. median
$99,019
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $95,852.78 $175,402.15 $120,495.17 nat. median
$117,303
1.0× 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
$133,176
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $100,878.83 $146,847.08 $111,097.25 nat. median
$87,411
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $79,699.78 $139,474.62 $109,587.20 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $77,911.02 $157,367.93 $108,106.28 nat. median
$100,136
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $76,638.04 $134,116.57 $105,377.30 nat. median
$98,905
1.1× 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
$77,576
1.3× median
7
MS_DRG 		Lung Transplant 4 $95,611.35 $167,319.86 $101,406.99 nat. median
$122,708
0.8× 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
$93,672
1.1× 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
$63,570
1.5× median
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
$81,118
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $67,394.27 $117,939.97 $92,667.12 nat. median
$83,442
1.1× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 12 $64,591.25 $113,034.69 $88,812.97 nat. median
$69,774
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $61,995.06 $122,292.92 $84,010.98 nat. median
$79,312
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $61,019.84 $106,784.72 $83,902.28 nat. median
$82,712
1.0× 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
$54,196
1.5× 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
$74,915
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $70,392.84 $102,469.30 $77,523.21 nat. median
$49,935
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $43,828.70 $116,868.94 $76,700.23 nat. median
$60,726
1.3× median
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
$73,807
1.0× 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
$72,138
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $67,280.86 $97,939.26 $74,096.00 nat. median
$62,270
1.2× median
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
$44,728
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $51,963.36 $90,935.88 $71,449.62 nat. median
$68,090
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $51,702.18 $90,478.82 $71,090.50 nat. median
$68,887
1.0× median
33264
CPT 		Rmvl&rplcmt Dfb Gen Mlt Ld 12 $32,662.95 $81,514.77 $70,910.52 nat. median
$31,873
outlier · 2.2×
33249
CPT 		Ins/rep Perm Defib Sys Sgl 12 $32,662.95 $81,514.77 $70,910.52 nat. median
$31,833
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
$54,066
1.3× 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
$58,024
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $57,996.13 $101,493.23 $68,990.64 nat. median
$71,240
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $62,530.56 $91,024.36 $68,864.53 nat. median
$65,381
1.1× median

Other procedures at this hospital

Browse this hospital's 18,008 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
             
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 16 12 — — $2,375,740.44 $4,157,545.77 $3,266,643.10 2026-03-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 12 — — $79,699.78 $139,474.62 $109,587.20 2026-03-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $76,638.04 $134,116.57 $105,377.30 2026-03-15
850 MS_DRG Acute Leukemia With Other Procedures 16 12 — — $67,394.27 $117,939.97 $92,667.12 2026-03-15
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 12 — — $64,591.25 $113,034.69 $88,812.97 2026-03-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 12 — — $61,019.84 $106,784.72 $83,902.28 2026-03-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $51,963.36 $90,935.88 $71,449.62 2026-03-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 12 — — $51,702.18 $90,478.82 $71,090.50 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
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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 12 — — $49,051.59 $85,840.28 $67,445.93 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 CPT Implt/rpl Crtd Sns Dev Total 21 12 — — $44,705.70 $80,227.98 $62,466.84 2026-03-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 12 — — $45,318.24 $79,306.92 $62,312.58 2026-03-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 12 — — $45,259.71 $79,204.49 $62,232.10 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
571T CPT 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
38240 CPT Transplt Allo Hct/donor 21 12 — — $6,818.57 $105,440.37 $56,129.47 2026-03-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $40,268.00 $70,469.00 $55,368.50 2026-03-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 12 — — $40,022.18 $70,038.82 $55,030.50 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
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 21 12 — — $22,867.20 $81,514.77 $52,190.99 2026-03-15
614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 12 — — $37,678.14 $65,936.75 $51,807.44 2026-03-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $36,604.15 $64,057.26 $50,330.71 2026-03-15
69930 CPT Implant Cochlear Device 21 12 — — $32,404.43 $67,796.04 $50,100.24 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
674T CPT Laps Insj Nw/rpcmt Prm Isdss 21 12 — — $31,045.17 $65,029.60 $48,037.39 2026-03-15
268T CPT Implt/rpl Crtd Sns Dev Gen 21 12 — — $31,045.17 $65,029.60 $48,037.39 2026-03-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 12 — — $34,033.31 $59,558.29 $46,795.80 2026-03-15
33224 CPT Insert Pacing Lead & Connect 21 12 — — $10,661.62 $81,514.77 $46,088.19 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
61886 CPT Implant Neurostim Arrays 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
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 16 12 — — $32,662.95 $57,160.16 $44,911.56 2026-03-15
61885 CPT Insrt/redo Neurostim 1 Array 21 12 — — $21,846.61 $65,029.60 $43,438.11 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 CPT Insj/rplcmt Pg Only Isdss 21 12 — — $21,846.61 $65,029.60 $43,438.11 2026-03-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 12 — — $31,161.77 $54,533.10 $42,847.43 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
62361 CPT Implant Spine Infusion Pump 21 12 — — $18,005.63 $65,029.60 $41,517.61 2026-03-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 12 — — $29,874.89 $52,281.06 $41,077.97 2026-03-15
408T CPT Insj/rplc Cardiac Modulj Sys 19 12 — — $21,741.95 $57,160.16 $39,451.06 2026-03-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 12 — — $28,621.66 $50,087.91 $39,354.79 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 CPT Evasc Ven Artlz Tibl/prnl Vn 21 12 — — $15,220.56 $62,399.73 $38,810.14 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
269T CPT 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
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
69717 CPT Rplcmt Oi Implt Skl Prq Esp 21 12 — — $7,277.72 $59,208.25 $33,242.99 2026-03-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $23,443.39 $41,025.93 $32,234.66 2026-03-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 12 — — $23,375.35 $40,906.86 $32,141.10 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
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
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
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
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
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
54405 CPT Insert Multi-comp Penis Pros 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
54416 CPT Remv/repl Penis Contain Pros 21 12 — — $20,506.10 $43,159.10 $31,832.60 2026-03-15
54401 CPT Insert Self-contd Prosthesis 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
923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 16 12 — — $22,867.20 $40,017.60 $31,442.40 2026-03-15
916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 16 12 — — $22,867.20 $40,017.60 $31,442.40 2026-03-15
25443 CPT Reconstruct Wrist Joint 21 12 — — $7,277.72 $55,201.08 $31,239.40 2026-03-15
25449 CPT Remove Wrist Joint Implant 21 12 — — $7,277.72 $55,201.08 $31,239.40 2026-03-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 12 — — $22,577.18 $39,510.07 $31,043.62 2026-03-15
C2616 HCPCS Brachytx, Non-str,yttrium-90 21 12 — — $17,813.06 $44,157.92 $30,985.49 2026-03-15
409T CPT Insj/rplc Car Modulj Pls Gn 19 12 — — $21,741.95 $40,017.60 $30,879.78 2026-03-15
515T CPT Insj Wcs Lv Compl Sys 19 12 — — $21,741.95 $40,017.60 $30,879.78 2026-03-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 12 — — $22,449.88 $39,287.29 $30,868.58 2026-03-15
816T CPT Opn Insj/rplcmt Ins Ptn Subq 16 12 — — $21,846.61 $38,231.57 $30,039.09 2026-03-15
817T CPT 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
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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 12 — — $20,939.13 $36,643.48 $28,791.31 2026-03-15
C9760 HCPCS Non-blind Interatrial Shunt 21 12 — — $8,337.81 $49,028.56 $28,683.19 2026-03-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 12 — — $20,827.19 $36,447.58 $28,637.38 2026-03-15
54400 CPT Insert Semi-rigid Prosthesis 21 12 — — $13,236.11 $43,159.10 $28,197.60 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
61736 CPT Litt Icr 1 Traj 1 Smpl Les 15 9 — — $40,703.72 $59,208.25 $49,955.99 2026-03-15
735T CPT Prep Tum Cav Iort Prim Crnot 15 9 — — $40,703.72 $59,208.25 $49,955.99 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
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
92925 CPT Prq Card Angio/athrect 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
92938 CPT Prq Revasc Byp Graft Addl 15 9 — — $22,285.25 $32,416.47 $27,350.86 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
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
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
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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 4 — — $3,779,587.06 $3,779,587.06 $3,779,587.06 2026-03-15
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
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 4 — — $3,384,086.90 $3,384,086.90 $3,384,086.90 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
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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 4 — — $61,995.06 $122,292.92 $84,010.98 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
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
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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 4 — — $49,955.85 $90,905.27 $62,448.75 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
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
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
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
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
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
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
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
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
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
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
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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 4 — — $30,084.13 $58,548.29 $40,220.63 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 4 — — $22,376.72 $45,181.28 $31,037.97 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
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
472 MS_DRG Cervical Spinal Fusion With Cc 11 4 — — $21,195.92 $43,015.01 $29,549.81 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
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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 4 — — $22,833.24 $41,733.63 $28,669.55 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
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
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
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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 1 — — $62,530.56 $91,024.36 $68,864.53 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
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
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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 1 — — $41,578.30 $60,524.62 $45,789.93 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
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
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 5 1 — — $28,622.95 $41,665.79 $31,522.28 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
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