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

GRADY MEMORIAL HOSPITAL

Chickasha, OK · CCN 370054 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $8,053 across 5 payers · range $5,299-$12,348

Source: https://mrfs.hyvehealthcare.com/GradyMemorialHospital/736082972_grady-memorial-hospital-ok_standardcharges.json · observed 2026-03-12

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.

20,076 distinct procedures filed
15 distinct payers
468,470 rate rows
2026-03-12 last MRF observed
Data quality

374,000 of 468,470 rate rows are consumer-grade (79.8%)

94,470 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 79,513
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,828
template filing: same amount across many unrelated codes — excluded 3,848
exceeds 10× this hospital's gross charge — excluded from medians 206
per-diem day rate — not a per-procedure price 38
placeholder amount (≤ $0.02) — excluded from medians 21
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/GradyMemorialHospital/736082972_grady-memorial-hospital-ok_standardcharges.json
Found on page https://www.gradymem.org/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint db4cf81466bb8c28… · 103,907,668 bytes · first seen 2026-05-06

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 $33,722.84 $4,600,400.00 $1,906,654.95 nat. median
$3,710,000
0.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $33,722.84 $4,087,040.00 $1,708,904.87 nat. median
$3,324,572
0.5× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $33,722.84 $4,029,873.18 $1,241,131.18 nat. median
$2,460,273
0.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $313,589.11 $460,791.65 $387,190.38 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $234,224.78 $511,767.32 $372,996.05 nat. median
$261,939
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $33,722.84 $628,922.94 $331,322.89 nat. median
$631,793
0.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $33,722.84 $601,015.97 $317,369.41 nat. median
$610,161
0.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $33,722.84 $587,578.36 $310,650.60 nat. median
$624,417
outlier · 0.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $33,722.84 $581,995.36 $307,859.10 nat. median
$691,418
outlier · 0.4×
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $33,722.84 $557,305.60 $295,514.22 nat. median
$577,541
0.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $33,722.84 $557,305.60 $295,514.22 nat. median
$588,565
0.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $197,259.60 $340,619.16 $268,939.38 nat. median
$205,166
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $178,207.84 $354,428.70 $266,318.27 nat. median
$199,832
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $91,630.90 $306,601.08 $199,115.99 nat. median
$108,240
1.8× median
Q0480
HCPCS 		Dme Pos 13 $174,999.93 $174,999.93 $174,999.93 nat. median
$111,503
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 15 $88,097.78 $259,139.07 $173,618.42 nat. median
$98,002
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $108,943.96 $233,985.88 $171,464.92 nat. median
$114,305
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $117,493.64 $222,543.29 $170,018.46 nat. median
$132,706
1.3× median
7
MS_DRG 		Lung Transplant 15 $108,669.56 $196,919.13 $152,794.35 nat. median
$122,690
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $110,829.53 $195,893.52 $149,905.79 nat. median
$83,623
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $88,551.79 $209,928.29 $149,240.04 nat. median
$99,646
1.5× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $111,283.40 $170,637.37 $139,475.48 nat. median
$58,534
outlier · 2.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $80,250.73 $191,036.96 $135,643.85 nat. median
$92,900
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $67,029.58 $201,081.90 $134,055.74 nat. median
$77,385
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $70,423.01 $185,100.48 $127,761.74 nat. median
$80,459
1.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $96,278.53 $147,629.52 $120,669.33 nat. median
$51,048
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $70,462.09 $163,138.35 $116,800.22 nat. median
$79,040
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $90,584.85 $134,709.14 $112,646.99 nat. median
$100,978
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $89,146.59 $136,693.70 $111,730.62 nat. median
$46,826
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $64,338.79 $152,986.83 $108,662.81 nat. median
$74,472
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $64,994.85 $147,679.80 $106,337.32 nat. median
$73,475
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $84,486.83 $129,548.62 $105,890.38 nat. median
$40,712
outlier · 2.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $87,104.95 $121,946.93 $104,525.94 nat. median
$96,835
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $62,066.24 $146,869.36 $104,467.80 nat. median
$71,485
1.5× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $49,814.64 $155,902.78 $102,858.71 nat. median
$60,162
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $76,496.56 $130,650.65 $99,979.26 nat. median
$57,648
1.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 $45,960.55 $151,554.99 $98,757.77 nat. median
$54,267
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $55,442.36 $131,253.95 $93,348.15 nat. median
$65,792
1.4× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $74,246.64 $113,846.73 $93,055.98 nat. median
$45,104
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $79,189.68 $121,426.19 $92,920.32 nat. median
$62,767
1.5× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $47,724.20 $136,872.68 $92,298.44 nat. median
$57,394
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $76,598.70 $107,238.18 $91,918.44 nat. median
$81,364
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $57,844.62 $122,461.86 $90,153.24 nat. median
$65,958
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $53,698.67 $126,349.12 $90,023.90 nat. median
$63,840
1.4× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 15 $50,189.66 $129,590.85 $89,890.26 nat. median
$55,867
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $56,778.61 $121,267.32 $89,022.96 nat. median
$64,357
1.4× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $70,885.26 $108,692.54 $88,843.04 nat. median
$38,383
outlier · 2.3×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 15 $41,437.09 $132,653.60 $87,045.35 nat. median
$50,071
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 $55,536.33 $114,695.37 $85,115.85 nat. median
$62,911
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $50,795.00 $117,450.44 $84,122.72 nat. median
$59,257
1.4× median

Other procedures at this hospital

Browse this hospital's 20,076 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 4 — — $33,722.84 $4,600,400.00 $1,906,654.95 2026-03-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 4 — — $33,722.84 $4,087,040.00 $1,708,904.87 2026-03-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 4 — — $33,722.84 $4,029,873.18 $1,241,131.18 2026-03-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 15 — — $313,589.11 $460,791.65 $387,190.38 2026-03-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 15 — — $234,224.78 $511,767.32 $372,996.05 2026-03-12
Q2056 HCPCS Ciltacabtagene Car-pos T 27 15 — — $33,722.84 $628,922.94 $331,322.89 2026-03-12
Q2055 HCPCS Idecabtagene Vicleucel Car 27 15 — — $33,722.84 $601,015.97 $317,369.41 2026-03-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 27 15 — — $33,722.84 $587,578.36 $310,650.60 2026-03-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 14 — — $33,722.84 $581,995.36 $307,859.10 2026-03-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 27 15 — — $33,722.84 $557,305.60 $295,514.22 2026-03-12
Q2053 HCPCS Brexucabtagene Car Pos T 27 15 — — $33,722.84 $557,305.60 $295,514.22 2026-03-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 15 — — $197,259.60 $340,619.16 $268,939.38 2026-03-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 15 — — $178,207.84 $354,428.70 $266,318.27 2026-03-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 15 — — $91,630.90 $306,601.08 $199,115.99 2026-03-12
Q0480 HCPCS Dme Pos 16 13 — — $174,999.93 $174,999.93 $174,999.93 2026-03-12
215 MS_DRG Other Heart Assist System Implant 27 15 — — $88,097.78 $259,139.07 $173,618.42 2026-03-12
14 MS_DRG Allogeneic Bone Marrow Transplant 27 15 — — $108,943.96 $233,985.88 $171,464.92 2026-03-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 15 — — $117,493.64 $222,543.29 $170,018.46 2026-03-12
7 MS_DRG Lung Transplant 25 15 — — $108,669.56 $196,919.13 $152,794.35 2026-03-12
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 2 — — $110,829.53 $195,893.52 $149,905.79 2026-03-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 15 — — $88,551.79 $209,928.29 $149,240.04 2026-03-12
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $111,283.40 $170,637.37 $139,475.48 2026-03-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 15 — — $80,250.73 $191,036.96 $135,643.85 2026-03-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 15 — — $67,029.58 $201,081.90 $134,055.74 2026-03-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 15 — — $70,423.01 $185,100.48 $127,761.74 2026-03-12
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $96,278.53 $147,629.52 $120,669.33 2026-03-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 15 — — $70,462.09 $163,138.35 $116,800.22 2026-03-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 15 — — $90,584.85 $134,709.14 $112,646.99 2026-03-12
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 1 — — $89,146.59 $136,693.70 $111,730.62 2026-03-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 15 — — $64,338.79 $152,986.83 $108,662.81 2026-03-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 15 — — $64,994.85 $147,679.80 $106,337.32 2026-03-12
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $84,486.83 $129,548.62 $105,890.38 2026-03-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 14 — — $87,104.95 $121,946.93 $104,525.94 2026-03-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 15 — — $62,066.24 $146,869.36 $104,467.80 2026-03-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 15 — — $49,814.64 $155,902.78 $102,858.71 2026-03-12
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 2 — — $76,496.56 $130,650.65 $99,979.26 2026-03-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 15 — — $45,960.55 $151,554.99 $98,757.77 2026-03-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 15 — — $55,442.36 $131,253.95 $93,348.15 2026-03-12
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $74,246.64 $113,846.73 $93,055.98 2026-03-12
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 2 — — $79,189.68 $121,426.19 $92,920.32 2026-03-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 15 — — $47,724.20 $136,872.68 $92,298.44 2026-03-12
850 MS_DRG Acute Leukemia With Other Procedures 20 14 — — $76,598.70 $107,238.18 $91,918.44 2026-03-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 15 — — $57,844.62 $122,461.86 $90,153.24 2026-03-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 15 — — $53,698.67 $126,349.12 $90,023.90 2026-03-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 15 — — $50,189.66 $129,590.85 $89,890.26 2026-03-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 15 — — $56,778.61 $121,267.32 $89,022.96 2026-03-12
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 1 — — $70,885.26 $108,692.54 $88,843.04 2026-03-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 15 — — $41,437.09 $132,653.60 $87,045.35 2026-03-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 15 — — $55,536.33 $114,695.37 $85,115.85 2026-03-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 15 — — $50,795.00 $117,450.44 $84,122.72 2026-03-12
L7180 HCPCS Dme Pos 16 13 — — $83,785.73 $83,785.73 $83,785.73 2026-03-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 14 — — $69,353.68 $97,095.15 $83,224.41 2026-03-12
L7181 HCPCS Dme Pos 16 13 — — $83,104.95 $83,104.95 $83,104.95 2026-03-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 15 — — $65,917.01 $99,974.70 $82,945.85 2026-03-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 15 — — $48,928.24 $116,207.65 $82,567.95 2026-03-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 15 — — $53,776.00 $110,293.30 $82,034.65 2026-03-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 15 — — $49,469.56 $114,305.24 $81,887.40 2026-03-12
28 MS_DRG Spinal Procedures With Mcc 27 15 — — $50,552.20 $111,783.45 $81,167.82 2026-03-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 15 — — $52,587.76 $109,478.84 $81,033.30 2026-03-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 15 — — $39,120.48 $122,803.73 $80,962.10 2026-03-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 15 — — $49,432.14 $108,837.33 $79,134.74 2026-03-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 15 — — $47,438.99 $110,502.44 $78,970.71 2026-03-12
653 MS_DRG Major Bladder Procedures With Mcc 27 15 — — $46,353.86 $111,208.30 $78,781.08 2026-03-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 15 — — $48,413.53 $108,947.94 $78,680.74 2026-03-12
834 MS_DRG Acute Leukemia With Mcc 27 15 — — $45,960.55 $110,482.33 $78,221.44 2026-03-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 15 — — $41,635.82 $114,701.41 $78,168.62 2026-03-12
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 2 — — $57,602.24 $102,122.60 $78,148.42 2026-03-12
571T OTHER Insj/rplcmt Icds Ss Eltrd 26 14 — — $32,662.95 $119,319.35 $75,991.15 2026-03-12
33270 CPT Ins/rep Subq Defibrillator 27 15 — — $32,662.95 $119,319.35 $75,991.15 2026-03-12
33231 CPT Insrt Pulse Gen W/mult Leads 27 15 — — $32,662.95 $119,319.35 $75,991.15 2026-03-12
33249 CPT Insj/rplcmt Defib W/lead(s) 27 15 — — $32,662.95 $119,319.35 $75,991.15 2026-03-12
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 27 15 — — $32,662.95 $119,319.35 $75,991.15 2026-03-12
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 27 15 — — $32,662.95 $119,319.35 $75,991.15 2026-03-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 15 — — $45,140.67 $106,329.61 $75,735.14 2026-03-12
245 MS_DRG Aicd Generator Procedures 27 15 — — $40,634.67 $109,647.76 $75,141.21 2026-03-12
10 MS_DRG Pancreas Transplant 25 15 — — $57,341.40 $92,815.81 $75,078.60 2026-03-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 15 — — $51,027.83 $98,388.18 $74,708.01 2026-03-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 15 — — $44,043.07 $103,371.43 $73,707.25 2026-03-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 15 — — $45,243.78 $101,796.82 $73,520.30 2026-03-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 15 — — $58,763.45 $87,996.75 $73,380.10 2026-03-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 15 — — $44,238.48 $101,688.23 $72,963.35 2026-03-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 15 — — $44,910.34 $100,893.88 $72,902.11 2026-03-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 15 — — $41,586.76 $103,122.07 $72,354.41 2026-03-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 15 — — $39,709.19 $104,871.64 $72,290.41 2026-03-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 15 — — $29,355.95 $114,970.88 $72,163.41 2026-03-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 15 — — $35,904.99 $107,904.23 $71,904.61 2026-03-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 15 — — $44,867.94 $98,923.10 $71,895.52 2026-03-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 15 — — $42,362.57 $101,414.73 $71,888.65 2026-03-12
61736 CPT Litt Icr 1 Traj 1 Smpl Les 22 14 — — $56,515.54 $86,667.60 $71,591.57 2026-03-12
61737 CPT Litt Icr Mlt Trj Mlt/cplx Ls 22 14 — — $56,515.54 $86,667.60 $71,591.57 2026-03-12
735T OTHER Prep Tum Cav Iort Prim Crnot 21 13 — — $56,515.54 $86,667.60 $71,591.57 2026-03-12
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 27 15 — — $22,867.20 $119,319.35 $71,093.27 2026-03-12
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 27 15 — — $22,867.20 $119,319.35 $71,093.27 2026-03-12
33240 CPT Insrt Pulse Gen W/singl Lead 27 15 — — $22,867.20 $119,319.35 $71,093.27 2026-03-12
33230 CPT Insrt Pulse Gen W/dual Leads 27 15 — — $22,867.20 $119,319.35 $71,093.27 2026-03-12
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 27 15 — — $22,867.20 $119,319.35 $71,093.27 2026-03-12
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 27 15 — — $22,867.20 $119,319.35 $71,093.27 2026-03-12
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 26 14 — — $22,867.20 $119,319.35 $71,093.27 2026-03-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 15 — — $42,681.87 $99,365.52 $71,023.70 2026-03-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 14 — — $59,060.30 $82,684.42 $70,872.36 2026-03-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 15 — — $50,189.66 $91,058.08 $70,623.87 2026-03-12
471 MS_DRG Cervical Spinal Fusion With Mcc 27 15 — — $40,389.37 $98,915.06 $69,652.21 2026-03-12
163 MS_DRG Major Chest Procedures With Mcc 27 15 — — $38,326.38 $99,387.64 $68,857.01 2026-03-12
799 MS_DRG Splenic Procedures With Mcc 27 15 — — $39,537.07 $98,074.46 $68,805.76 2026-03-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 15 — — $38,182.52 $98,806.46 $68,494.49 2026-03-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 15 — — $44,862.95 $91,156.62 $68,009.79 2026-03-12
33276 CPT Insj Phrnc Nrv Stim Sys 27 15 — — $45,844.56 $90,001.00 $67,922.78 2026-03-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 15 — — $41,882.78 $93,423.02 $67,652.90 2026-03-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 14 — — $55,750.86 $78,051.20 $66,901.03 2026-03-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 15 — — $42,232.85 $91,456.26 $66,844.55 2026-03-12
266T OTHER Implt/rpl Crtd Sns Dev Total 27 15 — — $43,191.71 $90,001.00 $66,596.35 2026-03-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 15 — — $51,206.61 $81,716.99 $66,461.80 2026-03-12
61889 CPT Ins Sk-mnt Crnl Nstm Pg/rcvr 7 2 — — $2,322.26 $86,667.60 $66,315.74 2026-03-12
69930 CPT Implant Cochlear Device 27 15 — — $32,404.43 $99,238.20 $65,821.32 2026-03-12
6 MS_DRG Liver Transplant Without Mcc 25 15 — — $40,322.02 $90,531.20 $65,426.61 2026-03-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 15 — — $38,188.34 $92,180.22 $65,184.28 2026-03-12
33224 CPT Insert Pacing Lead & Connect 27 15 — — $10,661.62 $119,319.35 $64,990.49 2026-03-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 6 4 — — $64,591.25 $76,632.00 $64,914.21 2026-03-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 15 — — $51,507.62 $77,670.97 $64,589.29 2026-03-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 15 — — $37,514.81 $89,515.64 $63,515.22 2026-03-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 15 — — $39,529.58 $86,670.08 $63,099.83 2026-03-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 15 — — $38,910.93 $86,726.39 $62,818.66 2026-03-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 15 — — $37,188.03 $86,601.70 $61,894.86 2026-03-12
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 2 — — $45,749.36 $80,739.64 $61,785.30 2026-03-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 14 — — $51,441.09 $72,017.53 $61,729.31 2026-03-12
901 MS_DRG Wound Debridements For Injuries With Mcc 27 15 — — $36,840.45 $83,538.95 $60,189.70 2026-03-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 15 — — $34,173.77 $85,584.14 $59,878.96 2026-03-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 15 — — $34,597.01 $83,569.12 $59,083.07 2026-03-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 15 — — $25,829.48 $92,188.26 $59,008.87 2026-03-12
J7330 HCPCS Cultured Chondrocytes Implnt 16 13 — — $58,979.55 $58,979.55 $58,979.55 2026-03-12
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 27 15 — — $31,045.17 $86,667.60 $58,856.39 2026-03-12
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 27 15 — — $31,045.17 $86,667.60 $58,856.39 2026-03-12
61886 CPT Implant Neurostim Arrays 27 15 — — $31,045.17 $86,667.60 $58,856.39 2026-03-12
64568 CPT Opn Impltj Crnl Nrv Nea&pg 27 15 — — $31,045.17 $86,667.60 $58,856.39 2026-03-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 15 — — $33,125.22 $83,900.93 $58,513.07 2026-03-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 15 — — $34,845.64 $81,932.16 $58,388.90 2026-03-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 15 — — $37,291.13 $77,684.93 $57,488.03 2026-03-12
A9543 HCPCS Y90 Ibritumomab, Rx 27 15 — — $33,722.84 $81,190.96 $57,456.90 2026-03-12
C1820 HCPCS Medtronic Genera 97715noleads 45 12 $72,203.00 $28,881.20 60% off $26,577.44 $61,492.40 $57,040.37 2026-03-12
38240 CPT Transplt Allo Hct/donor 27 15 — — $9,467.32 $104,132.34 $56,799.83 2026-03-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 15 — — $32,138.21 $81,304.73 $56,721.47 2026-03-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 15 — — $32,335.28 $80,275.10 $56,305.19 2026-03-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 15 — — $30,129.26 $82,326.32 $56,227.79 2026-03-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 15 — — $34,192.89 $78,103.22 $56,148.06 2026-03-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 15 — — $35,470.11 $76,540.67 $56,005.39 2026-03-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 15 — — $32,741.89 $78,986.05 $55,863.97 2026-03-12
793 MS_DRG Full Term Neonate With Major Problems 27 15 — — $34,678.50 $76,355.66 $55,517.08 2026-03-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 15 — — $29,348.46 $81,612.41 $55,480.43 2026-03-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 15 — — $31,783.98 $78,561.73 $55,172.86 2026-03-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 15 — — $33,821.21 $76,156.57 $54,988.89 2026-03-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 14 — — $45,767.64 $64,074.70 $54,921.17 2026-03-12
908T OTHER Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 22 14 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
786T OTHER Insj/rplcmt Prq Ra Sac Nstim 21 13 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
22838 CPT Rev Rplc/rmv Thrc Vrt Tethrg 21 13 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
22836 CPT Ant Thrc Vrt Body Tethrg <7 21 13 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
22837 CPT Ant Thrc Vrt Body Tethrg 8+ 21 13 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
909T OTHER Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 22 14 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 21 13 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
64597 CPT Ins/rplcm Prq Eltrd Ra Pn Ea 21 13 — — $43,191.71 $66,235.26 $54,713.49 2026-03-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 14 — — $45,488.25 $63,683.55 $54,585.90 2026-03-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 15 — — $31,611.86 $77,049.45 $54,330.65 2026-03-12
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 27 15 — — $21,846.61 $86,667.60 $54,257.11 2026-03-12
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 27 15 — — $21,846.61 $86,667.60 $54,257.11 2026-03-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 15 — — $29,113.98 $79,372.16 $54,243.07 2026-03-12
791 MS_DRG Prematurity With Major Problems 27 15 — — $33,758.84 $74,332.59 $54,045.71 2026-03-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 15 — — $31,365.73 $76,574.86 $53,970.29 2026-03-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 15 — — $34,837.32 $70,871.66 $52,854.49 2026-03-12
332 MS_DRG Rectal Resection With Mcc 27 15 — — $28,842.90 $76,847.55 $52,845.22 2026-03-12
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 1 — — $42,103.08 $64,559.13 $52,769.31 2026-03-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 15 — — $34,123.05 $70,859.60 $52,491.32 2026-03-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 15 — — $32,809.25 $71,919.39 $52,364.32 2026-03-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 15 — — $32,514.89 $71,975.70 $52,245.29 2026-03-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 15 — — $33,101.94 $71,215.54 $52,158.74 2026-03-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 15 — — $31,115.44 $72,627.27 $51,871.36 2026-03-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 15 — — $32,015.98 $71,330.17 $51,673.07 2026-03-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 15 — — $32,675.37 $70,574.03 $51,624.70 2026-03-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 14 — — $42,824.06 $59,953.68 $51,388.87 2026-03-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 15 — — $28,205.13 $74,517.61 $51,361.37 2026-03-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 15 — — $35,979.00 $65,472.13 $50,725.57 2026-03-12
C1767 HCPCS Dual Lead Generator 9244-6001b 285 12 $70,810.00 $28,324.00 60% off $3,782.53 $75,519.95 $50,332.75 2026-03-12
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 15 — — $28,323.20 $72,144.63 $50,233.92 2026-03-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 15 — — $29,134.76 $71,326.15 $50,230.46 2026-03-12
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 1 — — $39,969.27 $61,287.24 $50,094.93 2026-03-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 27 15 — — $33,722.84 $66,249.05 $49,985.94 2026-03-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 15 — — $41,603.39 $58,244.75 $49,924.07 2026-03-12
69714 CPT Impl Oi Implt Skull Perq Esp 27 15 — — $13,108.16 $86,667.60 $49,887.88 2026-03-12
L5856 HCPCS Dme Pos 16 13 — — $49,790.42 $49,790.42 $49,790.42 2026-03-12
L6880 HCPCS Dme Pos 16 13 — — $49,555.26 $49,555.26 $49,555.26 2026-03-12
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 15 — — $30,339.64 $68,637.44 $49,488.54 2026-03-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 15 — — $38,681.43 $59,813.48 $49,247.46 2026-03-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 15 — — $28,481.19 $69,938.56 $49,209.88 2026-03-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 15 — — $29,806.63 $68,456.45 $49,131.54 2026-03-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 27 15 — — $32,105.78 $65,375.60 $48,740.69 2026-03-12
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 26 14 — — $31,045.17 $66,235.26 $48,640.21 2026-03-12
268T OTHER Implt/rpl Crtd Sns Dev Gen 27 15 — — $31,045.17 $66,235.26 $48,640.21 2026-03-12
265 MS_DRG Aicd Lead Procedures 27 15 — — $29,661.95 $67,123.16 $48,392.56 2026-03-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 15 — — $28,640.84 $68,044.20 $48,342.52 2026-03-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 15 — — $26,392.41 $70,025.03 $48,208.72 2026-03-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 15 — — $29,528.90 $66,379.09 $47,954.00 2026-03-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 15 — — $29,808.29 $65,435.93 $47,622.11 2026-03-12
C1787 HCPCS Ipg Gene/leads Dual8 71004-US 60 12 $75,701.00 $30,280.40 60% off $776.52 $90,935.55 $47,318.65 2026-03-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 15 — — $38,310.58 $56,250.23 $47,280.40 2026-03-12
64590 CPT Periph Nerve Stem 27 15 $68,903.00 $27,561.20 60% off $21,846.61 $66,235.26 $47,259.63 2026-03-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 15 — — $29,125.62 $65,079.98 $47,102.80 2026-03-12
69717 CPT Rplcmt Oi Implt Skl Prq Esp 27 15 — — $7,277.72 $86,667.60 $46,972.66 2026-03-12
264 MS_DRG Other Circulatory System O.r. Procedures 27 15 — — $29,062.42 $64,707.95 $46,885.18 2026-03-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 15 — — $27,911.60 $65,834.11 $46,872.86 2026-03-12
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 15 — — $28,595.94 $65,019.65 $46,807.79 2026-03-12
252 MS_DRG Other Vascular Procedures With Mcc 27 15 — — $28,524.43 $65,023.67 $46,774.05 2026-03-12
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 15 — — $27,090.89 $65,450.01 $46,270.45 2026-03-12
652 MS_DRG Kidney Transplant 25 15 — — $25,539.28 $66,759.17 $46,149.22 2026-03-12
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 15 — — $26,769.09 $65,425.87 $46,097.48 2026-03-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 15 — — $27,179.86 $64,372.11 $45,775.99 2026-03-12
665 MS_DRG Prostatectomy With Mcc 27 15 — — $28,551.04 $62,809.56 $45,680.30 2026-03-12
37 MS_DRG Extracranial Procedures With Mcc 27 15 — — $27,613.92 $63,726.58 $45,670.25 2026-03-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 15 — — $36,526.97 $54,554.28 $45,540.62 2026-03-12
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 1 — — $36,248.55 $55,582.03 $45,431.61 2026-03-12
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 27 15 — — $21,488.95 $68,633.42 $45,061.18 2026-03-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 15 — — $29,274.46 $60,573.33 $44,923.89 2026-03-12
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 27 15 — — $23,813.04 $65,639.04 $44,726.04 2026-03-12
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 15 — — $22,753.69 $66,330.82 $44,542.25 2026-03-12
J9226 HCPCS Supprelin La Implant 27 15 — — $33,722.84 $55,274.16 $44,498.50 2026-03-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 15 — — $25,642.38 $62,960.39 $44,301.39 2026-03-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 15 — — $26,517.14 $61,924.72 $44,220.93 2026-03-12
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 15 — — $28,811.30 $59,513.53 $44,162.42 2026-03-12
680T OTHER Insj/rplcmt Pg Only Isdss 26 14 — — $21,846.61 $66,235.26 $44,040.93 2026-03-12
61885 CPT Insrt/redo Neurostim 1 Array 27 15 — — $21,846.61 $66,235.26 $44,040.93 2026-03-12
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 27 15 — — $21,846.61 $66,235.26 $44,040.93 2026-03-12
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 15 — — $29,801.64 $58,178.23 $43,989.93 2026-03-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 15 — — $35,417.72 $51,778.98 $43,598.35 2026-03-12
662 MS_DRG Minor Bladder Procedures With Mcc 27 15 — — $25,940.07 $61,247.02 $43,593.54 2026-03-12
500 MS_DRG Soft Tissue Procedures With Mcc 27 15 — — $26,348.34 $59,509.51 $42,928.93 2026-03-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 15 — — $25,432.84 $60,271.68 $42,852.26 2026-03-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 14 — — $22,671.37 $62,680.86 $42,676.11 2026-03-12
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 15 — — $23,328.27 $61,966.95 $42,647.61 2026-03-12
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 15 — — $24,454.98 $60,730.19 $42,592.58 2026-03-12
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 26 14 — — $18,734.99 $66,235.26 $42,485.12 2026-03-12
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 15 — — $24,388.45 $60,529.09 $42,458.77 2026-03-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 15 — — $25,713.89 $58,711.15 $42,212.52 2026-03-12
140 MS_DRG Major Head And Neck Procedures With Mcc 21 15 — — $35,166.60 $49,233.24 $42,199.92 2026-03-12
62361 CPT Implant Spine Infusion Pump 27 15 — — $18,005.63 $66,235.26 $42,120.44 2026-03-12
54401 CPT Insert Self-contd Prosthesis 27 15 — — $20,506.10 $63,175.24 $41,840.67 2026-03-12
54405 CPT Insert Multi-comp Penis Pros 27 15 — — $20,506.10 $63,175.24 $41,840.67 2026-03-12
54410 CPT Remove/replace Penis Prosth 27 15 — — $20,506.10 $63,175.24 $41,840.67 2026-03-12
54411 CPT Remov/replc Penis Pros Comp 27 15 — — $20,506.10 $63,175.24 $41,840.67 2026-03-12
54416 CPT Remv/repl Penis Contain Pros 27 15 — — $20,506.10 $63,175.24 $41,840.67 2026-03-12
C2616 HCPCS Brachytx, Non-str,yttrium-90 27 15 — — $17,813.06 $64,637.30 $41,225.18 2026-03-12
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 1 — — $32,630.12 $50,033.68 $40,896.50 2026-03-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 15 — — $24,518.17 $57,188.82 $40,853.50 2026-03-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 15 — — $25,951.71 $55,672.52 $40,812.11 2026-03-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 14 — — $33,955.08 $47,537.11 $40,746.10 2026-03-12
472 MS_DRG Cervical Spinal Fusion With Cc 27 15 — — $24,090.77 $57,381.87 $40,736.32 2026-03-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 15 — — $27,102.53 $53,504.67 $40,303.60 2026-03-12
974 MS_DRG HIV With Major Related Condition With Mcc 27 15 — — $24,830.82 $55,771.06 $40,300.94 2026-03-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 15 — — $23,352.38 $56,223.54 $39,787.96 2026-03-12
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 27 15 — — $26,445.63 $52,985.83 $39,715.73 2026-03-12
654 MS_DRG Major Bladder Procedures With Cc 27 15 — — $23,466.30 $55,756.99 $39,611.64 2026-03-12
L6975 HCPCS Dme Pos 16 13 — — $39,609.45 $39,609.45 $39,609.45 2026-03-12
33288 CPT Rmv&rplcmt Phrnc Nrv Stim Ld 27 15 — — $12,704.21 $66,235.26 $39,469.74 2026-03-12
784T OTHER Ins/rplmt Eltrd Ra Spi Nstim 26 14 — — $12,704.21 $66,235.26 $39,469.74 2026-03-12
64596 CPT Ins/rplcmt Prq Eltrd Ra Pn 1 27 15 — — $12,704.21 $66,235.26 $39,469.74 2026-03-12
64583 CPT Rev/rplct Hpglsl Nstm Ary Pg 27 15 — — $12,704.21 $66,235.26 $39,469.74 2026-03-12
L6970 HCPCS Dme Pos 16 13 — — $39,398.00 $39,398.00 $39,398.00 2026-03-12
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 15 — — $22,479.29 $56,265.77 $39,372.53 2026-03-12
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 27 15 — — $21,813.24 $56,649.87 $39,231.56 2026-03-12
914T OTHER Percutaneous Transcatheter Therapeutic Drug Delivery By Intracoronary Drug-deliv… 22 14 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
33904 CPT Perq P-art Revsc Each Addl 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
659T OTHER Tcat Intra-c Nfs Supersat O2 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
33897 CPT Perq Trluml Angp Nt/recr Coa 22 14 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
C9606 HCPCS Perc D-e Cor Revasc W Ami S 22 14 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
C9608 HCPCS Perc D-e Cor Revasc Chro Add 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
C9601 HCPCS Perc Drug-el Cor Stent Bran 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
C7533 HCPCS Ptca With Plcmt Brachytx Dev 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
C9603 HCPCS Perc D-e Cor Stent Ather Br 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92998 CPT Pul Art Balloon Repr Percut 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92972 CPT Perq Trluml Coronry Lithotrp 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92938 CPT Prq Revasc Byp Graft Addl 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92934 CPT Prq Card Stent/ath/angio 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92941 CPT Prq Card Revasc Mi 1 Vsl 22 14 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92925 CPT Prq Card Angio/athrect Addl 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92921 CPT Prq Cardiac Angio Addl Art 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92929 CPT Prq Card Stent W/angio Addl 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
92944 CPT Prq Card Revasc Chronic Addl 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
C7532 HCPCS Angio With US Non-coronary 21 13 — — $30,942.21 $47,450.44 $39,196.32 2026-03-12
800 MS_DRG Splenic Procedures With Cc 27 15 — — $24,228.80 $54,033.56 $39,131.18 2026-03-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 14 — — $32,530.69 $45,542.97 $39,036.83 2026-03-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 15 — — $23,840.48 $54,061.71 $38,951.10 2026-03-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 27 15 — — $24,215.50 $53,631.36 $38,923.43 2026-03-12
Q0483 HCPCS Dme Pos 16 13 — — $38,888.17 $38,888.17 $38,888.17 2026-03-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 27 15 — — $22,405.28 $55,358.81 $38,882.04 2026-03-12
L6965 HCPCS Dme Pos 16 13 — — $38,761.07 $38,761.07 $38,761.07 2026-03-12
668 MS_DRG Transurethral Procedures With Mcc 27 15 — — $24,249.59 $52,989.85 $38,619.72 2026-03-12
570 MS_DRG Skin Debridement With Mcc 27 15 — — $25,030.39 $52,181.43 $38,605.91 2026-03-12
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 15 — — $22,712.94 $54,459.89 $38,586.42 2026-03-12
L5858 HCPCS Dme Pos 16 13 — — $38,547.50 $38,547.50 $38,547.50 2026-03-12
C1772 HCPCS Synchrom Intra Pump 40 8637-4 30 12 $47,760.00 $19,104.00 60% off $18,240.93 $41,537.80 $38,430.18 2026-03-12
33917 CPT Repair Pulmonary Artery 16 13 — — $38,240.74 $38,240.74 $38,240.74 2026-03-12
33824 CPT Revise Major Vessel 16 13 — — $38,240.74 $38,240.74 $38,240.74 2026-03-12
34841 CPT Endovasc Visc Aorta 1 Graft 16 13 — — $38,240.74 $38,240.74 $38,240.74 2026-03-12
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