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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

INTEGRIS HEALTH EDMOND HOSPITAL

Edmond, OK · CCN 370236 · Rates published

16,457 distinct procedures filed
35 distinct payers
169,359 rate rows
2026-04-01 last MRF observed
Data quality

126,471 of 169,359 rate rows are consumer-grade (74.7%)

42,888 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 42,172
template filing: same amount across many unrelated codes — excluded 685
placeholder amount (≤ $0.02) — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=Ltb8cqfMm9D6g79o7zvF0A*-*&f=1Uqk9sV2mcxtBmvoqWiwog*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?ci=fFJE38ye7xsB8Of*_*qxAfVQ*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 7dee7e8f35d663a5… · 49,760,934 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $79.40 $4,640,150.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
H2000
HCPCS 		Comp Multidisipln Evaluation 1 $4,165,959.00 $4,165,959.00 $4,165,959.00 nat. median
$173
outlier · 24108.6×
H2010
HCPCS 		Comprehensive Medication Services, Per 15 Minutes 1 $3,807,119.13 $3,807,119.13 $3,807,119.13 nat. median
$32
outlier · 118601.8×
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $13.04 $3,795,824.67 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,408,903.61 $3,408,903.61 $3,408,903.61 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,334.25 $3,415,956.47 $3,349,627.21 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $89.91 $3,345,899.09 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $42.45 $4,864,551.99 $3,019,383.50 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $38.88 $3,998,166.53 $2,516,488.37 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $141.40 $3,847,800.00 $2,390,300.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,271,523.00 $793,738.60 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $1,284.99 $954,972.35 $606,519.36 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $912,729.35 $582,845.01 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $852,129.78 $579,414.33 nat. median
$674,188
0.9× median
M1107
HCPCS 		Docu Dx Degen Neuro 1 $578,544.93 $578,544.93 $578,544.93 nat. median
$260
outlier · 2222.4×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $870,577.06 $574,037.47 nat. median
$625,184
0.9× median
M1106
HCPCS 		Start Eoc Doc Med Rec 1 $552,546.94 $552,546.94 $552,546.94 nat. median
$260
outlier · 2122.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $829,687.20 $549,227.08 nat. median
$634,511
0.9× median
M1070
HCPCS 		Pt Not Scrn Fut Fall No Rsn 1 $540,429.11 $540,429.11 $540,429.11 nat. median
$260
outlier · 2075.9×
M1058
HCPCS 		Pt Prm Nurs Hm Res In Pp 1 $523,694.85 $523,694.85 $523,694.85 nat. median
$260
outlier · 2011.7×
M1069
HCPCS 		Pt Scr Ft Fall Rsk 1 $512,361.60 $512,361.60 $512,361.60 nat. median
$260
outlier · 1968.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $807,508.61 $503,983.75 nat. median
$620,080
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $305,394.70 $1,018,662.39 $380,158.54 nat. median
$370,174
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $61.30 $265,225.00 $260,075.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $198,470.31 $661,070.91 $256,867.07 nat. median
$265,286
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $422.01 $211,809.20 $207,696.40 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $151,399.01 $503,648.47 $183,955.91 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $147,727.73 $500,692.70 $181,182.11 nat. median
$202,986
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $490.71 $130,327.56 $130,327.56 nat. median
$76,377
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $94,288.42 $326,748.15 $116,462.57 nat. median
$133,176
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $85,570.85 $283,496.73 $111,242.11 nat. median
$117,303
0.9× median
7
MS_DRG 		Lung Transplant 13 $92,146.89 $305,489.26 $110,797.61 nat. median
$122,708
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $80,731.39 $267,311.95 $104,950.81 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $80,639.69 $267,005.29 $104,831.60 nat. median
$98,017
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $78,540.55 $259,985.04 $101,020.32 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $77,502.97 $256,515.02 $100,753.86 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $73,527.58 $243,219.95 $95,585.85 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 13 $71,034.14 $234,881.05 $92,344.38 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $69,805.41 $230,771.75 $90,747.03 nat. median
$93,672
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $64,351.59 $212,532.32 $82,581.99 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $61,882.13 $204,273.62 $80,446.77 nat. median
$83,442
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $60,075.71 $198,232.34 $78,098.42 nat. median
$81,118
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $60,262.63 $198,857.46 $77,715.83 nat. median
$79,312
1.0× median
A5083
HCPCS 		Stoma Absorptive Cover 1 $74,643.30 $74,643.30 $74,643.30 nat. median
$1
A9699
HCPCS 		Radiopharm Rx Agent Noc 2 $1,373.18 $74,614.73 $74,614.73 nat. median
$21,806
outlier · 3.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $56,304.87 $185,621.37 $73,196.33 nat. median
$77,576
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $54,961.17 $181,127.56 $71,449.52 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $54,727.69 $180,346.75 $70,351.69 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $54,549.24 $179,749.94 $69,965.61 nat. median
$72,138
1.0× median

Other procedures at this hospital

Browse this hospital's 16,457 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
             
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 36 13 — — $13,843.11 $409,137.05 $25,413.73 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 14 — — $148.74 $480,915.96 $58,945.22 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 13 — — $41,878.34 $151,791.61 $52,653.03 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 14 — — $400.00 $116,499.30 $41,523.75 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 13 — — $94,288.42 $326,748.15 $116,462.57 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 13 — — $30,817.52 $108,429.32 $40,867.48 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 31 13 — — $1,676.00 $68,699.82 $25,092.38 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 31 13 — — $11,555.60 $64,840.57 $22,683.52 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 13 — — $23,517.42 $117,650.47 $43,928.90 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 13 — — $32,414.43 $105,723.60 $39,847.68 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 14 — — $11,726.79 $98,358.95 $36,149.79 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 13 — — $12,049.88 $164,644.47 $32,821.07 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 14 — — $15,730.83 $140,204.43 $51,847.92 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 13 — — $26,780.81 $110,677.40 $43,005.04 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 13 — — $16,127.52 $103,624.13 $37,848.36 2026-04-01
791 MS_DRG Prematurity With Major Problems 29 13 — — $15,730.83 $95,749.94 $37,204.79 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 13 — — $30,324.21 $99,113.81 $35,890.45 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 13 — — $10,119.85 $83,959.89 $33,678.84 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 13 — — $25,440.62 $86,611.36 $31,634.51 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 13 — — $13,200.46 $80,874.38 $31,002.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 13 — — $23,322.37 $75,316.68 $29,265.20 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 13 — — $22,196.62 $71,551.79 $28,855.61 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 29 13 — — $22,637.22 $74,656.18 $28,349.14 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 13 — — $13,600.16 $73,474.34 $27,243.60 2026-04-01
503 MS_DRG Foot Procedures With Mcc 29 13 — — $17,529.39 $65,840.77 $24,048.12 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 13 — — $17,055.95 $65,387.85 $23,882.69 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 29 14 — — $12,866.19 $59,825.43 $21,851.04 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 29 13 — — $16,679.78 $55,166.50 $21,435.61 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 13 — — $147,727.73 $500,692.70 $181,182.11 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 13 — — $24,031.00 $122,792.99 $48,012.32 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 13 — — $38,018.49 $124,465.49 $47,849.15 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 13 — — $34,746.56 $116,100.64 $44,808.57 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 13 — — $33,140.94 $108,153.32 $42,553.75 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 13 — — $32,886.31 $107,301.74 $42,168.41 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 13 — — $30,337.44 $101,267.54 $38,174.17 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 13 — — $23,202.14 $90,567.32 $35,719.14 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 13 — — $24,819.29 $88,170.62 $34,120.01 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 13 — — $17,469.13 $84,235.89 $33,258.50 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 13 — — $24,626.86 $84,040.10 $33,182.40 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 13 — — $25,049.05 $85,200.70 $32,858.52 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 13 — — $25,886.35 $83,891.48 $32,539.81 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 13 — — $25,406.70 $82,287.39 $31,474.86 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 13 — — $22,285.63 $74,330.64 $28,660.63 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 13 — — $21,795.98 $70,211.91 $28,405.97 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 13 — — $23,644.72 $76,394.73 $27,499.24 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 13 — — $21,107.74 $68,456.85 $27,126.14 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 13 — — $20,875.58 $67,706.70 $26,834.60 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 14 — — $20,353.89 $68,079.41 $26,510.65 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 13 — — $20,583.46 $67,241.98 $25,838.29 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 28 13 — — $18,860.46 $64,824.06 $25,714.29 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 13 — — $19,564.23 $62,748.18 $24,907.53 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 28 13 — — $17,293.04 $61,229.01 $24,038.28 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 13 — — $18,378.52 $58,782.77 $23,732.79 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 28 13 — — $18,216.35 $60,224.10 $23,454.10 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 28 13 — — $18,994.30 $60,842.14 $23,115.55 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 13 — — $359.98 $57,994.88 $23,060.22 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 28 13 — — $2,183.09 $56,494.59 $21,737.04 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 13 — — $305,394.70 $1,018,662.39 $380,158.54 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 13 — — $198,470.31 $661,070.91 $256,867.07 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 13 — — $151,399.01 $503,648.47 $183,955.91 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 13 — — $85,570.85 $283,496.73 $111,242.11 2026-04-01
7 MS_DRG Lung Transplant 27 13 — — $92,146.89 $305,489.26 $110,797.61 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 13 — — $80,731.39 $267,311.95 $104,950.81 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 13 — — $80,639.69 $267,005.29 $104,831.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 — — $78,540.55 $259,985.04 $101,020.32 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 13 — — $77,502.97 $256,515.02 $100,753.86 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 13 — — $73,527.58 $243,219.95 $95,585.85 2026-04-01
215 MS_DRG Other Heart Assist System Implant 27 13 — — $71,034.14 $234,881.05 $92,344.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 — — $69,805.41 $230,771.75 $90,747.03 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 13 — — $64,351.59 $212,532.32 $82,581.99 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 13 — — $61,882.13 $204,273.62 $80,446.77 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 13 — — $60,075.71 $198,232.34 $78,098.42 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 13 — — $60,262.63 $198,857.46 $77,715.83 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 13 — — $56,304.87 $185,621.37 $73,196.33 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 13 — — $54,961.17 $181,127.56 $71,449.52 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 13 — — $54,727.69 $180,346.75 $70,351.69 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 13 — — $54,549.24 $179,749.94 $69,965.61 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 — — $51,718.64 $170,283.45 $67,234.23 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 13 — — $51,096.52 $168,202.86 $66,425.48 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 13 — — $51,126.14 $168,301.93 $65,395.74 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 13 — — $49,315.49 $162,246.50 $63,042.83 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 13 — — $47,930.87 $157,615.87 $62,310.13 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 13 — — $51,394.88 $169,200.69 $61,799.98 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 13 — — $48,280.03 $158,783.55 $61,411.56 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 13 — — $47,965.44 $157,731.46 $61,288.46 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 — — $47,181.08 $155,108.30 $60,269.20 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 — — $47,181.08 $155,108.30 $57,885.86 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 13 — — $44,028.84 $144,566.14 $57,237.49 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 13 — — $43,169.71 $141,692.93 $56,120.62 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 13 — — $43,564.71 $143,013.95 $55,951.03 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 13 — — $42,862.88 $140,666.79 $55,721.74 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 13 — — $43,978.76 $144,398.65 $55,441.70 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 13 — — $42,627.29 $139,878.90 $55,415.48 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 13 — — $43,181.70 $141,733.03 $55,072.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 13 — — $42,196.32 $138,437.57 $54,855.22 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 13 — — $42,169.52 $138,347.93 $53,756.76 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 13 — — $38,928.33 $154,544.51 $53,721.48 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 13 — — $41,055.76 $134,623.15 $53,372.49 2026-04-01
10 MS_DRG Pancreas Transplant 27 13 — — $38,601.00 $169,271.46 $52,958.52 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 13 — — $41,480.38 $136,043.24 $52,861.24 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 13 — — $41,220.81 $135,175.14 $52,641.14 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 — — $40,456.91 $132,620.39 $52,593.98 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 13 — — $39,525.13 $129,504.22 $51,382.67 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 13 — — $40,334.18 $132,209.94 $51,371.76 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 13 — — $41,003.56 $134,448.58 $51,094.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 13 — — $39,388.29 $129,046.58 $50,653.29 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 13 — — $39,333.27 $128,862.58 $50,071.11 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 13 — — $39,272.61 $128,659.71 $49,992.28 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 13 — — $39,758.61 $130,285.03 $49,825.22 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 13 — — $38,141.93 $124,878.31 $49,584.51 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 13 — — $38,394.44 $125,722.81 $49,334.13 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 13 — — $38,417.02 $125,798.30 $49,244.07 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 13 — — $37,454.91 $122,580.69 $48,691.38 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 13 — — $40,063.32 $131,304.10 $47,958.38 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 13 — — $39,118.85 $128,145.46 $46,804.70 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 13 — — $35,698.57 $116,706.89 $46,408.14 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 13 — — $36,353.14 $118,896.00 $46,198.47 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 13 — — $34,861.31 $113,906.81 $45,319.70 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 13 — — $34,689.20 $113,331.23 $45,095.96 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 13 — — $35,372.69 $115,617.05 $44,924.40 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 13 — — $34,382.37 $112,305.08 $44,697.08 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 13 — — $33,796.93 $110,347.15 $43,936.01 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 13 — — $33,378.65 $108,948.29 $43,392.24 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 13 — — $33,963.39 $110,903.86 $43,235.50 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 13 — — $33,509.14 $109,384.70 $43,127.24 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 13 — — $32,982.94 $107,624.92 $42,877.82 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 13 — — $32,746.65 $106,834.67 $42,570.64 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 13 — — $32,872.20 $107,254.56 $41,675.05 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 13 — — $32,405.26 $105,692.93 $41,068.26 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 13 — — $32,281.11 $105,277.76 $40,906.94 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 13 — — $30,590.37 $99,623.35 $39,767.48 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 13 — — $30,524.77 $99,403.96 $39,682.20 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 13 — — $31,325.36 $102,081.38 $39,664.95 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 13 — — $30,402.75 $98,995.86 $39,523.58 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 13 — — $30,233.46 $98,429.71 $39,303.50 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 13 — — $30,714.52 $100,038.52 $39,117.06 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 13 — — $30,887.33 $100,616.46 $39,095.74 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 13 — — $30,347.73 $98,811.87 $38,394.54 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 13 — — $30,095.21 $97,967.36 $38,066.40 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 13 — — $29,160.61 $94,841.75 $37,641.74 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 13 — — $28,394.60 $92,279.92 $36,704.81 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 13 — — $28,103.99 $91,308.03 $36,535.19 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 13 — — $29,901.24 $97,318.65 $36,449.55 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 13 — — $28,036.98 $91,083.93 $36,448.07 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 13 — — $30,539.59 $99,453.50 $36,325.06 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 13 — — $27,344.32 $88,767.44 $35,547.62 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 13 — — $28,063.08 $91,171.21 $35,425.67 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 13 — — $26,940.86 $87,418.12 $35,023.12 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 13 — — $28,903.86 $93,983.09 $34,327.01 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 13 — — $27,088.98 $87,913.50 $34,260.95 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 13 — — $26,340.60 $85,410.65 $34,242.78 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 13 — — $26,073.27 $84,516.60 $33,895.25 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 13 — — $26,014.72 $84,320.81 $33,819.14 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 13 — — $25,951.94 $84,110.86 $33,737.52 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 13 — — $28,269.75 $91,862.39 $33,552.43 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 13 — — $26,395.61 $85,594.65 $33,358.52 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 13 — — $26,322.96 $85,351.67 $33,164.42 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 27 13 — — $26,710.20 $86,646.74 $33,107.17 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 13 — — $25,400.36 $82,266.16 $33,020.47 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 13 — — $25,626.07 $83,021.03 $32,697.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 13 — — $26,239.73 $85,073.32 $32,594.91 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 13 — — $25,056.14 $81,114.99 $32,572.98 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 13 — — $24,833.95 $80,371.92 $32,284.14 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 13 — — $27,228.64 $88,380.57 $32,280.71 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 13 — — $27,163.04 $88,161.19 $32,200.58 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 13 — — $25,169.00 $81,492.42 $31,664.86 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 13 — — $24,865.69 $80,478.07 $31,362.05 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 13 — — $24,101.79 $77,923.33 $31,332.33 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 13 — — $26,375.86 $85,528.60 $31,239.03 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 13 — — $23,745.59 $76,732.06 $30,869.27 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 27 13 — — $24,364.89 $78,803.22 $30,825.57 2026-04-01
652 MS_DRG Kidney Transplant 27 13 — — $23,581.24 $76,182.42 $30,655.61 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 13 — — $23,564.31 $76,125.80 $30,633.60 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 27 13 — — $24,022.79 $77,659.12 $30,358.06 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 13 — — $23,258.89 $75,104.38 $30,236.56 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 13 — — $23,213.75 $87,523.08 $30,177.88 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 13 — — $25,287.50 $81,888.73 $30,138.53 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 13 — — $23,091.02 $74,542.95 $29,993.06 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 13 — — $23,016.95 $74,295.26 $29,922.04 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 13 — — $22,817.34 $73,627.67 $29,662.54 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 13 — — $23,619.33 $76,309.80 $29,651.09 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 13 — — $23,587.59 $76,203.65 $29,609.85 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 13 — — $22,964.76 $74,120.69 $29,519.81 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 13 — — $23,280.76 $75,177.51 $29,211.13 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 13 — — $22,396.24 $72,219.38 $29,115.11 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 13 — — $22,732.69 $73,344.60 $28,712.22 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 13 — — $24,019.97 $77,649.69 $28,361.29 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 27 13 — — $23,519.87 $75,977.19 $27,750.41 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 13 — — $23,446.52 $75,731.86 $27,660.81 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 27 13 — — $21,168.21 $68,112.44 $27,518.67 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 13 — — $22,104.22 $71,242.77 $27,377.65 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 27 13 — — $21,582.26 $69,497.14 $27,335.57 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 13 — — $21,568.15 $69,449.96 $26,985.62 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 13 — — $21,258.50 $68,414.38 $26,783.76 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 27 13 — — $21,398.16 $68,881.46 $26,764.72 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 27 13 — — $20,546.79 $66,034.20 $26,561.51 2026-04-01
570 MS_DRG Skin Debridement With Mcc 27 13 — — $21,546.99 $69,379.20 $26,425.44 2026-04-01
263 MS_DRG Vein Ligation And Stripping 27 13 — — $22,367.32 $72,122.66 $26,342.56 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 13 — — $20,249.13 $65,038.72 $26,323.87 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 13 — — $22,107.04 $71,252.21 $26,024.63 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 13 — — $22,080.94 $71,164.92 $25,992.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 13 — — $19,890.11 $63,838.01 $25,857.14 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 13 — — $20,618.03 $66,272.45 $25,750.96 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 27 13 — — $20,084.78 $64,489.08 $25,660.03 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 27 13 — — $21,128.71 $67,980.34 $24,829.59 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 27 13 — — $19,019.69 $60,927.06 $24,725.60 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 27 13 — — $19,828.03 $63,630.43 $24,724.37 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 13 — — $19,404.82 $62,215.05 $24,614.85 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 27 13 — — $18,912.48 $60,568.50 $24,586.22 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 27 13 — — $18,724.15 $59,938.66 $24,341.40 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 27 13 — — $19,498.63 $62,528.79 $24,296.32 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 27 13 — — $18,604.94 $59,540.00 $24,186.42 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 27 13 — — $19,088.11 $61,155.88 $23,762.86 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 13 — — $18,994.30 $60,842.14 $23,640.95 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 27 13 — — $17,886.89 $57,138.58 $23,204.68 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 27 13 — — $17,831.17 $56,952.23 $23,128.99 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 27 13 — — $18,597.19 $59,514.05 $23,124.90 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 27 13 — — $18,306.58 $58,542.16 $22,747.26 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 27 13 — — $18,147.87 $58,011.40 $22,541.03 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 27 13 — — $17,767.69 $56,739.92 $22,490.97 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 27 13 — — $17,285.22 $55,126.40 $22,444.98 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 27 13 — — $18,021.61 $57,589.14 $22,376.96 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 13 — — $17,103.94 $54,520.14 $22,235.12 2026-04-01
849 MS_DRG Radiotherapy 27 13 — — $17,243.04 $63,915.86 $22,217.90 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 27 13 — — $16,993.91 $54,152.15 $22,092.08 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 27 13 — — $17,663.29 $56,390.80 $21,911.32 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 27 13 — — $17,216.10 $54,895.22 $21,889.34 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 27 13 — — $16,591.86 $52,807.54 $21,569.42 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 27 13 — — $17,385.38 $55,461.37 $21,550.18 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 15 7 — — $4,335.84 $84,532.23 $32,093.31 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 11 7 — — $15,427.74 $169,093.30 $21,880.55 2026-04-01
5166 OTHER Cochlear Implant Procedure 10 6 — — $26,697.13 $98,150.71 $36,168.07 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 5 — — $5,610.00 $43,633.45 $24,481.63 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 5 — — $32.25 $43,633.45 $23,024.94 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 4 — — $8,396.00 $41,207.16 $30,188.86 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 9 4 — — $8,396.00 $41,207.16 $30,188.86 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 9 4 — — $8,396.00 $41,207.16 $30,188.86 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 9 4 — — $5,347.00 $32,706.80 $26,096.68 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 9 4 — — $8,396.00 $25,892.76 $24,508.10 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 9 4 — — $8,396.00 $25,892.76 $24,508.10 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 9 4 — — $8,396.00 $25,892.76 $24,508.10 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 9 4 — — $5,610.00 $41,207.16 $21,393.20 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 9 4 — — $7,519.00 $41,207.16 $21,393.20 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 4 — — $42.45 $4,864,551.99 $3,019,383.50 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 4 — — $38.88 $3,998,166.53 $2,516,488.37 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 4 — — $141.40 $3,847,800.00 $2,390,300.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $1,284.99 $954,972.35 $606,519.36 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $938.10 $104,338.76 $64,925.84 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $1,732.50 $94,078.22 $56,654.13 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $1,296.38 $74,599.87 $46,146.16 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $144.18 $44,666.37 $29,134.66 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 6 3 — — $11,888.00 $76,500.85 $23,295.15 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 6 3 — — $11,888.00 $51,805.10 $23,295.15 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $770,620.00 $1,271,523.00 $793,738.60 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $565,868.94 $912,729.35 $582,845.01 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $562,538.19 $852,129.78 $579,414.33 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $557,317.93 $870,577.06 $574,037.47 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 3 — — $533,230.17 $829,687.20 $549,227.08 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 3 — — $489,304.61 $807,508.61 $503,983.75 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $93,760.51 $58,529.29 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $39,976.89 $24,955.27 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $79.40 $4,640,150.00 $4,550,050.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $13.04 $3,795,824.67 $3,722,119.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,334.25 $3,415,956.47 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $89.91 $3,345,899.09 $3,280,930.17 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $61.30 $265,225.00 $260,075.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $422.01 $211,809.20 $207,696.40 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 4 3 — — $8,281.00 $43,633.45 $42,786.19 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $843.93 $40,711.39 $39,920.88 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $0.62 $36,019.23 $35,319.83 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 3 — — $6,644.00 $30,568.34 $29,974.78 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $490.71 $130,327.56 $130,327.56 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 2 — — $1,373.18 $74,614.73 $74,614.73 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-04-01
H2000 HCPCS Comp Multidisipln Evaluation 1 1 — — $4,165,959.00 $4,165,959.00 $4,165,959.00 2026-04-01
H2010 HCPCS Comprehensive Medication Services, Per 15 Minutes 1 1 — — $3,807,119.13 $3,807,119.13 $3,807,119.13 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,408,903.61 $3,408,903.61 $3,408,903.61 2026-04-01
M1107 HCPCS Docu Dx Degen Neuro 1 1 — — $578,544.93 $578,544.93 $578,544.93 2026-04-01
M1106 HCPCS Start Eoc Doc Med Rec 1 1 — — $552,546.94 $552,546.94 $552,546.94 2026-04-01
M1070 HCPCS Pt Not Scrn Fut Fall No Rsn 1 1 — — $540,429.11 $540,429.11 $540,429.11 2026-04-01
M1058 HCPCS Pt Prm Nurs Hm Res In Pp 1 1 — — $523,694.85 $523,694.85 $523,694.85 2026-04-01
M1069 HCPCS Pt Scr Ft Fall Rsk 1 1 — — $512,361.60 $512,361.60 $512,361.60 2026-04-01
A5083 HCPCS Stoma Absorptive Cover 1 1 — — $74,643.30 $74,643.30 $74,643.30 2026-04-01
M1060 HCPCS Pt Died In Pp 1 1 — — $63,217.07 $63,217.07 $63,217.07 2026-04-01
90695 HCPCS H5n8 Vacc Drv Cll Cul Adj IM 1 1 — — $49,500.90 $49,500.90 $49,500.90 2026-04-01
3141F HCPCS Upper Gi Endo Not Barrtts 1 1 — — $34,595.10 $34,595.10 $34,595.10 2026-04-01
0896T HCPCS Connj Lvr Algrft Prfu Dev Ea 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
B5200 HCPCS Parenteral Sol Hepatic Fream 1 1 — — $31,500.90 $31,500.90 $31,500.90 2026-04-01
A7523 HCPCS Tracheostomy Shower Protect 1 1 — — $30,918.62 $30,918.62 $30,918.62 2026-04-01
C1722 HCPCS Aicd, Single Chamber 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4164 HCPCS Parenteral 50% Dextrose Solu 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1724 HCPCS Cath, Trans Atherec,rotation 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1715 HCPCS Brachytherapy Needle 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1725 HCPCS Cath, Translumin Non-laser 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4178 HCPCS Parenteral Sol Amino Acid > 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
J3265 HCPCS Injection Torsemide 10 Mg/ml 1 1 — — $29,390.86 $29,390.86 $29,390.86 2026-04-01
M1005 HCPCS TB Scr No Perf 1 1 — — $28,897.68 $28,897.68 $28,897.68 2026-04-01
4210F HCPCS Ace/arb Thxpy For Mos/> 1 1 — — $27,069.16 $27,069.16 $27,069.16 2026-04-01
3150F HCPCS Forceps Esoph Biopsy Done 1 1 — — $22,015.49 $22,015.49 $22,015.49 2026-04-01
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