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

OHSU HOSPITAL AND CLINICS

Portland, OR · CCN 380009 · Rates published

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You selected 93306 (CPT)

Transthor Echo W/Doppler W/Contrast

This hospital’s price: $1,947 across 16 payers · range $859-$2,689

Source: https://www.ohsu.edu/sites/default/files/custom/931176109_Oregon-Health-and-Science-University_standardcharges.zip · observed 2026-03-23

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.

7,127 distinct procedures filed
21 distinct payers
819,866 rate rows
2026-03-23 last MRF observed
Data quality

812,619 of 819,866 rate rows are consumer-grade (99.1%)

7,247 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,590
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,835
per-diem day rate — not a per-procedure price 359
exceeds 10× this hospital's gross charge — excluded from medians 257
placeholder amount (≤ $0.02) — excluded from medians 191
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohsu.edu/sites/default/files/custom/931176109_Oregon-Health-and-Science-University_standardcharges.zip
Found on page https://www.ohsu.edu/health/billing-and-insurance
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-11
Content fingerprint 7c1720fc0fa6b25d… · 13,498,398 bytes · first seen 2026-05-14

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
J3394
HCPCS 		(Lyfgenia) Lovotibeglogene Autotemcel, Per Treatment 14 $999,999.99 $4,553,511.31 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		(Zynteglo) Betibeglogene Autotemcel, Per Treatment 14 $999,999.99 $4,703,950.22 $2,939,968.89 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 21 $2,367.13 $4,782,250.00 $2,731,375.20 nat. median
$2,467,386
1.1× median
J3392
HCPCS 		(Casgevy) Exagamglogene Autotemcel Hsc, Per Inf 15 $999,999.99 $4,664,000.00 $2,390,300.00 nat. median
$2,401,965
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $219,661.65 $1,584,076.14 $1,385,515.50 nat. median
$359,454
outlier · 3.9×
Q2057
HCPCS 		(Tecelra) Afamitresgene Autoleucel, Tcr Cells, Per Inf 20 $603,006.14 $3,140,657.00 $886,213.00 nat. median
$813,967
1.1× median
Q2042
HCPCS 		Peds (Kymriah) Tisagenlecleucel Car-pos T Cells, Per Inf 21 $405,538.80 $2,564,081.03 $623,184.43 nat. median
$739,258
0.8× median
Q2056
HCPCS 		(Carvykti) Ciltacabtagene Autoleucel Car T Cells, Per Inf 21 $460,599.96 $2,398,958.11 $622,908.55 nat. median
$646,415
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 21 $438,206.73 $2,282,326.70 $602,728.26 nat. median
$622,450
1.0× median
Q2054
HCPCS 		(Breyanzi) Lisocabtagene Maraleucel, Car T Cells, Per Inf 21 $440,726.54 $2,295,450.73 $595,933.32 nat. median
$640,950
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $175,888.98 $1,123,907.33 $591,380.83 nat. median
$249,036
outlier · 2.4×
Q2041
HCPCS 		(Yescarta) Axicabtagene Ciloleucel Car T Cells, Per Inf 21 $417,692.66 $2,175,482.60 $564,123.78 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Adlt(Tecartus)Brexucabtagene Autoleucl Car-pos T Cell Per 21 $383,204.54 $1,995,857.00 $518,817.21 nat. median
$591,721
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $90,616.13 $893,179.87 $444,261.52 nat. median
$190,559
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $67,994.02 $520,600.14 $375,202.72 nat. median
$110,307
outlier · 3.4×
Q2058
HCPCS 		Obecabtagene/Aucatzyl Autoleucel Car T Cell Up To 400mill 20 $222,600.00 $2,268,017.00 $328,335.00 nat. median
$319,951
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $295,923.83 $295,923.83 $295,923.83 nat. median
$104,013
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $37,046.02 $1,363,103.51 $284,688.65 nat. median
$126,695
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 17 $93,233.41 $268,817.47 $268,817.47 nat. median
$93,901
outlier · 2.9×
347
MS_DRG 		Anal And Stomal Procedures With Mcc 17 $14,822.02 $263,357.20 $263,357.20 nat. median
$22,221
outlier · 11.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $55,911.82 $262,351.34 $262,351.34 nat. median
$78,268
outlier · 3.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $65,410.66 $252,613.84 $252,613.84 nat. median
$93,276
outlier · 2.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $97,097.95 $477,474.30 $247,525.86 nat. median
$95,038
outlier · 2.6×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 20 $160,914.62 $838,097.00 $237,969.44 nat. median
$209,753
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $50,732.55 $259,304.85 $223,984.17 nat. median
$90,551
outlier · 2.5×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 17 $216,546.48 $216,546.48 $216,546.48 nat. median
$50,831
outlier · 4.3×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 $36,248.74 $216,058.13 $216,058.13 nat. median
$51,514
outlier · 4.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $50,335.26 $288,817.97 $214,284.55 nat. median
$74,370
outlier · 2.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $68,023.88 $262,498.97 $212,942.37 nat. median
$97,323
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $52,080.52 $321,531.79 $211,764.10 nat. median
$78,049
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $74,376.58 $203,660.17 $203,660.17 nat. median
$66,715
outlier · 3.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 $190,385.57 $190,385.57 $190,385.57 nat. median
$53,342
outlier · 3.6×
6
MS_DRG 		Liver Transplant Without Mcc 17 $155,520.24 $218,545.00 $189,594.45 nat. median
$44,153
outlier · 4.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $44,127.88 $189,326.76 $189,326.76 nat. median
$66,649
outlier · 2.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 $38,679.18 $217,993.16 $189,236.45 nat. median
$56,687
outlier · 3.3×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 17 $28,768.98 $248,152.92 $179,000.42 nat. median
$42,881
outlier · 4.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $55,250.30 $166,079.70 $166,079.70 nat. median
$62,031
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 $44,408.56 $234,245.40 $165,383.73 nat. median
$63,873
outlier · 2.6×
834
MS_DRG 		Acute Leukemia With Mcc 17 $34,513.67 $210,553.21 $165,162.93 nat. median
$50,371
outlier · 3.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 $50,784.40 $252,024.31 $160,363.06 nat. median
$60,596
outlier · 2.6×
28
MS_DRG 		Spinal Procedures With Mcc 17 $31,642.03 $330,069.65 $159,489.27 nat. median
$54,460
outlier · 2.9×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 17 $158,935.82 $158,935.82 $158,935.82 nat. median
$57,801
outlier · 2.7×
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 $158,278.39 $158,278.39 $158,278.39 nat. median
$26,460
outlier · 6.0×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 17 $40,949.95 $223,390.14 $157,591.54 nat. median
$33,640
outlier · 4.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $44,350.81 $186,709.26 $156,214.48 nat. median
$63,648
outlier · 2.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 17 $42,637.39 $382,094.74 $152,682.32 nat. median
$61,728
outlier · 2.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $34,833.06 $881,274.99 $151,103.30 nat. median
$62,655
outlier · 2.4×
652
MS_DRG 		Kidney Transplant 17 $32,625.49 $208,483.26 $151,011.52 nat. median
$29,925
outlier · 5.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $48,807.29 $356,458.99 $149,865.68 nat. median
$71,748
outlier · 2.1×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 $74,899.65 $313,752.67 $149,167.92 nat. median
$51,241
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 7,127 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
             
J3394 HCPCS (Lyfgenia) Lovotibeglogene Autotemcel, Per Treatment 29 14 — — $999,999.99 $4,553,511.31 $3,252,508.08 2026-03-23
J3393 HCPCS (Zynteglo) Betibeglogene Autotemcel, Per Treatment 30 14 — — $999,999.99 $4,703,950.22 $2,939,968.89 2026-03-23
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 92 21 $4,781,750.00 $3,108,137.50 35% off $2,367.13 $4,782,250.00 $2,731,375.20 2026-03-23
J3392 HCPCS (Casgevy) Exagamglogene Autotemcel Hsc, Per Inf 32 15 — — $999,999.99 $4,664,000.00 $2,390,300.00 2026-03-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 16 — — $219,661.65 $1,584,076.14 $1,385,515.50 2026-03-23
Q2057 HCPCS (Tecelra) Afamitresgene Autoleucel, Tcr Cells, Per Inf 45 20 $3,140,657.00 $2,041,427.05 35% off $603,006.14 $3,140,657.00 $886,213.00 2026-03-23
Q2042 HCPCS Peds (Kymriah) Tisagenlecleucel Car-pos T Cells, Per Inf 55 21 $2,564,081.03 $1,666,652.67 35% off $405,538.80 $2,564,081.03 $623,184.43 2026-03-23
Q2056 HCPCS (Carvykti) Ciltacabtagene Autoleucel Car T Cells, Per Inf 94 21 $2,398,958.11 $1,559,322.77 35% off $460,599.96 $2,398,958.11 $622,908.55 2026-03-23
Q2055 HCPCS Idecabtagene Vicleucel Car 47 21 $2,282,326.70 $1,483,512.36 35% off $438,206.73 $2,282,326.70 $602,728.26 2026-03-23
Q2054 HCPCS (Breyanzi) Lisocabtagene Maraleucel, Car T Cells, Per Inf 94 21 $2,295,450.73 $1,492,042.97 35% off $440,726.54 $2,295,450.73 $595,933.32 2026-03-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 16 — — $175,888.98 $1,123,907.33 $591,380.83 2026-03-23
Q2041 HCPCS (Yescarta) Axicabtagene Ciloleucel Car T Cells, Per Inf 47 21 $2,175,482.60 $1,414,063.69 35% off $417,692.66 $2,175,482.60 $564,123.78 2026-03-23
Q2053 HCPCS Adlt(Tecartus)Brexucabtagene Autoleucl Car-pos T Cell Per 47 21 $1,995,857.00 $1,297,307.05 35% off $383,204.54 $1,995,857.00 $518,817.21 2026-03-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 17 — — $90,616.13 $893,179.87 $444,261.52 2026-03-23
14 MS_DRG Allogeneic Bone Marrow Transplant 37 16 — — $67,994.02 $520,600.14 $375,202.72 2026-03-23
Q2058 HCPCS Obecabtagene/Aucatzyl Autoleucel Car T Cell Up To 400mill 45 20 $2,268,017.00 $1,474,211.05 35% off $222,600.00 $2,268,017.00 $328,335.00 2026-03-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 16 — — $295,923.83 $295,923.83 $295,923.83 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 40 17 — — $37,046.02 $1,363,103.51 $284,688.65 2026-03-23
215 MS_DRG Other Heart Assist System Implant 40 17 — — $93,233.41 $268,817.47 $268,817.47 2026-03-23
347 MS_DRG Anal And Stomal Procedures With Mcc 40 17 — — $14,822.02 $263,357.20 $263,357.20 2026-03-23
850 MS_DRG Acute Leukemia With Other Procedures 39 17 — — $55,911.82 $262,351.34 $262,351.34 2026-03-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 17 — — $65,410.66 $252,613.84 $252,613.84 2026-03-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 17 — — $97,097.95 $477,474.30 $247,525.86 2026-03-23
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 45 20 $838,097.00 $544,763.05 35% off $160,914.62 $838,097.00 $237,969.44 2026-03-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $50,732.55 $259,304.85 $223,984.17 2026-03-23
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 39 17 — — $216,546.48 $216,546.48 $216,546.48 2026-03-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 17 — — $36,248.74 $216,058.13 $216,058.13 2026-03-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 17 — — $50,335.26 $288,817.97 $214,284.55 2026-03-23
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 39 17 — — $68,023.88 $262,498.97 $212,942.37 2026-03-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 16 — — $52,080.52 $321,531.79 $211,764.10 2026-03-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 39 17 — — $74,376.58 $203,660.17 $203,660.17 2026-03-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 17 — — $190,385.57 $190,385.57 $190,385.57 2026-03-23
6 MS_DRG Liver Transplant Without Mcc 40 17 — — $155,520.24 $218,545.00 $189,594.45 2026-03-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 17 — — $44,127.88 $189,326.76 $189,326.76 2026-03-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 17 — — $38,679.18 $217,993.16 $189,236.45 2026-03-23
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 39 17 — — $28,768.98 $248,152.92 $179,000.42 2026-03-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $55,250.30 $166,079.70 $166,079.70 2026-03-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 17 — — $44,408.56 $234,245.40 $165,383.73 2026-03-23
834 MS_DRG Acute Leukemia With Mcc 40 17 — — $34,513.67 $210,553.21 $165,162.93 2026-03-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 17 — — $50,784.40 $252,024.31 $160,363.06 2026-03-23
28 MS_DRG Spinal Procedures With Mcc 40 17 — — $31,642.03 $330,069.65 $159,489.27 2026-03-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 17 — — $158,935.82 $158,935.82 $158,935.82 2026-03-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 40 17 — — $158,278.39 $158,278.39 $158,278.39 2026-03-23
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 39 17 — — $40,949.95 $223,390.14 $157,591.54 2026-03-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 17 — — $44,350.81 $186,709.26 $156,214.48 2026-03-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 17 — — $42,637.39 $382,094.74 $152,682.32 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 17 — — $34,833.06 $881,274.99 $151,103.30 2026-03-23
652 MS_DRG Kidney Transplant 39 17 — — $32,625.49 $208,483.26 $151,011.52 2026-03-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 17 — — $48,807.29 $356,458.99 $149,865.68 2026-03-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 37 16 — — $74,899.65 $313,752.67 $149,167.92 2026-03-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 17 — — $46,608.08 $860,917.21 $147,051.23 2026-03-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 17 — — $34,368.80 $142,892.93 $142,892.93 2026-03-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 37 16 — — $32,158.34 $140,404.95 $140,404.95 2026-03-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 17 — — $40,088.48 $271,831.76 $140,359.16 2026-03-23
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 40 17 — — $8,542.87 $139,608.48 $139,608.48 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 17 — — $28,839.02 $251,645.07 $138,924.12 2026-03-23
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 40 17 — — $26,543.13 $137,316.32 $137,316.32 2026-03-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 17 — — $49,289.26 $186,909.37 $137,180.77 2026-03-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 40 17 — — $19,585.27 $496,308.89 $133,742.45 2026-03-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $133,311.42 $133,311.42 $133,311.42 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 17 — — $40,382.58 $185,932.00 $132,937.68 2026-03-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 17 — — $28,911.72 $229,433.78 $132,847.40 2026-03-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 16 — — $28,089.63 $467,986.37 $131,125.10 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 17 — — $21,315.50 $130,545.65 $130,545.65 2026-03-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 16 — — $31,244.48 $3,716,869.22 $130,445.13 2026-03-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 17 — — $39,490.30 $130,020.35 $130,020.35 2026-03-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 17 — — $36,742.22 $205,668.56 $128,160.24 2026-03-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 17 — — $36,359.10 $218,801.35 $126,882.94 2026-03-23
506 MS_DRG Major Thumb Or Joint Procedures 40 17 — — $16,490.92 $125,801.04 $125,801.04 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 17 — — $25,320.77 $170,309.23 $125,785.05 2026-03-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 17 — — $88,637.18 $140,709.72 $124,128.31 2026-03-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 17 — — $32,153.85 $187,892.38 $123,444.30 2026-03-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 17 — — $32,238.47 $173,832.27 $121,525.29 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 39 17 — — $25,498.26 $163,344.83 $121,040.16 2026-03-23
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 17 — — $25,676.84 $133,945.57 $116,698.24 2026-03-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 17 — — $21,998.70 $115,397.89 $115,397.89 2026-03-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 17 — — $32,849.83 $189,748.19 $113,882.86 2026-03-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 17 — — $25,233.20 $167,007.71 $113,833.24 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 40 17 — — $41,987.59 $203,263.73 $113,694.26 2026-03-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 40 17 — — $33,405.45 $174,730.10 $113,215.60 2026-03-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 17 — — $37,407.86 $149,770.00 $112,124.85 2026-03-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 17 — — $30,203.17 $462,912.24 $110,727.43 2026-03-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 17 — — $21,862.87 $112,277.93 $109,865.32 2026-03-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 17 — — $33,426.45 $182,469.85 $108,992.76 2026-03-23
799 MS_DRG Splenic Procedures With Mcc 40 17 — — $49,521.01 $108,979.98 $108,979.98 2026-03-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 17 — — $43,172.76 $152,103.18 $108,762.79 2026-03-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 17 — — $51,130.39 $146,964.91 $107,347.63 2026-03-23
140 MS_DRG Major Head And Neck Procedures With Mcc 40 17 — — $22,826.36 $342,897.71 $106,466.41 2026-03-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 17 — — $34,957.75 $104,571.04 $104,571.04 2026-03-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 17 — — $31,811.78 $138,606.61 $104,007.60 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 17 — — $24,428.62 $147,334.70 $102,479.04 2026-03-23
653 MS_DRG Major Bladder Procedures With Mcc 40 17 — — $34,809.01 $109,379.22 $102,078.11 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 40 17 — — $23,553.81 $101,807.57 $101,807.57 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 17 — — $28,003.44 $242,167.82 $101,553.91 2026-03-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 17 — — $20,410.47 $2,517,652.16 $100,808.15 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 17 — — $32,549.95 $100,329.56 $100,329.56 2026-03-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 17 — — $21,983.39 $100,189.68 $100,189.68 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 17 — — $29,684.38 $393,252.09 $100,041.17 2026-03-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 17 — — $20,935.10 $132,742.41 $100,029.71 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 40 17 — — $18,184.40 $100,849.70 $99,975.32 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 40 17 — — $28,284.16 $288,129.14 $99,441.60 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 17 — — $23,706.43 $589,096.43 $99,434.20 2026-03-23
500 MS_DRG Soft Tissue Procedures With Mcc 40 17 — — $16,404.95 $119,213.29 $99,392.31 2026-03-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 40 17 — — $16,162.04 $249,487.73 $98,869.66 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 17 — — $26,160.77 $98,612.21 $98,612.21 2026-03-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 40 17 — — $16,824.53 $241,766.91 $98,612.09 2026-03-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 17 — — $21,330.47 $290,448.19 $97,612.57 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 17 — — $17,746.26 $121,015.55 $97,395.64 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 17 — — $29,820.28 $158,512.65 $96,299.51 2026-03-23
901 MS_DRG Wound Debridements For Injuries With Mcc 40 17 — — $39,889.62 $564,111.96 $96,254.01 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 40 17 — — $21,269.06 $95,979.26 $95,979.26 2026-03-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 39 17 — — $19,263.27 $122,665.38 $95,034.52 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 17 — — $36,377.56 $124,412.75 $94,433.83 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 17 — — $25,961.51 $180,335.80 $94,190.39 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 17 — — $25,698.79 $143,387.75 $93,827.09 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 17 — — $23,331.39 $150,427.06 $93,486.39 2026-03-23
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 17 — — $24,416.76 $109,773.69 $93,194.38 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 40 17 — — $11,505.02 $283,135.55 $92,888.16 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 17 — — $24,133.89 $92,694.03 $92,694.03 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 17 — — $23,454.31 $103,684.00 $92,513.48 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 17 — — $21,212.16 $121,417.00 $92,510.87 2026-03-23
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 17 — — $25,332.49 $143,076.81 $92,209.65 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 40 17 — — $17,372.08 $100,875.39 $91,986.92 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 40 17 — — $16,101.37 $91,371.08 $91,371.08 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 40 17 — — $17,662.50 $201,645.41 $91,320.48 2026-03-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 39 17 — — $19,161.00 $88,857.27 $88,857.27 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 17 — — $18,411.70 $464,452.22 $88,561.99 2026-03-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 40 17 — — $33,898.54 $269,540.43 $87,526.29 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 40 17 — — $24,789.23 $265,067.08 $86,145.58 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 40 17 — — $13,389.48 $234,226.86 $85,582.06 2026-03-23
570 MS_DRG Skin Debridement With Mcc 40 17 — — $14,275.82 $97,531.98 $83,978.60 2026-03-23
0815 RC — 14 12 $108,956.00 $70,821.40 35% off $20,919.55 $108,956.00 $83,471.19 2026-03-23
263 MS_DRG Vein Ligation And Stripping 40 17 — — $27,964.45 $83,463.85 $83,463.85 2026-03-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 17 — — $25,662.47 $304,579.31 $83,403.11 2026-03-23
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 40 17 — — $23,079.83 $100,415.56 $82,984.21 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 17 — — $15,297.16 $124,191.49 $82,355.27 2026-03-23
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 17 — — $25,032.83 $82,222.51 $82,222.51 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 17 — — $22,625.30 $181,705.30 $81,457.52 2026-03-23
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 40 17 — — $15,828.95 $93,098.07 $81,005.39 2026-03-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 17 — — $26,840.98 $80,555.83 $80,555.83 2026-03-23
332 MS_DRG Rectal Resection With Mcc 40 17 — — $80,483.15 $80,483.15 $80,483.15 2026-03-23
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 40 17 — — $26,905.51 $80,436.29 $80,436.29 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 17 — — $20,157.88 $220,234.76 $80,045.34 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 17 — — $17,614.85 $246,442.07 $80,009.62 2026-03-23
38240 CPT Hb Hpc Xplant Allogeneic 47 21 $122,944.00 $79,913.60 35% off $23,605.25 $176,583.30 $77,696.65 2026-03-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 17 — — $28,815.62 $84,781.04 $77,179.40 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 17 — — $23,757.63 $90,314.35 $76,982.53 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 40 17 — — $12,272.39 $127,438.03 $76,551.29 2026-03-23
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 141 21 $255,831.00 $166,290.15 35% off $49,109.76 $255,831.00 $75,844.25 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 17 — — $17,652.84 $116,436.93 $75,541.59 2026-03-23
592 MS_DRG Skin Ulcers With Mcc 40 17 — — $12,495.66 $75,210.12 $75,210.12 2026-03-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 40 17 — — $17,056.07 $75,092.44 $75,092.44 2026-03-23
754 MS_DRG Malignancy, Female Reproductive System With Mcc 40 17 — — $11,891.31 $74,481.58 $74,481.58 2026-03-23
709 MS_DRG Penis Procedures With Cc/mcc 40 17 — — $25,037.22 $74,324.23 $74,324.23 2026-03-23
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 17 — — $9,685.42 $87,939.66 $74,311.84 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 40 17 — — $14,693.51 $514,752.95 $74,299.59 2026-03-23
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 17 — — $24,545.52 $74,263.68 $74,263.68 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 40 17 — — $16,154.17 $83,294.50 $73,853.63 2026-03-23
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 17 — — $14,652.05 $95,702.87 $73,575.65 2026-03-23
711 MS_DRG Testes Procedures With Cc/mcc 40 17 — — $11,931.31 $73,494.63 $73,494.63 2026-03-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 17 — — $24,130.64 $133,826.63 $73,479.29 2026-03-23
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 40 17 — — $11,591.13 $72,719.10 $72,719.10 2026-03-23
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 40 17 — — $13,545.58 $72,447.82 $72,447.82 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 40 17 — — $24,062.84 $155,589.87 $72,413.16 2026-03-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 16 — — $55,200.86 $147,839.96 $71,087.32 2026-03-23
539 MS_DRG Osteomyelitis With Mcc 40 17 — — $12,629.48 $70,956.77 $70,956.77 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 40 17 — — $17,621.81 $70,843.85 $70,843.85 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 39 17 — — $17,776.02 $100,015.96 $70,548.82 2026-03-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 17 — — $19,484.58 $157,777.37 $69,271.46 2026-03-23
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 40 17 — — $9,482.96 $68,668.43 $68,668.43 2026-03-23
253 MS_DRG Other Vascular Procedures With Cc 40 17 — — $13,409.49 $116,433.06 $68,459.79 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 17 — — $26,635.95 $241,918.22 $67,741.76 2026-03-23
722 MS_DRG Malignancy, Male Reproductive System With Mcc 40 17 — — $40,258.72 $67,411.05 $67,411.05 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 17 — — $17,319.58 $189,382.17 $66,686.80 2026-03-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 17 — — $21,180.39 $98,045.61 $66,462.07 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 17 — — $22,752.15 $230,941.57 $66,386.99 2026-03-23
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 40 17 — — $21,318.84 $66,298.60 $66,298.60 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 17 — — $15,766.03 $129,268.12 $66,117.85 2026-03-23
265 MS_DRG Aicd Lead Procedures 40 17 — — $34,663.56 $65,927.85 $65,927.85 2026-03-23
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 140 19 $61,235.11 $39,802.82 35% off $273.15 $306,132.83 $64,900.21 2026-03-23
0811 RC — 16 13 $92,263.00 $59,970.95 35% off $17,714.50 $92,263.00 $64,584.10 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 40 17 — — $20,202.91 $110,227.01 $64,377.37 2026-03-23
380 MS_DRG Complicated Peptic Ulcer With Mcc 40 17 — — $10,350.80 $64,257.18 $64,257.18 2026-03-23
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 94 21 $272,450.50 $177,092.83 35% off $43,523.29 $272,531.00 $64,196.85 2026-03-23
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 40 17 — — $19,488.20 $92,031.05 $64,098.79 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 17 — — $18,314.29 $202,314.76 $63,973.04 2026-03-23
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 17 — — $13,091.00 $63,630.34 $63,630.34 2026-03-23
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 17 — — $14,735.74 $93,583.42 $63,514.57 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 17 — — $18,593.53 $67,602.11 $63,488.99 2026-03-23
595 MS_DRG Major Skin Disorders With Mcc 40 17 — — $13,692.73 $63,086.60 $63,086.60 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 39 17 — — $21,824.15 $539,049.86 $62,653.32 2026-03-23
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 40 17 — — $12,026.53 $73,876.26 $62,519.43 2026-03-23
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 39 17 — — $30,711.28 $62,165.25 $62,165.25 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 39 17 — — $16,846.21 $119,402.53 $61,867.52 2026-03-23
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 2 2 — — $31,651.73 $92,013.42 $61,832.57 2026-03-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 39 17 — — $23,914.79 $103,507.82 $61,721.88 2026-03-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 17 — — $15,911.51 $106,227.65 $61,692.79 2026-03-23
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 40 17 — — $14,782.56 $64,697.65 $61,503.07 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 39 17 — — $13,032.32 $61,478.92 $61,478.92 2026-03-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 40 17 — — $11,265.44 $93,100.61 $61,478.02 2026-03-23
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 17 — — $61,459.97 $61,459.97 $61,459.97 2026-03-23
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 37 16 — — $25,440.02 $61,444.05 $61,444.05 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 17 — — $19,950.90 $72,922.97 $61,168.81 2026-03-23
141 MS_DRG Major Head And Neck Procedures With Cc 40 17 — — $12,284.97 $363,231.36 $60,930.36 2026-03-23
503 MS_DRG Foot Procedures With Mcc 39 17 — — $18,021.31 $60,807.25 $60,807.25 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 39 17 — — $17,904.46 $108,885.22 $59,766.22 2026-03-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 39 17 — — $23,716.12 $97,578.15 $59,501.62 2026-03-23
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 40 17 — — $12,102.55 $59,249.91 $59,249.91 2026-03-23
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 39 17 — — $11,617.82 $60,607.88 $58,936.62 2026-03-23
655 MS_DRG Major Bladder Procedures Without Cc/mcc 39 17 — — $22,701.80 $58,796.00 $58,796.00 2026-03-23
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 39 17 — — $12,076.45 $94,828.90 $58,773.49 2026-03-23
0620T CPT Endovascular Venous Arterialization Tibl/Prnl Vn 47 21 $117,152.00 $76,148.80 35% off $22,493.18 $123,652.37 $58,363.92 2026-03-23
33276 CPT Insert/Replc Nstim System Apnea Cmplt 47 21 $165,735.00 $107,727.75 35% off $31,821.12 $165,735.00 $58,363.92 2026-03-23
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 39 17 — — $12,478.44 $58,363.85 $58,363.85 2026-03-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 39 17 — — $12,900.63 $142,894.78 $58,257.70 2026-03-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 40 17 — — $11,074.01 $104,018.76 $58,084.65 2026-03-23
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 39 17 — — $19,255.91 $270,237.00 $57,369.97 2026-03-23
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 39 17 — — $11,370.54 $78,660.05 $57,153.06 2026-03-23
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 39 17 — — $38,312.43 $56,991.25 $56,991.25 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 17 — — $20,283.44 $322,476.81 $56,779.46 2026-03-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 39 17 — — $32,226.47 $146,378.37 $56,754.72 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 39 17 — — $21,256.12 $64,093.37 $56,244.94 2026-03-23
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 39 17 — — $13,462.22 $95,702.65 $56,088.43 2026-03-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 40 17 — — $22,747.13 $164,672.66 $56,088.36 2026-03-23
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 39 17 — — $14,842.62 $57,082.50 $55,370.37 2026-03-23
876 MS_DRG O.r. Procedure W Principal Diagnosis Of Mental Health Conditions 39 17 — — $20,106.82 $123,680.57 $55,142.29 2026-03-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 39 17 — — $28,530.13 $64,710.81 $54,846.86 2026-03-23
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 39 17 — — $13,768.14 $105,858.35 $54,664.82 2026-03-23
999 MS_DRG Ungroupable 1 1 — — $54,632.68 $54,632.68 $54,632.68 2026-03-23
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 39 17 — — $9,851.57 $82,064.48 $54,608.80 2026-03-23
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 39 17 — — $10,573.37 $65,249.25 $54,538.33 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 39 17 — — $12,539.94 $141,111.60 $54,493.50 2026-03-23
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 39 17 — — $12,276.89 $120,303.93 $54,203.18 2026-03-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 39 17 — — $10,979.41 $65,487.89 $54,170.97 2026-03-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 39 17 — — $17,743.02 $121,621.84 $53,989.48 2026-03-23
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 39 17 — — $11,756.81 $184,740.90 $53,924.08 2026-03-23
0812 RC — 96 13 $79,759.50 $51,843.68 35% off $105.60 $168,847.00 $53,908.74 2026-03-23
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 39 17 — — $8,700.07 $53,469.53 $53,469.53 2026-03-23
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 39 17 — — $12,246.16 $100,147.35 $53,443.54 2026-03-23
800 MS_DRG Splenic Procedures With Cc 39 17 — — $25,879.44 $53,404.66 $53,404.66 2026-03-23
545 MS_DRG Connective Tissue Disorders With Mcc 39 17 — — $13,282.51 $63,738.84 $53,099.19 2026-03-23
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 40 17 — — $12,994.99 $80,638.47 $52,948.25 2026-03-23
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 39 17 — — $15,088.67 $117,301.99 $52,592.15 2026-03-23
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 39 17 — — $11,307.27 $52,318.81 $52,318.81 2026-03-23
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 39 17 — — $17,086.67 $52,260.68 $52,260.68 2026-03-23
501 MS_DRG Soft Tissue Procedures With Cc 39 17 — — $9,663.48 $52,231.68 $52,231.68 2026-03-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 39 17 — — $52,156.56 $102,813.35 $52,156.56 2026-03-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 39 17 — — $16,627.10 $52,145.38 $52,145.38 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 39 17 — — $10,851.82 $52,014.43 $52,014.43 2026-03-23
178 MS_DRG Respiratory Infections And Inflammations With Cc 39 17 — — $5,815.53 $51,972.32 $51,972.32 2026-03-23
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 39 17 — — $16,459.60 $51,956.93 $51,956.93 2026-03-23
J9226 HCPCS Supprelin La Histrelin Implant 50 Mg 151 20 $204,839.96 $133,145.97 35% off $34,548.27 $210,779.80 $51,822.41 2026-03-23
791 MS_DRG Prematurity With Major Problems 34 16 — — $9,799.34 $68,814.56 $51,776.44 2026-03-23
164 MS_DRG Major Chest Procedures With Cc 39 17 — — $14,019.28 $73,428.74 $51,742.07 2026-03-23
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 39 17 — — $11,646.09 $308,174.66 $51,610.75 2026-03-23
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 39 17 — — $13,336.40 $105,996.60 $51,541.46 2026-03-23
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 39 17 — — $38,006.26 $66,399.48 $51,533.04 2026-03-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 39 17 — — $9,504.74 $570,976.65 $51,507.48 2026-03-23
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 39 17 — — $12,785.60 $61,294.62 $51,115.22 2026-03-23
115 MS_DRG Extraocular Procedures Except Orbit 39 17 — — $8,430.34 $80,812.70 $51,073.97 2026-03-23
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 39 17 — — $50,997.22 $50,997.22 $50,997.22 2026-03-23
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 39 17 — — $12,366.41 $76,226.60 $50,911.64 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 39 17 — — $10,042.05 $136,979.79 $50,685.71 2026-03-23
34 MS_DRG Carotid Artery Stent Procedures With Mcc 39 17 — — $50,563.82 $96,968.83 $50,563.82 2026-03-23
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 39 17 — — $14,165.96 $61,804.34 $50,438.70 2026-03-23
C8003 HCPCS Imp Extar Knee Shck Absrb 2 2 — — $16,322.74 $84,454.50 $50,388.62 2026-03-23
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 39 17 — — $13,150.97 $50,276.83 $50,276.83 2026-03-23
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 39 17 — — $16,163.78 $50,244.78 $50,244.78 2026-03-23
35 MS_DRG Carotid Artery Stent Procedures With Cc 39 17 — — $18,135.13 $50,130.35 $50,130.35 2026-03-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 17 — — $25,724.16 $179,610.52 $50,099.25 2026-03-23
116 MS_DRG Intraocular Procedures With Cc/mcc 39 17 — — $10,419.09 $126,581.15 $50,048.22 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 39 17 — — $10,914.83 $172,297.74 $49,958.89 2026-03-23
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 39 17 — — $8,949.21 $76,628.41 $49,616.57 2026-03-23
C1822 HCPCS Kit Ipg Senza Omnia 52 11 $71,724.50 $46,620.93 35% off $12,383.04 $76,914.00 $49,409.62 2026-03-23
38 MS_DRG Extracranial Procedures With Cc 39 17 — — $10,061.32 $49,266.78 $49,266.78 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 17 — — $16,979.09 $105,224.85 $49,035.50 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 17 — — $18,428.36 $94,789.64 $48,952.50 2026-03-23
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 39 17 — — $14,150.72 $107,713.23 $48,906.18 2026-03-23
504 MS_DRG Foot Procedures With Cc 39 17 — — $10,779.29 $167,183.84 $48,859.79 2026-03-23
69930 CPT Implant Cochlear Device 188 21 — — $3,414.41 $113,915.97 $48,759.68 2026-03-23
0571T CPT Insj/rplcmt Icds Ss Eltrd 47 21 — — $34,723.76 $109,608.03 $48,731.45 2026-03-23
L8614 HCPCS Hb Cochlear Implant System 26 11 $72,504.50 $47,127.93 35% off $11,962.75 $82,703.00 $48,365.04 2026-03-23
357 MS_DRG Other Digestive System O.r. Procedures With Cc 39 17 — — $14,061.98 $94,228.04 $48,325.60 2026-03-23
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 39 17 — — $4,806.16 $49,480.86 $48,250.28 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 39 17 — — $11,943.93 $48,221.43 $48,221.43 2026-03-23
977 MS_DRG HIV With Or Without Other Related Condition 39 17 — — $8,378.86 $48,221.07 $48,221.07 2026-03-23
906 MS_DRG Hand Procedures For Injuries 39 17 — — $12,682.90 $48,165.97 $48,165.97 2026-03-23
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 39 17 — — $9,257.12 $106,659.06 $48,066.15 2026-03-23
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 39 17 — — $6,387.58 $47,965.99 $47,965.99 2026-03-23
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 39 17 — — $11,297.05 $59,379.40 $47,896.78 2026-03-23
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 39 17 — — $16,720.51 $47,893.81 $47,893.81 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 39 17 — — $11,457.96 $88,769.96 $47,875.82 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 39 17 — — $13,224.65 $74,803.09 $47,784.35 2026-03-23
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 39 17 — — $10,776.00 $112,669.10 $47,733.02 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 39 17 — — $9,315.20 $63,304.55 $47,730.71 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 39 17 — — $12,132.62 $73,907.26 $47,698.92 2026-03-23
643 MS_DRG Endocrine Disorders With Mcc 39 17 — — $10,348.56 $47,624.86 $47,624.86 2026-03-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 39 17 — — $11,976.52 $65,963.43 $47,613.31 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 39 17 — — $12,062.46 $67,885.91 $47,433.63 2026-03-23
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 39 17 — — $9,207.97 $345,215.35 $47,347.45 2026-03-23
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