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

GOOD SAMARITAN REGIONAL MEDICAL CENTER

Corvallis, OR · CCN 380014 · Rates published

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You selected 93350 (HCPCS)

HC ECHOCARD COMPLETE W STRESS

This hospital’s price: $1,662 across 8 payers · range $875-$1,935

Source: https://samaritanhealth.pt.panaceainc.com/MRFDownload/samaritanhealth/goodsamaritan · observed 2026-01-31

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.

38,322 distinct procedures filed
12 distinct payers
1,284,448 rate rows
2026-01-31 last MRF observed
Data quality

462,576 of 1,284,448 rate rows are consumer-grade (36.0%)

821,872 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
professional (physician) fee — not the facility price 601,859
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 206,998
template filing: same amount across many unrelated codes — excluded 5,958
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,865
placeholder amount (≤ $0.02) — excluded from medians 1,467
percent-of-charges filed in the dollar field — excluded from medians 1,374
exceeds 10× this hospital's gross charge — excluded from medians 217
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 115
per-diem day rate — not a per-procedure price 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://samaritanhealth.pt.panaceainc.com/MRFDownload/samaritanhealth/goodsamaritan
Found on page https://samhealth.org/patient-visitors/make-a-payment/learn-more-about-price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-24
Content fingerprint f6b79e667abcf0d0… · 16,430,769 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
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $4,664,000.00 $4,664,000.00 $4,664,000.00 nat. median
$2,401,965
1.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $4,266,500.00 $4,266,500.00 $4,266,500.00 nat. median
$3,705,478
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,619,712.45 $4,777,228.46 $3,698,470.46 nat. median
$2,467,386
1.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $863,094.40 $1,001,806.00 $886,213.00 nat. median
$813,967
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $525,772.87 $1,058,385.72 $662,733.35 nat. median
$739,258
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $539,227.01 $1,054,246.86 $633,773.22 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $513,659.78 $1,033,452.16 $630,042.77 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $524,503.71 $1,053,175.18 $624,196.09 nat. median
$622,450
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $487,495.47 $978,911.92 $597,217.79 nat. median
$608,239
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $412,292.67 $1,355,775.16 $595,744.00 nat. median
$359,454
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $487,601.95 $921,060.80 $548,021.16 nat. median
$591,721
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $308,080.44 $1,012,650.39 $445,162.11 nat. median
$249,036
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $234,525.36 $770,466.02 $430,321.76 nat. median
$190,559
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $259,541.97 $852,834.66 $375,026.24 nat. median
$198,418
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $154,802.37 $507,973.50 $284,041.04 nat. median
$126,695
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $143,575.90 $471,009.71 $263,442.02 nat. median
$110,307
outlier · 2.4×
7
MS_DRG 		Lung Transplant 7 $143,215.59 $469,823.36 $262,780.90 nat. median
$117,974
outlier · 2.2×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $230,316.80 $267,332.00 $236,486.00 nat. median
$209,753
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $119,468.81 $391,635.71 $219,208.82 nat. median
$97,323
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $116,799.22 $382,845.93 $214,310.50 nat. median
$95,038
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 7 $116,203.07 $380,883.06 $213,216.64 nat. median
$93,901
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $120,842.36 $396,158.22 $174,611.67 nat. median
$104,013
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $92,994.56 $304,467.74 $170,632.22 nat. median
$77,632
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $114,899.39 $376,590.63 $166,024.34 nat. median
$93,276
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $88,538.69 $289,796.55 $162,456.32 nat. median
$74,370
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 7 $87,576.77 $286,629.35 $160,691.32 nat. median
$64,933
outlier · 2.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $87,077.80 $284,986.44 $159,775.78 nat. median
$66,715
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $85,866.93 $280,999.58 $157,554.00 nat. median
$71,748
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $100,181.00 $346,957.05 $153,019.51 nat. median
$90,551
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $101,103.78 $331,167.81 $146,090.32 nat. median
$78,268
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $77,684.55 $254,058.65 $142,540.46 nat. median
$66,649
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $76,478.05 $250,086.18 $140,326.70 nat. median
$62,655
outlier · 2.2×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 2 $63,250.58 $211,542.92 $137,396.75 nat. median
$22,425
outlier · 6.1×
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 2 $97,166.88 $173,080.92 $135,123.90 nat. median
$43,278
outlier · 3.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $73,323.68 $239,700.22 $134,538.86 nat. median
$63,873
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $66,524.00 $304,636.71 $134,447.02 nat. median
$77,028
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $91,590.43 $299,844.57 $132,343.98 nat. median
$78,049
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $71,135.60 $232,495.84 $130,524.04 nat. median
$59,371
outlier · 2.2×
38240
HCPCS 		Transplt Allo Hct/donor 2 $48,568.41 $162,438.10 $127,702.48 nat. median
$12,842
outlier · 9.9×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $68,157.01 $222,688.68 $125,058.74 nat. median
$56,687
outlier · 2.2×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $67,761.77 $221,387.29 $124,333.52 nat. median
$58,135
outlier · 2.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 $67,527.02 $220,614.37 $123,902.78 nat. median
$53,342
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $85,005.45 $278,163.13 $122,828.97 nat. median
$72,398
1.7× median
28
MS_DRG 		Spinal Procedures With Mcc 7 $66,902.48 $218,558.03 $122,756.84 nat. median
$54,460
outlier · 2.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 7 $66,426.42 $216,990.61 $121,883.34 nat. median
$53,927
outlier · 2.3×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 7 $66,426.42 $216,990.61 $121,883.34 nat. median
$50,904
outlier · 2.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $65,933.99 $215,369.26 $120,979.80 nat. median
$58,280
outlier · 2.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $64,770.08 $211,536.99 $118,844.18 nat. median
$55,477
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $82,021.41 $268,337.99 $118,517.18 nat. median
$67,976
1.7× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 $64,094.21 $209,311.69 $117,604.06 nat. median
$53,856
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 38,322 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
             
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $4,664,000.00 $4,664,000.00 $4,664,000.00 2026-01-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $4,266,500.00 $4,266,500.00 $4,266,500.00 2026-01-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,619,712.45 $4,777,228.46 $3,698,470.46 2026-01-31
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $863,094.40 $1,001,806.00 $886,213.00 2026-01-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 3 — — $525,772.87 $1,058,385.72 $662,733.35 2026-01-31
Q2056 HCPCS Ciltacabtagene Car-pos T 7 3 — — $539,227.01 $1,054,246.86 $633,773.22 2026-01-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 3 — — $513,659.78 $1,033,452.16 $630,042.77 2026-01-31
Q2055 HCPCS Idecabtagene Vicleucel Car 7 3 — — $524,503.71 $1,053,175.18 $624,196.09 2026-01-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 3 — — $487,495.47 $978,911.92 $597,217.79 2026-01-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 7 — — $412,292.67 $1,355,775.16 $595,744.00 2026-01-31
Q2053 HCPCS Brexucabtagene Car Pos T 7 3 — — $487,601.95 $921,060.80 $548,021.16 2026-01-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 7 — — $308,080.44 $1,012,650.39 $445,162.11 2026-01-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 7 — — $234,525.36 $770,466.02 $430,321.76 2026-01-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 7 — — $259,541.97 $852,834.66 $375,026.24 2026-01-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 7 — — $154,802.37 $507,973.50 $284,041.04 2026-01-31
14 MS_DRG Allogeneic Bone Marrow Transplant 13 7 — — $143,575.90 $471,009.71 $263,442.02 2026-01-31
7 MS_DRG Lung Transplant 13 7 — — $143,215.59 $469,823.36 $262,780.90 2026-01-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 3 — — $230,316.80 $267,332.00 $236,486.00 2026-01-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 7 — — $119,468.81 $391,635.71 $219,208.82 2026-01-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 7 — — $116,799.22 $382,845.93 $214,310.50 2026-01-31
215 MS_DRG Other Heart Assist System Implant 13 7 — — $116,203.07 $380,883.06 $213,216.64 2026-01-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 7 — — $120,842.36 $396,158.22 $174,611.67 2026-01-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 — — $92,994.56 $304,467.74 $170,632.22 2026-01-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 7 — — $114,899.39 $376,590.63 $166,024.34 2026-01-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 7 — — $88,538.69 $289,796.55 $162,456.32 2026-01-31
10 MS_DRG Pancreas Transplant 13 7 — — $87,576.77 $286,629.35 $160,691.32 2026-01-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 7 — — $87,077.80 $284,986.44 $159,775.78 2026-01-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 7 — — $85,866.93 $280,999.58 $157,554.00 2026-01-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 7 — — $100,181.00 $346,957.05 $153,019.51 2026-01-31
850 MS_DRG Acute Leukemia With Other Procedures 12 7 — — $101,103.78 $331,167.81 $146,090.32 2026-01-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 7 — — $77,684.55 $254,058.65 $142,540.46 2026-01-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 7 — — $76,478.05 $250,086.18 $140,326.70 2026-01-31
0424T OTHER Insj/rplc Nstim Apnea Compl 2 2 — — $63,250.58 $211,542.92 $137,396.75 2026-01-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $97,166.88 $173,080.92 $135,123.90 2026-01-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 7 — — $73,323.68 $239,700.22 $134,538.86 2026-01-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 7 — — $66,524.00 $304,636.71 $134,447.02 2026-01-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 7 — — $91,590.43 $299,844.57 $132,343.98 2026-01-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 7 — — $71,135.60 $232,495.84 $130,524.04 2026-01-31
38240 HCPCS Transplt Allo Hct/donor 3 2 — — $48,568.41 $162,438.10 $127,702.48 2026-01-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 7 — — $68,157.01 $222,688.68 $125,058.74 2026-01-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 7 — — $67,761.77 $221,387.29 $124,333.52 2026-01-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 7 — — $67,527.02 $220,614.37 $123,902.78 2026-01-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 7 — — $85,005.45 $278,163.13 $122,828.97 2026-01-31
28 MS_DRG Spinal Procedures With Mcc 13 7 — — $66,902.48 $218,558.03 $122,756.84 2026-01-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 7 — — $66,426.42 $216,990.61 $121,883.34 2026-01-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 7 — — $66,426.42 $216,990.61 $121,883.34 2026-01-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 7 — — $65,933.99 $215,369.26 $120,979.80 2026-01-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 7 — — $64,770.08 $211,536.99 $118,844.18 2026-01-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 7 — — $82,021.41 $268,337.99 $118,517.18 2026-01-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 7 — — $64,094.21 $209,311.69 $117,604.06 2026-01-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 — — $63,189.07 $206,331.43 $115,943.24 2026-01-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 7 — — $71,034.06 $232,161.51 $115,259.36 2026-01-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 — — $62,814.56 $205,098.35 $115,256.08 2026-01-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 7 — — $78,074.35 $255,342.07 $112,813.85 2026-01-31
653 MS_DRG Major Bladder Procedures With Mcc 13 7 — — $61,389.69 $200,406.87 $112,641.64 2026-01-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 7 — — $60,873.24 $198,706.44 $111,694.02 2026-01-31
834 MS_DRG Acute Leukemia With Mcc 13 7 — — $60,873.24 $198,706.44 $111,694.02 2026-01-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 7 — — $65,480.88 $213,877.34 $110,164.70 2026-01-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 7 — — $59,932.06 $195,607.55 $109,967.08 2026-01-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 7 — — $59,796.67 $195,161.77 $109,718.66 2026-01-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 7 — — $59,494.23 $194,165.95 $109,163.72 2026-01-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 7 — — $59,438.54 $193,982.61 $109,061.54 2026-01-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 7 — — $59,431.99 $193,961.04 $109,049.52 2026-01-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 7 — — $75,078.30 $245,477.39 $108,484.70 2026-01-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 7 — — $58,612.00 $191,261.19 $107,544.96 2026-01-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 7 — — $73,728.76 $241,033.97 $106,534.67 2026-01-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 7 — — $73,447.06 $240,106.46 $106,127.62 2026-01-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 7 — — $56,568.06 $184,531.35 $103,794.60 2026-01-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 7 — — $56,148.78 $183,150.87 $103,025.28 2026-01-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 7 — — $55,978.45 $182,590.05 $102,712.76 2026-01-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 7 — — $55,518.78 $181,076.56 $101,869.32 2026-01-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 7 — — $55,194.49 $180,008.84 $101,274.30 2026-01-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 7 — — $55,151.92 $179,868.64 $101,196.18 2026-01-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 7 — — $55,130.07 $179,796.74 $101,156.10 2026-01-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 7 — — $69,575.33 $227,358.59 $100,533.17 2026-01-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $99,999.91 $99,999.91 $99,999.91 2026-01-31
245 MS_DRG Aicd Generator Procedures 13 7 — — $53,879.90 $175,680.46 $98,862.20 2026-01-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 7 — — $68,069.67 $222,401.08 $98,357.55 2026-01-31
471 MS_DRG Cervical Spinal Fusion With Mcc 13 7 — — $53,557.80 $174,619.94 $98,271.20 2026-01-31
6 MS_DRG Liver Transplant Without Mcc 13 7 — — $53,469.36 $174,328.74 $98,108.92 2026-01-31
0266T OTHER Implt/rpl Crtd Sns Dev Total 3 2 — — $33,762.25 $112,918.59 $97,166.88 2026-01-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 7 — — $66,524.00 $219,607.77 $97,131.68 2026-01-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 7 — — $58,355.42 $190,416.37 $96,856.08 2026-01-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 7 — — $52,664.67 $171,679.23 $96,632.42 2026-01-31
799 MS_DRG Splenic Procedures With Mcc 13 7 — — $52,438.65 $170,935.06 $96,217.70 2026-01-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $52,428.83 $170,902.71 $96,199.68 2026-01-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 7 — — $51,891.63 $169,133.97 $95,214.00 2026-01-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 7 — — $51,616.48 $168,228.03 $94,709.14 2026-01-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 7 — — $65,431.74 $213,715.56 $94,545.87 2026-01-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 7 — — $51,315.13 $167,235.81 $94,156.20 2026-01-31
163 MS_DRG Major Chest Procedures With Mcc 13 7 — — $50,848.90 $165,700.74 $93,300.74 2026-01-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 7 — — $50,828.16 $165,632.44 $93,262.68 2026-01-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 7 — — $50,660.02 $165,078.81 $92,954.16 2026-01-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 7 — — $49,783.25 $162,192.02 $91,345.42 2026-01-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 7 — — $49,489.54 $161,224.97 $90,806.50 2026-01-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 7 — — $49,354.15 $160,779.19 $90,558.08 2026-01-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 7 — — $50,667.66 $165,103.97 $89,803.09 2026-01-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 2 — — $65,799.79 $113,794.79 $89,797.29 2026-01-31
901 MS_DRG Wound Debridements For Injuries With Mcc 13 7 — — $48,897.76 $159,276.48 $89,720.66 2026-01-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 7 — — $48,486.13 $157,921.16 $88,965.38 2026-01-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 7 — — $60,619.94 $197,872.40 $87,593.02 2026-01-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 — — $47,669.43 $155,232.10 $87,466.84 2026-01-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 7 — — $60,253.06 $196,664.48 $87,062.92 2026-01-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 7 — — $47,098.38 $153,351.92 $86,419.04 2026-01-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 7 — — $47,029.60 $153,125.43 $86,292.84 2026-01-31
140 MS_DRG Major Head And Neck Procedures With Mcc 13 7 — — $46,699.85 $152,039.74 $85,687.80 2026-01-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 7 — — $46,278.40 $150,652.07 $84,914.50 2026-01-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 7 — — $46,267.48 $150,616.12 $84,894.46 2026-01-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 7 — — $45,951.94 $149,577.17 $84,315.48 2026-01-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 7 — — $45,421.29 $147,830.00 $83,341.82 2026-01-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 7 — — $45,329.58 $147,528.02 $83,173.54 2026-01-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 7 — — $54,933.55 $179,149.64 $82,476.25 2026-01-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 7 — — $44,933.23 $146,223.03 $82,446.30 2026-01-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 7 — — $56,754.76 $185,146.10 $82,008.03 2026-01-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 7 — — $44,019.34 $143,214.02 $80,769.44 2026-01-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 7 — — $43,988.77 $143,113.36 $80,713.34 2026-01-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 7 — — $43,604.44 $141,847.92 $80,008.14 2026-01-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 7 — — $43,516.00 $141,556.72 $79,845.88 2026-01-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 7 — — $43,217.92 $140,575.29 $79,298.94 2026-01-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 7 — — $42,982.08 $139,798.77 $78,866.20 2026-01-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 7 — — $42,723.31 $138,946.75 $78,391.40 2026-01-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 7 — — $42,680.73 $138,806.55 $78,313.26 2026-01-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 7 — — $42,562.81 $138,418.29 $78,096.90 2026-01-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 4 3 — — $70,943.36 $126,709.54 $77,594.29 2026-01-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 — — $42,032.17 $136,671.12 $77,123.24 2026-01-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 7 — — $41,708.98 $135,607.00 $76,530.24 2026-01-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 7 — — $41,380.33 $134,524.90 $75,927.22 2026-01-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 7 — — $40,361.63 $131,170.77 $74,058.04 2026-01-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 7 — — $40,085.39 $130,261.23 $73,551.18 2026-01-31
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 2 2 — — $33,762.25 $112,918.59 $73,340.42 2026-01-31
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 2 2 — — $33,762.25 $112,918.59 $73,340.42 2026-01-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 7 — — $39,663.93 $128,873.56 $72,777.86 2026-01-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 7 — — $39,661.74 $128,866.37 $72,773.84 2026-01-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 7 — — $39,655.19 $128,844.80 $72,761.82 2026-01-31
265 MS_DRG Aicd Lead Procedures 13 7 — — $39,471.77 $128,240.84 $72,425.26 2026-01-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 7 — — $39,297.07 $127,665.64 $72,104.72 2026-01-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 7 — — $39,069.96 $126,917.88 $71,688.00 2026-01-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 7 — — $39,060.14 $126,885.53 $71,669.98 2026-01-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 7 — — $38,962.95 $126,565.57 $71,491.66 2026-01-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 7 — — $38,779.53 $125,961.61 $71,155.10 2026-01-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $38,767.52 $125,922.07 $71,133.06 2026-01-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 7 — — $38,752.24 $125,871.74 $71,105.02 2026-01-31
264 MS_DRG Other Circulatory System O.r. Procedures 13 7 — — $38,684.54 $125,648.85 $70,980.80 2026-01-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 7 — — $38,437.78 $124,836.38 $70,528.04 2026-01-31
332 MS_DRG Rectal Resection With Mcc 13 7 — — $38,396.29 $124,699.77 $70,451.90 2026-01-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 7 — — $38,354.80 $124,563.16 $70,375.78 2026-01-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 7 — — $38,130.97 $123,826.18 $69,965.08 2026-01-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 7 — — $38,072.00 $123,632.05 $69,856.88 2026-01-31
665 MS_DRG Prostatectomy With Mcc 13 7 — — $38,013.04 $123,437.92 $69,748.70 2026-01-31
252 MS_DRG Other Vascular Procedures With Mcc 13 7 — — $37,978.11 $123,322.88 $69,684.60 2026-01-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 7 — — $37,921.33 $123,135.94 $69,580.42 2026-01-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $69,228.65 $69,228.65 $69,228.65 2026-01-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 3 2 — — $36,887.78 $123,371.98 $69,228.65 2026-01-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 3 2 — — $36,887.78 $123,371.98 $69,228.65 2026-01-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 7 — — $37,713.88 $122,452.89 $69,199.78 2026-01-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 7 — — $47,766.60 $155,552.06 $69,020.55 2026-01-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 7 — — $37,558.83 $121,942.40 $68,915.28 2026-01-31
69930 HCPCS Implant Cochlear Device 3 2 — — $38,337.58 $128,220.88 $68,680.72 2026-01-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 7 — — $37,173.40 $120,673.37 $68,208.08 2026-01-31
37 MS_DRG Extracranial Procedures With Mcc 13 7 — — $36,782.52 $119,386.36 $67,490.86 2026-01-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 7 — — $36,575.07 $118,703.31 $67,110.22 2026-01-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 7 — — $36,212.57 $117,509.77 $66,445.08 2026-01-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 7 — — $36,111.04 $117,175.43 $66,258.78 2026-01-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 7 — — $36,095.74 $117,125.10 $66,230.72 2026-01-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 3 2 — — $19,754.24 $75,574.48 $66,068.49 2026-01-31
63685 HCPCS Pc Insertion Replace Spinal Neurostim Pulse Gen Receiver 3 2 — — $33,762.25 $112,918.59 $65,799.79 2026-01-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 3 2 — — $33,762.25 $112,918.59 $65,799.79 2026-01-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 1 1 — — $65,799.79 $65,799.79 $65,799.79 2026-01-31
61886 HCPCS Pc Insert/replace Cranial Neurostim Gen/receiv 2+ Electrodes 3 2 — — $33,762.25 $112,918.59 $65,799.79 2026-01-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 3 2 — — $33,762.25 $112,918.59 $65,799.79 2026-01-31
0268T OTHER Implt/rpl Crtd Sns Dev Gen 3 2 — — $33,762.25 $112,918.59 $65,799.79 2026-01-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 7 — — $45,396.18 $147,747.31 $65,595.40 2026-01-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 7 — — $35,673.19 $115,733.84 $65,455.40 2026-01-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 7 — — $45,109.02 $146,801.83 $65,180.46 2026-01-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 7 — — $35,510.51 $115,198.18 $65,156.90 2026-01-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 7 — — $35,408.97 $114,863.85 $64,970.58 2026-01-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 7 — — $35,342.37 $114,644.55 $64,848.38 2026-01-31
791 MS_DRG Prematurity With Major Problems 12 7 — — $44,851.34 $145,953.41 $64,808.13 2026-01-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 7 — — $35,178.58 $114,105.30 $64,547.86 2026-01-31
500 MS_DRG Soft Tissue Procedures With Mcc 13 7 — — $35,120.72 $113,914.77 $64,441.68 2026-01-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 7 — — $34,599.90 $112,199.95 $63,486.06 2026-01-31
662 MS_DRG Minor Bladder Procedures With Mcc 13 7 — — $34,584.62 $112,149.62 $63,458.02 2026-01-31
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 2 2 — — $46,303.58 $80,165.73 $63,234.65 2026-01-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $46,303.58 $80,165.73 $63,234.65 2026-01-31
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 2 2 — — $46,303.58 $80,165.73 $63,234.65 2026-01-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 7 — — $34,439.40 $111,671.49 $63,191.56 2026-01-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 7 — — $34,287.63 $111,171.78 $62,913.08 2026-01-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 7 — — $34,193.74 $110,862.61 $62,740.80 2026-01-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 4 — — $58,013.25 $119,390.49 $62,734.08 2026-01-31
33264 HCPCS Pc Rem Pacing Cardio-defrib Gen W Rep 11 8 $65,970.00 $52,776.00 20% off $32,985.00 $123,371.98 $62,671.50 2026-01-31
652 MS_DRG Kidney Transplant 13 7 — — $34,058.34 $110,416.83 $62,492.36 2026-01-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 7 — — $43,238.67 $140,643.59 $62,477.89 2026-01-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 7 — — $34,027.77 $110,316.17 $62,436.28 2026-01-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 7 — — $33,918.59 $109,956.67 $62,235.94 2026-01-31
570 MS_DRG Skin Debridement With Mcc 13 7 — — $33,390.12 $108,216.69 $61,266.28 2026-01-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 7 — — $42,258.18 $137,415.28 $61,061.13 2026-01-31
33289 HCPCS Pc Transcatheter Impl Wireless Press Sensor 11 8 $63,620.00 $50,896.00 20% off $31,810.00 $105,021.14 $60,439.00 2026-01-31
A9543 HCPCS Hc Yttrium 90 Ibrit Tiuxe Dose<41 11 8 $63,580.00 $50,864.00 20% off $31,790.00 $147,322.31 $60,401.00 2026-01-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 7 — — $32,717.54 $106,002.17 $60,032.18 2026-01-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 7 — — $32,634.56 $105,728.95 $59,879.92 2026-01-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 7 — — $32,547.21 $105,441.35 $59,719.66 2026-01-31
668 MS_DRG Transurethral Procedures With Mcc 13 7 — — $32,364.87 $104,840.99 $59,385.08 2026-01-31
C9760 HCPCS Non-blind Interatrial Shunt 3 2 — — $31,625.58 $105,772.42 $59,380.18 2026-01-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 7 — — $32,347.41 $104,783.47 $59,353.04 2026-01-31
800 MS_DRG Splenic Procedures With Cc 13 7 — — $32,337.58 $104,751.11 $59,335.00 2026-01-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 7 — — $32,320.10 $104,693.59 $59,302.94 2026-01-31
472 MS_DRG Cervical Spinal Fusion With Cc 13 7 — — $32,156.33 $104,154.34 $59,002.44 2026-01-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 7 — — $31,827.67 $103,072.25 $58,399.40 2026-01-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 7 — — $31,791.65 $102,953.61 $58,333.30 2026-01-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 7 — — $31,773.09 $102,892.50 $58,299.24 2026-01-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 7 — — $31,729.41 $102,748.70 $58,219.10 2026-01-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 7 — — $31,606.03 $102,342.46 $57,992.72 2026-01-31
654 MS_DRG Major Bladder Procedures With Cc 13 7 — — $31,336.34 $101,454.50 $57,497.88 2026-01-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 7 — — $31,186.76 $100,961.98 $57,223.42 2026-01-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 7 — — $31,155.10 $100,857.73 $57,165.32 2026-01-31
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 2 2 — — $41,179.21 $71,406.05 $56,292.63 2026-01-31
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 2 2 — — $41,179.21 $71,406.05 $56,292.63 2026-01-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 7 — — $30,400.62 $98,373.58 $55,780.96 2026-01-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 7 — — $30,347.13 $98,197.43 $55,682.80 2026-01-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 7 — — $30,040.31 $97,187.23 $55,119.84 2026-01-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 7 — — $29,943.14 $96,867.28 $54,941.54 2026-01-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 7 — — $29,826.30 $96,482.61 $54,727.16 2026-01-31
0809T OTHER Arthrd Si Jt Prq Tfx&implt 2 2 — — $25,182.27 $84,222.66 $54,702.46 2026-01-31
0775T OTHER Arthrd Si Jt Prq Iartic Impl 2 2 — — $25,182.27 $84,222.66 $54,702.46 2026-01-31
263 MS_DRG Vein Ligation And Stripping 13 7 — — $29,807.74 $96,421.50 $54,693.10 2026-01-31
36000007 CDM Hc Insert/reposit Gen/lead(s) Def 11 8 $58,180.00 $46,544.00 20% off $29,090.00 $56,725.50 $54,689.20 2026-01-31
849 MS_DRG Radiotherapy 13 7 — — $29,687.64 $96,026.05 $54,472.74 2026-01-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 7 — — $29,597.02 $95,727.66 $54,306.46 2026-01-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 7 — — $29,457.26 $95,267.50 $54,050.02 2026-01-31
27278 HCPCS Arthrd Si Jt Plmt Iartic Dev 2 2 — — $39,708.53 $68,294.20 $54,001.36 2026-01-31
503 MS_DRG Foot Procedures With Mcc 13 7 — — $29,420.14 $95,145.27 $53,981.90 2026-01-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 7 — — $29,165.73 $94,307.64 $53,515.10 2026-01-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 7 — — $29,091.49 $94,063.18 $53,378.88 2026-01-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 13 7 — — $28,786.86 $93,060.17 $52,819.92 2026-01-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 7 — — $28,739.91 $92,905.59 $52,733.78 2026-01-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 7 — — $28,406.89 $91,809.11 $52,122.74 2026-01-31
253 MS_DRG Other Vascular Procedures With Cc 13 7 — — $28,398.16 $91,780.35 $52,106.72 2026-01-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 7 — — $28,345.74 $91,607.79 $52,010.54 2026-01-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 13 7 — — $28,202.71 $91,136.85 $51,748.10 2026-01-31
545 MS_DRG Connective Tissue Disorders With Mcc 13 7 — — $28,113.18 $90,842.06 $51,583.82 2026-01-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 7 — — $28,091.35 $90,770.16 $51,543.76 2026-01-31
J9226 HCPCS Supprelin La Implant 6 3 — — $48,490.16 $90,700.44 $51,518.04 2026-01-31
C9797 HCPCS Vasc Emb/occ W/prs Cath 2 2 — — $38,772.87 $64,259.66 $51,516.26 2026-01-31
164 MS_DRG Major Chest Procedures With Cc 13 7 — — $28,005.09 $90,486.15 $51,385.48 2026-01-31
33270 HCPCS Pc Ins Rep Subq Defibrillator 11 8 $53,850.00 $43,080.00 20% off $26,925.00 $123,371.98 $51,157.50 2026-01-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 13 7 — — $27,864.24 $90,022.40 $51,127.04 2026-01-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 7 — — $27,843.49 $89,954.09 $51,088.98 2026-01-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 12 7 — — $35,248.46 $114,335.38 $50,932.42 2026-01-31
397 MS_DRG Appendix Procedures With Mcc 13 7 — — $27,577.08 $89,076.91 $50,600.14 2026-01-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 13 7 — — $27,467.89 $88,717.41 $50,399.80 2026-01-31
792 MS_DRG Prematurity Without Major Problems 13 7 — — $27,270.27 $88,066.72 $50,037.20 2026-01-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 7 — — $27,254.98 $88,016.39 $50,009.14 2026-01-31
0786T OTHER Insj/rplcmt Prq Ra Sac Nstim 1 1 — — $49,919.64 $49,919.64 $49,919.64 2026-01-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 7 — — $27,034.43 $87,290.20 $49,604.46 2026-01-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 7 — — $34,217.75 $110,941.70 $49,443.07 2026-01-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 7 — — $26,931.80 $86,952.27 $49,416.14 2026-01-31
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 13 7 — — $26,848.81 $86,679.05 $49,263.88 2026-01-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 7 — — $26,738.54 $86,315.95 $49,061.54 2026-01-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 7 — — $26,697.04 $86,179.34 $48,985.40 2026-01-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 13 7 — — $26,697.04 $86,179.34 $48,985.40 2026-01-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 7 — — $29,935.89 $141,269.12 $48,940.82 2026-01-31
793 MS_DRG Full Term Neonate With Major Problems 13 7 — — $14,297.37 $149,929.48 $48,594.29 2026-01-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 7 — — $26,471.03 $85,435.18 $48,570.70 2026-01-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 3 2 — — $26,241.07 $87,763.82 $48,466.71 2026-01-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 1 1 — — $48,466.71 $48,466.71 $48,466.71 2026-01-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 3 2 — — $26,241.07 $87,763.82 $48,466.71 2026-01-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 1 1 — — $48,466.71 $48,466.71 $48,466.71 2026-01-31
33240 HCPCS Pc Insert Pulse Generator 3 2 — — $26,241.07 $87,763.82 $48,466.71 2026-01-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 3 2 — — $26,241.07 $87,763.82 $48,466.71 2026-01-31
0515T OTHER Insj Wcs Lv Compl Sys 3 2 — — $26,241.07 $87,763.82 $48,466.71 2026-01-31
33231 HCPCS Pc Insert Pacing Cardio-defib Pulse G 11 8 $51,000.00 $40,800.00 20% off $25,500.00 $123,371.98 $48,450.00 2026-01-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 13 7 — — $26,371.67 $85,108.03 $48,388.38 2026-01-31
347 MS_DRG Anal And Stomal Procedures With Mcc 13 7 — — $26,365.12 $85,086.46 $48,376.36 2026-01-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 7 — — $26,331.27 $84,975.02 $48,314.26 2026-01-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 7 — — $26,289.79 $84,838.41 $48,238.14 2026-01-31
974 MS_DRG HIV With Major Related Condition With Mcc 12 7 — — $33,128.08 $107,353.89 $47,868.55 2026-01-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 13 7 — — $26,057.21 $84,072.67 $47,811.40 2026-01-31
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $25,863.52 $50,602.55 $47,740.28 2026-01-31
93653 HCPCS Pc Ep & Ablate Supravent Arrhythmia 11 8 $50,000.00 $40,000.00 20% off $25,000.00 $90,313.74 $47,500.00 2026-01-31
93654 HCPCS Pc Ep & Ablate Ventricular Tachy 11 8 $50,000.00 $40,000.00 20% off $25,000.00 $90,313.74 $47,500.00 2026-01-31
93656 HCPCS Pc Tx Atrial Fib Pulm Vein Isol 11 8 $50,000.00 $40,000.00 20% off $25,000.00 $90,313.74 $47,500.00 2026-01-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 7 — — $25,856.32 $83,411.19 $47,442.78 2026-01-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 13 7 — — $25,797.36 $83,217.06 $47,334.60 2026-01-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 13 7 — — $25,727.48 $82,986.98 $47,206.38 2026-01-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 13 7 — — $25,571.35 $82,472.90 $46,919.90 2026-01-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 7 — — $25,529.85 $82,336.29 $46,843.76 2026-01-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 13 7 — — $25,453.42 $82,084.64 $46,703.52 2026-01-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 13 7 — — $25,406.47 $81,930.05 $46,617.38 2026-01-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 7 — — $25,360.62 $81,779.06 $46,533.24 2026-01-31
33249 HCPCS Pc Insertion Of Cardioverter-defibril 11 8 $48,950.00 $39,160.00 20% off $24,475.00 $123,371.98 $46,502.50 2026-01-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 13 7 — — $25,264.53 $81,462.70 $46,356.94 2026-01-31
64590 HCPCS Pc Insert/replace Of Periph/gas Neurostim Pulse Gen/rcvr 3 2 — — $24,742.66 $82,752.38 $46,303.58 2026-01-31
63655 HCPCS Pc Laminectomy Implant Neurostim Electrode Plate Paddle Epidural 3 2 — — $24,742.66 $82,752.38 $46,303.58 2026-01-31
64580 HCPCS Opn Impltj Nea Neuromuscular 3 2 — — $24,742.66 $82,752.38 $46,303.58 2026-01-31
61885 HCPCS Pc Implant Neurostim Arrays 3 2 — — $24,742.66 $82,752.38 $46,303.58 2026-01-31
0680T OTHER Insj/rplcmt Pg Only Isdss 1 1 — — $46,303.58 $46,303.58 $46,303.58 2026-01-31
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 13 7 — — $25,180.46 $81,185.89 $46,202.68 2026-01-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 13 7 — — $25,179.36 $81,182.29 $46,200.66 2026-01-31
113 MS_DRG Orbital Procedures With Cc/mcc 13 7 — — $25,161.90 $81,124.77 $46,168.62 2026-01-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 13 7 — — $25,120.40 $80,988.16 $46,092.48 2026-01-31
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