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

SALEM HOSPITAL

Salem, OR · CCN 380051 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $11,150 across 15 payers · range $4,287-$25,488

Source: https://salemhealth.org/930579722_salem-hospital_standardcharges.json · observed 2026-04-01

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.

12,366 distinct procedures filed
53 distinct payers
375,501 rate rows
2026-04-01 last MRF observed
Data quality

273,917 of 375,501 rate rows are consumer-grade (72.9%)

101,584 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 52,410
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 48,780
per-diem day rate — not a per-procedure price 205
placeholder amount (≤ $0.02) — excluded from medians 90
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 68
percent-of-charges filed in the dollar field — excluded from medians 17
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://salemhealth.org/930579722_salem-hospital_standardcharges.json
Found on page https://salemhealth.org/patient-guide/billing-and-financial-services/pricing/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint 52d8a4b3c4f475b2… · 47,094,477 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $2,591,760.76 $665,586.79 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $2,478,505.98 $636,144.69 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $2,463,917.25 $630,042.77 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $2,441,052.55 $624,196.09 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $2,335,548.15 $597,217.79 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $2,143,154.18 $562,809.03 nat. median
$577,541
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $357,092.86 $1,508,408.00 $399,944.00 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $231,738.90 $1,126,656.00 $280,897.83 nat. median
$261,939
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $125.25 $857,208.00 $200,039.79 nat. median
$199,832
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $176,554.35 $948,912.00 $197,740.87 nat. median
$205,166
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $108,243.35 $474,105.87 $168,859.62 nat. median
$111,503
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $110,274.42 $565,164.00 $128,286.83 nat. median
$132,706
1.0× median
7
MS_DRG 		Lung Transplant 12 $107,089.49 $522,716.00 $119,940.23 nat. median
$122,690
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 13 $82,337.73 $423,768.00 $112,249.22 nat. median
$98,002
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $99,379.99 $524,036.00 $111,305.59 nat. median
$114,305
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $301,351.49 $107,330.67 nat. median
$70,178
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $93,706.40 $440,788.00 $104,951.17 nat. median
$108,240
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $93,598.90 $301,388.46 $104,830.77 nat. median
$96,134
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $208.13 $419,264.00 $102,074.50 nat. median
$96,835
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $89,921.53 $435,724.00 $100,712.11 nat. median
$100,978
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $408.80 $407,938.51 $98,297.54 nat. median
$51,433
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $85,260.94 $425,944.00 $95,492.25 nat. median
$99,646
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $71.84 $386,016.00 $94,728.11 nat. median
$92,900
1.0× median
161
MS_DRG 		Inguinal & Femoral Hernia Procedures Age >17 W Cc 1 $92,421.93 $92,421.93 $92,421.93 nat. median
$67,894
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $71,608.27 $368,452.00 $89,439.46 nat. median
$81,364
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $8,820.89 $312,632.00 $84,805.03 nat. median
$73,475
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $74,503.36 $333,600.00 $83,443.76 nat. median
$81,124
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $2,824.06 $309,480.00 $83,059.20 nat. median
$74,472
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $343.52 $338,744.00 $80,826.92 nat. median
$80,459
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $11,841.14 $338,936.00 $78,074.79 nat. median
$79,040
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $22.68 $283,948.00 $75,602.41 nat. median
$66,640
1.1× median
L7181
HCPCS 		Electronic Elbo Simultaneous 6 $48,155.50 $210,921.09 $75,122.58 nat. median
$50,449
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $107.68 $298,548.00 $73,090.49 nat. median
$71,485
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $65,069.71 $322,420.00 $72,878.08 nat. median
$77,385
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $277,439.20 $72,720.95 nat. median
$69,291
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $58,963.64 $282,660.00 $72,676.66 nat. median
$68,581
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $54,594.20 $278,260.00 $71,109.03 nat. median
$65,958
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $55,252.36 $268,168.00 $71,065.45 nat. median
$62,262
1.1× median
L7180
HCPCS 		Electronic Elbow Sequential 6 $44,853.57 $196,458.64 $69,971.57 nat. median
$46,980
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $53,989.12 $266,688.00 $69,868.35 nat. median
$65,792
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $50,133.65 $313,109.44 $68,814.05 nat. median
$59,257
1.2× median
509
MS_DRG 		Arthroscopy 2 $64,823.63 $70,260.00 $68,008.17 nat. median
$17,553
outlier · 3.9×
10
MS_DRG 		Pancreas Transplant 12 $59,338.24 $318,904.00 $66,458.83 nat. median
$67,750
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $59,313.43 $267,140.00 $66,431.04 nat. median
$62,911
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $58,998.37 $317,068.00 $66,078.17 nat. median
$69,153
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $242,092.78 $65,569.67 nat. median
$65,655
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 $46,492.19 $228,188.00 $65,436.46 nat. median
$55,685
1.2× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 $35,784.70 $170,368.00 $64,205.70 nat. median
$41,045
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 $47,949.30 $247,760.00 $64,010.21 nat. median
$58,419
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 14 $49,684.62 $243,164.00 $63,978.37 nat. median
$56,970
1.1× median

Other procedures at this hospital

Browse this hospital's 12,366 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 7 — — $591,726.20 $2,591,760.76 $665,586.79 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 7 — — $565,868.94 $2,478,505.98 $636,144.69 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 7 — — $562,538.19 $2,463,917.25 $630,042.77 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 7 — — $557,317.93 $2,441,052.55 $624,196.09 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 30 7 — — $533,230.17 $2,335,548.15 $597,217.79 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 7 — — $489,304.61 $2,143,154.18 $562,809.03 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 42 12 — — $357,092.86 $1,508,408.00 $399,944.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 12 — — $231,738.90 $1,126,656.00 $280,897.83 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 50 15 $577,619.98 $433,214.98 25% off $125.25 $857,208.00 $200,039.79 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 12 — — $176,554.35 $948,912.00 $197,740.87 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 20 6 — — $108,243.35 $474,105.87 $168,859.62 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 17 $422,191.24 $316,643.43 25% off $110,274.42 $565,164.00 $128,286.83 2026-04-01
7 MS_DRG Lung Transplant 42 12 — — $107,089.49 $522,716.00 $119,940.23 2026-04-01
215 MS_DRG Other Heart Assist System Implant 53 13 $112,471.31 $84,353.48 25% off $82,337.73 $423,768.00 $112,249.22 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 12 — — $99,379.99 $524,036.00 $111,305.59 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 20 6 — — $68,801.71 $301,351.49 $107,330.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 12 — — $93,706.40 $440,788.00 $104,951.17 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 34 11 — — $93,598.90 $301,388.46 $104,830.77 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 15 $23,424.98 — $208.13 $419,264.00 $102,074.50 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 12 — — $89,921.53 $435,724.00 $100,712.11 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 63 15 $52,431.60 $39,323.70 25% off $408.80 $407,938.51 $98,297.54 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 12 — — $85,260.94 $425,944.00 $95,492.25 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 12 — — $71.84 $386,016.00 $94,728.11 2026-04-01
161 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 W Cc 1 1 $116,055.73 — $92,421.93 $92,421.93 $92,421.93 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 44 12 — — $71,608.27 $368,452.00 $89,439.46 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 67 15 $42,596.61 — $8,820.89 $312,632.00 $84,805.03 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 12 — — $74,503.36 $333,600.00 $83,443.76 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 12 — — $2,824.06 $309,480.00 $83,059.20 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 13 $106,626.37 $79,969.78 25% off $343.52 $338,744.00 $80,826.92 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 57 16 $75,630.37 — $11,841.14 $338,936.00 $78,074.79 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 12 — — $22.68 $283,948.00 $75,602.41 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 20 6 — — $48,155.50 $210,921.09 $75,122.58 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 52 13 — — $107.68 $298,548.00 $73,090.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 12 — — $65,069.71 $322,420.00 $72,878.08 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 30 7 — — $63,342.28 $277,439.20 $72,720.95 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 57 15 $158,347.93 $118,760.95 25% off $58,963.64 $282,660.00 $72,676.66 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 73 18 $195,385.06 $146,538.79 25% off $54,594.20 $278,260.00 $71,109.03 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 48 12 — — $55,252.36 $268,168.00 $71,065.45 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 20 6 — — $44,853.57 $196,458.64 $69,971.57 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 12 — — $53,989.12 $266,688.00 $69,868.35 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 12 — — $50,133.65 $313,109.44 $68,814.05 2026-04-01
509 MS_DRG Arthroscopy 8 2 — — $64,823.63 $70,260.00 $68,008.17 2026-04-01
10 MS_DRG Pancreas Transplant 42 12 — — $59,338.24 $318,904.00 $66,458.83 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 42 12 — — $59,313.43 $267,140.00 $66,431.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 12 — — $58,998.37 $317,068.00 $66,078.17 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 7 — — $55,272.32 $242,092.78 $65,569.67 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 12 — — $46,492.19 $228,188.00 $65,436.46 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 49 15 $121,070.41 $90,802.81 25% off $35,784.70 $170,368.00 $64,205.70 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 50 12 — — $47,949.30 $247,760.00 $64,010.21 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 51 14 $262,291.89 $196,718.92 25% off $49,684.62 $243,164.00 $63,978.37 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 12 — — $49,534.98 $239,616.00 $63,371.62 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 12 — — $52,759.77 $273,116.00 $62,341.09 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 12 — — $50,619.05 $252,956.00 $62,107.99 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 44 12 — — $39,728.35 $200,272.00 $61,976.22 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 52 14 $113,725.65 — $418.52 $247,440.00 $61,928.03 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 13 — — $168.08 $220,208.00 $61,661.36 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $54,373.33 $237,964.00 $60,898.13 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 12 — — $153.64 $258,296.00 $60,898.13 2026-04-01
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 5 $54,055.34 — $23,311.04 $108,966.63 $60,891.53 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $54,175.69 $246,312.00 $60,676.77 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 73 24 $163,721.99 $122,791.49 25% off $9,525.69 $258,708.00 $59,595.94 2026-04-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 3 3 $125,272.62 — $59,446.75 $64,998.65 $59,449.87 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 14 $73,956.18 $55,467.13 25% off $49,310.85 $229,560.00 $59,230.03 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 12 — — $48,497.97 $232,876.00 $58,907.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 12 — — $45,671.51 $245,468.00 $58,466.33 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 12 — — $425.00 $235,352.00 $57,800.40 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 12 4 — — $10,521.21 $61,848.00 $57,473.03 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 17 $79,483.80 $69,447.16 $35,634.60 $211,852.00 $56,435.97 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 12 — — $47,690.06 $218,804.00 $55,975.16 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 70 15 $36,500.22 — $7,947.02 $212,796.00 $55,701.36 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 74 12 — — $36,057.62 $178,880.00 $55,651.64 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 49 13 $76,175.04 $57,131.28 25% off $45,237.37 $217,136.00 $55,515.30 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 49 13 $17,824.32 $13,368.24 25% off $45,397.80 $221,076.00 $55,083.83 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 42 12 — — $49,034.65 $241,420.00 $54,918.81 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 12 — — $45,101.76 $215,824.00 $54,749.79 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 20 6 — — $34,970.13 $153,169.17 $54,553.40 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 59 16 $93,081.15 $69,810.86 25% off $37,895.29 $203,148.00 $54,462.23 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 20 6 — — $34,889.50 $152,815.99 $54,427.61 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 6 — — $34,889.50 $152,815.99 $54,427.61 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 6 — — $34,889.50 $152,815.99 $54,427.61 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 6 — — $34,889.50 $152,815.99 $54,427.61 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 20 6 — — $34,889.50 $152,815.99 $54,427.61 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 20 6 — — $34,889.50 $152,815.99 $54,427.61 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 6 — — $34,889.50 $152,815.99 $54,427.61 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
61886 HCPCS Implant Neurostim Arrays 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 20 6 — — $34,299.09 $150,230.02 $53,506.58 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 55 13 $79,675.22 $59,756.41 25% off $40,699.17 $201,460.00 $53,213.59 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 69 17 $102,870.49 $77,152.87 25% off $34,525.90 $205,312.00 $53,140.50 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 34 11 — — $47,192.24 $151,959.01 $52,855.31 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 88 20 $100,177.27 $75,132.95 25% off $38,758.45 $200,060.00 $52,824.21 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 72 18 $22,192.58 $87,966.70 $4,162.56 $216,028.00 $52,786.78 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 48 12 — — $40,000.63 $200,116.00 $52,016.07 2026-04-01
J9226 HCPCS Supprelin La Implant 30 7 — — $45,020.65 $197,190.45 $51,993.85 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 50 12 — — $37,539.76 $194,280.00 $51,986.07 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 12 — — $46,346.29 $217,632.00 $51,907.84 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 14 $53,583.24 — $14,359.20 $199,316.00 $51,378.63 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 58 12 — — $39,368.63 $188,176.00 $50,517.42 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 42 12 — — $44,921.49 $241,420.00 $50,312.07 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 46 12 — — $44,072.23 $205,988.00 $50,067.63 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 64 16 $106,040.55 $79,530.41 25% off $450.00 $190,172.00 $49,427.68 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 12 — — $43,776.18 $221,092.00 $49,029.32 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 79 20 $117,377.65 $88,033.24 25% off $35,819.75 $183,668.00 $48,852.15 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 13 $95,824.77 — $29,137.12 $183,692.00 $48,519.57 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 63 18 $29,874.13 $61,989.67 $100.87 $203,772.00 $48,210.59 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 43 13 $73,130.66 $54,847.99 25% off $42,970.75 $222,968.00 $48,127.24 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 20 6 — — $30,160.13 $132,101.38 $47,049.81 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 6 — — $30,160.13 $132,101.38 $47,049.81 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 44 12 — — $29,558.72 $157,492.00 $46,111.60 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 48 14 $96,683.04 $72,512.28 25% off $38,191.90 $186,088.00 $46,068.01 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 20 6 — — $29,510.19 $129,254.63 $46,035.90 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 10 3 — — $9,845.35 $49,116.00 $45,967.66 2026-04-01
49 MS_DRG Major Head & Neck Procedures 1 1 $16,365.49 — $45,864.73 $45,864.73 $45,864.73 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 13 — — $29,736.56 $179,376.00 $45,752.66 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $40,529.64 $215,796.00 $45,393.20 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 20 6 — — $29,052.87 $127,251.58 $45,322.49 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 20 6 — — $29,052.87 $127,251.58 $45,322.49 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 20 6 — — $29,052.87 $127,251.58 $45,322.49 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 45 13 $35,719.82 $26,789.86 25% off $38,682.28 $191,008.00 $45,182.34 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 20 6 — — $28,851.23 $126,368.39 $45,007.92 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 72 18 $114,333.46 $85,750.09 25% off $30,204.91 $170,616.00 $44,885.01 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 20 6 — — $28,715.00 $125,771.70 $44,795.40 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 67 13 $92,019.71 $69,014.78 25% off $23,764.63 $157,168.00 $44,694.85 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 58 16 $96,962.81 $72,722.11 25% off $36,826.85 $184,356.00 $44,290.82 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 12 — — $70.36 $164,472.00 $44,104.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 69 17 $74,352.63 $55,764.47 25% off $17.84 $180,452.00 $43,947.19 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 49 14 $130,702.15 $98,026.61 25% off $31,982.02 $190,180.00 $43,757.73 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 59 13 $100,187.02 $75,140.26 25% off $34,923.04 $166,416.00 $43,731.58 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 65 18 $91,113.25 $68,334.94 25% off $27,473.99 $163,328.00 $43,626.78 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 60 14 $102,250.95 $76,688.21 25% off $90.93 $167,600.00 $43,562.38 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 12 — — $38,877.43 $184,280.00 $43,542.72 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 42 12 — — $38,344.89 $193,956.00 $42,946.28 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 53 16 $90,278.24 $67,708.68 25% off $87.44 $187,168.00 $42,462.82 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 70 15 $90,915.76 $68,186.82 25% off $26,827.01 $159,340.00 $42,392.75 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 51 13 $185,255.02 $138,941.26 25% off $33,418.36 $350,303.56 $42,361.98 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 46 12 — — $37,050.74 $167,612.00 $42,259.11 2026-04-01
245 MS_DRG Aicd Generator Procedures 55 19 $24,262.02 $44,363.38 $6,022.55 $195,460.00 $42,255.36 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 55 13 $52,431.22 $39,323.41 25% off $13,171.69 $157,852.00 $41,667.34 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 12 — — $36,905.20 $175,700.00 $41,333.82 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 16 6 — — $29,657.55 $157,337.62 $40,734.65 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 14 $78,867.75 $59,150.81 25% off $34,115.12 $156,400.00 $40,509.01 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 55 14 $73,742.01 $55,306.51 25% off $31,117.49 $152,888.00 $40,178.63 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 49 15 $28,437.69 $60,142.38 $8,733.32 $164,899.36 $40,161.34 2026-04-01
174 MS_DRG G.i. Hemorrhage W Cc 18 7 $73,458.17 — $12,689.88 $97,516.36 $39,960.55 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 24 6 — — $20,740.21 $107,701.66 $39,534.90 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,EXTREME 2 2 $53,608.16 — $15,413.94 $63,206.87 $39,310.40 2026-03-27
5465 OTHER Level 5 Neurostimulator And Related Procedures 16 6 — — $35,718.62 $113,459.21 $39,253.99 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 44 12 — — $31,912.02 $164,136.00 $39,047.12 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 12 — — $34,703.07 $177,208.00 $38,867.44 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 56 18 $21,623.08 — $5,705.82 $169,160.00 $38,798.30 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 12 — — $500.00 $172,708.00 $38,645.16 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 20 6 — — $24,724.28 $108,292.36 $38,569.89 2026-04-01
171 MS_DRG Other Digestive System O.r. Procedures Without Cc 7 5 $59,028.06 — $21,130.38 $47,461.77 $38,562.23 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 63 13 $89,649.07 $67,236.80 25% off $29,205.08 $188,999.02 $38,146.12 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 2 1 — — $38,025.52 $38,025.52 $38,025.52 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 75 16 $27,585.70 — $3,603.57 $166,824.00 $37,927.78 2026-04-01
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 2 2 $9,703.00 $7,277.25 25% off $37,309.78 $38,071.20 $37,690.49 2026-03-27
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 44 12 — — $30,374.08 $154,436.00 $37,685.15 2026-04-01
791 MS_DRG Prematurity With Major Problems 58 13 — — $6,397.51 $162,404.00 $37,593.04 2026-04-01
78 MS_DRG Hypertensive Encephalopathy With Cc 10 3 — — $7,774.42 $39,912.00 $37,353.64 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 48 12 — — $84.25 $143,384.00 $37,278.15 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 60 17 $68,141.78 $51,106.33 25% off $30,095.68 $154,040.00 $36,938.28 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 50 14 $94,990.91 $71,243.18 25% off $29,528.95 $144,956.00 $36,267.28 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 14 $51,320.33 — $26,422.32 $152,056.00 $36,230.66 2026-04-01
33249 CPT Hc Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 8 7 $24,081.00 $18,060.75 25% off $18,761.51 $38,071.20 $36,183.55 2026-03-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 12 — — $32,202.43 $173,068.00 $36,066.72 2026-04-01
169 MS_DRG Mouth Procedures Without Cc 5 3 $106,442.33 — $22,612.05 $75,467.98 $36,017.86 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 54 12 — — $25,935.99 $134,260.00 $36,003.56 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 56 14 $62,874.22 $47,155.66 25% off $13,627.78 $143,392.00 $35,911.44 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 12 — — $32,008.10 $155,540.00 $35,849.07 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 59 13 $89,979.08 $67,484.31 25% off $411.32 $140,120.00 $35,829.82 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 45 13 $52,093.61 $39,070.21 25% off $1,213.04 $157,176.00 $35,795.36 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 56 16 $109,654.36 $82,240.77 25% off $12,308.99 $150,872.00 $35,761.08 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 68 16 $80,563.36 $60,422.52 25% off $27,337.74 $136,996.00 $35,607.16 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 20 6 — — $22,533.92 $98,698.57 $35,152.92 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 45 13 $57,881.89 $43,411.42 25% off $29,982.11 $140,812.00 $35,116.40 2026-04-01
33270 CPT Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 1 1 $14,577.00 $10,932.75 25% off $35,057.32 $35,057.32 $35,057.32 2026-03-27
L5858 HCPCS Stance Phase Only 20 6 — — $22,336.47 $97,833.74 $34,844.90 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 66 19 $47,760.80 $35,820.60 25% off $23,458.22 $139,796.00 $34,703.11 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 56 16 $26,078.17 — $5,122.10 $132,068.00 $34,699.69 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 47 13 $169,131.58 $126,848.68 25% off $30,904.97 $143,352.00 $34,613.57 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 50 14 $113,520.06 — $26,396.73 $136,272.00 $34,561.18 2026-04-01
611 MS_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,MODERATE 1 1 $57,645.58 — $34,358.28 $34,358.28 $34,358.28 2026-03-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 43 13 $43,474.02 — $27,197.76 $138,888.00 $34,321.83 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 77 20 $69,243.96 $51,932.97 25% off $113.76 $135,680.00 $33,999.18 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 45 13 $68,350.13 $51,262.60 25% off $29,460.32 $140,144.00 $33,838.24 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 51 13 $109,169.04 $81,876.78 25% off $26,327.90 $130,308.00 $33,669.89 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 20 6 — — $21,563.70 $94,449.03 $33,639.38 2026-04-01
63655 HCPCS Implant Neuroelectrodes 20 6 — — $21,563.70 $94,449.03 $33,639.38 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 20 6 — — $21,563.70 $94,449.03 $33,639.38 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 20 6 — — $21,563.70 $94,449.03 $33,639.38 2026-04-01
64580 HCPCS Implant Neuroelectrodes 20 6 — — $21,563.70 $94,449.03 $33,639.38 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 20 6 — — $21,563.70 $94,449.03 $33,639.38 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 20 6 — — $21,563.70 $94,449.03 $33,639.38 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 12 — — $30,005.27 $126,952.00 $33,605.90 2026-04-01
332 MS_DRG Rectal Resection With Mcc 42 12 — — $29,940.77 $138,740.00 $33,533.66 2026-04-01
265 MS_DRG Aicd Lead Procedures 43 13 $61,184.21 $45,888.16 25% off $29,920.09 $142,676.00 $33,510.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 67 20 $46,475.20 $76,529.23 $7,653.85 $137,208.00 $33,458.18 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 51 13 $70,262.61 $52,696.96 25% off $400.00 $128,168.00 $33,401.21 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 20 6 — — $21,409.85 $93,775.12 $33,399.36 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 61 13 $76,531.64 $57,398.73 25% off $24,202.26 $124,832.00 $33,395.54 2026-04-01
120 MS_DRG Other Circulatory System O.r. Procedures 1 1 $71,756.33 — $33,348.42 $33,348.42 $33,348.42 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 12 — — $29,627.36 $159,228.00 $33,182.64 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 71 18 $75,187.68 $56,390.76 25% off $24,072.76 $123,432.00 $33,100.06 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 13 $147,355.44 $110,516.58 25% off $29,485.13 $140,044.00 $33,023.35 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 51 17 $38,832.89 $29,124.67 25% off $21,529.04 $149,760.00 $32,964.06 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 20 6 — — $21,127.66 $92,539.15 $32,959.15 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 14 $89,498.72 $67,124.04 25% off $92.37 $137,776.00 $32,937.21 2026-04-01
9440 OTHER Instill, Bupivac And Meloxic 2 1 — — $32,811.72 $32,811.72 $32,811.72 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 54 12 — — $19,067.78 $98,704.00 $32,798.93 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 44 12 — — $28,706.16 $138,588.00 $32,637.59 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 52 14 $16,365.49 $12,274.12 25% off $14,103.09 $145,936.00 $32,595.45 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 6 2 — — $31,672.53 $32,650.84 $32,569.04 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 45 14 $64,942.93 — $26,547.86 $114,480.00 $32,488.32 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 $32,828.00 — $24,974.68 $39,940.78 $32,457.73 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 50 14 $127,042.46 $95,281.84 25% off $28,838.46 $154,596.00 $32,299.08 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 52 14 $46,212.34 $34,659.25 25% off $24,718.50 $127,576.00 $32,173.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 51 13 $60,238.21 $45,178.66 25% off $49.15 $137,552.00 $31,995.30 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 49 13 $39,093.02 $29,319.76 25% off $148.73 $132,828.00 $31,924.68 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 38 11 — — $28,434.92 $91,560.44 $31,847.11 2026-04-01
J9266 HCPCS Pegaspargase Injection 30 7 — — $28,424.06 $124,497.38 $31,834.95 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
61624 HCPCS Transcath Occlusion Cns 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
93580 HCPCS Transcath Closure Of Asd 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 20 6 — — $20,376.07 $89,247.17 $31,786.66 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 40 12 — — $22,692.82 $120,529.78 $31,585.77 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 45 13 $68,541.37 $51,406.03 25% off $26,685.96 $128,944.00 $31,302.81 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 62 19 $29,997.12 — $5,033.00 $141,168.00 $30,991.88 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 61 13 $39,014.36 $29,260.77 25% off $8,359.80 $82,288.44 $30,842.96 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 64 14 $85,223.42 $63,917.56 25% off $22,385.60 $115,880.00 $30,840.73 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 44 12 — — $27,316.08 $109,456.00 $30,594.01 2026-04-01
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/Mcc 8 2 — — $29,147.57 $31,592.00 $30,579.47 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 49 15 $118,307.25 $88,730.44 25% off $17,463.57 $127,800.00 $30,574.71 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 20 6 — — $19,564.01 $85,690.36 $30,519.85 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 20 6 — — $19,535.67 $85,566.23 $30,475.64 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 20 6 — — $19,489.27 $85,363.00 $30,403.26 2026-04-01
23616 HCPCS Treat Humerus Fracture 20 6 — — $19,489.27 $85,363.00 $30,403.26 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 20 6 — — $19,489.27 $85,363.00 $30,403.26 2026-04-01
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