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

SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET

Pottsville, PA · CCN 390030 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $13,790 across 20 payers · range $885-$79,916

Source: https://lvhn.pt.panaceainc.com/MRFDownload/lvhn/schuylkill · observed 2026-07-01

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.

23,182 distinct procedures filed
23 distinct payers
894,854 rate rows
2026-07-01 last MRF observed
Data quality

870,324 of 894,854 rate rows are consumer-grade (97.3%)

24,530 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20,298
placeholder amount (≤ $0.02) — excluded from medians 2,557
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 770
exceeds 10× this hospital's gross charge — excluded from medians 596
per-diem day rate — not a per-procedure price 250
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 59
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lvhn.pt.panaceainc.com/MRFDownload/lvhn/Schuylkill
Found on page https://www.lvhn.org/get-price-quote
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-18
Content fingerprint eae31209eba6d3b2… · 436,128,558 bytes · first seen 2026-07-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 13 $4,505,000.00 $4,955,500.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $2,440,200.00 $4,660,455.63 $3,876,022.50 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 13 $2,194,088.40 $4,211,472.75 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $2,231,040.00 $4,193,237.68 $3,487,445.20 nat. median
$3,324,572
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $2,440,200.00 $3,710,000.00 $3,486,000.00 nat. median
$3,710,000
0.9× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 13 $2,161,320.00 $4,097,294.00 $3,407,650.46 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 13 $2,091,600.00 $4,014,750.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $1,952,160.00 $3,709,629.00 $3,085,236.00 nat. median
$2,997,086
1.0× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 13 $2,664,228.59 $3,363,588.59 $2,797,440.02 nat. median
$2,664,229
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,423,131.23 $3,266,197.67 $2,716,441.62 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 13 $1,533,840.00 $2,944,150.00 $2,448,600.00 nat. median
$2,405,851
1.0× median
7377600111
NDC 		Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 12 $5,000.00 $3,183,884.55 $1,608,022.50 nat. median
$1,608,022
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 18 $585,235.00 $4,689,222.70 $838,012.90 nat. median
$809,151
1.0× median
5789411101
NDC 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 22 $446,281.05 $3,580,990.92 $694,423.88 nat. median
$742,975
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 18 $430,243.11 $3,737,290.23 $666,386.18 nat. median
$691,418
1.0× median
7315390001
NDC 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 22 $426,954.72 $3,421,357.21 $663,467.79 nat. median
$618,487
1.1× median
7128711901
NDC 		Axicabtagene Ciloleucel Intravenous Suspension 22 $404,164.86 $3,236,301.90 $627,581.96 nat. median
$627,582
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 18 $423,826.21 $3,406,267.87 $607,813.70 nat. median
$610,161
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $329,096.12 $774,828.98 $592,904.25 nat. median
$370,165
1.6× median
7128722001
NDC 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 22 $371,705.10 $2,977,333.30 $577,362.91 nat. median
$617,866
0.9× median
7128721901
NDC 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 22 $371,705.10 $2,977,333.30 $577,362.91 nat. median
$577,363
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $344,748.21 $344,748.21 $344,748.21 nat. median
$30,221
outlier · 11.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 16 $183,015.00 $1,693,151.25 $301,901.25 nat. median
$302,242
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 16 $201,250.00 $1,595,692.49 $286,667.41 nat. median
$265,000
1.1× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $213,570.14 $565,962.82 $265,623.12 nat. median
$261,939
1.0× median
111
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $72,914.14 $871,119.68 $241,694.95 nat. median
$34,746
outlier · 7.0×
0-D
OTHER 		Kidney Transplant With Hemodialysis With Mcc - Deceased Donor 2 $149,495.00 $305,846.00 $227,670.50 nat. median
$147,318
1.5× median
5831
APR_DRG 		Neonate With Ecmo 8 $152,101.66 $468,265.45 $224,810.96 nat. median
$154,685
1.5× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 19 $153,154.30 $1,233,512.13 $218,930.67 nat. median
$209,736
1.0× median
1-D
OTHER 		Kidney Transplant With Hemodialysis Without Mcc - Deceased Donor 2 $149,495.00 $250,308.00 $199,901.50 nat. median
$147,318
1.4× median
0-L
OTHER 		Kidney Transplant With Hemodialysis With Mcc - Living Donor 2 $125,664.00 $255,387.00 $190,525.50 nat. median
$122,004
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $157,316.55 $431,623.68 $185,890.32 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $23,636.00 $429,101.31 $184,804.00 nat. median
$199,832
0.9× median
2-D
OTHER 		Kidney Transplant - Deceased Donor 2 $149,495.00 $211,987.00 $180,741.00 nat. median
$147,318
1.2× median
1-L
OTHER 		Kidney Transplant With Hemodialysis Without Mcc - Living Donor 2 $125,664.00 $209,014.00 $167,339.00 nat. median
$123,834
1.4× median
2-L
OTHER 		Kidney Transplant - Living Donor 2 $125,664.00 $180,057.00 $152,860.50 nat. median
$123,834
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $125,610.19 $313,099.93 $150,260.56 nat. median
$120,928
1.2× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 16 $121,900.00 $741,761.50 $133,480.50 nat. median
$121,900
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 8 $100,319.79 $235,881.84 $131,296.11 nat. median
$82,164
1.6× median
7
MS_DRG 		Lung Transplant 17 $95,576.05 $262,521.10 $124,799.49 nat. median
$122,690
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $86,359.65 $229,941.83 $124,638.47 nat. median
$108,240
1.2× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 8 $2,913.05 $144,259.88 $124,137.70 nat. median
$96,420
1.3× median
21
APR_DRG 		Heart And/or Lung Transplant 8 $88,283.26 $329,898.12 $123,580.11 nat. median
$74,854
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $23,636.00 $280,662.74 $120,874.94 nat. median
$132,706
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $86,260.57 $229,680.14 $119,654.38 nat. median
$96,134
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 17 $52,470.33 $658,660.78 $117,985.25 nat. median
$111,503
1.1× median
5911
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $9,155.97 $202,857.21 $117,416.78 nat. median
$37,247
outlier · 3.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $82,871.52 $220,728.07 $112,608.00 nat. median
$100,978
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $78,576.32 $209,382.50 $107,380.32 nat. median
$99,646
1.1× median

Other procedures at this hospital

Browse this hospital's 23,182 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 14 13 — — $4,505,000.00 $4,955,500.00 $4,730,250.00 2026-07-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 13 — — $2,440,200.00 $4,660,455.63 $3,876,022.50 2026-07-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 17 13 — — $2,194,088.40 $4,211,472.75 $3,502,611.00 2026-07-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 13 — — $2,231,040.00 $4,193,237.68 $3,487,445.20 2026-07-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 2 — — $2,440,200.00 $3,710,000.00 $3,486,000.00 2026-07-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 17 13 — — $2,161,320.00 $4,097,294.00 $3,407,650.46 2026-07-01
J3387 HCPCS Inj Elivaldogene Autotemecel 17 13 — — $2,091,600.00 $4,014,750.00 $3,339,000.00 2026-07-01
J3393 HCPCS Inj, Betibeglogene Autotemce 17 13 — — $1,952,160.00 $3,709,629.00 $3,085,236.00 2026-07-01
C9309 HCPCS Inj Onase Abepar-brve Treat 15 13 — — $2,664,228.59 $3,363,588.59 $2,797,440.02 2026-07-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 13 — — $2,423,131.23 $3,266,197.67 $2,716,441.62 2026-07-01
J3392 HCPCS Inj, Exagamglogene Autotem 17 13 — — $1,533,840.00 $2,944,150.00 $2,448,600.00 2026-07-01
7377600111 NDC Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 19 12 $4,594,350.00 $2,297,175.00 50% off $5,000.00 $3,183,884.55 $1,608,022.50 2026-07-01
Q2057 HCPCS Afamitresgene Autoleucel 34 18 — — $585,235.00 $4,689,222.70 $838,012.90 2026-07-01
5789411101 NDC Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 41 22 $4,289,773.13 $2,144,886.57 50% off $446,281.05 $3,580,990.92 $694,423.88 2026-07-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 34 18 — — $430,243.11 $3,737,290.23 $666,386.18 2026-07-01
7315390001 NDC Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 41 22 $4,184,384.40 $2,092,192.20 50% off $426,954.72 $3,421,357.21 $663,467.79 2026-07-01
7128711901 NDC Axicabtagene Ciloleucel Intravenous Suspension 41 22 $4,116,750.00 $2,058,375.00 50% off $404,164.86 $3,236,301.90 $627,581.96 2026-07-01
Q2055 HCPCS Idecabtagene Vicleucel Car 34 18 — — $423,826.21 $3,406,267.87 $607,813.70 2026-07-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 8 — — $329,096.12 $774,828.98 $592,904.25 2026-07-01
7128722001 NDC Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 41 22 $3,776,850.00 $1,888,425.00 50% off $371,705.10 $2,977,333.30 $577,362.91 2026-07-01
7128721901 NDC Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension 41 22 $3,776,850.00 $1,888,425.00 50% off $371,705.10 $2,977,333.30 $577,362.91 2026-07-01
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $344,748.21 $344,748.21 $344,748.21 2026-07-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 28 16 — — $183,015.00 $1,693,151.25 $301,901.25 2026-07-01
J3403 HCPCS Revakinagene, Per Implant 28 16 — — $201,250.00 $1,595,692.49 $286,667.41 2026-07-01
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 18 — — $213,570.14 $565,962.82 $265,623.12 2026-07-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 55 19 — — $72,914.14 $871,119.68 $241,694.95 2026-07-01
0-D OTHER Kidney Transplant With Hemodialysis With Mcc - Deceased Donor 2 2 — — $149,495.00 $305,846.00 $227,670.50 2026-07-01
5831 APR_DRG Neonate With Ecmo 36 8 — — $152,101.66 $468,265.45 $224,810.96 2026-07-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 35 19 — — $153,154.30 $1,233,512.13 $218,930.67 2026-07-01
1-D OTHER Kidney Transplant With Hemodialysis Without Mcc - Deceased Donor 2 2 — — $149,495.00 $250,308.00 $199,901.50 2026-07-01
0-L OTHER Kidney Transplant With Hemodialysis With Mcc - Living Donor 2 2 — — $125,664.00 $255,387.00 $190,525.50 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 16 — — $157,316.55 $431,623.68 $185,890.32 2026-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 18 — — $23,636.00 $429,101.31 $184,804.00 2026-07-01
2-D OTHER Kidney Transplant - Deceased Donor 2 2 — — $149,495.00 $211,987.00 $180,741.00 2026-07-01
1-L OTHER Kidney Transplant With Hemodialysis Without Mcc - Living Donor 2 2 — — $125,664.00 $209,014.00 $167,339.00 2026-07-01
2-L OTHER Kidney Transplant - Living Donor 2 2 — — $125,664.00 $180,057.00 $152,860.50 2026-07-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 8 — — $125,610.19 $313,099.93 $150,260.56 2026-07-01
J3404 HCPCS Inj Zopapogene Per Ther Dose 26 16 — — $121,900.00 $741,761.50 $133,480.50 2026-07-01
1611 APR_DRG Implantable Heart Assist Systems 36 8 — — $100,319.79 $235,881.84 $131,296.11 2026-07-01
7 MS_DRG Lung Transplant 30 17 — — $95,576.05 $262,521.10 $124,799.49 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 18 — — $86,359.65 $229,941.83 $124,638.47 2026-07-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 36 8 — — $2,913.05 $144,259.88 $124,137.70 2026-07-01
21 APR_DRG Heart And/or Lung Transplant 36 8 — — $88,283.26 $329,898.12 $123,580.11 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 18 — — $23,636.00 $280,662.74 $120,874.94 2026-07-01
209 MS_DRG Complex Aortic Arch Procedures 29 17 — — $86,260.57 $229,680.14 $119,654.38 2026-07-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 27 17 — — $52,470.33 $658,660.78 $117,985.25 2026-07-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 8 — — $9,155.97 $202,857.21 $117,416.78 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 18 — — $82,871.52 $220,728.07 $112,608.00 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 17 — — $78,576.32 $209,382.50 $107,380.32 2026-07-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 26 16 — — $93,216.70 $578,568.07 $104,113.73 2026-07-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 36 8 — — $54,715.89 $188,600.20 $102,281.24 2026-07-01
71 APR_DRG Allogeneic Bone Marrow Transplant 66 20 — — $51,780.51 $243,753.38 $101,126.50 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 11 8 — — $42,090.78 $114,676.99 $96,849.12 2026-07-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 11 8 — — $41,838.53 $122,234.76 $96,268.69 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $74,554.72 $198,759.63 $93,246.62 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 18 — — $23,636.00 $223,689.27 $92,802.45 2026-07-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 12 9 — — $42,712.66 $289,334.00 $92,127.57 2026-07-01
850 MS_DRG Acute Leukemia With Other Procedures 30 17 — — $65,994.05 $176,146.97 $91,258.03 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 18 — — $23,636.00 $170,991.55 $89,079.92 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 11 8 — — $58,264.07 $137,177.82 $87,784.99 2026-07-01
270006206-10806601-5290 CDM Hb Kit Protek Duo Dl31 17 12 $247,005.00 $123,502.50 50% off $5,000.00 $171,174.47 $86,451.75 2026-07-01
215 MS_DRG Other Heart Assist System Implant 31 18 — — $71,118.19 $223,425.29 $86,438.61 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 18 — — $23,636.00 $160,229.76 $83,473.44 2026-07-01
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 8 — — $45,399.55 $138,694.86 $83,095.57 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 18 — — $23,636.00 $183,194.69 $82,166.34 2026-07-01
270006205-10806601-5291 CDM Hb Kit Protek Duo Dl29 17 12 $233,020.00 $116,510.00 50% off $5,000.00 $161,482.86 $81,557.00 2026-07-01
J9183 HCPCS Gemcitabine Intravesical Sys 33 19 — — $73,088.26 $444,742.06 $79,666.20 2026-07-01
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 36 9 — — $68,091.22 $231,736.35 $79,554.57 2026-07-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 36 8 — — $41,140.62 $227,056.19 $78,714.85 2026-07-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 36 8 — — $36,731.46 $170,349.07 $77,450.73 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 18 — — $64,244.27 $171,525.02 $76,904.94 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 18 — — $54,372.79 $355,181.00 $75,773.72 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 18 — — $54,340.78 $145,365.38 $75,729.68 2026-07-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 26 16 — — $67,452.66 $418,658.41 $75,337.87 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $58,516.32 $156,394.89 $74,474.27 2026-07-01
481000464-10806601-2958 CDM Hb 37294-50 Revsc Evasc Tpvt St Athrc Cplx Les 1st Vsl Bilateral 41 22 $191,580.00 $95,790.00 50% off $15,388.80 $132,764.94 $74,076.87 2026-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 11 8 — — $46,704.54 $109,961.88 $71,881.38 2026-07-01
481000456-10806601-2966 CDM Hb 37286-50 Revsc Evasc Tpvt St Plmt Cplx Les 1st Vsl Bilateral 41 22 $184,945.00 $92,472.50 50% off $15,388.80 $128,166.89 $71,777.85 2026-07-01
481000448-10806601-2974 CDM Hb 37277-50 Revsc Evasc Fpvt St Athrc Cplx Les 1st Vsl Bilateral 41 22 $184,945.00 $92,472.50 50% off $15,388.80 $128,166.89 $71,777.85 2026-07-01
481000460-10806601-2962 CDM Hb 37290-50 Revsc Evasc Tpvt Athrc Cplx Les 1st Vsl Bilateral 41 22 $184,945.00 $92,472.50 50% off $15,388.80 $128,166.89 $71,777.85 2026-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 18 — — $50,957.82 $136,429.43 $71,074.40 2026-07-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 36 19 — — $48,812.46 $391,157.80 $69,899.90 2026-07-01
810000002-10806601-235 CDM Hb Organ Processing - Lrd 16 11 $199,025.00 $99,512.50 50% off $5,000.00 $137,924.33 $69,658.75 2026-07-01
810000001-10806601-236 CDM Hb Organ Processing 16 11 $199,025.00 $99,512.50 50% off $5,000.00 $137,924.33 $69,658.75 2026-07-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $48,644.95 $232,043.63 $69,492.79 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 8 — — $43,670.62 $102,818.77 $69,150.89 2026-07-01
560000237-10806601-2317 CDM Hb Trnsplj Allogeneic Hematopoietic Cells Per Donor 35 19 $187,650.00 $93,825.00 50% off $133.43 $391,536.22 $68,205.16 2026-07-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 11 8 — — $41,565.70 $97,862.92 $67,502.90 2026-07-01
61 APR_DRG Pancreas Transplant 67 21 — — $40,400.34 $179,679.00 $67,468.34 2026-07-01
810000003-10806601-234 CDM Hb Pancreas Organ Processing 16 11 $192,395.00 $96,197.50 50% off $5,000.00 $133,329.74 $67,338.25 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 18 — — $23,636.00 $155,219.26 $66,849.34 2026-07-01
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 36 8 — — $21,034.16 $193,418.55 $66,668.53 2026-07-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 36 8 — — $48,950.70 $173,009.06 $65,288.53 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 11 8 — — $36,282.06 $85,423.03 $64,740.10 2026-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 18 — — $45,776.30 $122,742.68 $63,944.14 2026-07-01
A1904 HCPCS Guillain-barr? M <38.50 36 9 — — $54,382.87 $216,951.20 $63,784.02 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 18 — — $23,636.00 $121,866.99 $63,487.94 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 18 — — $46,203.07 $123,869.99 $63,408.18 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 18 — — $23,636.00 $147,140.88 $63,370.17 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 11 8 — — $41,631.24 $98,017.23 $62,766.42 2026-07-01
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 36 9 — — $52,922.76 $183,633.48 $62,495.19 2026-07-01
A9543 HCPCS Y90 Ibritumomab, Rx 31 17 — — $43,039.62 $345,777.39 $61,938.76 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 18 — — $23,636.00 $140,282.42 $61,881.27 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $50,110.36 $134,190.90 $61,651.80 2026-07-01
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 11 8 — — $27,304.52 $68,073.76 $61,150.66 2026-07-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 29 17 — — $43,492.28 $116,709.54 $60,801.11 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 18 — — $15,491.00 $140,964.83 $60,710.29 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 17 — — $31,305.30 $146,216.90 $60,661.32 2026-07-01
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 36 8 — — $29,468.13 $97,669.64 $59,229.59 2026-07-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 36 8 — — $39,976.75 $218,053.98 $59,203.89 2026-07-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 11 8 — — $31,440.44 $74,023.85 $59,134.89 2026-07-01
3023789006 NDC Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 38 19 $77,600.00 $38,800.00 50% off $10,864.00 $342,398.02 $59,082.65 2026-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 18 — — $23,636.00 $136,330.78 $58,714.51 2026-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 18 — — $23,636.00 $119,888.15 $58,280.10 2026-07-01
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 36 9 — — $49,723.03 $169,221.53 $58,093.09 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $50,110.36 $134,190.90 $57,792.91 2026-07-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 36 8 — — $21,981.50 $116,446.32 $57,463.69 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 18 — — $44,724.60 $119,964.66 $57,247.48 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $23,636.00 $133,709.80 $57,057.40 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 18 — — $15,491.00 $131,360.54 $56,573.94 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 18 — — $23,636.00 $108,393.61 $56,468.84 2026-07-01
270006137-10806601-5359 CDM Hb Set Usa Hls Advanced 7.0 17 12 $160,030.00 $80,015.00 50% off $5,000.00 $110,900.79 $56,010.50 2026-07-01
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 36 9 — — $47,718.51 $162,396.43 $55,750.46 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 31 18 — — $23,636.00 $106,432.90 $55,447.38 2026-07-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 36 8 — — $32,165.99 $230,420.78 $55,192.46 2026-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 18 — — $23,636.00 $111,950.69 $55,064.60 2026-07-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 11 8 — — $32,130.14 $75,647.69 $54,884.48 2026-07-01
9101 APR_DRG Craniotomy For Multiple Significant Trauma 67 21 — — $19,011.61 $137,327.24 $54,571.32 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 18 — — $37,704.14 $101,420.40 $54,416.45 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 18 — — $23,636.00 $125,051.64 $53,856.85 2026-07-01
A0106 HCPCS Stroke M <41.50 And A <84.50 36 9 — — $45,088.22 $144,809.65 $53,494.70 2026-07-01
270006273-10806601-5223 CDM Hb Protek Duo Cannula Veno-venous 31fr 17 12 $152,290.00 $76,145.00 50% off $5,000.00 $105,536.97 $53,301.50 2026-07-01
270006272-10806601-5224 CDM Hb Protek Duo Cannula Veno-venous 29fr 17 12 $152,290.00 $76,145.00 50% off $5,000.00 $105,536.97 $53,301.50 2026-07-01
481000211-10806601-3167 CDM Hb 33270 Insert Subq Defib W/eltrd 41 22 $163,510.00 $81,755.00 50% off $15,388.80 $195,384.12 $52,911.84 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 31 18 — — $23,636.00 $122,776.89 $52,902.93 2026-07-01
L7181 HCPCS Electronic Elbo Simultaneous 27 17 — — $23,653.04 $293,026.22 $52,489.50 2026-07-01
270006248-10806601-5248 CDM Hb Centrimag Blood Pump 23 15 $154,070.00 $77,035.00 50% off $5,000.00 $106,770.51 $52,383.80 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $23,636.00 $100,490.37 $52,351.56 2026-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 17 — — $45,295.41 $121,472.44 $52,315.37 2026-07-01
481000462-10806601-2960 CDM Hb 37292-50 Revsc Evasc Tpvt St Athrc Sf Les 1st Vsl Bilateral 41 22 $127,720.00 $63,860.00 50% off $15,388.80 $88,509.96 $51,949.38 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 17 — — $40,251.57 $121,194.63 $51,238.00 2026-07-01
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 36 9 — — $42,935.60 $159,722.63 $51,061.67 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 18 — — $23,636.00 $117,921.41 $50,786.02 2026-07-01
481000458-10806601-2964 CDM Hb 37288-50 Revsc Evasc Tpvt Athrc Sf Les 1st Vsl Bilateral 41 22 $123,295.00 $61,647.50 50% off $15,388.80 $85,443.44 $50,416.12 2026-07-01
481000446-10806601-2976 CDM Hb 37275-50 Revsc Evasc Fpvt St Athrc Sf Les 1st Vsl Bilateral 41 22 $123,295.00 $61,647.50 50% off $15,388.80 $85,443.44 $50,416.12 2026-07-01
481000454-10806601-2968 CDM Hb 37284-50 Revsc Evasc Tpvt St Plmt Sf Les 1st Vsl Bilateral 41 22 $123,295.00 $61,647.50 50% off $15,388.80 $85,443.44 $50,416.12 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $40,641.27 $112,608.00 $50,320.90 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 18 — — $23,636.00 $116,560.57 $50,199.94 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 18 — — $23,636.00 $95,993.22 $50,008.71 2026-07-01
481000444-10806601-2978 CDM Hb 37273-50 Revsc Evasc Fpvt Athrc Cplx Les 1st Vsl Bilateral 41 22 $121,335.00 $60,667.50 50% off $15,388.80 $84,085.16 $49,736.98 2026-07-01
481000440-10806601-2982 CDM Hb 37269-50 Revsc Evasc Fpvt St Plmt Cplx Les 1st Vsl Bilateral 41 22 $121,335.00 $60,667.50 50% off $15,388.80 $84,085.16 $49,736.98 2026-07-01
481000452-10806601-2970 CDM Hb 37282-50 Revsc Evasc Tpvt Angiop Cplx Les 1st Vsl Bilateral 41 22 $121,335.00 $60,667.50 50% off $15,388.80 $84,085.16 $49,736.98 2026-07-01
481000468-10806601-2954 CDM Hb 37298-50 Revsc Evasc Imvt Angiop Cplx Les 1st Vsl Bilateral 41 22 $121,335.00 $60,667.50 50% off $15,388.80 $84,085.16 $49,736.98 2026-07-01
481000432-10806601-2990 CDM Hb 37260-50 Revsc Evasc Ivt St Plmt Cplx Les 1st Vsl Bilateral 41 22 $121,335.00 $60,667.50 50% off $15,388.80 $84,085.16 $49,736.98 2026-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 18 — — $23,636.00 $115,000.45 $49,528.03 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 18 — — $35,197.59 $112,608.00 $49,386.82 2026-07-01
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 36 8 — — $12,955.45 $102,349.37 $49,366.57 2026-07-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 26 16 — — $45,057.20 $274,173.06 $49,337.63 2026-07-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 16 — — $45,057.20 $274,173.06 $49,337.63 2026-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 18 — — $41,990.00 $113,877.19 $49,044.27 2026-07-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 28 17 — — $11,806.38 $274,173.06 $48,887.07 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 30 17 — — $35,338.58 $95,171.89 $48,598.62 2026-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 18 — — $23,636.00 $102,225.63 $48,586.35 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 18 — — $23,636.00 $96,275.03 $47,815.99 2026-07-01
A0105 HCPCS Stroke M <41.50 And A >=84.50 36 9 — — $40,027.89 $128,557.23 $47,490.82 2026-07-01
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 35 20 — — $884.64 $274,173.06 $47,310.06 2026-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 18 — — $23,636.00 $109,114.29 $47,190.58 2026-07-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 36 8 — — $30,547.41 $86,518.14 $47,116.21 2026-07-01
1781 APR_DRG External Heart Assist Devices 36 8 — — $34,678.46 $74,384.82 $46,937.00 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 18 — — $23,636.00 $108,041.34 $46,651.27 2026-07-01
L7180 HCPCS Electronic Elbow Sequential 27 17 — — $20,995.68 $260,105.45 $46,592.43 2026-07-01
481000292-10806601-3103 CDM Hb Tcat Impl Wrls P-art Prs Snr 41 22 $143,595.00 $71,797.50 50% off $15,388.80 $178,543.27 $46,467.34 2026-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 18 — — $32,979.12 $88,939.47 $46,333.99 2026-07-01
245 MS_DRG Aicd Generator Procedures 31 18 — — $34,770.05 $93,670.15 $46,173.04 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 17 — — $33,511.96 $111,181.70 $46,126.20 2026-07-01
A0205 HCPCS Traumatic Brain Injury M <35.50 36 9 — — $38,788.89 $139,303.58 $46,076.51 2026-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 18 — — $39,363.00 $106,614.09 $45,916.22 2026-07-01
A2102 HCPCS Burns M <52.50 36 9 — — $32,276.79 $130,116.53 $45,506.54 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 18 — — $23,636.00 $101,243.26 $45,090.26 2026-07-01
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 11 8 — — $23,019.23 $54,196.83 $44,959.93 2026-07-01
481000262-10806601-3138 CDM Hb Transcath Insert Or Replace Leadless Pacemaker Ventr 33274 71 22 $79,950.00 $39,975.00 50% off $6,597.50 $119,896.95 $44,772.00 2026-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $38,411.36 $112,608.00 $44,736.43 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 18 — — $23,636.00 $85,823.25 $44,710.56 2026-07-01
6797900201 NDC Histrelin 50 Mg (65 Mcg/day) Implant Kit 39 20 $50,196.02 $25,098.01 50% off $9,035.28 $250,540.32 $44,467.30 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 17 — — $35,829.37 $96,468.29 $44,462.61 2026-07-01
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 8 — — $28,171.64 $75,379.85 $44,208.32 2026-07-01
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 36 9 — — $37,798.10 $128,633.93 $44,159.77 2026-07-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 36 8 — — $29,270.54 $87,764.80 $44,062.89 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 18 — — $23,636.00 $94,121.06 $43,878.32 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 31 18 — — $23,636.00 $92,047.62 $43,641.31 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 18 — — $23,636.00 $100,903.03 $43,456.60 2026-07-01
4401 APR_DRG Kidney Transplant 65 20 — — $24,612.02 $81,665.14 $43,448.45 2026-07-01
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 36 9 — — $36,527.80 $126,747.43 $43,135.18 2026-07-01
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 36 9 — — $36,098.11 $130,658.45 $43,060.76 2026-07-01
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 36 8 — — $25,002.13 $138,083.49 $43,028.81 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 18 — — $23,636.00 $99,030.90 $42,650.32 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 18 — — $15,491.00 $98,539.73 $42,438.78 2026-07-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 26 16 — — $37,828.21 $234,788.26 $42,250.32 2026-07-01
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 36 8 — — $7,797.22 $215,257.84 $42,134.16 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 18 — — $23,636.00 $85,428.71 $42,020.37 2026-07-01
A1004 HCPCS Amputation Lower Extremity M <47.50 36 9 — — $34,521.19 $120,827.23 $41,765.55 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 18 — — $23,636.00 $93,354.09 $41,660.64 2026-07-01
A1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 36 9 — — $35,368.05 $141,087.80 $41,480.56 2026-07-01
481000419-10806601-3003 CDM Hb 37294 Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 41 22 $127,720.00 $63,860.00 50% off $15,388.80 $114,107.68 $41,330.19 2026-07-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 11 8 — — $25,086.05 $59,062.97 $41,264.34 2026-07-01
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 36 8 — — $17,366.63 $60,405.02 $40,996.36 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 18 — — $23,636.00 $94,356.58 $40,637.19 2026-07-01
81 APR_DRG Autologous Bone Marrow Transplant 36 8 — — $28,436.21 $83,930.76 $40,491.86 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 18 — — $22,511.00 $91,667.15 $40,401.54 2026-07-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 36 8 — — $26,737.10 $77,252.73 $40,349.05 2026-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 18 — — $23,636.00 $93,394.36 $40,222.79 2026-07-01
799 MS_DRG Splenic Procedures With Mcc 31 18 — — $23,636.00 $92,995.77 $40,158.52 2026-07-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 36 8 — — $28,750.86 $67,250.54 $40,153.26 2026-07-01
A1504 HCPCS Pulmonary M <45.50 36 9 — — $35,171.98 $119,758.73 $40,057.75 2026-07-01
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 36 9 — — $34,193.70 $121,159.55 $39,947.16 2026-07-01
481000411-10806601-3011 CDM Hb 37286 Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 41 22 $123,295.00 $61,647.50 50% off $15,388.80 $114,107.68 $39,898.26 2026-07-01
481000415-10806601-3007 CDM Hb 37290 Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 41 22 $123,295.00 $61,647.50 50% off $15,388.80 $114,107.68 $39,898.26 2026-07-01
481000402-10806601-3020 CDM Hb 37277 Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 41 22 $123,295.00 $61,647.50 50% off $15,388.80 $114,107.68 $39,898.26 2026-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 11 8 — — $20,735.22 $48,819.31 $39,858.70 2026-07-01
A0604 HCPCS Neurological M <43.50 36 9 — — $32,739.86 $125,244.38 $39,457.99 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 18 — — $23,636.00 $92,021.45 $39,267.91 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 31 18 — — $23,636.00 $87,689.36 $39,215.61 2026-07-01
A0704 HCPCS Fracture Of Lower Extremity M <41.50 36 9 — — $33,202.92 $117,279.20 $39,106.94 2026-07-01
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 36 9 — — $31,801.21 $117,136.05 $38,958.21 2026-07-01
A1103 HCPCS Amputation Non-lower Extremity M <52.50 36 9 — — $28,762.09 $98,894.90 $38,947.57 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 18 — — $31,922.84 $86,149.38 $38,935.55 2026-07-01
332 MS_DRG Rectal Resection With Mcc 31 18 — — $23,636.00 $74,713.21 $38,922.66 2026-07-01
265 MS_DRG Aicd Lead Procedures 31 18 — — $27,574.30 $74,662.89 $38,896.45 2026-07-01
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 36 9 — — $31,738.64 $116,906.00 $38,879.51 2026-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 31 18 — — $23,636.00 $86,306.40 $38,788.48 2026-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 18 — — $27,484.37 $74,425.34 $38,772.69 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 18 — — $23,636.00 $90,255.99 $38,514.55 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 18 — — $23,636.00 $86,841.86 $38,464.52 2026-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 18 — — $23,636.00 $73,783.18 $38,438.15 2026-07-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 26 16 — — $35,044.60 $213,246.39 $38,373.83 2026-07-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 26 16 — — $34,284.44 $212,793.24 $38,292.29 2026-07-01
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 36 8 — — $19,390.54 $81,505.91 $38,259.24 2026-07-01
A1604 HCPCS Pain Syndrome M <43.50 36 9 — — $31,075.33 $102,499.15 $38,213.83 2026-07-01
A0104 HCPCS Stroke M >=41.50 And M <50.50 36 9 — — $32,118.26 $103,153.55 $38,107.50 2026-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 18 — — $23,636.00 $88,244.97 $38,005.03 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 18 — — $23,636.00 $86,654.65 $37,997.87 2026-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 11 — — $1,563.80 $79,629.10 $37,889.03 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 18 — — $23,636.00 $87,196.16 $37,553.37 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 17 — — $28,262.66 $80,218.93 $37,461.83 2026-07-01
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 36 9 — — $30,764.54 $106,900.98 $37,454.58 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 18 — — $23,636.00 $80,575.23 $37,415.51 2026-07-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 29 17 — — $26,205.57 $71,047.45 $37,012.95 2026-07-01
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 36 9 — — $31,008.58 $112,233.23 $36,988.82 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 18 — — $23,636.00 $86,407.05 $36,872.11 2026-07-01
A1404 HCPCS Cardiac M <45.50 36 9 — — $30,672.76 $109,753.70 $36,780.39 2026-07-01
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 11 8 — — $15,895.88 $46,746.85 $36,575.75 2026-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 18 — — $23,636.00 $85,415.33 $36,568.00 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 18 — — $23,636.00 $79,113.76 $36,516.20 2026-07-01
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 36 9 — — $31,215.08 $110,607.48 $36,467.76 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 17 — — $28,241.90 $76,426.32 $36,389.63 2026-07-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 36 8 — — $26,808.15 $63,421.44 $36,349.42 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 18 — — $23,636.00 $79,745.85 $36,306.71 2026-07-01
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 36 9 — — $29,410.80 $109,738.38 $36,233.81 2026-07-01
A0904 HCPCS Other Orthopedic M <44.5 36 9 — — $30,610.18 $114,937.70 $36,216.81 2026-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 18 — — $23,636.00 $70,413.33 $36,069.53 2026-07-01
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 36 9 — — $30,447.48 $105,648.43 $35,955.21 2026-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 18 — — $23,636.00 $73,604.01 $35,939.37 2026-07-01
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 36 9 — — $30,218.03 $112,417.28 $35,938.19 2026-07-01
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 36 9 — — $30,234.72 $108,582.95 $35,914.79 2026-07-01
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 11 8 — — $23,116.02 $54,424.71 $35,884.14 2026-07-01
481000465-10806601-2957 CDM Hb 37295-50 Revsc Evsc Tpvt St Athrc Cplx Les Ea Add Vsl Bilat 41 22 $95,805.00 $47,902.50 50% off $5,000.00 $66,392.87 $35,696.43 2026-07-01
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 37 9 — — $49.73 $108,030.83 $35,693.73 2026-07-01
793 MS_DRG Full Term Neonate With Major Problems 27 17 — — $9,181.00 $85,762.86 $35,580.63 2026-07-01
69930 HCPCS Implant Cochlear Device 35 20 — — $884.64 $205,239.26 $35,415.16 2026-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 18 — — $23,636.00 $82,028.65 $35,327.84 2026-07-01
481000031-10806601-3321 CDM Hb Icd Insert Generator, Leads Single/dual 33249 35 19 $277,025.00 $138,512.50 50% off $915.68 $195,384.12 $35,320.05 2026-07-01
481000438-10806601-2984 CDM Hb 37267-50 Revsc Evasc Fpvt St Plmt Sf Les 1st Vsl Bilateral 41 22 $80,890.00 $40,445.00 50% off $14,560.20 $56,056.77 $35,308.49 2026-07-01
481000450-10806601-2972 CDM Hb 37280-50 Revsc Evasc Tpvt Angiop Sf Les 1st Vsl Bilateral 41 22 $80,890.00 $40,445.00 50% off $14,560.20 $56,056.77 $35,308.49 2026-07-01
481000340-10806601-3074 CDM Hb 37236-50 Open/perq Place Arterial Stent 1st Lesion Bilateral 41 22 $80,890.00 $40,445.00 50% off $14,560.20 $56,056.77 $35,308.49 2026-07-01
481000342-10806601-3073 CDM Hb 37238-50 Open/perq Place Venous Stent 1st Lesion Bilateral 41 22 $80,890.00 $40,445.00 50% off $14,560.20 $56,056.77 $35,308.49 2026-07-01
481000466-10806601-2956 CDM Hb 37296-50 Revsc Evasc Imvt Angiop Sf Les 1st Vsl Bilateral 41 22 $80,890.00 $40,445.00 50% off $14,560.20 $56,056.77 $35,308.49 2026-07-01
481000430-10806601-2992 CDM Hb 37258-50 Revsc Evasc Ivt St Plmt Sf Les 1st Vsl Bilateral 41 22 $80,890.00 $40,445.00 50% off $14,560.20 $56,056.77 $35,308.49 2026-07-01
481000442-10806601-2980 CDM Hb 37271-50 Revsc Evasc Fpvt Athrc Sf Les 1st Vsl Bilateral 41 22 $80,890.00 $40,445.00 50% off $14,560.20 $56,056.77 $35,308.49 2026-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 31 18 — — $23,636.00 $68,323.77 $35,254.81 2026-07-01
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 36 9 — — $28,568.11 $106,594.23 $35,193.82 2026-07-01
1791 APR_DRG Defibrillator Implants 36 8 — — $24,152.92 $56,630.39 $35,139.63 2026-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 18 — — $23,636.00 $77,068.49 $35,133.72 2026-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 18 — — $23,636.00 $67,307.18 $35,064.41 2026-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 18 — — $24,332.33 $66,099.36 $35,053.96 2026-07-01
481000370-10806601-3052 CDM Hb 0915t Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 35 19 $167,725.00 $83,862.50 50% off $6,597.50 $195,384.12 $34,998.96 2026-07-01
481000024-10806601-3328 CDM Hb Icd Gen Insertion With Multiple Lead 33231 35 19 $149,855.00 $74,927.50 50% off $915.68 $195,384.12 $34,998.96 2026-07-01
481000034-10806601-3318 CDM Hb Icd Removal/rplcmnt Pace With Mult Lead 33264 35 19 $163,510.00 $81,755.00 50% off $915.68 $195,384.12 $34,998.96 2026-07-01
481000197-10806601-3182 CDM Hb C9607 Perc Revas Chrn Occl W D Stnt Sgl 41 22 $79,950.00 $39,975.00 50% off $14,391.00 $55,405.35 $34,898.18 2026-07-01
481000192-10806601-3190 CDM Hb C9602 Perc Arther W Drug Elud Stent Sgl Maj C Art/ Branch 41 22 $79,950.00 $39,975.00 50% off $14,391.00 $55,405.35 $34,898.18 2026-07-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 28 17 — — $16,951.90 $195,384.12 $34,838.42 2026-07-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 28 17 — — $24,147.15 $195,384.12 $34,838.42 2026-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 18 — — $23,636.00 $73,543.63 $34,762.12 2026-07-01
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 36 8 — — $24,266.60 $58,337.43 $34,690.01 2026-07-01
791 MS_DRG Prematurity With Major Problems 27 17 — — $25,562.67 $83,536.43 $34,656.94 2026-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 18 — — $24,002.34 $84,975.00 $34,641.35 2026-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 18 — — $24,466.46 $66,453.64 $34,619.75 2026-07-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 26 16 — — $31,565.78 $192,077.77 $34,564.53 2026-07-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 26 16 — — $31,565.78 $192,077.77 $34,564.53 2026-07-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 26 16 — — $30,098.76 $192,077.77 $34,564.53 2026-07-01
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