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

Magee Rehabilitation Hospital

Philadelphia, PA · CCN 393038 · Rates published

Your selected procedure

You selected 303 (MS_DRG)

ATHEROSCLEROSIS W-O MCC

This hospital’s price: $18,914 across 1 payer

Source: https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/231476328_jefferson-moss-magee-rehabilitation-hospital-center-city_standardcharges.csv · observed 2026-09-15

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.

17,193 distinct procedures filed
49 distinct payers
502,588 rate rows
2026-09-15 last MRF observed
Data quality

496,446 of 502,588 rate rows are consumer-grade (98.8%)

6,142 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 4,824
per-diem day rate — not a per-procedure price 664
placeholder amount (≤ $0.02) — excluded from medians 597
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/231476328_jefferson-moss-magee-rehabilitation-hospital-center-city_standardcharges.csv
Found on page https://www.jeffersonhealth.org/pay-my-bill/charge-description
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-23
Content fingerprint 75a5d052bd0d660b… · 174,311,871 bytes · first seen 2026-09-23

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
J1413
HCPCS 		Injectables Other Drugs-inj Delandistrogene Moxeparvovec-rokl Per Thr D-25 Q1 Cm… 1 $4,816,583.19 $4,816,583.19 $4,816,583.19 nat. median
$3,325,455
1.4× median
J3394
HCPCS 		Injectables Other Drugs-injection Lovotibeglogene Autotemcel Per Tx-25 Q1 Cms Ap… 1 $4,629,850.00 $4,629,850.00 $4,629,850.00 nat. median
$3,248,446
1.4× median
J3393
HCPCS 		Injectables Other Drugs-injection Betibeglogene Autotemcel Per Treatment-25 Q1 C… 1 $4,303,600.00 $4,303,600.00 $4,303,600.00 nat. median
$2,968,000
1.4× median
J3399
HCPCS 		Injectables Other Drugs-inj Avsx-101-xioi P-tx To 5x10^15 Vctr Gnoms-25 Q1 Cms A… 1 $3,485,015.19 $3,485,015.19 $3,485,015.19 nat. median
$2,455,111
1.4× median
J3392
HCPCS 		Injectables Other Drugs-injection Exagamglogene Autotemcel Per Treatment-25 Q1 C… 1 $3,381,400.00 $3,381,400.00 $3,381,400.00 nat. median
$2,332,000
1.4× median
Q2057
HCPCS 		Afamitresgene autoleucel__PER Therapeutic Dose 27 $813,967.38 $3,316,917.05 $854,665.74 nat. median
$813,967
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System W Mcc 1 $794,677.52 $794,677.52 $794,677.52 nat. median
$186,516
outlier · 4.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 30 $312,500.00 $2,492,649.67 $636,160.90 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 28 $587,977.76 $2,396,009.35 $617,376.64 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per… 28 $579,570.61 $2,361,750.25 $608,549.14 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive… 28 $567,977.78 $2,314,509.45 $596,376.67 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 30 $245,394.70 $2,292,191.13 $585,000.93 nat. median
$562,501
1.0× median
3
MS_DRG 		Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 1 $552,846.27 $552,846.27 $552,846.27 nat. median
$145,435
outlier · 3.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 28 $510,103.92 $2,078,673.47 $535,609.11 nat. median
$513,770
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs W Skin Graft 1 $515,748.28 $515,748.28 $515,748.28 nat. median
$131,925
outlier · 3.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System W-o Mcc 1 $478,772.53 $478,772.53 $478,772.53 nat. median
$65,418
outlier · 7.3×
215
MS_DRG 		Other Heart Assist System Implant 1 $463,262.53 $463,262.53 $463,262.53 nat. median
$73,023
outlier · 6.3×
453
MS_DRG 		Combined Anterior-posterior Spinal Fusion W Mcc 1 $368,168.17 $368,168.17 $368,168.17 nat. median
$2,106
outlier · 174.9×
4
MS_DRG 		Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W-o Maj O.r. 1 $342,574.16 $342,574.16 $342,574.16 nat. median
$97,418
outlier · 3.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $332,759.73 $332,759.73 $332,759.73 nat. median
$72,715
outlier · 4.6×
5
MS_DRG 		Liver Transplant W Mcc Or Intestinal Transplant 1 $326,669.20 $326,669.20 $326,669.20 nat. median
$69,922
outlier · 4.7×
32033927
CDM 		Hc Impl Ttl Rplcmt Heart Sys 9 $84,880.20 $403,180.95 $318,300.75 nat. median
$318,301
1.0× median
32033928
CDM 		Hc Remvl Repl Ttl Rplcmt Heart Sys 9 $84,880.20 $403,180.95 $318,300.75 nat. median
$318,301
1.0× median
36033927
CDM 		Hc Impl Ttl Rplcmt Heart Sys 9 $84,880.20 $403,180.95 $318,300.75 nat. median
$318,301
1.0× median
27800001
CDM 		Hc Jarvik Artificial Heart 9 $81,187.60 $385,641.10 $304,453.50 nat. median
$3,081
outlier · 98.8×
27801713
CDM 		Hc Novacor Implantables Kit 9 $80,665.60 $383,161.60 $302,496.00 nat. median
$302,496
1.0× median
456
MS_DRG 		Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W Mcc 1 $300,517.24 $300,517.24 $300,517.24 nat. median
$59,651
outlier · 5.0×
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc 1 $297,163.21 $297,163.21 $297,163.21 nat. median
$69,822
outlier · 4.3×
20
MS_DRG 		Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 1 $294,329.54 $294,329.54 $294,329.54 nat. median
$56,428
outlier · 5.2×
7
MS_DRG 		Lung Transplant 1 $288,160.64 $288,160.64 $288,160.64 nat. median
$70,649
outlier · 4.1×
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 1 $276,368.28 $276,368.28 $276,368.28 nat. median
$2,024
outlier · 136.6×
454
MS_DRG 		Combined Anterior-posterior Spinal Fusion W Cc 1 $251,394.92 $251,394.92 $251,394.92 nat. median
$2,106
outlier · 119.4×
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc W-o Card Cath W Mcc 1 $248,232.11 $248,232.11 $248,232.11 nat. median
$55,923
outlier · 4.4×
231
MS_DRG 		Coronary Bypass W Ptca W Mcc 1 $244,994.07 $244,994.07 $244,994.07 nat. median
$60,505
outlier · 4.0×
224
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 1 $242,066.35 $242,066.35 $242,066.35 nat. median
$2,024
outlier · 119.6×
233
MS_DRG 		Coronary Bypass W Cardiac Cath W Mcc 1 $231,606.19 $231,606.19 $231,606.19 nat. median
$55,935
outlier · 4.1×
226
MS_DRG 		Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 1 $219,732.33 $219,732.33 $219,732.33 nat. median
$2,024
outlier · 108.6×
228
MS_DRG 		Other Cardiothoracic Procedures W Mcc 1 $215,290.60 $215,290.60 $215,290.60 nat. median
$35,725
outlier · 6.0×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 27 $203,659.76 $829,913.53 $213,842.75 nat. median
$207,733
1.0× median
457
MS_DRG 		Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W Cc 1 $213,742.10 $213,742.10 $213,742.10 nat. median
$42,674
outlier · 5.0×
459
MS_DRG 		Spinal Fusion Except Cervical W Mcc 1 $213,663.74 $213,663.74 $213,663.74 nat. median
$2,106
outlier · 101.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma W Mcc 1 $210,977.39 $210,977.39 $210,977.39 nat. median
$52,327
outlier · 4.0×
27801899
CDM 		Hc Heartmate Iii Lvas W/add Contr 9 $55,215.60 $262,274.10 $207,058.50 nat. median
$207,058
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures W Pdx Hemorrhage W Cc 1 $202,050.05 $202,050.05 $202,050.05 nat. median
$38,173
outlier · 5.3×
223
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 1 $201,419.99 $201,419.99 $201,419.99 nat. median
$2,024
outlier · 99.5×
455
MS_DRG 		Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 1 $197,109.92 $197,109.92 $197,109.92 nat. median
$2,106
outlier · 93.6×
217
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc 1 $196,962.59 $196,962.59 $196,962.59 nat. median
$47,458
outlier · 4.2×
27801900
CDM 		Hc Ventricular Heartmate Ii 9 $51,247.20 $243,424.20 $192,177.00 nat. median
$192,177
1.0× median
837
MS_DRG 		Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 1 $189,596.28 $189,596.28 $189,596.28 nat. median
$32,992
outlier · 5.7×
16
MS_DRG 		Autologous Bone Marrow Transplant W Cc-mcc 1 $189,028.92 $189,028.92 $189,028.92 nat. median
$38,932
outlier · 4.9×

Other procedures at this hospital

Browse this hospital's 17,193 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1413 HCPCS Injectables Other Drugs-inj Delandistrogene Moxeparvovec-rokl Per Thr D-25 Q1 Cm… 1 1 — — $4,816,583.19 $4,816,583.19 $4,816,583.19 2026-09-15
J3394 HCPCS Injectables Other Drugs-injection Lovotibeglogene Autotemcel Per Tx-25 Q1 Cms Ap… 1 1 — — $4,629,850.00 $4,629,850.00 $4,629,850.00 2026-09-15
J3393 HCPCS Injectables Other Drugs-injection Betibeglogene Autotemcel Per Treatment-25 Q1 C… 1 1 — — $4,303,600.00 $4,303,600.00 $4,303,600.00 2026-09-15
J3399 HCPCS Injectables Other Drugs-inj Avsx-101-xioi P-tx To 5x10^15 Vctr Gnoms-25 Q1 Cms A… 1 1 — — $3,485,015.19 $3,485,015.19 $3,485,015.19 2026-09-15
J3392 HCPCS Injectables Other Drugs-injection Exagamglogene Autotemcel Per Treatment-25 Q1 C… 1 1 — — $3,381,400.00 $3,381,400.00 $3,381,400.00 2026-09-15
Q2057 HCPCS Afamitresgene autoleucel__PER Therapeutic Dose 35 27 — — $813,967.38 $3,316,917.05 $854,665.74 2026-09-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System W Mcc 1 1 — — $794,677.52 $794,677.52 $794,677.52 2026-09-15
Q2042 HCPCS Tisagenlecleucel Car-pos T__up To 600 Million Car-positive Viable T Cells 41 30 — — $312,500.00 $2,492,649.67 $636,160.90 2026-09-15
Q2056 HCPCS Ciltacabtagene Car-pos T__up To 100 Million Autologous B-cell Maturation Antigen… 36 28 — — $587,977.76 $2,396,009.35 $617,376.64 2026-09-15
Q2054 HCPCS Lisocabtagene Mara Car Pos t__Up To 110 Million Car-positive Viable T Cells Per … 36 28 — — $579,570.61 $2,361,750.25 $608,549.14 2026-09-15
Q2055 HCPCS Idecabtagene Vicleucel car__UP To 510 Million Autologous Anti-bcma Car-positive … 36 28 — — $567,977.78 $2,314,509.45 $596,376.67 2026-09-15
Q2041 HCPCS Axicabtagene Ciloleucel car+__UP To 200 Million Car T Cells 41 30 — — $245,394.70 $2,292,191.13 $585,000.93 2026-09-15
3 MS_DRG Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 1 1 — — $552,846.27 $552,846.27 $552,846.27 2026-09-15
Q2053 HCPCS Brexucabtagene Car Pos T__up To 200 Million Autologous Anti-cd19 Car Positive Vi… 36 28 — — $510,103.92 $2,078,673.47 $535,609.11 2026-09-15
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs W Skin Graft 1 1 — — $515,748.28 $515,748.28 $515,748.28 2026-09-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System W-o Mcc 1 1 — — $478,772.53 $478,772.53 $478,772.53 2026-09-15
215 MS_DRG Other Heart Assist System Implant 1 1 — — $463,262.53 $463,262.53 $463,262.53 2026-09-15
453 MS_DRG Combined Anterior-posterior Spinal Fusion W Mcc 1 1 — — $368,168.17 $368,168.17 $368,168.17 2026-09-15
4 MS_DRG Trach W Mv 96+ Hrs Or Pdx Exc Face Mouth & Neck W-o Maj O.r. 1 1 — — $342,574.16 $342,574.16 $342,574.16 2026-09-15
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $332,759.73 $332,759.73 $332,759.73 2026-09-15
5 MS_DRG Liver Transplant W Mcc Or Intestinal Transplant 1 1 — — $326,669.20 $326,669.20 $326,669.20 2026-09-15
32033928 CDM Hc Remvl Repl Ttl Rplcmt Heart Sys 12 9 $424,401.00 — $84,880.20 $403,180.95 $318,300.75 2026-09-15
32033927 CDM Hc Impl Ttl Rplcmt Heart Sys 12 9 $424,401.00 — $84,880.20 $403,180.95 $318,300.75 2026-09-15
36033927 CDM Hc Impl Ttl Rplcmt Heart Sys 12 9 $424,401.00 — $84,880.20 $403,180.95 $318,300.75 2026-09-15
27800001 CDM Hc Jarvik Artificial Heart 12 9 $405,938.00 — $81,187.60 $385,641.10 $304,453.50 2026-09-15
27801713 CDM Hc Novacor Implantables Kit 12 9 $403,328.00 — $80,665.60 $383,161.60 $302,496.00 2026-09-15
456 MS_DRG Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W Mcc 1 1 — — $300,517.24 $300,517.24 $300,517.24 2026-09-15
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc 1 1 — — $297,163.21 $297,163.21 $297,163.21 2026-09-15
20 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 1 1 — — $294,329.54 $294,329.54 $294,329.54 2026-09-15
7 MS_DRG Lung Transplant 1 1 — — $288,160.64 $288,160.64 $288,160.64 2026-09-15
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W Mcc 1 1 — — $276,368.28 $276,368.28 $276,368.28 2026-09-15
454 MS_DRG Combined Anterior-posterior Spinal Fusion W Cc 1 1 — — $251,394.92 $251,394.92 $251,394.92 2026-09-15
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W-o Card Cath W Mcc 1 1 — — $248,232.11 $248,232.11 $248,232.11 2026-09-15
231 MS_DRG Coronary Bypass W Ptca W Mcc 1 1 — — $244,994.07 $244,994.07 $244,994.07 2026-09-15
224 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W Mcc 1 1 — — $242,066.35 $242,066.35 $242,066.35 2026-09-15
233 MS_DRG Coronary Bypass W Cardiac Cath W Mcc 1 1 — — $231,606.19 $231,606.19 $231,606.19 2026-09-15
226 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W Mcc 1 1 — — $219,732.33 $219,732.33 $219,732.33 2026-09-15
228 MS_DRG Other Cardiothoracic Procedures W Mcc 1 1 — — $215,290.60 $215,290.60 $215,290.60 2026-09-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ td__Per Therapeutic Dose 35 27 — — $203,659.76 $829,913.53 $213,842.75 2026-09-15
457 MS_DRG Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W Cc 1 1 — — $213,742.10 $213,742.10 $213,742.10 2026-09-15
459 MS_DRG Spinal Fusion Except Cervical W Mcc 1 1 — — $213,663.74 $213,663.74 $213,663.74 2026-09-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma W Mcc 1 1 — — $210,977.39 $210,977.39 $210,977.39 2026-09-15
27801899 CDM Hc Heartmate Iii Lvas W/add Contr 12 9 $276,078.00 — $55,215.60 $262,274.10 $207,058.50 2026-09-15
21 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Cc 1 1 — — $202,050.05 $202,050.05 $202,050.05 2026-09-15
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami-hf-shock W-o Mcc 1 1 — — $201,419.99 $201,419.99 $201,419.99 2026-09-15
455 MS_DRG Combined Anterior-posterior Spinal Fusion W-o Cc-mcc 1 1 — — $197,109.92 $197,109.92 $197,109.92 2026-09-15
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc 1 1 — — $196,962.59 $196,962.59 $196,962.59 2026-09-15
27801900 CDM Hc Ventricular Heartmate Ii 12 9 $256,236.00 — $51,247.20 $243,424.20 $192,177.00 2026-09-15
837 MS_DRG Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 1 1 — — $189,596.28 $189,596.28 $189,596.28 2026-09-15
16 MS_DRG Autologous Bone Marrow Transplant W Cc-mcc 1 1 — — $189,028.92 $189,028.92 $189,028.92 2026-09-15
653 MS_DRG Major Bladder Procedures W Mcc 1 1 — — $186,690.51 $186,690.51 $186,690.51 2026-09-15
225 MS_DRG Cardiac Defib Implant W Cardiac Cath W-o Ami-hf-shock W-o Mcc 1 1 — — $185,587.13 $185,587.13 $185,587.13 2026-09-15
870 MS_DRG Septicemia Or Severe Sepsis W Mv 96+ Hours 1 1 — — $185,527.57 $185,527.57 $185,527.57 2026-09-15
820 MS_DRG Lymphoma & Leukemia W Major O.r. Procedure W Mcc 1 1 — — $184,248.65 $184,248.65 $184,248.65 2026-09-15
235 MS_DRG Coronary Bypass W-o Cardiac Cath W Mcc 1 1 — — $183,305.14 $183,305.14 $183,305.14 2026-09-15
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhal Inj W Cc-mcc 1 1 — — $181,004.34 $181,004.34 $181,004.34 2026-09-15
232 MS_DRG Coronary Bypass W Ptca W-o Mcc 1 1 — — $175,992.12 $175,992.12 $175,992.12 2026-09-15
326 MS_DRG Stomach Esophageal & Duodenal Proc W Mcc 1 1 — — $175,578.35 $175,578.35 $175,578.35 2026-09-15
227 MS_DRG Cardiac Defibrillator Implant W-o Cardiac Cath W-o Mcc 1 1 — — $173,647.44 $173,647.44 $173,647.44 2026-09-15
969 MS_DRG HIV W Extensive O.r. Procedure W Mcc 1 1 — — $172,077.00 $172,077.00 $172,077.00 2026-09-15
28 MS_DRG Spinal Procedures W Mcc 1 1 — — $170,331.03 $170,331.03 $170,331.03 2026-09-15
405 MS_DRG Pancreas Liver & Shunt Procedures W Mcc 1 1 — — $170,312.22 $170,312.22 $170,312.22 2026-09-15
218 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W-o Cc-mcc 1 1 — — $170,089.67 $170,089.67 $170,089.67 2026-09-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $169,443.94 $169,443.94 $169,443.94 2026-09-15
834 MS_DRG Acute Leukemia W-o Major O.r. Procedure W Mcc 1 1 — — $168,729.25 $168,729.25 $168,729.25 2026-09-15
853 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Mcc 1 1 — — $167,672.89 $167,672.89 $167,672.89 2026-09-15
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W-o Card Cath W Cc 1 1 — — $165,873.63 $165,873.63 $165,873.63 2026-09-15
466 MS_DRG Revision Of Hip Or Knee Replacement W Mcc 1 1 — — $165,343.88 $165,343.88 $165,343.88 2026-09-15
207 MS_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 1 1 — — $164,742.04 $164,742.04 $164,742.04 2026-09-15
23 MS_DRG Cranio W Major Dev Impl-acute Complex Cns Pdx W Mcc Or Chemo Implant 1 1 — — $161,704.61 $161,704.61 $161,704.61 2026-09-15
8 MS_DRG Simultaneous Pancreas-kidney Transplant 1 1 — — $161,516.53 $161,516.53 $161,516.53 2026-09-15
458 MS_DRG Spinal Fus Exc Cerv W Spinal Curv-malig-infec Or 9+ Fus W-o Cc-mcc 1 1 — — $161,049.48 $161,049.48 $161,049.48 2026-09-15
329 MS_DRG Major Small & Large Bowel Procedures W Mcc 1 1 — — $160,717.21 $160,717.21 $160,717.21 2026-09-15
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Mcc 1 1 — — $160,341.06 $160,341.06 $160,341.06 2026-09-15
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $159,745.49 $159,745.49 $159,745.49 2026-09-15
163 MS_DRG Major Chest Procedures W Mcc 1 1 — — $159,714.14 $159,714.14 $159,714.14 2026-09-15
32033929 CDM Hc Remv Total Rplcmt Hrt Sys Transp 12 9 $212,200.00 — $42,440.00 $201,590.00 $159,150.00 2026-09-15
799 MS_DRG Splenectomy W Mcc 1 1 — — $158,733.01 $158,733.01 $158,733.01 2026-09-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 1 1 — — $157,717.40 $157,717.40 $157,717.40 2026-09-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 1 1 — — $157,526.19 $157,526.19 $157,526.19 2026-09-15
471 MS_DRG Cervical Spinal Fusion W Mcc 1 1 — — $154,987.16 $154,987.16 $154,987.16 2026-09-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $154,595.34 $154,595.34 $154,595.34 2026-09-15
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Mcc 1 1 — — $154,473.09 $154,473.09 $154,473.09 2026-09-15
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 1 1 — — $152,344.69 $152,344.69 $152,344.69 2026-09-15
234 MS_DRG Coronary Bypass W Cardiac Cath W-o Mcc 1 1 — — $151,307.14 $151,307.14 $151,307.14 2026-09-15
856 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 1 1 — — $150,065.84 $150,065.84 $150,065.84 2026-09-15
6 MS_DRG Liver Transplant W-o Mcc 1 1 — — $149,329.21 $149,329.21 $149,329.21 2026-09-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 1 1 — — $148,097.31 $148,097.31 $148,097.31 2026-09-15
22 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W-o Cc-mcc 1 1 — — $147,680.41 $147,680.41 $147,680.41 2026-09-15
332 MS_DRG Rectal Resection W Mcc 1 1 — — $147,551.89 $147,551.89 $147,551.89 2026-09-15
245 MS_DRG Aicd Generator Procedures 1 1 — — $147,395.16 $147,395.16 $147,395.16 2026-09-15
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W-o Card Cath W-o Cc-mcc 1 1 — — $145,520.67 $145,520.67 $145,520.67 2026-09-15
823 MS_DRG Lymphoma & Non-acute Leukemia W Other O.r. Proc W Mcc 1 1 — — $140,586.81 $140,586.81 $140,586.81 2026-09-15
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Mcc 1 1 — — $139,245.20 $139,245.20 $139,245.20 2026-09-15
229 MS_DRG Other Cardiothoracic Procedures W Cc 1 1 — — $139,216.99 $139,216.99 $139,216.99 2026-09-15
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Mcc 1 1 — — $134,558.97 $134,558.97 $134,558.97 2026-09-15
17 MS_DRG Autologous Bone Marrow Transplant W-o Cc-mcc 1 1 — — $134,493.15 $134,493.15 $134,493.15 2026-09-15
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 1 1 — — $132,314.60 $132,314.60 $132,314.60 2026-09-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures W Mcc 1 1 — — $132,226.83 $132,226.83 $132,226.83 2026-09-15
335 MS_DRG Peritoneal Adhesiolysis W Mcc 1 1 — — $130,446.38 $130,446.38 $130,446.38 2026-09-15
10 MS_DRG Pancreas Transplant 1 1 — — $130,255.17 $130,255.17 $130,255.17 2026-09-15
408 MS_DRG Biliary Tract Proc Except Only Cholecyst W Or W-o C.d.e. W Mcc 1 1 — — $129,089.10 $129,089.10 $129,089.10 2026-09-15
616 MS_DRG Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Mcc 1 1 — — $127,807.05 $127,807.05 $127,807.05 2026-09-15
901 MS_DRG Wound Debridements For Injuries W Mcc 1 1 — — $126,374.53 $126,374.53 $126,374.53 2026-09-15
460 MS_DRG Spinal Fusion Except Cervical W-o Mcc 1 1 — — $126,076.75 $126,076.75 $126,076.75 2026-09-15
31 MS_DRG Ventricular Shunt Procedures W Mcc 1 1 — — $123,691.32 $123,691.32 $123,691.32 2026-09-15
907 MS_DRG Other O.r. Procedures For Injuries W Mcc 1 1 — — $122,986.03 $122,986.03 $122,986.03 2026-09-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma W Cc 1 1 — — $121,415.60 $121,415.60 $121,415.60 2026-09-15
356 MS_DRG Other Digestive System O.r. Procedures W Mcc 1 1 — — $120,331.02 $120,331.02 $120,331.02 2026-09-15
956 MS_DRG Limb Reattachment Hip & Femur Proc For Multiple Significant Trauma 1 1 — — $120,121.01 $120,121.01 $120,121.01 2026-09-15
236 MS_DRG Coronary Bypass W-o Cardiac Cath W-o Mcc 1 1 — — $119,149.28 $119,149.28 $119,149.28 2026-09-15
40 MS_DRG Periph-cranial Nerve & Other Nerv Syst Proc W Mcc 1 1 — — $118,647.74 $118,647.74 $118,647.74 2026-09-15
242 MS_DRG Permanent Cardiac Pacemaker Implant W Mcc 1 1 — — $117,519.29 $117,519.29 $117,519.29 2026-09-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Mcc 1 1 — — $116,726.23 $116,726.23 $116,726.23 2026-09-15
24 MS_DRG Cranio W Major Dev Impl-acute Complex Cns Pdx W-o Mcc 1 1 — — $116,359.49 $116,359.49 $116,359.49 2026-09-15
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 1 1 — — $115,616.59 $115,616.59 $115,616.59 2026-09-15
420 MS_DRG Hepatobiliary Diagnostic Procedures W Mcc 1 1 — — $115,309.40 $115,309.40 $115,309.40 2026-09-15
166 MS_DRG Other Resp System O.r. Procedures W Mcc 1 1 — — $115,168.34 $115,168.34 $115,168.34 2026-09-15
230 MS_DRG Other Cardiothoracic Procedures W-o Cc-mcc 1 1 — — $114,942.65 $114,942.65 $114,942.65 2026-09-15
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device Replacement Only 28 24 — — $102,831.00 $441,092.00 $113,656.00 2026-09-15
414 MS_DRG Cholecystectomy Except By Laparoscope W-o C.d.e. W Mcc 1 1 — — $113,497.60 $113,497.60 $113,497.60 2026-09-15
619 MS_DRG O.r. Procedures For Obesity W Mcc 1 1 — — $113,472.52 $113,472.52 $113,472.52 2026-09-15
411 MS_DRG Cholecystectomy W C.d.e. W Mcc 1 1 — — $112,745.29 $112,745.29 $112,745.29 2026-09-15
344 MS_DRG Minor Small & Large Bowel Procedures W Mcc 1 1 — — $112,739.02 $112,739.02 $112,739.02 2026-09-15
793 MS_DRG Full Term Neonate W Major Problems 1 1 — — $110,648.25 $110,648.25 $110,648.25 2026-09-15
656 MS_DRG Kidney & Ureter Procedures For Neoplasm W Mcc 1 1 — — $110,403.75 $110,403.75 $110,403.75 2026-09-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W-o Mcc 1 1 — — $110,306.57 $110,306.57 $110,306.57 2026-09-15
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W Mcc 1 1 — — $109,629.50 $109,629.50 $109,629.50 2026-09-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Mcc 1 1 — — $108,529.26 $108,529.26 $108,529.26 2026-09-15
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 1 1 — — $107,758.14 $107,758.14 $107,758.14 2026-09-15
791 MS_DRG Prematurity W Major Problems 1 1 — — $107,714.26 $107,714.26 $107,714.26 2026-09-15
34 MS_DRG Carotid Artery Stent Procedure W Mcc 1 1 — — $107,030.92 $107,030.92 $107,030.92 2026-09-15
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $107,024.65 $107,024.65 $107,024.65 2026-09-15
467 MS_DRG Revision Of Hip Or Knee Replacement W Cc 1 1 — — $107,015.24 $107,015.24 $107,015.24 2026-09-15
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm W Mcc 1 1 — — $106,736.26 $106,736.26 $106,736.26 2026-09-15
238 MS_DRG Major Cardiovasc Procedures W-o Mcc 1 1 — — $105,247.33 $105,247.33 $105,247.33 2026-09-15
628 MS_DRG Other Endocrine Nutrit & Metab O.r. Proc W Mcc 1 1 — — $105,056.12 $105,056.12 $105,056.12 2026-09-15
622 MS_DRG Skin Grafts & Wound Debrid For Endoc Nutrit & Metab Dis W Mcc 1 1 — — $105,024.77 $105,024.77 $105,024.77 2026-09-15
81200013 CDM Hc Herat/lung Procurement 12 9 $140,000.00 — $28,000.00 $133,000.00 $105,000.00 2026-09-15
36133276 CDM Hc Insertion Phrenic Nerve Stimulator System 12 9 $139,894.00 — $27,978.80 $132,899.30 $104,920.50 2026-09-15
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 1 1 — — $104,764.60 $104,764.60 $104,764.60 2026-09-15
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc 1 1 — — $104,507.56 $104,507.56 $104,507.56 2026-09-15
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 1 1 — — $102,899.51 $102,899.51 $102,899.51 2026-09-15
933 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs W-o Skin Graft 1 1 — — $102,767.86 $102,767.86 $102,767.86 2026-09-15
485 MS_DRG Knee Procedures W Pdx Of Infection W Mcc 1 1 — — $102,560.98 $102,560.98 $102,560.98 2026-09-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 1 1 — — $101,219.37 $101,219.37 $101,219.37 2026-09-15
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 1 1 — — $100,191.22 $100,191.22 $100,191.22 2026-09-15
K1007 HCPCS Bilateral Hip Knee Ankle Foot Device Powered Includes Pelvic Component Single Or… 28 24 — — $90,327.00 $387,455.00 $99,835.10 2026-09-15
492 MS_DRG Lower Extrem & Humer Proc Except Hipfootfemur W Mcc 1 1 — — $99,777.45 $99,777.45 $99,777.45 2026-09-15
246 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels-stents 1 1 — — $99,774.32 $99,774.32 $99,774.32 2026-09-15
829 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Other O.r. Proc W Cc-mcc 1 1 — — $99,583.11 $99,583.11 $99,583.11 2026-09-15
904 MS_DRG Skin Grafts For Injuries W Cc-mcc 1 1 — — $99,485.93 $99,485.93 $99,485.93 2026-09-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian-adnexal Malig W Mcc 1 1 — — $99,200.69 $99,200.69 $99,200.69 2026-09-15
802 MS_DRG Other O.r. Proc Of The Blood & Blood Forming Organs W Mcc 1 1 — — $99,185.01 $99,185.01 $99,185.01 2026-09-15
652 MS_DRG Kidney Transplant 1 1 — — $98,833.94 $98,833.94 $98,833.94 2026-09-15
252 MS_DRG Other Vascular Procedures W Mcc 1 1 — — $98,667.80 $98,667.80 $98,667.80 2026-09-15
665 MS_DRG Prostatectomy W Mcc 1 1 — — $98,470.32 $98,470.32 $98,470.32 2026-09-15
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 1 1 — — $97,852.81 $97,852.81 $97,852.81 2026-09-15
939 MS_DRG O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 1 1 — — $97,743.10 $97,743.10 $97,743.10 2026-09-15
673 MS_DRG Other Kidney & Urinary Tract Procedures W Mcc 1 1 — — $97,642.79 $97,642.79 $97,642.79 2026-09-15
654 MS_DRG Major Bladder Procedures W Cc 1 1 — — $96,997.06 $96,997.06 $96,997.06 2026-09-15
840 MS_DRG Lymphoma & Non-acute Leukemia W Mcc 1 1 — — $96,680.47 $96,680.47 $96,680.47 2026-09-15
29 MS_DRG Spinal Procedures W Cc Or Spinal Neurostimulators 1 1 — — $96,489.26 $96,489.26 $96,489.26 2026-09-15
480 MS_DRG Hip & Femur Procedures Except Major Joint W Mcc 1 1 — — $96,213.41 $96,213.41 $96,213.41 2026-09-15
37 MS_DRG Extracranial Procedures W Mcc 1 1 — — $96,047.28 $96,047.28 $96,047.28 2026-09-15
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Cc 1 1 — — $94,799.71 $94,799.71 $94,799.71 2026-09-15
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 21 — — $90,182.80 $162,329.00 $94,691.90 2026-09-15
500 MS_DRG Soft Tissue Procedures W Mcc 1 1 — — $94,401.61 $94,401.61 $94,401.61 2026-09-15
250 MS_DRG Perc Cardiovasc Proc W-o Coronary Artery Stent W Mcc 1 1 — — $93,664.98 $93,664.98 $93,664.98 2026-09-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Cc 1 1 — — $93,542.73 $93,542.73 $93,542.73 2026-09-15
662 MS_DRG Minor Bladder Procedures W Mcc 1 1 — — $93,414.21 $93,414.21 $93,414.21 2026-09-15
81200012 CDM Hc Single Lung Procurement 12 9 $123,278.00 — $24,655.60 $117,114.10 $92,458.50 2026-09-15
81200011 CDM Hc Double Lung Procurement 12 9 $123,278.00 — $24,655.60 $117,114.10 $92,458.50 2026-09-15
248 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves-stents 1 1 — — $92,404.87 $92,404.87 $92,404.87 2026-09-15
472 MS_DRG Cervical Spinal Fusion W Cc 1 1 — — $91,806.16 $91,806.16 $91,806.16 2026-09-15
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc 1 1 — — $91,248.21 $91,248.21 $91,248.21 2026-09-15
81200005 CDM Hc Heart Trans Procurement Cadaver 12 9 $120,332.00 — $24,066.40 $114,315.40 $90,249.00 2026-09-15
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $89,348.64 $89,348.64 $89,348.64 2026-09-15
B1904 HCPCS Guillain-barr‚ M <38.50 25 21 — — $84,429.00 $151,972.00 $88,650.40 2026-09-15
838 MS_DRG Chemo W Acute Leukemia As Sdx W Cc Or High Dose Chemo Agent 1 1 — — $88,336.16 $88,336.16 $88,336.16 2026-09-15
876 MS_DRG O.r. Procedure W Principal Diagnoses Of Mental Illness 1 1 — — $88,307.95 $88,307.95 $88,307.95 2026-09-15
288 MS_DRG Acute & Subacute Endocarditis W Mcc 1 1 — — $87,630.88 $87,630.88 $87,630.88 2026-09-15
353 MS_DRG Hernia Procedures Except Inguinal & Femoral W Mcc 1 1 — — $87,408.32 $87,408.32 $87,408.32 2026-09-15
406 MS_DRG Pancreas Liver & Shunt Procedures W Cc 1 1 — — $86,724.98 $86,724.98 $86,724.98 2026-09-15
468 MS_DRG Revision Of Hip Or Knee Replacement W-o Cc-mcc 1 1 — — $86,590.19 $86,590.19 $86,590.19 2026-09-15
61 MS_DRG Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc 1 1 — — $85,624.73 $85,624.73 $85,624.73 2026-09-15
258 MS_DRG Cardiac Pacemaker Device Replacement W Mcc 1 1 — — $85,352.02 $85,352.02 $85,352.02 2026-09-15
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $85,066.77 $85,066.77 $85,066.77 2026-09-15
265 MS_DRG Aicd Lead Procedures 1 1 — — $84,289.39 $84,289.39 $84,289.39 2026-09-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Cc 1 1 — — $84,267.45 $84,267.45 $84,267.45 2026-09-15
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 1 1 — — $83,972.80 $83,972.80 $83,972.80 2026-09-15
963 MS_DRG Other Multiple Significant Trauma W Mcc 1 1 — — $83,797.26 $83,797.26 $83,797.26 2026-09-15
243 MS_DRG Permanent Cardiac Pacemaker Implant W Cc 1 1 — — $83,743.97 $83,743.97 $83,743.97 2026-09-15
327 MS_DRG Stomach Esophageal & Duodenal Proc W Cc 1 1 — — $83,374.09 $83,374.09 $83,374.09 2026-09-15
483 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W Cc-mcc 1 1 — — $83,029.28 $83,029.28 $83,029.28 2026-09-15
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Mcc 1 1 — — $82,765.98 $82,765.98 $82,765.98 2026-09-15
974 MS_DRG HIV W Major Related Condition W Mcc 1 1 — — $82,549.69 $82,549.69 $82,549.69 2026-09-15
749 MS_DRG Other Female Reproductive System O.r. Procedures W Cc-mcc 1 1 — — $82,248.77 $82,248.77 $82,248.77 2026-09-15
867 MS_DRG Other Infectious & Parasitic Diseases Diagnoses W Mcc 1 1 — — $81,935.31 $81,935.31 $81,935.31 2026-09-15
579 MS_DRG Other Skin Subcut Tiss & Breast Proc W Mcc 1 1 — — $81,831.87 $81,831.87 $81,831.87 2026-09-15
164 MS_DRG Major Chest Procedures W Cc 1 1 — — $81,769.18 $81,769.18 $81,769.18 2026-09-15
330 MS_DRG Major Small & Large Bowel Procedures W Cc 1 1 — — $80,273.97 $80,273.97 $80,273.97 2026-09-15
668 MS_DRG Transurethral Procedures W Mcc 1 1 — — $80,161.13 $80,161.13 $80,161.13 2026-09-15
734 MS_DRG Pelvic Evisceration Rad Hysterectomy & Rad Vulvectomy W Cc-mcc 1 1 — — $80,079.63 $80,079.63 $80,079.63 2026-09-15
614 MS_DRG Adrenal & Pituitary Procedures W Cc-mcc 1 1 — — $79,791.24 $79,791.24 $79,791.24 2026-09-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma W-o Cc-mcc 1 1 — — $79,590.63 $79,590.63 $79,590.63 2026-09-15
800 MS_DRG Splenectomy W Cc 1 1 — — $79,098.50 $79,098.50 $79,098.50 2026-09-15
347 MS_DRG Anal & Stomal Procedures W Mcc 1 1 — — $78,935.50 $78,935.50 $78,935.50 2026-09-15
253 MS_DRG Other Vascular Procedures W Cc 1 1 — — $78,904.15 $78,904.15 $78,904.15 2026-09-15
48133289 CDM Hc Tcat Impl Wrls P-art Prs Snr 12 9 $104,663.00 $34,436.33 67% off $20,932.60 $99,429.85 $78,497.25 2026-09-15
854 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Cc 1 1 — — $78,023.33 $78,023.33 $78,023.33 2026-09-15
417 MS_DRG Laparoscopic Cholecystectomy W-o C.d.e. W Mcc 1 1 — — $77,687.93 $77,687.93 $77,687.93 2026-09-15
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 21 — — $73,713.20 $132,684.00 $77,398.80 2026-09-15
350 MS_DRG Inguinal & Femoral Hernia Procedures W Mcc 1 1 — — $77,104.89 $77,104.89 $77,104.89 2026-09-15
333 MS_DRG Rectal Resection W Cc 1 1 — — $76,691.12 $76,691.12 $76,691.12 2026-09-15
J9183 HCPCS Gemcitabine Intravesical Sys__225 Mg 35 27 — — $72,984.24 $297,410.78 $76,633.45 2026-09-15
545 MS_DRG Connective Tissue Disorders W Mcc 1 1 — — $76,625.30 $76,625.30 $76,625.30 2026-09-15
409 MS_DRG Biliary Tract Proc Except Only Cholecyst W Or W-o C.d.e. W Cc 1 1 — — $76,286.76 $76,286.76 $76,286.76 2026-09-15
846 MS_DRG Chemotherapy W-o Acute Leukemia As Secondary Diagnosis W Mcc 1 1 — — $76,286.76 $76,286.76 $76,286.76 2026-09-15
36033270 CDM Hc Insert Sq Icd W Electrode 12 9 $101,040.00 $37,684.48 63% off $20,208.00 $95,988.00 $75,780.00 2026-09-15
570 MS_DRG Skin Debridement W Mcc 1 1 — — $75,713.13 $75,713.13 $75,713.13 2026-09-15
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 21 — — $71,773.40 $129,192.00 $75,362.00 2026-09-15
821 MS_DRG Lymphoma & Leukemia W Major O.r. Procedure W Cc 1 1 — — $75,308.76 $75,308.76 $75,308.76 2026-09-15
625 MS_DRG Thyroid Parathyroid & Thyroglossal Procedures W Mcc 1 1 — — $75,258.61 $75,258.61 $75,258.61 2026-09-15
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 25 21 — — $71,463.00 $128,633.00 $75,036.10 2026-09-15
27000022 CDM Hc Catheter Impella 12 9 $99,493.00 — $19,898.60 $94,518.35 $74,619.75 2026-09-15
412 MS_DRG Cholecystectomy W C.d.e. W Cc 1 1 — — $74,161.50 $74,161.50 $74,161.50 2026-09-15
336 MS_DRG Peritoneal Adhesiolysis W Cc 1 1 — — $73,703.85 $73,703.85 $73,703.85 2026-09-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures W Cc 1 1 — — $72,562.86 $72,562.86 $72,562.86 2026-09-15
33377371 CDM Hc Srs 1 Session Multi Cobalt-60 12 9 $96,720.00 $8,842.53 91% off $19,344.00 $91,884.00 $72,540.00 2026-09-15
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device Elbow Wrist Hand Finger Si… 28 24 — — $65,361.60 $280,367.00 $72,241.80 2026-09-15
36133249 CDM Hc Icd Lead Insert/repos Sgl Cham 12 9 $96,229.00 $37,684.48 61% off $19,245.80 $91,417.55 $72,171.75 2026-09-15
208 MS_DRG Respiratory System Diagnosis W Ventilator Support <96 Hours 1 1 — — $71,691.44 $71,691.44 $71,691.44 2026-09-15
95 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W Cc 1 1 — — $71,428.13 $71,428.13 $71,428.13 2026-09-15
970 MS_DRG HIV W Extensive O.r. Procedure W-o Mcc 1 1 — — $71,421.86 $71,421.86 $71,421.86 2026-09-15
827 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Cc 1 1 — — $71,299.61 $71,299.61 $71,299.61 2026-09-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 1 1 — — $71,208.71 $71,208.71 $71,208.71 2026-09-15
503 MS_DRG Foot Procedures W Mcc 1 1 — — $70,791.81 $70,791.81 $70,791.81 2026-09-15
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures W-o Cc-mcc 1 1 — — $70,544.17 $70,544.17 $70,544.17 2026-09-15
473 MS_DRG Cervical Spinal Fusion W-o Cc-mcc 1 1 — — $70,396.85 $70,396.85 $70,396.85 2026-09-15
674 MS_DRG Other Kidney & Urinary Tract Procedures W Cc 1 1 — — $70,146.08 $70,146.08 $70,146.08 2026-09-15
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W-o Cc-mcc 1 1 — — $69,895.31 $69,895.31 $69,895.31 2026-09-15
715 MS_DRG Other Male Reproductive System O.r. Proc For Malignancy W Cc-mcc 1 1 — — $69,801.27 $69,801.27 $69,801.27 2026-09-15
27800005 CDM Hc Ventricular Heartmate Iii 12 9 $93,000.00 — $18,600.00 $88,350.00 $69,750.00 2026-09-15
808 MS_DRG Major Hematol-immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 1 1 — — $69,641.41 $69,641.41 $69,641.41 2026-09-15
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue W Cc 1 1 — — $69,321.68 $69,321.68 $69,321.68 2026-09-15
3610427T CDM Hc Insj/rplc Nstim Apnea Pls Gn 12 9 $92,399.00 — $18,479.80 $87,779.05 $69,299.25 2026-09-15
929 MS_DRG Full Thickness Burn W Skin Graft Or Inhal Inj W-o Cc-mcc 1 1 — — $69,243.31 $69,243.31 $69,243.31 2026-09-15
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 25 21 — — $65,854.40 $118,538.00 $69,147.10 2026-09-15
131 MS_DRG Cranial-facial Procedures W Cc-mcc 1 1 — — $69,080.31 $69,080.31 $69,080.31 2026-09-15
36133287 CDM Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 12 9 $91,976.00 $37,046.78 60% off $18,395.20 $87,377.20 $68,982.00 2026-09-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 28 24 — — $62,383.70 $267,593.00 $68,950.40 2026-09-15
129 MS_DRG Major Head & Neck Procedures W Cc-mcc Or Major Device 1 1 — — $68,726.10 $68,726.10 $68,726.10 2026-09-15
498 MS_DRG Local Excision & Removal Int Fix Devices Of Hip & Femur W Cc-mcc 1 1 — — $68,722.97 $68,722.97 $68,722.97 2026-09-15
341 MS_DRG Appendectomy W-o Complicated Principal Diag W Mcc 1 1 — — $68,400.11 $68,400.11 $68,400.11 2026-09-15
769 MS_DRG Postpartum & Post Abortion Diagnoses W O.r. Procedure 1 1 — — $68,287.26 $68,287.26 $68,287.26 2026-09-15
35 MS_DRG Carotid Artery Stent Procedure W Cc 1 1 — — $68,274.72 $68,274.72 $68,274.72 2026-09-15
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 21 — — $64,947.20 $116,905.00 $68,194.50 2026-09-15
41 MS_DRG Periph-cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 1 1 — — $68,117.99 $68,117.99 $68,117.99 2026-09-15
824 MS_DRG Lymphoma & Non-acute Leukemia W Other O.r. Proc W Cc 1 1 — — $67,970.67 $67,970.67 $67,970.67 2026-09-15
655 MS_DRG Major Bladder Procedures W-o Cc-mcc 1 1 — — $67,929.92 $67,929.92 $67,929.92 2026-09-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W-o Cc-mcc 1 1 — — $67,854.69 $67,854.69 $67,854.69 2026-09-15
244 MS_DRG Permanent Cardiac Pacemaker Implant W-o Cc-mcc 1 1 — — $67,732.44 $67,732.44 $67,732.44 2026-09-15
835 MS_DRG Acute Leukemia W-o Major O.r. Procedure W Cc 1 1 — — $67,726.17 $67,726.17 $67,726.17 2026-09-15
J9029 HCPCS Instill Adstiladrin Tx dose__PER Therapeutic Dose 36 28 — — $64,331.61 $262,151.33 $67,548.19 2026-09-15
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W-o Mcc 1 1 — — $67,277.92 $67,277.92 $67,277.92 2026-09-15
357 MS_DRG Other Digestive System O.r. Procedures W Cc 1 1 — — $67,230.90 $67,230.90 $67,230.90 2026-09-15
629 MS_DRG Other Endocrine Nutrit & Metab O.r. Proc W Cc 1 1 — — $66,741.90 $66,741.90 $66,741.90 2026-09-15
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 25 21 — — $63,198.40 $113,757.00 $66,358.30 2026-09-15
3610431T CDM Hc Rmvl/rplc Nstim Apnea Pls Gn 12 9 $88,075.00 — $17,615.00 $83,671.25 $66,056.25 2026-09-15
286 MS_DRG Circulatory Disorders Except Ami W Card Cath W Mcc 1 1 — — $66,008.41 $66,008.41 $66,008.41 2026-09-15
374 MS_DRG Digestive Malignancy W Mcc 1 1 — — $65,986.46 $65,986.46 $65,986.46 2026-09-15
709 MS_DRG Penis Procedures W Cc-mcc 1 1 — — $65,945.71 $65,945.71 $65,945.71 2026-09-15
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 25 21 — — $62,157.80 $111,884.00 $65,265.70 2026-09-15
792 MS_DRG Prematurity W-o Major Problems 1 1 — — $64,992.80 $64,992.80 $64,992.80 2026-09-15
475 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc 1 1 — — $64,221.68 $64,221.68 $64,221.68 2026-09-15
857 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 1 1 — — $63,983.46 $63,983.46 $63,983.46 2026-09-15
247 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W-o Mcc 1 1 — — $63,970.92 $63,970.92 $63,970.92 2026-09-15
146 MS_DRG Ear Nose Mouth & Throat Malignancy W Mcc 1 1 — — $63,952.11 $63,952.11 $63,952.11 2026-09-15
711 MS_DRG Testes Procedures W Cc-mcc 1 1 — — $63,682.53 $63,682.53 $63,682.53 2026-09-15
737 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc 1 1 — — $63,663.73 $63,663.73 $63,663.73 2026-09-15
657 MS_DRG Kidney & Ureter Procedures For Neoplasm W Cc 1 1 — — $63,510.13 $63,510.13 $63,510.13 2026-09-15
577 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 1 1 — — $63,356.54 $63,356.54 $63,356.54 2026-09-15
486 MS_DRG Knee Procedures W Pdx Of Infection W Cc 1 1 — — $63,315.79 $63,315.79 $63,315.79 2026-09-15
415 MS_DRG Cholecystectomy Except By Laparoscope W-o C.d.e. W Cc 1 1 — — $63,234.29 $63,234.29 $63,234.29 2026-09-15
516 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Cc 1 1 — — $63,193.54 $63,193.54 $63,193.54 2026-09-15
135 MS_DRG Sinus & Mastoid Procedures W Cc-mcc 1 1 — — $63,036.81 $63,036.81 $63,036.81 2026-09-15
617 MS_DRG Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Cc 1 1 — — $62,914.56 $62,914.56 $62,914.56 2026-09-15
36133231 CDM Hc Insrt Pulse Gen W/mult Leads 12 9 $83,719.00 $37,684.48 55% off $16,743.80 $79,533.05 $62,789.25 2026-09-15
C1904 HCPCS Guillain-barr‚ M <38.50 25 21 — — $59,668.90 $107,404.00 $62,652.30 2026-09-15
493 MS_DRG Lower Extrem & Humer Proc Except Hipfootfemur W Cc 1 1 — — $62,601.10 $62,601.10 $62,601.10 2026-09-15
177 MS_DRG Respiratory Infections & Inflammations W Mcc 1 1 — — $62,485.12 $62,485.12 $62,485.12 2026-09-15
167 MS_DRG Other Resp System O.r. Procedures W Cc 1 1 — — $62,253.16 $62,253.16 $62,253.16 2026-09-15
754 MS_DRG Malignancy Female Reproductive System W Mcc 1 1 — — $62,014.93 $62,014.93 $62,014.93 2026-09-15
32 MS_DRG Ventricular Shunt Procedures W Cc 1 1 — — $62,002.39 $62,002.39 $62,002.39 2026-09-15
3610424T CDM Hc Insj/rplc Nstim Apnea Compl 12 9 $82,501.00 — $16,500.20 $78,375.95 $61,875.75 2026-09-15
251 MS_DRG Perc Cardiovasc Proc W-o Coronary Artery Stent W-o Mcc 1 1 — — $61,867.60 $61,867.60 $61,867.60 2026-09-15
85 MS_DRG Traumatic Stupor & Coma Coma <1 Hr W Mcc 1 1 — — $61,855.06 $61,855.06 $61,855.06 2026-09-15
481 MS_DRG Hip & Femur Procedures Except Major Joint W Cc 1 1 — — $61,817.45 $61,817.45 $61,817.45 2026-09-15
96 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W-o Cc-mcc 1 1 — — $61,732.81 $61,732.81 $61,732.81 2026-09-15
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