Hospital

CHEROKEE MEDICAL CENTER

Gaffney, SC · CCN 420043 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $4,737 across 11 payers · range $4,511-$20,750

Source: https://www.spartanburgregional.com/sites/default/files/2026-04/832531807_cherokee-medical-center_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.

14,433 distinct procedures filed

25 distinct payers

175,315 rate rows

2026-04-01 last MRF observed

Data quality

134,056 of 175,315 rate rows are consumer-grade (76.5%)

41,259 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	35,332
professional (physician) fee — not the facility price	3,751
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,789
template filing: same amount across many unrelated codes — excluded	324
placeholder amount (≤ $0.02) — excluded from medians	48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	15

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.spartanburgregional.com/sites/default/files/2022-10/832531807_cherokee-medical-center_standardcharges.json
Found on page	https://www.spartanburgregional.com/standardcharges
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-13
Content fingerprint	0fca765d7e4fd890… · 50,454,996 bytes · first seen 2026-05-05

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	5	$4,505,000.00	$4,820,350.00	$4,685,200.00	nat. median $4,505,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	5	$3,691,450.00	$3,949,851.50	$3,839,108.00	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	5	$3,321,376.38	$3,553,872.73	$3,454,231.43	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	5	$3,245,381.39	$3,472,558.09	$3,375,196.64	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	5	$2,938,320.00	$3,144,002.40	$3,055,852.80	nat. median $2,997,086 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	6	$2,332,000.00	$4,081,000.00	$2,436,940.00	nat. median $2,405,851 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	6	$770,620.00	$1,348,585.00	$805,297.90	nat. median $809,151 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	6	$614,180.81	$1,012,068.02	$641,818.95	nat. median $691,418 0.9× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	6	$588,494.81	$968,412.95	$614,977.07	nat. median $631,793 1.0× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	6	$562,260.84	$947,862.41	$587,562.57	nat. median $624,417 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	6	$559,781.08	$947,205.79	$584,971.23	nat. median $610,161 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	6	$531,849.12	$932,883.84	$555,782.32	nat. median $588,565 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	6	$489,290.60	$857,010.00	$511,308.68	nat. median $577,541 0.9× median
18 MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	11	$288,930.88	$1,329,037.04	$303,377.42	nat. median $370,165 0.8× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	6	$278,250.00	$473,156.25	$290,771.25	nat. median $302,242 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	$187,504.52	$957,772.83	$196,879.75	nat. median $261,939 0.8× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	$142,853.61	$729,696.04	$149,996.29	nat. median $205,166 0.7× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	11	$142,015.24	$725,413.66	$149,116.00	nat. median $199,832 0.7× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	11	$92,678.04	$473,399.30	$97,311.94	nat. median $132,706 0.7× median
7 MS_DRG	Lung Transplant	11	$86,648.22	$442,598.99	$90,980.63	nat. median $122,690 0.7× median
J7330 HCPCS	Cultured Chondrocytes Implnt	2	$36,691.37	$138,226.20	$87,458.79	nat. median $75,807 1.2× median
A9543 HCPCS	Y90 Ibritumomab, Rx	6	$56,824.55	$273,990.07	$87,263.78	nat. median $63,643 1.4× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	11	$80,410.31	$369,874.91	$84,430.83	nat. median $114,305 0.7× median
209 MS_DRG	Complex Aortic Arch Procedures	11	$75,732.72	$386,842.63	$81,034.01	nat. median $96,134 0.8× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	11	$75,819.70	$387,286.93	$79,610.68	nat. median $108,240 0.7× median
A9699 HCPCS	Radiopharm Rx Agent Noc	1	$79,136.84	$79,136.84	$79,136.84	nat. median $4,125 outlier · 19.2×
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	$73,741.51	$376,671.55	$78,903.42	nat. median $96,835 0.8× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	11	$72,757.28	$371,644.12	$77,850.29	nat. median $100,978 0.8× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	11	$68,986.30	$352,381.96	$72,435.62	nat. median $99,646 0.7× median
215 MS_DRG	Other Heart Assist System Implant	11	$66,621.08	$340,300.39	$71,284.56	nat. median $98,002 0.7× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	$65,455.53	$334,346.76	$70,037.42	nat. median $92,900 0.8× median
217 LOCAL	Description Not Available	1	$64,500.00	$74,587.00	$69,543.50	nat. median $1,678 outlier · 41.4×
218 LOCAL	Description Not Available	1	$64,500.00	$74,587.00	$69,543.50	nat. median $900 outlier · 77.3×
216 LOCAL	Description Not Available	1	$64,500.00	$74,587.00	$69,543.50	nat. median $2,048 outlier · 34.0×
J9029 HCPCS	Inj, Adstiladrin, Per Tx Dos	6	$64,282.30	$111,004.34	$67,496.41	nat. median $69,291 1.0× median
219 LOCAL	Description Not Available	1	$60,500.00	$69,961.00	$65,230.50	nat. median $827 outlier · 78.9×
221 LOCAL	Description Not Available	1	$60,500.00	$69,961.00	$65,230.50	nat. median $1,729 outlier · 37.7×
220 LOCAL	Description Not Available	1	$60,500.00	$69,961.00	$65,230.50	nat. median $1,838 outlier · 35.5×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	11	$60,282.14	$307,921.10	$64,501.89	nat. median $81,124 0.8× median
850 MS_DRG	Acute Leukemia With Other Procedures	11	$57,939.66	$295,955.73	$61,995.44	nat. median $81,364 0.8× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	11	$56,403.44	$288,108.69	$60,351.68	nat. median $79,040 0.8× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	$56,226.13	$290,938.80	$60,161.96	nat. median $80,459 0.7× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	6	$54,810.13	$97,905.45	$58,801.31	nat. median $65,655 0.9× median
0266T CPT	Implt/rpl Crtd Sns Dev Total	2	$14,170.00	$144,740.65	$56,940.20	nat. median $42,997 1.3× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	11	$52,649.19	$308,192.12	$56,334.63	nat. median $77,385 0.7× median
33249 HCPCS	Insj/rplcmt Defib W/lead(s)	6	$14,170.00	$295,396.90	$56,158.22	nat. median $31,420 1.8× median
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	$51,374.57	$262,421.26	$54,970.79	nat. median $74,472 0.7× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	11	$51,153.11	$261,290.00	$54,733.83	nat. median $73,475 0.7× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	11	$50,983.83	$260,425.32	$54,552.70	nat. median $71,485 0.8× median
427 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	$48,298.78	$246,710.09	$51,679.69	nat. median $66,640 0.8× median

Other procedures at this hospital

Browse this hospital's 14,433 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	5	5	—	—	$4,505,000.00	$4,820,350.00	$4,685,200.00	2026-04-01
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	5	5	—	—	$3,691,450.00	$3,949,851.50	$3,839,108.00	2026-04-01
J1413	HCPCS	Inj Delandistrogene Mox Rokl	5	5	—	—	$3,321,376.38	$3,553,872.73	$3,454,231.43	2026-04-01
J3394	HCPCS	Inj, Lovotibeglogene Autotem	5	5	—	—	$3,245,381.39	$3,472,558.09	$3,375,196.64	2026-04-01
J3393	HCPCS	Inj, Betibeglogene Autotemce	5	5	—	—	$2,938,320.00	$3,144,002.40	$3,055,852.80	2026-04-01
J3392	HCPCS	Inj, Exagamglogene Autotem	6	6	—	—	$2,332,000.00	$4,081,000.00	$2,436,940.00	2026-04-01
Q2057	HCPCS	Afamitresgene Autoleucel	6	6	—	—	$770,620.00	$1,348,585.00	$805,297.90	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	6	6	—	—	$614,180.81	$1,012,068.02	$641,818.95	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	6	6	—	—	$588,494.81	$968,412.95	$614,977.07	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	6	6	—	—	$562,260.84	$947,862.41	$587,562.57	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	6	6	—	—	$559,781.08	$947,205.79	$584,971.23	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	6	6	—	—	$531,849.12	$932,883.84	$555,782.32	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	6	6	—	—	$489,290.60	$857,010.00	$511,308.68	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	14	11	—	—	$288,930.88	$1,329,037.04	$303,377.42	2026-04-01
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	6	6	—	—	$278,250.00	$473,156.25	$290,771.25	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	11	—	—	$187,504.52	$957,772.83	$196,879.75	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	14	11	—	—	$142,853.61	$729,696.04	$149,996.29	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	11	—	—	$142,015.24	$725,413.66	$149,116.00	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	14	11	—	—	$92,678.04	$473,399.30	$97,311.94	2026-04-01
7	MS_DRG	Lung Transplant	14	11	—	—	$86,648.22	$442,598.99	$90,980.63	2026-04-01
J7330	HCPCS	Cultured Chondrocytes Implnt	2	2	—	—	$36,691.37	$138,226.20	$87,458.79	2026-04-01
A9543	HCPCS	Y90 Ibritumomab, Rx	12	6	—	—	$56,824.55	$273,990.07	$87,263.78	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	14	11	—	—	$80,410.31	$369,874.91	$84,430.83	2026-04-01
209	MS_DRG	Complex Aortic Arch Procedures	19	11	—	—	$75,732.72	$386,842.63	$81,034.01	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	11	—	—	$75,819.70	$387,286.93	$79,610.68	2026-04-01
A9699	HCPCS	Radiopharm Rx Agent Noc	1	1	—	—	$79,136.84	$79,136.84	$79,136.84	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	11	—	—	$73,741.51	$376,671.55	$78,903.42	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	19	11	—	—	$72,757.28	$371,644.12	$77,850.29	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	14	11	—	—	$68,986.30	$352,381.96	$72,435.62	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	19	11	—	—	$66,621.08	$340,300.39	$71,284.56	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	11	—	—	$65,455.53	$334,346.76	$70,037.42	2026-04-01
216	LOCAL	Description Not Available	2	1	—	—	$64,500.00	$74,587.00	$69,543.50	2026-04-01
217	LOCAL	Description Not Available	2	1	—	—	$64,500.00	$74,587.00	$69,543.50	2026-04-01
218	LOCAL	Description Not Available	2	1	—	—	$64,500.00	$74,587.00	$69,543.50	2026-04-01
J9029	HCPCS	Inj, Adstiladrin, Per Tx Dos	7	6	—	—	$64,282.30	$111,004.34	$67,496.41	2026-04-01
219	LOCAL	Description Not Available	2	1	—	—	$60,500.00	$69,961.00	$65,230.50	2026-04-01
220	LOCAL	Description Not Available	2	1	—	—	$60,500.00	$69,961.00	$65,230.50	2026-04-01
221	LOCAL	Description Not Available	2	1	—	—	$60,500.00	$69,961.00	$65,230.50	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	11	—	—	$60,282.14	$307,921.10	$64,501.89	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	19	11	—	—	$57,939.66	$295,955.73	$61,995.44	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	19	11	—	—	$56,403.44	$288,108.69	$60,351.68	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	11	—	—	$56,226.13	$290,938.80	$60,161.96	2026-04-01
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	12	6	—	—	$54,810.13	$97,905.45	$58,801.31	2026-04-01
0266T	CPT	Implt/rpl Crtd Sns Dev Total	6	2	—	—	$14,170.00	$144,740.65	$56,940.20	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	19	11	—	—	$52,649.19	$308,192.12	$56,334.63	2026-04-01
33249	HCPCS	Insj/rplcmt Defib W/lead(s)	12	6	—	—	$14,170.00	$295,396.90	$56,158.22	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	11	—	—	$51,374.57	$262,421.26	$54,970.79	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	19	11	—	—	$51,153.11	$261,290.00	$54,733.83	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	19	11	—	—	$50,983.83	$260,425.32	$54,552.70	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	11	—	—	$48,298.78	$246,710.09	$51,679.69	2026-04-01
0268T	CPT	Implt/rpl Crtd Sns Dev Gen	6	2	—	—	$14,170.00	$131,176.06	$51,603.96	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	11	—	—	$47,708.64	$243,695.68	$51,048.24	2026-04-01
10	MS_DRG	Pancreas Transplant	14	11	—	—	$48,011.74	$245,243.90	$50,412.33	2026-04-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc	14	11	—	—	$47,991.67	$245,141.37	$50,391.25	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	14	11	—	—	$47,736.74	$243,839.22	$50,123.58	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	19	11	—	—	$46,246.02	$212,724.47	$49,483.24	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	19	11	—	—	$46,019.19	$235,065.99	$49,240.53	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	19	11	—	—	$45,036.97	$249,272.76	$48,189.56	2026-04-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	11	—	—	$44,738.56	$228,524.51	$47,870.26	2026-04-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	11	—	—	$44,705.78	$228,357.04	$47,835.18	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	11	—	—	$43,994.53	$224,724.03	$47,074.15	2026-04-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	11	—	—	$43,994.53	$224,724.03	$47,074.15	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	19	11	—	—	$43,834.62	$223,907.20	$46,903.04	2026-04-01
69930	HCPCS	Implant Cochlear Device	12	6	—	—	$16,330.00	$277,070.61	$46,199.08	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	21	11	—	—	$37,376.40	$198,040.76	$46,067.57	2026-04-01
33240	HCPCS	Insrt Pulse Gen W/singl Lead	12	6	—	—	$14,170.00	$221,044.81	$45,308.72	2026-04-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	19	11	—	—	$41,004.38	$209,450.33	$43,874.69	2026-04-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	19	11	—	—	$40,956.88	$209,207.67	$43,823.86	2026-04-01
64568	HCPCS	Inc For Vagus N Elect Impl	13	7	—	—	$6,917.00	$136,945.86	$43,726.58	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	19	11	—	—	$40,564.12	$207,201.48	$43,403.61	2026-04-01
64654	HCPCS	1st Opn Implt Bat Modulj Sys	7	7	—	—	$16,223.00	$80,562.00	$43,310.14	2026-04-01
33276	HCPCS	Insj Phrnc Nrv Stim Sys	7	7	—	—	$16,223.00	$80,562.00	$43,310.14	2026-04-01
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	8	7	—	—	$14,170.00	$44,559.47	$43,101.92	2026-04-01
28	MS_DRG	Spinal Procedures With Mcc	19	11	—	—	$40,200.81	$205,345.67	$43,014.87	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	19	11	—	—	$40,189.43	$219,782.03	$43,002.69	2026-04-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	11	—	—	$39,898.38	$203,800.87	$42,691.27	2026-04-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	19	11	—	—	$39,266.09	$200,571.14	$42,014.72	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	19	11	—	—	$39,240.67	$200,441.27	$41,987.52	2026-04-01
J9226	HCPCS	Supprelin La Implant	12	6	—	—	$27,599.31	$79,730.68	$41,791.03	2026-04-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	20	11	—	—	$38,134.66	$203,519.48	$41,786.35	2026-04-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	14	11	—	—	$39,767.24	$182,923.10	$41,755.60	2026-04-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/Mcc	14	11	—	—	$39,674.90	$182,498.38	$41,658.65	2026-04-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	19	11	—	—	$38,586.97	$197,102.18	$41,288.06	2026-04-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	19	11	—	—	$38,340.74	$195,844.46	$41,024.59	2026-04-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	19	11	—	—	$38,184.18	$195,044.72	$40,857.07	2026-04-01
251	LOCAL	Description Not Available	2	1	—	—	$37,500.00	$43,364.00	$40,432.00	2026-04-01
250	LOCAL	Description Not Available	2	1	—	—	$37,500.00	$43,364.00	$40,432.00	2026-04-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	11	—	—	$37,616.12	$192,143.09	$40,249.25	2026-04-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	19	11	—	—	$37,242.77	$190,236.02	$39,849.76	2026-04-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	19	11	—	—	$36,953.72	$205,603.59	$39,540.48	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	14	11	—	—	$37,499.70	$191,548.41	$39,374.68	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	19	11	—	—	$36,732.25	$168,962.65	$39,303.51	2026-04-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	19	11	—	—	$36,602.45	$186,965.28	$39,164.62	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	19	11	—	—	$36,550.26	$186,698.70	$39,108.78	2026-04-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	19	11	—	—	$36,492.72	$186,404.78	$39,047.21	2026-04-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	11	—	—	$35,681.12	$182,259.11	$38,178.80	2026-04-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/Mcc	14	11	—	—	$36,346.86	$167,189.90	$38,164.20	2026-04-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	19	11	—	—	$35,659.71	$182,149.74	$38,155.89	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	19	11	—	—	$35,420.17	$180,926.20	$37,899.58	2026-04-01
69718	HCPCS	Revise Temple Bone Implant	2	2	—	—	$14,170.00	$61,400.00	$37,785.00	2026-04-01
69715	HCPCS	Temple Bne Implnt W/Stimulat	2	2	—	—	$14,170.00	$61,400.00	$37,785.00	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	19	11	—	—	$35,303.08	$180,328.11	$37,774.30	2026-04-01
33225	HCPCS	L Ventric Pacing Lead Add-on	7	4	—	—	$14,170.00	$95,614.14	$37,614.09	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	19	11	—	—	$34,828.70	$177,904.96	$37,266.71	2026-04-01
93581	HCPCS	Transcath Closure Of Vsd	12	7	—	—	$17,331.90	$106,120.06	$37,224.04	2026-04-01
93580	HCPCS	Transcath Closure Of Asd	12	7	—	—	$17,331.90	$106,120.06	$37,224.04	2026-04-01
653	MS_DRG	Major Bladder Procedures With Mcc	19	11	—	—	$34,768.48	$177,597.36	$37,202.27	2026-04-01
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	20	11	—	—	$30,434.80	$155,460.92	$36,947.62	2026-04-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	11	—	—	$33,723.37	$172,258.92	$36,084.01	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	22	11	—	—	$33,043.57	$168,786.53	$35,949.59	2026-04-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	19	11	—	—	$33,370.09	$170,454.37	$35,706.00	2026-04-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	19	11	—	—	$33,102.45	$169,087.29	$35,419.62	2026-04-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	19	11	—	—	$32,930.50	$168,208.94	$35,235.64	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	19	11	—	—	$32,793.33	$171,221.14	$35,088.86	2026-04-01
459	LOCAL	Description Not Available	2	1	—	—	$32,500.00	$37,582.00	$35,041.00	2026-04-01
460	LOCAL	Description Not Available	2	1	—	—	$32,500.00	$37,582.00	$35,041.00	2026-04-01
J9600	HCPCS	Porfimer Sodium Injection	7	3	—	—	$4,296.78	$42,399.74	$34,808.99	2026-04-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	19	11	—	—	$32,308.25	$165,030.48	$34,569.83	2026-04-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	22	11	—	—	$26,205.90	$157,094.58	$34,441.76	2026-04-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	19	11	—	—	$32,144.99	$147,861.94	$34,395.14	2026-04-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	19	11	—	—	$31,853.94	$162,709.86	$34,083.72	2026-04-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	19	11	—	—	$31,392.26	$160,351.65	$33,589.72	2026-04-01
0870T	CPT	Imp Subq Prtl Ascts Pmp Sys	6	6	—	—	$6,242.00	$34,657.47	$33,523.82	2026-04-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	19	11	—	—	$31,298.59	$159,873.17	$33,489.49	2026-04-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	19	11	—	—	$30,901.82	$157,846.47	$33,064.95	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	14	11	—	—	$31,456.50	$160,679.75	$33,029.33	2026-04-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	19	11	—	—	$30,676.34	$156,694.71	$32,823.68	2026-04-01
245	MS_DRG	Aicd Generator Procedures	19	11	—	—	$30,526.46	$183,196.69	$32,663.31	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	14	11	—	—	$31,025.60	$158,478.75	$32,576.88	2026-04-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	19	11	—	—	$30,421.42	$155,392.57	$32,550.92	2026-04-01
799	MS_DRG	Splenic Procedures With Mcc	19	11	—	—	$30,302.32	$174,055.75	$32,423.48	2026-04-01
0408T	CPT	Insj/rplc Cardiac Modulj Sys	12	6	—	—	$14,170.00	$107,159.31	$32,387.78	2026-04-01
63655	HCPCS	Implant Neuroelectrodes	13	7	—	—	$18,342.11	$95,251.06	$32,152.00	2026-04-01
163	MS_DRG	Major Chest Procedures With Mcc	19	11	—	—	$29,987.18	$153,174.48	$32,086.28	2026-04-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	19	11	—	—	$29,978.48	$153,130.05	$32,076.97	2026-04-01
93583	HCPCS	Perq Transcath Septal Reduxn	2	2	—	—	$6,242.00	$57,891.00	$32,066.50	2026-04-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	19	11	—	—	$29,860.72	$152,528.53	$31,950.97	2026-04-01
33270	HCPCS	Ins/rep Subq Defibrillator	13	7	—	—	$14,170.00	$213,569.86	$31,754.44	2026-04-01
33264	HCPCS	Rmvl & Rplcmt Dfb Gen Mlt Ld	13	7	—	—	$14,170.00	$221,044.81	$31,754.44	2026-04-01
33231	HCPCS	Insrt Pulse Gen W/mult Leads	13	7	—	—	$14,170.00	$221,044.81	$31,754.44	2026-04-01
C9603	HCPCS	Perc D-e Cor Stent Ather Br	7	3	—	—	$1,168.00	$80,190.08	$31,546.35	2026-04-01
C9601	HCPCS	Perc Drug-el Cor Stent Bran	7	3	—	—	$1,168.00	$80,190.08	$31,546.35	2026-04-01
C9608	HCPCS	Perc D-e Cor Revasc Chro Add	7	3	—	—	$1,168.00	$80,190.08	$31,546.35	2026-04-01
C9605	HCPCS	Perc D-e Cor Revasc T Cabg B	7	3	—	—	$1,168.00	$80,190.08	$31,546.35	2026-04-01
C9606	HCPCS	Perc D-e Cor Revasc W Ami S	7	3	—	—	$6,242.00	$80,190.08	$31,546.35	2026-04-01
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	19	11	—	—	$29,391.69	$150,132.73	$31,449.11	2026-04-01
61885	HCPCS	Insrt/redo Neurostim 1 Array	13	7	—	—	$6,802.00	$131,176.06	$31,217.09	2026-04-01
61886	HCPCS	Implant Neurostim Arrays	13	7	—	—	$14,170.00	$191,490.88	$31,217.09	2026-04-01
63685	HCPCS	Insrt/redo Spine N Generator	13	7	—	—	$6,802.00	$136,945.86	$31,217.09	2026-04-01
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	19	11	—	—	$28,954.11	$147,897.55	$30,980.90	2026-04-01
64582	HCPCS	Opn Mpltj Hpglsl Nstm Ary Pg	12	7	—	—	$16,223.00	$136,945.86	$30,925.34	2026-04-01
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	7	7	—	—	$16,223.00	$80,562.00	$30,864.13	2026-04-01
0571T	CPT	Insj/rplcmt Icds Ss Eltrd	7	6	—	—	$14,170.00	$80,562.00	$30,864.13	2026-04-01
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	19	11	—	—	$28,723.27	$146,718.44	$30,733.90	2026-04-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	19	11	—	—	$28,538.60	$145,775.16	$30,536.30	2026-04-01
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	6	6	—	—	$29,174.85	$75,532.00	$30,487.72	2026-04-01
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	19	11	—	—	$28,374.68	$144,937.82	$30,360.91	2026-04-01
64656	HCPCS	Revj/rplcmt Bat Mod Sys Pg	7	7	—	—	$16,223.00	$75,532.00	$30,341.84	2026-04-01
33287	HCPCS	Rmv&rplcmt Phrnc Nrv Stim Pg	7	7	—	—	$16,223.00	$75,532.00	$30,341.84	2026-04-01
1014T	CPT	Lap Rv/rmv Eso Sph Nstm Eltr	2	2	—	—	$16,223.00	$44,433.00	$30,328.00	2026-04-01
1013T	CPT	Lap Srg Imp/rpl Eso Nea&pg/r	2	2	—	—	$16,223.00	$44,433.00	$30,328.00	2026-04-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	19	11	—	—	$28,256.92	$144,336.31	$30,234.90	2026-04-01
61891	HCPCS	Rev/rplcmt Sk-mnt Crnl Nstm	8	7	—	—	$16,223.00	$44,433.00	$30,195.97	2026-04-01
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	19	11	—	—	$28,208.74	$151,279.00	$30,183.35	2026-04-01
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	19	11	—	—	$28,194.69	$144,018.46	$30,168.32	2026-04-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	19	11	—	—	$28,112.40	$143,598.08	$30,080.27	2026-04-01
0909T	CPT	Rplcmt Int Nstim Sys Vgs Nrv	7	7	—	—	$6,242.00	$31,217.09	$30,050.09	2026-04-01
0908T	CPT	Opn Imp Int Nstm Sys Vgs Nrv	7	7	—	—	$6,242.00	$31,217.09	$30,050.09	2026-04-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	19	11	—	—	$28,078.94	$144,222.17	$30,044.47	2026-04-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	19	11	—	—	$28,026.75	$143,160.62	$29,988.62	2026-04-01
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	11	—	—	$27,918.36	$142,606.95	$29,872.65	2026-04-01
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	19	11	—	—	$27,787.22	$141,937.08	$29,732.33	2026-04-01
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	19	11	—	—	$27,603.22	$140,997.21	$29,535.45	2026-04-01
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	22	11	—	—	$23,333.77	$119,188.87	$29,402.43	2026-04-01
37227	HCPCS	Fem/popl Revasc Stnt & Ather	7	3	—	—	$14,170.00	$74,713.35	$29,391.84	2026-04-01
37231	HCPCS	Tib/per Revasc Stent & Ather	7	3	—	—	$14,170.00	$74,713.35	$29,391.84	2026-04-01
793	MS_DRG	Full Term Neonate With Major Problems	14	11	—	—	$27,898.29	$128,327.78	$29,293.20	2026-04-01
J9266	HCPCS	Pegaspargase Injection	12	6	—	—	$4,832.73	$49,742.11	$28,850.42	2026-04-01
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	19	11	—	—	$26,900.68	$137,408.63	$28,783.73	2026-04-01
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	19	11	—	—	$26,657.13	$136,164.59	$28,523.13	2026-04-01
791	MS_DRG	Prematurity With Major Problems	14	11	—	—	$27,158.28	$124,923.84	$28,516.19	2026-04-01
33289	HCPCS	Tcat Impl Wrls P-art Prs Snr	7	6	—	—	$14,170.00	$80,562.00	$28,203.84	2026-04-01
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	19	11	—	—	$26,174.05	$133,697.01	$28,006.23	2026-04-01
908	MS_DRG	Other O.r. Procedures For Injuries With Cc	22	11	—	—	$13,349.64	$68,189.95	$27,889.51	2026-04-01
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	19	11	—	—	$26,055.62	$119,851.79	$27,879.51	2026-04-01
0409T	CPT	Insj/rplc Car Modulj Pls Gn	12	6	—	—	$14,170.00	$107,159.31	$27,761.88	2026-04-01
0414T	CPT	Rmvl & Rpl Car Modulj Pls Gn	12	6	—	—	$14,170.00	$107,159.31	$27,761.88	2026-04-01
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	20	12	—	—	$24,566.23	$125,484.27	$27,761.63	2026-04-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	19	11	—	—	$25,898.38	$134,490.02	$27,711.27	2026-04-01
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	19	11	—	—	$25,834.82	$131,964.23	$27,643.26	2026-04-01
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	19	11	—	—	$25,688.29	$131,215.76	$27,486.47	2026-04-01
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	18	11	—	—	$25,859.58	$132,090.69	$27,411.15	2026-04-01
C9760	HCPCS	Non-blind Interatrial Shunt	13	7	—	—	$14,170.00	$127,904.26	$27,230.98	2026-04-01
27130	HCPCS	Total Hip Arthroplasty	13	7	—	—	$12,138.51	$95,049.42	$27,052.48	2026-04-01
492	LOCAL	Description Not Available	2	1	—	—	$25,000.00	$28,910.00	$26,955.00	2026-04-01
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	19	11	—	—	$25,177.78	$189,278.95	$26,940.22	2026-04-01
22558	HCPCS	Lumbar Spine Fusion	13	7	—	—	$14,170.00	$73,802.36	$26,936.96	2026-04-01
22630	HCPCS	Lumbar Spine Fusion	13	7	—	—	$14,170.00	$73,802.36	$26,936.96	2026-04-01
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	19	11	—	—	$25,068.05	$128,047.55	$26,822.81	2026-04-01
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	20	11	—	—	$16,353.85	$83,535.42	$26,816.81	2026-04-01
0960T	CPT	Rpl S-sclp Eltr Ra Rcvr&tlmt	8	7	—	—	$16,223.00	$75,532.00	$26,808.68	2026-04-01
0956T	CPT	Prt Crn Ch Cr&tun Elt S-sclp	8	7	—	—	$16,223.00	$75,532.00	$26,808.68	2026-04-01
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	19	11	—	—	$25,008.50	$127,743.37	$26,759.10	2026-04-01
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	19	11	—	—	$25,005.82	$127,729.70	$26,756.23	2026-04-01
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	19	11	—	—	$24,935.57	$127,370.84	$26,681.06	2026-04-01
22633	HCPCS	Lumbar Spine Fusion Combined	13	7	—	—	$14,170.00	$63,023.00	$26,680.41	2026-04-01
19297	HCPCS	Place Breast Cath For Rad	6	3	—	—	$16,335.49	$61,400.00	$26,602.28	2026-04-01
93653	HCPCS	Ep & Ablate Supravent Arrhyt	11	6	—	—	$21,314.75	$69,172.01	$26,442.27	2026-04-01
93654	HCPCS	Ep & Ablate Ventric Tachy	11	6	—	—	$21,314.75	$69,172.01	$26,442.27	2026-04-01
93656	HCPCS	Tx Atrial Fib Pulm Vein Isol	11	6	—	—	$21,314.75	$69,172.01	$26,442.27	2026-04-01
481	LOCAL	Description Not Available	2	1	—	—	$24,500.00	$28,331.00	$26,415.50	2026-04-01
482	LOCAL	Description Not Available	2	1	—	—	$24,500.00	$28,331.00	$26,415.50	2026-04-01
480	LOCAL	Description Not Available	2	1	—	—	$24,500.00	$28,331.00	$26,415.50	2026-04-01
0871T	CPT	Rplcmt Subq Prtl Ascites Pmp	6	6	—	—	$6,242.00	$27,230.98	$26,340.25	2026-04-01
904	MS_DRG	Skin Grafts For Injuries With Cc/Mcc	19	11	—	—	$24,576.27	$125,535.54	$26,296.61	2026-04-01
93591	HCPCS	Perq Transcath Cls Aortic	12	7	—	—	$17,331.90	$75,532.00	$26,207.35	2026-04-01
93590	HCPCS	Perq Transcath Cls Mitral	12	7	—	—	$17,331.90	$75,532.00	$26,207.35	2026-04-01
93582	HCPCS	Perq Transcath Closure Pda	12	7	—	—	$17,331.90	$74,713.35	$26,207.35	2026-04-01
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	14	11	—	—	$24,795.06	$126,653.13	$26,034.81	2026-04-01
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	19	11	—	—	$24,277.85	$124,011.24	$25,977.30	2026-04-01
55873	HCPCS	Cryoablate Prostate	13	7	—	—	$8,950.20	$84,286.88	$25,972.71	2026-04-01
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	19	11	—	—	$24,259.12	$123,915.55	$25,957.26	2026-04-01
332	MS_DRG	Rectal Resection With Mcc	19	11	—	—	$24,225.66	$140,753.15	$25,921.46	2026-04-01
69714	HCPCS	Implant Temple Bone W/Stimul	13	7	—	—	$12,138.51	$84,108.14	$25,917.32	2026-04-01
265	MS_DRG	Aicd Lead Procedures	19	11	—	—	$24,208.94	$123,659.22	$25,903.57	2026-04-01
471	LOCAL	Description Not Available	2	1	—	—	$24,000.00	$27,753.00	$25,876.50	2026-04-01
473	LOCAL	Description Not Available	2	1	—	—	$24,000.00	$27,753.00	$25,876.50	2026-04-01
472	LOCAL	Description Not Available	2	1	—	—	$24,000.00	$27,753.00	$25,876.50	2026-04-01
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	19	11	—	—	$24,166.12	$111,160.37	$25,857.75	2026-04-01
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	19	11	—	—	$24,129.98	$123,255.93	$25,819.08	2026-04-01
27702	HCPCS	Reconstruct Ankle Joint	13	7	—	—	$14,170.00	$57,275.70	$25,654.24	2026-04-01
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	19	11	—	—	$23,972.08	$129,317.53	$25,650.13	2026-04-01
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	19	11	—	—	$23,916.55	$144,087.19	$25,590.71	2026-04-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	19	11	—	—	$23,892.46	$122,042.65	$25,564.93	2026-04-01
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	19	11	—	—	$23,857.00	$126,874.37	$25,526.99	2026-04-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	19	11	—	—	$23,836.92	$121,758.98	$25,505.50	2026-04-01
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	19	11	—	—	$23,814.18	$121,642.78	$25,481.17	2026-04-01
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	19	11	—	—	$23,794.77	$121,543.67	$25,460.40	2026-04-01
C2616	HCPCS	Brachytx, Non-str,yttrium-90	10	5	—	—	$17,771.01	$80,916.08	$25,423.47	2026-04-01
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	19	11	—	—	$23,596.05	$120,528.61	$25,247.77	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	19	11	—	—	$23,547.88	$108,316.57	$25,196.23	2026-04-01
37239	HCPCS	Open/perq Place Stent Ea Add	6	3	—	—	$5,272.00	$63,720.55	$25,067.32	2026-04-01
37237	HCPCS	Open/perq Place Stent Ea Add	6	3	—	—	$5,272.00	$63,720.55	$25,067.32	2026-04-01
37229	HCPCS	Tib/per Revasc W/ather	7	3	—	—	$14,170.00	$63,720.55	$25,067.32	2026-04-01
37226	HCPCS	Fem/popl Revasc W/stent	7	3	—	—	$14,170.00	$63,720.55	$25,067.32	2026-04-01
37230	HCPCS	Tib/per Revasc W/stent	7	3	—	—	$14,170.00	$63,720.55	$25,067.32	2026-04-01
37225	HCPCS	Fem/popl Revas W/ather	7	3	—	—	$14,170.00	$63,720.55	$25,067.32	2026-04-01
37233	HCPCS	Tibper Revasc W/ather Add-on	5	2	—	—	$5,272.00	$63,720.55	$25,067.32	2026-04-01
36908	HCPCS	Stent Plmt Ctr Dialysis Seg	6	3	—	—	$1,168.00	$63,720.55	$25,067.32	2026-04-01
252	MS_DRG	Other Vascular Procedures With Mcc	19	11	—	—	$23,339.79	$119,219.63	$24,973.58	2026-04-01
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	19	11	—	—	$23,226.72	$118,642.04	$24,852.59	2026-04-01
493	LOCAL	Description Not Available	2	1	—	—	$23,000.00	$26,597.00	$24,798.50	2026-04-01
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	19	11	—	—	$23,114.31	$118,067.86	$24,732.31	2026-04-01
23470	HCPCS	Reconstruct Shoulder Joint	13	7	—	—	$12,138.51	$84,108.14	$24,675.00	2026-04-01
24361	HCPCS	Reconstruct Elbow Joint	13	7	—	—	$14,170.00	$84,108.14	$24,675.00	2026-04-01
24366	HCPCS	Reconstruct Head Of Radius	13	7	—	—	$12,138.51	$84,108.14	$24,675.00	2026-04-01
25442	HCPCS	Reconstruct Wrist Joint	13	7	—	—	$14,170.00	$84,108.14	$24,675.00	2026-04-01
25441	HCPCS	Reconstruct Wrist Joint	13	7	—	—	$12,138.51	$84,108.14	$24,675.00	2026-04-01
24370	HCPCS	Revise Reconst Elbow Joint	13	7	—	—	$12,138.51	$84,108.14	$24,675.00	2026-04-01
21243	HCPCS	Reconstruction Of Jaw Joint	13	7	—	—	$8,912.72	$28,923.80	$24,675.00	2026-04-01
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	19	11	—	—	$23,007.26	$117,521.03	$24,617.77	2026-04-01
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	19	11	—	—	$22,939.01	$117,172.43	$24,544.74	2026-04-01
0235T	CPT	Trluml Perip Athrc Visceral	7	3	—	—	$6,242.00	$62,342.91	$24,525.37	2026-04-01
36909	HCPCS	Dialysis Circuit Embolj	6	3	—	—	$1,168.00	$62,342.91	$24,525.37	2026-04-01
92925	HCPCS	Prq Card Angio/athrect Addl	5	2	—	—	$16,223.00	$62,342.91	$24,525.37	2026-04-01
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	19	11	—	—	$22,826.60	$116,598.25	$24,424.46	2026-04-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	19	11	—	—	$22,796.49	$117,692.94	$24,392.24	2026-04-01
264	MS_DRG	Other Circulatory System O.r. Procedures	22	11	—	—	$19,556.02	$114,171.69	$23,692.65	2026-04-01
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	19	11	—	—	$22,101.98	$126,971.56	$23,649.12	2026-04-01
570	MS_DRG	Skin Debridement With Mcc	20	12	—	—	$19,678.54	$100,517.97	$23,581.02	2026-04-01
37	MS_DRG	Extracranial Procedures With Mcc	19	11	—	—	$22,027.04	$112,514.10	$23,568.93	2026-04-01
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	19	11	—	—	$22,024.37	$112,500.43	$23,566.08	2026-04-01
27446	HCPCS	Revision Of Knee Joint	13	7	—	—	$12,138.51	$75,762.14	$23,346.31	2026-04-01
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	19	11	—	—	$21,764.09	$121,280.74	$23,287.58	2026-04-01
92944	HCPCS	Prq Card Revasc Chronic Addl	5	2	—	—	$16,223.00	$58,954.18	$23,192.26	2026-04-01
92941	HCPCS	Prq Card Revasc Mi 1 Vsl	7	3	—	—	$16,223.00	$58,954.18	$23,192.26	2026-04-01
92934	HCPCS	Prq Card Stent/ath/angio	5	2	—	—	$16,223.00	$58,954.18	$23,192.26	2026-04-01
92938	HCPCS	Prq Revasc Byp Graft Addl	5	2	—	—	$16,223.00	$58,954.18	$23,192.26	2026-04-01
92929	HCPCS	Prq Card Stent W/angio Addl	5	2	—	—	$16,223.00	$58,954.18	$23,192.26	2026-04-01
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	19	11	—	—	$21,668.41	$110,682.21	$23,185.20	2026-04-01
0553T	CPT	Perq Tcat Iliac Anast Implt	2	2	—	—	$14,170.00	$32,152.00	$23,161.00	2026-04-01
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	19	11	—	—	$21,644.32	$99,560.52	$23,159.42	2026-04-01
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	20	11	—	—	$20,840.08	$106,451.10	$23,149.65	2026-04-01
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	19	11	—	—	$21,614.21	$110,405.38	$23,127.20	2026-04-01
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	19	11	—	—	$21,592.13	$115,303.77	$23,103.58	2026-04-01
C9767	HCPCS	Revasc Lithotrip-stent-ather	13	7	—	—	$14,170.00	$74,713.35	$23,022.85	2026-04-01
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	19	11	—	—	$21,480.40	$109,721.84	$22,984.03	2026-04-01
49566	HCPCS	Rerepair Ventrl Hern Block	2	2	—	—	$21,256.00	$24,675.00	$22,965.50	2026-04-01
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	27	13	—	—	$18,391.22	$84,596.74	$22,919.45	2026-04-01
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	19	11	—	—	$21,362.64	$110,277.06	$22,858.02	2026-04-01
61500	HCPCS	Removal Of Skull Lesion	3	3	—	—	$14,170.00	$57,891.00	$22,852.00	2026-04-01
22868	HCPCS	Insj Stablj Dev W/dcmprn	6	3	—	—	$1,168.00	$58,072.43	$22,845.38	2026-04-01
22870	HCPCS	Insj Stablj Dev Without Dcmprn	6	3	—	—	$1,168.00	$58,072.43	$22,845.38	2026-04-01
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	19	11	—	—	$21,323.16	$108,918.68	$22,815.78	2026-04-01
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	19	11	—	—	$21,302.42	$108,812.73	$22,793.59	2026-04-01
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	19	11	—	—	$21,259.60	$164,436.98	$22,747.77	2026-04-01
22856	HCPCS	Cerv Artific Diskectomy	13	7	—	—	$14,170.00	$73,802.36	$22,741.49	2026-04-01
27279	HCPCS	Arthrodesis Sacroiliac Joint	13	7	—	—	$14,170.00	$73,802.36	$22,741.49	2026-04-01
22515	HCPCS	Perq Vertebral Augmentation	7	4	—	—	$1,168.00	$57,791.78	$22,734.98	2026-04-01
652	MS_DRG	Kidney Transplant	14	11	—	—	$21,608.19	$110,374.62	$22,688.60	2026-04-01

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