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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

CONWAY MEDICAL CENTER

Conway, SC · CCN 420049 · Rates published

20,154 distinct procedures filed
22 distinct payers
952,321 rate rows
2026-11-03 last MRF observed
Data quality

945,695 of 952,321 rate rows are consumer-grade (99.3%)

6,626 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
placeholder amount (≤ $0.02) — excluded from medians 2,545
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,493
per-diem day rate — not a per-procedure price 772
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 517
percent-of-charges filed in the dollar field — excluded from medians 213
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 85
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.conwaymedicalcenter.com/wp-content/uploads/570314381_conway-medical-center_standardcharges(in).csv
Found on page https://www.conwaymedicalcenter.com/billing-insurance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-11

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 15 $4,505,000.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 15 $3,605,000.00 $3,869,530.00 $3,685,266.67 nat. median
$3,691,450
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,296,000.00 $3,482,285.72 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 15 $3,193,000.00 $3,410,868.01 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 15 $2,884,000.00 $4,748,800.00 $2,945,740.00 nat. median
$2,983,626
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 16 $25,490.25 $4,910,221.22 $2,455,110.61 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 15 $2,332,000.00 $4,664,000.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 15 $770,620.00 $1,541,240.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $529,192.86 $1,183,452.40 $591,726.20 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $522,375.42 $1,131,737.90 $565,868.95 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $481,667.77 $1,125,076.38 $562,538.19 nat. median
$637,620
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $526,587.59 $1,114,635.86 $557,317.93 nat. median
$621,967
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $476,316.51 $1,066,460.34 $533,230.17 nat. median
$607,251
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $460,530.40 $978,609.22 $489,304.61 nat. median
$589,091
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 15 $278,250.00 $556,500.00 $278,250.00 nat. median
$319,951
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 $264,586.58 $611,814.75 $277,815.91 nat. median
$360,195
0.8× median
J3403
HCPCS 		Revakinagene Per Implant 15 $257,500.00 $515,000.00 $257,500.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 15 $205,640.00 $411,280.00 $205,640.00 nat. median
$209,753
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $171,706.05 $456,974.33 $180,291.35 nat. median
$247,805
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $130,817.27 $384,854.98 $137,358.13 nat. median
$197,664
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 15 $130,049.54 $347,684.85 $136,552.01 nat. median
$190,274
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 17 $165.76 $218,632.56 $109,316.28 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 15 $84,869.31 $229,230.99 $89,112.78 nat. median
$126,240
0.7× median
7
MS_DRG 		Lung Transplant 15 $79,347.55 $212,015.14 $83,314.92 nat. median
$117,943
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $73,635.22 $212,550.50 $77,316.98 nat. median
$109,875
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $69,431.40 $178,772.59 $72,902.97 nat. median
$103,911
0.7× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 15 $69,351.75 $183,624.89 $72,819.33 nat. median
$92,760
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $67,528.31 $169,942.41 $70,904.73 nat. median
$93,094
0.8× median
212
MS_DRG 		Testes Procedures Age 0-17 16 $44,660.64 $176,731.74 $69,958.36 nat. median
$97,029
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 15 $26,348.70 $134,905.32 $67,452.66 nat. median
$70,178
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $63,173.76 $172,765.22 $66,332.45 nat. median
$94,844
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 15 $61,007.82 $171,879.44 $64,058.21 nat. median
$93,531
0.7× median
J9029
HCPCS 		Instill Adstiladrin Tx Dose 18 $63,342.28 $126,684.56 $63,342.28 nat. median
$68,131
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $46,828.32 $156,569.80 $62,937.50 nat. median
$90,525
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $55,202.98 $137,738.76 $57,963.13 nat. median
$77,933
0.7× median
A9543
HCPCS 		Y90 Ibritumomab Rx 17 $1,282.63 $113,649.10 $56,824.55 nat. median
$63,915
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $44,476.43 $149,444.65 $55,710.77 nat. median
$78,028
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 18 $52,916.85 $110,544.64 $55,272.32 nat. median
$65,318
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $33,856.32 $137,472.08 $54,233.64 nat. median
$76,979
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 15 $51,488.72 $137,395.83 $54,063.15 nat. median
$77,595
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $48,213.15 $130,775.23 $50,623.81 nat. median
$74,260
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $42,814.65 $125,525.46 $49,398.23 nat. median
$72,153
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 16 $33,856.32 $126,805.46 $49,185.28 nat. median
$71,672
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $46,688.11 $121,091.72 $49,022.52 nat. median
$67,850
0.7× median
64654
CPT 		1st Opn Implt Bat Modulj Sys 3 $44,601.24 $63,202.79 $48,715.03 nat. median
$44,598
1.1× median
L7181
HCPCS 		Electronic Elbo Simultaneous 17 $707.83 $97,265.58 $48,632.79 nat. median
$50,552
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $44,229.29 $115,227.10 $46,440.76 nat. median
$63,446
0.7× median
10
MS_DRG 		Pancreas Transplant 15 $43,966.44 $129,345.98 $46,164.76 nat. median
$64,615
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 $43,948.06 $109,656.24 $46,145.46 nat. median
$61,444
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $43,714.61 $128,604.59 $45,900.35 nat. median
$66,332
0.7× median

Other procedures at this hospital

Browse this hospital's 20,154 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
             
64654 CPT 1st Opn Implt Bat Modulj Sys 3 3 — — $44,601.24 $63,202.79 $48,715.03 2026-11-03
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 15 — — $15,583.90 $44,313.12 $17,410.30 2026-11-03
850 MS_DRG Acute Leukemia With Other Procedures 22 15 — — $44,476.43 $149,444.65 $55,710.77 2026-11-03
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 22 15 — — $33,637.33 $89,669.39 $35,319.19 2026-11-03
Q2057 HCPCS Afamitresgene Autoleucel 23 15 — — $770,620.00 $1,541,240.00 $770,620.00 2026-11-03
245 MS_DRG Aicd Generator Procedures 22 15 — — $27,954.41 $79,278.56 $29,352.13 2026-11-03
265 MS_DRG Aicd Lead Procedures 22 15 — — $22,169.18 $57,870.69 $23,277.64 2026-11-03
14 MS_DRG Allogeneic Bone Marrow Transplant 20 15 — — $73,635.22 $212,550.50 $77,316.98 2026-11-03
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 15 — — $17,465.38 $47,244.62 $18,338.65 2026-11-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 15 — — $30,155.89 $81,713.63 $31,663.69 2026-11-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 15 — — $26,303.15 $72,755.29 $27,618.31 2026-11-03
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 22 15 — — $21,367.75 $62,701.90 $22,436.14 2026-11-03
L5973 HCPCS Ank-foot Sys Dors-plant Flex 25 17 — — $465.75 $41,764.58 $20,882.29 2026-11-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 17 — — $38,988.31 $110,704.40 $44,248.87 2026-11-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 17 — — $25,876.09 $67,499.04 $27,169.90 2026-11-03
509 MS_DRG Arthroscopy 3 3 — — $17,671.20 $28,498.94 $19,734.80 2026-11-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 15 — — $36,332.04 $97,920.41 $38,148.64 2026-11-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 15 — — $33,284.40 $97,920.41 $34,948.62 2026-11-03
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 27 15 — — $476,316.51 $1,066,460.34 $533,230.17 2026-11-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 16 — — $13,147.76 $58,143.23 $24,043.87 2026-11-03
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 15 — — $21,563.82 $59,192.86 $22,642.01 2026-11-03
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $36,412.77 $52,798.61 $44,605.69 2026-11-03
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 22 15 — — $33,840.13 $102,787.82 $35,532.14 2026-11-03
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 22 15 — — $16,298.16 $46,459.43 $17,113.07 2026-11-03
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 15 — — $21,846.89 $56,801.59 $22,939.24 2026-11-03
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 15 — — $21,166.78 $55,790.90 $22,225.12 2026-11-03
C2616 HCPCS Brachytx Non-stryttrium-90 24 17 — — $44.12 $35,537.36 $17,485.10 2026-11-03
Q2053 HCPCS Brexucabtagene Car Pos T 26 15 — — $460,530.40 $978,609.22 $489,304.61 2026-11-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 15 — — $43,688.88 $114,647.94 $45,873.32 2026-11-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 15 — — $36,803.21 $100,491.75 $38,643.37 2026-11-03
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 15 — — $19,252.05 $48,036.42 $20,214.65 2026-11-03
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 15 — — $19,930.33 $55,258.78 $20,926.84 2026-11-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 16 — — $46,828.32 $156,569.80 $62,937.50 2026-11-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 16 — — $40,287.71 $104,766.51 $42,302.10 2026-11-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 15 — — $40,287.71 $100,523.19 $42,302.10 2026-11-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 16 — — $42,814.65 $125,525.46 $49,398.23 2026-11-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 16 — — $32,674.75 $85,928.36 $34,308.49 2026-11-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 16 — — $30,881.96 $77,054.58 $32,426.05 2026-11-03
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 15 — — $23,716.28 $63,086.38 $24,902.09 2026-11-03
472 MS_DRG Cervical Spinal Fusion With Cc 22 15 — — $18,051.13 $47,001.28 $18,953.69 2026-11-03
471 MS_DRG Cervical Spinal Fusion With Mcc 22 15 — — $29,586.07 $78,799.98 $31,065.37 2026-11-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 16 — — $3,255.78 $81,231.81 $30,908.39 2026-11-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 20 15 — — $264,586.58 $611,814.75 $277,815.91 2026-11-03
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 16 — — $12,889.53 $56,842.15 $22,919.94 2026-11-03
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 15 — — $20,239.75 $50,500.85 $21,251.73 2026-11-03
Q2056 HCPCS Ciltacabtagene Car-pos T 27 15 — — $522,375.42 $1,131,737.90 $565,868.95 2026-11-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 15 — — $55,202.98 $137,738.76 $57,963.13 2026-11-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 15 — — $35,335.77 $88,747.92 $37,102.55 2026-11-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 23 16 — — $33,856.32 $126,805.46 $49,185.28 2026-11-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 23 16 — — $33,470.67 $86,309.60 $35,144.20 2026-11-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 17 — — $33,856.32 $137,472.08 $54,233.64 2026-11-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 17 — — $33,856.32 $99,101.44 $39,003.65 2026-11-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 16 — — $28,504.75 $95,459.38 $37,755.55 2026-11-03
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 16 — — $25,665.32 $66,710.60 $26,948.58 2026-11-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 15 — — $26,514.54 $69,100.25 $27,840.26 2026-11-03
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 15 — — $19,306.58 $52,226.15 $20,271.91 2026-11-03
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 16 — — $2,609.68 $49,080.60 $20,654.06 2026-11-03
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 15 — — $19,050.47 $49,619.67 $20,002.99 2026-11-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 15 — — $27,858.22 $72,554.12 $29,251.13 2026-11-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 15 — — $41,242.32 $110,775.51 $43,304.43 2026-11-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 15 — — $35,110.29 $92,553.84 $36,865.80 2026-11-03
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 16 — — $23,968.72 $61,674.98 $25,167.15 2026-11-03
C1882 HCPCS Defibrillator Cardiac Amplia MRI Surescan Implant Bipol 51x71x13mm 35cm3 80gm Lt… 290 8 $43,477.50 $43,477.50 $100.49 $56,150.57 $23,192.20 2026-11-03
C1721 HCPCS Defibrillator Cardiac Cobalt Dr MRI Surescan Implant Bipol 51x68x13mm 33.1cm3 79… 206 8 $35,820.00 $35,820.00 $290.41 $47,706.47 $18,627.76 2026-11-03
C1722 HCPCS Defibrillator Cardiac Cobalt Vr MRI Surescan Implant 51x66x13mm 79gm Single-cham… 242 8 $36,900.00 $36,900.00 $235.72 $38,146.42 $18,916.99 2026-11-03
Q0480 HCPCS Driver Pneumatic Vad Rep 25 17 — — $165.76 $218,632.56 $109,316.28 2026-11-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 21 15 — — $130,049.54 $347,684.85 $136,552.01 2026-11-03
L6880 HCPCS Elec Hand Ind Art Digits 24 17 — — $9,645.08 $57,999.36 $28,999.68 2026-11-03
L5856 HCPCS Elec Knee-shin Swing/stance 25 17 — — $2,879.69 $58,274.44 $29,137.22 2026-11-03
E0766 HCPCS Elec Stim Cancer Treatment 8 2 — — $1,911.93 $88,678.75 $19,879.72 2026-11-03
L7181 HCPCS Electronic Elbo Simultaneous 25 17 — — $707.83 $97,265.58 $48,632.79 2026-11-03
L7180 HCPCS Electronic Elbow Sequential 25 17 — — $546.05 $78,416.84 $39,208.42 2026-11-03
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 15 — — $40,969.05 $102,223.21 $43,017.50 2026-11-03
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 23 16 — — $37,549.50 $97,188.75 $39,426.97 2026-11-03
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 23 16 — — $29,170.04 $76,324.35 $30,628.54 2026-11-03
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 21 15 — — $200.22 $65,242.33 $32,621.17 2026-11-03
L8701 HCPCS Ewh S/d Uprt Micro Sensor 24 17 — — $13,392.36 $68,568.88 $34,284.44 2026-11-03
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 21 15 — — $26,348.70 $134,905.32 $67,452.66 2026-11-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 15 — — $130,817.27 $384,854.98 $137,358.13 2026-11-03
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 15 — — $23,860.27 $70,195.30 $25,053.28 2026-11-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 16 — — $15,235.31 $77,122.52 $30,184.63 2026-11-03
37 MS_DRG Extracranial Procedures With Mcc 23 16 — — $15,352.97 $53,874.96 $21,179.68 2026-11-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 21 15 — — $36,416.59 $96,442.49 $38,237.42 2026-11-03
503 MS_DRG Foot Procedures With Mcc 23 16 — — $6,874.50 $42,935.79 $17,956.50 2026-11-03
793 MS_DRG Full Term Neonate With Major Problems 21 15 — — $25,547.68 $67,658.02 $26,825.06 2026-11-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 15 — — $43,948.06 $109,656.24 $46,145.46 2026-11-03
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 21 15 — — $19,734.26 $51,595.63 $20,720.97 2026-11-03
C1822 HCPCS Generator Neurostim Eterna Implant 16-channel 98 8 $40,102.00 $40,102.00 $65.25 $43,620.00 $18,934.04 2026-11-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 15 — — $171,706.05 $456,974.33 $180,291.35 2026-11-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 15 — — $69,431.40 $178,772.59 $72,902.97 2026-11-03
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 15 — — $20,875.74 $57,259.08 $21,919.53 2026-11-03
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 16 — — $8,295.78 $47,582.06 $18,669.97 2026-11-03
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 15 — — $17,844.04 $47,711.84 $18,736.24 2026-11-03
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 15 — — $17,586.09 $47,285.18 $18,465.39 2026-11-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 15 — — $37,505.99 $102,599.12 $39,381.29 2026-11-03
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 15 — — $16,159.69 $43,044.49 $16,967.67 2026-11-03
974 MS_DRG HIV With Major Related Condition With Mcc 23 16 — — $17,682.89 $48,445.12 $18,567.04 2026-11-03
77 MS_DRG Hypertensive Encephalopathy With Mcc 3 3 — — $15,554.72 $25,085.62 $22,446.79 2026-11-03
Q2055 HCPCS Idecabtagene Vicleucel Car 26 15 — — $526,587.59 $1,114,635.86 $557,317.93 2026-11-03
C8003 HCPCS Imp Extar Knee Shck Absrb 23 17 — — $17,139.89 $34,279.78 $17,139.89 2026-11-03
0268T CPT Implt/rpl Crtd Sns Dev Gen 22 16 — — $112.70 $66,667.81 $28,401.99 2026-11-03
0266T CPT Implt/rpl Crtd Sns Dev Total 22 16 — — $70.85 $83,882.73 $41,941.37 2026-11-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 15 — — $30,259.44 $81,136.09 $31,772.41 2026-11-03
J3391 HCPCS Inj Atidarsagene Autotemcel 17 15 — — $4,505,000.00 $4,730,250.00 $4,505,000.00 2026-11-03
J3393 HCPCS Inj Betibeglogene Autotemce 19 15 — — $2,884,000.00 $4,748,800.00 $2,945,740.00 2026-11-03
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 15 — — $3,296,000.00 $3,482,285.72 $3,316,462.59 2026-11-03
J3392 HCPCS Inj Exagamglogene Autotem 19 15 — — $2,332,000.00 $4,664,000.00 $2,332,000.00 2026-11-03
J1411 HCPCS Inj Hemgenix Per Tx Dose 18 15 — — $3,605,000.00 $3,869,530.00 $3,685,266.67 2026-11-03
J3394 HCPCS Inj Lovotibeglogene Autotem 18 15 — — $3,193,000.00 $3,410,868.01 $3,248,445.72 2026-11-03
J3399 HCPCS Inj Onase Abepar-xioi Treat 25 16 — — $25,490.25 $4,910,221.22 $2,455,110.61 2026-11-03
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 23 15 — — $205,640.00 $411,280.00 $205,640.00 2026-11-03
0916T CPT Insj Perm Ccm-d Sys Pg Only 20 15 — — $20,920.30 $41,840.60 $20,920.30 2026-11-03
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 20 15 — — $29,882.03 $59,764.07 $29,882.03 2026-11-03
0515T CPT Insj Wcs Lv Compl Sys 21 15 — — $275.00 $41,840.60 $20,920.30 2026-11-03
0409T CPT Insj/rplc Car Modulj Pls Gn 24 17 — — $68.34 $41,840.60 $20,920.30 2026-11-03
0408T CPT Insj/rplc Cardiac Modulj Sys 24 17 — — $71.17 $59,764.07 $29,882.03 2026-11-03
0525T CPT Insj/rplcmt Compl Iims 21 15 — — $847.79 $35,549.41 $17,774.70 2026-11-03
0571T CPT Insj/rplcmt Icds Ss Eltrd 21 15 — — $75.98 $59,764.07 $29,882.03 2026-11-03
0680T CPT Insj/rplcmt Pg Only Isdss 20 15 — — $19,986.60 $39,973.19 $19,986.60 2026-11-03
0786T CPT Insj/rplcmt Prq Ra Sac Nstim 4 4 — — $18,499.94 $18,499.94 $18,499.94 2026-11-03
J9029 HCPCS Instill Adstiladrin Tx Dose 35 18 — — $63,342.28 $126,684.56 $63,342.28 2026-11-03
L6975 HCPCS Interscap-thor Myoelectronic 25 17 — — $823.88 $39,473.44 $19,736.72 2026-11-03
L6970 HCPCS Interscapular-thor Switch CT 25 17 — — $1,651.96 $36,092.40 $18,046.20 2026-11-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 15 — — $32,435.80 $89,669.39 $34,057.59 2026-11-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 15 — — $48,213.15 $130,775.23 $50,623.81 2026-11-03
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 15 — — $19,468.34 $57,273.68 $20,441.76 2026-11-03
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 15 — — $16,893.11 $43,857.26 $17,737.76 2026-11-03
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 21 15 — — $13,522.02 $77,212.64 $38,606.32 2026-11-03
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 15 — — $19,507.55 $52,854.53 $20,482.93 2026-11-03
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 20 15 — — $69,351.75 $183,624.89 $72,819.33 2026-11-03
652 MS_DRG Kidney Transplant 20 15 — — $19,787.56 $49,827.32 $20,776.94 2026-11-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 15 — — $28,806.08 $74,744.23 $30,246.39 2026-11-03
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 15 — — $22,705.91 $56,334.37 $23,841.21 2026-11-03
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 15 — — $19,772.86 $52,226.70 $20,761.50 2026-11-03
L5859 HCPCS Knee-shin Pro Flex/ext Cont 25 17 — — $77.66 $35,221.54 $17,610.77 2026-11-03
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 20 15 — — $28,401.99 $56,803.98 $28,401.99 2026-11-03
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 22 15 — — $23,056.39 $72,563.50 $24,209.21 2026-11-03
Q2054 HCPCS Lisocabtagene Mara Car Pos T 27 15 — — $481,667.77 $1,125,076.38 $562,538.19 2026-11-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 15 — — $63,173.76 $172,765.22 $66,332.45 2026-11-03
6 MS_DRG Liver Transplant Without Mcc 20 15 — — $28,411.50 $78,668.57 $29,832.07 2026-11-03
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 15 — — $22,215.13 $57,114.69 $23,325.89 2026-11-03
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 15 — — $18,484.32 $46,120.84 $19,408.54 2026-11-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 22 15 — — $22,496.37 $57,611.12 $23,621.19 2026-11-03
7 MS_DRG Lung Transplant 20 15 — — $79,347.55 $212,015.14 $83,314.92 2026-11-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 15 — — $35,934.39 $94,455.17 $37,731.11 2026-11-03
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 15 — — $19,820.65 $51,735.15 $20,811.68 2026-11-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 15 — — $28,091.66 $75,915.53 $29,496.24 2026-11-03
654 MS_DRG Major Bladder Procedures With Cc 22 15 — — $17,151.67 $45,782.93 $18,009.26 2026-11-03
653 MS_DRG Major Bladder Procedures With Mcc 22 15 — — $31,839.01 $90,436.74 $33,430.96 2026-11-03
163 MS_DRG Major Chest Procedures With Mcc 23 16 — — $21,519.55 $74,775.05 $28,833.59 2026-11-03
140 MS_DRG Major Head And Neck Procedures With Mcc 23 16 — — $7,476.07 $68,610.31 $27,440.75 2026-11-03
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 15 — — $18,584.81 $53,028.12 $19,514.05 2026-11-03
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 22 15 — — $16,983.79 $42,376.81 $17,832.98 2026-11-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 15 — — $28,163.35 $74,494.39 $29,571.52 2026-11-03
Q0481 HCPCS Microprcsr Cu Elec Vad Rep 25 17 — — $874.69 $35,273.88 $17,636.94 2026-11-03
662 MS_DRG Minor Bladder Procedures With Mcc 22 15 — — $18,758.21 $50,609.27 $19,696.12 2026-11-03
Q0483 HCPCS Monitor Elec Vad Rep 25 17 — — $160.83 $45,514.50 $22,757.25 2026-11-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 15 — — $67,528.31 $169,942.41 $70,904.73 2026-11-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 15 — — $44,229.29 $115,227.10 $46,440.76 2026-11-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 15 — — $34,446.72 $89,293.01 $36,169.06 2026-11-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 15 — — $40,939.02 $108,770.35 $42,985.98 2026-11-03
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 15 — — $25,983.93 $66,246.62 $27,283.12 2026-11-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 15 — — $28,661.48 $77,472.94 $30,094.56 2026-11-03
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 15 — — $19,361.73 $50,028.49 $20,329.81 2026-11-03
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 15 — — $22,129.96 $58,152.97 $23,236.46 2026-11-03
C9760 HCPCS Non-blind Interatrial Shunt 23 17 — — $25,631.02 $51,262.04 $25,631.02 2026-11-03
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 16 — — $6,217.10 $56,824.30 $22,056.56 2026-11-03
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 15 — — $17,691.47 $44,232.01 $18,576.05 2026-11-03
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 15 — — $22,232.29 $55,472.51 $23,343.90 2026-11-03
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 15 — — $23,680.74 $63,749.90 $24,864.78 2026-11-03
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 15 — — $278,250.00 $556,500.00 $278,250.00 2026-11-03
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 23 17 — — $19,986.60 $39,973.19 $19,986.60 2026-11-03
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 23 17 — — $19,986.60 $39,973.19 $19,986.60 2026-11-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 15 — — $30,313.36 $80,844.08 $31,829.03 2026-11-03
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 15 — — $19,297.39 $50,393.50 $20,262.26 2026-11-03
264 MS_DRG Other Circulatory System O.r. Procedures 22 15 — — $20,468.29 $56,701.01 $21,491.70 2026-11-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 15 — — $26,915.25 $69,202.45 $28,261.01 2026-11-03
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 22 15 — — $22,955.90 $57,278.02 $24,103.70 2026-11-03
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 22 15 — — $22,834.58 $64,011.09 $23,976.31 2026-11-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 16 — — $27,344.76 $71,264.39 $28,712.00 2026-11-03
215 MS_DRG Other Heart Assist System Implant 22 15 — — $61,007.82 $171,879.44 $64,058.21 2026-11-03
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 15 — — $25,445.97 $65,985.43 $26,718.26 2026-11-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 16 — — $18,487.77 $67,967.88 $27,030.93 2026-11-03
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 17 — — $21,789.91 $55,878.50 $22,879.40 2026-11-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 17 — — $32,328.57 $83,272.66 $33,945.00 2026-11-03
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 15 — — $28,298.15 $75,467.77 $29,713.05 2026-11-03
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 15 — — $16,750.35 $44,073.02 $17,587.86 2026-11-03
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 15 — — $19,526.55 $50,168.01 $20,502.87 2026-11-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 15 — — $23,523.89 $64,627.57 $24,700.08 2026-11-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 15 — — $25,819.11 $66,673.29 $27,110.06 2026-11-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 15 — — $46,688.11 $121,091.72 $49,022.52 2026-11-03
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 15 — — $18,038.88 $45,009.40 $18,940.82 2026-11-03
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 15 — — $24,411.09 $60,908.92 $25,631.65 2026-11-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 16 — — $17,665.52 $62,463.42 $24,046.44 2026-11-03
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 22 15 — — $19,842.71 $52,877.25 $20,834.84 2026-11-03
252 MS_DRG Other Vascular Procedures With Mcc 22 15 — — $21,373.26 $55,651.38 $22,441.93 2026-11-03
10 MS_DRG Pancreas Transplant 20 15 — — $43,966.44 $129,345.98 $46,164.76 2026-11-03
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 22 15 — — $17,769.90 $45,560.67 $18,658.39 2026-11-03
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 22 15 — — $33,518.46 $88,069.80 $35,194.38 2026-11-03
J9266 HCPCS Pegaspargase Injection 36 18 — — $5,114.34 $56,848.12 $28,424.06 2026-11-03
C9608 HCPCS Perc D-e Cor Revasc Chro Add 3 3 — — $21,612.44 $35,016.00 $26,989.40 2026-11-03
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 3 3 — — $21,612.44 $35,016.00 $26,989.40 2026-11-03
C9602 HCPCS Perc D-e Cor Stent Ather S 35 20 $16,399.00 $16,399.00 $2,951.82 $35,016.00 $16,736.02 2026-11-03
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 15 — — $16,670.69 $46,183.64 $17,504.23 2026-11-03
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 15 — — $21,068.75 $55,784.41 $22,122.18 2026-11-03
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 22 15 — — $25,277.47 $63,436.80 $26,541.34 2026-11-03
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 24 17 — — $12,669.51 $50,631.98 $21,177.10 2026-11-03
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 22 15 — — $23,658.07 $61,194.78 $24,840.97 2026-11-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 16 — — $18,532.31 $58,782.42 $22,973.33 2026-11-03
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 15 — — $19,562.70 $55,028.42 $20,540.83 2026-11-03
0632T CPT Perq Tcat US Abltj Nrv P-art 21 15 — — $275.00 $33,472.04 $16,736.02 2026-11-03
J9600 HCPCS Porfimer Sodium Injection 30 18 — — $535.27 $49,325.74 $24,228.42 2026-11-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 16 — — $810.95 $73,191.69 $29,264.00 2026-11-03
791 MS_DRG Prematurity With Major Problems 21 15 — — $24,870.02 $65,863.76 $26,113.52 2026-11-03
665 MS_DRG Prostatectomy With Mcc 22 15 — — $19,123.99 $55,703.29 $20,080.19 2026-11-03
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 20 15 — — $16,736.02 $33,472.04 $16,736.02 2026-11-03
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 22 17 — — $20,970.92 $42,188.44 $20,970.92 2026-11-03
Q0489 HCPCS Pwr Pck Base Combo Vad Rep 25 17 — — $108.19 $39,458.60 $19,729.30 2026-11-03
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $36,133.85 $36,133.85 $36,133.85 2026-11-03
849 MS_DRG Radiotherapy 22 15 — — $16,601.46 $43,333.26 $17,431.53 2026-11-03
332 MS_DRG Rectal Resection With Mcc 22 15 — — $22,184.50 $56,272.72 $23,293.72 2026-11-03
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 15 — — $16,841.64 $43,539.29 $17,683.72 2026-11-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 15 — — $39,426.24 $104,917.39 $41,397.55 2026-11-03
J3403 HCPCS Revakinagene Per Implant 18 15 — — $257,500.00 $515,000.00 $257,500.00 2026-11-03
C9766 HCPCS Revasc Intra Lithotrip-ather 23 17 — — $14,393.71 $33,472.04 $16,736.02 2026-11-03
C9765 HCPCS Revasc Intra Lithotrip-stent 23 17 — — $14,393.71 $33,472.04 $16,736.02 2026-11-03
C9775 HCPCS Revasc Lith-sten-ath Tib/per 23 17 — — $16,736.02 $33,472.04 $16,736.02 2026-11-03
C9774 HCPCS Revasc Lithotr-ather Tib/per 23 17 — — $16,736.02 $33,472.04 $16,736.02 2026-11-03
C9767 HCPCS Revasc Lithotrip-stent-ather 23 17 — — $16,736.02 $33,472.04 $16,736.02 2026-11-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 15 — — $21,607.93 $55,567.02 $22,688.33 2026-11-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 15 — — $31,894.16 $82,649.70 $33,488.87 2026-11-03
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 15 — — $16,837.35 $42,557.80 $17,679.22 2026-11-03
64656 CPT Revj/rplcmt Bat Mod Sys Pg 3 3 — — $40,421.81 $57,279.67 $44,149.65 2026-11-03
37286 CPT Revsc Evasc Tpvt St Cplx 1st 3 3 — — $19,635.44 $27,824.36 $21,446.28 2026-11-03
37284 CPT Revsc Evasc Tpvt St Sf 1st 3 3 — — $19,635.44 $27,824.36 $21,446.28 2026-11-03
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 3 3 — — $19,635.44 $27,824.36 $21,446.28 2026-11-03
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 24 17 — — $66.41 $41,840.60 $20,920.30 2026-11-03
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 20 15 — — $20,920.30 $41,840.60 $20,920.30 2026-11-03
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 21 15 — — $200.78 $41,840.60 $20,920.30 2026-11-03
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 22 17 — — $20,970.92 $42,188.44 $20,970.92 2026-11-03
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 3 3 — — $23,022.85 $23,022.85 $23,022.85 2026-11-03
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 3 3 — — $23,022.85 $23,022.85 $23,022.85 2026-11-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 15 — — $42,349.49 $112,855.30 $44,466.96 2026-11-03
L6965 HCPCS Shldr Disartic Myoelectronic 25 17 — — $1,735.20 $34,637.08 $17,318.54 2026-11-03
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 23 16 — — $7,024.06 $46,366.96 $19,432.34 2026-11-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 15 — — $43,714.61 $128,604.59 $45,900.35 2026-11-03
8 MS_DRG Simultaneous Pancreas/kidney Transplant 20 15 — — $34,340.11 $88,270.97 $36,057.11 2026-11-03
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 15 — — $24,634.12 $63,467.62 $25,865.83 2026-11-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 15 — — $32,655.15 $83,550.07 $34,287.90 2026-11-03
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 15 — — $19,793.08 $50,064.18 $20,782.73 2026-11-03
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 35 18 — — $52,916.85 $110,544.64 $55,272.32 2026-11-03
570 MS_DRG Skin Debridement With Mcc 22 15 — — $17,334.90 $48,834.47 $18,921.52 2026-11-03
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 15 — — $16,241.18 $43,198.60 $17,053.24 2026-11-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 15 — — $30,030.28 $87,527.95 $31,531.80 2026-11-03
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 15 — — $21,269.72 $56,211.07 $22,333.20 2026-11-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 15 — — $40,141.27 $100,157.80 $42,148.34 2026-11-03
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 22 15 — — $21,807.68 $60,706.47 $22,898.06 2026-11-03
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 15 — — $22,505.56 $62,638.63 $23,630.84 2026-11-03
500 MS_DRG Soft Tissue Procedures With Mcc 22 15 — — $19,391.14 $51,405.82 $20,360.69 2026-11-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 15 — — $51,488.72 $137,395.83 $54,063.15 2026-11-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 15 — — $36,536.68 $93,110.29 $38,363.52 2026-11-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 15 — — $25,566.06 $70,050.91 $26,844.36 2026-11-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 15 — — $20,903.31 $54,455.74 $21,948.48 2026-11-03
28 MS_DRG Spinal Procedures With Mcc 22 15 — — $36,813.63 $98,627.73 $38,654.31 2026-11-03
213 MS_DRG Splenic Procedures Age 0-17 20 15 — — $34,966.91 $92,583.04 $36,715.26 2026-11-03
800 MS_DRG Splenic Procedures With Cc 22 15 — — $17,213.56 $47,270.58 $18,074.23 2026-11-03
799 MS_DRG Splenic Procedures With Mcc 22 15 — — $27,749.15 $77,137.12 $29,136.61 2026-11-03
L5858 HCPCS Stance Phase Only 25 17 — — $103.93 $45,115.78 $22,557.89 2026-11-03
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 22 15 — — $30,558.44 $82,396.62 $32,086.37 2026-11-03
J9226 HCPCS Supprelin La Implant 36 18 — — $29,206.15 $90,041.30 $45,020.65 2026-11-03
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 23 17 — — $17,774.70 $35,549.41 $17,774.70 2026-11-03
212 MS_DRG Testes Procedures Age 0-17 23 16 — — $44,660.64 $176,731.74 $69,958.36 2026-11-03
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 22 15 — — $18,504.54 $46,512.96 $19,429.77 2026-11-03
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 15 — — $529,192.86 $1,183,452.40 $591,726.20 2026-11-03
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 22 15 — — $25,831.98 $66,574.33 $27,123.57 2026-11-03
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 22 15 — — $33,417.97 $87,537.69 $35,088.87 2026-11-03
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 22 15 — — $17,657.16 $44,056.96 $18,540.02 2026-11-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 21 15 — — $84,869.31 $229,230.99 $89,112.78 2026-11-03
668 MS_DRG Transurethral Procedures With Mcc 23 16 — — $7,606.36 $47,311.13 $18,785.78 2026-11-03
0238T CPT Trluml Perip Athrc Iliac Art 24 17 — — $146.18 $33,472.04 $16,736.02 2026-11-03
L6700 HCPCS Ue Add Ext Power Myoel 18 15 — — $28,931.56 $57,863.12 $28,931.56 2026-11-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 15 — — $34,104.83 $85,096.07 $35,810.07 2026-11-03
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 15 — — $22,096.88 $63,320.28 $23,201.72 2026-11-03
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 15 — — $16,527.32 $42,447.48 $17,353.68 2026-11-03
173 MS_DRG Urethral Procedures Age 0-17 23 16 — — $17,665.52 $49,781.90 $19,148.63 2026-11-03
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 15 — — $21,901.42 $63,879.68 $22,996.49 2026-11-03
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 22 15 — — $21,952.28 $64,582.14 $23,049.89 2026-11-03
263 MS_DRG Vein Ligation And Stripping 22 15 — — $18,733.08 $46,741.53 $19,669.74 2026-11-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 15 — — $27,452.60 $68,497.88 $28,825.23 2026-11-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 15 — — $34,921.57 $87,620.42 $36,667.65 2026-11-03
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 15 — — $19,084.17 $47,835.14 $20,038.38 2026-11-03
901 MS_DRG Wound Debridements For Injuries With Mcc 22 15 — — $25,713.11 $71,876.00 $26,998.76 2026-11-03
A9543 HCPCS Y90 Ibritumomab Rx 25 17 — — $1,282.63 $113,649.10 $56,824.55 2026-11-03
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