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

EAST COOPER MEDICAL CENTER

Mount Pleasant, SC · CCN 420089 · Rates published

31,526 distinct procedures filed
33 distinct payers
1,979,401 rate rows
2026-03-12 last MRF observed
Data quality

1,070,922 of 1,979,401 rate rows are consumer-grade (54.1%)

908,479 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 810,519
template filing: same amount across many unrelated codes — excluded 94,480
per-diem day rate — not a per-procedure price 1,892
placeholder amount (≤ $0.02) — excluded from medians 1,564
exceeds 10× this hospital's gross charge — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/934555562_east-cooper-medical-center-llc-dba-east-cooper-medical-center_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint e254fad681d8d282… · 216,803,306 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 		Injection, Atidarsagene Autotemcel, Per Treatment 9 $4,101,171.80 $4,306,230.39 $4,162,689.38 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,354,919.37 $4,864,633.09 $3,438,792.35 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,019,174.88 $4,981,638.55 $3,109,750.13 nat. median
$3,325,455
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 14 $2,122,959.52 $4,054,852.68 $3,088,906.10 nat. median
$2,448,600
1.3× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 9 $2,957,255.05 $4,879,470.83 $3,045,972.70 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 9 $2,681,683.87 $4,424,778.39 $2,762,134.39 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $23,921.96 $4,268,915.88 $2,279,735.18 nat. median
$2,468,984
0.9× median
J1411
CPT 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 $34.60 $4,200,000.00 $2,100,025.00 nat. median
$3,710,000
0.6× median
J3399
CPT 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 2 $34.60 $2,705,294.50 $1,352,672.25 nat. median
$2,468,984
0.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 9 $7,342.70 $1,339,944.49 $708,557.04 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $538,683.86 $1,028,886.17 $694,400.57 nat. median
$753,246
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $507,359.95 $969,057.50 $644,837.52 nat. median
$625,184
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $512,112.27 $978,134.44 $642,413.45 nat. median
$673,137
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $485,431.42 $927,174.01 $608,934.21 nat. median
$634,303
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $445,443.34 $850,796.78 $579,880.90 nat. median
$619,808
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $5,272.76 $983,925.92 $525,447.35 nat. median
$674,867
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 $12.90 $1,430,430.25 $334,696.52 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $30.00 $928,291.69 $286,974.19 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 9 $5,254.90 $483,817.65 $255,840.75 nat. median
$324,450
0.8× median
Q2056
CPT 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $34.60 $492,900.00 $246,475.00 nat. median
$674,867
outlier · 0.4×
Q2042
CPT 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $34.60 $466,069.91 $233,059.95 nat. median
$753,246
outlier · 0.3×
Q2055
CPT 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 2 $34.60 $460,226.56 $230,138.28 nat. median
$625,184
outlier · 0.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $26.00 $707,235.31 $228,521.54 nat. median
$206,474
1.1× median
Q2054
CPT 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $34.60 $454,489.31 $227,269.65 nat. median
$673,137
outlier · 0.3×
Q2041
CPT 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $34.60 $449,440.00 $224,745.00 nat. median
$634,303
outlier · 0.4×
Q2053
CPT 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $34.60 $449,440.00 $224,745.00 nat. median
$619,808
outlier · 0.4×
Q0480
HCPCS 		Dme Pos 15 $111,502.61 $212,969.99 $162,236.30 nat. median
$111,989
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $26.70 $703,084.75 $159,026.29 nat. median
$202,976
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $81,354.20 $365,077.25 $149,927.21 nat. median
$98,894
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 13 $95,081.03 $181,604.77 $138,342.90 nat. median
$96,983
1.4× median
7
MS_DRG 		Lung Transplant 17 $18.50 $428,975.38 $129,901.18 nat. median
$122,708
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $25.60 $398,092.94 $121,370.93 nat. median
$117,357
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $9.60 $375,365.88 $121,288.05 nat. median
$108,660
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $63,921.05 $286,845.94 $116,975.52 nat. median
$83,470
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $66,505.35 $298,443.00 $115,667.29 nat. median
$82,711
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $14.80 $341,535.31 $109,606.50 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 17 $5.00 $329,825.63 $108,174.73 nat. median
$99,019
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $26.00 $458,827.63 $103,779.32 nat. median
$133,161
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $10.00 $260,654.00 $101,599.62 nat. median
$77,570
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $11.00 $324,055.25 $101,274.53 nat. median
$93,672
1.1× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 14 $68,801.71 $131,411.27 $100,106.49 nat. median
$70,825
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $10.60 $278,362.63 $99,158.10 nat. median
$81,118
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $53,284.89 $239,116.13 $95,544.97 nat. median
$68,090
1.4× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $49,320.97 $221,328.00 $93,303.52 nat. median
$63,724
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $10.00 $279,240.44 $90,815.54 nat. median
$79,312
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 18 $12.60 $360,204.56 $84,281.79 nat. median
$102,358
0.8× median
5834
APR_DRG 		4 $80,554.54 $822,310.92 $82,568.48 nat. median
$309,665
outlier · 0.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $8.00 $236,194.50 $79,470.09 nat. median
$68,886
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 $39,194.21 $221,490.31 $78,414.74 nat. median
$60,691
1.3× median

Other procedures at this hospital

Browse this hospital's 31,526 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 14 9 — — $4,101,171.80 $4,306,230.39 $4,162,689.38 2026-03-12
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 3 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 9 — — $3,354,919.37 $4,864,633.09 $3,438,792.35 2026-03-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 19 9 — — $3,019,174.88 $4,981,638.55 $3,109,750.13 2026-03-12
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 42 14 — — $2,122,959.52 $4,054,852.68 $3,088,906.10 2026-03-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 19 9 — — $2,957,255.05 $4,879,470.83 $3,045,972.70 2026-03-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 19 9 — — $2,681,683.87 $4,424,778.39 $2,762,134.39 2026-03-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 24 9 — — $23,921.96 $4,268,915.88 $2,279,735.18 2026-03-12
J1411 CPT Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 6 2 — — $34.60 $4,200,000.00 $2,100,025.00 2024-12-08
J3399 CPT Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 6 2 — — $34.60 $2,705,294.50 $1,352,672.25 2024-12-08
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 21 9 — — $7,342.70 $1,339,944.49 $708,557.04 2026-03-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 42 14 — — $538,683.86 $1,028,886.17 $694,400.57 2026-03-12
Q2055 HCPCS Idecabtagene Vicleucel Car 42 14 — — $507,359.95 $969,057.50 $644,837.52 2026-03-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 42 14 — — $512,112.27 $978,134.44 $642,413.45 2026-03-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 42 14 — — $485,431.42 $927,174.01 $608,934.21 2026-03-12
Q2053 HCPCS Brexucabtagene Car Pos T 42 14 — — $445,443.34 $850,796.78 $579,880.90 2026-03-12
Q2056 HCPCS Ciltacabtagene Car-pos T 24 9 — — $5,272.76 $983,925.92 $525,447.35 2026-03-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 49 16 — — $12.90 $1,430,430.25 $334,696.52 2026-03-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 17 — — $30.00 $928,291.69 $286,974.19 2026-03-12
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 21 9 — — $5,254.90 $483,817.65 $255,840.75 2026-03-12
Q2056 CPT Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 2 — — $34.60 $492,900.00 $246,475.00 2024-12-08
Q2042 CPT Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 2 — — $34.60 $466,069.91 $233,059.95 2024-12-08
Q2055 CPT Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 6 2 — — $34.60 $460,226.56 $230,138.28 2024-12-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 18 — — $26.00 $707,235.31 $228,521.54 2026-03-12
Q2054 CPT Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 2 — — $34.60 $454,489.31 $227,269.65 2024-12-08
Q2041 CPT Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 2 — — $34.60 $449,440.00 $224,745.00 2024-12-08
Q2053 CPT Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 2 — — $34.60 $449,440.00 $224,745.00 2024-12-08
Q0480 HCPCS Dme Pos 43 15 — — $111,502.61 $212,969.99 $162,236.30 2026-03-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 14 — $11,788.78 $26.70 $703,084.75 $159,026.29 2026-03-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $162,178.97 $81,354.20 $365,077.25 $149,927.21 2026-03-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 37 13 — — $95,081.03 $181,604.77 $138,342.90 2026-03-12
7 MS_DRG Lung Transplant 53 17 — — $18.50 $428,975.38 $129,901.18 2026-03-12
14 MS_DRG Allogeneic Bone Marrow Transplant 53 17 — — $25.60 $398,092.94 $121,370.93 2026-03-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 53 17 — — $9.60 $375,365.88 $121,288.05 2026-03-12
850 MS_DRG Acute Leukemia With Other Procedures 38 14 — $105,857.25 $63,921.05 $286,845.94 $116,975.52 2026-03-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 14 — $104,154.52 $66,505.35 $298,443.00 $115,667.29 2026-03-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 17 — — $14.80 $341,535.31 $109,606.50 2026-03-12
215 MS_DRG Other Heart Assist System Implant 53 17 — $128,686.42 $5.00 $329,825.63 $108,174.73 2026-03-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 40 14 — $7,118.38 $26.00 $458,827.63 $103,779.32 2026-03-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 57 18 — $122,398.90 $10.00 $260,654.00 $101,599.62 2026-03-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 18 — $146,796.18 $11.00 $324,055.25 $101,274.53 2026-03-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 39 14 — — $68,801.71 $131,411.27 $100,106.49 2026-03-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 18 — $113,120.54 $10.60 $278,362.63 $99,158.10 2026-03-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $92,133.04 $53,284.89 $239,116.13 $95,544.97 2026-03-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 14 — $114,415.10 $49,320.97 $221,328.00 $93,303.52 2026-03-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 57 18 — $122,813.54 $10.00 $279,240.44 $90,815.54 2026-03-12
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 57 18 — $176,224.13 $12.60 $360,204.56 $84,281.79 2026-03-12
5834 APR_DRG — 4 4 — — $80,554.54 $822,310.92 $82,568.48 2026-03-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 57 18 — $112,923.45 $8.00 $236,194.50 $79,470.09 2026-03-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 14 — $102,302.08 $39,194.21 $221,490.31 $78,414.74 2026-03-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 18 — $172,761.86 $5.30 $197,527.69 $77,344.44 2026-03-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $77,516.00 $41,499.41 $186,228.75 $76,697.08 2026-03-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 53 17 — — $11.60 $236,333.63 $76,364.00 2026-03-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 57 18 — $131,626.63 $13.00 $202,768.06 $76,002.80 2026-03-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 57 18 — $75,696.95 $13.50 $228,953.38 $75,696.95 2026-03-12
A9543 HCPCS Y90 Ibritumomab, Rx 41 13 — $84,429.31 $51,730.80 $98,805.83 $75,268.32 2026-03-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 14 — $66,243.04 $42,570.48 $191,035.19 $74,946.36 2026-03-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 57 18 — $96,988.16 $7.50 $200,823.63 $73,454.26 2026-03-12
C1831 HCPCS Dvc Spinal Interbody Aprevo 25 13 $244,421.00 — $25,175.36 $219,978.90 $73,326.30 2026-03-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 18 — $96,854.61 $11.00 $188,795.94 $73,175.11 2026-03-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 18 — $108,591.76 $8.70 $254,343.69 $73,166.88 2026-03-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 57 18 — $112,537.88 $11.00 $253,247.25 $72,947.36 2026-03-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 18 — $65,925.32 $2.70 $203,003.25 $72,655.88 2026-03-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 14 — $73,945.74 $39,341.03 $176,543.00 $72,462.03 2026-03-12
L7181 HCPCS Dme Pos 39 14 — — $49,605.45 $94,746.41 $72,175.93 2026-03-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 57 18 — $123,322.96 $8.00 $222,967.69 $67,014.48 2026-03-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 41 13 — $88,088.18 $57,664.28 $110,138.77 $66,509.39 2026-03-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 57 18 — $115,884.12 $10.00 $252,409.19 $66,393.62 2026-03-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 18 — $98,094.24 $5.20 $217,806.81 $65,932.51 2026-03-12
A9543 CPT Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 7 2 — — $34.60 $73,999.04 $65,476.58 2024-12-08
C1820 HCPCS Imp Nstim Precision Montage 225 14 $184,564.00 — $1,630.18 $317,275.20 $65,334.41 2026-03-12
28 MS_DRG Spinal Procedures With Mcc 57 18 — $119,474.25 $10.00 $199,024.94 $64,794.99 2026-03-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 57 18 — $50,869.94 $11.90 $194,271.50 $64,034.55 2026-03-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 57 18 — $95,549.29 $11.50 $180,667.06 $63,525.63 2026-03-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 53 17 — — $16.60 $196,421.31 $63,467.56 2026-03-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 57 18 — $76,635.01 $7.50 $189,816.19 $63,098.32 2026-03-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 57 18 — $62,518.77 $6.50 $163,882.63 $62,518.77 2026-03-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 18 — $244,730.30 $14.80 $213,149.44 $62,444.79 2026-03-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc 57 18 — $83,424.42 $6.00 $198,968.63 $62,425.52 2026-03-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 57 18 — $234,559.50 $9.90 $163,591.13 $61,744.41 2026-03-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 57 18 — $61,593.63 $9.00 $181,210.31 $61,593.63 2026-03-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 57 18 — $62,695.40 $1.00 $157,701.50 $61,499.15 2026-03-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 57 18 — $154,758.75 $6.50 $174,777.44 $60,929.11 2026-03-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 57 18 — $216,106.50 $6.00 $227,830.44 $60,929.11 2026-03-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 57 18 — $99,904.67 $8.00 $194,397.38 $60,742.26 2026-03-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 57 18 — $76,003.89 $9.90 $207,932.65 $60,318.87 2026-03-12
620T CPT Evasc Ven Artlz Tibl/prnl Vn 43 15 — — $9,830.00 $78,246.32 $59,606.49 2026-03-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 18 — $118,644.47 $2.20 $217,806.81 $59,544.39 2026-03-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 14 — $65,149.88 $29,677.76 $133,179.06 $58,216.96 2026-03-12
L7180 HCPCS Dme Pos 39 14 — — $39,992.59 $76,385.85 $58,189.22 2026-03-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 53 17 — — $16.60 $179,944.94 $58,143.72 2026-03-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 14 — $68,867.69 $31,303.93 $140,476.50 $58,034.63 2026-03-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 57 18 — $80,528.37 $7.80 $181,525.26 $57,650.93 2026-03-12
L2006 HCPCS Dme Pos 39 14 — — $39,378.44 $75,212.82 $57,295.63 2026-03-12
C1767 HCPCS Gen Nstim Osa Inspire 3028 169 14 $200,966.00 — $9,908.33 $210,900.60 $57,177.49 2026-03-12
C1826 HCPCS Sys Gen Nstim Evoke Rechg 30 14 $179,413.00 $89,706.50 50% off $18,479.53 $161,471.70 $57,143.04 2026-03-12
653 MS_DRG Major Bladder Procedures With Mcc 54 17 — $62,445.54 $10.00 $172,130.75 $56,474.41 2026-03-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 18 — $240,353.93 $3.00 $138,217.38 $56,328.71 2026-03-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 53 17 — — $8.70 $185,652.38 $55,721.40 2026-03-12
10 MS_DRG Pancreas Transplant 53 17 — — $9.50 $237,695.06 $55,616.63 2026-03-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 57 18 — $83,412.57 $8.00 $180,951.94 $55,402.59 2026-03-12
J7330 HCPCS Cultured Chondrocytes Implnt 27 13 — — $55,272.26 $55,272.26 $55,272.26 2026-03-12
799 MS_DRG Splenectomy With Mcc 57 18 — $81,718.45 $7.70 $150,019.81 $54,563.05 2026-03-12
C1840 HCPCS Pros Oculr Telescop Mini 22 12 $167,035.00 — $648.95 $150,331.50 $54,553.63 2026-03-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 57 18 — $85,654.89 $6.00 $175,357.13 $54,135.75 2026-03-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 57 18 — $101,130.98 $9.00 $165,207.63 $53,786.61 2026-03-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 40 14 — $5,078.06 $12.60 $237,595.69 $53,740.26 2026-03-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 57 18 — $52,909.78 $10.90 $168,614.41 $52,909.78 2026-03-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 41 13 — $58,002.43 $26,265.18 $96,106.83 $52,833.60 2026-03-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 57 18 — $61,963.04 $8.70 $154,952.13 $52,736.52 2026-03-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 57 18 — $47,177.99 $11.00 $163,031.31 $52,678.60 2026-03-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 57 18 — $55,291.03 $6.60 $150,609.44 $52,352.78 2026-03-12
5884 APR_DRG — 4 4 — — $50,913.49 $519,731.33 $52,186.38 2026-03-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 57 18 — $96,726.45 $7.00 $182,949.38 $52,048.64 2026-03-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 18 — $83,022.70 $5.70 $176,649.00 $50,900.77 2026-03-12
L8701 HCPCS Ewh S/d Uprt Micro Sensor 39 14 — — $34,970.13 $66,792.95 $50,881.54 2026-03-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 57 18 — $63,483.77 $6.70 $139,585.44 $50,430.27 2026-03-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 57 18 — $73,824.75 $9.00 $155,415.88 $50,217.91 2026-03-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 57 18 — $77,798.78 $9.80 $152,259.06 $50,026.05 2026-03-12
5833 APR_DRG — 4 4 — — $48,636.75 $496,490.10 $49,852.71 2026-03-12
6 MS_DRG Liver Transplant Without Mcc 53 17 — — $7.80 $153,600.63 $49,631.37 2026-03-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 57 18 — $118,212.60 $12.00 $217,015.13 $49,327.08 2026-03-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 18 — $76,255.91 $3.30 $152,987.81 $49,234.53 2026-03-12
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 55 16 — $65,810.75 $34.60 $92,678.98 $49,217.53 2026-03-12
90288 CPT Botulinum Human Antitoxin For Infusion Into Vein 30 14 — — $34.60 $48,705.00 $48,705.00 2026-03-12
163 MS_DRG Major Chest Procedures With Mcc 57 18 — $48,143.25 $7.50 $148,459.63 $47,663.28 2026-03-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 53 17 — — $6.00 $155,733.88 $47,628.52 2026-03-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 57 18 — $71,184.74 $6.00 $124,649.38 $47,421.90 2026-03-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 18 — $70,678.13 $3.30 $166,956.63 $47,408.71 2026-03-12
Q2043 CPT Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 15 6 — — $34.60 $53,062.44 $47,350.44 2024-12-08
332 MS_DRG Rectal Resection With Mcc 57 18 — $65,331.90 $6.70 $119,935.69 $46,771.55 2026-03-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 57 18 — $64,336.75 $8.00 $118,110.50 $46,059.77 2026-03-12
0333 RC Radiology Therapeutic And/of Chemotherapy Administration Radiation Therapy 4 2 — — $300.00 $74,138.00 $45,752.00 2024-12-08
901 MS_DRG Wound Debridements For Injuries With Mcc 57 18 — $83,705.25 $9.00 $139,012.38 $45,709.40 2026-03-12
J9226 HCPCS Supprelin La Implant 41 13 — $29,206.15 $29,206.15 $78,281.35 $45,261.80 2026-03-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 57 18 — $47,859.73 $8.00 $145,511.50 $44,352.90 2026-03-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 57 18 — $39,532.99 $9.00 $150,675.69 $44,080.60 2026-03-12
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 14 — $52,292.66 $23,845.55 $107,007.00 $44,038.29 2026-03-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 14 — $152,994.00 $17.90 $123,002.05 $43,872.60 2026-03-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 18 — $166,220.58 $7.00 $172,428.88 $43,819.19 2026-03-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 57 18 — $58,252.78 $10.50 $151,871.50 $43,418.69 2026-03-12
L5856 HCPCS Dme Pos 39 14 — — $29,719.96 $56,765.12 $43,242.54 2026-03-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 57 18 — $100,435.64 $6.00 $184,380.38 $43,141.90 2026-03-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 57 18 — $112,673.59 $8.50 $139,655.00 $43,097.79 2026-03-12
L6880 HCPCS Dme Pos 39 14 — — $29,579.67 $56,497.17 $43,038.42 2026-03-12
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 37 13 — — $29,510.19 $56,364.46 $42,937.32 2026-03-12
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 57 18 — $88,962.00 $8.60 $116,580.13 $42,553.35 2026-03-12
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 37 13 — — $18,409.00 $55,760.71 $42,477.40 2026-03-12
24 APR_DRG — 4 4 — — $41,431.77 $422,940.74 $42,467.60 2026-03-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 57 18 — $69,875.76 $5.80 $138,754.00 $42,463.53 2026-03-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 56 18 — $55,487.04 $2.50 $105,251.38 $42,000.22 2026-03-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 18 — $53,040.10 $4.00 $129,581.69 $41,888.76 2026-03-12
909T CPT Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 37 13 — — $4,985.00 $54,817.11 $41,758.58 2026-03-12
674T CPT Laps Insj Nw/rpcmt Prm Isdss 43 15 — — $15,339.00 $54,817.11 $41,758.58 2026-03-12
908T CPT Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 37 13 — — $4,985.00 $54,817.11 $41,758.58 2026-03-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 56 18 — $56,596.35 $2.60 $104,327.19 $41,748.02 2026-03-12
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 57 18 — $58,229.08 $8.00 $106,897.69 $41,687.08 2026-03-12
245 MS_DRG Aicd Generator Procedures 56 18 — $82,323.73 $4.10 $151,129.50 $41,674.64 2026-03-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 57 18 — $40,097.79 $10.00 $142,202.31 $41,605.56 2026-03-12
64568 CPT Implantation Of Cranial Nerve Neurostimulator Electrodes And Generator 54 19 — $42,199.70 $34.60 $78,246.32 $41,171.50 2026-03-12
C1721 HCPCS Dfb Fortfy Asr Dr235740c 26 13 $125,930.00 — $5,000.00 $113,337.00 $40,108.71 2026-03-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 57 18 — $64,282.90 $7.60 $118,011.13 $40,037.93 2026-03-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 57 18 — $65,421.29 $7.70 $120,101.31 $39,664.95 2026-03-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 57 18 — $57,869.36 $7.00 $127,902.25 $39,435.51 2026-03-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 18 — $52,424.05 $4.90 $128,216.94 $39,118.88 2026-03-12
471 MS_DRG Cervical Spinal Fusion With Mcc 58 18 — $228,939.93 $7.00 $159,950.69 $38,976.36 2026-03-12
37 MS_DRG Extracranial Procedures With Mcc 56 18 — $37,623.92 $5.10 $109,050.81 $38,953.38 2026-03-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 18 — $216,106.50 $1.50 $139,893.50 $38,885.79 2026-03-12
500 MS_DRG Soft Tissue Procedures With Mcc 57 18 — $38,882.93 $7.80 $104,834.00 $38,882.93 2026-03-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 56 18 — $74,727.65 $4.60 $143,345.13 $38,787.30 2026-03-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 52 17 — — $5.40 $122,754.63 $38,144.44 2026-03-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 57 18 — $88,436.78 $9.00 $162,352.25 $37,987.69 2026-03-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 56 18 — $60,266.77 $3.60 $136,657.19 $37,938.08 2026-03-12
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 57 18 — $59,604.41 $6.00 $109,421.81 $37,715.80 2026-03-12
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 57 18 — $141,650.55 $6.50 $96,469.94 $37,620.56 2026-03-12
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 56 18 — $44,549.03 $5.20 $105,463.38 $37,563.73 2026-03-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 57 18 — $47,203.83 $7.00 $112,860.19 $37,411.24 2026-03-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 57 18 — $137,796.75 $7.00 $105,566.06 $37,333.32 2026-03-12
408T CPT Insj/rplc Cardiac Modulj Sys 42 14 — $33,021.13 $18,409.00 $55,760.71 $37,156.86 2026-03-12
571T CPT Insj/rplcmt Icds Ss Eltrd 43 15 — — $18,409.00 $55,760.71 $37,156.86 2026-03-12
C1772 HCPCS Imp Pmp Inf Programmable 25 13 $123,582.00 — $5,219.30 $111,223.80 $37,074.60 2026-03-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 57 18 — $64,295.82 $6.00 $120,194.06 $37,047.61 2026-03-12
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 57 18 — $46,507.60 $8.80 $114,433.63 $36,975.74 2026-03-12
960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 42 14 — $42,188.44 $25,236.75 $48,202.19 $36,719.47 2026-03-12
956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 42 14 — $42,188.44 $25,236.75 $48,202.19 $36,719.47 2026-03-12
6094 APR_DRG — 4 4 — — $35,802.61 $365,477.54 $36,697.71 2026-03-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 57 18 — $248,695.55 $8.00 $113,565.75 $36,695.31 2026-03-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 57 18 — $49,034.73 $6.90 $127,176.81 $36,640.41 2026-03-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 57 18 — $77,020.58 $6.90 $121,671.44 $36,612.76 2026-03-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 57 18 — $44,042.84 $9.00 $117,898.50 $36,358.05 2026-03-12
C1822 HCPCS Imp Gen Nstim Senza Hf/hfx 29 14 $120,528.00 — $73.34 $108,475.20 $36,158.40 2026-03-12
5914 APR_DRG — 4 4 — — $35,031.56 $357,606.65 $35,907.38 2026-03-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 53 17 — — $7.00 $128,024.81 $35,730.85 2026-03-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 56 18 — $228,898.84 $3.20 $116,818.63 $35,325.96 2026-03-12
1614 APR_DRG — 4 4 — — $34,449.67 $351,666.64 $35,310.95 2026-03-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 57 18 — $71,888.67 $7.70 $131,973.31 $35,175.00 2026-03-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 18 — $162,855.28 $4.00 $117,802.44 $35,166.58 2026-03-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 57 18 — $31,827.75 $6.80 $107,156.06 $35,165.78 2026-03-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 18 — $53,533.36 $5.10 $105,761.50 $35,104.62 2026-03-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 56 18 — $38,878.62 $4.90 $113,009.25 $35,018.32 2026-03-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 57 18 — $50,326.06 $7.00 $148,416.56 $34,726.97 2026-03-12
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 56 18 — $116,620.55 $5.00 $91,328.94 $34,673.86 2026-03-12
252 MS_DRG Other Vascular Procedures With Mcc 56 18 — $98,764.55 $5.40 $115,549.94 $34,624.37 2026-03-12
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 56 18 — $57,928.60 $2.60 $106,344.50 $34,606.93 2026-03-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 57 18 — $102,624.00 $8.90 $118,286.06 $34,495.49 2026-03-12
C7531 HCPCS Angio Fem/pop With US 31 15 — — $4,985.00 $39,758.00 $34,442.50 2026-03-12
C7534 HCPCS Fem/pop Revasc W/arthr & US 31 15 — — $4,985.00 $39,758.00 $34,442.50 2026-03-12
C7535 HCPCS Fem/pop Revasc W/stent & US 31 15 — — $4,985.00 $39,758.00 $34,442.50 2026-03-12
C7533 HCPCS Ptca With Plcmt Brachytx Dev 31 15 — — $4,985.00 $39,758.00 $34,442.50 2026-03-12
C7532 HCPCS Angio With US Non-coronary 31 15 — — $4,985.00 $39,758.00 $34,442.50 2026-03-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 57 18 — $63,628.08 $6.00 $118,680.25 $34,432.65 2026-03-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 56 18 — $39,404.20 $4.00 $97,523.31 $34,318.04 2026-03-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 57 18 — $43,604.50 $8.00 $123,811.31 $34,306.97 2026-03-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 59 20 — $120,590.25 $3.50 $100,474.75 $34,179.62 2026-03-12
652 MS_DRG Kidney Transplant 52 17 — — $4.40 $106,977.19 $34,149.21 2026-03-12
L8614 HCPCS Dme Pos 33 12 — — $23,437.87 $44,766.33 $34,102.10 2026-03-12
94 APR_DRG — 4 4 — — $33,154.49 $338,445.23 $33,983.38 2026-03-12
C9760 HCPCS Non-blind Interatrial Shunt 42 14 — $35,323.61 $18,409.00 $47,817.54 $33,980.77 2026-03-12
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 58 18 — $122,334.00 $6.00 $95,075.38 $33,955.81 2026-03-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 57 18 — $128,285.17 $8.00 $123,450.25 $33,869.61 2026-03-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 57 18 — $29,011.15 $6.00 $123,921.29 $33,822.54 2026-03-12
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 18 — $54,754.68 $3.10 $119,462.00 $33,813.18 2026-03-12
5883 APR_DRG — 4 4 — — $32,958.12 $336,440.66 $33,782.10 2026-03-12
Q0483 HCPCS Dme Pos 43 15 — — $23,212.40 $44,335.68 $33,774.04 2026-03-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 57 18 — $46,603.94 $7.00 $85,555.25 $33,732.00 2026-03-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 57 18 — $43,797.28 $9.00 $119,640.88 $33,732.00 2026-03-12
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 57 18 — $41,882.38 $5.70 $107,749.00 $33,732.00 2026-03-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 57 18 — $50,831.17 $1.00 $109,037.56 $33,732.00 2026-03-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 57 18 — $100,913.30 $8.00 $107,275.31 $33,732.00 2026-03-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 57 18 — $60,991.59 $8.00 $137,568.13 $33,732.00 2026-03-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 57 18 — $43,227.55 $7.90 $118,405.31 $33,732.00 2026-03-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 57 18 — $35,115.59 $10.00 $115,520.13 $33,732.00 2026-03-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 57 18 — $133,751.36 $8.80 $139,178.00 $33,732.00 2026-03-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 53 17 — $68,867.69 $2.50 $128,995.38 $33,732.00 2026-03-12
654 MS_DRG Major Bladder Procedures With Cc 53 17 — $36,005.19 $5.30 $92,726.81 $33,732.00 2026-03-12
L5858 HCPCS Dme Pos 39 14 — — $23,009.05 $43,947.29 $33,478.17 2026-03-12
69930 CPT Implantation Of Cochlear Device 64 19 — $59,042.04 $34.60 $116,169.36 $33,308.06 2026-03-12
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 56 18 — $56,695.43 $4.70 $104,082.06 $33,044.38 2026-03-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 58 18 — $131,598.93 $6.70 $121,621.75 $32,794.54 2026-03-12
140 MS_DRG Major Head And Neck Procedures With Mcc 57 18 — $56,774.06 $7.00 $141,288.06 $32,744.17 2026-03-12
665 MS_DRG Prostatectomy With Mcc 57 18 — $56,318.48 $7.90 $103,389.75 $32,713.57 2026-03-12
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 56 18 — $54,531.74 $2.30 $104,376.88 $32,581.83 2026-03-12
5882 APR_DRG — 4 4 — — $31,786.09 $324,476.43 $32,580.78 2026-03-12
974 MS_DRG HIV With Major Related Condition With Mcc 57 18 — $38,376.74 $7.00 $95,598.75 $32,504.74 2026-03-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 58 18 — $38,816.16 $2.60 $95,645.13 $32,318.40 2026-03-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 56 18 — $38,720.30 $3.10 $102,992.25 $32,276.07 2026-03-12
266T CPT Implt/rpl Crtd Sns Dev Total 9 3 — $44,601.24 $107.83 $60,686.40 $32,227.75 2026-03-12
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 56 18 — $40,415.50 $4.00 $98,593.25 $32,210.83 2026-03-12
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 57 18 — $91,910.96 $5.90 $84,167.31 $32,076.59 2026-03-12
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 56 18 — $187,762.50 $2.30 $88,112.50 $31,853.72 2026-03-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 56 18 — $38,917.40 $4.30 $80,964.13 $31,845.34 2026-03-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 18 — $157,148.33 $5.60 $103,174.44 $31,784.83 2026-03-12
662 MS_DRG Minor Bladder Procedures With Mcc 57 18 — $55,241.48 $7.00 $101,412.19 $31,735.05 2026-03-12
5934 APR_DRG — 4 4 — — $30,922.68 $315,662.66 $31,695.78 2026-03-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 56 18 — $42,242.09 $5.00 $96,069.13 $31,669.39 2026-03-12
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 56 18 — $43,400.95 $2.20 $115,532.32 $31,486.68 2026-03-12
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 58 18 — $60,202.15 $5.50 $123,798.06 $31,349.33 2026-03-12
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 56 18 — $38,725.69 $3.40 $72,295.31 $31,323.36 2026-03-12
6314 APR_DRG — 4 4 — — $30,557.34 $311,933.23 $31,321.31 2026-03-12
472 MS_DRG Cervical Spinal Fusion With Cc 57 18 — $227,311.40 $2.60 $97,589.56 $31,297.69 2026-03-12
5832 APR_DRG — 4 4 — — $30,520.66 $311,558.79 $31,283.71 2026-03-12
L5973 HCPCS Dme Pos 39 14 — — $21,299.94 $40,682.89 $30,991.42 2026-03-12
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 57 18 — $36,751.55 $6.00 $96,128.75 $30,968.34 2026-03-12
793 MS_DRG Full Term Neonate With Major Problems 34 14 — $7,289.25 $4.70 $86,290.65 $30,932.25 2026-03-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 56 18 — $54,494.05 $5.10 $100,040.81 $30,909.96 2026-03-12
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 56 18 — $46,456.40 $3.80 $90,126.50 $30,566.77 2026-03-12
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 56 18 — $31,235.15 $4.50 $75,710.50 $30,380.06 2026-03-12
33264 CPT Removal And Replacement Of Defibrillator Pulse Generator, Multiple Wires (leads) 60 19 $107,721.00 $68,114.81 37% off $34.60 $96,948.90 $30,361.85 2026-03-12
791 MS_DRG Prematurity With Major Problems 37 14 — $37,871.25 $13.00 $84,002.85 $30,261.58 2026-03-12
8414 APR_DRG — 4 4 — — $29,471.64 $300,850.23 $30,208.46 2026-03-12
923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 37 13 — — $18,409.00 $40,994.00 $30,101.42 2026-03-12
916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 37 13 — — $18,409.00 $40,994.00 $30,101.42 2026-03-12
800 MS_DRG Splenectomy With Cc 56 18 — $50,692.24 $4.20 $93,061.38 $29,954.70 2026-03-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 57 18 — $33,382.69 $6.00 $124,106.13 $29,947.79 2026-03-12
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 57 18 — $43,815.75 $5.90 $85,436.00 $29,943.40 2026-03-12
668 MS_DRG Transurethral Procedures With Mcc 57 18 — $47,320.15 $7.00 $96,725.00 $29,842.62 2026-03-12
33249 CPT Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 66 19 $106,663.00 $91,025.78 $34.60 $123,853.13 $29,777.97 2026-03-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 57 18 — $126,693.38 $7.00 $94,422.81 $29,749.43 2026-03-12
C1821 HCPCS Sp Expand/stack Devices 85 14 $84,947.00 — $1,609.27 $135,291.60 $29,548.50 2026-03-12
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 56 18 — $35,476.38 $4.60 $100,865.89 $29,422.58 2026-03-12
0D160KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D16479 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Percutaneous Endos… 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D1607A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160Z9 OTHER Bypass Stomach To Duodenum, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D1647A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Percutaneous Endosc… 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D16079 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160ZB OTHER Bypass Stomach To Ileum, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute, Open Ap… 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160ZA OTHER Bypass Stomach To Jejunum, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D1607L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Open Appro… 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D1607B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D160ZL OTHER Bypass Stomach To Transverse Colon, Open Approach 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D1647B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Percutaneous Endoscop… 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
0D1647L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Percutaneo… 2 1 — — $24,808.00 $33,860.00 $29,334.00 2024-12-08
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