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

Wayne Medical Center

Waynesboro, TN · CCN 440010 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $3,944 across 15 payers · range $2,034-$9,831

Source: https://res.cloudinary.com/dpmykpsih/raw/upload/maury-site-494/media/r/33f69402b83e44cbbffa9244fa2a22fa/621605071_wayne-medical-center_standardcharges.csv · observed 2026-05-23

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.

32,242 distinct procedures filed
22 distinct payers
764,204 rate rows
2026-05-23 last MRF observed
Data quality

758,518 of 764,204 rate rows are consumer-grade (99.3%)

5,686 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 3,612
per-diem day rate — not a per-procedure price 1,708
placeholder amount (≤ $0.02) — excluded from medians 206
percent-of-charges filed in the dollar field — excluded from medians 110
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/maury-site-494/media/r/33f69402b83e44cbbffa9244fa2a22fa/621605071_wayne-medical-center_standardcharges.csv
Found on page https://www.mauryregional.com/billing-and-insurance/understanding-charges/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint d4b79875b0d7c2c5… · 34,337,236 bytes · first seen 2026-05-08

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
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 12 $3,672,900.00 $4,633,790.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 11 $3,605,000.00 $3,731,175.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,296,000.00 $4,116,704.00 $3,325,454.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 11 $3,286,000.00 $3,401,010.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 11 $2,968,000.00 $3,071,880.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $889,156.24 $4,683,348.52 $2,388,614.23 nat. median
$2,460,273
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $507,195.92 $1,344,164.75 $542,937.13 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $484,690.30 $1,342,798.35 $542,385.22 nat. median
$610,161
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $175,755.32 $1,349,441.79 $537,130.76 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $473,853.52 $1,317,651.50 $532,227.86 nat. median
$624,417
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $158,152.00 $1,248,112.70 $504,139.64 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $449,440.00 $1,174,352.52 $474,346.31 nat. median
$577,541
0.8× median
C9741
HCPCS 		Impl Pressure Sensor W/angio??????? ? 1 $394,000.00 $394,000.00 $394,000.00 nat. median
$12,184
outlier · 32.3×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 2 $153,676.00 $371,504.49 $371,504.49 nat. median
$27,071
outlier · 13.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $156,483.17 $597,711.95 $233,397.95 nat. median
$370,165
0.6× median
612
MS_DRG 		Neonate- Birthwt <750g-- Discharged Alive 1 $215,963.27 $215,963.27 $215,963.27 nat. median
$53,038
outlier · 4.1×
636
MS_DRG 		Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 $198,174.40 $198,174.40 $198,174.40 nat. median
$8,001
outlier · 24.8×
633
MS_DRG 		Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 $178,047.54 $178,047.54 $178,047.54 nat. median
$7,400
outlier · 24.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $106,274.75 $388,412.69 $174,328.70 nat. median
$261,939
0.7× median
631
MS_DRG 		Neonate- Birthwt 750-999g- Discharged Alive 1 $173,448.65 $173,448.65 $173,448.65 nat. median
$77,861
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $36,531.60 $327,113.69 $146,816.28 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 $69,910.40 $295,520.33 $133,962.80 nat. median
$199,832
0.7× median
359
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $111,669.31 $111,669.31 $111,669.31 nat. median
$31,389
outlier · 3.6×
681
MS_DRG 		Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 $102,193.50 $102,193.50 $102,193.50 nat. median
$29,070
outlier · 3.5×
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 14 $99,999.92 $254,999.80 $99,999.92 nat. median
$111,503
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 16 $45,070.29 $194,838.57 $88,322.59 nat. median
$132,706
0.7× median
635
MS_DRG 		Neonate- Birthwt 1000-1499g- Died 1 $84,456.81 $84,456.81 $84,456.81 nat. median
$59,901
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $44,501.01 $180,660.72 $81,084.76 nat. median
$114,305
0.7× median
7
MS_DRG 		Lung Transplant 16 $38,536.64 $180,205.68 $80,880.53 nat. median
$122,690
0.7× median
634
MS_DRG 		Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 1 $80,163.99 $80,163.99 $80,163.99 nat. median
$13,790
outlier · 5.8×
613
MS_DRG 		Neonate- Birthwt <750g- Died 1 $76,597.81 $76,597.81 $76,597.81 nat. median
$40,057
1.9× median
405810920
OTHER 		Pegloticase 8 mg/mL Inj 5 $43,998.00 $84,476.16 $70,396.80 nat. median
$70,397
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $60,718.55 $151,950.64 $69,562.98 nat. median
$108,240
0.6× median
212
MS_DRG 		Testes Procedures Age 0-17 14 $7,147.17 $150,215.99 $68,094.65 nat. median
$100,978
0.7× median
A9543
HCPCS 		Y90 Ibritumomab- Rx 14 $16,842.94 $166,965.28 $67,440.88 nat. median
$63,643
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 16 $50,310.71 $192,169.62 $67,208.60 nat. median
$98,002
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $11,834.06 $144,445.29 $66,127.03 nat. median
$96,835
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $43,686.51 $146,844.58 $65,907.28 nat. median
$99,646
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 13 $65,871.74 $167,972.94 $65,871.74 nat. median
$70,178
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $64,742.69 $64,742.69 $64,742.69 nat. median
$75,807
0.9× median
632
MS_DRG 		Neonate- Birthwt 750-999g- Died 1 $64,378.23 $64,378.23 $64,378.23 nat. median
$65,117
1.0× median
J9029
HCPCS 		Instill Adstiladrin- Tx Dose 14 $61,200.00 $161,554.66 $63,354.77 nat. median
$69,291
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $41,221.19 $157,450.80 $60,923.56 nat. median
$92,900
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $50,757.57 $127,022.89 $58,436.11 nat. median
$81,364
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 14 $13,392.37 $140,288.84 $56,665.69 nat. median
$65,655
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $25,460.53 $116,846.61 $53,492.36 nat. median
$79,040
0.7× median
C9150
HCPCS 		Xe129 Xenon- Diagnostic 1 $53,040.00 $53,040.00 $53,040.00 nat. median
$925
outlier · 57.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $45,956.71 $115,008.53 $52,908.99 nat. median
$81,124
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 $42,261.22 $197,972.37 $52,414.40 nat. median
$80,459
0.7× median
361
MS_DRG 		Cardiac Defibrillator Implant With Mcc 1 $52,153.99 $52,153.99 $52,153.99 nat. median
$21,550
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 32,242 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
             
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 34 12 — — $3,672,900.00 $4,633,790.00 $3,710,000.00 2026-05-23
C9172 HCPCS Inj- Beqvez- Per Tx Dose 26 11 — — $3,605,000.00 $3,731,175.00 $3,605,000.00 2026-05-23
J1413 HCPCS Inj Delandistrogene Mox Rokl 32 12 — — $3,296,000.00 $4,116,704.00 $3,325,454.76 2026-05-23
J3394 HCPCS Inj- Lovotibeglogene Autotem 26 11 — — $3,286,000.00 $3,401,010.00 $3,286,000.00 2026-05-23
J3393 HCPCS Inj- Betibeglogene Autotemce 26 11 — — $2,968,000.00 $3,071,880.00 $2,968,000.00 2026-05-23
J3399 HCPCS Inj Onase Abepar-xioi Treat 42 13 — — $889,156.24 $4,683,348.52 $2,388,614.23 2026-05-23
Q2056 HCPCS Ciltacabtagene Car-pos T 42 14 — — $507,195.92 $1,344,164.75 $542,937.13 2026-05-23
Q2055 HCPCS Idecabtagene Vicleucel Car 42 14 — — $484,690.30 $1,342,798.35 $542,385.22 2026-05-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 44 14 — — $175,755.32 $1,349,441.79 $537,130.76 2026-05-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 42 14 — — $473,853.52 $1,317,651.50 $532,227.86 2026-05-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 48 14 — — $158,152.00 $1,248,112.70 $504,139.64 2026-05-23
Q2053 HCPCS Brexucabtagene Car Pos T 42 14 — — $449,440.00 $1,174,352.52 $474,346.31 2026-05-23
C9741 HCPCS Impl Pressure Sensor W/angio??????? ? 2 1 — — $394,000.00 $394,000.00 $394,000.00 2026-05-23
C9073 HCPCS Brexucabtagene Autoleucel Ca 6 2 — — $153,676.00 $371,504.49 $371,504.49 2026-05-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 50 14 — — $156,483.17 $597,711.95 $233,397.95 2026-05-23
612 MS_DRG Neonate- Birthwt <750g-- Discharged Alive 2 1 — — $215,963.27 $215,963.27 $215,963.27 2026-05-23
636 MS_DRG Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 2 1 — — $198,174.40 $198,174.40 $198,174.40 2026-05-23
633 MS_DRG Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 2 1 — — $178,047.54 $178,047.54 $178,047.54 2026-05-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 16 — — $106,274.75 $388,412.69 $174,328.70 2026-05-23
631 MS_DRG Neonate- Birthwt 750-999g- Discharged Alive 2 1 — — $173,448.65 $173,448.65 $173,448.65 2026-05-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 16 — — $36,531.60 $327,113.69 $146,816.28 2026-05-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 56 16 — — $69,910.40 $295,520.33 $133,962.80 2026-05-23
359 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $111,669.31 $111,669.31 $111,669.31 2026-05-23
681 MS_DRG Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 2 1 — — $102,193.50 $102,193.50 $102,193.50 2026-05-23
Q0480 HCPCS Driver Pneumatic Vad- Rep 38 14 — — $99,999.92 $254,999.80 $99,999.92 2026-05-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 56 16 — — $45,070.29 $194,838.57 $88,322.59 2026-05-23
635 MS_DRG Neonate- Birthwt 1000-1499g- Died 2 1 — — $84,456.81 $84,456.81 $84,456.81 2026-05-23
14 MS_DRG Allogeneic Bone Marrow Transplant 48 16 — — $44,501.01 $180,660.72 $81,084.76 2026-05-23
7 MS_DRG Lung Transplant 48 16 — — $38,536.64 $180,205.68 $80,880.53 2026-05-23
634 MS_DRG Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 2 1 — — $80,163.99 $80,163.99 $80,163.99 2026-05-23
613 MS_DRG Neonate- Birthwt <750g- Died 2 1 — — $76,597.81 $76,597.81 $76,597.81 2026-05-23
405810920 OTHER Pegloticase 8 mg/mL Inj 10 5 $87,996.00 $41,358.12 53% off $43,998.00 $84,476.16 $70,396.80 2026-05-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 16 — — $60,718.55 $151,950.64 $69,562.98 2026-05-23
212 MS_DRG Testes Procedures Age 0-17 44 14 — — $7,147.17 $150,215.99 $68,094.65 2026-05-23
A9543 HCPCS Y90 Ibritumomab- Rx 50 14 — — $16,842.94 $166,965.28 $67,440.88 2026-05-23
215 MS_DRG Other Heart Assist System Implant 56 16 — — $50,310.71 $192,169.62 $67,208.60 2026-05-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 14 — — $11,834.06 $144,445.29 $66,127.03 2026-05-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 48 16 — — $43,686.51 $146,844.58 $65,907.28 2026-05-23
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 30 13 — — $65,871.74 $167,972.94 $65,871.74 2026-05-23
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $64,742.69 $64,742.69 $64,742.69 2026-05-23
632 MS_DRG Neonate- Birthwt 750-999g- Died 2 1 — — $64,378.23 $64,378.23 $64,378.23 2026-05-23
J9029 HCPCS Instill Adstiladrin- Tx Dose 38 14 — — $61,200.00 $161,554.66 $63,354.77 2026-05-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $41,221.19 $157,450.80 $60,923.56 2026-05-23
850 MS_DRG Acute Leukemia With Other Procedures 40 13 — — $50,757.57 $127,022.89 $58,436.11 2026-05-23
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 48 14 — — $13,392.37 $140,288.84 $56,665.69 2026-05-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 16 — — $25,460.53 $116,846.61 $53,492.36 2026-05-23
C9150 HCPCS Xe129 Xenon- Diagnostic 2 1 — — $53,040.00 $53,040.00 $53,040.00 2026-05-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 13 — — $45,956.71 $115,008.53 $52,908.99 2026-05-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 56 16 — — $42,261.22 $197,972.37 $52,414.40 2026-05-23
361 MS_DRG Cardiac Defibrillator Implant With Mcc 2 1 — — $52,153.99 $52,153.99 $52,153.99 2026-05-23
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 18 6 — — $35,344.01 $135,001.98 $52,015.46 2026-05-23
647 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob 2 1 — — $51,778.60 $51,778.60 $51,778.60 2026-05-23
38240 OTHER Transplt Allo Hct/donor 52 14 — — $685.00 $129,901.11 $50,941.61 2026-05-23
360 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $50,439.04 $50,439.04 $50,439.04 2026-05-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 16 — — $32,309.00 $123,409.29 $50,387.63 2026-05-23
10 MS_DRG Pancreas Transplant 48 16 — — $17,419.44 $109,939.70 $49,343.51 2026-05-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 14 — — $27,926.68 $109,309.54 $49,060.68 2026-05-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 56 16 — — $21,867.57 $107,780.34 $48,858.08 2026-05-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $35,246.73 $174,202.55 $48,843.76 2026-05-23
90288 OTHER Botulism Ig IV 4 2 — — $48,705.00 $48,705.00 $48,705.00 2026-05-23
L7181 HCPCS Electronic Elbo Simultaneous 38 14 — — $47,492.96 $121,107.05 $47,492.96 2026-05-23
405810763 OTHER Ocrelizumab 300 Mg/10 Ml Inj Soln 10 5 $58,730.00 $27,603.10 53% off $29,365.00 $56,380.80 $46,984.00 2026-05-23
J9226 HCPCS Supprelin La Implant 46 14 — — $6,652.81 $115,643.06 $46,710.73 2026-05-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 16 — — $26,724.42 $102,923.85 $46,656.58 2026-05-23
646 MS_DRG Neonate- Birthwt 1500-1999g- W Signif O.r. Proc- Without Mult Major Prob 2 1 — — $46,435.16 $46,435.16 $46,435.16 2026-05-23
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 18 6 — — $33,634.09 $128,470.68 $45,978.75 2026-05-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 14 — — $11,390.92 $97,939.13 $44,836.52 2026-05-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 14 — — $38,939.17 $97,446.86 $44,173.79 2026-05-23
33276 OTHER Insj Phrnc Nrv Stim Sys 38 13 — — $13,790.00 $112,272.80 $44,028.55 2026-05-23
0266T CPT Implt/rpl Crtd Sns Dev Total 44 13 — — $13,559.00 $112,272.80 $44,028.55 2026-05-23
459 MS_DRG Spinal Fusion Except Cervical With Mcc 26 8 — — $29,569.70 $166,395.10 $43,562.84 2026-05-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 16 — — $26,949.73 $120,088.40 $43,483.10 2026-05-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 16 — — $25,066.54 $100,380.83 $42,681.75 2026-05-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 13 — — $36,942.90 $92,451.11 $42,531.57 2026-05-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 16 — — $16,799.86 $92,095.35 $41,334.55 2026-05-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 16 — — $12,968.01 $100,566.57 $41,264.61 2026-05-23
405811243 OTHER Polatuzumab Vedotin 140 Mg Inj 10 5 $51,480.00 $24,195.60 53% off $25,740.00 $49,420.80 $41,184.00 2026-05-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $26,428.04 $100,946.05 $40,766.15 2026-05-23
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 18 6 — — $30,676.22 $117,172.61 $40,753.06 2026-05-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 16 — — $24,391.88 $95,887.86 $40,687.04 2026-05-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 56 16 — — $21,544.78 $87,205.77 $40,118.49 2026-05-23
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 42 14 — — $34,087.06 $85,304.27 $39,435.15 2026-05-23
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 56 16 — — $16,074.22 $84,618.96 $38,928.44 2026-05-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 14 — — $31,191.46 $85,414.58 $38,719.42 2026-05-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 16 — — $19,146.96 $84,232.86 $38,561.79 2026-05-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 16 — — $16,853.64 $84,915.42 $38,493.15 2026-05-23
L7180 HCPCS Electronic Elbow Sequential 38 14 — — $38,289.48 $97,638.17 $38,289.48 2026-05-23
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 56 16 — — $33,009.31 $143,979.90 $38,002.92 2026-05-23
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 36 14 — — $37,701.48 $96,138.77 $37,701.48 2026-05-23
28 MS_DRG Spinal Procedures With Mcc 56 16 — — $12,985.14 $83,830.23 $37,624.97 2026-05-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $24,025.61 $91,769.58 $37,555.56 2026-05-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 48 16 — — $17,986.20 $83,229.03 $37,355.13 2026-05-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 48 16 — — $25,279.44 $83,229.03 $37,355.13 2026-05-23
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 2 1 — — $36,850.31 $36,850.31 $36,850.31 2026-05-23
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 18 6 — — $24,784.36 $94,667.75 $36,849.23 2026-05-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 52 16 — — $5,429.88 $81,972.85 $36,791.33 2026-05-23
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 18 6 — — $27,587.55 $105,374.97 $36,783.18 2026-05-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 16 — — $20,076.75 $81,137.23 $36,780.45 2026-05-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 16 — — $18,851.42 $80,283.69 $36,393.53 2026-05-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 56 16 — — $30,309.78 $124,091.40 $35,945.95 2026-05-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 16 — — $24,573.80 $115,462.53 $35,660.95 2026-05-23
648 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Major Prob 2 1 — — $35,599.54 $35,599.54 $35,599.54 2026-05-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 16 — — $28,095.20 $107,314.03 $35,233.72 2026-05-23
653 MS_DRG Major Bladder Procedures With Mcc 56 16 — — $19,161.63 $76,868.16 $34,845.23 2026-05-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 14 — — $9,011.64 $75,896.03 $34,745.19 2026-05-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 13 — — $30,142.46 $75,432.72 $34,702.37 2026-05-23
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 56 16 — — $23,765.71 $90,776.83 $34,549.57 2026-05-23
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 56 16 — — $12,660.26 $74,856.34 $33,933.25 2026-05-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 16 — — $17,745.99 $74,474.39 $33,760.11 2026-05-23
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 56 16 — — $17,389.25 $74,404.07 $33,728.23 2026-05-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 16 — — $10,381.91 $74,395.79 $33,724.47 2026-05-23
8 MS_DRG Simultaneous Pancreas/kidney Transplant 48 16 — — $21,600.12 $75,027.33 $33,674.02 2026-05-23
L8701 HCPCS Ewh S/d Uprt Micro Sensor 30 13 — — $33,480.90 $85,376.30 $33,480.90 2026-05-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $23,564.56 $90,823.27 $33,435.96 2026-05-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 56 16 — — $14,824.17 $73,360.24 $33,255.05 2026-05-23
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 18 6 — — $28,844.73 $110,176.97 $33,075.98 2026-05-23
318 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 2 1 — — $32,883.04 $32,883.04 $32,883.04 2026-05-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 13 — — $28,377.05 $71,014.73 $32,669.90 2026-05-23
677 MS_DRG Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Mult Major Prob 2 1 — — $32,418.87 $32,418.87 $32,418.87 2026-05-23
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $32,200.80 $32,200.80 $32,200.80 2026-05-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 16 — — $14,843.03 $70,249.44 $31,844.89 2026-05-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 16 — — $3,522.57 $75,815.22 $31,767.24 2026-05-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 16 — — $27,457.98 $117,252.67 $31,766.00 2026-05-23
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 56 16 — — $20,399.53 $77,919.20 $31,747.38 2026-05-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 16 — — $21,810.02 $111,981.52 $31,484.22 2026-05-23
396 MS_DRG Major Head And Neck Procedures With Mcc 2 1 — — $31,358.90 $31,358.90 $31,358.90 2026-05-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 16 — — $24,888.88 $107,570.22 $31,298.57 2026-05-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 14 — — $26,182.06 $68,990.50 $31,274.19 2026-05-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 16 — — $21,962.73 $83,890.07 $31,261.69 2026-05-23
69930 OTHER Implant Cochlear Device 52 14 — — $1,295.00 $79,716.30 $31,261.30 2026-05-23
29084 OTHER Tissue Matrix Strattice Reconstructive Extra Thick 15x35 Rectangle 10 5 $38,908.00 $18,286.76 53% off $19,454.00 $37,351.68 $31,126.40 2026-05-23
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 18 6 — — $26,149.37 $100,805.15 $31,124.89 2026-05-23
0571T CPT Insj/rplcmt Icds Ss Eltrd 44 13 — — $648.00 $78,205.81 $30,668.95 2026-05-23
33264 OTHER Rmvl & Rplcmt Dfb Gen Mlt Ld 50 14 — — $1,054.00 $78,205.81 $30,668.95 2026-05-23
33270 OTHER Ins/rep Subq Defibrillator 50 14 — — $1,054.00 $78,205.81 $30,668.95 2026-05-23
33249 OTHER Insj/rplcmt Defib W/lead(s) 50 14 — — $685.00 $78,205.81 $30,668.95 2026-05-23
33231 OTHER Insrt Pulse Gen W/mult Leads 50 14 — — $1,054.00 $78,205.81 $30,668.95 2026-05-23
0408T CPT Insj/rplc Cardiac Modulj Sys 44 13 — — $9,552.00 $78,205.81 $30,668.95 2026-05-23
245 MS_DRG Aicd Generator Procedures 56 16 — — $19,033.78 $72,702.49 $30,545.99 2026-05-23
27207 OTHER Wound Matrix Mesh Bilayer 8x10 [mwm8101] 10 5 $38,100.00 $17,907.00 53% off $19,050.00 $36,576.00 $30,480.00 2026-05-23
471 MS_DRG Cervical Spinal Fusion With Mcc 56 16 — — $22,011.38 $97,308.13 $30,361.59 2026-05-23
6 MS_DRG Liver Transplant Without Mcc 48 16 — — $19,970.27 $66,865.62 $30,010.85 2026-05-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 16 — — $22,253.64 $112,039.17 $29,850.29 2026-05-23
799 MS_DRG Splenic Procedures With Mcc 56 16 — — $16,563.85 $65,563.94 $29,720.90 2026-05-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 16 — — $16,694.22 $65,551.53 $29,715.27 2026-05-23
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 14 — — $25,631.97 $64,145.05 $29,509.54 2026-05-23
405810353 OTHER Leuprolide 45 Mg/6 Months Inj 10 5 $36,711.00 $17,254.17 53% off $18,355.50 $35,242.56 $29,368.80 2026-05-23
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 56 16 — — $3,337.21 $108,108.22 $29,349.56 2026-05-23
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $29,260.78 $29,260.78 $29,260.78 2026-05-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 16 — — $20,250.69 $89,316.54 $29,250.22 2026-05-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $18,064.59 $72,000.00 $28,991.26 2026-05-23
0268T CPT Implt/rpl Crtd Sns Dev Gen 46 14 — — $13,559.00 $73,815.52 $28,947.26 2026-05-23
61886 OTHER Implant Neurostim Arrays 52 14 — — $1,478.00 $73,815.52 $28,947.26 2026-05-23
63685 OTHER Ins/rplc Spi Npg/rcvr Pocket 52 14 — — $917.00 $73,815.52 $28,947.26 2026-05-23
64568 OTHER Opn Impltj Crnl Nrv Nea&pg 50 14 — — $685.00 $73,815.52 $28,947.26 2026-05-23
64582 OTHER Opn Mpltj Hpglsl Nstm Ary Pg 48 14 — — $917.00 $73,815.52 $28,947.26 2026-05-23
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 40 14 — — $13,790.00 $73,815.52 $28,947.26 2026-05-23
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 18 6 — — $21,132.29 $80,718.09 $28,812.89 2026-05-23
163 MS_DRG Major Chest Procedures With Mcc 56 16 — — $17,015.33 $64,992.71 $28,810.79 2026-05-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 56 16 — — $15,237.50 $63,317.71 $28,702.65 2026-05-23
650 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Other Prob 50 14 — — $16,644.01 $72,263.76 $28,513.78 2026-05-23
L5856 HCPCS Elec Knee-shin Swing/stance 38 14 — — $28,454.32 $72,558.52 $28,454.32 2026-05-23
L6880 HCPCS Elec Hand Ind Art Digits 38 14 — — $28,320.00 $72,216.00 $28,320.00 2026-05-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 16 — — $17,139.77 $84,788.34 $28,032.58 2026-05-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 16 — — $19,386.34 $76,218.72 $27,955.07 2026-05-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 16 — — $16,576.84 $63,317.85 $27,921.51 2026-05-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 52 14 — — $17,190.13 $65,660.41 $27,865.93 2026-05-23
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 18 6 — — $23,156.32 $91,305.23 $27,697.89 2026-05-23
901 MS_DRG Wound Debridements For Injuries With Mcc 56 16 — — $11,961.45 $61,092.16 $27,693.78 2026-05-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 56 16 — — $23,717.63 $104,045.98 $27,268.21 2026-05-23
33289 OTHER Tcat Impl Wrls P-art Prs Snr 50 14 — — $1,054.00 $69,090.58 $27,094.35 2026-05-23
J9266 HCPCS Pegaspargase Injection 46 14 — — $2,319.48 $69,029.85 $27,070.53 2026-05-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 44 14 — — $23,469.29 $58,732.87 $27,019.71 2026-05-23
C9760 HCPCS Non-blind Interatrial Shunt 40 13 — — $13,790.00 $68,611.63 $26,906.52 2026-05-23
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 42 13 — — $4,878.00 $68,611.63 $26,906.52 2026-05-23
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 16 — — $11,161.62 $59,663.62 $26,778.43 2026-05-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 16 — — $13,859.59 $58,819.74 $26,663.67 2026-05-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 16 — — $18,606.10 $116,754.70 $26,583.26 2026-05-23
140 MS_DRG Simple Pneumonia And Pleurisy Age 0-17 52 14 — — $3,993.75 $63,737.37 $26,435.52 2026-05-23
22444 OTHER Tissue Allodrem 10x20cm1.2-2.8 (15201020) 10 5 $32,996.00 $15,508.12 53% off $16,498.00 $31,676.16 $26,396.80 2026-05-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 56 16 — — $14,629.24 $57,770.39 $26,187.99 2026-05-23
649 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Minor Prob 2 1 — — $26,156.43 $26,156.43 $26,156.43 2026-05-23
405811298 OTHER Ublituximab-xiiy 150 Mg/6 Ml Inj 10 5 $32,450.00 $15,251.50 53% off $16,225.00 $31,152.00 $25,960.00 2026-05-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $22,500.09 $56,307.38 $25,903.87 2026-05-23
793 MS_DRG Full Term Neonate With Major Problems 52 16 — — $2,610.78 $57,507.02 $25,810.50 2026-05-23
28713 OTHER Wound Graft Surgiclose 300cm [50205n23d0d] 10 5 $32,262.00 $15,163.14 53% off $16,131.00 $30,971.52 $25,809.60 2026-05-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 16 — — $3,527.24 $62,512.45 $25,749.85 2026-05-23
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 56 16 — — $13,422.36 $56,701.75 $25,703.56 2026-05-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 16 — — $17,639.36 $68,840.39 $25,689.18 2026-05-23
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 56 16 — — $13,612.26 $56,585.92 $25,651.06 2026-05-23
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 16 — — $12,727.75 $64,477.14 $25,424.15 2026-05-23
791 MS_DRG Prematurity With Major Problems 52 16 — — $2,355.13 $55,981.96 $25,126.01 2026-05-23
405811316 OTHER Risankizumab-rzaa 600 Mg/10 Ml IV Soln 10 5 $31,357.00 $14,737.79 53% off $15,678.50 $30,102.72 $25,085.60 2026-05-23
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $24,914.23 $24,914.23 $24,914.23 2026-05-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 16 — — $11,363.67 $54,931.24 $24,900.97 2026-05-23
676 MS_DRG Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- Without Mult Major Prob 2 1 — — $24,794.29 $24,794.29 $24,794.29 2026-05-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 14 — — $10,197.00 $53,945.33 $24,696.16 2026-05-23
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 56 16 — — $15,311.43 $92,530.15 $24,663.44 2026-05-23
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 56 16 — — $6,253.21 $54,892.63 $24,637.10 2026-05-23
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 16 — — $9,893.96 $54,295.57 $24,612.81 2026-05-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 48 16 — — $15,289.66 $54,185.25 $24,562.81 2026-05-23
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 56 16 — — $14,881.18 $56,841.00 $24,442.17 2026-05-23
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 56 16 — — $17,454.70 $136,363.00 $24,365.85 2026-05-23
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 16 — — $10,663.61 $53,621.28 $24,307.15 2026-05-23
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 56 16 — — $13,183.42 $53,294.49 $24,159.01 2026-05-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 56 16 — — $8,979.26 $53,240.71 $24,134.64 2026-05-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 16 — — $14,618.76 $55,838.65 $24,067.12 2026-05-23
J9600 HCPCS Porfimer Sodium Injection 50 14 — — $4,462.18 $60,868.86 $23,870.14 2026-05-23
405810690 OTHER Lanreotide 120 Mg/0.5 Ml Subcut Soln Syringe 40 5 $29,770.50 $13,992.14 53% off $5,044.50 $30,292.80 $23,816.40 2026-05-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 16 — — $18,151.78 $71,575.24 $23,763.34 2026-05-23
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 56 16 — — $16,965.62 $74,324.50 $23,578.32 2026-05-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 56 16 — — $16,826.21 $86,913.14 $23,390.17 2026-05-23
405810960 OTHER Alteplase 100 Mg/100 Ml (continuous For Mi) IV Inj 10 5 $29,042.00 $13,649.74 53% off $14,521.00 $27,880.32 $23,233.60 2026-05-23
405803773 OTHER Alteplase 100 Mg/100 Ml (emergent Override Pe And Mi Only) IV Inj 10 5 $29,042.00 $13,649.74 53% off $14,521.00 $27,880.32 $23,233.60 2026-05-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 56 16 — — $15,915.70 $65,285.73 $22,806.98 2026-05-23
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 56 16 — — $19,452.50 $89,803.30 $22,559.12 2026-05-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 56 16 — — $16,669.91 $63,673.32 $22,424.59 2026-05-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 56 16 — — $11,712.45 $49,430.81 $22,407.56 2026-05-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 56 16 — — $9,318.40 $49,428.05 $22,406.31 2026-05-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 56 16 — — $12,839.26 $49,419.78 $22,402.56 2026-05-23
22693 OTHER Graft Alloderm 16x20cm Thk [1519320] 10 5 $28,002.00 $13,160.94 53% off $14,001.00 $26,881.92 $22,401.60 2026-05-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 56 16 — — $16,041.40 $87,853.04 $22,334.94 2026-05-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 56 16 — — $17,794.77 $130,432.15 $22,319.00 2026-05-23
265 MS_DRG Aicd Lead Procedures 56 16 — — $9,261.80 $49,188.12 $22,297.54 2026-05-23
Q0483 HCPCS Monitor Elec Vad- Rep 38 14 — — $22,223.88 $56,670.89 $22,223.88 2026-05-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 56 16 — — $13,157.85 $50,258.47 $22,197.53 2026-05-23
93654 OTHER Compre Ep Eval Tx Vt 50 14 — — $1,249.13 $56,458.11 $22,140.43 2026-05-23
93653 OTHER Compre Ep Eval Tx Svt 50 14 — — $932.82 $56,458.11 $22,140.43 2026-05-23
93656 OTHER Compre Ep Eval Abltj Atr Fib 50 14 — — $1,253.40 $56,458.11 $22,140.43 2026-05-23
104 MS_DRG Craniotomy- Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 2 1 — — $22,105.83 $22,105.83 $22,105.83 2026-05-23
L5858 HCPCS Stance Phase Only 38 14 — — $22,029.19 $56,174.43 $22,029.19 2026-05-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 56 16 — — $14,083.70 $66,361.73 $22,006.26 2026-05-23
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 26 8 — — $15,866.30 $60,603.82 $21,998.46 2026-05-23
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 44 13 — — $9,552.00 $56,032.61 $21,973.57 2026-05-23
33240 OTHER Insrt Pulse Gen W/singl Lead 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 42 13 — — $7,403.00 $56,032.61 $21,973.57 2026-05-23
33262 OTHER Rmvl& Replc Pulse Gen 1 Lead 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
0409T CPT Insj/rplc Car Modulj Pls Gn 44 13 — — $9,552.00 $56,032.61 $21,973.57 2026-05-23
33263 OTHER Rmvl & Rplcmt Dfb Gen 2 Lead 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
33230 OTHER Insrt Pulse Gen W/dual Leads 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
0515T CPT Insj Wcs Lv Compl Sys 46 14 — — $4,878.00 $56,032.61 $21,973.57 2026-05-23
651 MS_DRG Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- W Mult Major Prob 50 14 — — $15,483.57 $119,687.19 $21,920.51 2026-05-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 16 — — $10,331.60 $48,298.73 $21,894.38 2026-05-23
332 MS_DRG Rectal Resection With Mcc 56 16 — — $12,481.26 $47,829.90 $21,865.05 2026-05-23
264 MS_DRG Other Circulatory System O.r. Procedures 56 16 — — $13,103.77 $50,051.91 $21,846.88 2026-05-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 56 16 — — $6,027.26 $48,668.28 $21,843.46 2026-05-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 56 16 — — $16,762.86 $89,487.87 $21,712.79 2026-05-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 56 16 — — $13,888.07 $68,033.39 $21,496.21 2026-05-23
665 MS_DRG Prostatectomy With Mcc 56 16 — — $8,967.95 $47,345.91 $21,462.45 2026-05-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 56 16 — — $6,489.64 $47,777.51 $21,443.66 2026-05-23
252 MS_DRG Other Vascular Procedures With Mcc 56 16 — — $15,097.00 $70,745.82 $21,442.45 2026-05-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 56 16 — — $12,824.17 $48,983.91 $21,409.95 2026-05-23
22781 OTHER Graft Alloderm 16cmx20cm Med [1518320] 10 5 $26,739.00 $12,567.33 53% off $13,369.50 $25,669.44 $21,391.20 2026-05-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 16 — — $4,046.71 $50,319.31 $21,316.79 2026-05-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 16 — — $16,914.43 $80,367.43 $21,241.47 2026-05-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 56 16 — — $12,774.70 $48,794.97 $20,840.24 2026-05-23
37 MS_DRG Extracranial Procedures With Mcc 56 16 — — $9,469.31 $45,791.89 $20,758.00 2026-05-23
405809439 OTHER Natalizumab 300 Mg/15 Ml IV Inj 10 5 $25,925.00 $12,184.75 53% off $12,962.50 $24,888.00 $20,740.00 2026-05-23
143 MS_DRG Stomach-- Esophageal & Duodenal Proc Age 0-17 52 14 — — $10,689.99 $47,456.37 $20,639.23 2026-05-23
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 56 16 — — $13,320.92 $50,881.33 $20,431.71 2026-05-23
L5973 HCPCS Ank-foot Sys Dors-plant Flex 38 14 — — $20,392.86 $52,001.79 $20,392.86 2026-05-23
64590 OTHER Ins/rpl Prph Sac/gstr Npg/r 52 14 — — $917.00 $52,001.28 $20,392.66 2026-05-23
63655 OTHER Implant Neuroelectrodes 52 14 — — $1,054.00 $52,001.28 $20,392.66 2026-05-23
61885 OTHER Insrt/redo Neurostim 1 Array 52 14 — — $917.00 $52,001.28 $20,392.66 2026-05-23
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 38 13 — — $12,536.00 $52,001.28 $20,392.66 2026-05-23
64580 OTHER Opn Impltj Nea Neuromuscular 48 14 — — $719.00 $52,001.28 $20,392.66 2026-05-23
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 38 13 — — $12,536.00 $52,001.28 $20,392.66 2026-05-23
61891 OTHER Rev/rplcmt Sk-mnt Crnl Nstm 40 14 — — $12,536.00 $52,001.28 $20,392.66 2026-05-23
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 56 16 — — $10,907.16 $44,943.87 $20,373.58 2026-05-23
405810415 OTHER Vedolizumab 300 Mg IV Inj 10 5 $25,454.00 $11,963.38 53% off $12,727.00 $24,435.84 $20,363.20 2026-05-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 14 — — $17,656.24 $44,185.47 $20,327.26 2026-05-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 44 14 — — $17,425.36 $44,057.23 $20,268.26 2026-05-23
405507175 OTHER Ir Tib/per Stent Pta + Ather Pta 10 5 $25,321.00 $11,900.87 53% off $12,660.50 $24,308.16 $20,256.80 2026-05-23
405507171 OTHER Ir Fem/pop Stent + Ather Pta 10 5 $25,321.00 $11,900.87 53% off $12,660.50 $24,308.16 $20,256.80 2026-05-23
29527 OTHER Dressing Cytal Wnd Matrix 5x5[wsr0505] 10 5 $25,224.00 $11,855.28 53% off $12,612.00 $24,215.04 $20,179.20 2026-05-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 56 16 — — $15,411.00 $68,486.53 $20,163.19 2026-05-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 56 16 — — $10,588.15 $44,390.93 $20,122.92 2026-05-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 56 16 — — $9,276.48 $43,973.12 $19,933.53 2026-05-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 58 16 — — $17,115.71 $77,177.84 $19,897.20 2026-05-23
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 56 16 — — $9,084.90 $43,766.29 $19,839.76 2026-05-23
500 MS_DRG Soft Tissue Procedures With Mcc 56 16 — — $12,720.20 $48,586.81 $19,806.64 2026-05-23
C2616 HCPCS Brachytx- Non-str-yttrium-90 40 14 — — $6,731.65 $50,241.97 $19,702.73 2026-05-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 56 16 — — $14,273.56 $75,187.55 $19,698.42 2026-05-23
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 56 16 — — $5,077.77 $43,854.54 $19,682.94 2026-05-23
405807552 OTHER Leuprolide 30 Mg/4 Months Inj 10 5 $24,474.00 $11,502.78 53% off $12,237.00 $23,495.04 $19,579.20 2026-05-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $17,003.86 $42,552.85 $19,576.18 2026-05-23
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 56 16 — — $10,143.38 $43,035.47 $19,508.48 2026-05-23
662 MS_DRG Minor Bladder Procedures With Mcc 56 16 — — $8,541.20 $43,016.16 $19,499.72 2026-05-23
405811275 OTHER Tenecteplase 50 Mg/10 Ml Inj 10 5 $24,349.00 $11,444.03 53% off $12,174.50 $23,375.04 $19,479.20 2026-05-23
173 MS_DRG Urethral Procedures Age 0-17 44 14 — — $16,907.99 $42,312.93 $19,465.81 2026-05-23
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 56 16 — — $9,368.70 $42,522.52 $19,275.95 2026-05-23
L6975 HCPCS Interscap-thor Myoelectronic 38 14 — — $19,274.14 $49,149.06 $19,274.14 2026-05-23
Q0489 HCPCS Pwr Pck Base Combo Vad- Rep 38 14 — — $19,266.89 $49,130.57 $19,266.89 2026-05-23
609 MS_DRG Other Respiratory Problems After Birth 2 1 — — $19,234.34 $19,234.34 $19,234.34 2026-05-23
652 MS_DRG Kidney Transplant 52 16 — — $12,850.16 $49,083.18 $19,198.44 2026-05-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 56 16 — — $13,403.92 $51,198.37 $19,118.43 2026-05-23
570 MS_DRG Skin Debridement With Mcc 56 16 — — $10,546.23 $41,507.65 $18,815.90 2026-05-23
53447 OTHER Remove/replace Ur Sphincter 52 14 — — $685.00 $47,951.19 $18,804.39 2026-05-23
54401 OTHER Insert Self-contd Prosthesis 52 14 — — $917.00 $47,951.19 $18,804.39 2026-05-23
54410 OTHER Remove/replace Penis Prosth 52 14 — — $917.00 $47,951.19 $18,804.39 2026-05-23
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