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

ERLANGER MEDICAL CENTER

Chattanooga, TN · CCN 440104 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $7,627 across 3 payers · range $2,165-$8,563

Source: https://erlanger.pt.panaceainc.com/MRFDownload/erlanger/baroness · observed 2026-01-25

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.

21,370 distinct procedures filed
34 distinct payers
2,112,836 rate rows
2026-01-25 last MRF observed
Data quality

433,080 of 2,112,836 rate rows are consumer-grade (20.5%)

1,679,756 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
professional (physician) fee — not the facility price 1,604,375
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 65,603
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,925
exceeds 10× this hospital's gross charge — excluded from medians 1,386
percent-of-charges filed in the dollar field — excluded from medians 1,174
per-diem day rate — not a per-procedure price 847
placeholder amount (≤ $0.02) — excluded from medians 304
template filing: same amount across many unrelated codes — excluded 105
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://erlanger.pt.panaceainc.com/MRFDownload/erlanger/baroness
Found on page https://www.erlanger.org/patient-and-family-resources/billing-and-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-17
Content fingerprint 07e9710f6e7c1605… · 115,104,123 bytes · first seen 2026-05-09

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $4,168,556.00 $4,200,000.00 $4,168,556.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,932,600.00 $4,200,000.00 $4,168,556.00 nat. median
$3,710,000
1.1× median
90659
HCPCS 		Flu Vaccine, Whole, IM 1 $3,840,000.00 $3,840,000.00 $3,840,000.00 nat. median
$157
outlier · 24438.4×
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,493,760.00 $4,923,936.00 $3,732,353.70 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,587,654.80 $4,770,063.00 $3,653,827.40 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $3,334,844.80 $4,308,444.00 $3,347,422.40 nat. median
$2,997,086
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,111,746.07 $3,572,999.31 $2,705,294.40 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,620,235.20 $2,640,000.00 $2,620,235.20 nat. median
$2,405,851
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $872,400.00 $872,400.00 $872,400.00 nat. median
$809,151
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $630,000.00 $630,000.00 $630,000.00 nat. median
$302,242
outlier · 2.1×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $537,627.68 $1,676,190.42 $619,461.29 nat. median
$631,793
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $513,771.72 $1,744,287.78 $598,089.54 nat. median
$610,161
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $502,284.73 $1,706,034.03 $584,972.92 nat. median
$624,417
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $417,418.89 $635,534.95 $577,511.93 nat. median
$691,418
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $375,611.00 $1,616,870.18 $550,021.47 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $375,611.00 $1,483,880.86 $548,374.68 nat. median
$577,541
0.9× median
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $401,478.55 $486,000.35 $443,739.45 nat. median
$27,935
outlier · 15.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 19 $139,696.89 $588,389.08 $284,908.67 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $104,341.86 $434,060.15 $213,463.23 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $88,671.32 $422,341.46 $180,186.40 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $80,107.25 $342,542.30 $164,618.47 nat. median
$199,832
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $116,214.09 $136,724.92 $119,634.30 nat. median
$96,835
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $106,754.18 $147,938.11 $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… 19 $48,591.00 $237,688.71 $108,379.40 nat. median
$132,706
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $102,196.82 $120,233.72 $105,204.51 nat. median
$81,364
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $48,532.08 $186,387.22 $100,682.80 nat. median
$114,305
0.9× median
7
MS_DRG 		Lung Transplant 19 $48,409.84 $199,144.89 $100,435.78 nat. median
$122,690
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $92,530.62 $108,861.51 $95,253.82 nat. median
$81,124
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 7 $93,216.70 $102,538.37 $93,216.70 nat. median
$97,404
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $40,819.50 $198,791.71 $85,923.41 nat. median
$108,240
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $40,353.51 $175,455.72 $84,871.60 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $39,447.83 $168,792.59 $82,325.34 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 19 $39,245.58 $166,651.25 $81,916.63 nat. median
$98,002
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $78,797.35 $92,704.44 $81,116.39 nat. median
$66,640
1.2× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $74,381.94 $87,509.74 $76,571.02 nat. median
$62,262
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $35,749.89 $158,581.70 $75,579.28 nat. median
$92,900
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $38,883.25 $216,178.89 $73,988.54 nat. median
$63,643
1.2× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 4 $65,508.00 $209,983.14 $71,619.26 nat. median
$69,291
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $68,631.92 $80,744.89 $70,651.78 nat. median
$59,832
1.2× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 7 $67,452.66 $74,197.93 $67,452.66 nat. median
$70,178
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $31,371.86 $138,373.74 $66,646.26 nat. median
$80,459
0.8× median
Q2043
HCPCS 		Pr Sipuleucel-t Auto Cd54+ 5 $33,037.18 $226,956.78 $66,335.26 nat. median
$65,655
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $31,389.27 $133,397.37 $66,040.61 nat. median
$79,040
0.8× median
81100000
CDM 		Hc Kidney Acq Live Donor 17 $27,328.86 $133,965.00 $65,642.85 nat. median
$37,200
1.8× median
81200000
CDM 		Hc Kidney Acq Cadaveric 17 $27,328.86 $133,965.00 $65,642.85 nat. median
$37,177
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $29,860.17 $138,738.02 $63,561.76 nat. median
$77,385
0.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $61,062.49 $71,839.51 $62,859.57 nat. median
$53,080
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 $29,364.54 $131,469.88 $62,550.48 nat. median
$69,153
0.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $60,689.73 $71,400.97 $62,475.85 nat. median
$53,268
1.2× median
10
MS_DRG 		Pancreas Transplant 19 $29,533.83 $104,063.60 $62,291.12 nat. median
$67,750
0.9× median

Other procedures at this hospital

Browse this hospital's 21,370 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 9 3 — — $3,932,600.00 $4,200,000.00 $4,168,556.00 2026-01-25
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 2 — — $4,168,556.00 $4,200,000.00 $4,168,556.00 2026-01-25
90659 HCPCS Flu Vaccine, Whole, IM 1 1 — — $3,840,000.00 $3,840,000.00 $3,840,000.00 2026-01-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 4 — — $3,493,760.00 $4,923,936.00 $3,732,353.70 2026-01-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 3 — — $3,587,654.80 $4,770,063.00 $3,653,827.40 2026-01-25
J3393 HCPCS Inj, Betibeglogene Autotemce 8 3 — — $3,334,844.80 $4,308,444.00 $3,347,422.40 2026-01-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 4 — — $2,111,746.07 $3,572,999.31 $2,705,294.40 2026-01-25
J3392 HCPCS Inj, Exagamglogene Autotem 7 2 — — $2,620,235.20 $2,640,000.00 $2,620,235.20 2026-01-25
Q2057 HCPCS Afamitresgene Autoleucel 3 1 — — $872,400.00 $872,400.00 $872,400.00 2026-01-25
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $630,000.00 $630,000.00 $630,000.00 2026-01-25
Q2056 HCPCS Ciltacabtagene Car-pos T 13 4 — — $537,627.68 $1,676,190.42 $619,461.29 2026-01-25
Q2055 HCPCS Idecabtagene Vicleucel Car 13 4 — — $513,771.72 $1,744,287.78 $598,089.54 2026-01-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 4 — — $502,284.73 $1,706,034.03 $584,972.92 2026-01-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 2 — — $417,418.89 $635,534.95 $577,511.93 2026-01-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 4 — — $375,611.00 $1,616,870.18 $550,021.47 2026-01-25
Q2053 HCPCS Brexucabtagene Car Pos T 15 4 — — $375,611.00 $1,483,880.86 $548,374.68 2026-01-25
C9076 HCPCS Lisocabtagene Car Pos T 2 1 — — $401,478.55 $486,000.35 $443,739.45 2026-01-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 43 19 — — $139,696.89 $588,389.08 $284,908.67 2026-01-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 43 19 — — $104,341.86 $434,060.15 $213,463.23 2026-01-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 19 — — $88,671.32 $422,341.46 $180,186.40 2026-01-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 19 — — $80,107.25 $342,542.30 $164,618.47 2026-01-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $116,214.09 $136,724.92 $119,634.30 2026-01-25
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 9 — — $106,754.18 $147,938.11 $109,316.28 2026-01-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 19 — — $48,591.00 $237,688.71 $108,379.40 2026-01-25
850 MS_DRG Acute Leukemia With Other Procedures 4 1 — — $102,196.82 $120,233.72 $105,204.51 2026-01-25
14 MS_DRG Allogeneic Bone Marrow Transplant 43 19 — — $48,532.08 $186,387.22 $100,682.80 2026-01-25
7 MS_DRG Lung Transplant 43 19 — — $48,409.84 $199,144.89 $100,435.78 2026-01-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 1 — — $92,530.62 $108,861.51 $95,253.82 2026-01-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 7 — — $93,216.70 $102,538.37 $93,216.70 2026-01-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 43 19 — — $40,819.50 $198,791.71 $85,923.41 2026-01-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 19 — — $40,353.51 $175,455.72 $84,871.60 2026-01-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 43 19 — — $39,447.83 $168,792.59 $82,325.34 2026-01-25
215 MS_DRG Other Heart Assist System Implant 43 19 — — $39,245.58 $166,651.25 $81,916.63 2026-01-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $78,797.35 $92,704.44 $81,116.39 2026-01-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 1 — — $74,381.94 $87,509.74 $76,571.02 2026-01-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 20 — — $35,749.89 $158,581.70 $75,579.28 2026-01-25
A9543 HCPCS Y90 Ibritumomab, Rx 15 5 — — $38,883.25 $216,178.89 $73,988.54 2026-01-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 4 — — $65,508.00 $209,983.14 $71,619.26 2026-01-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 1 — — $68,631.92 $80,744.89 $70,651.78 2026-01-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 7 7 — — $67,452.66 $74,197.93 $67,452.66 2026-01-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 19 — — $31,371.86 $138,373.74 $66,646.26 2026-01-25
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 16 5 — — $33,037.18 $226,956.78 $66,335.26 2026-01-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 19 — — $31,389.27 $133,397.37 $66,040.61 2026-01-25
81200000 CDM Hc Kidney Acq Cadaveric 38 17 $133,965.00 $70,733.52 47% off $27,328.86 $133,965.00 $65,642.85 2026-01-25
81100000 CDM Hc Kidney Acq Live Donor 38 17 $133,965.00 $70,733.52 47% off $27,328.86 $133,965.00 $65,642.85 2026-01-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 20 — — $29,860.17 $138,738.02 $63,561.76 2026-01-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $61,062.49 $71,839.51 $62,859.57 2026-01-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 43 19 — — $29,364.54 $131,469.88 $62,550.48 2026-01-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 1 — — $60,689.73 $71,400.97 $62,475.85 2026-01-25
10 MS_DRG Pancreas Transplant 43 19 — — $29,533.83 $104,063.60 $62,291.12 2026-01-25
J7330 HCPCS Cultured Chondrocytes Implnt 8 3 — — $52,042.99 $78,986.40 $61,764.17 2026-01-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 43 19 — — $28,953.74 $128,398.86 $61,712.28 2026-01-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 19 — — $28,661.48 $126,998.76 $61,115.93 2026-01-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 1 — — $57,135.21 $67,219.11 $58,816.71 2026-01-25
77 CDM Lcsw New Patient 38 17 $119,612.00 $63,155.14 47% off $24,400.85 $119,612.00 $58,609.88 2026-01-25
78 CDM Diagnostic Evaluation Csw 38 17 $119,612.00 $63,155.14 47% off $24,400.85 $119,612.00 $58,609.88 2026-01-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 19 — — $27,899.76 $119,417.02 $58,482.49 2026-01-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 19 — — $26,177.79 $116,301.65 $55,848.45 2026-01-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 19 — — $25,768.48 $115,178.70 $54,975.20 2026-01-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 19 — — $25,522.89 $101,325.05 $53,722.46 2026-01-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 19 — — $24,698.32 $113,433.33 $52,692.11 2026-01-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 37 19 — — $24,964.46 $114,462.82 $52,604.12 2026-01-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 19 — — $23,956.00 $114,277.51 $51,108.41 2026-01-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 19 — — $23,921.55 $105,682.13 $51,034.91 2026-01-25
J9226 HCPCS Pr Supprelin La Implant 18 6 — — $19,109.69 $165,862.07 $50,856.16 2026-01-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 19 — — $23,426.66 $113,716.85 $49,979.11 2026-01-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 19 — — $22,945.48 $103,225.63 $48,977.40 2026-01-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 19 — — $22,811.39 $103,350.76 $48,706.42 2026-01-25
L7181 HCPCS Electronic Elbo Simultaneous 10 9 — — $47,492.96 $65,814.91 $48,632.79 2026-01-25
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 43 19 — — $22,731.75 $112,859.99 $48,545.48 2026-01-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 43 19 — — $22,628.03 $99,082.36 $48,335.88 2026-01-25
28 MS_DRG Spinal Procedures With Mcc 43 19 — — $22,519.87 $100,309.82 $48,117.30 2026-01-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 18 — — $22,220.53 $161,459.00 $48,023.75 2026-01-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 43 19 — — $22,358.36 $102,699.80 $47,790.94 2026-01-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 43 19 — — $22,358.36 $102,699.80 $47,790.94 2026-01-25
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 43 19 — — $22,191.30 $103,794.22 $47,453.35 2026-01-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 19 — — $22,037.58 $95,092.72 $47,142.70 2026-01-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 19 — — $21,796.43 $98,005.36 $46,655.38 2026-01-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 1 — — $45,302.35 $53,297.84 $46,635.61 2026-01-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 19 — — $21,567.14 $100,636.08 $46,192.04 2026-01-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 19 — — $21,260.06 $101,089.04 $45,571.48 2026-01-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 19 — — $21,133.00 $94,650.83 $45,314.74 2026-01-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 1 — — $43,401.95 $51,062.03 $44,679.28 2026-01-25
653 MS_DRG Major Bladder Procedures With Mcc 43 19 — — $20,649.60 $90,608.91 $44,337.87 2026-01-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 19 — — $20,474.39 $102,135.97 $43,983.81 2026-01-25
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 43 19 — — $20,474.39 $93,545.32 $43,983.81 2026-01-25
8 MS_DRG Simultaneous Pancreas/kidney Transplant 43 19 — — $20,155.09 $88,203.11 $43,338.56 2026-01-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 19 — — $20,109.15 $92,059.69 $43,245.74 2026-01-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 19 — — $20,006.55 $94,570.05 $43,038.40 2026-01-25
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 43 19 — — $19,987.65 $86,533.76 $43,000.21 2026-01-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 19 — — $19,985.43 $94,877.31 $42,995.72 2026-01-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 46 19 — — $19,707.24 $87,192.63 $42,433.56 2026-01-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 19 — — $19,620.20 $87,932.27 $42,257.66 2026-01-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 19 — — $19,013.81 $84,959.44 $41,032.27 2026-01-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 43 19 — — $18,871.57 $87,013.66 $40,744.83 2026-01-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 43 19 — — $18,813.78 $85,309.46 $40,628.06 2026-01-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 19 — — $18,657.84 $80,998.30 $40,312.91 2026-01-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 19 — — $18,547.82 $80,203.23 $40,090.60 2026-01-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 19 — — $18,533.37 $75,511.96 $40,061.41 2026-01-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 19 — — $18,693.91 $84,047.16 $40,046.43 2026-01-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 43 19 — — $18,459.29 $84,671.19 $39,911.70 2026-01-25
L7180 HCPCS Electronic Elbow Sequential 10 9 — — $38,289.48 $53,060.90 $39,208.42 2026-01-25
245 MS_DRG Aicd Generator Procedures 43 19 — — $18,101.83 $76,636.47 $39,189.35 2026-01-25
471 MS_DRG Cervical Spinal Fusion With Mcc 43 19 — — $17,992.56 $82,775.34 $38,968.52 2026-01-25
6 MS_DRG Liver Transplant Without Mcc 43 19 — — $17,962.55 $81,475.02 $38,907.89 2026-01-25
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 9 8 — — $37,701.48 $42,466.95 $38,606.32 2026-01-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 19 — — $17,689.55 $74,377.94 $38,356.20 2026-01-25
799 MS_DRG Splenic Procedures With Mcc 43 19 — — $17,612.87 $83,339.18 $38,201.26 2026-01-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 19 — — $17,609.54 $79,946.65 $38,194.52 2026-01-25
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 43 19 — — $17,427.29 $82,160.83 $37,826.24 2026-01-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 19 — — $17,333.94 $76,169.23 $37,637.60 2026-01-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 19 — — $17,231.71 $80,611.86 $37,430.99 2026-01-25
163 MS_DRG Major Chest Procedures With Mcc 43 19 — — $17,073.54 $79,522.18 $37,111.36 2026-01-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 43 19 — — $17,066.50 $76,099.55 $37,097.14 2026-01-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 19 — — $17,012.05 $78,492.69 $36,987.10 2026-01-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 19 — — $17,009.45 $76,405.24 $36,981.86 2026-01-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 19 — — $16,712.00 $75,005.14 $36,380.77 2026-01-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 19 — — $16,566.43 $74,808.73 $36,186.55 2026-01-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 19 — — $16,612.36 $73,015.85 $36,179.42 2026-01-25
901 MS_DRG Wound Debridements For Injuries With Mcc 43 19 — — $16,411.59 $73,411.81 $35,773.70 2026-01-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 19 — — $16,271.94 $73,951.89 $35,491.50 2026-01-25
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 1 — — $34,236.08 $40,278.47 $35,243.66 2026-01-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 19 — — $15,994.87 $76,630.13 $34,931.58 2026-01-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 19 — — $15,801.13 $72,634.16 $34,540.09 2026-01-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 43 19 — — $15,777.80 $70,437.40 $34,492.94 2026-01-25
L8701 HCPCS Ewh S/d Uprt Micro Sensor 7 7 — — $34,284.44 $37,712.88 $34,284.44 2026-01-25
140 MS_DRG Major Head And Neck Procedures With Mcc 43 19 — — $15,665.93 $64,705.56 $34,266.87 2026-01-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 37 19 — — $16,173.13 $52,888.69 $34,194.24 2026-01-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 19 — — $15,522.95 $70,066.78 $33,977.93 2026-01-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 19 — — $15,519.24 $63,436.91 $33,970.44 2026-01-25
793 MS_DRG Full Term Neonate With Major Problems 38 19 — — $3,545.00 $71,534.99 $33,827.48 2026-01-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 19 — — $15,412.19 $70,731.99 $33,754.11 2026-01-25
0888T OTHER Histotripsy Mal Renal Tissue 4 1 — — $31,500.90 $39,376.13 $33,469.71 2026-01-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 43 19 — — $15,232.16 $68,872.58 $33,390.31 2026-01-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 19 — — $15,361.65 $68,929.60 $33,373.10 2026-01-25
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 43 19 — — $15,201.05 $68,297.65 $33,327.44 2026-01-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 19 — — $15,066.59 $66,808.86 $33,055.72 2026-01-25
80844 CDM Valve, Aortic Corevalve Transcatheter Evolut R 26mm 40 17 $60,000.00 $31,680.00 47% off $12,240.00 $60,000.00 $33,000.00 2026-01-25
80842 CDM Valve, Aortic Corevalve Transcatheter Evolut R 34mm 40 17 $60,000.00 $31,680.00 47% off $12,240.00 $60,000.00 $33,000.00 2026-01-25
791 MS_DRG Prematurity With Major Problems 37 18 — — $15,175.13 $69,767.44 $32,999.57 2026-01-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 19 — — $14,756.54 $63,777.43 $32,429.18 2026-01-25
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 43 19 — — $14,746.17 $62,142.93 $32,408.22 2026-01-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 19 — — $14,615.78 $68,449.70 $32,144.73 2026-01-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 19 — — $14,585.78 $66,433.50 $32,084.10 2026-01-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 43 19 — — $14,556.14 $63,967.49 $32,024.21 2026-01-25
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 43 19 — — $14,484.65 $66,588.73 $31,879.75 2026-01-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 19 — — $14,404.64 $66,658.41 $31,718.06 2026-01-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 19 — — $14,316.85 $67,550.10 $31,540.65 2026-01-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 43 19 — — $14,302.40 $56,439.61 $31,511.46 2026-01-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 19 — — $14,262.40 $69,135.51 $31,430.61 2026-01-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 19 — — $14,287.40 $66,290.95 $31,373.32 2026-01-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 19 — — $14,082.37 $64,875.02 $31,066.82 2026-01-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 19 — — $13,972.73 $65,852.24 $30,845.25 2026-01-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 19 — — $13,861.23 $65,457.87 $30,619.93 2026-01-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 19 — — $13,515.62 $62,244.31 $29,921.53 2026-01-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 19 — — $13,421.91 $61,488.82 $29,732.14 2026-01-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 43 19 — — $13,278.92 $58,563.51 $29,443.21 2026-01-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 19 — — $13,278.18 $62,469.20 $29,441.72 2026-01-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 43 19 — — $13,275.96 $62,705.20 $29,437.22 2026-01-25
265 MS_DRG Aicd Lead Procedures 43 19 — — $13,213.73 $60,841.04 $29,311.46 2026-01-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 19 — — $13,154.46 $59,700.68 $29,191.69 2026-01-25
L5856 HCPCS Elec Knee-shin Swing/stance 10 9 — — $28,454.32 $39,431.52 $29,137.22 2026-01-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 43 19 — — $13,077.41 $59,931.92 $29,036.00 2026-01-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 43 19 — — $13,074.08 $55,562.17 $29,029.26 2026-01-25
L6880 HCPCS Elec Hand Ind Art Digits 9 8 — — $28,320.00 $31,899.65 $28,999.68 2026-01-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 19 — — $13,041.11 $61,587.01 $28,962.64 2026-01-25
L6700 HCPCS Ue Add Ext Power Myoel 7 7 — — $28,931.56 $31,824.72 $28,931.56 2026-01-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 19 — — $12,978.88 $60,700.07 $28,836.88 2026-01-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 19 — — $12,974.81 $58,348.10 $28,828.65 2026-01-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 19 — — $12,969.62 $63,820.19 $28,818.16 2026-01-25
264 MS_DRG Other Circulatory System O.r. Procedures 43 19 — — $12,946.65 $56,594.82 $28,771.76 2026-01-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 43 19 — — $12,862.94 $59,642.08 $28,602.59 2026-01-25
332 MS_DRG Rectal Resection With Mcc 43 19 — — $12,848.86 $62,321.90 $28,574.14 2026-01-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 19 — — $12,834.79 $58,808.99 $28,545.70 2026-01-25
J9266 HCPCS Pegaspargase 750 unit/mL Solution 5 Ml Vial 75 24 $40,681.22 $21,479.68 47% off $5,890.78 $56,848.12 $28,424.06 2026-01-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 19 — — $12,758.85 $59,607.25 $28,392.24 2026-01-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 19 — — $12,738.85 $58,226.15 $28,351.82 2026-01-25
665 MS_DRG Prostatectomy With Mcc 43 19 — — $12,718.84 $53,793.04 $28,311.40 2026-01-25
252 MS_DRG Other Vascular Procedures With Mcc 43 19 — — $12,706.99 $57,985.41 $28,287.45 2026-01-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 19 — — $12,687.73 $60,083.96 $28,248.52 2026-01-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 19 — — $12,617.35 $57,374.06 $28,106.30 2026-01-25
90288 HCPCS Botulism Immune Globulin,human 100 Mg Recon Soln 1 Each Vial 38 17 $57,300.00 $30,254.40 47% off $11,689.20 $57,300.00 $28,077.00 2026-01-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 19 — — $12,564.75 $59,589.81 $28,000.00 2026-01-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 19 — — $12,433.99 $59,163.76 $27,735.77 2026-01-25
37 MS_DRG Extracranial Procedures With Mcc 43 19 — — $12,301.38 $58,330.68 $27,467.78 2026-01-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 19 — — $12,231.00 $57,538.77 $27,325.56 2026-01-25
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 43 19 — — $12,108.02 $57,605.29 $27,077.04 2026-01-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 19 — — $12,073.57 $57,801.70 $27,007.42 2026-01-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 43 19 — — $12,068.38 $54,561.20 $26,996.95 2026-01-25
J9600 HCPCS Porfimer Sodium Injection 19 6 — — $4,138.02 $35,346.88 $26,766.00 2026-01-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 19 — — $11,925.03 $57,038.30 $26,707.25 2026-01-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 19 — — $11,869.83 $55,558.99 $26,595.72 2026-01-25
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 43 19 — — $11,835.39 $51,884.53 $26,526.11 2026-01-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 19 — — $11,812.79 $54,364.79 $26,480.45 2026-01-25
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 38 19 — — $11,780.93 $55,794.99 $26,416.07 2026-01-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 43 19 — — $11,757.23 $55,791.81 $26,368.16 2026-01-25
500 MS_DRG Soft Tissue Procedures With Mcc 43 19 — — $11,737.59 $56,227.38 $26,328.49 2026-01-25
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 43 19 — — $11,560.90 $56,195.69 $25,971.43 2026-01-25
662 MS_DRG Minor Bladder Procedures With Mcc 43 19 — — $11,555.72 $52,329.58 $25,960.95 2026-01-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 19 — — $11,506.45 $55,226.41 $25,861.39 2026-01-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 43 19 — — $11,454.96 $54,939.72 $25,757.34 2026-01-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 19 — — $11,423.10 $54,817.78 $25,692.97 2026-01-25
652 MS_DRG Kidney Transplant 43 19 — — $11,377.17 $52,451.55 $25,600.15 2026-01-25
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 43 19 — — $11,366.80 $53,569.72 $25,579.18 2026-01-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 46 19 — — $11,329.76 $51,639.04 $25,241.61 2026-01-25
570 MS_DRG Skin Debridement With Mcc 43 19 — — $11,150.47 $51,149.64 $25,142.03 2026-01-25
974 MS_DRG HIV With Major Related Condition With Mcc 43 19 — — $11,061.57 $51,059.36 $24,962.38 2026-01-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 19 — — $11,021.31 $52,404.04 $24,680.93 2026-01-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 19 — — $10,894.14 $51,572.52 $24,624.03 2026-01-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 19 — — $10,864.51 $51,182.90 $24,564.15 2026-01-25
668 MS_DRG Transurethral Procedures With Mcc 43 19 — — $10,802.65 $49,499.30 $24,439.15 2026-01-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 19 — — $10,796.72 $52,290.00 $24,427.17 2026-01-25
800 MS_DRG Splenic Procedures With Cc 43 19 — — $10,793.39 $49,494.55 $24,420.43 2026-01-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 43 19 — — $10,787.46 $49,359.94 $24,408.46 2026-01-25
472 MS_DRG Cervical Spinal Fusion With Cc 43 19 — — $10,731.90 $51,675.47 $24,296.18 2026-01-25
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 43 19 — — $10,620.40 $51,133.82 $24,070.86 2026-01-25
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 43 19 — — $10,608.17 $49,947.53 $24,046.15 2026-01-25
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 43 19 — — $10,601.88 $46,748.20 $24,033.43 2026-01-25
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 43 19 — — $10,587.06 $47,956.67 $24,003.49 2026-01-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 43 19 — — $10,545.20 $50,397.33 $23,918.91 2026-01-25
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $21,577.25 $26,119.82 $23,848.53 2026-01-25
654 MS_DRG Major Bladder Procedures With Cc 43 19 — — $10,453.71 $48,224.33 $23,734.01 2026-01-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 43 19 — — $10,402.96 $50,598.49 $23,631.45 2026-01-25
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 43 19 — — $10,392.22 $47,766.61 $23,609.75 2026-01-25
L8614 HCPCS Cochlear Device 8 8 — — $22,978.30 $31,096.62 $23,437.86 2026-01-25
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $23,156.21 $23,156.21 $23,156.21 2026-01-25
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 43 19 — — $10,136.25 $50,489.20 $23,092.51 2026-01-25
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 19 — — $10,118.10 $45,935.72 $23,055.82 2026-01-25
619 MS_DRG O.r. Procedures For Obesity With Mcc 46 19 — — $10,099.58 $45,864.45 $23,018.40 2026-01-25
963 MS_DRG Other Multiple Significant Trauma With Mcc 42 19 — — $10,154.51 $48,173.65 $22,945.04 2026-01-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 19 — — $10,014.02 $49,258.56 $22,845.48 2026-01-25
80607 CDM Defibrillator, Crt-d Resonate X4 Is4 Df4 40 17 $41,500.00 $21,912.00 47% off $8,466.00 $41,500.00 $22,825.00 2026-01-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 46 19 — — $9,941.41 $138,034.00 $22,808.96 2026-01-25
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 43 19 — — $9,981.05 $48,270.25 $22,778.86 2026-01-25
Q0483 HCPCS Monitor Elec Vad, Rep 10 9 — — $22,223.88 $30,797.49 $22,757.25 2026-01-25
263 MS_DRG Vein Ligation And Stripping 43 19 — — $9,935.12 $49,613.34 $22,686.04 2026-01-25
849 MS_DRG Radiotherapy 43 19 — — $9,894.37 $47,494.19 $22,603.70 2026-01-25
L5858 HCPCS Stance Phase Only 10 9 — — $22,029.19 $30,527.68 $22,557.89 2026-01-25
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 43 19 — — $9,863.62 $46,824.23 $22,541.57 2026-01-25
0686T OTHER Histotripsy Mal Hepatcel Tis 5 1 — — $15,000.60 $28,126.13 $22,500.90 2026-01-25
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 43 19 — — $9,828.43 $42,948.64 $22,470.46 2026-01-25
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 43 19 — — $9,816.21 $47,403.91 $22,445.75 2026-01-25
503 MS_DRG Foot Procedures With Mcc 43 19 — — $9,803.62 $47,343.73 $22,420.31 2026-01-25
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 42 19 — — $9,882.40 $44,975.91 $22,400.09 2026-01-25
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 46 19 — — $9,717.31 $47,148.92 $22,353.88 2026-01-25
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 43 19 — — $9,692.12 $48,381.13 $22,194.99 2026-01-25
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 43 19 — — $9,588.77 $44,735.18 $21,986.14 2026-01-25
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 19 — — $9,572.84 $45,870.77 $21,953.96 2026-01-25
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 43 19 — — $9,459.86 $43,575.81 $21,725.65 2026-01-25
253 MS_DRG Other Vascular Procedures With Cc 43 19 — — $9,456.90 $45,272.10 $21,719.66 2026-01-25
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 43 19 — — $9,439.12 $44,212.51 $21,683.74 2026-01-25
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 43 19 — — $9,390.59 $40,582.41 $21,585.67 2026-01-25
545 MS_DRG Connective Tissue Disorders With Mcc 43 19 — — $9,360.22 $44,355.06 $21,524.29 2026-01-25
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 19 — — $9,352.81 $46,220.81 $21,509.31 2026-01-25
164 MS_DRG Major Chest Procedures With Cc 46 19 — — $9,323.55 $45,261.00 $21,450.18 2026-01-25
56 MS_DRG Degenerative Nervous System Disorders With Mcc 43 19 — — $9,275.76 $42,783.90 $21,353.62 2026-01-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 43 19 — — $9,268.72 $43,504.54 $21,339.40 2026-01-25
397 MS_DRG Appendix Procedures With Mcc 43 19 — — $9,178.34 $40,449.37 $21,156.75 2026-01-25
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 43 19 — — $9,141.30 $43,400.01 $21,081.90 2026-01-25
792 MS_DRG Prematurity Without Major Problems 37 18 — — $9,156.51 $44,027.21 $20,946.41 2026-01-25
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 19 — — $9,069.07 $44,241.02 $20,935.92 2026-01-25
L5973 HCPCS Ank-foot Sys Dors-plant Flex 10 9 — — $20,392.86 $28,260.05 $20,882.29 2026-01-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 43 19 — — $8,994.24 $44,421.58 $20,784.72 2026-01-25
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 43 19 — — $8,959.42 $42,878.93 $20,714.36 2026-01-25
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 46 19 — — $8,893.86 $42,905.87 $20,668.17 2026-01-25
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 43 19 — — $8,931.27 $46,871.74 $20,657.46 2026-01-25
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 43 19 — — $8,879.78 $39,389.78 $20,553.41 2026-01-25
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 19 — — $8,879.78 $42,628.70 $20,553.41 2026-01-25
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $20,463.07 $20,463.07 $20,463.07 2026-01-25
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 19 — — $8,803.10 $41,577.04 $20,398.47 2026-01-25
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 43 19 — — $8,769.39 $43,838.74 $20,330.35 2026-01-25
347 MS_DRG Anal And Stomal Procedures With Mcc 43 19 — — $8,767.17 $45,240.41 $20,325.86 2026-01-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 46 19 — — $8,755.69 $42,437.07 $20,302.65 2026-01-25
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 19 — — $8,741.61 $41,567.54 $20,274.21 2026-01-25
81416TC OTHER Exome Sequence Analysis 1 1 — — $20,160.00 $20,160.00 $20,160.00 2026-01-25
31439 HCPCS Generator, Preci Montage MRI Implantable Ipg & Chg Kit 40 17 $36,600.00 $19,324.80 47% off $7,466.40 $36,600.00 $20,130.00 2026-01-25
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 43 19 — — $8,662.71 $42,620.78 $20,114.77 2026-01-25
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 43 19 — — $8,594.55 $40,951.44 $19,977.04 2026-01-25
C9790 HCPCS Kidney Histotripsy W/image 2 2 — — $15,000.60 $24,876.00 $19,938.30 2026-01-25
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 43 19 — — $8,574.55 $40,123.11 $19,936.61 2026-01-25
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 43 19 — — $8,566.40 $42,099.71 $19,920.15 2026-01-25
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 19 — — $8,550.84 $42,597.03 $19,888.70 2026-01-25
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 43 19 — — $8,497.87 $38,301.71 $19,781.67 2026-01-25
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 19 — — $8,483.80 $39,554.50 $19,753.22 2026-01-25
L6975 HCPCS Interscap-thor Myoelectronic 10 9 — — $19,274.14 $26,709.77 $19,736.72 2026-01-25
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 10 9 — — $19,266.89 $26,699.74 $19,729.30 2026-01-25
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 43 19 — — $8,457.87 $37,926.34 $19,700.82 2026-01-25
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 43 19 — — $8,441.94 $40,541.22 $19,668.63 2026-01-25
35 MS_DRG Carotid Artery Stent Procedures With Cc 43 19 — — $8,426.38 $41,287.20 $19,637.19 2026-01-25
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 43 19 — — $8,393.79 $40,864.32 $19,571.32 2026-01-25
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 43 19 — — $8,365.26 $39,830.08 $19,513.68 2026-01-25
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 43 19 — — $8,364.89 $40,197.54 $19,512.93 2026-01-25
A9604 HCPCS Sm 153 Lexidronam 15 5 — — $4,848.23 $56,985.53 $19,503.63 2026-01-25
113 MS_DRG Orbital Procedures With Cc/mcc 43 19 — — $8,358.97 $44,578.38 $19,500.96 2026-01-25
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 43 19 — — $8,344.89 $40,940.34 $19,472.51 2026-01-25
357 MS_DRG Other Digestive System O.r. Procedures With Cc 43 19 — — $8,341.93 $39,660.62 $19,466.53 2026-01-25
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 19 — — $8,331.18 $40,705.95 $19,444.81 2026-01-25
709 MS_DRG Penis Procedures With Cc/mcc 43 19 — — $8,323.78 $38,444.26 $19,429.85 2026-01-25
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 43 19 — — $8,269.32 $40,219.71 $19,319.80 2026-01-25
30 MS_DRG Spinal Procedures Without Cc/mcc 43 19 — — $8,243.39 $41,596.05 $19,267.41 2026-01-25
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