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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

LOGAN REGIONAL HOSPITAL

Logan, UT · CCN 460015 · Rates published

19,365 distinct procedures filed
47 distinct payers
1,127,201 rate rows
2026-08-01 last MRF observed
Data quality

1,121,005 of 1,127,201 rate rows are consumer-grade (99.5%)

6,196 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,317
placeholder amount (≤ $0.02) — excluded from medians 1,122
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 695
per-diem day rate — not a per-procedure price 47
percent-of-charges filed in the dollar field — excluded from medians 7
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_logan-regional-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/logan-regional-hospital/about/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-15
Content fingerprint e08073ffc10e8a5d… · 6,878,602 bytes · first seen 2026-06-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj Atidarsagene Autotemcel 9 $4,505,000.00 $4,955,500.00 $4,685,200.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 1 $3,780,000.00 $3,780,000.00 $3,780,000.00 nat. median
$3,675,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 13 $3,153,129.00 $4,053,793.34 $3,710,000.00 nat. median
$3,685,267
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 9 $3,335,820.00 $3,669,402.00 $3,469,252.80 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $2,823,182.11 $3,660,645.70 $3,327,859.73 nat. median
$3,325,455
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 9 $3,180,000.00 $3,498,000.00 $3,307,200.00 nat. median
$3,180,000
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 13 $2,713,730.70 $3,577,758.89 $3,269,254.04 nat. median
$3,248,446
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 3 $3,153,129.00 $3,710,000.00 $3,153,129.00 nat. median
$3,508,750
0.9× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 13 $2,522,503.20 $3,233,965.78 $2,968,000.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,042,699.59 $2,847,879.35 $2,588,981.23 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 11 $1,981,966.80 $2,565,200.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $847,682.00 $801,444.80 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $468,565.46 $646,414.53 $587,649.57 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $480,723.70 $623,184.43 $566,531.30 nat. median
$621,313
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $438,961.43 $618,421.36 $562,201.24 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $449,012.73 $616,008.13 $558,081.73 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $416,040.63 $585,411.46 $532,192.24 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $414,794.98 $538,733.68 $489,450.20 nat. median
$513,770
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $142,839.74 $498,178.80 $476,828.28 nat. median
$131,925
outlier · 3.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 21 $142,001.46 $325,497.90 $311,547.99 nat. median
$145,435
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 $288,902.84 $424,867.81 $306,237.01 nat. median
$168,055
1.8× median
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $297,836.48 $297,836.48 $297,836.48 nat. median
$8,940
outlier · 33.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $306,075.00 $289,380.00 nat. median
$286,598
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 21 $66,614.61 $297,668.70 $284,911.47 nat. median
$73,023
outlier · 3.9×
J3403
HCPCS 		Revakinagene Per Implant 9 $265,000.00 $291,500.00 $275,600.00 nat. median
$264,195
1.0× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $272,925.97 $272,925.97 $272,925.97 nat. median
$21,586
outlier · 12.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $52,644.08 $249,965.10 $239,252.31 nat. median
$56,428
outlier · 4.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $17,773.09 $231,445.20 $224,821.80 nat. median
$2,736
outlier · 82.2×
212
MS_DRG 		Testes Procedures Age 0-17 21 $72,750.22 $231,491.40 $221,570.34 nat. median
$74,509
outlier · 3.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 21 $56,220.67 $225,987.30 $216,302.13 nat. median
$59,651
outlier · 3.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $65,449.18 $219,641.10 $210,227.91 nat. median
$69,822
outlier · 3.0×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $201,669.02 $221,835.92 $209,735.78 nat. median
$207,733
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $51,369.59 $214,034.10 $204,861.21 nat. median
$55,923
outlier · 3.7×
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 $197,901.24 $197,901.24 $197,901.24 nat. median
$29,552
outlier · 6.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $50,978.88 $205,602.60 $196,791.06 nat. median
$52,327
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $187,486.32 $336,391.67 $191,317.29 nat. median
$186,516
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $51,850.66 $199,481.10 $190,931.91 nat. median
$60,505
outlier · 3.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $57,934.04 $193,609.50 $189,460.73 nat. median
$2,633
outlier · 72.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 21 $51,148.14 $197,164.80 $188,714.88 nat. median
$55,935
outlier · 3.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 $35,416.74 $191,123.10 $182,932.11 nat. median
$38,173
outlier · 4.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 21 $92,669.04 $187,122.60 $179,103.06 nat. median
$97,418
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 $60,276.29 $189,201.60 $176,517.60 nat. median
$2,596
outlier · 68.0×
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $175,003.73 $175,003.73 $175,003.73 nat. median
$9,021
outlier · 19.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 $36,763.61 $170,198.70 $162,904.47 nat. median
$44,036
outlier · 3.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $43,990.27 $169,533.00 $162,267.30 nat. median
$47,458
outlier · 3.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 21 $39,894.51 $167,666.10 $160,480.41 nat. median
$42,674
outlier · 3.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $46,241.53 $163,810.50 $156,790.05 nat. median
$48,611
outlier · 3.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 21 $40,560.18 $163,432.50 $156,428.25 nat. median
$43,803
outlier · 3.6×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 21 $39,262.28 $160,650.00 $153,765.00 nat. median
$43,023
outlier · 3.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $13,323.47 $151,998.00 $151,794.30 nat. median
$9,905
outlier · 15.3×

Other procedures at this hospital

Browse this hospital's 19,365 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 Inj Atidarsagene Autotemcel 13 9 — — $4,505,000.00 $4,955,500.00 $4,685,200.00 2026-08-01
C9172 HCPCS Inj- Beqvez- Per Tx Dose 1 1 — — $3,780,000.00 $3,780,000.00 $3,780,000.00 2026-08-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 18 13 — — $3,153,129.00 $4,053,793.34 $3,710,000.00 2026-08-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 13 9 — — $3,335,820.00 $3,669,402.00 $3,469,252.80 2026-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 13 — — $2,823,182.11 $3,660,645.70 $3,327,859.73 2026-08-01
J3387 HCPCS Inj Elivaldogene Autotemecel 13 9 — — $3,180,000.00 $3,498,000.00 $3,307,200.00 2026-08-01
J3394 HCPCS Inj Lovotibeglogene Autotem 18 13 — — $2,713,730.70 $3,577,758.89 $3,269,254.04 2026-08-01
J1414 HCPCS Inj Beqvez Per Tx Dose 3 3 — — $3,153,129.00 $3,710,000.00 $3,153,129.00 2026-08-01
J3393 HCPCS Inj Betibeglogene Autotemce 18 13 — — $2,522,503.20 $3,233,965.78 $2,968,000.00 2026-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 13 — — $2,042,699.59 $2,847,879.35 $2,588,981.23 2026-08-01
J3392 HCPCS Inj Exagamglogene Autotem 16 11 — — $1,981,966.80 $2,565,200.00 $2,332,000.00 2026-08-01
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $770,620.00 $847,682.00 $801,444.80 2026-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 18 13 — — $468,565.46 $646,414.53 $587,649.57 2026-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 13 — — $480,723.70 $623,184.43 $566,531.30 2026-08-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 13 — — $438,961.43 $618,421.36 $562,201.24 2026-08-01
Q2055 HCPCS Idecabtagene Vicleucel Car 18 13 — — $449,012.73 $616,008.13 $558,081.73 2026-08-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 18 13 — — $416,040.63 $585,411.46 $532,192.24 2026-08-01
Q2053 HCPCS Brexucabtagene Car Pos T 18 13 — — $414,794.98 $538,733.68 $489,450.20 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 20 — — $142,839.74 $498,178.80 $476,828.28 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 36 21 — — $142,001.46 $325,497.90 $311,547.99 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 11 — — $288,902.84 $424,867.81 $306,237.01 2026-08-01
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 1 — — $297,836.48 $297,836.48 $297,836.48 2026-08-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 9 — — $278,250.00 $306,075.00 $289,380.00 2026-08-01
215 MS_DRG Other Heart Assist System Implant 36 21 — — $66,614.61 $297,668.70 $284,911.47 2026-08-01
J3403 HCPCS Revakinagene Per Implant 13 9 — — $265,000.00 $291,500.00 $275,600.00 2026-08-01
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $272,925.97 $272,925.97 $272,925.97 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 21 — — $52,644.08 $249,965.10 $239,252.31 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 19 — — $17,773.09 $231,445.20 $224,821.80 2026-08-01
212 MS_DRG Testes Procedures Age 0-17 36 21 — — $72,750.22 $231,491.40 $221,570.34 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 36 21 — — $56,220.67 $225,987.30 $216,302.13 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 21 — — $65,449.18 $219,641.10 $210,227.91 2026-08-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 9 — — $201,669.02 $221,835.92 $209,735.78 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 21 — — $51,369.59 $214,034.10 $204,861.21 2026-08-01
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $197,901.24 $197,901.24 $197,901.24 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 21 — — $50,978.88 $205,602.60 $196,791.06 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 11 — — $187,486.32 $336,391.67 $191,317.29 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 21 — — $51,850.66 $199,481.10 $190,931.91 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 32 19 — — $57,934.04 $193,609.50 $189,460.73 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 36 21 — — $51,148.14 $197,164.80 $188,714.88 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 21 — — $35,416.74 $191,123.10 $182,932.11 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 36 21 — — $92,669.04 $187,122.60 $179,103.06 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 19 — — $60,276.29 $189,201.60 $176,517.60 2026-08-01
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 1 — — $175,003.73 $175,003.73 $175,003.73 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 21 — — $36,763.61 $170,198.70 $162,904.47 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 21 — — $43,990.27 $169,533.00 $162,267.30 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 36 21 — — $39,894.51 $167,666.10 $160,480.41 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 21 — — $46,241.53 $163,810.50 $156,790.05 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 21 — — $40,560.18 $163,432.50 $156,428.25 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 21 — — $39,262.28 $160,650.00 $153,765.00 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 19 — — $13,323.47 $151,998.00 $151,794.30 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 21 — — $13,206.19 $156,678.90 $149,964.09 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 21 — — $47,704.01 $150,015.60 $143,586.36 2026-08-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 36 21 — — $36,598.90 $148,163.40 $141,813.54 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 21 — — $43,990.27 $147,457.80 $141,138.18 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 21 — — $38,337.02 $147,302.40 $140,989.44 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 19 — — $44,701.44 $141,445.50 $140,879.55 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 21 — — $33,099.24 $145,212.90 $138,989.49 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 21 — — $35,677.66 $144,851.70 $138,643.77 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 21 — — $45,032.60 $140,460.60 $134,440.86 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 20 — — $30,111.07 $150,626.70 $134,376.54 2026-08-01
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 19 — — $44,734.22 $140,416.50 $131,275.20 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 36 21 — — $36,546.72 $134,580.60 $128,812.86 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 21 — — $43,049.62 $132,493.20 $126,814.92 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 21 — — $32,973.91 $131,334.00 $125,705.40 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 20 — — $31,850.84 $131,107.20 $125,488.32 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 21 — — $40,952.90 $129,891.30 $124,324.53 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 21 — — $43,830.37 $137,579.40 $123,860.22 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 36 21 — — $29,984.27 $128,259.60 $122,762.76 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 21 — — $33,040.37 $127,564.50 $122,097.45 2026-08-01
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 105 45 $150,919.20 $113,189.40 25% off $251.78 $144,882.43 $121,188.12 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 21 — — $33,720.09 $125,477.10 $120,099.51 2026-08-01
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 1 — — $119,199.71 $119,199.71 $119,199.71 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 36 21 — — $27,915.65 $123,790.80 $118,485.48 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 21 — — $31,389.22 $122,904.60 $117,637.26 2026-08-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 36 21 — — $33,366.85 $122,635.80 $117,379.98 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 19 — — $10,123.67 $118,062.00 $117,232.50 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 21 — — $39,236.86 $123,160.80 $116,569.95 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 19 — — $38,583.22 $121,109.10 $116,466.00 2026-08-01
245 MS_DRG Aicd Generator Procedures 36 21 — — $30,523.50 $120,300.60 $115,144.86 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 36 21 — — $6,428.49 $118,442.10 $113,366.01 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 20 — — $35,299.66 $118,045.20 $112,986.12 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 21 — — $23,914.22 $117,961.20 $112,905.72 2026-08-01
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 279 45 $150,054.23 $112,540.67 25% off $1,386.67 $175,755.00 $112,540.67 2026-08-01
Q0480 HCPCS Driver Pneumatic Vad Rep 18 13 — — $84,989.94 $229,939.84 $112,341.97 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 21 — — $30,418.47 $116,802.00 $111,796.20 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 21 — — $31,295.55 $115,846.50 $110,881.65 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 36 21 — — $36,728.69 $115,722.60 $110,763.06 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 21 — — $27,784.52 $115,703.70 $110,744.97 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 36 21 — — $31,973.54 $116,892.30 $110,503.51 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 21 — — $38,130.96 $114,649.50 $109,735.95 2026-08-01
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 21 — — $36,489.18 $114,202.20 $109,307.82 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 19 — — $35,656.25 $111,921.60 $108,143.70 2026-08-01
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 1 — — $106,754.08 $106,754.08 $106,754.08 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 36 21 — — $32,790.15 $113,154.30 $105,615.01 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 21 — — $28,024.03 $109,594.80 $104,897.88 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 21 — — $25,685.80 $108,908.10 $104,240.61 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 21 — — $32,927.30 $107,870.70 $103,247.67 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 21 — — $34,825.32 $109,313.40 $103,125.06 2026-08-01
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 36 21 — — $25,832.31 $107,572.50 $102,962.25 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 21 — — $28,720.49 $105,785.40 $101,251.74 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 21 — — $28,561.05 $116,890.20 $100,290.96 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 21 — — $32,141.87 $104,466.60 $99,989.46 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 21 — — $26,171.51 $103,609.80 $99,169.38 2026-08-01
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 105 45 $122,897.25 $92,172.94 25% off $205.00 $117,981.36 $98,686.49 2026-08-01
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 21 — — $28,206.01 $101,574.90 $97,221.69 2026-08-01
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,125.78 $97,125.78 $97,125.78 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 21 — — $21,645.94 $101,052.00 $96,721.20 2026-08-01
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 21 — — $30,898.82 $99,288.00 $95,032.80 2026-08-01
8801 APR_DRG 945/946 - Rehab - Spinal/quad 4 4 — — $94,424.09 $94,424.09 $94,424.09 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 20 — — $28,254.18 $98,553.00 $94,329.30 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 21 — — $30,673.36 $97,717.20 $93,529.32 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 21 — — $28,191.96 $96,810.00 $92,661.00 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 36 21 — — $30,299.38 $96,348.00 $92,218.80 2026-08-01
7 MS_DRG Lung Transplant 16 11 — — $86,639.81 $143,490.78 $91,838.20 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 21 — — $25,006.07 $94,999.80 $90,928.38 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 21 — — $21,070.88 $94,823.40 $90,759.54 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 36 21 — — $36,950.14 $93,876.30 $89,853.03 2026-08-01
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 36 21 — — $25,175.33 $93,229.50 $89,233.95 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 36 21 — — $21,489.28 $92,418.90 $88,458.09 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 36 21 — — $29,857.82 $93,720.90 $88,210.86 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 21 — — $30,751.64 $91,959.00 $88,017.90 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 36 21 — — $28,076.22 $91,843.50 $87,907.35 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 19 — — $28,371.92 $89,056.80 $87,091.20 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 35 20 — — $26,053.09 $90,564.60 $86,683.26 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 21 — — $30,431.85 $90,106.80 $86,245.08 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 21 — — $28,951.30 $90,875.40 $86,208.90 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 36 21 — — $23,337.53 $89,554.50 $85,716.45 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 36 21 — — $21,590.04 $89,516.70 $85,680.27 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 36 21 — — $4,562.52 $89,571.30 $85,372.74 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 11 — — $80,402.51 $131,567.94 $85,226.66 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 36 21 — — $21,300.35 $89,014.80 $85,199.88 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 36 21 — — $24,563.85 $89,004.30 $85,189.83 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 36 21 — — $22,024.90 $88,542.30 $84,747.63 2026-08-01
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $84,612.76 $84,612.76 $84,612.76 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 19 — — $10,795.84 $84,430.50 $83,735.40 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 36 21 — — $21,321.09 $86,104.20 $82,414.02 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 36 21 — — $27,600.54 $85,707.30 $82,034.13 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 21 — — $21,761.98 $85,461.60 $81,798.96 2026-08-01
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 36 21 — — $24,933.15 $85,222.20 $81,569.82 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 36 21 — — $25,857.07 $84,084.00 $80,480.40 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 11 — — $75,812.34 $158,369.67 $80,361.08 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 21 — — $23,545.59 $82,809.30 $79,260.33 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 21 — — $23,854.68 $82,320.00 $78,792.00 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 36 21 — — $21,173.24 $82,315.80 $78,787.98 2026-08-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 13 10 — — $4,656.17 $237,694.80 $78,754.38 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 36 21 — — $25,895.87 $81,963.00 $78,450.30 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 36 21 — — $19,535.47 $81,246.90 $77,764.89 2026-08-01
332 MS_DRG Rectal Resection With Mcc 36 21 — — $24,223.31 $80,663.10 $77,206.11 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 36 21 — — $24,573.88 $80,640.00 $77,159.55 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 36 21 — — $20,801.26 $79,684.50 $76,269.45 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 36 21 — — $17,796.01 $79,566.90 $76,156.89 2026-08-01
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 36 21 — — $23,969.75 $79,224.60 $75,829.26 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 21 — — $25,003.39 $78,739.50 $75,364.95 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 36 21 — — $23,811.86 $78,069.60 $74,723.76 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 36 21 — — $38,907.03 $76,593.30 $73,310.73 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 11 — — $68,979.61 $224,031.78 $73,118.39 2026-08-01
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 21 — — $18,445.63 $76,263.60 $72,995.16 2026-08-01
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 36 21 — — $19,403.00 $76,192.20 $72,926.82 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 36 21 — — $15,182.44 $75,579.00 $72,339.90 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 21 — — $23,112.07 $75,196.80 $71,974.08 2026-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 36 21 — — $19,483.95 $75,123.30 $71,903.73 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 36 21 — — $26,654.54 $83,666.10 $71,897.70 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 21 — — $20,114.31 $75,030.90 $71,815.29 2026-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 36 21 — — $18,289.75 $74,394.60 $71,206.26 2026-08-01
265 MS_DRG Aicd Lead Procedures 36 21 — — $24,206.59 $75,982.20 $70,999.23 2026-08-01
503 MS_DRG Foot Procedures With Mcc 36 21 — — $18,673.10 $74,163.60 $70,985.16 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 21 — — $22,794.28 $74,132.10 $70,955.01 2026-08-01
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 190 43 $148,896.00 $111,672.00 25% off $743.15 $214,410.24 $70,725.60 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 36 21 — — $23,834.61 $74,814.60 $70,472.61 2026-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 36 21 — — $16,999.20 $73,157.70 $70,022.37 2026-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 36 21 — — $19,308.00 $72,998.10 $69,869.61 2026-08-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 36 21 — — $22,022.23 $72,991.80 $69,863.58 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 21 — — $23,593.76 $74,058.60 $69,755.04 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 36 21 — — $19,835.11 $72,899.40 $69,507.81 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 20 — — $23,792.46 $74,682.30 $69,471.63 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 21 — — $21,141.12 $72,531.90 $69,423.39 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 21 — — $25,993.16 $71,983.80 $68,898.78 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 36 21 — — $21,257.53 $74,138.40 $68,843.22 2026-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 17 12 — — $57,328.02 $75,681.88 $68,801.71 2026-08-01
253 MS_DRG Other Vascular Procedures With Cc 36 21 — — $17,365.16 $71,160.60 $68,110.86 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 36 21 — — $23,890.14 $70,431.90 $67,413.39 2026-08-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 36 21 — — $14,771.36 $69,297.90 $66,327.99 2026-08-01
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 36 21 — — $22,136.06 $78,678.60 $66,275.73 2026-08-01
164 MS_DRG Major Chest Procedures With Cc 36 21 — — $16,886.14 $69,113.10 $66,151.11 2026-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 36 21 — — $16,603.14 $69,014.40 $66,056.64 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 36 21 — — $20,292.80 $68,796.00 $65,847.60 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 36 21 — — $21,360.56 $68,781.30 $65,833.53 2026-08-01
665 MS_DRG Prostatectomy With Mcc 36 21 — — $20,881.54 $68,573.40 $65,634.54 2026-08-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $65,518.20 $65,518.20 $65,518.20 2026-08-01
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 105 45 $81,231.01 $60,923.26 25% off $143.39 $77,981.77 $65,228.50 2026-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 36 21 — — $21,080.91 $67,739.70 $64,836.57 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 19 — — $21,612.12 $67,838.40 $64,801.80 2026-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 21 — — $24,127.64 $75,734.40 $64,800.39 2026-08-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 36 21 — — $15,417.00 $67,500.30 $64,607.43 2026-08-01
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $64,396.93 $64,396.93 $64,396.93 2026-08-01
J9029 HCPCS Instill Adstiladrin Tx Dose 18 13 — — $53,885.39 $74,113.13 $64,274.79 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 35 20 — — $15,248.96 $67,636.80 $63,996.39 2026-08-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 36 21 — — $19,635.56 $66,832.50 $63,968.25 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 21 — — $21,642.22 $67,932.90 $63,938.10 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 36 21 — — $24,275.50 $76,198.50 $63,869.76 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 36 21 — — $23,059.42 $66,662.40 $63,805.44 2026-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 36 21 — — $16,447.93 $66,557.40 $63,704.94 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 36 21 — — $19,576.92 $66,467.10 $63,618.51 2026-08-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 36 21 — — $14,663.64 $66,429.30 $63,582.33 2026-08-01
570 MS_DRG Skin Debridement With Mcc 36 21 — — $19,676.63 $66,370.50 $63,526.05 2026-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 36 21 — — $14,256.21 $66,156.30 $63,321.03 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 36 21 — — $20,482.14 $65,129.40 $62,338.14 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 21 — — $22,936.78 $65,028.60 $62,241.66 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 36 21 — — $28,473.53 $64,969.80 $62,185.38 2026-08-01
654 MS_DRG Major Bladder Procedures With Cc 36 21 — — $18,727.96 $64,961.40 $62,177.34 2026-08-01
173 MS_DRG Urethral Procedures Age 0-17 36 21 — — $19,912.80 $64,850.10 $62,070.81 2026-08-01
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 36 21 — — $16,352.26 $64,835.40 $62,056.74 2026-08-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 36 21 — — $18,239.58 $63,756.00 $61,023.60 2026-08-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 36 21 — — $16,878.78 $63,384.30 $60,667.83 2026-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 36 21 — — $18,389.43 $63,098.70 $60,394.47 2026-08-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 36 21 — — $16,967.09 $62,844.60 $60,151.26 2026-08-01
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $59,540.34 $59,540.34 $59,540.34 2026-08-01
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,416.06 $59,416.06 $59,416.06 2026-08-01
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 348 40 $73,095.50 $54,821.62 25% off $557.38 $93,925.10 $59,310.75 2026-08-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 36 21 — — $15,291.19 $61,473.30 $58,838.73 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 36 21 — — $19,202.30 $61,404.00 $58,772.40 2026-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 36 21 — — $18,105.10 $61,385.10 $58,754.31 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 36 21 — — $21,478.31 $67,418.40 $58,147.29 2026-08-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 36 21 — — $15,199.53 $60,654.30 $58,054.83 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 21 — — $20,838.06 $60,507.30 $57,914.13 2026-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 36 21 — — $17,080.16 $60,089.40 $57,514.14 2026-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 36 21 — — $18,202.78 $60,068.40 $57,315.42 2026-08-01
510 MS_DRG Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Mcc 36 21 — — $20,207.84 $59,805.90 $57,242.79 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 36 21 — — $31,395.67 $59,461.50 $56,913.15 2026-08-01
333 MS_DRG Rectal Resection With Cc 36 21 — — $15,669.86 $59,144.40 $56,609.64 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 36 21 — — $21,021.37 $65,984.10 $56,521.20 2026-08-01
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 36 21 — — $21,666.31 $58,596.30 $56,085.03 2026-08-01
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 1 1 — — $55,440.81 $55,440.81 $55,440.81 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 21 — — $22,099.83 $69,369.30 $55,001.64 2026-08-01
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 36 21 — — $18,544.65 $56,798.70 $54,364.47 2026-08-01
263 MS_DRG Vein Ligation And Stripping 36 21 — — $20,454.71 $64,205.40 $54,071.01 2026-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 36 21 — — $14,779.84 $56,464.80 $54,044.88 2026-08-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 34 13 — — $47,200.47 $64,357.43 $53,981.46 2026-08-01
13 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 36 21 — — $19,279.90 $60,517.80 $53,691.12 2026-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 36 21 — — $18,384.75 $57,708.00 $53,594.64 2026-08-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 36 21 — — $17,733.79 $55,801.20 $53,409.72 2026-08-01
849 MS_DRG Radiotherapy 36 21 — — $18,127.18 $56,899.50 $53,289.12 2026-08-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 36 21 — — $17,255.44 $55,603.80 $53,220.78 2026-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 36 21 — — $17,644.81 $55,448.40 $53,072.04 2026-08-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 21 — — $14,566.64 $55,297.20 $52,927.32 2026-08-01
800 MS_DRG Splenic Procedures With Cc 36 21 — — $18,795.53 $55,152.30 $52,788.63 2026-08-01
62 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 21 — — $11,756.07 $54,906.60 $52,553.46 2026-08-01
286 MS_DRG Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc 36 21 — — $14,804.14 $54,686.10 $52,342.41 2026-08-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 36 21 — — $18,046.22 $56,645.40 $52,207.74 2026-08-01
8800 APR_DRG 945/946 - Rehab - Spinal/para 4 4 — — $52,167.81 $52,167.81 $52,167.81 2026-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 36 21 — — $15,542.07 $54,434.10 $52,101.21 2026-08-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 36 21 — — $14,012.69 $54,161.10 $51,839.91 2026-08-01
90288 CPT Botulism Ig IV 1 1 — — $51,570.00 $51,570.00 $51,570.00 2026-08-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 36 21 — — $15,157.38 $53,709.60 $51,407.76 2026-08-01
629 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc 36 21 — — $14,027.15 $53,657.10 $51,357.51 2026-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 21 — — $15,462.46 $53,503.80 $51,210.78 2026-08-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 36 21 — — $13,648.18 $54,442.50 $51,106.26 2026-08-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 36 21 — — $11,436.95 $53,363.10 $51,076.11 2026-08-01
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 90 42 $60,064.25 $45,048.19 25% off $25.84 $57,661.68 $51,054.61 2026-08-01
L8614 HCPCS Cochlear Device 1 1 — — $50,999.57 $50,999.57 $50,999.57 2026-08-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 36 21 — — $16,037.82 $52,957.80 $50,688.18 2026-08-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 36 21 — — $13,902.97 $52,936.80 $50,668.08 2026-08-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 36 21 — — $12,092.59 $52,888.50 $50,621.85 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 11 — — $47,732.11 $83,863.80 $50,596.04 2026-08-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 36 21 — — $12,065.16 $52,262.70 $50,022.87 2026-08-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 36 21 — — $17,046.66 $52,254.30 $50,014.83 2026-08-01
L7181 HCPCS Electronic Elbo Simultaneous 18 13 — — $41,561.06 $107,025.18 $49,879.14 2026-08-01
397 MS_DRG Major Head And Neck Procedures With Cc 36 21 — — $16,022.43 $52,056.90 $49,825.89 2026-08-01
0744T CPT Hc Bioprosthetic Valve Insert Via Femoral Vein Open 103 44 $58,560.12 $43,920.09 25% off $1,229.76 $56,217.72 $49,776.10 2026-08-01
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 36 21 — — $20,205.16 $51,691.50 $49,476.15 2026-08-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 36 21 — — $12,352.85 $53,237.10 $49,434.56 2026-08-01
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $49,345.78 $49,345.78 $49,345.78 2026-08-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 36 21 — — $12,918.25 $51,538.20 $49,329.42 2026-08-01
10 MS_DRG Pancreas Transplant 16 11 — — $48,007.08 $77,456.97 $49,095.08 2026-08-01
26497 CPT Hc Valve Implant Lvl 59 141 45 $69,531.95 $52,148.96 25% off $141.44 $66,750.67 $48,672.36 2026-08-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 36 21 — — $16,671.38 $52,329.90 $48,515.37 2026-08-01
32 MS_DRG Ventricular Shunt Procedures With Cc 36 21 — — $13,158.88 $50,637.30 $48,467.13 2026-08-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 36 21 — — $15,224.95 $50,513.40 $48,348.54 2026-08-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 36 21 — — $12,806.44 $50,484.00 $48,320.40 2026-08-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 36 21 — — $11,536.63 $55,912.50 $48,307.28 2026-08-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 36 21 — — $15,645.77 $50,389.50 $48,229.95 2026-08-01
38240 CPT Transplt Allo Hct/donor 35 13 — — $231.35 $70,057.25 $48,187.11 2026-08-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 36 21 — — $14,107.69 $50,290.80 $48,135.48 2026-08-01
584 MS_DRG Breast Biopsy- Local Excision And Other Breast Procedures With Cc/mcc 36 21 — — $14,321.77 $49,914.90 $47,775.69 2026-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 36 21 — — $15,965.56 $50,114.40 $47,697.30 2026-08-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 36 21 — — $11,818.29 $49,816.20 $47,681.22 2026-08-01
33477 CPT Hc Pulmonary Valve Implatantation Perq 122 45 $61,739.61 $46,304.71 25% off $1,289.92 $59,270.03 $47,632.11 2026-08-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 36 21 — — $11,919.98 $49,688.10 $47,558.61 2026-08-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 36 21 — — $12,243.12 $49,681.80 $47,552.58 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 36 21 — — $19,415.05 $49,652.40 $47,524.44 2026-08-01
347 MS_DRG Anal And Stomal Procedures With Mcc 36 21 — — $15,358.09 $49,612.50 $47,486.25 2026-08-01
734 MS_DRG Pelvic Evisceration- Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 36 21 — — $14,250.19 $49,469.70 $47,349.57 2026-08-01
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $47,202.36 $47,202.36 $47,202.36 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 36 21 — — $19,226.50 $49,215.60 $47,106.36 2026-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 36 21 — — $13,367.75 $49,085.40 $46,981.74 2026-08-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 36 21 — — $16,452.61 $51,643.20 $46,965.66 2026-08-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 36 21 — — $16,092.01 $50,511.30 $46,875.21 2026-08-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 36 21 — — $14,517.80 $50,124.90 $46,773.35 2026-08-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 36 21 — — $12,085.23 $48,510.00 $46,431.00 2026-08-01
64654 CPT 1st Opn Implt Bat Modulj Sys 13 9 — — $44,597.65 $49,057.41 $46,381.55 2026-08-01
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