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

BRIGHAM CITY COMMUNITY HOSPITAL

Brigham City, UT · CCN 460017 · Rates published

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You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $1,468 across 20 payers · range $774-$3,384

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/87-0318837_BRIGHAM-CITY-COMMUNITY-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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.

24,688 distinct procedures filed
34 distinct payers
561,302 rate rows
2026-07-30 last MRF observed
Data quality

519,537 of 561,302 rate rows are consumer-grade (92.6%)

41,765 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 28,361
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,643
per-diem day rate — not a per-procedure price 3,335
template filing: same amount across many unrelated codes — excluded 1,289
placeholder amount (≤ $0.02) — excluded from medians 102
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 31
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/87-0318837_BRIGHAM-CITY-COMMUNITY-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-03
Content fingerprint cdaf5ff1dc1f46d1… · 302,543,236 bytes · first seen 2026-05-13

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
845
OTHER 		Inj, Atidarsagene Autotem 12 $5,280.19 $4,595,100.00 $4,505,000.00 nat. median
$17,146
outlier · 262.7×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,414,900
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 11 $3,132,108.42 $3,758,972.34 $3,685,267.00 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,685,267.00 $3,685,267.00 $3,685,267.00 nat. median
$3,574,709
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$14,694
outlier · 227.0×
908
OTHER 		Topi Adm Prad Zami Per Tr 12 $9,560.53 $3,402,536.40 $3,335,820.00 nat. median
$30,329
outlier · 110.0×
714
OTHER 		Inj Delandistrogene Mox R 12 $6,210.21 $3,394,417.20 $3,327,860.00 nat. median
$3,325,455
1.0× median
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,327,860.00 $3,327,860.00 $3,327,860.00 nat. median
$3,228,024
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 12 $11,821.08 $3,317,558.16 $3,252,508.00 nat. median
$3,252,508
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,252,508.00 $3,252,508.00 $3,252,508.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,084,600
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 12 $8,447.86 $3,243,600.00 $3,180,000.00 nat. median
$24,952
outlier · 127.4×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,939,969.00 $2,939,969.00 $2,939,969.00 nat. median
$2,878,960
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 12 $10,934.62 $2,998,768.38 $2,939,969.00 nat. median
$2,939,969
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $2,928,356.00 $2,928,356.00 $2,928,356.00 nat. median
$809,217
outlier · 3.6×
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,588,981.00 $2,588,981.00 $2,588,981.00 nat. median
$2,511,312
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 11 $2,200,374.95 $2,640,760.62 $2,588,981.00 nat. median
$2,588,981
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,285,360
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 12 $12,804.16 $2,378,640.00 $2,332,000.00 nat. median
$2,262,040
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $553,169.00 $2,233,068.37 $1,393,118.69 nat. median
$646,415
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $578,771.00 $2,152,818.94 $1,365,794.97 nat. median
$738,272
1.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $516,442.00 $2,136,364.71 $1,326,403.35 nat. median
$640,950
outlier · 2.1×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $527,622.00 $2,120,710.57 $1,324,166.28 nat. median
$622,245
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $502,841.00 $2,022,330.51 $1,262,585.75 nat. median
$608,101
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $489,399.00 $1,859,910.76 $1,174,654.88 nat. median
$591,650
2.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $1,057,350.00 $1,057,350.00 $1,057,350.00 nat. median
$319,951
outlier · 3.3×
2067
OTHER 		Afamitresgene Autoleucel 11 $654,949.94 $786,032.40 $770,620.00 nat. median
$789,886
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $766,342.28 $766,342.28 $766,342.28 nat. median
$209,753
outlier · 3.7×
9498
OTHER 		Ciltacabtagene Car-pos T 11 $499,443.40 $599,402.59 $587,649.60 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $587,649.60 $587,649.60 $587,649.60 nat. median
$570,020
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 11 $481,494.95 $577,861.93 $566,531.30 nat. median
$577,003
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $566,531.30 $566,531.30 $566,531.30 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $562,201.20 $562,201.20 $562,201.20 nat. median
$545,335
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 11 $477,814.80 $573,445.22 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 11 $474,313.72 $569,243.44 $558,081.80 nat. median
$562,826
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $558,081.80 $558,081.80 $558,081.80 nat. median
$541,339
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $532,192.20 $532,192.20 $532,192.20 nat. median
$516,226
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 11 $452,310.15 $542,836.04 $532,192.20 nat. median
$533,230
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 11 $415,983.72 $499,239.20 $489,450.20 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $489,450.20 $489,450.20 $489,450.20 nat. median
$474,767
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $235,461.70 $1,229,759.78 $467,870.45 nat. median
$359,358
1.3× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $318,159.75 $318,159.75 $318,159.75 nat. median
$75,037
outlier · 4.2×
831
OTHER 		Obecbtge Autol Up To 400 12 $3,615.64 $283,815.00 $278,250.00 nat. median
$23,568
outlier · 11.8×
00831
OTHER 		Obecbtge Autol Up To 400 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$272,685
1.0× median
897
OTHER 		Revakinagene, Per Implant 11 $225,223.50 $270,300.00 $265,000.00 nat. median
$25,189
outlier · 10.5×
00897
OTHER 		Revakinagene, Per Implant 1 $265,000.00 $265,000.00 $265,000.00 nat. median
$259,700
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $173,187.15 $649,094.69 $246,288.66 nat. median
$249,124
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $136,258.04 $604,451.25 $237,876.58 nat. median
$190,557
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $19,842.00 $608,019.54 $223,125.35 nat. median
$198,433
1.1× median
018
OTHER 		$114,450.56 1 $213,186.05 $213,186.05 $213,186.05 nat. median
$297,577
0.7× median

Other procedures at this hospital

Browse this hospital's 24,688 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
             
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 15 12 $19,690.24 — $5,280.19 $4,595,100.00 $4,505,000.00 2026-07-30
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,685,267.00 $3,685,267.00 $3,685,267.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 14 11 — — $3,132,108.42 $3,758,972.34 $3,685,267.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 15 12 $47,559.03 — $9,560.53 $3,402,536.40 $3,335,820.00 2026-07-30
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,327,860.00 $3,327,860.00 $3,327,860.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 15 12 $21,543.51 — $6,210.21 $3,394,417.20 $3,327,860.00 2026-07-30
748 OTHER Inj, Lovotibeglogene Auto 15 12 $31,257.58 — $11,821.08 $3,317,558.16 $3,252,508.00 2026-07-30
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,252,508.00 $3,252,508.00 $3,252,508.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 15 12 $41,839.14 — $8,447.86 $3,243,600.00 $3,180,000.00 2026-07-30
746 OTHER Inj, Betibeglogene Autote 15 12 $37,378.74 — $10,934.62 $2,998,768.38 $2,939,969.00 2026-07-30
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,939,969.00 $2,939,969.00 $2,939,969.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $2,928,356.00 $2,928,356.00 $2,928,356.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 14 11 — — $2,200,374.95 $2,640,760.62 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,588,981.00 $2,588,981.00 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 15 12 $54,842.26 — $12,804.16 $2,378,640.00 $2,332,000.00 2026-07-30
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 2 — — $553,169.00 $2,233,068.37 $1,393,118.69 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 2 — — $578,771.00 $2,152,818.94 $1,365,794.97 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 2 — — $516,442.00 $2,136,364.71 $1,326,403.35 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 2 — — $527,622.00 $2,120,710.57 $1,324,166.28 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 2 — — $502,841.00 $2,022,330.51 $1,262,585.75 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 2 — — $489,399.00 $1,859,910.76 $1,174,654.88 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $1,057,350.00 $1,057,350.00 $1,057,350.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 14 11 — — $654,949.94 $786,032.40 $770,620.00 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $766,342.28 $766,342.28 $766,342.28 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 14 11 $481,344.75 — $499,443.40 $599,402.59 $587,649.60 2026-07-30
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $566,531.30 $566,531.30 $566,531.30 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 14 11 $456,125.88 — $481,494.95 $577,861.93 $566,531.30 2026-07-30
9413 OTHER Lisocabtagene Car Pos T 14 11 $437,092.59 — $477,814.80 $573,445.22 $562,201.20 2026-07-30
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $562,201.20 $562,201.20 $562,201.20 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 14 11 $446,893.35 — $474,313.72 $569,243.44 $558,081.80 2026-07-30
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $532,192.20 $532,192.20 $532,192.20 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 14 11 $424,999.19 — $452,310.15 $542,836.04 $532,192.20 2026-07-30
9391 OTHER Brexucabtagene Car Pos T 14 11 $425,054.70 — $415,983.72 $499,239.20 $489,450.20 2026-07-30
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 49 23 — — $235,461.70 $1,229,759.78 $467,870.45 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $318,159.75 $318,159.75 $318,159.75 2026-03-01
831 OTHER Obecbtge Autol Up To 400 15 12 $26,020.15 — $3,615.64 $283,815.00 $278,250.00 2026-07-30
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
897 OTHER Revakinagene, Per Implant 14 11 $18,145.21 — $225,223.50 $270,300.00 $265,000.00 2026-07-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 24 — — $173,187.15 $649,094.69 $246,288.66 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 25 — — $136,258.04 $604,451.25 $237,876.58 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 23 — — $19,842.00 $608,019.54 $223,125.35 2026-03-01
018 OTHER $114,450.56 1 1 $868,655.07 — $213,186.05 $213,186.05 $213,186.05 2026-07-30
886 OTHER Inj. Remestemcel-l-rknd/ 15 12 $26,849.20 — $7,911.63 $205,702.38 $201,669.00 2026-07-30
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
001 OTHER $143,270.04 1 1 $634,384.52 — $187,393.92 $187,393.92 $187,393.92 2026-07-30
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $177,441.49 $177,441.49 $177,441.49 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 2 2 — — $63,235.60 $244,244.20 $153,739.90 2026-03-01
1907 OTHER New Technology - Level 52 14 11 $149,980.11 — $128,451.42 $154,159.84 $151,137.10 2026-07-30
1908 OTHER New Technology - Level 52 14 11 $149,980.11 — $128,451.42 $154,159.84 $151,137.10 2026-07-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 24 — — $78,252.04 $267,069.00 $150,525.96 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 25 — — $93,947.70 $394,460.17 $147,773.66 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $146,196.10 $146,196.10 $146,196.10 2026-03-01
01908 OTHER New Technology - Level 52 1 1 — — $146,196.10 $146,196.10 $146,196.10 2026-03-01
7 MS_DRG Lung Transplant 47 23 — — $78,394.56 $301,149.76 $143,490.78 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 47 23 — — $66,146.85 $245,396.99 $137,356.48 2026-03-01
1905 OTHER New Technology - Level 51 14 11 $135,228.02 — $115,816.89 $138,996.62 $136,271.20 2026-07-30
1906 OTHER New Technology - Level 51 14 11 $135,228.02 — $115,816.89 $138,996.62 $136,271.20 2026-07-30
003 OTHER $109,359.47 1 1 $443,152.07 — $132,079.01 $132,079.01 $132,079.01 2026-07-30
01906 OTHER New Technology - Level 51 1 1 — — $131,816.20 $131,816.20 $131,816.20 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $131,816.20 $131,816.20 $131,816.20 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 43 23 — — $73,246.61 $301,910.24 $131,567.94 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 39 20 — — $74,013.00 $322,336.79 $123,678.00 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 9 2 — — $58,529.29 $215,933.29 $122,172.78 2026-03-01
1904 OTHER New Technology - Level 50 14 11 $120,475.92 — $103,182.36 $123,833.41 $121,405.30 2026-07-30
1903 OTHER New Technology - Level 50 14 11 $120,475.92 — $103,182.36 $123,833.41 $121,405.30 2026-07-30
215 MS_DRG Other Heart Assist System Implant 48 25 — — $65,282.79 $306,034.00 $121,108.61 2026-03-01
01904 OTHER New Technology - Level 50 1 1 — — $117,436.30 $117,436.30 $117,436.30 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $117,436.30 $117,436.30 $117,436.30 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 25 — — $62,026.57 $278,594.58 $114,510.60 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 23 12 $96,923.94 — $95,479.47 $114,588.84 $112,342.00 2026-07-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 52 25 — — $19,842.00 $309,672.62 $109,937.15 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 7 — — $56,633.21 $167,832.00 $107,609.67 2026-03-01
1901 OTHER New Technology - Level 49 14 11 $105,723.83 — $90,547.84 $108,670.19 $106,539.40 2026-07-30
1902 OTHER New Technology - Level 49 14 11 $105,723.83 — $90,547.84 $108,670.19 $106,539.40 2026-07-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 52 25 — — $54,019.29 $224,087.69 $106,150.11 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 44 22 — — $19,842.00 $246,605.24 $105,514.26 2026-03-01
004 OTHER $70,165.69 1 1 $276,542.39 — $103,143.26 $103,143.26 $103,143.26 2026-07-30
01901 OTHER New Technology - Level 49 1 1 — — $103,056.40 $103,056.40 $103,056.40 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $103,056.40 $103,056.40 $103,056.40 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 13 3 $55,114.75 — $57,017.10 $206,735.62 $101,262.21 2026-07-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 24 — — $19,842.00 $216,999.51 $99,520.29 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 25 — — $51,864.24 $240,066.69 $98,657.96 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 25 — — $49,282.28 $246,010.00 $97,528.70 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 23 12 — — $80,809.34 $96,982.62 $95,081.00 2026-03-01
1585 OTHER New Technology - Level 48 14 11 $93,430.42 — $80,019.10 $96,034.22 $94,151.20 2026-07-30
1599 OTHER New Technology - Level 48 14 11 $93,430.42 — $80,019.10 $96,034.22 $94,151.20 2026-07-30
651 OTHER $25,051.63 1 1 $85,784.39 — $92,437.67 $92,437.67 $92,437.67 2026-07-30
01599 OTHER New Technology - Level 48 1 1 — — $91,073.18 $91,073.18 $91,073.18 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $91,073.18 $91,073.18 $91,073.18 2026-03-01
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 8 1 — — $73,350.82 $117,901.31 $89,100.99 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 22 — — $62,268.00 $241,231.00 $88,720.60 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 25 — — $49,847.24 $217,720.01 $88,055.88 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 25 — — $44,965.80 $203,059.53 $84,666.93 2026-03-01
1598 OTHER New Technology - Level 47 14 11 $83,595.69 — $71,596.08 $85,925.40 $84,240.59 2026-07-30
1584 OTHER New Technology - Level 47 14 11 $83,595.69 — $71,596.08 $85,925.40 $84,240.59 2026-07-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 50 24 — — $51,086.46 $203,179.14 $83,863.80 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 25 — — $15,035.00 $196,834.24 $83,080.39 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 13 3 $42,302.58 — $45,212.00 $164,104.29 $82,464.31 2026-07-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 52 25 — — $19,842.00 $174,322.38 $82,062.15 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 44 22 — — $48,089.98 $190,418.15 $81,822.22 2026-03-01
01598 OTHER New Technology - Level 47 1 1 — — $81,486.58 $81,486.58 $81,486.58 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $81,486.58 $81,486.58 $81,486.58 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 22 — — $62,268.00 $192,070.00 $81,374.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 25 — — $53,872.30 $138,723.33 $81,374.00 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 25 — — $43,808.39 $195,868.84 $81,349.94 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 22 — — $51,782.20 $167,832.00 $80,514.10 2026-03-01
007 OTHER $55,047.40 1 1 $254,076.78 — $79,272.67 $79,272.67 $79,272.67 2026-07-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 24 — — $19,842.00 $191,688.27 $79,178.45 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 5 — — $42,387.03 $78,357.79 $77,967.95 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 25 — — $15,035.00 $183,247.39 $77,941.25 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 25 — — $39,918.83 $174,524.58 $77,587.27 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 22 — — $48,055.98 $190,278.60 $74,646.84 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 25 — — $40,680.63 $187,251.39 $74,626.58 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 52 25 — — $40,016.50 $157,283.99 $74,505.27 2026-03-01
1583 OTHER New Technology - Level 46 14 11 $73,760.96 — $63,173.06 $75,816.59 $74,329.99 2026-07-30
1597 OTHER New Technology - Level 46 14 11 $73,760.96 — $63,173.06 $75,816.59 $74,329.99 2026-07-30
834 MS_DRG Acute Leukemia With Mcc 52 25 — — $15,035.00 $156,341.37 $73,597.60 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 43 23 — — $19,842.00 $204,264.15 $72,775.42 2026-03-01
10 MS_DRG Pancreas Transplant 47 23 — — $30,763.72 $183,728.57 $72,151.66 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $71,899.98 $71,899.98 $71,899.98 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $71,899.98 $71,899.98 $71,899.98 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 25 — — $36,407.61 $187,251.39 $71,807.45 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 42 22 — — $39,477.21 $139,088.10 $71,518.49 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 25 — — $38,426.08 $162,545.00 $71,413.36 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 25 — — $37,582.91 $167,125.99 $70,408.96 2026-03-01
002 OTHER $73,265.43 1 1 $328,458.96 — $70,258.98 $70,258.98 $70,258.98 2026-07-30
28 MS_DRG Spinal Procedures With Mcc 52 25 — — $38,512.81 $171,104.37 $69,087.04 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 25 — — $38,017.50 $172,650.72 $68,854.92 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 23 12 — — $58,474.56 $70,177.73 $68,801.70 2026-03-01
014 OTHER $63,324.19 1 1 $234,264.06 — $67,666.65 $67,666.65 $67,666.65 2026-07-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 25 — — $39,689.39 $171,055.95 $67,365.87 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 25 — — $33,219.78 $155,566.77 $67,340.33 2026-03-01
005 OTHER $50,789.07 1 1 $224,566.13 — $66,953.90 $66,953.90 $66,953.90 2026-07-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 25 — — $19,842.00 $186,570.77 $66,664.20 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 47 23 — — $33,627.52 $125,383.24 $65,720.14 2026-03-01
38240 CPT Hematopoietic Progenitor Cell (hpc); Allogeneic Transplantation Per Donor 17 7 — — $2,350.00 $154,952.90 $65,599.67 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 52 25 — — $19,842.00 $147,983.08 $65,316.25 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 25 — — $19,842.00 $155,788.90 $65,142.16 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 22 — — $41,710.29 $167,832.00 $64,751.00 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 22 — — $40,703.45 $167,832.00 $64,751.00 2026-03-01
1582 OTHER New Technology - Level 45 14 11 $63,926.23 — $54,750.04 $65,707.78 $64,419.39 2026-07-30
1596 OTHER New Technology - Level 45 14 11 $63,926.23 — $54,750.04 $65,707.78 $64,419.39 2026-07-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 44 22 — — $38,674.50 $151,776.35 $64,321.67 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 15 12 $41,764.92 — $11,721.65 $65,560.29 $64,274.79 2026-07-30
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $64,274.79 $64,274.79 $64,274.79 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 20 — — $41,292.57 $162,521.10 $63,757.49 2026-03-01
5244 OTHER Level 4 Blood Product Exc 14 11 $41,352.63 — $54,129.28 $64,962.78 $63,689.00 2026-07-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 25 — — $38,827.24 $132,513.00 $63,509.50 2026-03-01
0620T CPT Endovascular Venous Arterialization, Tibial Or Peroneal Vein, With Transcatheter… 13 3 — — $4,617.00 $91,701.31 $63,350.90 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 25 — — $15,035.00 $136,816.86 $63,265.47 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 52 25 — — $36,196.71 $222,308.00 $62,797.82 2026-03-01
423 OTHER $20,037.24 1 1 $97,091.95 — $62,747.29 $62,747.29 $62,747.29 2026-07-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 25 — — $33,518.24 $151,867.48 $62,719.98 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 25 — — $19,842.00 $167,017.77 $62,661.54 2026-03-01
01582 OTHER New Technology - Level 45 1 1 — — $62,313.38 $62,313.38 $62,313.38 2026-03-01
01596 OTHER New Technology - Level 45 1 1 — — $62,313.38 $62,313.38 $62,313.38 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 25 — — $33,147.56 $148,239.38 $61,653.39 2026-03-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $61,606.87 $61,606.87 $61,606.87 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 25 — — $36,229.30 $163,187.48 $61,133.71 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 25 — — $19,842.00 $155,321.86 $60,823.84 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 52 25 — — $19,842.00 $128,974.01 $60,714.43 2026-03-01
474 OTHER $11,212.45 1 1 $94,545.14 — $60,604.60 $60,604.60 $60,604.60 2026-07-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 52 25 — — $19,842.00 $133,214.39 $60,440.57 2026-03-01
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Pulse… 8 1 — — $49,671.95 $79,840.81 $60,337.71 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 25 — — $19,842.00 $142,031.18 $60,168.99 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 52 25 — — $32,318.65 $150,258.47 $60,095.87 2026-03-01
33276 CPT Insertion Of Phrenic Nerve Stimulator System (pulse Generator And Stimulating Le… 16 6 — — $2,350.00 $117,901.31 $59,643.49 2026-03-01
216 OTHER $40,531.82 1 1 $232,861.56 — $58,233.47 $58,233.47 $58,233.47 2026-07-30
0408T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 13 3 — — $9,820.00 $84,001.34 $58,031.46 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 13 3 — — $5,182.00 $84,001.34 $58,031.46 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 13 3 — — $5,182.00 $84,001.34 $58,031.46 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 25 — — $32,202.33 $166,418.00 $57,929.03 2026-03-01
245 MS_DRG Aicd Generator Procedures 52 25 — — $28,960.18 $129,928.03 $57,315.07 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 44 22 — — $31,119.36 $167,832.00 $57,208.39 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 52 25 — — $19,842.00 $127,632.70 $56,935.55 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $56,824.55 $56,824.55 $56,824.55 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 14 11 $60,092.80 — $48,295.19 $57,961.04 $56,824.55 2026-07-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 52 25 — — $28,222.66 $129,480.92 $56,532.83 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 47 23 — — $30,912.63 $111,742.90 $56,530.50 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 25 — — $29,709.20 $143,534.82 $56,309.11 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 52 25 — — $28,506.42 $158,514.24 $56,274.28 2026-03-01
371612 CDM Filter Bloodtrnsf 40um 45 21 $140,085.00 $140,085.00 $28,843.50 $126,076.50 $55,893.92 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $55,861.20 $55,861.20 $55,861.20 2026-03-01
020 OTHER $40,768.91 1 1 $239,766.72 — $55,217.72 $55,217.72 $55,217.72 2026-07-30
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 28 11 — — $1,348.00 $84,001.34 $55,145.92 2026-03-01
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 28 11 — — $1,568.00 $84,001.34 $55,145.92 2026-03-01
33231 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Multi… 28 11 — — $1,568.00 $84,001.34 $55,145.92 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 25 — — $19,842.00 $140,160.17 $54,796.27 2026-03-01
338251 CDM Model Antm Mndb 45 21 $137,021.00 $137,021.00 $28,212.62 $123,318.90 $54,671.38 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 25 — — $19,842.00 $140,641.45 $54,611.27 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 50 24 — — $28,743.52 $133,886.47 $54,586.50 2026-03-01
1595 OTHER New Technology - Level 44 14 11 $54,091.50 — $46,327.03 $55,598.98 $54,508.80 2026-07-30
1581 OTHER New Technology - Level 44 14 11 $54,091.50 — $46,327.03 $55,598.98 $54,508.80 2026-07-30
9273 OTHER Sipuleucel-t Auto Cd54+ 14 11 $53,773.06 — $46,238.05 $55,492.19 $54,404.11 2026-07-30
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $54,404.11 $54,404.11 $54,404.11 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 44 22 — — $29,590.70 $167,832.00 $54,236.55 2026-03-01
C1820 HCPCS Ipg Nrstm 57.1mm 47.2mm 23 15 $116,640.00 $116,640.00 $37,091.52 $104,976.00 $53,654.40 2026-03-01
C1767 HCPCS Device Ipg Sleep Apena 46 15 $114,429.00 $114,429.00 $35,685.32 $104,976.00 $53,654.40 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 52 25 — — $31,189.36 $148,663.00 $53,187.66 2026-03-01
01581 OTHER New Technology - Level 44 1 1 — — $52,726.78 $52,726.78 $52,726.78 2026-03-01
01595 OTHER New Technology - Level 44 1 1 — — $52,726.78 $52,726.78 $52,726.78 2026-03-01
231 OTHER $42,980.20 1 1 $202,165.30 — $52,266.79 $52,266.79 $52,266.79 2026-07-30
275 OTHER $50,251.60 1 1 $50,251.60 — $52,098.10 $52,098.10 $52,098.10 2026-07-30
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 9 2 — — $24,955.27 $92,068.00 $52,091.10 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 42 22 — — $39,387.13 $139,088.10 $51,958.16 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 25 — — $19,842.00 $129,537.88 $51,869.54 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 52 25 — — $19,842.00 $119,510.77 $51,703.57 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 13 3 $23,554.48 — $27,070.50 $108,011.43 $51,447.55 2026-07-30
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 26 10 — — $1,348.00 $84,001.34 $51,067.19 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 52 25 — — $31,437.33 $137,511.72 $50,996.76 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 25 — — $19,842.00 $130,565.93 $50,981.15 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 52 25 — — $27,876.90 $127,094.47 $50,621.89 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 52 25 — — $30,564.32 $131,525.64 $50,316.73 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 52 25 — — $26,577.61 $120,268.29 $50,265.59 2026-03-01
580820 CDM Graft Bn Patella Right 31 16 $109,065.00 $109,065.00 $34,682.67 $98,158.50 $50,169.90 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 52 25 — — $25,827.31 $126,976.00 $49,929.01 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 23 12 $42,819.53 — $42,392.25 $50,876.68 $49,879.10 2026-07-30
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 13 3 — — $9,820.00 $72,051.31 $49,775.90 2026-03-01
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 17 7 — — $1,184.00 $79,840.81 $49,671.95 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 25 — — $19,842.00 $139,576.37 $49,551.13 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 52 25 — — $26,309.19 $127,595.68 $49,369.15 2026-03-01
850 OTHER $326.32 1 1 $334.64 — $48,967.85 $48,967.85 $48,967.85 2026-07-30
140 MS_DRG Major Head And Neck Procedures With Mcc 52 25 — — $19,842.00 $121,467.21 $48,855.46 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 52 25 — — $19,842.00 $101,794.61 $48,220.00 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 25 — — $19,842.00 $123,235.70 $48,168.96 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 52 25 — — $19,842.00 $122,253.21 $48,156.78 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 52 25 — — $24,905.73 $126,976.00 $47,849.22 2026-03-01
332 MS_DRG Rectal Resection With Mcc 52 25 — — $19,842.00 $103,110.29 $47,726.19 2026-03-01
J1412 HCPCS Injection, Valoctocogene Roxaparvovec-rvox, Per Ml, Containing Nominal 2 X 10°13… 1 1 — — $47,704.10 $47,704.10 $47,704.10 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 25 — — $19,842.00 $133,613.08 $47,434.10 2026-03-01
957 OTHER $35,718.26 1 1 $172,127.78 — $47,343.52 $47,343.52 $47,343.52 2026-07-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 52 25 — — $24,933.85 $110,229.79 $47,011.26 2026-03-01
233 OTHER $34,436.09 1 1 $183,757.75 — $46,722.95 $46,722.95 $46,722.95 2026-07-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 25 — — $28,957.62 $132,513.00 $46,616.29 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 52 25 — — $19,842.00 $130,899.13 $46,470.61 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 25 — — $24,214.22 $111,403.09 $46,415.88 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 25 — — $19,842.00 $118,269.13 $46,307.37 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 52 25 — — $19,842.00 $120,063.25 $46,068.85 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 52 25 — — $23,111.77 $102,030.98 $45,869.23 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 52 25 — — $15,035.00 $102,856.84 $45,703.27 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 25 — — $19,842.00 $109,335.59 $45,439.81 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $45,435.44 $45,435.44 $45,435.44 2026-03-01
33289 CPT Transcatheter Implantation Of Wireless Pulmonary Artery Pressure Sensor For Long… 16 6 — — $2,350.00 $74,482.22 $44,905.59 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 52 25 — — $19,842.00 $113,459.20 $44,808.44 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 17 — — $2,911.00 $84,628.63 $44,723.26 2026-03-01
1594 OTHER New Technology - Level 43 14 11 $44,256.77 — $37,904.01 $45,490.16 $44,598.20 2026-07-30
1580 OTHER New Technology - Level 43 14 11 $44,256.77 — $37,904.01 $45,490.16 $44,598.20 2026-07-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 52 25 — — $24,608.55 $109,959.25 $44,531.06 2026-03-01
010 OTHER $17,716.72 1 1 $79,426.42 — $44,490.34 $44,490.34 $44,490.34 2026-07-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 52 25 — — $19,842.00 $125,098.16 $44,411.21 2026-03-01
93656 CPT Comprehensive Electrophysiologic Evaluation With Transseptal Catheterizations, I… 25 10 — — $3,280.00 $68,511.00 $44,403.46 2026-03-01
93653 CPT Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of … 25 10 — — $3,280.00 $68,511.00 $44,403.46 2026-03-01
93654 CPT Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of … 25 10 — — $3,280.00 $68,511.00 $44,403.46 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 52 25 — — $19,842.00 $99,314.18 $44,250.20 2026-03-01
019 OTHER $32,691.41 1 1 $154,935.64 — $44,235.62 $44,235.62 $44,235.62 2026-07-30
217 OTHER $26,935.67 1 1 $150,384.78 — $44,197.64 $44,197.64 $44,197.64 2026-07-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 52 25 — — $23,338.65 $106,430.83 $43,817.29 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 23 12 $37,524.39 — $37,149.98 $44,585.22 $43,711.00 2026-07-30
93623 CPT Programmed Stimulation And Pacing After Intravenous Drug Infusion (List Separate… 8 5 — — $8,300.00 $92,855.00 $43,703.50 2026-03-01
93622 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 8 5 — — $8,300.00 $92,855.00 $43,703.50 2026-03-01
93609 CPT Intraventricular And/or Intra-atrial Mapping Of Tachycardia Site(s) With Cathete… 8 5 — — $8,300.00 $92,855.00 $43,703.50 2026-03-01
93621 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 8 5 — — $8,300.00 $92,855.00 $43,703.50 2026-03-01
93613 CPT Intracardiac Electrophysiologic 3-dimensional Mapping (List Separately In Additi… 8 5 — — $8,300.00 $92,855.00 $43,703.50 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 52 25 — — $22,887.45 $103,252.68 $43,660.61 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 44 22 — — $24,108.23 $167,832.00 $43,346.23 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 52 25 — — $23,740.46 $162,545.00 $43,332.40 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 52 25 — — $19,842.00 $101,692.09 $43,300.83 2026-03-01
956 OTHER $26,782.81 1 1 $89,300.75 — $43,218.46 $43,218.46 $43,218.46 2026-07-30
01142 OTHER Supprelin La Implant 1 1 — — $43,185.34 $43,185.34 $43,185.34 2026-03-01
1142 OTHER Supprelin La Implant 14 11 $38,460.27 — $36,703.22 $44,049.05 $43,185.34 2026-07-30
01580 OTHER New Technology - Level 43 1 1 — — $43,140.18 $43,140.18 $43,140.18 2026-03-01
01594 OTHER New Technology - Level 43 1 1 — — $43,140.18 $43,140.18 $43,140.18 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 52 25 — — $19,842.00 $101,541.16 $43,132.54 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 52 25 — — $19,842.00 $106,442.22 $43,089.60 2026-03-01
652 MS_DRG Kidney Transplant 47 23 — — $19,201.12 $70,775.80 $43,023.40 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $42,961.52 $42,961.52 $42,961.52 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 52 25 — — $19,842.00 $106,131.81 $42,842.39 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 52 25 — — $19,842.00 $101,358.90 $42,563.84 2026-03-01
011 OTHER $21,930.51 1 1 $116,471.37 — $42,482.82 $42,482.82 $42,482.82 2026-07-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 52 25 — — $19,842.00 $119,653.16 $42,478.18 2026-03-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 52 25 — — $19,842.00 $89,990.48 $42,362.96 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 52 25 — — $15,035.00 $100,225.47 $42,004.44 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 52 25 — — $19,842.00 $104,602.54 $41,750.26 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 50 24 — — $22,102.63 $105,533.77 $41,684.11 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 52 25 — — $19,842.00 $101,455.72 $41,548.32 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 52 25 — — $21,187.44 $92,633.24 $41,124.70 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 52 25 — — $13,535.00 $104,559.82 $40,997.05 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 52 25 — — $22,088.57 $101,276.31 $40,950.61 2026-03-01
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 16 6 — — $1,869.00 $79,840.81 $40,926.75 2026-03-01
33287 CPT Removal And Replacement Of Phrenic Nerve Stimulator, Including Vessel Catheteriz… 16 6 — — $2,350.00 $79,840.81 $40,926.75 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 25 — — $22,081.54 $90,924.56 $40,828.75 2026-03-01
218 OTHER $23,702.08 1 1 $169,192.00 — $40,768.00 $40,768.00 $40,768.00 2026-07-30
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