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

ST ELIZABETH HOSPITAL

Enumclaw, WA · CCN 501335 · Rates published

9,520 distinct procedures filed
19 distinct payers
1,491,838 rate rows
2026-02-28 last MRF observed
Data quality

1,342,908 of 1,491,838 rate rows are consumer-grade (90.0%)

148,930 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 102,638
per-diem day rate — not a per-procedure price 24,130
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 15,624
template filing: same amount across many unrelated codes — excluded 4,116
placeholder amount (≤ $0.02) — excluded from medians 1,934
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 406
exceeds 10× this hospital's gross charge — excluded from medians 82
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910715805-1073674040_enumclaw-regional-hospital-association_standardcharges.json
Found on page https://www.vmfh.org/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 79fa21ccbb29fec2… · 127,902,917 bytes · first seen 2026-07-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $655,335.00 $940,293.00 $716,807.00 nat. median
$168,055
outlier · 4.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $489,481.00 $702,320.00 $528,241.00 nat. median
$186,516
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $332,319.00 $591,481.00 $414,895.00 nat. median
$131,925
outlier · 3.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 7 $346,443.00 $534,354.00 $389,783.00 nat. median
$145,435
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 7 $210,877.00 $364,104.00 $260,665.00 nat. median
$97,418
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $191,489.00 $342,985.00 $245,819.50 nat. median
$65,418
outlier · 3.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $211,548.00 $326,667.00 $236,681.50 nat. median
$72,715
outlier · 3.3×
7
MS_DRG 		Lung Transplant 7 $187,090.00 $325,844.00 $234,073.00 nat. median
$70,649
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $189,303.00 $271,618.00 $208,181.50 nat. median
$74,509
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $185,055.00 $265,521.00 $202,721.00 nat. median
$69,922
outlier · 2.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $182,031.00 $261,183.00 $201,756.00 nat. median
$2,736
outlier · 73.7×
215
MS_DRG 		Other Heart Assist System Implant 7 $184,106.00 $341,980.00 $200,887.00 nat. median
$73,023
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $167,707.00 $240,631.00 $186,009.50 nat. median
$69,822
outlier · 2.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $160,075.00 $229,680.00 $177,421.00 nat. median
$2,633
outlier · 67.4×
453
MS_DRG 		No Active Code Description 3 $171,521.00 $219,488.00 $173,026.00 nat. median
$2,106
outlier · 82.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $140,078.00 $209,357.00 $169,718.50 nat. median
$56,428
outlier · 3.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 7 $147,169.00 $211,163.00 $163,138.00 nat. median
$59,651
outlier · 2.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $144,935.00 $207,956.00 $160,640.00 nat. median
$2,596
outlier · 61.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $147,251.00 $211,280.00 $157,854.50 nat. median
$60,505
outlier · 2.6×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 18 $52,250.00 $670,120.20 $154,127.65 nat. median
$6,067
outlier · 25.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $134,455.00 $192,919.00 $149,141.00 nat. median
$55,923
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $135,826.00 $194,886.00 $148,461.50 nat. median
$55,935
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $128,581.00 $197,991.00 $144,158.00 nat. median
$45,605
outlier · 3.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $129,705.00 $186,105.00 $143,760.00 nat. median
$52,327
outlier · 2.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $123,424.00 $177,092.00 $136,798.00 nat. median
$9,905
outlier · 13.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $122,803.00 $176,202.00 $135,954.00 nat. median
$51,518
outlier · 2.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $115,863.00 $169,784.00 $129,610.50 nat. median
$49,569
outlier · 2.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $116,508.00 $167,168.00 $129,133.00 nat. median
$2,958
outlier · 43.7×
10
MS_DRG 		Pancreas Transplant 7 $74,122.00 $198,791.00 $128,887.50 nat. median
$23,080
outlier · 5.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $113,799.00 $173,446.00 $128,619.00 nat. median
$48,611
outlier · 2.6×
459
MS_DRG 		No Active Code Description 3 $125,364.00 $164,275.00 $128,375.00 nat. median
$2,106
outlier · 61.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome Neonate 5 $113,799.00 $148,616.00 $126,682.00 nat. median
$40,584
outlier · 3.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $118,655.00 $170,250.00 $126,515.00 nat. median
$47,340
outlier · 2.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 $96,048.00 $154,795.00 $123,594.50 nat. median
$38,173
outlier · 3.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $109,897.00 $170,227.00 $123,283.00 nat. median
$41,943
outlier · 2.9×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $104,102.00 $178,198.00 $122,826.50 nat. median
$44,036
outlier · 2.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $112,219.00 $161,015.00 $122,592.50 nat. median
$47,458
outlier · 2.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $102,998.00 $171,104.00 $121,960.00 nat. median
$47,121
outlier · 2.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 $116,059.00 $166,525.00 $121,610.00 nat. median
$37,013
outlier · 3.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $107,640.00 $154,445.00 $119,583.50 nat. median
$43,533
outlier · 2.7×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $107,501.00 $154,246.00 $119,150.00 nat. median
$2,633
outlier · 45.3×
454
MS_DRG 		No Active Code Description 3 $115,118.00 $151,495.00 $118,387.00 nat. median
$2,106
outlier · 56.2×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 7 $104,886.00 $152,998.00 $117,042.00 nat. median
$38,932
outlier · 3.0×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 $99,091.00 $168,887.00 $115,947.00 nat. median
$38,844
outlier · 3.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 7 $99,734.00 $150,479.00 $115,845.00 nat. median
$42,674
outlier · 2.7×
38240
CPT 		Transplt Allo Hct/donor 6 $9,906.60 $231,265.51 $114,912.86 nat. median
$28,331
outlier · 4.1×
28
MS_DRG 		Spinal Procedures With Mcc 7 $105,643.00 $151,580.00 $114,641.00 nat. median
$41,895
outlier · 2.7×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $106,151.00 $152,308.00 $114,387.00 nat. median
$43,803
outlier · 2.6×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $102,250.00 $146,711.00 $113,270.50 nat. median
$43,023
outlier · 2.6×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 $100,503.00 $149,771.00 $113,143.50 nat. median
$40,726
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 9,520 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 7 — — $655,335.00 $940,293.00 $716,807.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 7 — — $489,481.00 $702,320.00 $528,241.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 5 — — $332,319.00 $591,481.00 $414,895.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 20 7 — — $346,443.00 $534,354.00 $389,783.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 20 7 — — $210,877.00 $364,104.00 $260,665.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 7 — — $191,489.00 $342,985.00 $245,819.50 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 20 7 — — $211,548.00 $326,667.00 $236,681.50 2026-02-28
7 MS_DRG Lung Transplant 20 7 — — $187,090.00 $325,844.00 $234,073.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 7 — — $189,303.00 $271,618.00 $208,181.50 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 7 — — $185,055.00 $265,521.00 $202,721.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 4 — — $182,031.00 $261,183.00 $201,756.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 20 7 — — $184,106.00 $341,980.00 $200,887.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 7 — — $167,707.00 $240,631.00 $186,009.50 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 14 4 — — $160,075.00 $229,680.00 $177,421.00 2026-02-28
453 MS_DRG No Active Code Description 6 3 — — $171,521.00 $219,488.00 $173,026.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 7 — — $140,078.00 $209,357.00 $169,718.50 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 7 — — $147,169.00 $211,163.00 $163,138.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 4 — — $144,935.00 $207,956.00 $160,640.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 7 — — $147,251.00 $211,280.00 $157,854.50 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 70 18 $744,578.00 $263,107.33 65% off $52,250.00 $670,120.20 $154,127.65 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 7 — — $134,455.00 $192,919.00 $149,141.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 7 — — $135,826.00 $194,886.00 $148,461.50 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 7 — — $128,581.00 $197,991.00 $144,158.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 4 — — $129,705.00 $186,105.00 $143,760.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 4 — — $123,424.00 $177,092.00 $136,798.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 7 — — $122,803.00 $176,202.00 $135,954.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 7 — — $115,863.00 $169,784.00 $129,610.50 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 4 — — $116,508.00 $167,168.00 $129,133.00 2026-02-28
10 MS_DRG Pancreas Transplant 20 7 — — $74,122.00 $198,791.00 $128,887.50 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 7 — — $113,799.00 $173,446.00 $128,619.00 2026-02-28
459 MS_DRG No Active Code Description 6 3 — — $125,364.00 $164,275.00 $128,375.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 12 5 — — $113,799.00 $148,616.00 $126,682.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 4 — — $118,655.00 $170,250.00 $126,515.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 7 — — $96,048.00 $154,795.00 $123,594.50 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 7 — — $109,897.00 $170,227.00 $123,283.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 7 — — $104,102.00 $178,198.00 $122,826.50 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 7 — — $112,219.00 $161,015.00 $122,592.50 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 7 — — $102,998.00 $171,104.00 $121,960.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 5 — — $116,059.00 $166,525.00 $121,610.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 7 — — $107,640.00 $154,445.00 $119,583.50 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 4 — — $107,501.00 $154,246.00 $119,150.00 2026-02-28
454 MS_DRG No Active Code Description 6 3 — — $115,118.00 $151,495.00 $118,387.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 7 — — $104,886.00 $152,998.00 $117,042.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 7 — — $99,091.00 $168,887.00 $115,947.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 7 — — $99,734.00 $150,479.00 $115,845.00 2026-02-28
38240 CPT Transplt Allo Hct/donor 18 6 — — $9,906.60 $231,265.51 $114,912.86 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 20 7 — — $105,643.00 $151,580.00 $114,641.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 7 — — $106,151.00 $152,308.00 $114,387.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 7 — — $102,250.00 $146,711.00 $113,270.50 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 7 — — $100,503.00 $149,771.00 $113,143.50 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 7 — — $71,167.00 $154,016.00 $112,525.50 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 7 — — $103,381.00 $148,334.00 $111,253.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 7 — — $78,557.00 $152,998.00 $109,037.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 7 — — $99,138.00 $142,245.00 $109,024.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 20 7 — — $96,048.00 $138,682.00 $107,415.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 20 7 — — $96,870.00 $138,992.00 $106,194.50 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 4 — — $95,645.00 $137,234.00 $106,009.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 4 — — $95,061.00 $136,396.00 $105,362.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 7 — — $94,550.00 $135,663.00 $105,234.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 20 7 — — $94,335.00 $136,358.00 $104,931.50 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 7 — — $93,853.00 $140,284.00 $103,943.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 7 — — $83,375.00 $140,765.00 $101,938.50 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 7 — — $92,041.00 $132,063.00 $101,764.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 7 — — $93,765.00 $134,536.00 $99,890.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 7 — — $92,449.00 $132,649.00 $99,592.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 4 — — $89,493.00 $128,407.00 $99,191.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 7 — — $87,010.00 $127,528.00 $99,081.50 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 7 — — $88,529.00 $128,467.00 $98,627.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 20 7 — — $88,258.00 $126,635.00 $98,065.50 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 7 — — $89,196.00 $127,981.00 $97,254.50 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 20 7 — — $82,624.00 $122,720.00 $97,155.50 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 7 — — $86,595.00 $150,462.00 $96,753.50 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 7 — — $86,908.00 $124,697.00 $96,545.50 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 7 — — $81,754.00 $137,407.00 $95,998.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 20 7 — — $84,405.00 $121,839.00 $94,375.50 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 7 — — $87,526.00 $125,585.00 $93,182.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 20 7 — — $84,265.00 $120,905.00 $93,112.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 7 — — $82,984.00 $119,068.00 $92,972.50 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 662 19 $439,461.00 $155,289.86 65% off $221.77 $431,479.67 $92,335.68 2026-02-28
245 MS_DRG Aicd Generator Procedures 20 7 — — $84,918.00 $121,843.00 $92,155.50 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 7 — — $82,609.00 $118,529.00 $91,657.50 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 20 7 — — $80,094.00 $116,751.00 $91,391.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 7 — — $80,836.00 $118,455.00 $91,346.00 2026-02-28
455 MS_DRG No Active Code Description 6 3 — — $89,146.00 $114,076.00 $90,493.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 7 — — $84,302.00 $124,747.00 $90,383.50 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 7 — — $75,034.00 $113,350.00 $89,335.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 7 — — $79,806.00 $115,141.00 $89,207.00 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 7 — — $79,793.00 $114,490.00 $87,933.50 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 7 — — $80,061.00 $114,874.00 $87,438.50 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 7 — — $81,316.00 $116,674.00 $86,920.50 2026-02-28
791 MS_DRG Prematurity With Major Problems 12 5 — — $77,719.00 $101,496.00 $86,519.50 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 7 — — $78,398.00 $112,488.00 $86,304.50 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 7 — — $77,715.00 $111,508.00 $85,645.50 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 20 7 — — $76,989.00 $110,466.00 $83,636.50 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 7 — — $76,334.00 $109,526.00 $82,912.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 7 — — $72,375.00 $111,817.00 $81,352.50 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 7 — — $74,125.00 $106,357.00 $80,775.50 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 7 — — $72,300.00 $103,739.00 $80,314.50 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 7 — — $74,016.00 $106,200.00 $80,020.00 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 18 6 — — $30,854.10 $131,415.23 $79,881.49 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 4 — — $71,416.00 $102,470.00 $79,155.00 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 7 — — $61,348.00 $97,864.00 $79,152.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 7 — — $72,820.00 $104,484.00 $79,124.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 4 — — $70,959.00 $101,814.00 $78,648.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 20 7 — — $73,129.00 $105,447.00 $78,456.50 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 7 — — $68,424.00 $98,176.00 $78,199.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 7 — — $71,456.00 $102,527.00 $77,651.50 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 5 — — $57,324.00 $107,883.00 $77,614.00 2026-02-28
69930 CPT Implant Cochlear Device 64 19 — — $12,267.00 $141,920.51 $77,093.76 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 7 — — $70,679.00 $101,412.00 $77,018.50 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 20 7 — — $67,162.00 $98,028.00 $75,522.50 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 7 — — $67,949.00 $97,496.00 $75,371.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 4 — — $67,982.00 $97,543.00 $75,349.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 7 — — $67,574.00 $96,957.00 $75,205.50 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 7 — — $67,279.00 $102,318.00 $75,020.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 7 — — $69,225.00 $99,326.00 $74,234.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 7 — — $66,062.00 $94,788.00 $73,984.00 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 7 — — $67,538.00 $99,256.00 $73,755.50 2026-02-28
332 MS_DRG Rectal Resection With Mcc 20 7 — — $60,276.00 $101,414.00 $73,736.50 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 14 4 — — $66,422.00 $96,613.00 $73,619.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 7 — — $64,519.00 $104,459.00 $73,273.50 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 7 — — $66,907.00 $100,508.00 $72,747.50 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 20 7 — — $65,548.00 $95,373.00 $72,145.50 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 20 7 — — $64,654.00 $99,435.00 $72,113.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 20 7 — — $65,025.00 $94,756.00 $71,561.00 2026-02-28
460 MS_DRG No Active Code Description 6 3 — — $70,802.00 $90,603.00 $71,177.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 5 — — $60,410.00 $97,977.00 $70,881.00 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 7 — — $60,842.00 $92,195.00 $70,700.50 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 7 — — $62,964.00 $90,342.00 $69,705.50 2026-02-28
61886 CPT Implant Neurostim Arrays 64 19 — — $6,630.00 $131,415.23 $69,022.62 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 7 — — $63,403.00 $90,973.00 $68,862.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 7 — — $62,970.00 $96,269.00 $68,614.00 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 7 — — $59,908.00 $90,082.00 $67,727.00 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 7 — — $55,842.00 $90,451.00 $67,716.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 7 — — $60,886.00 $87,360.00 $67,610.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 20 7 — — $61,977.00 $88,941.00 $67,134.00 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 7 — — $60,342.00 $86,580.00 $66,982.00 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 7 — — $59,520.00 $86,352.00 $66,950.00 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 7 — — $61,047.00 $89,380.00 $66,785.50 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 7 — — $59,470.00 $88,703.00 $66,612.00 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 5 — — $55,093.00 $71,403.00 $66,468.00 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 20 7 — — $61,709.00 $88,542.00 $66,448.00 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 7 — — $58,943.00 $85,579.00 $66,263.00 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 7 — — $61,332.00 $88,001.00 $66,212.00 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 7 — — $59,853.00 $85,879.00 $66,091.50 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 7 — — $59,190.00 $84,927.00 $65,863.50 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 7 — — $60,866.00 $87,333.00 $65,128.50 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 7 — — $55,141.00 $86,390.00 $65,060.50 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 7 — — $58,329.00 $84,913.00 $64,621.50 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 20 7 — — $59,610.00 $85,530.00 $64,426.00 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 7 — — $58,644.00 $85,745.00 $64,410.50 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 20 7 — — $57,707.00 $83,610.00 $63,855.50 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 7 — — $56,800.00 $82,476.00 $63,233.50 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 20 7 — — $57,009.00 $87,143.00 $62,963.50 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 7 — — $56,614.00 $81,232.00 $62,609.50 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 20 7 — — $57,204.00 $82,372.00 $62,051.00 2026-02-28
665 MS_DRG Prostatectomy With Mcc 20 7 — — $57,840.00 $85,610.00 $62,027.50 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 7 — — $53,978.00 $100,760.00 $61,965.50 2026-02-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 7 — — $55,683.00 $79,895.00 $61,746.00 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 7 — — $55,942.00 $81,589.00 $61,724.00 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 7 — — $55,155.00 $79,640.00 $61,683.00 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 7 — — $47,550.00 $75,638.00 $61,349.00 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 20 7 — — $55,062.00 $80,321.00 $60,797.00 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 7 — — $53,587.00 $78,116.00 $60,429.00 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 7 — — $55,415.00 $79,511.00 $60,370.50 2026-02-28
90378 CPT Palivizumab 100 Mg/ml Intramuscular Solution 152 19 $293,082.75 $103,565.00 65% off $339.68 $279,376.79 $60,066.01 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 7 — — $53,737.00 $78,307.00 $60,039.00 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 20 7 — — $52,495.00 $82,783.00 $59,978.50 2026-02-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 4 — — $53,625.00 $76,943.00 $59,436.00 2026-02-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 7 — — $53,323.00 $76,509.00 $59,226.00 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 7 — — $48,837.00 $80,271.00 $58,968.00 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 5 — — $55,266.00 $79,297.00 $58,887.00 2026-02-28
652 MS_DRG Kidney Transplant 20 7 — — $53,372.00 $76,579.00 $58,731.50 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 134 18 $162,690.00 $57,488.85 65% off $27,657.30 $292,842.00 $58,633.48 2026-02-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 7 — — $55,521.00 $79,663.00 $58,329.50 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 20 7 — — $54,209.00 $77,781.00 $57,902.00 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 7 — — $50,649.00 $74,163.00 $57,509.50 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 7 — — $51,238.00 $74,342.00 $57,442.50 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 7 — — $53,149.00 $76,260.00 $57,264.00 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 7 — — $51,106.00 $73,328.00 $56,861.50 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 20 7 — — $50,345.00 $73,202.00 $56,502.50 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 7 — — $50,967.00 $73,128.00 $55,986.50 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 20 7 — — $51,480.00 $74,455.00 $55,890.00 2026-02-28
570 MS_DRG Skin Debridement With Mcc 20 7 — — $45,765.00 $75,053.00 $55,453.00 2026-02-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 7 — — $49,469.00 $71,203.00 $55,157.00 2026-02-28
C1877 HCPCS Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 70 18 $248,447.50 $87,792.50 65% off $42,236.08 $223,602.75 $55,000.00 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 20 7 — — $49,822.00 $72,355.00 $54,799.50 2026-02-28
63655 CPT Implant Neuroelectrodes 64 19 — — $16,971.00 $92,578.90 $54,774.95 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 20 7 — — $48,802.00 $71,518.00 $54,730.50 2026-02-28
800 MS_DRG Splenic Procedures With Cc 20 7 — — $50,246.00 $72,650.00 $54,709.00 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 7 — — $50,605.00 $72,610.00 $54,166.00 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 20 7 — — $49,040.00 $70,363.00 $54,038.50 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 7 — — $48,751.00 $69,950.00 $53,962.00 2026-02-28
668 MS_DRG Transurethral Procedures With Mcc 20 7 — — $47,353.00 $72,712.00 $53,693.00 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 20 7 — — $46,977.00 $69,423.00 $53,536.00 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 20 7 — — $47,355.00 $71,261.00 $52,807.50 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 7 — — $46,822.00 $67,877.00 $52,469.50 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 12 5 — — $19,356.00 $93,109.00 $52,383.50 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 4 — — $47,208.00 $67,735.00 $52,324.00 2026-02-28
792 MS_DRG Prematurity Without Major Problems 12 5 — — $46,895.00 $61,241.00 $52,202.50 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 20 7 — — $45,585.00 $66,123.00 $52,195.50 2026-02-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 7 — — $49,735.00 $71,361.00 $52,106.00 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 7 — — $47,465.00 $68,104.00 $51,786.50 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 7 — — $22,585.00 $67,980.00 $51,514.50 2026-02-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 7 — — $44,052.00 $69,769.00 $51,307.50 2026-02-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 7 — — $45,467.00 $68,050.00 $51,294.00 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 7 — — $46,106.00 $68,848.00 $51,210.00 2026-02-28
54411 CPT Remov/replc Penis Pros Comp 16 5 — — $1,814.50 $85,368.46 $51,158.53 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 14 4 — — $45,943.00 $65,920.00 $50,922.00 2026-02-28
263 MS_DRG Vein Ligation And Stripping 20 7 — — $39,608.00 $69,977.00 $50,675.50 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 20 7 — — $43,769.00 $66,522.00 $50,069.00 2026-02-28
503 MS_DRG Foot Procedures With Mcc 20 7 — — $45,990.00 $66,428.00 $50,005.00 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 20 7 — — $44,363.00 $63,654.00 $49,959.00 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 7 — — $44,907.00 $71,281.00 $49,942.50 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 7 — — $44,587.00 $66,970.00 $49,433.50 2026-02-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 7 — — $44,178.00 $66,392.00 $49,414.50 2026-02-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 20 7 — — $44,982.00 $64,542.00 $49,289.50 2026-02-28
64590 CPT Insrt/redo Pn/gastr Stimul 64 19 — — $5,920.00 $92,578.90 $49,249.45 2026-02-28
61885 CPT Insrt/redo Neurostim 1 Array 64 19 — — $5,920.00 $92,578.90 $49,249.45 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 20 7 — — $43,738.00 $63,171.00 $49,089.50 2026-02-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 7 — — $43,875.00 $64,672.00 $48,536.50 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 20 7 — — $42,193.00 $61,858.00 $48,374.50 2026-02-28
849 MS_DRG Radiotherapy 20 7 — — $33,813.00 $66,663.00 $48,253.00 2026-02-28
347 MS_DRG Anal And Stomal Procedures With Mcc 20 7 — — $41,128.00 $63,139.00 $47,936.50 2026-02-28
545 MS_DRG Connective Tissue Disorders With Mcc 20 7 — — $43,910.00 $63,003.00 $47,835.50 2026-02-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 7 — — $42,544.00 $61,576.00 $47,762.00 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 20 7 — — $43,481.00 $62,387.00 $47,705.50 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 7 — — $44,280.00 $63,534.00 $47,648.50 2026-02-28
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 7 — — $44,377.00 $63,674.00 $47,459.50 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 20 7 — — $42,883.00 $61,530.00 $47,127.00 2026-02-28
37231 CPT Tib/per Revasc Stent Ather 18 6 — — $22,222.40 $74,209.87 $46,738.53 2026-02-28
37227 CPT Fem/popl Revasc Stnt Ather 18 6 — — $22,222.40 $74,209.87 $46,738.53 2026-02-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 20 7 — — $41,138.00 $60,947.00 $46,611.50 2026-02-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 7 — — $42,030.00 $60,305.00 $46,519.00 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 20 7 — — $41,074.00 $58,934.00 $46,160.50 2026-02-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 7 — — $41,656.00 $59,769.00 $46,159.50 2026-02-28
22867 CPT Insj Stablj Dev W/dcmprn 14 4 — — $13,386.45 $65,543.99 $46,058.01 2026-02-28
27279 CPT Arthrodesis Sacroiliac Joint 14 4 — — $14,438.10 $65,543.99 $46,058.01 2026-02-28
22856 CPT Cerv Artific Diskectomy 14 4 — — $13,386.45 $65,543.99 $46,058.01 2026-02-28
24371 CPT Revise Reconst Elbow Joint 14 4 — — $14,438.10 $65,543.99 $46,058.01 2026-02-28
54416 CPT Remv/repl Penis Contain Pros 64 19 — — $6,630.00 $85,368.46 $45,999.23 2026-02-28
54401 CPT Insert Self-contd Prosthesis 64 19 — — $6,630.00 $85,368.46 $45,999.23 2026-02-28
54405 CPT Insert Multi-comp Penis Pros 64 19 — — $6,630.00 $85,368.46 $45,999.23 2026-02-28
54410 CPT Remove/replace Penis Prosth 64 19 — — $6,630.00 $85,368.46 $45,999.23 2026-02-28
C1824 HCPCS Optimizer Smart Ipg 10-b411-3-xx 70 18 $163,265.50 $57,692.21 65% off $27,755.14 $146,938.95 $45,714.34 2026-02-28
53444 CPT Insert Tandem Cuff 64 19 — — $5,920.00 $85,368.46 $45,644.23 2026-02-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 20 7 — — $40,186.00 $58,227.00 $45,617.00 2026-02-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 20 7 — — $38,876.00 $65,690.00 $45,495.50 2026-02-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 7 — — $41,008.00 $58,839.00 $45,389.00 2026-02-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 7 — — $41,296.00 $59,253.00 $45,355.00 2026-02-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 7 — — $35,734.00 $62,435.00 $45,207.00 2026-02-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 20 7 — — $41,240.00 $59,864.00 $45,133.50 2026-02-28
53445 CPT Insert Uro/ves Nck Sphincter 64 19 — — $4,556.00 $85,368.46 $44,962.23 2026-02-28
53447 CPT Remove/replace Ur Sphincter 64 19 — — $4,556.00 $85,368.46 $44,962.23 2026-02-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 7 — — $40,224.00 $57,715.00 $44,948.00 2026-02-28
397 MS_DRG Appendix Procedures With Mcc 20 7 — — $42,461.00 $61,779.00 $44,761.00 2026-02-28
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 7 — — $40,638.00 $59,042.00 $44,717.50 2026-02-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 7 — — $40,113.00 $59,005.00 $44,631.00 2026-02-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 20 7 — — $39,677.00 $56,930.00 $44,371.50 2026-02-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 20 7 — — $39,147.00 $56,414.00 $44,193.50 2026-02-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 7 — — $39,529.00 $56,956.00 $44,161.00 2026-02-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 20 7 — — $39,602.00 $56,822.00 $44,153.50 2026-02-28
21243 CPT Reconstruction Of Jaw Joint 62 19 — — $9,113.00 $65,543.99 $43,991.09 2026-02-28
20696 CPT Comp Multiplane Ext Fixation 62 19 — — $8,801.75 $65,543.99 $43,835.46 2026-02-28
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 20 7 — — $41,339.00 $59,769.00 $43,794.00 2026-02-28
C1826 HCPCS Neurostimulator Rechrg 977119 70 18 $156,167.00 $55,183.86 65% off $26,548.39 $140,550.30 $43,726.76 2026-02-28
28705 CPT Fusion Of Foot Bones 62 19 — — $8,016.00 $65,543.99 $43,442.59 2026-02-28
23616 CPT Treat Humerus Fracture 62 19 — — $8,016.00 $65,543.99 $43,442.59 2026-02-28
37229 CPT Tib/per Revasc W/ather 18 6 — — $14,438.10 $74,209.87 $43,337.09 2026-02-28
37230 CPT Tib/per Revasc W/stent 18 6 — — $14,438.10 $74,209.87 $43,337.09 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 136 18 $146,606.00 $51,805.34 65% off $24,923.02 $188,418.06 $43,336.16 2026-02-28
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 20 7 — — $39,241.00 $56,304.00 $43,335.00 2026-02-28
64580 CPT Implant Neuroelectrodes 20 7 — — $4,556.00 $92,578.90 $43,308.53 2026-02-28
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 20 7 — — $38,219.00 $55,307.00 $43,253.50 2026-02-28
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 20 7 — — $38,792.00 $55,660.00 $43,100.50 2026-02-28
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 20 7 — — $38,666.00 $56,498.00 $43,087.50 2026-02-28
113 MS_DRG Orbital Procedures With Cc/mcc 20 7 — — $39,213.00 $62,103.00 $42,949.00 2026-02-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 20 7 — — $38,754.00 $57,850.00 $42,901.50 2026-02-28
629 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc 20 7 — — $39,083.00 $56,077.00 $42,863.00 2026-02-28
709 MS_DRG Penis Procedures With Cc/mcc 20 7 — — $39,048.00 $56,027.00 $42,648.50 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber Dr-system-aveir 68 18 $170,364.00 $60,200.57 65% off $28,961.88 $153,327.60 $42,591.00 2026-02-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 20 7 — — $39,133.00 $56,149.00 $42,487.00 2026-02-28
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 20 7 — — $39,242.00 $56,306.00 $42,467.50 2026-02-28
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 7 — — $39,799.00 $57,104.00 $42,413.50 2026-02-28
412 MS_DRG Cholecystectomy With C.d.e. With Cc 20 7 — — $37,041.00 $53,147.00 $42,222.00 2026-02-28
835 MS_DRG Acute Leukemia With Cc 20 7 — — $37,116.00 $55,371.00 $42,203.50 2026-02-28
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 20 7 — — $38,461.00 $55,184.00 $42,119.00 2026-02-28
30 MS_DRG Spinal Procedures Without Cc/mcc 20 7 — — $36,687.00 $57,439.00 $42,046.50 2026-02-28
19357 CPT Breast Reconstruction 64 19 — — $9,113.00 $74,577.24 $41,845.12 2026-02-28
141 MS_DRG Major Head And Neck Procedures With Cc 20 7 — — $37,334.00 $53,569.00 $41,788.00 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 70 18 $149,068.50 $52,675.50 65% off $25,341.65 $134,161.65 $41,739.18 2026-02-28
734 MS_DRG Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 20 7 — — $36,540.00 $57,731.00 $41,686.00 2026-02-28
146 MS_DRG Ear Nose Mouth And Throat Malignancy With Mcc 20 7 — — $38,068.00 $57,199.00 $41,683.00 2026-02-28
333 MS_DRG Rectal Resection With Cc 20 7 — — $36,931.00 $52,990.00 $41,569.50 2026-02-28
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 20 7 — — $37,487.00 $53,788.00 $41,531.50 2026-02-28
407 MS_DRG Pancreas Liver And Shunt Procedures Without Cc/mcc 20 7 — — $37,114.00 $53,278.00 $41,385.50 2026-02-28
25446 CPT Wrist Replacement 16 5 — — $14,438.10 $65,543.99 $41,245.32 2026-02-28
25442 CPT Reconstruct Wrist Joint 16 5 — — $14,438.10 $65,543.99 $41,245.32 2026-02-28
24363 CPT Replace Elbow Joint 16 5 — — $14,438.10 $65,543.99 $41,245.32 2026-02-28
24361 CPT Reconstruct Elbow Joint 16 5 — — $14,438.10 $65,543.99 $41,245.32 2026-02-28
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