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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

MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC

La Crosse, WI · CCN 520004 · Rates published

8,122 distinct procedures filed
333 distinct payers
8,922,977 rate rows
2026-03-31 last MRF observed
Data quality

3,891,692 of 8,922,977 rate rows are consumer-grade (43.6%)

5,031,285 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 5,030,231
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 493
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 374
placeholder amount (≤ $0.02) — excluded from medians 81
template filing: same amount across many unrelated codes — excluded 47
exceeds 10× this hospital's gross charge — excluded from medians 41
per-diem day rate — not a per-procedure price 14
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/390806374_mayo-clinic-health-system-franciscan-healthcare-la-crosse_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/for-patients-and-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint 62d4205069734b49… · 5,342,258,252 bytes · first seen 2026-05-07

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
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 309 $1,280.25 $358,848.95 $347,863.78 nat. median
$1,667
outlier · 208.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $169,541.60 $461,626.87 $173,659.82 nat. median
$145,435
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 50 $143,295.78 $408,249.56 $156,186.80 nat. median
$135,630
1.2× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 309 $255.84 $158,270.00 $153,425.00 nat. median
$396
outlier · 387.5×
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 309 $495.55 $118,081.77 $114,467.02 nat. median
$562
outlier · 203.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $110,829.26 $301,254.10 $113,521.34 nat. median
$97,418
1.2× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 50 $101,933.24 $322,527.78 $108,805.80 nat. median
$91,350
1.2× median
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 309 $216.90 $80,098.73 $77,646.73 nat. median
$292
outlier · 265.6×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 310 $3,660.83 $77,869.43 $75,485.67 nat. median
$4,390
outlier · 17.2×
RX-219415
CDM 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 301 $13,994.32 $65,934.79 $63,916.38 —
RX-707820
CDM 		Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 301 $13,994.32 $65,934.79 $63,916.38 —
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $58,017.00 $156,997.33 $59,426.25 nat. median
$9,905
outlier · 6.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $57,314.72 $155,079.07 $58,706.92 nat. median
$51,518
1.1× median
J9274
HCPCS 		Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 309 $217.09 $59,139.86 $57,329.46 nat. median
$285
outlier · 201.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $55,574.16 $150,324.74 $56,924.07 nat. median
$48,611
1.2× median
J0638
HCPCS 		Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 310 $141.60 $55,047.09 $53,361.98 nat. median
$235
outlier · 227.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $51,775.36 $139,948.29 $53,033.00 nat. median
$47,121
1.1× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 310 $59.41 $52,794.85 $51,178.69 nat. median
$133
outlier · 384.9×
1694
APR_DRG 		Major Abdominal Vascular Procedures 50 $47,594.49 $163,065.40 $49,974.21 nat. median
$49,702
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 $48,366.71 $130,637.54 $49,541.55 nat. median
$43,533
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $47,864.29 $55,738.16 $49,026.93 nat. median
$40,584
1.2× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 $46,459.73 $125,428.66 $47,588.25 nat. median
$2,596
outlier · 18.3×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $45,921.49 $123,958.43 $47,036.93 nat. median
$38,795
1.2× median
33289
CPT 		Pr Transcath Impl W-less Pulm Press Sensor, Rhc 310 $267.40 $48,134.66 $46,661.15 nat. median
$28,889
1.6× median
SUP-00886874116562
CDM 		Escp Pls Dv Rgd 0d 8 301 $10,192.00 $48,020.00 $46,550.00 —
SUP-00886874116555
CDM 		Escp Pls Dv Rgd 30d 8 301 $10,192.00 $48,020.00 $46,550.00 —
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $45,304.39 $122,272.88 $46,404.84 nat. median
$10,799
outlier · 4.3×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 $43,967.54 $118,621.22 $45,035.53 nat. median
$37,371
1.2× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 12 $42,551.84 $114,754.25 $43,585.44 nat. median
$37,725
1.2× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 12 $41,987.32 $113,212.24 $43,007.20 nat. median
$36,541
1.2× median
33264
CPT 		Pr Rmvl&rplc Icd Gen Multi Lead 310 $333.32 $44,177.42 $42,825.05 nat. median
$32,779
1.3× median
33249
CPT 		Pr Ins/rplc Dfib W Transven Lead 310 $745.90 $44,177.42 $42,825.05 nat. median
$32,069
1.3× median
33270
CPT 		Pr Ins/rplc Subq Icd W Subq Elec 310 $461.56 $43,695.26 $42,357.65 nat. median
$32,475
1.3× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc-express Care 12 $40,251.54 $108,470.96 $41,229.26 nat. median
$35,986
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 12 $39,933.05 $107,601.00 $40,903.03 nat. median
$35,725
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $39,862.98 $107,409.61 $40,831.27 nat. median
$34,733
1.2× median
C2616
HCPCS 		Yttrium-90 Microspheres 3-20 Gbq/0.6 Ml For Intravenous Solution 309 $8,916.96 $42,012.60 $40,726.50 nat. median
$22,121
1.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 $39,728.42 $107,042.05 $40,693.43 nat. median
$34,615
1.2× median
C2624
HCPCS 		System Pressure Monitoring Pulmonary Artery With 4.5cm Wireless And 120cm Delive… 301 $8,902.40 $41,944.00 $40,660.00 nat. median
$26,491
1.5× median
33230
CPT 		Pr Ins Pulse Gen W Exst Dual Lead 310 $311.55 $41,381.48 $40,114.70 nat. median
$23,060
1.7× median
4054
APR_DRG 		Other Procedures For Endocrine, Nutritional And Metabolic Disorders 50 $35,397.64 $123,287.86 $40,074.09 nat. median
$36,918
1.1× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 12 $38,987.91 $105,019.40 $39,934.93 nat. median
$34,932
1.1× median
7104
APR_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 50 $35,561.83 $127,615.52 $39,851.37 nat. median
$36,901
1.1× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 309 $33.89 $40,621.59 $39,378.07 nat. median
$45
outlier · 869.1×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 310 $227.28 $40,610.12 $39,366.96 nat. median
$509
outlier · 77.3×
7114
APR_DRG 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 50 $34,380.02 $111,716.63 $38,852.99 nat. median
$35,676
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $37,897.89 $102,041.96 $38,818.44 nat. median
$33,546
1.2× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 12 $37,314.26 $100,447.76 $38,220.63 nat. median
$33,459
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 12 $37,139.08 $99,969.28 $38,041.20 nat. median
$33,435
1.1× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 $36,758.48 $98,929.68 $37,651.35 nat. median
$31,991
1.2× median

Other procedures at this hospital

Browse this hospital's 8,122 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
             
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 422 309 $366,172.40 $329,555.16 $1,280.25 $358,848.95 $347,863.78 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 12 — — $169,541.60 $461,626.87 $173,659.82 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 50 50 — — $143,295.78 $408,249.56 $156,186.80 2026-03-31
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 422 309 $161,500.00 $145,350.00 $255.84 $158,270.00 $153,425.00 2026-03-31
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 418 309 $120,491.60 $108,442.44 $495.55 $118,081.77 $114,467.02 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 12 — — $110,829.26 $301,254.10 $113,521.34 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 50 50 — — $101,933.24 $322,527.78 $108,805.80 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 418 309 $81,733.40 $73,560.06 $216.90 $80,098.73 $77,646.73 2026-03-31
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 420 310 $79,458.60 $71,512.74 $3,660.83 $77,869.43 $75,485.67 2026-03-31
RX-707820 CDM Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 412 301 $67,280.40 $60,552.36 $13,994.32 $65,934.79 $63,916.38 2026-03-31
RX-219415 CDM Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 412 301 $67,280.40 $60,552.36 $13,994.32 $65,934.79 $63,916.38 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 12 — — $58,017.00 $156,997.33 $59,426.25 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 12 — — $57,314.72 $155,079.07 $58,706.92 2026-03-31
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 418 309 $60,346.80 $54,312.12 $217.09 $59,139.86 $57,329.46 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 12 — — $55,574.16 $150,324.74 $56,924.07 2026-03-31
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 420 310 $56,170.50 $50,553.45 $141.60 $55,047.09 $53,361.98 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 12 — — $51,775.36 $139,948.29 $53,033.00 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 420 310 $53,872.30 $48,485.07 $59.41 $52,794.85 $51,178.69 2026-03-31
1694 APR_DRG Major Abdominal Vascular Procedures 50 50 — — $47,594.49 $163,065.40 $49,974.21 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 12 — — $48,366.71 $130,637.54 $49,541.55 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 10 — — $47,864.29 $55,738.16 $49,026.93 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 12 — — $46,459.73 $125,428.66 $47,588.25 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 12 — — $45,921.49 $123,958.43 $47,036.93 2026-03-31
33289 CPT Pr Transcath Impl W-less Pulm Press Sensor, Rhc 425 310 $49,117.00 $44,205.30 $267.40 $48,134.66 $46,661.15 2026-03-31
SUP-00886874116562 CDM Escp Pls Dv Rgd 0d 8 412 301 $49,000.00 $44,100.00 $10,192.00 $48,020.00 $46,550.00 2026-03-31
SUP-00886874116555 CDM Escp Pls Dv Rgd 30d 8 412 301 $49,000.00 $44,100.00 $10,192.00 $48,020.00 $46,550.00 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 12 — — $45,304.39 $122,272.88 $46,404.84 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 12 — — $43,967.54 $118,621.22 $45,035.53 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 12 — — $42,551.84 $114,754.25 $43,585.44 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 12 — — $41,987.32 $113,212.24 $43,007.20 2026-03-31
33249 CPT Pr Ins/rplc Dfib W Transven Lead 426 310 $45,079.00 $40,571.10 $745.90 $44,177.42 $42,825.05 2026-03-31
33264 CPT Pr Rmvl&rplc Icd Gen Multi Lead 426 310 $45,079.00 $40,571.10 $333.32 $44,177.42 $42,825.05 2026-03-31
33270 CPT Pr Ins/rplc Subq Icd W Subq Elec 425 310 $44,587.00 $40,128.30 $461.56 $43,695.26 $42,357.65 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc-express Care 15 12 — — $40,251.54 $108,470.96 $41,229.26 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 12 — — $39,933.05 $107,601.00 $40,903.03 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 12 — — $39,862.98 $107,409.61 $40,831.27 2026-03-31
C2616 HCPCS Yttrium-90 Microspheres 3-20 Gbq/0.6 Ml For Intravenous Solution 422 309 $42,870.00 $38,583.00 $8,916.96 $42,012.60 $40,726.50 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 12 — — $39,728.42 $107,042.05 $40,693.43 2026-03-31
C2624 HCPCS System Pressure Monitoring Pulmonary Artery With 4.5cm Wireless And 120cm Delive… 412 301 $42,800.00 $38,520.00 $8,902.40 $41,944.00 $40,660.00 2026-03-31
33230 CPT Pr Ins Pulse Gen W Exst Dual Lead 425 310 $42,226.00 $38,003.40 $311.55 $41,381.48 $40,114.70 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 50 50 — — $35,397.64 $123,287.86 $40,074.09 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 15 12 — — $38,987.91 $105,019.40 $39,934.93 2026-03-31
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 50 50 — — $35,561.83 $127,615.52 $39,851.37 2026-03-31
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 418 309 $41,450.60 $37,305.54 $33.89 $40,621.59 $39,378.07 2026-03-31
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 420 310 $41,438.90 $37,295.01 $227.28 $40,610.12 $39,366.96 2026-03-31
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 50 50 — — $34,380.02 $111,716.63 $38,852.99 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 12 — — $37,897.89 $102,041.96 $38,818.44 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 12 — — $37,314.26 $100,447.76 $38,220.63 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 12 — — $37,139.08 $99,969.28 $38,041.20 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 12 — — $36,758.48 $98,929.68 $37,651.35 2026-03-31
0797T CPT Pr Tcat Ins 2chmbr Ldls Pm Rv 422 309 $38,868.00 $34,981.20 $8,084.54 $38,090.64 $36,924.60 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 12 — — $35,517.15 $95,539.01 $36,379.88 2026-03-31
33263 CPT Pr Rmvl&rplc Icd Gen Dual Lead 425 310 $38,129.00 $34,316.10 $321.20 $37,366.42 $36,222.55 2026-03-31
0614T CPT Hc Rmv & Replace Substernal Impl Defib Puls Gen 422 309 $38,129.00 $34,316.10 $7,930.83 $37,366.42 $36,222.55 2026-03-31
33262 CPT Pr Rmvl&rplc Icd Gen Sngl Lead 425 310 $38,129.00 $34,316.10 $309.30 $37,366.42 $36,222.55 2026-03-31
92930 CPT Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 425 310 $37,959.00 $34,163.10 $506.40 $37,199.82 $36,061.05 2026-03-31
93656 CPT Pr Ep Eval Tx Art Fib Pulm Vein 425 310 $37,754.00 $33,978.60 $746.68 $36,998.92 $35,866.30 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 12 — — $34,996.42 $94,116.62 $35,846.50 2026-03-31
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 422 310 $37,729.80 $33,956.82 $7,847.80 $37,729.80 $35,843.31 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 12 — — $34,721.72 $93,366.28 $35,565.12 2026-03-31
J9042 HCPCS Brentuximab Vedotin 50 Mg/10 Ml Intravenous Solution (wetted) 420 310 $37,123.70 $33,411.33 $258.64 $36,381.23 $35,267.52 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 12 — — $34,306.89 $92,233.16 $35,140.21 2026-03-31
1792 APR_DRG Defibrillator Implants 50 50 — — $32,161.42 $91,645.98 $34,831.34 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 12 — — $33,994.77 $91,380.60 $34,820.51 2026-03-31
0795T CPT Pr Tcat Ins 2chmbr Ldls Pm Cmpl 422 309 $36,595.00 $32,935.50 $7,611.76 $35,863.10 $34,765.25 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 13 10 — — $33,739.98 $39,275.59 $34,559.53 2026-03-31
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 422 309 $36,015.00 $32,413.50 $7,491.12 $35,294.70 $34,214.25 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 12 — — $33,388.83 $89,725.50 $34,199.85 2026-03-31
2314 APR_DRG Major Large Bowel Procedures 27 27 — — $32,923.18 $40,205.36 $34,072.34 2026-03-31
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 50 50 — — $30,563.73 $90,687.48 $34,056.53 2026-03-31
233 APR_DRG Spinal Procedures 50 50 — — $30,034.49 $78,481.11 $33,960.96 2026-03-31
2234 APR_DRG Other Small And Large Bowel Procedures 50 50 — — $29,701.95 $90,202.46 $33,951.57 2026-03-31
791 MS_DRG Prematurity With Major Problems 13 10 — — $32,859.35 $38,249.19 $33,657.52 2026-03-31
3054 APR_DRG Amputation Of Lower Limb Except Toes 50 50 — — $30,086.17 $112,138.14 $33,530.89 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 12 — — $32,552.80 $87,441.85 $33,343.52 2026-03-31
63685 CPT Pr Ins/rplcmt Spi Npgr Pocket 14 11 — — $304.04 $34,329.80 $33,103.74 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 12 — — $32,262.97 $86,650.19 $33,046.65 2026-03-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 418 309 $34,619.50 $31,157.55 $243.71 $33,927.11 $32,888.53 2026-03-31
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 418 309 $34,446.60 $31,001.94 $32.91 $33,757.67 $32,724.27 2026-03-31
64582 CPT Pr Opn Mpltj Hpglsl Nstm Ary Pg 16 13 — — $701.80 $34,329.80 $32,695.05 2026-03-31
93654 CPT Pr Ep Eval W Vent Tachy Ablate 425 310 $34,387.00 $30,948.30 $793.85 $33,699.26 $32,667.65 2026-03-31
J9022 HCPCS Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 420 310 $33,690.00 $30,321.00 $91.34 $33,016.20 $32,005.50 2026-03-31
J9024 HCPCS Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 418 309 $33,689.90 $30,320.91 $31.58 $33,016.10 $32,005.41 2026-03-31
33229 CPT Pr Rplc Perm Gen Mult Lead 426 310 $33,588.00 $30,229.20 $309.61 $32,916.24 $31,908.60 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 12 — — $31,110.03 $83,500.94 $31,865.70 2026-03-31
C9606 HCPCS Hc Perc Translum Revasc Ami Sngl 413 302 $33,179.00 $29,861.10 $519.20 $32,515.42 $31,520.05 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 422 309 $33,179.00 $29,861.10 $6,901.23 $32,515.42 $31,520.05 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 12 — — $30,371.92 $81,484.80 $31,109.66 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 12 — — $29,774.75 $79,853.63 $30,497.99 2026-03-31
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 420 310 $32,012.50 $28,811.25 $29.29 $31,372.25 $30,411.88 2026-03-31
93653 CPT Pr Ep Eval W Supravent Ablate 425 310 $31,968.00 $28,771.20 $658.54 $31,328.64 $30,369.60 2026-03-31
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 50 50 — — $23,799.56 $75,917.42 $30,063.88 2026-03-31
265 MS_DRG Aicd Lead Procedures 15 12 — — $29,349.57 $78,692.23 $30,062.48 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 12 — — $29,298.62 $78,553.04 $30,010.29 2026-03-31
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 420 310 $31,586.60 $28,427.94 $55.57 $30,954.87 $30,007.27 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 12 — — $29,255.63 $78,435.59 $29,966.25 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 422 309 $31,461.00 $28,314.90 $6,543.89 $30,831.78 $29,887.95 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 12 — — $28,972.94 $77,663.50 $29,676.71 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 12 — — $28,856.71 $77,345.97 $29,557.65 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 12 — — $28,620.22 $76,700.02 $29,315.41 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 12 — — $28,562.90 $76,543.43 $29,256.71 2026-03-31
33274 CPT Pr Rplc/insrt Transcath Leadls Pm 425 310 $30,703.00 $27,632.70 $392.85 $30,088.94 $29,167.85 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 12 — — $28,308.10 $75,847.46 $28,995.71 2026-03-31
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 50 50 — — $24,783.85 $113,503.70 $28,831.70 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 12 — — $27,838.33 $74,564.27 $28,514.54 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 12 — — $27,704.57 $74,198.89 $28,377.52 2026-03-31
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 418 309 $29,842.70 $26,858.43 $70.75 $29,245.85 $28,350.57 2026-03-31
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg/4.5 Ml (1 Mg/ml Initial Concentration) IV Soln (wet… 420 310 $29,692.70 $26,723.43 $236.62 $29,098.85 $28,208.07 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 422 309 $29,599.00 $26,639.10 $6,156.59 $29,007.02 $28,119.05 2026-03-31
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 420 310 $29,459.10 $26,513.19 $127.45 $28,869.92 $27,986.15 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 15 12 — — $27,139.24 $72,654.71 $27,798.46 2026-03-31
92933 CPT Pr Ptca Intracor Stnt Sngl Mjr 425 310 $29,182.00 $26,263.80 $511.63 $28,598.36 $27,722.90 2026-03-31
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 420 310 $28,992.90 $26,093.61 $34.18 $28,413.04 $27,543.26 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 12 — — $26,749.87 $71,591.18 $27,399.63 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 12 — — $26,440.14 $70,745.15 $27,082.38 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 12 — — $26,326.28 $70,434.14 $26,965.75 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 12 — — $26,297.63 $70,355.84 $26,936.41 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 12 — — $26,261.79 $70,257.97 $26,899.70 2026-03-31
J7314 HCPCS Fluocinolone 0.18 Mg Intravitreal Implant 420 310 $28,127.60 $25,314.84 $529.89 $27,565.05 $26,721.22 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 12 — — $25,962.41 $69,440.21 $26,593.05 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 12 — — $25,915.43 $69,311.89 $26,544.92 2026-03-31
C1767 HCPCS Generator Stimulator External Neuromodulation 2,065 301 $28,120.00 $25,308.00 $165.57 $42,336.00 $26,432.80 2026-03-31
RX-38305 CDM Sufentanil Citrate (bulk) Powder 412 301 $27,756.20 $24,980.58 $5,773.29 $27,201.08 $26,368.39 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 15 12 — — $25,739.47 $68,831.24 $26,364.69 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 12 — — $25,701.24 $68,726.84 $26,325.53 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 12 — — $25,629.59 $68,531.10 $26,252.14 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 12 — — $25,617.65 $68,498.48 $26,239.91 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 418 309 $27,620.10 $24,858.09 $39.41 $27,067.70 $26,239.10 2026-03-31
C1882 HCPCS Defibrillator Cardiac 32cc W5.37xh8.08cm D0.99cm Connector Ra Is-1 Rv Is-1/df-1 … 3,708 301 $27,952.84 $25,157.56 $3,827.20 $30,623.04 $26,024.32 2026-03-31
665 MS_DRG Prostatectomy With Mcc 15 12 — — $25,392.31 $67,882.98 $26,009.10 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 12 — — $25,340.55 $67,741.61 $25,956.08 2026-03-31
7103 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 50 50 — — $22,392.73 $55,055.72 $25,921.91 2026-03-31
2303 APR_DRG Major Small Bowel Procedures 50 50 — — $23,107.81 $56,435.72 $25,535.36 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 12 — — $24,691.63 $65,969.07 $25,291.40 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 12 — — $24,590.51 $65,692.85 $25,187.82 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 12 — — $24,587.32 $65,684.15 $25,184.55 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 12 — — $24,561.05 $65,612.38 $25,157.64 2026-03-31
J9228 HCPCS Ipilimumab 5 Mg/ml Intravenous Solution (wrapper) 420 310 $26,168.10 $23,551.29 $183.48 $25,644.74 $24,859.70 2026-03-31
912 APR_DRG Other Major Head And Neck Procedures 50 50 — — $20,974.22 $40,152.85 $24,600.99 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 15 12 — — $23,998.11 $64,074.73 $24,581.04 2026-03-31
570 MS_DRG Skin Debridement With Mcc 15 12 — — $23,958.30 $63,965.98 $24,540.25 2026-03-31
92941 CPT Pr Perc Revasc Trans Mi Sngl Vesl 425 310 $25,775.00 $23,197.50 $519.20 $25,259.50 $24,486.25 2026-03-31
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 418 309 $25,675.30 $23,107.77 $14.94 $25,161.79 $24,391.54 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 15 12 — — $23,790.30 $63,507.08 $24,368.17 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 12 — — $23,728.98 $63,339.61 $24,305.37 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 420 310 $25,557.80 $23,002.02 $21.31 $25,046.64 $24,279.91 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 12 — — $23,646.98 $63,115.60 $24,221.37 2026-03-31
2313 APR_DRG Major Large Bowel Procedures 50 50 — — $21,715.14 $53,381.24 $24,095.82 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 15 12 — — $23,519.59 $62,767.61 $24,090.89 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 12 — — $23,393.78 $62,423.98 $23,962.02 2026-03-31
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 420 310 $25,148.30 $22,633.47 $34.05 $24,645.33 $23,890.89 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 12 — — $23,236.91 $61,995.52 $23,801.34 2026-03-31
7204 APR_DRG Septicemia And Disseminated Infections 50 50 — — $18,894.80 $61,516.90 $23,726.34 2026-03-31
3133 APR_DRG Knee And Lower Leg Procedures Except Foot 50 50 — — $20,538.33 $61,548.66 $23,549.70 2026-03-31
37288 CPT Hc Revsc Evsc Tpvt Athrc Sf 1st 425 310 $24,658.00 $22,192.20 $568.30 $24,164.84 $23,425.10 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 15 12 — — $22,829.24 $60,881.98 $23,383.77 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 12 — — $22,611.08 $60,286.05 $23,160.31 2026-03-31
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) Intravenous Solution 418 309 $24,276.20 $21,848.58 $43.05 $23,790.68 $23,062.39 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 12 — — $22,493.25 $59,964.17 $23,039.61 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 12 — — $22,426.37 $59,781.48 $22,971.11 2026-03-31
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 421 310 $24,133.80 $21,720.42 $79.00 $23,651.12 $22,927.11 2026-03-31
6614 APR_DRG Coagulation And Platelet Disorders 50 50 — — $18,597.27 $101,395.49 $22,815.00 2026-03-31
2804 APR_DRG Alcoholic Liver Disease 50 50 — — $18,540.59 $69,300.34 $22,766.36 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 12 — — $22,204.21 $59,174.68 $22,743.56 2026-03-31
92945 CPT Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 425 310 $23,904.00 $21,513.60 $633.15 $23,425.92 $22,708.80 2026-03-31
J9223 HCPCS Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted) 420 310 $23,868.50 $21,481.65 $207.13 $23,391.13 $22,675.08 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 12 — — $22,087.96 $58,857.14 $22,624.49 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 12 — — $22,017.89 $58,665.75 $22,552.71 2026-03-31
7214 APR_DRG Post-operative, Post-traumatic, Other Device Infections 50 50 — — $18,575.60 $52,252.41 $22,454.90 2026-03-31
33214 CPT Pr Upgrade Impl Pcmkr Sys 425 310 $23,396.00 $21,056.40 $399.96 $22,928.08 $22,226.20 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 12 — — $21,646.05 $57,650.07 $22,171.84 2026-03-31
7754 APR_DRG Alcohol Abuse And Dependence 50 50 — — $18,602.26 $70,738.08 $22,077.74 2026-03-31
92924 CPT Pr Ptca W Cor Angio Sngl Mjr 425 310 $23,158.00 $20,842.20 $433.94 $22,694.84 $22,000.10 2026-03-31
37282 CPT Pr Rvsc Evsc Tpvt Angio Cplx 1 425 310 $23,121.00 $20,808.90 $516.81 $22,658.58 $21,964.95 2026-03-31
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 418 309 $23,010.70 $20,709.63 $27.36 $22,550.49 $21,860.17 2026-03-31
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 50 50 — — $17,012.90 $82,647.09 $21,824.30 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 15 12 — — $21,207.34 $56,451.70 $21,722.47 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 12 — — $21,076.75 $56,095.02 $21,588.71 2026-03-31
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 50 50 — — $7,747.54 $24,816.02 $21,577.92 2026-03-31
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 50 50 — — $17,137.09 $50,474.00 $21,576.85 2026-03-31
36906 CPT Pr Av Fistula Stent Thrombectomy 425 310 $22,649.00 $20,384.10 $428.63 $22,196.02 $21,516.55 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 12 — — $20,984.38 $55,842.73 $21,494.10 2026-03-31
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 420 310 $22,623.10 $20,360.79 $24.00 $22,170.64 $21,491.95 2026-03-31
Q3027 HCPCS Interferon Beta-1a 30 Mcg/0.5 Ml Intramuscular (wrapper) 422 310 $22,532.40 $20,279.16 $4,686.74 $22,532.40 $21,405.78 2026-03-31
C1772 HCPCS Pump Infusion Thk19.5mm Dia87.5mm 20ml Titanium Progmmable Ii 412 301 $22,400.00 $20,160.00 $4,659.20 $21,952.00 $21,280.00 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 12 — — $20,771.79 $55,262.03 $21,276.34 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 12 — — $20,733.57 $55,157.64 $21,237.20 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 15 12 — — $20,637.23 $54,894.48 $21,138.52 2026-03-31
37243 CPT Pr Vasc Embl/occlude Tmr Infarct 425 310 $22,154.00 $19,938.60 $472.38 $21,710.92 $21,046.30 2026-03-31
92928 CPT Pr Plc Intracor Stnt Sngl 425 310 $22,117.00 $19,905.30 $428.61 $21,674.66 $21,011.15 2026-03-31
C1822 HCPCS Generator Neurostimulator Pulse Reactiv8 824 301 $25,103.00 $22,592.70 $4,553.54 $27,747.72 $20,906.86 2026-03-31
64581 CPT Pr Incisn Impln Nrstim Sacral Nrv 14 11 — — $569.42 $21,583.01 $20,812.19 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 15 12 — — $20,300.43 $53,974.49 $20,793.54 2026-03-31
C9600 HCPCS Hc Perc Transcath Plct Drug Stnt Sng 422 309 $21,848.00 $19,663.20 $4,544.38 $21,411.04 $20,755.60 2026-03-31
C9604 HCPCS Hc Perc Translum Revasc Sngl Vssl 422 309 $21,848.00 $19,663.20 $4,544.38 $21,411.04 $20,755.60 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 12 — — $20,115.70 $53,469.92 $20,604.32 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 12 — — $20,088.63 $53,395.97 $20,576.59 2026-03-31
J9308 HCPCS Ramucirumab 10 Mg/ml Intravenous Solution 420 310 $21,658.90 $19,493.01 $74.36 $21,225.72 $20,575.96 2026-03-31
64590 CPT Pr Ins/rplc Periph/gastr Neurostim 18 14 — — $259.13 $21,583.01 $20,555.25 2026-03-31
64585 CPT Pr Rev/rmvl Periph Neurostim Elec 16 13 — — $133.17 $21,583.01 $20,555.25 2026-03-31
534 APR_DRG Seizure 50 50 — — $15,882.76 $29,439.08 $20,552.87 2026-03-31
36903 CPT Pr Av Fistula Stent 425 310 $21,633.00 $19,469.70 $264.89 $21,200.34 $20,551.35 2026-03-31
792 MS_DRG Prematurity Without Major Problems 13 10 — — $20,041.66 $23,309.54 $20,528.48 2026-03-31
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 50 50 — — $16,523.68 $62,639.96 $20,522.16 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 12 — — $20,001.84 $53,158.91 $20,487.69 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 12 — — $19,978.75 $53,095.83 $20,464.04 2026-03-31
4694 APR_DRG Acute Kidney Injury 50 50 — — $16,451.17 $49,475.08 $20,380.50 2026-03-31
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 826 309 $21,304.20 $19,173.78 $184.07 $36,062.43 $20,345.51 2026-03-31
1742 APR_DRG Percutaneous Cardiac Intervention With Ami 50 50 — — $19,280.79 $43,328.59 $20,244.83 2026-03-31
8174 APR_DRG Intentional Self-harm And Attempted Suicide 50 50 — — $16,819.55 $50,277.68 $20,229.47 2026-03-31
3212 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 50 50 — — $17,701.32 $47,113.49 $20,226.06 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 12 — — $19,627.62 $52,136.70 $20,104.38 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 15 12 — — $19,609.29 $52,086.68 $20,085.61 2026-03-31
C1721 HCPCS Defibrillator Cardiac 31cc W5.37xh7.68cm D0.99cm 71.4gm Dual Chamber Ra Is-1 Rv … 2,884 301 $21,600.00 $19,440.00 $3,536.00 $24,149.16 $20,020.00 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 12 — — $19,541.61 $51,901.81 $20,016.29 2026-03-31
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted) 418 309 $21,058.30 $18,952.47 $188.76 $20,637.13 $20,005.39 2026-03-31
C1722 HCPCS Defibrillator Cardiac Df4 Connector Mr Conditional Xt Vr 4,944 301 $21,689.00 $19,520.10 $3,219.84 $34,104.00 $19,992.00 2026-03-31
37227 CPT Removal Of Plaque And Insertion Of Stents In Arteries Of Leg Facility 12 10 — — $390.24 $20,394.31 $19,957.28 2026-03-31
333 MS_DRG Rectal Resection With Cc 15 12 — — $19,189.68 $50,940.51 $19,655.80 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 15 12 — — $19,161.03 $50,862.21 $19,626.45 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 12 — — $19,147.49 $50,825.24 $19,612.59 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 15 12 — — $19,056.72 $50,577.30 $19,519.62 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 12 — — $19,037.60 $50,525.10 $19,500.03 2026-03-31
6222 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 50 50 — — $15,954.44 $54,359.51 $19,431.28 2026-03-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 12 — — $18,942.85 $50,266.29 $19,402.98 2026-03-31
347 MS_DRG Anal And Stomal Procedures With Mcc 15 12 — — $18,818.64 $49,927.00 $19,275.75 2026-03-31
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 420 310 $20,226.50 $18,203.85 $172.22 $19,821.97 $19,215.18 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 15 12 — — $18,739.02 $49,709.51 $19,194.20 2026-03-31
92943 CPT Pr Perc Revasc Trans Chr Sngl Vesl 425 310 $20,174.00 $18,156.60 $586.23 $19,770.52 $19,165.30 2026-03-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 12 — — $18,707.17 $49,622.52 $19,161.58 2026-03-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 15 12 — — $18,660.20 $49,494.20 $19,113.47 2026-03-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 15 12 — — $18,629.93 $49,411.55 $19,082.46 2026-03-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 15 12 — — $18,579.78 $49,274.53 $19,031.09 2026-03-31
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 418 309 $20,018.00 $18,016.20 $84.57 $19,617.64 $19,017.10 2026-03-31
5014 APR_DRG Male Reproductive System Diagnoses Except Malignancy 50 50 — — $13,710.83 $51,813.58 $18,789.08 2026-03-31
8134 APR_DRG Other Complications Of Treatment 50 50 — — $14,047.54 $49,769.56 $18,760.92 2026-03-31
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 420 310 $19,632.30 $17,669.07 $17.02 $19,239.65 $18,650.69 2026-03-31
8114 APR_DRG Allergic Reactions 50 50 — — $14,612.61 $62,813.18 $18,648.28 2026-03-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 15 12 — — $18,159.38 $48,126.19 $18,600.48 2026-03-31
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 418 309 $19,572.30 $17,615.07 $69.49 $19,180.85 $18,593.69 2026-03-31
23630 CPT Pr Opn Tx Hum Tuberosity Fx W Fix 15 11 — — $111.89 $19,506.72 $18,577.83 2026-03-31
23472 CPT Pr Arthro Glh Jt Total Shoulder 15 12 — — $1,240.37 $19,506.72 $18,577.83 2026-03-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 12 — — $18,120.34 $48,019.62 $18,560.49 2026-03-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 12 — — $18,047.10 $47,819.53 $18,485.47 2026-03-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 15 12 — — $17,992.17 $47,669.46 $18,429.20 2026-03-31
33228 CPT Pr Rplc Perm Gen Dual Lead 426 310 $19,353.00 $17,417.70 $295.91 $18,965.94 $18,385.35 2026-03-31
33208 CPT Pr Ins/rplc Pcmkr Atrial & Vent 432 310 $19,353.00 $17,417.70 $426.41 $18,965.94 $18,385.35 2026-03-31
33206 CPT Pr Ins/rplc Pcmkr Atrial 425 310 $19,321.00 $17,388.90 $377.61 $18,934.58 $18,354.95 2026-03-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 12 — — $17,918.12 $47,467.19 $18,353.36 2026-03-31
141 MS_DRG Major Head And Neck Procedures With Cc 15 12 — — $17,906.96 $47,436.74 $18,341.93 2026-03-31
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 12 — — $17,876.71 $47,354.10 $18,310.94 2026-03-31
33212 CPT Pr Ins Pcmkr Pls Gen Exist 1 Lead 425 310 $19,248.00 $17,323.20 $274.72 $18,863.04 $18,285.60 2026-03-31
1751 APR_DRG Percutaneous Cardiac Intervention Without Ami 50 50 — — $16,027.79 $90,873.28 $18,256.61 2026-03-31
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 15 12 — — $17,818.58 $47,195.33 $18,251.39 2026-03-31
1434 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 50 50 — — $13,842.52 $64,741.72 $18,178.10 2026-03-31
2633 APR_DRG Cholecystectomy 50 50 — — $15,730.25 $34,748.33 $18,039.01 2026-03-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 15 12 — — $17,591.67 $46,575.48 $18,018.98 2026-03-31
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 15 12 — — $17,585.29 $46,558.08 $18,012.45 2026-03-31
374 MS_DRG Digestive Malignancy With Mcc 15 12 — — $17,569.36 $46,514.59 $17,996.13 2026-03-31
J0775 HCPCS Collagenase Clostridium Histolyticum 0.9 Mg Solution For Injection 420 310 $18,888.10 $16,999.29 $75.91 $18,510.34 $17,943.70 2026-03-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 15 12 — — $17,507.26 $46,344.94 $17,932.52 2026-03-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 15 12 — — $17,473.81 $46,253.60 $17,898.26 2026-03-31
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections 50 50 — — $14,670.11 $46,325.33 $17,848.73 2026-03-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 15 12 — — $17,402.15 $46,057.86 $17,824.85 2026-03-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 15 12 — — $17,399.76 $46,051.33 $17,822.41 2026-03-31
655 MS_DRG Major Bladder Procedures Without Cc/mcc 15 12 — — $17,393.39 $46,033.93 $17,815.89 2026-03-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 15 12 — — $17,330.50 $45,862.12 $17,751.47 2026-03-31
412 MS_DRG Cholecystectomy With C.d.e. With Cc 15 12 — — $17,281.12 $45,727.27 $17,700.88 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 15 12 — — $17,217.43 $45,553.28 $17,635.64 2026-03-31
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 15 12 — — $17,207.07 $45,525.01 $17,625.04 2026-03-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 15 12 — — $17,190.34 $45,479.33 $17,607.90 2026-03-31
835 MS_DRG Acute Leukemia With Cc 15 12 — — $17,148.16 $45,364.06 $17,564.69 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 15 12 — — $17,143.37 $45,351.01 $17,559.79 2026-03-31
37244 CPT Pr Vasc Embl/occlude Hemorrhage 425 310 $18,459.00 $16,613.10 $554.36 $18,089.82 $17,536.05 2026-03-31
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 15 12 — — $17,097.20 $45,224.87 $17,512.50 2026-03-31
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 15 12 — — $17,086.85 $45,196.60 $17,501.89 2026-03-31
7102 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 50 50 — — $14,993.49 $29,915.44 $17,484.36 2026-03-31
2301 APR_DRG Major Small Bowel Procedures 50 50 — — $15,716.91 $106,122.59 $17,367.46 2026-03-31
2302 APR_DRG Major Small Bowel Procedures 50 50 — — $15,716.91 $36,702.85 $17,367.46 2026-03-31
935 MS_DRG Non-extensive Burns 15 12 — — $16,942.73 $44,802.94 $17,354.27 2026-03-31
4664 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 50 50 — — $14,276.74 $42,040.97 $17,288.10 2026-03-31
1923 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 50 50 — — $14,823.47 $42,439.39 $17,284.69 2026-03-31
1922 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 50 50 — — $14,823.47 $23,194.42 $17,284.69 2026-03-31
22514 CPT Pr Perc Vert Agmntj Cav Crtj Lmbr 425 310 $18,092.00 $16,282.80 $405.34 $17,730.16 $17,187.40 2026-03-31
22513 CPT Pr Perc Vertebplsty Cavty Img Guid 1 425 310 $18,092.00 $16,282.80 $432.88 $17,730.16 $17,187.40 2026-03-31
8124 APR_DRG Poisoning Of Medicinal Agents 50 50 — — $13,546.65 $41,636.79 $17,044.90 2026-03-31
2333 APR_DRG Appendectomy With Complex Principal Diagnosis 50 50 — — $15,417.71 $38,567.87 $17,013.33 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 15 12 — — $16,552.58 $43,737.24 $16,954.64 2026-03-31
1334 APR_DRG Respiratory Failure 50 50 — — $14,089.22 $59,010.95 $16,951.89 2026-03-31
33207 CPT Pr Ins/rplc Pcmkr Vent 429 310 $17,818.00 $16,036.20 $395.31 $17,461.64 $16,927.10 2026-03-31
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 422 309 $17,809.00 $16,028.10 $3,704.27 $17,452.82 $16,918.55 2026-03-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 15 12 — — $16,516.75 $43,639.37 $16,917.95 2026-03-31
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 15 12 — — $16,467.39 $43,504.52 $16,867.39 2026-03-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 12 — — $16,466.58 $43,502.35 $16,866.56 2026-03-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 12 — — $16,449.87 $43,456.68 $16,849.44 2026-03-31
3514 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 50 50 — — $13,770.84 $60,855.77 $16,834.14 2026-03-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 15 12 — — $16,426.78 $43,393.60 $16,825.79 2026-03-31
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 15 12 — — $16,423.57 $43,384.91 $16,822.50 2026-03-31
2312 APR_DRG Major Large Bowel Procedures 50 50 — — $15,360.20 $38,539.00 $16,754.78 2026-03-31
2311 APR_DRG Major Large Bowel Procedures 50 50 — — $15,360.20 $104,183.52 $16,754.78 2026-03-31
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