Hospital

YUMA REGIONAL MEDICAL CENTER

Yuma, AZ · CCN 030013 · Rates published

20,805 distinct procedures filed

9 distinct payers

627,114 rate rows

2024-10-01 last MRF observed · ⚠ 22 mo old

Data quality

279,880 of 627,114 rate rows are consumer-grade (44.6%)

347,234 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 — reason	Rows
professional (physician) fee — not the facility price	259,272
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	87,252
exceeds 10× this hospital's gross charge — excluded from medians	290
placeholder amount (≤ $0.02) — excluded from medians	192
percent-of-charges filed in the dollar field — excluded from medians	164
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	64

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://yumaregional.pt.panaceainc.com/MRFDownload/yumaregional/yumaregionalmedicalcenter
Found on page	https://www.yumaregional.org/patients-and-visitors/patient-resources/transparency-in-pricing/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-18
Content fingerprint	e4927484c558bf8d… · 234,703,806 bytes · first seen 2026-05-06

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
J1413 HCPCS	Inj Delandistrogene Mox Rokl	5	$3,549,198.72	$3,894,619.52	$3,549,198.72	nat. median $3,324,572 1.1× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$492,900.00	$582,420.50	$530,764.58	nat. median $631,793 0.8× median
'841-4 OTHER	Extensive Third Degree Burns With Skin Graft	5	$518,268.24	$518,268.24	$518,268.24	nat. median $138,284 outlier · 3.7×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$468,441.50	$562,657.11	$512,754.04	nat. median $691,418 0.7× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$444,670.00	$525,430.97	$478,829.55	nat. median $610,161 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$448,752.40	$515,205.51	$469,511.00	nat. median $577,541 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$449,245.86	$513,955.10	$468,371.50	nat. median $588,565 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$434,918.00	$513,907.81	$468,328.40	nat. median $624,417 0.8× median
'002-4 OTHER	Heart And/Or Lung Transplant	5	$167,380.80	$391,916.02	$391,916.02	nat. median $205,014 1.9× median
'161-4 OTHER	Implantable Heart Assist Systems	5	$147,524.86	$345,424.07	$345,424.07	nat. median $182,608 1.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$121,570.30	$350,607.28	$318,733.89	nat. median $370,165 0.9× median
'007-4 OTHER	Allogeneic Bone Marrow Transplant	5	$126,946.56	$297,240.74	$297,240.74	nat. median $131,941 outlier · 2.3×
'009-4 OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	5	$114,706.45	$268,580.97	$268,580.97	nat. median $89,522 outlier · 3.0×
'583-4 OTHER	Neonate With Ecmo	5	$234,679.23	$258,147.16	$258,147.16	nat. median $221,551 1.2× median
'842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	5	$257,729.67	$257,729.67	$257,729.67	nat. median $80,075 outlier · 3.2×
'001-4 OTHER	Liver Transplant And/Or Intestinal Transplant	5	$108,473.97	$253,987.84	$253,987.84	nat. median $107,546 outlier · 2.4×
'161-3 OTHER	Implantable Heart Assist Systems	5	$102,851.43	$240,822.87	$240,822.87	nat. median $114,612 outlier · 2.1×
'004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$100,711.48	$235,812.25	$235,812.25	nat. median $101,809 outlier · 2.3×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	5	$234,435.65	$320,415.27	$234,435.65	nat. median $261,939 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	5	$228,034.62	$279,992.80	$228,034.62	nat. median $205,166 1.1× median
'006-4 OTHER	Pancreas Transplant	5	$89,651.83	$209,916.48	$209,916.48	nat. median $56,683 outlier · 3.7×
'583-3 OTHER	Neonate With Ecmo	5	$188,529.20	$207,382.12	$207,382.12	nat. median $195,630 1.1× median
'002-3 OTHER	Heart And/Or Lung Transplant	5	$87,983.55	$206,010.26	$206,010.26	nat. median $89,928 outlier · 2.3×
'841-3 OTHER	Extensive Third Degree Burns With Skin Graft	5	$205,876.12	$205,876.12	$205,876.12	nat. median $108,175 1.9× median
'588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$185,894.28	$204,483.71	$204,483.71	nat. median $202,324 1.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	5	$184,446.37	$286,090.56	$184,446.37	nat. median $199,832 0.9× median
'160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$69,722.24	$163,252.07	$163,252.07	nat. median $82,416 2.0× median
'004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$68,865.48	$161,246.01	$161,246.01	nat. median $62,886 outlier · 2.6×
'863-4 OTHER	Neonatal Aftercare	5	$66,423.79	$155,528.88	$155,528.88	nat. median $50,175 outlier · 3.1×
'005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	$66,098.79	$154,767.91	$154,767.91	nat. median $61,783 outlier · 2.5×
'007-3 OTHER	Allogeneic Bone Marrow Transplant	5	$65,341.54	$152,994.83	$152,994.83	nat. median $65,342 outlier · 2.3×
'303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	5	$61,212.18	$143,326.09	$143,326.09	nat. median $65,112 outlier · 2.2×
'162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	5	$60,831.61	$142,435.01	$142,435.01	nat. median $57,410 outlier · 2.5×
'583-2 OTHER	Neonate With Ecmo	5	$127,919.92	$140,711.91	$140,711.91	nat. median $119,004 1.2× median
'591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$126,918.91	$139,610.80	$139,610.80	nat. median $119,104 1.2× median
'609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$124,329.38	$136,762.32	$136,762.32	nat. median $130,670 1.0× median
'008-4 OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	5	$57,266.97	$134,088.51	$134,088.51	nat. median $56,082 outlier · 2.4×
'841-1 OTHER	Extensive Third Degree Burns With Skin Graft	5	$133,787.96	$133,787.96	$133,787.96	nat. median $43,935 outlier · 3.0×
'841-2 OTHER	Extensive Third Degree Burns With Skin Graft	5	$133,787.96	$133,787.96	$133,787.96	nat. median $52,588 outlier · 2.5×
'843-4 OTHER	Extensive Third Degree Burns Without Skin Graft	5	$128,276.07	$128,276.07	$128,276.07	nat. median $21,431 outlier · 6.0×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	5	$127,172.77	$172,894.74	$127,172.77	nat. median $132,706 1.0× median
'006-3 OTHER	Pancreas Transplant	5	$53,943.32	$126,306.32	$126,306.32	nat. median $47,889 outlier · 2.6×
'440-4 OTHER	Kidney Transplant	5	$53,783.73	$125,932.64	$125,932.64	nat. median $63,941 2.0× median
'588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	5	$113,313.81	$124,645.19	$124,645.19	nat. median $131,074 1.0× median
'631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$110,847.20	$121,931.93	$121,931.93	nat. median $112,354 1.1× median
'001-3 OTHER	Liver Transplant And/Or Intestinal Transplant	5	$51,130.11	$119,719.29	$119,719.29	nat. median $53,356 outlier · 2.2×
'178-4 OTHER	External Heart Assist Systems	5	$51,112.02	$119,676.93	$119,676.93	nat. median $49,577 outlier · 2.4×
'009-3 OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	5	$50,768.28	$118,872.09	$118,872.09	nat. median $40,520 outlier · 2.9×
'163-4 OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	5	$50,603.52	$118,486.31	$118,486.31	nat. median $50,686 outlier · 2.3×
'630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	5	$106,758.05	$117,433.85	$117,433.85	nat. median $127,072 0.9× median

Other procedures at this hospital

Browse this hospital's 20,805 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

278002926-75700-108100	CDM	Hc Valve Heart Sys Sapien 3 Ultra Resilia Trnscath 20-29mm	8	5	$85,000.00	$55,250.00 35% off	$20,995.00	$82,450.00	$76,500.00	2024-10-01
278001583-75700-108100	CDM	Hc Tavr System Sapien Xt 29mm Heart Valve W Novaflex	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278002708-75700-108100	CDM	Hc System Valve Ultra Thv Sapien 3 20mm-26mm S3ucm223a,s3ucm226a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001514-75700-108100	CDM	Hc Tavr System Sapien 26mm W Rf3 9100rf326a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001515-75700-108100	CDM	Hc Tavr System Sapien 23mm W Ascendra 3 Tran 9355asp23a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001586-75700-108100	CDM	Hc Tavr System Sapien Xt 29mm Heart Valve W Ascendra	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001796-75700-108100	CDM	Hc Tavr System Sapien 26mm W Commander 9600cm26a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001516-75700-108100	CDM	Hc Tavr System Sapien 26mm W Ascendra 3 Tran 9355asp26a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001581-75700-108100	CDM	Hc Tavr System Sapien Xt 23mm Heart Valve W Novaflex	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001795-75700-108100	CDM	Hc Tavr System Sapien 23mm W Commander 9600cm23a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001582-75700-108100	CDM	Hc Tavr System Sapien Xt 26mm Heart Valve W Novaflex	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278002089-75700-108100	CDM	Hc Tavr System Sapien3 20mm Thv W/commander System 9600cm20a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001513-75700-108100	CDM	Hc Tavr System Sapien 23mm W Rf3 9100rf323a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001584-75700-108100	CDM	Hc Tavr System Sapien Xt 23mm Heart Valve W Ascendra	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278002821-75700-108100	CDM	Hc Tavr System Sapien Ultra Cert 18f-21fx20mm-29mm	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001585-75700-108100	CDM	Hc Tavr System Sapien Xt 26mm Heart Valve W Ascendra	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001797-75700-108100	CDM	Hc Tavr System Sapien 29mm W Commander 9600cm29a	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278002820-75700-108100	CDM	Hc Tavr System Sapien Certitude 18f-21fx20mm-29mm	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278002822-75700-108100	CDM	Hc System Sapien Xt Nova 16f-20fx23mm-29mm	8	5	$81,250.00	$52,812.50 35% off	$20,068.75	$78,812.50	$73,125.00	2024-10-01
278001777-75700-108100	CDM	Hc Tavr System Corevalve 26mm Mcs-p3-26-aoa-US	8	5	$75,000.00	$48,750.00 35% off	$18,525.00	$72,750.00	$67,500.00	2024-10-01
278001776-75700-108100	CDM	Hc Tavr System Corevalve 29mm Mcs-p3-29-aoa-US	8	5	$75,000.00	$48,750.00 35% off	$18,525.00	$72,750.00	$67,500.00	2024-10-01
278002564-75700-108100	CDM	Hc Tavr System Evolut Pro Plus Value 23mm-34mm	8	5	$75,000.00	$48,750.00 35% off	$18,525.00	$72,750.00	$67,500.00	2024-10-01
278001775-75700-108100	CDM	Hc Tavr System Corevalve 31mm Mcs-p3-31-aoa-US	8	5	$75,000.00	$48,750.00 35% off	$18,525.00	$72,750.00	$67,500.00	2024-10-01
278002917-75700-108100	CDM	Hc Cath Evolutfx 23-34mm Valve	8	5	$75,000.00	$48,750.00 35% off	$18,525.00	$72,750.00	$67,500.00	2024-10-01
278002039-75700-108100	CDM	Hc Tavr System Corevalve Evolut Pro 23mm-29mm	8	5	$75,000.00	$48,750.00 35% off	$18,525.00	$72,750.00	$67,500.00	2024-10-01
278001829-75700-108100	CDM	Hc Tavr System Corevalve Evolut R 23mm-34mm	8	5	$75,000.00	$48,750.00 35% off	$18,525.00	$72,750.00	$67,500.00	2024-10-01
278001103-75700-108100	CDM	Hc Cath Impella 5.0 Heart Asst Dev 005062	8	5	$70,000.00	$45,500.00 35% off	$17,290.00	$67,900.00	$63,000.00	2024-10-01
C1604	HCPCS	Hc System Endocross Detour	8	5	$62,500.00	$40,625.00 35% off	$15,437.50	$60,625.00	$56,250.00	2024-10-01
278001596-75700-108100	CDM	Hc Set Impella Cp With Smart Assist 7fr	8	5	$62,500.00	$40,625.00 35% off	$15,437.50	$60,625.00	$56,250.00	2024-10-01
278000845-75700-108100	CDM	Hc Cath IV Micraxial Pump Impella2.5	8	5	$60,000.00	$39,000.00 35% off	$14,820.00	$58,200.00	$54,000.00	2024-10-01
278002713-75700-108100	CDM	Hc Stent Graft Thoracic System 20f Tapered Coveredseal Valiant N	8	5	$59,972.00	$38,981.80 35% off	$14,813.08	$58,172.84	$53,974.80	2024-10-01
278002714-75700-108100	CDM	Hc Stent Graft Thoracic System 20f Straight Coveredseal Valiant	8	5	$55,787.00	$36,261.55 35% off	$13,779.39	$54,113.39	$50,208.30	2024-10-01
J1413	HCPCS	Inj Delandistrogene Mox Rokl	9	5	—	—	$3,549,198.72	$3,894,619.52	$3,549,198.72	2024-10-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	13	7	—	—	$492,900.00	$582,420.50	$530,764.58	2024-10-01
'841-4	OTHER	Extensive Third Degree Burns With Skin Graft	9	5	—	—	$518,268.24	$518,268.24	$518,268.24	2024-10-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	13	7	—	—	$468,441.50	$562,657.11	$512,754.04	2024-10-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	13	7	—	—	$444,670.00	$525,430.97	$478,829.55	2024-10-01
Q2053	HCPCS	Brexucabtagene Car Pos T	13	7	—	—	$448,752.40	$515,205.51	$469,511.00	2024-10-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	13	7	—	—	$449,245.86	$513,955.10	$468,371.50	2024-10-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	13	7	—	—	$434,918.00	$513,907.81	$468,328.40	2024-10-01
'002-4	OTHER	Heart And/Or Lung Transplant	9	5	—	—	$167,380.80	$391,916.02	$391,916.02	2024-10-01
'161-4	OTHER	Implantable Heart Assist Systems	9	5	—	—	$147,524.86	$345,424.07	$345,424.07	2024-10-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	5	—	—	$121,570.30	$350,607.28	$318,733.89	2024-10-01
'007-4	OTHER	Allogeneic Bone Marrow Transplant	9	5	—	—	$126,946.56	$297,240.74	$297,240.74	2024-10-01
'009-4	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	9	5	—	—	$114,706.45	$268,580.97	$268,580.97	2024-10-01
'583-4	OTHER	Neonate With Ecmo	9	5	—	—	$234,679.23	$258,147.16	$258,147.16	2024-10-01
'842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	9	5	—	—	$257,729.67	$257,729.67	$257,729.67	2024-10-01
'001-4	OTHER	Liver Transplant And/Or Intestinal Transplant	9	5	—	—	$108,473.97	$253,987.84	$253,987.84	2024-10-01
'161-3	OTHER	Implantable Heart Assist Systems	9	5	—	—	$102,851.43	$240,822.87	$240,822.87	2024-10-01
'004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	5	—	—	$100,711.48	$235,812.25	$235,812.25	2024-10-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	5	5	—	—	$234,435.65	$320,415.27	$234,435.65	2024-10-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	5	5	—	—	$228,034.62	$279,992.80	$228,034.62	2024-10-01
'006-4	OTHER	Pancreas Transplant	9	5	—	—	$89,651.83	$209,916.48	$209,916.48	2024-10-01
'583-3	OTHER	Neonate With Ecmo	9	5	—	—	$188,529.20	$207,382.12	$207,382.12	2024-10-01
'002-3	OTHER	Heart And/Or Lung Transplant	9	5	—	—	$87,983.55	$206,010.26	$206,010.26	2024-10-01
'841-3	OTHER	Extensive Third Degree Burns With Skin Graft	9	5	—	—	$205,876.12	$205,876.12	$205,876.12	2024-10-01
'588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	5	—	—	$185,894.28	$204,483.71	$204,483.71	2024-10-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	5	5	—	—	$184,446.37	$286,090.56	$184,446.37	2024-10-01
'160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	9	5	—	—	$69,722.24	$163,252.07	$163,252.07	2024-10-01
'004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	5	—	—	$68,865.48	$161,246.01	$161,246.01	2024-10-01
'863-4	OTHER	Neonatal Aftercare	9	5	—	—	$66,423.79	$155,528.88	$155,528.88	2024-10-01
'005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	5	—	—	$66,098.79	$154,767.91	$154,767.91	2024-10-01
'007-3	OTHER	Allogeneic Bone Marrow Transplant	9	5	—	—	$65,341.54	$152,994.83	$152,994.83	2024-10-01
'303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	5	—	—	$61,212.18	$143,326.09	$143,326.09	2024-10-01
'162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	5	—	—	$60,831.61	$142,435.01	$142,435.01	2024-10-01
'583-2	OTHER	Neonate With Ecmo	9	5	—	—	$127,919.92	$140,711.91	$140,711.91	2024-10-01
'591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	5	—	—	$126,918.91	$139,610.80	$139,610.80	2024-10-01
'609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	5	—	—	$124,329.38	$136,762.32	$136,762.32	2024-10-01
'008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	5	—	—	$57,266.97	$134,088.51	$134,088.51	2024-10-01
'841-2	OTHER	Extensive Third Degree Burns With Skin Graft	9	5	—	—	$133,787.96	$133,787.96	$133,787.96	2024-10-01
'841-1	OTHER	Extensive Third Degree Burns With Skin Graft	9	5	—	—	$133,787.96	$133,787.96	$133,787.96	2024-10-01
'843-4	OTHER	Extensive Third Degree Burns Without Skin Graft	9	5	—	—	$128,276.07	$128,276.07	$128,276.07	2024-10-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	5	5	—	—	$127,172.77	$172,894.74	$127,172.77	2024-10-01
'006-3	OTHER	Pancreas Transplant	9	5	—	—	$53,943.32	$126,306.32	$126,306.32	2024-10-01
'440-4	OTHER	Kidney Transplant	9	5	—	—	$53,783.73	$125,932.64	$125,932.64	2024-10-01
'588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	5	—	—	$113,313.81	$124,645.19	$124,645.19	2024-10-01
'631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	5	—	—	$110,847.20	$121,931.93	$121,931.93	2024-10-01
'001-3	OTHER	Liver Transplant And/Or Intestinal Transplant	9	5	—	—	$51,130.11	$119,719.29	$119,719.29	2024-10-01
'178-4	OTHER	External Heart Assist Systems	9	5	—	—	$51,112.02	$119,676.93	$119,676.93	2024-10-01
'009-3	OTHER	Extracorporeal Membrane Oxygenation (Ecmo)	9	5	—	—	$50,768.28	$118,872.09	$118,872.09	2024-10-01
'163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	9	5	—	—	$50,603.52	$118,486.31	$118,486.31	2024-10-01
'630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	5	—	—	$106,758.05	$117,433.85	$117,433.85	2024-10-01
'593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	5	—	—	$105,369.36	$115,906.30	$115,906.30	2024-10-01
'167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	9	5	—	—	$48,974.01	$114,670.85	$114,670.85	2024-10-01
'583-1	OTHER	Neonate With Ecmo	9	5	—	—	$101,072.19	$111,179.41	$111,179.41	2024-10-01
'680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	9	5	—	—	$47,174.56	$110,457.51	$110,457.51	2024-10-01
'303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	5	—	—	$47,007.22	$110,065.68	$110,065.68	2024-10-01
'165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	9	5	—	—	$46,702.25	$109,351.61	$109,351.61	2024-10-01
'005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	5	—	—	$46,461.24	$108,787.31	$108,787.31	2024-10-01
'603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	5	—	—	$98,709.59	$108,580.55	$108,580.55	2024-10-01
'910-4	OTHER	Craniotomy For Multiple Significant Trauma	9	5	—	—	$46,162.09	$108,086.85	$108,086.85	2024-10-01
7	MS_DRG	Lung Transplant	5	5	—	—	$106,119.18	$156,808.68	$106,119.18	2024-10-01
'911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	9	5	—	—	$45,315.67	$106,104.99	$106,104.99	2024-10-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	5	5	—	—	$105,926.26	$225,612.04	$105,926.26	2024-10-01
'183-4	OTHER	Percutaneous Structural Cardiac Procedures	9	5	—	—	$45,049.47	$105,481.69	$105,481.69	2024-10-01
'842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	9	5	—	—	$104,937.56	$104,937.56	$104,937.56	2024-10-01
'690-4	OTHER	Acute Leukemia	9	5	—	—	$44,681.83	$104,620.87	$104,620.87	2024-10-01
'304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	9	5	—	—	$43,837.99	$102,645.06	$102,645.06	2024-10-01
'312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	9	5	—	—	$43,401.22	$101,622.37	$101,622.37	2024-10-01
'260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	9	5	—	—	$43,399.92	$101,619.34	$101,619.34	2024-10-01
'651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	9	5	—	—	$42,731.83	$100,055.03	$100,055.03	2024-10-01
'232-4	OTHER	Gastric Fundoplication	9	5	—	—	$42,654.30	$99,873.49	$99,873.49	2024-10-01
'912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	9	5	—	—	$42,501.17	$99,514.94	$99,514.94	2024-10-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	5	5	—	—	$99,150.64	$160,503.09	$99,150.64	2024-10-01
'681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	9	5	—	—	$41,705.80	$97,652.60	$97,652.60	2024-10-01
'021-4	OTHER	Open Craniotomy Except Trauma	9	5	—	—	$41,318.12	$96,744.88	$96,744.88	2024-10-01
'850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	9	5	—	—	$41,172.75	$96,404.48	$96,404.48	2024-10-01
'695-4	OTHER	Chemotherapy For Acute Leukemia	9	5	—	—	$40,774.74	$95,472.56	$95,472.56	2024-10-01
'166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	9	5	—	—	$40,246.85	$94,236.54	$94,236.54	2024-10-01
'179-4	OTHER	Defibrillator Implants	9	5	—	—	$40,043.97	$93,761.50	$93,761.50	2024-10-01
212	MS_DRG	Concomitant Aortic And Mitral Valve?procedures	5	5	—	—	$93,179.57	$103,895.25	$93,179.57	2024-10-01
'162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	5	—	—	$39,454.06	$92,380.25	$92,380.25	2024-10-01
'091-4	OTHER	Other Major Head And Neck Procedures	9	5	—	—	$39,400.44	$92,254.69	$92,254.69	2024-10-01
'169-4	OTHER	Major Abdominal Vascular Procedures	9	5	—	—	$39,377.82	$92,201.74	$92,201.74	2024-10-01
Q0480	HCPCS	Driver Pneumatic Vad, Rep	9	5	—	—	$92,077.84	$101,039.19	$92,077.84	2024-10-01
'089-4	OTHER	Major Cranial Or Facial Bone Procedures	9	5	—	—	$39,190.45	$91,763.00	$91,763.00	2024-10-01
'002-2	OTHER	Heart And/Or Lung Transplant	9	5	—	—	$73,762.43	$89,954.18	$89,954.18	2024-10-01
'602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	5	—	—	$81,539.80	$89,693.78	$89,693.78	2024-10-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	5	5	—	—	$89,540.01	$162,300.64	$89,540.01	2024-10-01
'027-4	OTHER	Other Open Craniotomy	9	5	—	—	$37,773.50	$88,445.29	$88,445.29	2024-10-01
215	MS_DRG	Other Heart Assist System Implant	5	5	—	—	$88,370.36	$213,662.32	$88,370.36	2024-10-01
'161-2	OTHER	Implantable Heart Assist Systems	9	5	—	—	$72,036.64	$87,849.56	$87,849.56	2024-10-01
'161-1	OTHER	Implantable Heart Assist Systems	9	5	—	—	$72,036.64	$87,849.56	$87,849.56	2024-10-01
'023-4	OTHER	Spinal Procedures	9	5	—	—	$37,398.11	$87,566.31	$87,566.31	2024-10-01
'020-4	OTHER	Open Craniotomy For Trauma	9	5	—	—	$36,956.16	$86,531.51	$86,531.51	2024-10-01
'022-4	OTHER	Ventricular Shunt Procedures	9	5	—	—	$36,920.63	$86,448.30	$86,448.30	2024-10-01
'220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	9	5	—	—	$36,851.49	$86,286.42	$86,286.42	2024-10-01
'589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	5	—	—	$78,387.99	$86,226.79	$86,226.79	2024-10-01
'361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	9	5	—	—	$36,629.22	$85,766.00	$85,766.00	2024-10-01
'950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	9	5	—	—	$36,551.04	$85,582.94	$85,582.94	2024-10-01
'441-4	OTHER	Major Bladder Procedures	9	5	—	—	$36,220.88	$84,809.86	$84,809.86	2024-10-01
'008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	9	5	—	—	$35,874.56	$83,998.97	$83,998.97	2024-10-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$83,962.57	$140,166.47	$83,962.57	2024-10-01
'178-3	OTHER	External Heart Assist Systems	9	5	—	—	$35,847.42	$83,935.43	$83,935.43	2024-10-01
'589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	5	—	—	$75,615.03	$83,176.53	$83,176.53	2024-10-01
'591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	5	—	—	$75,428.44	$82,971.29	$82,971.29	2024-10-01
'120-4	OTHER	Major Respiratory And Chest Procedures	9	5	—	—	$34,996.48	$81,942.98	$81,942.98	2024-10-01
'440-3	OTHER	Kidney Transplant	9	5	—	—	$34,942.85	$81,817.41	$81,817.41	2024-10-01
'181-4	OTHER	Lower Extremity Arterial Procedures	9	5	—	—	$34,304.48	$80,322.70	$80,322.70	2024-10-01
'593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	5	—	—	$72,970.66	$80,267.73	$80,267.73	2024-10-01
'261-4	OTHER	Major Biliary Tract Procedures	9	5	—	—	$34,106.12	$79,858.25	$79,858.25	2024-10-01
'030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	9	5	—	—	$33,994.99	$79,598.03	$79,598.03	2024-10-01
'176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	9	5	—	—	$33,764.33	$79,057.94	$79,057.94	2024-10-01
'160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	9	5	—	—	$33,074.27	$77,442.20	$77,442.20	2024-10-01
'321-4	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	9	5	—	—	$32,994.80	$77,256.11	$77,256.11	2024-10-01
'130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	9	5	—	—	$32,941.81	$77,132.06	$77,132.06	2024-10-01
'792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	9	5	—	—	$32,859.76	$76,939.92	$76,939.92	2024-10-01
'405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	9	5	—	—	$32,808.07	$76,818.89	$76,818.89	2024-10-01
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	5	5	—	—	$76,661.82	$118,357.56	$76,661.82	2024-10-01
'589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	5	—	—	$68,740.94	$75,615.03	$75,615.03	2024-10-01
'163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	9	5	—	—	$32,228.50	$75,461.85	$75,461.85	2024-10-01
'591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	5	—	—	$68,236.65	$75,060.31	$75,060.31	2024-10-01
'607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	5	—	—	$67,976.94	$74,774.63	$74,774.63	2024-10-01
'165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	9	5	—	—	$31,878.30	$74,641.88	$74,641.88	2024-10-01
'230-4	OTHER	Major Small Bowel Procedures	9	5	—	—	$31,801.41	$74,461.85	$74,461.85	2024-10-01
'026-4	OTHER	Other Nervous System And Related Procedures	9	5	—	—	$31,564.28	$73,906.62	$73,906.62	2024-10-01
'510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	9	5	—	—	$31,444.11	$73,625.23	$73,625.23	2024-10-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	5	5	—	—	$73,123.47	$168,875.09	$73,123.47	2024-10-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	5	5	—	—	$72,924.50	$103,493.04	$72,924.50	2024-10-01
'183-3	OTHER	Percutaneous Structural Cardiac Procedures	9	5	—	—	$30,981.48	$72,542.02	$72,542.02	2024-10-01
'710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	9	5	—	—	$30,826.41	$72,178.93	$72,178.93	2024-10-01
'711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	9	5	—	—	$30,510.46	$71,439.14	$71,439.14	2024-10-01
'304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	9	5	—	—	$30,332.78	$71,023.10	$71,023.10	2024-10-01
A9543	HCPCS	Y90 Ibritumomab, Rx	13	7	—	—	$65,476.58	$77,368.45	$70,506.50	2024-10-01
'447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	9	5	—	—	$30,047.84	$70,355.92	$70,355.92	2024-10-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	5	5	—	—	$70,206.29	$120,656.63	$70,206.29	2024-10-01
'844-4	OTHER	Partial Thickness Burns Without Skin Graft	9	5	—	—	$69,811.29	$69,811.29	$69,811.29	2024-10-01
'092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	9	5	—	—	$29,724.78	$69,599.49	$69,599.49	2024-10-01
'002-1	OTHER	Heart And/Or Lung Transplant	9	5	—	—	$57,022.09	$69,539.13	$69,539.13	2024-10-01
'593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	5	—	—	$63,210.77	$69,531.85	$69,531.85	2024-10-01
'029-4	OTHER	Other Percutaneous Intracranial Procedures	9	5	—	—	$29,670.50	$69,472.41	$69,472.41	2024-10-01
'179-3	OTHER	Defibrillator Implants	9	5	—	—	$29,580.05	$69,260.61	$69,260.61	2024-10-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	5	5	—	—	$69,153.43	$154,862.17	$69,153.43	2024-10-01
'480-4	OTHER	Major Male Pelvic Procedures	9	5	—	—	$29,424.33	$68,896.00	$68,896.00	2024-10-01
'404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	9	5	—	—	$29,306.09	$68,619.15	$68,619.15	2024-10-01
'182-4	OTHER	Other Peripheral Vascular Procedures	9	5	—	—	$28,955.25	$67,797.66	$67,797.66	2024-10-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	5	5	—	—	$67,475.96	$114,807.15	$67,475.96	2024-10-01
'121-4	OTHER	Other Respiratory And Chest Procedures	9	5	—	—	$28,639.30	$67,057.87	$67,057.87	2024-10-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	5	5	—	—	$66,711.20	$121,091.12	$66,711.20	2024-10-01
'511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	9	5	—	—	$28,366.63	$66,419.44	$66,419.44	2024-10-01
'608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	5	—	—	$60,215.92	$66,237.52	$66,237.52	2024-10-01
'007-2	OTHER	Allogeneic Bone Marrow Transplant	9	5	—	—	$54,266.38	$66,178.52	$66,178.52	2024-10-01
'167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	9	5	—	—	$28,096.55	$65,787.06	$65,787.06	2024-10-01
'231-4	OTHER	Major Large Bowel Procedures	9	5	—	—	$27,921.46	$65,377.07	$65,377.07	2024-10-01
'690-3	OTHER	Acute Leukemia	9	5	—	—	$27,869.77	$65,256.04	$65,256.04	2024-10-01
'170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	9	5	—	—	$27,842.63	$65,192.50	$65,192.50	2024-10-01
'444-4	OTHER	Renal Dialysis Access Device Procedures And Vessel Repair	9	5	—	—	$27,474.99	$64,331.68	$64,331.68	2024-10-01
'305-4	OTHER	Amputation Of Lower Limb Except Toes	9	5	—	—	$27,454.96	$64,284.78	$64,284.78	2024-10-01
'951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	9	5	—	—	$27,420.71	$64,204.60	$64,204.60	2024-10-01
'403-4	OTHER	Procedures For Obesity	9	5	—	—	$27,300.53	$63,923.21	$63,923.21	2024-10-01
'309-4	OTHER	Other Significant Hip And Femur Surgery	9	5	—	—	$26,929.01	$63,053.31	$63,053.31	2024-10-01
'315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	9	5	—	—	$26,845.02	$62,856.64	$62,856.64	2024-10-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	5	5	—	—	$62,569.86	$88,643.41	$62,569.86	2024-10-01
'910-3	OTHER	Craniotomy For Multiple Significant Trauma	9	5	—	—	$26,580.76	$62,237.87	$62,237.87	2024-10-01
'325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	9	5	—	—	$26,580.11	$62,236.36	$62,236.36	2024-10-01
'073-4	OTHER	Orbit And Eye Procedures	9	5	—	—	$26,489.01	$62,023.05	$62,023.05	2024-10-01
'650-4	OTHER	Splenectomy	9	5	—	—	$26,459.93	$61,954.97	$61,954.97	2024-10-01
'050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	9	5	—	—	$26,189.21	$61,321.07	$61,321.07	2024-10-01
'166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	9	5	—	—	$26,157.55	$61,246.94	$61,246.94	2024-10-01
'602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	5	—	—	$55,591.59	$61,150.75	$61,150.75	2024-10-01
'793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	9	5	—	—	$26,087.12	$61,082.04	$61,082.04	2024-10-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	5	5	—	—	$60,868.17	$151,381.28	$60,868.17	2024-10-01
'024-4	OTHER	Open Extracranial Vascular Procedures	9	5	—	—	$25,961.13	$60,787.03	$60,787.03	2024-10-01
'175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	9	5	—	—	$25,912.02	$60,672.05	$60,672.05	2024-10-01
'691-4	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	9	5	—	—	$25,911.37	$60,670.54	$60,670.54	2024-10-01
'313-4	OTHER	Knee And Lower Leg Procedures Except Foot	9	5	—	—	$25,875.19	$60,585.82	$60,585.82	2024-10-01
'611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	5	—	—	$54,787.25	$60,265.98	$60,265.98	2024-10-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	5	5	—	—	$60,254.80	$108,629.95	$60,254.80	2024-10-01
'180-4	OTHER	Other Circulatory System Procedures	9	5	—	—	$25,715.60	$60,212.14	$60,212.14	2024-10-01
'588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	5	—	—	$54,704.04	$60,174.45	$60,174.45	2024-10-01
'588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	5	—	—	$54,704.04	$60,174.45	$60,174.45	2024-10-01
'317-4	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	9	5	—	—	$25,665.85	$60,095.65	$60,095.65	2024-10-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	5	5	—	—	$59,863.77	$89,688.67	$59,863.77	2024-10-01
'098-4	OTHER	Other Ear, Nose, Mouth And Throat Procedures	9	5	—	—	$25,537.27	$59,794.59	$59,794.59	2024-10-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	5	5	—	—	$59,762.55	$95,625.04	$59,762.55	2024-10-01
'863-3	OTHER	Neonatal Aftercare	9	5	—	—	$25,506.90	$59,723.49	$59,723.49	2024-10-01
'442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	9	5	—	—	$25,445.52	$59,579.76	$59,579.76	2024-10-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	5	5	—	—	$59,456.29	$78,061.71	$59,456.29	2024-10-01
'401-4	OTHER	Adrenal Procedures	9	5	—	—	$25,365.40	$59,392.17	$59,392.17	2024-10-01
'952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	9	5	—	—	$25,342.79	$59,339.22	$59,339.22	2024-10-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	5	5	—	—	$59,301.44	$83,978.23	$59,301.44	2024-10-01
'222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	9	5	—	—	$25,310.48	$59,263.57	$59,263.57	2024-10-01
'021-3	OTHER	Open Craniotomy Except Trauma	9	5	—	—	$25,249.75	$59,121.36	$59,121.36	2024-10-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	5	5	—	—	$58,988.26	$85,835.36	$58,988.26	2024-10-01
'006-1	OTHER	Pancreas Transplant	9	5	—	—	$48,355.02	$58,969.54	$58,969.54	2024-10-01
'006-2	OTHER	Pancreas Transplant	9	5	—	—	$48,355.02	$58,969.54	$58,969.54	2024-10-01
'223-4	OTHER	Other Small And Large Bowel Procedures	9	5	—	—	$25,167.69	$58,929.23	$58,929.23	2024-10-01
J9226	HCPCS	Supprelin La Implant	9	5	—	—	$58,927.14	$64,662.15	$58,927.14	2024-10-01
'004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	5	—	—	$48,237.43	$58,826.13	$58,826.13	2024-10-01
'512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	9	5	—	—	$25,050.74	$58,655.40	$58,655.40	2024-10-01
'630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	5	—	—	$53,303.38	$58,633.72	$58,633.72	2024-10-01
'229-4	OTHER	Other Digestive System And Abdominal Procedures	9	5	—	—	$25,039.76	$58,629.68	$58,629.68	2024-10-01
'049-4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	9	5	—	—	$24,990.01	$58,513.19	$58,513.19	2024-10-01
'264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	9	5	—	—	$24,985.48	$58,502.60	$58,502.60	2024-10-01
'484-4	OTHER	Other Male Reproductive System And Related Procedures	9	5	—	—	$24,908.59	$58,322.57	$58,322.57	2024-10-01
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	13	7	—	—	$53,630.37	$63,785.58	$58,128.32	2024-10-01
'443-4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	9	5	—	—	$24,820.72	$58,116.82	$58,116.82	2024-10-01
'310-4	OTHER	Intervertebral Disc Excision And Decompression	9	5	—	—	$24,714.76	$57,868.71	$57,868.71	2024-10-01
'226-4	OTHER	Anal Procedures	9	5	—	—	$24,610.73	$57,625.14	$57,625.14	2024-10-01
'130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	9	5	—	—	$24,540.31	$57,460.24	$57,460.24	2024-10-01
'224-4	OTHER	Peritoneal Adhesiolysis	9	5	—	—	$24,539.01	$57,457.21	$57,457.21	2024-10-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	5	5	—	—	$57,377.41	$74,416.96	$57,377.41	2024-10-01
'322-4	OTHER	Shoulder And Elbow Joint Replacement	9	5	—	—	$24,442.10	$57,230.28	$57,230.28	2024-10-01
'842-2	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	9	5	—	—	$56,888.88	$56,888.88	$56,888.88	2024-10-01
0424T	OTHER	Insj/rplc Nstim Apnea Compl	4	4	—	—	$56,564.71	$62,221.19	$56,564.71	2024-10-01
'030-3	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	9	5	—	—	$24,112.57	$56,458.72	$56,458.72	2024-10-01
'227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	9	5	—	—	$24,085.44	$56,395.18	$56,395.18	2024-10-01
'696-4	OTHER	Other Chemotherapy	9	5	—	—	$23,857.36	$55,861.13	$55,861.13	2024-10-01
'692-4	OTHER	Radiotherapy	9	5	—	—	$23,772.71	$55,662.95	$55,662.95	2024-10-01
'023-3	OTHER	Spinal Procedures	9	5	—	—	$23,744.93	$55,597.89	$55,597.89	2024-10-01
'320-4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	9	5	—	—	$23,564.66	$55,175.80	$55,175.80	2024-10-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	5	—	—	$55,067.54	$114,211.28	$55,067.54	2024-10-01
'514-4	OTHER	Female Reproductive System Reconstructive Procedures	9	5	—	—	$23,500.70	$55,026.03	$55,026.03	2024-10-01
'091-3	OTHER	Other Major Head And Neck Procedures	9	5	—	—	$23,451.59	$54,911.05	$54,911.05	2024-10-01
'602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	5	—	—	$49,823.78	$54,806.16	$54,806.16	2024-10-01
'174-4	OTHER	Percutaneous Cardiac Intervention With Ami	9	5	—	—	$23,372.12	$54,724.97	$54,724.97	2024-10-01
'609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	5	—	—	$49,720.40	$54,692.44	$54,692.44	2024-10-01
'089-3	OTHER	Major Cranial Or Facial Bone Procedures	9	5	—	—	$23,257.11	$54,455.68	$54,455.68	2024-10-01
'517-4	OTHER	Dilation And Curettage For Non-obstetric Diagnoses	9	5	—	—	$23,152.44	$54,210.59	$54,210.59	2024-10-01
'169-3	OTHER	Major Abdominal Vascular Procedures	9	5	—	—	$23,139.52	$54,180.34	$54,180.34	2024-10-01
'591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	5	—	—	$49,198.46	$54,118.31	$54,118.31	2024-10-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	5	5	—	—	$54,036.31	$132,340.69	$54,036.31	2024-10-01
'312-3	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	9	5	—	—	$23,023.21	$53,908.02	$53,908.02	2024-10-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	5	5	—	—	$45,661.17	$59,173.49	$53,794.08	2024-10-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc	5	5	—	—	$53,725.73	$91,409.25	$53,725.73	2024-10-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	5	5	—	—	$53,438.51	$83,240.84	$53,438.51	2024-10-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	5	5	—	—	$53,438.51	$121,570.30	$53,438.51	2024-10-01
'483-4	OTHER	Penis, Testes And Scrotal Procedures	9	5	—	—	$22,752.49	$53,274.13	$53,274.13	2024-10-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	5	5	—	—	$53,130.53	$146,847.69	$53,130.53	2024-10-01
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	5	5	—	—	$52,913.38	$109,521.27	$52,913.38	2024-10-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	5	5	—	—	$52,687.59	$110,216.46	$52,687.59	2024-10-01
'001-2	OTHER	Liver Transplant And/Or Intestinal Transplant	9	5	—	—	$43,144.06	$52,614.71	$52,614.71	2024-10-01
'001-1	OTHER	Liver Transplant And/Or Intestinal Transplant	9	5	—	—	$43,144.06	$52,614.71	$52,614.71	2024-10-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	5	5	—	—	$52,558.68	$83,580.98	$52,558.68	2024-10-01
'519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	9	5	—	—	$22,404.23	$52,458.69	$52,458.69	2024-10-01
'660-4	OTHER	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	9	5	—	—	$22,394.54	$52,436.00	$52,436.00	2024-10-01
'603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	5	—	—	$47,587.89	$52,346.68	$52,346.68	2024-10-01
'445-4	OTHER	Other Bladder Procedures	9	5	—	—	$22,355.13	$52,343.72	$52,343.72	2024-10-01
'020-3	OTHER	Open Craniotomy For Trauma	9	5	—	—	$22,342.20	$52,313.46	$52,313.46	2024-10-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	5	5	—	—	$52,311.26	$80,457.62	$52,311.26	2024-10-01
'171-4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	9	5	—	—	$22,291.81	$52,195.45	$52,195.45	2024-10-01
'363-4	OTHER	Breast Procedures Except Mastectomy	9	5	—	—	$22,284.70	$52,178.81	$52,178.81	2024-10-01
28	MS_DRG	Spinal Procedures With Mcc	5	5	—	—	$52,133.05	$83,665.39	$52,133.05	2024-10-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	5	5	—	—	$51,908.11	$97,693.21	$51,908.11	2024-10-01
'680-3	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	9	5	—	—	$22,127.69	$51,811.19	$51,811.19	2024-10-01
'912-3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	9	5	—	—	$22,116.06	$51,783.95	$51,783.95	2024-10-01
'381-4	OTHER	Major Skin Disorders	9	5	—	—	$22,085.05	$51,711.34	$51,711.34	2024-10-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	5	5	—	—	$51,462.58	$102,395.64	$51,462.58	2024-10-01
'625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	9	5	—	—	$46,405.33	$51,045.86	$51,045.86	2024-10-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	5	5	—	—	$50,874.29	$90,033.78	$50,874.29	2024-10-01
'043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	9	5	—	—	$21,666.36	$50,731.00	$50,731.00	2024-10-01
'040-4	OTHER	Spinal Disorders And Injuries	9	5	—	—	$21,520.98	$50,390.60	$50,390.60	2024-10-01
'316-4	OTHER	Hand And Wrist Procedures	9	5	—	—	$21,488.68	$50,314.96	$50,314.96	2024-10-01
'364-4	OTHER	Other Skin, Subcutaneous Tissue And Related Procedures	9	5	—	—	$21,406.62	$50,122.83	$50,122.83	2024-10-01
'263-4	OTHER	Cholecystectomy	9	5	—	—	$21,380.13	$50,060.80	$50,060.80	2024-10-01
'324-4	OTHER	Elective Hip Joint Replacement	9	5	—	—	$21,279.33	$49,824.79	$49,824.79	2024-10-01
'177-4	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	9	5	—	—	$21,234.75	$49,720.40	$49,720.40	2024-10-01
'613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	5	—	—	$45,196.30	$49,715.93	$49,715.93	2024-10-01
'004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	5	—	—	$40,633.23	$49,552.73	$49,552.73	2024-10-01
'612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	5	—	—	$44,971.89	$49,469.08	$49,469.08	2024-10-01

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