Hospital

MAD RIVER COMMUNITY HOSPITAL

Arcata, CA · CCN 050028 · Rates published

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You selected 93306 (CPT)

US ECHOCARDIOGRAM

This hospital’s price: $762 across 7 payers · range $348-$2,858

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8531/941698406_american-hospital-management-corporation_standardcharges.csv · observed 2025-07-22

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,235 distinct procedures filed

70 distinct payers

79,769 rate rows

2025-07-22 last MRF observed · ⚠ 15 mo old

Data quality

63,491 of 79,769 rate rows are consumer-grade (79.6%)

16,278 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	16,087
per-diem day rate — not a per-procedure price	177
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	8
placeholder amount (≤ $0.02) — excluded from medians	3
exceeds 10× this hospital's gross charge — excluded from medians	2
percent-of-charges filed in the dollar field — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/8531/941698406_american-hospital-management-corporation_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/MadRiverCommunityHospital/8531
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	4561f43ce4881506… · 34,724,913 bytes · first seen 2026-05-08

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
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	1	$3,710,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,705,478 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	1	$3,710,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	1	$3,321,781.51	$3,321,781.51	$3,321,781.51	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	1	$3,193,000.00	$3,193,000.00	$3,193,000.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	1	$2,968,000.00	$2,968,000.00	$2,968,000.00	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	1	$2,403,458.75	$2,403,458.75	$2,403,458.75	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	1	$2,332,000.00	$2,332,000.00	$2,332,000.00	nat. median $2,401,965 1.0× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	1	$551,318.34	$551,318.34	$551,318.34	nat. median $646,415 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	2	$309,055.87	$565,623.84	$529,810.07	nat. median $739,258 0.7× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	1	$528,312.43	$528,312.43	$528,312.43	nat. median $622,450 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$516,485.97	$516,485.97	$516,485.97	nat. median $640,950 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$488,051.51	$488,051.51	$488,051.51	nat. median $591,721 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	2	$276,766.00	$489,517.15	$474,456.00	nat. median $608,239 0.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$363,261.21	$363,261.21	$363,261.21	nat. median $359,454 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$271,559.45	$271,559.45	$271,559.45	nat. median $249,036 1.1× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	$228,847.94	$228,847.94	$228,847.94	nat. median $198,418 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	1	$206,834.52	$206,834.52	$206,834.52	nat. median $190,559 1.1× median
0100T CPT	Prosth Retina Receive&gen	1	$106,750.35	$183,000.60	$144,875.48	nat. median $11,291 outlier · 12.8×
0571T CPT	Insj/rplcmt Icds Ss Eltrd	3	$40,737.44	$142,536.66	$142,536.66	nat. median $32,221 outlier · 4.4×
0915T CPT	Insj Perm Ccm-d Sys Pg&eltrd	3	$40,737.44	$142,536.66	$142,536.66	nat. median $32,703 outlier · 4.4×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	1	$136,682.14	$136,682.14	$136,682.14	nat. median $126,695 1.1× median
0674T CPT	Laps Insj Nw/rpcmt Prm Isdss	3	$38,719.74	$135,476.89	$135,476.89	nat. median $29,186 outlier · 4.6×
64582 CPT	Opn Mpltj Hpglsl Nstm Ary Pg	3	$38,719.74	$135,476.89	$135,476.89	nat. median $28,157 outlier · 4.8×
33287 CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	3	$38,719.74	$135,476.89	$135,476.89	nat. median $28,983 outlier · 4.7×
14 MS_DRG	Allogeneic Bone Marrow Transplant	1	$126,803.39	$126,803.39	$126,803.39	nat. median $110,307 1.1× median
7 MS_DRG	Lung Transplant	1	$126,486.32	$126,486.32	$126,486.32	nat. median $117,974 1.1× median
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	1	$111,860.00	$111,860.00	$111,860.00	nat. median $96,983 1.2× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	$106,798.96	$106,798.96	$106,798.96	nat. median $104,013 1.0× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	1	$105,590.30	$105,590.30	$105,590.30	nat. median $97,323 1.1× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	1	$103,241.21	$103,241.21	$103,241.21	nat. median $95,038 1.1× median
215 MS_DRG	Other Heart Assist System Implant	1	$102,716.62	$102,716.62	$102,716.62	nat. median $93,901 1.1× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	$101,569.44	$101,569.44	$101,569.44	nat. median $93,276 1.1× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	1	$99,999.99	$99,999.99	$99,999.99	nat. median $111,503 0.9× median
0916T CPT	Insj Perm Ccm-d Sys Pg Only	3	$28,520.13	$99,789.38	$99,789.38	nat. median $23,462 outlier · 4.3×
0923T CPT	Rmvl&rplcmt Perm Ccm-d Pg	3	$28,520.13	$99,789.38	$99,789.38	nat. median $22,725 outlier · 4.4×
0614T CPT	Rmvl&rplcmt Ss Impl Dfb Pg	3	$28,520.13	$99,789.38	$99,789.38	nat. median $23,432 outlier · 4.3×
0817T CPT	Opn Insj/rplcmt Ins Ptn Subf	3	$27,247.24	$95,335.64	$95,335.64	nat. median $21,190 outlier · 4.5×
0816T CPT	Opn Insj/rplcmt Ins Ptn Subq	3	$27,247.24	$95,335.64	$95,335.64	nat. median $21,661 outlier · 4.4×
0680T CPT	Insj/rplcmt Pg Only Isdss	3	$27,247.24	$95,335.64	$95,335.64	nat. median $19,642 outlier · 4.9×
61891 CPT	Rev/rplcmt Sk-mnt Crnl Nstm	3	$27,247.24	$95,335.64	$95,335.64	nat. median $20,618 outlier · 4.6×
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	$93,649.72	$93,649.72	$93,649.72	nat. median $90,551 1.0× median
850 MS_DRG	Acute Leukemia With Other Procedures	1	$89,429.96	$89,429.96	$89,429.96	nat. median $78,268 1.1× median
0801T CPT	Tcat Rmv&rpl 2chmbr Ldls Pm	3	$24,231.82	$84,784.96	$84,784.96	nat. median $19,293 outlier · 4.4×
0823T CPT	Tcat Ins 1chmbr Ldls Pm Ra	3	$24,231.82	$84,784.96	$84,784.96	nat. median $22,074 outlier · 3.8×
0802T CPT	Tcat Rmv&rpl2chmb Ldls Pm Ra	3	$24,231.82	$84,784.96	$84,784.96	nat. median $19,192 outlier · 4.4×
0795T CPT	Tcat Ins 2chmbr Ldls Pm Cmpl	3	$24,231.82	$84,784.96	$84,784.96	nat. median $21,629 outlier · 3.9×
0825T CPT	Tcat Rmv&rpl1chmb Ldls Pm Ra	3	$24,231.82	$84,784.96	$84,784.96	nat. median $19,882 outlier · 4.3×
0796T CPT	Tcat Ins 2chmbr Ldls Pm Ra	3	$24,231.82	$84,784.96	$84,784.96	nat. median $21,083 outlier · 4.0×
0803T CPT	Tcat Rmv&rpl2chmb Ldls Pm Rv	3	$24,231.82	$84,784.96	$84,784.96	nat. median $19,497 outlier · 4.3×
0797T CPT	Tcat Ins 2chmbr Ldls Pm Rv	3	$24,231.82	$84,784.96	$84,784.96	nat. median $20,100 outlier · 4.2×

Other procedures at this hospital

Browse this hospital's 11,235 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

J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	1	1	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2025-07-22
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	1	1	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2025-07-22
J1413	HCPCS	Inj Delandistrogene Mox Rokl	1	1	—	—	$3,321,781.51	$3,321,781.51	$3,321,781.51	2025-07-22
J3394	HCPCS	Inj, Lovotibeglogene Autotem	1	1	—	—	$3,193,000.00	$3,193,000.00	$3,193,000.00	2025-07-22
J3393	HCPCS	Inj, Betibeglogene Autotemce	1	1	—	—	$2,968,000.00	$2,968,000.00	$2,968,000.00	2025-07-22
J3399	HCPCS	Inj Onase Abepar-xioi Treat	1	1	—	—	$2,403,458.75	$2,403,458.75	$2,403,458.75	2025-07-22
J3392	HCPCS	Inj, Exagamglogene Autotem	1	1	—	—	$2,332,000.00	$2,332,000.00	$2,332,000.00	2025-07-22
Q2056	HCPCS	Ciltacabtagene Car-pos T	1	1	—	—	$551,318.34	$551,318.34	$551,318.34	2025-07-22
Q2042	HCPCS	Tisagenlecleucel Car-pos T	3	2	—	—	$309,055.87	$565,623.84	$529,810.07	2025-07-22
Q2055	HCPCS	Idecabtagene Vicleucel Car	1	1	—	—	$528,312.43	$528,312.43	$528,312.43	2025-07-22
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	1	1	—	—	$516,485.97	$516,485.97	$516,485.97	2025-07-22
Q2053	HCPCS	Brexucabtagene Car Pos T	1	1	—	—	$488,051.51	$488,051.51	$488,051.51	2025-07-22
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	3	2	—	—	$276,766.00	$489,517.15	$474,456.00	2025-07-22
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$363,261.21	$363,261.21	$363,261.21	2025-07-22
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$271,559.45	$271,559.45	$271,559.45	2025-07-22
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	1	—	—	$228,847.94	$228,847.94	$228,847.94	2025-07-22
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	1	1	—	—	$206,834.52	$206,834.52	$206,834.52	2025-07-22
0100T	CPT	Prosth Retina Receive&gen	2	1	—	—	$106,750.35	$183,000.60	$144,875.48	2025-07-22
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	3	3	—	—	$40,737.44	$142,536.66	$142,536.66	2025-07-22
0571T	CPT	Insj/rplcmt Icds Ss Eltrd	3	3	—	—	$40,737.44	$142,536.66	$142,536.66	2025-07-22
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	1	1	—	—	$136,682.14	$136,682.14	$136,682.14	2025-07-22
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	3	3	—	—	$38,719.74	$135,476.89	$135,476.89	2025-07-22
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	3	3	—	—	$38,719.74	$135,476.89	$135,476.89	2025-07-22
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	3	3	—	—	$38,719.74	$135,476.89	$135,476.89	2025-07-22
14	MS_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$126,803.39	$126,803.39	$126,803.39	2025-07-22
7	MS_DRG	Lung Transplant	1	1	—	—	$126,486.32	$126,486.32	$126,486.32	2025-07-22
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	1	1	—	—	$111,860.00	$111,860.00	$111,860.00	2025-07-22
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	1	—	—	$106,798.96	$106,798.96	$106,798.96	2025-07-22
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	1	1	—	—	$105,590.30	$105,590.30	$105,590.30	2025-07-22
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	1	1	—	—	$103,241.21	$103,241.21	$103,241.21	2025-07-22
215	MS_DRG	Other Heart Assist System Implant	1	1	—	—	$102,716.62	$102,716.62	$102,716.62	2025-07-22
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$101,569.44	$101,569.44	$101,569.44	2025-07-22
Q0480	HCPCS	Driver Pneumatic Vad, Rep	1	1	—	—	$99,999.99	$99,999.99	$99,999.99	2025-07-22
0923T	CPT	Rmvl&rplcmt Perm Ccm-d Pg	3	3	—	—	$28,520.13	$99,789.38	$99,789.38	2025-07-22
0916T	CPT	Insj Perm Ccm-d Sys Pg Only	3	3	—	—	$28,520.13	$99,789.38	$99,789.38	2025-07-22
0614T	CPT	Rmvl&rplcmt Ss Impl Dfb Pg	3	3	—	—	$28,520.13	$99,789.38	$99,789.38	2025-07-22
0680T	CPT	Insj/rplcmt Pg Only Isdss	3	3	—	—	$27,247.24	$95,335.64	$95,335.64	2025-07-22
0816T	CPT	Opn Insj/rplcmt Ins Ptn Subq	3	3	—	—	$27,247.24	$95,335.64	$95,335.64	2025-07-22
61891	CPT	Rev/rplcmt Sk-mnt Crnl Nstm	3	3	—	—	$27,247.24	$95,335.64	$95,335.64	2025-07-22
0817T	CPT	Opn Insj/rplcmt Ins Ptn Subf	3	3	—	—	$27,247.24	$95,335.64	$95,335.64	2025-07-22
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$93,649.72	$93,649.72	$93,649.72	2025-07-22
850	MS_DRG	Acute Leukemia With Other Procedures	1	1	—	—	$89,429.96	$89,429.96	$89,429.96	2025-07-22
0795T	CPT	Tcat Ins 2chmbr Ldls Pm Cmpl	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
0797T	CPT	Tcat Ins 2chmbr Ldls Pm Rv	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
0796T	CPT	Tcat Ins 2chmbr Ldls Pm Ra	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
0801T	CPT	Tcat Rmv&rpl 2chmbr Ldls Pm	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
0802T	CPT	Tcat Rmv&rpl2chmb Ldls Pm Ra	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
0825T	CPT	Tcat Rmv&rpl1chmb Ldls Pm Ra	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
0803T	CPT	Tcat Rmv&rpl2chmb Ldls Pm Rv	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
0823T	CPT	Tcat Ins 1chmbr Ldls Pm Ra	3	3	—	—	$24,231.82	$84,784.96	$84,784.96	2025-07-22
231	MS_DRG	Coronary Bypass With Ptca With Mcc	1	1	—	—	$82,339.40	$82,339.40	$82,339.40	2025-07-22
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	1	—	—	$82,294.25	$82,294.25	$82,294.25	2025-07-22
C8003	HCPCS	Imp Extar Knee Shck Absrb	3	3	—	—	$23,366.40	$81,756.91	$81,756.91	2025-07-22
23472	CPT	Reconstruct Shoulder Joint	3	3	—	—	$23,366.40	$81,756.91	$81,756.91	2025-07-22
27702	CPT	Reconstruct Ankle Joint	3	3	—	—	$23,366.40	$81,756.91	$81,756.91	2025-07-22
22633	CPT	Arthrd Cmbn 1ntrspc Lumbar	3	3	—	—	$23,366.40	$81,756.91	$81,756.91	2025-07-22
22630	CPT	Arthrd Pst Tq 1ntrspc Lum	3	3	—	—	$23,366.40	$81,756.91	$81,756.91	2025-07-22
27278	CPT	Arthrd Si Jt Plmt Iartic Dev	3	3	—	—	$23,366.40	$81,756.91	$81,756.91	2025-07-22
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	1	—	—	$81,058.68	$81,058.68	$81,058.68	2025-07-22
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	1	1	—	—	$80,943.19	$80,943.19	$80,943.19	2025-07-22
36836	CPT	Prq Av Fstl Crtj Uxtr 1 Acs	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
C9765	HCPCS	Revasc Intra Lithotrip-stent	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
0793T	CPT	Prq Tcat Thrm Ablt Nrv P-art	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
C9766	HCPCS	Revasc Intra Lithotrip-ather	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
C9775	HCPCS	Revasc Lith-sten-ath Tib/per	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
C9797	HCPCS	Vasc Emb/occ W/prs Cath	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
C9774	HCPCS	Revasc Lithotr-ather Tib/per	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
C9773	HCPCS	Revasc Lithotr-stent Tib/per	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
C9767	HCPCS	Revasc Lithotrip-stent-ather	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
36837	CPT	Prq Av Fstl Crt Uxtr Sep Acs	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
0645T	CPT	Tcat Impltj C Sins Rdctj Dev	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
33902	CPT	Perq P-art Revsc 1 Abnor Uni	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
0632T	CPT	Perq Tcat US Abltj Nrv P-art	3	3	—	—	$22,815.81	$79,830.46	$79,830.46	2025-07-22
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	1	1	—	—	$78,373.30	$78,373.30	$78,373.30	2025-07-22
10	MS_DRG	Pancreas Transplant	1	1	—	—	$77,526.85	$77,526.85	$77,526.85	2025-07-22
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	1	1	—	—	$77,087.77	$77,087.77	$77,087.77	2025-07-22
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	1	1	—	—	$76,022.27	$76,022.27	$76,022.27	2025-07-22
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$75,264.21	$75,264.21	$75,264.21	2025-07-22
38240	CPT	Transplt Allo Hct/donor	5	4	—	—	$26,524.93	$262,929.97	$75,146.24	2025-07-22
66683	CPT	Implantation Iris Prosthesis	3	3	—	—	$20,858.73	$72,982.82	$72,982.82	2025-07-22
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	1	1	—	—	$72,638.40	$72,638.40	$72,638.40	2025-07-22
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$69,165.17	$69,165.17	$69,165.17	2025-07-22
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$68,822.18	$68,822.18	$68,822.18	2025-07-22
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	1	1	—	—	$67,760.51	$67,760.51	$67,760.51	2025-07-22
955	MS_DRG	Craniotomy For Multiple Significant Trauma	1	1	—	—	$66,528.79	$66,528.79	$66,528.79	2025-07-22
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	1	—	—	$65,341.26	$65,341.26	$65,341.26	2025-07-22
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	1	1	—	—	$65,093.38	$65,093.38	$65,093.38	2025-07-22
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	1	1	—	—	$64,984.81	$64,984.81	$64,984.81	2025-07-22
J9029	HCPCS	Instill Adstiladrin, Tx Dose	1	1	—	—	$63,402.04	$63,402.04	$63,402.04	2025-07-22
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	1	1	—	—	$63,059.41	$63,059.41	$63,059.41	2025-07-22
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$62,970.04	$62,970.04	$62,970.04	2025-07-22
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	1	1	—	—	$61,686.45	$61,686.45	$61,686.45	2025-07-22
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	1	1	—	—	$60,438.40	$60,438.40	$60,438.40	2025-07-22
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	1	1	—	—	$60,361.53	$60,361.53	$60,361.53	2025-07-22
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	1	1	—	—	$60,090.60	$60,090.60	$60,090.60	2025-07-22
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	1	1	—	—	$59,884.03	$59,884.03	$59,884.03	2025-07-22
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	1	1	—	—	$59,615.02	$59,615.02	$59,615.02	2025-07-22
28	MS_DRG	Spinal Procedures With Mcc	1	1	—	—	$59,334.46	$59,334.46	$59,334.46	2025-07-22
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	1	1	—	—	$58,915.56	$58,915.56	$58,915.56	2025-07-22
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	1	1	—	—	$58,915.56	$58,915.56	$58,915.56	2025-07-22
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	1	1	—	—	$58,482.26	$58,482.26	$58,482.26	2025-07-22
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$58,083.52	$58,083.52	$58,083.52	2025-07-22
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	1	—	—	$58,040.29	$58,040.29	$58,040.29	2025-07-22
53451	CPT	Tprnl Balo Cntnc Dev Bi	3	3	—	—	$16,508.17	$57,760.61	$57,760.61	2025-07-22
55882	CPT	Ablt Trurl Prst8 Tis Trnsdcr	3	3	—	—	$16,508.17	$57,760.61	$57,760.61	2025-07-22
L7181	HCPCS	Electronic Elbo Simultaneous	1	1	—	—	$57,614.51	$57,614.51	$57,614.51	2025-07-22
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	1	1	—	—	$57,458.05	$57,458.05	$57,458.05	2025-07-22
0737T	CPT	Xenograft Impltj Artclr Surf	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
64628	CPT	Trml Dstrj Ios Bvn 1st 2 L/s	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
69716	CPT	Impl Oi Implt Sk Tc Esp<100	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
69719	CPT	Rplcm Oi Implt Sk Tc Esp<100	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
0627T	CPT	Perq Njx Algc Fluor Lmbr 1st	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
69730	CPT	Rplc Oi Implt Sk Tc Esp>=100	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
0629T	CPT	Perq Njx Algc CT Lmbr 1st	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
27130	CPT	Total Hip Arthroplasty	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
C9757	HCPCS	Spine Device Implant Surgery	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
C9781	HCPCS	Arthro/shoul Surg; W/spacer	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
69729	CPT	Impl Oi Implt Sk Tc Esp>=100	3	3	—	—	$16,348.58	$57,202.22	$57,202.22	2025-07-22
33276	CPT	Insj Phrnc Nrv Stim Sys	1	1	—	—	$57,177.64	$57,177.64	$57,177.64	2025-07-22
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	1	1	—	—	$56,863.33	$56,863.33	$56,863.33	2025-07-22
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	1	—	—	$56,066.84	$56,066.84	$56,066.84	2025-07-22
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	1	1	—	—	$55,737.29	$55,737.29	$55,737.29	2025-07-22
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	3	2	—	—	$32,461.94	$55,649.04	$55,536.50	2025-07-22
33288	CPT	Rmv&rplcmt Phrnc Nrv Stim Ld	3	3	—	—	$15,844.78	$55,439.46	$55,439.46	2025-07-22
0675T	CPT	Laps Insj Nw/rpcmt Isdss 1ld	3	3	—	—	$15,844.78	$55,439.46	$55,439.46	2025-07-22
0784T	CPT	Ins/rplmt Eltrd Ra Spi Nstim	3	3	—	—	$15,844.78	$55,439.46	$55,439.46	2025-07-22
64583	CPT	Rev/rplct Hpglsl Nstm Ary Pg	3	3	—	—	$15,844.78	$55,439.46	$55,439.46	2025-07-22
64596	CPT	Ins/rplcmt Prq Eltrd Ra Pn 1	3	3	—	—	$15,844.78	$55,439.46	$55,439.46	2025-07-22
61715	CPT	Mrgfus Strtctc Ablt Trgt Icr	3	3	—	—	$15,844.78	$55,439.46	$55,439.46	2025-07-22
653	MS_DRG	Major Bladder Procedures With Mcc	1	1	—	—	$54,483.48	$54,483.48	$54,483.48	2025-07-22
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	1	1	—	—	$54,029.03	$54,029.03	$54,029.03	2025-07-22
834	MS_DRG	Acute Leukemia With Mcc	1	1	—	—	$54,029.03	$54,029.03	$54,029.03	2025-07-22
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$53,806.12	$53,806.12	$53,806.12	2025-07-22
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	1	1	—	—	$53,483.30	$53,483.30	$53,483.30	2025-07-22
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	1	1	—	—	$53,200.85	$53,200.85	$53,200.85	2025-07-22
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	1	1	—	—	$53,081.70	$53,081.70	$53,081.70	2025-07-22
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	1	1	—	—	$52,815.56	$52,815.56	$52,815.56	2025-07-22
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	1	1	—	—	$52,766.57	$52,766.57	$52,766.57	2025-07-22
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	1	1	—	—	$52,760.80	$52,760.80	$52,760.80	2025-07-22
L7180	HCPCS	Electronic Elbow Sequential	1	1	—	—	$52,277.90	$52,277.90	$52,277.90	2025-07-22
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	1	1	—	—	$52,039.25	$52,039.25	$52,039.25	2025-07-22
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$51,813.47	$51,813.47	$51,813.47	2025-07-22
A9543	HCPCS	Y90 Ibritumomab, Rx	3	2	—	—	$29,730.87	$56,824.55	$50,967.21	2025-07-22
33901	CPT	Perq P-art Revsc 1 Nm Nt Bi	3	3	—	—	$14,409.33	$50,416.93	$50,416.93	2025-07-22
33903	CPT	Perq P-art Revsc 1 Abnor Bi	3	3	—	—	$14,409.33	$50,416.93	$50,416.93	2025-07-22
33900	CPT	Perq P-art Revsc 1 Nm Nt Uni	3	3	—	—	$14,409.33	$50,416.93	$50,416.93	2025-07-22
C9783	HCPCS	Blind Cor Sinus Reducer Impl	3	3	—	—	$14,409.33	$50,416.93	$50,416.93	2025-07-22
C9772	HCPCS	Revasc Lithotrip Tibi/perone	3	3	—	—	$14,409.33	$50,416.93	$50,416.93	2025-07-22
C9764	HCPCS	Revasc Intravasc Lithotripsy	3	3	—	—	$14,409.33	$50,416.93	$50,416.93	2025-07-22
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	1	1	—	—	$50,404.98	$50,404.98	$50,404.98	2025-07-22
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	1	1	—	—	$50,240.68	$50,240.68	$50,240.68	2025-07-22
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	1	1	—	—	$49,871.74	$49,871.74	$49,871.74	2025-07-22
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	1	1	—	—	$49,721.85	$49,721.85	$49,721.85	2025-07-22
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	1	1	—	—	$49,317.36	$49,317.36	$49,317.36	2025-07-22
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	1	1	—	—	$49,032.01	$49,032.01	$49,032.01	2025-07-22
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$48,994.54	$48,994.54	$48,994.54	2025-07-22
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	1	1	—	—	$48,975.32	$48,975.32	$48,975.32	2025-07-22
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	1	1	—	—	$48,802.38	$48,802.38	$48,802.38	2025-07-22
245	MS_DRG	Aicd Generator Procedures	1	1	—	—	$47,875.23	$47,875.23	$47,875.23	2025-07-22
471	MS_DRG	Cervical Spinal Fusion With Mcc	1	1	—	—	$47,591.79	$47,591.79	$47,591.79	2025-07-22
6	MS_DRG	Liver Transplant Without Mcc	1	1	—	—	$47,513.98	$47,513.98	$47,513.98	2025-07-22
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	1	1	—	—	$46,805.86	$46,805.86	$46,805.86	2025-07-22
799	MS_DRG	Splenic Procedures With Mcc	1	1	—	—	$46,606.99	$46,606.99	$46,606.99	2025-07-22
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	1	1	—	—	$46,598.35	$46,598.35	$46,598.35	2025-07-22
0679T	CPT	Laps Rmvl Lead Isdss	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
55867	CPT	Laps Surg Prst8ect Smpl Stot	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
0677T	CPT	Laps Repos Lead Isdss 1st Ld	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
0600T	CPT	Ablt Ire 1+ O/t Lv/prst8 Prq	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
0601T	CPT	Abltj Ire 1+tumors Open	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
C9901	HCPCS	Endo Defect Closure Gi Tract	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
C9784	HCPCS	Other Outpatient Services	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
C9785	HCPCS	Endo Outlet Restrict W/tube	3	3	—	—	$13,228.50	$46,285.33	$46,285.33	2025-07-22
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	1	1	—	—	$46,125.65	$46,125.65	$46,125.65	2025-07-22
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	1	1	—	—	$45,883.53	$45,883.53	$45,883.53	2025-07-22
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	1	1	—	—	$45,618.34	$45,618.34	$45,618.34	2025-07-22
163	MS_DRG	Major Chest Procedures With Mcc	1	1	—	—	$45,208.10	$45,208.10	$45,208.10	2025-07-22
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	1	1	—	—	$45,189.85	$45,189.85	$45,189.85	2025-07-22
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$45,048.60	$45,048.60	$45,048.60	2025-07-22
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	1	1	—	—	$45,041.88	$45,041.88	$45,041.88	2025-07-22
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	1	1	—	—	$44,471.64	$44,471.64	$44,471.64	2025-07-22
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	1	1	—	—	$44,270.37	$44,270.37	$44,270.37	2025-07-22
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	1	1	—	—	$44,011.93	$44,011.93	$44,011.93	2025-07-22
J9226	HCPCS	Supprelin La Implant	3	2	—	—	$25,653.32	$45,261.80	$43,977.12	2025-07-22
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	1	1	—	—	$43,892.79	$43,892.79	$43,892.79	2025-07-22
901	MS_DRG	Wound Debridements For Injuries With Mcc	1	1	—	—	$43,491.18	$43,491.18	$43,491.18	2025-07-22
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	1	1	—	—	$43,128.96	$43,128.96	$43,128.96	2025-07-22
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	1	1	—	—	$42,495.82	$42,495.82	$42,495.82	2025-07-22
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	1	1	—	—	$42,410.31	$42,410.31	$42,410.31	2025-07-22
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	1	1	—	—	$41,907.81	$41,907.81	$41,907.81	2025-07-22
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	1	1	—	—	$41,847.28	$41,847.28	$41,847.28	2025-07-22
140	MS_DRG	Major Head And Neck Procedures With Mcc	1	1	—	—	$41,557.13	$41,557.13	$41,557.13	2025-07-22
31	MS_DRG	Ventricular Shunt Procedures With Mcc	1	1	—	—	$41,186.27	$41,186.27	$41,186.27	2025-07-22
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	1	1	—	—	$41,176.66	$41,176.66	$41,176.66	2025-07-22
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	1	1	—	—	$41,141.33	$41,141.33	$41,141.33	2025-07-22
0619T	CPT	Other Outpatient Services	3	3	—	—	$11,749.43	$41,110.18	$41,110.18	2025-07-22
55880	CPT	Abltj Mal Prst8 Tiss Hifu	3	3	—	—	$11,749.43	$41,110.18	$41,110.18	2025-07-22
C9761	HCPCS	Cysto, Litho, Vacuum Kidney	3	3	—	—	$11,749.43	$41,110.18	$41,110.18	2025-07-22
53865	CPT	Cysto Insj Dev Ischmc Rmdlg	3	3	—	—	$11,749.43	$41,110.18	$41,110.18	2025-07-22
53452	CPT	Tprnl Balo Cntnc Dev Uni	3	3	—	—	$11,749.43	$41,110.18	$41,110.18	2025-07-22
793	MS_DRG	Full Term Neonate With Major Problems	1	1	—	—	$40,993.17	$40,993.17	$40,993.17	2025-07-22
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	1	1	—	—	$40,899.00	$40,899.00	$40,899.00	2025-07-22
0408T	CPT	Insj/rplc Cardiac Modulj Sys	5	4	—	—	$15,397.52	$142,536.66	$40,737.44	2025-07-22
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	5	4	—	—	$21,459.47	$142,536.66	$40,737.44	2025-07-22
33249	CPT	Insj/rplcmt Defib W/lead(s)	5	4	—	—	$21,459.47	$142,536.66	$40,737.44	2025-07-22
33231	CPT	Insrt Pulse Gen W/mult Leads	5	4	—	—	$21,459.47	$142,536.66	$40,737.44	2025-07-22
33270	CPT	Ins/rep Subq Defibrillator	5	4	—	—	$21,459.47	$142,536.66	$40,737.44	2025-07-22
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	1	1	—	—	$40,432.06	$40,432.06	$40,432.06	2025-07-22
69930	CPT	Implant Cochlear Device	5	4	—	—	$22,377.44	$141,408.52	$40,415.02	2025-07-22
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	1	1	—	—	$40,409.96	$40,409.96	$40,409.96	2025-07-22
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	1	1	—	—	$40,351.35	$40,351.35	$40,351.35	2025-07-22
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$40,157.27	$40,157.27	$40,157.27	2025-07-22
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	1	1	—	—	$40,002.58	$40,002.58	$40,002.58	2025-07-22
791	MS_DRG	Prematurity With Major Problems	1	1	—	—	$39,930.53	$39,930.53	$39,930.53	2025-07-22
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	1	1	—	—	$39,198.41	$39,198.41	$39,198.41	2025-07-22
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	1	1	—	—	$39,171.51	$39,171.51	$39,171.51	2025-07-22
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	1	1	—	—	$38,833.30	$38,833.30	$38,833.30	2025-07-22
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	1	1	—	—	$38,755.50	$38,755.50	$38,755.50	2025-07-22
61886	CPT	Implant Neurostim Arrays	5	4	—	—	$19,388.50	$135,476.89	$38,719.74	2025-07-22
0268T	CPT	Other Outpatient Services	5	4	—	—	$13,095.01	$135,476.89	$38,719.74	2025-07-22
63685	CPT	Ins/rplc Spi Npg/rcvr Pocket	5	4	—	—	$19,388.50	$135,476.89	$38,719.74	2025-07-22
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	5	4	—	—	$19,388.50	$135,476.89	$38,719.74	2025-07-22
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	1	1	—	—	$38,678.63	$38,678.63	$38,678.63	2025-07-22
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$38,511.46	$38,511.46	$38,511.46	2025-07-22
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	1	1	—	—	$38,493.20	$38,493.20	$38,493.20	2025-07-22
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	1	1	—	—	$38,285.69	$38,285.69	$38,285.69	2025-07-22
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	1	1	—	—	$38,057.96	$38,057.96	$38,057.96	2025-07-22
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	1	1	—	—	$38,020.50	$38,020.50	$38,020.50	2025-07-22
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	1	1	—	—	$37,916.73	$37,916.73	$37,916.73	2025-07-22
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	1	1	—	—	$37,648.68	$37,648.68	$37,648.68	2025-07-22
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	1	1	—	—	$37,449.80	$37,449.80	$37,449.80	2025-07-22
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	1	1	—	—	$37,165.39	$37,165.39	$37,165.39	2025-07-22
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	1	1	—	—	$36,876.22	$36,876.22	$36,876.22	2025-07-22
0917T	CPT	Insj Perm Ccm-d Sys 1 Lead	3	3	—	—	$10,515.46	$36,792.65	$36,792.65	2025-07-22
0918T	CPT	Insj Perm Ccm-d Sys Dual Ld	3	3	—	—	$10,515.46	$36,792.65	$36,792.65	2025-07-22
0572T	CPT	Insertion Ss Dfb Electrode	3	3	—	—	$10,515.46	$36,792.65	$36,792.65	2025-07-22
33289	CPT	Transcatheter Implant Of Wireless Pulm A	5	4	$222,463.92	$222,463.92	$20,538.51	$126,384.25	$36,121.04	2025-07-22
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	1	1	—	—	$35,979.79	$35,979.79	$35,979.79	2025-07-22
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	1	1	—	—	$35,736.72	$35,736.72	$35,736.72	2025-07-22
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	1	1	—	—	$35,365.86	$35,365.86	$35,365.86	2025-07-22
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	1	1	—	—	$35,363.93	$35,363.93	$35,363.93	2025-07-22
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	1	1	—	—	$35,358.17	$35,358.17	$35,358.17	2025-07-22
265	MS_DRG	Aicd Lead Procedures	1	1	—	—	$35,196.77	$35,196.77	$35,196.77	2025-07-22
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	1	1	—	—	$35,043.03	$35,043.03	$35,043.03	2025-07-22
C9760	HCPCS	Non-blind Interatrial Shunt	1	1	—	—	$34,942.14	$34,942.14	$34,942.14	2025-07-22
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	1	1	—	—	$34,843.20	$34,843.20	$34,843.20	2025-07-22
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	1	1	—	—	$34,834.55	$34,834.55	$34,834.55	2025-07-22
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	1	1	—	—	$34,749.04	$34,749.04	$34,749.04	2025-07-22
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	1	1	—	—	$34,587.63	$34,587.63	$34,587.63	2025-07-22
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	1	1	—	—	$34,577.06	$34,577.06	$34,577.06	2025-07-22
L5856	HCPCS	Elec Knee-shin Swing/stance	1	1	—	—	$34,568.35	$34,568.35	$34,568.35	2025-07-22
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	1	1	—	—	$34,563.61	$34,563.61	$34,563.61	2025-07-22
264	MS_DRG	Other Circulatory System O.r. Procedures	1	1	—	—	$34,504.03	$34,504.03	$34,504.03	2025-07-22
L6880	HCPCS	Elec Hand Ind Art Digits	1	1	—	—	$34,363.97	$34,363.97	$34,363.97	2025-07-22
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	1	1	—	—	$34,286.90	$34,286.90	$34,286.90	2025-07-22
332	MS_DRG	Rectal Resection With Mcc	1	1	—	—	$34,250.38	$34,250.38	$34,250.38	2025-07-22
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	1	1	—	—	$34,213.89	$34,213.89	$34,213.89	2025-07-22
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	1	1	—	—	$34,016.92	$34,016.92	$34,016.92	2025-07-22
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	1	1	—	—	$33,965.04	$33,965.04	$33,965.04	2025-07-22
665	MS_DRG	Prostatectomy With Mcc	1	1	—	—	$33,913.15	$33,913.15	$33,913.15	2025-07-22
252	MS_DRG	Other Vascular Procedures With Mcc	1	1	—	—	$33,882.41	$33,882.41	$33,882.41	2025-07-22
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	1	1	—	—	$33,832.45	$33,832.45	$33,832.45	2025-07-22
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	1	1	—	—	$33,649.91	$33,649.91	$33,649.91	2025-07-22
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	1	1	—	—	$33,513.47	$33,513.47	$33,513.47	2025-07-22
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	1	1	—	—	$33,174.31	$33,174.31	$33,174.31	2025-07-22
58580	CPT	Transcrv Abltj Utrn Fibrd Rf	3	3	—	—	$9,395.85	$32,875.23	$32,875.23	2025-07-22
37	MS_DRG	Extracranial Procedures With Mcc	1	1	—	—	$32,830.36	$32,830.36	$32,830.36	2025-07-22
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	1	1	—	—	$32,647.81	$32,647.81	$32,647.81	2025-07-22
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	1	1	—	—	$32,328.83	$32,328.83	$32,328.83	2025-07-22
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	1	1	—	—	$32,239.47	$32,239.47	$32,239.47	2025-07-22
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	1	1	—	—	$32,226.02	$32,226.02	$32,226.02	2025-07-22
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	1	1	—	—	$31,854.21	$31,854.21	$31,854.21	2025-07-22
0594T	CPT	Osteot Hum Xtrnl Lngth Dev	3	3	—	—	$9,076.82	$31,758.99	$31,758.99	2025-07-22
63265	CPT	Excise Intraspinl Lesion Crv	3	3	—	—	$9,076.82	$31,758.99	$31,758.99	2025-07-22
63266	CPT	Excise Intrspinl Lesion Thrc	3	3	—	—	$9,076.82	$31,758.99	$31,758.99	2025-07-22
63267	CPT	Excise Intrspinl Lesion Lmbr	3	3	—	—	$9,076.82	$31,758.99	$31,758.99	2025-07-22
63268	CPT	Excise Intrspinl Lesion Scrl	3	3	—	—	$9,076.82	$31,758.99	$31,758.99	2025-07-22
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	1	1	—	—	$31,711.04	$31,711.04	$31,711.04	2025-07-22
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	1	1	—	—	$31,621.69	$31,621.69	$31,621.69	2025-07-22
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	1	1	—	—	$31,563.08	$31,563.08	$31,563.08	2025-07-22
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	1	1	—	—	$31,480.45	$31,480.45	$31,480.45	2025-07-22
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	1	1	—	—	$31,418.96	$31,418.96	$31,418.96	2025-07-22
500	MS_DRG	Soft Tissue Procedures With Mcc	1	1	—	—	$31,368.05	$31,368.05	$31,368.05	2025-07-22
93656	CPT	Compre Ep Eval Abltj Atr Fib	5	4	—	—	$13,449.62	$109,063.63	$31,170.74	2025-07-22
93653	CPT	Compre Ep Eval Tx Svt	5	4	—	—	$13,449.62	$109,063.63	$31,170.74	2025-07-22
93654	CPT	Compre Ep Eval Tx Vt	5	4	—	—	$13,449.62	$109,063.63	$31,170.74	2025-07-22
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	1	1	—	—	$30,909.77	$30,909.77	$30,909.77	2025-07-22
662	MS_DRG	Minor Bladder Procedures With Mcc	1	1	—	—	$30,896.31	$30,896.31	$30,896.31	2025-07-22
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	1	1	—	—	$30,768.52	$30,768.52	$30,768.52	2025-07-22
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	1	1	—	—	$30,634.96	$30,634.96	$30,634.96	2025-07-22
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$30,573.47	$30,573.47	$30,573.47	2025-07-22
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	1	1	—	—	$30,552.34	$30,552.34	$30,552.34	2025-07-22
652	MS_DRG	Kidney Transplant	1	1	—	—	$30,433.22	$30,433.22	$30,433.22	2025-07-22
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	1	1	—	—	$30,406.31	$30,406.31	$30,406.31	2025-07-22
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	1	1	—	—	$30,310.23	$30,310.23	$30,310.23	2025-07-22
570	MS_DRG	Skin Debridement With Mcc	1	1	—	—	$29,845.21	$29,845.21	$29,845.21	2025-07-22
974	MS_DRG	HIV With Major Related Condition With Mcc	1	1	—	—	$29,614.62	$29,614.62	$29,614.62	2025-07-22
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	1	1	—	—	$29,253.36	$29,253.36	$29,253.36	2025-07-22
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	1	1	—	—	$29,180.35	$29,180.35	$29,180.35	2025-07-22
0587T	CPT	Perq Impltj/rplcmt Isdns Ptn	3	3	—	—	$8,338.82	$29,176.79	$29,176.79	2025-07-22
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	1	1	—	—	$29,103.49	$29,103.49	$29,103.49	2025-07-22

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