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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

MAD RIVER COMMUNITY HOSPITAL

Arcata, CA · CCN 050028 · Rates published

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 — reasonRows
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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 viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
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
$3,685,267
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
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,321,781.51 $3,321,781.51 $3,321,781.51 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,193,000.00 $3,193,000.00 $3,193,000.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$2,968,000
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
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $551,318.34 $551,318.34 $551,318.34 nat. median
$599,737
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $309,055.87 $565,623.84 $529,810.07 nat. median
$621,313
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $528,312.43 $528,312.43 $528,312.43 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $516,485.97 $516,485.97 $516,485.97 nat. median
$579,571
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $488,051.51 $488,051.51 $488,051.51 nat. median
$513,770
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $276,766.00 $489,517.15 $474,456.00 nat. median
$562,501
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
$168,055
outlier · 2.2×
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
$186,516
1.5× 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
$131,925
1.7× 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
$145,435
1.4× median
0100T
CPT 		Prosth Retina Receive&gen 1 $106,750.35 $183,000.60 $144,875.48 nat. median
$11,456
outlier · 12.6×
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 3 $40,737.44 $142,536.66 $142,536.66 nat. median
$32,945
outlier · 4.3×
0915T
CPT 		Insj Perm Ccm-d Sys Pg&eltrd 3 $40,737.44 $142,536.66 $142,536.66 nat. median
$35,266
outlier · 4.0×
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
$97,418
1.4× median
0674T
CPT 		Laps Insj Nw/rpcmt Prm Isdss 3 $38,719.74 $135,476.89 $135,476.89 nat. median
$29,815
outlier · 4.5×
64582
CPT 		Opn Mpltj Hpglsl Nstm Ary Pg 3 $38,719.74 $135,476.89 $135,476.89 nat. median
$29,815
outlier · 4.5×
33287
CPT 		Rmv&rplcmt Phrnc Nrv Stim Pg 3 $38,719.74 $135,476.89 $135,476.89 nat. median
$27,599
outlier · 4.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $126,803.39 $126,803.39 $126,803.39 nat. median
$72,715
1.7× median
7
MS_DRG 		Lung Transplant 1 $126,486.32 $126,486.32 $126,486.32 nat. median
$70,649
1.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $111,860.00 $111,860.00 $111,860.00 nat. median
$95,583
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
$65,418
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $105,590.30 $105,590.30 $105,590.30 nat. median
$74,509
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $103,241.21 $103,241.21 $103,241.21 nat. median
$69,922
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 1 $102,716.62 $102,716.62 $102,716.62 nat. median
$73,023
1.4× 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
$2,736
outlier · 37.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $99,999.99 $99,999.99 $99,999.99 nat. median
$108,243
0.9× median
0916T
CPT 		Insj Perm Ccm-d Sys Pg Only 3 $28,520.13 $99,789.38 $99,789.38 nat. median
$31,744
outlier · 3.1×
0923T
CPT 		Rmvl&rplcmt Perm Ccm-d Pg 3 $28,520.13 $99,789.38 $99,789.38 nat. median
$32,259
outlier · 3.1×
0614T
CPT 		Rmvl&rplcmt Ss Impl Dfb Pg 3 $28,520.13 $99,789.38 $99,789.38 nat. median
$24,111
outlier · 4.1×
0817T
CPT 		Opn Insj/rplcmt Ins Ptn Subf 3 $27,247.24 $95,335.64 $95,335.64 nat. median
$20,981
outlier · 4.5×
0816T
CPT 		Opn Insj/rplcmt Ins Ptn Subq 3 $27,247.24 $95,335.64 $95,335.64 nat. median
$21,090
outlier · 4.5×
0680T
CPT 		Insj/rplcmt Pg Only Isdss 3 $27,247.24 $95,335.64 $95,335.64 nat. median
$20,981
outlier · 4.5×
61891
CPT 		Rev/rplcmt Sk-mnt Crnl Nstm 3 $27,247.24 $95,335.64 $95,335.64 nat. median
$20,209
outlier · 4.7×
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
$69,822
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $89,429.96 $89,429.96 $89,429.96 nat. median
$2,633
outlier · 34.0×
0801T
CPT 		Tcat Rmv&rpl 2chmbr Ldls Pm 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$20,278
outlier · 4.2×
0823T
CPT 		Tcat Ins 1chmbr Ldls Pm Ra 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$20,485
outlier · 4.1×
0802T
CPT 		Tcat Rmv&rpl2chmb Ldls Pm Ra 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$20,278
outlier · 4.2×
0795T
CPT 		Tcat Ins 2chmbr Ldls Pm Cmpl 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$19,928
outlier · 4.3×
0825T
CPT 		Tcat Rmv&rpl1chmb Ldls Pm Ra 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$20,485
outlier · 4.1×
0796T
CPT 		Tcat Ins 2chmbr Ldls Pm Ra 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$20,278
outlier · 4.2×
0803T
CPT 		Tcat Rmv&rpl2chmb Ldls Pm Rv 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$20,278
outlier · 4.2×
0797T
CPT 		Tcat Ins 2chmbr Ldls Pm Rv 3 $24,231.82 $84,784.96 $84,784.96 nat. median
$20,278
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.

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
             
38240 CPT Transplt Allo Hct/donor 5 4 — — $26,524.93 $262,929.97 $75,146.24 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
69930 CPT Implant Cochlear Device 5 4 — — $22,377.44 $141,408.52 $40,415.02 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
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
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
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $309,055.87 $565,623.84 $529,810.07 2025-07-22
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $276,766.00 $489,517.15 $474,456.00 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
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
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
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
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
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
66683 CPT Implantation Iris Prosthesis 3 3 — — $20,858.73 $72,982.82 $72,982.82 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
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
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
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
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
J9226 HCPCS Supprelin La Implant 3 2 — — $25,653.32 $45,261.80 $43,977.12 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
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
58580 CPT Transcrv Abltj Utrn Fibrd Rf 3 3 — — $9,395.85 $32,875.23 $32,875.23 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
0587T CPT Perq Impltj/rplcmt Isdns Ptn 3 3 — — $8,338.82 $29,176.79 $29,176.79 2025-07-22
0100T CPT Prosth Retina Receive&gen 2 1 — — $106,750.35 $183,000.60 $144,875.48 2025-07-22
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
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
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 &gt;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 &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 1 1 — — $206,834.52 $206,834.52 $206,834.52 2025-07-22
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 1 1 — — $136,682.14 $136,682.14 $136,682.14 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
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
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
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
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
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 &gt;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 &gt;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
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
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
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
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
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
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 &gt;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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $40,432.06 $40,432.06 $40,432.06 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
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
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
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
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
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
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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